WELCOME!
2018 Annual Elder Expo and Caregiver Conference
T
he Elder Services Provider Council (ESPC) is pleased to present the 26th Annual Elder Expo and Caregiver Conference on October 2 and 3, 2018 at the Frederick Fairgrounds. On Tuesday October 2nd, the Caregiver Conference will feature nationally recognized speaker, Amy Goyer. Amy is AARP’s Family and Caregiving Expert and author of Juggling Life,Work, and Caregiving. She will tell an inspirational story about her personal caregiving journey where her life was turned upside down for her grandparents, parents and sister. She’ll share her hard-earned practical tips for navigating caregiving and for finding strength and resilience, while savoring the humorous and joyful moments along the way. For more information about Amy Goyer and her presentation, please read the article “Meet Amy Goyer” on page 4. This year’s Caregiver Conference runs from 6-8 PM in Building 13 and conference registrants may preview the Elder Expo between 4-6 PM in Building 9. Registration is required thru the ESPC Frederick website www.espcfrederick.com/elder-expo. The conference is free and includes a boxed dinner for registered participants. Caregiving services may also be available for your loved one. Please indicate your need during registration and someone will contact you for additional information. On Wednesday October 3rd, the 26th Annual Elder Expo will premiere 79 vendors sharing resources and information concerning a wide range of topics. The Expo is free and will be open from 9 am to 2 pm with a free lunch available for seniors. Attendees will be able to collect information about home care, legal services, nursing and assisted living, community health services, downsizing and realtors, home improvement and end of life planning. Elder Expo activities will also include health screenings, flu shots and health education. Attendees who enjoy lunch will be eligible to win door prizes drawn during each lunch seating. The Expo welcomes all to attend! This is not an event just for seniors, but for information seeking adult children, caregivers, friends, faith communities and employers.
Our growing aging population engages us all and knowing that experts are available in Frederick County is extremely beneficial. The corporate community recognizes the Caregiver Conference and Elder Expo as the place to explore all the senior services that exist in Frederick County. The event would not be possible without the support of sponsors, vendors and those serving on the planning committee. This year’s Premier sponsors include the ESPC, Frederick County Division of Senior Services, the Frederick News Post, and the presenting sponsor of the Caregiving Conference, AARP. Platinum Sponsors are Assisting Hands Home Care, Baker Rehab Group, Edenton Retirement Community, Five Star Senior Living, Hospice of Frederick County, Stauffer Funeral Homes, and Whitesell Pharmacy. Gold Sponsors include
2 ELDER EXPO & CAREGIVER CONFERENCE 2018
Advanced Nursing & Home Support, Citizens Care Rehab Center and Montevue Assisted Living, Debra Levy Eldercare Associates, Red Canyon Physical Therapy, Right at Home and Shepherd’s Staff In Home Care. Silver Sponsors are Carroll Hospice, FMH Select, Kannavis, Law Offices of Scott Morrison, Oasis Senior Advisors and Potomac Dental Centre. The Elder Services Provider Council looks forward each year to host this event for the public. To learn more about the ESPC visit www.espcfrederick.com.
A publication of the Elder Services Provider Council
PAST ELDER EXPOS
ELDER EXPO & CONFERENCE COMMITTEE RaeAnn Butler (Committee Chair) Edenton Retirement Community Bonnie Elliott Care Patrol Christina Forbes (ESPC President) Daybreak Adult Day Services Cathy Hanson Hospice of Frederick Co. Karl Krantz Red Canyon Physical Therapy Rebecca Layman (ESPC Secretary) Layman Real Estate Carole Luber Right at Home Michael Paris (ESPC Vice President) Heartfields Assisted Living at Frederick Cookie Verdi FMH Select Ruth Waxter Elder Law Office of Ruth A. Waxter
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A publication of the Elder Services Provider Council
ELDER EXPO & CAREGIVER CONFERENCE 2018 3
AMY GOYER Meet
Keynote Speaker for the 2018 Frederick County Caregiver Conference
A
ARP family and caregiving expert Amy Goyer will be the keynote presenter at the 2018 Frederick County Caregiver Conference. So that you won’t miss this important program, Daybreak Adult Day Services will be present to provide free onsite caregiving services for your loved one. Drawing upon over 35 years of working in the field of aging combined with her decades of family caregiving, Amy will share her hardearned practical tips for navigating caregiving and finding strength and resilience while savoring the humorous and joyful moments along the way. Since 2009, she has worked with the AARP, where she blogs about family caregiving and spearheads the intergenerational and grandparenting programs, including the Grandparent Information Center, a leading resource for grandparent caregivers. A nationally recognized media authority, her work has been highlighted on numerous,
national media outlets including Good Morning America, Today, CBS This Morning and countless other broadcast and print news outlets. She’s authored a number of caregiving articles and books, including her latest, Juggling Life, Work and Caregiving and tracks her journey as a caregiver via her social networks, on her website, amygoyer.com, and through herYouTube series/video blog “Taking Care.” Amy is an advocate for older adults, children, and families at the local, state, national and international levels. She’s been a family caregiver her entire adult life, caring for her grandparents, parents, and sister. Her caregiving roles have varied from long-distance caregiving to very intensive “hands-on” care for her parents’ every need. At the age of 21, Amy became a long-distance caregiver for her grandmother, Genevieve, who had Alzheimer’s disease, her grandfather C.V., and her other grandmother Clara. Her mother, Patricia, had a stroke when she was just 63
years old, and Amy and her sisters took on a supporting and respite role as her father, Robert became her mother’s primary caregiver.When Robert developed Alzheimer’s disease, Amy relocated from Washington, DC to Phoenix in 2009 to care for her parents; who, along with her Dad’s service dog, Mr. Jackson, moved in with her in 2012. Amy’s sister, Karen, developed Cushing’s Disease and she served as her power of attorney and helped manage her hospitalizations and follow-ups. Patricia passed on in 2013, and Karen in 2014. Amy served as executor of both of their estates. Mr. Jackson, her dad’s service dog, also suffered several health problems and he received the same loving care as every human family member did. He passed in the summer of 2017. Most recently, Amy provided cared for her father as his Alzheimer’s disease progressed to advanced stages. He passed away in early June 2018 at the age of 94. Amy credits being a caregiver as “the most
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Activities at the EXPO include health screenings, flu shots, and lots of information.
