Boomers d n o y e &B March 2017
Westchester County
Legal advice for Medicaid & Asset-Protection planning. Call (914) 816-2900 today! See page 14
Burke Rehabilitation Get home faster p9
Westchester Audiology Comprehensive hearing services p11 Brightview Tarrytown Come see our community p13 Connect Hearing Free 2-week trial p15
Star One Home Care and Medical StaďŹƒng Full-service agency p21
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March, 2017
Boomers & Beyond - Westchester
Our Specialty Pro ograms a help yo ou manage a wide range of con nditions at home.
• • • e • • • •
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Call us 24/7 at 1-888-FOR-VNSW www.vns.org
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Westcheste s r Care at HOME An affiliate of VNS Westchester ste
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.
Westchester Financial Center 50 Main Street, Suite #1000 White Plains, NY 10606 Email: Info@ejrosenlaw.com
Tel: (914) 816-2900 www.ejrosenlaw.com
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. – Tom C.
Attorney advertising • Prior results do not guarantee a similar outcome
ELDER LAW • TRUSTS & ESTATES • TAX ADVOCACY • MEDIATION • EMPLOYMENT LAW
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March, 2017
Boomers & Beyond - Westchester
Annual Legislative Speak-Out for Seniors The impact of the proposed federal and state budgets for 2016-2017 on seniors was a topic at the annual Legislative Speak-Out and Breakfast recently at the Westchester County Center, attended by County Executive Robert P. Astorino and other officials. More than 150 people attended the event, which is co-sponsored by Westchester County’s Department of Senior Programs and Services, and in conjunction with the Honorable Bernice Spreckman Chairperson, Advisory Councils. Astorino said it is vitally important to him that Westchester be affordable for seniors that they can continue to live in the county after they retire. “Seniors are the heart and soul of what makes Westchester so special,” he said. “We've worked alongside the Department of Senior Programs and Services for many years to champion issues that affect their quality of life.”
Astorino cited the positive impact of DSPS' Livable Communities initiative, which helps to enable seniors to continue to live in their homes as they age. In particular, he mentioned the initiative's Caregiver Coach program and its “CareCircle: Step Forward & Give Back “ program, which trained its first group of volunteers earlier this week. Astorino added, however, that he is all too aware that Westchester's property taxes continue to make it tough if not impossible for large numberrs of seniors to live in the county - especially after they retire. “Many seniors told me that they paid off their mortgages but can’t afford to stay in their homes,” he said. The Speak-Out is a special opportunity to advocate for aging services. Participants were able to ask questions on topics that range from Social Security to health care reform, taxes and mental health services.
photos by Anthony Mairo
Boomers & Beyond - Westchester
March, 2017
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March, 2017
Boomers & Beyond - Westchester
Meadowview lobby.
On the cover…
Advertiser’s Index
Our View
Brightview Tarrytown...............................................................................13
The world of healthcare constantly changes, and it’s important - especially as we age - to keep up on advancements in the field of medicine and other factors that contribute to healthy living. This month’s issue of Boomers & Beyond takes a look at some of the latest approaches to rehabilitation and home care – two topics of key interest to many readers as we and our loved ones grow older. You’ll also find helpful pointers on managing diabetes, and discover ways to help boost your vision and hearing; plus, check out experts’ suggestions on easy ways to take care of your teeth and mouth in order to enjoy a lifetime of good oral health. Brain Awareness Week also takes place this month (March 13-19), highlighting scientific research in brain science. It’s also a great time to read about simple techniques that help enhance brain health and cognition, which can be especially helpful for seniors. Wishing everyone good health throughout the month! And please continue to contact us with questions, ideas and suggestions for future issues. We can be reached at info@healthcarenewspaper.com.
