J U L Y 2 0 2 3
20 Years of Care
Twenty years ago, when Aging Outreach Services was the new kid on the block, President and CEO Amy Natt brought Jennifer Tyner on board. Starting as a caregiver, Jennifer is now the Lead Care Manager for AOS Care Management and an Aging Life Care™ Professional. With a degree and certification in Gerontology, Jennifer brings the academic knowledge necessary to thrive in her role. Jennifer’s compassion and joy for working with older adults, however, are what make her stand out. She has a true heart for working to make the second fifty years the best fifty years.
All of us at AOS are grateful to work alongside Jennifer, learning from her experience and appreciating her wisdom. This July, as Jennifer celebrates her 20 year work birthday, we coerced the humble, hardworking Tyner into sitting down with ONC for an interview about her time with AOS, what she loves about working with older adults and what she has learned along the way.
Thank you, Jennifer, for speaking with us and for serving this community with such heart and devotion.
ONC: You’ve been working at AOS for 20 years. How did you get started working with AOS?
JT: I was working at a facility locally. Well, let me back up. I met Amy when I was going to Sandhills. She was one of my teachers. I really liked her. She seemed to really like me. She wanted me to come to the facility she was working at and help feed lunch and dinner and help with activities.
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ASK THE EXPERT: PARENTING BETWEEN GENERATIONS
FEATURE: 20 YEARS OF CARE
FEATURE: WHEELS UP: A QUICK TOUR OF TRAVEL TIPS AND TRICKS
THE MIND DIET: RECIPES
JULY 2023 - 1
Editor-in-Chief,
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.
October is a gentle month. There are constant reminders of change. we are lucky, toward each other. We have lingering conversations the flames flicker. Smoke dances around us in a circle. We zip our
Don’t worry. It was decaf.
It’s July, which means we’ll be cranking up the air conditioning and sipping lemonade, our hair larger (and frizzier) than life. We don’t mind, though, as we celebrate Independence Day in our finest red, white and blue, fireworks scaring the daylights out of our dogs and freedom cocktails at the ready.
Armstrong offers up insight, advice and insideknowledge of what’s going on in the world of travel postCOVID. You’ll want to book a trip to South America sooner than you think!
In this month’s feature, we’re starting an important conversation: care community for ourselves or a loved one? Fox Hollow Senior Robin Hutchings offers inside perspective for making this decision.
October is a gentle month. There are constant reminders of change. We turn inward, toward warmth and 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.
In Ask the Expert, Amy Natt answers a reader’s question regarding away without any estate planning. Without a will or access to important
In this month’s feature, we’re starting an important conversation: how do we choose the proper senior 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.
This month, ONC is especially grateful for our two feature articles. First, we celebrate our very own Jennifer Tyner, who celebrates her 20-year work anniversary this month! Tyner is our goto expert in care management, and we all keep her inbox and cell phone busy with questions only she can answer. With her 20+ years of working with older adults, Tyner’s knowledge, experience and compassion are unmatched. We are thankful (and proud) to sit down with Tyner to hear what she has learned during her time with AOS, what she loves about her work and what she believes older adults need more of in order to thrive in the second half of life.
Amy Phariss, Editor-in-Chief
Amy Natt answers a reader’s request for advice regarding parenting in this month’s Ask the Expert. Natt offers helpful hints for what to do when our parents’ parenting style isn’t exactly the same as our own. If you’ve ever faced parenting (or grandparenting) conflict, you’ll want to read Natt’s response.
Physical therapist Dr. Sara Morrison of Total Body Therapy and potential diagnostic tools used in physical therapy to help diagnose these tools differ from what other doctor’s offices may offer.
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 do?
I’m going to agree with Nathaniel Hawthorne this month, who wrote:
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 how these tools differ from what other doctor’s offices may offer.
I’m going to agree with Nathaniel Hawthorne this month, who wrote:
Finally, we offer up some brain healthy recipes that fit right into a MIND Diet meal plan for everyone focused on, well, better focus and overall brain health. It’s time to fire up the grill and get ready for a healthy, flavorful meal as good for the brain as it is for the tastebuds.
