Seniors
Palouse
Senior Fair
2012
A special publication of the Moscow-Pullman Daily News
Popular cooking workshop returns to Senior Fair Page 3 Know your way with depression page 4 Grandparents, according to children page 5 Examining long-term care page 7 On death in a nursing home page 8
Senior Fair 2012 Palouse Mall Moscow June 5 10am – 4pm
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MOSCOWPULLMAN DAILY NEWS
SENIOR 10 – 4 FAIR AM
Palouse Seniors
PM
2 0 1 2
JUNE 5 • PALOUSE MALL • MOSCOW
WORKSHOPS! • VENDORS DOOR PRIZES!
2012 WORKSHOP SCHEDULE at the Ross entrance to Mall 10-11 a.m. “Fit and Fall Proof,” Idaho’s class to protect yourself from falls Mary Jo Penberthy 11 a.m.-Noon “Identity Theft: How to Avoid It and What to Do If It Happens” Jeannine Ferguson, Idaho Legal Aid
➧
Noon-1 p.m. “Cooking with Grains and Greens” Moscow Food Co-op 1-2 p.m. “Advocating for Yourself” Jeana Boyd, clinical social worker 2-3 p.m. “What’s New with Medicare?” Tonya Steele, SHIBA 3-4 p.m. “SAIL-Stay Active and Independent for Life,” Washington’s class to protect yourself from falls Troy Vanucci, Proformance Physical Therapy
Palouse Seniors
MOSCOWPULLMAN DAILY NEWS
Who will be at the Senior Fair? The following is a preliminary list of exhibitors scheduled for the 2012 Senior Fair sponsored by the MoscowPullman Daily News, Gritman Medical Center and the Palouse Mall. The fair runs from 10 a.m.-4p.m. June 5 at Palouse Mall.
Sponsor booths n Gritman Medical Center n Moscow-Pullman Daily News
Anticipated exhibitors n AAA n AARP n Alzheimer’s Association n Aspen Park n Avalon Healthcare n Bishop Place n Clearview Eye Clinic n Council on Aging and Human
Services n Disability Action Center n Family Home Care and Hospice n Fresenius Dialysis
n Friendly Neighbors n Good Samaritan Village n Hearth and Home Care
Services n Hill-Ray Plaza n Idaho Legal Aid n Idaho Roadrunners n Kimball Funeral Home n Lincare n Moscow Food Co-op n Moscow Mountain Sport/ Physical Therapy n Moscow Police Department n Mr. Leons n My Own Home n Project ACCESS n Pullman Regional Hospital n Pullman Senior Center n River City Hospice n Seuberts Quality Home Care n SHIBA Idaho n Today’s Dental n Whitman County CASA n Whitman Health and Rehab n Whitman Hospital and Medical Center n Whitman Senior Living n WSU School of Pharmacy n WSU Department of Psychology
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Variety of opportunities for seniors Workshops, vendors, booths and lots of information to be found at this year’s fair By Vera White Daily News staff writer
The organizers for the 2012 Senior Fair are working hard to make it the best event ever. This according to Program Coordinator Mandy Charbonneau of the MoscowPullman Daily News. The annual event sponsored by the Daily News, Gritman Medical Center and the Palouse Mall runs from 10 a.m. to 4 p.m. June 5 at the Palouse Mall. “We’ve got a wide variety of exhibitors this year, and the Moscow Food Co-op is back with its popular cooking presentation,” said Craig
Staszkow, Daily News advertising manager. A variety of workshops, booths, vendors and seniorrelated information tables will be available throughout the day. Sponsors will also be giving away great door prizes, and you don’t have to be present to win. Many vendors will also be offering gift baskets to attendees. Barb Mahoney, director of Gritman’s Adult Day Health, has arranged the following classes for the Senior Fair: n 10-11 a.m.: Mary Jo Penberthy, “Fit and Fall Proof,” Idaho’s class to protect
yourself from falls. n 11 a.m.-noon: Jeannine Ferguson, Idaho Legal Aid, “Identity Theft: How to Avoid It and What to Do If It Happens.” n Noon-1 p.m.: Moscow Food Co-op, “Cooking with Grains and Greens.” n 1-2 p.m.: Jeana Boyd, clinical social worker, “Advocating for Yourself.” n 2-3 p.m.: Tonya Steele, Washington’s Statewide Health Insurance Benefits Advisors, “What’s New with Medicare?” n 3-4 p.m.: Troy Vanucci, Performance Physical Therapy, “SAIL – Stay Active and Independent for Life,” Washington’s class to protect yourself from falls. See sidebar for list of sponsor booths and informational tables.
