Boomers d n o y e &B Westchester County
March 2016
Legal advice for Medicaid & Asset-Protection planning. Call (914) 816-2900 today! See page 14
Dominican Sisters Family Health Services
More than care, Peace of Mind p7
Eastern Planning has been helping families since 1995! p13 Westchester Audiology
Hearing evaluations for all ages p17
The VNA of Hudson ValleyProfessional in-home nursing and hospice services 24 hours/7 Days a week p20
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March, 2016
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.
Westchester Financial Center 50 Main Street, Suite #1275 White Plains, NY 10606 Email: Info@ejrosenlaw.com
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.
Tel: (914) 816-2900
– Tom C.
www.ejrosenlaw.com ELDER LAW
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TRUSTS & ESTATES
Attorney advertising • Prior results do not guarantee a similar outcome
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EMPLOYMENT LAW
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MEDIATION
Ribbon cutting ceremony celebrates opening of Wartburg Outpatient Rehabilitation Clinic PAGE 4
March, 2016
Boomers & Beyond - Westchester
Outpatient Rehabilitation Clinic debuts during Wartburg’s 150th Year Anniversary
Wartburg recently held a ribbon cutting ceremony to celebrate the opening of its new Outpatient Rehabilitation Clinic. The new clinic is located in the Rehabilitation and Adult Day Services Center of Excellence on Wartburg’s 34-acre campus. The ceremony marked the organization’s continued expansion and focus on providing for and improving the quality of life of seniors in this community. The clinic was made possible by a grant from the Wartburg Foundation and is located within Wartburg’s $31 million, 75,000 square foot center of excellence, which is the first health care facility in the City of Mount Vernon to be LEED (Leadership in Energy & Environmental Design) certified by the U.S. Green Building Council. Attaining LEED certification signifies that a building is exemplary in conserving energy, lowering operating costs and being healthy for occupants. The general contractor of the project was Lecesse Construction and Andron Construction is responsible for the 8,000 square foot renovations. Perkins Eastman was the architect. Mike Holden, member of Wartburg Board of Directors, said, “Outpatient rehabilitation services will allow patients to remain engaged and involved in their community while conva-
lescing in the comfort of their home. The clinic also reaches a new population of people in the community and beyond who aren’t familiar with Wartburg to inform them of the extensive onsite rehabilitation services that are available. David Gentner, Wartburg President and CEO, said, “This space now helps fill the gap in the continuum – for patients to come back after they are discharged, see the same staff, in the same environment – and I look forward to seeing this program grow.” Outpatient rehabilitation at Wartburg offers a full range of occupational and physical therapy in addition to specialized speech, language and pathology services. Since opening on 12/1/2015, 27 outpatients have been served. At full occupancy the clinic will employ eight Rehab Clinicians and treat more than 80 patients per month. “What’s unique about Wartburg is the fact that it has really looked at the entire continuum of care for seniors, from independent living to a skilled nursing facility to now opening an outpatient rehab clinic. Wartburg provides all the services necessary to serve seniors,” said Holden. “Wartburg has re-invented itself many times over the past 150 years, which speaks volumes of its ability to stay relevant and committed to their mission.”
Ribbon cutting ceremony at Wartburg Outpatient Rehabilitation Clinic.
Wartburg offers a comprehensive spectrum of senior care that adapts to an individual’s changing needs. Other programs including Adult Day Services, Licensed, Certified Home Care, the award-winning, internationally recognized Creative Aging & Lifelong Learning initiative, Inpatient Rehabilitation Services, Independent and Assisted Living, Nursing Home Care, Specialized Alzheimer's/Dementia Care, and Caregiver Support are a critical part of the extensive options that are offered at Wartburg’s 34-acre campus. “Healthcare, cost control and affordability is everyone’s issue, not just senior service providers,” said Mr. Gentner. “This clinic promotes independence and prevents early institutionalization, which certainly fits under the umbrella of affordable healthcare. It’s part of healthcare reform within this region and part of healthcare reform within Wartburg’s vision.” This year marks Wartburg’s 150th anniversary and honors their historical commitment to community care. Started as an orphanage in 1866 to provide a safe haven for children orphaned by the Civil War, the campus has evolved and continues to expand their mission of improving the quality of life for those in need.
