OurHealth Charlottesville & Shenandoah Valley Jul/Aug 2017 Edition by OurHealth Media LLC

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2017 Senior Living Award WINNERS!

Plus: GROWING HEALTHY GRADE BY GRADE PHYSICAL, OCCUPATIONAL & SPEECH THERAPY

RESOURCE GUIDE

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

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TABLE OF CONTENTS JULY • AUGUST 2017

THE PULSE

CHECKUP

| KEEPING THE PULSE ON HEALTHCARE

Here are some safety and wellness tips to keep in mind to reduce the risk of illness or injury depending on what grade your son or daughter is entering this year.

| LOCAL HEALTH & MEDICINE

10 – TUMMY TROUBLE? | It could be gastroparesis 12 – THE OURHEALTH BOOKSHELF

BEYOND THE BOARD GAMES The image of a retiree lounging in a recliner all day, or needing a walker to get around, is an outdated stereotype. There are many options available to area seniors to keep them engaged and healthy – both physically and mentally.

SENIOR CARE

| HEALTHY SENIOR LIVING

NUTRITION

| LOCAL FOODS & RECIPES

40 – FANTASTIC FARMER'S MARKETS | Nutritious finds for the whole family 42 – HEALTHY EATS | Local restaurant reviews

BEAUTY

| HEALTHY BEAUTY TIPS

56 – STRUGGLING WITH HAIR LOSS?

FITSTYLES

| LOCAL FITNESS & ATHLETICS

58 – GYM CLASS | Six types of gym equipment every gym novice should try

24 – SIX MYTHS ABOUT ACTIVITIES & AGING

29 – 2017 SENIOR LIVING AWARDS | Celebrating the 3rd annual Senior Living awards in the Charlottesville & Shenandoah Valley area

| HEALTH FOR THE WHOLE FAMILY

52 – NAVIGATING ALZHEIMER'S

22 – SENIOR EXERCISE & FITNESS TIPS

26 – MYTH | Home Care Will Take Away My Independence

FAMILY CARE

50 – GOT GROUP B? | A painless screening test vital for pregnant women and their babies

14 – Q&A ON HEALTH

GROWING HEALTHY GRADE BY GRADE

CHARLOTTESVILLE & SHENANDOAH VALLEY’S 2017 PHYSICAL THERAPY RESOURCE GUIDE Your resource guide for physical therapy in the Charlottesville & Shenandoah Valley area 61 – WHAT'S THE DIFFERENCE? | Exploring the difference between physical, occupational and speech therapy 62 – BELLA THE BERNESE MOUNTAIN DOG BRING A DIFFERENT APPROACH TO PHYSICAL THERAPY 64 – 2017 PHYSICAL THERAPY RESOURCE GUIDE

44 – COOK'S NOOK | Summer seafood www.OurHealthCville.com

MORE THAN A MAGAZINE PRINT

july • august 2017

ONLINE

PUBLISHER PRESIDENT/EDITOR-AT-LARGE VICE PRESIDENT OF PRODUCTION CHIEF DESIGNER GRAPHIC DESIGNER DIGITAL CONTENT MANAGER | EVENT SPECIALIST DIGITAL MEDIA STRATEGY ORIGINAL PHOTOGRAPHY ACCOUNTING MANAGER

McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Karrie Pridemore Tori Meador Heidi McClintic Dalton Holody Terri Isenhour Laura Bower

CONTRIBUTING MEDICAL EXPERTS

Laurie Archbald-Pannone, MD Paul T. Diamond, MD, FAAPM&R John Kliethermes, PT Stephanie Mims DPT, MBA Yara White, PA-C

Tina Bell Brandy Centolanza Rick Piester Christy Rippel Christine Stoddard Shareef Tahboub

CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS

ADVERTISING AND MARKETING Kim Wood • Vice President of Business Development 540.798.2504 • kimwood@ourhealthvirginia.com Cindy Trujillo • Senior Media Consultant 434.907.5255 • cindy@ourhealthvirginia.com

SOCIAL MEDIA

Cindy Morris-Scruggs • Senior Media Account Executive 804.300.0650 • cmscruggs@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Shenandoah Valley & Charlottesville via U.S. Mail, please contact Heidi McClintic via email at heidi@ourhealthvirginia.com or at 540.387.6482

@ourhealthcville

E-NEWSLETTER COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Charlottesville/Shenandoah Valley is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483.

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THE PULSE

KEEPING THE PUL SE ON HEALTH

HEALTH HAPPENINGS

>> News on Healthcare in Charlottesville & the Shenandoah Valley Area JABA and MOUNTAINSIDE SENIOR LIVING announce that renovations are underway in preparation of new memory care services being offered on the third floor of Mountainside Senior Living. The assisted living community in Crozet, will feature a 20bed memory care unit for current and new residents. The new memory care floor is scheduled to open in November 2017. Marshall Crespin, PA-C Frank Johnson Jr, MD Augusta Health Urgent Care Staunton: 540.245.7470 Stuarts Draft: 540.245.7880 Waynesboro: 540.245.7940 Weyers Cave: 540.453.0040 www.augustahealth.com

Family Medicine/Geriatrics Augusta Health Staunton Medical Associates Staunton | 540.886.6259 www.augustahealth.com

For more information about Mountainside Senior Living’s new memory care floor, contact Kati Decker, MSL’s Community Relations Manager, at 434.227.5568 or kdecker@jabacares.org.

AUGUSTA HEALTH is offering funding opportunities for community health improvement projects and programs focused on the priority areas of need identified in the most recent Community Health Needs Assessment (CHNA). Applications for funding must be submitted by Monday, August 14. All community health improvement projects and programs proposed for funding must serve the residents of Staunton, Augusta County and Waynesboro and be ready for implementation in January, 2018. Preference will be given to the top three priorities being addressed by Augusta Health: nutrition and physical activity; diabetes and mental health. For more information and to apply for funds, visit www.augustahealth.com/community-outreach/funding.

Michael McCulloch, MD Robert W. Pediatric Cardiology McMahon, MD, FAAN UVA Health Charlottesville 434.924.9119 childrens.uvahealth.com

Shenandoah Valley Neurology Associates Fishersville | 540.932.5878 www.augustahealth.com

ON THE MOVE

>> >> Local Healthcare Providers Announcing a Relocation

Kristin Siegel, PT, DPT, OCS

Travis H. Smith, DO

Augusta Health Urgent Care Synergy Rehab and Wellness Staunton: 540.245.7470 Stuarts Draft: 540.245.7880 Verona | 540.416.0530 Waynesboro: 540.245.7940 www.synergystaunton.com Weyers Cave: 540.453.0040 www.augustahealth.com

AS AUGUSTA HEALTH’S EMERGENCY DEPARTMENT EXPANSION AND RENOVATION PROJECT continues, the current entrance to the emergency department will relocate to the right side of the building. The temporary patient walk-in entrance is in the location of the old ambulance entrance. Look for signage when arriving. Complimentary valet service is available.

AT THE FOREFRONT

>> Noteworthy News from Local Healthcare Providers Four specialties at UNIVERSITY OF VIRGINIA CHILDREN’S HOSPITAL have been ranked among the top 50 nationally in the 2017-2018 “Best Children’s Hospitals” guide from U.S. News & World Report. The four ranked specialties are: Cooper Sweatman, AuD, Clinical Audiologist Evolution HEARing Charlottesville 434.260.8007 www.evolutionhearing.com

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Neonatology: 30th

•

Orthopaedics: tied for 41st

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Diabetes and endocrinology: 34th

•

Cardiology and heart surgery: 44th

Visit health.usnews.com for more information and rankings.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

THE P ULSE | Health Happenings

JOIN THE OURHEALTH COMMUNITY

>> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthCville

@OurHealthCville on twitter

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NOW OPEN

>> Ground breakings and openings in Greater Richmond UNIVERSITY OF VIRGINIA HEALTH SYSTEMâ&#x20AC;&#x2122;S NEW EDUCATION RESOURCE CENTER is now open. The 45,200 square-foot center is located on Lee Street between the Emily Couric Clinical Cancer Center and the Lee Street Garage. The center houses a 24-hour-a-day, 7-days-a-week community pharmacy, easier to access outpatient medical imagining services, and meeting space for UVA Medical Center students and staff.

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CHECKUP

LOCAL HEALTH & MEDICINE

GASTROPARESIS

Tummy TROUBLE?

– NOUN – A descriptive term meaning the stomach is functioning abnormally and emptying slowly, which can cause many symptoms that are consistent with other conditions.

Persistent, Unexplained Stomach Issues Could be Gastroparesis words | CHRISTY RIPPEL

If you’ve bounced around like a pinball from urgent care to physicians’ offices for stomach issues, but are still undiagnosed, consider whether gastroparesis could be the cause of your symptoms. Often, patients suffer for an extended period of time before they receive a diagnosis—and treatment options that may improve quality of life. “While there is no data on the incidence in central Virginia, I believe there is an increase in the diagnosis of this condition [gastroparesis],” says Daniel Pambianco, MD of DANIEL PAMBIANCO, MD A gastroenterologist with Charlottesville Gastroenterology Associates. Dr. Pambianco is certified by the American Board of Internal Medicine and by the American Board of Gastroenterology.

Charlottesville Gastroenterology Associates.

WHAT IS GASTROPARESIS? The term ‘gastroparesis’ is a catch-all, descriptive term meaning the stomach is functioning abnormally and emptying slowly. “Gastroparesis is a digestive disorder in which the propulsion of the stomach is either abnormal or absent, preventing the normal digestion and passage of food into the small intestine,” says Dr. Pambianco. It is estimated that as many as five percent of the population has gastroparesis,

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THE PATH TO DIAGNOSIS

TREATMENT OPTIONS FOR GASTROPARESIS

Imaging studies, along with a patient’s account of symptoms and their duration, can lead a physician to the diagnosis. “The most common tests performed for diagnostic evaluation are endoscopy of the upper digestive tract, gastric emptying study, and upper gastrointestinal x-ray,” says Dr. Pambianco. In an upper endoscopy, a thin, flexible tube is inserted through the mouth into the stomach. A tiny camera on the end of the tube provides pictures of the gastrointestinal tract, and can rule out causes whose symptoms might mimic gastroparesis. A patient may also undergo a gastric emptying study, which is a common procedure that measures the rate that food empties from the stomach and enters the small intestine. In the study, a patient eats a meal that is mixed with a small amount of radioactive material. A scanner is placed over the patient’s stomach, which reveals the rate that the stomach empties. Gastroenterologists might also use a wireless motility capsule—a small, non-invasive pill-like device that is swallowed, and gathers information about your digestive system as you go about daily activities.

There are treatments that can help, and they often depend on severity of symptoms. One of the most important management tools is diet, says Dr. Pambianco. It is usually helpful to have a dietician involved in caring for patients for guidance and support. A common diet for gastroparesis is low fat, not very spicy, with limited caffeine and no raw fruits or vegetables, as the raw, fibrous material is difficult for the stomach to break down. Softer foods are easier on the stomach, such as pasta, cooked vegetables, oatmeal and low-fat yogurt.

The cause of gastroparesis varies by patient. Many cases are idiopathic, meaning an exact cause can’t be pinpointed. Some other causes, according to Dr. Pambianco, are viral infections such as influenza (the flu), diabetes, endocrine disorders like hypothyroidism, autoimmune conditions (like lupus), connective tissue disorders and eating disorders. Another risk factor for gastroparesis is previous surgery involving the esophagus, stomach or duodenum. “These types of surgeries may result in injury to the vagus nerve, which controls the sensation and muscles of the stomach and small intestine,” say Dr. Pambianco. “In addition, there are many medications

In diabetics, elevated blood sugar over a period of years affects the nerve endings in the body (including the stomach) and makes them dysfunctional. The damage to the stomach nerves creates a ripple effect, and the stomach no longer functions and empties property. Good blood sugar control does not guarantee that a patient won’t get gastroparesis, but could help prevent or delay its onset.

A small percentage of patients are very symptomatic, and these patients may be treated with medications or with surgery. There are only a few FDA approved medications for gastroparesis, says Dr. Pambianco. Two surgical options exist for patients—one is a gastric stimulator, that has been FDA approved since 2000, and works much like a cardiac pacemaker, but for the stomach. It is wired to the stomach through a laparoscopic procedure, meaning incisions are tiny. The other, newer surgical intervention is called pyloroplasty. This surgery can also be done with less-invasive techniques. Pyloroplasty involves permanently opening the valve at the end of stomach—leaving it open helps food move to the small intestine more efficiently. These surgical options may provide relief for the most symptomatic patients, drastically increasing quality of life. EXPERT CONTRIBUTOR Daniel Pambianco, MD with Charlottesville Gastroenterology Associates.