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Palouse Seniors
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All Adults
Don’t ignore depression Many symptoms and effective treatments
changes in the human brain. And like any other illness, such as cancer and diabetes, good folks can be afflicted as well as others. hose of us who are well So the first step in treating into the aging process depression is to recognize and – I’m 68 – most likely acknowledge it. are aware that one of the Let’s look at the common many problems we face can be signs and symptoms of depresdepression. sion: In addition to being n Feelings of sadan Orthodox priest, ness and emptiness I also am a recently nearly every day retired geriatric menn Frequent tearfultal health worker, so I ness well understand that n Diminished depression is one of interest or pleasure in the most commonly activities experienced illnesses n Significant among seniors. Fr. Anthony weight gain or loss Depression among Creech due to increased or seniors more often decreased appetite than not goes unacn Problems sleepknowledged, undiaging, such as waking up in the nosed and untreated. And night and being unable to go that’s a shame and a pity for a back to sleep number of reasons. There are n Or the opposite problem, several safe and effective medwanting to sleep much of the ications for targeting depresday and not having the will to sion in seniors. In addition, get out of bed in the morning most people understand that n Feelings of restlessness there is a connection among or being “slowed down” body, mind and spirit. n Fatigue and loss of enerWe know, for instance, gy every day how the mental problems of n Feelings of worthlessanxiety and stress affect blood ness or inappropriate guilt pressure, ulcers and a multin Diminished ability to tude of other physical illnessthink or concentrate es. Likewise, depression has n Recurrent thoughts of definite negative effects on our death; suicidal ideation. physical well-being. Positive Many of these symptoms attitude goes a long way in may be experienced following assisting the body’s healing the loss of a loved one, but if process. Ignoring depression they continue more than two can have serious damaging months, a diagnosis of depreseffects on a person’s physical sion may be in order. (Note: and spiritual health. Symptoms are as given in In generations past, depresthe “Diagnostic Criteria from sion was considered a shameDSM-IV-TR” of the American ful thing to acknowledge. It Psychiatric Association.) was thought to be a sign of For the senior person, there weakness. The cure was just are a great many triggers or to “try harder” and “pull yourcontributing factors for the self up by your bootstraps.” onset of depression. The loss Good as that advice was, it of a spouse or other loved ones may take more than that to is a primary factor. assist a person in coping with Others factors may include clinical depression. There also our own serious illnesses or has been a common belief that those of loved ones; caregivdepression could not afflict ing responsibilities for family “good religious folk;” that members; no longer having depression must be a sign the productive jobs or careers; person is not “right with God.” But depression is an illness, See DEPRESSION, Page 6 actually causing chemical
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A child’s view of grandparenthood By Vera White Daily News staff writer
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hat is a grandparent? S. M. “Ghazi” Ghazanfar of Moscow apparently knows first hand as attested by the list he sent me a couple of weeks ago. Ghazi, emeritus professor of economics at the University of Idaho, has been a valuable part of the community in all the years I’ve known him, taking an active role in the community through such activities as the recent CommUNITY Walk. He also has a tremendous sense of humor as attested by the definition of “What is a Grandparent?” compiled from several places on the Web. n Grandparents are a lady and a man who have no little children of their own. They like other people’s. n A grandfather is a man and a grandmother is a lady!
n Grandparents don’t have
to do anything except be there when we come to see them. They are so old they shouldn’t play hard or run. It is good if they drive us to the shops and give us money. n When they take us for walks, they slow down past things like pretty leaves and caterpillars. n They show us and talk to us about the colors of the flowers and also why we shouldn’t step on “cracks.” n They don’t say, “Hurry up.” n Usually grandmothers are fat but not too fat to tie your shoes. n They wear glasses and funny underwear. n They can take their teeth and gums out. n Grandparents don’t have to be smart. n They have to answer questions like “Why isn’t God married?” and “How come
dogs chase cats?” n When they read to us, they don’t slip. They don’t mind if we ask for the same story over again. n Everybody should try to have a grandmother, especially if you don’t have television because they are the only grownups that like to spend time with us. n They know we should have a snack time before bedtime and they say prayers with us and even when we’ve acted bad. n Grandpa is the smartest man on earth. He teaches me good things, but I don’t get to see him enough to be as smart as him! n It’s funny when they bend over; you hear gas leaks and they blame their dog.
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Depression from Page 4
diminished financial resources; loss of independence; adult children who have lives of their own and little time for their own parents; fears about having to give up our homes; chronic pain (a major issue); not being able to engage in once pleasurable activities.
Most of us seniors have several of these stressors piled up on us all at once. Do you recognize any of the symptoms of depression in yourself? Be honest. Don’t ignore them. Discuss them with your physician for possible medication to target these symptoms. Don’t allow yourself to become isolated from social contacts. Volunteer. Do something helpful for others. Find new
You’ll Like What You Hear
activities that are less strenuous. Participate in activities at a senior center or at your place of worship. And if needed, every community has mental health professionals who can help. For more information, contact your area agency on aging. Fr. Anthony (Robert) Creech is the semi-retired associate pastor of St. Gregorios Syrian Orthodox Church of India in Spokane.
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Associated Press
Doris Knopp feeds a carrot to a miniature horse at the Silverado Senior Living Center on May 1 in Encinitas, Calif.
