LIVING Longer, Living Well
A resource guide for 55+
Places to Go, Things to See Page 5
Better Than Ever: Interviews with Local Residents Pages 6-7
“Sundowning� and Visiting Someone with Dementia Page 10
June 2018
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LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
What Would You Do? Leigh-Anne Lees, Community Relations Manager, VPAS
You know all those inspirational quotes that seem to be multiplying on office walls and social media posts? Usually I stroll or scroll right past them, but years ago I saw one that gave me pause. It was a simple, straightforward question: What would you do if you knew you could not fail? The question made me take stock of the life I’ve built and what I want for my future. It also made me realize that, despite how dramatically the answers can change from one phase of life to the next, fear of failure can remain constant. In this issue, we’re exploring ways to tackle the fears that hold us back from living our best lives. Whether it’s packing up to embark on an Alaskan adventure, relating to a parent with dementia, losing weight, quitting smoking, getting out of debt, or repairing a broken relationship, overcoming the biggest challenges often begins with one small step. But, as Anne Grossman points out on page 7, you have to take that step. We hope the “Better than Ever” interviews with Anne and other local residents inspire you on your own journey, and that you’ll find practical tips throughout these pages to help get started. If you’re looking for fun community events, check out the calendar on page 11. We’d especially love to see you at Friday Evening in the Park in Broadway on June 15. Bring your grandkids for pony rides, ice cream, and other family fun. There’s also a Rocktown Chili Throwdown in August and a variety of health happenings throughout the summer to keep you active and engaged. Every now and then I ask my children what they would do if they knew they could not fail in hopes they’ll consider how fear might be limiting them. Sometimes the response is, “Buy a lottery ticket” followed by a chuckle as they head out the door. But then the topic will come up in conversation later and I’ll know they’ve really been thinking about it. Maybe more important than the answer is that, at every age and every stage, we keep asking ourselves the question. All of us at Living Longer Living Well are wishing you a summer of simple pleasures, casting away of fears, and new adventures.
COVER PHOTO: Anne Grossman trekking in the Everest region of Nepal, from Lukla to Gorak Shep For story, see page 6 Photo courtesy of Larry Grossman
Harrisonburg, Va.
Living Longer, Living Well A collaborative partnership of the Daily News-Record and the Aging Well Consortium
Editorial Committee: Beth Bland, Co-Chair Director of Senior Services, Harrisonburg/Rockingham VPAS Leigh-Anne Lees, Co-Chair Community Relations Manager, VPAS Lavenia “Lev” Norford Director of Communications, Bridgewater Retirement Community Nancy Owens Director, Lifelong Learning Institute, James Madison University Glennette Poland Intergenerational Activities Coordinator, Generations Crossing Susan Ribelin Coordinator, Sentara RMH Lifeline and Senior Advantage Annie Shaffer Wellness Director, Sunnyside Retirement Community Cristin Sprenger Extension Agent,Virginia Cooperative Extension Jeannette Suter Marketing Director, Home Instead Senior Care MISSION: The Aging Well Consortium mission is to develop and promote education and public awareness programs to enhance the health and well-being of older persons, care providers and families. Living Longer, Living Well is published quarterly and focuses on issues and topics pertinent to aging.
Aging Well Consortium – Living Longer, Living Well P.O. Box 473, Harrisonburg, VA 22803 No statement or advertisement in this publication is to be construed as an endorsement of any person / business / organization or as a recommendation to buy advertised products / services. The Aging Well Consortium welcomes the submission of articles to be considered for use in Living Longer, Living Well. The Living Longer, Living Well Editorial Committee reviews all submitted material and reserves the right to decide which selections will be included in the newsletter. Please Note: This publication contains educational and illustrative materials, narratives, and ideas of an informative nature ONLY. Neither the author, the publisher, nor this organization is engaged in rendering medical, legal, or tax advisory services. For advice and assistance in specific cases, the services of physician, attorney, or other professional advisor should be acquired. The Aging Well Consortium is very interested in any comments or suggestions you might have. Please email your ideas for stories or feature articles, suggestions, or “pet peeves” to the editor at leighanne@vpas.info, or mail them to Living Longer, Living Well, P.O. Box 473, Harrisonburg, VA 22803
LIVING LONGER, LIVING WELL
Harrisonburg, Va.
