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Exercising to Improve
QUALITY OF LIFE
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Scottsdale
Spring 2010
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NoteS from the ASSociAte PubliSher
pringtime is synonymous with new beginnings. This Spring of 2010 the Jacobson family has outdone itself with new beginnings. Starting, of course, with this publication that you hold in your hands—the very first issue of Scottsdale SENIOR Magazine.
Associate Publisher GARY JACOBSON, Scottsdale, AZ
As we began introducing the concept of the magazine to Scottsdale, I’ve been delighted to find how friendly and professional the established leaders and rapidly growing companies are, and what a sensational place the NE valley is for anyone in need of the best of anything!
Graphic Designers SALLY SUE DUNN MICHAEL REISING
In subsequent issues, I’ll tell you a bit about our parent publishing company. But if you want to be sure you receive the next issue—always complimentary—just send your mailing address to the Subscriptions address or e-ddress shown in the lower corner of this page. Otherwise look for us in early July right where you found this issue. Now about those other “beginnings” that I mentioned. My wife Lidell, son Derek and I watched with pride as our daughter, Carly, graduated Magna Cum Laude from my alma mater, Arizona State University’s Herberger Institute for Design and the Arts. As if graduating into a new working life wasn’t enough, just days later I walked Carly down the aisle in her wedding gown. Lidell and I couldn’t be more proud of Marc, the handsome fellow Marine with whom she’s chosen to spend the rest of her life. It is very energizing to be involved in bringing Scottsdale SENIOR Magazine to you and to this community which is so full of great memories for me, going back thirtysome-odd years to my own college days here. I’ll look forward to hearing from you if you’ve comments on this first issue of Scottsdale SENIOR Magazine. Have a glorious spring and look for our next issue in early July.
Gary Jacobson Associate Publisher Gary@YourSENIORmagazine.com 602-741-5413
Keyword: Your SENIOR Magazine
Publisher & Editor-in-Chief JOSH CATES
Scottsdale SENIOR Magazine • Spring 2010
Features Writer/Copy Editor HELEN V HUTCHINGS
Distribution JENN STEINKE, Colorado CARRIE GANDY, Texas & Oklahoma Advertising/Sales JOSH CATES, All Markets Josh@YourSENIORmagazine.com GARY JACOBSON, Scottsdale, AZ Gary@YourSENIORmagazine.com (602) 741-5413 SENIOR Magazine, Inc. President & CEO, Josh Cates Vice President & CFO, Bob Cates Subscriptions/Customer Inquiries SENIOR Magazine P.O. Box 64108 Colorado Springs, Colorado 80962 www.YourSENIORmagazine.com (877) 785-4815 All advertisements in this Magazine are placed by third-parties. [We] do not control or endorse such advertisements or their content. Further [We] do not manufacture, sell, distribute or provide any of the goods or services advertised herein (unless otherwise expressly stated herin). [We] hereby expressly disclaim any liability with respect to the information contained in such advertisements and any goods or services advertised herein. [We] further disclaim any and all warranties or respresentations, express or implied, with respect to such information and such goods and services, including any warranty of merchantability or fitness for a particular purpose (it being understood that [We] do not acknowledge that any such warranty exists). [We] are not liable or responsible for any loss, injury, damage, or harm that you may suffer as a result of the information contained in any advertisement or the goods or services advertised herin. [We] refers to the name of the Magazine, The Senior Resource Guide.
Contents Spring 2010
ADULT HOME CARE Exercising to Improve Quality of Life 9 11 America’s Best Kept Secret ATTORNEYS
13
Estate Planning for Your Pet DENTISTS Are You Really Healthy
15
More Seniors Exercising To Improve Quality of Life
FINANCE & INSURANCE
17
Successful Retirement
FUNERAL PLANNING Choice and Remembrance 19
page
09
How do you know if you suffer from Chronic Pain?
page
27
HOME HEALTH How to Choose A Home Health Care 21 What Time Is It 23 HOSPITALS Returning Mobility and Quality of Life 24 PHYSICIANS How Do You Know 26 What Is Cancer 29 The Road to A Satisfying Sex Life 30 Will You Be A Statistic 31 RETIREMENT LIVING When Is It Time to Move 32 The Angels of Fountain View Village 34
Dealing with Retirement Risks page
17 Scottsdale SENIOR Magazine • Spring 2010
ON THE COVER
By: Helen V Hutchings
Florence Henderson on stage in her one-woman show, All the Lives of Me . . . is coming to Arizona. As we went to press, the dates for Scottsdale area performances had not been finalized, so watch your local listings.
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he sings. She dances. Of course, she’s an accomplished actress and performer, truly an all-around entertainer. But Florence Henderson also skypes, and e-mails messages and photographs to family and friends, and surfs the net. Florence is very much a testament to the wisdom of remaining engaged and active—mentally and physically—for she too is “one of us”. Florence Henderson’s Broadway debut was, similar to anyone starting out, a small part. But her abilities and talent quickly caught the eye of the likes of Rogers and Hammerstein and Joshua Logan. Thus two years later in 1954, at the ripe old age of 20, Florence was cast as the star, originating the role of Fanny on Broadway in the musical Fanny. Nearly 1,000 performances later (and remember in those days you really had to “project” vocally as there were no individual microphones amplifying each cast member), it is understating things just a bit to observe Florence Henderson’s career was “well launched”. On Broadway and as part of touring companies she’s be Maria in The Sound of Music, Anna opposite Ricardo Montalban in The King and I, Nellie Forbush in South Pacific, Annie in Annie Get Your Gun and so many more. In 1969 television came calling in what would turn out to be another “biggie” in Florence ’s professional career. She was cast as Carol Brady, aka “mom”, in The Brady Bunch. The series ran for five seasons but even though it technically ended in 1974, it has never been off the air right up to today as it currently is syndicated and on the air in 122 countries around the world plus the US .
Scottsdale SENIOR Magazine • Spring 2010
There’s more to the lady than just her work on stage and screens (big and little). Although her first marriage in 1956 to Broadway producer Ira Bernstein ended in divorce in 1985, they had had two sons and two daughters. Florence openly says that events of the mid-80s left her shaken and she battled depression. Seeking help to cope with her depression led to Florence meeting Dr John Kappas. They subsequently were wed in 1987. Renowned hypnotherapist Kappas is credited with not only defining the profession but establishing the first training program, the Hypnosis Motivation Institute, the first-ever in its field to be nationally accredited by the US Department of Education. With Kappas Florence shared love, but he also helped her gain a new level of awareness and skills. Today Florence herself is a certified hypnotherapist. Together they coped with and battled the cancer that ultimately claimed Kappas in September 2002. Since then, Florence has been an advocate and motivational speaker for women’s health issues and is, among her other humanitarian activities, a spokeswoman for City of Hope Cancer Research Center. This indomitable lady has no plans to retire—and she walks the talk. She has a new venture and a new show, and with both she bears witness to her belief in the importance of exercise and trying to have and attain a personal harmony between that mind, body and spirit triad. Entertaining on stage, however, came to her more easily than her adeptness with computers. Although Florence Henderson embraced
the new technology, learning to master it in fact took “a little help from a friend”. As Florence told one interviewer, she was having difficulties doing anything more on her cell phone than place a phone call. Within minutes her friend had explained and shown her how to operate its features like an old hand. Same thing with her personal computer. This experience became the inspiration behind the FloH brand which is dedicated to the concept of Better Living for Seniors and is centered around feeling better through exercise and healthy eating, as well as thinking better through new experiences and tools for living. The first service—fitting into that tools for living category—was launched just last October. In association with a technology partner, it is called the FloH Club; and is a membership, telephone-based, technical support service for older adults. Floh H Club matches member-callers with technicians who work remotely from their own homes. Several membership levels are available depending upon a member’s needs. Each membership is matched or paired to one individual computer (pc’s only please, not currently available for Mac or Apple users) and includes a monthly newsletter about technology for older adults from Henderson. Services include anything from simple e-mailing and making online purchases safely, to step-by-step guides on video conferencing, instant messaging, or troubleshooting support for slow or poor computer system performance, error messages, virus/spyware removal and data backup. Additionally, FloH club members can learn how to set up and use wireless networks, printers, digital cameras and more. Because entertaining others does come easily to Florence and because she’s reached that time of life when she has experiences and a message to share—she’s embarked on a one-woman show that is a very personal retrospective. This writer has not had the pleasure of attending a performance of Florence Henderson’s one-woman show that she calls All the Lives of Me . . . A Musical Journey, but reactions from those who have are telling. Like a true Hoosier (yes, Florence was born in Indiana, and since the mid-90s has returned each year to warble God Bless America prior to the start of the Indianapolis 500) she opted to preview her new show on homestate audiences in Indianapolis, backed by no less than the Indianapolis Symphony Orchestra. Critic Philip Potempa concluded his review with, “Henderson can still hit all the high notes and her larger-than-life persona and zest for entertaining is easy to embrace as it keeps audiences enthralled with her song and story.” Lest you discount reaction from a home-town audience and
reviewer, January 2010 Florence took her show to the Rrazz Room in San Francisco. More glowing reviews were forthcoming from David Wiegand writing in the San Francisco Chronicle: “In truth, Henderson, svelte and terminally perky, sings only about a dozen numbers over the course of her 90-minute show, and a couple of those songs are novelty numbers cleverly meant to concede the fact that she may not be a spring chicken, she may or may not have had work done, she really, really likes men, regardless of her squeaky-clean TV image, and so what? She deceives the audience as only a superb performer can: Within minutes, you’ll think she’s in your living room, chatting over cocktails. And by the end of the show, the only question you’ll want to ask is, do you really have to go?” And while the curtain will fall, signaling the end of each performance of All The Lives of… (of course, only after Florence has been called back for an encore), America’s museum, The Smithsonian in Washington, DC, has ensured that Florence Henderson’s place in the entertainment cosmos is preserved for all time as part of the National Museum of American History’s entertainment collections. As shown in photo below Florence Henderson has been honored, along with some of her contemporaries, as one of the Legendary Leading Ladies of Stage and Screen. A fitting tribute indeed to a lady who continues to give of her time, her energy and her talents to entertain and delight us all.