Senior centers across US accepting more pets By Sue Manning
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Associated Press
LOS ANGELES — Shirlee and Nathan “Nick” Horowitz faced one serious health crisis after another before their doctor said they had to move into an assisted living center. They had only one condition — they weren’t going anywhere without their dog. Hundreds of retirement communities across the county now allow seniors to live with their pets and more and more keep house pets that provide the benefits without the responsibility. As many as 40 percent of people ask about pets when calling A Place for Mom, the nation’s largest senior living referral service, said Tami Cumings, its senior vice president. When the service was founded 12 years ago, pets were seldom considered when it came time for older people to enter rest homes or skilled nursing homes, Cumings said. Then came the boom in independent living centers, assisted living complexes and memory centers for Alzheimer’s patients. At the same time, some people have latched on to studies that show pets can help their owners’ health phys-
ically and psychologically, said Lori Kogan, a professor of veterinary medicine at Colorado State University. Shirlee Horowitz and her husband chose the Regency Grand in West Covina, about 20 miles east of Los Angeles. Meals are provided, as is housekeeping and transportation. Medication management and help with dressing and bathing can be arranged. But most of all, their collie Barney was welcome. “I worried more about him because he had a big yard before,” said Shirlee Horowitz, 77. “But he has adjusted to this better than we have.” Barney’s friendliness has made it easier for the couple to meet their neighbors, and his walks have helped them get to know the complex. Living centers usually prefer smaller pets and put the limit at two. Not all pets are dogs and cats either, Cumings said. They get a lot of calls about birds and fish, too. As much as 30 percent of the residents at the Regency Grand have pets at any one time, said Leah Hynes, Regency Grand’s marketing associate. Seldom do the elderly move in with puppies or kittens, she said. Most of the time, their animals are older, too.
Palouse Seniors
MOSCOWPULLMAN DAILY NEWS
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Have fun like kids, without kids, at Disneyland By Solvej Schou Associated Press
ANAHEIM, Calif. — Disneyland is not just for sugar-soaked kids. Consider, all you grown-up women out there, going for a gals’ day out. That’s exactly what my childhood friend Joanna and I, both of us in our 30s, recently did instead of heading to the beach or shopping. Did we channel our inner princesses? Nope. Did we regress to a state of childlike delight and strategically map out rides to conquer? Oh yes. That included diva posing in front of the Sleeping Beauty Castle and trying on, not buying, Minnie Mouse ears. As girls growing up in Los Angeles, Joanna Sondheim and I regularly spent birthdays and field trips with friends at Disneyland, in nearby Anaheim. Gap-toothed, dimpled and short, I loved the rides, treats and general theme park mayhem. As years went by, though, Disneyland’s appeal for me faded, along with my patience for long lines and pricey mementos. When Joanna, visiting from New York, at first suggested — insisted, really — that we visit Disneyland, I balked. What? No! I eventually relented, and those five hours we spent at the park turned out to be just as
Associated Press
Guests are shown walking on Main Street at Disneyland park in Anaheim, Calif. fun as my childhood memories, albeit with a self-aware edge. A day at Disneyland as grown women means being prepared, but also not spending too much money, besides the entrance fee. We packed our own sandwiches
and granola bars, resisting the temptation to devour loads of amusement park food, except for a container of mango slices, bottles of water and the obligatory sugary churro, which we split in half. That Disneyland sugar fix, for me, at least, defies age.
Necessary prep included wearing a wide-rimmed sunhat and sunglasses, carrying a cross-body bag complete with hand sanitizer and tissues, plus literally drenching my body in sunscreen. The days of frolicking freely for hours on Main Street, U.S.A., just beyond the park’s entrance gates, as a little girl, under the blazing hot sun, were long over. Even the onset of adulthood can’t mute the excitement of screaming one’s lungs out on a roller coaster. We rode the rickety wooden Big Thunder Mountain Railroad in Frontierland, and Tomorrowland’s dark, sleek Space Mountain, with its zippy turns, while making faces and yelling like teenage horror movie fans. By the time of our last stop in the afternoon at pink, princess-y Fantasyland, we started to feel the pull of theme park exhaustion. Lines stretched into longer waits. The sun felt stronger, and children’s cries seemed to increase. Surprisingly, neither of us became dehydrated or cranky. When Joanna and I left the park at 4 p.m., just the right time to avoid a nighttime exodus of folks, we were a bit tired, but happy and grateful, no matter our age, to be young at heart.