About Wartburg Wartburg, located in Westchester County, NY, offers integrated, comprehensive senior care services for your changing life. Unlike conventional retirement communities, we provide a wide range of services to both residents living on campus and people in their own homes. From independent, assisted living and award-winning nursing home care to inpatient/outpatient rehabilitation, home care and adult day care services, our continuing care approach means you can trust us to be here for your family – how, when and where you need us to be. We also provide caregiver support every step of the way, so you can navigate your options and find the level of care that’s right for your whole family. Most recently, Wartburg received the Eli Pick Facility Leadership Award from the American College of Health Care Administrators, which will be presented this upcoming March, in addition to being named one of the “Best Nursing Homes in New York State”, by U.S. News & World Report for the fifth consecutive year. Wartburg Website Homepage: http://www.wartburg.org/ Wartburg Facebook Page: https://www.facebook.com/thewartburg/
photo by Anthony Mairo
Boomers & Beyond - Westchester
March, 2016
Wartburg Home Care Your mom loves living in her home, but she can’t care for herself the way she used to…and you can’t always be there. Who can you trust? Wartburg’s compassionate, experienced Home Care professionals make life easier for seniors, people with disabilities and families who love them. • Serving Westchester and the New York Metro Area • Hourly, daily or live-in basis • Concierge Service available to help you return safely to your home
At Wartburg, we are committed to ensure those entrusted to our care, and their loved ones, live their best life.
For more information call our Home Care office at 914-278-9131 or visit www.wartburg.org
INDEPENDENT LIVING ❘ ASSISTED LIVING ❘ ALZHEIMER’S/DEMENTIA CARE ❘ NURSING HOME ADULT DAY SERVICES ❘ HOME CARE ❘ INPATIENT/OUTPATIENT REHABILITATION HOSPICE CARE ❘ CAREGIVER SUPPORT ❘ SPIRITUAL CARE
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March, 2016
Boomers & Beyond - Westchester
Advertiser’s Index
Our View
Burke Rehabilitation Hospital...........................................................11
Cold. Wet. Snowy. Brutal. You guessed it: We are talking about what has been one unforgiving winter. We’ve had snow, sleet and freezing rain, seemingly, again and again. Sigh. But hang in there. Spring is almost around the corner. How do we know? Well, after all, this is the March edition of Boomers & Beyond. Before you know it, spring will have finally sprung. Really. For now, you can keep warm inside, and enjoy another insightful edition of Boomers & Beyond. You want stories? We have a wonderful collection for this edition. So sit back and enjoy the March issue with a hot beverage. Stay warm. We will catch up next month when spring will be that much closer. Get in touch at info@healthcarenewspaper.com.
ColumbiaDoctors............................................................................19 Dominican Sisters Family Health Service..........................................7 Eastern Planning, Inc.......................................................................13 Ely J. Rosenzveig & Associates, PC.............................................3,14 Glen Island Center for Nursing and Rehabilitation...........................9 Neighbors Home Care Services.......................................................10 StarOne Home Care & Medical Staffing............................................15 TravelRX.........................................................................................12 VNA of Hudson Valley.....................................................................20 Victoria Home...................................................................................8 The Wartburg..................................................................................5
Boomers nd
Westchester Audiology...................................................................17 Westchester Care at Home..............................................................2
Westchester County
& Beyo
845-534-7500 • (fax) 845-534-0055 Info@HealthcareNewspaper.com
PUBLISHER Joseph P. Belsito (Joe@belsito.com) ••• GENERAL MANAGER James Stankiewicz (Jim@healthcarenewspaper.com) ••• MARKETING DIRECTOR Gregory W. Buff (Greg@belsito.com) ••• MANAGING EDITOR Cathryn Burak (Cathy@healthcarenewspaper.com) ••• SENIOR SALES CONSULTANT Maureen Rafferty Linell (MRLinell@charter.net) ••• 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. 9 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.
Jim Stankiewicz, General Manager
Next Month Retirement Communities Helping your loved one feel comfort and staying active when needed
Senior Advocacy Week
Ensuring seniors receive the highest quality healthcare
Rehabilitation Overcoming Injury
Occupational Therapy Month Helping older seniors remain independent
Foot Health Awareness Month
Dominican Sisters Family Health Service, Inc. (DSFHS) Named to Top 500 HomeCare Elite Boomers & Beyond - Westchester
DSFHS has been named to the Top 500 of the 2015 HomeCare Elite, an annual compilation of the most successful home care providers in the United States. Now in its tenth year, the HomeCare Elite is a market-leading review from OCS HomeCare and DecisionHealth that identifies the top 25% of agencies in home health performance and highlights the top 100 and 500 agencies nationwide. Winners are ranked by an analysis of publicly available performance measures. Out of nearly 10,000 agencies considered, 2,431 are elite. DSFHS has been in the top 25% for the past ten years and is proud that our commitment to quality resulted in this honor. Laurie Biederman, DSFHS Director of Quality and Compliance said “this honor is a reflection of the hard work and superior quality of care DSFHS provides, which results in better outcomes for patients.”
