March 2023 OutreachNC

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Scaling Back: The Many Sides of Downsizing in Later Life

Allegra Bridges and Bob Neuroth are settling nicely into a two-bedroom home near Seattle, an eight-hour drive from their previous home on the Oregon coast and a twenty-minute jaunt to see their grandkids. As they rearrange furniture and make trips to the Goodwill, they consider what they’ve given up and what they’ve gained in their recent downsizing. Bridges says, “The most expensive house we ever bought is the smallest house we’ve ever had. But we bought it for the lifestyle we want as we age. We wanted something comfortable, with a high walkability rating. Safety is a huge factor, and proximity to healthcare, shopping, services, freeway, family and friends and public transportation if we were to need it.”

With health considerations due to Bob’s cancer diagnosis, the couple had to make tough decisions and take action to create a life that fits their needs now. Neuroth says, “Where we live now, in this smaller house, is much more expensive than where we moved from. However, where we lived before, the drive for a decent doctor was 45 minutes, and a specialist was two or three hours away. So, the cheaper housing was outweighed by the negative of not having the medical services we need now.” For many older adults, this weighing of the options, needs and wants is an important conversation later in life.

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ASK THE EXPERT: CHOICES IN HOW TO LIVE

EYE HEALTH: CATARACT SURGERY

FEATURE: SCALING BACK: THE MANY SIDES TO DOWNSIZING IN LATER LIFE

MARCH 2023 - 1 write
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2023

Don’t worry. It was decaf.

Well, it’s official: fall is here. I had my first pumpkin-spiced latte just two days ago, as the evening temperature dipped low enough to merit a fleece.

March is roaring in like a lion this year with balmy temperatures and blue skies. Let’s hope it does, indeed, go out like a lamb with breezy days and just enough rain…but never too much.

Don’t worry. It was decaf.

October is a gentle month. There are constant reminders of we are lucky, toward each other. We have lingering conversations the flames flicker. Smoke dances around us in a circle. We zip

October is a gentle month. There are constant reminders of change. We turn inward, toward warmth we are lucky, toward each other. We have lingering conversations over tea. We burn fires and sit in silence the flames flicker. Smoke dances around us in a circle. We zip our jackets and consider hats.

Fingers crossed.

This month we feature a deep dive into downsizing. From the physical toll of moving furniture and selling homes, to the emotional experience of saying goodbye to the old and welcoming the new, March’s feature explores the range of experiences we have when we downsize. You’ll want to stick around for the tips and tricks our staff and readers have gleaned to make this process pain-free and joyful.

health information. This month, we learn the 8 questions you need to ask before having cataract surgery. Number 7 is especially compelling for those of us who would like to be less dependent on glasses!

In this month’s feature, we’re starting an important conversation: care community for ourselves or a loved one? Fox Hollow Robin Hutchings offers inside perspective for making this decision.

In this month’s feature, we’re starting an important conversation: how do we choose the proper care community for ourselves or a loved one? Fox Hollow Senior Living’s Sales and Marketing Director, Robin Hutchings offers inside perspective for making this decision.

In March’s Ask the Expert, AOS Care Manager Ashley Seace answers a reader’s question regarding her healthcare options and how her kids feel about her choices. Many of us struggle to balance what is best for us personally with how our children and fam ilies feel regarding our wellness. Seace helps ONC readers explore this issue and gives practical advice for navigating challenging conversations.

In Ask the Expert, Amy Natt answers a reader’s question regarding away without any estate planning. Without a will or access to

As we begin working on our gardening projects and spending more time outdoors, the words of Charles Dickens come to mind:

Physical therapist Dr. Sara Morrison of Total Body Therapy potential diagnostic tools used in physical therapy to help diagnose these tools differ from what other doctor’s offices may offer.

shines

and the wind blows cold: when it is

In Ask the Expert, Amy Natt answers a reader’s question regarding what to do when a loved one passes away without any estate planning. Without a will or access to important accounts, what does a family Physical therapist Dr. Sara Morrison of Total Body Therapy and Wellness helps readers understand potential diagnostic tools used in physical therapy to help diagnose and treat pain. You’ll want to learn these tools differ from what other doctor’s offices may offer.

mer in the light, and winter in the shade.

