Balanced Family Spring 2017

BALANCED

SPRING ISSUE | 2017

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FAMILY HEALTH | WELLNESS | PARENTING | LIVING

Meal plan

Chef Fabio and Nicole Salerno encourage prioritizing family dinners in the face of hectic work schedules – just like they do

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INSIDE Family Matters

4 A SEAT AT THE DINNER TABLE Editor Michael C. Butz reflects on the value of eating together as a family

Feature story

20

MEAL PLAN

Chef Fabio and Nicole Salerno encourage prioritizing family dinners in the face of hectic work schedules – just like they do

On the cover: Chef Fabio and Nicole Salerno stand outside Lago East Bank, which they opened in 2013 as part of Phase 1 of the Flats East Bank development in downtown Cleveland. The Lakewood residents also own and operate Lago Custom Events, and Fabio Salerno is a co-owner of TownHall Ohio City, which also is in Cleveland.

Cover photo and photo below by Michael C. Butz.

BALANCEDKIDS 6 FUN IN THE CLE

With warm weather on the horizon, many families will look to spend vacation time right here in Northeast Ohio – with good reason

10 HOUSEHOLD HAZARDS

With small children at home, caution and common sense can help prevent tragic accidents

BALANCEDADULTS 14 COACHING CALLING

Parents with a desire to coach youth sports should be supportive and exercise patience – and know how to step back before acting foul

16 UNEXPECTED LOSSES

Financial planning and preparation can help protect against additional pain following the loss of a loved one

18 ABUSE OF PRIVILEGES

Older adults can be susceptible to physical and financial abuse from caretakers – vigilance helps loved ones prevent it

BALANCEDBODY&MIND

24 TOUGH NUT CRACKED

New guidelines for helping prevent peanut allergies issued by the National Institutes of Health welcomed by many parents

28 KIND CONTRIBUTIONS

Organ donation is on the rise – in part due to more people openly discussing what some may consider a tough topic

30 SHAPING UP

Area gym owners weigh in on 2017 fitness trends and help clients figure out what works best for them

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SPRING 2017 | BALANCEDFAMILY | 3

BALANCED

FAMILYMATTERS FROM MICHAEL C. BUTZ

H

Anyway, work schedules aside, I was fortunate in that my parents prioritized dinners together, whether it was home-cooked or takeout. It was a time when our small family of three could catch up on what happened at school, at work, in the news or in the world of sports.

Granted, I’m not what one would describe as the chatty type, so I suspect at times it might’ve felt like pulling teeth to my parents when asking about my school day, but looking back, I’m glad they asked – and I’m thankful they made (and still make) the effort.

That’s the sort of thing you appreciate more – and realize the value of – once you’re older. To this day,

when my parents and I get together to catch up, it’s almost always over dinner.

Still, even realizing the value of sharing a meal together as a family is easy to let slide down the to-do list. Much is expected of parents and their children these days. Job demands (of adults and teens), school commitments, extracurricular activities and the near-constant allure of technology are but a few major hurdles to spending quality time together – over a meal or otherwise.

A great example of a family that makes it work, though, is featured in this issue of Balanced Family. We caught up with Lakewood residents chef Fabio and Nicole Salerno, who own

4 | BALANCEDFAMILY | SPRING 2017

Editor Michael C. Butz editor@balancedmag.com Art Director Stephen Valentine

A seat at the dinner table

aving dinner together with my parents every night was pretty much a given when I was growing up. I was fortunate in that way, even if I didn’t realize it at the time. It certainly helped that I come from a family of bakers whose early-morning hours meant they were home at dinnertime.

Bonus: That also meant dessert was never a concern.

FAMILY President & CEO Kevin S. Adelstein Vice President of Sales Adam Mandell

Lago East Bank and Lago Custom Events, both in Cleveland, to learn how they balance the demands of running their businesses (on top of which, Fabio Salerno is co-owner of TownHall Ohio City) with spending time with their four children.

Busy schedules sometime make it challenging for them to gather around the dinner table together, but not only do they pull it off, the Salernos have come up with ways to engage their children in the cooking and food preparation/selection processes.

We hope that after reading their story, any families who’ve perhaps gotten too caught up in the busyness of life to sit down for dinner together will be reinvigorated to carve out time to do so.

After all, even if your children don’t seem to appreciate it now, they likely will when they grow older. I speak from experience – just like I do when I say be sure to save room for dessert.

CJN Managing Editor Bob Jacob Controller Tracy DiDomenico Design Manager Jon Larson Manager of Digital Marketing Rebecca Fellenbaum Events Manager Gina Lloyd Editorial Ed Carroll Amanda Koehn Becky Raspe Contributing Writers Naomi Grant Kristen Mott Digital Content Producer Lillian Messner Custom Publishing Manager Paul Bram Advertising Marcia Bakst Marilyn Evans Ron Greenbaum Andy Isaacs Adam Jacob Nell V. Kirman Sherry Tilson Design Jessica Simon Business & Circulation Diane Adams Tammie Crawford Abby Royer Subscriber Services 216-342-5185 circulation@cjn.org Display Advertising 216-342-5204 advertising@balancedmag.com

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Balanced Family is produced by the Cleveland Jewish Publication Company, 23880 Commerce Park, Suite 1, Beachwood, OH 44122. For additional copies, call 216-342-5185. For general questions, call 216-454-8300.

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BALANCEDKIDS

FUN in the

CLE

By Michael C. Butz

L

et’s face it: There hasn’t been much for Northeast Ohioans to complain about this year in terms of winter weather. Still, spring doesn’t officially arrive until late March, and there’s something to be said for knowing the likelihood for snow is in the rearview mirror – for at least about six months. Hopefully.

With an eye toward warmer weather to come, many families are thinking about spring break or plotting a summer vacation. While some may opt for an excursion away from Northeast Ohio, many will stay to enjoy the multitude of family-friendly adventures right in their own back yard.

CLEVELAND MUSEUM OF NATURAL HISTORY One such adventure would be a trip to the Cleveland Museum of Natural History.

“It’s a good place for families to come because there are things not only for children to learn, but for adults as well,” says Roberta Muehlheim, assistant curator of vertebrate zoology. “It’s a family effort in education.”

For a taste of the great outdoors at CMNH, there’s the Ralph Perkins II Wildlife Center & Woods Garden, home to foxes, owls, eagles, a bobcat and even a porcupine, to name a few – all of which are more active during warm weather, Muehlheim suggests.

But perhaps the biggest draw at the museum this spring and early summer will be indoors. “Amazing Species: Life at the Limits” runs through July 9 and highlights the many interesting ways animals have adapted to extreme conditions to survive.

“What this exhibit aims to show visitors is the spectacular and fascinating diversity of life,” Muehlheim says. “We see that no matter how extreme the parameters can be – hot

6 | BALANCEDFAMILY | SPRING 2017

With warm weather on the horizon, many families will look to spend vacation time right here in Northeast Ohio – with good reason Perkins Photography / Cleveland Museum of Natural History

or cold, or from the deepest depths of the ocean to the highest altitudes – life is always there.”

An example? Elephant seals can hold their breath for 100 minutes at a time as they dive to depths of 2,000 feet to find a meal. On display for “Amazing Species” is a life-size replica of the creature. “(It’s) a sight to behold,” Muehlheim says. “I always knew they were enormous, but then to see that life-size replica is amazing.”