March, 2016
President/CEO Mary Zagajeski affirmed that “despite the many challenges in the health care system, DSFHS continually succeeds in providing the best home health care possible. The agency is steadfast in its dedication to quality of care above all else.” DSFHS is a certified, non-profit home health agency that delivers the highest level of compassionate, holistic care in the home. We care for people of all faiths, income levels and ages – from infant to elderly. Our interdisciplinary approach goes beyond the physical to address the emotional, mental and spiritual impact of illness. We offer a range of home health and social services, including skilled nursing, rehabilitation therapies, palliative and pastoral care, social work, home health aides and communitybased programs. If you would like additional information, please do not hesitate to contact us at (914) 941-1654.
Health Care and Peace of Mind in the Comfort of Your Home Dominican Sisters Family Health Service delivers the highest level of compassionate home care to residents of Westchester County • Skilled Nursing • Rehabilitative Therapies • Social Work • Palliative and Pastoral Care • Home Health Aides Case Management – Service Coordination provided by Certified Case Managers Request DSFHS from your Discharge Planner Hudson Valley Intake: Call us 24/7 at 914-941-1654 | www.dsfhs.org Medicare/Medicaid & most insurance plans accepted
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What is Pulmonary Rehabilitation?
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March, 2016
Boomers & Beyond - Westchester
Pulmonary rehabilitation is a program of education and exercise classes that teach you about your lungs and your disease, and how to exercise and be more active with less shortness of breath.
Breathing Exercises Out with the old, stale air and in with new fresh air. That's the theme of the two most useful breathing exercises—pursed lip breathing and belly breathing—taught by pulmonary rehabilitation specialists to individuals with chronic lung diseases such as asthma and COPD. Like aerobic exercise improves your heart function and strengthens your muscles, breathing exercises can make your lungs more efficient.
Why Breathing Exercises Help When you have healthy lungs, breathing is natural and easy. You breathe in and out with your diaphragm doing about 80 percent of the work to fill your lungs with a mixture of oxygen and other gases, and then to send the waste gas out. Lung HelpLine respiratory therapist Mark Courtney compares the process to a screen door with a spring, opening and shutting on its own. "Our lungs are springy, like the door. Over time, though, with asthma and especially with COPD, our lungs lose that springiness.
courtesy of American Lung Association
Belly Breathing, aka Diaphragmic Breathing As with pursed lip breathing, start by breathing in through your nose. Pay attention to how your belly fills up with air. You can put your hands lightly on your stomach, or place a tissue box on it, so you can be aware of your belly rising and falling. Breathe out through your mouth at least two to three times as long as your inhale. Be sure to relax your neck and shoulders as you retrain your diaphragm to take on the work of helping to fill and empty your lungs.
They don't return to the same level as when you start breathing, and air gets trapped in our lungs," Courtney explains. Over time, stale air builds up, leaving less room for the diaphragm to contract and bring in fresh oxygen. With the diaphragm not working to full capacity, the body starts to use other muscles in the neck, back and chest for breathing. This translates into lower oxygen levels, and less reserve for exercise and activity. If practiced regularly, breathing exercises can help rid the lungs of accumulated stale air, increase oxygen levels and get the diaphragm to return to its job of helping you breathe.
Pursed Lip Breathing This exercise reduces the number of breaths you take and keeps your airways open longer. More air is able to flow in and out of your lungs so you can be more physically active. To practice it, simply breathe in through your nose and breathe out at least twice as long through your mouth, with pursed lips.
Practice Makes Perfect Courtney warns that although these exercises seem simple, they take some time to master. "You don't want to first try these exercises when you're short of breath," he says. "You want to try them when you're breathing OK, and then later on when you're more comfortable, you can use them when you're short of breath." Ideally, you should practice both exercises about 5 to 10 minutes every day.
Boomers & Beyond - Westchester
Root Canal Awareness Week March, 2016
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Join the American Association of Endodontists in the tenth anniversary celebration of Root Canal Awareness Week, March 27 - April 2, 2016. Root Canal Awareness Week is a national effort to raise awareness of endodontists, so that patients and general dentists know to contact a specialist when root canal treatment is needed. It is an excellent time to explain the important role endodontists play in dental health, and to teach the public that root canals should not be feared. Root Canal Awareness Week: SUPPORTS endodontists as root canal specialists
EDUCATES patients about the benefits of root canal treatment
DISPELS myths about root canal treatment
BUILDS relationships with other dental professionals
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
Home Care Services for Seniors PAGE 10
March, 2016
Boomers & Beyond - Westchester
Services to Help You Stay at Home Location and accessibility. Where is your home located? Are you in a rural or suburban area that requires a lot of driving? If you’re in an area with more public transit, is it safe and easily accessible? How much time does it take you to get to services such as shopping or medical appointments?
