Senior Fair

Safe Today.

Healthy Tomorrow.

41st Annual Maui County

Senior Fair War Memorial Gym 7:30 to 11:30 a.m.

Saturday, Oct. 25

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T1

A Special Message from Governor Neil Abercrombie and Lieutenant Governor Shan S. Tsutsui 41st Annual Maui Country Senior Fair October 25, 2014

On behalf of the people of Hawai‘i, we would like to extend a very warm aloha to the organizers, attendees, sponsors and supporters of the 41st Annual Maui County Senior Fair.

This annual event embraces the importance of staying healthy in order to enjoy the riches of life. We join together in an effort to engage in a healthy lifestyle regardless of our age. Today’s event also serves as a reminder to us all that our kupuna are to be cherished, thanked and respected for they are the teachers of our traditions and our bridge to the past.

A Message From Mayor Alan M. Arakawa Aloha kakou,

On behalf of the people of Maui County, it is indeed my great pleasure to welcome you to the 41st Annual Maui County Senior Fair.

This year’s theme highlights the many ways our seniors continue to achieve remarkable things in their later years. Many older adults are experts in their field, have years of valuable experience and are using that knowledge to improve the lives of others. This Senior Fair is an opportunity to recognize our Kupuna and share their stories with our community.

I invite you to take advantage of the health and screening booths, ethnic foods and arts and crafts activities provided by the various organizations and agencies who care so much for Maui County’s seniors.

We commend Maui County’s Department of Housing and Human Concerns and Office on Aging along with Maui Economic Opportunity for the outstanding services they continue to provide to the community here in Maui County. We share a special mahalo to the event organizers for hosting another magnificent event; to the event sponsors and volunteers for their dedication and undying efforts; and to the participants for their continued support of this annual event.

Special thanks go to the Maui County Office on Aging and the Department of Housing and Human Concerns, as well as the many organizers, volunteers and supporters who come together each year to honor our seniors through the Maui County Senior Fair.

With warmest regards,

Sincerely,

Congratulations on the success of the 41st Annual Maui County Senior Fair. Best wishes to all of you with future endeavors.

NEIL ABERCROMBIE Governor State of Hawai‘i

SHAN TSUTSUI Lt. Governor State of Hawai‘i

“Caring for our kupuna is both a responsibility and privilege.”

Paid for by Friends of Rosalyn Baker | P.O. Box 10394 | Lahaina, HI 96761 www.rozbaker.com

Best wishes for an enjoyable and successful event.

Alan M. Arakawa Mayor, County of Maui

Day Care Supports Independent Living Licensed by the Hawaii Department of Health, Adult Day Health strives to maintain or restore an individual’s ability to live in their own home. Services include: ©d } yw { x y{ {zB experienced staff

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A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T2

Aloha and welcome, Senior Fair attendees!

he theme for the 41st Annual Senior Fair is: “Safe Today.

T Healthy Tomorrow.” This theme

encourages injury prevention and safety promotion that protects us all and allows us to remain active and independent for as long as possible.

Maui County Office on Aging is committed to working with seniors and family caregivers to help each one remain Safe Today and Healthy Tomorrow.

As you enjoy the Senior Fair this year, be mindful of the many booths dedicated to health and safety. Take some time to find out about exercise programs, have your blood glu-

cose level checked or get a flu shot. Discover the many resources available and make connections with others Deborah Stone-Walls also engaged in healthy activities.

Remember that socializing also increases overall well-being, so just the fact that each of us is interacting with others helps to improve our

Let us help you and your loved one …

health. The music, the laughter or the special purchase you may make all have positive lingering effects on health and contribute to remaining Safe Today and Healthy Tomorrow.

Maui County Office on Aging wishes to acknowledge Maui Economic Opportunity Inc. for once again producing this event. I know

that MEO’s excellent preparation will make this event a positive highlight of your year!

Here’s to a great day that reminds us all to be Safe Today and Healthy Tomorrow!

— Deborah Stone-Walls Maui County Executive on Aging

Maui County Office on Aging Aging & Disability Resource Center Access and Assistance Team

Maui Adult Day Care Centers provides a social, memory care, therapeutic day program for high to low functioning adults, individuals diagnosed with Alzheimer’s/dementia, and adults who are physically or mentally challenged.

Caregiver support is provided to families.

Center Locations

Kihei • Kahului Wailuku • Lahaina For More Information Please Call

871-5804

L-R: Three MCOA team members of the Access and Assistance team. Program Manager Christi Keliikoa, Case Manager Monica Morakis, and Case Manager Vicki Belluomini.

