VALLEY OF THE SUN Phoenix east valley area Promoting Healthier Living in Your Community • Physical • Emotional
APRIL 2017
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Flip-Flops: Risky Foot Comfort Why a Caregiver? Treatment Option for Receding Gums
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APRIL 2017
pril is the month we recognize and thank the millions of people of all ages that give so generously by volunteering. According to the Corporation for National Community Service, about twenty-five percent of Americans offer their skills and time to organizations, churches, schools, and other needs within the community, totaling 7.9 billion hours each year. Having worked for non-profits for many years, I know first-hand the impact volunteers make and how much their service is needed and appreciated. A great big “thank you” to all volunteers! April is also Stress Awareness Month, so this edition includes articles with tips to help. It is important to find new ways to reduce the stress in your life and know the warning signs that can affect your health, both physically and mentally. Whether you are caring for a loved one, needing to change your daily diet, or starting a new fitness plan, we hope you find useful information in this issue of Healthy Cells Magazine. Remember, it’s never too late to start a healthy lifestyle and improve your quality of life.
COMMUNITY CALENDAR OF EVENTS
5TH
(First Wednesday) Alzheimer’s Support Group, 5:30pm,Gardens of Ocotillo, info/ RSVP, (480) 208-8700
12th
(Second Wednesday) First Responders & their spouses free support group, 6-7:30pm, info@infinitehw.com or call (480) 448-1076 for info or to RSVP.
14th
Good Friday
16
th
Easter Sunday
19
TH
(Third Wednesday) Alzheimer’s Support Group, 5:30pm,Gardens of Ocotillo, info/ RSVP, (480) 208-8700
19th
(Third Wednesday) Dementia Caregiver Support Groups, 1-2:30pm, Mariposa of Gilbert, RSVP: 480-545-8900. (Separate activity/snack for your loved one).
22nd
Earth Day
Happy Easter,
Monica Tegg/Owner, Healthy Cells Magazine Monica@healthycellsmagazine.com 480-204-3090
®
25
DNA Day
27
Free Event – Learn ways that psychiatric and naturopathic medicine can help patients and caregivers, 5:30pm, open to public, www.neurology-associates.com or call Leslie at (480) 389-2785 for info or to RSVP.
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Post your events on our website at: www.healthycellsmagazine.com/PHX/events
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April 2017 — East Valley — Healthy Cells Magazine — Page 3
APRIL
2017 Volume 5, Issue 4
5
Importance of Sleep: Crucial Need for Sleep and the Shocking LifeThreatening Consequences of its Absence
This Month’s Cover Story:
6
Physical: Talking With Your Doctor and Discussing Sensitive Topics
The Mariposa Way - Surpassing Expectations
8
Nutritional: Cross Healthy Vegetables off Your List
10
Emotional: Living in an Intergenerational Household
12
Dental Health: Treatment Option for Receding Gums
13
Community News: Navigating the Unchartered Waters of the Senior Referral Specialist
14
Estate Planning: Digital Asset Update
15
Mental Well-Being: Reduce Your Stress!
19
Healthy Goals: Mind Over Matter
20
Footwear: Flip-Flops – Risky Foot Comfort
21
Senior Care: What To Do When a Loved One Needs Help
22
Medication: Big Results With Small Changes
22
Funeral Preplanning: The Importance of Education
24
Women’s Health: Endometriosis – Prevention & Treatment
25
Quality of Living: Creating Stress-Reducing Habits
26
Mariposa Point of Gilbert page 16
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 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.
Healthy Cells Magazine® is a division of: In-Home Care: Why a Caregiver?
1327 E. Kelly Ave., Peoria Heights, IL 61616 • Ph: 309-681-4418 • Fax: 309-691-2187 info@limelightlink.com
importance of sleep
National Geographic’s “Sleepless in America� Exposes Crucial Need for Sleep and the Shocking Life-Threatening Consequences of its Absence
Beth Hamann, DDS
Submitted by Beth Hamann, DDS, Koala Center for Sleep Disorders
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ecently, the National Geographic Channel aired “Sleepless in America,� a two-hour documentary that explores the importance of sleep in an increasingly sleepless society. The program was produced through the combined efforts of National Geographic, The Public Good Projects, and the National Institutes of Health (NIH). Scientific data and personal accounts are used throughout the documentary to appeal to Americans to get the necessary seven to nine hours of sleep needed each night. The documentary covers a range of topics from drowsy driving to sleep disorders to the myriad of health problems associated with poor sleep. The takeaway point is this: ours is a severely sleep-deprived country, and the repercussions of this compounded sleeplessness may be fatal. NIH researchers have helped to shed light on a variety of health problems, from obesity to depression to heart disease, which can stem from chronic sleep problems. One such disorder is Obstructive Sleep Apnea (OSA), a condition impacting millions of U.S. adults. Unfortunately, according to the NIH, up to eighty percent of these adults don’t even know they are affected. OSA is a condition characterized by complete and partial airway obstructions, which can occur when the tongue and muscles relax during sleep, the lower jaw falls back toward the throat, or the airway becomes blocked. A typical sequence of OSA occurs when a person stops snoring and is silent for seconds or minutes. The brain may cause the body to jerk in an attempt to wake the sleeper so breathing will resume. The silence may end with a loud snort, cough, or gasp. This causes the sleeper to wake briefly and begin breathing. Once asleep again, the muscles relax and the airway becomes blocked, cutting off the airway again. This cycle can occur hundreds of times per night. Additional warning signs of OSA may include headaches, high blood pressure, daytime sleepiness, insomnia, diabetes, depression, and more. If left untreated, OSA may lead to heart attack, stroke, and death. Thankfully, doctors like those at the Koala Center for Sleep Disorders are working to educate Americans on sleep disorders like OSA and to provide non-invasive treatment measures that can improve side effects and symptoms for patients struggling with sleep apnea.
If you are experiencing symptoms of OSA, consider asking your physician for a sleep study, which can determine whether or not you have OSA and, if so, how severe it is. Treatment options include lifestyle changes, surgery, Continuous Positive Airway Pressure (CPAP), and Oral Appliance Therapy. While CPAP is one of the most common treatments for OSA, Oral Appliance Therapy has proven to be an effective, scientifically-based treatment alternative that patients may find more comfortable and easier to use. 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 appliances are similar to athletic mouth guards but less bulky and completely non-invasive. Oral sleep appliances are covered by most medical insurance plans and Medicare.
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For more information about sleep apnea, Oral Appliance Therapy WR \RX IURP XV and how the appliance can conquer sleep apnea, fatigue, headaches, EULQJ WKLV FRXSRQ LQ DQG UHFHLYH RII SXUFKDVHV and other health conditions, please contact ZLWK D WUDQVIHUUHG SUHVFULSWLRQ ‡ QHZ FXVWRPHUV RQO\ Koala Center for Sleep Disorders at 602-357-9845 or visit KoalaBiltmore.com to schedule a Sleep Apnea Screening today. # ! # # ! # 1RW YDOLG IRU VWDWH RU IHGHUDOO\ IXQGHG SUHVFULSWLRQ SODQV RU ZLWK DQ\ RWKHU RIIHU
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April 2017 — East Valley —  Healthy Cells Magazine — Page 5
physical
Talking With Your Doctor and Discussing Sensitive Topics
Dale Russell
Part Two of Two Submitted by Dale Russell, Gardens at Ocotillo
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uch of the communication between doctor and patient is personal. To have a good partnership with your doctor, it is important to talk about sensitive subjects, like sex or memory problems, even if you are embarrassed or uncomfortable. Most doctors are used to talking about personal matters and will try to ease your discomfort. Last month we discussed driving, fear of falling, alcohol, DNR, grief, and depression. Incontinence Older people sometimes have problems controlling their bladder. This is called urinary incontinence and it can often be treated. Depending on the type of incontinence you have, the doctor may recommend exercises, suggest helpful ways to change your habits, prescribe useful medications, or advise surgery. If you have trouble controlling your bladder or bowels, it is important to let the doctor know. To bring up the topic, you could say something like: “Since my last visit, there have been several times that I couldn’t control my bladder.” Page 6 — Healthy Cells Magazine — East Valley — April 2017
Memory problems Many older people worry about their ability to think and remember. For most older adults, thinking and memory remain relatively intact in later years. However, if you or your family notice that you are having problems remembering recent events or thinking clearly, let your doctor know. Be specific about the changes you’ve noticed. For example, you could say: “I’ve always been able to balance my checkbook without any problems, but lately I’m very confused.” Your doctor will probably want you to have a thorough checkup to see what might be causing your symptoms. Concerns about dementia In many cases, memory problems are caused by conditions such as depression or infection, or they may be a side effect of medication. Sometimes, the problem is a type of dementia, such as Alzheimer’s disease. With a careful family history, physical exam, medical tests, and tests of memory and problem solving, specialists can diagnose Alzheimer’s with a high degree of
accuracy. Determining the cause of memory problems is important to help the doctor, patient, and family choose the best plan of care. Although there is no cure for Alzheimer’s, medicines can help for a while, especially in the early stages of the disease. Treatments (medication and non-medication) can also ease serious behavioral symptoms such as agitation, anxiety, and depression. Support groups and education are important and can help patients and caregivers. If you are worried about memory problems and Alzheimer’s disease, you can contact the Alzheimer’s Disease Education and Referral (ADEAR) Center, a service of the National Institute on Aging. ADEAR staff can assist with the following: • Answer specific questions about Alzheimer’s • Send free publications • Refer callers to local resources • Provide information about clinical trials • Help you find materials about specific issues Family problems Even strong and loving families can have problems, especially under the stress of illness. Although family problems can be painful to discuss, talking about them can help your doctor help you. Your doctor may be able to suggest steps to improve the situation for you and other family members. If you feel that a family member or caregiver is taking advantage of you or mistreating you, let your doctor know. Some older people are subjected to abuse by family members or others. Abuse can be physical, verbal, psychological, or even financial in nature.
