Derma Health Skin & Laser, August 2016 by Healthy Cells Magazine Valley of the Sun

VALLEY OF THE SUN Phoenix east valley area Promoting Healthier Living in Your Community • Physical • Emotional

AUGUST 2016

FREE

HealthyCells

www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

What Happens to My Pet

If Something Happens to Me?

What is Psoriasis?

Down Syndrome and

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Donations can be made online via paypal at www.shoeboxministry.org/ways-to-donate/ AZ residents may qualify for the state tax credit. Financial donors may qualify to take a dollar-for-dollar tax credit when you file your Arizona state taxes. Any donation amount qualifies, up to $200 for single filers or $400 for married filers. Shoebox makes bulk purchases and will put your donations to good use by purchasing items like deodorant for .33 cents each and toothbrushes for only .06 each. PLEASE JOIN US IN MAKING A DIFFERENCE IN THE LIVES OF THE VALLEY’S HOMELESS AND WORKING POOR. DROP OFF LOCATIONS LISTED ON WEBSITE.

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letter from the owner

ummer is nearly over and we’re preparing for another school year. It’s a busy time with all the things to do before that first day. Parents are already faced with increased household cost from the hot summer, and now need to purchase school supplies, clothes, uniforms, and pay school fees. It can be a difficult time for many families. Having spent many years working to provide food and other necessities to those in need, August was always the most difficult month for agencies that help low-income families. It’s the month food pantry shelves are nearly bare and the need is at a peak. If you’re able, consider picking up a few extra items and drop them off at a non-for-profit collection site, or make a monetary donation directly to a food pantry. If you don’t know where your closest food bank is located, the United Food Bank serves the entire East Valley. Visit their website at www.unitedfoodbank.org. Summer is also when United Blood Services struggles to keep up with supplying local hospitals with enough blood to meet the need. Through the end of August, all donors will automatically be entered in a drawing for a chance to win a 2016 Passat. Visit www.BloodHero.com, or call 1-877-UBS-HERO (827-4376) to help save someone’s life. Please enjoy reading this edition of Healthy Cells Magazine ®, and, as always, I welcome your valued opinion and suggestions for health topics in future issues.

Monica Tegg/Owner, Healthy Cells Magazine® East Valley, PO Box 6233, Chandler AZ, 85246 Monica@healthycellsmagazine.com www.healthycellsmagazine.com/phx 480-204-3090 #healthycellsAZ Facebook.com/healthycellsmagazine.phx

www.UnitedFoodBank.org

www.BloodHero.com

July 2016 — East Valley — Healthy Cells Magazine — Page 3

AUGUST

2016 Volume 4, Issue 8

Skin Disease: What is Psoriasis?

Physical: Staying Active and Exercising as We Age

Nutritional: Soothing Peppermint

Emotional: What Happens to My Pet If Something Happens to Me?

Know Your Coverage: Medicare Part B — What Does it Cover?

Emotional Stressors: Bullying and PTSD

Poor Sleep: Down Syndrome and Obstructive Sleep Apnea

Preventative Health: How to Safely Beat the Heat This Summer

In The Community: Young Nurse Donates Kidney to Save the Life of a Complete Stranger

Personal Growth: The Secret to Success

Peace Of Mind: Pre-Planning Funeral Checklist

Senior Health: Would You Recognize Elder Abuse?

This Month’s Cover Story:

Derma Health Skin & Laser Win the Skincare Battle page 14 Cover and feature story photos courtesy of Derma Health

For advertising information, contact Monica Tegg, owner, Valley of the Sun Edition Cell: 480-204-3090 • Fax: 309-691-2187 PO Box 6233, Chandler, AZ 85246 monica@healthycellsmagazine.com www.healthycellsmagazine.com/phx

Healthy Cells Magazine® is a division of: 1327 E. Kelly Ave., Peoria Heights, IL 61616 • Ph: 309-681-4418 • Fax: 309-691-2187 info@limelightlink.com Mission: The objective of Healthy Cells Magazine® is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the East Valley. Healthy Cells Magazine® is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your health care professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine® are not necessarily those of the editors or publisher. Healthy Cells Magazine® is available FREE in high traffic locations throughout the East Valley, including medical facilities and other waiting rooms. Healthy Cells Magazine® welcomes contributions pertaining to healthier living in the East Valley area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

skin disease

What Is Psoriasis? Submitted by Sheriolyn Curry, Mdiv, CSA, Comfort Keepers

Sheriolyn Curry, Mdiv, CSA

he National Psoriasis Foundation sponsors Psoriasis Awareness Month each August to raise awareness, educate people, and dismiss myths about psoriasis. According to the National Institutes of Health, up to 7.5 million Americans have psoriasis. What Is Psoriasis? Psoriasis is a skin disease that causes scaling and inflammation (pain, swelling, heat, and redness). Skin cells grow deep in the skin and slowly rise to the surface. This process is called cell turnover, and it takes about a month. With psoriasis, it can happen in just a few days because the cells rise too fast and pile up on the surface. Most psoriasis causes patches of thick, red skin with silvery scales. These patches can itch or feel sore. They are often found on the elbows, knees, other parts of the legs, scalp, lower back, face, palms, and soles of the feet. They can show up other places such as fingernails, toenails, genitals, and inside the mouth. Who Gets Psoriasis? Anyone can get psoriasis, but it occurs more often in adults. In many cases, there is a family history of psoriasis. Certain genes have been linked to the disease. Men and women get psoriasis at about the same rate. What Causes Psoriasis? Psoriasis begins in the immune system, mainly with a type of white blood cell called a T cell. T cells help protect the body against infection and disease. With psoriasis, T cells are put into action by mistake. They become so active that they set off other immune responses. This leads to swelling and fast turnover of skin cells. People with psoriasis may notice that sometimes the skin gets better and sometimes it gets worse. Things that can cause the skin to get worse include: • Infections • Stress • Changes in weather that dry the skin • Certain medicines How Is Psoriasis Diagnosed? Psoriasis can be hard to diagnose because it can look like other skin diseases. The doctor might need to look at a small skin sample under a microscope. How Is Psoriasis Treated? Topical treatment, applied right on the skin (creams, ointments) may help: • Reduce inflammation and skin cell turnover • Suppress the immune system • Skin peel and unclog pores • Soothe the skin Light Therapy Natural ultraviolet light from the sun and artificial ultraviolet light are used to treat psoriasis. One treatment, called PUVA, uses a combination of a drug that makes skin more sensitive to light and ultraviolet A light.