I cannot endure to waste anything so precious as autumnal sunshine spent almost all the daylight hours in the open air. 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 have spent almost all the daylight hours in the open air.
facebook.com/agingoutreach/ instagram.com/agingoutreachservices/
Here’s to enjoying the October sunshine, falling leaves and daylight hours.
As we do each July, we’re also embracing travel season with an interview with Elizabeth Armstrong of Rosewater Travel Agency.
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LETTER FROM THE EDITOR
, OutreachNC | editor@outreachnc.com AOSNC.com in
Well OCTOBER 2022 - 2
Amy Phariss, Editor-in-Chief
Aging
LETTER FROM THE EDITOR
, 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
| editor@outreachnc.com
Amy Phariss,
OutreachNC
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!
Q: My parents came to live near us about six months ago, in large part to help out with the grandkids. They’re a huge help, but….they don’t parent the same way my husband and I parent. They’re a little more “old school” in terms of discipline. How can I address this without seeming like I don’t appreciate my parents and all the help they’re providing?
A: It can be a great support to have family nearby, and the benefits to the grandchildren are typically very positive. It is important to establish some boundaries, and the earlier the better. Try not to put off difficult conversations or discussion points, as it can allow bad habits or patterns to form that will be harder to address down the road.
Perhaps you can try having a family meeting. Summer is the perfect opportunity, as kids are out of school and will have more free time. If you and your husband can come up with a list of things that involve the kids and family, you can identify the things that they can help with. This might be specific activities or days of the week. This will give your parents a clear idea of how they can be helpful. You can explain the importance of having a routine that involves them as well as time for just your household.
Once you have established how they can be helpful, you can address some ground rules for how you choose to parent your children. Putting things in writing can be helpful and serve as a good reminder. If you use certain techniques or reward/discipline, make sure they know what
that system is and how they can participate. It is okay to let them know that you parent differently and ask them to respect that. It would also help to let them know of any red lines that you absolutely do not want them to cross. This is often something verbal or physical, but again, clearly outline the expectations.
Having raised three boys, I realize that they are not always perfect angels, so if there is a behavioral issue or disciplinary problem they feel needs to be addressed, let them know how you would like that handled. Ideally, with open communication and clear boundaries, things will work into a nice routine, and this will be a positive experience for all of you.
While some of your conversations are for the adults, be sure to ask the kids for input. Ask how they are feeling about the grandparents being a more active part of the daily schedule and how that’s working for them. Make sure they are comfortable. This will allow you to identify any possible issues before they turn into a bigger problem. You should also remember to check in with your parents and ask for feedback on how it is going from their perspective. If your parents have specific rules at their house, talk to your kids about these; make sure everyone is on the same page.
Open communication, active listening and observation is really key in creating a successful dynamic and dealing with any challenges that do arise. Family support is great, but we all have different ideas and expectations, so just be sure to identify those and make some adjustments along the way.
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ASK THE EXPERT: PARENTING BETWEEN GENERATIONS
| amyn@agingoutreachservices.com
Amy Natt, , MS, CMC, CSA
years of care
by Amy Phariss
I did that for a year. At the time, she was starting her business, so then I had to do an internship. I did that with Amy, and I started doing caregiver services for a couple of years after I graduated and was working in Alzheimer’s care. Fox Hollow “promoted” me to marketing. I didn’t care for marketing, so I called Amy. I was already working with her as a caregiver, so when she opened an office in Chapel Hill, I was working with a nurse Sherri. She told Amy she needed to hire me full time. So, I started doing scheduling and marketing. Then, I did scheduling, marketing and care management at the same time.
After I had my first child, I focused just on care management. So, I’ve actually been working with Amy for 22 years and full time for 20 years and in full time care management for 16 years.
ONC: What do you like about care management?
JT: I like that nobody is the same. There’s always
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something different happening. I can make a difference in the lives of older adults in different ways. There’s nothing monotonous about it. Every day changes.
ONC: Can you describe what care management means to you and how you view it?