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A publication of the Elder Services Provider Council 5/31/18 8:34 AM
important role of my life”. During her keynote speech, Amy will provide guests with tips on how to prepare to become a future caregiver and a prospective care recipient. She’ll address some of the following topics: • Essential family discussions to have - how to approach these conversations early as plans, wishes, and lifestyle choices change. • Quality of Life - how to maintain it as we age. • Healthcare and finances – important things you should know. Amy will also share her philosophy on critical issues such as: • Preparing the team - No one can/ should be expected to deal with everything alone, so it’s important to think about the team - who will be involved, roles, etc. • The plan - Why it is important to properly plan, circumstantial change and the framework needed to help adjust the plan as life happens. • Building support - Beyond close family and friends, community-based services and support are vital as we age and as we take care of others. How to find and use that support, as well as specific caregiver support, grief support, etc.
• Caring for ourselves - As we take on caregiving roles, or become care recipients, it’s important to know how to care for one’s self. The Frederick County Caregiver Conference takes place on Tuesday, October 2, 2018 at The Frederick Fairgrounds on 797 East Patrick St. in Frederick. Amy’s presentation begins at 6 pm in Building 13, but guests are encouraged to come early to preview the Elder EXPO (Building 9). Guests will have the opportunity to speak with over 79 senior care providers who will share information about topics ranging from in-home care providers, assisted living and nursing homes, medical providers, insurance providers, and so much more. Registration is required for this FREE event. Please visit www.espcfrederick. com/elder-expo or call 240-490-4181 for more details and to register. A boxed dinner will be provided for pickup in Building 9 after 5 pm. Caregiving services will be provided at no cost by Daybreak Adult Day Services. Can’t attend the conference? Connect with Amy online and get actionable, practical tips via her articles and videos at aarp.org/amygoyer.
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2018 ELDER EXPO
Sharon Keller Register of Wills FOR INFORMATION ON PROBATE AND THE IMPORTANCE OF WILLS AND ESTATE PLANNING
October 3, 2018 Frederick County Fairgrounds
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ESPC and ESPC Charitable Giving
ESPC President Christina Forbes and Board of Directors awarding $4,000 grant to Advocates for the Aging ESPC Board Members: President: Christina Forbes Vice President: Michael Paris Secretary: Rebecca Layman Treasurer: Lauren McGraw
Public Relations Committee Chair: Elmer DeJesus Member-At-Large: Amanda Crawford Governance/ Financial Chair: Eileen McLaughlin
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What is ESPC? The Elder Services Provider Council (ESPC) was established in 1990 as a networking and advocacy group for senior care professionals in the community. The mission of ESPC is as follows: • Educate the community about issues relevant to older adults & available resources. • Provide an open forum for information exchange among elder service providers. • Advocate for the needs of older adults. • Charitable giving of a percentage of our proceeds to organizations that benefit older adults in our community. • Produce an annual Elder Expo in Frederick County.
ESPC Charitable Giving Since 2012, ESPC has made charitable contributions in excess of $66,000 to various non-profit agencies that benefit seniors in our community. For the last 2 years, these contributions have been awarded quarterly in $4,000 increments through a competitive grant application process. Recent awardees include: • Seton Center Dental Program • Delaplaine Senior Arts Program • Daybreak Adult Day Services • Advocates for Aging • Hospice of Frederick County • Thurmont Senior Center • Frederick Memorial Hospital • Partners in Care • Habitat for Humanity
For more information about ESPC or the grant program, please visit www.espcfrederick.com
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A publication of the Elder Services Provider Council
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A publication of the Elder Services Provider Council
ELDER EXPO & CAREGIVER CONFERENCE 2018 7
2018 Elder Expo!
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8 ELDER EXPO & CAREGIVER CONFERENCE 2018
REVOCABLE LIVING TRUSTS
Are They Right For You?
In
eficiaries”). Typically, grantors name themselves as the trustees so that they can continue to control and manage the trust assets during their lifetime.
Living Trust — Defined Simply stated, a living trust is a legal entity that holds property, like real estate, stocks and other investments. A person or a couple (the “grantor”) creates a living trust by transferring ownership of their property to the living trust for the benefit of their loved ones (the “ben-
Probate May be a Better Option than a Living Trust Some people want a living trust because they believe that it is essential to avoid the probate process. Probate is the legal process by which a deceased person’s estate (e.g. assets, property) is settled and the property is distributed to the heirs. Oftentimes probate gets a bad reputation because the decedent did not do proper estate planning. The probate process is not as onerous as you might think and may be a better option for you than a living trust. In Maryland, the probate process is relatively straightforward. For a small estate or if all the assets are going to a spouse, the probate process can be streamlined, cutting down on the time and expense of administration. The probate fees are less than you might think; only $500 for an estate valued
recent years, revocable living trusts have become more common as an estate planning tool. Unfortunately, seminars, articles and mass marketing campaigns often overstate and even fabricate their benefits. Some common misperceptions include the notions that living trusts reduce taxes, help you avoid creditors, ensure privacy, save time and money, and avoid probate or guardianship. A living trust can be an effective estate planning tool but only for people in specific situations. Many people do not need a living trust. This article will serve to debunk some of the myths surrounding this overused trust.