I’m going to agree with Nathaniel Hawthorne this month, who wrote:

I’m going to agree with Nathaniel Hawthorne this month, who I cannot endure to waste anything so precious as autumnal spent almost all the daylight hours in the open air.

Let us enjoy each of these days and bask in the light and the shade.

Here’s to enjoying the October sunshine, falling leaves and daylight

I cannot endure to waste anything so precious as autumnal sunshine by staying in the house. So I spent almost all the daylight hours in the open air.

Here’s to enjoying the October sunshine, falling leaves and daylight hours.

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Carolina Eye Associates is back with more eye

2 - MARCH
It was one of those March days when the sun
hot
sum-
ture dipped low enough to merit a fleece.
LETTER FROM THE EDITOR
Amy Phariss, Editor-in-Chief , OutreachNC | editor@outreachnc.com 910.692.0683 AOSNC.com
OCTOBER 2022 - 2
in Aging
LETTER FROM THE EDITOR Amy Phariss, Editor-in-Chief , OutreachNC | editor@outreachnc.com We are passionate about helping older adults navigate the many challenges 910.692.0683 AOSNC.com Age the Way You Choose LETTER FROM THE EDITOR Amy Phariss, Editor-in-Chief, OutreachNC | editor@outreachnc.com 9 1 0 . 6 9 2 . 0 6 8 3 | w w w . A O S N C . c o m Aging Life Care™ Professionals Accredited Caregiver Registry Placement & Transition Crisis Intervention Ongoing Dementia Care Assistance with Meals & Transportation Coordination of Legal, Financial & Health Care Professionals Age With Success Call to schedule a consultation TODAY!
MARCH 2023 - 3 155 Blake Blvd. Pinehurst, NC 28374 © 2023 Quail Haven Village INDEPENDENT LIVING | ASSISTED LIVING SKILLED NURSING | REHABILITATION On any given day, you’re given a range of options to fuel your passions, satisfy your cravings and indulge your whims. Learn more about luxury senior living at QuailHavenVillage.com or schedule a visit at 910.537.6812 INDULGE your palate & your passions A Life Plan Community offered by Liberty Senior Living 123064 quail haven indulge your palate ad-outreach nc.indd 1 2/15/23 4:17 PM Tyler Chriscoe Attorney at Law Tyler@LorenzCreedLaw.com Margaret “Mia” Lorenz Attorney at Law MLorenz@LorenzCreedLaw.com LorenzCreedLaw.com | 910-695-8688 230 N Bennett St. Southern Pines, NC Our Practice Is Your Solution ∙ Estate Planning & Elder Law ∙ ∙ Real Estate ∙ ∙ Business Law ∙ ∙ Probate & Guardianship ∙ The Lorenz & Creed Law Firm represents cases pertaining to:

Question:

I’ve decided to stop having any optional procedures like having suspect moles removed or getting a colonoscopy. I’ve talked about this with my doctor, and she understands how I feel. I’m 97 and feel good about where I’m at. I don’t want to spend the next years having procedures. However, my kids are upset. They want me to have all procedures offered, and they call often with reports of what they’re friends’ parents are doing. How can I get them to respect my wishes and just enjoy the time we have now?

Answer:

This is a great question because this is such a hard conversation for families to have with each other. While these conversations can be challenging and uncomfortable for some, it is important to have them and to express your wishes to your adult children and others that may be acting on your behalf. One of the great things about the medical world in 2023 is that you have a choice on what you can do with your health! It is absolutely fine to opt out of procedures that are optional, or you simply choose not to do.

