August 2021 OutreachNC

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Feature Intro: Universal Design for Comfort & Safety: Home Renovations for the Whole Family A few months ago, I offered to load a friend’s dishwasher.

I prepared for the backbreaking work of bending down to reach the lower shelf of a typical dishwasher. Imagine my surprise when I had to bend only half-way. What was this newfangled device? How did my friend find a magical dishwasher that required nearly no backbreaking bending or stretching? How could I find one?

I soon learned that raised dishwashers are only the beginning of home remodeling and building options that allow us to safely age in place. While many of us know about grab bars in bathrooms or moving bedrooms to the main floor rather than upstairs, there exist many other options for creating safe and comfortable homes for everyone in the household.

One of the key ingredients to remodeling homes or customizing building projects is the concept of Universal Design. A human-centered design approach, Universal Design focuses on creating environments that accommodate everyone living in the space. From a Universal Design perspective, countertop heights, for example, should meet the needs of small children, someone in a wheelchair and someone who needs to sit while chopping vegetables. This means a kitchen or bathroom has varying levels of countertop space, so everyone can work comfortably. The Universal Design philosophy focuses on comfort for all people who need adaptation or functional changes in a living environment.

Universal Design is so important, for example, that the National Association of Home Builders (NAHB) reports an increase from 68% to 80% of remodeling companies making aging in place home improvements.

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CONTENTS

ASK THE EXPERT: HOME PLANNING

FEATURE: UNIVERSAL DESIGN FOR COMFORT & SAFETY FAITH: THE LIFE EDIT

LETTER FROM THE EDITOR

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

AUGUST 2021 - 2

“There is nothing like staying at home for real comfort.”

Jane Austen’s quote sums up how we feel about home and the focus of our issue this month. Not only do we rely on homes to protect us and keep us safe, but it’s the place we feel most comfortable.

What happens, then, when our homes aren’t accessible? What happens when we don’t feel comfortable at home?

Our safe place is lost.

This month, we focus on home and how to create the safest, most accessible and most comfortable homes for everyone who lives inside them: for our children, our grandchildren, our parents and ourselves.

In our feature, ONC explores the concept of Universal Design and how we can modify and build homes that are comfortable and safe for all ages and situations.

Dennis Long of Next Day Access helps us identify the best and most impactful modifications to fit our individual needs.

Colette Bachand writes of the idea of renovations, internal and external. We don’t just renovate our homes, yards or wardrobes. We can renovate ourselves in many other ways.

In Ask the Expert, Kate Pomplun addresses the considerations of kids and parents who are thinking of whether to move into an assisted living facility vs. making modifications to an existing home.

BE READY Create a plan for the unexpected TODAY!

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If we stay home for real comfort, as Austen says, making our homes as comfortable as possible helps us do just that.

Here’s to a cup of tea in a cozy chair, a good book and a nourishing meal.

Amy facebook.com/agingoutreach/ instagram.com/agingoutreachservices/

910.692.0683 www.AOSNC.com The Experts in Aging Well

AUGUST 2021 - 3

Make Every Day Five Star

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.

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.

Kate Pomplun, LMSW, CMC | kate@agingcaresolutionsnc.com

ASK THE EXPERT: HOME PLANNING

AUGUST 2021 - 4 Question: Recently my husband’s health has changed, and he is going to need to use a walker. Our kids think that means it’s time for us to move to an assisted living community. We really love our home and our neighbors, but is it smart to stay as he becomes less mobile?

Also, you’re not alone. The desire to want to age where you’re familiar has been given the phrase “aging in place” and there’s a nationwide group called the National Aging in Place Council (NAIPC) whose mission is to bring professionals and communities together to champion aging in place through collaboration, education and accountability.

Answer: What a blessing to have children who care about you. But the simple answer is it can be smart to stay, if you’re smart and make a plan.

In addition to these councils, there are entire companies devoted to making environmental changes within one’s current home to allow for a safe transition into a new phase of health while remaining in the home you love and are familiar with.