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MOSCOWPULLMAN DAILY NEWS
Some thoughts on dying in a nursing home By Krista Kramer
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ast year I spent a lot of time in a nursing home with a friend during his last week of life. These are some of the observations and wishes that came from that experience: n When I’m dying, I don’t want to be told again and again that I have to be patient. n I want there to be enough room for a chair beside my bed for someone to sit and hold my hand. n I want someone to come when I call, not 15 or 20 minutes later, especially when I’m panicking because I can’t breathe. n I want the people caring for me to know me well enough that they recognize when things aren’t right. n If what I’m saying sounds crazy or doesn’t make sense, I want people to respond to the feelings behind the words. n I want the people caring for me to understand end of life issues well enough to at least wonder if the reason I keep asking to use the bathroom but nothing comes out might be related to the morphine. n I want people to assume that, even if I can’t talk, something valid is still going on inside… and yelling at me isn’t going to help. n I want the person snoring beside me at night to be someone I love, not somebody I don’t know. n I’d prefer to be in my own home on my own schedule. If you feel the same, let the people making decisions about funding for long-term care hear from you about your experiences and needs. Krista Kramer is an independent living specialist for Disability Action Center – NW. For more information about personal assistance options, nursing home transition or other disability related questions, call (208) 883-0523.
A glance at long-term home care Center helps seniors manage their assistants
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e’ve all heard stories term care options, DAC-NW about the senior who and similar Centers for slips getting into the Independent Living are strong bathtub or falls and breaks a advocates in the movement hip trying to change a light toward deinstitutionalization bulb and then ends and community-based up in a nursing home. care. This is a difficult sceMuch of the advonario when it happens, cacy has been directed but one that may be toward creating options avoidable. for funding and buildPersonal assistance ing systems for care at services can provide home rather than instisupport needed to safetutions. ly stay in one’s own Medicare, the fedKrista home and reduce the eral medical coverage Kramer overall costs of longprogram for seniors term care. Personal and people with disassistants can help abilities, does not cover with cooking, cleaning, shoplong-term care except during ping, bathing, and other daily a rehabilitation period of up to activities. 100 days following a hospitalLong-term care once meant ization. For care beyond that, nursing homes, but now there people must either depend is a spectrum of alternatives on private long-term disabilfor getting assistance while ity insurance, or spend down maintaining autonomy and their assets until they meet choice: in-home personal assis- the asset and income limits of tance services, home health their state’s Medicaid program, services, adult family homes, which does offer various longadult day health, assisted livterm care options. ing facilities and hospice care. Medicaid long-term care Disability Action Centermay be obtained either at NW operates a program called home or in a range of facili1st Choice Personal Assistance ties. The Aged and Disabled Services, which supports Waiver is an Idaho Medicaid people who wish to hire and program that provides permanage their own personal sonal assistance services at assistants. The Center handles home, among other services. payroll, checks workers’ backIdaho Home Choice is a pilot grounds, keeps a registry of program through Medicaid, to workers interested in doing help people in nursing homes personal assistance and helps transition back into commuseniors learn to manage assisnity settings. tants. Advocates have been trying When it comes to longfor years to include long-term
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alouse Seniors offers free column space to non-profit groups on the Palouse to help raise awareness of the good works done by them on behalf of seniors. This year we’ve accepted a request from Krista Kramer, an independent living coordinator specialist and Medicaid
www.
Photo by Krista Kramer
Clara Dockter, 90, lives in her own home with assistance from Family Home Care and assistance from her family. care in the range of services provided under Medicare, but each time the proposal has gone before Congress, it has been deemed “too expensive.” Meanwhile, individuals who need care often postpone for financial reasons until a crisis requires it, and then families
infrastructure grant coordi- There are nine-plus people nator for Disability Action working in the Moscow office Center Northwest in Moscow. as well as part-time people, This is her second one working from Editor’s in a year-long series home and volunteers. of columns for the There are about 85 Note Palouse Seniors tab. personal assistants on DAC-NW, 505 N. the organization’s payMain St., also has offices in roll. Coeur d’Alene and Lewiston. DAC-NW is a non-profit,
.com/palousenews
are left to cover the costs or seniors must provide for themselves. Who will care for you? Krista Kramer is an independent living specialist for Disability Action Center – NW. For more information or with questions about disability related topics, call (208) 883-0523.
non-residential, cross-disability, consumer-controlled organization that provides an array of independent living services. The primary funding for DAC-NW comes from the Rehabilitation Services Administration in the federal Department of Education.
Palouse Seniors
MOSCOWPULLMAN DAILY NEWS
| Monday, May 28, 2012 | 9
War of 1812 bicentennial sites, events all over US By Beth J. Harpaz Associated Press
NEW YORK — Pity the War of 1812. Its bicentennial is at hand and events are planned for all over North America, from Canada and the Great Lakes to the Mid-Atlantic and the South. But good luck finding someone who can explain in 10 words or less what the war was about. Some historians see the war as a last gasp by England to control its former colonies, and it’s sometimes called the Second War of Independence. At the time, Americans viewed the war “as an opportunity for us to throw off Britain once and for all,” said Troy Bickham, author of a new book out in June called “The Weight of Vengeance: The United States, the British Empire and the War of 1812.” But in Canada, the War of 1812 is seen as an attempted land grab by the U.S. The U.S. invaded Canada and at one point controlled Toronto, but the British, seeking control of the Great Lakes, won Detroit and other ports. The War of 1812 was also complicated by what Bickham calls “parallel wars.” The British were fighting the Napoleonic Wars in Europe at the time, while the U.S. battled Native Americans allied with Britain for control of frontier territories from Michigan to Alabama.