A publication of the Elder Services Provider Council
between $250,000 and $500,000. The clerks in the Register of Wills office, which manages the probate process, are knowledgeable and eager to offer their assistance. In some situations, it is advisable to avoid probate, especially when a person owns properties in multiple states. If all the properties are in a living trust, the transfer of ownership to the beneficiaries is much easier. Without a living trust, a separate estate would have to be opened in every state where the person owned property. The upfront costs of creating the living trust would be well worth it to avoid probate in multiple states.
Living Trusts Don’t Avoid Taxes There are myths circulating that a living trust can be used to avoid taxes. Not so. Living trust assets are not exempt from inheritance taxes, income taxes or estate taxes. When a grantor dies, all of his or her assets are included in the grantor’s estate for federal estate tax purposes. There are ways to minimize the federal estate tax, but they can be incorporated into a will or a living trust.
Living Trusts Do Not Protect Assets from Creditors A common misconception about living trusts is that they can be used to avoid creditors. Assets in a living trust Living Trusts Don’t Always are treated the same as they would be Save Time and Money if they were owned by the grantor indiMany proponents of living trusts vidually. Living trusts do not afford any claim that living trusts will save time protection from the grantor’s creditors. and money associated with probate. Living Trusts and Privacy However, many of the other expensSome people choose a living trust over es that people associate with probate also exist if there is a living trust. For probate because they want to ensure the instance, a trustee must still file a tax privacy of their estate plan. Although the trust document does not become return for the grantor. Additionally, there are high up-front a public record like the will and the fees associated with a living trust and decedent’s assets, it is not as private possibly significant time involved for as you might think. In many cases, the the grantor. Typically, the lawyer who trustee has to file the living trust docucreates the living trust transfers any ment with the register of wills or share real property into the living trust. The it with banks and brokerage firms. In certain situations, people may not grantor, however, is responsible for transferring any other assets, like bank want the additional privacy afforded by accounts and stock portfolios, which a living trust. If a trustee of the living trust acts improperly, the beneficiaries involves additional hassle. It is not uncommon for a bank account must address their concerns in the ciror stock to be inadvertently left out of a cuit court, not the Register of Wills. living trust. The asset, if it doesn’t have In the probate process, the Register of a named beneficiary, will go into the Wills has oversight to ensure that the grantor’s estate upon death. This will estate is administered according to the involve the probate process -- the very provisions of the will. thing the grantor was trying to avoid! In conclusion, living trusts are not If a grantor is not going to be vigilant suitable for everyone. If you are interabout funding and managing a living ested in a living trust, make sure to get trust, then probate is a better option. all the facts about the advantages and disadvantages. Stay clear of high pressure Avoiding Guardianships sales situations. Lastly, consult with a A touted benefit of a living trust is that trusted estate planning lawyer to make if the Grantor/Trustee should become sure that a living trust is appropriate disabled, then the successor trustee can for your estate plan. step in and manage the living trust, Nothing contained herein is intended avoiding a guardianship. This is true, to advise anyone as to the legal remedies but it should not be the sole reason for for any particular situation. getting a living trust. The same result can be achieved for less time and money, RuthWaxter, Esq. is the principal of the by the grantor appointing a durable Elder Law Office of Ruth A.Waxter and power of attorney. practices estate planning and elder law. A publication of the Elder Services Provider Council
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301-791-3087 • www.pcmsinc.org ELDER EXPO & CAREGIVER CONFERENCE 2018 9
THE DANGERS OF STORING
Unused, Expired or Unwanted Prescriptions in the Home
S
toring unwanted, expired, or unused medications (prescription or over the counter) in the home increases the risk of misuse, abuse, and diversion. This is a growing problem in American society. In 2010, 1 in 20 persons in the United States age 12 and older—a total of 12 million people—reported using prescription painkillers non-medically according to the National Survey on Drug Use and Health. People often share their unused pain relievers, unaware of the dangers of nonmedical opioid use. Most adolescents who misuse prescription pain relievers are given them by a friend or relative. Or worse, adolescents and adults who have easy access to a family member’s medicine cabinet can divert medication for use or distribution. According to the Centers for Disease Control and Prevention (CDC), unintentional poisoning is the leading cause of death for all age groups. Since 2008, it has surpassed motor vehicle traffic fatalities as the leading cause of death in the U.S. Many prescription or over the counter medications are harmless to adults when taken
according to directions, but can be lethal to children, pets, and the elderly. Storing unused medication in the home places this population at risk for accidental overdose. Roughly 21% of poisonings in children in 2016 (ages 6 years and under) were caused by medications, vitamins, herbals, homeopathic medications, or supplements. One U.S citizen dies every 14 minutes from a drug overdose, leading to 100 deaths per day across the country. The majority of poisonings, approximately 66%, involved an opioid. Unintentional prescription opioid overdose kills more Americans than cocaine and heroin combined. In 2010, nearly 60% of the drug overdose deaths involved pharmaceutical drugs. With these concerns in mind, disposal of medications can make for an impactful solution but not all methods of disposal are safe. When medications are disposed in the garbage, poured down the drain, or flushed, they end up in the environment and potentially harm our aquatic ecosystems. Wastewater treatment plants are not designed to remove pharmaceutical compounds before releasing water back into
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A publication of the Elder Services Provider Council
the environment. Therefore, concern regarding their presence in drinking water continues to grow. Although there is currently no evidence that shows pharmaceutical products in water are harming people, there are studies showing adverse effects on aquatic life. A study conducted by the U.S. Geological Survey in 1999 and 2000 found measureable amounts of one or more medications in 80% of water samples drawn from 139 streams in 30 states. The drugs identified include many different antibiotics, antidepressants, blood thinners, heart medications, hormones, anti-seizure medications, and painkillers. Evidence shows that estrogen in streams and water ways have a feminizing effect, causing intersex fish – creatures with both male and female sex characteristics. This change can shift the male to female ratio affecting fish quantities in our ecosystem. Other research shows that commonly prescribed antidepressant medications have been found concentrated in the brain tissue of fish. It is of the utmost importance to properly use and dispose of prescription and non-prescription medications for the sake of the environment and our safety. Only flush medications if your doctor or pharmacist specifically tells you to do so. Use drug take back programs to dispose of all other unwanted or expired medications. If you or someone you know may have been poisoned, call the Poison Control Center immediately at 1-800-222-1222.