Sometimes it takes more than putting up a ramp and installing some grab bars in the bathroom to have the capacity to age in place for the long term. Sometimes it makes more sense to move.

First, let me mention that there are a number of wonderful things about assisted and independent living communities, and if you’re finding that the services and amenities or safety and security they offer are what gives you peace of mind to live out your best life, go tour them and pick your favorite. If, however, you’re not sure you’re ready to leave your current home, having an environmental safety assessment, especially in conjunction with an overall comprehensive assessment (your local Aging Life Care Professional can do this) could help you truly weigh the pros and cons of staying or moving.

Some key points to consider: Types of adaptations: As described above, some structural or hardware related changes may be necessary. A few examples include ramps, widened doorways, lifts, grab bars and special lighting. Other changes or additions to your home to increase safety could include durable medical equipment (which in some cases can be covered through insurance) like a shower chair, a raised toilet seat or walker. Still other types might include technological adaptations.

These could have an article series all their own to

­

AUGUST 2021 - 5 explore further, but a few could include vitals and fall sensor apps/systems, medication reminder technology (developers are working on robots that do this!) and even a special electrical appliance monitoring device – for when the stove doesn’t get turned off.

Cost: With any pros and cons list, if you can’t afford the solutions, they aren’t solutions. You can hire a professional to do an assessment of your home environment and give you a written report of recommendations and cost of projects. This type of report is best analyzed in conjunction with or through a recommendation by an Aging Life Care Manager (ALCM), who is a third party and not selling any of the work/products. Your ALCM can assess your overall current health, financial status, insurance coverage, social support network, cost of care in the home versus cost of care in a facility and discuss the big picture as far as short term and long term goals to ensure safety and affordability.

Safety, health and quality of life: Whenever someone asks me about whether or not they should move or stay, besides cost, these are the three things I mention. It’s

been a theme in points described above: safety. When considering the best environment, whether the current home to which you add adaptive features, or a new home that already addresses the adaptations you need, the goal should be to keep you and your spouse safe, but also healthy and happy! This means preventing falls, but it also means allowing for healthy meals – whether prepared by you in a modified kitchen, delivered from your favorite local restaurant/caterer or enjoyed in a dining room with friends in an assisted or independent living community. It means getting exercise (which we know helps with those happy endorphins), so that could mean finding a way to keep up those morning walks with your neighbor or joining the walking club within your new community. It means peace of mind, knowing that you can get a good night’s sleep because you aren’t worried a loved one is out wandering.

Maybe you can have a conversation with your kids explaining your desire to explore your options further.

The good news is there are so many options out there that you don’t necessarily have to move simply because your health needs are changing.

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Residents of Quail Haven Village love the living choices, abundant resort-like amenities and nearly endless social engagements available to them. Here, residents and their families will love the emphasis on nutritious dining options, whole-person wellness and the peace of mind that comes from having continuing care in place should they need it.

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UNIVERSAL DESIGN FOR COMFORT & SAFETY:

Home Renovations for the Whole Family

by Amy Phariss

Home remodeling and Universal Design can help everyone make the most of a home. From small children who can’t reach countertops to a parent who was injured on the job to an aging grandparent, everyone’s comfort is the focus of an accessible and safe home. We’ve broken some of the most impactful renovations down into sections including mobility, kitchen, bathroom and lighting renovations. Some of the changes are quick-fix weekend projects, and others require the help of experts. All of the changes add to comfort and quality of life.

MOBILITY RENOVATIONS INSTALL CHAIR LIFTS If you live in a multi-level home, chair lifts are a wonderful adaptation for people who have trouble going up and down stairs.

An elevator is another option for tackling multiple levels, but it can be a costly renovation. An elevator installation can cost roughly $20,000. A chair lift is less costly at $2,000 to $3,000. Dennis Long, CFO for home accessibility experts Next Day Access of the Carolinas, says, “Most of the ones we emphasize are $3200. We stick with higher-end chair lifts for reliability.