Associated Press
The USS Constitution, which was an important vessel in the U.S. fleet during the War of 1812, fires guns in Boston Harbor as people watch from the shore in 2011. Amid the muddle, a few important episodes stand out, from decisive battles to the burning of the White House. Some events are being commemorated with programs, exhibits and military re-enactments, from now through the bicentennial of the Battle of New Orleans, in 2015. Other key moments
from the war involve important artifacts or historic sites that can be seen any time. The War of 1812 inspired Francis Scott Key to write “The Star-Spangled Banner” after soldiers at Fort McHenry in Baltimore raised an American flag to mark a victory over the British on Sept.
14, 1814. The fort is now a National Park site, http://www.nps.gov/fomc/index. htm. The original manuscript for the song will be part of a War of 1812 exhibit at the Maryland Historical Society, 201 W. Monument St., in Baltimore, opening June 10. Also in Baltimore, a June 13-19 “StarSpangled Sailabration” will include a parade of 40 tall ships and naval vessels, an airshow featuring the Blue Angels and other festivities, http://www. starspangled200.com/. The flotilla is one of several organized by Operation Sail, Inc., which has partnered with the U.S. Navy to mark the War of 1812 bicentennial, with additional tall ship events scheduled for May 23-30 in New York City, June 1-12 in Norfolk, Va., June 30-July 5 in Boston and July 6-8 in New London, Conn. The OpSail and Navy commemorations started in New Orleans in April. In Washington, D.C., you can see the flag that inspired the national anthem, tattered with age and on display in a darkened room to help preserve it, at the Smithsonian’s National Museum of American History, http://americanhistory.si.edu/starspangledbanner/. At the Smithsonian’s National Portrait Gallery, paintings of key figures from the war will be part of a show called “1812: A Nation Emerges,” opening June 15.
Smithsonian to create its Tenn. firm wins Mont. employee clinic contract first human genome exhibit Associated Press
By Brett Zongker Associated Press
WASHINGTON — The Smithsonian’s National Museum of Natural History is developing its first major exhibit on the human genome. The project is being developed with a $3 million pledge from the philanthropic foundation of Life Technologies Corp. The museum announced plans Monday to collaborate with the National Human Genome Research Institute at the National Institutes of Health to develop a hightech exhibit.
The Foundation for the National Institutes of Health has raised $500,000 for the project. The effort marks the 10th anniversary of researchers producing the first complete human genome sequence as a blueprint of the human body. The Human Genome Project was launched in 1990 to better understand the relationship between genetics, health and disease. Carlsbad, Calif.-based Life Technologies recently announced it has developed a machine to decode an individual’s DNA in a day for $1,000.
HELENA, Mont. — The Schweitzer administration has chosen a Tennessee firm to set up and run a health clinic for state employees in Helena. CareHere of Brentwood, Tenn., won the contract, edging out MiCare of Montana, Lee Newspapers of Montana reported. State officials said the contract will be signed after details are worked out. Officials with the state and CareHere said they intend to open the clinic by the end of August. CareHere President Ernie Clevenger said it was an honor to win the contract. CareHere has more than 110 clinics in 18 states, Clevenger said. CareHere partnered with
EBMS, a Billings-based benefits management company, to set up on-site medical clinics in Billings and Laurel. CareHere still manages the electronic records for those clinics. EBMS, Western Montana Clinic in Missoula and a benefits consulting firm in Helena collaborated for the MiCare bid. Missoula physician and MiCare spokesman Tom Roberts said the Montana partnership planned to file a formal response on Monday. Gov. Brian Schweitzer has said the proposed clinic will offer primary health care for 11,000 state employees and their dependents in Helena. The administration says the clinic will save money and help improve employee health
because physicians will be paid a salary and the clinic will help manage chronic diseases and offer wellness programs. Republican legislative leaders have criticized the clinic proposal, arguing it should not go forward without legislative approval. The Legislature does not meet until January, when Schweitzer will be out of office. Schweitzer, a Democrat, said legislative approval isn’t required because setting up the clinic is part of the administration of the state employee health plan. Clevenger said CareHere plans to start recruiting physicians and other medical personnel as soon as possible, and will then begin looking for a site.