The exhibition is also interactive, with one of the more popular components being a simulator that allows participants to see themselves

on screen in various natural surroundings.

“I’ve noticed kids really like that – and so do the adults,” she says, acknowledging she’s tried it herself. “There’s one in which you stand in a forest, and if you jump up and down, it knocks down worms, and a mole eats the worms. Or you can try to grab a skunk and it sprays you.”

While the interactive nature of “Amazing Species” is meant to make it fun, Muehlheim hopes the exhibition engages people in a way that conveys a greater purpose.

“I hope visitors come away with a sense for our responsibility to understand

American Museum of Natural History / Cleveland Museum of Natural History

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BALANCEDKIDS this biodiversity – and also to help preserve it,” she says.

“We haven’t yet catalogued all of the diversity of life on this planet, and there are so many living creatures yet to discover. … It’s kind of a marvel.”

GREAT LAKES SCIENCE CENTER Other adventures await at Great Lakes Science Center in downtown Cleveland, which offers visitors a seemingly infinite number of possibilities.

“Even if you’ve been here before, the experience here changes as your child grows,” says GLSC president and CEO Kirsten Ellenbogen. “It’s not hard to come and have a very different experience, even if it’s from just a few months earlier.

We’re always set up with a lot of opportunities to vary your visit.”

A timely example of that is the LEGO-centric exhibit running through Sept. 4 called “Build It!” Over the course of the exhibition, the theme will evolve from “Play It!” to “Explore It!” to “Move It!” to offer a range of experiences, all of which are meant to bring out visitors’ curiosity, innovation and creativity.

“What’s great about the exhibition is that so many of the activities have endless possible outcomes,” Ellenbogen says. “You can try the same activity again and again and challenge yourself to do different things each time. … We’ve noticed that some families are spending hours just in that area alone.”

While Ellenbogen jokes she can’t promise parents they won’t step on a LEGO – always an unpleasant surprise at home – while taking in the exhibition, she highlights a practical aspect every mom and dad can appreciate.

“One of the best things about it is you can walk away without cleaning up the mess,” she quips.

Ellenbogen also suggests that as the weather gets warmer, families incorporate other North Coast Harbor options during their trip to the science center, whether that’s grabbing a meal at Nuevo Modern Mexican, visiting the Rock & Roll Hall of Fame, playing beach volleyball or renting a paddle boat, kayak or jet ski.

“Pack a picnic and go out and enjoy the expansive grounds around the science center,” she says, adding that she and her family often take advantage of those nearby amenities. “We love spending an extended day at North Coast Harbor. In fact, my daughter (recently) bugged me because she hasn’t gotten to go on a paddle boat in a while.”

ADVENTURE ZONE FAMILY FUN CENTER Yet another option is Adventure Zone Family Fun Center in Geneva-on-the-Lake, a city that offers a departure from the hustle and bustle of the city for those in search of such a getaway.

“Geneva-on-the-Lake is a little bit of a throwback to the ’50s,” says Doniella Winchell, a partner at Adventure Zone, noting a district called The Strip. “Up and down, there are these little shops – they remind people of a quieter time, a slower time.”

Inside Adventure Zone, however, there are activities of all speeds. Whether zooming around the open Go Cart track with the Lake Erie breeze rushing across your face, conquering the climbing and repelling walls, putting your way across the miniature

8 | BALANCEDFAMILY | SPRING 2017

Carl Feather / Adventure Zone Family Fun Center

golf course or attaining a high score in the arcade, there’s something to appeal to all skill levels and ages.

“We have several pavilions, and lots of times on Sunday afternoons, we’ll have large families come out. Sometimes Mom and Dad do the Go Carts or zip line, and the grandparents will sit on the benches and watch the kids while eating soft-serve ice cream,” says Winchell, noting this seasonal destination opens in May. Those who’ve visited Adventure Zone in the past will have something new to experience this year: a free-fall drop ride.

“The tower is 60 feet tall, and you’ll have a free fall of about 45 feet. You’ll walk a plank, open the gates – you’ll be attached to a harness – and it’s a quick drop,” she says. “It’s a sensation that tends to put your stomach in your mouth.”

Winchell says a premium is placed on quality service.

“We hire very talented young people, and we get numerous compliments on how kind, helpful and friendly our staff is,” she says, adding they strive to create an environment through which visitors can check their stress at the door. “We’re very focused on providing a positive experience.” BF

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BALANCEDKIDS

household hazards With small children at home, caution and common sense can help prevent tragic accidents

By Naomi Grant

H

ousehold items can pose dangers to small children if parents don’t take proper care to secure them or keep them in places children can’t reach.

Many were reminded of that fact earlier this year when home surveillance footage showing an unsecured dresser toppling over 2-year-old twins in Utah was widely shared on social media and made the rounds on national news broadcasts.

The boys had been climbing on open dresser drawers when it fell on top of them. After one wiggled free, he was able to push the dresser off his sibling just enough to help him escape.

Both boys ended up being OK, but such a scenario can be a parent’s worst nightmare. Local experts lend their insight to help Northeast Ohio parents – and their children – avoid similar mistakes.

CHEMICAL CONCERNS Now that laundry pods have become popular because of their convenience to adults, it’s become that much easier for small children to ingest detergent, Safe Kids Greater Cleveland coordinator Mandy Nagle says. Though

10 | BALANCEDFAMILY | SPRING 2017

Reyes

Nagle

the packaging is a bit more difficult to open than it used to be, the pods tend to be brightly colored and smell good, which is a virtual invitation to infants and toddlers to eat them.

“Kids don’t understand that they’re not supposed to use it, they’re not supposed to eat it, because it looks like something they should,” Nagle says.

Nagle indicated that about 64,000 children annually are sent to the emergency room due to accidental poisoning, which could be anything from liquid drain cleaners to laundry pods.

Other household cleaners, like ammonia and bleach, can be very dangerous as well, especially because bleach contains hydrochloric acid, explains Dr. Bettina Reyes, a pediatrician at Pediatric Place in Beachwood.

“Whitening agents that tend to get your things the most clean ... unfortunately cause the most damage,” she says.

Once kids are old enough to understand, Nagle recommends explaining that certain products are used solely

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BALANCEDKIDS Kids don’t understand that they’re not supposed to use it, they’re not supposed to eat it, because it looks like something they should.

Mandy Nagle Safe Kids Greater Cleveland for cleaning and nothing else, especially not to play with.

While some biodegradable cleaning products exist, even organic ones can be dangerous if taken in large quantities.

Don’t overlook garages, where children can get into gasoline, window washer fluid or antifreeze if left in places they can access.

“If you need to have cleaners in your car, (you should be) making sure that it’s out of the way or up – making sure that no one can get to it,” Nagle says. “It’s a combination of making sure it’s put away and it’s put in a spot that kids can’t get to – and talking and making sure that kids know that it’s not a toy and that these things are dangerous.”

EVERYDAY DANGERS Nagle says Safe Kids Greater Cleveland also focuses on the dangers that could be posed by furniture or a television tipping over.