One thing to express when having these conversations is that these are your decisions. You can also choose to share some of the reasons you have made them. It’s great that you have discussed your feelings with your doctor and I encourage you to complete a Living Will that clearly outlines your wishes for your health. This document will provide direction to your health care providers, as well as a Health Care Surrogate or Power of Attorney who may be acting on your behalf. This can be a good way to start the conversation with your children; you can share what you have specified in your Living Will so they understand what it is that you want for your health. These are legal documents, so you will want to collaborate with your attorney as well as your physician. There are other tools, such as the Five Wishes Document, that go into more detail about end of

life care and documenting any specific wishes you may have. This can be a great tool to help guide the conversation with your children. Five Wishes website provides options for digital and print copies. Link to document: https://www.fivewishes. org/for-myself/

It is natural for these conversations to be somewhat emotional, perhaps your medical team can help you explain to your kids that these procedures are entirely optional, especially at your age. The older you get, the harder it is to recover from procedures. For instance, a colonoscopy requires to be put under light anesthesia. The body can be put under a lot of stress while under anesthesia and it’s not something you should be forced into doing. The recovery time is going to be longer the older you are as well. So instead of bouncing back within a day or two, it might take you a week or longer to feel normal again. Instead of being down for several days due to recovery, you can use that time to spend it with your family or do something that you enjoy doing. You can remind your children that even if you had these procedures, you would still be opting out of treatment at your age.

It is okay to set boundaries with your adult children. You are more than welcome to share with them that you do not wish to hear updates regarding the parents of their friends. That is not going to change your mind, and you would like for them to respect your decisions. It can be difficult to remind your children that this is what you want and to maintain that boundary with them. It is sometimes easier to have someone else manage that aspect of your life instead. This is where an Aging Life Care™ Professional can come in and have those conversations for you. Care managers are an unbiased third-party that is trained in having difficult conversations with families. Regardless of what you choose and how your family responds, your wishes are valid and should be honored. It is essential to share your wishes with your family early on and then work with professionals that will honor how you’d like to age.

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| ashleys@aoscaremanagement.com
ASK THE EXPERT: CHOICES IN HOW TO LIVE Ashley
Seace, AOS Care Manager

Q: I am considering cataract surgery soon. What do I need to ask my doctor before having this procedure? What can you tell me before I consider cataract surgery?

A: As you have gotten older, are you having difficulty seeing in your daily life? Is driving at night challenging due to glare and halos? These are the most common signs of a cataract. If you are considering cataract surgery, the following questions are the most-asked questions we receive. So, let’s answer them now and get you on the road to better sight and quality of life!

8 questions you need to ask before having cataract surgery.

1. What is a cataract?

A cataract is a cloudy lens that is inside your eye. This happens most due to aging. The first treatment for cataracts is a glasses prescription but when that does not improve vision sufficiently then surgery may be considered.

2. What is the procedure for cataract removal? Cataract removal is achieved with an ultrasound liquifying the cataract and washing it from the eye. Often lasers are used before, during, and after the procedure.

3. Am I going to see anything or feel pain during the surgery?

Cataract surgery is performed in an operating room usually with sedation in your blood stream administered by anesthetists. You will not be sitting up or wide awake. You may see a bright light or colorful lights as the microscope is set up for the surgery, but you will not see the surgery.

4. What am I to do after cataract surgery? Your surgeon and their staff will instruct you to use medications (usually eye drops) after the surgery. You will not be able to drive for 24 hours after anesthesia, and you will have instructions that will limit any physical activity.

5. Do you have to replace the human lens once it is removed?

Yes. Usually an artificial replacement lens (commonly referred to as an IOL) is implanted at the time of cataract surgery. Fortunately, there are multiple replacement lens choices to

optimize your vision based on your needs with cataract surgery.

6. Will I have to wear glasses after cataract surgery?

Most people do have to wear some form of glasses with cataract surgery unless you choose a replacement implant that reduce your dependence on glasses.

7. Do I have options if I want to be less dependent on glasses?

Good news! You do! You can optimize your distance vision by reducing astigmatism. In this case you’ll likely be able to use just over the counter reading glasses. If you want to be the least dependent on glasses, then consider a multifocal implant option. These artificial replacement lens implants offer the opportunity to be free from glasses in most cases. Ask your surgeon about these exciting options.