Burke Rehabilitation Hospital..................................................................9 ColumbiaDoctors..................................................................................23 Connect Hearing...................................................................................15 Ely J. Rosenzveig & Associates, PC...................................................3,14 Glen Island Center for Nursing and Rehabilitation..................................19 MDHearingAid...........................................................................22 Neighbors Home Care Services................................................................17 Physicians Mutual....................................................................................20 Star One Home Care & Medical Staffing...............................................21 Victoria Home.......................................................................................12 VNA of Hudson Valley...........................................................................24 VNS Westchester........................................................................................2 The Wartburg........................................................................................5
Waveny Lifecare Network..................................................................................7
Boomers
Westchester Audiology.........................................................................11
845-534-7500 • (fax) 845-534-0055 Info@HealthcareNewspaper.com
Westchester County
& Beyond
PUBLISHER
Courtesy of The Wartburg see p10
Joseph P. Belsito (Joe@belsito.com)
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Gregory W. Buff (Greg@belsito.com)
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Cathryn Burak
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••• MARKETING EXECUTIVE
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••• CIRCULATION
Michelle Belsito
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Dale McKnight
Corporate Information
Healthcare News - Westchester, New York edition - Vol. 10 No. 3- 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 Retirement Communities Helping your loved one feel comfort and staying active when needed Managing Hearing Loss Rehabilitation Overcoming Injury Cancer Awareness and Care Occupational Therapy
Two appointed to Waveny Leadership Team PAGE 8
March, 2017
Bill Piper, Chief Executive Officer of Waveny LifeCare Network, has appointed Lynn Iverson, RN, LNHA, MBA and Edlira Curis to key leadership roles within the non-profit eldercare organization. Iverson has been named Campus Administrator, and will oversee the operations of the healthcare-focused services, programs and residences on Waveny’s main campus, including Waveny Care Center – the organization’s 5-star rated skilled nursing and rehabilitation facility, The Village – Waveny’s award-winning residence dedicated to memory and dementia care, the Adult Day Program, and the Brown Geriatric Evaluation Clinic. Curis has been named Vice President of Development, and will be responsible for directing Waveny’s fundraising efforts and major campaigns. Both will play active roles on the organization’s leadership team. A registered nurse and licensed administrator with more than 30 years of both clinical and managerial experience in acute, sub-acute, rehabilitation and long-term care nursing settings, Iverson most recently served as Administrator for St. Joseph Living Center, a 120-bed non-profit skilled rehabilitation and long-term care facility in Willimantic, Conn. for nine years. Simultaneously, she held volunteer leadership positions with Leading Age of Connecticut, a membership organization
“I am very excited to become a member of Waveny LifeCare Network leadership, and I look forward to working with our team to further develop our programs and services.” Lynn Iverson
Boomers & Beyond - Westchester
As a fundraising professional, it’s highly rewarding to work for a mission-driven organization like Waveny, whose values are aligned so well with the needs and priorities of the community it serves.”
Edlira Curis
provided
Lynn Iverson and Edlira Curis have been named to key leadership roles at Waveny, as Campus Administrator and Vice President of Development, respectively.
representing over 130 non-profit healthcare provider organizations within the state, of which Waveny is a long-standing member. “I am very excited to become a member of Waveny LifeCare Network leadership, and I look forward to working with our team to further develop our programs and services,” said Iverson. “I am fortunate to be joining such a well-respected organization that prides itself on service excellence.” A professional fundraiser with experience in all aspects of Development, including soliciting
major gifts for Annual Giving programs and Capital Campaigns, Curis was most recently involved with The Giving Collaborative – a philanthropy firm that provides counsel and assistance to non-profit organizations seeking to grow their philanthropy programs. Prior, she devoted ten years of service to independent schools, during which she worked on several campaigns including a $10 million campaign for Rippowam Cisqua School of Bedford, NY and a $6 million campaign for Lauralton Hall High School of Milford, Conn.
“I have thoroughly enjoyed stepping into my new role and getting to know Waveny’s many loyal friends and supporters,” said Curis. “I am inspired by our meaningful conversations and the evident level of support and generosity that Waveny receives from the community. As a fundraising professional, it’s highly rewarding to work for a missiondriven organization like Waveny, whose values are aligned so well with the needs and priorities of the community it serves.” Waveny LifeCare Network provides a comprehensive continuum of healthcare to serve the changing needs of older adults from all areas. Waveny is a non-profit organization that offers independent living at The Inn, assisted living and respite care for people with memory impairment at The Village, and skilled nursing, inpatient and outpatient Rehabilitation Services at Waveny Care Center. It also includes the Brown Geriatric Evaluation Clinic, an Adult Day Program that provides free door-to-door transportation throughout most of lower Fairfield County, and an array of community-based services through Waveny Home Healthcare, Waveny at Home and Geriatric Care Management. For more information, call 1-855-WAVENY-1 or visit www.waveny.org.