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“If you have a TV, it (should be) on either a low cabinet or some sort of TV stand,” she says. “If it’s up higher, (make) sure that it’s mounted to the wall.” A wall strap would also work to ensure a kid doesn’t tip it over.

Parents also shouldn’t put anything that kids like on high shelves, such as remote controls or toys, because children may be tempted to climb up to grab them, Nagle says.

Even strollers can be hazardous – on average, about two children were injured in them every hour over a 21-year period from 1990 to 2010, according to a study conducted by the Center for Injury Research and Policy of the Research Institute at Nationwide Children’s Hospital.

Nearly 361,000 children age 5 and below were treated in U.S. emergency departments for injuries related to strollers or carriers.

This study found that 67 percent of those children were injured from falling out of a stroller and 63 percent from a carrier. The head and face were most commonly injured.

One-quarter of these injuries from strollers were traumatic brain injuries or concussions, as were 35 percent of carrierrelated ones.

To prevent stroller-related injuries, avoid hanging heavy items on stroller handles. Strollers should also be locked when “parked” to keep them from rolling away, according to the study. If buying either a new stroller or carrier, choose one that fits the size of your child, and with carriers, make Solon Ad_Teen Mag2 3/9/09 11:09 AM Page 1 sure they’re low to the ground to minimize a potential fall. BF

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BALANCEDADULTS

Coaching calling Parents with a desire to coach youth sports should be supportive and exercise patience – and know how to step back before acting foul

By Kristen Mott

A

s warm weather descends upon Northeast Ohio, youth sports leagues are beginning to kick into full gear. For children, youth sports like baseball and soccer provide them with an opportunity to gain skills and value teamwork. Parents can learn key lessons, too, especially if they decide to try their hand at coaching a team.

Ali Kazemaini, director of youth soccer leagues at Lost Nation Sports Park in Willoughby, says parents typically express interest in coaching once their child becomes involved with a team. While having familiarity with a certain sport is ideal, Kazemaini says parents can apply their experiences with other sports when coaching a team.

“Soccer at younger ages is often a format of small-sided games – with five or so players on the field. Parents can maybe utilize some experiences they’ve had with playing basketball because it’s sort of the same format. The movement may be a little easier for them to understand – and how to work the ball up the field,” he says.

It’s also important, Kazemaini says, for children to see

14 | BALANCEDFAMILY | SPRING 2017

Drenski

Kazemaini

firsthand how to control a ball or pass it to another opponent.

“At a young age, the most important thing is demonstration.

If a parent can’t demonstrate, maybe grab a high school kid or an experienced youth player who can move the ball so that at least the kids can see somewhat how it’s done,” he says.

Depending on the sport, in-person or online training programs may be available for parent coaches, says Betsy Drenski, North Olmsted Parks and Recreation commissioner.

Besides developing a further understanding of the sport, organization and patience are key, she says.

“It takes a lot of repetition for the kids, especially with a sport like T-ball where you’re learning to catch and throw and you just have to do it over and over again,” Drenski says.

Coaching a youth sports league is a significant time commitment, and Drenski recognizes that it can be a difficult balance between work and family commitments for some parents. She encourages coaches to involve other parents to ease some of the stress.

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“It can’t just be one person running the whole show. If you have helpers and then you have to be somewhere for work, you can have someone else step in. It’s important to have the support of other parents,” she says.

Emotions can run high throughout the season, and it’s not uncommon for a parent coach to lose his or her cool during a game. To prevent this from happening, Kazemaini says parents need to remember that they’re working with children who are still learning the sport.

“You can’t expect an 8 year old to see the field and share the ball and all that stuff. They’re too young, and they just want to hold on to the ball because that’s the fun part for them. … The referees are also younger people and you can’t expect them to be perfect. Even professional referees make mistakes,” he says.

If parents feel themselves getting worked up, Drenski recommends they take a timeout from the action, so to speak.

“If something is bothering you, step away and focus on something else. That’s why it’s important to have that extra coaching staff with you so that you’re able to have that backup to take yourself out of a situation before you were ever to get that upset,” she says.

Drenski adds that children can quickly pick up on a coach’s attitude, so it’s important for parents to stay positive and ClevelandJewishNews.Hospice.7x4.75.022017.pdf 10 2/20/17 motivate the kids.

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It takes a lot of patience to coach. You have to understand that these are little kids, so don’t expect them to learn things through an adult’s eyes.

Ali Kazemaini Lost Nation Sports Park “If you’re coaching, you have to keep practices interesting. Do new drills or bring a new fun way to do them. Do something fun at practices to keep them engaged,” she says.

Kazemaini also encourages parents to see the big picture and to emphasize the importance of good sportsmanship over winning and losing.

“It takes a lot of patience to coach. You have to understand that these are little kids, so don’t expect them to learn things through an adult’s eyes,” he says.

“Understand that you have to bring yourself to them to make a psychological connection to get them to enjoy what they’re doing, and that’s how they get better. If they don’t enjoy it, they’re not going to get better and they’re probably 12:26to PMstop playing in the long run.” BF going

SPRING 2017 | BALANCEDFAMILY | 15

BALANCEDADULTS

Unexpected losses Financial planning and preparation can help protect against additional pain following the loss of a loved one

By Amanda Koehn

F

inancial advisers see it all the time: a spouse passes away and the other spouse, on top of being distraught, has no idea how to manage finances that were previously handled by their late partner.

While the stereotype is that wives are the ones who are in the dark about money, which may also be related to women having a longer life expectancy than men, Michael Frayman, senior vice president of investments for the Davis Frayman financial group of Raymond James in Beachwood, says this isn’t always the case.

“I’ve definitely seen lots and lots of men who are not prepared,” he says, adding that in some cases, surviving spouses may not even know how to pay bills.

However, there are many steps couples can take to ensure they have some semblance of financial security upon an unexpected death, which include starting as soon as possible, reviewing documents regularly and working with helpful professionals to catch up.

CRASH COURSES While there are many reasons for lack of knowledge about finances, Frayman says that it can stem from a fair division of duties between the couple – for example, one person manages insurance while another manages taxes.

“Oftentimes both spouses don’t know where everything is,” he says.

16 | BALANCEDFAMILY | SPRING 2017

Marla Petti, director of financial planning services at HW Financial Advisors in Beachwood, says that she has seen people, mostly women in her experience, who after their spouses die, realize they have never learned how to take money out of the bank. Moreover, she sees people who are uninformed about their tax situation, assets or cash flow – and while mourning the death of their partner, it’s an especially rude awakening.

“The worst time to become financially educated is when you are grieving after the loss of a loved one,” Petti says.

HOW TO PLAN AHEAD Petti says that both partners should be involved with finances from when they marry, not only for future security, but also because it is unfair for one member of a couple to be responsible for all the stress and issues surrounding money and assets.

“You should know where all your accounts are, what (money) you have, where your debts are, your assets, your liabilities. I think you should know your key players like your financial adviser, your CPA, your insurance agent (and) estate planning attorney,” she says.

Revisiting such decisions is also key. Frayman says that spouses should both annually review their life insurance policies, wills, trusts and health directives, as circumstances change, especially around beneficiaries. Moreover, if a family business is involved, the conversation should also begin early and include the next generation.