Your doctor may be able to provide resources or referrals to other services that can help if you are being mistreated. Feeling unhappy with your doctor Misunderstandings can come up in any relationship, including between a patient and doctor or the doctor’s staff. If you feel uncomfortable with something your doctor or his or her staff has said or done, be direct. For example, if the doctor does not return your telephone calls, you may want to say something like this: “I realize that you care for a lot of patients and are very busy, but I feel frustrated when I have to wait for days for you to return my call. Is there a way we can work together to improve this?” Being honest is much better for your health than avoiding the doctor. If you have a long-standing relationship with your doctor, working out the problem may be more useful than looking for a new doctor. At Spectrum Retirement, we believe that life is colorful, fun, and musical. In 2017, our communities will celebrate the power of music through existing and new programs. Some of these initiatives include an intergenerational music program to benefit youth organizations, Spark Memories Radio, a streaming music app designed to trigger memories; as well as an ongoing palette of arts, crafts, and music activities that don’t just entertain, but support the whole person. For more information, visit www.GardensatOcotilloSeniorLiving. com, call 480-428-6417 or stop by and take a tour today! We are located at 1601 W. Queen Creek Road in Chandler.
April 2017 — East Valley — Healthy Cells Magazine — Page 7
nutritional
Cross Healthy Vegetables off Your List Submitted by Koelsch Senior Communities
S
t. Patrick’s day has passed, and your kitchen still smells like slow-cooked cabbage. You know the aroma. The faintly detectable smell that has no discernable source, yet it haunts you occasionally like an annoying, flatulent ghost. It’s the same smell that causes shrugs and accusing glances in the break room after you reheat some broccoli or stir-fried vegetables. Cabbage and its close relatives are notorious for their occasionally odoriferous emissions, a fact that can make them a hard sell to kids and picky eaters alike. Some other folks find these vegetables to be unpalatably bitter due to their genetics: a common variation called the “taster gene.” Despite common misgivings, cabbage and its kin make for some truly economic and healthy dishes. Most seasons of the year, cabbage is dirt cheap, and it is always filling. It is also packed with nutrition and multiple health benefits. Cabbage belongs the Brassicaceae family of plants: a classification whose members possess four petals arrayed in a cross pattern. The leafy configuration is responsible for the plant
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family’s former name, Cruciferae, and the casual designation that most of the members now fall under: cruciferous (literally meaning “full of cross-bearing”). Other members of this family include broccoli, cauliflower, kale, brussels sprouts, watercress, mustard greens, collard greens, turnips, and radishes. You’ve probably been hearing a lot about this family of vegetables lately, likely you’ve heard kale on the lips of every diet and health food junkie, and you’ve probably seen it cooked, baked, and blended into just about everything imaginable — some concoctions more appetizing than others. Even though certain members of the classification have become the focus of a few new fad diets, cruciferous vegetables offer real health benefits. Based on nutrient content, the USDA classifies cruciferous vegetables into both the dark-green vegetable and “other vegetable” categories, meaning that they are important not just generally for dietary diversity and health, but that some members offer unique vitamin and mineral content. Broadly, most cruciferous
Cauliflower & Sweet Potato Chowder
here’s nothing better than soup gone chowder, with great textures and flavor. In this delicious recipe, fresh basil pairs with sweet potato and cauliflower, a delightful combo. Cauliflower is readily available in the winter season, but this chowder is great year-round. Cauliflower is part of the cruciferous family of vegetables, which contain phytochemicals that have demonstrated the ability to arrest the growth of cancer cells. Makes six 1 1/2-cup servings Ingredients: 3 ¼ c vegetable broth 4 large shallots, minced ½ c celery, chopped 6 c cauliflower florets (about 1 medium head) 1 c chopped red bell pepper 1 medium sweet potato, peeled and cut into 1/2-inch cubes (about 1 1/2 cups) 1 bay leaf 1 c unsweetened soymilk 2 Tbsp finely chopped fresh basil kosher salt to taste freshly ground black pepper to taste
Directions: 1. Heat 1/4 cup of the vegetable broth in a large saucepan over medium heat. Add the shallots and celery and sauté for 5 minutes. Add the remaining 3 cups broth and 1 cup water and bring to a boil. 2. Add the cauliflower, bell pepper, sweet potato, and bay leaf and bring to a boil. 3. Reduce the heat, cover, and simmer for 20 minutes. Remove the bay leaf. 4. Add the soymilk. For a heartier consistency, purée all the soup in batches or just half the soup. Add the basil and season with salt and black pepper.
Per serving (1/6 of recipe): calories: 92; fat: 1.1 g; saturated fat: 0.2 g; calories from fat: 9.8%; cholesterol: 0 mg; protein: 4.4 g; carbohydrate: 18.5 g; sugar: 8.6 g; fiber: 4.2 g; sodium: 723 mg; calcium: 94 mg; iron: 1.4 mg; vitamin C: 90.5 mg; beta-carotene: 3857 mcg; vitamin E: 0.9 mg Recipe from The Get Healthy, Go Vegan Cookbook by Dr. Neal Barnard and Robyn Webb
Page 8 — Healthy Cells Magazine — East Valley — April 2017
vegetables are excellent sources of fiber (cholesterol reduction, bowel regularity, hunger management), folate (red blood cell production), and vitamins C (healing, iron absorption), E (organ function, blood pressure, antioxidant function), and K (helps to produce blood clotting). They also contain several carotenoids (beta-carotene, lutein) that promote ocular health. One of the other infamous properties of cruciferous vegetables is their aforementioned unflattering, sulfurous odor when boiled or steamed. The same compound responsible for their notoriety may actually be one of the greatest benefits of cruciferous vegetables. The leafy, often fibrous plants contain a glucosinolate named sulforaphane that not only produces odors reminiscent of flatulence when saturated with water and heated, but might also be a potent cancer-fighting compound. The actual science is forthcoming, but a strong observational link — about 70 percent of studies produced positive correlation — between consumption of the sulforaphanes in cruciferous vegetables and cancer prevention. Some of effects of sulforaphane consumption certainly lend themselves to cancer prevention; when consumed, they, along with other pungent glucosinolates in similar plants, can inactivate some carcinogens, protect the DNA from damage, reduce inflammation, prevent tumors from developing a blood supply, and induce the death of improperly functioning cells. Essentially, they have the necessary arsenal to help prevent tumors from developing, but they show the strongest promise in fighting breast, prostate, lung, and colorectal cancers. Other studies are hoping that developing evidence may also link cruciferous vegetable consumption to a reduction in pancreatic and esophageal cancers and perhaps prove effective against the most deadly skin cancer, melanoma.