Systemic Treatment If the psoriasis is severe, doctors might prescribe drugs or give medicine through a shot. This is called systemic treatment. Antibiotics are not used to treat psoriasis unless bacteria make the psoriasis worse. Combination Therapy When you combine topical (put on the skin), light, and systemic treatments, you can often use lower doses of each. Combination therapy can also lead to better results. Have questions or need support? Sheriolyn Curry is a certified senior advisor, a pastor, and a coach. Comfort Keepers of Chandler has provided all levels of care and a wide variety of support services in the southeast valley for 15 years. Caregivers are certified and have on-going training to give them all the skills to be the best caregiver they can be. For additional information, call 480-659-9201, visit comfortkeepers.com or email chandler@comfortkeepers.com. Se habla español. Source: National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) Photo credit: Suze777/iStock August 2016 — East Valley — Healthy Cells Magazine — Page 5

physical

Staying Active and Exercising as We Age

Sergio Rimola

Submitted by Sergio Rimola, Director of Vibrant Living, Generations at Agritopia

aking exercise a regular part of your daily routine will have a positive impact on your health and your quality of life as you get older. Staying physically active and exercising regularly can: • help improve mood and reduce feelings of depression • help manage or improve diabetes • help manage or improve heart disease • help manage or improve some types of cancer Exercise also helps people with high blood pressure, balance problems, or difficulty walking. Being physically active can also help you stay strong and fit enough to keep doing the things you like to do and stay independent as you get older. For example, improving endurance can make it easier to work in the garden. Increasing muscle strength can make it easier to lift a grandchild or climb stairs. Improving balance helps prevent falls, and being more flexible can help you reach for items on kitchen shelves. What is the difference between exercise and physical activity? Exercise is a form of physical activity that is planned, structured, and repetitive such as weight training, tai chi, or an aerobics class. Physical activities are activities that get your body moving such as gardening, walking the dog, and taking the stairs instead of the elevator. Including both in your life will provide you with health benefits that can help you feel better and enjoy life more as you age. How can increasing my endurance help me with everyday activities? Endurance, or aerobic, activities like brisk walking or swimming increase your breathing and heart rate and improve the health of your heart, lungs, and circulatory system. Increasing your endurance can make it easier for you to vacuum, work in the garden, and play sports. How can increasing my muscle strength help me with everyday activities? Strength exercises like lifting weights and using resistance bands can increase muscle strength. Lower-body strength exercises also will improve your balance. Increased muscle strength can maintain your ability to: • climb stairs • carry groceries • open jars • carry a full laundry basket from the basement to the second floor • carry your smaller grandchildren • lift bags of mulch in the garden Page 6 — Healthy Cells Magazine — East Valley — August 2016

How can improving my balance help me with everyday activities? Balance exercises like tai chi can improve your ability to control and maintain your body’s position, whether you are moving or still. Good balance is important to help prevent falls and avoid the disability that may result from falling. Improving your balance can help you: • prevent falls • stand on tiptoe to reach something on the top shelf • walk up and down the stairs • walk on an uneven sidewalk without falling How can increasing my flexibility help me with everyday activities? Flexibility, or stretching, exercises can help your body stay flexible and limber, which gives you more freedom of movement for your regular physical activity as well as for your everyday activities. Improving your flexibility makes it easier for you to:

• l ook over your shoulder to see what’s behind you as you back the car out of the driveway • make the bed • bend over to tie your shoes • reach for a food item on a kitchen shelf • pull a sweater on over your head • swing a golf club But it’s too hot to go outside, what exercises can I do without leaving my home? You don’t need to leave the house to be physically active. When the weather is too hot or too cold, or you don’t feel like getting dressed to go out, there are ways you can exercise right in your own home. You can: • dance to music on the radio or a CD • lift hand weights, soup cans, water bottles, or resistance bands while watching TV • do floor exercises like thigh stretches and hip stretches • d o leg lifts while holding on to a sturdy chair, counter, or wall for support • m arch in place or walk around the room while talking on the telephone • take a few extra trips up and down the steps at home to strengthen your legs and build endurance • w ork out with an exercise DVD. Get “Everyday Exercises,” the free exercise DVD from the National Institute on Aging at: nia. nih.gov/health/publication/go4life-dvd • w hile putting your groceries away, strengthen your arms by lifting the milk carton or a one-pound can a few times

•w alk on the treadmill, ride the stationary bike, or use the rowing machine that’s gathering dust in your bedroom or basement • vacuum, mop, sweep, or dust those hard-to-reach areas • play ping pong with the grandkids • t ake advantage of small bits of “down time” to do an exercise or two. For example, while you’re waiting for the coffee to brew or for your spouse to get ready to go out, do a few wall push-ups or calf stretches Eating a nutritious diet and maintaining a healthy weight are only part of a healthy lifestyle. Regular physical activity is important to the physical and mental health of almost everyone, including older adults. Being physically active can help you stay strong and fit enough to keep doing the things you enjoy and to stay independent as you get older. Together, healthy habits such as physical activity, a balanced diet, and not smoking will help you achieve the best of health. Always consult with your physician before starting a new exercise routine. Generations at Agritopia offers vibrant living with an extensive array of services and amenities for independent living, assisted living, and memory-care residents, giving them the freedom to enjoy what matters most. Join us Fridays at 10am for a movie, lunch, and tour; please RSVP to 480-485-2000. We are located within the master plan of Agritopia, near Higley and Ray Roads in Gilbert, 2811 E. Agritopia Loop S. Find us on the web at generationsseniorliving.com or email us at info@generationsseniorliving.com. Photo credit: Susan Chiang/iStock

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nutritional

Soothing Peppermint By Rose Moeser, DC, Absolutely Chiropractic and Essential Oils

Rose Moeser, DC

he peppermint plant is a hybrid of watermint and spearmint plants and has its earliest origins documented in the late 1700’s. A high menthol and menthone content distinguishes the best quality peppermint from other products. Peppermint essential oil has a minty, fresh, herbaceous aroma. Frequently used in toothpaste and chewing gum for oral hygiene, peppermint also helps alleviate occasional stomach upset and promotes healthy respiratory function. Peppermint continues to be one of the most widely used and favorite essential oils. There are three main ways to use peppermint essential oil. It may be diffused for aromatic purposes by placing three to four drops in the diffuser of your choice. Another common way to use peppermint essential oil is to apply it topically by placing one to two drops diluted with a carrier oil, such as fractionated coconut oil to minimize any skin sensitivity, to the desired area. A note of caution: possible skin sensitivity. Keep out of reach of children. If you are pregnant, nursing, or under a doctor’s care, consult your physician. Avoid contact with eyes, inner ears, and sensitive areas. Peppermint essential oil possesses many health benefits: • Promotes healthy respiratory function and clear breathing • Promotes digestive health • Repels bugs naturally Here are a few ways to use peppermint oil every day: • Use a drop of peppermint essential oil with lemon essential oil in water for a healthy, refreshing mouth rinse. • Take one to two drops in a veggie capsule to alleviate occasional stomach upset. • Add two to three drops to your favorite smoothie recipe for a refreshing and soothing twist. • Place one drop in palm of hand with one drop orange essential oil and one drop frankincense essential oil and inhale for a refreshing midday energy boost. Healthy, fun way to bake with peppermint essential oil: Baking with essential oils is a fun way to make healthy and tasty treats for your friends and family. First, make sure you are using certified therapeutic grade essential oils in your recipes. High levels of menthol and menthone (the active constituents in peppermint) are present in peppermint essential oil that is extracted through steam distillation of the whole plant, and stored in a dark colored glass container. There are tons of fun recipes using peppermint essential oil; here is an easy one to try out! Peppermint Black Bean Brownies Black bean brownies are a delicious and nutritious twist to a traditional chocolate brownie. You might be nervous about baking with black beans, but don’t be — they have a very mild flavor and are extremely rich, creamy, and full of protein. You can also boost the flavor of your brownie with essential oils such as peppermint, wild orange, cinnamon, or even lavender.