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Tummy Trouble?

that slow the function of the stomach such as narcotics, progesterone, and nicotine, to list a few.”

C HEC K UP |

though the degree that the condition disrupts a person’s life is variable. Patients may experience symptoms differently, but they can include nausea, vomiting, bloating, heartburn, abdominal pain, weight loss and what physicians call early satiety—meaning, you feel full after only eating a small amount of food. The reason why patients run into dead ends before being diagnosed is because symptoms can mimic those of other conditions. Often, other causes are ruled out first, like gallbladder disease, pancreatitis, irritable bowel syndrome (IBS) or tumors.

OurHealth BOOKSHELF words | RICK PIESTER

The Fault in Our Stars By John Green Dutton Books | 318 Pages Although written and published for young adult readers (subjectively defined as people between the ages of 15 and the early 20s), this is a book that had held great appeal for adult readers, so much so that it earned a place at the top of many bestseller lists, including #1 in the New York Times, Wall Street Journal, and USA Today. The book is also the inspiration for a 2014 motion picture. Novels about teenagers with cancer is not normally everyone’s first choice, but this one is different. This novel avoids garment-rending sentimentality to instead draw its characters with strength, humor, and courage. This is a read you won’t forget. Ever.

Cutting for Stone By Abraham Verghese Knopf Publishers | 541 Pages On its surface, this is a novel about the life stories of twin brothers who share a fascination with medicine during a time of personal and political upheaval. Its roots, however, are about the peculiar splendor that surrounds the work of healing others. A physician himself, author Verghese has given us an epic, fact-filled, near-magical portrayal of compassion, the struggle for identity, and the ways in which lives can intertwine.

Alice & Oliver By Charles Bock Penguin Random House | 416 Pages Author Bock could have written this novel as a partial autobiography. His elegant, harrowing novel is informed by his own 2 ½-year saga that began with his young wife’s diagnosis with leukemia and ended with her death, leaving him and their 3-year-old daughter. Drawn upon his wife’s journals from that period, the fictional Oliver gives us an unflinchingly powerful narrative of a family’s struggle for survival. 12

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

“

Typical muscle soreness usually occurs within six to eight hours after exercising and may last up to 24-48 hours. If your muscle soreness lasts longer than two days or doesn’t resolve with stretching, ice or rest, then it might be a sign of something other than delayed onset muscle soreness.

”

How do I know when pain after a workout is more serious than just sore muscles? When exercising, it’s important to maintain a balance between challenging your muscles in order to increase strength, endurance and performance, while not over doing it. Increasing your distance, resistance or frequency of activity at a slow steady pace will help prevent the soreness that is common with heavy exercise. Typical muscle soreness usually occurs within six to eight hours after exercising and may last up to 24-48 hours. If your muscle soreness lasts longer than two days or doesn’t resolve with stretching, ice or rest, then it might be a sign of something other than delayed onset muscle soreness. If this is the case, you should discuss your symptoms with your healthcare provider who can suggest treatment options. Stephanie Mims DPT, MBA Director of Therapy Services Augusta Health Fishersville | 540.932.5935 www.augustahealth.com

– Stephanie Mims DPT, MBA

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

I’m worried my mom may be experiencing dementia. What are early signs and symptoms I should be on the lookout for? While dementia affects people differently, familiarizing yourself with some of the more common signs can help you distinguish between typical aging and dementia. Increased signs of short-term memory loss, difficulty completing familiar tasks such as following a recipe, following or joining in on conversations, writing, having routine confusion related to dates and abrupt changes in a person’s mood or personality, particularly when in unfamiliar places are all good examples of common, early signs of dementia. Additional resources and information about dementia for families, caregivers and those experiencing dementia is available through the Alzheimer’s Association by visiting www.alz.org. If you are concerned a loved one is experiencing symptoms of dementia, schedule an appointment with his or her physician. Shareef Tahboub

RoseWood Village Charlottesville | 434.963.7673 www.RoseWoodVillage.com

I’ll be 70 next year. Do I need to switch from my primary care physician to a geriatrician? Geriatric medicine focuses on the highest level of physical and cognitive function through a patient-centered approach to caring for people older than 65. Geriatricians are trained in either internal medicine or family medicine and have specialty training in geriatrics. A geriatrician can serve as your primary care physician (PCP) or consult with your PCP for issues specific to aging. As geriatricians, we work with patients and their families to balance the impact of aging, diseases and medications to maximize patients’ function, cognition, independence and safety. Each of our patients has individualized goals for their health, as well as their physical and cognitive functioning. Whether patients are in excellent or declining health, a geriatrician can provide individualized care to help patients achieve their personal health goals. Laurie Archbald-Pannone, MD University Physicians at JABA Charlottesville | 434.964.1333 www.uvahealth.com

C HEC K UP | Q&A on Health

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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

“

A safe and effective over-the-counter

(OTC) medication for mild-to-

moderate acne is

benzoyl peroxide. It comes in different strengths and

many formulations including cleansers, masks, and body washes. OTC salicylic acid

”

products are also readily available.

– Yara White, PA-C

What is aphasia? Aphasia is an acquired communication disorder that affects one’s ability to speak. Aphasia can range from severe to very mild and barely noticeable. Sometimes it is limited to an inability to name objects. This is known as an anomia. The time course of recovery and prognosis varies with the type and initial severity of the aphasia. Depending on the part of the brain that is affected, an individual may have difficulty finding words to express themselves but will understand everything being said to them. This type of aphasia is known as a Broca’s or non-fluent aphasia. With Broca’s, speech is typically slow and halting. There is difficulty forming complete sentences and, although the words may be recognizable, they may be partially formed or distorted. Alternatively, a stroke may cause Wernicke’s, or fluent aphasia. In this case, the individual has difficulty understanding what people are saying. His or her speech tends to flow quickly and include ‘made-up words’ known as neologisms and incorrectly selected words used in meaningless combinations known as paraphasias. He or she may be unaware that their speech has been affected and grow frustrated when they are not understood. Paul T. Diamond, MD, FAAPM&R Director of Neurorehabilitation UVA Healthsouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com

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My wife will be coming home soon after several weeks of physical rehabilitation at a local rehab facility. How will I know what to do to help her at home? Good communication and family training are keys to a successful transition home. We always recommend family to observe therapy close to discharge in order to receive training on how best to ensure safe mobility for your spouse or family member. We provide a Healthy Living Guidebook to all patients as well information on disease management, exercise, medication management and diet and nutrition. Additionally, we perform home visits with family and the patient to identify risks that can be corrected prior to discharge and reduce possible injury at home. During the home visit we can also provide family education if there are any specific obstacles to returning home safely.

John Kliethermes, PT

Charlottesville Health & Rehabilitation Center Charlottesville | 434.978.7015 www.charlottesvillehealthrehab.com

My 10 year-old-son is already experiencing moderate acne and is selfconscience about his skin. Is he too young to begin a treatment plan? Acne can occur at any age and can affect quality of life and self-esteem. Fortunately, there are many safe treatments available, both over the counter and prescription. Pre-teens are an age group we are seeing seek treatment for acne more often, likely due to the earlier onset of puberty. A safe and effective over-the-counter (OTC) medication for mild-tomoderate acne is benzoyl peroxide. It comes in different strengths and many formulations including cleansers, masks, and body washes. OTC salicylic acid products are also readily available. For moderate acne, prescription products used alone or in conjunction with OTC are likely needed. There are various topical and oral antibiotics which can be used to reduce the P. acnes bacteria and inflammation associated with acne. Topical retinoids, like adapalene and isotretinoin, are also safe for this age group. They address the increased sebum, e.g. oil production, and improve skin cell turnover, which can help resolve and prevent acne break-outs.

Yara White, PA-C

Savola Aesthetic Dermatology Center, PLC Fishersville | 540.451.2833 www.savoladermatology.com

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Beyond the

Board Games Seniors Embracing More Ways to Get Physically and Mentally Fit words | CHRISTY RIPPEL

Seniors are having a moment. As the U.S. population trends upward in age, the definition of what it means to be a “senior citizen” is shifting. The image of a retiree lounging in a recliner all

day, or needing a walker to get around, is an outdated stereotype. There are many options available to area seniors to keep them engaged and healthy – both physically and mentally. At the Senior Center of Charlottesville, for example, active hiking groups explore the hills and mountains of the Blue Ridge twice a week. One recent hike was a 10-mile loop, a secluded trek through the Rapidan Wildlife Management Area of Virginia, with hidden swimming holes and breathtaking views. While seniors are living longer than ever—average U.S. life expectancy increased from 68 years in 1950 to 79 years in 2013—they also have opportunities to live better, particularly in an area like Charlottesville, where fitness, cultural and outdoor opportunities abound. Charlottesville has become a retirement destination, and because of its offerings, in 2015 the area was named one of the “Top 10 Best Places to Retire” by Livability.com.

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SENIOR HEALTH

HEALTHY SENIOR LIVING

Attention, Active Senior Citizens! Start here to get out, get involved and learn something new:

Senior Center of Charlottesville 434.974.7756 www.seniorcenterinc.org

The Jefferson Area Board for Aging (JABA) 434.817.5222 www.jabacares.org

Osher Lifelong Learning Institute (OLLI) at the University of Virginia 434.923.3600 www.olliuva.org

Road Scholar

through Virginia Commonwealth University 800.454.5768 www.roadscholar.org

Many retirees find that, once relieved of the stress and time commitment of careers and raising families, they have an opportunity to explore long-held interests or develop new hobbies. The Senior Center of Charlottesville recognizes this, and with the tagline “Healthy aging never gets old,” they offer programs ranging from chair yoga to art classes to lectures on elder law issues. The Senior Center of Charlottesville is an open membership for adults 50 and over, with over 2000 members. For a yearly membership fee, members gain access to many included programs, with some requiring an additional fee. While the fittest among the membership engage in challenging fitness pursuits like hiking, there are fitness opportunities for all, including an arthritis exercise class and Parkinson’s yoga, says Jennifer Ayers, program director at the center. There are just as many opportunities for mental stimulation, like a well-regarded travel program. “One of our travel lecturers is a history expert, and is specifically knowledgeable about Virginia history,” says Ayers. “And there are trips in and around Virginia that members can participate in that are related to lecture topics like, for instance, the Civil War or Thomas Jefferson.” In addition to the Senior Center of Charlottesville, the Jefferson Area Board for Aging (JABA) has been serving the needs of seniors in Charlottesville and surrounding counties since 1975 and operates seven of its own senior centers with similar offerings—they span Southern Albemarle County, Louisa County, Nelson County, Fluvanna County and Greene County.

Higher Education Classes at Affordable Rates for Seniors Another opportunity for seniors to learn and engage with the community is through the University of Virginia’s Osher Lifelong Learning Institute (OLLI), which offers 165 different courses designed for adults over 50 with low membership fees and course rates. Scholarships and discounts are available to maximize access to the program, which had approximately 1,900 students at last count. Courses range from playwriting to war history, to practical courses on

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S ENI O R HEALTH |

living better. OLLI also offers outings for its membership, like a bus trip to the Smithsonian’s Air and Space Museum. Senior citizens may also be able to take some UVA classes outside of OLLI free of charge with a waiver, but only if space allows after all tuition-paying students have been accommodated.

SilverSneakers Fitness Program Helps Keep Seniors Active at No Cost SilverSneakers is a fitness program offered through participating health plans that gives seniors access to 13,000 gyms nationwide, plus social events, signature classes, and workout plans at no cost. The program is available around the country, and membership provides access to any participating gym location – including all amenities included with basic level access. Each location is outfitted with an advisor who will introduce you to the program and help get you started.

Beyond the Board Games

In addition to UVA’s offerings, there is another option for higher education in Virginia for seniors. Road Scholar is a worldwide network of educational opportunities for students who are at least 55 years old, though spouses and traveling companions may be younger. For a fee, a senior student receives room, board and challenging college-level liberal arts and humanities courses for three to six days. No prior academic experience is necessary and people from all backgrounds participate. The Virginia Center on Aging, with headquarters at Virginia Commonwealth University, sponsors nearly 40 Road Scholar programs per year at several sites in Virginia.