JT: I view it as being a liaison for older adults with their families, their doctors, their caregivers, their attorneys….I help them by being the central hub for all the things that happen in their lives so I can make their aging process more successful.
ONC: What does more successful mean? How is that defined?
JT: Less crisis. Fewer admissions into a hospital. Being healthier for a longer period of time. Being happier. Helping them create a plan and meet goals. We’re like personalized social workers for older adults. Whatever our clients need, we try
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to make sure they have all the resources available to them to make the best decisions to handle whatever situation they’re facing. Let’s say they don’t have family or a local support system, we become that support system. If they have multiple falls and don’t know why, we make and get them to appointments to figure it out and find out how to prevent them.
ONC: What’s the most surprising thing you do?
JT: Maybe it’s crisis intervention, when we’re at the hospital with a client all night. Or we might help with psychiatric admissions during a crisis and facilitating what they need to get better. I’ve been at the ER at Chapel Hill for two days straight.
ONC: What do you see older adults needing most that they’re not getting?
JT: Individualized care.
I feel like doctors or families kind of just expect that everybody ages the same, and they don’t. We’re not just throwing a dart at the dart board saying: here’s what you have, so here’s what to expect. No, the individualized care is so important.
ONC: What ways do you see people need individualized care?
JT: For example, this happens a lot, someone will start having memory loss and get put on one of the memory medications without finding out what is really going on. So, depression can mimic dementia. So, the memory loss medication isn’t treating the depression. If they’d had the proper testing, they could be put on the right medication.
Or, when you tell someone to come to your house, the caregiver needs to do the housekeeping. We all think of housekeeping as different things. If we do it the way we’d do it at our house, it might not be the way the client wants it. One client, for example, didn’t want anyone vacuuming. So, you need to talk to clients and find out what their wants and needs are and find ways to meet those goals.
ONC: What’s the hardest part about care management?
JT: I think it’s finding the right caregiver for each client. We try to find the right fit. It’s so important to find the right caregiver for each of my clients. They’re the people with them day in, day out. They’re the people who communicate with me as their care manager. I may see them once or twice a week, but the caregiver sees them every day for multiple hours a day.
ONC: What do you think families need to know about helping their loved one age well?
JT: Again, just being reminded that they’re an individual. They’re still a person. They still require a lot of care and love. Also, they’re not the expert in all things aging. Getting an expert in to evaluate their situation and guide them is the best way to make sure they’re aging successfully.
ONC: So, is part of your work working with the family and educating them?
JT: Oh, yes, always.
We work closely with the families to help them understand what’s going on with their loved ones to make sure they also have the resources available for them, the right research, support groups, tools – to make sure they can help their loved ones as well.
ONC: What do families need for support and to make the best decisions?
JT: I think they get a lot from having a care manager to make sure they have those resources. Our goal is to work together with families, not to replace family care. Families want to educate themselves and a local care manager can help find the resources you need to help your loved ones.
ONC: What do you like least about your job?
JT: Losing clients. That’s an easy answer but a sad answer. Even those clients we help out of their crisis and they’re better and no longer need our services, it’s still a sad time for us. We’ve lost the relationship we’ve felt with them.
JULY 2023 - 5
ONC: What’s the hardest conversation for families to have about the aging process and care?
JT: The hardest conversations seem to be about driving or placement. Those are the two top ones. Taking away someone’s access to drive because they have dementia or other health issues that make it unsafe on the road, that ends up being such a hard battle with families. Also, talking about placement is hard. Most of us want to age in our house and get care there, but it’s not always feasible to afford to do that.
ONC: What advice would you give for those conversations?
JT: Again, everything is individualized. It would depend on the client. You might say that the doctor says it’s not safe to drive. That client might respect the doctor but won’t listen to a son or daughter. Or you can get the DMV involved and then you can say, “I didn’t have anything to do with it. The DMV made the choice.”
And for moving to a facility, letting the loved one take a look at everything, all the documents, all the financials, so they can see the concerns and be part of the decision.
ONC: What is the biggest misconception about working with older adults?