Helping frail elders & their caregivers “age in place” with services Call 270-7774 or stop by the J. Walter Cameron Center 95 Mahalani Street, Room 22, Wailuku

Email: mcoa.adrc@mauicounty.gov Online: www.mauicountyadrc.org

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T3

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Maui County Office on Aging’s

13th Annual

Family Caregivers Conference 8:30 am to 3:30 pm Friday, November 14, 2014 Makena Beach & Golf Resort, Maui Conference Keynote Speaker:

Emme Tomimbang Burns

Executive Producer/Host of “Emme’s Island Moments” Featured Guest Speakers: ~ Russell Nanod & Friends ~ Dr. Ted Anderson ~ Maui County Prosecuting Attorney’s Office

• OTHER ACTIVITIES, EXHIBITS, AND DOOR PRIZES •

*Early Bird Registration Deadline: Friday, November 7, 2014 *Early Bird: $15 for seniors, caregivers and students ... $25 for professionals Nov. 8 to 13: $20 for seniors, caregivers and students ... $30 for professionals Includes Continental Breakfast and Buffet Lunch – Scholarships Available from Maui County Office on Aging and for Native Hawaiians from ALU LIKE Bus transportation from Central Maui provided by MEO, Inc. (Limited seating, so reserve early)

For information or transportation, please call 270-7755 To Register: CLEARLY PRINT YOUR INFORMATION BELOW AND MAIL WITH PAYMENT TO:

Maui County Office on Aging J. Walter Cameron Center, 95 Mahalani Street, Room 20, Wailuku, HI 96793 Please make checks payable to: MAUI COUNTY OFFICE ON AGING NAME ______________________________________________ PHONE (

Better Choices Better Health

re you sick and tired of being sick and tired?

Do you want to take control of your health and A are determined to not let your chronic disease take

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control of your life? Then you should check out Better Choices Better Health. This evidence-based program developed by Stanford University is provided by the Maui County Office on Aging and its partners. It is 2-1/2 hours long, once a week for six weeks and led by trained facilitators. On Maui, two workshops are offered: Chronic Disease and Diabetes.

The Diabetes Self Management Program is geared toward those who are pre-diabetic or suffer from diabetes. The Chronic Disease Self Management Program is for those with a long-term health condition such as diabetes, arthritis, heart disease, overweight, high blood pressure and many others.

Both workshops provide you with the necessary self-management tools that help you reduce symptoms so you can feel better and enjoy life more.

Topics covered include goal setting and problem solving; fitness and exercise; healthy eating; relaxation; falls and balance; importance of sleep; medication management; effective communication; positive thinking; and decision making.

Why attend this workshop? The workshops are dynamic, interactive and fun. Practical self-management skills are taught along with proactive steps to manage health and support is offered for the challenges you may be faced with. Make daily tasks easier and get more out of your life. The program is not expensive. The cost is $10 for seniors and caregivers and $35 for those younger than 60. Scholarships are offered.

Better Choices Better Health has high-fidelity standards. Evidence shows that program participants experience positive outcomes such as improved health behaviors, positive changes in health, increased confidence, better communication with health providers, fewer visits to physicians, expanded support network, and more energy and less fatigue. Participants are experiencing a better quality of life and now have better control without their chronic disease controlling their lives.

This program is offered in all counties and on all three islands of Maui County. So if you are one of those who feel that your chronic health condition is controlling your life or you need help in making better choices for better health or are a caregiver, check out the Better Choices Better Health program with the Maui County Office on Aging. There will be workshops starting soon for you to take advantage of. For more information or to register, call the Maui County Office on Aging at 463-3166.

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T4

All-in-one services help seniors stay home

t is no secret that the number of individuals over the age of 60 is inIcreasing exponentially. Without mas-

sive changes to operations, there will be no way to effectively meet the needs of seniors in the future. This we know. What may not be so evident are the strides forward that the Hawaii State Executive Office on Aging and the Area Agencies on Aging (AAAs) in Hawaii are making in “getting ahead” of the population boom.

A little over two years ago, the Maui County Office on Aging (MCOA) implemented a new assessment protocol that each AAA in Hawaii will eventually use. Kauai Agency for Elder Affairs began using the assessment about six months after Maui, and Honolulu City and County Elderly Affairs Division is readying to do so. Let me warn you, this is a long assessment. So, why implement an assessment that could be construed as cumbersome and downright bothersome for frail seniors?

The answer lies in what seniors and family caregivers end up receiving from the assessment. Imagine a senior

who needs assistance in order to remain safely at home. Maybe the senior and family identify a few services that would allow him or her continued independence. Rather than having to call numerous agencies and participate in separate assessments, the AAA can conduct one assessment that provides a comprehensive view of how to help keep that senior at home.

I like to think of the assessment as a traffic light. MCOA used to only determine the red and the green lights.

We could easily identify when seniors were in the “red” and required immediate in-home assistance. We could also determine functions for which the senior required no assistance— the “green” areas. The new assessment process allows us now to identify the “yellow” at-risk areas as well. These are the areas that do not yet require intervention but that could eventually undermine the senior’s desire to remain independent at home.

By identifying the at-risk areas, MCOA can assist families in taking a proactive approach. We no longer simply authorize necessary services,

but we help the individuals and family plan to avert the need for services in the future.

So, yes, we spend a few hours getting to know the senior and family caregiver. But the time is well spent.