That’s a big thing. You don’t want to get stuck on the stair lift.”

Chair lifts can also be modified to best fit your home and environment.

For example, if there is a door right at the bottom of

AUGUST 2021 - 7 the stairs, where the lift ends, you’ll want a folding rail that can fold up and be put away. You can also have seat that swivels when you get to the top of the stairs if you have trouble getting out of the chair. This makes it much safer to exit the chair.

If the staircase isn’t straight, chair lifts can be customized. Long says, “We come in and do a lot of pictures and design a chair lift specifically for that staircase.”

Some people may be able to move bedrooms to the main floor of the home, but for others, that’s not an option. Long has clients who do not have room for a downstairs bedroom. “For some people, there is no downstairs shower, for example. If you can’t get up and down the stairs, that’s a problem. And it just helps people feel less restrictive.” Being able to access the entire house can add a lot to quality of life and comfort for everyone in the home.

REMOVE RUGS Removing rugs is a cheap, easy fix for falling hazards.

For people with balance issues or who use mobility devices (such as walkers, wheelchairs or canes), loose rugs can be dangerous. Loose rugs present tripping, falling and slipping hazards. If you do need to keep rugs around, make sure they’re secure and don’t slide around. Anchoring rugs with large pieces of furniture can be helpful. However, removing area and throw rugs if possible is the best option.

WIDEN SPACES Widening doors and entryways can help give people with wheelchairs, scooters and walkers greater access to their environment. Rather than having to squeeze through a doorway or avoid a room altogether, widening doorways and entries allows for more independence and accessibility for all household members. Widening a space can include adding space between counters, in hallways and even in showers.

PAY ATTENTION TO FLOORING There are several ways to keep flooring safe for everyone in the household. One tip is to avoid different levels of flooring from room to room, which may make it difficult to step into a new room and makes tripping or falling more likely. If you do have rooms that require transitions from flooring types, try to make the height difference as small as possible. If you go from a wood floor to tile, for example, try not to have a significant drop from one floor to another.

Next, find flooring with texture to avoid falls and slips.

Some vinyl flooring, for example, looks like wood but has more texture than smooth woods floors. This makes it easier to keep traction. Avoid walking on wood or tile floors in socks, as well. These floors can be slippery. Finally, wall-to-wall carpet is often safer than area rugs which can move around and cause the transition difficulties mentioned above (height changes).

According to Dennis Long of Next Day Access, LVP flooring is the best option for many rooms. LVP flooring is vinyl plank flooring and isn’t quite as hard as hard wood, so it’s not as quick to cause injury.

LVP flooring is also waterproof, so it allows for spills without ruining the flooring.

KITCHEN RENOVATIONS INSTALL MOTION-SENSOR FAUCETS Motion-sensor faucets are a great example of Universal Design.

Someone with arthritis may struggle with turning faucets off and on. Children may not be able to reach faucet handles but can reach high enough to run a hand across a motion sensor.

Another family member can use motion sensors to turn on a kitchen faucet while cooking, keeping sticky hands

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Top 5 Most Impactful Renovations for Aging in Place • Grab Bars in Bathroom – “Grab bars having nothing to do with age,” says Long. They come in many styles including bars that don’t look anything like the metal grab bar you may be envisioning or have seen before. Grab bars can double as towel racks, toilet paper holders and even bathtub faucet handles.

• Comfort Height or ADA-height toilets. According to Long, these make a big impact. It’s a relatively quick, inexpensive change that adds noticeable comfort.

• Handrails to any steps including indoor and outdoor. Even a few steps can be dangerous, so handrails aren’t only for long sets of stairs.

Front porch steps, steps into the garage and steps from one room to another should all have railing.

