April 2021 OutreachNC

Feature Intro: The Creative Spark

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As we age, our lives shift and change in many ways.

One of these ways is the way in which we spend our time. After the ages of 50, 60 and beyond, we often have more time for leisure activities or to learn new skills. The kids are off on their own adventures.

Professional careers may be winding down, or we may be in full-blown retirement mode. Whatever our circumstances, engaging in the creative arts as we age has been proven to improve our functioning in many areas that combat risk factors for ill-health and the need for long-term care.

According to a study sponsored by the National Endowment for the Arts, the results “point to powerful positive intervention effects of these community-based art programs run by professional artists. They point to true health promotion and disease prevention effects….they reveal a positive impact on maintaining independence and on reducing dependency. This latter point demonstrates that these community-based cultural programs for older adults appear to be reducing risk factors that drive the need for long-term care.”

Given the power of creativity and the health benefits of engaging in creative work, ONC spoke with local writer, artist, educator and farmer, Barbara Hengstenberg, who allows her creative spark to thrive in all areas of her life and is committed to bringing the same openness and enthusiasm to creative living to her community.

This interview has been edited for length.

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CONTENTS

ASK THE EXPERT: DEMENTIA ACTIVITIES FEATURE: THE CREATIVE SPARK EAT RIGHT: INFLAMMATION EYE HEALTH: CLINICAL TRIALS IN VISION RESEARCH

LETTER FROM THE EDITOR

Amy Phariss, Editor-in-Chief, OutreachNC | editor@outreachnc.com

APRIL 2021 - 2 Spring is finally upon us. As I drive through town and all over the county (soccer-mom-life), I see the signs of new life. Flowers are blooming and trees budding. The sky, though sometimes rain-filled and ominous, is more often bright and clear. The sun seems to be inviting us to a soon-to-be muggy party of warmth, humidity and pollen. After a winter of isolation and remaining indoors, even the pollen seems a welcome relief.

This month we chat with writer, artist and farmer Barbara Hengstenberg about the creative spark and how to ignite the creative flame as we move into the second half of our lives. Whether you want to resume watercolor, refinish furniture or learn an entirely new skill, engaging in creative work is good for both our minds and bodies.

In Ask the Expert, Amy Natt answers questions about activity and dementia and offers ideas for specific activities to help keep a restless father engaged.

Lisa Fulghum of Carolina Eye Associates offers insight into the world of clinical trials and how patients and clients might participate in trials and study. As Fulghum writes, “Participation in clinical trials allow participants to play a more active role in their own health care, gain access to new research treatments before they are widely available and help others by contributing to medical research.”

If you’ve ever wondered if fighting inflammation is possible with food, Callie Yakubisin explores this very topic and offers insight and tips including the role of spices in reducing inflammation. This is a mustread for anyone wanting to take charge of decreasing inflammation and feeling better all around.

Spring has always seemed such a hopeful season. As we look toward the next few months, let us ponder how we might show up in our lives in new ways: creating a piece of art, learning a new skill, visiting with family or even creating new friendships. If ever there was a time for turning the page, spring may just be it.

In the words of Tolstoy:

Indeed,

Spring is the time of plans and projects.

BE READY Create a plan for the unexpected TODAY!

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The Experts in Aging Well

ASK THE EXPERT: DEMENTIA ACTIVITIES

Amy Natt, MS, CMC, CSA | amyn@agingoutreachservices.com

APRIL 2021 - 3 My dad has been diagnosed with dementia for the past 4 years. He has always had a strong work ethic and spent most of his adult life as a plumber. He is no longer able to work and often shadows my mom throughout the day. I know he is restless, and my mom is at her wit’s end some days. I am looking for some specific activities he might enjoy that would keep him occupied and give my mom a break. Any ideas would be appreciated.

Shadowing can be a common behavior of a person living with dementia. This is when the person with dementia will follow the primary caregiver around, often not letting them out of their sight. It can be challenging to the caregiver, who just wants a few moments alone. It is important to understand that this behavior is not intentional. The person with dementia may be fearful of losing the caregiver, experiencing increased confusion, or feeling anxiety. It provides them a sense of security to have the caregiver close by.

Coming up with possible activities your dad might enjoy is a great idea. This will also serve to give your mom a break. It is important to make sure she has some time to herself. You do not want the activity to create more work for her. You could offer to come do it with him or provide a caregiver who could keep him engaged, so she can have a few moments on her own, while knowing he is safe. Here are a few ideas, depending on his interests and abilities. If something is frustrating to him, move on and try something else.