Boomers & Beyond - Westchester
Fitness Center
The Burke Adult Fitness Center is designed for adults 40 and older (or those with a qualifying disability) to provide a comfortable and safe environment for exercise. Each member of the fitness center requires a physician's approval to exercise and has to provide an in-depth health history. Based on the individual's health history and goals, the individual will have a specific exercise program designed by a certified personal trainer. The trainer will go through the program with the individual three times. This will help ensure that the trainer and member are both comfortable with the member's ability to exercise independently and safely. The fitness center features FitLinxx, a unique computer system. This is a specially-designed computer system that enables personal trainers to set up a members' program at each exercise machine through an
March, 2017
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individual computer. This allows for more instruction on each visit to reduce the amount of injuries caused by improper use of fitness equipment. The FitLinxx system also tracks everything the member does so that they can easily see the results of their exercise program. The Burke Adult Fitness Center provides a variety of different programs and a state-of-the-art facility to meet the needs of adults interested in exercise programs. So whether you have just completed rehabilitative therapy, have an on-going medical condition or are simply interested in getting into shape, The Burke Adult Fitness Center is for you. The facility is easily accessible to White Plains and the surrounding communities and offers ample free parking. For more information, please contact (914) 597-2805.
Boomers & Beyond - Westchester
Wartburg completes $1M in renovations to Meadowview Assisted Living facility with low cost bond refinance through Westchester LDC
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March, 2017
The new café space, which was added during a previous round of work, was named for former Meadowview resident Marie Barletta, a former Nun. Ms. Barletta left a generous donation to the Wartburg Foundation in her will and the gift was used in the renovation of the building. These renovations have given Meadowview a more updated modern look and feel, enhanced the technology of the facility, and ensure that the common spaces are safe and accessible for those who live there.
taxpayers and saved the non-profit nearly $2.5 million in financing cost. “As a result of the renovations the common areas are much more inviting and comfortable,” said David J. Gentner, President and CEO of Wartburg, “It is amazing how much technology advances have influenced aspects of our resident’s quality of life since 2000." Additional work included a complete overhaul of the main dining room, including new furniture, floors, window treatments, artwork, re-carpeting of the second and third floors, wiring of the building for WiFi access, installation of electronic door locks for resident rooms and installation of a new emergency call system for residents. “I’m so happy we were able to complete this project to enhance the quality of life for the residents of Meadowview. Seeing our residents enjoying the newly renovated spaces on a daily basis makes it all worthwhile,” said John Schuster, Meadowview Administrator. The architectural firm for the project was KDA out of Voorhees, NJ., and the general contractor was DGC Capital Contracting from Mt. Vernon, NY. Carpeting was done by Magna Dry, also from Mt. Vernon.
About Meadowview at Wartburg Meadowview at Wartburg is an Left to right: Sr. Mary Angela Smith and John Schuster, Mead- assisted living facility located in owview Administrator, cutting rib- Mount Vernon, NY. The facility is comprised of 103 units, including bon for new Marie Barletta Cafe. studios, one-bedrooms, and two-bedFuture plans include a minor rooms, in addition to the aforemenfacelift in the Memory Care dining tioned SNALR unit. Meadowview room. The Memory Care Unit is a allows residents to “age in place” 15-resident area in the facility that with a special Enhanced Assisted cares for individuals with special Living (EALR) certification that needs related to cognitive challenges caters to residents with limited physlike Alzheimer’s disease and demen- ical function. Full programs of social tia. It is licensed by the New York and recreational services, including State Department of Health as a Spe- Wartburg’s award-winning, internacial Needs Assisted Living Resi- tionally recognized Council for Creative Aging and Lifelong Learning. dence (SNALR.)