Before you start to infuse all of your dishes with purée of cruciferous vegetables in order to ward off cancer, it should be mentioned that there is a modest drawback to them. Some cruciferous vegetables can exacerbate existing thyroid malfunctions, specifically hypothyroidism. Mostly, the risk comes from eating the vegetables raw; simply cooking crucifers before you eat them should be enough to avoid irritating any thyroid condition. It should also be mentioned that it takes a great deal of raw cruciferous veggies to impact thyroid function. Really, it takes a lot. Unless you eat large portions of crucifers at every meal for weeks, the risk is minimal. As with most things, moderation is the wisest course of action and variety can keep things fresh. If you have an existing thyroid condition, consult your physician before attempting any kitchen experiments with cruciferous vegetables. Otherwise, start working some crucifers into your diet, the only thing you really have to lose is houseguests if you steam broccoli a few times a week. At Koelsch Senior Communities, our experienced staff can ease your mind by facilitating the move-in process and in many cases accommodate “express move-ins” in one day! We are Memory Care experts, exclusively designed to provide personalized memory care, 24 hour on-site licensed nursing, respite stays and hourly care. Stop by or schedule a tour at one of our three properties, Scottsdale Amber Creek Inn, (480)471-8265; Chandler Copper Creek Inn, (480) 634-4191 or Mesa Silver Creek Inn, (480) 636-1222. Visit www.koelschseniorcommunities.com to learn more. Author: Benjamin Goodin
HE DIDN’T WANT A FUNERAL.
He wanted a cigar & poker night.
Dan DiPomazio, CPA, PLLC 1820 E Ray Road, Suite A113 Chandler, AZ 85225
If you want a farewell done well, call Hilary.
Office – 480-264-5140 Cell – 602-524-2004 Fax – 480-264-5142 dan@dipomaziocpa.com Helping individuals and companies with personalized accounting services, tax planning and tax preparation. April 2017 — East Valley — Healthy Cells Magazine — Page 9
emotional
Living in an Intergenerational Household
Kris Patmos and Kimberly Perkins-Akers, CSA owners
By Kimberly Perkins-Akers, Amada Senior Care Southeast Valley
C
ome on over to our house around 5:30pm and enjoy dinner with our intergenerational family. That is right. We do not consider ourselves a multigenerational as the term “multi” signifies more than one or composed of many parts. “Inter” means between, among, mutual, or reciprocal. With eight people ranging from 79 to five-years old, our family is definitely intergenerational as our lives are intertwined living underneath one household. According to the Pew Research Center, one in five Americans lives in a multigenerational household with two or more adult generations. This recent trend is growing in America, especially after the Great Recession of 2007 to 2009. However, in collectivist cultures, interdependent multigenerational living is a deep tradition. As our country becomes a melting pot of old and new family values, it can help to understand the pros and cons of having your parents live with you. If you’re on the fence as to whether or not this is a good decision, this article is meant to help you decide. Page 10 — Healthy Cells Magazine — East Valley — April 2017
Pros • Emotional reward If you are privileged enough to have a healthy relationship with your parents, you may benefit from their guidance and company. Having your parents become part of your home opens you, your spouse, and your children to their wisdom, loyalty, and love. You will also reap the reward of giving your parents the quality of care and life they deserve. After the lifetime of parenting they have given you, it can be extremely fulfilling to return the favor. • Help with daycare Though many parents are not capable of childcare, some who are can be valuable to your home. Should you have daycare needs while working or housekeeping, elderly parents can offer babysitting or pet-sitting relief. The average cost of full-time daycare for kids up to the age of four has reached $9,589 a year, which is just under the average cost for in-state college tuition. It is convenient to have
a trusted and able loved one at home for childcare, most ideally for free. Having your parents live with you can be a win-win situation where your daycare costs are eliminated and your parents get to enjoy the presence of young family. • Time As your parents age, their time with you diminishes inevitably. Time is a precious commodity that can go undervalued. In a busy life, it is easy to put off spending quality time with parents when you are apart. During the time that they have left, living with them automatically gives you quality time together. Even better, your parents will be with family, where time can disappear in the warmth of a loving home. Cons • Financial cost With your parents at home, there will be increases in obvious expenses, such as food, water bills, electric bills, and remodeling. You should also consider the costs of their medical needs, clothing, and the time you may need to take off work to care for them. Faced with a potential increase in expenses, you may fear financial cost despite wanting your parents home with you. However, remember you have the ability to receive aid from federal cash benefits, direct private pay, long-term care insurance, tax exemptions, and tax benefits when your parents live with you. • Privacy Changing your family dynamic and living arrangements may also change the amount of privacy you have in your home. Living with additional people inevitably reduces space for you and anyone else in your family. When it comes to sharing bathrooms, the kitchen, the living room, and possibly remodeling it all for mobility issues,
would you be willing to adjust for your parents? Luckily, healthy boundary setting can solve privacy issues. Clear communication and respectful enforcement of those boundaries ensures that privacy is upheld. • Time When it comes to investing your time while your parents are at home, think about your daily routine now compared to how it will be when they move in. If you already find yourself strapped for time because of work, kids, relationships, household tasks, your commute, or errands, you may not have much time left for your parents. Especially if your parents have senior care needs, there may be too much that comes along with them for you to handle. Of course, should you decide it is necessary to open your home to your elderly parents; balanced time-management is your solution. These are just a few aspects when considering an intergenerational family. As for our house, the benefits outweigh the challenges. The key is open and healthy communication from the youngest in age to the oldest in the home. If you are considering an intergenerational family, and want to discuss more detail specifics, my family is happy to sit with yours and have open dialogue and share what we have learned as we are now three years into this journey as an intergenerational family. Call Kimberly at Amada Senior Care at 480-999-5250. Amada Senior Care offers three types of services for seniors and their families including in-home private care, senior housing advisement, and financial care coordination with long-term care insurance or Veterans’ Aid and Attendance. Visit www.AmadaMesa.com.
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April 2017 — East Valley — Healthy Cells Magazine — Page 11
dental health
Treatment Option for Receding Gums
Chase Davis, DDS
Pinhole Gum Rejuvenation Is Scalpel-Free, Suture-Free and Graft-Free By Chase Davis, DDS, Chandler Dental
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um recession is the process where the margin of the gum tissue that is the protector of the teeth wears away or moves back, exposing more of the tooth and root. If left untreated, the supporting tissue and bone structures of the teeth can be severely damaged and may ultimately result in tooth loss. Gum recession is extremely common and many patients do not know they have gum recession because it gradually occurred. The first signs of gum recession are tooth sensitivity, noticing teeth look longer than normal, or feeling a notch in the tooth. Why do gums recede? There are numerous causes: • Periodontal disease, often caused by bacteria that hide beneath the gum, destroying gum tissue and the supporting bone that holds teeth in place. • Aggressive tooth brushing with too much force or with a hard toothbrush. • Hormonal changes during a woman’s lifetime can make gums
more sensitive and more vulnerable to receding. • Tobacco products users are more likely to have sticky plaque on their teeth that can cause gum recession. • Clenching or grinding can put too much force on the teeth, causing gum recession.
Before
Prior to the new technique for correcting gum recession, we would remove tissue from After the palate and reposition it to the area of recession. This was a predictable way to fix the defect, but post-op pain was quite significant. The Pinhole Surgical Technique, or Pinhole Gum Rejuvenation, was developed by Dr. John Chao. It is scalpel-free, suture-free, graft-free, and practically pain-free. Through a small hole made in the gums, specially designed instruments are used to gently loosen the gum tissue and glide it over the receded part of the tooth. Since there is no cutting or stitching, patients can expect minimal post-operative symptoms (pain, swelling, bleeding). Patients are always pleasantly surprised by the instant cosmetic improvement.