• Tap into his familiarity of plumbing and provide a container of PVC plumbing parts he can put together and take apart.

• Create a fidget board with different tools from the hardware store, safely secured (no small or lose parts) that he can tinker with. Etsy has some excellent options.

• Hand him a laundry basket of shop towels to sort and fold.

• Create a picture book of family photos, with labels that he can flip through and read.

• Record family messages and stories in a familiar voice. Your mom can play these for him when he is feeling restless. Familiar music can be soothing as well.

• If he enjoys any of the classic television shows, like Andy Griffith, purchase the DVDs so that he can watch them at any time.

• Picture books of transportation modes (planes, trains, automobiles) can be a way to reminisce and remind him of pleasant memories from growing up.

• Sorting or sanding wood pieces can help to keep his hands busy.

• Large print word search puzzles or painting/ building projects, like a bird house.

• If all else fails, try a good snack.

Encourage your mom to reassure him that he is safe and at home. Visual cues, like a white board or printed sign might help to remind him. She can also keep a journal that tracks when certain behaviors occur.

This will help his care team determine other helpful interventions that might be available. It will also help to identify a pattern and if a certain time of day becomes increasingly difficult; this may be the time to bring in a caregiver to assist or take him for a walk.

Be creative; as long as he is safe doing the activity, there is no wrong answer.

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continued from page 1 ONC: So, Barbara, the word ‘creativity’ is a pretty loaded word. We have so many preconceived ideas and notions when it comes to what is or isn’t creative.

What does creativity mean to you?

THE CREATIVE SPARK

by Amy Phariss

Barbara Hengstenberg: I have to start by saying creativity is in all of us. Maybe it’s in creating a painting or drawing, writing a poem or story... or maybe it’s in planting a seed and tending the plant as it grows in the earth, baking a batch of homemade cookies or arranging freshly picked flowers in a vase.

To me, being creative means looking at elements and figuring out how to put them together in a symbiotic way so that they either are pleasing to the eye or pleasing to the palate (for example, if I’m baking...I don’t cook!), or bringing something to life such as planting a seed and nurturing it into a plant or reusing an old piece of forgotten furniture or wood and bringing it back to life in a new form.

ONC: Why do you think we associate creativity so much with children and not as much with adults?

BH: We’re freer as children. Very early on, we start off not caring if anyone is judging us, whether it be in how we talk or in what we’re doodling. As children, we see things in their basic forms without the societal baggage that might come with it. Take, for example, a dandelion. As a child, I’d pick a dandelion and be proud to give it to my mother. Now, when I see dandelions, I appreciate them for their beauty in my yard but also as pollinators for the bees. I don’t pick them now, as I don’t want to deprive the bees!

My earliest creative memory is in creating swirly-line doodles on a page and then taking out my beautiful box of Crayola crayons (I can smell their waxy goodness as I say this!) and filling them in with a variety of colors. Such “works of art” were smiled upon and celebrated. As an elementary school teacher, any sort of work of art was complimented and celebrated in my classroom, as I realized that soon these children would be facing critique and negative criticism along the way. I wanted them to hold on to the sense of childhood abandon in their art for as long as possible.

ONC: What are the main obstacles you see when adults begin creative work?

APRIL 2021 - 5 BH: The main obstacles for adults as we create lie within ourselves. We are our own worst enemies when it comes to critiquing our own work and feeling self-conscious about putting it out there and sharing it with others. For example, when I create a painting, it takes a lot of self-talk before I am ready to show it to others. Is it good enough?

Could I have done better? Will people like it? Will people wonder why I felt this was something worth sharing? And then comes the concept I struggle with to this day to squelch... perfection.

Seeking perfection in creating is like looking for the sun at midnight. It’s not there, and it shouldn’t be there.

To me, perfection is boring. It means something is completed to its maximum potential, which means there is no more growth to be had. It’s done. Why would I want to create something that can’t be improved upon or changed somehow?

Again, this is self-talk that can become an obstacle to creating. Why start a piece of art or writing if it’s not going to be perfect? Because that’s where the learning lies, that’s where the experimentation lies and that’s where the struggle lies...and that is all so much more exciting and interesting than perfection! But, honestly, I do still seek it.

ONC: How do you see the link between the arts and how we express ourselves?

BH: This question brings me back to teaching kids.

I always tried to implement an art component in my lessons, whether it be in reading, writing, history or math. Creating art is another dimension of expression, just as important for some as public speaking or writing. With Readers Theater, my classes would create “plays” around what we were learning. We would also perform songs and dramatically recite historical speeches. We all have different ways of learning and expressing ourselves.