• Threshold Ramps. These ramps help bridge the gap from one room to another when there is a height difference or gap in flooring. From the kitchen onto porch, for example, there might be an simple 2-inch difference. “For someone shuffling their feet or in a walker, that two inches is a big deal,” says Long.

• Low Barrier/Zero Barrier Shower or Walk-In Tub. These help eliminate or lessen the need to step over and into a tub or shower, which can be slippery and dangerous.

off faucets. Motion sensor faucets and appliances are great in the kitchen, bathrooms, laundry room and garage.

ADAPT APPLIANCES Switching appliances can be expensive but make a huge difference for everyone in the house. Some appliances are easier to open than others. Some refrigerators now have larger numbers and letters on displays, for example. Longer door handles make it easier to grip the handle and open an appliance.

Other refrigerators have more storage in the doors, making access easier. Door access means not having to reach up for a jug of milk or reach down into the crisper for vegetables or fruit. Side-by-side refrigerators are also easier to open, as the doors aren’t as heavy. Also, not having to bend or reach for the freezer is an added bonus of side-by-side models.

Considering cooktops is also important. Find a cooktop that shows color while the burner is hot.

This will avoid burns for everyone in the house. Also, smooth cooktops make transitioning pots and pans from cooktop to counter much easier. Installing a waterspout above the cooktop will make it much easier to fill a bit pot and avoid spills and accidents.

INCREASE COUNTER SPACE Increasing counter space in the kitchen allows small appliances to be stored on the counters rather than in cupboards above or below. This means less bending, reaching and lifting. A standing mixer, for example, is a heavy appliance that can be stored on a counter rather than below, on a shelf. This means no hauling heavy appliances out from below or trying to lift them down from above.

REPLACE KNOBS Knobs can be difficult to navigate for people with arthritis. Replacing knobs with simple lever handles can help alleviate the frustration of dealing with knobs.

This is an easy, relatively inexpensive update to a bathroom or kitchen that

AUGUST 2021 - 9 will make a big difference for someone struggling with grip or pain in the hands.

Finally, adding more space between the counters and the kitchen island makes navigating with wheelchairs and walkers easier. It also makes it possible for more people to be in the kitchen comfortably, such as cooking with grandchildren.

BATHROOM RENOVATIONS RAISE THE SEAT A comfort height toilet can be a game changer for many. The height of a toilet can be adjusted to make it higher (and ADA compliant), requiring less squatting, which can be a balance challenge for some. A step or stool can be kept in the bathroom for smaller children, enabling the entire household the best fit in the bathroom. Long reports, “This is the one renovation people don’t realize will make such a big difference, but it does.”

INSTALL MULTIPLE COUNTERTOP HEIGHTS Again, children may need shorter countertops, and those in wheelchairs or who need to sit for grooming will benefit as well. Not all the bathroom countertops need to be the same height. A smaller counter can be placed at a lower level in one area of the bathroom, with higher countertops for those who are taller or who will be standing. This means children will be able to reach their own toothpaste, hand soap, etc.

Another family member may need to sit for make-up or hair brushing, and a lower counter with a stool or chair is the perfect solution. This application of Universal Design means people in the household can accommodate their individual needs rather than make-do with one option.

UPDATE BATHTUBS & SHOWERS Low barrier and zero barrier showers are becoming more popular as people no longer want to deal with stepping into or out of a shower stall. Showers are inherently slippery, so balancing on one foot to climb over a shower curb can be dangerous. The same is true for bathtubs. Many people enjoy soaking in a warm bath. It’s fun for children and can soothe aching muscles in adults. However, stepping into and out of a bathtub is hazardous.

Installing tubs with doors allows family members to step into a tub rather than over a large tub side. Other tips for safe showers and tubs include non-slip rugs or even wooden mats, which stay in place better than a slippery rug. Installing grab bars is another effective option to avoid falling or slipping. Finally, installing temperature-regulated faucets is helpful when kids and grandkids are using the shower or tub.

Even adults can sometimes turn the water too hot.