Saturday, June 9, 2018
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Grand Idea: Photo Block Puzzle Glennette Poland, Intergenerational Activities Director, Generations Crossing
As grandparents, we are always looking for ways to entertain our grandkids. I have four granddaughters. Three of them are old enough to en-
joy doing crafts. Here’s a grand way to help your grandchildren create a fun project! Take photos of the children, and let them help choose the ones that they would like to use. Two photos will be needed for the activity. Here are the materials that are needed: • Nine 1.5 inch unfinished wooden blocks – These can be purchased at craft stores. • Matte photo paper – This is better to use with Mod Podge. • Mod Podge – The matte finish is best to use for this project. • Acrylic paint – I used 4 colors. • Foam brushes – They are super easy to clean. • Sandpaper (optional) Crop the two selected photos to 4.5 x 4.5 inches. These are the exact dimensions of the 9 blocks when organized in a square. Organize those nine blocks into a square. Pencil a “1” on the top surfaces of each of the nine blocks and a “2” on the bottom surfaces of each block. The remaining four sides of each block will be the ones to paint. Paint these sides any color you want. They can be all the same color, but I like to use four different colors. After the paint is completely dry,
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sandpaper the edges to create a distressed look, if desired. Line the blocks on top of the photo as they would appear once applied. Rather than measure with a ruler, simply pencil where the cuts need to be made. If a paper cutter is available, this will ensure a cleaner cut. Next, apply a thin layer of Mod Podge to the top block, and then put the photo piece on top. If you use too much Mod Podge, the paper will rip and/or bubble. Complete this step with the remaining photo pieces. Repeat with the second photo on the back. Wait for the Mod Podge to be completely dry. Then sandpaper the edges of the photo until the excess paper comes off. This gives a more rustic or distressed look to the photos. To keep the paper from lifting, sand in a side-to-side motion rather than up-and-down. Lastly, apply a thin layer of Mod Podge on the front of the photo. This will help to seal and protect the photo. There you have it – your very own photo block puzzle to provide you and your grandchildren lots of fun. The children will enjoy seeing themselves every time that they put it together, as well as remembering your cherished time together. This would make a nice surprise gift for parents.
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LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
Harrisonburg, Va.
A Community United Against Elder Abuse Jeannette Suter, Marketing Director, Home Instead Senior Care
As we age, it is only wise that we learn to rely upon help from others to complete the tasks that we are no longer able to complete independently. We think twice about standing on the top rung of a ladder to change a light bulb or carrying a heavy crate to the curb. It is typically in our best interest to ask for help versus risk being injured. However, it is this increased reliance on others that fosters conditions for a person to be taken advantage of or even abused. As the U.S. baby boomer population ages, 10,000 people will turn 65 every day for the next 11 years. With more older adults also comes greater dependence on others. Now is the time to learn the signs of elder abuse and steps to take if you have a concern. There are various types of elder abuse, some being more visible than others. Elder abuse is often categorized into five fields: physical, sexual, psychological, financial and neglect. See the WebMd summary for an overview of each category. A situation involving the abuse of an older adult typically does not stop on its own, so address it if it is suspected. Tabitha Dean, family services supervisor for Harrisonburg-Rockingham County Department of Social Services, advises you to call local law enforcement, the adult abuse hotline at 1-888-832-3858, or the local
Department of Social Services if you suspect abuse or neglect. World Elder Abuse Awareness Day is highlighted annually on June 15 to voice opposition to the abuse and suffering inflicted on some older adults. Recognize this important day, but continue to be vigilant each day of the year. Familiarize yourself with the signs of abuse, and be an advocate for older friends that may not have a voice.
Type of Abuse Definition
Signs/Symptoms
Physical
Any action that causes injury or bodily harm
Visible and possibly recurrent injuries; unexplained burns, cuts, bruises, bleeding; person reluctant to see a physician.
Sexual
When a person is forced to have sexual contact with another person
Torn or bloody clothing; sexually transmitted diseases; bruises; bleeding.
Psychological Any action that hurts a person emotionally
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Unexplained behavior changes; being withdrawn or frightened; rocking back and forth and possibly mumbling to self; being depressed, confused, loss of interest to enjoyable activities; trouble sleeping.
An older person’s Withdrawals from bank money or property accounts that are unexplained; are threatened a new “friend” that may be taking advantage of person; a change in legal documents; missing financial statements, signatures that appear to be forged
Caregivers do not Neglect tend to an older (to include abandonment) person’s needs.
Person is messy or unclean; weight loss/loss of appetite; bedsores, missing or broken dentures, eyeglasses, hearing aids, or durable medical equipment.