We identify not only needs, but also areas of strength and potential areas of risk. Seniors receive a comprehensive support plan designed to meet current needs, improve function when possible and prevent further decline.

This proactive approach, combined

ALOHA EYE CLINIC

tÇÇÉâÇvx à{x tww|à|ÉÇ Éy Jivin Tantisira, M.D. is pleased to

Katerina Kurteeva, M.D., a Diplomat of the American Board of Ophthalmology, to our practice.

Her expertise is in cataract surgery and comprehensive ophthalmology.

Dr. Kurteeva graduated with Alpha Omega Alpha academic medical honors from Loma Linda University Medical School. She completed her internship and residency in Ophthalmology at Henry Ford Hospital in Detroit, Michigan. She is a member of the American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery and the Orange County Society of Ophthalmology.

Dr. Kurteeva is accepting new patients, and welcomes urgent and same day referrals for any eye condition.

Please call (808) 877-3984 or scan the QR code below to schedule an appointment. www.alohaeyeclinic.com

WAILUKU: 450 Ho‘okahi Street, Wailuku • Ph. 877-3984 Mon.-Sat. 8 am - 5 pm KIHEI: 1300 N. Holopono Street, Suite 109, Kihei • Ph. 442-3058 A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T5

with evidence-based health promotion activities, is critical to the future success of the aging network. We know the amount of funding we receive will not keep pace with the aging population. Therefore, we must engage in coordinated planning efforts that maximize health and independence in a pre-emptive manner to be able to meet the needs of at-risk seniors for years to come.

— Deborah Stone-Walls Maui County Office on Aging

Thank you family caregivers

friend just walked into my office and commented that family careA givers never get enough thanks. Do

You can depend on us to deliver responsive, personalized in-home care through compassionate staff and innovative technology 24 hours a day, every day of the year.

Caregivers Maui: • Responds quickly to request for services • Extensively trains and screens caregivers prior to being assigned to a patient • Oversees all care provided with a Registered Nurse • Provides in-home technology, enabling family members to remotely monitor key biometrics and the care being provided

808.877.6688 · www.caregiversmaui.com Locally owned and operated; an affiliate of Hale Makua Health Services.

they get enough acknowledgment for what they add to the quality of life of their husband, wife, mother, father, sister, friend, neighbor or any person for whom they are caring?

Most caregivers don’t even identify themselves as caregivers. Answer these questions for yourself: Do you take someone to his or her doctor’s appointment or to the market? You’re a caregiver. Do you cook, sew or do laundry for a neighbor or friend?

Guess what, you are a caregiver. The little things we do for others is called caregiving, even if we are helping our spouse or our parents or our children.

Most consider this just being kind or “part of our role.” Providing help is being kind and possibly it is “part of your role” as spouse or parent, but it is also caregiving. It’s important to acknowledge to yourself that you are a caregiver and, as such, deserve acknowledgment and thanks.

According to statistics from Caregiver Action Network (CAN), there are more than 65 million caregivers of the chronically ill, disabled or aged, which amounts to 29 percent of the U.S. population.* But even more staggering is that the estimated dollar value that these loving family members and friends provide “free” is approximately $375 billion per year. Yes, $375 billion.** Family and informal caregivers save the government a great deal of money because of their generosity of spirit, often at the expense of

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T6

their own finances and health.

Not only do these wonderful caregivers provide “free” service, but they do so graciously with love and with very little complaining. In spite of the love and commitment, many caregivers find it difficult to allow for personal time for self-care and recreation.

This can easily result in caregiver burnout.

We need to care for our caregivers, thank them and acknowledge all that they do. We need to provide respite from daily duties. Sometimes that respite could just be in the form of time to soak in a tub, take a walk, take a nap and so on. Let’s look to our caregiver neighbors, friends and family and see how we can give them a break and at the very least say, “Thank you.”

Every year, Maui County Office on Aging says “thank you” to our family caregivers in the form of an annual Family Caregivers Conference. This year, once again, it is at the Makena Beach & Golf Resort on Nov. 14.

Please refer to our ad in this tabloid for more information or call us at 2707755. *Caregiving in the United States; National Alliance for Caregiving in collaboration with AARP; November 2009 **Evercare Survey of the Economic Downturn and Its Impact on Family Caregiving; National Alliance for Caregiving and Evercare. March 2009

— Norma Circle, ADPS II Family Caregiver Conference Coordinator

Maui Adult Day Care Centers celebrates 40th anniversary

aui Adult Day Care Centers in 40 years has gone from one M center to four centers with a service

center in Hana; is open seven days a week and Friday evenings; has developed a top-rate caregiver support program; and will soon be the first adult day care center in Hawaii to go “high tech� for the elderly using touchscreen technology.

Maui Adult Day Care has centers in the Kahului, Wailuku, Kihei and Lahaina areas, and Hana’s service center, Hale Hulu Mamo.