8. Will I see 20/20 after surgery?

This depends. Cataract surgery can greatly improve your quality of life but there may be other reasons for vision loss that may be affecting your vision that are not related to a cataract. You want to be evaluated fully by an eye care specialist for other eye diseases that may be contributing to your vision difficulties. On occasion, the cataract is affecting the eye specialist’s ability to assess the other part of your eye. Following the cataract surgery, there may be other issues identified in your eye that may have an effect on your vision.

MARCH 2023 - 5 EYE HEALTH: CATARACT SURGERY Carolina Eye Associates | 910.295.2100

SCALING back

The Many Sides of Downsizing in Later Life

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continued from page 1

Families and individuals have a lot to think about as we age. We think about our health, our safety and our ability to live independently. Downsizing inevitably becomes part of the conversation. For many families, the idea of downsizing is appealing for several reasons. Downsizing makes sense financially, as smaller homes cost less to maintain and even downsizing vehicles can cut costs. Neuroth and Bridges went from a two-car family to a one-car family, cutting down on car insurance, maintenance and repairs. Decluttering and minimizing are also appealing for many people who feel their lives have become too complicated by caring for stuff at the expense of spending time with people. The reasons for downsizing have a lot to do with choosing how we want to spend our time, money and energy. For many Americans, particularly those 65+, downsizing is a serious consideration. Researchers, who interviewed 40 older adults who recently downsized, write, “…downsizing is a major transition that deeply engages multiple steams of personal, family, social and cultural life.” What seems like a simple life decision is a complex life transition.

Downsizing isn’t just about decluttering the china hutch and clearing out the garage. The experience of downsizing is both mental and physical.

Understanding both the logical and the emotional sides of downsizing can help families make the best choice with loved ones and experience downsizing in a positive, empowering way.

Exploring the why of downsizing is often the first step in the process. According to research, the most common reason for downsizing among older adults is for healthrelated concerns. Research published in the

Journal of Aging Studies reports, “…having a stroke or a hip fracture were the two strongest independent predictors of housing relocation in later life” (Luborsky et al, 2011). For couples or individuals who must downsize due to health concerns, the experience is often quicker and less within their control than expected. Research shows that approximately 20% of moves among people 65 years and older happened two years earlier than expected or anticipated. This means people have to downsize in a reactive state, which can feel disempowering and overwhelming.

Other reasons for downsizing include desire to be closer to family (many of whom may live in other states), maintenance issues with the current home, too much space in the home, financial factors, no longer liking the location of the home, and the home no longer meeting physical needs (accessibility, safety, etc.). These reasons are, in many ways, challenging both emotionally and physically. ONC readers Bridges and Neuroth recently downsized for the second time in as many years, to be closer to family and better healthcare resources. Bridges says, “I was surprised how hard it is mentally, how taxing it is to your brain.” Getting ahead of the game is one of the most often suggested tips for lessening the stress of downsizing and making the most of the experience, which can be exhausting but also exciting and joyful. In fact, decluttering and downsizing can have noticeable positive impacts on mental health and overall quality of life.

Physically, downsizing is just a lot of work. There are garage sales to plan, items to sort, clothes to donate, appliances to give away and a garage full of yard tools no longer needed. It can be daunting to even think about the work ahead let alone get busy and organized

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in doing that work. Bridges says, “I was shocked by how much work it is to go through every, single thing and try to make decisions about how to keep it or not. I took so many carloads to the Goodwill, truckloads. We used to go almost every day for a while. After giving away 1/3 to ½ of what we had before our move, I had to give away a boatload more after we got here.” The physical nature of sorting, moving, carrying, loading and unloading can be exhausting.

As demanding as downsizing can be physically, the emotional side of downsizing is often overlooked. Many of the reasons we consider moving and downsizing have to do with changes in health and wellness. Maybe a spouse had surgery and can no longer care for a large home. Maybe you’ve been diagnosed with a chronic illness, impacting your ability to live alone. Or maybe you’re just too tired to spend hours each weekend mowing, weeding and caring for the yard. Your energy could be spent in other ways, which you realize means downsizing.