JT: That it’s always sad.
There is so much joy in working with older adults.
It’s not just death and dying. People don’t think of all the happy times and memories we make with them. There are so many rewarding aspects to it.
ONC: What would you say is the biggest lesson you’ve learned in 20 years of working in this field?
JT: Everything changes. Again, nothing stays the same. People change. The industry changes. We have to continue our education so we can make sure we’re continuing to be the experts in the field and leading our clients in the right direction.
ONC: What has been the most rewarding part of the past 20 years?
JT: Bringing joy to so many people’s lives and making it easier on older adults and their families – being that central hub for so many people. Making a difference.
ONC: What makes AOS special enough to keep you around for two decades?
JT: The fact that I know that Amy’s mission is always to do what’s best by the client – her dedication to the aging population and knowing she wants to make a difference. It shows throughout our company with how she treats her employees and staff.
ONC: What should a family look for when they’re looking for a caregiver?
JT: I think you want to make sure they have reference checks, criminal background checks, personality matches, likes and dislikes – you wouldn’t want to put someone who loves board games and puzzles, you don’t want to put them with someone who just wants to be a sitter and not a companion. You don’t want to put someone with dementia who has never worked with dementia before.
ONC: Finally, are there any books or resources that stand out to you after more than 20 years in the field that you think our readers might benefit from?
JT: Mine always end up being about dementia because that’s sort of my forte, if you will:
Dementia Alliance of NC - https://dementianc. org
Aging Well. George E. Vaillant
Finding Meaning in the Second Half of Life. James Hollis, PhD
The 36-Hour Day: A Family Guide to Caring for People Who Have Alzheimer Disease and other Dementias. Nancy L. Mace, Peter V. Rabins, et. al.
The Art of Aging: A Doctor’s Prescription for Wellbeing. Sherwin B. Nuland, Arthur Morey, et. al.
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Each July, ONC likes to take a little journey on the topic of travel. This year is the first year since COVID that many of us feel up to travel much beyond our hometowns. Many of the COVID-related restrictions have been lifted. And many of us are ready to explore. We reached out to Elizabeth Armstrong of Rosewater Travel Company here in Pinehurst to find out what travel looks like now, what we need to know to travel well and how to plan the trip of a lifetime (or the summer) with as little hassle and as few headaches as possible. Armstrong delivers with tips, trends and travel advice we can all use, whether we’re traveling solo or getting the family together for a multigenerational cruise. We appreciate Armstrong’s experience, openness and professional perspective on the next great adventure.
ONC: Elizabeth, thank you for agreeing to give us a bit of the inside scoop on travel as COVID restrictions ease up and we’re free to move about the cabin, so to speak. Can you speak to what’s going on with travel right now?
Elizabeth Armstrong: Travel is booming. We’re experiencing something called “revenge travel” – people who were locked up during COVID and couldn’t travel, see family, go on specialty trips (honeymoons, etc.) –they’re coming out in full force.
Restrictions are pretty much gone, for almost everywhere, especially major travel places. It’s in full swing.
WHEELS UP A Quick Tour of Travel Tips and Tricks
by Amy Phariss
ONC: Is it more expensive now, with this resurgence?
EA: The airfare is making it more expensive for some places. All-inclusive resorts and cruises are trying to come back in full force, but they just don’t have the workers yet. They had to reduce capacity during COVID, and it takes time to get that back. They just don’t have the manpower to provide the services they provide the services they used to. It’s not back 100%. What’s great is that resorts and cruise lines are really working with travel agents to entice people to come back and are offering amenities and upgrades. They’re trying to make the experience as good as it can.
ONC: Do you see any differences in people’s attitude toward travel post-COVID?
EA: People just have a different level of excitement. If someone was excited to go to Spain for the first time, or they wanted to go to Europe before COVID, now they’re doing it. We know what it feels like to have our travel taken away from us, and now people aren’t taking it for granted. People are being more adventurous.
I’m also seeing a lot of multigenerational travel. Families are all meeting, on a cruise for example. Retirees love a cruise, and they love seeing grandkids. So, multigenerational travel has become huge. Instead of going to grandma’s house, let’s all go to the Dominican Republic together.