Many caregivers have full-time and/or part-time jobs; their workday doesn’t end when their daily shift ends. For many families, the workday continues as they care for an aging loved one in their home. A caregiver can often feel they are working 24/7, which causes stress, frustration and even depression. For some time, caregivers have had a desire for a program that will assist with care Sunday through Saturday. Maui Adult Day Care Centers answered

Location Hours Kahului: Monday-Friday, 6:30 a.m. to 6 p.m. (Sun Downing and Social Program from 4 to 9 p.m. Fridays); Saturday, 7:30 a.m. to 4:30 p.m.; Sunday, 8:30 a.m. to 4:30 p.m.

Wailuku: Monday-Friday, 6:30 a.m. to 6 p.m.

Kihei: Monday-Friday, 6:30 a.m. to 6 p.m.

Lahaina: Monday-Friday, 6:30 a.m. to 6 p.m.; Saturday, 7:30 a.m. to 4:30 p.m.; Sunday, 8:30 a.m. to 4:30 p.m.

Hana: Monday-Friday, 8 a.m. to 4:30 p.m.

that need.

Maui Adult Day Care Centers takes pride in “making a difference� by providing personal care in a safe family-style environment, while adding a “spark of life� and enjoyment back into the lives of elderly and family members. Maui Adult Day Care Centers also provides caregiver support by offering monthly support groups, ongoing caregiver counseling and

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quarterly workshops at no cost.

Through generous donations from Hawaiian Commercial & Sugar Co., Alexander & Baldwin, the Atherton Family Foundation and others, Maui Adult Day Care Centers has purchased 25 Ipads to be used for the added stimulation and enjoyment of its clients. Each Ipad will offer a variety of apps to meet the needs of clients at the level of their abilities.

Maui High School Key Club and Maui Preparatory Academy students will provide an intergenerational aspect and interact with and assist clients in the implementation of this new iTouch Program.

Scholarships are available for all programs. For more information, call 871-5804.

Family Caregivers Conference is set for Nov. 14

The Maui County Office on Aging presents the 13th annual Family Caregivers Conference from 8:30 a.m. to 3:30 p.m. on Nov. 14 at Makena Beach & Golf Resort.

The conference keynote speaker will be Emme Tomimbang Burns, executive producer/host of “Emme’s Island Moments.�

Early bird registration ($15 seniors/$25 professionals) deadline is Nov. 7. Regular ($20 seniors/$30 professionals) deadline is Nov. 13. Registration includes continental breakfast and buffet lunch.

For bus transportation or more information, call 270-7755.

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A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T7

763 8, Lanai City, HI 96

Food Ekalesia O Kupaianaha GTD Group, Inc. Kahului Filipino Senior Club Makawao Hongwanji Seniors Maui Okinawan Kenji Kai Sr Club Maui Puerto Rican Assn.

Portuguese Association of Maui Wailuku Hongwanji Buddhist Women’s Assoc.

Health Screening Aloha Eye Clinic CareResource Hawaii UH Maui College Campus Health Center

Info & Product 808 State of Grace LLC AARP Driver Safety Program Allan H. Nakata & Associates Alulike / Na Kupuna O Lokelani American Cancer Society Apex Intl. Investment Group Corp DBA Nurse - Pro Care Bayada Home Health Care

BBB of Hawaii Better Choices Better Health (MCOA) Cargivers Maui DCCA-SOH Executive Office on Aging - Sr. Medicare Patrol Gammie HomeCare Hale Mahaolu Hale Makua Health Services Hana Lani Senior Club Hi. Library for the Blind & Physically Handicap HISHIP / Sage Plus Program HMSA Hospice Maui Hot & Glassy Productions Humana Insurance Islands Hospice Kahului Carpet & Drapery Products Kahului Hongwanji Buddhist Women’s Assoc.

Kaiser Permanente Kula AARP Kula Hospital Legal Aid Society of Hawai‘i Lifetime Ohana Care Lions Clubs of Maui Lokelani Hale Senior Club MAFCE (Maui Assn for Family & Comm. Ed.) MasterCare

Maui Adult Day Care Centers Maui County Office on Aging Maui Electric Co. Maui Memorial Park Maui Vet Center MEO Inc. Metro Pacific Group, Corp.

MetroCare Hawaii LLC Na Hoaloha Na Wahine Hui O Kamehameha Nurse Pro Care Obenauf Law Group Ohana Care Maui LLC Premier Physical Therapy President, Maui Rakuen Club Roselani Place Rosy’s Chop Suey Collection SOH-DCCA Tea Party Maui

Other Citizens Against the Maui County Farming Ban HSTA – Retired Kula Hospice & Clinic Wailuku Filipino Senior Club

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T8

Political Alan Arakawa Carmen Hulu Lindsey Cranston K. Kapoi David Ige/Shan Tsutsui Don Couch Don S. Guzman Duke Aiona Elle Cochran Gil Keith-Agaran Gladys Baisa Joe Blackburn Joe Kamaka Joe Pontanilla John Fitzpatrick Joseph Souki Kaala Buenconsejo Mike Molina Mahealani Wendt Michael Victorino Mike White Mililani Trask Robert Carroll Stacy Crivello Tamara Paltin

41st Annual Maui County Senior Fair 7:30 to 11:30 a.m. | Oct. 25, 2014 | War Memorial Gym

PROGRAM 7:30 a.m.