10 | Monday, May 28, 2012 |
Alzheimer’s battle plan welcomed Associated Press
Alzheimer’s and related forms of dementia are a growing national health crisis. The diseases bring immense suffering to individuals, erode the emotional and financial wellbeing of families, and are on track to burst health-care budgets at all levels. Conquering or ameliorating the afflictions will require the same sort of effort the United States expended in reaching the moon. Only the federal government has the resources to manage that task. Tuesday’s unveiling of the National Alzheimer’s Plan is a positive first step in what promises to be a long campaign. It is a battle that must be pushed. About 5.4 million American’s currently have Alzheimer’s or a related dementia. The ailments spare no one — rich, poor, famous or unknown. Pat Summitt, the legendary retired coach of the
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Palouse Seniors
MOSCOWďšşPULLMAN DAILY NEWS
University of Tennessee Lady Vols basketball team, has early onset dementia. Ronald Reagan and Charlton Heston had Alzheimer’s. More than likely, so does someone in your neighborhood, workplace or church. Alzheimer’s is an implacable foe. It is the nation’s sixth-leading killer and there is no cure. Some treatments are available, but they provide only temporary easing of some symptoms. The national plan, announced by Health and Human Services Secretary Kathleen Sebelius at a meeting of the world’s top Alzheimer’s specialists, was developed in response to a Congressional mandate. It creates an initial blueprint. That fight is absolutely necessary. If no treatment or cure is found, experts say that about 16 million Americans will have Alzheimer’s by 2050. The cost of treating the disease is currently $200 billion annually; at present rates, it will rise to about $1
Health n a m h it
trillion by 2050. That immense cost does not reflect the toll the disease exacts from sufferers and those charged with their often long-term care. That total, experts agree, is incalculable. The plan sensibly provides additional funding for research now and in coming years. The funding is welcome. It will expedite research into a disease that still is pretty much a mystery as well as fast-track studies of new treatments like one that suggests a possible link between diabetes and Alzheimer’s. Sebelius said the government will create a new website to provide information for families, and set up training programs for health care providers on how to diagnose Alzheimer’s and care for those with it. It will also create a clearinghouse for federal and state governments public and private groups to pool information, and to provide resources for those caring for loved ones.
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| Monday, May 28, 2012 | 11
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Associated Press
Creamy potato salad with artichokes and herbs is shown.
A healthy (but creamy) potato salad for summer By Alison Ladman Associated Press
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So you’re having a barbecue and you want to keep it at least a little healthy. You’ve got the lean chicken breasts marinating and ready for the grill. You’ve got a colorful tossed salad filled with the season’s bounty. But no American summer barbecue is complete without a creamy and rich potato salad. Except you also know just how unhealthy a potato salad smothered in mayonnaise can be. Here are our tips for making a healthier one happen. First, make sure you leave the skins on the potatoes. Potato skins contain much of the potatoes’ fiber, as well heaps of vitamins and minerals, including a crazy amount of potassium. Second, replace the commonly added hard-boiled egg. We replaced the egg with chopped canned artichoke hearts, which have a similar texture and a wonderfully subtle flavor that complements the potatoes. Third, you need to overhaul the mayonnaise dressing. Adding just 1/2 cup of regular mayonnaise can add 800 calories and 90 grams of fat. So we reached for one of our favorite no-fat creamy dairy products, Greek yogurt. It is a versatile, healthy ingredient that adds significant creamy flavor and texture.
We finished with a handful of fresh herbs and some tangy vinegar to punch up the flavor.
CREAMY POTATO SALAD WITH ARTICHOKES AND HERBS Servings: 6 n 2 pounds red potatoes, cubed n Salt and pepper n 1 tablespoon white balsamic vinegar n 5.3-ounce container fat-free plain Greek yogurt n 1/4 cup low-fat sour cream n 3 scallions, thinly sliced n 1 tablespoon Dijon mustard n 2 teaspoons minced fresh dill n 2 teaspoons minced fresh thyme n 1/4 teaspoon garlic powder n 4-ounce jar chopped pimentos n 14-ounce can artichoke bottoms, drained n 2 ribs celery, diced Place the potatoes in a large pot, then add enough cool water to cover by 1 inch. Add 1 teaspoon of salt, then bring to a boil and cook for 10 to 15 minutes, or until just tender when pierced with a fork. Drain the potatoes and spread out on a rimmed baking sheet. Sprinkle with the vinegar and set aside to cool. Meanwhile, in a large bowl, combine the yogurt, sour cream, scallions, mustard, dill, thyme and garlic powder. Season with salt and pepper, to taste. Stir in the pimentos, artichoke bottoms and celery. Once the potatoes have cooled, gently stir in until thoroughly coated. Chill until ready to serve. Nutrition information: 190 calories per serving, 1 g fat.
12 | Monday, May 28, 2012 |
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Associated Press
A Halcyon vanity made of Forest Stewardship Council certified Caramel Bamboo is shown.
