Milestones Newspaper April 2023

Volunteers lend time, talents to worthy causes

By Najja R. Orr, MBA, DBA PCA president & CEO

PHILADELPHIA CORPORATION FOR AGING

WHAT IS PCA?

Philadelphia Corporation for Aging (PCA) is a nonprofit agency dedicated to serving Philadelphia’s older adults and adults with disabilities. PCA publishes Milestones and offers:

• Care in the home

• Home-delivered meals

• Home repairs and modifications

• Protective services

• Senior centers

• Caregiver support

• Employment and volunteer programs

• Legal services

• Transportation

• Ombudsman services

• Health education

• Information and referral

For more information, call the PCA Helpline at 215-765-9040 or visit pcaCares.org.

Published by Philadelphia Corporation for Aging

Najja R. Orr, MBA, DBA President and CEO

PCA Board of Directors 2022-23

Satya B. Verma, O.D., Chair

Glenn D. Bryan, Vice Chair

Angela Foreshaw-Rouse, Secretary

Louis A. Bove, Esq.

Louis Colbert

Nora Dowd Eisenhower, Esq.

Lynn Fields Harris

Katherine E. Galluzzi, D.O., FACOFP

Sandra McNally

Paul Nathanson

John Whitman

Eloise N. Young

Jacqueline S. Zinn, Ph.D.

Emeritus: Arthur E. Helfand, D.P.M.

Call 24/7 to report suspected elder abuse. PCA Helpline: 215-765-9040 Outside Philadelphia toll-free: 888-215-765-9041 (TDD) pcaCares.org

Milestones is published monthly and distributed at more than 1,100 locations throughout Philadelphia, Lower Bucks and Eastern Montgomery counties.

Check us out online: pcaCares.org/Milestones

Editor: Alicia M. Colombo

215-765-9000, ext. 5081

PCA, 642 N. Broad St. Philadelphia, PA 19130

Email: MilestonesNews@pcaCares.org

Advertising: Teresa Heavens

215-765-9000, ext. 5053

Email: Teresa.Heavens@pcaCares.org

Subscriptions & Distributions: 215-765-9000, ext. 5081

Email: MilestonesNews@pcaCares.org

Home delivery: $12/year

The time, talents and contributions of volunteers are invaluable to our society. An estimated 23% of American adults, or more than 60.7 million people, formally volunteer with organizations each year, according to AmeriCorps, an independent agency of the U.S. government that engages more than 5 million Americans in service through a variety of volunteer programs in many sectors. Annually, volunteers serve an estimated 4 billion hours with an economic value of almost $123 billion. Volunteers are the backbone of nonprofit and charitable organizations. During the COVID-19 pandemic, volunteers across the city came together to collect food donations, cook and deliver meals to homebound older adults, and distribute food and other essentials to Philadelphians in need. Several of the city’s grassroots homedelivered meal programs are staffed by volunteers who cook, package and deliver meals to the people who are homebound throughout Philadelphia.

For National Volunteer Month in April, PCA salutes all volunteers for their service, generosity and contributions to making our city and world a better place!

Volunteerism can also include informal helping that occurs outside of an established organization or group. This can include lending a hand to a neighbor by running errands or picking up trash in your neighborhood. Nearly 51% of American adults (more than 124 million people) informally help their neighbors each year, according to AmeriCorps.

The views expressed in Milestones are not necessarily those of Philadelphia Corporation for Aging (PCA). Milestones will not knowingly accept or publish fraudulent or misleading advertising. Milestones reserves the right to edit, revise or reject ads. Milestones assumes no responsibility for errors, misprints, omissions or misinformation; for failure to publish an ad; or for any damages of any kind. Neither the publisher nor any other party is rendering expert advice in this publication. No part of this newspaper may be reproduced without the permission of PCA.

©2023 Philadelphia Corporation for Aging. All rights reserved.