While seniors are living longer than ever—average U.S. life expectancy increased from 68 years in 1950 to 79 years in 2013—they also have opportunities to live better, particularly in an area like Charlottesville, where fitness, cultural and outdoor opportunities abound.

According to SilverSneakers, twice as many of its members report being in “excellent” or “very good” health compared to the national average. To learn more about SilverSneakers, visit silversneakers.com. EXPERT CONTRIBUTOR Jennifer Ayers with the Senior Center of Charlottesville in Charlottesville.

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JENNIFER AYERS The program director of the Senior Center of Charlottesville.

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SENIOR HEALTH

HEALTHY SENIOR LIVING

No Matter Your Age, It’s Never Too Late to Get Started There are many reasons why we tend to slow down and become more sedentary with age. It may be due to health problems, weight or pain issues, or worries about falling. Or perhaps you think that exercising simply isn’t for you. But as you grow older, an active lifestyle becomes more important than ever to your health. Getting moving can help boost your energy, maintain your independence, protect your heart, and manage symptoms of illness or pain as well as your weight. And regular exercise is also good for your mind, mood, and memory. No matter your age or your current physical condition, these tips can show you simple, enjoyable ways to become more active and improve your health and outlook.

WHAT ARE THE BENEFITS OF EXERCISE FOR OLDER ADULTS? A recent Swedish study found that physical activity was the number one contributor to longevity, adding extra years to your life—even if you don’t start exercising until your senior years. But getting active is not just about adding years to your life, it’s about adding life to your years. You’ll not only look better when you exercise, you’ll feel sharper, more energetic, and experience a greater sense of well-being.

PHYSICAL HEALTH BENEFITS HELPS YOU MAINTAIN OR LOSE WEIGHT. As metabolism naturally slows with age, maintaining a healthy weight is a challenge. Exercise helps increase metabolism and builds muscle mass, helping to burn more calories. REDUCES THE IMPACT OF ILLNESS AND CHRONIC DISEASE. People who exercise tend to have improved immune and digestive functioning, better blood pressure and bone density, and a lower risk of Alzheimer’s disease, diabetes, obesity, heart disease, osteoporosis, and certain cancers. ENHANCES MOBILITY, FLEXIBILITY, AND BALANCE. Exercise improves your strength, flexibility and posture, which in turn will help with balance, coordination, and reducing the risk of falls. Strength training also helps alleviate the symptoms of chronic conditions such as arthritis.

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S ENI O R HEALTH |

MENTAL HEALTH BENEFITS

BOOSTS MOOD AND SELF-CONFIDENCE. Exercise is a huge stress reliever and the endorphins produced can actually help reduce feelings of sadness, depression, or anxiety. Being active and feeling strong naturally helps you feel more self-confident. DOES AMAZING THINGS FOR THE BRAIN. Activities like Sudoku or crossword puzzles can help keep your brain active, but little comes close to the beneficial effects of exercise on the brain. It can help brain functions as diverse as multitasking and creativity and can help prevent memory loss, cognitive decline, and dementia. Getting active may even help slow the progression of brain disorders such as Alzheimer’s disease.

Senior Exercise & Fitness Tips

IMPROVES SLEEP. Quality sleep is vital for your overall health. Regular activity can help you fall asleep more quickly, sleep more deeply, and wake feeling more energetic and refreshed.

The Center for Disease Control and Prevention recommends older adults who are generally fit and have no limiting health condition have AT LEAST 20 MINUTES OF MODERATE AEROBIC ACTIVITY, such as

OVERCOMING OBSTACLES TO GETTING ACTIVE AS YOU AGE

brisk walking, every day

Starting or maintaining a regular exercise routine can be a challenge at any age—and it doesn’t get any easier as you get older. You may feel discouraged by health problems, aches and pains, or concerns about injuries or falls. If you’ve never exercised before, you may not know where to begin, or perhaps you think you’re too old or frail, can never live up to the standards you set when you were younger. Or maybe you just think that exercise is boring.

each week).

(roughly 150 minutes

While these may seem like good reasons to slow down and take it easy as you age, they’re even better reasons to get moving. Becoming more active can energize your mood, relieve stress, help you manage symptoms of illness and pain, and improve your overall sense of well-being. And reaping the rewards of exercise doesn’t have to involve strenuous workouts or trips to the gym.

It’s also encouraged to do MUSCLE STRENGTHENING EXERCISES TWO DAYS A WEEK to work all muscle groups. Before starting

It’s about adding more movement and activity to your life, even in small ways. No matter your age or physical condition, it’s never too late to get your body moving, boost your health and outlook, and improve how you age.

any workout regimen, consult your doctor.

SOURCE www.helpguide.org

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SENIOR HEALTH

HEALTHY SENIOR LIVING

ABOUT

ACTIVITIES AGING

MYTH: THERE’S NO POINT TO EXERCISING. I’M GOING TO GET OLD ANYWAY.

MYTH: EXERCISE PUTS ME AT RISK OF FALLING DOWN.

FACT: Regular physical activity helps you look and feel younger and stay independent longer. It also lowers your risk for a variety of conditions, including Alzheimer’s and dementia, heart disease, diabetes, certain cancers, high blood pressure, and obesity. And the mood benefits of exercise can be just as great at 70 or 80 as they were at 20 or 30.

FACT: Regular exercise, by building

strength and stamina, prevents loss of bone mass and improves balance, actually reducing your risk of falling.

3 4 MYTH: I’M TOO WEAK OR HAVE

MYTH: I’M TOO OLD TO START EXERCISING.

TOO MANY ACHES AND PAINS.

FACT: You’re never too old to get moving and improve your health! In

FACT: Getting moving can help

fact, adults who become active later in life often show greater physical and mental improvements than their younger counterparts. If you’ve never exercised before, or it’s been a while, you won’t be encumbered by the same sports injuries that many regular exercisers experience in later life. In other words, there aren’t as many miles on your clock so you’ll quickly start reaping the rewards. Just begin with gentle activities and build up from there.

you manage pain and improve your strength and self-confidence. Many older people find that regular activity not only helps stem the decline in strength and vitality that comes with age, but actually improves it. The key is to start off gently.

5 6 MYTH: I CAN’T EXERCISE BECAUSE I’M DISABLED.

source | HELPGUIDE.ORG

MYTH: IT’S TOO FRUSTRATING: I’LL NEVER BE THE ATHLETE I ONCE WAS.

FACT: Chair-bound people face special challenges

FACT: Changes in hormones, metabolism, bone density,

but can lift light weights, stretch, and do chair aerobics, chair yoga, and chair Tai Chi to increase range of motion, improve muscle tone and flexibility, and promote cardiovascular health. Many swimming pools offer access to wheelchair users and there are adaptive exercise programs for wheelchair sports such as basketball.

and muscle mass mean that strength and performance levels inevitably decline with age, but that doesn’t mean you can no longer derive a sense of achievement from physical activity or improve your health. The key is to set lifestyle goals that are appropriate to your age. And remember: a sedentary lifestyle takes a much greater toll on athletic ability than biological aging.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

S ENI O R HEALTH | Senior Tips

www.OurHealthCville.com

SENIOR HEALTH

HEALTHY SENIOR LIVING

“Home care seeks to reinstate and preserve independence–it provides solutions to grant the wishes of a senior citizen to continue living a full life in the place they already call home.”

HOME CARE WILL TAKE AWAY MY INDEPENDENCE. FACT: HOME CARE SERVICES OFFER AN ALTERNATIVE TO ASSISTED LIVING OR NURSING HOME CARE AND HELP SENIORS LIVE INDEPENDENTLY AT HOME. words | TINA BELL

What is home care or home health care? The answer is different for different people, and can be adapted to an individual person’s needs. For OurHealth spoke

example, some seniors may only need weekly drives to the grocery store

with Tina Bell of

and light housekeeping help. Other seniors may need physical therapy

Care Advantage,

or skilled nursing in addition to household help. Whatever assistance is

a local home

needed, the goal is the same—to help seniors maintain independent living

health and skilled nursing provider in the greater Charlottesville area about setting the record straight on keeping seniors independent at home.

and the ability to stay in their home for as long as possible. It’s a reality of aging—freedom is compromised by declines in physical or mental health. Sometimes, a senior temporarily loses the ability to care for himself following an illness or surgery. Whatever the cause, as seniors lose the ability to self-care, they become reliant on friends and family members. If they don’t have family members or capable friends nearby, they risk having to relocate to a facility that can provide the necessary care. Home care is an alternative to relocation, and is often a cost-effective bridge to independence. It is well known that being in one’s own environment, among possessions and memories, is the best place to promote health and healing. Having to downsize and squeeze a lifetime into a new, smaller residence is not ideal. With a little support in the home in the form of therapy to promote strength, skilled nursing

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

S ENI O R HEALTH |

to help monitor medications, and personal care to assist with those tasks that have become more difficult, health can be regained and independence can be kept.

Myth About Home Care

How exactly is independence promoted? In some cases, a person is told they can no longer safely drive. A home care service can drive for them, making sure they still get haircuts, groceries, and to doctor’s appointments—even a picnic in the park if they wish. For those with compromised mobility, home health care trained providers will assist them in getting around to help minimize the risk of falling. For those who lose the ability to read because of poor eyesight or other limitations, a home health care worker reads to them so they don’t lose touch with the outside world. Home health care workers are compassionate caregivers who can provide both practical and emotional support in many ways.

TINA BELL Care Advantage Charlottesville | 434.973.2000 www.careadvantageinc.com

Home care seeks to reinstate and preserve independence–it provides solutions to grant the wishes of a senior citizen to continue living a full life in the place they already call home. EXPERT CONTRIBUTOR Tina Bell with Care Advantage in Charlottesville.

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SENIOR LIVING www.OurHealthCville.com

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201

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Blue Ridge Patient Advocacy Palmyra | 434.466.9299 www.facebook.com/BRPAcares

Beauty Salon

Assisted Living Community

THIRD PLACE The Senior Center Charlottesville | 434.974.7756 www.seniorcenterinc.org HONORABLE MENTION

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Generations Crossing Harrisonburg | 540.434.4901 www.generationscrossing.com

FIRST PLACE RoseWood Village Assisted Living Charlottesville | 434.963.7673 www.rosewoodvillage.com

SECOND PLACE (tie) Our Lady of Peace Assisted Living Charlottesville | 434.973.1155 www.our-lady-of-peace.com Commonwealth Assisted Living Charlottesville | 800.784.7288 www.commonwealthal.com

Hair Cuttery Staunton | 540.886.9817 Waynesboro | 540.943.4814 Waynesboro | 54.949.4302 www.locations.haircuttery.com

SECOND PLACE Moxie Hair Charlottesville | 434.979.5556 www.moxiehairlounge.com

THIRD PLACE

After Life Services

Câ&#x20AC;&#x2122;ville Styles Charlottesville | 434.996.7360 www.cvillestyles.com

FIRST PLACE Teague Funeral Home Charlottesville | 434.977.0005 www.dignitymemorial.com / teague-funeral-home

SECOND PLACE

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FIRST PLACE Simon Stapleton

www.elderlaw-va.com

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AWARDS 201

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SECOND PLACE Doris Gelbman Gelbman Law PLLC Charlottesville | 434.906.7022 www.gelbman-law.com

THIRD PLACE

Companion Care

James M. Vitt Vitt Law Offices, PLC Charlottesville | 434.971.3025 www.vittlaw.com HONORABLE MENTION

FIRST PLACE (tie) Home Instead Senior Care Charlottesville | 434.979.4663 www.homeinstead.com

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AWARDS 20

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Open Arms Helping Hands Charlottesville | 434.293.4388 www.Openarmshelpinghands.com

Matthew Sunderlin Clark & Bradshaw, PC Harrisonburg | 540.433.2601 www.clark-bradshaw.com

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Preddy Funeral Home Gordonsville | 540.832.2111 Madison | 540.948.3600 Orange | 540.672.3611 www.preddyfuneralhomes.com

The Heritage Inn of Charlottesville Charlottesville | 434.977.0002 www.heritageinncharlottesville.com Westminster Canterbury of the Blue Ridge Charlottesville | 434.972.2622 www.westminstercanterbury.org Mountainside Senior Living Crozet | 434.823.4307 www.mountainsideseniorliving.com