Art, writing, performing and other ways of creating enable every one of us to have the opportunity to express ourselves in a way that works best.

ONC: Tell us about WildesArts and what prompted you to start this community.

BH: I started WildesArt in 2015 as a way of bringing about a group of creatives and having discussions around the creative process. Some of our discussions are through interviews, some through creative writing on blog posts and some are in sharing artwork. Our WildesArt family of contributors includes artists, musicians, writers, chefs and other creatives. Much of my own art over the past six years has been sold through WildesArt, with all profits supporting a variety of non-profit organizations, including children’s cancer research, farm incubators and animal rescues.

This past summer, I felt helpless hearing stories of teacher friends, parents and children, all struggling to teach and learn during these tumultuous times.

I was searching for a way to use my creativity to give back somehow, so I began working with Bynum Front Porch in Bynum, NC, to create online video programs for kids, through their AARP Community Challenge Grant. After recording a few episodes with Bynum, I brought the recording and editing in-house here at our WildesArt studio.

We’ve been recording free creativity programs for kids (but adults and grandparents enjoy participating, too!) here on our farm, and my husband, Bill Hengstenberg (whose background. luckily, is in producing/directing/editing video) produces and edits each program for our new website, www.CreativitySparks.org .

Creativity Sparks is a resource for teachers, parents, grandparents and kids themselves to access fun 20-minute videos and coloring pages.

We’ve also launched a section called Read Aloud with Barbara, which are video-recorded read aloud sessions of independently-published children’s books. Each Read Aloud includes a book review and educator notes.

We’ve recently teamed up with The Alliance NC to purchase and send a book to participating classrooms and individual children each month through our Book Squad program. The books I choose must meet certain guidelines, such as promoting creativity, diversity, kindness, and be of

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APRIL 2021 - 7 good quality writing and illustration.

We’ve been receiving great feedback from teachers who are using Creativity Sparks as supplemental lessons and from parents/grandparents who enjoy creating along with their children. But the best response is hearing from the kids themselves, who send me their artwork and notes about how much they love creating art with me!

ONC: We are both writers. Writing is such an important part of my life, but I find that most people shy away from writing as a form of expression. Why do you think that is, and what are the benefits (that you see) from taking up writing later in life?

BH: It all stems back to that thinking that we need to hit perfection. For me, forming words and building sentences around an idea is like creating a sculpture or a painting. I enjoy starting with an idea, brainstorming my thoughts out on paper (usually in a way that no one but me would ever understand!), and then creating sentences that lead to paragraphs, which subsequently lead to a fully written piece. Once a piece is written, like any work of art, if it is then “put out there” for the public to read... that’s scary! It’s important to encourage one another to give it a try, to learn from mistakes, and to appreciate writing as another form of expression.

Writing in later life is extremely important, whether it be private journaling, writing letters, writing articles or blogs, or writing poetry or books.

There’s a feeling of flow that one gets during creating that is also present during writing. It can be a struggle, but it can also be meditative.

Letter writing seems to be going out of fashion. I wrote a letter to an elderly aunt recently, telling her how important she has always been to me. It touched her heart, which of course touched mine. It then made me wonder: Why don’t we write more letters to one another?

ONC: How have you seen creativity help people cope with the uncertain times and circumstances of a pandemic?

BH: I have a lot of creative friends -- some are professional creatives and some are folks who like to create as an outlet. For the most part, I’ve seen more creative work and creative ways of thinking over the past year than I’ve seen in a while. We’re all trying to find different ways of coping with the hardships of this pandemic and with the ongoing isolation. Personally,

creativity has helped me think outside the box and create the resources of Creativity Sparks. I’ve seen many in the creative community stepping up to make beautiful face masks, while others are making food to share with others who have fallen on hard times.

Creating is a way of giving, and giving is a way to help cope.

Another way creativity helps us cope, especially when we’re isolated from friends and family, is it gives us a way to communicate and express ourselves. Instead of going to the store to buy a pre-printed birthday card, now I make my own to send out. My young nephews send out pictures they’ve drawn, expressing their creativity and love. People are sharing more art on social media as a way of expressing beauty.

Part of Creativity Sparks is our Coloring Pages section.

Coloring, whether you’re a toddler or an older adult, is a way of meditating while creating something beautiful... and who doesn’t need a little bit more of meditation in their lives about now?

ONC: How can a person who may not feel ‘creative’ add more creativity to his or her life? What are some good starting points for dipping our toes back into that part of ourselves we may have let go for many years?