Left to right: Dr. Frank Polcari, Medical Director, Robert Dorcy, Director of Rehabilitation Services, Janet Palazzolo, Vice President, Residential and Home Care Services, Darlene Yancey, former Meadowview Memory Care Coordinator.
Pictured (L to R): Melpo Voulieris, Social Work Manager at Meadowview, Juliet Malcolm, Wellness Supervisor at Meadowview and Dorothea Bell, Executive Vice President of Human Resources.
Wartburg’s Meadowview Assisted Living Residence (ALR) underwent a million-dollar renovation this past year. The renovation refreshed the building’s look, updated wiring and technology, and gave a new look to the Concierge, Gathering Lounge and Café areas to stay in pace with other similar ALRs in the area. Wartburg, a senior residential and healthcare provider in Mt. Vernon, NY, is dedicated to provided residential options for the oldest members of the community in a safe, stimulating environment on their 34-acre gated campus. The majority of renovation work was in the common spaces of the facility on the main floor, specifically in the Gathering Lounge and surrounding areas. The $1,000,000 in renovations and upgrades came entirely from refinancing existing bonds that were used to build Meadowview in 2000. These renovations were made possible through the Westchester County Local Development Corporation’s (LDC) resolution in May of 2015, giving Wartburg access to $12.5 million in low cost bonds to re-finance existing debt and renovate the assisted living facility. The tax-exempt bond issue carried no financial risk to county
photos provided
Boomers & Beyond - Westchester
Anthony Macera, M.A. CCC-A, FAAA
NY State Licensed and Certified Audiologist & Hearing Aid Dispenser
Do you ever have difficulty understanding speech at restaurants or family gatherings? Do you feel that people are mumbling all the time? Are you constantly turning up the volume on your television? Are telephone conversations sometimes difficult to understand? If you answered “yes” to any of these questions, it is possible that you may have some degree of hearing loss. When people experience hearing loss, they often struggle to hear and understand speech. This can cause a lot of stress and have a negative effect on a person’s quality of life. When a person has difficulty communicating, it can cause them to avoid social situations and become more isolated. Over the past 15 years, Westchester Audiology and Hearing Aid Specialist, P.C. has been helping people communicate
March, 2017
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better by providing the highest level of healthcare to their patients. Our New York State licensed and certified audiologist will customize a healthcare solution for your specific hearing and lifestyle needs. Our digital hearing devices cover the entire spectrum of hearing impairments, and will help you hear and communicate better with those around you. Most of our devices come with the industry-leading Secure 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 two months!) It’s time to take action, and address your hearing needs. Call us at 914-253-9160 to schedule your complimentary hearing consultation and begin your journey to better hearing!
Boomers & Beyond - Westchester
How to improve night driving PAGE 12
March, 2017
Tips on glasses and lenses
If you are an older driver, what can you do to keep yourself and loved ones safe on the road at night? First, assess your ability to drive safely. Also take these steps:
• Make sure you visit an eye care professional at least once every two years, or even more frequently if you have a significant eye condition or visual complaint. Tell your eye doctor about any problems you experience on the road at night so that you can undergo specialized testing, such as evaluation of your visual field or contrast sensitivity. • If you have diabetes, get your eyes examined at least once yearly, and closely follow your doctor's recommendations regarding diet, blood sugar control, insulin and self-care to reduce the risks of diabetic retinopathy, which can progress to severe vision loss without warning.
FIND A DOCTOR: An eye doctor can assess your vision and possibly help you see better at night.
• Seek immediate care when you detect symptoms of sight-threatening eye diseases. Remember that many symptoms of eye problems appear late in the disease process, so your urgent response is extremely important. • Ask your eye care professional to prescribe special eyeglasses that may help you see better on the road at night. Anti-reflective coatings can cut down on glare. Lenses developed with wavefront diagnostic technology can reduce halos, star bursts, glare and other distracting aberrations. • If you are a candidate for cataract surgery, ask your surgeon about replacing your clouded natural lenses with an aspheric intraocular lens. These artificial lenses are engineered to provide better contrast sensitivity and crisper vision than would be possible with the implantation of traditional, spherical intraocular lenses. • Be extra cautious when approaching intersections, where 40 percent of fatal collisions involving older motorists occur, according to a March 2007 study by the Insurance Institute for Highway Safety. The most common reason for these crashes was a failure to yield, especially when making a left turn.