Page 8 — Healthy Cells Magazine — East Valley — August 2016

Health Highlights: Since these aren’t your typical brownies, the ingredients contain some pretty impressive health benefits. Here are just a few health highlights of Black Bean Brownie ingredients. Black Beans: Black beans contain a substantial amount of fiber, which can be beneficial for diabetics. Studies show that type-1 diabetics with high-fiber diets can achieve lower blood glucose levels, and those with type-2 diabetes can improve their blood sugar and insulin levels with a high fiber intake. Coconut Oil: Studies have shown that coconut oil can help improve cardiovascular risk factors, which could lead to a reduced risk of heart disease long term. Honey: Honey contains phytonutrients that contain antibacterial and antiviral properties that will boost the immune system, making it easier to fight against the flu and common colds. Ingredients: 1 15 oz. can black beans, drained and rinsed 2 large eggs 1/4 cup cocoa powder 2/3 cup honey 1/3 cup coconut oil 1/2 tsp. baking powder Pinch of salt 4 drops Peppermint essential oil 3/4 cup chocolate chips, divided

Jason C. Harrill, D.P.M., FACFAS Scott N. Maling, D.P.M., FACFAS Mark R. Pipher, D.P.M.

MESA LOCATION 1520 South Dobson Road, #307 Mesa, AZ 85202

Directions: Preheat oven to 350 degrees Fahrenheit. Place all ingredients, except for chocolate chips, in blender or food processor and blend until smooth. Pour batter into large bowl and stir in ½ cup chocolate chips. Pour into greased 8x8-inch pan and top with ¼ cup chocolate chips. Bake 30-35 minutes or until toothpick comes out clean. To find more great recipes and healthy tips, like our Facebook page. Call our office today to set up your complementary aromatouch session with Dr. Rose Moeser. You can even try the most popular essential oil blends before you buy them, absolutely risk free! Dr. Rose Moeser is a doctor of chiropractic, specializing in sports medicine, auto accident, and wellness care. She is a former member of the George Mason University women’s cross country and track teams. She graduated from New York Chiropractic College in 2008. For more information visit www.absolutelychiropractic.net or call 571-426-5176. Photo credits: nata_vkusidey/iStock, 5PH/iStock

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August 2016 — East Valley — Healthy Cells Magazine — Page 9

emotional

What Happens to My Pet if Something Happens to Me?

Brenda T. Nielsen, JD

By Brenda T. Nielsen, JD, Dana and Associates LLC

early two-thirds of Americans (62 percent) have at least one pet in their household, and 95 percent of pet owners consider their pets to be members of their family. Animals are our best friends, our companions, and sometimes, the only family we have. They depend on us for their care and comfort. As their caregivers, we are responsible to make sure their care is uninterrupted if we become incapable of caring for them ourselves. While pet owners buy birthday presents for their pets, cook for them, and even take out health insurance policies on them, only between 12 and 27 percent of pet owners have provisions for their pets in their estate planning documents. Hotel heiress Leona Helmsley, who died in 2007, made headlines with the news that her Maltese, Trouble, was her biggest heir. Helmsley left a $12 million trust fund for Trouble in her will. Michael Jackson left his chimp, Bubbles, $1 million to ensure he would have a “secure long-term future,” and talk show host Oprah Winfrey has reportedly set aside $30 million for her beloved dogs. The rich and famous provide for their pets, but what about the 99.9 percent of Americans who don’t have large estates and notoriety? You don’t have to be rich and famous to plan for your pet’s care in the event you become incapacitated or die. Most states Page 10 — Healthy Cells Magazine — East Valley — August 2016

provide that a trust for the care of a designated domestic or pet animal, known as a Pet Trust, is valid and legally enforceable. A Pet Trust provides for the care and maintenance of your animals in the event of your death or disability. Animals are legally considered to be your personal property, and you may leave a pet to a beneficiary through a Last Will and Testament. Because animals are property, however, you cannot leave property (cash or other assets) to your property (your pet). A Will cannot enforce demands that the beneficiary must care for the pet, nor does a Will provide for the care of your pet if you are incapacitated. Through a Pet Trust, you can set aside a specific amount of money to be managed by a person you designate (the “Trustee”) for the benefit of the animals that survive you. In the Pet Trust, you, as creator of the Trust, are known as the “Trustor.” The person you designate as Trustee will hold property (cash, for example) “in trust” for the benefit of your pet. The Trustee has a legal obligation to deliver the funds and the pet to your designated caregiver, who must use the funds solely for the benefit of your pet. Not only will the Trustee distribute the funds you have directed to be used for the care of your pet, but he can ensure that the person caring for your pet follows your instructions.

A Pet Trust document should direct appropriate veterinary care, a safe environment, a proper diet, and regular exercise for your pet. It can be very detailed so that you can, for example, specify your pet’s preference for certain foods, instruct that your pet be taken for daily walks, or be seen by a veterinarian periodically. It can also be specific regarding the diagnosis and treatment of any pain or disease which your pet may experience. You need to provide the following information for your Pet Trust: • Name and address of a trustee and successor trustee • Name and address of a caregiver and successor caregiver • A dequate identification of your pet to prevent fraud (through photos, microchips, DNA samples, or designating a class such as “all pets owned by me at the time of my incapacity or death”) • D etailed description of your pet’s standard of living and care (note whether certain pets need to be kept together) • Name and address of your pet’s veterinarian, groomer, etc. • Require regular inspections of your pet by the Trustee • D etermine the amount of funds needed to adequately cover the expenses for your pet’s care and specify how the funds should be distributed to the caregiver (calculate the cost to raise a domestic animal, based on the life expectancy of your pet) • D etermine the amount of funds needed to cover the expenses of administering the pet trust • D esignate a remainder beneficiary in the event the funds in the pet trust are not exhausted • P rovide instructions for the final disposition of your pet

A Pet Trust is valid during the pet owner’s lifetime and after death. Pet Trusts can ensure that the pet owner and pet remain together in the event the owner moves to a nursing home or other long-term care facility. The New York Times reported that nursing home residents live longer when a pet is present, and efforts are made today to keep pet owners with their pets when possible. Pet Trusts terminate when there are no surviving animals that were alive and named in the trust document when the original owner died. Any money remaining is distributed according to the beneficiary designation in the trust document. Oftentimes, pet owners choose to leave a portion of the funds remaining after their pet’s death to the facilities that kept the owner and pet together, or to a shelter, sanctuary, or rescue facility. Pet Trusts offer pet owners peace of mind as they guarantee a secure future for beloved pets. Most pet owners shower love on their pets during their lifetime; it makes sense to continue that love by ensuring the proper comfort and care of one’s pets beyond the incapacity or death of the pet owner. It is advisable to set up your Arizona Pet Trust with the help of an Arizona attorney who specializes in estate planning. Call today for a free consultation with Dana and Associates. Our attorneys can help you review or create a plan, giving you peace of mind knowing your family will be taken care of. Each estate plan we create is tailored to your unique situation. Call 480-924-4424, or visit our website at dana.legal. We have offices in Mesa, Chandler, Scottsdale, and Payson. Photo credit: Antonio_Diaz/iStock

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Call for your free consultation. August 2016 — East Valley — Healthy Cells Magazine — Page 11

know your coverage

Medicare Part B What Does it Cover? Submitted by Diane Richmond, RTA Homecare

s of July 1, 2016, Medicare has implemented changes in contracts for coverage of Medicare Part B.