Super question! This is exactly where I like to come in -- my favorite part of working with someone who wants to dip into creativity. It begins with self-reflection. There are ways of tapping into that creativity that may be lying dormant. There are many different tools we can use, such as our senses, to start bringing those creative juices back to life.

Here’s one simple exercise: Hold an orange in your hand. Really contemplate it.

Think about how it started as a seed, nurtured by soil, water and sunlight, to become a sapling and then a tree.

How that tree bore fragrant fruit, soon to turn into the orange you’re holding in your hand. Appreciate its color, texture, and take a deep smell of it before it’s peeled.

Think about the person who picked that orange. Give thanks to the soil, water, sunlight, tree, and to the person who picked it, that it is now in your hand.

Now, slowly peel the orange and once again smell its citrus fragrance. What memories do you have of this smell? When did you first smell a freshly-peeled orange?

What does this fragrance make you think of?

APRIL 2021 - 8 As you take apart the orange, section by section, and start to eat it, begin to write whatever you feel inclined to write. Or draw whatever you feel inclined to draw. All that matters is that you are present and contemplating that orange and your memories, and getting something, either written or drawn, onto paper with no need for perfection.

I may be reached at: Barbara@WildesArt.com Creativity Sparks website: www.CreativitySparks.org Interested in reading creative interviews and blogs on creativity and starting a new farm? Visit: www.WildesArt. com and at www.WildefernFarm.com

You’ve just created. You created memories and hopefully got something down on paper. Perhaps it’s something that will be stored away in a drawer never to be seen again, or perhaps it’s the seed of an idea for a poem or a story or a painting. It doesn’t matter. You have just created!

There are many ways to use memories or other inspirations to start thinking more creatively and to create. I’m always happy to share more ideas or to brainstorm with people who are seeking a more creative way of living. I’d welcome thoughts or questions at my email below.

I hope I’ve sparked some readers to reignite their creativity (trust me, it has always been there)!

ASSIGNMENT

Pet Pics! Show us your best!

Over here at OutreachNC, we're dedicating our upcoming June issue to pets, and we want to see yours - dogs, cats, birds, horses, bees and any other animal friend with a special place in your homes and hearts. Send your best pet pics to editor@outreachnc.com for your chance to win. The one winner will receive a PetSmart Gift Card!

Submission deadline: May 30th

Callie Yakubisin, RD, LDN | cyakubisin@thedairyalliance.com

EAT RIGHT: INFLAMMATION

APRIL 2021 - 9 Can you Fight Inflammation with Food?

Inflammation is a natural reaction that occurs in our body. You probably notice the symptoms when you stub your toe or get a paper cut.

Inflammation can also show up in the body without us even knowing. This type of silent but persistent inflammation can have negative effects on our health and is associated with an increased risk of chronic diseases like heart disease and obesity. Because of this association, scientists and health experts have been busy trying to better understand how to prevent this type of chronic inflammation. Current research points us towards lifestyle modifications as a possible solution for lowering inflammation in our body. Some lifestyle modifications are more straightforward, like smoking cessation, but others, like adjusting what you eat, require a more thoughtful approach.

Although there is no standard definition of an anti-inflammatory diet, many health experts seem to agree on a lot of the same foods to consider when aiming for decreased inflammation. Not overly surprising, both fruits and vegetables are included in these foods. In addition to providing vitamins and minerals, fruits and vegetables are a source of phytonutrients which have numerous proposed benefits. This is a real area of opportunity because many Americans are falling short on recommended intakes. Aim for a variety of fruits and vegetables and for them to fill half your plate! Foods that contain omega 3 fatty acids like salmon are another frequent flyer in recommendations for decreasing inflammation.

The potential anti-inflammatory foods don’t end there though—whole grains that provide fiber, like oats and quinoa, are also well represented in recommendations.

Research is even studying the role that spices such as turmeric and ginger may play in antiinflammatory efforts.

On the opposite end, you are probably familiar with the bad reputation of certain foods that tend to be associated with inflammation. These include foods high in saturated fat, like hot dogs and bacon, along with processed foods, like cookies and soda, which can be high in added sugars.

Both saturated fats and added sugars are identified in the latest Dietary Guidelines for Americans as dietary components to limit. Overdoing it on alcohol has also been linked to increased inflammation.

The last major food group not mentioned yet is dairy.

The good news is that in addition to being a source of three essential nutrients many Americans are not getting enough of (calcium, potassium, and vitamin D), research shows dairy does not contribute to inflammation (assuming you don’t have a milk allergy).