Source://www.allaboutvision.com/over40/night-driving-tips.htm
The 5 biggest dental problems for people over 50 Boomers & Beyond - Westchester
March, 2017
PAGE 13
It used to be that as people aged, they didn't keep many of their original teeth. Dentures and partials were the norm for many people over the age of fifty, but as dental practices and habits have improved, more and more people are keeping their natural teeth. This is wonderful, but there are dental problems that people over fifty should be aware of and be diligent in caring for their teeth.
1. Dry mouth Saliva actually helps clean teeth regularly, and a dry mouth can be harmful to your teeth. One reason dry mouth is more common in older age is because it is a side effect of many medications, which is more common among older age groups. A dry mouth doesn't necessarily mean you are thirsty all of the time, but it can mean bad breath, a sticky feeling in your mouth, and a hard time swallowing. People who suffer from dry mouth can often fix it just by upping the amount of water they are sipping throughout the day or chewing sugar free gum. If dry mouth persists, a dentist can possibly prescribe something stronger. 2. Gingivitis If your gums are red, swollen, and bleed easily, gingivitis is probably the culprit. Gingivitis left untreated can turn into gum disease, which can lead to even more problems, pockets of infection, and eventually loss of teeth. It is a very serious and severe dental problem. Gum disease is easily prevented with regular dental visits and dental care.
3. Tooth decay Tooth decay is a problem as your teeth age because it will happen in places where it normally wouldn't have years ago. Cavities might become common around old fillings, close to the gums near the root, which can become soft and more exposed, and on the surface of your enamel. Regular dental visits and possibly a boost in fluoride will help prevent tooth decay.
4. Overcrowding teeth The older a person gets, the more their teeth shift. Teeth get overcrowded gradually and people might not notice until food starts getting stuck between teeth easier or they have a harder time flossing. An orthodontist can sometimes fix the overcrowding with a retainer, but most likely, overcrowding teeth just need more frequent cleanings to get in between the hard to reach places to prevent tooth decay. The key to a healthy mouth and set of teeth is to make regular dental visits for preventative care.
5. Oral Cancer The chance of having oral cancer rises as a person gets older and the best defense against surviving it is early detection. If your dentist does not check for oral cancer during a normal dental check up, it might be time to switch dentists. It is extremely important to have this done regularly even if you have never been a heavy drinker or smoker. Source:www.carefreedental.com
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?
Westchester Financial Center 50 Main Street, Suite #1000 White Plains, NY 10606 Email: Info@ejrosenlaw.com
Tel: (914) 816-2900 www.ejrosenlaw.com
Your concerns are certainly daunting, and heart-rending. Our firm offers you a caring hand, an open ear, and uncompromising professional competence, and commitment. We will help find for you solutions that best suit your needs, using the latest tax, trust, and other asset protection strategies available under the law. The law firm of Ely J. Rosenzveig & Associates, P.C. practices in all aspects of elder law, including trust and estate planning, administration, and litigation, tax counsel, asset protection and special needs planning, Medicaid, Medicare, and Social Security disability benefits, guardianships, long term care planning, spousal recovery claims, and Medicaid lien resolutions.
Attorney advertising • Prior results do not guarantee a similar outcome
ELDER LAW • TRUSTS & ESTATES • TAX ADVOCACY • MEDIATION • EMPLOYMENT LAW
Boomers & Beyond - Westchester
March, 2017
PAGE 15
Save the Date
Salute to Seniors Expo, May 3, 2017 The 49th Annual Salute to Seniors is set for Wednesday, May 3 at the Westchester County Center in White Plains. The Salute will be in full swing from 9:30 a.m. to 2:30 p.m. Each year Westchester salutes it's seniors with this fun-filled, but informative event. We encourage seniors in our community to bring a friend, family member or caregiver and be prepared to enjoy the day with lunch and browsing the Business Expo, pluse other attractions.