Temperature-regulated controls can help avoid these mistakes.

FOCUS ON FLOORING Certain flooring options are less slippery than others.

As Dennis Long says, “At Next Day Access, we do all LVP flooring in bathrooms. We never use tile. Tile is just more injury prone. It’s more slippery. The texture of tile just lends itself to greater chances of falling.”

Cork is another flooring option. Cork has more texture than tile and is softer and has more cushion when kneeling or if someone falls. Cork is also easy for wheelchairs to travel over and is easy to care for. Cork is just one example of optional flooring with benefits for aging in place and Universal Design. Talking with a Certified Aging in Place Specialist (CAPS) can be useful in making decisions

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Top 5 Myths About Comfort and Safety Home Renovations 1. I’m not old enough for that. Long reminds us, “Bathroom safety has nothing to do with age. It involves everyone in the household. A low barrier shower or grab bars make the bathroom safe for everyone.”

Also, Long reports that 40% of their customers are not seniors at all. Next Day Access does a significant amount of work for injured workers who didn’t plan on needing alternative accessibility options. As Long says, “Home accessibility is not just for seniors.”

2. I’m worried it’s going to negatively affect the value of my home. According to Long, renovations won’t affect the value of a home and can be made in tasteful and often easy-to-remove ways (such as changing out knobs or removing grab bars).

3. It’s too expensive. Many people worry about the cost of installing a chair lift, for example, but Long points out that a chair lift is much less expensive than moving homes or moving into an assisted living facility.

4. It will feel institutionalized. According to Long, “We have grab bars that don’t look like grab bars. We have grab bars that are towel racks and a grab bar.

You’d never know it was a grab bar, too.

There’s an idea that things can’t be made to look nice, and that’s not true.”

5. There’s nobody out there who knows how to do this stuff. There are people who specialize in these types of renovations.

Next Day Access speaks to customers every day who say, “If we’d have known you did this work, we would have done it a long time ago!”

such as which type of flooring works best for your space.

STABILIZE WITH STRATEGIC SHELVES Shelf and cabinet storage can be accessed easier by placing a vanity shelf between sinks instead of relying only on underneath cabinet options. A long, slim shelf can be placed between sinks to eliminate or reduce bending in the bathroom. Vanity shelves make medications, products and tools more accessible.

LIGHTING MOVE LIGHT SWITCHES/OUTLETS Make light switches and outlets accessible. Outlets can be placed higher up on the wall or near the interior of the room rather than lower on the walls.

Light switches should be 48 inches from the floor to meet guidelines from the Americans with Disabilities Act (ADA) as well as the Fair Housing Act (FHA). To be accessible from a seated position, outlets should be between 15 inches to 48 inches from the ground. Having switches at the proper height makes the need to get up and out of a chair less problematic. Also, rocker light switches (which are flat and larger) are easier to use for people with arthritis or sight impairment.

INSTALL MOTION SENSOR LIGHTING Motion sensor lighting helps avoid the need to fumble with or find a switch. Often, seniors forget to turn on lighting or may feel they don’t need it.

Motion sensor lights come on without a senior having to think about it or make that decision.

Motion sensor lighting can also be wireless, eliminating the need for plugs, cords and outlets.

Wireless lights can be placed in small spaced like

AUGUST 2021 - 11 stairwells, hallways and bathrooms for extra lighting.

LABEL LIGHT SWITCHES

fundraiser event! ™

Mums will be available on ™ October 14, 2021.

All funds raised will go toward AOS & Friends Care direct care recipient requests, programs, and community education/ awareness efforts targeting older adults, with an emphasis on Alzheimer’s and Dementia.

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For your donation of $25, we will purchase a mum in honor or memory of a loved one, local care facility, ™ caregiver or front-line worker.

ORDER ONLINE at www.mumsformemory.org For more information: EMAIL info@aosfcare.org ALL DONATIONS ARE TAX-DEDUCTIBLE.