Home accessibility and maintenance. Is your home easily modified? Does it have a lot of steps or a steep hill to access? Do you have a large yard that needs to be maintained?
Isolation. If it becomes difficult or impossible for you to leave home without help, isolation can rapidly set in. You may not be able to participate in hobbies you once loved, stay involved in community service that kept you motivated, or visit with friends and family. Losing these connections can lead to depression.
Deciding whether to stay at home Your home situation is unique, and several factors will weigh in on the best choice for you. Here are some of the issues in evaluating your options:
Medical conditions. No one can predict the future. However, if you or a loved one has a chronic medical condition that is expected to worsen over time, it’s especially important to think about how you will handle health and mobility problems.
Finances. Making a budget with anticipated expenses can help you weigh the pros and cons of your situation. courtesy of HelpGuide
Caregivers are licensed & bonded • Home Health Aides • Personal Care Aides • 24 hour Live-In Aides • RNs & LPNs
Rather than moving into a long-term care facility as they age, many older adults prefer to stay at home for as long as possible. This may be the right choice for you if you only need minor assistance with your daily activities and enjoy a close network of nearby family and friends. These guidelines explore the range of home care services available to help you maintain your independence within the comfort of your own home.
Is home care right for my loved one or me? It’s natural to want to stay at home as you grow older. However, taking a step back to look at the big picture can help you decide whether staying at home for the long term truly is the right step for you. Too often, decisions to leave home are suddenly made after a sudden loss or emergency, making adjustments all the more painful and difficult. Take a look at your options, your budget, and some of the alternatives.
Support available. Do you have family and friends nearby? How involved are they? Are they able to provide you the support you need? Many older adults prefer to rely on family to provide help, but as your needs increase, they might not be able to fill in all of the gaps. It’s important to consider proximity to community services and activities as well.
Compassionate, comprehensive & customized services • Medication Management • Escort to and from Appointments • Bathing Services • Companions/Sitters • Grocery Shopping/Errands 24 Hour Emergency On-Call Service Private pay, Medicaid & Most Long Term Care insurance accepted
Serving Westchester County since 1983
914-949-3112 148 Hamilton Ave., White Plains, NY 10601 www.neighborshomecareservices.com
A Program of
Tips for hiring Home Care Providers Boomers & Beyond - Westchester
How you go about hiring home care providers will partially depend on what kind of help you are looking for, as well as your country of residence. For example, hiring someone to handle shopping or yard maintenance is different from someone to provide hands-on or live-in care. However, there are some basic tips to keep in mind. Remember that the more time and homework you spend in the initial hiring process, the better the chances of success.
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March, 2016
Do background checks on top candidates. If you’re working through an agency, background checks are often provided, but you’ll want to check exactly what is covered and how the check is done. If you’re considering an independent provider, you can check on the Internet, your local police department, legal aid service, or an attorney for referrals to individuals or companies that do this.
Don’t be afraid to move on if it’s not the right fit. It’s especially important that you feel comfortable with your provider, since this person is providing services in the privacy of your own home. If you don’t, try talking to the provider to see if that helps. Sometimes miscommunication can be ironed out. If not, don’t be afraid to find another provider and give your current provider notice.
DO YOU HAVE PATIENTS WITH MILD COGNITIVE IMPAIRMENT O R A LZ H E I M E R’S D E M E NTI A?
• • • •
BURKE REHABILITATION HOSPITAL may be able to help. Interview several candidates, in person, before hiring. You could do an initial interview at a public place if you wanted to meet the person first before bringing them to your home. Even if you are working with an agency, it’s important to meet the person who has been matched to make sure it is the right fit.
Be specific about the tasks that you need, and be sure that the person you are considering is comfortable with those tasks. Ask open-ended questions to assess the person’s experience and competence with these tasks. If you’re hiring an independent provider, it’s a good idea to make a contract outlining the tasks, payment procedures, and termination procedures.
If you are working with an agency, make sure you understand what is covered. What exactly is covered in a contract? Are there additional fees that apply to specific services or add-ons? If needed, what are the procedures for termination or requesting another provider?