Are you an interested Senior? Then save the date.
Pencil "Salute to Seniors" into your calendar today. For more information, call (914) 813-6300. This event is sponsored by the Westchester County Department Senior Programs and Services and the Westchester Public/Private Partnership for Aging Services. It is co-sponsored by Westchester County Departments of Parks, Recreation and Conservation and Public Works and Transportation.
Source:seniorcitizens.westchestergov.com
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How is Diabetes managed?
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March, 2017
Boomers & Beyond - Westchester
Diabetes is managed by keeping blood sugar under control and as close to normal as possible. For most people with diabetes, a healthy range is between 90 and 130 mg/dl before meals and less than 180 mg/dl at one to two hours after a meal. This is the key to avoiding complications and discomfort. Here are some ways to manage diabetes:
Quit Smoking. The NYS Smoker's Quitline (1-866-697-8487) provides help to people who want to stop smoking.
A1C Blood Test. This blood test measures the average blood sugar over the last three months. It should be done two to four times a year. An A1C measure of less than 7 percent is the goal.
Blood Pressure. This should be checked at each visit to a doctor or health care provider. A blood pressure reading of less than 130/80 mmHg is the goal.
Exercise. Work up to at least 30 minutes a day, most days of the week. Regular physical activity helps to manage diabetes. People with diabetes should talk to their doctor or health care provider before starting any exercise plan.
Choose Healthy Food. Good nutrition is a very important part of diabetes management. People with diabetes should work with their diabetes healthcare team to develop an eating plan that meets their personal food preferences while keeping blood glucose in a healthy range. By choosing nutritious foods and balancing what and how much you eat with activity level, blood sugar levels can be kept as close to normal as possible.
Take Your Medicine. It is important for people with diabetes to know what medicines they are taking, why they are taking them and how to take them. People with diabetes should tell their doctor or health care provider if they are taking any herbs or other supplements. Check Blood Sugar. A doctor or health care provider can explain how to test blood sugar and how often it should be checked.
Cholesterol. A lipid profile blood test should be checked once a year. This includes total cholesterol, triglycerides, LDL and HDL. The total cholesterol should be less than 200 mg/dL, the LDL (known as the bad cholesterol) should be less than 100 mg/dL and the HDL (known as the good cholesterol) should be greater than 40 mg/dL for men and greater than 50 mg/dL for women.
Flu Shot. A flu shot should be given once every year. A doctor or health care provider may also order a pneumonia shot.
Eye Exam. A dilated eye exam should be done every year by an optometrist or ophthalmologist (an eye doctor who specializes in eye diseases). During a dilated eye exam, eye drops are used to make the pupil (the black part of the eye) bigger. This allows the eye doctor to see the back of the eye. Finding eye problems early and getting treatment right away will help prevent more serious problems later on.
Foot Exam. It is important that people with diabetes take off their shoes and socks at every doctor's visit and learn how to check their feet daily for cuts, breaks in the skin, or ingrown toenails. The doctor also needs to know if there are any changes in the color or shape of the feet, or if there is any pain or lack of sensation. Kidney Test. People with diabetes need to have a blood or urine test ordered by their doctor every year to check how well their kidneys are working.
Dental Exam. t is important that people with diabetes have their teeth and gums checked every six months.
Coping Skills. People with diabetes may need to talk to their health care team about any feelings, problems or questions they may have. People with diabetes are at higher risk for depression.