The Smithsonian Nationaltory’s Museum of American His of Legendary Leading Ladiese at Stage and Screen on stag . the presentation ceremony Inset, left to right, Olympic swim champ turned actress Esther Williams, comedienne Rose Marie, Hello Dolly! Carol Channing, catwomane in television’s Batman Juli Newmar, star of Alfred Hitchcock’s The Birds andcover Marnie Tippi Hedren, our star Florence Henderson and Space star of Lassie and Lost in June Lockhart.
Scottsdale SENIOR Magazine • Spring 2010
速
More Seniors
adult home care
Exercising To Improve Quality Of Life
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By: Katy Millberg eventy-six year old Anthony Yannello always considered himself an active senior. He mowed his own lawn, washed his own car, painted rooms in his home, and even cleaned his own gutters. But he never set foot in a gym until the doctor prescribed a daily workout as part of his healing. “I had open heart surgery and the doctor told me I had to get on the treadmill for 30 minutes at least three times a week,” says Yannello. “Now I have more energy. I sleep better. I’ve never felt better. Workouts have truly changed my life and my attitude. I tell all my friends to ‘get to the gym’.” Anthony is one of a growing number of seniors who have added physical exercise to their weekly routines. And now, Senior Helpers, the fastest growing provider of in-home senior care, is encouraging its caregivers to persuade senior clients to get out of the house and into an exercise routine. “Exercise doesn’t have to mean two hours of lifting weights and sweating at the gym,” says Shaun Phelan, owner of Scottsdale Senior Helpers. “It can mean walking through the mall or taking the dog for a stroll around the block. If a senior isn’t motivated to go it alone, our caregivers go along with them so they feel like they have a walking or workout buddy.” Medical research shows that even moderate exercise can dramatically improve the quality of a senior’s life. The Centers for Disease Control and Prevention conducted a study and found exercise can have a dramatic influence on seniors’ checkbooks in addition to their health. Seniors who went to the gym two or more times a week
over a two year period averaged at least $1,252 less in healthcare costs that those who went to a gym less than once a week. If that chunk of change doesn’t convince seniors to get active, consider the following statistics provided by the American College of Sports Medicine. Exercise can: • Lessen the risk of colon cancer by more than 60% • Decrease the risk of Alzheimer’s disease by about 40% • Fight depression as effectively as Prozac or behavioral therapy • Reduce the occurrence of diabetes by about 50% • Lower the risk of stroke by 27% • Reduce the occurrence of highblood pressure by about 40% • Decrease mortality and risk of recurrent breast cancer by approximately 40%. Plus, exercise has been proven to lessen the effects of arthritis. Research by the National Academy of Sports Medicine and the University North Carolina at Chapel Hill finds arthritis affects at least 46 million Americans, (many of them seniors) and costs the US $128 billion annually. Exercise combats arthritis by: • Improving muscle strength around joints • Maintaining bone strength • Combating fatigue • Maintaining ideal body weight Senior Helpers is working to spread this news and encourage seniors to include a reasonable amount of exercise in their daily routine. But how much exercise is enough?
Experts are divided on the topic. No magic number of minutes of exercise per week will lead to perfect health. But many seem to agree with the National Heart, Lung and Blood Institute which recommends all adults spend at least 30 minutes of moderate-intensity exercise most days, if not every day. The Institute recommends that seniors who are not accustomed to frequent exercise add it to their routines slowly, beginning walking for 30 minutes, three days a week, then build to 45 minutes of more intense walking at least five days a week. Walking daily does not seem difficult to some, but new exercise routines can be daunting for seniors, especially if they’re alone. Seniors often feel nervous and may need transportation to gyms. “It sometimes takes just a few words of encouragement from a family member or friend to get the senior up and active,” says Phelan of Scottsdale Senior Helpers. “So if you can’t be there for your elderly loved one, our caregivers can. They can work as sort of a life coach to remove obstacles to exercise and give seniors that little push they may need to get fit and healthy.” Author Millberg is a lifestyle writer. Scottsdale Senior Helpers is located at 6619 North Scottsdale Road in Scottsdale, Arizona 85250. For more information call Shaun Phelan and Scottsdale Senior Helpers at 480-621-6672 Scottsdale SENIOR Magazine • Spring 2010
“Serving Seniors and Their Families for over 10 Years” Founded on the notion that majority of seniors would rather “age in place” in their own home, At Home Personal Care provides affordable solutions through qualified caregivers to allow them to do just that…stay at home! Surrounded by familiar surroundings, seniors receive personal one-on-one attention and experience a better quality of life through home care services.
We are here to help with: • Assistance with all Activities of Daily Living • Alzheimer’s/Dementia Care • Stroke Support • Parkinson’s Support • Post-surgical Assistance • Respite Care • Hospice Support • Transportation • Companionship • Hourly or 24 Live-in • VA Aid & Attendance Processing • Accepting all Long Term Care Policies To sign up for our monthly e-newsletter or download one of our educational brochures, please visit www.athomeprc.com today! Serving Maricopa County: Call 480-497-4347 to schedule your free in-home, no obligation assessment or email us your questions at info@athomeprc.com Voted one of Arizona’s Top Ten “Best Home Health Agencies” for 2010!
adult home care
Do You Know
America’s Best Kept Secret?
I
By: Noelle Kurth bet if you ask an elderly veteran if he is aware he may be eligible for a benefit from the Veteran’s Administration he might tell you “I’m not eligible because I was not injured in war.” This common misconception keeps many veterans from tapping into a benefit they well earned by serving our country. The VA does not normally contact veterans to inform them of a benefit. Sadly, very few people are aware that this benefit exists. It is estimated that there are now over 25 million veterans who are eligible for this benefit. The fact is, veterans and their widows may qualify for sums and benefits, but they have to apply. The VA Aid and Attendance Benefit helps veterans pay for home care services, assisted living, and nursing home costs. As of 2010, the maximum monthly pension rates for Aid and Attendance are $1,945 for married veterans, $1,644 for single veterans, $1,055 for surviving spouse, and $2,580 for a veteran married to another veteran. The Aid and Attendance Benefit is definitely a well-kept secret. Many seniors and families we consult with have told us that they were unaware of this benefit or they attempted to apply on their own and were denied. To get the maximum pension amount, a veteran must qualify medically and financially and must have served the country for at least one day during “war time”. Also the veteran must have been honorably discharged. Every case is considered individually. The pension can sometimes take many months to actually be approved. The first check will be retroactive to the date the application arrived at the Veterans Affairs, therefore the first check may be for thousands of dollars. Subsequent checks will arrive monthly for the approved amount.