Modern twists on wood By Kim Cook Associated Press
Industrial designer Robert Hendrick was on a tech career track out of college until two things happened. First, he bought a company that maintains and rebuilds railroad tracks. Then he started building with his father, Jim. “I’d always been fascinated by trains and loved the history of how they were so instrumental in the industrialization of America,” says Hendrick, of Nashville. “Dad was a construction exec, and the carpentry shop was a weekend diversion. He was always salvaging some interesting artifact from a building that was being torn down. When I saw some of the scrap rails, I realized there might be some beautiful things we could make with them.” The two launched Rail Yard Studios in 2010. Using centuryold railroad steel and hardwood timber, they make one-of-akind chairs, desks, tables, beds. Some of the rails date back as far as 1898. Each piece is numbered using a salvaged date nail from the tracks themselves. Many wood furniture artisans are interested, as the Hendricks are, in honoring the provenance of their material, whether it’s repurposed,
recycled or just reimagined as something to be used at home. Naomi Neilson Howard, founder of the company Native Trails in San Luis Obispo, Calif., uses staves and barrels from nearby wineries to make bathroom vanities for her Vintner’s Collection. Her Cabernet model has a deep, warm patina, the result of the oak soaking in red wine for several years. This spring, Howard added the Renewal series to her line, a departure from the more rustic pieces. She molds tightly grained, compressed bamboo into contemporary vanities such as the Halcyon, a curvy, wall-mounted piece fashioned from two proprietary varietals, Caramel Bamboo and the darker Woven Strand Bamboo. Sarah Reiss is a Dallasbased artist, furniture designer and writer, who found her inner craftsman when buying a fixer-upper. She invested in a jigsaw and built a wall out of interesting reclaimed lengths of wood. The result — a colorful, textural geometric piece of art — caught the attention of bloggers, and business soared. Reiss will custom design a wall for you using locally sourced woods. If you want something smaller, she makes chevron-patterned tables.
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Plant ‘remembers,’ adapts to survive, researcher says By Betsy Blaney Associated Press
LUBBOCK, Texas — No one’s talking about giving intelligence tests, but researchers say they’ve shown that plants have smarts — the sort needed to help them survive dry times. Years from now the findings could lead to crops that are better able to withstand drought conditions. Already, studies on two crops have shown they too have short-term memory for surviving dry times, University of Nebraska-Lincoln researcher Michael Fromm’s said. He contends his team’s findings are the first of their kind in life forms above yeasts. The outcome of Fromm’s initial study, with a member of the mustard family, confirmed what many nursery professionals and home gardeners have observed: Stressing plants helps them adapt and aids them in surviving transplanting. “It’s important that it’s in all plants, but the next part of the story will have to move the research forward,” Fromm said. “There’s no question this is a critical long-term problem. Drought tolerance is extremely important but it’s also extremely difficult.” He declined to name the two crops he and his team studied subsequent to work with Arabidopsis — the mustard plant — citing confidentiality issues with the peer-reviewed journal scheduled to publish those results later this year. In the mustard plant research, Fromm and his team compared reactions of plants stressed by withholding water to those that got water. The ones that went without water — the trained or stressed plants — bounced back more quickly the next time they got dehydrated. Those that got water — the untrained or non-stressed plants — wilted faster and their leaves lost water at a faster rate than the trained
ones. There were changes at a molecular level when the trained plants were deprived of water again. When water was then made available, the changes reverted back to normal levels. That changed, though, after subsequent periods of drought as the plants “remembered” their molecular response to stress. “There’s a connection between the environmental stress, the drought, and the plant response with not only physiological changes but developmental changes,” Fromm said. “That’s a decision the plant makes that we think this process can influence.” The mustard plant forgot the previous stress “memory” after five days of watering, but the researchers said other plants’ memories could be different. “It kind of backs up what a lot of people have thought,” Texas Tech horticulture professor Thayne Montague said. “Once a plant is exposed to stress, drought ... it can be a beneficial response short term. Now, long term that hasn’t really been looked at.” One Lubbock woman, president of the city’s 60-member master gardener program, said she thinks a plant’s roots are keys to drought survival. The shorter the root, a result of overwatering, the less the plant will tolerate drought. “Plants don’t think,” Barbara Robertson said. “It almost has to have something to do with the root system. A stressed plant with deep roots is going to do better.” The Nebraska research team’s results could be transferred to row crops, such as corn, cotton or wheat, but that potential is still about 20 years away, Fromm said. Ideally, the goal would be to have the memory last from growing season to growing season. “That may or may not exist,” Fromm said. “Our discovery goes just a few days.”