JULY 2023 - 7
ONC: How are resorts and cruises accommodating multigenerational travel?
EA: Mostly cruises and resorts accommodate best. There are adults-only sections and family sections. Adults can go to both, but they can also have some time with adults only. The grandparents can go relax by the pool with a book in the adult-only section after spending the day at the pool with the kids. So, they get it all in one trip. Parents can have a date night and leave the kids with the grandparents.
The key, and when you work with a travel advisor, you want an advisor who will get to know you and get to know your family so they can get you linked up with the right cruise or the right resort, the right vacation.
Every cruise or all-inclusive vacation has an overall theme or environment, and you want to get paired up with the right place or ship. Getting to know your advisor is key.
ONC: What are the biggest mistakes people make booking trips?
EA: One of the biggest mistakes I have seen is not knowing the expectations when it comes to passports. I’ve had people come to me after they booked it themselves and they were denied boarding. Either they didn’t have a passport and were denied getting on a cruise. Or one client had a passport card, and she thought she could get on a plane and go to Cancun. But she couldn’t. She was denied boarding. Or people’s passport’s expiration date is coming up in a few months, there are certain countries that want your passport to be valid for 6 months after you’ve returned home. Most people don’t think about this. They expect their passport to be valid.
Also, people’s passports were expiring while on vacation. Some people got sick while on vacation and the passport expired that way.
There are also just little mistakes an advisor can help you with. For example, some Caribbean countries find camouflage patterns as disrespectful and in some counties, it’s even illegal. So, an advisor can help you just be sensitive to the culture. Bikinis are frowned upon or even unacceptable in some countries.
ONC: What are the top travel destinations right now?
EA: The Caribbean are doing really well. The Dominican Republic is a great option for east coast. It’s close and there are a lot of flights. They have a really nice, newer airport, which was created for travelers. I tell my travelers, working with a travel advisor, we’ll work with airports that have airports for travelers. You don’t want to end up at a local airport if you can avoid it. The DR has beautiful beaches, they love tourists, and I feel like it’s one of the safer options right now. That’s a really happening spot right now.
Another one I would say is Argentina is a great place to go. It’s very European, with a very European feel to it. There are a lot of European immigrants, and it’s a lot less expensive to go to than Europe. You can have that environment without having to pay the price of going to Europe.
The U.S. and Canada are tapping into the travel by rail market.
You can have a really beautiful rail experience in the U.S. and Canada. For someone who has envisioned going to Europe and seeing countries by rail, you can do that here. It’s upscale and luxurious.
The food and amenities are top notch, and the cities they go to all have 4-and 5-star hotels. It’s a beautiful experience. You can go in and out of Canada and the US all in one excursion and see beautiful nature and stay at these luxurious hotels. These trips are really geared toward 55+. Because it’s in the U.S., you really save on airfare.
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Once you get there, it’s a guided tour. There is an itinerary. There are excursions planned. The biggest part, though, is being on the train and seeing the scenery. The food is high end. The wine selection is high end.
ONC: What is less popular for travel right now?
Everyone is different. There is something for everyone in the travel industry. These hotels and resorts and cruises really do try to make everyone happy, but I’d say freestyle cruising is really popular now. You don’t have to eat at a schedule or wear certain clothing. It’s more relaxed. It’s not so much buffet style but more upscale food with Michelin star chefs. They really try to make it more of a dining experience. You can go to a steak house, a burger joint, get sushi. These cruises are more like going to a destination. You have so many more options and so much more freedom.
ONC: Where do you recommend cruising?
EA: I think every destination is going to bring it’s own magic. The most accessible is the Caribbean. But if there are people out there who either aren’t into the islands or have more sensitivity to motion, I often times recommend river cruising. You do have to go to Europe. You can river cruise and hit so many ports. It’s more intimate and are immersed in the experience and the environment.
The ships are smaller. Small-ship cruising and river cruising have become really popular, especially with the retirement crowd. It’s just more intimate, more curated.