This pension money can mean the difference between affording adequate care for an aging veteran and/or widow, to having inadequate or no care at all. As with any governmental program, success is in the paperwork. The application is lengthy and some of it is in essay form. It is the wording of the essay areas that mean the difference between approval and denial. Also, Veterans Affairs does not tell veterans about all the supporting documents that they would like to see with the application. The better the
Determining Eligibility Veteran requires the aid of another person in order to perform activities of daily living or 65 years or older. Veteran with 90 days of active duty with at least one day during active Wartime, not necessarily in combat. Discharged from service under conditions other than dishonorable.
medical and financial records, the better the chances are of approval. Including the right medical forms signed by a doctor stating that the veteran is in need of daily living assistance is very important for approval. This benefit is very much available and attainable. With a little professional planning and assistance, many veterans and widows can receive pensions that make a significant difference in the amount of care they receive. After all, the reason for this particular pension is to assure that aged veterans or widows do not live in a substandard environment in their old age. It takes a little work to apply for this pension, but anything worth having usually does. At Home Personal Care has been educating seniors and their families about the VA Aid and Attendance Benefit for over 10 years. Many of our clients are currently receiving this benefit now and are enjoying the comfort of their own home, familiar surroundings and the personal attention received from one-one-one care from our qualified aides. There is no cost involved when applying for this benefit. Beware of agencies or “government groups” that may try to charge a fee to help process your application. This is illegal. Let us help you or your loved ones receive the benefits they earned in order to get the care they deserve. Noelle Kurth is the Corporate Communications Director of At Home Personal Care and a Board of Director for Human Services Professionals of Scottsdale/Phoenix. For more information or to get started with the application process, call 480-497-4347 Scottsdale SENIOR Magazine • Spring 2010
11
ATTORNEYS AT LAW A Professional Limited Liability Company
JOHN R. BECKER, ESQ. Certified Tax Law Specialist Certified Estate and Trust Law Specialist Fellow, The American College of Trust and Estate Counsel PRACTiCE AREAS • Estate and Trust Administration • Estate Planning • Probate • Guardianships • Conservatorships • Elder Law
KiERLAND CORPORATE CENTER 7047 East Greenway Parkway Suite 370 Scottsdale, Arizona 85254 Telephone: 480.240.4020 Facsimile: 480.240.4021 E-mail: john@beckerandhouse.com Website: www.beckerandhouse.com 12 Scottsdale SENIOR Magazine • Spring 2010
attorneys
Estate Planning
for Your Pet “...we want to insure that if something
were to happen to us, they would be cared for in the manner in which they have become accustomed to.”
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By: John R Becker everal years ago Elizabeth lost her husband to cancer. With her children grown and living out of state, Elizabeth rescued a small dog from the local animal shelter to help fill her lonely days. “Chomper” became an important part of Elizabeth’s family and added so much joy to Elizabeth’s life. Unfortunately, Elizabeth is now faced with her own potentially fatal health issues and is concerned about what will become of Chomper, her beloved pet and companion, when she passes on. Pets have become family members to many of us and often we want to insure that if something were to happen to us, they would be cared for in the manner in which they have become accustomed to. When we perform estate planning services at Becker & House for our clients, we discuss their property, and who is to receive it. We discuss any
minor children, and who is to act as their guardian. Additionally, we discuss our clients’ pets, and who is going to care for these beloved pets should our clients become incapacitated or upon their deaths. Arizona actually has two statutes that allow the creation of a trust for the purpose of holding funds to be used
“Arizona actually has two statutes that allow the creation of a trust for the purpose of holding funds to be used for the care of a person’s pet.” for the care of a person’s pet. Typically, the establishment of a pet trust is not necessary. However, identification of a proper caregiver is essential. You should determine who you wish to act as care-
giver in your place as well as name at least one alternate caregiver. Becker & House clients are provided with a pet information sheet for each of their pets. This document lists the pet’s veterinary information as well as its daily care information, including its usual food, likes and dislikes, and any behavioral information important for the care of that pet. At Becker & House, we take pride in our legal services for clients, especially in estate planning and estate administration. As part of that planning, we want to make certain that the beloved pets of our clients are properly cared. Knowing that Chomper will continue to receive the care Elizabeth has given him, she will be able to rest a little easier. Author John R Becker, Esq. is a Certified Estate and Trust Law Specialist with Becker & House, PLLC. He may be reached at 480-240-4020 Scottsdale SENIOR Magazine • Spring 2010
13
dentists
Are You Really
A
Healthy?
Article courtesy of Doctors Bruce Lachot and Kent Loo re you really healthy? In recent years, with the developNot if you have gum ment of dental lasers, this same radidisease. Studies indi- cal procedure can now be performed cate a relationship be- with a minimally invasive small laser tween health of gums tip. This results in faster recovery, less and overall health. The link between periodontal disease, and better overall periodontal disease and cardiovascu- results. The Millennium laser protocol, lar disease, diabetes, and other serious LANAP, is an FDA-approved procesystemic diseases is well documented. dure that is very effective in targeting Multidisciplinary state of the art the bacteria that causes periodontal treatment and coordination of care disease directly and precisely. With are now becoming the norm in treat- this procedure, the laser energy taring the entire persona, not just a sin- gets just the tissue at risk, avoiding gle tooth. Periodontal disease is con- a lot of collateral damage. Theresidered to be chronic and incurable fore, improved post-operative comsince it almost always recurs. fort and shorter healing time are Have you had previous gums surgeries significant. This reflects a dramatic and therapies that left you displeased with shift towards a greater recognition the outcome and gave you little hope of that negative side effects have a great benefit? Controlling advanced periodontal impact on patients well being. disease is now a reality. For decades, the stanThe new focus in the more advanced dard surgical operation involved removing dental community is to help folks with diseased tissue and bacteria through open dental problems by utilizing new treatincision and removing bone. Therefore, to ments to help clarify the bigger picture be fair; patients apprehension about peri- of total health and well-being, hopefully, odontal surgery is not unjustified. leading to a better quality of life. Missing teeth have a dramatic effect on overall health and decrease quality of life. If you have been unfortunate enough to have lost a tooth or many teeth, implants may be the best option for regaining your confidence and improv“The new focus in the more advanced dental community is ing your quality of to help folks with dental problems by utilizing new treatments life. Dental implants to help clarify the bigger picture of total health and well-being.” can restore a single
missing tooth, several missing teeth or multiple missing teeth by supporting bridgework. Dental implants can also help loose partials and dentures to be anchored and stabilized which can provide many functional advantages to patients. Implants prevent bone loss after the loss of natural teeth and provide optimal stability resulting in greater health and function. Dental implants can be placed on most adults that maintain a level of good health. Certain uncontrolled medical conditions may decrease the effectiveness of implant treatment so be sure to discuss your full medical history with your dentist before beginning treatment. He/she is a trained doctor who can access whether you can improve your overall health by having implants placed. Gone are the days when people said “My grandparents, my parents, my uncle all wore dentures. Therefore I will wear dentures.” That mentality is in the past. You can say, “No”, whether it is your first lost tooth, your tenth lost tooth, or even if you have lost all of your teeth. Become empowered with knowledge. It will be beneficial in the quest for total health and wellness. Ask your dentist to explain the benefits and risks to see if tooth replacement with implants is right for you. Doctors Bruce Lachot and Kent Loo’s full-service dentistry practice is located at 8535 East Hartford Drive, Suite 202 in Scottsdale. Additional information can be found at www.lachotsmiles.com or by phone at 480-515-1000 Scottsdale SENIOR Magazine • Spring 2010
15
Successful Retirement
R
Finance & Insurance
Dealing with Retirement Risks
By: John Dombroski etirement has always been a tough undertaking. But in today’s tumultuous economy, it sometimes seems like an impossible task. There’s no question there are financial risks associated with retirement. However, you can manage these risks. Here are the top five most common retirement risks and the best ways to deal with them:
Risk #1: Outliving Your Money Running out of money is not just a scary prospect, it’s also one of the biggest risks all retirees and soon-to-be retirees face. In the retirement planning world, this is known as “longevity risk.” According to the Society of Actuaries (SOA), Americans are living longer, which means the risk of outliving their money is higher. The SOA estimates the average life expectancy for 65year-old Americans at 17 more years for men and 20 years for women. However, 30% of women and 20% of men aged 65 will live until they’re almost 90 years old. That means many people may live up to 25 years or longer after they retire. How to deal with it: As long as you save enough money for retirement, avoid overspending, and invest wisely, the problem should avoided. You may consider taking a part-time job after retirement or even delaying retirement. Investing in payout annuities—managed payout plans (longevity insurance) an annuity that does not start paying benefits until an advanced age, such as 85—is another option Some retirees also apply for a reverse mortgage. Risk #2: Skyrocketing Inflation According to the SOA, annual inflation
in the US was 3.5%.from 1980 to 2007. Based on that percentage, a product that cost $1 in 1980 cost $2.82 in 2007. Inflation in specific areas can have an even greater impact on seniors. Studies show that health care represents 5% of the average person’s budget before retirement, but grows to 10% for retirees ages 65 to 74 and increases to 15% for retirees 75 and older. How to deal with it: To prepare for the effects of ever-growing inflation, SOA recommends retirees and soon-to-be retirees invest in assets that grow in times of inflation, such as common stocks, inflation-indexed Treasury bonds, inflationindexed annuities, and commodities and natural resources. Semi-retirement for a couple of years before fully retiring also slows the drain of retirement assets. Risk #3: Unpredictable Interest Rates While many consumers are thrilled about today’s low interest rates, retirees and soon-to-be-retirees aren’t too happy about it because when interest rates are low on both short and long-term investments, retirees may be forced to re-invest their money at lower rates. Plus, many soon-to-be retirees who are investing in fixed income will have to save more to build up a sufficient retirement fund. While the SOA points out that government spending, inflation and business conditions all affect interest rates; it’s difficult to predict the future. How to deal with it: To manage the risk of interest rates, the SOA says retirees and would-be retirees could invest in immediate annuities, longterm bonds, mortgages or dividendpaying stocks.