*Information courtesy of www.webmd.com/healthy-aging/elder-abuse-signs#2
Harrisonburg, Va.
LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
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Preparing for Your Adventure Places to Go, Things to See! Layna Erney, Events and Trips Coordinator, Sunnyside Retirement Community
Anna Rose Geary, Member, Lifelong Learning Institute
When traveling close by or to distant shores, it’s helpful to have a list You are now finally retired, ready to enjoy your down time and of must -remembers to take with you. Especially important is to check go on vacation, visiting the places you dreamed about when you with your insurance company and your credit cards to guarantee you wished you could get away from your job. You pick a place on the world map, consult with your loved ones and traveling companion, will be able to use them in the places you are visiting. pick a reputable organization to travel with, or find a travel agent Carry on you: who will guide you and help you set up an itinerary if you choose • Insurance Cards to be an independent tourist. The question now becomes: How to • Physician’s office prepare for the long-awaited trip? contact information As someone who has been a tour group leader for nearly thirty • List of allergies years, I have several pointers for you to consider as an older traveler. First, and most important, consider your physical condition. • Advance Directive Airlines have very tight seating arrangements. If you need to use • Emergency contact the restroom frequently, let the airline know you need an aisle seat number ahead of time, possibly paying extra for it. Are you willing to pay • Driver’s License/ more money for upgraded, main cabin seats, or business class? passport How much sleep will you need on the plane in order to arrive in • Cash, credit card or “human” condition at your destination, often a place with many other form of payment hours difference in time zone? Once you are ready for your tour, • If flying, a doctor’s how comfortably can you actually walk? Are you in good enough note allowing you to shape to walk several miles a day, even though you may be on a take through security bus or train tour? and carry on any If you are considering international tours, you must keep in mind medical supplies that cities often cannot accommodate buses in downtown areas, so Pack: you will need to walk a lot! If you are biking, you will probably Marion Carr, Sunnyside • Cell phone/charging do twenty miles a day. Again, that’s a lot. Concerning hotel resident, prior to enjoying accessories. accommodations, how comfortable are you with less than four or a helicopter tour over an five star stars? Can you manage carrying your suitcase and hand • Any necessary medical Alaskan glazier pieces or will you need help? Travel as lightly as you can, realizing equipment that no one cares if you wear the same outfit more than a couple of • Cane, walker or other assistive walking device times! • Camera, batteries/charger It is very important to keep healthy on trips. Before you actually • Jacket and umbrella in case of inclement weather arrive at your destination, use sanitary hand wipes to clean off the • Clothing that can be layered and possibly re-worn airline tray that will hold your food. Wipe down the armrests and • Extra hearing aid batteries the earphones. Drink a lot of water while on board. Keep hydrated: • Copies of passport and insurance card This will help make jetlag less severe. Eat light on board; walk around the cabin fairly frequently to keep the blood circulating. • Review the TSA liquid rule for carry-ons Visit your doctor around a month before departure, checking on Daily medications needed inoculations, such as tetanus. Get your prescriptions filled • Place items in your carry-on in case you need immediate access or if with enough medication to get you through at least a week past luggage is delayed or lost. your trip. This precaution is helpful, especially if the unforeseen • Pack enough for your entire trip, plus a few extra in case you are deoccurs and you cannot get back home for several days. (Several layed returning home. years ago, a previously dormant volcano became active in Iceland • You can bring your medication in pill or solid form in unlimited and disrupted air travel for over a week.) amounts as long as it is screened. Once you have prepared for your trip as best you can, keeping in • Carry all prescription drugs in their original containers, even if you mind all the little things that are mentioned above, go for it! Put a normally use a pill dispenser. SIM card in your phone to call home and take your best camera. • Don’t forget any non-prescription medications. You are ready for the trip of a lifetime!
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LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
Better Than Ever:
Harrisonburg, Va.