Kathy Kessler Overbeke, founder of Generation Planning Strategies in Beachwood, says that a wealth manager, lawyer

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and especially a family adviser should be involved with the planning process and creating a vision for the business upon the death of any key parties.

“That really is about creating a vision for the future of the family and the business,” she says.

HOW TO GET HELP Already in a situation where catching up seems impossible?

It’s never too late to start, the experts say.

“A good financial adviser will make it easy for you to understand how you have things invested, what’s going to happen for your assets at your death and at your spouse’s death,” Petti says, adding that a good adviser will not make someone feel bad about not understanding finances.

Frayman also says that his firm helps people learn how to do basic money managing, like paying bills online, and that sometimes involving the younger generation can be helpful.

“It’s not an easy thing – if someone doesn’t know how to do it, you have them try to reach out to their inner circle, children and grandchildren,” he says.

In general however, Kessler Overbeke says that another reason to learn is that if the surviving spouse is uninformed about finances, people who want to take advantage may show up.

“If they don’t know how to manage or control their funds, they could become easy prey,” she says, adding that someone

Frayman

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who knows they are underinformed could also take a course on finance management.

Moreover, in planning ahead, she suggests framing the uncomfortable money conversation around life and continuation of the family’s Petti plans, versus death.

“I think it’s really hard for many people to think about death, and that’s typically why you have thousands in that position,” Kessler Overbeke says. “If you talk about life, the meaning of the wealth they’ve generated and the hopes and dreams for the future of their family, then you can engage in a positive discussion.” BF

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BALANCEDADULTS

ABUSE

PRIVILEGES of

Older adults can be susceptible to physical and financial abuse from caretakers – vigilance helps loved ones prevent it

By Amanda Koehn

O

hio ranks 30th in states with the best elder abuse protections, according to a 2016 WalletHub study.

Moreover, the Ohio Department of Job and Family Services saw more than 16,000 reports of abuse, neglect and exploitation of adults 60 years and older in the 2016 state fiscal year.

While neglect, and both physical and financial abuse, all have causes and signs, the ways to prevent them coincide around key strategies.

NEGLECT AND ABUSE In most cases of elder abuse and neglect, the victim has physical or mental limitations related to aging. Georgia Anetzberger, a Cleveland-based social worker and researcher on the advisory board for the National Center on Elder Abuse, says most reported cases are categorized as neglect, which can be either self-neglect or neglect by a caregiver.

“Self-neglect is when the older person, either because of things like dementia, mental impairment, physical limitations, for a whole host and variety of reasons, isn’t taking care of their basic needs and therefore there are consequences as a

18 | BALANCEDFAMILY | SPRING 2017

Anetzberger

Kabb-Effron

result, and sometimes even death,” says Anetzberger, who has more than 70 publications in the field. “Some typical examples might be if a person does develop dementia and there is really no family or others around to help, and all kinds of deterioration of Saltzer their health status and their environment happen.”

Some cases of abuse and neglect involve older adults not being fed, having bruising or being overmedicated by nursing home staff. According to Michael A. Saltzer, a trial attorney at Skolnick Weiser Law in Cleveland who specializes in nursing home cases, while elder abuse does occur both in

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institutions and at home, it is easier to prove neglect – that someone was hurt – rather than abuse, which means that someone willfully injured another.

“There is certainly some percentage that does involve abuse, it’s just very difficult to prove,” Saltzer says.

FINANCIAL ABUSE Financial abuse occurs when caregivers take advantage of or steal from an older adult, explains Rachel A. Kabb-Effron, owner of the Kabb Law Firm in Beachwood, which specializes in elder law. Like physical abuse, elderly people with physical or mental conditions are particularly vulnerable.

“They are kind of at the will of the person who is caring for them, so that is a specifically trusted relationship. So when that person does take advantage, you know they are vulnerable at that point,” she says.

Kabb-Effron says this type of exploitation can include taking the elderly person to the bank and having him or her write the caregiver unearned checks, or stealing money or financial information.

WARNING SIGNS AND PREVENTION All three experts suggest what’s most effective in protecting against abuse and neglect is extreme vigilance.

Saltzer says that if the elderly family member is in a nursing home, visit often and ask questions about the person’s well-being – and document any complaints.

“The squeaky wheel gets the grease – the nursing home staff knows what residents have family, they know what residents have family that visit them regularly (and) they know what residents have family that not only visit regularly, but take an interest in the care of the loved one,” Saltzer says. “If I had a problem at the nursing home and my father was in the nursing home, you can bet that the president, the director of nursing and the risk manager would all be getting letters from me routinely about problems that were going on so they could not say they didn’t know about it.”

Call for help If you suspect elder abuse or neglect, contact Adult Protective Services for your county.

• Cuyahoga: 216-420-6700 • Geauga: 440-285-9141 or 440-285-5665 • Lake: 440-350-4000 or 440-918-4000 • Lorain: 440-284-4465 • Medina: 330-661-0800 • Portage: 330-296-2273 • Stark: 330-451-8998 • Summit: 330-643-7217 Saltzer also says one can hire someone to check up on an elderly person in an institution, if family is unable to visit – an option that is often overlooked.

Anetzberger says that risk factors for perpetrators of elder abuse and neglect may involve substance abuse, mental disorders, a history of violence, and financial and housing dependence on the elder. She adds that family members, when visiting an elderly relative, should watch for unusual behaviors, such as acting fearful, withdrawn, changes in appearance and weight loss.

“I would be watchful for such things, like not allowing me to visit, or if I called a family member wanting to talk to the older person and am discouraged from doing that,” she says.

In terms of financial abuse, Kabb-Effron says the elder and family should watch bank accounts and make sure checkbooks and credit cards are not lying around the home when paid caregivers are around. Moreover, getting power of attorney over a family member no longer able to manage finances is also an advisable option, as is involving a lawyer in general.

“As long as a lawyer is kind of watching things over as well, there is less likelihood of someone stealing from them,” she says, adding that avoiding caregiver burnout is also key.

“It’s really critical to get whatever help they need sooner rather than later.” BF

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Meal plan Chef Fabio and Nicole Salerno encourage prioritizing family dinners in the face of hectic work schedules – just like they do Story and photography by Michael C. Butz

F

amily dinners have always been central to Fabio Salerno’s family.

How could they not be?

A native Northeast Ohioan, Salerno grew up surrounded by food, whether in the kitchen

of his childhood home in Lyndhurst, his family’s restaurant in Beachwood (Salerno’s Café, née Rick’s

20 | BALANCEDFAMILY | SPRING 2017

Café), or his grandparents’ farm in Seven Hills.

“I’ve always had a love for cooking,” says Salerno, who’s now 42 and chef/ co-owner of Lago East Bank and Lago Custom Events in Cleveland. “I

was introduced to cooking Italian food by my mother.

Cooking and Sunday family dinner were traditions growing up.”

Salerno’s wife, Nicole, grew up on the West Side in North Olmsted and Berea.

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James Douglas Studios

Family dinners were a mainstay for her, too.

“My mom cooked and baked everything,” says the 39-year-old second half of the Lago ownership team. “Everything was homemade, and we knew we had to be home for dinner by 6.”

Home-cooked meals, time together in the kitchen and being home for dinner are all practices the Lakewood couple grew up with and employ today with their four children: Dominic, 19; Sofia, 10; Gianni, 8; and Luca, 6.