Top 10 Benefits of the Pinhole procedure: 1. Can correct gum recession in as little as one treatment session (effec:ve 10/12/15) 2. Minimal discomfort and swelling in most cases because the method is scalpel-free, suture-free, and graft-free 3. Long-term results per the International Journal of Periodontology & Below Market Rates: Restorative Dentistry (October 2012) 12 Hour ShiFs $17.00/hour BeAer 4 -‐ 11.5 Hours $19.00/hour 4. The pinholes heal in 24 hours in most cases Caregiver Live In $260/day +Rm/Board Pay = BeAer 5. Only two over-the-counter pain pills required after treatment on Caregivers average. Shorter shiAs available, call for pricing. 6. Can prevent tooth loss and the need for other costly procedures such as implants or dentures. Serving the E$19.00/hour ast Valley 12 hour shifts 7. Treatment sessions can be completed in as little as one to two hours 7-11 hour shifts CALL US T$20.00/hour ODAY in many cases. $21.00/hour (4 hour – 6.5 hour) 8. Can create a more youthful and attractive appearance $17.50/hour or $300/day 24 hr shift or Live-in 9. Patients often describe feeling happier due to being able to smile without the shame or guilt associated with unsightly, receded gums Private Pay – Veteran’s Aid & A2endance -‐ Long Term Care Insurance 10. Most patients are back to normal, light activities within 24 to 48 hours post procedure. ALL CAREGIVERS/CNA’S ARE NOW W-‐2 EMPLOYEES!
Total Cost of Care Hourly
(480) 999-‐7000
CALL US TODAY
(480) 999-7000 www.AboutCareHomeCare.com
Page 12 — Healthy Cells Magazine — East Valley — April 2017
Only a few dentists in the valley are trained to complete this procedure. Dr. Chase Davis was trained by Dr. Chao himself. If you have gum recession, please call Chandler Dental and schedule a free consult with Dr. Davis. Call us at 480-917-8400 today. Also, check out our Facebook or Yelp page. Chandler Dental is located at 655 S Dobson Road, Building B, suite 211, Chandler.
community news
Professional Association of Senior Referral Specialists (PASRS)
Stacey and Scott Fischer, Owners
Navigating the Unchartered Waters of the Senior Referral Specialist By Scott Fischer, Options for Senior Living
T
he industry of senior referral and placement has existed for nearly 25 years. With the exception of a few states where there are some regulations and legislation addressing this industry, the work of the senior referral and placement specialist is largely unregulated and there is no license one can acquire for this work. The opportunity to exploit a vulnerable segment of our community runs very high. With no requirements for experience or training, you have an industry of players that often portray themselves as experts and insiders to the world of senior living, when in reality, many have little or no experience in health care or the service of others. Vulnerable seniors and their families have been taken advantage of or have received less-than-ethical guidance when it comes to securing senior living for their loved ones over the years. About eight years ago, while participating in an advocacy committee at the Area Agency on Aging in their elder prevention program, the topic of unethical practices of many referral agents being reported to the agency was discussed. Everyone in the group was upset and, literally, a demand for action was on the table. Issues like accepting payments for ALTCS (Medicaid) residents or moving a resident into one facility only to prompt a second and third move to collect multiple referral fees were just two of the issues that had drawn the attention of the ombudsman, the attorney general’s office, and others in this room of dedicated professionals. The senior referral industry needed guidance and leadership; an opportunity for the agents who were trustworthy and ethical to come together and speak out against the unethical practices. From this need Professional Association of Senior Referral Specialists (PASRS) was formed, a 501c(6) non-profit trade association. PASRS established accepted best practices for the senior referral and placement industry. Currently, nearly 40 agencies and 200 affiliate members have voluntarily committed to these best practices throughout Arizona. It is the mission of PASRS is to provide and establish professional standards of best practices while promoting education, consumer protection, and advocacy with a strong knowledge of community resources. PASRS is the only group of its kind in the country that touches so many different industries and has voluntarily set limits on agents. The best practices are the compass the board uses to navigate the unlicensed and unregulated world we work in, where integrity and truth are highly valued, but too often, play second fiddle to profits. We invite you to become acquainted with the work of PASRS. Visit www.pasrs.org for more information about our industry best practices.
In March of 2003, Options for Senior Living was founded to be a guide and a resource for families when researching and selecting senior living for their loved one. Options for Senior Living has 14 years of experience assisting over 2,000 families walk through these very difficult times. Each and every family is unique, and we take the time necessary to get to know the details to offer our families the most comprehensive and caring approach in finding the right placement option for their family member. Call Options for Senior Living at 844-286-6984, or email us at support@optionsfsl.com to speak to an advisor.
SERVICES
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BENEFITS
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(480) 686-8647
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Call for your free consultation April 2017 — East Valley — Healthy Cells Magazine — Page 13
estate planning
Digital Asset Update
Common Questions and Misconceptions
Rilus M. Dana, J.D.
By Rilus M. Dana, J.D., Dana and Associates
1.
What if I don’t have digital assets? Digital assets are defined as an electronic record in which an individual has a right or interest. Do you have bank accounts? If so, the bank is storing that information electronically, and you have an interest in it. That is an example of a digital asset. You don’t have to be internet famous to have digital assets. Most everyday people have at least a few.
2.
The “digital update” puts your information in the cloud. A common misconception is that the digital update that I am recommending puts your information and data into that scary eye-in-the-sky cloud thingy. The digital update restricts and limits how your information is shared. It does not put any more of your information in the cloud. We are not trying to force anyone to be strictly paperless. This update allows the option for you to choose how much of your life you would like to be digital, and how much you would like to stay analog, while still planning for your family’s future.
Better Hearing - Better Understanding - Better Living Mesa (480) 498-2134
Tempe
Chandler
(480) 498-2246 (480) 498-2223
We are just as concerned about your hearing as you are.
www.Tri-CityAudiology.com Page 14 — Healthy Cells Magazine — East Valley — April 2017
Many companies are currently getting away from paper statements and requiring customers to get their statements through email. It is our job to recognize that this may be a problem for your family in the future, and prepare for that now. That is what this update is all about.
3.
Do I really need a separate trust to handle my digital assets? The digital update that I am recommending includes an update to your existing revocable trust, last will and testament, and financial power of attorney. It also includes a separate digital asset trust (DAT). The updates to your current documents are mostly to restrict your digital life, and allow for only a limited amount of
mental well-being information to be shared with your fiduciary (trustee, agent, or personal representative). It is important to have a general request over all your digital assets so your fiduciary can discover all your assets, however, it is equally important that the request be limited. If a request over digital assets is too intrusive, the companies that own the records can request a court order as to why it is necessary. The goal is to avoid courts and unnecessary administration, which is why a limited request is important. The companies that own the records are legally responsible to preserve their client’s privacy fourth amendment rights, making it difficult to obtain the records needed for administration. The restricted access is intended to satisfy privacy obligations, and to simplify administration. To do this, we give authority to request an inventory telling the value of bank accounts and who the owners and beneficiaries of the accounts are, without divulging any content. A separate trust is necessary to give more specific requests over email and other digital assets. After a person becomes sick or passes away, a fiduciary is appointed. The first job of the fiduciary is to determine what assets are in the estate, and what bills need to be paid. In a perfect world, records would be left behind giving a complete list of all your bank accounts and all the bills that need to be paid. Unfortunately, this is not usually the case. Often, when the fiduciary is appointed, there are not clear records, and they must play detective. In the paper world where all information is sent physically to a mailbox, the fiduciary can start getting mail to see what bank statements and bills are sent. If the accounts were managed online, then how will the fiduciary know what they are supposed to handle? In the stand-alone digital asset trust, we can give specific authority to your trustee to gain limited access over your email account. Again, we must balance the privacy interest of the companies, and make a request that is limited enough that they can follow. The request that I make over email in the DAT is to give the trustee access to the “catalog of electronic communications,” which is the record of who emails were received from, and who they were sent to. By giving access to the catalog of electronic communications, the trustee can see if there are any bank accounts or bills that they were not aware of. It gives fiduciaries access to the new and more relevant mailbox and email box, and it does this without sharing passwords. What have we learned? Since August, we have implemented the new digital asset law in all our documents, and updated many outdated estate plans. We have spoken with hundreds of people about their digital world. What we have learned is that there are many people in their 40s and 50s that live mostly on paper, and don’t use email or conduct business online. We have also learned that many people in their 80s and 90s that are completely paperless, and have their digital lives organized with some of the latest technology. What’s great about this is that we still live in a world where you can choose. Whatever you decide, your estate plan should be there to protect you now and for whatever the future brings. To learn the best way your family can avoid probate, call 480-9224-4424 to schedule a free Personal Family Legal Session. Our attorneys can help you review or create a plan, giving you peace of mind knowing your family will be taken care of. We have offices in Mesa, Chandler, Scottsdale, Phoenix, and Payson. Visit DanaLegalHelp.com.