Interviews with Local Residents Living the Second Half of Life to Its Fullest
happy aging. Her last words of advice: treat every day like it could be your last. Elizabeth Ferré, Intern, Sentara RMH Community Health After David Trimble was told he When Shelby Shifflett read the word “obese” on her medical report, was pre-diabetic and his wife Lela learned she also needed to make she knew she needed to make a life major health changes, both joined change and that “obese” would not the DPP. They embraced strategies to be her story. Shelby is 73 years old change their diet and exercise routine and has a strong family history of and benefited from the support from diabetes. She loves to travel, and others in the class. Together, the realized that in order to continue to Trimbles lost 13 pounds within one travel, she needed to improve her year. David reversed his pre-diabetic health. Through the Diabetes Prevenstatus, and they both improved tion Program (DPP) at Sentara RMH, their glucose, blood pressure, and Shelby learned the necessary steps to cholesterol numbers. take to prevent Type 2 diabetes and David and Lela Trimble Their new lifestyle has led to better change the course of her life. Shelby Shifflett sleep, longer periods of activity, more energy, and increased self-esteem. Shelby worked hard to watch her diet and add exercise, pushing through the hard times because she knew The Trimbles believe in staying active and enjoying the little things in life. that the other side would be worth it. She lost 30 pounds in a year. Her They say that it is never too late to make life changes, and try to keep a improved health has allowed her to participate in many more activities with positive mindset and a playful heart. They also emphasized that while it her family and church. Not only does she feel physically better, but she is is important to plan for the future, you shouldn’t forget to enjoy today. also more self-confident. Shelby recommends joining a recreation or senior Lastly, they stressed the importance of keeping up with annual checkups center because staying physically fit and social is the key to healthy and and listening to your body.
Lifestyle Changes Bring Big Rewards
To See Donna Andrews, Look Deep and Listen Lev Norford, Director of Publications, Bridgewater Retirement Community To see Donna Andrews sprinting down the hall you would think she was the picture of health and she is, now. But, what most don’t know is Donna had some huge health challenges before coming to Bridgewater Retirement Community. As our campus undergoes a change to become a tobacco free environment, we appreciate Donna’s willingness to share her story: I had a heart attack at age 48. You would think that would be the total reason I quit, but it isn’t. I quit smoking for a short period of time but then found myself right back into the habit. I thought I could be the exception and that tobacco wouldn’t kill me. I tried so many times, and each day I would beat myself up about not being strong enough to kick the habit. I am a strong-willed person. I have been able to overcome obstacles and I didn’t want to accept that something was controlling me. In 2012, life became very stressful. Several big events happened all at once, and I was full of anxiety. I had never had issues with blood pressure, but I was now having extreme high blood pressure. I was sent to the emergency room by my employer. When the doctor learned I was a smoker, he said, ”Well, it is going to kill you.” He ran tests and came back to report the results: “You have a spot on your lung and it could be cancer, so we are going to do a CT scan.” Donna Andrews and granddaughter Adeline Miller My mother had recently passed away with stage four lung cancer. I had myself in the coffin as soon as those words came out of his mouth. My whole family was in the room and I just looked at all of them and thought, how could I have done this to them? Fortunately, the CT scan showed scar tissue from pneumonia I had many years ago and not lung cancer. At that point, I made a promise to myself and to my family. I was going to quit smoking this time no matter what. I went “cold turkey.” It worked. And yes, it was hard. I knew that if I continued smoking, I was going to die younger than necessary. I was given another chance to live life more healthfully and realized God had more for me to do. I pray that anyone facing this same challenge can find the personal conviction and “I am going to succeed” attitude to win.
Harrisonburg, Va.
LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
Anne B. Grossman: Running Toward a New Dream Leigh-Anne Lees, Community Relations Manager, VPAS
When Anne was younger, she raised two children on her own, which she jokes was about all the adventure she had time for back then. Now in her late 50’s, with kids grown and married, she’s experiencing the “luxury of more selfishness.” Here, in her own words, Anne shares about her life transformation. When I was about 40, I accidentally became a runner. I was out for a walk while vacationing with family and realized I was late getting back, so I broke into a jog. Much to my surprise, it felt good to run! I started adding on distance, continually surprised at how far I could go. Running completely changed how I saw myself and expanded what I believed to be possible. I was, and continue to be, Anne B. Grossman fascinated by the mental aspect of running long distances. I wanted to share this with other women. That’s why I studied to become a health coach and started my health coaching practice: Anne B. Grossman Health and Wellness. I believe that you can do anything you dream of, and that living our dream is where we can be of most service to each other. Serendipity led me to my husband, an accomplished runner and lifelong adventurer. Our shared passion for travel and running keeps us focused on building the life we dream of. It means letting go of a lot of things in order to focus our time and resources on the things that mean the most. We live frugally, don’t watch TV, spend too little time on housework, and devote our time and money to traveling and training. There are so many things that happen in life that we have no control over. As I think back, I had some circumstances that just had to be managed until they ran their course. Other situations required me to step up and change them. I had to find the courage to stop waiting for external forces to change my life and to step into the unknown. It was scary to leave my job and start a health coaching practice. When ignoring those nudges became more painful than taking the risk, I jumped. And now I help other women find the courage to step into their dreams. My coaching philosophy is that small steps add up to big changes. But you have to take the small step. (Anne B. Grossman is featured on the cover of this issue.)