• Preventive services: Health care to prevent illness (like the flu) or detect it at an early stage, when treatment is most likely to work best.

What does Medicare Part B cover? Medicare covers services (like lab tests, surgeries, and doctor visits) and supplies (like wheelchairs and walkers) considered medically necessary to treat a disease or condition. If you’re in a Medicare Advantage Plan or other Medicare plan, you may have different rules, but your plan must give you at least the same coverage as Original Medicare. Some services may only be covered in certain settings or for patients with certain conditions.

You pay nothing for most preventive services if you get the services from a health care provider who accepts assignment.

Part B covers 2 types of services • M edically necessary services: Services or supplies that are needed to diagnose or treat your medical condition and that meet accepted standards of medical practice. Page 12 — Healthy Cells Magazine — East Valley — August 2016

Part B covers medical services like: • Clinical research • Ambulance services • Durable medical equipment (DME) • Mental health • Inpatient • Outpatient • Partial hospitalization • Getting a second opinion before surgery • Limited outpatient prescription drugs

“Planning ahead and knowing what services and who may supply them in advance of your need will reduce stress and confusion for yourself and loved ones.” Two ways to find out if Medicare covers what you need: 1. Talk to your doctor or other health care provider about why you need certain services or supplies, and ask if Medicare will cover them. If you need something that’s usually covered and your provider thinks that Medicare won’t cover it in your situation, you’ll have to read and sign a notice (ABN) saying that you may have to pay for the item, service, or supply. 2. F ind out if Medicare covers your item, service, or supply. Medicare coverage is based on 3 main factors 1. Federal and state laws. 2. N ational coverage decisions made by Medicare about whether something is covered.

3. L ocal coverage decisions made by companies in each state that process claims for Medicare. These companies decide whether something is medically necessary and should be covered in their area. Planning ahead and knowing what services and who may supply them in advance of your need will reduce stress and confusion for yourself and loved ones. Trying to make informed decisions when in a “crisis mode” often leads to more confusion, frustration, and addition out-of-pocket costs. RTA is proud to be once again on the list of suppliers, and is looking forward to assisting our consumers in all areas of their medical equipment needs. Please come into one of our showrooms and see all of the available items that may assist in making you or a loved one’s life safer, more independent, and comfortable while raising the quality of life. Mesa Location: 319 South Power Road, Suite 100, 85207, phone 480-844-0100. Casa Grande location: 1275 East Florence Blvd, #4, Casa Grande, AZ 85122, phone 520-836-9300. Visit RTAhomecare.com. Se habla español. We Carry Oxygen, CPAP, Urology and Wound Care supplies, Wheelchairs, Walkers, Rollators, Power Chairs, Scooters, Portable Oxygen Concentrators, and more. RTA Homecare, “Where patients are our priority.” Photo credit: AZarubaika/iStock

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www.Tri-CityAudiology.com August 2016 — East Valley — Healthy Cells Magazine — Page 13

feature story

By Derma Health

Did you know that Botox can be used for more than just anti-aging issues? If you suffer from migraines, want to reduce excessive sweating, or diminish deep bands on the neck, Botox can significantly help reduce symptoms. It can be used to treat other medical issues including muscle disorders.

ummer is an excellent opportunity to let your skin shine. It is also a good time to reassess your skincare needs and fix problems. If you struggle with skin issues, you may feel like your only option is to spend the summer hiding behind heavy concealers and foundations. Moreover, correcting skin issues can make you feel like you’re fighting a constant battle to find the right skincare products and treatments that actually work. If you’ve spent countless hours and dollars on expensive department store beauty products, cleansers, and serums with little results, it’s time to consider the advantages of working with true skincare experts, like those at Derma Health. At Derma Page 14 — Healthy Cells Magazine — East Valley — August 2016

Health, 97 percent of patients have said they would refer our services to a friend or family member, and they do! The evidence is in our growth to multiple locations, each location chosen for its convenient accessibility. With the help of science and technology, many of your skincare issues can be eliminated and controlled with professional skincare treatments. Whether you want to address wrinkles, sullen or dull skin tones, acne, sun damage, or remove stubborn facial hair, at Derma Health you’ll find the latest and best treatments. You can have the beautiful, younger-looking skin you’ve always wanted without the risk of surgery.

Botox and Facial Fillers You can’t stop getting older, but you can do a lot to reverse the signs of aging. Botox and facial fillers offer a more youthful appearance by reducing fine lines and wrinkles. If you have been curious about Botox and other facial fillers, now is the time to seek advice from the professionals at Derma Health. We are one of the largest providers of Botox and fillers in the state of Arizona, and have been serving and growing our list of satisfied patients for over a decade. Although Botox and facial fillers may sound similar, in reality, these professional skincare treatments offer patients different results. Botox Cosmetic A natural purified solution made from proteins that work by blocking the overactive nerve impulses that cause wrinkles and fine lines to appear on the face and neck. Botox can open the eye area, reduce eyelid hooding, effectively eliminate crow’s feet, and even soften frown lines around the lips. Additionally, Botox can help reduce the appearance of frown lines between the eyebrows, around your eyes and forehead. Facial Fillers The natural collagen levels and elastin production in the skin begins to decline as we age. The skin becomes dryer, thin, and the ability to rejuvenate itself diminishes. As children, our skin is full of Hyaluronic Acid (HA), but as we age, the levels gradually begin to decrease, leaving behind a less supportive structure. This is where fine lines and wrinkles begin to develop. Facial fillers can lift and smooth the problem areas on the face by targeting the folds in the skin, effectively reducing the appearance of wrinkles. Facial fillers essentially add volume to the areas of the face that tend to sag from age. Rather than going through painful, costly plastic surgery procedures, facial fillers can provide patients a more youthful appearance in less than an hour. The final result is softer, more radiant skin that lasts for up to 24 months. From reducing fine lines and wrinkles to helping find solutions to treat the delicate areas on the skin, Botox Cosmetic and facial fillers can provide you with the youthful skin you want and deserve.