Emotionally, health issues can be draining and demanding. We are affected by our own diagnosis as well as the health issues of our spouse. A diagnosis of a health issue that compromises our ability to live independently can be very hard to manage. We must consider our physical environment as well as how

this diagnosis effects our social lives, our relationship with a spouse, our mobility and our daily actives of living.

Feelings of loss, sadness, frustration, anger and grief are common with many health diagnoses, particularly those that force us to consider downsizing.

A worry of becoming a burden on others also factors into the decision to downsize, particularly if downsizing involves moving to a care facility to help with health management. Many people worry about loved ones feeling overwhelmed by care taking tasks, so the idea of downsizing may be more to benefit others than for oneself.

The emotional considerations of other reasons for downsizing are equally significant. For some individuals, the desire to be near adult children and grandchildren can be emotionally conflicting. They may love the idea of being near grandchildren but also feel sadness and frustration leaving communities, homes and relationships behind. The move, often, is bittersweet. For couples, the emotions of downsizing can create hostility and frustration. One person in the couple may be ready to downsize or pursue another lifestyle, while the other partner is just fine with the status quo. What does a couple

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do? How do they make a decision that may seem logical and make financial sense, but which feels sad, isolating or beyond one’s control?

Letting go can be difficult. Even if downsizing is an overall positive choice, it doesn’t make it an easy choice. Bridges says, “Letting go of the past is harder than I imagined. I have to remind myself to buy clothes for my life now, not for the life I used to have or an imaginary life.” As we age, we must constantly let go of the past and be mindful of the present. We no longer need the clothes we wore while working. Perhaps we don’t need as many kitchen appliances with fewer people to cook for. Maybe the house is full of furniture that no longer gets used or is cumbersome to keep clean.

For us to embrace the new, we must let go of the past. This is an emotional experience, often full of nostalgia. Taking time and creating space for these emotions is important to make peace with the past and make space for the new.

Embracing new friends, communities and activities is a joyful, exciting process. When we’ve settled the past, we’re better able to enjoy the present and the future.

The mental effects of downsizing aren’t only emotional. The mental load of considering when and how to downsize is considerable. There are many decisions to make and plans to implement. In fact, decision fatigue often sets in for many before the actual physical impact of downsizing take effect. Decision fatigue happens when you get tired after making a series of decisions in a row. Eventually, with enough decisions, you get tired. It becomes harder to make the next decision and then the next.

According to psychiatrist Dr. Lisa Maclean, “By the time the average person goes to bed, they’ve made over 35,000 decisions and all those decisions take time and energy and can certainly deplete us.” This happens often with important life events, including downsizing. The number of decisions to be made can feel overwhelming. Where do you want to move? What type of house or space do you want to move into? What will you take? When would you like to move? Who will help? Who will approve or disapprove? How much will it cost? Which mover do you want to use? What day is best for packing and unpacking?

The list goes on.

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The mental toll can be even more tiring than the physical toll, which surprises many.

The idea of physically sorting through items and hauling furniture up and down stairs seems like the biggest challenge, but the emotional and mental side of downsizing can be even more overwhelming.

The key, Bridges and experts agree, is to prepare. Bridges notes, “Don’t wait until you’re in a crisis mode to start the process. You need to be ahead of the game. It’s hard physically and mentally and emotionally. So, don’t wait and put it off until a time when there is more stress.” Finding and setting aside time to think about downsizing can help, especially before a crisis forces us into action.

Here are some tips for tackling the mental and emotional load of downsizing to avoid mental fatigue and overwhelm:

Start early – begin the process when you have the most options. Starting conversations with loved ones well before a crisis hits. Conversations can simply be explorations. Without the stress of a crisis (health or otherwise), conversations and considerations can come from a place of curiosity and openness rather than restriction and pressure.

Declutter at your own pace – decluttering can feel overwhelming; however, reducing clutter can have many benefits. According to professor Dr. Susan Krauss Whitbourne, clutter can lead to lower subjective wellbeing, unhealthier eating, poor

mental health, less efficient visual processing and less efficient thinking. So, reducing clutter slowly and at your own pace can actually improve your overall quality of life and prepare you for the bigger tasks of downsizing. You’ll have more mental space and capacity for conversations, decisions and action.

