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Contents
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Classic Cars
4 Letter from the Editor 6
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Living with Alzheimer’s
12 It’s Obon Season 14 Big Nutrition in Small Portions 15 Voting Dates to Remember 16 Core Training for Boomers
Portuguese Festival 18 Ukus Awareness
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20 Community Resources 22 Ask the Nurse Also - Sudoku, Word Search & Crossword Puzzles
King Kamehameha Day Parade Photos
Elder Resource Magazine Editor & Publisher Christine Bothmer, RN
Artistic Consultant Judith Lee
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Back Cover
Printed in Hawaii
Contact Elder Resource Mail: P.O. Box 1257, Koloa, HI 96756 Email: cbothmer@elder-resource.org Phone: (808) 212-2760
Graphics & Design Julie Bothmer-Yost The material contained in this magazine is for educational purposes only and is not intended to replace the advice of your doctor, nurse practitioner, or physician’s assistant. Talk to your healthcare provider before making any changes to your healthcare regimen. All rights reserved. Permission is granted to reproduce portions of this magazine for educational, non-commercial purposes only; please give credit to Elder Resource including date of issue, website url or mailing address. All photos by Christine Bothmer unless otherwise credited. Advertisement in Elder Resource does not necessarily imply an endorsement RI SURGXFWV RU VHUYLFHV :H KDYH QR SROLWLFDO RU UHOLJLRXV DI¿OLDWLRQ :H UHVSHFWIXOO\ GHFOLQH DGYHUWLVHPHQWV ZKRVH SXUSRVH LV WR LQÀXHQFH SXEOLF RSLQLRQ RQ FRQWURYHUVLDO issues or the outcome of elections or ballot measures.
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Letter from the Editor T
his month we kick off a series of articles titled Living with Alzheimer’s to start a meaningful conversation about the challenges and rewards of living with Alzheimer’s Disease (AD). Having worked as a registered nurse in home health on Kauai, I feel honored to have witnessed many unique ways people meet the challenges of living with AD. Future articles will include some of WKHVH WLSV DV ZHOO DV WKH ODWHVW IURP MRXUQDOV DQG H[SHUWV LQ WKH ¿HOG Knowledge is key when it comes to managing any medical condition, and at this time on Kauai, with our health care resources at risk, now is time to learn all we can about living with Alzheimer’s. We hope you enjoy this issue and invite you to share your thoughts and experiences about living with Alzheimer’s.
-Chris Bothmer On the cover: Diane Nitta and other members of Taiko Kauai start the festivities at the Kauai Soto Zen Temple’s bon dance in Hanapepe. More photos, page 12.
Above: Lihue Senior Club’s ukulele band performing during the club’s Mothers’ and Fathers’ Day brunch at Duke’s Restaurant. Over 50 people attended and what an omelette station!
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Living with Alzheimer’s First Article in a Series
By Christine Bothmer
C
hances are, you know a person who has Alzheimer’s Disease (AD). With Hawaii’s projected 40% increase in the numbers of people ages 65 and over with AD from 25,000 currently to 35,000 by 20151,1 everybody has something to learn about interacting with and caring for a person with Alzheimer’s.
A person can have Alzheimer’s for many years before symptoms emerge. The part of WKH EUDLQ ¿UVW DIIHFWHG LV WKH DUHD UHVSRQVLble for forming new memories. One of the ¿UVW VLJQV RI WKH GLVHDVH LV IRUJHWIXOQHVV $V the disease spreads, brain cells in the areas responsible for language, reasoning and social behavior are affected. Over time, the person with AD becomes less able to perform basic activities and requires total care.