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LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
Summer Event Highlights Isolation and Loss of Independence as a Family Caregiver The journey as a family caregiver can be rewarding and gratifying, yet can also present various challenges along the way. The Caregiver Coalition is hosting a series of workshops to help caregivers navigate some of those challenges. Join the coalition and other family caregivers on June 12 for an interactive workshop “Isolation and Loss of Independence”, presented by Annie Marrs, family services director of the Alzheimer’s Association. The workshop will be held at the Sentara RMH Medical Center’s Hahn Building (1st Floor conference room). There is no charge and light refreshments will be provided. To register, please call Kathy at 540-830-8445 or kathy@ VPAS.info. Friday Evening in the Park Bring the family to a summer celebration on Friday, June 15 from 5:308:30 p.m. at Broadway’s Heritage Park. The event will feature food trucks, wine, beer, cider, crafts, live music by the EZ Go Band, inflatables and pony rides. Admission is $5 and free for attendees 18 and younger. The event is hosted by Broadway-Timberville Rotary to benefit Valley Program for Aging Services (VPAS). “Our Rotarians want to ensure that local residents have the resources they need to age well,” said Kyle O’Brien, Broadway Town Manager and Past President of the Broadway-Timberville Rotary Club. “VPAS provides highly-valuable services in this community, so we’ll be supporting them in a variety of ways in the months to come. Friday in the Park will bring the town together for a fun night and help empower our older neighbors at the same time.”
Celebrating a culture of
EXCELLENCE
Harrisonburg, Va.
Hiring Home Help & Small-job Contractors Cristin L. Sprenger, M.S., AFC Senior Extension Agent, Family and Consumer Sciences
Are you in need of someone to help with projects around your home or for small home repairs? It’s recommended that you take the time to check out anyone who you are asking to come into your home. Get at least three estimates and check references. The least expensive estimate may not be the best choice. Doing research will allow you to make an informed decision. Check the contractor’s ID, don’t pay cash, and get a written and signed contract for home improvements and repairs. Ask family and friends for recommendations of local contractors or “handyman services.” You can ask to see previous work to determine the quality. If the value of the work to be done is $1000 or more, a valid Virginia Contractor’s License is required for the license category in which they will work. You can still hire a licensed contractor even if the work won’t cost $1000. There are many people in our area offering “handyman services” that may or may not be licensed. If the job you need done doesn’t require a specialized skill then this might be a good option. It may cost less than a licensed contractor. You should check a contractor’s license with the Board for Contractors at the Virginia Department of Professional and Occupational Regulation. Look up the license of a contractor, file complaints, and learn more about hiring contractors at www.dpor.virginia.gov/Consumers/. Or, call 804-3678511. Check out a contractor before signing a contract, hiring a contractor, or paying for work. One advantage of hiring a licensed contractor is that you may be eligible for the Contractor Recovery Fund if you become a victim of improper or dishonest conduct. Beware of anyone who comes to your door and offers to work on your home. There are groups that commit scams against senior citizens related to home repairs. Don’t be pressured to sign a contract or pay a large deposit. Limit your down payment to $1000 or 10% of the cost, whichever is less. Don’t pay 100% of the bill until the work is 100% complete. As we age, we are more likely to need help with small home repairs. Taking time to research the people we might hire can help prevent becoming a victim of a scam or not getting quality work done.
New Medicare cards began mailing in May 2018.
www.augustahealth.com
Once you receive your new Medicare card, destroy your old card and start using your new one right away. For more information, visit: www.vpas.info/medicare-counseling or call 540-615-5341.
Harrisonburg, Va.
LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
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What to Do About Credit Card Debt Cristin L. Sprenger, M.S., AFC Senior Extension Agent, Family and Consumer Sciences
As we head into retirement (or for those already there), being financially secure is important. This means that you have enough income and assets to live comfortably until the end of your life, which can mean different things to different people. We have seen an increase in the number of seniors carrying credit card balances and filing for bankruptcy. Having a large amount of consumer debt can make it difficult to save for retirement. If already retired, it can make it difficult to pay bills, purchase medications, or have enough money for food. Credit issues can affect your credit score and cause higher interest rates on loans and higher costs for some consumer products such as insurance. Credit card debt likely didn’t happen overnight, so it’s won’t be fixed quickly. But putting a plan into action now can make it easier and less expensive. Here are some ideas for dealing with credit card and other consumer debt: Financial or Credit Counseling: There are organizations that will help you design a plan for paying back debt. Some charge a fee. If you are interested in credit counseling (where they negotiate with creditors for you), make sure they are accredited and a member of the National
Foundation for Credit Counseling (www.nfcc.org). They must be registered with the Virginia State Corporation Commission to provide services here. In Rockingham County we have an agency that provides free, confidential financial counseling. Virginia Cooperative Extension provides this service (and operates the Central Shenandoah Valley Housing Counseling Agency – VCE which is a HUD-approved housing counseling agency.) For an appointment, call 540-564-3080. Debt-Consolidation Loans: This involves taking out a new loan to pay off other debt. It can be helpful to have all of your debt in one place, but there are downsides. If you use home equity to secure the loan, you risk losing your home if you don’t pay. And continuing to use credit cards will create more issues. PowerPay: This website helps customize a plan to pay off debt. For more information, see www.powerpay.org. You can also call Virginia Cooperative Extension for assistance. Balance Transfers/Refinancing: Pay off debt by moving debt to a new card or taking out a new loan. You can lower interest rates, but be careful of fees. Also remember that you can’t borrow your way out of debt. Developing a plan to pay off debt will be beneficial now and in the future.
Becoming Tobacco Free According to the U.S. Surgeon General Report 2014, tobacco use is responsible for nearly 1 in 5 deaths each year. Secondhand smoke causes 42,000 deaths from heart disease in people who are not smokers, based on statistics from the American Cancer Society. Bridgewater Retirement Community, Sunnyside Retirement Community, VMRC and Sentara RMH have all made a commitment to becoming tobacco and smoke free campuses. This includes visitors, contracted workers, vendors, family members, team members, and residents. This process has been different, but the Shelby Showalter, Sunnyside policies are the same at each location. VMRC Wellness Coordinator, and Mae Guthrie, Sunnyside resident, was the first local retirement community to proudly admire Sunnyside’s become tobacco free two and a half years Tobacco-Free Campus ago. “A tobacco free campus means nonwelcome sign. smokers are not exposed to secondhand and thirdhand smoke,” said Betsy Hay, vice president of Wellness and Community Based Services. “Our business is helping people age well and live fully, and a campus that is tobacco free promotes wellness, health and safety for all.” If you need assistance in adopting the goal of being a non-tobacco user, please contact your physician or call the VA Quit Line: 1-800-QUIT NOW. Also, Sentara RMH offers individual coaching and groups for tobacco cessation. To learn more, contact Erica Rollins, Sentara RMH health education and awareness coordinator, at 540-564-7004.
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LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
Visiting Someone With Dementia Jeri Schaff, Executive Director, VPAS
Caring for a loved one who suffers from dementia is a never-ending, exhausting prospect. Caregivers often neglect their own needs to be sure their spouse or relative is safe. One of the best gifts anyone can give a caregiver is to provide a break allowing a shopping trip, lunch with friends, or even a nap. Visiting someone with dementia can seem daunting, but there are ways to make your time rewarding. Check with the caregiver about which time of day is best for a visit. Plan ahead. Caregivers can tell you if sharing lunch, walking, looking at photo albums, or simply chatting is something your friend enjoys. Introduce yourself even if you think the person should know you. Offer a handshake or a gentle touch on the shoulder to help focus attention. Enter their reality, not yours. Your visit should provide enjoyment for your friend and a break for the caregiver. If your friend tells a story you know isn’t right, just agree and go with the flow - unless it’s physically dangerous. Avoid saying “Don’t you remember?” Many people with dementia are aware on some level that their minds aren’t making normal connections. Reminding them makes them feel embarrassed, ashamed, and isolated. If your friend asks the same questions repeatedly, redirect the conversation. Caregivers…When someone offers to give you a break, take it! You owe it to yourself and your loved one to take some time away to recharge.
Did you know?
Planning in advance is one of the greatest gifts you can give. We all realize that the best decisions are those that are made calmly, rationally and with ample information at hand. Taking the time now to make your final arrangements before the time of need can be a great relief to both you and your family.
Preplanning today:
• Allows you to make arrangements at your own pace, in the comfort of your home. • Ensures that your wishes are known. • Spares your loved ones from guessing what you would have wanted.