Check references carefully. Always check references carefully from more than one source. Listen carefully to the person’s tone and information. Are they enthusiastic about the candidate, or are the answers vague and short? Also, look for unexplained gaps in references. courtesy of HelpGuide
We are currently recruiting participants for a clinical trial to determine whether an investigational medication can slow cognitive decline. If you have patients already diagnosed with Mild Cognitive Impairment or mild Alzheimer's disease Dementia and they are 60 or older, they may be eligible to participate in this important study.
TRIAL CONSISTS OF: • Neurological Exam • Blood Work • Memory Cognitive Testing • Neuro-lmaging For more info ormation regarding this clinical trial, contact Rosanna Cirio, MA at 914-597-2476 or rcirio@burke.org. 785 MAMARONECK AVENUE W H ITE P L A I N S, N Y 888-99-BURKE BURKE.ORG
Travel
For all your travel needs contact: Rene Prasad Grand Explorations, LLC rene@grandexplorations.com 866-869-1760 www.grandexplorations.com
DestinationSpotlight:Alaska It might seem a little unusual to be thinking of Alaska when it’s so cold and snowy in Connecticut. However, if you are considering visiting Alaska this summer, now is the time for planning. Even more so if you are thinking about seeing Alaska the way that most visitors do - from a cruise ship. With a very short season from May - September, the choice dates sell out fast, as do the most desirable shore excursions. Not sure why you would visit our 49th state or what you would do once you got there? Here are five reasons why you should put it at the top of your list.
Bears, Eagles, Whales and More I grew up in the suburbs of Chicago and where I now live in Connecticut is very urban. Although I do occasionally see some wild turkeys in neighboring towns and literally had a deer run down my street in Illinois, there’s not a lot of opportunity to see some real wildlife outside of a zoo. Real wildlife like whales. And bears. And eagles and moose. And don’t forget the puffins! Alaska has all of that and more. You are practically guaranteed to witness lots of amazing creatures in their natural habitats. Glacier Bay National Park Part of a 25-million acre World Heritage site, Glacier Bay National Park is not to be missed. Only about two cruise ships per day are allowed to travel inside this park surrounded by mountains and full of abundant wildlife and, of course, glaciers. A park ranger will board the ship in the morning and be available all day to answer any questions, give a narration of the sites that you are passing and host a ranger talk.
Enjoy the Great Outdoors At 375 million acres, Alaska is by far the largest state. It is also the least populated. With all of that open space full of rivers, mountains and forests, it should be no surprise that there are many outdoor activities available. From salmon fishing on rivers to hiking in the mountains to a relaxing float trip, there are outdoor activities for everyone to enjoy.
Get your Blood Pumping If you’re looking for something that will get your blood pumping a little more, Alaska has you covered there as well. Ziplining through a rainforest? Check. Kayaking down rivers? Check. Helicopter to a glacier hike? Floatplane over stunning scenery and land on a secluded lake? Mountain biking through the wilderness? Check, check and check. If you’re looking for adventure, you’ll find plenty of options.
One of a Kind Alaska Growing up in Illinois, we spent more than one vacation driving north to Wisconsin. So I know that you can find lumberjack competitions and Native American cultural experiences in other places. But where else can you find both of those along with salmon fishing and salmon bakes, authentic gold rush towns and a crab fisherman’s tour on a boat from The Deadliest Catch. Oh, and did I already mention the rainforest? Alaska is a one of a kind experience, and one that everybody should know for themselves. There are many ways to see Alaska - by train, car or boat. Join me on August 14th as I sail from Seattle on the Norwegian Pearl to Juneau, Skagway, Glacier Bay and Ketchikan. http://www.grandexplorations.com/alaska-cruise---aug-2016.html
Boomers & Beyond - Westchester
For National Nutrition Month, The Academy offers advice on reducing sugar, sodium and saturated fats to 'Savor the Flavor of Eating Right' March, 2016
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According to Cimperman: • Buy frozen or canned products without added salt. • Buy fresh poultry, seafood, pork and lean meat rather than processed meat and poultry. • Cook meals from scratch to control the sodium content. • Buy fewer jarred sauces and pre-flavored products. • Flavor foods with citrus, herbs and spices instead of salt.
Saturated Fats The 2015-2020 Dietary Guidelines recommend reducing saturated fat intake to less than 10 percent of calories per day. "It's important to understand the different types of fats, and reduce your intake of saturated fats by replacing them with unsaturated fats," Cimperman says. According to Cimperman: • Saturated fat is found in foods such as meats, whole milk, cream, butter and cheese. Unsaturated fat, which includes polyunsaturated and monounsaturated fat, is found in oils, fatty fish, nuts and seeds. • Drink fat-free or low-fat milk (1-percent) instead of 2-percent or whole milk, and eat low-fat cheese instead of regular cheese, oils instead of butter and lean rather than fatty cuts of meat.