If your memory, or that of a loved one, is getting worse see your doctor right away. The cause could be reversible, like a vitaPLQ GH¿FLHQF\ ,I LW LV $' WKHUH DUH UHVRXUFes available to help you plan for the future. Talk about Alzheimer’s with trusted family members and your healthcare team. Establishing a team early on will help the person with AD and their caregivers manage the disease and continue to live meaningful lives. See Meaningful Lives, page 10
Right: A woman teaches a child how to FOHDQ D ¿VK +HOS maintain meaningful relationships with children by spending productive time together, teaching them a valuable life skill, looking at photo albums or gardening together outdoors. CDC 1. Alzheimer’s Association. 2014 Alzheimer’s Disease Facts and Figures. Alzheimer’s & Dementia, 10 (2)
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Classic Car Show Kauai Classic Cars celebrated Fathers’ Day at Kukui Grove. People swapped car stories while admiring the antiques, classics, bikes and more. Missed the show? Catch them next time at the Kapaa Ballpark on September 6th from 5:30 - 9:30 pm. For more info call Harvey Maeda at (808) 651-2813.
Jeff Vegas, Sr. (left) and David Nobriga (right). Jeff’s ‘65 Chevy Nova
Paul Suguitan, 1991 Harley Davidson Heritage Softail
Larry,1969 Dodge Charger
Michael Acoba, 1931 5-Window Coupe
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Thank our advertisers!
They support Elder Resource Magazine Harvey Maeda, 1925 Tall T
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Meaningful Lives from page 6 Common initial signs (only a doctor can diagnose AD) Short term memory loss, repeating stories, forgetting recent events Having a harder time solving math problems, like balancing a checkbook Having a harder time staying organized or completing tasks What you can do Use a calendar to keep track of events and appointments. Ask a trusted family member to help you stay organized. Get legal affairs in order while you are still able to make decisions. Update or review all legal documents, including an advance healthcare directive, wills and trusts. 0DNH KRPH PRGL¿FDWLRQV 7KH OLYLQJ area, bedroom and bathroom should be Contributed Photo RQ WKH JURXQG ÀRRU VLQFH VWDLUV ZLOO EH- Above: come a safety hazard. Live a meaningful life by enjoying Establish and maintain routines. Chang- activities that keep you moving. es in routines will become more disruptive in the middle and late stages of AD. Watch for future articles in Elder Resource Magazine on Living with Alzheimer’s.
Join the forum!
We want to hear from you.
This month’s question: If you had Alzheimer’s would you want to know? Why or why not.
Let’s start the conversation. Share your thoughts and we’ll share them in the QH[W LVVXH 6SDFH LV OLPLWHG &RQ¿GHQWLDOLW\ JXDUDQWHHG Contact Chris Bothmer, RN at cbothmer@elder-resource.org or write Elder Resource Magazine, PO Box 1257, Koloa, HI 96756
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Obon!
The traditional Japanese time when ancestors come back to visit relatives. There are two more weekends of bon dances: August 1 & 2 at Lihue Hongwanji Mission and August 8 & 9 at Waimea Shingon Mission
Glenn Shimazu & Pockets the parrot at Hanapepe Soto Mission
Bon dancers at Waimea Hongwanji Mission
Taiko Kauai performing in front of the yagura at Koloa Jodo Mission
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Keone Palama at the shave ice station, Hanapepe Soto Mission
Right: A member of Taiko KauDL SOD\V D ÀXWH during the bon dance at Koloa Jodo Mission
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Big Nutrition in Small Portions E
ating healthy is a big challenge for people who have small appetites. Caregivers often feel helpless as they watch their loved one’s strength and independence slip away.
0DQ\ IDFWRUV FDQ LQWHUIHUH ZLWK D KHDOWK\ DSSHWLWH )RU VHQLRUV WKHVH PLJKW LQFOXGH SRRUO\ ÂżWWLQJ GHQWXUHV medication side effects, chronic disease, pain, loneliness, weakness, depression or dementia. If you or a loved one has a poor appetite, tell your healthcare provider who can work with you to identify and treat the cause. At mealtime, make every bite count with small, frequent meals packed with nutrients. These recipes are shared by Esperanza Antolin of Eleele, who cared for her parents at home.