You’re not going to a huge port. Also, going to Europe in small groups. People have gotten away from large groups, the guy with the flag and 50 people following along. More people want to go in small groups. These can include solo travelers who are maybe widowed, for example. They can go on a small tour, and they’re with other people but it’s not a big, overwhelming crowd.
I can also do a trip for a small group and make it a tour without a tour guide or group. A garden club, for example, may go to Italy together. We
map out a plan that a tour group would offer, but we just take out the tour guides. It’s just them. It’s really fun.
Booking trips yourself became such a thing when the Internet became popular. Travel advisors still continue to exist but we work with a lot of people who could book it themselves but they don’t’ want to – its’ overwhelming or they don’t have the time. I’m here to facilitate that. Also, there is insight advisors have that I can offer when you just don’t know what to pick. Things do change. After COVID started seeking out travel advisors because they were so burned during COVID. When COVID happened, nobody was answering the phones. A lot of online companies just disconnected their phones. They didn’t know how to deal with the surge of people trying to get their money back. I have clients who are still waiting to get refunds for lost trips and money during COVID. Advisors can go straight to the company. We have that inside link. We can give your name a face. You’re not just a booking number. There is a whole backstory to everyone’s vacation. I’m here for that, to put more of a personal touch to what you’re planning.
ONC: I have a somewhat sensitive question, but I’ll ask it anyway. How do travel advisors get paid?
EA: A lot of people don’t understand that when you’re booking something online, you’re paying a commission and it just stays with the resort. If you use the travel advisor, I get paid a commission, but it doesn’t make your price more expensive. If someone books a resort online, and it’s $500. If they book it with me, it’s the same price if they book it
JULY 2023 - 9
No one likes to be in pain. In fact, I have spent the past 20+ years helping people get
ONC: Any final tips or tricks for planning the best trip?
you hurting? There are many different reasons due to Medication, Psychological reasons, or Nutrition
with me. But I can actually call the supplier and make little additions, touches. I also use a tracker to keep up with COVID and other travel restrictions, so you don’t have to try to do that all yourself. Travel advisors, such as myself, check these restrictions daily. You’re paying for my service whether you use it or not, so you might as well work with someone who can help ensure everything is right for you.
I can also give first-hand knowledge of a resort. I’ve been there. I’ve been trained on it. I have clients who just got back from that resort. So, it’s not just reviews online from people you don’t know. I know if a family would love Cabo San Lucas vs. the Dominican Republic. Resorts appreciate this because their guests will be happier on their vacations and have a good time at the resort. Being able to match their desires with the right resort is beneficial to the client, to the resort and to the advisor. At the end of the day, we want people to love what they invested in. It’s a huge investment, money and emotions. We want to be sure you’re investing properly, just like a realtor would want you to pick the right house. We’re here to do the same with your vacation.
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!
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
EA: Don’t be afraid to try something new. We live in a very modern world. Even if you go somewhere very different, with the right planning and information, you can try just about anything. I love it when someone steps out of their comfort zone. It’s a lot easier now than it was 20, or even 10 years ago, to do that.
ONC: Final question, what has been your personal favorite destination?
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.
Diagnostic imaging in physical therapy includes:
1. Musculoskeletal Ultrasound (MSKUS)
EA: That’s a tough one! I loved Argentina. I loved it. It had a very European feel. I love music, so they have the beautiful tango music. They also have gauchos, cowboys. It’s like going to Texas. It’s like having so many cultures in one. And South America is just very reasonably priced.
My favorite future trip is going to India. You can go have a luxury vacation for the price of a standard vacation. If you don’t mind going far, you can get some amazing experiences and a lot of bang for your buck.
MSKUS is a safe 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
10 - JULY 2023
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” Dr.
T, DPT, CDT, FCE, CFT, Cert DN,
FMT | Owner
Sara S. Morrison,
Cert
-Total Body Therapy & Wellness
Mediterranean 3-Bean Summer Salad
Beans are a staple of the MIND diet, which recommends 4+ meals per week of beans. This summer salad comes together quickly, and the ingredients are easy to find and easy on the budget.