For National Nutrition Month® 2016, the Academy of Nutrition and Dietetics encourages everyone to learn how to “Savor the Flavor of Eating Right” while still following a healthy eating pattern. The 2015-2020 Dietary Guidelines for Americans recommend limiting the amounts of added sugar, sodium and saturated fats that you eat. The guidelines state that the majority of Americans follow a diet that is too high in these components. “During National Nutrition Month and beyond, make an effort to cut back on food and beverages high in added sugar, sodium and saturated fats,” says registered dietitian nutritionist and Academy spokesperson Lisa Cimperman. “Take the time to find creative, healthful and nutritious ways to add flavor to food.”
Sugar The 2015-2020 Dietary Guidelines recommend consuming less than 10 percent of your calories per day from added sugars. “Choose foods and beverages with no added sugar whenever possible,” Cimperman says. According to Cimperman: • Avoid foods with added sugars like high fructose corn syrup, dried cane syrup, evaporated cane juice, invert sugar, molasses, sucrose, brown rice syrup, honey, agave or maple syrup. • Drink water, low-fat or fat-free milk and 100-percent fruit or vegetable juice instead of sugary beverages. • Choose snacks with no added sugar. For example, eat plain yogurt with whole fruits instead of flavored yogurt.
Sodium The 2015-2020 Dietary Guidelines recommend consuming fewer than 2,300 milligrams of sodium per day. “Most sodium consumed in the United States comes from salts added during commercial food processing and preparation,” Cimperman says. “Because sodium is found in so many foods, careful choices are needed to reduce your sodium intake.”
The Academy's website (eatright.org) includes helpful articles, recipes, videos and educational resources to spread the message of good nutrition and an overall healthy lifestyle for people of all ages, genders and backgrounds.
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? 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.
Westchester Financial Center 50 Main Street, Suite #1275 White Plains, NY 10606 Email: Info@ejrosenlaw.com
Tel: (914) 816-2900 www.ejrosenlaw.com ELDER LAW
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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.
TRUSTS & ESTATES
Attorney advertising • Prior results do not guarantee a similar outcome
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Boomers & Beyond - Westchester
March, 2016
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Patricia Coffie, RN, MFA
Patricia Coffie, RN, MFA is Director of Client Services & Director of Phoenix Nurse Aide Training Center. Before assuming the post in 2012, Patricia was the Director or Nursing & Service Delivery at WRC for 3 years where she was the strategic lead for nursing and services to members.
Music Conservatory students meet a Master
Patricia started her nursing career 19 years ago at Memorial Sloan Kettering Cancer Center and research institution in New York City, and since then has gained experience in Adult Intensive Care Units, Pediatric Care (PICU) Operating Room (OR) ,mental health and community health settings. She later moved into director of nursing roles, where she obtained extensive experience in leading and developing the nursing profession. She also pioneered good partnership working with other health care organizations, as well as social services, and the wider community.
Music Conservatory of Westchester students were thrilled to meet internationally renowned violinist Itzhak Perlman following his performance at the Westchester County Center on Jan. 30. Pictured behind Mr. Perlman (left to right): cello student Kaseme Leckie, viola student Cen Chen, Executive Director Jean Newton, and adult violin student Harry Bright. The Conservatory, a not-for-profit community music school, is located across the street from the County Center at 216 Central Ave. in White Plains. For more information, please visit www.musicconservatory.org
Photo/Kate Koenig
BURKE REHABILITATION HOSPITAL Osteoporosis Awareness Group Meetings
Meetings held at BURKE REHABILITATION HOSPITAL. 785 Mamaroneck Ave. (corner Heatherbloom Rd.), White Plains
DIRECTIONS: Enter complex, park in first parking lot. Enter first Bldg #4.
There is no charge for the Osteoporosis Awareness Group meetings. FOR MORE INFORMATION, CALL SUSAN AT (914) 260-9339. 2016 CALENDAR Meetings are held on the first Monday of the even-numbered months.
April 4 • June 6 • August (no meeting) • October 3 • December 5
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Star One provides outstanding, person-focused specialist nursing care. Our highly skilled caregiver’s offers clients in-home support for well-being, personal care, home care, housekeeping, social connection, health treatments, rehabilitation, assisted daily living, nursing and allied health services and transport. These services are available for Short term or Live-in Care, including recovering from surgery or injury.
Life is an incredible journey and we are proud to offer support every step of the way
Whether you require a Hourly Support each week or full-time Live-In Care, contact us today for a free consultation and discover why Star One Home care is a superior alternative home care provider.