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WŚLJƐŝĐĂů͕ KĐĐƵƉĂƟŽŶĂů Θ ^ƉĞĞĐŚ dŚĞƌĂƉLJ WŚLJƐŝĐĂů͕ KĐĐƵƉĂƟŽŶĂů Θ ^ƉĞĞĐŚ dŚĞƌĂƉLJ Home Health | Outpatient | Private Pay Home Health | Outpatient | Private Pay
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MikeWestbrook, pharmacist, owner of Whitesell Pharmacy Mallory Cortis, pharmacist. Citations: 1. U.S. Centers for Disease Control and Prevention (CDC) (2013). Opioids drive continued increase in drug overdose deaths [Press Release]. Retrieved 24 September 2013 from http://www.cdc.gov/media/ releases/2013/p0220_drug_overdose_deaths. 2. Centers for Disease Control and Prevention (2012). Wide-ranging OnLine Data for Epidemiologic Research (WONDER). Retrieved 7 July 2013 from http://wonder.cdc.gov/mortsql.html.
Frederick County Division of Senior Services
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3. Department of Health and Human Services, Centers for Disease Control and Prevention (2011). Prescription painkiller overdoses at epidemic levels kill more Americans than heroin and cocaine combined [Press Release]. Retrieved 12 December 2011 from http://www.cdc. gov/media/releases/2011/p1101_flu_pain_killer_overdose.html.
• Lunch • Exercise, Tai Chi & Zumba • Day Trips • Classes & Activities • Medicaid Assistance • Caregiver Support • Medicare Counseling • Home Delivered Meals • Senior Centers • Volunteer Opportunities • Information & Assistance • So much more
4. Kolpin, D.W., et al. (2002). Pharmaceuticals, hormones, and other organic wastewater contaminants in U.S. streams. Environmental Science & Technology, 36(6), 1202-1211. 5. World Health Organization, Water Sanitation Health (2016). Information sheet: Pharmaceuticals in drinking-water. Retrieved 9 September 2016 from http://www.who.int/water_sanitation_health/emerging/ info_sheet_pharmaceuticals/en/; Associated Press (NA). An AP Investigation: Pharmaceuticals Found in Drinking Water, PHARMAWATER I: Pharmaceuticals found in drinking water, affecting wildlife and maybe humans. Retrieved on 9 September 2016 from http://hosted.ap.org/ specials/interactives/pharmawater_site/day1_01.html; Harvard Medical School (2011). 6. National Institute of Drug Abuse (2015). Drug Facts: Prescription and Over-the-Counter Medications. Bethesda, MD: National Institute of Drug Abuse. Available at http://www.drugabuse.gov/publications/ drugfacts/prescription-over-counter-medications. 7. https://www.poison.org/poison-statistics-national. A publication of the Elder Services Provider Council
Your resource for Older Adults • Persons with Disabilities • Families and Caregivers
Frederick County Division of Senior Services
301.600.1605 or visit FrederickCountyMD.gov/SeniorServices
1440 Taney Avenue, Frederick, MD 21702 ELDER EXPO & CAREGIVER CONFERENCE 2018 11
SCHEDULE
SPONSORS PREMIER
Caregiver Conference TUESDAY OCTOBER 2, 2018 • THE FREDERICK FAIRGROUNDS BUILDING 9 (EXHIBITOR BUILDING) 4 to 6:00 pm
Expo Vendor Preview (caregiver conference attendees only)
5 to 6 pm
Boxed meal offered to registered attendees
BUILDING 13 6 to 8 pm
Family Caregiver Conference – FREE but requires registration
6 pm
Welcome: Christina Forbes, Elders Services Provider Council, President Welcome Remarks: Jennifer Holz, AARP Family Caregiver: Karen Kanagy Keynote speaker: Amy Goyer, Choosing to Care, AARP Speaker, author of Juggling Life, Work and Caregiving, expert on families and aging, and family caregiving.