Philadelphia Corporation for Aging (PCA) is able to greatly expand its reach with the generous support of volunteers. In a formal capacity, PCA’s volunteers provide companionship and assistance to homebound older adults through the Senior Companion Program, counsel Medicare beneficiaries about their health insurance options and money-saving programs through PA MEDI, advocate for people living in long-term care facilities through the Ombudsman Program, and educate their peers on the management of chronic health conditions through Health Promotion Programs. (For more information about PCA’s volunteer programs, see the article on page 5.)

Additionally, the network of PCA-funded senior community centers in Philadelphia utilizes the help of volunteers to present programs, serve meals, plan events and much more.

If you would like to lend a hand to help others in need within your community, consider reaching out to your house of worship, or to a local school, library, food bank or animal shelter. Volunteering doesn’t take a lot of time. No special skills or experience are required to volunteer. There are volunteer opportunities available for everyone. The rewards of volunteering include increased activity level, improved cognition through mental stimulation and an increased sense of purpose.

There are always ways to help and dedicate your time to a valuable cause. For more information about AmeriCorps, call 1-800-9422677 or visit AmeriCorps.gov. For information about PCA’s volunteer programs or additional volunteer opportunities in Philadelphia, call the PCA Helpline at 215-765-9040 or visit pcaCares. org/volunteer. You can also reach out to one of the 28 PCA-funded senior community centers and satellite meal programs in Philadelphia at pcaCares.org/senior-centers.

“As you grow older, you will discover why you have two hands — one for helping yourself, the other for helping others.” –Audrey Hepburn

Falling in love with the field of aging: An interview with Deputy Assistant Secretary for Aging Edwin L. Walker

By Alicia M. Colombo

Nearly 40 years ago, Edwin L. Walker “Fell into the field of aging, then fell in love with it.” Walker’s wife was chronically ill, and he needed a job that provided health insurance. He was hired by the Missouri Division of Aging and was new to the field of aging services. His first responsibility there was to monitor the state’s Area Agencies on Aging (AAAs).

“Before that job, I thought AAA was the automobile association,” Walker said. “When I started working in aging services and saw all the programs that were of great interest to me, I knew I’d made the right choice. I was raised partly by my grandmother so advocating for older adults resonated with me.”

Now, as the Deputy Assistant Secretary for Aging, in the U.S. Department of Health and Human Services (HHS), Walker leads the Administration on Aging (AoA) within the Administration for Community Living (ACL) in advocating at the federal level on behalf of older Americans. He serves as the chief official responsible for implementing aging programs, policies and operations throughout the country. “We do that primarily through implementation of the Older Americans Act (OAA), the Elder Justice Act and sections of the Public Health Service Act,” he said. “We relate directly through states, tribes, AAAs and our national network of service providers.”

A Milestones reporter interviewed Walker about his experience working in aging services and the services available to provide for our nation’s older adults:

How is the AoA planning for the aging of America?

We need the broader policymakers to understand the great population shift that is about to occur. By 2030, all baby boomers will be at least 65. At that point, 1 in 5 Americans will be of retirement age. This is a demographic

phenomenon that is occurring all over the world. For the first time, we will have more older than younger people. All our programs will be increasingly challenged. We should be thinking about long-term care in a way that we have never before. We need to invest in public and private policies in ways that we have never before.

One example is HHS’ Healthy People initiative, which focuses on advancing the science of healthy aging and promoting it. Health promotion and injury prevention are key components of the AoA’s evidence-based interventions implemented throughout the country. We work collaboratively so that we can bring about behavioral change with people to improve their health.

How can we reframe aging and address ageism?

In the aging field, we all have a responsibility to combat the issues of ageism. According to OAA, we all should be effective and visible advocates for aging. People simply don’t understand ageism, don’t acknowledge it exists and aren’t aware of its negative impact. We have to broaden messaging and get others to understand and embrace the issues older adults deal with on a daily basis. We need to change the negative view and image of aging. Reframing aging will help bring about social change in the way society thinks about aging.