Reduce Your Stress!
Kathleen Dorson, BSBM
By Kathleen Dorson, BSBM, Win Win Fire Teams
I
f you are the type of person who tends to walk around feeling stressed-out over all the things you have going on, there are some steps you can take to bring back some peace. First, stop carrying everything around in your head. Each morning, start by writing all the things you are thinking about on paper or electronically. Do a brain clearing to get all your to dos, ideas, worries, and anything else you have been carrying out of your brain. This will give your brain a rest. Once on paper, prioritize your list, allowing you to complete the important items, while the least important things may wait or never get done because we have a limited amount of time and energy.
During the day when you are focused on a project and something pops in your head, jot it down to get to later. This will help you stay focused on what you are doing and not lose valuable time refocusing that can add up to hours lost by the end of the day. Second, don’t let procrastinating allow tasks to go undone. It’s easy to think you can get to it later. Your brain doesn’t always get the message and, deep down, that job is bubbling under the surface causing stress that just won’t go away until the project is completed. Schedule that project, and if it really is important, make it a priority. Next, look at what it is about the project that makes you want to put it off. What emotions are you feeling as you think about the job? Fear is a huge reason for not wanting to do something. Facing the real reason for holding back can take some of its negative power away. Breaking down a large project into smaller parts can make all the difference in reducing the emotion surrounding it. Third, remember this is your life. If you are taking on too much, it may be time to let some things go or push them to a more appropriate time. It’s not procrastinating when you know there is a better way to set up your life. Life is too short to live it feeling stressed all the time. You are the one steering your own ship; make it a beautiful, peaceful sail with excitement as the swells come and go. Just don’t take on water, or it won’t sail to your favorite destinations nearly as well. Kathleen Dorson is a manager and coach at Win Win Fire Teams. You are invited to call Win Win to find out more about the training and coaching programs offered. Mention this article for special offers. Visit Winwinfireteams.com, or call us at 480-201-5612. April 2017 — East Valley — Healthy Cells Magazine — Page 15
feature story
The Mariposa Way
Surpassing Expectations Every Moment Treasured, Every Moment Yours!
W
e do things differently at Mariposa Point of Gilbert. We do not limit ourselves to just following the state guidelines that all communities must adhere to. Mariposa Point goes above and beyond those standards, as we believe wholeheartedly that when excellence is attainable, good is no longer acceptable. We use a holistic approach to care, focusing on the mind, body, and spirit to create a care plan unique to each resident. Our long list of innovative programming, services, and amenities all culminate in an ideal environment to be at your best. That’s the Mariposa Way. The Seven Dimensions of Wellness
• Social: Engagement with other residents and participation in the programming • Emotional: Recognizes awareness and acceptance of one’s feelings • Intellectual: Always learning through new experiences and play • Spiritual: Respect for belief systems, values, and worldview • Physical: Regular physical activity, healthy eating habits, hydration, strength, and vitality • Intergenerational: Recognizes and supports the importance of seniors engaging regularly with other generations, including the very young, teenagers, and young adults • Community Connections: Represents a blend of occupational, environmental, cultural, and vocational interests in the town of Gilbert and beyond Dedicated medical director We are the only assisted living community in the East Valley to have a dedicated medical director. Dr. Jerry E. Owensby, MD, in addition to her private practice, will be on-site at Mariposa Point of Gilbert every Friday to see her patients firsthand. All residents of Mariposa Point will have the opportunity to have Dr. Owensby as their primary care physician. Personalized care Registered and licensed nurses manage our health services department with our certified staff available 24 hours a day, seven days a week. Our services are approached with flexibility and compassion to accommodate special requests. Each of our mindfully designed residences have state-of-the-art emergency call and two-way communication systems. For those who have hearing impairment, we have select apartments with hearing-impaired doorbells, notifying the resident that someone is at their door.
We have created a proprietary active living concept called The Seven Dimensions of Wellness, which adapts the Six Dimensions of Wellness developed by Dr. Bill Hettler from the National Wellness Institute (NWI) and customizes them for Senior Living. Each dimension addresses the unique interests and personal strengths of each resident, allowing them the opportunity to become their best self. Page 16 — Healthy Cells Magazine — East Valley — April 2017
Dining experience We proudly serve three delicious meals daily, created by our in-house chef and culinary team, which includes snacks and beverages offered throughout the day. A beautifully decorated dining room is available to family, friends, and loved ones. We encourage frequent visits, as they are part of the Mariposa Point family as well! Maintaining health and mobility Upon moving in, all residents will have a free personal assessment completed by Summit Healthcare Services, onsite mobility experts in partnership with Mariposa Point. This key information will give our team
Planning future activities while completing an art project with Campo Verde High School volunteers (pictured L-R) Sydney Shevalier, Richard Yan, Kathryn Schuster (Director of Resident Programs) and Albert Ballesteros. a baseline measure on where each of our residents are with balance and overall mobile ability, helping to prevent injuries and falls. Every fall will be reviewed and analyzed to strategize what corrective actions can be taken to reduce the likelihood of a repeated incident. Stellar programming with engaging activities Our residents are the center of our programming at Mariposa Point. We have a vibrant schedule including creative art, music therapy, horticulture, entertainment from Arizona’s best, and many exciting outings which are carefully developed by our director of programming, while keeping individual interests in mind. Scheduled transportation is also provided for specialized medical and doctor visits, shopping, and various errands. Bingo is fun, but there is so much more fun to be had at Mariposa Point. There will be a sense of community with residents, family members, local churches, students, and teachers from the schools, all working together to give back. We’re sewing quilts for veterans, raising awareness of Alzheimer’s/dementia, and helping to promote local artists via art shows and events. Our programming is intentional in providing purpose and a feeling of being valued, which improves quality of life for our residents — that’s our main goal. Intergenerational living Mariposa Point of Gilbert is strategically located within walking distance of Quartz Hill Elementary School and Campo Verde High School, allowing numerous volunteer opportunities and intergenerational programming, which is of great benefit to both young and old. Our older population has rich life experiences and a vast wealth of knowledge to share with students of all ages. The student’s excitement for learning new things flows right through their smiles to our residents, and the residents relish the unconditional love that is given so freely by these young folks.
Campo Verde High School Biomed program students Alexis Pencek and Vadelle Nelson, enjoying time in the flower garden at Mariposa Point. April 2017 — East Valley — Healthy Cells Magazine — Page 17
feature story
continued
One-Week University and life-long learning Life-long learning is a valued core concept for Mariposa Point of Gilbert. In meeting this fundamental need, residents will have the opportunity to explore new ideas and visit topics of yesteryear in a classroom setting on a weekly basis. In addition, we have the proprietary “One-Week University” program. Every quarter, Mariposa Point of Gilbert and Surpass Senior Living bring together top educators from Gilbert area universities and the public school system to present special versions of their best lectures. Residents can spend one hour a day for a week, immersed in lectures and engaged in discussions, led by some of the brightest minds in our community, who fully believe learning is a life-long process. At the end of the week, residents will receive a diploma for their participation with a celebratory graduation ceremony!
Our Advisory Board member (L-R) Bob Badgett (Gilbert Fire Dept.), Rebecca Knourek (Centrix), Alma Riedel (Gilbert Chamber of Commerce), Kathy Diggs (Campo Verde High School), Cherie Scott (Arts Advocate), Emily Schmitz (clinical Pharmacist), and Becky Cholewka (Cholewka Law). Not pictured: Jennifer Crews (Dignity Health). Another way Mariposa Point of Gilbert goes above and beyond is having a board of advisors. We have eight, well-respected community leaders, each offering unique backgrounds, knowledge, and experiences which complement our mission and values. The board of advisors increases our connections to the outside community, provides strategic guidance to our team and hold us accountable to provide our residents the best service and care at the most affordable cost. Mariposa Point of Gilbert is dedicated to raising the bar for senior living in Arizona. We want to improve the comfort and quality of life for seniors and their loved ones, and we utilize a holistic approach to wellness and support to do this. We offer quality assisted living and memory care services with innovative and personalized solutions for each senior’s personal story. If you are currently looking for the best care option for yourself or a loved one, please contact Leslie at mktg.mpog@ surpassliving.com to learn more.