Ingredients:
• 1 15-ounce can kidney beans, drained and rinsed
• 1 15-ounce can chickpeas, drained and rinsed
• 1 cup fresh or frozen edamame
• 2 tablespoons extra virgin olive
• ½ cup chopped shallots or red onion
• 1 tablespoon fresh chopped garlic (or to taste)
• 1 cup chopped carrots
• 1 cup diced cucumber
• 1 cup chopped bell peppers (use a variety of colors)
• Handful of chopped flat-leaf Italian parsley, mint and/or basil
• Salt and pepper to taste
Directions:
1. Mix all ingredients together in a large bowl and toss to combine.
2. Let sit in the refrigerator for at least 2 hours. The longer the salad sits, the better the flavors will meld together.
3. Serve chilled as-is or over a bed of leafy greens.
Grilled Summer Peaches
Grilling is a great way to enjoy summer fruit without too much fuss. Peaches are full of vitamins and minerals including vitamin A and C and potassium. They also have 2 grams of fiber per peach.
Ingredients:
• 2 freestone peaches, still firm when squeezed (really ripe peaches have more sugar and will burn more easily)
• 1 tbsp. olive oil
• Vanilla ice cream or whipped cream (optional)
Directions:
1. Preheat grill to medium heat.
2. Cut peaches in half and remove the stone. Brush lightly with olive oil, which will keep the peaches from sticking to the grill.
3. Grill peaches for 4-5 minutes on each side. Avoid moving the peaches around. Simply let them sit and absorb the heat, then turn once.
4. Remove from the grill with tongs. Serve with a scoop of ice cream or whipped cream, or enjoy these gems all on their own.
MIND the diet
RECIPES
Grilled Salmon with Lemon Pepper Salmon is a great addition to any MIND diet meal plan. The fish is high in selenium (great for thyroid and reproductive health) and omega-3 fatty acid, which supports brain health.
Ingredients:
• 4 6 oz. salmon fillets (skin-on)
• 2 tbsp. butter
• 1 tsp. lemon pepper (to taste)
• 8 slices of lemon (thinly sliced)
• 4 sprigs of flat-leaf parsley
• Salt and pepper to taste
Directions:
1. Preheat grill to medium-high (400-450⁰ F).
2. Place 4 (12-inch) foil squares in a single layer on a work surface; coat with cooking spray.
3. Place 1 salmon fillet, skin-side down, in the center of each square of foil.
4. Top each fillet with 1 1/2 teaspoons butter, 1/4 teaspoon lemon pepper, 1/8 teaspoon salt, 2 lemon slices and 1 parsley sprig.
5. Pinch sides of each foil packet together to tightly seal. Place the packets on the grill; cover and grill until the fish flakes easily with a fork, 8 to 10 minutes.
6. Serve with your favorite side salad or fresh vegetables.
www.AOSFCare.org 910.585.6757 AOS & Friends Care, INC is a not-for-profit organization that provides funds to support the direct care needs of financially qualified individuals, specifically those impacted by dementia Services Offered Include: Services Offered Include: Direct Care Funding Grants: -Respite Care -Caregiver Services -Adult Day Care Tuition -Placement Assistance Community Awareness & Education Companion Robo Pets Program Personalized Music Program AOS & Friends Care will be having their Annual Mums For Memory™ Fundraiser in October, be sure to keep your eyes out for information or go to www AOSFCare org for more information! 910 692 0683 AOSNC com Support Groups AOS Care Management, Fox Hollow Senior Living, and TerraBella Southern Pines are collaborating to build a community of support for families navigating the everchanging needs of their loved ones. Open to caregivers of those diagnosed with dementia Ashley Seace, facilitator Virtual & In-Person Meetings Contact Robin Hutchings 910 695 0011 for meeting link Caregiver Support First Tuesday Open to anyone in a caregiver role including family and professional caregivers More information Alzheimer's Support Third Thursday 11:00 a m Fox Hollow 190 Fox Hollow Rd | Pinehurst 5:00 p m TerraBella 101 Brucewood Dr | Southern Pines Stephanie Blue, facilitator All information is confidential within a support group. saving programs. We’re here to help you navigate all things aging! www.AOSNC.com info@AOSNC.com | 910.692.0683 Find current & previous issues of OutreachNC Read the latest from our blog Join our free digital mailing list Sign up for home delivery of OutreachNC; Only $16 for 12 issues Send us your questions RESOURCES. EXPERIENCE. SOLUTIONS.