Source; www.health.ny.gov
Hearing Loss in Seniors – Ear Problem or Not? Boomers & Beyond - Westchester
Approximately one-third of folks in this country between the ages of 65 and 74 have some level of hearing loss. This loss is often associated with the reduction of adequate functioning within the ear itself – Presbycusis. This is the normal aging of the ear in older people which correlates into such difficulties as differentiating particular sounds/conversations in a group of people. There is also the loss of hearing due to Tinnitus – a ringing in the ear possibly caused by loud noises (too many rock concerts as kids), medicines, issues with the heart, etc. And there is loss of hearing due to blockages – Conductive Hearing Loss, often from build of up of ear wax or some form of fluid. Remember when you spent too much time swimming as a kid and couldn’t hear well for a little while? That was a form of conductive hearing loss. Yet, not all hearing loss is directly associated with an ear problem. Some hearing loss, in seniors especially, may be a result of the brain aging and not part of an ear issue. As the brain ages normally, its’ ability to process various sounds, at the same time, becomes problematic. This is often called a “feedback” or “timing” problem. By this, it is meant that the brain does not, for example, separate the various sounds heard while you are standing in the middle of a crowded room with people all talking at the same time. The sounds tend to run over each other or blend together, making it very difficult to understand/hear what the person you are with is saying. Believe it or not, this entire breakdown process begins around age 50 and continues to degenerate from there, often preceding perceived hearing loss, which most people then claim to be a problem with their ears. Although there is no cure for Presbycusis, being proactive can certainly make a difference in a hearing loss sufferer’s life. First, an early diagnosis, or at least acknowledgment of the issue, is important.
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For example, is the sufferer:
• Having difficulty hearing because of extraneous noises? • Turning up the volume on the TV or radio? • Noticing higher voices, such as women or children, seem problematic? • Isolating herself from social situations or not blending into conversations as much as before?
When any or all of these symptoms are becoming noticeable, the first step is to the doctor for an evaluation. Next is to begin some clear and decisive action for all those who come in contact with the sufferer. For example: • Speak a bit more slowly. • Speak in your normal voice – do not necessarily raise your voice. • Speak as clearly as possible. • Always face the person to whom you are speaking. • Don’t be awkward about repeating what you said. • Use body expressions, i.e., hand gestures, smiling, or head nodding, etc • Be patient
Remember, the senior who is experiencing a hearing loss may also be embarrassed about that loss and may simply need to have someone understand what they are experiencing in order for her to get the assistance required to begin some form of correction. Also, understand that not all hearing losses are a result of a problem with the ear itself, but could be a result of an aging brain and a timing problem. The sooner you get this person to their doctor, the better. Source:www.visitingangels.com
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9 Brain Boosters to Prevent Memory Loss PAGE 18
March, 2017
Boomers & Beyond - Westchester
Everyone has memory blips from time to time -- the word that's on the very tip of your tongue or the house keys that aren’t where you swear you left them. As you get older, these kinds of slip-ups may happen more often. You don’t have to resign yourself to memory loss. These simple steps can help keep your brain sharp.
1. Step It Up A 30-minute daily walk is one of the best things you can do for your body, including your brain. “Physical exercise has the best evidence for preserving memory and mental function with aging,” says R. Scott Turner, MD, PhD, director of the Memory Disorders Program at Georgetown University Medical Center. Exercise can help prevent things that can lead to memory loss, such as: • • • • •
Diabetes High blood pressure High cholesterol Obesity Stroke
Some studies suggest physical activity also triggers the release of a protein called BDNF that promotes healthy nerve cells in the brain. That could give your memory a boost.
3. Engage Your Brain “Just like physical exercise, mental exercise is good for you,” says Mustafa Husain, MD, director of the geriatric psychiatry division at Duke University School of Medicine. Play cards, join a book club, watch a football game with friends, or play a brain-training app. Any mentally challenging activity will keep your mind sharp.
4. Stay Social Card games and book clubs also keep you socially active -- another plus for your brain. “The more social connections someone has, the better they are at preserving mental function and memory,” Turner says. Social interaction also helps memory as it helps your mood. “We see a lot more depression in people who are socially isolated,” Husain says. “Depression itself can cause dementia.” 2. Go Mediterranean A healthy diet is always good for your brain. One eating style may save your memory best. "There's good evidence for the Mediterraneanstyle diet," says Argye Hillis, MD, professor of neurology at Johns Hopkins Medicine. Keeping to a Mediterranean diet doesn't mean pasta and pizza, she says, "but lots of fruits and vegetables, fish rather than red meat, and olive oil." One study found people who closely followed this diet were nearly 20% less likely to have thinking and memory problems.