“It’s a part of our culture, a part of who we are, and everyone is engaged,” Fabio Salerno says.

MAKING THE TIME Not that doing so doesn’t come without challenges – something to which many families can relate. Hurdles to family dinner can take many forms, from football practice and dance recital to out-of-town business trips and any number of social commitments.

Growing up in busy, sibling-rich households – Fabio had an older brother and older sister, and Nicole had two older brothers and four step-siblings – provided the Salernos with early examples of how busy schedules can be handled.

“When you’re little, you follow your brothers and sisters, and what your family is doing, but it’s a rat race. Everybody was doing stuff,” Fabio Salerno says.

“But Sunday was always a day my parents would make an effort to get everyone together. My parents made an effort every night, but Sunday was the day we had to be there.”

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Back row, from left: Nicole, Luca, Fabio and Dominic Salerno. Front row: Gianni and Sofia Salerno.

For the Salerno household today, hurdles include a sometimes unpredictable events and catering schedule, one child away at college and an additional ownership role at TownHall Ohio City, to name a few.

“My mother and father taught me to work hard. It’s a delicate balance. We’re doing a lot more stuff than my parents did when I was young,” Fabio Salerno says. “We have multiple establishments and we like to be involved.”

He concedes, as most parents would, that work can sometimes be a consuming endeavor – especially for small-business owners. But when work interferes, he and Nicole strive to make up for it.

It’s a team effort.

“I can get lost a little bit in my work. Time flies. Dinner is at 6 o’clock, and I’ll look up and it’s 6:45. But if one day gets messed up, we try to make it up,” he says. “It’s an important time for us to be together, and my wife does an amazing job of trying to make sure we’re all at the table.”

FACTOR IN HEALTH All of the effort put toward making time for family

Meatballs were a staple in my house (growing up), and they’re a staple now in my restaurant.

Fabio Salerno Lago East Bank

dinner pays off. Research has shown that regularly eating meals together as a family is associated with improved grades at school, lower stress levels, improved relationships

between parents and children, and healthier eating habits.

It’s that latter matter that really resonates with Salerno, who points to TownHall Ohio City’s

SPRING 2017 | BALANCEDFAMILY | 21

Salerno says his meals growing up consisted of 80 percent proteins – “meatballs were a staple in my house” – and 20 percent fruits and vegetables. While he and Nicole both fondly recall their childhood dinners, the meals they oversee for their family today are the inverse.

“We eat way more vegetables than we eat meat.

Growing up, it wasn’t a meal if meat wasn’t involved,” she says, adding that as for fruit, their children often enjoy it for dessert. “They love an apple with almond butter – that’s their favorite.”

Like many kids, her favorite dish growing up was dessert. While she enjoyed the homemade fudge her mom treated her to, she sometimes desired Little Debbie treats – which she never received because, she says, her mom was always against processed foods.

Healthy lessons like that learned in childhood have carried over to motherhood.

“We eat really healthy,” she says of her family today, explaining that among other things, they cut out highfructose corn syrup. “Once you learn those things, you can’t unlearn what you know.”

Top: Chef Fabio Salerno prepares sautéed calimari in the kitchen at Lago East Bank. Above: Rigatoni pasta with sweet sausage, fennel, escarole, cherry tomatoes and extra virgin olive oil from Lago East Bank.

non-GMO (genetically modified organism) menu.

The restaurant’s website points out part of the reason for creating such a menu is that one day children might collectively ask why generations before them allowed GMOs onto the dinner table.

“Because of TownHall, we understand where to

get the best ingredients and best products – not just for restaurants, but for families, too,” he says. “Since I became a chef myself, I’ve really studied nutrition and food. My kids understand how to read labels. We pay close attention to how much sugar we’re taking in – things that back in the day, parents weren’t concerned with.”

22 | BALANCEDFAMILY | SPRING 2017

WORDS OF WISDOM What advice can the Salernos offer to fellow busy parents looking for ways to gather their families around the table?

Nicole Salerno finds planning meals in advance and an unwillingness to waste food help keep her on track. “(If) I’ve planned the meal for that night and purchased the food, it gets me home no matter what,” she says. “You go to the store with good

intentions, but if you buy all that food and throw it out, it makes me sick.”

Her husband prioritizes engaging their children in the process – not unlike his parents did when he was a kid.

“Engaging with them individually is important to me, too – not just as a group,” Salerno says, adding that all of their children have shown interest in participating in the family routine.

“My youngest one likes breakfast and wants to crack the eggs. Both young boys (do),” he continues. “My 19-year-old works the line and is very engaged. I’m really proud to see how he deals with people and maneuvers in the restaurant.

“My daughter, she’s engaged in everything. We have a special bond. My daughter reads labels on food products better than most adults. She probably watches our nutritional intake more than anyone in the family.”

Salerno adds that realizing time must be made for family is key, and striving to keep work activities and family matters in equilibrium is a big part of that.

“For me, I have to have that balance – and I know my wife feels the same way,” he says. “We try to manage it as effectively as possible, but at the end of the day, you just have to do it. You have to make time for your family.”

Another way to look at it is that for Salerno, stepping away from the responsibilities of cooking for paying customers allows him to serve his most valued customers, so to speak.

“I really enjoy feeding people, and my family are my favorite people to cook for,” he says. BF

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Recipe for success

Need a quick-to-make recipe for a delicious, family-friendly bite to eat? Chef Fabio Salerno is here to help with the recipe for his Grilled Cheese & Prosciutto Bars, which might just leave your family thinking they’re eating at a restaurant instead of your dining room.

GRILLED CHEESE & PROSCIUTTO BARS INGREDIENTS • • • • • • • •

Whole wheat sour dough | 2 slices Roasted tomatoes | 2 oz.

Cheddar, yellow | 2 slices Gruyere | 2 slices Prosciutto | 3 slices, approximately 1 oz.

Arugula | ½ oz.

Parsley | ½ teaspoon Farm fresh butter | ½ oz.

PROCEDURE 1) 2) 3) 4) 5)

On both slices of bread, place both cheeses – half on each Place thinly sliced prosciutto, tomatoes and arugula on one half Place one side on the other Spread a thin layer of farm butter on the outside of each slice of bread Sear on a lightly oiled griddle or flat top until browned and cheeses are melted; if cheeses are taking long to melt, cover with a lid to concentrate heat 6) Cut into three bars and place on a plate; garnish with arugula and parsley (shown above with tomato bisque topped with crumbled blue cheese)

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SPRING 2017 | BALANCEDFAMILY | 23

BALANCEDBODY&MIND

TOUGH NUT New guidelines for helping prevent peanut allergies issued by the National Institutes of Health welcomed by many parents

By Michael C. Butz and Naomi Grant

P

eanut butter and jelly sandwiches have been a school lunch staple for generations, and snacking on bags of peanuts at Progressive Field is a time-honored tradition for many young baseball fans. Unless, of course, a child suffers from a peanut allergy, in which case such foods are avoided for fear of a severe allergic reaction.

A recent report from the National Institutes of Health, however, suggests there is a better way to prevent those allergies from developing than previously recommended to families, and that if implemented, the number of kids afflicted by the allergy may decrease over time.