Did you know that Botox is certified in the medical and cosmetic fields? It is the safest and most popular brand of facial filler. Derma Health is one of the largest providers of Botox in the state of Arizona. Facial Lasers Professional facial laser treatments can dramatically increase how your skin looks and improve the health of your skin. Decreased collagen production is a major factor in how our skin reacts to aging. As the most abundant protein in the body, collagen provides our skin with the strength and elasticity it needs to rejuvenate itself. Sadly, as we age, collagen production slows down and virtually stops all together around the age of 30. Physical attributes of decreased collagen production are wrinkles, fine lines, and saggy skin. With the help from the experts at Derma Health, facial laser treatments can diminish the signs of aging and give you firmer, younger-looking skin. August 2016 — East Valley — Healthy Cells Magazine — Page 15

feature story

continued How Does It Work? Professional laser hair removal is a noninvasive method to permanently remove unwanted facial and body hair. The process includes covering the eyes with a shield and trimming the surface hair to a few millimeters above the skin’s surface. A low-energy laser beam will be used by a highly trained professional to remove the unwanted sections of hair on the face and body. The result is smooth, hair free, and soft. Unlike waxing, electrolysis, or razors, laser hair removal can target larger sections of the body with minimal discomfort and no downtime after the appointment. You can go from fuzz to fabulous in no time. Health and Wellness There is no other way to get around it. Healthy skin starts from within. This means even with the assistance of professional skincare treatments and skincare products, nourishing your body from the inside out is the most beneficial thing you can do to achieve the skin you want. Living a healthy lifestyle combined with exercise and a nutritious diet can help keep your skin looking and feeling its best. Every Derma Health location offers free consultations with our naturopathic doctors and a complimentary 3-tiered skincare analysis to guide you in achieving your health and wellness goals. We treat the whole person, inside and out.

Facial fillers provide a subtler look compared to Botox injections. This allows for the fillers to decrease over time, making the appearance less dramatic as the fillers wear off. Additional Benefits The three major benefits of facial laser treatments are better skin tone, texture, and firmer skin. Professional laser treatments can significantly increase the elasticity of your skin while increasing collagen production. If you struggle with redness, enlarged pores, sun damage, or uneven texture and tone, a facial laser treatment can help provide a path to exceptionally beautiful skin. How Facial Laser Treatments Work The treatment process consists of removing the outer layer of the skin with pulsating beams of light. Administered by highly trained skincare professionals, the treatment process is short with very little downtime required. Once the skin has healed, the healthy, new skin underneath is revealed. Adding facial laser treatments to your skincare regime will provide a solid foundation for other skincare treatments. It can also assist with eradicating acne scars, discoloration, freckles, and hyperpigmentation. If you are tired of battling with stubborn skin issues, facial laser treatments at Derma Health are an excellent option to increase the health and look of your skin. Laser Hair Removal Most women can attest that the annoying fuzz on their face needs to go. Even though it is nearly invisible to the naked eye, facial hair is a nuisance. It makes applying makeup difficult and even contributes to personal insecurities. Laser hair removal experts can offer a fast, convenient option to removing body and facial hair without the mess. As a Healthy Cells Magazine reader, you can receive $100 off a Laser Hair Removal package from the specialists at Derma Health. Page 16 — Healthy Cells Magazine — East Valley — August 2016

Skincare Routine Breakdown All skincare regimes should include a cleanser, toner, and moisturizer. Additional serums and retinols can be used to assist with wrinkles and fine lines. Good cleansers will remove excess oil and dirt, plus help reduce the appearance of fine lines and pores. Of course, supplementing with professional treatments rich in active ingredients will benefit the skin in a multitude of ways. A skincare regime that coincides with professional skin treatments is the most effective way to ensure your skin stays healthy, nourished, and clean. Recognizing that everyone’s skin is different, the friendly skincare professionals at Derma Health develop personalized skincare recommendations for our patients. Cleanse, Tone, Moisturize, Repeat. Cleansers are everywhere and there are almost too many to choose from, but did you know that some of the ingredients in the cleansers you use can actually be harmful to your skincare? Cleaners with artificial fragrances can actually encourage skin pigmentation, while alcohol dries out the skin and can speed up the aging process. Visiting with one of the friendly professionals at Derma Health can help you find the right cleanser, toner, and moisturizer for your specific skin type and needs. Facial lasers, facial fillers, and professional skincare treatment options can offer an array of skincare benefits including eradicating the signs of sun damage. With a little help from highly trained and experienced skin care professionals, like those at Derma Health, you can achieve the glowing, healthy skin you want without having to surrender to expensive plastic surgery. At Derma Health, we never “sell” products or procedures. We believe in a philosophy of empowering our patients with knowledge and offering recommendations to guide them in making their own choices when it comes to the health and care of their skin. For skin care health that is safe and offers the assurance of over 10 years’ experience, onsite naturopaths, and over 40,000 patients served, visit one of Derma Health’s many convenient locations. Start your beauty transformation today.

Derma Health Skin & Laser dhiskin.com/health 602-903-3011

emotional stressors

Bullying and PTSD By Evan van Driel, ND, True Resilience Integrative Medical Solutions

Evan van Driel, ND

n interesting thing about neurology is that memories are easier to recall when there are strong emotions associated with them. For example, most people who can’t tell you what they ate for breakfast yesterday can remember exactly where they were when 9.11 happened. An example of this happening is a soldier who has returned from war who goes into alarm mode every time they hear a loud noise. How can somebody who has been through the trauma of wartime ever return to living a normal life if they are constantly being triggered into a fight or flight response every time they hear a loud noise? Another example is a child that’s being bullied. When being teased or treated poorly by his peers, negative feelings and emotions will be associated with school or other places they interact with the bully. The more embarrassing or painful the situation is, the stronger the physical stress response and the stronger the memory associated with the situation. Now, since this memory is imprinted on the child, anytime they are in a similar situation, their body will go through that same stress response. Just like Pavlov’s dogs, who salivated when they heard a bell. And thanks to stimulus generalization, if a child is speaking with someone who has a similar tone of voice, looks similar, or smells something similar to the bullying situation, their body will automatically go through that conditioned stress response, sometimes without them even knowing why. This formation of an “emotional complex” happens automatically, and can lead to psychological symptoms like anxiety, depression, withdrawal, agitation, and aggression. Suppressed emotions that aren’t dealt with can even manifest themselves as, or contribute to, physical disease. Suppressed emotions that aren’t dealt with tend to undermine health in the long term. Some things that you can do to help with emotional trauma and decrease stress include: • Let it flow, and then let it go. • Meditation, a few minutes a day can help ease anxiety. • Journaling or talking with somebody about the stressor can help. • Exercise, being active and working towards goals can help reduce anxiety and stress.