• Removes a tremendous emotional burden from your family. • Can save you money when you choose to prefund tomorrow’s arrangements at today’s prices. • Provides peace of mind in knowing you’ve taken care of this important responsibility.
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Harrisonburg, Va.
Sundowning: What is it? How does one cope? Annie L. Marrs, LCSW, Alzheimer’s Association
Sunsets can be colorful, beautiful, and bring a cooler break in temperature but “sundowning” is a different story. The term sundowning comes from the change in behavior seen in the later afternoon affecting at least twenty percent of individuals with Alzheimer’s and related dementias. As we enter long days of summer, these changes can occur as early as three o’clock in the afternoon. In addition to time of day, sunlight changes can reduce lighting and increase shadows in the home, causing individuals to misinterpret what they see. Sundowning can also occur due to mental and physical exhaustion from a full day, creating more confusion and sometimes aggression. As the brain becomes more quickly fatigued with dementia, one cannot process as much, or as quickly, as they once did. In the later afternoon, it can be difficult to determine if there is time for a nap, especially if the body’s sleep-wake cycle could be disrupted. Care partners also have full days of employment, house work, handson caregiving, assisting other family members, and organizing health and financial logistics. Many get to the end of the day with decreased energy levels and may unintentionally give nonverbal cues of frustration and tiredness. These cues can be picked up on by someone with memory impairment, causing further irritation and negativity in the household. For help managing extra stressors in the evening, first consider monitoring the care partner’s own support system and respite time. Whether it is time for a long shower, a walk, eating with a friend, or group support – this time may proactively assist in the early evening interactions. Medical appointments or social activities for a person with dementia need to be scheduled when one is more alert and energetic. Reduce stimuli in the evening hours; avoid noisy individuals, children or music, as well as potentially violent or stressful TV shows. Keep the evening meal light for easier digestion, and avoid alcohol, caffeine, and nicotine as much as possible. A well-lit room and comfortable temperature can also add to a feeling of safety in the evening, when confusion of time and place may be more heightened. If a person with dementia becomes agitated, keep yourself safe and provide personal space; seldom will verbal or physical restraints help in these situations. If the individual wants to pace, as long as it’s in a safe space indoors or out, allow the person to take their own time to expend their energy. Think of the brain as a train on a one-way track that needs more distance to slow to a stop. Medication - prescription or over the counter - may be a necessary option and should always be discussed with a physician. The Longest Day is June 21st and the day is about love for all those affected by Alzheimer’s and related dementias. On the Summer Solstice, team up with the Alzheimer’s Association and do what you love - or an activity loved by those affected - and help end Alzheimer’s. Together we will raise funds and awareness for care and support while advancing research towards the first survivor of Alzheimer’s. For more caregiving support visit alz.org/care or speak to a staff person any time of day at 1-800-272-3900.
Harrisonburg, Va.
LIVING LONGER, LIVING WELL
Saturday, June 9, 2018
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Community Calendar of Events Any reader interested in attending an event is asked to call the contact person for that event to determine if registration and fees are applicable. To contribute information to the Living Longer, Living Well Community Calendar, please e-mail Jeannette Suter at jsuter@homeinstead.com or call 540-213-7800. In the Loop Sponsored by: Sentara RMH Senior Advantage Location: Main hospital campus Thursday mornings May 3 – August 30, 8:30 AM. Park in Lot B Community Walking Program, Prizes award the last Thursday of each month for regular participants. Free Call 564-7001 for more information. The Garden Ecosystem Sponsored by: Augusta Health and Allegheny Mountain Institute Saturday, June 9, 2018 10:00 AM - 12:00 PM Location: Montgomery Hall Park For more information, contact Steve Taetzsch at Staunton Parks & Recreation (540)332-3945; Grayson Shelor at AMI (540)886-0160; Krystal Moyers at Augusta Health (540) 932-4976 Visit www.alleghenymountain institute.org for the full list of June classes and to register. Family Caregiver Workshop Topic: Isolation and Loss of Independence Presented by: Annie Marrs Sponsored by the Caregiver Coalition Tuesday, June 12, 1 – 2:30 PM Location: Sentara RMH Medical Center’s Hahn Building, 1st Floor Conference Room Please register by calling Kathy at 540830-8445 or kathy@VPAS.info Friday Evening in the Park Sponsored by Rotary Club of BroadwayTimberville to benefit VPAS Location: Heritage Park, Broadway Friday, June 15, 5:30-8:30 PM Admission: $5, 18 and under free Details: vpas.info/upcoming-events Sneaky Science: Food Labels and Marketing Sponsored by: Augusta Health and Allegheny Mountain Institute Tuesday, July 10, 2018