In fact, low-fat and fat-free dairy is recognized in the Dietary Guidelines as part of a healthy eating pattern which is associated with a decreased risk of many chronic diseases that are often associated with inflammation.

While more research is needed in this area, when making food choices to prevent inflammation some of the basics of healthful eating, like those outlined in the Dietary Guidelines, are an excellent place to start. Choose lean proteins, load half your plate with fruits and vegetables, opt for at least half your grains to be whole grains, and incorporate low-fat and fat-free dairy foods along with healthy oils like those found in fatty fish and nuts. If you are interested in making better food choices but aren’t quite sure what step to take first, a registered dietitian can get you moving in the right direction. Also, visit Myplate. gov to ensure you are making every bite and sip count.

­

EYE HEALTH: CLINICAL TRIALS IN VISION RESEARCH

Lisa Fulghum, Research Studies Coordinator, Carolina Eye Associates

APRIL 2021 - 10 Clinical research studies find new ways to understand, treat or prevent eye disease and vision loss. These studies in vision research have led to new medicines and surgeries that have saved or improved sight for thousands of people.

What is a clinical trial?

Clinical trials are medical research studies in which people, also called human subjects, volunteer to participate. A clinical trial is used to evaluate the safety and effectiveness of an “intervention” to prevent, diagnose or treat an eye disease or disorder. Examples of interventions include: • drugs • biologics (e.g., vaccines, blood, cells) • devices • procedures (e.g., surgery) • delivery systems (e.g., telemedicine, face-toface interviews) • ways to change health-related behavior (e.g., diet, exercise) • treatment routines • prevention strategies • diagnostic tests After a treatment shows promise in the laboratory, it is tested in a study to determine if it will be beneficial for patients. The studies are controlled, allowing the researchers to compare the effects of a new treatment with those of another treatment.

Four types, or phases, of clinical trials exist: Phase I clinical trials test a potential new treatment in a small number of volunteers to determine the best dosage and identify potential side effects.

Phase II clinical trials test a potential new

treatment in a larger number of volunteers to learn how the body responds to the treatment, the optimal dose of the treatment and how the treatment affects a certain eye condition. Phase III and IV clinical trials may include hundreds or thousands of volunteers around the country. These studies compare a new treatment with existing treatments or no treatment to determine if the new treatment works better, the same or not as well.

Phase III clinical trials are conducted to get the new treatment approved by regulatory agencies. Phase IV clinical trials are conducted after approval to understand more about the treatment.

The researcher in charge of a clinical trial is called the principal investigator. The person who makes the arrangements for your visits and explains how the study works is the research coordinator. All the doctors involved in the study follow a detailed treatment plan or study protocol. The protocol ensures that all participants are treated in a standard way.

Eyes are one of many body parts that come in pairs.

This feature gives researchers additional options when they design the study. If an eye condition affects both of your eyes, one eye might be placed in the treatment group for a study and the other may be in the control group. Generally, the eye that will be treated is randomly assigned.

Clinical trials allow us to translate science into new therapies for our patients. Participation in clinical trials allow participants to play a more active role in their own health care, gain access to new research treatments before they are widely available and help others by contributing to medical research.

Carolina Eye Associates participates in a number of clinical research studies. For more information on the clinical research program, contact Lisa Fulghum, Research Studies Coordinator, at (910) 255-2053.

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RESOURCES. EXPERIENCE. SOLUTIONS.

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Music

can name the unnameable and communicate the unknowable.

- LEONARD BERNSTEIN

For qualified individuals, AOS & Friends Care offers a program which provides a music player loaded with personalized songs.

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ACROSS 1. Backs 6. Fabric 11. ___ DeLuise, comedian 14. Drive 15. Grossly unconventional 16. Victorian, for one 17. Where Catholics atone for their sin (pl.)

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44. “Wheel of Fortune” buy (2 wds)

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4. Royal 5. Bluish gray 6. “Neato!”

7. Artificial bait 8. Ear inflammation

9. In a corner 10. “Siddhartha” author 11. Causing leaves to fall off 12. Baltimore ___ (birds) 13. Those who die for a cause 18. Not just “a” 21. Cloth 22. Blackguard 23. Bauxite, e.g.

24. Beyond description 27. Call, as a game 28. Big Bertha’s birthplace 31. ___ languages include Hungarian 32. CD follower 33. Non-Jew 34. Cool 35. “___ we having fun yet?”

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37. Telekinesis, e.g.

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Spring is on the Way and

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