Westchester 914-362-0899 New York 718-733-2222 Connecticut 203-914-9668
www.staronehomecare.com info@staronehomecare.com
Easy options to help your hearing PAGE 16
By Dale McKnight
While many folks in their 70s, 80s and beyond still have hearing that’s sharp as a tack, most of us experience hearing loss as we age. “Some hearing changes are inevitable for most people as the years go on,” says Anthony Macera, dispensing audiologist at Westchester Audiology in Rye Brook. Macera suggests that “when people hit the magic age of 59 or 60, that’s a good time to get a baseline screening. If you have hearing problems, of course, get help sooner.” Hearing decline may begin as early as about age 40, according to The Hearing Loss Association of America, although age-related hearing loss - called presbycusis – isn’t usually noticeable before about age 55. By age 65, one in every three people has some level of hearing loss.
March, 2016
Boomers & Beyond - Westchester
Not all hearing problems are age-related – the National Institute on Deafness and Other Communication notes that some are due to heredity or congenital problems; others can be linked to certain antibiotics and some chemotherapy treatments; diseases like atherosclerosis - hardening of the arteries - can also be a factor. Buildup of ear wax, a tumor, or a rip in the eardrum can also sometimes be to blame for usually-reversible hearing problems.
Noise is often the culprit Most hearing problems fall under the umbrella term of noiseinduced hearing loss – this can be caused by one-time exposure to a “deafening” sound like a closerange gunshot or explosion; or hearing can be impacted by ongoing exposure to noise, such as the sound of equipment in a factory, loud movies or TV, or listening to loud music.
Macera adds that Westchester Audiology, for instance, is located in the office of Habib Jamal, M.D., an otolaryngologist (an ear, nose and throat physician) - so clients can get a hearing test, then have a convenient consultation with an audiologist at the same location.
Anthony Macera, M.A. CCC-A, FAAA
NY State Licensed and Certified Audiologist & Hearing Aid Dispenser
Other harmful sounds that can do damage include loud noise from lawnmowers or leaf blowers, exposure to street traffic, sirens, subways – even household appliances like hair dryers held near the ears, as well as blenders and vacuum cleaners, can contribute. People of any age can also risk hearing loss from over-exposure to loud sounds from smartphones, computers and music devices turned up to high volume, especially when earbuds are used. Age-related hearing loss can be marked by: difficulty making out voices in conversations, especially in noisy spots like restaurants or other places with background noises; trouble hearing high-pitched sounds; and sometimes, a ringing, buzzing or hissing sound in the ears that’s known as tinnitus (although tinnitus isn’t always just a “senior citizens’” problem). “If you’re having hearing difficulties, or even just notice a slight change in hearing, it’s a good idea to go to an ear, nose and throat specialist first,” suggests Macera of Westchester Audiology. “They can check to see if something as simple as wax in the ear – or other inner-ear issues - might be causing the hearing change.”
High-tech assistance And even though most age-related hearing loss isn’t reversible, the good news is that there’s plenty you can do to help boost hearing, thanks to the latest technology. “I tell clients that today’s hearing aids aren’t grandpa’s hearing aids,” says Macera. “Nowadays, you don’t choose them according to the size; you pick them according to the technology you want.” There are four main styles of hearing devices: behind-the-ear, receiver-in-the-canal, in-thecanal, and in-the-ear. Many devices are covered by insurance.
Behind-the-ear units sit at the back of the ear, with a tiny tube inserted into the ear canal. Receiver-in-the-canal hearing aids are also positioned behind the ear, but their receiver is inside the wearer’s ear canal. In-the-canal devices have a microphone, amplifier, and receiver all in a small unit. In-the-ear hearing aids are slightly bigger than in-the-canal style and can have additional features, such as manual volume controls; these are usually custom fit with a mold taken from the wearer’s ear. Westchester Audiology also offers assistive listening devices such as headsets for TV listening, and amplified telephones, as well as special ear molds and ear protection for swimmers, hunters and shooters, and musicians. For more information, visit Westchester Audiology’s website at westchesteraudiology.com, or call (914) 253-9160.
Tips to protect hearing
-Wear hearing protection – earplugs or “muff” headsets - in noisy environments, such as when using power tools or yard equipment like lawn mowers or leaf-blowers, when shooting firearms, or riding a motorcycle or snowmobile. Bring along earplugs for loud concerts, noisy movies, airplane trips, and situations when you’ll be exposed to loud vehicle or street noise. At home, earplugs are handy when using appliances such as the hair dryer, blender or vacuum cleaner.