Eggplant Pancake 1 medium eggplant, 1 egg, pinch of salt Preheat oven to 375°F. Roast eggplant for about 30 minutes or until soft. Slice open, scoop inside into a bowl and mash. Add beaten egg and a pinch of salt; mix together and pour into a heated skillet with a small amount of oil to prevent sticking. Cook for severDO PLQXWHV ÀLS DQG FRRN IRU D IHZ PRUH PLQXWHV MXVW OLNH D SDQFDNH &RRO VOLJKWO\ DQG VHUYH
Black-eyed beans with saluyot (jute leaves) Cooking times and ingredient amounts are approximations--adjust according to your taste. ò FXS GULHG EODFN H\HG EHDQV ULQVHG DQG VRUWHG WVS ¿VK VDXFH 1 cup water ½ cup saluyot leaves, rinsed Place black-eyed beans (also called black-eyed peas) and water in a small pot, cover and simmer gently for about 45 minutes RU XQWLO EHDQV DUH WHQGHU $GG ¿VK VDXFH DQG VDOX\RW OHDYHV VLPmer for 10 minutes. For a complete protein source, serve with rice. Substitutions: Saluyot is called okra leaf because of the slippery texture of the cooked leaves. If this is not to your liking, replace saluyot with spinach. 5HSODFH ¿VK VDXFH E\ FRRNLQJ D VOLFH RU WZR RI FKRSSHG XS EDFRQ LQ SRW before adding beans and water. Cooking time may need to be extended slightly.
What is Saluyot?
F
ound by different names in many traditional cuisines around the world, saluyot is loaded with nutrients, inexpensive and easy to grow.
:KHUH WR ¿QG LW sold in bunches at farmers’ markets including Mondays at the Kmart parking lot and Fridays at the Vidinha Stadium parking lot. Both markets open at 3pm. Nutrients: beta-carotene, iron, calcium and vitamin C. ComELQHG ZLWK WKH SURWHLQ ¿EHU SRWDVVLXP PDJQHVLXP SKRVSKRrus, folate and thiamine content of black eyed beans, this simple meal is a great choice for people with small appetites. If you have a chronic medical condition check with your healthcare provider before changing our diet.
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Core Training for Boomers
By Christine Bothmer
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oin Marko Kowalski for a fun core-strengthening class he describes as “a PRGLÂżHG \RJD WDL FKL TL JRQJ FODVV WKDW ZRUNV WR VKDUSHQ WKH PLQG LQFUHDVH circulation and improve balance.â€? His students say they love the class and EHQHÂżW IURP WKH LPSURYHG Ă€H[LELOLW\ FDPDUDGHULH DQG HYHQ LQFUHDVHG HQGXUance for activities such as gardening. Classes are Mondays at the Kapaa Neighborhood Center, 9:30am - 10:30am by donation. Participate from home! Watch Tri Hara Holistic Fitness on Hoike Television channel 54.
Marilyn and Janet getting a core workout.
Anne and Pat, core training in action!
Marko helps Pat with her form. Marilyn and Annilia following Marko’s stretch
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Portuguese Festival at the Kauai Museum
People from all walks of life came together to celebrate Portuguese culture with great food, stories, demonstrations and an excellent exhibit describing the migration of people from Portugal to Kauai at the turn of the 20th century.
Mrs. Alice Arruda checks the bread coming out of the forno her husband built.
Linda Ornellas-Kaialoa serving bacalhau salad, a cool & delicious combo of cod, onions and vinegar, while Barbara J. Ebinger (right) dishes out a traditional cornmeal recipe similar to polenta.
Keeping up with demand at the malasadas station, from left: Priscilla Rego, Gwen Zaima, Deacon Thom- Donald Rapozo helping out at the malaas Contrades and Deacon Bill Farias. sadas station. Delicious malasadas!
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Lyah Kama-Drake and Julie Souza at the Portuguese bean soup station.
An extensive display inside the museum traced the migration of the Portuguese people to Hawaii. It included many interesting photos, artifacts and essays from the late 1800s and early 1900s when they settled in Kauai to work on the sugar plantations.