Risk #4: Stock Market Fluctuations Because it’s practically impossible to forecast what will happen to stocks, many retirees fall prey to major stock market losses. How to deal with it: First of all, the SOA says, retirees and older workers should limit stock market exposure. If you do invest in the stock market, be sure to diversify; spread your money among different investment classes and individual securities to decrease your risk. Also consider investing in financial products like mutual funds that invest in stocks, but guarantee against the loss of principal. Risk #5: Disappearing Retirement Funds If your employer declares bankruptcy, what happens to your pension? If your annuity insurer becomes insolvent, where does that leave you? Many terrible things can happen to your retirement funds but there are ways to manage these risks. How to deal with it: Before investing, do your homework. Check credit ratings to determine if any may be at risk for bankruptcy. Look into an insurance company’s claims-paying ability rating. Of course, you are already protected from some risks such as if your employer does go out of business, the Pension Benefit Guaranty Corp insures your defined-benefit pension plan (up to certain limits.) Annuity companies are covered by state insurance guaranty funds up to specified limits so if the insurer becomes insolvent, claims will still be paid. Author John Dombroski is with Grand Canyon Planning Associates, LLC and may be reached by calling 480-991-1055. Scottsdale SENIOR Magazine • Spring 2010
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Manager, Marlo Hardy 12065 N. Saguaro Blvd. Fountain Hills, AZ 85268 Telephone: (480) 837-5588 MESSINGER PAYSON FUNERAL HOME
Manager, Mark Waldrop 302 W. Aero Drive Payson, AZ 85547 Telephone: (928) 474-2800 PARADISE MEMORIAL GARDENS AND CREMATORY
Manager, David Messinger 9300 E. Shea Blvd., Scottsdale, AZ 85260 Telephone: (480) 860-2300
www.messingermortuaries.com
In death as in life, we all look for safe passages and a way to let go of our grief, to cling to our most cherished memories, and to continue to hold in mindful remembrance those whom we love most dearly. Cremation and final commitment of the remains is not the end of the journey. It is indeed a first step for those who survive towards memorializing a loved one. Coming together is the second most important passage on the journey to closure that must be undertaken by family members before it is possible to resume worldly duties, and before the healing process can be completed. It has been said, “A funeral is the way we get through a death.
The fundamental obligation of the funeral is to bear witness to a death in the family and to initiate remembrance.” A place of remembrance is that special place where we gather in preparation to part with the remains of a loved one—a special place where we find solace and comfort to hold in our memories—a place of safekeeping. Closure, created within comfort, is the final step in the healing process: it begins with the death, a gathering to honor the dead, sharing memories, and ends with a permanent place of memorial.
No one wants to be forgotten.
Funeral Planning
Cremation:
Choice and Remembrance Just Cremation why choice is important
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...
by Jim Vickers, Vickers Agency, Director of Advanced Planning, Messinger Mortuaries, Inc.
By: Jim Vickers consideration for your financialappropriate circumstances whether it ast year my wife and: CHOICE I ment your not sell you what they something dignified, and CREMATION AND desires, REMEMBRANCE be cremation or a traditional funeral. wereJust faced withyear, a mafeeland is Iright you. Present your vision in keeping with family customs. Often this past my wife werefor faced with another decision regardingand ourexpectations house—it was tothe paint jor major decision regarding andtime exam services and one person’s definition of simple may notdisposing Cremation is an ancient and honorable way of the interior. This meant looking around for the best our house—it was time products available. Are they consistent with match the perception of another. of our dead. It does exactly what it is supposed to do—it painter the who offered pricing and quality work,one in this to paint interior.affordable your needs? Picture your loved works. In my experience low cost providers but also one who would guarantee everything could be This meant looking around for the best setting. Is this how you imagine your final prosper by using a loss-leader approach, a done just the way we wanted. After getting Recently, the simple act of cremation has been tarnished b painter offering affordable pricing and farewell? In the end, the right decisionreducing is scaled down version of the cremation serrecommendations from friends, we decided to use the it merely to a low cost way to dispose of our quality work who would also guarantee based not only on affordability, but also envice without advising the buyer oftime addi-and read services of a local painter, whom we felt met all of our dead. We can pick up a newspaper at any everything would beneeds. doneWhat just we thereceived way suring choices willmet be honored. tional needs. Always insist in theyour end more than our an ad that invites us Buyer to takebeware: advantage of the “best deal in we wanted. After getting recommendathis time is by emotionally full-disclosure all charges is stated requirements: superb work Planning done with at premium paint a town.”that Reducing this timefor honored tradition to mere trustworthy craftsman a fair and acceptable price. To with seneconomics to strip itbefore of its dignified meaning. tions from friends, we decided to use the atburdensome. It must be treated in theis contract signing. This elimi-The our relief, the job without in a that wise deci“cheapest” notlater guarantee and services of a local painter whom we was felt done sitivity. Theengaging expectation nateschoice hiddendoes costs such aslasting a special “bidding war,” compromise on inferior product, concern cherished memories. Simple is not to be confused met all of our needs. sions can be made at the time of death is urn, additional death certificates beyond with the job would not be completed on time, or surprise usexactly why cheap. Simple means buyer wants something dignified, What we received in the end more often open to debate. That is the single actthe of cremation. with “hidden costs” when the job was done. He told us up appropriate and in keeping with their family customs. than met our requirements; superb work Effective advertising uses persuasive lanfront what to expect and that is exactly what we got, and Often one person’s definition of simple may not match the done with premiummore, paint because by a trustworguage to sell the product. Ads are meant to he paid attention“No to small details. Thatyour perception of another. matter what thy craftsman at a fair price. The job was induce buyers into making a decision that meant the difference between just painting a few rooms preference, your final In my experience, lowincost providers prosper by done without a “bidding war,” or having to may not be their best interest. It isusing easya “lossand giving us an interior with exceptional style. As a result leader” approach—a scaled down version of the cremation decision should reflect compromise on inferior Workexperience, was to be misled by advertising. Ask questions. of product. this satisfying we recommended this young service.Seek This advice. is done without thebased buyer of additional mannotolate others, whoor in turn recommended him completed on time with surprises Make advising decisions upon you. After all,to ittheir is an needs associated with it. Buyer beware before signing on the dotted friends. Right now, in this troubled economy, our painter hidden costs. We were told up front what your family’s needs, customs and circuminvestment in your line only to discover later that hidden items can carry more costs. a fullwhat calendar. He is pleased with his increasing to expect and that ishas exactly we got stances. The decision to cremate should be in the Always insist that full disclosure for all charges, be stated cherished memories.” business and we are pleased to recommend his services. because the painter paid attention to small approached As you consider contract, whether thethoughtfully. need is immediate or future. This may details. It meant the difference between just your own plans, insist that your choices How does this all relate to cremation and its options? apply to items such as a special urn, additional deathalcertificates, painting a few roomsSimple. and giving an inte- used it isinimportant know that your funeral ways be honored loved one’s final Theusmethods finding thetobest funeral or extras beyond the singleand act ofyour cremation. are all the provider same. Seek out reliablethat sources, rior with exceptional establishment style. understands every family is wishes be treated with respect. No matter Effective advertising uses persuasive language to sell the product. get references from family and friends, then sit down with As a result of this satisfying experi- different, is willing to plan a remembrance what your preference, your final decision Ads are meant to induce the buyer into making a decision that a funeral professional your ischoice. This may takeindividual, some ence, we recommended the young man of that as unique as the and reflect After it to is be anmisled invest-by may notshould be in their bestyou. interest. It isall, easy effort in locating the right funeral home for your needs. to others, who in turn recommended provide a dignified farewell with considermentAsk in questions. your cherished memories. advertising. Seek advice. Make your decision based You want a funeral provider who will listen and implement him to their friends. Right now our ation for your financial circumstances. upon yourOh, about our painter: He is always family’s needs, customs and circumstances. your desires, not sell you what they feel is “right” for you. painter has a full calendar. pleased CremationExam is an ancient and honorable available and so are we. Present He yourisvision and expectations. the services The decision to cremate should be approached with his increasing and business and we are way of disposing of our dead. the products available. Are they consistent with your Recently, thoughtfully. As you consider your own plans, insist that pleased to recommend his Picture services.your lovedsimple actthis of setting. cremation hashow been tarnished Author Vickersbeishonored with Vickers Agency needs? one in Is this your choices will always and your loved one’s How does this all relate to cremation when reduced to merely a low-cost wayfinal to wishes and isbe Director of Advanced