“The main takeaway is that nowadays, we’re telling patients and families that instead of completely avoiding peanuts, early introduction is a better practice for decreasing and preventing the food allergy,” says Dr. Devi Jhaveri of Allergy/Immunology Associates in Mayfield Heights.

Dr. Brian Schroer, a pediatric allergist at Cleveland Clinic Children’s Hospital, explains that under the new guidelines, children fall into groups based on risk factor.

“Within that document, three general groups of people are broken down, and that helps decide when to introduce peanuts and how to introduce peanuts to kids,” he says. “(They) are the basis for which parents and doctors should make a decision about when they introduce peanuts into a baby’s diet.”

Specifically, those groups are as follows: • For infants deemed at high risk of developing

24 | BALANCEDFAMILY | SPRING 2017

Jhaveri

Schroer

a peanut allergy because they already have severe eczema, an egg allergy or both, it’s recommended that peanut-containing foods be introduced into diets as early as 4 to 6 months of age.

• For infants with mild or moderate eczema, it’s suggested that peanutcontaining foods should be introduced into their diets at about 6 months of age.

• For infants without eczema or any food allergy, it’s recommended that peanut-containing foods be freely introduced into diets.

This reverse in course for prevention strategy was announced in January following the landmark Learning Early About Peanut Allergy study, a randomized clinical trial involving more than 600 infants funded by the NIH’s

National Institute of Allergy and Infectious Diseases.

Results showed that regular peanut consumption begun in infancy and continued until 5 years of age led to an 81 percent reduction in development of peanut allergy in infants deemed at high risk.

“Overall, my patients have been really receptive (to the new guidelines) and have liked having that data to back up what they do,” says Jhaveri, adding that she advised that approach even before the NIH guidelines were issued.

She added that her ongoing patients – for example, families that had one child treated under the previous guidelines, but another under the new guidelines – haven’t expressed hesitancy with the

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better predictive value versus blood testing as far as food allergies go. Blood tests can lead to false positives, which may lead to kids avoiding foods they’re not allergic to,” Jhaveri says. “You don’t necessarily want to go and (introduce peanut-containing food) on your own. You’d want to contact your pediatrician or your allergist,” she says.”

Schroer echoes that as sound advice for parents.

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that we know unnecessary avoidance does increase your risk for becoming allergic, it might have been partly that peanut allergy was becoming more prevalent because of those recommendations,” he says. “Now that those recommendations aren’t being used, it may be that the rate of peanut allergies can be significantly reduced by eating it early and eating it often.”

For those high-risk infants, the NIH further suggests parents first check with their health care provider, who may choose to perform an allergy blood test or send them to a specialist for other tests, such as a skin prick test or an oral food challenge.

“For kids who have severe eczema, (parents) can do a skin prick test with their allergist. That has a way

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change despite how drastic the switch might appear on the surface. Instead, she says, the guideline reversal has come as a relief to parents, particularly nursing mothers, who’ve been told they should avoid certain foods.

“For those parents who have gone through it the other way around – they’ve done avoidance and are worried they’ve caused it – I say research has changed over the last 10 years, and it’s going to continue to change,” Jhaveri says.

Schroer suggests the new guidelines may curb the spike in peanut allergy cases experienced during the last 10 to 15 years.

“Over the years, medical societies were telling parents to not introduce peanuts at an early age. ... Now

“As with everything, if a parent feels uncomfortable about what category their kid falls under, of course they should speak with a pediatrician – or find a good allergist who’s experienced with food allergy,” he says. “I’d rather you see somebody to talk about it than not introduce the peanut at all because, again, unnecessary avoidance probably does increase the risk over time.” BF

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SPRING 2017 | BALANCEDFAMILY | 27

BALANCEDBODY&MIND

Kind

contributions

Organ donation is on the rise – in part due to more people openly discussing what some may consider a tough topic

By Amanda Koehn

L

ast year, Phyllis Kraps received an unexpected letter. It was from a doctor who suffered from back pain for many years, to no avail after multiple surgeries. It wasn’t until the doctor received a bone donation from a deceased donor that she was able get back to her normal life pain free. The bone was donated by Kraps’ husband, Bart, who died in 2013 at 53 years old.

“He was an organ donor since he got his driver’s license,” Kraps says, who calls her husband a “kind soul,” and says that giving bone and tissue upon his death was an extension of that.

Although his mind was already made up, the night Bart Kraps died he had seen a commercial about donation during dinner. It featured a boy who had bone cancer and received a bone donation, and because of it, went on to live cancer free. Kraps recalls that her husband said how “awesome” it was to

28 | BALANCEDFAMILY | SPRING 2017

be able to donate to someone and he reminded her, once again, that he was an organ donor.

“I said, ‘I know, you told me 100 times,’” Kraps says.

Later that night, Bart Kraps suffered a massive heart attack and died. Although his organs could not be donated due to the nature of his death, his bone and tissue were, and the doctor who wrote the letter came to benefit. Seeing the recipient’s letter allowed his wishes to come full circle, Kraps says.

Horne While this type of story is not uncommon among donors’ families and recipients, what may be more uncommon is how Kraps and her husband were open about discussing their eventual deaths before such a crisis. Similarly, organ donation experts suggest that donation be part of a larger conversation about one’s wishes for when he or she dies, and the time to bring it up with family is sooner rather than later.

DONATION ON THE RISE Lifebanc, an organization that coordinates organ donation across

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Northeast Ohio, saw a record number of organ donations in 2016, increasing by 11 percent from 2015. While some of that is due to an increased number of traumatic deaths, including drug overdoses, car crashes and gunshot wounds, Diane Horne, family services supervisor at Lifebanc, says that public awareness around organ donation also makes a difference.

“I know in the last eight years that I’ve been here I’ve see a lot more awareness and public education. I think that’s huge,” Horne says.

Ohio has an opt-in program and people can register as organ donors at the Bureau of Motor Vehicles. If one is not registered, when he or she dies it is up to next of kin to decide on organ donation upon death, which Horne says adds distress in an already distressing situation – something both registration and family talks can help with.

“It helps that family know they are making the right decision and it takes the burden off of them to guess what the decision is,” she says. “It’s far easier if you already know that ‘I’ve had this discussion with my mom’ or ‘I did talk about this to my brother.’”

Horne advises that when one gets a first driver’s license can be a good time to discuss organ donation since he or she will be asked at the BMV. For discussions about both organ donation and end-of-life wishes, another good time may be whenever a major life change occurs, like a marriage, partnership or birth.

Kraps, who lives Kraps family in Penfield Township in Lorain County, says that for her and her husband, talking about death or organ donation was never an issue.

They both had close family members Bart and Phyllis Kraps in 2007. die unexpectedly during their 15 years and 15 days together, which helped them remove discomfort around such discussions.

“That was the hardest thing I ever had to do is bury my husband at the age of 53,” Kraps says. “Not only did he make it easy for his organ donation, (planning) also made it easier for me in his funeral arrangements.”

However, that didn’t mean Kraps was comfortable with organ donation herself at the time. She had been worried that the myth that doctors will not work as hard to save one’s life in a crisis if they are an organ donor could hold true and was not registered as a donor when her husband died.