ELITE
25th Annual Elder Expo PLATINUM
WEDNESDAY, OCTOBER 3, 2018• THE FREDERICK FAIRGROUNDS BUILDING 9 (EXHIBITOR BUILDING) 9 am to 2 pm
Expo Open FREE Flu Shots available by Maxim Healthcare services Health Screenings by FMH: • Cardiac and Pulmonary Rehabilitation and ProMotion Fitness+: Blood Pressure Screening, Information about Cardiac Risk Factors • FMH Advance Care Planning • FMH Pharmacist Counseling – Bring Your Medications or a list of medications
BUILDING 13 Free – Lunch (ticket registration at the door)
GOLD
11 am to 11:45 am Lunch seating ONE Noon to 12:45 pm Lunch seating TWO 1 pm to 1:45 pm
Lunch seating THREE
SILVER
12 ELDER EXPO & CAREGIVER CONFERENCE 2018
A publication of the Elder Services Provider Council
MAP OF VENDORS
Building 9 Maxim Flu Shots
FMH Health Screenings
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Frederick County Senior Services
42 Black’s Funeral Home
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Assisting Hands Home Care
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43 SpiriTrust Lutheran Home Care & Hospice
4
Country Meadows
5
Home Centris Personal Care
6
Michael G. Day & Associates, PC
7
Homewood at Frederick
8
Law Office of Lena A. Clark, LLC
9
Debra Levy Elder Care
12 FMH Home Health 13 Record Street Home 14 Frederick County Health Dept 15 MedStar Visiting Nurse Association 16 Commission on Aging 17 Mental Health Association 18 AARP
ENTRANCE
59 60
1
11 Guide to Retirement Living
Registration
37
Booth Company
10 Right at Home
Registration
79
Booth Company
78 77 76 75 74 73 72 71 70 69
47 48 49 50
A publication of the Elder Services Provider Council
Building 13 Lunch Seating
44 AAA® 45 Victoria Park at Walkersville 46 Kannavis 47 Potomac Dental 48 Oasis Home Advisors 49 The Law Offices of Scott A. Morrison, P.A. 50 Carroll Hospice 51 FMH Select 52 Amada Senior Care 53 MD Vision 54 Frederick Magazine 55 Sandy Spring Bank 56 CareFirst, Inc. 57 Genesis
19 Baker Rehab Group
58 CarePatrol of Central Maryland and Loudoun Virginia
20 Alzheimers Association
59 Hospice of Frederick County
21 Law Office of Cristine Evans LoVetro, LLC
60 Whitesell Pharmacy
22 Frederick County DSS 23 Munro Properties 24 Visiting Angels
61 Daybreak Adult Day Services 62 HomeCall 63 Frederick Foot and Ankle
25 Masters Pharmacy
64 Register of Wills for Frederick County
26 Ramar Moving Systems
65 Habitat for Humanity
27 Citizens/Montevue
66 Integrace - Buckinghams Choice
28 Shepherds Staff In-Home Care, LLC
67 Clear Captions
29 Remax Plus
68 Advanced Home Support
30 RSVP/Asian American Center
69 Red Canyon Physical Therapy
31 Frederick Health & Rehab Center
70 Lorien Health Systems
32 Keeney & Basford Funeral Home
71 Accessible Home Health
33 Helping Hands Home Care
72 Bankers Life
34 Federated Charities
73 Partners in Care
35 Maryland Insurance Administration
74 St. Joseph’s Place
36 Edenton Retirement Community
75 Stress Free Solutions
37 Five Star Senior Living
76 Maryland Relay
38 Legal Shield
77 Stauffer Funeral Homes, P.A.
39 Potomac Case Management
78 The Frederick News Post
40 Home Instead
79 ESPC
41 Fahrney Keedy Senior Living
ELDER EXPO & CAREGIVER CONFERENCE 2018 13
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T
here is much press surrounding the use of opioids, but many are less aware of another equally concerning class of medication called benzodiazepines. Benzodiazepines, sedatives most frequently used to treat insomnia and anxiety, include commonly prescribed agents such as diazepam (Valium), lorazepam (Ativan), alprazolam (Xanax) and clonazepam (Klonopin). From 1996 to 2013, the number of prescriptions filled for benzodiazepines rose by 67% with over 13.5 million prescriptions filled in 2013. In 2015, overdose deaths due to
In 2015, overdose deaths due to benzodiazepines totaled 8,791 benzodiazepines totaled 8,791. While these drugs do help many with insomnia and anxiety, side effects can be significant, particularly for older adults. Drowsiness, confusion, depression and increased risk of falls are common reactions with benzodiazepines. Another problem is that patients can develop a tolerance quickly, leading to higher and
A publication of the Elder Services Provider Council
higher doses and painful withdrawal symptoms between doses. Some patients have reported an even greater difficulty withdrawing from benzodiazepines compared to opioids. When discontinuing the medication, patients must taper off since stopping the drug abruptly can cause serious effects including seizures. Because of the many issues related to the use of benzodiazepines, psychotherapy approaches and antidepressants are now recommended, before benzodiazepines, as a starting therapy for anxiety. For sleep problems in older adults, behavioral interventions are recommended as the first line of therapy. The risk of using benzodiazepines with opioids has prompted the Food and Drug Administration (FDA) to initiate a “black box warning” regarding the combination. A black box warning is the strictest warning put on drug labels by the FDA to alert the public when there is a serious or life-threatening risk of the drug.The warning states that use of benzodiazepine with opioids may result in profound sedation, respiratory depression, coma and even death. Medical
professionals recommend reserving this combination of drugs for patients with inadequate alternative treatment options; limiting the minimum required dosage and duration; and monitoring patients with signs and symptoms of respiration depression and sedation. Despite their risks, benzodiazepines are frequently prescribed because of their effectiveness for treating sleep disturbances and anxiety. If your doctor has suggested benzodiazepines as a treatment option, consider the following recommendations: • Discuss with your prescriber the risk of use and possible alternative therapies. • Benzodiazepines should be used for short term and/or intermittent use. Long term use should be avoided. • Never stop taking these medications abruptly. Discuss with your prescriber a tapering schedule. • Make sure your prescriber is aware of all the medications you are taking.
Check us out at the
201
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P
Commission on Aging 1440 Taney Avenue Frederick, MD 21702
301-600-160 d ocat
or reder ck Cou t
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See Every Word
Kathy Digruilles 301-356-8564 clearcaptions.com ©2018 ClearCaptions, LLC. All rights reserved.
Patricia A. Cash, Pharm. D., BCGP, CCP is a Frederick Integrated Health Network Pharmacist with the Frederick Regional Health System.