Planning you imagine your and final farewell? In the end, the right treated with respect. No matter what your decision is based notinonlydispose on affordability, but We alsofind ensures its options? Simple. The methods used of our dead. ads that preference, in- at Messinger Increflect whichyour has quality of your finalMortuaries, decision should that your choices are going to be honored. Planning at this finding the best funeral establishment are vite us to take advantage of the “best deal been owned andin operated since life. After all,family it is an investment your cherished time is emotionally burdensome. It must be treated memories. all the same. Seek out reliable sources, get in town.” Reducing this with time-honored 1959. They may be reached by calling Thethen expectation that wise decisions can be strips it of its 480-945-9521. references from familysensitivity. and friends, sit tradition to mere economics About our painter? He is always available and so are we. made at the time of death is often open to debate. That is down with a funeral professional of your dignified meaning. The “cheapest” choice exactly why it is important to know that your funeral Messinger Mortuaries, Inc. choice. It may take provider some effort to locate thatdoes notfamily guarantee lastingisand cherished understands every is different, Family Owned and Operated the right funeral home for your needs. You memories. Simple is not to be confused willing to plan a remembrance that is as unique as the Since 1959 want a provider whoindividual, will listen and cheap.farewell Simple with means the buyer wants andimpleprovide awith dignified Scottsdale SENIOR Magazine • Spring 2010
19
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Home Health & Hospice
How to Choose a Home Health Care Agency
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Article courtesy of MD Home Health/MD Home Assist any (if not most) they would be required to sub-contract patients would out the services they do not provide. rather be at home On the administrative side, make than in a health sure the agency has adequate workcare facility. As ers compensation insurance as well as long as they do not need constant super- general and professional liability invision or intensive medical treatment, surance. Finally, make sure the agency, these patients are usually happier and not you or the family, will handle the more comfortable in the familiar surrounding of their homes. In addition, “The agency should have the home is frequently a better enviand assign a supervisor ronment for recovery or convalescence. Home care is also less costly than tradiwho is directly involved tional, institutional care, often by 50% in every case. He or she or more, compared to hospitalization. will coordinate with the So the savings can be quite significant. family and physician to Home health care is usually divided into two categories, non-medical and determine the level of medical. Non-medical services, which care that is needed.” usually do not require orders from your doctor, would include personal care assistance, meal preparation or com- necessary paperwork related to wages, panion services. Medical home care taxes and insurance. could range from a home health aide to The agency should have and assign a highly skilled nursing care by an RN or supervisor who is directly involved in evLPN, as well as physical, occupational ery case. This person should be the one or speech therapy. This care is usually to conduct an initial needs assessment under the direction of your physician. and home evaluation. He or she will coCare can be short or long term, inter- ordinate with the family and physician mittent or around the clock. (when necessary) to determine the level You should to choose a licensed, full- of care that is needed. A comprehensive service agency so that no matter the care plan will then be developed that need, you only have to deal with one best meets both the patient’s needs and provider. This also provides a very im- the doctor’s home care objectives, while portant continuum of care. A home care assuring continuity of care if discharged provider has to be able to respond to the from a hospital. This plan details all gamut of home care possibilities, from schedules, services and what specific the most basic care to the most complex. kind (or kinds) of care the patient needs. So the agency you select would ideally The supervisor will also monitor the case provide all services necessary. Very few as it progresses, with periodic calls and agencies are considered full service, so visits, to ensure a smooth, coordinated
response to changing needs-no matter what these changes may be. When you contact prospective providers, ask about their qualification and selection procedures including fingerprinting, background checks, skills verification and continuing education. Find out, too, if their employees are bonded and insured. Today, home care providers should be equipped with state of the art systems, not only to test and train their employees, but also to match employee’s skills and experience to patient needs. Naturally, these sophisticated systems help ensure that the patient receives the best possible care. If the patient is enrolled in Medicare, care will likely be covered provided eligibility requirements are met. Generally this means one or more skilled services are ordered by the physician, are intermittent in nature and the patient is homebound. Medicare will not pay for hourly care. If the patient has long term care insurance and requires assistance with four or more “activities of daily living”, then care is usually covered up to a maximum budget per day. Finally, most private insurance companies provide some form of coverage for home health, but this varies widely. The home health agency you choose should verify benefits of any insurance policy prior to commencing care. The MD Companies combine to provide both medical and non-medical home care. MD Home Health is a State Licensed/ Medicare Certified Home Health Agency. To discuss appropriateness of home care for a loved one, call 602-266-9971 Scottsdale SENIOR Magazine • Spring 2010
21
Home Health & Hospice
What Time is It? “Technology has pushed death so far back into the background that we view death as the exception rather than the norm.”
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By: Ed Gungor, courtesy Grace Hospice n some unconscious denial about the inevitability of death. level we understand As a result, many cultivate a false hope that life is a gift. It is in medical technology or even prayer. ours. But it is a gift It is perfectly natural to hope that that comes with some kind of medical breakthrough an expiration date. Something in us will stop the disease that is robbing refuses to accept that. Everything in our lives. Almost weekly we watch as us bucks against that gift being taken technology cures sickness and postfrom us—we resist death. Our bod- pones death. Technology has pushed ies have an immune system built-in death so far back into the background that fights against sickness and death. that we view death as the exception We are wired to resist thoughts about rather than the norm. And, truth be death (unless we have some kind of told, we are shocked by death. Modpsychological or emotional pathol- erns are not so much grateful for our ogy). Everything about us refuses to good health or length of life; we exquit when our survival is threatened, pect it—demand it, really. And if our which gives us an edge in fighting off expectations are interrupted by tragdebilitating disease. There is much edy or illness, we feel ripped off. We evidence of how the sheer will to live, see it as unfair. positive thinking and humor can mitiJust a hundred years ago, this mindgate the power of disease. set would have been considered a little We don’t accept death easily because crazy and completely unreasonable. we weren’t created to die. We were creat- Today our expectations are very difed to live forever. A part of us will always ferent. In fact, many unconsciously deny death because a part of us never embrace an illusion that one day techwill die—our eternal part, the spirit. We nology will conquer death altogethresist the notion of death and that resis- er—possibly in their lifetime. tance often pushes us into an unhealthy Then there is the issue of miracles. To the surprise of many doubters, miracles still happen. God heals people—even when they are at the point of death. There is always hope right up to the very end. Stories from various faith traditions bear this out. In the ancient book of Isaiah, an old, sick king named, Hezekiah, was told by a big-time, always-right prophet to get ready because he was going to die that day. The prophet then left the king’s house. Meanwhile, Hezekiah was
To every thing there is a season and a time to every purpose under heaven: A time to be born, and a time to die…Ecclesiastes 3:1-2
bawling his eyes out, calling on God. God told the prophet (who had only gotten as far as the king’s front yard) to go back and tell the king that God had just added fifteen years to his life! What was that all about? Somehow, God changed a person’s destiny in response to a human cry. I am in no way suggesting this happens all the time, but it does happen sometimes, which means that, though death is set to happen to all of us, the timing isn’t. People should pray for healing. That being said, many, many people count on healing or technology (or both) in a way that is unrealistic. It is great to hope for medical breakthroughs and to believe in miracles, but having hope should not preclude us from doing the work required to leave this world and to get our house in order. No matter how far technology advances and no matter how many miracles people experience, there will come a time when it is time to die. An ancient Jewish proverb states “There is a time to die.” There will be a time when it will become obvious that you are not going to get any better; a time when you need to recognize that you are in decline and life is going to come to an end. Here, work must be done, or you will make it more difficult than necessary for yourself, and for those you leave behind. Grace Hospice office us in Suite 210, 4515 South McClintock Drive in Tempe and may be reached by dialing 480-775-2599 Scottsdale SENIOR Magazine • Spring 2010
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Amanda Armijo returned to an active life including swimming, yoga and horseback riding after her total hip replacement at Scottsdale Healthcare.
Joint replacement returns mobility
quality of life & By Kathy Stinson, RN
Y
ou’ve lived with pain in one or both knees or hips for years. Activities such as golf, hiking, bike riding or perhaps even daily chores are a thing of the past or limited as best.