“I watched (doctors) work on my husband and give him CPR for two and a half hours and try to revive him, so that is just a myth because they really fought to try to bring my husband back,” she says. “So that’s why I became an organ donor.” BF

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Space-Age Technology or Ancient Natural Healing?

Cryotherapy at North Coast Cryo is a Little of Both.

Using cold in healing dates back to ancient Egypt. Today, whole body cryotherapy harnesses extreme cold to promote natural healing and wellness. Just one to three minutes in the North Coast Cryotherapy cryosauna will reduce inflammation, promote healing from injury and recovery after exercise, boost metabolism and enhance overall well-being.

Developed in the 1970s by a Japanese physician for patients with arthritis, cryotherapy also provides relief from other sources of inflammation. Popular for decades in health clinics, elite athletic training centers and spas throughout Europe, cryotherapy is now emerging across the U.S. Cryotherapy users report relief from arthritis, chronic pain, inflammatory conditions, joint and muscle injuries, and accelerated surgical recovery. Cryo can improve skin conditions like psoriasis, eczema and acne, rejuvenate skin and increase collagen production. Each cryotherapy session activates a flood of endorphins, enhancing mood and energy levels, improving sleep, and boosting metabolism – triggering the body to burn an extra 500 to 800 calories.

Whole body cryotherapy involves stepping into a nitrogen-cooled chamber, wearing only thermal gloves, socks and boots (provided by the studio), plus your undergarments, shorts or bathing suit. When exposed to the extreme cold for one to three minutes, the surface temperature of your skin drops briefly and your body releases endorphins, decreasing sensitivity to pain. Blood rushes from your extremities to your vital organs, where it is enriched with oxygen and nutrients. When you exit the cryosauna and quickly re-warm, the revitalized blood flushes through your body, boosting energy, reducing inflammation, and triggering repair and rejuvenation.

Find out what cryo can do for you at North Coast Cryotherapy, which is now open in Beachwood at 3355 Richmond Road, Suite 191 (near Moxie & Red).

For more information, call Terri at 216-508-4302 or visit www.northcoast-cryo.com. balancedmag.com

SPRING 2017 | BALANCEDFAMILY | 29

BALANCEDBODY&MIND Area gym owners weigh in on 2017 fitness trends and help clients figure out what works best for them

Shaping up

By Kristen Mott

W

hile many people start off the year with good intentions of working out and staying healthy, sticking to a fitness routine can prove to be a challenge.

With so many exercise programs available, it can be overwhelming for an individual to decide on the best one for him or her. Identifying goals is a key part of the process.

“Some people want to lose weight, some want to put on muscle and some are rehabilitating injuries,” says Steve Sova, owner of Health and Fitness Equipment Centers with locations in Canton, Eastlake, Fairlawn, North Olmsted and Woodmere. “Whoever is exercising needs to identify what their personal goals are. Trying to reach those goals can be kind of an inspiration while exercising.”

The fitness level of the individual also is an important aspect to consider, says Ed King, a personal trainer and owner of Kings Gym in Bedford Heights.

“Is this somebody who’s totally new to the fitness world or somebody who is experienced and looking for something different to do? That’s the first determination,” he says.

Safety should be a top concern for people of all experience levels, says Larry Tedor, owner of AMP Fitness in Beachwood.

“Most people want to lose weight and gain lean muscle.

Make sure you’re training at a proper intensity and achieving goals in a safe manner,” he says.

30 | BALANCEDFAMILY | SPRING 2017

Once these factors are considered, it’s best to settle on an appropriate workout routine. Here, King, Sova and Tedor explain the benefits of some of the top fitness trends for 2017.

WEARABLE TECHNOLOGY Wearable technology is proving to be an asset for people of all fitness levels and topped the list of most popular fitness trends this year, according to the American College of Sports Medicine’s Health and Fitness Journal.

Tedor says wearable technology and fitness trackers can be beneficial because they use a heart rate monitoring system to make sure people are working out at a proper intensity.

Sova adds that while everyone can benefit from using wearable technology, the younger generation is more likely to take advantage of these devices.

“One of the things we run into with the older crowd is they’re really not interested in all the technology and the gadgets because they didn’t grow up with it, and that’s OK,” Sova says. “They can still get their heart rate up if they’re using those gadgets or not. People have to find whatever pushes their buttons to get them to stick with an exercise routine.”

BODY WEIGHT TRAINING King recommends body weight training for individuals of all fitness levels and ages due to its customization and measurable results.

“When I train a new client, I always incorporate body weight movement because it’s less stressful on the joints,

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Caring for a seriously ill person can be all-consuming. Often, one person bears the majority – if not all – of the responsibility. being the primary caregiver doesn’t mean you have to be color green But spot color the only caregiver.

Amber Wiesner, Executive Director of Visiting Nurse Association of Ohio’s Home Assist™ program, said caregivers often find it difficult to ask for help, or even to accept help when it is offered.

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4. Compile a mental list of tasks that you can have ready if someone asks to help. Often, the biggest hurdle to getting help is figuring out what to ask others to do. You’ll be able to say, “Would you be willing to take mom for an outing next week?” or “Can you pick up prescriptions?”

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SPRING 2017 | BALANCEDFAMILY | 31

BALANCEDBODY&MIND lets them move in the way they normally move and it’s a goal-oriented type of program where maybe they start out and can only do five pushups and six weeks later they’re doing 16,” King says. “They can really see they’re getting better, which motivates them to do better and embrace it more as a lifestyle,” Tedor adds that body weight training has remained popular because it can be done anywhere and doesn’t require free weights or special tools like ropes or kettle bells.

HIGH-INTENSITY INTERVAL TRAINING High-intensity interval training, or HIIT, is more appropriate for those at a moderate to advanced fitness level, King says.

This type of exercise incorporates both aerobic and anaerobic components, which King calls the “best of both worlds.”

Tedor views HIIT as a workout routine that’s going to remain popular and notes that the key to making it a successful workout routine is ensuring that an individual’s heart rate is at an appropriate level.

“Make sure you’re getting your heart rate up there and that you’re at the appropriate intensity for you. When you’re working out you should have a heart rate monitor on so that when you’re exercising you’re hitting the ranges that you need and giving yourself the appropriate rest period between,” he says.

King

in the convenience of their homes. Sova encourages potential buyers to do their research before making a purchase.

“A lot of people start these programs and for two weeks they’re really on it, the third week they sort of slack off Tedor and by the fifth week their equipment is a coat hanger,” Sova says. “If you’re going to purchase exercise equipment, it’s important to find something you’re comfortable with.” BF

CERTIFIED FITNESS PROFESSIONALS While personal training continues to grow in popularity, it’s important to work with a fitness professional who’s properly certified, Tedor says.

“You want to make sure you ask about their certificate or where they graduated from and what kind of education they have and continue to have. Make sure you’re looking around for someone who actually has the credentials,” he says.

King shared a similar sentiment and notes that personal training is non-regulated in Ohio, which makes it incumbent on an individual to do research before hiring a professional.

“The internet is a great place to start. People can do searches on there for qualified facilities that have the best training,” he says.

“Look at the customer reviews and when you see that a place has good feedback from customers and the trainers are highly qualified, that’s where I would start. It’s all about finding somebody that can guide you that’s qualified and has a passion for what they do and is the real deal.”