5:30-6:30 PM Location: Montgomery Hall Park For more information, contact Steve Taetzsch at Staunton Parks & Recreation (540)332-3945; Grayson Shelor at AMI (540)886-0160; Krystal Moyers at Augusta Health (540)932-4976 Visit www.alleghenymountain institute.org for the full list of July classes and to register. Your Health Now Sponsored by: Sentara RMH Senior Advantage Location: Sentara RMH Medical Center’s Hahn Building, park in Lot B, conference rooms on first floor Wednesday, August 1, 11:30 AM, Signs, Symptoms and Treatment of Hearing Loss Wednesday, September 5, 11:30 AM, What Everyone Should Know About Parkinson’s Disease Free for Senior Advantage members; $10 per person or $15 per couple to join Space limited, registration required. Call 1-800-SENTARA (736-8272) to register. Preserving Garden Fresh Produce Sponsored by: Augusta Health and Allegheny Mountain Institute Saturday, August 4, 2018 10:00 AM-12:00 PM Location: Montgomery Hall Park Kitchen For more information, contact Steve Taetzsch at Staunton Parks & Recreation (540) 332-3945; Grayson Shelor at AMI (540) 886-0160; Krystal Moyers at Augusta Health (540)932-4976 Visit www.alleghenymountaininstitute. org for the full list of August classes and to register. Rocktown Chili Throwdown Sponsored by: VAIL & Three Notch’d Brewing Company Location: Three Notch’d Valley Collab House – East Market Street August 12, 12 PM – 6 PM Cost: $8.00 Contact Kim Murray, VAIL, 540-433-6513 Ext 114, kim@govail.org for registration or information. A Matter of Balance Sponsored by: VPAS and VMRC Location: VMRC Wellness Center
Tuesdays August 28 – October 16 from 2 – 4:00 PM No fee To register call VMRC at 540-574-3850 Home Compost Basics Sponsored by: Augusta Health and Allegheny Mountain Institute Saturday, September 8, 2018 10:00 AM-12:00 PM Location: AMI Farm at Augusta Health For more information contact Grayson Shelor at AMI (540)886-0160; Krystal Moyers at Augusta Health (540)932-4976 Visit www.alleghenymountaininstitute. org for the full list of September classes and to register. Safe Banking for Seniors Sponsored by: Sentara RMH Senior Advantage and F & M Bank Location: Sentara RMH Medical Center’s Hahn BuildingMonday, September 17, 1:00 PM
Free for Senior Advantage members; $10 per person or $15 per couple to join Space limited, registration required Call 1-800-SENTARA (736-8272) to register. Support Groups for Care Partners of Individuals with Dementia in Bridgewater, Harrisonburg, Monteray, and Woodstock Sponsored by: Alzheimer’s Association Please visit alz.org/crf or call 1-800-272-3900 for all the details. Memory Cafe Social for Individuals with Memory Loss, and their Friends & Family Sponsored by: Alzheimer’s Association Location: Bridgewater Presbyterian Church Fellowship Hall, 110 East College St., Bridgewater, VA 2nd Tuesday 2 – 3:00 PM Contact Lauren Blackshaw for more information at: 434-270-0692 or lblackshaw@alz.org
DON’T MISS OUT
on marketing your business in the Rockingham County Fair Catalog & the Fair Guide!
Ad Deadline June 8 Catalog Publishes June 30 | Fair Guide Publishes Aug. 9
To advertise in these publications
call 540-574-6220 to speak to a representative.
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Saturday, June 9, 2018
LIVING LONGER, LIVING WELL
YO U R
Harrisonburg, Va.
N EW HOM E
Bridgewater Retirement Community presents the next generation of independent living lifestyles for our community. When we cut the ribbon in 2019, The Grove will offer our most spacious, DPOUFNQPSBSZ BQBSUNFOU IPNFT 8JUI PVS PQFO DPODFQU nPPS QMBOT JO CVJMEJOH HBSBHF QBSLJOH and access to new dining, activity and recreational venues, it’s hard to beat. And because it’s all maintenance free, you can spend your summers relaxing and enjoying all of the fresh air and outdoor activities that the Shenandoah Valley has to offer. We are now taking our final reservations. Visit brcliving.org/thegrove for more information. at
1.800.419.9129 | 540.828.2540 302 North Second Street Bridgewater, VA 22812 www.brcliving.org/thegrove