GRAY MATTER GAMES
ACROSS
1. Temperate fruit tree
7. “48___”
10. City on the Yamuna River
14. Anatomical ring
15. “___ Baby Baby” (Linda Ronstadt hit)
16. Cut short
17. Afternoon service (2 wds)
18. Affectionate name (plural)
20. South Carolina river
21. Awful
22. Native of Kigali, Africa area.
24. Covet
28. Marienbad, for one
31. Cloth hanging down at the back of a coat
34. Jellied garnish
36. Used to keep bugs away
38. Choppers, so to speak
39. Telephone sounds
40. Moray, e.g.
41. Appoints summarily
42. To cause sadness
47. Act of making something available
50. Mallets used by Judges
56. Opposite of enders
57. Lack of vigor
58. Enrich, in a way
59. After expenses
60. Firming muscles
61. Auspices
62. Oolong, for one
63. Meal DOWN
1. Taps
2. Length x width, for a rectangle
3. Withdraw gradually
4. Announce
5. On the safe side, at sea
6. Rodent that hangs around water
7. Plantain lily
8. Second growth of grass or hay
9. Dig discovery: Var.
10. Be part of the cast of
11. Pat
12. Cambodian currency
13. ___ line (major axis of an elliptical orbit)
19. Victorian, for one
23. Bizarre 24. Charity, often 25. Artist’s stand 26. “Let it stand”
27. Allergic reaction 28. All in
29. Christmas trees
30. “Hamlet” has five
31. Commend
32. “Fantasy Island” prop
33. “The final frontier”
34. A chorus line 35. Hogwash 37. Protract
Nursery rhyme food
Pillbox, e.g.
About
Slope of loose
Seed coat
JULY 2023 - 13
42.
43.
44.
45.
rock debris 46.
47. “Cast Away” setting 48. Alone 49. Delhi dress 51. Soon, to a bard 52. Blow off steam 53. Arabic for “commander” 54. Ancestry 55. Dressing ingredient
14 - JULY 2023 Gray Matter Games Solutions Achieve The Look You Want Jeffrey White, M.D. Oculoplastic & Cosmetic Eye Specialist 910.295.2100 carolinaeye.com Eyelid & Brow Lifts Droopy Eyelid Repair Ocular Surface Tumors BOTOX® Cosmetic Dermal Fillers JULY 2022 - 12 RCC service is available for individuals who have hearing loss or 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 RESOURCES. The right dentist can make all the 305 Page Road | Pinehur st , NC We value your trust and loyalt y. O ur commitment to your s afet y remains our numb er O NE priorit y. We're e xcite d to we lcome you back to a s afe We are happily accepting new patients!
JULY 2023 - 15 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. Communication Relay Conference Captioning When you are not sure what you need, but life seems to be changing... Together, we'll create a roadmap to help you navigate your future! 910.692.0683 | AOSNC.com 910.692.0683 | AOSNC.com Home Care Service Home Care Service VOTE for your favorites! June 28 - July 23 DISCOVER new talents & new friends 155 Blake Blvd. Pinehurst, NC 28374 On any given day, you’ll find a range of options to fuel your passions, meet new friends and enjoy a lifestyle rich with interesting and exciting educational and engaging programs. Learn more about senior living at QuailHavenVillage.com or schedule a visit at 910.537.6812. INDEPENDENT LIVING | ASSISTED LIVING SKILLED NURSING | REHABILITATION A Life Plan Community offered by Liberty Senior Living © 2023 Quail
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Haven Village
16 - JULY 2023OCTOBER 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
Five