If these techniques do not help or the stress returns, it may be time to seek the help of a professional that can offer other options like: • Using homeopathy to take the edge off of the stress. • Use heart focused techniques as taught by The Heartmath Institute in order to improve resilience to stressful situations. • Neuro-Emotional Technique, designed to dissociate the emotional response from a certain thought or situation that causes stress. These therapies are very effective in helping a person change the way that they react to a situation so it doesn’t have control over them. It can also help to decrease physical pain and improve metabolic function if they are caused by mental or emotional stress. For more information or to schedule a free consultation, call 602-753-6373. See our schedule of upcoming events at trueresilienceims.com. Our office is located at 1257 W. Warner Road, Suite B4, Chandler, AZ, 85224. Photo credit: Pamela Moore/iStock

August 2016 — East Valley — Healthy Cells Magazine — Page 17

poor sleep

Down Syndrome and Obstructive Sleep Apnea

Beth Hamann, DDS

Shari Aftahi, DMD

Submitted by Koala Center for Sleep Disorders

any can relate to the frustration that comes from lack of sleep. Whether it’s your child struggling to go to sleep or stay asleep, or it’s you who’s waking up not feeling rested, it can be taxing for all involved. However, if you are a parent or caretaker of someone with Down Syndrome (DS), there may be more at stake than a good night’s sleep. One disorder that could be to blame is Obstructive Sleep Apnea. In fact, the National Down Syndrome Society (NDSS) suggests that 50 to 100 percent of individuals with DS also have sleep apnea, and up to 60 percent of children with DS have had abnormal sleep studies by the age of four.

What is Obstructive Sleep Apnea? Obstructive Sleep Apnea (OSA) involves complete obstruction of the airway, which can occur when the tongue and muscles relax during sleep, the lower jaw falls back toward the throat, or the airway becomes blocked. These obstructions may cause a person to stop breathing and briefly awaken hundreds of times a night. Symptoms of OSA include snoring, interrupted sleep, partial or total awakenings, high blood pressure, insomnia, and more. According to the National Sleep Foundation, over 18 million Americans suffer from obstructive sleep apnea, and 90 percent go undiagnosed. Obstructive Sleep Apnea and Down Syndrome While OSA is relatively uncommon in children within the general population, those with DS are at a very high risk for developing the disorder due to their specific anatomy. Some of the factors that lead to this higher incidence include the flattened midface, a large tongue, low muscle tone in the mouth and airway, and Page 18 — Healthy Cells Magazine — East Valley — August 2016

enlargement of the adenoids and tonsils, according to the NDSS. Furthermore, the incidence of OSA only increases with age, as evidenced in a 2009 study for the Journal of Clinical Sleep Medicine. The study found that adults with Down Syndrome frequently have obstructive sleep apnea. However, because the complications of untreated sleep apnea, such as cardiovascular disease and impaired cognitive function, often overlapped with those already associated with Down syndrome, incidences of OSA in adults with Down syndrome often went unreported. Similarly, a 2006 study for the American Medical Association found many children with DS to have OSA even when their parents did not

report abnormal sleep patterns. As such, every effort should be made to recognize the signs of OSA so that it can be diagnosed and treated before serious complications arise. What to Watch For It is important that parents and caretakers of children and adults with DS be on the lookout for the signs of OSA, which, according to a 2004 study for Down Syndrome News and Update, include snoring, coughing, choking, restlessness, unusual sleep positions, sweating, and stopped breathing. Additionally, children may show signs of irritability and sleepiness during the day as well as developmental delays and impaired cognition resulting from lack of oxygen during sleep. Treatment Options Because a number of these signs are often written off as normal for children or adults with Down Syndrome, a sleep study should be performed to rule out OSA. The new American Academy of Pediatrics healthcare guidelines recommend a baseline sleep study for all children with DS by the age of four. If the sleep study determines that your child does have OSA, there are several treatment options available depending on the severity, including surgical removal of the enlarged tonsils and adenoids, or treatment with a CPAP. Adults with Down Syndrome should also have sleep studies done since OSA health risks increase with age. Adults may be treated with oral appliance therapy, which is approved by the American Academy of Sleep Medicine as an excellent treatment option for patients with mild to moderate OSA. Combination therapy with an oral appliance and low pressure CPAP may be needed

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Call 602-357-9845 to RSVP for those with severe OSA. The purpose of the appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep. Oral sleep appliances are covered by most medical insurance plans and Medicare. For more information about sleep apnea, oral appliance therapy, and how the appliance can conquer sleep apnea, fatigue, headaches, and other health conditions, please contact Koala Center for Sleep Disorders at KoalaSleepCenters.com/Phoenix–Biltmore or call 602-357-9845. Photo credit: DenKuvaiev/iStock

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preventative health

How to Safely Beat the Heat This Summer

Phillip Pileggi, DO

By Phillip Pileggi, DO, FastMed Urgent Care

ummertime means summer fun in most households, and that means all of the classic warm weather activities like hiking, water sports, and theme parks, just to name a few. But in Arizona, where the average highs spike above 100 throughout the summer, it’s critical to take steps to prevent heat and sun-related illnesses. Our state has a wealth of beautiful national parks and lakes perfect for weekend getaways. Keep in mind when exploring that it can be difficult to get help or first aid in many areas, and you may even be several hours away from the nearest urgent care, emergency service, or hospital. Read on to learn how to keep your family safe in the heat this summer. Weather forecasters and health officials often use terms like “extreme” or “excessive” heat to describe weather conditions, but it’s important to understand that heat advisories are not simple warnings about bothersome heat or humidity and how they might affect your plans; they’re vital signals on how to stay safe in the hot weather. Of course, these precautions are even more significant when activities might be taking place far away from professional medical care, such as on a boat or a wilderness hike. Is the sun’s radiation actually worse during the summer? Even if temperatures remain relatively low in your area, the sun’s UV radiation tends to be much more powerful during the summer due to seasonal orbital shifts. The UV Index, released for every zip code in America by the National Weather Service, measures the amount of skin-damaging ultraviolet rays expected to reach Earth’s surface. Rated from 1 to 11+, the UV Index is a great way to know when to be extra prepared with sunscreen and other protective measures. Ultraviolet radiation penetrates many solid objects, so it’s always necessary to wear sunscreen if you’ll be outside.

Page 20 — Healthy Cells Magazine — East Valley — August 2016

Who is most at risk? Young children have much more trouble regulating their body temperature compared to adults, and you’ll want to pay close attention to any children who will be outside in the summer heat. Also, there are types of medication that can increase sensitivity to the sun or make it more difficult to stay hydrated. Make sure you ask your doctor about any medications or complications that might need to be planned for. Let’s not forget our furry friends; many pets regulate their body temperatures differently than humans, and it’s important to keep an eye on any animals that might be outside during a heat wave. What are the most common heat-related illnesses? • Heat Rash — Skin irritation and blisters caused by sweating • Sunburn — Burns from skin exposure to the sun’s rays • Heat cramps — Muscle pains and spasms from overheating • H eat exhaustion — Dehydration and fatigue from heavy sweating/exercise • H eat/Sun stroke — A medical emergency when body heat exceeds 105 degrees What are some ways to prevent heat-related problems? Stay hydrated. This means drinking lots of fluids, and the right kind. Steer clear of alcohol, and any coffees or teas that might have caffeine or extra sugar. Fruit juice can be a delicious beverage, but its high sugar content might not be the best option if water is available.