- If you listen to music through headphones or earbuds, follow the 60/60 rule – use headphones at no more than 60 percent volume for no more than 60 minutes a day. Earbuds are especially dangerous because they fit directly next to the eardrum; opt for over-the-ear headphones if possible.
- The Better Hearing Institute, and the National Institutes of Health
Boomers & Beyond - Westchester Anthony Macera, M.A. CCC-A, FAAA NY State Licensed and Certified Audiologist & Hearing Aid Dispenser
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.
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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!
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
Foods that boost hearing: Be mindful of your minerals PAGE 18
March, 2016
Boomers & Beyond - Westchester
In the fight to keep your body healthy and functioning properly, minerals play an important role. Some minerals, like the ones listed below, are also critical elements in protecting our hearing health.
Potassium Potassium is responsible for regulating the amount of fluid in your blood and body tissue. That’s important to your hearing health because fluid in the inner ear is dependent upon a rich supply of potassium, especially in that part of the ear that translates the noises we hear into electrical impulses the brain interprets as sound. As we age, those levels drop and contribute to presbycusis – age-related hearing loss. Potassium-rich foods include: potatoes, spinach, lima beans, tomatoes, raisins, apricots, bananas, melons, oranges, yogurt and low-fat milk. Folic Acid Folic acid is a critical element in your body’s ability to generate new cell growth. The body uses folic acid to metabolize homocysteine, an inflammatory compound that reduces circulation. Good circulation is an important component in keeping the hair cells of the inner ear healthy and working properly. Folate rich foods include fortified breakfast cereal, liver, spinach, broccoli and asparagus.
Facts About Hearing Loss
Magnesium Scientists believe that magnesium combats the effects of free radicals emitted during loud noises – almost like a protective barrier for the delicate hair cells in the inner ear. Also, lack of adequate magnesium in the inner ear causes the blood vessels to shrink, depriving it of oxygen. Magnesium rich foods include: fruits and vegetables, such as bananas, artichokes, potatoes, spinach and broccoli.
Zinc Zinc boosts body’s immune system and is also responsible for cell growth and healing wounds, so it’s potentially helpful in warding off germs that cause the common cold and ear infections. Some studies suggest it’s effective in treating tinnitus in individuals with normal hearing. Foods rich in zinc include beef, dark-meat chicken, cashews, almonds, peanuts, beans, split peas, – and dark chocolate! On a balanced diet, our bodies usually produce enough of these minerals to keep us healthy and functioning effectively. As always, check with your physician before adding any supplements to your diet. courtesy of healthyhearing.com
Approximately 36 million Americans suffer from hearing loss.
• More than half of the people with hearing loss are younger than age 65. • Untreated hearing loss can affect your ability to understand speech and can negatively impact your social and emotional well-being—hearing impairment can decrease your quality of life! • Hearing loss is the third most common health problem in the United States. Signs you may have a hearing loss: • Difficulty hearing people talk in noisy environments such as a restaurant, shopping mall, in a car, or at the movie theater.
• People seem to “mumble” all the time. • Family, friends, or colleagues often have to repeat themselves when speaking with you. • You have trouble hearing people when they are not facing you or are in another room. • You have trouble following conversations.
• You have ringing, buzzing, or hissing sounds in your ears.
What causes hearing loss?
• Exposure to excessive loud noise.
• Ear infections, trauma, or ear disease. • Damage to the inner ear and ear drum from contact with a foreign object (cotton swabs, bobby pins, etc.) . • Illness or certain medications. • Deteriorating hearing due to the normal aging process.
How to protect your hearing:
• Wear hearing protection when around sounds louder than 85 dB for a long period of time. There are different types of hearing protection such as foam earplugs, earmuffs and custom hearing protection devices. Contact your local audiologist for custom hearing protection devices.
• Turn down the volume when listening to the radio, the TV, MP3 player, or anything through ear buds and headphones. • Walk away from the noise.
• And, other than hearing protection, do not put anything in your ear!
For more information on audiology and hearing loss, visit www.HowsYourHearing.org.
Boomers & Beyond - Westchester
March, 2016
PAGE 19
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
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March, 2016
Boomers & Beyond - Westchester
1-877-Call VNA V A vnahvv.org
Your home. Yourr needs. Our services. ces. Visiting Nurse Association of Hudson Hu udson Valley delivers the best quality professional in-home nursing, rehabilitative, home health aide and hospice services to residents of Westchester and Putnam Counties.
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Call us 24 hours/7 days a week for all of your needs. Corporate Address: 540 White Plains Road, Ste. 300 Tarrytown, NY 10591-5132 Ȉ (914) 666-7616
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