Ask the right questions – there are so many decisions to make and questions to ask when downsizing. Sit down and consider what downsizing means for you and ask questions that will get you to the best possible outcome. Some good starting points might include: what are my values at this stage in life? What is important to me? What do I want my next 5-10 years to look like, and how can this move help support that? What do I want to let go of? What do I want to look forward to? If I could describe my next 5 years in 3 words, what would those words be? How can I get there? With these questions, you can build a great roadmap toward happiness and purpose rather than reacting simply to painful or sad events.

Make lists – avoid keeping track of everything in your working memory, which can be easily taxed and tired. Make lists. Make to-do lists. Make done and dusted lists. Make lists of people who can help, realtors who specialize in downsizing, movers with 5-star reviews, family members who will be receiving Aunt Martha’s dishes. Just take the information out of your brain and put it on paper, where it isn’t taking up mental energy.

Embrace the emotion – there is a lot of nostalgia involved in downsizing. Prepare for the fact that you will feel many emotions, some easy, some hard. You’ll feel sentimental, sad, angry, frustrated, excited and many more. The experience of downsizing can be surprising for many who have lived in the same home or area for many years. Bridges says, “It was really sad to see that a lot of our pictures have degraded over time. I would pull out boxes of picture and was sad to see that they weren’t the same anymore. Now, I am scanning all the pictures and making a disc. And now, I put a big bowl on my coffee table, and I throw a big pile of pictures into the bowl. When the grandkids come over, they love looking at them.” Find ways, like Bridges, to experience the sadness and turn it, if possible, into a positive.

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Reach for help – family, friends, church communities and other social communities are all resources for life transitions. Asking for help can ease the burden of life changes. You can also hire help including hiring people for packing up household goods, cleaning your home, professional organizers and movers who load and unload your household goods. Aging Life Care™ professionals are also experts in downsizing later in life. Aging Outreach Services’ Jennifer Tyner is a Lead Care Manager and Aging Life Care™ Professional. She says,

No one likes to be in pain. In fact, I have spent the past 20+ years helping people get out of pain. The most common question I hear is “How can I get this pain to go away?” The answer to this is simple. We first need to know Why you are hurting. Then we can figure out how to stop the pain. So, why are you hurting? There are many different reasons for pain to occur in our bodies. Pain can be due to a problem in the Muscles, Joints, Tendons, Organs or Nerves. It can also be due to Medication, Psychological reasons, or Nutrition

Managers are the experts on downsizing into a facility.

Not only do we know the typical layout of the local facilities, but we also are aware of what furniture and supplies the facility may offer you to use as well as other amenities.  We are knowledgeable on state regulations on what is allowed in facilities and how it should be stored. Additionally, we can help you understand how to store and present your sentimental items that may help with reminiscing in the future. We can help give families peace of mind that mom and dad have everything they need when they move!”

Many health care professionals diagnose pain by Special Tests. During these tests, your practitioner will use their hands to push, pull and twist the areas that are causing you pain. These tests are very useful to find what structure is causing you pain. If you place stress on a structure and it increases your pain, it is likely that structure is contributing to your symptoms. Although helpful, many of these special tests are only 60-80% accurate. While this may look good at first, changing the way the question is framed will show that this also means they are 20-40% inaccurate. Misdiagnosis of pain can be very costly. At best it keeps you in pain longer, while in other cases it can allow symptoms to intensify. When you are dealing with pain, missing your favorite activities and sleepless nights… you want to be as accurate as possible!

There is both an art and a science to downsizing. The science is often the physical nature of the experience: sorting items, selling a home, moving furniture. The art of downsizing shows up in the emotional aspects of decision making, reflecting on the past and embracing the future. Though it may be a tough balance at times, navigating all aspects of downsizing can help make the experience positive

The addition of Diagnostic Imaging in Physical Therapy has revolutionized the way pain is addressed. By utilizing Diagnostic Imaging, PT’s are now able to look inside you

and empowering. Avoiding crisis-based decisions, enlisting the help of loved ones and focusing on what is being gained rather than lost can all help smooth the transition of downsizing and turn an often difficult experience into a real adventure.