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A Certified Aging in Place Specialist (CAPS) can help make suggestions and review options for these decisions. They are listed on the National Association of Home Builders website. Finding companies that specialize in Universal Design and home renovation with comfort and accessibility in mind is also a great place to start. an

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If you’re building a home for retirement, applying the| concepts of Universal Design up front means fewer renovations and improvements down the road. From | widening entries and exits to having countertops installed at various heights, Universal Design helps the house flow for everyone from children and grandchildren to elderly parents and everyone in between.

6th annual

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Transforming our space for healthy living for the entire household can be done in stages and steps.

Tackling changes one at a time makes renovations manageable and less overwhelming. Labeling light switches, removing area rugs and switching to motion-sensor lighting are all small steps that can be done with relatively little work and without breaking the bank. Changing out knobs and installing handles is another simple upgrade which will make a noticeable impact for those who struggle with kitchen, bathroom and dresser knobs.

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In many homes, outlets house multiple light switches.

This can be confusing. In the bathroom, for example, there may be a row of three switches for two light sources and for the bathroom fan. Which switch is which? Labeling light switches can help solve this problem, which can be confusing and frustrating.

Cut down on confusion by labeling light switches with more than one switch. Kitchens, dining rooms, | bathrooms and garages often have multi-switch plates. Labeling light switches (as well as cabinets, containers and other commonly used household items) can help serve as reminders for loved ones as well as clarification of what they are actually reaching for. Amazon and other retailers sell pre-printed labels for just this purpose, and you can purchase a label maker if you’d like to customize labels.

o W E Do T

AOS & Friends Care was incorporated and approved by the IRS as a 501(c)(3) tax exempt nonprofit in 2015. Our Mission is to raise awareness and provide direct care and community support to older adults, with a focus on those with dementia.

™

The Rev. Colette Bachand | cwood@penickvillage1964.org

FAITH: THE LIFE EDIT

AUGUST 2021 - 12 Renovations aren’t just for kitchens, bedrooms or backyards; life offers us the opportunity to be remodeled too.

Funny, though, that while it’s easy to be excited about remodeling our kitchen or make changes to our bathroom, we often forget the joy and excitement of allowing ourselves to be renovated.

To renovate means to make changes and so, making changes to our “inner homes” is often accompanied by fear and discomfort causing us to miss the joy. Yet who we are, what we like, what brings us meaning and purpose – all those things change over time and finding joy in our renovated selves is part of our spiritual journey.

Let’s face it, it’s easy to get stuck lamenting what is gone or over. Sometimes we don’t feel complete because we’re not what we used to be. “So much has changed,” we sigh. But the good news of remolding is just that - we’re not supposed to be what we were before; we’re not supposed to be like we were at 25 or 45. We’ve been renovated.

Accepting ourselves and celebrating our remodeled selves is so important. Taking inventory of all we have accomplished and all the ways we have grown, helps us to see how God has made us new. Like all renovations, our lives took hard work at every phase. Sometimes a hammer (or life) whacked us on the thumb, sometimes we tripped over the toolbox in the living room, sometimes we had to start the whole project over again because it didn’t come out right. Some of life’s renovations were out of our control: a death, divorce, job change;

while others came because we chose them – a new health choice, a new attitude, taking up a new project.

I often see people trying desperately to put their old selves into their current situation. I suppose there’s some comfort in the old … in old habits, old routines and old expectations. But maybe we lose something when we close our imagination to what might be new.

In my faith tradition, Jesus says we are foolish to try and put the old into the new. “No one puts new wine into old wineskins, otherwise the wine will burst the skins and the wine is lost, and so are the skins, but one puts new wine into fresh wineskins.” Mark. 2:22 I say we stop trying to fit into old wineskins. What if we saw whatever our current circumstances and whoever we are in this moment, what if we saw ourselves as new wine and whatever is going on around us as the opportunity to create new wineskins? By which I really mean, what if we were to celebrate everything we are right now, our remodeled selves, at whatever age?