| Monday, May 28, 2012 | 13
Creating Beautiful Smiles Serving Palouse Families Over 35 Years
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14 | Monday, May 28, 2012 |
MOSCOWPULLMAN DAILY NEWS
Palouse Seniors
The gray area in mental care By Kimberlee Kruesi The Times-News
Help an abused or neglected child at WhitmanCountyCASA.org or call (509) 397-5308
TWIN FALLS — Eighteen elderly residents were forced to find a new home when the Chaparelle House closed last month. But when Marcia Scott first heard the news, she really only cared about one of them. Close to a year ago, Scott moved her mom from Nevada to the Twin Falls assisted living facility. Scott’s mom, Isabel Peters, struggles with dementia. Getting Peters used to a new home in a new city took almost two months before she was comfortable with the routine. With no choice but to move her mom, Scott said she again faced the problem of finding the right home for her mom in a region with limited facilities that have both space and adequate care for residents with mental health care needs. “We went to one facility and the only place they had for my mom was on the third floor,” Scott said. “I just kept thinking of all the things that could go wrong with her being in a
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place that big. Mom would get lost there. She wouldn’t be able to handle it.” In mid-April, state surveyors revoked Chaparelle’s license on the grounds that the assisted living facility was understaffed. According to the Idaho Department of Health and Welfare, Assisted Living Concepts — the Wisconsinbased company that owns Chaparelle House — refused to cooperate with the state and proceeded to turn off the Twin Falls facility’s phones and fire system. While the state brought in an interim management team to run Chaparelle, it was forced to close the center and find new homes for the facility’s 18 residents due to a lack of access to central communication and increased fire risk. On Health and Welfare’s website, Chaparelle House didn’t list itself as a facility that took in residents with mental illnesses, developmental disabilities, dementia, or Alzheimer’s disease, although most of its residents did suffer some sort of cognitive impairment. That omission isn’t against Health and Welfare regulations because it’s a voluntary designation, said Tom Shanahan, the department’s spokesman. However, it offers one example of the vague navigation process that consumers must dig through to find the right home for a loved one with a cognitive impairment.
‘Holes in the Magic Valley’ As the baby boomer generation ages, assisted living facilities and other types of longterm care residences will face more residents requiring complex care, particularly those who need special attention due to dementia, Alzheimer’s or a similar mental impairment. Facility administrators have to make sure they have enough staff to watch over the residents during the day and night. They also have to ensure they have the security to keep residents from wandering off.
It can be an expensive chore, but it’s a demand that shows no sign of stopping. Close to 5.4 million Americans have Alzheimer’s disease — or one in eight seniors over the age of 65 as of January 2012, reports Alzheimer’s Association. The number is expected to increase by at least 30 percent by 2025. Overall, Idaho is in the middle of a gray wave of aging residents. According to the latest U.S. Census Bureau data, Idaho’s 65-year-old and older population jumped almost 40 percent between 2000 and 2010. That population increased almost twice as much as the national average of 15 percent. The baby boomer generation has latched onto assisted living facilities because they offer a personal level of care that can be tailored to each individual’s needs, said Terri Pendleton, administrator for Desano Place Village Memory Care in Jerome. “When you talk about mental health, there’s a lot that needs to be addressed,” Pendleton said. “It includes depression to anxiety to dementia. And facilities need to be prepping to experience more residents with these illnesses in the near future.” Pendleton runs three assisted living facilities in the Magic Valley. Her Jerome location is designed specifically for residents with mental illnesses. Health and Welfare provides a list of all assisted living facilities in Idaho, broken down by region, on its website. There are close to 40 facilities listed in the Magic Valley, but figuring out what types of residents the facility will accept can be tricky. It’s up to the officials of each facility to provide information on what types of residents it will accept. If a facility doesn’t list that it accepts residents with dementia, like Chaparelle House failed to do, there’s no other information provided to say whether it would consider See CARE, Page 14
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MOSCOWPULLMAN DAILY NEWS
A matter of training
Care
from Page 14 taking in that type of resident. And much like other services, finding skilled assisted living care can be more difficult the further a person is from the area’s population centers. Pendleton says she purposely chose locations north of Twin Falls to offer a housing option for residents of Magic Valley’s Northside area, especially those with mental illnesses. “Mental health has been a dark hole for some time and there are holes in the Magic Valley where there are not enough options for care,” she said.
Assisted living facilities don’t provide primary medical care for mentally ill residents, but state officials have ruled that each facility’s staff must be trained in handling residents with mental illnesses. However, Health and Welfare’s training requirements leave it up to each facility to decide what that training should be for their staff. The language leaves room for varied interpretation of what training should look like. “When a surveyor goes into a facility, they can see if staff isn’t meeting expectations,” said Tom Shanahan, spokesman for Health and Welfare. “They are very thorough in their inspections.”
One training packet obtained by the Times-News through a public records request showed that Safe Haven Health Care of Burley included articles from both medical journals and Wikipedia. The packets outlined that staffers must read the materials and then fill out a survey to show they understood the materials within 30 days of hiring. Over the past three years, Safe Haven Health Care — which also operates assisted living facilities in Bellevue, Gooding and Wendell — has been marked down three times by state surveyors for lacking adequately trained staff to handle residents with mental illnesses. It’s a common occurrence though in any assisted living facility, according to
| Monday, May 28, 2012 | 15
Scott Burpee, chief executive officer of Safe Haven. And it’s one that doesn’t have him worried. “Our facilities get very good surveys.” Burpee said. “We train our employees, but sometimes someone falls through the cracks. When that happens, we train them.” Six other Magic Valley assisted living facilities have been marked down by state surveyors for not providing their staff proper training in how to handle mentally ill residents, with Safe Haven leading with the most violations. Until facilities begin to focus on catering to mentally ill residents, the chances of a facility overlooking to train their staff in mental illnesses are going to remain high, Pendelton said.
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