References: 1. Benzodiazepine Use in the United States. Olfson M, King M, Schoenbaum M. JAMA Psychiatry. 2014 Dec 17. doi: 10.1001/jamapsychiatry.2014.1763 PMID: 25517224. 2. Dangers of rising benzo prescriptions raise alarms of next drug crisis. CBS news online by Avichai Scher and Ali Galante / Updated Jul.28.2018 / 12:16 AM ET. 3. www.nih.gov/news-events/nih-research-matters/benzodiazepine-often-used-older-people-despite-risks. Accessed 8/8/18.
Visit one of our
79 Vendors at this year’s Expo
340 E. Patrick Street, Suite 103, Frederick
A publication of the Elder Services Provider Council
ELDER EXPO & CAREGIVER CONFERENCE 2018 15
Championing
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Call Leslie Sier, Independent Associate, 301-418-2337 for more information.
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Helping families find strength, stability & self-reliance through home ownership. 917 N. East Street, Frederick, MD 21701 www.frederickhabitat.org • 301.662.2988
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shop. donate. volunteer.
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16 ELDER EXPO & CAREGIVER CONFERENCE 2018
THE NEEDS OF
OUR SENIORS Y
ou have heard the saying “Aging is not for the faint of heart.” But what it means to age in America has changed. Older Americans are working longer, trying new things, starting new careers, earning a new degree, engaging in their communities and following their dreams. People live longer and live healthier, and that is a good thing! The population of seniors is growing rapidly as baby boomers retire.This will change the face of Frederick County. Our population of seniors is expected to grow faster than in the state of Maryland, and even faster than in Florida. By 2020, Frederick County will be home to more people over age 60 than school-aged children.With this shift in demographics, we are seeing a change in the range of wants and needs of seniors.That’s why I made seniors one of my administration’s top four key priority areas, along with education, jobs and community needs. The shift in how people are spending their better years brings new opportunities and challenges for the County.We know there is a need to focus on serving more people and addressing a wider array of needs and interests, from the most active seniors in our community to the frailest. I formed a Seniors First committee to look at how we needed to re-vision and re-shape our delivery of services. A key recommendation of Seniors First was to elevate senior issues by creating a separate division in county government. This summer, we officially launched the Division of Senior Services to champion the needs and services for a rapidly growing population of seniors. The Division of Senior Services incorporates the existing programs and services of the former Department of Aging and adds a focus on innovative
Kathy Schey, Director, Frederick Co. Div. of Senior Services services for active seniors. The new division is under the energetic leadership of Kathy Schey. Kathy brings excellent community service experience, a fresh vision, and a love for seniors. She has embraced the opportunities and challenges that lay ahead. After only a few weeks, Kathy is working to redefine the narrative around aging. Getting older can be about trying new experiences and sharing knowledge.The division can help to align the skills and knowledge of hundreds of senior volunteer so they can meet needs in our community. Kathy cites the example of retired executives who can provide counsel to young business owners. In addition, she has begun work to create more educational resources and to make information more easily accessible. The County is addressing initiatives, policies and programs to better meet the needs of our seniors. For instance, many people want to be able to live independently yet near their families, so we’ve
A publication of the Elder Services Provider Council
FREDERICK COUNTY DEPARTMENT OF SOCIAL SERVICES Adult Services 301-600-2635 1888 North Market Street, Frederick, MD 21701
Check us us out out at Check atthe the 2018Elder Elder Expo! 2017 Expo!
County Executive Jan Gardner with EXPO lunch coordinator Carole Luber at EXPO 2017 adjusted our laws to allow small living spaces to be built inside an existing home or attached to the home. By providing a more affordable option, more seniors will be able to live their best years in Frederick County.We’ve also expanded our Meals on Wheels program, added in-home aides and program specialists, and partnered with our nonprofits to enhance services to seniors in our community.
Frederick County is blessed to have incredibly hard-working staff and dedicated volunteers who have invested hundreds of hours, and decades of experience and wisdom to prepare for this major shift in Frederick County’s population.Working together, we will ensure a bright future for our wonderful community! Jan H. Gardner, Frederick County Executive
WHITESELL PHARMACY & HOME MEDICAL SUPPLY
Locally owned pharmacy giving professional service for over 60 years.
• Prescriptions • Compounding
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CareFirst MedPlus is the business name of First Care, Inc., which is an independent license of the Blue Cross and Blue Shield Association. ®Registered trademark of the Blue Cross and Blue Shield Association. ®Registered trademark of CareFirst of Maryland, Inc. This is a solicitation of insurance. Contact will be made by an insurance agent. CFMPFE
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Rollators lators • Walkers • Scoote Scooters Wheelchairs • Transport Chairs Mastectomy Supplies • Lift Chairs Diabetic Shoes • Support Hose Retail Store • Ample Parking
Visit us at: 622 N. Market Street, Frederick | Phone: 301-663-6464 | Fax: 301-663-3207
www.WHITESELLS.com A publication of the Elder Services Provider Council
(301) 304-9143
www.shepherds-staff.net ELDER EXPO & CAREGIVER CONFERENCE 2018 17
DO YOU HAVE A PROBLEM WITH FALLING? Physical therapy may be the answer.
As
we get older, it becomes more difficult keeping our balance, making us more prone to falling. Falls are a serious concern for older people, not only because they cause bodily harm, but because they are costly as well. Based on CDC statistics 1 out of 5 falls can cause serious injury such as broken bones or head injury. Each year, 3 million older people are treated in emergency departments for injuries related to falling. In 2015, the medical costs related to falls totaled more than 50 billion dollars. Medicare shouldered 75% of these costs. There are many medical issues and home hazards that can increase the risk of a fall including:
www.espcfrederick.com/elder-expo
Check us out at the 2018 Elder Expo! Public Health Preparedness 301-600-6052
350 Montevue Lane Frederick, MD 21702
eck us ut at t e 201
18 ELDER EXPO & CAREGIVER CONFERENCE 2018
der
A publication of the Elder Services Provider Council
• Lower body weakness. • Vitamin D deficiency. • Vision problems. • Use of medications such as tranquilizers, sedatives, antidepressants and even some overthe-counter medications that affect balance. • Foot pain or poor footwear. • Home hazards such as uneven or broken steps, throw rugs and other clutter that can become a tripping hazard. We have three “balance centers” that help regulate balance and prevent us from falling They are as follows: vision, proprioceptive, and vesitibular. The vision center (our eyes) communicate information about horizonal/vertical to the brain. This information helps our body maintain a normal horizon. The proprioceptive center consists of a small group of proprioceptive nerves. These nerves are located in our joints and relay information concerning our body’s position in space to the brain. The brain reacts accordingly to maintain balance.