8 a.m.

Darren Lee “Elvis” at 10:30 a.m.

8:15 a.m.

8:30 a.m.

9 a.m.

9:30 a.m.

10:30 a.m.

11:15 a.m.

11:30 a.m.

Welcome by Emcee Tom Blackburn-Rodriguez Invocation by The Reverend Jerry Kupaianaha Entertainment by Maui Karaoke Club Remarks by Gov. Neal Abercrombie Lt. Gov. Shan Tsutsui Mayor Alan Arakawa COM Director of Housing and Human Concerns, JoAnn Ridao COM Executive of Aging, Deborah Stone-Walls MEO Chief Executive Officer, Lyn McNeff Jan “Elvis” McDonald Judy’s Gang - Kaunoa Seniors and friends Yaeko Yamamoto - Japanese Buyo Dancers Lahaina-Honolua Kupuna Serenaders Featured Artist Darren Lee “Elvis” with Burn ’n Love Hawaii Aloha Pau

All Care Hawaii Home Care Agency Affordable In-Home Care with Quality, Dignity & Respect • Personal Care Service • Live-Ins • Meal Planning & Preparation • Light Housekeeping • Laundry and Linens • Grocery & General Shopping • Transportation

• Medication Reminders • Caregivers Screened • Agency Licensed, Insured & Bonded

www.allcarehawaii.com

CALL TODAY FOR A FREE ASSESSMENT

(808) 757-9212 A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T9

Maui County Community Living Program

n September 2009, the State of Hawaii Executive Office on Aging, in collaboration with the Hawaii, IKauai and Maui Area Agencies on Aging, was awarded a three-year grant by the Administration on Aging. What became the Community Living Program (CLP) was a pilot designed to assist older adults at risk of nursing home admission who would rather continue to live at home, be engaged in their community and to direct their own long-term services and supports using a monthly allotment with budgetary control. Participants enrolled in the pilot received assistance to implement their support and

spending plans from a coach and a financial management service.

The pilot began in December 2011 and was available to adults meeting specific functional and income criterion who were referred by their county’s Aging and Disability Resource Center. It ended in February 2013 with an evaluation by the University of Hawaii that showed the grant goals to delay/prevent premature institutionalization and reduce impoverishment and spend down to Medicaid had been achieved.

Today, CLP supports a small group of high-need seniors in Maui County (on Maui, Lanai and Molokai) and on Kauai, as this service works particularly well in rural areas where traditional supports and services are scarce. Maui County Office on Aging (MCOA) has been able to continue CLP for previous participants in the grant program and add new participants by hiring an in-house CLP coach for Maui County.

New participants are referred to the CLP coach and CLP program manager by their county Aging and Disability Service Specialists (ADSS). Eligibility is based on income, assets, unmet needs and risk for institutional placement.

Each referral is assessed by the CLP coach and CLP program manager to make sure that the senior and/or authorized representatives are able to fulfill the requirements of the program. The coach meets face to face with the CLP senior to assist them in deciding if CLP is a good fit for their needs and to develop an individualized spending plan that details how their monthly budget will be spent (in order to fulfill their unmet needs as identified in their support plan). This might include hiring hourly employees, a savings set-aside for medical equipment, adult day care costs, emergency funds for unexpected expenses, and payment to vendors who supply what is needed for the health and safety of the participant.

After all the CLP paperwork has been completed and plans approved, the coach continues to assist the participants in implementing their personalized plan as long as they are eligible for the program.

When surveyed, the CLP seniors report satisfaction with this unique service. On a recent home visit by the coach, a participant said, “I am blessed to be able to stay home and be around my family because of CLP.” — Monica Morakis

Maui County Office on Aging supports women’s health with Evidence-Based Healthy Aging Programs Better Choices, Better Health® Chronic Disease Self Management workshops countywide

Call 463-3166 to register today!

A great way to stay stronger or get stronger after illness or surgery.

Residential living with 24-hour support Licensed by the State of Hawaii, Care Homes by Hale Makua is the ideal setting for adults who need minimal to moderate assistance, or are living with dementia and need a secure environment. It features: • An indoor-outdoor living environment with lush green surroundings • All bedrooms and common areas located on a single level • Quality, compassionate care from a team of experienced professionals • Supervision of a Registered Nurse • Respite care from 3 to 30 days

At six locations on Maui Call 870-5530 to sign up today!

Email: mcoa.adrc@mauicounty.gov Online: www.mauicountyadrc.org

808.243.1709 · www.halemakua.org/care-homes

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T10

MEO nears 50th anniversary of community service

aui Economic Opportunity Inc. (MEO) was M chartered on March 22, 1965, and will celebrate 50 years of serving the people of Maui County

in 2015.