STRENGTH TRAINING Strength training is key to building muscle, bone density and cardiovascular levels, Tedor says, and can prove useful for older individuals.

“As we age, we lose muscle mass, so it’s important to continue strength training to utilize those muscles. I’m a firm believer in if you don’t use it you’re going to lose it,” Tedor says.

Rather than joining a gym or fitness facility, many people choose to purchase strength training equipment to exercise

32 | BALANCEDFAMILY | SPRING 2017

Sova

1.

2.

3.

4.

Fitness trends for 2017

Wearable technology Body weight training High-intensity interval training (HIIT) Educated, certified and experienced fitness professionals 5. Strength training 6. Group training 7. Exercise is Medicine 8. Yoga 9. Personal training 10. Exercise and weight loss 11. Fitness programs for older adults 12. Functional fitness 13. Outdoor activities 14. Group personal training 15. Wellness coaching 16. Worksite health promotion 17. Smartphone exercise apps 18. Outcome measurements 19. Circuit training 20. Flexibility and mobility rollers

SOURCE: American College of Sports Medicine’s Health & Fitness Journal

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Moving into our 111th year, many clients, staff and family members have come through these doors of help and healing, and thousands have settled in to call Menorah Park residences home.

We believe that “to honor our mothers and fathers” is more than an important commandment. It’s what we do all day, every day. Our tradition of excellence in caring over the past century has brought us to this point, and we are certainly looking ahead to the next century of care and all that we can offer in services, residences, health and technology.

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aware of the many ways we support their needs, or how our creative expertise results in innovative bestpractices, or the all-encompassing impact of our Jewish values. And while our Jewish values are an embodiment of who we are, we welcome all religions.

The flames in our logo represent the seven flames of a traditional menorah, spreading light within the community.

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WELLNESSDIRECTORY HOME & HEALTH BRIGITTE AT YOUR SERVICE We are committed to quality care. We provide personal care, meal preparation, transportation to appointments and shopping, laundry, light housekeeping and so much more. All shifts available; we are screened, bonded and insured.

References available.

216-297-0800 CHAGRIN VALLEY SPEECH THERAPY SERVICES LLC A a pediatric speech therapy private practice located in Chagrin Falls, Ohio.

Melissa Baker M.S. CCC-SLP has nearly 20 years of experience working with children in both private and public school settings. Her speciality is the assessment and treatment of children with autism.

Melissa Baker M.S. CCC-SLP Owner/Speech-Language Pathologist Chagrin Valley Speech Therapy Services www.chagrinvalleyspeech.com 440-972-3670 | 216-297-0800 HOME HEALTH AIDES OF OHIO We offer complete home health care services, including Respite Care, Companionship, Meal Preparation and Transportation, as well as training for STNA and CNA. Alicia Berry Home Health Aides of Ohio, LLC “The Nurturing Professionals” 3713 Lee Road Shaker Hts., Ohio 44120 216-510-4436 | 216-273-6888 homehealthaidesohio.com

OPTIONS FOR SENIOR AMERICA Serving Cuyahoga and surrounding counties for over 20 years. We offer quality home care customized to your needs.

Our qualified, screened and motivated STNAs, RNs, LPNs and companions are available for live-in or hourly work. First interview is free. Our aides provide exceptional customer service. They are fully bonded and insured including Workers Comp and Professional Liability.

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PINK NEWBORN SERVICES We provide Newborn Care Specialists, Postpartum Specialists, Multiples Specialists, Sleep Training, and Temporary Nanny Services wherever we are needed throughout Ohio and Nationwide.

1-877-456-7465 (PINK) PinkNewbornServices.com SENIOR SOLUTIONS LLC When your loved one has a need, we have a solution. Round the clock care, 365 days/year, provided by skilled, compassionate, caregivers. Care planning including residential options, home safety assessments.

Coordination with medical providers to insure proper care. Companion care and/ or transportation. Flexible scheduling and affordable prices.

Jamie Berns 216-925-3042 seniorsolutions11@gmail.com VISITING ANGELS We are an in-home, senior care provider assisting the senior and older adult to live as independently as possible by remaining safely in their own home. Services include hygiene assistance, companionship, medication reminders, light housekeeping, laundry, meal preparation. errands and shopping.

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MIND & BODY BODY SCULPTING AND BARRE FX Body Sculpting is a cardiovascular strength-training class designed to make you lean and defined while providing a results-oriented whole body workout. More than 100 locations in Northeast Ohio. Barre FX is a challenging boutique ballet barre fitness class at an affordable price! Call for class locations.

440-729-3463 helper@flexcity.com flexcity.com Wellness directory is provided by our advertising partners.

To be included in future issues email adsales@cjn.org.

34 | BALANCEDFAMILY | SPRING 2017

THE CENTER FOR STROKE & HAND RECOVERY, INC. Sharon Covey OTR/L, OTD, is a Doctor of Occupational Therapy and owner of The Center for Stroke and Hand Recovery, Inc. She focuses on neurological injuries such as strokes, as well as hand and arm injuries including wrist and finger fractures, carpal tunnel syndrome and degenerative changes from arthritis.

Dr. Sharon Covey, OTRL, OTD 32901 Station Street, Suite 102 Solon, OH 44139 Strokeandhandrecovery.com Sharonotr11@yahoo.com 844-987-8765 office or cell 330-907-1969 CLEVELAND RELATIONSHIP THERAPY Individual, couples, and family therapy--specializing in couples and sexual issues. Couples Intensives, Bringing Baby Home Workshops for Parents, Sexuality workshops and groups, Healing from Infidelity groups, Postpartum groups.

Ashley Ginnoneau-Denton 2460 Fairmount Blvd Suite 320 Cleveland Hts OH 44106 216-200-7928 clevelandrelationshiptherapy.com IN MOTION PHYSICAL THERAPY Advanced, evidence-based physical therapy for all your rehabilitation needs. Specialty services also available for spinal pain, dizziness, imbalance, foot and ankle disorders.

Dr. Joseph Moskowitz, PT, DPT 14100 Cedar Road Suite 130 University Heights, OH 44121 216-577-1933 www.inmotionptohio.com INSPIRAL MOTION A boutique-style movement center offering holistic, inspirational instruction in GYROTONIC® and Pilates exercise. We specialize in joint issues, stress relief, selfcare, body conditioning, balance and strength. Private instruction and group classes available.

Join us for an hour or so of bliss.

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NEW DIRECTIONS, INC. Treatment Makes a Difference....

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Intake Department 216-591-0324 ext. 169 intake@newdirect.org newdirect.org

OPTIONS NATUROPATHIC Options Naturopathic Clinic offers an approach to health care that assists in the process of understanding illness and supporting wellness. Thus I must understand everything that I can about human health, physiology, and disease. My role is to coach individuals on how to prevent and reverse illness and to optimize their health.

Erin Holston Singh, N.D. 2460 Fairmount Blvd. Suite 219 Cleveland Heights, OH 44106 Phone: 216.707.9137 optionsnaturopathic.com

SHADYBROOK Shadybrook is a Northeast, Ohio, non-profit organization that hosts or sponsors programs, workshops, and seminars for adults, children, and families all geared towards cultivating personal growth, welcoming diverse ideas, ultimately improving awareness and enhancing your life. Visit www.shadybrook.org for more information.

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