Elder Law Attorney

JCPenny Salon Stapleton Elder Law Staunton | 540.885.3434 Charlottesville and Staunton www.jcpenney.com/g/salon 866.348.6375

HONORABLE MENTION Summit Square Retirement Community Waynesboro | 540.568.5499 www.sunnyside.cc

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HONORABLE MENTION

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The Legacy at North Augusta Staunton | 877.554.8016 www.thelegacyatnorthaugusta.org

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Salon DeShano Palmyra | 434.589.8920

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AWARDS

THIRD PLACE

AWARDS 201

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Daily Living Center Waynesboro | 540.949.4151 www.dailylivingcenter.com

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First Choice Home Health Harrisonburg | 540.434.3916 www.firstchoiceharrisonburg.com

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Hillsdale Adult Care Center Charlottesville | 434.817.5235 www.jabacare.org

AT Home Care 195 Riverbend Drive, Suite 5 Charlottesville | 434.295.5355 www.athomecareandhospice.com HONORABLE MENTION

FIRST PLACE AWARDS

Care Advantage Charlottesville | 434.973.2000 Staunton | 540.213.7770 www.careadvantageinc.com

THIRD PLACE

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2 1 7 S I LV E R 0 1 7 B R O N Z E

SECOND PLACE

Adult Day Care Centers

AWARDS

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McDow Funeral Waynesboro | 540.948.8133 www.mcdowfuneralhomeinc.com HONORABLE MENTION

AWARDS AWARDS AWARDS

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AWARDS

THIRD PLACE

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AWARDS

17 B R O N Z E

LETS CONGRATULATE OUR WINNERS ON SOCIAL MEDIA! Don't forget to tag us, #OurHealthCVILLE www.OurHealthCville.com

Senior Living Awards

7 GOLD

2 1 7 S I LV E R 0 1 7 B R O N Z E

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SECOND PLACE Augusta Health Fitness Center Fishersville | 540932.4000 www.augustahealth.com/fitness

AWARDS 201

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Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org

AWARDS 201

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HONORABLE MENTION

THIRD PLACE Planet Fitness Charlottesville | 434.202.0437 www.planetfitness.com

Financial Advising

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Chad Hatter Weaver Insurance & Financial Advisors Waynesboro | 540.943.1221 ext. 101 www.weaverinsfin.com

AWARDS 201

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THIRD PLACE Margreta Swanson MH Swanson & Associates Charlottesville | 434.979.4822 www.mhswanson.com

Home Health Care

HONORABLE MENTION David Henderson The Henderson Group

FIRST PLACE First Choice Home Health Harrisonburg | 540.434.3916 www.firstchoiceharrisonburg.com

SECOND PLACE Shenandoah Valley Home Health Verona | 540.324.2360 www.facebook.com/ shenandoahvalleyhomehealth

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Fitness Center FIRST PLACE

AWARDS 7 GOLD

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Home Instead Senior Care Charlottesville | 434.227.4726 www.homeinstead.com Interim Health Care Charlottesville | 434.295.5501 www.interimhealthcare.com

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ACAC Charlottesville | 434.984.3800 Charlottesville | 434.978.3800 Charlottesville | 434.978.7529 www.acac.com/charlottesville

THIRD PLACE Augusta Health Hospice of the Shenandoah Fishersville | 540.332.4909 www.augustahealth.com/hospice HONORABLE MENTION First Choice Home Health Harrisonburg | 540.434.3916 www.firstchoiceharrisonburg.com Hospice of the Shenandoah Fishersville | 540.932.4909 www.augustahealth.com/hospice

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AWARDS

17 B R O N Z E

201

7 GOLD

Inpatient Rehabilitation FIRST PLACE UVA â&#x20AC;&#x201C; HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com

SECOND PLACE Albemarle Health and Rehab Charlottesville | 434.422.4800 www.albemarlehealthrehab.com

THIRD PLACE Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org

Louisa Health and Rehab Center Louisa | 540.967.2250 www.louisahealthrehab.com Shenandoah Nursing and Rehab Fishersville | 540.324.2420 www.saberhealth.com

FIRST PLACE (tie)

Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc Westminster Canterbury of the Blue Ridge Charlottesville | 434.972.2622 www.westminstercanterbury.org

SECOND PLACE Our Lady of Peace

Open Arms Helping Hands Charlottesville | 434.973.1155 Charlottesville | 434.293.4388 www.our-lady-of-peace.com www.openarmshelpinghands.com

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

AWARDS

HONORABLE MENTION

Augusta Health Home Independent Health Services Fishersville | 540.932.4900 Living Community www.augustahealth.com/ home-health HONORABLE MENTION Continuum Home Health Charlottesville | 434.984.2273 www.uvahealth.com/services/continuum

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Legacy Hospice Charlottesville | 434.970.7776 www.legacy-hospice.com

THIRD PLACE

AWARDS

201

Hospice of Piedmont Charlottesville | 434.817.6900 www.hopva.org

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Don Hashagen Edward Jones Waynesboro | 540.946.4888 www.edwardjones.com

FIRST PLACE

SECOND PLACE

Branchlands Charlottesville | 434.973.9044 www.branchlands.com The Independence Charlottesville | 434.979.5000 www.theindependencecville.com

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Bob Forsyth Davenport & Company Charlottesville | 434.245.1540 www.investdavenport.com

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FIRST PLACE

201

Hospice Care

HONORABLE MENTION YMCA Charlottesville | 434.974.9622 www.piedmontymca.org Atlantic Sports & Rehab Fitness Charlottesville | 434.978.4915 www.atlanticsportsandrehab.com

THIRD PLACE

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AWARDS AWARDS AWARDS

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CONGRATULATIONS

SENIOR LIVING AWARD WINNERS!

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THIRD PLACE Care Home Medical Fishersville | 540.932.4995 www.carehomemedical.com

AWARDS 201

S ENI O R HEALTH |

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Local Pharmacy

2017 Senior Living Awards

HONORABLE MENTION Capital Medical Supply Richmond | 804.353.0707 www.capitalmediaclsupply.com Lincare, Inc. Charlottesville | 434.974.6688 www.lincare.com

THIRD PLACE Bridgewater Pharmacy Bridgewater | 540.828.6000 www.bridgepharmacy.com HONORABLE MENTION Augusta Health Retail Pharmacy Fishersville | 540.932.5946 www.augustahealth.com/pharmacy

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Jefferson Good Neighbor Pharmacy Palmyra | 434.589.7902 www.jeffersondrug.com

FIRST PLACE

AWARDS 201

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Memory Care FIRST PLACE

Our Lady of Peace Christopher Center Charlottesville | 434.973.1155 www.our-lady-of-peace.com/ memorycare

SECOND PLACE Rosewood Village Charlottesville | 434.963.7673 www.rosewoodvillage.com

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Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc HONORABLE MENTION The Heritage Inn of Charlottesville Charlottesville | 434.977.0002 www.heritageinncharlottesville.com

Medical Equipment Provider FIRST PLACE ABC Health Care Charlottesville | 434.326.0900 www.abc-hc.com

Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org Commonwealth Assisted Living Charlottesville | 800.784.7288 www.commonwealthal.com

SENIOR LIVING

SECOND PLACE tesv i l l e rlot h a e n a n d o a h Va l Sh

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Roberts Home Medical Charlottesville | 434.973.7847 www.robertshomemedical.com

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UVA â&#x20AC;&#x201C; HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com

AWARDS 201

THIRD PLACE

7 GOLD

HONORABLE MENTION

FIRST PLACE

Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brcliving.org

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Bridgewater Retirement Community Bridgewater | 540.828.2550 www.brc-online.org

ACAC Fitness & Wellness Centers Charlottesville | 434.978.3800 www.acac.com

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Nursing Home Care

AWARDS 201

The Laurels of Charlottesville Charlottesville | 434.951.4200 www.thelaurelsofcharlottesville.com

7 GOLD

THIRD PLACE Shenandoah Nursing Home Fishersville | 540.324.2420 www.saberhealth.com HONORABLE MENTION Dogwood Village Orange | 540.672.2611 www.dogwoodvillageocva.org Our Lady of Peace Charlottesville | 434.973.1155 www.our-lady-of-peace.com Louisa Health and Rehab Center Louisa | 540.967.2250 www.louisahealthrehab.com

Palliative Care FIRST PLACE Hospice of the Piedmont need

SECOND PLACE Augusta Health Fishersville | 540.932.4000 www.augustahealth.com

THIRD PLACE

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UVA Palliative Care Charlottesville | 434.243.3675 tesv i l l e rlot www.uvahealth.com h a e n a n d o a h Va h l AWARDS 201

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HONORABLE MENTION Sentara Martha Jefferson Hospital Charlottesville | 434.654.7000 www.sentara.com

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Outpatient Rehabilitation

AWARDS 201

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FIRST PLACE Synergy Rehab and Wellness Verona | 540.416.0530 www.synergyrehabandwellness.com

Post -Acute Rehab Services

SECOND PLACE Augusta Health Outpatient Therapy Fishersville | 540.932.5935 www.augustahealth.com/therapy/ outpatient-therapy

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

FIRST PLACE Albemarle Health and Rehab Charlottesville | 434.422.4800 www.albemarlehealthrehab.com

AWARDS 201

7 GOLD

Louisa Health and Rehab Center Louisa | 540.967.2250 www.louisahealthrehab.com

Senior Community Center

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AWARDS 201

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Restaurant

Staunton Senior Center Staunton | 540.886.4634 www.stauntonseniorcenter.org HONORABLE MENTION Waynesboro Senior Center Waynesboro | 540.942.1838 www.vpas.info/senior-centers

Tip Top Charlottesville | 434.244.3424 www.tiptoprestaurant.com

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OurH e

AWARDS 201

7 GOLD

SECOND PLACE Byers Street Bistro Staunton | 540.887.6100 www.byersstreetbistro.com

FIRST PLACE (tie)

Charlottesville Health and Rehab Charlottesville | 434.978.7015 www.charlottesvillerehab.com/ center Charlottesville Pointe Charlottesville | 434.973.7933 www.orianna.com

THIRD PLACE Summit Square Retirement Community Richmond | 804.360.1960 www.ourladyofhope.com

The Laurels of Charlottesville Charlottesville | 434.951.4200 www.thelaurelsofcharlottesville.com

Mill Street Grill – Staunton Staunton | 540.886.0656 www.millstreetgrill.com

OurH e

Caring Transitions of Charlottesville Charlottesville | 434.234.9799 www.caringtransitionsof charlottesville.com

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Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc

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AWARDS 201

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Stroke Care FIRST PLACE UVA – HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com

SECOND PLACE Augusta Health Fishersville | Inpatient 540.932.4010 Fishersville | Outpatient 540.932.5935 www.augustahealth.com/therapy

h Richmo

HONORABLE MENTION

FIRST PLACE

Encompass Charlottesville | 434.202.7138 www.ehhi.com/home-healthskilled-therapy

SECOND PLACE

THIRD PLACE Timberwood Grill Charlottesville | 434.975.3311 www.timberwoodgrill.com

Shenandoah Valley Home Health Verona | 540.324.2360 www.facebook.com/shenandoahvalleyhomehealth

Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc

HONORABLE MENTION

Senior Relocation Services

THIRD PLACE

AWARDS

Skilled Nursing Care

SECOND PLACE

THIRD PLACE

2 1 7 S I LV E R 0 1 7 B R O N Z E

HONORABLE MENTION

Senior Center Charlottesvillle | 434.974.7756 www.seniorcenterinc.org

JABA Charlottesville | 434.987.8433 www.jabacares.org

UVA – HealthSouth Rehabilitation Hospital Charlottesville | 434.244.2000 www.uvahealthsouth.com

FIRST PLACE

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Harrisonburg Health & Rehabilitation Center Harrisonburg | 540.433.2623 www.harrisonburghealthrehab.com

7 GOLD

SECOND PLACE

HONORABLE MENTION Sunnyside Retirement Community Harrisonburg | 540.568.8411 www.sunnyside.cc

201

More than Moving for Seniors, Inc. Richmond | 804.232.6480 www.morethanmovinginc.com

THIRD PLACE

AWARDS AWARDS AWARDS

HONORABLE MENTION

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Senior Living Awards

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AWARDS 201

7 GOLD

THIRD PLACE Sentara Martha Jefferson Stroke Recovery Clinic Charlottesville | 434.654.8960 www.sentara.com

SECOND PLACE Blue Ridge Patient Advocacy Palmyra | 434.466.9299 www.facebook.com/BRPAcares

Speech Therapy

CONGRATS

THIRD PLACE

SENIOR LIVING

AWARDS

Care is There Charlottesville | 434.326.5323 www.careisthere.com

FIRST PLACE Augusta Health Fishersville | Inpatient 540.932.4010 Fishersville | Outpatient 540.932.5935 www.augustahealth.com/therapy

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Blue Ridge PACE 1335 Carlton Avenue | Charlottesville, VA 22902 | 434.529.1300 | www.blueridgepace.org SERVICES PROVIDED: PACE Adult Day Center, Outpatient Health Services, Hospital Inpatient Care, Medical Specialists, Home Care, Physical, Occupational, Speech & Recreational Therapy, Transportation, Prescriptions & Medication Management, Dentistry, Spiritual Care

About Us

Your mom, dad or other loved one may be unwilling or feel unready to go to a nursing facility. But you understand that they need the support. That’s why we’ve brought Blue Ridge PACE – an innovative and supportive new program for older adults and their families – to the Charlottesville area.