5. Sleep Right “Attention and concentration go down when sleep is restless, and mental function is not as sharp as it is in those who have normal, restful sleep,” Husain says. Try these tips to get better sleep:
• Avoid big meals before bed. • Go to bed at the same time each night and get up at the same time each morning. • Don't drink caffeine or alcohol close to bedtime. • Avoid smoking or other forms of nicotine.
6. Stop Stress “Being under stress is very bad for your brain," Turner says. High levels of the stress hormone, cortisol, make it harder to pull information from your brain's memory. Try different ways to relax, like meditation, yoga, or massage. 7. Stub Out Cigarettes Smoking speeds up memory loss as you age. If you smoke, quit. Smoking's effect on memory is probably due to small strokes it can cause in the brain, Turner says. Try nicotine replacement, medicine, or counseling to help you kick the habit for good.
8. Get Checked Sometimes, medical conditions can cause memory loss. Examples include: • • • •
Depression Diabetes Thyroid disease Vitamin deficiency
Certain medicines, such as sleep and anxiety drugs, can also affect your ability to remember. See your doctor to get checked and treated for these problems and to go over all your medicines.
9. Use Memory Tricks When you have trouble with everyday memory, it helps to have a few tricks up your sleeve. Every time you learn a new name or word, say it out loud to seal it in your brain. Mentally connect each new name with an image. If you meet a girl named April, picture a tree in bloom to represent the month of April. To help with recall, post sticky notes around the home and office or set reminders on your phone so you'll know when it's time to take your medicine or head to an important meeting.
Source:www.webmd.com
Boomers & Beyond - Westchester
What is Pulmonary Rehabilitation? March, 2017
Pulmonary rehabilitation is a program of exercise, education, and support to help you learn to breathe—and function—at the highest level possible. At pulmonary rehabilitation you’ll work with a team of specialists who will help you improve your physical condition. You will also learn how to manage your COPD so you will stay healthy and active long after you complete the course. In order to qualify for pulmonary rehabilitation, you must be referred by your doctor and have spirometry test results within the past year that show you have COPD. Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term used to describe progressive lung diseases including emphysema, chronic bronchitis, refractory (non-reversible) asthma, and some forms of bronchiectasis. This disease is characterized by increasing breathlessness. Your rehabilitation team will take a complete health history, talk with you about your current level of activity, and help you set goals for what is most important to you. You will walk as they monitor your heart rate, blood pressure and oxygen level.
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Don’t worry if you can’t walk very far! Pulmonary rehabilitation professionals are experts at working with people with severe shortness of breath, and they’ll make sure you’re safe. You may only be able to start out exercising at a slow pace, even for only a minute or two. That’s okay. If you need supplemental oxygen you can use it. Your oxygen level, heart rate, and blood pressure will be monitored so you can exercise safely and effectively. You will be surprised at how much you can accomplish! At pulmonary rehabilitation, you will also learn about: breathing techniques, medications, nutrition, relaxation, oxygen, travel, how to do everyday tasks with less shortness of breath, and how to stay healthy and avoid COPD exacerbations. You’ll also learn how to cope with the changes that often come with COPD - depression, panic, anxiety, and others. A bonus is that you’ll also meet people with COPD who have many of the same experiences, questions and feelings that you do. To learn more about Pulmonary Rehabilitation, visit www.copdfoundation.org
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March, 2017
Boomers & Beyond - Westchester
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Super bowl celebration 2017 Boomers & Beyond - Westchester
March, 2017
PAGE 21
Whether you rooted for the Patriots or the Falcons, everyone can agree on the winners of Waveny LifeCare Network’s very own Superbowl – their residents and day participants! Waveny’s fun-filled Superbowl party included a variety of football games, tasty tailgating bites and tremendous team spirit. Nancy, an Adult Day Program participant, even intercepted the ball and ran all the way to the end zone to score a touch-down! For more information on Waveny’s Adult Day Program, which is available weekdays and provides free local door-to-door transportation throughout most of lower Fairfield County, call 203.594.5429 or visit waveny.org.
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March, 2017
Boomers & Beyond - Westchester
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