Like many others, you’ve tried various medications, treatments and physical therapy—all to no avail. You’ve thought about knee or hip replacement, but quickly dismiss it as an option after envisioning a long hospital stay, extended recovery and results that may be only slightly better than your current condition. It’s time to reconsider. Joint replacement isn’t what it used to be. In fact, it’s now an effective—and often lifechanging—option for more people than ever before. Joint replacement can result in significant pain relief, restoration of mobility and a great improvement in quality of life. Patients who have undergone joint replacement at Scottsdale Healthcare’s Total Joint Centers (so named 24
Scottsdale SENIOR Magazine • Spring 2010
because they offer everything from extensive pre-surgery education and healthcare professionals with specialized orthopedic training to dedicated orthopedic nursing units and rehabilitation) frequently comment that they wish they would have had the procedure sooner. Much of today’s advancements in joint replacement have to do with improved technology. For example, knee implants have been developed that last longer and accommodate active lifestyles. Beneficial alternative medical approaches also have been developed. Case in point is the direct anterior approach to hip replacement surgery. With the traditional posterior approach, muscle and tendon are removed from the pelvis and leg bone, which ultimately affects the way patients sit, stand and move. By comparison, the alternative direct anterior approach to replacing the hip joint doesn’t have these repercussions. This is because the surgery is performed
Hospitals
without muscle detachment. Instead, surgeons use a natural division between muscles. The same artificial hip implants are used in the direct anterior approach. However, thanks to today’s high-tech medical equipment, they can be implanted precisely so there is a more consistent and accurate restoration of the individual patient’s hip anatomy. At Scottsdale Healthcare, for example, orthopedic surgeons use detailed digital images to plan a patient’s replacement surgery. Advanced x-ray images also are used during surgery to ensure the best possible outcomes.
With the robot, surgeons sit at a digital console and view an actual image of the surgical field—in 3D highdefinition! The robot’s high-tech instruments correspond to the surgeon’s hand movements at the console, allowing the surgeon to operate in real-time through tiny incisions. Kathy Stinson is director of orthopedic and neuroscience services at Scottsdale Healthcare. For patient stories, videos and more information about orthopedic services at Scottsdale Healthcare, visit www.shc.org.
TISSue SpArIng TecHnIqueS In OrTHOpedIc Surgery
MInIMally InVaSIVe Surgery an OpTIOn FOr VarIOuS prOCedureS The direct anterior approach to hip replacement surgery is a minimally invasive surgical technique. That means patients generally have smaller incisions and less hospital time, scarring, pain and recovery time than with traditional open surgery. In fact, the most important muscles for hip function and walking are not disturbed with the direct anterior approach—eliminating the need for them to heal. Impressively, the benefits of minimally invasive surgery aren’t just for joint replacement patients. At Scottsdale Healthcare, experienced surgeons are using minimally invasive surgery—often combined with the latest medical technology—to treat patients with a variety of health issues. For instance, physicians are using a daVinci surgical robot at Scottsdale Healthcare Thompson Peak Hospital and Scottsdale Healthcare Shea Medical Center to treat prostate, kidney, bladder and gynecological cancer. Scottsdale Healthcare has the longest experience with the daVinci robot of any Arizona hospital, acquiring the state’s first daVinci in 2001.
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Tissue sparing surgery aims are to reduce surgical damage and optimize recovery for patients. In a broad sense, tissue sparing surgery encompasses arthroscopic surgery, minimally invasive surgery, computer assisted surgery and some joint replacement procedures.
The basic premise is to avoid cutting the major muscles and tendons surrounding the hip and knee joints, thus minimizing the surgical trauma to the patient. Less surgical trauma translates into less pain, less scarring and faster recovery time.
Minimally invasive surgery is a tissue sparing technique that is being used to revamp and improve hip and knee replacement surgery.
To learn more about joint replacement surgery, contact Scottsdale Healthcare’s Total Joint Center at 866-969-8526, or email OrthoInfo@shc.org. For information on minimally invasive surgery, the daVinci robotic surgical system, or the doctors and services available at Scottsdale Healthcare please call 480-323-3663.
Scottsdale SENIOR Magazine • Spring 2010
25
How do you know if you suffer from
Chronic Pain? By: Drs Jonathan D Carlson &
Patrick W Hogan
By visiting a clinic offering multiple modalities for pain treatment and a team approach, pain is effectively treated on a personalized level. No two people are the same; pain should be treated on an individual basis.
26
Scottsdale SENIOR Magazine â&#x20AC;˘ Spring 2010
Physicians
C
hronic pain is classified as pain that has lasted for six months or more. Those who suffer from chronic pain experience first-hand the impact their pain has on their own life and the lives of their loved ones. Many believe they have to just “live through” the pain; some are dependent on pain killers. It is likely that you or someone you know lives with chronic pain as 1 in 5 people have chronic pain. Complementary, multi-level pain programs are essential when treating pain to give the greatest relief possible. Imagine two people come to a pain clinic, both reporting low back pain. In some pain clinics both patients would be prescribed the exact same treatment, though the cause of the pain and pain levels may be completely different. But at a pain clinic that offers a complementary approach to pain management, one person might see a practitioner, chiropractor and behavioral therapist, while the other person sees a practitioner and is treated by an acupuncturist. By visiting a clinic offering multiple modalities for pain treatment and a team approach, pain is effectively treated on a personalized level. No two people are the same; pain should be treated on an individual basis. When seeking a pain physician, it is crucial to know the physician’s qualifications. Seeking physicians who are board certified, even double-board certified, is recommended. A medical board is a governing organization that provides certification procedures by which doctors prove and demonstrate competency in that specific medical field. Through written and oral exami-
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nation, physicians seeking board-certification demonstrate their knowledge, judgment and clinical skills among other attributes, while also showing that they can serve as experts in matters related to their medical field. Consistent research and being published further prove a physician’s competency. Through research and publication, a physician not only benefits from studies, but shares his or her knowledge via articles in major medical journals. These journals are read by other physicians and specialists and often aid medical advancement. Inspired by a close family member’s personal struggle with pain, the compassionate physicians at Arizona Pain Specialists have created an environment where they and the entire staff consistently ask, “Is this the treatment we would want for our loved ones if they were in pain?” This empathetic, caring approach is teamed with individualized care plans that integrate many levels of care, resulting in the most effective pain treatments available. Arizona Pain Specialists adhere to the highest quality standards in ongoing efforts to provide top-tier patient care. Physicians remain on the cutting edge of medical technology by routinely leading research teams and publishing their findings in prominent medical journals. Each physician is board certified through the American Board of Anesthesiology, in addition to being board certified Pain Management Specialists. By being double-board certified, our physicians are proving that they are knowledgeable, experienced and proficient in their field. At your first visit and physician consultation, you will find Arizona Pain
Specialists operates with an all-encompassing team approach. An individualized pain program is created for each patient and may include an outpatient procedure in the state-of-the-art onsite procedure center. Chiropractic care at Arizona Pain Specialists is another facet of the comprehensive approach. Acupuncture, physiorehab and disc decompression are just a few of the options that may be suggested by the chiropractic doctors. Further supporting that inclusive approach to pain management, Larry Lynch is available to all patients for psychotherapy and biofeedback. Arizona Pain Specialists hosts a weekly pain support group which has cultivated a dedicated following of patients who come because of a problem, but stay because of relationships. Arizona Pain Specialists proudly offers same-day MRI appointments at its on-site open MRI. This service is invaluable to patients, helping to treat pain issues even faster at it eliminates time lost due to having to schedule an MRI elsewhere. Additionally Arizona Pain Specialists believes in educating its patients beyond the office visit. Its website (www.arizonapain.com) features the free ePainBook, the largest online pain publication available. Taping has begun on The Pain Show, also available via the website. The Pain Show further educates viewers and offers inspiring stories from patients while keeping viewers updated on the latest in pain treatment news. Co-authors Drs Carlson and Hogan are two of the pain-management physicians at the pain relief experts, Arizona Pain Specialists. To discover how you can live pain free call 480-563-6400
Scottsdale SENIOR Magazine • Spring 2010
27
Your Champions Against
#SFBTU $BODFS the first practice to specialize exclusively in treating breast cancer with targeted radiation, arizona Breast Cancer specialists (aBCs) is the go-to destination for patients from across the country and around the world.