Never leave a child (or pet) in the car. Every year there are deaths from children being left in automobiles. Even if it’s only 70 or 80 degrees outside, a car can become superheated in no more than 30 minutes to an hour. Simply leaving the windows cracked won’t cut it. Phillip Pileggi, DO is a healthcare provider at FastMed Urgent Care, serving patients of all ages. To contact Dr. Pileggi or find a FastMed Urgent Care near you, visit FastMed.com. Photo credit: Cat London/iStock, SbytovaMN/iStock

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Eat for the heat. Eating small meals, low in protein, can lower your metabolic rate and internal temperature. Wear loose clothing. This will protect your skin, and add a layer of protection for UV radiation. Loose clothing allows your skin to breathe and regulate its own temperature. Wear sunscreen. This should go without saying, but it’s always important to have sunscreen on if you’re going to be outside. Remember to apply 30 minutes before you’ll be in the sun, as this gives proper time for absorption. Don’t forget to reapply consistently, and read the bottle’s application directions. If you’ll be partaking in water sports or athletics, it’s likely a good idea to purchase sunscreen made to resist sweat and water.

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in the community

Young Nurse Donates Kidney to Save the Life of a Complete Stranger Submitted by Dignity Health

young nurse recently saved the life of a total stranger by donating one of her kidneys. In giving her kidney, Kate Burris, 27, Scottsdale, became the first altruistic kidney donor at Dignity Health St. Joseph’s Hospital and Medical Center and part of a small, but growing number of people in the U.S. who give one of their kidneys to a stranger. Jim Ensslin, 56, Peoria, received Burris’ life-saving gift and was the 10th patient in St. Joseph’s kidney transplant program, which received CMS accreditation in December. “I just thought, I don’t need this kidney. Somebody else does,” Burris says. After the March 22 surgery, Burris told Lisa Scharnow, RN, kidney transplant coordinator at St. Joseph’s, that she wanted to meet the recipient of her kidney. Ensslin agreed, and the two met four days later, as Burris was leaving the hospital. There was an “immediate connection,” says Ensslin, who has lived with kidney disease for 17 years. “Kate’s gift was the greatest gift ever. It will allow me to have a regular life, to keep going and not be sick the rest of my life.” Burris, too, was deeply touched by their meeting. “I’m just so happy to see him doing well,” she says. “It’s not just him I’m helping — I’m helping his wife, his mom, his kids. I didn’t realize how many people I was helping. It’s an awesome feeling. I would donate again if I could.” Giving a kidney to a stranger was virtually unheard of 20 years ago when transplant centers worried about donors’ motivation, emotional and mental health, and medical risks. Today, health care professionals realize that, for some people, donating a kidney gives the same kind of personal satisfaction that donating blood or giving to charity does. In 2014, there were 17,107 kidney transplants in the United States, 11,570 from deceased donors and 5,537 from living

donors, like Burris. Of the living donors, 181 designated their kidney to go to a stranger — 3.2 percent of all living donations that year, compared to 1.1 percent in 2001. Burris, who is a nurse and a blood donor, says she first became interested in altruistic kidney donation while watching an old episode of Grey’s Anatomy. “As I was watching it, I wondered, ‘Why couldn’t I do this?’” After hours of research, Burris says, “I couldn’t find any reason not to donate. The risks to me were so minimal that I felt the benefits outweighed the risks.” At St. Joseph’s, Burris underwent a series of screenings to assess her physical, emotional, and psychosocial health. “We wanted to understand what was driving her desire to donate,” says Scharnow. “We wanted to make sure she was in a good place to make such a profound decision.” Burris and Ensslin have both returned to work. Ensslin, who says he has much more energy now, has multiple business trips scheduled in the next few weeks. “Donors like Kate are important to the future of organ donation,” says Dr. Jeffrey Brink, Ensslin’s transplant surgeon. “There are far too few kidneys for the current need.”

For more information, please contact Sara Baird at 602-406-3312.

Photo courtesy of Dignity Health Page 22 — Healthy Cells Magazine — East Valley — August 2016

personal growth

The Secret to Success Keith Dorson

By Keith Dorson, Win Win Fire Teams LLC.

“ There are no secrets to success. It is the result of preparation, hard work, and learning from failure.” — Colin Powell.

orry to disappoint you with a promising title, but the truth is there is no shortcut to success. Everyone who has done something great has put effort into it, working their way through tough obstacles and trials. From earning a degree to changing the world, every goal takes the same basic principles of discipline to achieve. Some work is required for the past, present, and future of every goal: planning and preparing beforehand, working hard to attain the goal, and learning from the failures along the way. Achieving a goal also takes patience and the acceptance of failure. Preparation is the first step to success, almost a pre-step before the work begins. Preparation involves knowing the subject or issue at hand. It includes making arrangements or plans for upcoming events and familiarizing yourself with tools or people needed for the task. Without preparation, even the hardest workers can find themselves stuck in regrettable situations they cannot work their way out of easily. The best mountain climber cannot descend the mountain without a rope. Hard work is the core of achievement. It is simply the grit to burn the midnight candle at both ends night after night and doing what has to be done, even if you are the only person willing to do it. Working hard is not an easy task and it rarely receives the praise it deserves, however, it is the key to reaching our goals. Determination needs to be strong enough to push us and make us do what we need to, which means passion is another driving element of success. No one wants to fail, but everyone does. What matters from our failures is what we learn from them. Failing allows us to find our weaknesses and correct them, or at least figure out what not to do. Thomas Edison was the master of learning from failure and the spirit of relentless pursuit of a goal: “I have not failed, I have found 10,000 ways that won’t work.” Learning is our greatest gift, the burning curiosity to know more. If we learn from everything we do, we begin making less mistakes and move toward success more swiftly. A simple beauty of life is that we have the opportunity to try and fail repeatedly until we learn and begin

to succeed. As soon as we stop trying success in unreachable. Until then, we have every opportunity to make it. Along the path to success, there are potholes of failure and each time we step in one, we learn where to step to avoid it. We all have goals and we all can achieve them. Sadly, we have yet to discover a method to instant success. Lessons on success can be taken from any number of places throughout history, yet the common strands to success stay constant. From the simple goals in our personal lives to changing the world for the better, every goal takes work. Achieving anything noteworthy takes time, patience, and experience. Through preparation, dedication, passion, hard work, and the experience that only comes from mistakes, we can work toward our personal triumphs and succeed. Mention this article when you call our office and receive a free ½ hour consultation with a WinWin business coach. Win Win Fire Teams can be reached at 480-890-0100, or by email at kdorson@winwinfireteams.com or visit winwinfireteams.com “You’ll be amazed at your results” Photo credit: andresr/iStock August 2016 — East Valley — Healthy Cells Magazine — Page 23