MEO is a private nonprofit Community Action Agency. MEO provides outreach and information, and administers human service programs to low-income people, youth, elderly, immigrants, ex-offenders, people with disabilities and medical needs, and other disadvantaged individuals and families on Maui, Molokai and Lanai. MEO helps to coordinate the activities of 90 senior clubs with a combined membership of more than 2,000 people.

The agency was organized as a Community Action Agency under the Economic Opportunity Act of 1964 to strengthen and coordinate efforts to eliminate poverty by providing opportunities in education, employment and training, transportation and other areas to help people help themselves.

MEO provides the tools to help people and change lives with programs offered through five departments: ≤ The Transportation Department provides rides to the doctor, to work, to school, to adult day care for necessary shopping, and for other needs with both standard and wheelchair lift-equipped vehicles.

MEO transportation services provided via County of Maui grant appropriation include Ala Hou, Kaunoa Leisure Program, Senior Nutrition Program, Easter Seals and Adult Day Care, Employment for the Disabled, dialysis, low-income ande conomically challenged, Ka Lima O Maui Program, and Rural Shuttle and youth (Maui and Molokai). MEO is also the paratransit service provider for the County of Maui.

W ant to F eel C ute & Young?

Join one of Judy’s Classes at her studio or at Kaunoa

Other MEO transportation services include: HeadStart Program, Hospice of Maui, independent charter, Maui Memorial Medical Center, Medicaid, transit provider for Maui County – Emergency Operation Center. ≤ Community Services provides a wide array of services including senior club coordination, rental subsidy, employment training and job placement, Enlace Hispano (Hispanic Link), weatherization and energy assistance, prisoner reintegration, Hawaiian agricultural workshops, BEST Reintegration, Ke Kahua farm and more. ≤ Early Childhood Services provides quality infant care and early childhood education, offering toddlers a head start toward a better education and a better life. ≤The Youth Services Department provides youth with assistance to succeed in school and life through fun-filled opportunities to learn life skills, prepare for the workforce and serve the community. The prevention of underage drinking, substance abuse, tobacco use, teenage pregnancy and teenage suicide is consistently blended with youth program activities. ≤ The Business Development Center assists small business entrepreneurs with business plan training, credit assessment and micro-loans for startup and expansion.

MEO’s services are constantly changing to meet the needs of kupuna, keiki, families, the medically under-served and other low-income individuals.

There is always a need of volunteers, cash donations or in-kind gifts. You can help. MEO does what poverty demands, and we invite you to join us as we celebrate 50 years of community service in 2015.

MEO may be reached by calling 249-2990.

JUDY’S GANG, INC. Judy Ridolfino 811 Kolu Street #104 Wailuku Industrial Park

879-8742

Cforomfort & Dignity the Seriously Ill

— Maui Economic Opportunity Inc.

Assistance & Peace of Mind for their Families $UH \RX KDYLQJ WURXEOH« ZDONLQJ XS GRZQ \RXU VWDLUV "

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Trusted by Families and Physicians on Maui Since 1981 HospiceMaui.org • (808) 244-5555

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T11

Helpful tips on fall prevention for seniors

ccording to the Centers for Disease A Control and Prevention,

in 2012, 2.4 million nonfatal falls occurred, with 722,000 of these patients being hospitalized. Medical costs directly related to these falls were about $30 billion — the indirect costs from the added care and time off from caregivers and family members being far greater. There is so much discussion about falls in the news, television and anywhere

seniors or their loved ones may look. But for all the statistics and warnings that are given, very few address the fact that falls do not represent the beginning of the end but instead, a hair that broke the camel’s back.

A fall does not occur just because you tripped walking outside your home. Instead, it is a combination of many factors, such as poor vision, neuropathy, dehydration, dementia, de-

creased activity, slow reactions, decreased flexibility, lack of an assistive device, medication interactions, and the list goes on and on. Too often, warning signs like these go unmentioned and lead to far larger problems further down the road.

As a physical therapist, I could write a book on the factors that lead to falls and how to avoid them, but I will give you my five most consistent pieces of advice.

Wear shoes. I 1. know we live on Maui and slippers are

standard issue from the cradle to the grave, but they do not often provide the necessary support or protection that your feet need. As we become older, the muscles in our feet become weaker and more stretched out with slow reaction time, and this makes it difficult for feet to control our balance. A good pair of shoes with decent arch will support

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the foot and prevent it from becoming unstable. Shoes also provide good contact on all sides of the foot, increasing the messages to the brain about where the foot is in space — like putting tinfoil on the antenna of an old television.

Drink Water. No 2. seriously, drink more water. Our biology is built around water.

We are not just bags of water floating around on

dry land but instead, water is used as currency in the chemical economics that make up our body.

If you’re dehydrated, that can increase the effects, both positive and negative, of common narcotics by decreasing reaction time as well as safety awareness. Insufficient water also leads to urinary tract infections. UTIs are a common cause of confusion See Falls on the next page

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Elect MIKE MOLINA for Maui County Council MAHALO TO OUR KUPUNA – HAVE A GREAT TIME AT THE SENIOR FAIR! “Serving you will be my fulltime commitment with a proven record of accessibility and responsiveness.”