Each year, 3 million older people are treated in emergency departments for injuries related to falling. The vesitibular system is located in our inner ear. This system reacts to head movement, communicating to the brain that we are balanced because our head “feels” centered. The visual system is the strongest of the three balance centers; however, a disruption in any of the control centers could cause an individual to have difficulty balancing and thus become a fall risk. One treatment option for people who are having trouble with balance is physical therapy (PT). PT can aid in detecting issues with the balance centers and can strengthen those centers. During an evaluation, a physical therapist will assess a person’s lower body strength and flexibility and administer balance tests. One of the quickest and easiest tests to perform in the clinic to
determine if a person is a fall risk, is the “Timed Get Up and Go” test. In this test, the patient is timed as they get out of chair, walk straight for 10 feet, turn around, walk back to the chair, and sit down. If a patient is unable to complete this test in under 14 seconds, then the patient is considered a fall risk. Physical therapists can also perform tests to discover which balance center(s) may be dysfunctional. This may be done by challenging a patient’s balance with their eyes closed to assess proprioceptive nerves or testing head and eye tracking to assess vestibular function. Physical therapists provide several types of treatment to reduce a patient’s risk of falling including providing education, and prescribing exercise and assistive devices.
Educating patients can include instructing them on how to better arrange their living environment such as, installing a night light to see better when getting out of bed to use the bathroom, picking up loose throw rugs, or installing a grab bar in the shower. Prescribed exercises include those that can be performed in the clinic or at home. These exercises are designed to specifically target and strengthen one or all of the three balance control centers. Physical therapists can also measure patients for appropriate assistive devices like a cane, a walker, or a rollator. In conclusion, falls are a serious issue for older patients. Physical therapy can help seniors who have difficulty balancing or are prone to falls. If you think you might be a risk of falling, talk to your doctor about seeing a physical therapist. Karl Krantz, MPT, OCS, Physical Therapist, Red Canyon Physical Therapy.
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A publication of the Elder Services Provider Council
ELDER EXPO & CAREGIVER CONFERENCE 2018 19
Real Estate TAX CREDITS For Seniors
T
he Frederick County Treasury Department mails over 100,000 real estate tax bills every year. Many seniors who are living on a fixed income find it difficult to pay their tax bills.There are tax credit programs available to assist qualifying seniors including the Homeowners Tax Credit and the Senior Tax Credit. The State of Maryland offers the Homeowners Tax Credit which sets a limit on the amount of property taxes based on the gross income of the household. To be eligible for the tax credit the homeowner must: • Have a legal interest in the property; • Use the property as a principal residence and live there at least six months of the year, including July 1st; • Have a net worth, not including the value of the property or any qualified retirement savings or Individual Retirement Accounts, less than $200,000; and • Have a combined gross household income not to exceed $60,000. The County also offers senior homeowners a Senior Tax Credit
to supplement the State’s Homeowners Tax Credit. The amount of the credit is 20% of the net County property taxes. The Senior Tax Credit is administered by the State and has a different income limitation. To qualify the homeowner must: • Be at least 65 years of age; • Have a gross household income of $70,000 or less; and • Meet all other limitations/requirements of the State’s credit. The County will be enhancing this credit in time for next year’s
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tax bill. The income limitation will increase to $80,000 allowing more seniors to be eligible for the credit. Additionally, the benefit will be increased for those with a lower income. For seniors with a gross household income of $30,000 or less, the credit will be increased to 40% of the net County property taxes. You can apply for both credits using the Homeowner Tax Credit application. The deadline to file an application for the Homeowners Tax Credit and the County’s Senior Tax Credit is September 1st. If you are at least 70 years of age, the deadline is waived and you can file retroactively for the current year plus two prior years.
You must submit an application every year to continue receiving the credits. In addition to these age/income based credits, there is also a Homestead Tax Credit which helps homeowners manage large assessment increases on their principal residence. This credit limits the increase in taxable assessments each year to a fixed percentage or “cap.” Every county and municipality in Maryland is required to set a cap. The Frederick County cap is 5% and the State cap is 10%. Municipalities set their own caps which vary, but all are 10% or less. You must submit a one-time application to establish eligibility. Once this application is submit-
301-694-6262 141 West Patrick Street Suite 300 Frederick, MD 21701 20 ELDER EXPO & CAREGIVER CONFERENCE 2018
A publication of the Elder Services Provider Council
ted, you need not apply again until the property transfers. The credit will automatically be added to your tax bill once you establish eligibility. Finally, the County is in the process of implementing a tax credit beginning in fiscal year 2020 entitled the Elderly Individual and Retired Military Tax Credit. This credit is for eligible homeowners who: • Are at least 65 years old AND • Have lived in the same dwelling for at least the preceding 40 years. OR • Are a retired member of the uniformed services of the United States, the military reserves, or the National Guard.