Mrs. Arruda supervises while her son Darryl guides pans of bread from the forno onto a large wooden spatula.
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Community Resources
Kapi’olani Community College’s Kupuna Education Center “Kupuna Connections” TV series t Family caregiver training & tips www.KupunaEducation.com
Think B.I.G. Advocacy & support for persons with acquired brain & spinal cord injuries, their families & caregivers; info sharing and community outreach. Monthly meetings 2nd Wednesday 4:30pm - 6:30pm Kapaa Neighborhood Ctr.
Call Jess at 335-0296 ext. 152
Parkinson’s Support Group Talk story and share ideas. People with Parkinson’s or any progressive disease and their caregivers meet at the Regency at Puakea the last Tuesday of every month, 5:00pm - 6:30pm. Call Susan Storm at 212-1250
NEED HELP WITH FOOD STAMPS? S.N.A.P. Supplemental Nutrition Assistance Program Assistance by Child & Family Service To schedule an appointment call: Dory at Hale Ho’omalu (821-2520) or Momi at Nana’s House (338-0252)
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Community Resources Share The Care Kaua’i We help organize family, friends & resources into caring teams. Contact Deborah Duda 332-7668 deborahduda@yahoo.com
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Ask the Nurse By Christine Bothmer
A Concern of Caution Question: I went to the emergency room and everybody kept asking the same questions over and over--the nurse in the front, the nurse in the back and maybe 2 or 3 doctors. I tried to tell them I already told somebody and it’s in my chart, but they kept asking. How can I trust a place where the workers don’t talk to each other?
Answer: Believe it or not, everybody asking for your information is a safety net for preventing mistakes. For instance, sometimes a patient forgets a serious allergy or an important detail about their condition that they might remember the second or third time they tell their story. Also, imagine a busy hospital where specimens from different people, charts, and test results all look similar and are moved around for processing. Sometimes patients even have the same names! Despite the dedication of healthcare workers, double-checking for accuracy, specimen labels and name bands, mistakes can happen. Even one mistake is one too many, so getting the information directly from you adds an extra layer of safety. You are your own best advocate. Take pride in knowing your medical history and medications--it could save your life!
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Ukus Awareness
By Christine Bothmer
September is National Pediculosis Prevention month! Better known as lice or ukus in Hawaii, these parasites glue their nits (eggs) to hair shafts and live off human blood by piercing the scalp and feeding. This causes the itching that is RIWHQ WKH ¿UVW VLJQ WKDW OLFH DUH SUHVHQW With more and more grandparents raising grandchildren, it is useful to review this information since young school children are more likely than other age groups to contract lice. Lice can move quickly from head-to-head when kids cluster such as when trying to see images on small cell phone screens, working on a project, or other social acWLYLW\ /LFH FDQQRW À\ RU MXPS 6KDULQJ EUXVKHV and other personal items can also spread lice. Get lice? No shame! Ask your pharmacist or healthcare provider for treatment recommendations. Here are a few tips: Look for lice and nits close to the scalp, especially behind the ears and the nape of the neck.
6SHFLDO ¿QH WRRWKHG FRPEV UHPRYH OLFH DQG QLWV 8VH a magnifying glass or your strongest reading glasses and look closely for the shaft that attaches the nit to the hair if you’re uncertain if the child has lice (see photo). CDC recommendations: ‡ Wash items in hot water (130°F) for 10 minutes to kill lice and nits. ‡ Items that cannot be washed should be dry cleaned or sealed in a bag for 2 weeks to kill lice and any nits that hatch out. ‡ Vacuum furniture and carpets. There is generally no need to use strong pesticides since lice can live only a few days without feeding. ‡ $IWHU WUHDWLQJ UH FKHFN ZLWK D ¿QH FRPE HYHU\ GD\V IRU VHYHUDO ZHHNV IRU QHZ hatchlings that were missed or survived treatment. Photo Credits: CDC/ Dr. Dennis D. Juranek
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