Sources:

Berg, Sara. “What Doctors Wish Patients Knew About Decision Fatigue.” American Medical Assocation. 19 Nov. 2021. DOI: https://www.ama-assn. org/delivering-care/public-health/what-doctors-wish-patients-knew-aboutdecision-fatigue

Costlow, K.M. “When Less is More: Downsizing, Sense of Place, and WellBeing in Late Life.” University of Alabama. 2019. DOI: https://ir.ua.edu/ bitstream/handle/123456789/6695/file_1.pdf?sequence=1

and diagnose your pain with over 98% accuracy. That means that we can find the real problem, or problems, and address them from the beginning. No more trial and error. No more “try this for a few months and if it doesn’t get any better we will try to get an MRI”. With the addition of Diagnostic imaging, your Physical Therapist can now say “From my evaluation it looks like you have a problem in ____. We are going to do a Diagnostic Ultrasound and confirm this and fully check your joint.” In a matter of a few days, we can have your test performed, results given to you and a new, more comprehensive plan to improve your pain.

Luborsky, M.R., Lysack, C.L. & Van Null, J. “Refashioning One’s Place in Time: Stories of Household Downsizing in Later Life.” Journal of Aging Studies. 1 Aug. 2011. 25(3): 243-252. DOI: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC3134333/

Diagnostic imaging in physical therapy includes:

1. Musculoskeletal Ultrasound (MSKUS)

Whitbourne, S. K. “5 Reasons Why Clutter Disrupts Mental Health.” Psychology Today. 13 My 2017. DOI: https://www.psychologytoday.com/us/ blog/fulfillment-any-age/201705/5-reasons-why-clutter-disrupts-mentalhealth

MSKUS is a safe, non-invasive, and painless diagnostic tool. It is used to diagnose structures such as tendons, muscles, bursas, ligaments, nerve entrapment/pinching and joint structure changes. Like a video, MSKUS captures real-time images of body structures and can assess a joint/area while it moves. This feature is especially useful as many times pain does not occur at rest, only with movement.

Open Arms

MARCH 2023 - 11 OCTOBER 2022 - 10
PT: WHERE DO SYMPTOMS COME FROM?
Retirement Center Assisted Living | Memory Care | Music & Memory Certified 612 Health Drive | Raeford | 910-875-3949 www.openarmsretirement.com Let us help you in making a decision about the care you are seeking. “Making a Difference in the Lives of Others”
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We are a doctor's office designed for adults on Medicare. Come check us out and bring your friends and family.

Enjoy music, light refreshments, meet the care team, and take a tour. We’re open to the community. Stop by a location near you.

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GRAY MATTER GAMES

ACROSS

1. To not follow orders

8. Having different areas

13. Driving force

14. Mexican-American

16. Distilled liquors

17. Cover with a new coat

18. Big ___

19. Cheer accessory

21. Same old, same old

22. Kuwaiti, e.g.

24. Orange crablike Pokemon character

25. John Paul II, e.g.

26. Like some potatoes

28. “___ a chance”

29. Dry

30. “The English Patient” setting

32. Formal politeness 34. Criticism

36. Symbol of Americanism

39. Easily tamed birds

43. One who fries

44. Anita Brookner’s “Hotel du ___”

46. Female demon

47. Guns

48. Church part

50. Bite

51. 1969 Peace Prize grp.