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What Patients are saying . . . â&#x20AC;&#x153;ABCs is a fantastic place for breast cancer treatment. Everyone was pleasant and accommodating, I was treated with great respect and care, and every day, I felt like the entire staff was there just for me.â&#x20AC;? â&#x20AC;&#x201D; Randy â&#x20AC;&#x153;When I arrived at ABCs for my initial consultation, I met a woman whose sister had just flown in from out of town to be treated here with brachytherapy. It reassured me to know the practice had that kind of reputation.â&#x20AC;? â&#x20AC;&#x201D; JoAnn â&#x20AC;&#x153;I have implants. Believe me, itâ&#x20AC;&#x2122;s a delicate procedure to place those catheters without harming an implant, and at ABCs they accomplished it without any trouble. I had no side effects from my brachytherapy: no fatigue, no pain, no burning of my skin. It was an amazing journey, and it was finished in just five days.â&#x20AC;? â&#x20AC;&#x201D; Christy â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;m 70 years old, and I canâ&#x20AC;&#x2122;t imagine taking radiation treatments every day for more than six weeks! My cancer was caught early, so I was agood candidate for brachytherapy. At ABCs I had an A-plus experience!â&#x20AC;? â&#x20AC;&#x201D; Verna
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Physicians
What is Cancer? C
Article courtesy of Arizona Breast Cancer Specialists ells are the basic buildCancer is defined by uncontrolled cell ing blocks of life. All growth along with the ability to spread living tissues are made and grow in other parts of the body. This of cells and there are uncontrolled growth is very slow at first. hundreds of different Many cancers spend years or decades before types of cells in the body. Each type has spreading. Over time, however, growing a specific function. Blood cells carry ox- cancer cells can change and become able ygen, nerve cells carry instructions, skin to spread (metastasize) to other parts of the cells protect our bodies, and so on. body. It is this ability to spread that makes it Each cell is very small. Packed together, a potentially life-threatening disease. six million blood cells (or cancer cells) are A good example of a cancer that grows no larger than a strawberry seed. All cells slowly and almost never spreads is the contain DNA, a special kind of molecule common skin cancer basal cell carcinoma, that contains our genetic code. DNA con- which is almost 100% curable. Some cantrols all of a cell’s functions, including re- cers, however, have frequently spread beproduction. If the DNA is damaged in a fore they are detected; this is often the case certain way, the cell may reproduce uncon- for cancers of the lung and pancreas. trollably and such uncontrolled growth is Cancers of the same type may look and the beginning step in cancer development. behave similarly. For example, breast canSubstances that cause cancer-produc- cers in two different women may look very ing DNA damage are called carcinogens. similar under the microscope and may be These include a few specific viruses, some vulnerable to the same anti-cancer drugs natural substances (tobacco, asbestos, etc), (chemotherapy). These common features chemicals, and some types of radiation. allow doctors to predict—within reaThe interval between exposure to a car- son—how a given type of cancer will becinogen and the development of cancer is have and how it may respond to treatment. usually years to decades. There are many This knowledge guides doctors in making carcinogens that affect humans. However, treatment recommendations. Despite these for most human cancers we cannot look common features, every cancer is unique, back in time and identify the carcinogen and the outcome of one person with breast or clear cause for the cancer. Indeed, most cancer cannot predict the outcome of ancancers in humans have no single domi- other person with breast cancer. nant cause. Most cancers arise because of Popular theories suggest that cancer many factors, only one of which may be is caused by pollution and is a ‘curse’ on exposure to an identifiable carcinogen. modern society. This is incorrect. Some Other factors include things like age, diet, cancers are from human-made carcinolifestyle choices, and unique aspects of a gens, but most carcinogens are natuperson’s genetic code that make him or her rally occurring. Examples include tomore vulnerable to developing cancer. bacco, asbestos, and the cancer-causing
viruses. Humans can make the unwise decisions to smoke tobacco and line buildings with asbestos, but these substances themselves are not new. Cancer is as old as life itself and has been found in dinosaur fossils and in the mummified bodies of ancient humans. Cancers threaten a patient’s life by spreading to and damaging other organs in the body. Cancer that spreads to the lung can cause shortness of breath and pneumonia. Cancer that spreads to the brain can cause symptoms similar to a stroke. Cancer has other effects that may not relate to spreading to and damaging a particular organ. Many cancer cells secrete chemicals or hormones that cause weight loss, weak bones, fevers, fatigue, a vulnerability to infections, and chemical imbalances in the blood. The type and location of a cancer is important in determining treatment. Many breast cancers are small and curable when detected. Very early cancers of the voice box (larynx) are 99% curable. Some cancers are ‘silent’ until they are advanced and are more difficult to cure. The outcome of one patient with breast or prostate cancer, etc does not predict the outcome of another person with that same cancer. While general statements in books or on websites can be helpful, they are no substitute for a face-to-face consultation with a specialist. Arizona Breast Cancer Specialists is located in Suite 200 at 9055 East Del Camino Drive in Scottsdale. To reach us by phone, call 480-922-4600 Scottsdale SENIOR Magazine • Spring 2010
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The Road to a Satisfying Sex Life
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By: Heather Sutton Walsh, MD, PhD xperts and popular culture all agree: better sex and better intimacy lead to overall well being. However, many women do not have a fully satisfying sexual life, and a majority of them do not seek help from their doctors. Many factors contribute to our silence related to sexual health, but chief among these is the idea that we are the only one with our particular problem. Many factors affect female sensuality. Masters and Johnson created a model of normal sexual function that described a progression from excitement, to plateau,
to orgasm, and then resolution. Today, the sexual model proposed by Rosemary Basson is considered more representative of female sexuality. Basson described women’s desire as a response to intimacy and sexual stimulation. Some women do not necessarily have a strong desire to have sex, but once they are stimulated by a loving partner, desire develops. Medical barriers to sexual well-being most often develop from chronic disease, especially coronary heart disease, diabetes, depression, and cancer, or hormonal issues that may or may not be related to increasing age, and side effects of medications. These conditions can interfere with all aspects of sexual functioning. Female sexual dysfunction is related to the same risk factors as coronary vascular 30
Scottsdale SENIOR Magazine • Spring 2010
disease: smoking, high blood pressure, and high cholesterol. Women with hypertension may have decreased vaginal lubrication, decreased orgasm, and increased pain. Some antihypertensive medications can induce sexual dysfunction in otherwise normally functioning patients. Experts theorize that women with diabetes may experience decreased sexual function due to neuropathy, hormone changes, and vascular disease. Women with diabetes may also have decreased vaginal lubrication, decreased orgasm, and increased pain with intercourse. Sexual problems related to cancer can develop after surgery, chemotherapy, radiation, hormonal manipulation, and medications. Married women are at higher risk for depression than non-married women. Depressed women are at risk for sexual disorders. Another mental health issue that affects sexual function is chronic and acute stress. Relationship variables, attitudes towards sex and aging, and cultural background have a greater impact on sexual function than hormones and aging. Indeed, it has been shown that a good relationship protects against sexual decline in menopause. While hormones (estrogen and testosterone) are important in maintaining normal sexual function in women, the extent is still unclear. Aging will naturally lead to a decline in sexual activity, and a decline in hormone levels can lead to a decline in desire, vaginal atrophy, and/or delayed orgasm. There is controversy regarding the sexual effects of hormonal contraception. Some research reports an increase in desire with oral contraceptive use, while others show little to no change, and still others show decreased desire. Some prescription medications improve
sexual function, while others impair it. Common medications that may impair sexual function include antidepressants, antihistamines, antihypertensives, antipsychotics, anti-anxiety meds, cardiovascular agents, and chemotherapy. Relationship and communication barriers are also frequent sources of female sexual problems. The ability of partners to have conversations about intimate issues such as lubrication, sexual self image, body image, and clitoral stimulation is the foundation of sexual health in committed relationships. Couples need to understand that long-term sexual relationships are complicated and change over time. As individuals change, the couple’s relationship changes, and there may be gender differences in feelings and thoughts about sexuality. To be successful in long term relationships, it is critical for couples to have interactive skills to build sexual communication and sexual technique compatibility, and to learn how to successfully manage health, psychological, and life stage issues. Female sexuality experts agree there should be a focus on the more positive aspects of sexuality for women. Your doctor should be willing to have open, frank discussions about any sexual concerns you may have. He or she can offer help for sexual problems and also assist those without sexual problems who simply wish to enhance their sexual lives. Since sexual problems usually involve both medical and psychological issues, these problems need careful assessment. Treatment for any underlying disorders is important, as is consideration for referral to a sex therapist. Lubricants can be recommended to reduce sexual discomfort and potentially enhance feelings of sensuality and intimacy. These products may help women overcome medical and psychological barriers to sexual well-being. Author Dr Heather Sutton Walsh is an OB/GYN Physician in Texas
Physicians
Will You Be A Statistic?
Type II Diabetes
D
By: Joan Weems iabetes is sweeping the nation as a wild fire. It is estimated that one in three will be diagnosed with diabetes at some point in their lives. How sad is that? The most common cause of diabetes is poor nutrition and being overweight. Diabetes may be prevented by eating proper food and exercise. What can you do to lower your risk for diabetes? Sometimes it is difficult to figure out what you can do. The National Diabetes Education Project has identified some proven steps to reduce your risk of developing diabetes by 50%. The good news is you don’t have to knock yourself out to lower your risk.
Step One:
Set a weight loss goal. Aim to lose 5–7 % of your current weight. So, if you weigh 200 pounds, you need to lose 10 to 14 pounds. Keep a log and write down everything you eat daily and the amount of physical activity you were able to do. Compare each day. Get support from family and friends and perhaps get them involved too. It’s never too late or too early to develop healthy lifestyles.