Mariposa Point of Gilbert 1445 E. Willis Road, Gilbert, AZ 480-545-8900 MariposaPointofGilbert.com Mariposa Point of Surprise and Mesa coming soon. Page 18 — Healthy Cells Magazine — East Valley — April 2017
Meet Our Staff
Rebecca Dice
Karen Silva, RN
Executive Director
Director of Resident Care
Kathryn Schuster
Dan Stratta
Director of Resident Programs
Director of Dining Services
Leslie A. Davis, CDP, CDCS,BS
Director of Sales and Marketing
Chad Kelvie
Director of Plant Operations
Arax Sausa Concierge
Tuesday Schmidt Business Office Manager
healthy goals
Mind Over Matter By Christopher M. James, Owner/CEO, VIMtrim Personal Training
I
’ve heard the phrase “mind over matter” many times over the years and have come to the conclusion that it is absolutely true. Our thoughts determine what we can accomplish. There are many stories where people believed something could not be done and, until they finally believed it could be done, were unable to do it — a mental paradigm shift. If you believe you will never be a millionaire, more than likely you will never be a millionaire. If you believe that you will never get that raise at work, then you won’t get the raise. If you believe you won’t pass a test, there’s a good chance you will fail. In my many years of personal training, I have seen people who limit themselves by their false beliefs about what they can or cannot do. Almost daily I hear “I can’t do that,” “that’s too much weight,” “I could never do that,” “I have no balance,” and so on. My biggest pet peeve in the gym is when a client says something negative right before the set. I call it defeating yourself before you even try. How do you know you can’t actually do something until you tried it? I tell all of my clients to never start a set by saying “I can’t do it.” I ask them to make a mental reset by saying the opposite before we start, “I can do this.” Why am I so adamant about this? Negativity has never accomplishes anything. No goal will ever be met until the belief about one’s self changes. What a person believes they can and cannot do will determine not only what they accomplish in the gym, but what they will accomplish in every aspect of their life. Personally, I have big dreams and I believe I will accomplish them. Some are so big that I have no idea how I am going to do it (yet), but I believe I will accomplish it. Just because you do not know how to reach your destination does not mean you will never get there. Set your goals and figure out how to get there! Educate yourself, connect with people who have been there before, humble yourself enough to accept the fact that you don’t know everything, and learn from those know more than you. This is why I believe everyone needs a personal trainer at some point in their lives. Too many people are working out, but getting no results because of a
Christopher M. James
lack of knowledge and too much pride to get the guidance they need from a professional. Mind over matter is not just the mental strength to push through when most people would quit. It is having the knowledge necessary to achieve what you desire! Personal training is about helping people believe they can do more than they thought possible. It is about empowering people though education to know how to achieve their goals and maintain it for a lifetime. Stay positive and never give up! You can do it. Chris has over 20 years of personal training experience and is knowledgeable of nutrition and supplementation. As a trainer, he has helped many people from all walks of life and fitness levels achieve their health and fitness goals. His training style is very articulate and detail oriented, emphasizing proper form to prevent injury and to ensure trainees get the most from their workouts. Chris can be reached at 480-264-5120, email getfit@vimtrim.com or visit www.vimtrim.com.
Alliance Care Team
LEGACY
MIND
SPIRIT
BODY
Aging Well Resources and Services for Baby Boomer’s and Beyond
480-868-1583 alliancecareteam.org
April 2017 — East Valley — Healthy Cells Magazine — Page 19
footwear
Flip-Flops
Risky Foot Comfort
Jason C. Harrill, DPM, FACFAOM
By Jason C. Harrill, DPM, FACFAOM, Desert Food and Ankle, PC
F
lip-flops are some of the most common footwear seen as the weather heats up. Flip-flops come in a wide variety of styles and accessories, including bottle openers and built-in flasks. They can show your pride in your favorite football team or college alma mater. They come adorned with sequins and in every color of the spectrum. But, how good are they for your feet? In the words of Jimmy Buffett, “I blew out my flip-flop. Stepped on a pop top. Cut my heel, had to cruise on back home.” Flip-flops have become ubiquitous within our society but can set the course for several different foot problems if utilized as daily footwear. Some problems are obvious, some are more insidious. Trauma Flip-flops offer little protection from stubbed toes, laceration, puncture wounds, or direct impact. Yet, people continue to ride bicycles, motorcycles, go hiking, use chainsaws, and even clean out their horse stall wearing flip-flops. While the risks seem obvious, severe foot injuries are seen on
a regular basis in emergency rooms and urgent care centers, sometimes requiring surgery. A better choice would be a sandal with a closed toe area. Lack of support The choice of flip-flops is okay for around the pool or in moderation. However, as a choice to wear hiking or a long day at Disneyland can lead to significant overuse injuries. Plantar fasciitis and heel spurs are not uncommon among people using flip-flops on a daily basis. People wearing flip-flops have been shown to take shorter steps and can increase the risk of tripping. Toes have to work extra hard to try to keep the flip-flop on a foot, which can cause hammer toes and tendinitis. Flip-flops can also exacerbate bunion formation caused by improper biomechanics. This can also lead to pain in the knees, hips, and back due to improper posture and changes in gait. Look for sandals with an arch support and more of a heel cup. Sun exposure Sunburned feet can lead to a very unpleasant experience and several days worth of pain without proper sun protection. Over time, this can lead to increased risk of skin cancer, including melanoma. Many people forget to put sunscreen on their feet. This is especially problematic in younger children.
OUR SERVICES IN-HOME CAREGIVERS
Personal care Meal preparation Medication reminders Light housekeeping Transportation services Exercise assistance Companionship
FINANCIAL CARE COORDINATION Long Term Care Insurance Free Expert Policy Review Veterans Aid & Attendance Benefits
FINDING SENIOR LIVING
Assisted living Independent living Senior care homes Memory care homes
Call now for a complimentary assessment of senior care options. 480.999.5250 • www.AmadaMesa.com Page 20 — Healthy Cells Magazine — East Valley — April 2017
Sensitivity to latex and other chemicals within plastic straps Cheaply made flip-flops may have latex in the plastic or bisphenol A (BPA) which has been banned in the use of water bottles and infant formula packaging. Prolonged exposure to these chemicals when wearing flip-flops can cause skin sensitivity, including dermatitis. Look for sandals with fabric or leather straps as natural materials tend to be better tolerated. So, what is the best purpose for flip-flops? Flip-flops can give you some basic protection to the bottom of your feet as you walk around at poolside and can prevent you from catching athlete’s foot or planter warts in public showers. Use in moderation, but beware of foot pain or injury associated with everyday usage. Foot pain is not normal. If it does not go away after modifying your choice of shoes, it would be best to have this evaluated by a foot and ankle specialist who can alleviate your painful symptoms and get you back to enjoying your regular activities. For more information about foot, ankle, and toe issues, contact Desert Foot and Ankle, PC, located at 1520 South Dobson Road, #307, in Mesa, AZ and in Fountain Hills at 16838 E Palisades Blvd, Building A, Suite 10. Give us a call at 480-844-8218 or visit our website at www.desertfootandankle.com.
senior care
What To Do When a Loved One Needs Help
Kerri Ann Valenzuela
By Kerri Ann Valenzuela, Centrix
M
ost people prefer to live out the remainder of their life in their own home. However, if your parent or loved one can no longer care for themselves, need a safe environment, or have become a threat to others, it’s probably time to start considering your options. Make sure you discuss your concerns with your parent or loved one. When they are included in the decision making, they are less likely to resist the transition.
Be sure to include other family members in the decision making when possible. They should help with the transition, whether it is financially, emotionally, or physically. This would also be a good time to determine who the Power of Attorney and Medical Power of Attorney will be, if it’s not already in place. Most importantly, make the transition when the time is right — when your parent or loved one is comfortable in accepting the change. This can be a very emotional time for everyone involved, but if they are willing to make the change, it can make for a much smoother transition. Centrix is dedicated to its patients, community, and employees. We have served over 20,000 patients in the past decade, making us a trusted and vital community healthcare provider. Our continued goal is to provide comprehensive and integrated home-care solutions for our patients. Contact Centrix by phone: (480) 2668-2690 or visit our website: www.care.info.