WHO WE ARE Blue Ridge PACE (Program of All-Inclusive Care for the Elderly), a partnership between Riverside Health System, the University of Virginia Medical Center, and the Jefferson Area Board for Aging (JABA), serves seniors who live in Charlottesville and surrounding counties.

Our Program

All-inclusive medical care, warm and friendly social activities, professional therapies, and regular medications by professionally trained staff at our beautifully designed Blue Ridge PACE Center are all part of the program. So is respectful, trustworthy inhome assistance.

WHAT WE DO PACE is a program that provides and coordinates all of the care you need, all by one team, all in one place, so you can continue living in your home and community rather than a nursing facility. Blue Ridge PACE doctors and other caregivers specialize in working with older adults and their families. PACE is focused on caring for a person’s spiritual, emotional and social health, not just their combination of medical conditions. Take a look at PACE. You’ll find it is unlike any other care program you’ve seen.

All-inclusive physical and social care to keep older adults independent. A program of the Commonwealth of Virginia and the Federal Government

www.blueridgepace.org

Participants may be fully liable for the cost of services obtained without the authorization of the team (except for emergency services). 36

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Our Lady of Peace

751 Hillsdale Drive | Charlottesville, VA 22901 | 434.973.1155 | www.our-lady-of-peace.com

About Us

At Our Lady of Peace, we’ve gained your trust by offering value and exceeding expectations for a quarter of a century. Since 1992, Our Lady of Peace Retirement Community has provided comfortable and affordable senior living apartments and a full continuum of care for those who live within our community. As a not-for-profit, non-denominational community, it is our mission to enhance the quality of life for each resident through personalized attention and care.

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One of the nicest features of your new home at Our Lady of Peace is the affordability. With no buy-in and reasonable market-rate monthly payments, customized care, and other à la carte services from which to choose, you will be able to preserve your nest egg for the future. And if your needs should ever change our full continuum of care will enable you to continue your retirement at Our Lady of Peace.

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Residential & Assisted Living 2017

Like a fine wine, we’ve gotten better with age.

Call today to schedule your personal tour. Residential | Assisted Living | Memory Care | Nursing Care www.OurHealthCville.com

The Legacy at North Augusta A National Lutheran Community

1410A North Augusta Street | Staunton | 540.416.0341 | www.thelegacyatnorthaugusta.org SERVICES PROVIDED: Assisted Living Care delivered in the comfort of your apartment, Medical Director/Nurse Practitioner on-site

Our Care

The Legacy’s holistic model of care is designed to assist residents in maintaining personal comfort, independence and social engagement. Care is conveniently delivered to every apartment, which enables couples to stay together even if one partner needs more care than the other. Staff at The Legacy know the importance of honoring residents’ personal needs and interests, truly creating care that comes from the heart. Care and services at The Legacy include: •

Affordable month-to-month rental apartments

•

Fine dining, all meals daily

About Us

As a not-for-profit National Lutheran Community, integrity and sincerity are part of the very foundation. It creates an atmosphere that makes life at The Legacy truly exceptional among senior living communities which leads the residents in discovering their own deeply fulfilling way of life within a uniquely supportive senior community.

• Housekeeping • Transportation •

Emergency pendant

•

All utilities, including cable and Wi-Fi

•

Onsite rehabilitation services

•

Medical Director/Nurse Practitioner on-site

The Legacy fosters a positive approach towards a health-conscious senior living lifestyle with delicious dining, fascinating activities, entertainment, recreation and lovely grounds including a paved walking path. With 24/7 Concierge, the residents can rest easy that someone is always taking care of their requests and needs.

A culture of hospitality that comes from the heart.

What Sets Us Apart

The Legacy at North Augusta, has hospitality as a cornerstone of their notfor-profit senior living community. Services and Amenities are held to higher standards even allowing couples to stay together even if their needs for assistance or health services are different. 38

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S ENI O R HEALTH | 2017 Senior Living Awards

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NUTRITION

LOCAL FOODS & RECIPES

5 2

Fantastic Farmer's Markets NUTRITIOUS FINDS FOR THE WHOLE FAMILY words | CHRISTINE STODDARD

No matter what you love to eat, consider buying your groceries from the local farmer’s market for healthy options grown close to home. You’ll give your diet and the local economy a boost. Here are some of the fantastic markets in the Charlottesville and Shenandoah Valley area and what you will find there. 40

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Hollymead Town Center (on the Kohl’s side) 163 Community Street | Charlottesville Saturdays, 8:30 am – 1 pm

THEMED EVENTS! The market will host special events from time to time. Earlier this year, they threw the Wool and Wine Festival, as well as Fresh Strawberry Shortcake Saturday.

Meade Park Market

YOUR CHANCE TO WIN! Go to the market table and sign up for the monthly $15 gift certificate giveaway.

Wednesdays, 3 pm – 7 pm

Corner of Chesapeake Street and Meade Avenue 300 Meade Avenue | Charlottesville

WHAT TO GET BEFORE IT RUNS OUT: Virginia Vintage Apples, Cold Country Salmon, Willow Tree Pasta, and more

Charlottesville City Market Water Street and South Street between 1st and 2nd Charlottesville Saturdays, 7 am – Noon

WHERE TO GET UPDATES: Social media! The market posts day-of information on its Facebook page here: www.facebook.com/farmersinthepark/

WHAT TO GET BEFORE IT RUNS OUT: Lamb from Brightwood Vineyard and Farm; raw, fermented and probiotic foods and brews from Farmstead Farments; and more. UNUSUAL PROGRAMS: At this market, you will find active composting and gleaning programs. You know what composting is, but what’s gleaning? It’s the gathering of leftovers. In this case, the Society of Saint Andrew team goes around the market with buckets to collect donations of produce and foodstuffs to bring to shelters and other facilities in the Charlottesville area.

Parking lot of the Crozet United Methodist Church 1156 Crozet Avenue | Crozet Saturdays, 8 am – Noon

Waynesboro Farmers Market Waynesboro Pavilion at Constitution | Waynesboro Saturdays, 9 am – 1 pm

WHAT TO GET BEFORE IT RUNS OUT: Artisan meats from White Barn Company; heirloom tomatoes and garlic from Marshall Southwick; and more. DANCE WHILE YOU SHOP: This market features live music from local musicians. Previous musicians have included Gary Randal, David Young, Jimmy O, The Ululations, and the Sweet String Sisters, among others.

Staunton Farmers’ Market

Wharf Parking Lot on Johnson Street | Staunton

DID YOU KNOW? Proceeds from market sales go right back to the community as a donation to the Crozet United Methodist Church Food Pantry. On average, the pantry distributes two tons of food every month.

Madison Farmers’ Market

Fantastic Farmer's Markets

WHAT TO GET BEFORE IT RUNS OUT: Locally raised pork from Sunny Point Farm, peaches from Liberty Mills Farm, and more.

Crozet Farmers Market

NUTR I TI O N |

Albemarle Farmers Market

Wednesdays and Saturdays, 7 am to Noon

DID YOU KNOW? The Staunton Farmers’ Market requires that all vendors perform their growing or production within 75 miles of Staunton. So when they say ‘local,’ they mean it!

1110 Fairground Road | Madison Saturdays, 8 am – Noon

WHAT TO GET BEFORE IT RUNS OUT: Well, you’ll never quite know what to expect, but the Facebook page usually offers a few teasers. Check it out at www.facebook.com/madisoncountyfarmersmarket/.

We want to hear from you! Looking for something to do this weekend? Check out one of these local farmers markets. Then, tag us on social media to tell us what you think. #OurHealthCVILLE

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NUTRITION

LOCAL FOODS & RECIPES

HealthyEats

>> First Impressions of Three Healthy Restaurants in the Charlottesville & Shenandoah Valley Area words | RICK PIESTER

Roots Natural Kitchen

Blue Phoenix Café & Grocery

Cranberry’s Grocery & Eatery

1329 West Main Street | Charlottesville

110 West Washington Street | Lexington

7 South New Street | Staunton

434.529.6229

540.461.8306

540.885.4755

www.rootsnaturalkitchen.com

www.bluephoenixcafe.com

www.gocranberrys.com

Hours Monday – Friday, 10:30 AM to 9:00 PM. Saturday and Sunday 11:00 AM to 9:00 PM.

Hours Monday – Saturday 11:00 AM to 3:00 PM, Closed Sundays.

Hours are from 7:30 AM to 5:30 PM seven days a week. Winter hours may vary.

Although a Lexington magnet for vegetarian, vegan and gluten-free diners, the Blue Phoenix will also satisfy the most extreme carnivore. The food is top-notch and the grocery, Lexington’s only downtown food market, features local and organic bulk, dairy, packaged food, bread, bagels, farm fresh eggs, produce, and cafe grab n' go. What is truly moving, however, is the café’s “Everyone Eats” policy that ensures there will always be at least one menu item that is priced on a pay-what-you-can model so that everyone who wants to may enjoy a dignified, lovingly prepared meal. The no-questions-asked practice is fueled by the generosity of customers who purchase meal vouchers for community members facing food insecurity and hunger.

Located in a restored 1700s vintage building in Staunton’s historic downtown, Cranberry’s is a find indeed, not only for an outstanding menu of vegan, vegetarian, glutenfree and standard offerings. There’s also a charming market up front, featuring produce, housewares, natural remedies, and other goodies. It’s the natural, local food, however, that draws most people in the first place. Cranberry’s serves up a tasty variety of sandwiches and wraps, soups, salads, quiches, world-class locally roasted coffees, and scratchmade smoothies. The breakfast menu includes eggs and sausage from nearby internationally known Polyface Farm.

That place on The Corner in Charlottesville with the line streaming out the door is very likely Roots Natural Kitchen. But don’t be put off by the line. It moves fast. And there’s a good reason why it’s there. It’s a great restaurant for quick, delicious, healthy and filling food. Roots Natural Kitchen is a “bowl” restaurant. Customers have their choice of more than a half-dozen signature bowls (The “El Jefe,” for example, is a base of brown rice, accompanied by chicken, kale, black beans, charred white corn, red onions, feta cheese, pita chips and avocado, with a cilantro lime dressing,) or you can build your own from a vast array of ingredients. 42

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ON THE WEB

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NUTR I TI O N | HealthyEats

www.OurHealthCville.com

NUTRITION

LOCAL FOODS & RECIPES

– Guest Chef

Tom Schumaker of Commonwealth Senior Living –

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

recipes | TOM SCHUMAKER

Heart Healthy Seared Scallops with Black Beans Makes 4-5 servings | 314 calories per serving Ingredients: • 2 tablespoons olive oil • 1 ½ pounds fresh bay scallops • 1 cup chopped onions • 1/8 teaspoon old bay seasoning • ¼ cup dry white wine • ¼ cup chicken broth • 2 pounds cooked black beans • 12 ounces baby spinach • 1 tablespoon chopped fresh basil Heat olive oil in a large skillet over medium-high heat. Add scallops and sauté approximately 2 minutes per side. Remove scallops from pan. In same pan over medium-high heat, add onions and seasoning. Sauté onions until transparent and soft. Add black beans and spinach and continue cooking until spinach begins to wilt. Add chicken broth and finish with white wine. Plate spinach and black beans topped with scallops. Garnish with basil and serve immediately.