For more information and to request applications, you may contact any of the following:
Check us out at the
Frederick County Department of Treasury 30 N. Market Street Frederick, MD 21701 301-600-1111 Treasuryquestions@frederickcountymd.gov www.frederickcountymd.gov/treasury
2018 Elder Expo!
Frederick County Department of Aging 1440 Taney Avenue Frederick, MD 21702 301-600-1605 deptofaging@frederickcountymd.gov www.frederickcountymd.gov State Department of Assessments and Taxation 5310 Spectrum Drive, Suite E Frederick, MD 21703 301-815-5350 sdat.fred@maryland.gov www.dat.maryland.gov
The amount of the credit is 20% of the net County property tax and the dwelling must meet the requirements of the Homestead Property Tax Credit. You cannot receive this new credit and the County’s Senior Tax Credit in the same tax year. An eligible homeowner can receive the credit for up to five years.The credit will apply to tax years beginning July 1, 2019 and may have other limitations.
2018 Elder Expo & Caregiver Conference
A great place to hang your hat!
Diane Fox of the Frederick County Department of Treasury
FREE Community Programs & Counseling. We are here to help! • Comprehensive Medication Review • Immunization Services • Free Home Delivery of Medication • Diabetes management and Support • Weight Management Counselling
We are offering seniors, age 50+, FREE daily multivitamins for six months 1100-A W. Patrick St., Frederick
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Edenton provides our residents the opportunity to spend more time on what is important each day. Our community is designed to enhance an independent lifestyle along with the convenience and security of amenities and services.
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It’s Time to Plan Estate Planning & Probate • Wills & Trusts Medical Directives • Power of Attorney Guardianships & Adoptions
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(301) 620-8585 | 100 West Church Street, Frederick, MD 21701
A publication of the Elder Services Provider Council
Independent • Assisted Living Memory Care • Home Care 5800 Genesis Lane Frederick, MD 21703 www.Edenton-Retirement.com 301-694-3100 ELDER EXPO & CAREGIVER CONFERENCE 2018 21
[RSVP con’t. from page 7]
The Help You Need From People You Can Trust Since 1978 we’ve been helping families with high quality, compassionate home health care and telehealth. Visit our table at the expo! Or give us a call!
school youth. RSVP is looking to pair RSVP members with students (10 to 13 years old) and foster those relationships through community service activities, a classroom-based life skills curriculum, and parent-training workshops.This school and community-based program will use trained community health workers to help meet the overall goal of preventing, reducing or delaying the use of alcohol, tobacco, and other drugs and the problems associated with substance use in our middle schools. RSVP is looking for older mentors to act as advocates, challengers, nurturers, role models, and friends, to help youth develop the awareness, self-confidence, and skills they need to abstain from drug use and overcome other obstacles. The mentor is expected to spend at least 4 hours each week throughout the year with their assigned youth. Along with activities such as working on homework or school projects and going to sports events or cultural activities, there is a community service component focusing on interactions with
frail elders. For instance, students are expected to make biweekly visits to nursing homes where they visit with residents for an hour. Students record their experiences in journals and share this information in class.The classroom component is built on a PositiveYouth Development curriculum which promotes social competence.The curriculum teaches life and resiliency skills through didactic instruction, videotapes, journals, role-playing, and homework assignments. There will be workshops and events for parents, youth, and mentors on weekends, and to encourage participation, meals and entertainment are usually provided.When possible, free transportation is provided. Mentors are also encouraged to maintain contact with parents through mail and phone calls. RSVP welcomes seniors to be a mentor for the Across Ages Program, RSVP Council, or a volunteer in any one of the participating RSVP stations. For more information, please call: 301-694-3355 or email: RSVP@ aacfmd.org.
Call (800) 840-9081 www.SpiriTrustLutheranHomeCare.org
Citation: Elizabeth Chung, Executive Director for the Asian American Center of Frederick (AACF)
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Celebrating Life’s Journey
301-663-1690 Boonsboro | Brunswick | Frederick | Mt. Airy | Thurmont | Walkersville
staufferfuneralhome.com 22 ELDER EXPO & CAREGIVER CONFERENCE 2018
SERVICES: • Orthopedic Care • Post-Surgical Care • Sports Medicine • Workers’ Comp • ASTYM • Vestibular Rehabilitation • Balance Training • Trigger Point Dry Needling • Blood Flow Restriction Therapy
Frederick Medical Center Tel: 240-575-9260 Buckeystown Tel: 240-651-1335 Hagerstown Tel: 301-665-3731
WWW.REDCANYONPT.COM
www.REDCANYONPT.com A publication of the Elder Services Provider Council
Join the Retired & Senior Volunteer Program! One of the largest volunteer efforts in the nation!
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DISCOVER REAL DISCOVER REAL POSSIBILITIES POSSIBILITIES IN MARYLAND. IN MARYLAND AARP is in Maryland creating real, meaningful change. We’re proud to help all our communities become the best they can be. Like providing family caregivers with tips to take care of loved ones, helping to make our communities more livable and hosting fun, informative events all across the state. If you don’t think Real Possibilities when you think AARP, then you don’t know “aarp.” Get to know us at aarp.org/md
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A publication of the Elder Services Provider Council
ELDER EXPO & CAREGIVER CONFERENCE 2018 23
Our Mission • To educate the community about issues relevant to older adults and the resources available to them. • To provide an open forum for information exchange among elder service providers. • To advocate for the needs of older adults. • To designate a percentage of our proceeds from events or funds raised in the form of charitable giving to older adults in Frederick County. • To produce an annual Elder Expo in Frederick County.
Thank you to our sponsors
Advanced Home Support Citizens/Montevue
Debra Levy Eldercare Red Canyon Physical Therapy
Right at Home Shepherd’s Staff In-home Care
Carroll Hospice FMH Select
Kannavis Law Offices of Scott A. Morrison, PA
Oasis Senior Advisor Potomac Dental Centre
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