Hiring a live-in certified caregiver to care for them 24 hours a day can be somewhat costly and is usually an out-of-pocket cost. If your loved one has long-term care, check with their provider to see if this service would be covered. Allow your parent or loved one to be involved in choosing and interviewing their caregiver. If the cost of a live-in caregiver is too high, or you feel they need more care than what a caregiver can provide, you might want to consider an assisted living community, group home, or memory care center. Make sure you do your research on the costs, services, and types of care that the different facilities offer. The prices can vary from $1,200 to $4,000 or more a month depending on the facility type, services offered, and if you want a private or semi-private room. If your loved one is a veteran, ask if they accept long-term care or Aid and Attendance. Other things to consider • What level of care will your loved one need? There are three levels of care: Personal, Supervisory, and Direct. • Is the group home owned and operated by a registered nurse? • Is there a live-in caregiver? • Does the group home have an “awake staff” (meaning the staff does not sleep at any time)? If the group home accepts ALTCS, they are required to have an “awake staff.” • Is the group home or assisted living facility licensed by the Arizona Department of Health? • What services do they offer? For example: music therapist, beauty salon, doctor on site or one that makes visits, bathing, feeding, dressing, meals, medication administration, transportation, etc. • Do they have any deficiencies? You can check this online through the Arizona Department of Health.
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Keith R. Dorson, MBA “The Visual Coach”
Kathleen Dorson, BSBM “The Growth Coach”
Call us to talk about your business and how we can help
480 201-5612 or 480 890-0100 Winwinfireteams.com April 2017 — East Valley — Healthy Cells Magazine — Page 21
medication
Big Results With Small Changes
S
funeral preplanning
The Importance of Education By Hilary Samples, Mountain View Funeral Home and Cemetery
By Ashwin Waghray, Pharmacist, SnS Pharmacy
ometimes the smallest changes in your daily routine can give you the biggest benefits. Many people are surprised the difference it can make by managing your medications closely and making small changes. Here are a few examples and tips:
Hilary Samples
M
y goal is to help people understand the importance of preplanning their funeral and not leaving it for their loved ones to handle. Too often, children are sitting in the arrangement when a parent has passed and wondering what kind of service their parent would want because it was never discussed. This creates unnecessary emotional and financial stress. One way we have started helping people understand the importance of preplanning is by hosting a complementary Lunch and Learn discussion at our locations. It’s a great way to get your questions answered with no pressure. Just enjoy lunch, ask questions, and learn! Common questions people ask: What information do you need to complete the death certificate? Full name, where you were born, date of birth, social security number, parents names, how long you have lived in Arizona, were you in the military, and highest grade completed. Can I have a traditional service and be cremated? The answer is yes. A lot of families we meet want to have a visitation and funeral service. Having a service allows closure for the family. Is your crematory on site? Yes, the one thing I feel that sets us apart is that we have our crematory on site. Once a loved one enters into our care, they remain in our care. We have a fully licensed staff.
• Compliance packaging (bubble packs) can increase dosage accuracy and are convenient to carry with you so you never miss a dose. • Use interactive blood sugar meters that can send readings to your phone, doctor, or pharmacist. • Diuretics like furosemide are best taken in the morning to so you don’t have to get up during the night. • Ensure medications prescribed by multiple doctors are compatible. • Ask the pharmacist questions; your insurance pays your pharmacist to counsel you. • Insulins usually expire 28 days after opening, so write the date you open it on the label. • There is more potassium in coconut drinks in stores than the average prescription. • To remember to take medication, associate it with mealtime. Small independent pharmacies provide personalized customer service and usually accept a wider variety of insurances like TRICARE. Call SnS Pharmacy and find what engaged customer service feels like 480-812-3725, located at 2080 N. Dobson Road, Chandler, on the NW corner at Warner. SnS Pharmacy provides compounding, blister packaging, medication therapy management, and accepts all major insurances. Your Serve n Save Pharmacy. Page 22 — Healthy Cells Magazine — East Valley — April 2017
What if I pay for my preplanned funeral or cremation and move? This is a great question because, in today’s world, families are all across the country. If you were to pay for your funeral or cremation here and you had to move to another state, it is transferable. Unfortunately, people can get ill or other circumstances change and people have to move. Do you have a question not answered here? If you have questions, we invite you to join us at one of our Lunch and Learns or contact Hilary Samples at 760-391-3456 (cell), 480832-2850 (office), or email hsamples@mvfuneralhome.com. Serving the community for 61 years, locations include Mountain View Funeral Home and Cemetery in Mesa, San Tan Mountain View Funeral Home in Queen Creek, and Superstition Cremation and Funeral Services in Apache Junction.
LUNCH AND LEARN
Superstition Cremation and Funeral Services 398 E. Old West Highway, Apache Junction, AZ 85119 Tuesday, April 4, 2017 11:00am — 12:00pm Wednesday, April 5, 2017 11:00 — 12:00pm RSVP: 480-982-2727
OPE NS THIS SUM MER
LEASING CENTER 15215 S. 48th St. #161 Pheonix, AZ 85044
April 2017 — East Valley — Healthy Cells Magazine — Page 23
LAUREL HOSTETLER
DESIGN
Project:
4” x 9” Rack Card (General)
LET OUR FAMILY HELP YOUR FAMILY IN YOUR TIME OF NEED.
women’s health
Endometriosis
Prevention & Treatment Part 2 of 2 Submitted by iWomen Health Care
I
David N. Kells, MD
n the March issue, we discussed the symptoms and causes of endometriosis. Although you cannot prevent endometriosis, you can reduce your chances of developing it by lowering the levels of the hormone estrogen in your body. Estrogen thickenS the lining of your uterus during your menstrual cycle.
To keep lower estrogen levels in your body, you can do the following: • Talk to your doctor about hormonal birth control methods, such as pills, patches, or rings with lower doses of estrogen. • Exercise regularly (more than four hours a week). Regular exercise and a lower body fat help decrease the amount of estrogen circulating through the body. • Avoid large amounts of alcohol. Alcohol raises estrogen levels, so limit drinks to no more than one per day. • Avoid caffeine. Studies show that drinking more than one caffeinated drink a day, can raise estrogen levels.
Since 2003, Options for Senior Living has personally helped over 2,000 families find the right home for their loved ones. • Senior Living Communities • Assisted Living Homes • Nursing Homes • Alzheimer’s and Dementia Care Facilities • Behavioral Homes Options for Senior Living is a family-owned business founded upon the principal of serving people and helping families who are at a critical time in their lives and need help navigating senior living options. Let our compassionate team assist you today.
How is endometriosis diagnosed and treated? If you have symptoms of endometriosis, talk with your doctor. There is no cure, but treatments are available for the symptoms: • Pelvic exam. During a pelvic exam, your doctor will feel for large cysts or scars behind your uterus. Smaller areas of endometriosis are harder to feel. • Imaging test. Your doctor may do an ultrasound to check for ovarian cysts from endometriosis. The doctor or technician may insert a wand-shaped scanner into your vagina or move a scanner across your abdomen. Both kinds of ultrasound tests use sound waves to make pictures of your reproductive organs. • Magnetic resonance imaging (MRI) is another common imaging test that can make a picture of the inside of your body. • Hormonal birth control can lessen pelvic pain during your period. If pain gets better with hormonal medicine, you probably have endometriosis. • Surgery is usually chosen for severe symptoms, when hormones are not providing relief or if you are having fertility problems.The surgeon can locate any areas of endometriosis and may remove it. After surgery, hormone treatment is often restarted unless you are trying to get pregnant. • Pain medicine. For mild symptoms, your doctor may suggest taking over-the-counter medicines for pain. These include ibuprofen (Advil and Motrin) or naproxen (Aleve). • Complementary and alternative medicine (CAM) therapies. Some women report relief from pain with therapies such as acupuncture, chiropractic care, herbs like cinnamon twig or licorice root, or supplements, such as thiamine (vitamin B1), magnesium, or omega-3 fatty acids. Does endometriosis go away after menopause? For some women, the painful symptoms of endometriosis improve after menopause. As the body stops making estrogen, the growths shrink. However, some who take menopausal hormone therapy may still have symptoms of endometriosis.