Pan Seared Sea Bass with Summer Vegetables Makes 2 servings | 271 calories per serving Ingredients: • 1 cup cherry tomatoes • 6 ounces fresh spinach • 6 ounces fresh mushrooms • 4 ounces freshly cooked shucked corn • 2 ounces onion diced fine • ¼ cup red wine • 1 tablespoon fresh basil • 1 tablespoon fresh garlic

2 tablespoons freshly squeezed lime juice Salt and pepper to taste 2 tablespoons olive oil Two 6-ounce sea bass filets Garnish with fresh fruit if desired

Heat oil in a skillet over medium heat. Add basil, garlic and onion, cook for 1 minute. Add sea bass and sear first side for approximately 3 minutes. Turn the bass and add mushrooms, corn, tomatoes and spinach. Cook for approximately 3 more minutes or until spinach is wilted and vegetables warmed through. Squeeze lime juice and deglaze pan with red wine. Serve over fresh salad, pasta or rice. Garnish with fresh fruit if desired.

Shrimp Piccata with Sautéed Spinach Makes 4 servings | 275 calories per serving Ingredients: • 1 ½ pounds of fresh peeled and deveined shrimp (16 to 18) • 2 tablespoons extra virgin olive oil • 2 tablespoons butter • 1 small garlic clove minced • Juice of one (1) lemon • 4 teaspoons capers • 10 ounces of baby spinach • ½ cup white wine • Salt and pepper to taste Heat oil and butter in a large skillet over medium heat. Add garlic and cook until soft but not browned (1-2 minutes). Add shrimp, stir frequently, until shrimp are pink and opaque, about 2 minutes. Add capers, lemon juice, stir for 1 minute. Add baby spinach to wilt. Deglaze pan with white wine. Add salt and pepper to taste. Serve on a bed of pasta or rice.

ON THE WEB

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Feel free to stop by! If you’d rather stay out of the kitchen, visit a Commonwealth Senior Living community for lunch or dinner! Call the community nearest you to reserve your space: www.commonwealthal.com/our-communities/.

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Summer Seafood

Chef Tom Schumaker of Commonwealth Senior Living makes it tasty to stay healthy this summer! These delicious surfside dinners are low in calories, sodium and cholesterol, while packed with protein, vitamins and minerals that will make your heart swim with joy and help lower blood pressure too!

• • • • •

NUTR I TI O N |

Summer Seafood

FAMILY CARE

HEALTH FOR THE WHOLE FAMILY

GROWING HEALTHY - Grade by Grade words | BRANDY CENTOLANZA

All parents want their children to start off the new school year fresh and healthy! Here are some safety and wellness tips to keep in mind to reduce the risk of illness or injury depending on what grade your son or daughter is entering this year.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Children with food sensitivities should have an allergy action plan in place. Parents should ensure their child’s school is equipped with an Epi Pen on hand in the event of an emergency. “Make sure your children, especially the younger ones, know what food allergies they have and know to avoid these foods,” says Amanda P. Jones, MD, a pediatrician with Pediatric Associates of Charlottesville.

Around this age, children begin to lose their baby teeth, and may do so during the school day. “It is very helpful for children to wiggle out loose baby teeth as soon as possible to allow the permanent tooth to erupt into the best position possible,” says Bart Weis, DDS, an orthodontist with Charlottesville Orthodontics. “Children should always brush their teeth before going to bed. It is a great idea for parents to check their child’s teeth to ensure they have brushed adequately. Sometimes, a little extra help is needed.”

As children start heading off to the school bus stop on their own, remind them of school bus safety: look both ways before crossing a street, wait until the bus comes to the complete stop before stepping off the curb, and remain seated while the bus is in motion. Parents may also wish to reiterate “stranger dangers” rules.

Growing Healthy Grade by Grade

1ST GRADE

2ND GRADE

FAMI LY CAR E |

KINDERGARTEN

BART WEIS, DDS An orthodontist with Charlottesville Orthodontics.

3RD GRADE Doctors recommend annual flu vaccinations beginning in September or October. “We begin to see a lot of illnesses spread throughout the community once kids go back to school,” Dr. Jones notes. “If your child ends up with a fever, don’t send them to school until they are fever-free for 24 hours.”

4TH GRADE

5TH GRADE

School bullying is often a concern. Keep open communication with your child’s teacher. If your child starts complaining of headaches or bellyaches or simply not wanting to go to school, speak with your child’s teacher about what might be happening.

A backpack should not weigh more than ten to 15 percent of a child’s body weight. “Choose a backpack with padded straps and make sure your child wears their backpack on both shoulders,” Dr. Jones says. “Clear out the backpack each night and only keep in it what your child needs for school so it isn’t too heavy.”

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FAMILY CARE

HEALTH FOR THE WHOLE FAMILY

6TH GRADE

7TH GRADE

As kids become more active with sports in middle school, it’s important for them to stay properly hydrated to avoid becoming overheated during practices and games. Signs of dehydration include nausea and headaches. “Teach them how to listen to their bodies,” Dr. Jones suggests.

At this stage and age, some students also begin to wear braces. Weis recommends carrying a toothbrush in their backpack to brush after meals. “This will keep foods, acids, and sugars from building up around the braces or sitting in the aligners, which can cause permanent marks on the enamel called decalcification, or even cavities,” he says.

8TH GRADE Assist children with the development of good homework and study habits, including organization. To alleviate eye fatigue, neck fatigue or brain fatigue during study sessions, students should take frequent breaks, getting up to stretch or have a snack.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Starting off the school day with proper nutrition is essential, but high schoolers often don’t make time for breakfast. “Even if they aren’t hungry, they should have something small, something with fiber or protein that will last them through lunch,” says Dr. Jones. “That’s important.”

Proper rest is also vital for academic performance for all students, especially teenagers. Ensure your teen gets plenty of sleep – eight to ten hours of shuteye is recommended for children aged 13-18 – and limit caffeine intake and screen time before bed.

AMANDA P. JONES, MD A pediatrician with Pediatric Associates of Charlottesville.

Growing Healthy Grade by Grade

10TH GRADE

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9TH GRADE

11TH GRADE Teach new drivers to play it safe with the cell phone while they are in the car. Student drivers should turn off their phones or place them out of reach while they are behind the wheel to avoid an accident.

12TH GRADE Kids this age still need plenty of physical activity. Encourage your child to find time during the day for exercise, whether it’s walking or biking to school, or trying an exercise video. Developing proper fitness habits now will set them up for life.

EXPERT CONTRIBUTORS Amanda P. Jones MD with Pediatric Associates of Charlottesville. Bart Weis, DDS with Charlottesville Orthodontics.

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HEALTH FOR THE WHOLE FAMILY

GROUP B STREP – NOUN – A bacteria that can live on the vaginal skin of a healthy woman about 15 percent of the time.

Painless Screening Test Vital for Pregnant Women and Their Babies words | CHRISTY RIPPEL

Expectant moms, take note—while you are tested for a number of things during your pregnancy, from iron deficiency to gestational diabetes, one of the most important tests comes towards the end of your 40 weeks. Between 35 and 37 weeks, you’ll be tested for group B streptococcal— also called group B strep or GBS—and knowing the result is necessary for the health of your baby. If you test positive for group B strep, you are MOLLY MCQUIGG, MD An obstetrician with Augusta Health Care for Women in Fishersville, Virginia. Dr. McQuigg is certified by the American board of Obstetrics and Gynecology.

considered a carrier of, or are colonized with, the bacteria. “Group B strep is a bacteria that can live on the vaginal skin of a healthy woman about 15 percent of the time. It does not cause much illness in adults, but it can cause an infection in and around birth which can be very serious for a newborn,” says Molly McQuigg, MD, an obstetrician with Augusta Health Care for Women in Fishersville, Virginia.

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FAMI LY CAR E | Group B

Bacteria can be passed from mother to baby during delivery. Group B strep disease in newborns can cause sepsis, pneumonia, meningitis, and even death. There is no way to know if you have the bacteria without a test, as the presence of group B strep often causes no symptoms in pregnant women. The test, which is quick and painless, involves a swab of the lower vagina and rectum, which is then sent to a lab for results. It is a similar process to swabbing the tonsils and the back of the throat to check for strep. Ten to 30 percent of women test positive for group B strep. If you do test positive, don’t panic—antibiotics greatly reduce the risk of passing the bacteria to your baby. Penicillin is the preferred drug to prevent group B strep transmission, and there are other options for patients who are allergic to penicillin.

A pregnant woman who tests positive for group B strep bacteria and gets antibiotics during labor has only a

1 in 4,000 chance of delivering a baby

who will develop group B strep disease, compared to a 1 in 200 chance if she does not.

Source: Centers for Disease Control and Prevention

If patients are leery of the group B strep screening test, which is recommended by the Centers for Disease Control and Prevention (CDC) for all pregnant women, Dr. McQuigg explains that it is essential. “I would rank the GBS test as one of the more important tests to assure the health of the infant in the newborn period,” says Dr. McQuigg. “As far as bang for your buck, this is a pretty inexpensive test and requires fairly inexpensive treatment if it is positive versus a very high cost (both financially and emotionally) if the infant is infected and suffers a serious brain or blood infection and/or death.” If a woman goes into labor before the Group B Strep test can be completed, IV antibiotics are usually given as a preventative measure. EXPERT CONTRIBUTOR Molly McQuigg, MD with Augusta Health Care for Women in Fisherville.

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FAMILY CARE

HEALTH FOR THE WHOLE FAMILY

“The hardest part has been the sense of loss. When I realized he couldn’t remember our wedding day at all, I was heartbroken.”

THE DAY

- Claudia Ring -

ALZHEIMER’S TAKES A TOLL NOT JUST ON PATIENTS BUT SPOUSES, TOO words | CHRISTINE STODDARD

Five years ago, Claudia Ring, now 73, began noticing that her husband, Rich, now 88, was forgetting things. She began suspecting he had Alzheimer’s about six months before he was first diagnosed with a mild cognitive disorder. “He just was not remembering things that I knew he should know,” says Claudia, who lives in Zion Crossroads. “I first told our family doctor, who said, ‘I think we better investigate that,’ so we did.” About six months after the initial diagnosis, Rich, who spent his career as a chemist, was diagnosed with the disease. Since then, life for the Rings has never been the same, but Claudia wants other spouses of Alzheimer’s patients to know that the journey does not have to be a hopeless one.

ACHIEVING A NEW NORMAL For Claudia, the most difficult part of being married to an Alzheimer’s patient is observing her husband’s decline. “As the years have gone on, Rich’s short-term memory has gotten worse and worse,” she says. “He can’t remember where things are in the house, like where the bedroom and bathroom are.” 52

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FAMI LY CAR E |

2016 VIRGINIA

ALZHEIMER’S STATISTICS

The Day He Forgot Our Wedding

Some of the couple’s most cherished memories are now accessible to only one of them. “The hardest part has been the sense of loss,” says Claudia. “At the moment, that’s not as hard, but earlier on, witnessing his loss of certain memories was very hard. I suddenly realized that certain memories were gone.” There was one lost memory that particularly struck her. “When I realized he couldn’t remember our wedding day at all, I was heartbroken,” she says.

According to the Alzheimer’s Association, more than five million Americans live with Alzheimer’s. By 2050, as many as 16 million people could have the disease.

It’s not just important days that have dissolved from Rich’s mind. Claudia also realizes that there are entire periods of their life together that he cannot recall. “We’ve been married for 32 years,” she says. “We lived in New Jersey for 27 years before we came to Virginia, but he can’t remember our time there at all.” While Claudia has learned to accept her role as guardian of the couple’s memories, it’s not been easy. “I would tell myself, ‘He doesn’t remember that anymore. It’s just gone,’” she says. “I did a lot of grieving the first two to three years as each loss came. But then you reach a new normal. You live in the new normal until there’s a big change and then you live with that situation. With each new loss, you go through that cycle again.”

THE MEMORIES THAT REMAIN Of course, Rich has not forgotten everything and Claudia appreciates what he does remember. She says, “His short-term memory is mostly gone, but sometimes he comes in and out and I wonder, How on earth did he remember that?” Claudia has noticed that Rich has retained some of his intellectual gifts despite his memory loss. “While some of his long-term memory is long gone, his memory for word connections is probably the way it always has been,” she says, explaining that her husband’s vocabulary is top-notch. She also believes that his math skills are as strong as they ever have been. Yet she acknowledges that retaining such talents doesn’t happen for everyone. “Rich’s father had Alzheimer’s and Rich noticed that he didn’t have math skills,” she says. “Alzheimer’s really is different for everyone because it depends on where it’s affecting the brain.”