Mike with Kuau resident & supporter, William “Bill” Tavares Paid for by Friends of Mike Molina PO Box 1303 Makawao, HI 96768 Keith Shibuya, Campaign Chair

A Supplement of THE MAUI NEWS – Wednesday, October 22, 2014 – Page T12

hyperactive small children may be a tall order for many, but you should do as much as you physically can every day and always try to do a little bit more than the day before.

Falls Continued from Page 12 and decreased balance in seniors. The reason is that bacteria is often trying to get into our body from the outside.

Think of your urinary tract as a hose sitting in the mud that you wish to use.

You need to get the mud out of the hose before you can use it. To do that, you need both volume and pressure before all the mud is blown out of the hose. For people, this means we need strong enough pressure and volume to blow the bacteria that has crept into us back out of the body. The more water we drink, the more volume and pressure.

Use a cane or walker to aid with balance.

room and removing throw rugs can greatly decrease the risk of falls.

Use a cane, walker, whatever. I 3. have so many patients that often tell me that they do not want to use a cane or walker because they do not want to look old or because they do not want to become dependent on it. I often explain to them that the cane will not magically transform them from 23 to 84, and no one will think anything of it. In fact, a whole lot of factors have probably tipped somebody off that they have been around longer, so drop the vanity. As for becoming dependent on it, my goal with all of my patients is to progress their balance from walker to cane to nothing. However, the cane or a walker are just tools. You would not try to build an entire house with just a screwdriver. This is a tool needed for now and may not be needed later, but you would be foolish not to use it.

Home modifications fall into this category as well. Simple modifications, such as ramps, grab bars in the bath-

Be honest. People are slow to tell their family or their doc5. tors if they are having difficulty. They

ignore dizziness, losses of balance, lack of energy, weird reactions to new medication and a laundry list of other problems that could be quick to solve if caught early. Often, seniors do not say much because either they don’t want to be a bother, they can not han-

Participate in life. I believe the greatest risk factor for falls 4. is people are not active enough. Of-

ten when people retire, their dream and goal is to take life easy. This leads to a massive deconditioning of the body as a whole. My advice to many of my patients upon discharge from therapy is to get out and do something with their life. Exercise classes such as Enhanced Fitness, tai chi,and Seniors Aquatics Classes should be participated in at least three times a week and are all free in Maui County. If seniors are too low level for these, Maui Adult Day Care Centers offers care for seniors as well as activities and exercise throughout the day, as does Hale Makua Day Health Program. My grandmother is 80 years old and shows none of the fall risks that would normally be present in her age, mainly because she has never stopped being active, going shopping or chasing around my two young nieces. Now, caring for two

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dle one more appointment or they hope it will go away with time. This is why falls are often the hair that broke the camel’s back, because we are not honest on how much that camel can hold up and keep piling on until he breaks down.Be honest when something else has been placed on your back.

I hope my ramblings have been helpful and if you ever have a question please don’t be afraid to ask.

Ted Anderson PT, DPT OCS

2014 Outstanding Older Americans of Maui County veteran, lobbying to exhe Maui County Of- staff with various errands and tasks. She also pand Makawao Veterfice on Aging is T finds time to deliver nu- ans Cemetery, helping pleased to honor the

46th Annual Outstanding Older American Male and Female of Maui County.

Kanee Wright was selected Outstanding American Female based on her volunteer work at Hale Mahaolu Home Pumehana on Molokai.

Nicknamed “Happy,” Kanee keeps the senior housing premises clean and orderly and assists

tritious meals to the Friendly Isle’s frail homebound seniors.

Fred Ruge is this year’s Outstanding American Male. A veteran tried and true, he’s held leadership roles, helped in fundraising, offered transportation for fellow veterans and so forth. His accomplishments include being a Korean War combat

create jobs for veterans returning from Afghanistan, advocating for veteran support to prevent suicide, helping the homeless and ringing the bell for Salvation Army.

The awards were presented at a luncheon May 6 in the Maui Beach Hotel’s Elleair Rainbow Ballroom. The field of nominees also

Fred Ruge and Kanee Wright were selected 2014 Outstanding Older Americans of Maui County. included: Louise Corpuz, Penny Dearborn, Sally Gospodarek, Barbara Kennedy, Tom

Leuteneker, Kathleen Ordonez, Patsy Ponce and John Tryggestad.

Each May, the nation

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celebrates Older Americans Month to recognize older Americans for their contributions and provide them with information to help them stay healthy and active.

Every year since 1968, older adults in Maui County have been celebrated for their contributions and achievements.

Wendell Crockett was the first Maui County recipient of the prestigious award in 1968. Last year’s awardees were Diane Logsdon of Kula and Richard Endsley of Lahaina. To date, 89 older adult volunteers have been recognized for their outstanding contributions to Maui County.