Call 844.286.6984
iWomen’s Health Care is a boutique style practice that believes in partnering with patients for care. “Your care, your comfort, our expertise!” For information or to schedule a consultation call 480-855-5900, email: info@iwomenshealthcare.com or visit www.iwomenshealthcare.com. Se habla español. Sources available upon request
Page 24 — Healthy Cells Magazine — East Valley — April 2017
PLEASE EXAMINE YOUR PROOF(S) CLOSELY: We rely on our customers to review the proof(s) we send carefully to ensure that all typos and errors are found before
quality of living
Creating Stress-Reducing Habits Submitted by Amy Holt, Generations Senior Living
S
tress results when something causes your body to behave as if it were under attack. Sources of stress can be physical, like injury or illness. They can also be emotional, like problems in your marriage, job, health, or finances. When stress occurs, the body prepares to take action. This preparation is called the fight-or-flight response. In the fight-or-flight response, levels of many hormones shoot up. Their net effect is to make a lot of stored energy — glucose. The food you eat gets digested and broken down into a sugar your body’s cells can use. This is glucose, one of the simplest forms of sugar. and fatone of the three main nutrients in food. Foods that provide fat are butter, margarine, salad dressing, oil, nuts, meat, poultry, fish and some dairy products. Excess calories are stored as body fat, providing the body with a reserve supply of energy and other functions. — available to cells. These cells are then primed to help the body get away from danger. How do I reduce emotional stress? Make changes Look for ways to reduce some stresses of life. If traffic upsets you, for example, maybe you can find a new route to work or leave home early enough to miss the traffic jams. If you job drives you crazy, apply for a transfer if you can, or possibly discuss with your boss how to improve things. As a last resort, you can look for another job. If you are at odds with a friend or relative, you can make the first move to patch things up. For such problems, stress may be a sign that something needs to change. There are other ways to fight stress as well: • Start an exercise program or join a sports team • Take dance lessons or join a dancing club • Start a new hobby or learn a new craft • Volunteer at a hospital or charity • Read, listen to calm music, practicing meditation or yoga can also be relaxing Coping style Something else that affects people’s responses to stress is coping style. Coping style is how a person deals with stress. These two methods of coping are usually helpful: • Problem-solving attitude: They say to themselves, “What can I do about this problem?” They try to change their situation to get rid of the stress. • Accepting the problem as okay: They say to themselves, “This problem really isn’t so bad after all.” People who use coping methods tend to have less blood glucose elevation in response to mental stress. There are many ways to help yourself relax. Breathing exercises Sit or lie down and uncross your legs and arms. Take in a deep breath. Then push out as much air as you can. Breathe in and out again, this time relaxing your muscles on purpose while breathing out. Keep breathing and relaxing for five to 20 minutes at a time. Do the breathing exercises at least once a day. Progressive relaxation therapy In this technique, which you can learn in a clinic or from an audio tape, you tense muscles, then relax them. Exercise Another way to relax your body is by moving it through a wide range of motion. Three ways to loosen up through movement are
Amy Holt circling, stretching, and shaking parts of your body. To make this exercise more fun, move with music. Self-talk Replace bad thoughts, that little voice in your head, with good thoughts. Each time you notice a bad thought, purposefully think of something that makes you happy or proud. Or memorize a poem, prayer, or quote and use it to replace a bad thought. Whatever method you choose to relax, practice it. Just as it takes weeks or months of practice to learn a new sport, it takes practice to learn relaxation. Generations Senior Living 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. 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 www.generationsseniorliving.com or email us at info@generationsseniorliving.com. We are a completely smoke-free community. Call today to schedule your complimentary lunch and tour — 480-485-2000. We are growing. Our second location, Generations at Ahwatukee, will open in mid-2017. Attend a Senior Living Options presentation offered each Tuesday at 10am. For reservations and information, call 480-485-3000.
We Welcome Dr. Jacob Nelson Doctor Of Podiatric Medicine
MESA OFFICE
1520 South Dobson Road, #307 Mesa, AZ 85202
FOUNTAIN HILLS OFFICE
16838 E Palisades Blvd. Building A, Ste #105 Fountain Hills, AZ 85268 Now Open Mon - Fri
480-844-8218 www.desertfootandankle.com
April 2017 — East Valley — Healthy Cells Magazine — Page 25
in-home care
Why a Caregiver? Submitted by Greg Deane, About Care Home Care
W
hen people hear the word caregiving or caregiver, the first thing that comes to their mind is someone who just looks after seniors, typically a bed-ridden patient, just feeding them and changing diapers. Caregiving is much more than simply giving the senior a bath or preventing falls — in reality, it is a close relationship where the caregiver plays multiple roles in the life of a senior. Long before seniors become bed bound, caregivers can provide one-on-one services to seniors who prefer to stay in their home instead of living in a facility. Only after a caregiver enters your home will you realize how many skills they bring: Nurse assistance: Managing medications, helping with blood glucose measurements, and recording blood pressure. The caregiver will be astute about any medical problems and call the healthcare provider when necessary. Social worker: Ensure Medicare or other insurance plans are up to date. Coordinates care, appointments, and other needs like safety equipment, bathroom grab bars, etc. Personal care assistant: Caregivers help the senior with grooming, bathing, and putting on clothes. Also, personal care tasks like putting on shoes, walking, or providing assistance eating.
Offices in North Phoenix, Scottsdale, Chandler and Mesa
Cook/Chef: Helps prepare meals and snacks the senior desires. Housekeeping: Routine housekeeping; cleaning, vacuuming, the laundry, washing windows, making sure corridors are free of clutter, and taking out trash. Some provide routine maintenance like changing light bulbs and ensure the plumbing, electricity, and heat run properly. Driver: Many caregivers function as a driver or a chauffeur for seniors. Seniors often need to go the doctor’s office, pharmacy, shopping, hairdresser, bank, church, or even visit friends. Security guard: One of the most helpful functions of caregiver is security guard. Elderly people often live alone and house breakins and vandalism are not uncommon. The caregiver often ensures that the home is secure and that the locks work. Therapist: A therapist helps with any type of rehabilitation that may be required and ambulation. Assists with wheelchair, bed, and chair transfer. Companion: The most common complaint from most seniors is loneliness. Caregivers provide companionship by engaging in conversation, going out for a walk, watching TV together, playing cards, or just having a meal together. Friend: One final role of a caregiver is being a friend. Most caregivers who look after seniors for a long time eventually develop a friendship based on trust and honesty. Seniors often trust their caregivers more than their families. They will tell them about their will, power of attorney, finances, and their final wishes. If you are considering hiring a caregiver, rest assured the majority of caregivers have many talents and skills, but most of all they love caring for seniors. No matter what physical or mental disability the senior may have, caregivers drastically improve daily quality of life and safety each and every day.
480.924.4424 • www.DANA.legal
About Care Home Care is your professional and affordable choice for in home care. Call 480-999-7000 for a no-cost, in-home visit.
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Page 26 — Healthy Cells Magazine — East Valley — April 2017
Here’s to dancing the night away. Or at least the afternoon. Getting older doesn’t mean you have to stop doing what you love. So we encourage our residents to keep on doing their thing while we take care of the rest.
Al, 87
All-Inclusive Assisted Living Pricing Starting at $4,795.
This feels like home.® GardensAtOcotilloSeniorLiving.com | (480) 428-6417 1601 West Queen Creek Road | Chandler, AZ 85248 A SPECTRUM RETIREMENT COMMUNITY
OCO Healthy Cells March 2017
reflectionshospice.com 480.246.3560 480.246.3561 FAX
Living With a Neurological Condition? Learn Ways That Psychiatric and Naturopathic Medicine Can Help Patients and Caregivers WHO:
Kerby McDonald, Psychiatric Nurse Practitioner & Dr. Marnie Whitley, Naturopathic Physician WHEN: Thursday, April 27th at 5:30pm WHERE: N eurology Associates of the East Valley 2201 W. Fairview St. Ste. 1 Chandler, AZ 85224 RSVP: Leslie Hajaig at 480-389-2785
FREE EVENT OPEN TO PUBLIC • Find a map on our website at www.neurology-associates.com