FINDING THE POSITIVE SIDE Though Claudia is painfully aware of how much Rich no longer remembers, she doesn’t feel she has completely lost her husband to Alzheimer’s. “In so many ways, Richard is still a very loving, kind, and humorous man,” she says, adding that she counts her blessings for these remnants of his old self. After all, Claudia admits that “for other [Alzheimer’s patients], that’s not always true. That person can get violent, agitated, and angry. I’m very thankful to God that hasn’t been true for Rich, at least not at this point. Alzheimer’s treats every person differently.” As the spouse of someone with Alzheimer’s, Claudia relies on a strong support system to navigate her challenges. She proudly identifies as a

Source: Alzheimer’s Association www.alz.org

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FAMILY CARE

HEALTH FOR THE WHOLE FAMILY

Christian and cites her relationship with God and her church group as one of her main anchors. She also is thankful for her daughter, who lives with her husband not far from her. Then there are old friends with whom she speaks regularly on the phone, as well as newer, local friends she appreciates as “good listeners.” When asked what she seeks from loved ones as the spouse of an Alzheimer’s patient, Claudia replies that presence counts for a lot. “It’s not about physically doing so much but about being a friend who listens and cares,” she says. Claudia turns to the Charlottesville Alzheimer’s Association office for a support group, as well as educational and social activities for Rich. She finds the Jefferson Area Board for Aging (JABA) helpful, too. The Charlottesville-based non-profit offers such services as adult care centers, caregiver support groups, community senior centers, and more. “It helps to spend time with other spouses of Alzheimer’s patients,” says Claudia. “They’re people Rich and Claudia Ring of Zion Crossroads.

who are in a similar situation, which means they can support each other in a special way.”

LOCAL ALZHEIMER’S ASSOCIATION OFFICES CHARLOTTESVILLE OFFICE 1160 Pepsi Place | Suite 306 | Charlottesville 434.973.6122 alzcwva@alz.org

HARRISONBURG/WAYNESBORO OFFICE 800.272.3900 jrunzo@alz.org

LYNCHBURG OFFICE

Claudia also sees a silver lining to the timing of Rich’s diagnosis. The couple’s daughter already lived in Virginia and had hoped that her parents would move there to be closer to her. Not long after the Rings did just that, Rich was diagnosed with Alzheimer’s. “It was wonderful to be near one of our children at that time,” says Claudia, who also is the mother of two sons. “We’ve enjoyed living in Virginia near Charlottesville. The mountains are beautiful and generally the people are very friendly and welcoming. It’s a very pleasant area to live in. The timing for us moving to Virginia was just right.”

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1022 Commerce Street | Lynchburg 434.845.8540 jmassie@alz.org Can’t make it to an office or wait for a support group? A 24-hour helpline is always available at 800.272.3900. You also can join an online support community run by the Alzheimer’s Association by visiting ALZConnected.org. There are message boards for caregivers, as well as Alzheimer’s patients.

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

IF YOUR SPOUSE OR OTHER CLOSE LOVED ONE IS DIAGNOSED WITH ALZHEIMER’S, DON’T DESPAIR. There are local support groups that can help you manage the grieving process. For information about Early Stage Memory Loss groups in Charlottesville, Danville, Fishersville, Harrisonburg, Lynchburg, and Roanoke, contact Annie Marrs, the regional Alzheimer’s Association Family Services Director, via email at amarrs@alz.org or phone at 434.973.6122, ext. 105.

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BEAUTY

HEALTHY BEAUTY TIPS

PRP THERAPY – NOUN – A procedure in which plasma is separated from a patient’s blood and then the platelet-rich plasma from the blood is reinjected into the patient’s scalp where hair loss is most prominent.

Charlottesville Dermatologist Offers Natural Treatment to Regrow Hair words | BRANDY CENTOLANZA

Struggling with hair loss? There’s a new treatment that could help you regrow your hair naturally. Charlottesville Dermatology began offering Platelet-Rich Plasma Therapy (PRP) last year as part of its services for those who suffer from male or female pattern hair loss. PRP therapy is a procedure in which plasma is separated from a patient’s blood and then the platelet-rich plasma from the blood is reinjected into the patient’s scalp where hair loss is most prominent. “We believe PRP works because the platelets have many growth factors attached, which stimulate the follicles to keep them healthy and maintain the hairs that are there, as well as making the hairs there healthier and thicker, and finally by stimulating the stem cells in the follicles to promote new growth,” explains Deborah M. Elder, MD, a dermatologist with Charlottesville 56

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Dermatology. “A huge advantage of PRP is that it is completely natural because it is using the patient’s own plasma.” PRP therapy is recommended for men and women ages 1870 with a condition known as androgenetic alopecia (male or female pattern hair loss). This type of hair loss is often the result of genetic predisposition and family history. Though it is common in both men and women, the hair loss in men is often faster, occurs earlier, and is more extensive. “Patients usually complain of thinning hair on the top of the scalp and/or the temples,” Dr. Elder says. “This is a very common condition in both men and women that can lead to emotional and psychological stress.” PRP therapy treatment is performed in the office, which takes up to 45 minutes. During the procedure, blood is drawn, then spun into a special centrifuge to separate the red blood cells

It takes roughly six months for patients to begin seeing results, although Dr. Elder says some patients have started noticing thickening of the hair sooner. PRP therapy treatment is performed once a month for four consecutive months, with follow up maintenance treatment twice a year. “So far, we have treated ten patients with PRP for the scalp,” says Dr. Elder. “We use it for facial rejuvenation also.” PRP therapy costs $450 per treatment. The centrifuge used to separate the plasma from the blood is subject to approval from the Food & Drug Administration (FDA), but the injection of PRP into the scalp for hair loss is not.

PRP therapy has been used to treat various medical conditions since the 1990s. In addition to PRP therapy, Dr. Elder adds that she also sometimes recommends patients use adjunctive treatments such as vitamins or minoxidil, a drug used to treat heredity hair loss during PRP therapy treatment. “We want to maximize the potential for stimulating hair growth,” she says. “Patients have been very happy with the results,” Dr. Elder says. “Many patients have tried medications and laser combs and other methods, and feel this really made a difference. We decided to offer it because studies are showing that it does both improve hair counts and improve hair thickness of individual hairs, and we wanted to offer this natural treatment for hair thinning and loss to our patients.” EXPERT CONTRIBUTOR Deborah M. Elder, MD with Charlottesville Dermatology in Charlottesville.

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Struggling with Hair Loss?

“We usually do not numb the patient for this procedure,” Dr. Elder says. “We have a device that chills the skin to deaden the sensation of the needle, and the procedure is fairly quick. There is a small chance of bruising at the injection sites.”

“Our centrifuge is approved by the FDA,” Dr. Elder notes.

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from the plasma. The process also separates the platelet richplasma from the platelet-poor plasma, with the platelet-rich plasma then injected back into the patient.

FITSTYLES

LOCAL FITNESS & ATHLETICS

Types of

GYM

Equipment

EVERY GYM NOVICE

SHOULD TRY words | CHRISTINE STODDARD

Are you new to the gym or has it been awhile? Get into your gym groove with these pieces of equipment. Going to the gym, whether for the first time or after a long break, can be intimidating. There’s a whole sea of strange equipment. Where do you even start? And how do you use anything? Jordan Smuts, a personal trainer at one of our favorite local gyms, recommends these six types of equipment for gym beginners:

Barbells

1 2

Barbells are a tool that provide you with the ability to load numerous exercises with a large amount of weight. Barbells are the best piece of equipment to help you get as strong as possible. Learn the big exercises, like the squat, deadlift, and presses, to perform them effectively and safely and progressively add weight over the course of weeks, months, and years.”

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Resistance Bands

Resistance bands have multiple uses as they can either add resistance or add assistance to movements. From a resistance standpoint, they are great for activation exercises of the shoulder and the glutes to get some of the muscles responsible for stability working. From an assistance perspective, you can loop your foot in them to provide some extra help for bodyweight movements like pull-ups or push-ups if you aren't able to do those with your bodyweight.”

FI TSTY LES |

Cable machines decrease the stability demands needed in comparison to free weights as it limits you to one or two planes of motion. This is advantageous for more isolated exercises where you can target specific muscle groups to focus on bringing up a specific body part or address some muscular imbalances

5 3 4 Dumbbells

Dumbbells force each arm to act independently of one another placing more of a stability demand on the body. As free weights, dumbbells allow you to move through a full range of motion, which is beneficial for building more muscle and bettering your movement.

Sled

Similar to the things you will see out on the football field, most gyms are outfitted with a sled that you can load with weights and either push it or pull it for distance. Loading it up heavier will help build some lower body strength while keeping the weight lighter and going faster will give you a great high-intensity workout to get you in better cardiovascular shape and burn some fat.

Kettlebells

Kettlebells are a unique piece of equipment that allow you to do a wide range of exercises to help you get stronger, add muscle, or lose some weight. With sizes varying from 5 to well over 100 pounds, performing exercises like goblet squats, overhead presses, and swings can be sufficiently loaded for beginners and advanced users alike.

EXPERT CONTRIBUTOR

Jordan Smuts is an NATA-certified athletic trainer and an NSCA-certified strength and conditioning specialist with an M.S. in Kinesiology and a B.A. in athletic training. www.OurHealthCville.com

Six Types of Gym Equipment Every Gym Novice Should Try

Multi-Use Cable Machines

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develop wellness programs to help patients lead healthier, more

OCCUPATIONAL THERAPISTS

WHAT’S THE DIFFERENCE? PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY words | BRANDY CENTOLANZA

Therapy is often a part of the recovery process for patients who are impacted by a long-term illness, injury, or other medical condition. So, what are the types of therapy treatment available for patients, how are they different, and what does each entail?

PHYSICAL THERAPISTS Physical therapists (PT) are licensed healthcare professionals who help patients alleviate pain and improve or restore mobility, usually without medications or surgery. PTs work with individuals who have mobility challenges related to a wide variety of conditions including but not limited to: Alzheimer’s Disease, Diabetes, Multiple Sclerosis, Autism, Scoliosis, Parkinson’s Disease, and Cancer. Those who suffer from balance problems or other chronic conditions may also require physical therapy. Patients who have injured their jaw, wrist, arm, shoulder, hip, back, knee, foot, ankle, Achilles tendon, or some other muscle may also seek services from a PT in order to resume normal activity with as little pain as possible. PTs work with patients in hospitals, private practices, outpatient clinics, schools, sports and fitness facilities, work settings, nursing homes and other environments. They create individualized treatment plans and techniques for patients who may be suffering from pain or limited movement due to injuries, and also work to

According to the American Occupational Therapy Association, Inc. (AOTA), OTs often accommodate children with disabilities in school or social situations, help individuals recovering from injury regain their skills, and provide support and services to senior citizens experiencing physical and cognitive changes. Each patient has a customized treatment program to improve their ability to perform daily activities, with OTs also offering guidance and support to family members and caregivers. OTs can also, for example, assist clients with hobbies such as playing the guitar or knitting; help them return to work after an injury or chronic illness; and learn how to cook or drive again after a stroke.

SPEECH-LANGUAGE PATHOLOGISTS Speech-language pathologists are trained individuals who help diagnose and treat patients with such disorders and other ailments related to speech that can affect both children and adults. Certain patients may need treatment for various speech and language disorders. Speech challenges could occur when a person is unable to produce speech sounds correctly or fluently, or has problems with his or her voice or resonance. Other patients, meanwhile, may have troubles understanding a language when someone speaks, or have difficulties expressing their own thoughts, feelings or ideas. Speech-language pathologists also work with patients who have issues with social communication. These include patients on the autism spectrum as well as those who may have suffered a traumatic brain injury. Cognitive-communication conditions include difficulties with organizing one’s thoughts or having trouble remembering things, paying attention, or solving problems. These are often the result of a stroke, brain injury, or dementia. Patients who suffer from a stroke, have just had surgery, or sustained another illness or injury may have challenges with feeding and swallowing and need a speech-language pathologist to assist with these needs as well. Roughly half of speech-language pathologists work in educational settings, providing services to students particularly in preschool and elementary schools. Speech-language pathologists may also work in hospitals or other healthcare environments to treat patients with cognitive-communication and language disorders and/or swallowing problems.

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What's the Difference?