Step Two:
Make healthy food choices every day. Fiber and protein are very important so beans as well as fruits and colorful vegetables are good choices. Choose lowfat or nonfat milk, and low-fat cheese. Other protein choices could be chicken, pork (the other white meat), lean meats, fish, peas, nuts and seeds. When choosing starches, look for whole grain cereals, breads, crackers, brown rice, pasta or oatmeal. Keep good healthy snacks on hand for those moments when you are starving.
Step Three:
Strive to become more physically active. If you are not active, start off slowly and choose a physical activity you will enjoy and stick to it most days of the week. Continue to add more time until you reach at least 30 minutes of moderate-intensity physical activity five days a week. Build physical activity into your daily activities. For example, park your car in the furthest space out in the parking lot, take the stairs instead of the elevator, and take a brisk walk at lunchtime. There are many community programs like the YMCA or Wellness Centers where you can work out for free or
at very little cost. These centers afford the opportunity to keep up your physical activity even when the weather isn’t favorable. You have to exercise regularly to help promote better circulation to your body, lower cholesterol balance and blood pressure, and of course, to promote healthy weight management. There are numerous places where you can get help or answers to any medical or healthcare questions you may have. Your doctors or home healthcare services can help you after a hospital stay, teaching you about your diagnosis, new medications, diabetic help, wound care, therapy to strengthen you and get you back on your feet. Their nursing staffs work to ensure patients regain independence as they recover from, or live with an illness or injury. Where appropriate or needed hospice services create individual plans the patient and supporting family members. These teams can provide medical, spiritual, physical and emotional support along with pain control. Bereavement care is also a part of most hospice services. Author Joan Weems is a RN as well as owner/ administrator of home healthcare service in Oklahoma Scottsdale SENIOR Magazine • Spring 2010
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Scottsdale SENIOR Magazine â&#x20AC;˘ Spring 2010
Retirement LIVING
M
Article courtesy of The Manor Village at Scottsdale any seniors wor- munities maintain the grounds and ry when trying have housekeeping services for those to decide when indoor tasks. Joining others for physiit’s the right cal programs for strength, balance, time for them to and mobility encourages involvement. move into a retirement community. Transportation to outside events proMoving is difficult at any age and the motes participation in community thought of having to pack up memo- and cultural activities. Look for a faries, sort through closets and leave cility that has an on-site health clinic home can be nearly paralyzing. Many for convenience. seniors feel pressure to move quickly. However, waiting too long can result “I don’t want to be a bother.” in a life changing fall making the dePractically every family member who cision for you. There are many advan- hears this wants to reply, “It is a bigtages to making a move sooner rather ger bother for you to stay in your own than later. home.” With concern for your safety, a move would undoubtedly put your fam“Will I fit in?” ily’s mind at ease. They know their loved Transitioning from your home to a one will be checked on, offered social retirement community can be tough opportunities and be eating meals reguemotionally. Difficulty driving at night, larly. Family members are free to spend limited mobility and chronic health is- more quality time with their loved one sues may have conspired to reduce the rather than just doing the chores. number of social outlets in your life and can cause loneliness and depression. Liv“It will be hard to downsize.” ing in a retirement community opens Yes, it will be hard to downsize. Most the door for many social interactions of us spend our entire lifetime accumuwith an interesting variety of activities lating stuff and deciding what to keep is to choose from. Socializing with people difficult. This is often the hardest part of the same age and with similar life expe- the moving process but once it’s done, riences makes it easy to meet new people it’s done. It is a great time to gift sentiand form new friendships. mental items to family. Many support organizations welcome donated items “I want to maintain which may be tax deductible. Having made the move, you will be free to focus my independence.” Moving into a retirement commu- on living your best possible life. nity can actually provide more indepenVisit The Manor Village at Scottsdale dence. When preparing a meal for only one, many seniors lose interest in cook- to learn more. ing a balanced meal and put their health Georgette Kelly, Marketing Director for at risk. Dining with others encourages good nutrition and means no more The Manor Village at Scottsdale may be meals alone. At your own home, nego- reached by calling 480-767-7646. The tiating stairs, changing the bed or trying Manor is located at 9160 E. Desert Cove to make household repairs can result in Avenue, Scottsdale, Arizona 85260. To a life-changing injury. Retirement com- learn more visit www.themanorvillage.com
See Advertisement First Page
“Family members are free to spend more quality time with their loved one rather than just doing the chores.” Scottsdale SENIOR Magazine • Spring 2010
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The Angels of
Fountain View Village
T
By: Rebecca Quinn he Fountain View Village campus of care is inspired by the creative, artistic community of Fountain Hills. From the beautifully appointed courtyards with water features and the famous 550 foot fountain to the spectacular views of the desert landscape, the picturesque campus offers many compelling amenities, including angels. Each resident checking in to avail themselves of rehabilitation services are met by their own personal angel who is assigned to oversee their stay. The angel (a staff member of Fountain View Village) greets the resident with a welcome packet containing a welcome letter from the Administrator, the program and event calendar, a list of staff and community contact phone numbers, and a personalized welcome gift. The angel visits the resident throughout the stay to answer any questions or assist in any way possible. Within 48 hours after discharge the angel personally calls the resident to ascertain how they are fairing, and also to ask a few questions about their experience during the stay in rehab. The angel continues to keep in touch with additional follow-up calls 10 days after discharge, and again at 25 days. Involving the families of residents in their own rehab plan turns family members into participating angels, too. A family meeting with the interdisciplinary team is scheduled within 72 hours of admission. The resident and family learn the approach to the rehab plan and discuss anticipated length of stay and goals for outcomes. Other angels include the Fountain View Village physiatrist (doctor specializing in rehab) as well as the entire 34
Scottsdale SENIOR Magazine • Spring 2010
therapy department. They believe in a non-pharmacological approach to pain management and utilize e-stem and other modalities to help residents rehab faster and better by quelling their pain during therapy without using pain medications. Residents who have suffered a stroke or have a debilitating disease such as Parkinson’s, and who are having difficulty swallowing, may be candidates for vitalstim. Vitalstim is a specialized electrical stimulation that retrains the muscles in the throat. Fountain View Village also offers a vibrant assisted living program including supportive lifestyle options for extra help with daily lifestyle tasks. The Legacy Court area of the campus offers memory care services providing the perfect environment of care, compassion and respect for persons experiencing various levels of memory loss. Fountain View Village is a part of the Senior Lifestyle collection of communities focused on creating opportunities to nurture the spirit of America’s elders and celebrate the rhythm of each life through open communication, innovative leadership, personal growth and a commitment to excel. Offering diverse enrichment and wellness environment as well as care options that support healthy living in mind, body and spirit, residents engage in the Wellness Everyday™ program. The Dining for Wellness™ program features menus with nutritional information, educational programs and festive events focused on specific age related health challenges like arthritis, diabetes and hypertension. For those who enjoy socializing, there’s meeting friends for happy hour in the, Southwestern Pub with its juke-
box, billiards table and fresh popcorn. There’s also the Bistro, general store, a cozy movie theater, art gallery and full service beauty/barber salon. Elegant dining rooms with outdoor patio offer daily specials featuring fresh, seasonal cuisine, fresh baked bread, homemade soups and salad dressings. The private dining room and library with fireplace provide quiet settings for dining or visiting with family and friends. The community also includes two chapels for spiritual comfort and multi-purpose rooms for arts and crafts or other resident functions. Scheduled transportation is provided with a community bus or limousine service too A healthy lifestyle requires physical activity and Fountain View Village offers senior-friendly exercise classes as well as state-of-the-art equipment in the Life Enhancement Center. Aquatics classes are offered as well in the outdoor heated pool. The monthly calendar of programs and activities includes movies, trips to the theater, outings to sporting events, restaurants, and other places of interest. Fountain View Village provides apartment living for active residents who want the freedom to enjoy personal interests. All this is available with no buy-in fee required, only an annual rental lease. So, come tour Fountain View Village and meet some of the angels. Author Rebecca Quinn is the Director of Sales & Marketing at Fountain View Village, 16455 E Avenue of the Fountains in Fountain Hills, which is rated in the top three retirement communities in Arizona by Ranking Arizona magazine. Call 480-836-5000 for your personal tour.
Livinglife atFountainViewVillage How far would you go for Excellent Care? 25 miles? 50 miles? 75 miles?
Good News… We’re just up the road. Fountain View Village Skilled Nursing and Rehabilitation: UÊÊ,>Ìi`Ê ÝVi i ÌÊLÞÊÌ iÊ À â >Ê
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Just 15 minutes from Scottsdale and Mesa
16455 E. Avenue of the Fountains Fountain Hills, AZ 85268 (480) 836-4808 www.seniorlifestyle.com
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