Mahalo to the selection committee, comprised this year of Sandy Freeman of Maui Adult Day Care Centers; Cesar Gaxiola of J. W. Cameron Center; Audrey Rocha Reed; Ronna Patty of the Department of Health, Public Health Nursing office on Maui; and Scott Seto of the Department of Human Services, Adult & Community Care Branch, who had the dubious task of narrowing the field.

Na Hoaloha Senior “Go Go” volunteers donating thousands of hours to serve other seniors

n any given day throughout the year, a Na Hoaloha volunteer is driving a homebound O senior, making a visit or helping family caregivers.

These special volunteers are dedicated to helping Maui’s kupuna remain independent and stay in their home for as long as possible.

“This core of Na Hoaloha volunteers are the ‘go go’ seniors,” says Candice Carter, executive director.

Because seniors are by and large healthier than ever before and continue to remain active, they are affectionately referred to by ability, not their age.

For those of any age, the “go go” are those older people who remain active, healthy and on the move.

The “go slow” are those who are beginning to slow down, and the “no go” are those who need substantial assistance to remain in their homes.

Growing old in Hawaii can be a positive experience for many older adults. Not only is life expectancy higher than in any other state, but we are living healthier longer. For those who have their health and are embedded in the island way of

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75 have volunteered in the past six months statewide. This translates into 1.5 million volunteer hours in the past 30 days.”

Here on Maui, Na Hoaloha volunteers have contributed 28,000 hours, driven 61,000 miles, equivalent to approximately $620,000 over the last year (calculated at the current rate of 22.14 per hour).

According to a study conducted by the Corporation for National and Community Service, Office of Research and Policy Development (2010), 19.8 percent of Hawaii’s adults 65 years and older volunteered between 2008 and 2010.

Na Hoaloha has a core of “Go Go” volunteers helping every day in many ways to provide supportSee VOLUNTEERS on the next page

Irene Oficial (left), a Na Hoaloha volunteer, spends time with Joyce Kaleiopu. ohana, volunteering is a commitment being made by many on Maui as natural as growing old. In a report put out by the Hawaii Community Foundation, “57 percent of adults between the ages of 50 and

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Volunteers Continued from Page 15 ive services to help others remain in their homes.

The majority of Na Hoaloha volunteers are 60 and older; some volunteers are in their 80s, helping others who are much younger.

Na Hoaloha’s Irene Oficial is full of life, energy and kindness at 83 years old and helping younger seniors get to their doctors, get their medication and get food. She might be only 5 feet tall, but is a giant in heart.

Irene came to Na Hoaloha when she was 80, and she had never volunteered before. When I asked her why she reached out to Na Hoaloha, she said she didn’t want to stay home.

She enjoys being around people and wanted to help others. She heard about Na Hoaloha’s Aloha Cruisers senior transportation program and got excited about that idea. She said she loves to drive, and sometimes she jumps in her car and drives from Pukalani to Lahaina to get ice cream.

At first, she volunteered with Na Hoaloha as a caregiver, giving respite for families who provide around-theclock-care for their loved one. Irene is no stranger to caregiving, as she took care of her own mother.

Today, she is one of the Aloha Cruisers’ drivers and is on the road driving a homebound elder a couple of days a week, sometimes more. She sparkles with a bright smile when she talks about her volunteering.

Irene is just one of 10 “go go” drivers in their 80s. Na Hoaloha is grateful for all the volunteers who give their time selflessly to help others.

If you have a few hours a week, help keep our kupuna in their home; please volunteer with Na Hoaloha.

If you would like to share your aloha with a Maui kupuna, call Na Hoaloha at 249-2545 or go online to www.nahoaoha.org. Just a few hours a week can make a world of difference in someone’s life . . . especially yours!

— Candice Carter, Executive Director

EnhanceFitness

he Maui County Office on Aging is excited to continue work T with community partners in offering

EnhanceFitness, a nationwide, evidence-based physical activity program for seniors. The program has been nationally recognized by the Centers for Disease Control and Prevention, the U.S. Department of Health and Human Services, the U.S. Administration on Aging and the National Council on Aging.

EnhanceFitness is a fun, onehour, interactive class offered three times a week, at various locations on Maui (Kahului Union Church, Roselani Place, Hale O Lanakila, St. Anthony Church, Makawao Hongwanji, Hannibal Tavares Community Center, Kalama Heights, Maui Powerhouse Gym, West Maui Senior Center, and soon, on Lanai).

The program challenges active older adults, as well as individuals

who are unfit or near frail, with exercises and activities geared to every level of fitness. Each class is like four classes in one: aerobics, balance, strength training and stretching. No special or expensive equipment is needed, as soft wrist and ankle weights are provided.

Instructors are specially trained, and individual participant progress is followed with fitness checks at enrollment and again every four months. Exercises are safe and modifiable. EnhanceFitness classes are a great way to get stronger, have more energy and maintain independence.

Classes not only provide an opportunity for social support, but they’re fun. Individuals age 50 and older and individuals with disabilities are welcome to join.

For more information on class availability, call Paula Keele at 8705530.

Have an enjoyable 41st Annual Maui

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