The main difference between occupational therapy and both physical therapy and speech pathology is that patients need an occupational therapist (OT) to help them function with their everyday tasks (their occupations). OT and OT assistants help patients of all ages participate in daily activities, and can work with patients in their own homes, or at work or school.

P HYSI CAL THER APY |

active lifestyles.

PHYSICAL THERAPY

2017 PHYSICAL THERAPY RESOURCE GUIDE

the Bernese

Mountain Dog

BRINGS A DIFFERENT APPROACH TO

PHYSICAL THERAPY words | BRANDY CENTOLANZA photography | TERRI ISENHOUR PHOTOGRAPHY

A certified pet therapy dog, Bella’s unique skills help patients at UVA-HealthSouth Rehabilitation Center in Charlottesville recover from injury or illness. It’s a Thursday and patients at UVA-HealthSouth Rehabilitation Hospital are in the middle of their daily therapy session. But this is no ordinary one. Today, Bella, a nine-year-old Bernese Mountain dog and her owner, Tina Gaines, are making a visit. Bella is a certified pet therapy dog that provides assistance to patients at UVA-HealthSouth as they undergo physical, occupational, or speech therapy. “Bella is a nice distraction for patients,” said Gaines. “When she is here, she helps take their minds off of concerns, worries, or pain for a while. She brings comfort to the patients.” Bella was certified six years ago through Therapy Dogs International, a national volunteer organization that qualifies dogs to be used in therapy. Gaines has been bringing Bella by UVAHealthSouth on a weekly basis to spend time with the patients ever since then. Anne Faulk, who has been receiving therapy treatment since suffering from a stroke in May, looks forward to seeing Bella each week. 62

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P HYSI CAL THER APY |

“I am a dog person, so it is nice to see her,” Faulk says. “I enjoy her. Bella has a very calming effect on people. I think pet therapy is a positive thing. Dogs can lift people’s spirits and make them happy. Being able to pet the dogs makes people feel better.”

Those who work with the patients at UVA-HeathSouth agree that dogs like Bella are an invaluable addition to their therapy sessions. “Patients with balance challenges can try to reach down to pet a dog, and that is more enjoyable than trying to reach for a cone or some other target,” points out Sarah Kauk, a physical therapist at UVA-HealthSouth. “Patients can also walk with therapy dogs, brush their fur, talk to them, or simply revel in the animal’s presence.” Roughly 25,000 dogs of varying breeds and their handlers, or owners, are registered through Therapy Dogs International. To qualify, dogs must be at least a year old with a sound temperament. The dogs undergo a series of tests and evaluations, which include health and behavioral exams. Dogs are evaluated on how well they interact with people who use service equipment such as wheelchairs or crutches. “Bella has always been very calm, easy-going, and well-behaved, so I knew she would qualify,” says Gaines. “Therapy dogs should enjoy meeting strangers and be tolerant of the different sensations in a hospital, the different smells, noises, and equipment, because that can be stressful for a dog.”

Myths & Misconceptions

Research shows that pet therapy has several benefits for patients, both physically and mentally. According to PAWS for People, an organization focused on the healing power of pet therapy since 2005, being surrounded by animals can lower blood pressure, improve cardiovascular health, reduce physical pain, lessen depression and anxiety, assist with speech and communication issues, and motivate people to recover faster. While it is mostly dogs that interact with patients, other animals can also be used as part of treatment, including cats, rabbits, guinea pigs, llamas, donkeys, and miniature horses, according to Pet Partners, another national organization that certifies animals for therapy purposes.

“Patients with balance challenges can try to reach down to pet a dog, and that is more enjoyable than trying to reach for a cone or some other target. Patients can also walk with therapy dogs, brush their fur, talk to them, or simply revel in the animal’s presence.” SARAH KAUK, PT A physical therapist at UVA-HealthSouth

In addition to UVA-HealthSouth, Bella, who was trained for basic obedience as a puppy and has several AKC Obedience titles along with her therapy certification, has also visited with students at local elementary schools during reading programs. “Having a therapy dog is very rewarding,” Gaines said. “Bella makes a huge difference for individuals who need her. I also get a pleasure out of the visits and enjoy chatting with the patients and the staff at the hospital.” Those at UVA-HealthSouth agree. “It’s very therapeutic to be with dogs,” concludes Kauk. “The patients are more engaged and relaxed. It’s good for the staff too. It’s good for everyone. No one wants to be in a hospital, but when Bella comes by, she really brightens everyone’s mood.”

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EXPERT CONTRIBUTOR Sarah Kauk, PT with UVA-HealthSouth in Charlottesville.

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C H A R LOT T E S V I L L E & S H E N A N D OA H VA L L E Y

Advanced Center for Physical Therapy

Autumn Care of Madison Madison | 540.407.8049

Charlottesville | 434.295.4473

Bridgewater Retirement Community

Crozet Speech & Learning Center Crozet | 434.298.4599

Bridgewater | 540.828.2550 Avanté at Harrisonburg Advantage Physical Therapy and Sports Performance Harrisonburg | 540.434.1200 Harrisonburg | 540.437.7585 Weyers Cave | 540.234.8800

Waynesboro | 540.433.2791

Bridges Wellness & Physical Avanté at Waynesboro

Therapy Consultants, LLC Charlottesville | 434.465.4257

Dogwood Village of Orange County Orange | 540.672.2611

Waynesboro | 540.949.7191

Envoy of Staunton Brookdale Harrisonburg

Albemarle Health & Rehabilitation Center Charlottesville | 434.422.4800

Balanced Chiropractic and Physical Therapy Charlottesville | 434.293.3800

Brookdale Staunton Staunton | 540.325.2747

Albemarle Therapy Center Charlottesville | 434.979.8628 Waynesboro | 540.941.5501 * Pediatric Services Only

Appalachian Physical Therapy, Inc.

Staunton | 540.886.2335

Harrisonburg | 540.574.2982

Harrisonburg | 540.433.2623

Barren Ridge Physical Therapy Fishersville | 540.949.5383 Waynesboro | 540.627.5030

Bethesda Physical Therapy & Wellness, Inc.

Carilion Clinic Outpatient Therapy – Lexington Lexington | 540.458.3211

Heritage Hall – Lexington Lexington | 540.464.8181

High Gear Physical Therapy

Staunton | 540.213.1320

Harrisonburg | 540.209.8977

Harrisonburg Health and Rehabilitation Center

Cedars Healthcare Center

Charlottesville | 434.282.5361

Charlottesville | 434.296.5611

Blue Ridge Physical Therapy Atlantic Sports & Rehabilitation

Horizons Physical Therapy, PC

Lexington | 540.463.5888

Charlottesville Health and Rehabilitation Center

Charlottesville | 434.978.4915

Blue Ridge Rehabilitation Associates, Inc.

Charlottesville | 434.978.7015

Jennifer Grove, PT

Charlottesville | 434.973.5031

Augusta Health Therapy Services Fishersville Out-Patient 540.932.5935 In-Patient 540.332.4010

Augusta Nursing and Rehab Center

Body Ease Physical Therapy Lexington | 540.464.5005 Staunton | 540.337.1999

Waynesboro | 540.951.1682

Charlottesville Pointe Rehabilitation and Healthcare Center Charlottesville | 434.973.7933

Staunton | 858.349.1862

Connections Achievement and Therapy Center Charlottesville | 434.529.6248

Staunton | 540.887.8007

Kings Daughters Community Health and Rehabilitation Center Staunton | 540.886.6233

Bodymind Bodyshape, PLLC

Fishersville | 540.885.8424

Augusta Physical Therapy

Waynesboro | 540.949.7706

Brian P. Lambert, PT Charlottesville | 434.977.6700

OurHealth | The Resource for Healthy Living in the Shenandoah Valley and Charlottesville

Life Care Center of New Market New Market | 540.741.8041

ICON KEY Physical Therapy Out – Patient

Speech Therapy

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Physical Therapy In – Patient

Occupational Therapy

Facilities listed in this guide were obtained through online search engine research using related specialty services terms. If your facility is not listed, it is because it did not appear in the results.

Lewis Pelvic Floor Therapy Charlottesville | 434.960.4434

Pivot Physical Therapy Charlottesville | 434.245.6472

Sentara East Rockingham Health Center Elkton | 540.713.4100

Louisa | 540.967.2250

Martha Jefferson House Charlottesville | 434.293.6136

Sentara RMH Bridgewater PT Plus Physical Therapy and Wellness Center Afton | 540.456.6222 Charlottesville | 434.984.0303 Crozet | 434.823.7628 Waynesboro | 540.943.0078

Bridgewater | 540.828.7115

Sentara RMH Orthopedic Center Harrisonburg | 540-689-4500

2017 Resource Guide

Palmyra | 434.5107301

Louisa Health & Rehabilitation Center

Spectrum Physical Therapy

Staunton Physical Therapy Staunton | 540.213.0345

Morningside of Charlottesville Charlottesville | 434.971.8889

Move Better Physical Therapy Charlottesville | 434.817.0980

Move Medical Massage & Sports Therapy, LLC Charlottesville | 434.989.0170

Passages Physical Therapy Charlottesville | 434.979.5559

Performance Place Sports Medicine

Rehab Associates of Central Virginia 1406 Greenbrier Place Charlottesville | 434.327.1616 www.racva.com • Pre and Post-Surgical Rehabilitation • Dry Needling • Neck and Back Pain • Spinal Rehabilitation • Manual Therapy • Hip and Knee Pain • Shoulder and Elbow • TMJ / Jaw Pain • Balance Training / Fall Prevention • Worker’s Compensation

Sentara Timber Way Health Center Broadway | 540-901-0800

Sentara Martha Jefferson Hospital – Outpatient Services Charlottesville | 434.654.8333

Summit Square Retirement Community Waynesboro | 800.586.5499

Sunnyside Retirement Community Harrisonburg | 800.237.2257

Sentara Martha Jefferson Hospital – Inpatient Services Charlottesville | 434.654.8370

Synergy Rehab and Wellness Verona | 540.416.0530

Shenandoah Nursing and Rehab Fishersville | 540.324.2420

The Center for Hand and Physical Therapy Harrisonburg | 540.638.2478

Charlottesville | 434.220.0805

Small Talk Speech & Therapy Center Phoenix Rehabilitation and Health Services, Inc.

See ad on page 74

Charlottesville | 434.481.3524 * Pediatric Services Only

The Colonnades Skilled Rehabilitation Center Charlottesville | 434.963.4198

Charlottesville | 434.295.4473

Select Physical Therapy Charlottesville | 434.328.4900

Physical Therapy @ acac Albemarle Square 434.817.PT4U (7848) Crozet | 434.817.4283 Downtown Charlottesville 434.817.4276

South River Rehabilitation & Performance Waynesboro | 540.290.4531

The Laurels of Charlottesville Charlottesville | 434.951.4200

Staunton | 540.886.4510 Waynesboro | 540.943.4510

The Legacy at North Augusta Staunton | 540.416.0341

Sentara East Market Street Health Center Harrisonburg | 540.564.5666

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The Speech and Language Center, PLLC

Virginia Mennonite Retirement Community

Harrisonburg | 540.437.4226

Harrisonburg | 877.506.4952

UVA-HealthSouth Rehabilitation Hospital

Wampler and Associates Rehabilitation Harrisonburg | 540.434.9267

Charlottesville | 434.244.2000

CHECK OUT THE

Wilson Workforce and Rehabilitation Center

UVA-HealthSouth Sports Medicine and Hand Therapy Charlottesville | 434.243-0311

WEBSITE FOR EVEN MORE HEALTH RESOURCES!

SCAN HERE OR VISIT US AT www.ourhealthcville.com

UVA Health System Acute Care Rehabilitation Services – Adults

Fishersville | 540.332.7000

Winslow Savage, OTR Charlottesville | 434.293.3948 * Pediatric Services Only

Wolfe Speech Therapy Plus Staunton | 540.885.7774 * Pediatric Services Only

Charlottesville | 434.924.2653

UVA Health System Outpatient Rehabilitation Services – Adults

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Charlottesville | 434.924.5700

UVA Health System Rehabilitation Services – Pediatrics Charlottesville | 434.924.0123 434.924.5146 (Call for general questions on therapy programs)

UVA Transitional Care Hospital

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Charlottesville | 434.924.8245

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Virginia Hand & Rehabilitation Services

ON YOUR TABLET

Staunton | 540.885.1177

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