peace of mind

Pre-Planning Funeral Checklist By David Allen, Legacy Funeral Home

or many, it feels like there’s an overwhelming amount of things to think about! In all honesty, taking control of the important things in life just feels good; you know it’s the right thing to do for you and your family. Prepare Laying the foundation for a well-thought-out plan for you or a loved one takes a bit of time, but it’s worth every moment spent. After all, you’re setting the stage for a more relaxed and enjoyable life because you’ll have the peace of mind preparedness brings. Here’s what to do to get started: • P repare a contact list of individuals who should be notified in a medical emergency or death • Write an obituary or simply jot down information you would like included in an obituary • D ecide where obituary and memorial information should appear Choose the type of service you would like, including the burial you prefer, and make those arrangements. You will need to decide: • Cemetery lot location • Casket type; cremation urn type • Vault or sectional crypt • Type of service: religious, military, non-denominational, or fraternal • T he contact details for the funeral home you designate to care for you • Pallbearers, music, flowers, scripture, or other readings • C harity to receive donations in lieu of flowers, if donations are preferred • S elect the speakers and the eulogies that you would want to represent you • D ecide what organizations or church will benefit from memorial donations in your name Arrange and Delegate The people who know and care about you will be there when you need them. You only need to provide them with instructions, important financial details, and then relax. You’re in good hands. • G ive your Executor a copy of your Will. Safety deposit boxes are often opened up during the estate settlement process, long after the funeral. Any funeral planning documents therein can be of no help to your executor. Page 24 — Healthy Cells Magazine — East Valley — August 2016

•M ake sure your representative has a list of important account information or telephone numbers for retirement plans, insurance policies, investments, bank accounts, safe-deposit boxes, properties, preferred law and accountant firms, and mortuaries. Remind your personal representative that the Social Security Administration will need to be called and, if you’re receiving benefits such as those from the Veteran’s Administration, they should be contacted as well. • Designate a power of attorney to ensure that proper information can be accessed in the event of your illness or death. Make sure a durable Power of Attorney for Health Care and a Living Will are in place so your wishes are carried out if you are unable to do so. • M ake arrangements for telephone and utilities services, and newspaper and magazine deliveries to be cancelled. Pay for: • Cemetery and memorialization services • Funeral arrangements, including clergy, florist, and transportation • Make arrangements for pets to find a new home Contact us for a personal appointment with no obligation for additional information. Call Legacy Funeral Home at 480-725-9696. Legacy Funeral Home strives to offer affordable plans, for any budget, without sacrificing the care and service that a family-owned funeral home should offer. You are always welcome to come into one of our locations in Chandler or Peoria, to see for yourself what we have to offer you or your loved one. You will find a caring, compassionate staff, and beautiful facilities. Photo courtesy of Legacy Funeral Home

senior health

Would You Recognize Elder Abuse? By Cathy Peterson, Gemini Hospice LLC

lder abuse can be as subtle as a change in someone’s behavior to the more obvious bruises and pressure marks found on their body. The victims of elder abuse are often frail, vulnerable, and unable to help themselves and rely heavily on others to meet their needs. Unfortunately, those who abuse the elderly are often people they know and trust, including family members, friends and caregivers.

Cathy Peterson

you should start questioning what is going on. It is not your role to verify the abuse is happening, but merely to alert others of your suspicions. If someone is in immediate danger, call 911 or the local police. If it’s not immediate, but you suspect that abuse has occurred or is still occurring, contact the Adult Protective Services in the state where the elderly person resides. • Arizona Adult Protective Services: 602-542-4446 • The Eldercare Locator: 1-800-677-1116 Be prepared to give the elder person’s name, address, contact information, and details regarding your concern. It’s important to remember that the older person has a right to refuse services offered by Adult Protective Services. For additional information or if you or a loved one needs Hospice, we can help. Gemini Hospice is family-owned and operated with care and compassion being our main goals. Call 480-883-1353 or visit www.geminihospice.com. Photo credit: pojoslaw /iStock

What to Look For Although the signs listed below don’t necessarily indicate abuse, they are definitely telltale signs that there could be a problem. Bruises, pressure marks, broken bones, abrasions, burns, AL unexplained withdrawal from normal activities, sudden change in alertness, unusual depression, bruises around the breasts or geniALL CAREGIVERS/CNA’S ARE NOW W-‐2 tal area, sudden changes in financial situations, bedsores, unatALL CAREGIVERS/CNA’S ARE NOW W-‐2 EMPLOYEES! Serving the East Valley tended medical needs, poor hygiene, unusual weight loss, belit(eﬀec:ve 1 0/12/15) EMPLOYEES! tling, threats, use of power and control by spouses and strained or (eﬀec:ve 10/12/15) tense relationships between caregiver and elderly persons. Below Market Rates: Abuse can come in many forms, including: 12 Hour ShiFs $17.00/hour BeAer • Physical Abuse: Inflicting physical pain or injury (slapping, bruis4 -‐ 11.5 Hours $19.00/hour Caregiver ing and restraining) L ive I n $ 260/day + Rm/Board Below Market Rates: Pay = BBelow eAer Market Rates: •S exual Abuse: Non-consensual sexual conduct of any kind Caregivers 12 Hour ShiFs Shorter Below $17.00/hour shiAs a vailable, carket all for pricing. M R ates: 12 Hour Shifts BeAer • Neglect: The failure by those responsible to provide food, shelter, $17.00/hour 4 -‐ 1 1.5 H ours $ 19.00/hour 12 H our S hiFs Caregiver BeAer health care, or protection for a vulnerable elder the M arket ates: 19.00/hour V alley Hours Pay = B eAer Caregiver Hours $ 11.5 4 -‐ 1 $1.5 260/day +RRm/Board 4 -E ast Serving • E xploitation: The illegal taking, misuse, or concealment of Live In Below 12 H our S hiFs 17.00/hour L ive I n $ 260/day + Rm/Board CALL U S T ODAY funds, property, or assets of a senior for someone else’s benefit Pay = BeAe Caregivers BeAer Shorter hiAs vailable, 4 -‐s 1 1.5 aH ours call for p ricing. $19.00/hour • E motional Abuse: Inflicting mental pain, anguish, or distress Caregivers Caregiver Live In $270/day available, all for pricing. Pay = BeAer Live In Shorter s hiAs $260/day +cRm/Board on an elder person through verbal or nonverbal acts (humiliating, intimidating or threatening) Caregivers shifts available, call for pri Private Pay – Veteran’s Aid & A2endance -‐ Long Term CShorter are Insurance Shorter s hiAs a vailable, c all f or p ricing. • Abandonment: Desertion of a vulnerable elder by anyone who Serving the East Valley Ways to Pay: Serving t he E ast V alley has assumed the responsibility for care or custody of that person. Pay – Veteran’s Aid & Attendance – Lon Private • Self-neglect: Characterized as the failure of a person to perform Serving the East V alley essential, self-care tasks and that such failure threatens his or her own health or safety.

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