52. Anyone

54. Deck (out)

55. One who provides the food

57. Slippery

59. Prestigious school 60. Exceed

25. Skunk

27. Not as wet

29. Kind of rug

31. Death on the Nile cause, perhaps

33. Animation

35. To expose to public derision

36. ________-American

37. Office of a Christian clergy

38. Of vital importance

40. Amorous 41. To beat another (2 wds.) 42. A tool used for ceramics 45. Synonym for Spelunkers 48. “Beg pardon ...”

1. To expel from the legal profession

2. Seaport in Italy

3. Popeye‚ food

4. “___ Gang”

5. Radar image

7. Flunky

8. Numbers on letters

9. Mozart’s “L’___ del Cairo”

10. Capital city of Kenya

11. Encircling band in architecture

12. Popular gambling game

14. Republic in SE Europe

15. Cluckers

20. To generate 23. Parish officers

MARCH 2023 - 13
61. Hose material
62. Breed of dog DOWN
6. Bar, at the bar
49. Musical show 52. Small songbird 53. Bluster 56. Tokyo, formerly 58. Boozehound

April 2 • 11:30-2

Gray Matter Games Solutions

April 30 • 11:30-2

Join us outdoors on our beautiful grounds for live jazz featuring Roland Barber, whose bebop style is rooted in the swagger and soul of the blues and swing traditions, and the Kate McGarry & Keith Ganz Ensemble, whose tunes move freely between jazz, folk, Brazilian, and singer-songwriter genres. Bring your own blanket, chairs, and a picnic. Cash bar with mimosas, beer, wine, and non-alcoholic beverages available. VIP tables for up to six people are also available.

Individual Concerts: Members $25/Non-Members: $35

Series of Two Concerts: Members $40/Non-Members $60 Kids 12 and under are free

For tickets and more information, visit weymouthcenter.org/event-calendar 555 E. Connecticut Avenue, Southern Pines, NC

14 - MARCH 2023
Kate McGarry & Keith Ganz Ensemble Roland Barber Trombonist Series is generously sponsored by the North Carolina Arts Council “Spark the Arts” program, Penick Village, and FirstHealth Concierge Medicine. Roland Barber is presented in partnership with UNC Pembroke. Kate McGarry & Keith Ganz Ensemble is supported by Aging Outreach Services.
Relay Conference Captioning (RCC) service is available for individuals who have a hearing loss or a speech disability to actively participate in teleconference calls or webinars by reading live captions on their laptop, mobile device or tablet. To inquire, contact kim.m.calabretta@t-mobile.com or visit relaync.com/rcc Accessible Communication with Captions! Relay Conference Captioning CONNECTIONS Hearing loss shouldn’t keep you from connecting on the phone. No more frustration with phone calls. With a CapTel phone, catch every word reading captions of what your caller is saying! NC Department of Health and Human Services • Division of Services for the Deaf and Hard of Hearing • ncdhhs.gov/divisions/dsdhh NCDHHS is an equal opportunity employer and provider. • 02/2022 • CapTel is a registered trademark of Ultratec, Inc. Get your CapTel phone at captelnc.com 910.295.1010 | fronto ce@wellenerdental.com 305 Page Road | Pinehurst, NC Experience the Highest Quality Dental Care in a friendly, caring environment. Call us today to schedule your appointment! For qualified individuals, AOS & Friends Care o ers a program which provides a very life-like robotic cat or dog. WhatCan WE DoToHelp ? To learn more about the Companion Robo Pet Program and other AOS & Friends Care programs: 910.585.6757 info@aosfcare.org www.aosfcare.org www.facebook.com/AOSFriendsCare COMPANION PETS deliver a soothing, joyful experience that inspires smiles and fond memories for people of all ages; especially for those with dementia. GIFT GIVING SUGGESTION for those with dementia
16 - MARCH 2023 OCTOBER 2022 - 16 At Fox Hollow Senior Living, our residents have the opportunity to do everything they’ve always loved. With Five Star Dining, days filled with friends and adventures, you can be yourself again – while we take care of the rest. Make
Day
Star FOX HOLLOW SENIOR LIVING COMMUNITY 190 Fox Hollow Road • Pinehurst, NC 28374 910-695-0011 • www.FoxHollowSeniorLiving.com ASSISTED LIVING • MEMORY CARE RESPITE/SHORT-TERM STAYS ©2021 Five Star Senior Living Call to visit and explore our community.
Every
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