What if we had the courage to make any additional changes that would make us happier, more energized, less afraid? To renovate a home, we have to let go of the old and be willing (and with any luck, maybe even be excited) to accept the new. The same is true of our inner homes.

I realize making new wine and new wineskins is always messy – I’ve seen that episode of “I Love Lucy!” – it takes a lot of crushing, stomping and mushing. Life is messy for sure, but after all the hard work you’ve put in, why not celebrate what is good and new?

Next time you look in a mirror, don’t see the wrinkles or the greys or any of the other negative things we usually notice. Instead see the renovated you, made beautiful and fresh by age. Welcome yourself home, invite yourself in for a glass of wine, take a deep breath and say, “Wow, the place looks great!”

GRAY MATTER GAMES

ACROSS 1. ___ song (2 wds) 5. Ram 9. “Check this out!”

13. Airy 14. Far from ruddy 15. More mature 17. Kind of film 18. Litigant 19. Chip away at 20. One out?

22. Is present at 24. Grassland 25. A pint, maybe 26. After expenses 27. Conk out 28. “Star Trek” rank: Abbr.

29. Oppression 31. Dusk, to Donne 32. Animal in a roundup 34. Extremely light, as a streak of smoke 36. Those who woo

39. Revenue for the support of a king’s son 42. Put in 46. Calendar square 47. Pupil 50. “... ___ he drove out of sight” 51. “To ___ is human ...”

52. Absorbed, as a cost 53. Big Apple attraction, with “the” 54. Dash lengths 55. Advance showing 57. Medium 59. Poison 60. Cut, maybe 62. Ancestry 63. Restrict 64. 100 cents 65. 20-20, e.g.

66. “___ who?”

67. Big game 68. ___ Bank, along the Jordan River

DOWN 1. Crew’s quarters (pl.)

2. Ritzy 3. Opener 4. A chip, maybe 5. In a contemptible manner 6. Certain shark 7. Not just “a” 8. Having absolute sovereignty 9. Ostentatiously beautiful (hyphenated) 10. “Your majesty” 11. A metrical foot of two long syllables

(poetry) 12. Stuffed bears 16. Forwarded 21. Catholic advocates in heaven (2 wds) 23. Perfect, e.g.

30. Having bristlelike fibers 33. Victorian, for one 35. Doctrine 37. Certain print 38. Five-flowered gentian 39. Aces 40. “Talking” birds 41. Fever

AUGUST 2021 - 13

43. Place for a comb 44. Fine furs 45. A way down 48. Type of apple 49. Trojan War figure 56. Overgrown with tendrils 58. Ball of yarn 61. Directly

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We're excited to welcome you back to a safe We are happily accepting new patients!

CAPTEL 840i

305 Page Road | Pinehurst, NC FEDERAL LAW PROHIBITS ANYONE BUT REGISTERED USERS WITH HEARING LOSS FROM USING INTERNET PROTOCOL (IP) CAPTIONED TELEPHONES WITH THE CAPTIONS TURNED ON. IP Captioned Telephone Service may use a live operator. The operator generates captions of what the other party to the call says. These captions are then sent to your phone. There is a cost for each minute of captions generated, paid from a federally administered fund. No cost is passed on to the CapTel user for using the service. CapTel is a registered trademark of Ultratec, Inc. 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. • 04/2021

H STA O Y AN M E I N D LO YO SA N U FE G E R R R

AUGUST 2021 - 16

910.499.0399

Your Cer tifie d Accessibilit y Spe cialist s Ser ving All of Nor th Carolina

ACCESSIBILIT Y SOLUTIONS TO FIT YOUR NEEDS

• Ramps (purchase & rental) • Grab Bars • Handrails • Stairlifts • Vertical Platform Lifts

• Bedroom & Bathroom Safety Products • Ceiling Lifts • Pool Lifts • Home Safety Automation • And More!