How can aging services support health care?

We need to get people to understand that we are the providers of the social determinants of health. (The conditions where people are born, live, learn, work, play, worship and age that affect health, functioning and quality-of-life.) The health care world has discovered us. We are the completers. We are able to complete the efforts that begin in health settings. And our aging services providers help support good health outcomes by assuring older adults can

get their prescriptions filled, eat nutritious meals, and receive services at home to maintain and regain their health and independence.

How can we improve aging services?

As it relates to aging services broadly, my tip is to not be stuck in an old construct or an old model. Instead, always seek innovations and always remain in touch with the changing trends and forces within your community so that we can always be on the cutting edge. We can be assured that we’re providing the kinds of services and supports that people need at any point in time.

How can older adults prepare for their own care?

My answer is directed at all people of all ages, and it’s very simple: planning over the course of your life. Everyone wants to live a good, long, quality life. Well, if we make adequate plans over the course of our lives and take actions over the course of our lives that are proven to be positive, you can greatly enhance your chances of having that good quality, long life. And that gets to the issues of successful aging, a concept that AoA has endorsed repeatedly.

What are the keys to successful aging?

Former Assistant Secretary for Aging Dr. Jeanette Takamura introduced a framework to successful aging that consists of five principles: financial security, planning for future transitions, remaining active, social connection, and spirituality.

Over the course of your life, you should be planning to be secure financially by saving and not just being a consumer. Think about being in an environment where there are age-friendly components, such as walkability and easy access to nearby services and supports. That way, when you are no longer working, you have the resources to

continue living a good quality life. Regular physical, social and cognitive activities keep your body, mind and spirit engaged and fit, so that you can maintain your ability to function for as long as possible. Having a belief in something beyond yourself brings about a greater degree of joy, happiness, and combats isolation and loneliness.

On the occasion of Philadelphia Corporation for Aging’s 50th anniversary in 2023, Walker said, “I have had the pleasure of partnering and being connected with PCA over the course of my career. PCA, perhaps, doesn’t understand its own significance in terms of what it represents in the state and in this nation. As one of the largest AAAs in the nation, older Philadelphians have a true advocate in PCA.”

(See page 15 for crossword)

Alicia M. Colombo is editor of Milestones.

Building stronger communities: The vital role of PCA’s volunteer programs

homes. Companions provide socialization and assist with daily tasks, including light meal prep, running errands, and accompaniment to medical appointments. Senior Companions must meet income requirements and receive a small stipend to offset the cost of volunteering.

increased and community infection started to dissipate, volunteers increasingly were able to provide in-person companionship once again.

Center for Advocacy for the Rights and Interests of Elders (CARIE) and Einstein Medical Center.

By Bill Conallen

Volunteerism among older adults has become a staple in Philadelphia, particularly during the pandemic when many paid staff at senior centers were forced to stay home to care for themselves or their loved ones. Many of the city’s senior centers received help from their older adult members to lead workshops, cover the front desk, answer phones and make wellness calls to check on other members.

Philadelphia Corporation for Aging (PCA) joins Area Agencies on Aging nationwide in recognizing April as National Volunteer Month. PCA offers various volunteer programs aimed at addressing physical and economic security for older adults. With more Americans crossing into the older age bracket, this issue is becoming increasingly important as the need for caregiver and community support becomes paramount.

Alongside the work of senior center volunteers, PCA offers many volunteer programs that provide community and connection to older adults who may feel isolated. The Senior Companion Program is one such program that provides invaluable social connections for older adults. It is a person-to-person service program for older adults that is federally funded through AmeriCorps. Senior Companion volunteers, who must be 55 or older, are paired with homebound, isolated older adults in need of assistance to remain in their

“As a Senior Companion, I’ve learned that the greatest gift we can give to someone is simply our presence,” said Marguerite Spann, senior companion of nine years and East Mount Airy resident. “Listening with empathy and offering a helping hand can make all the difference in the world to someone who may be feeling lonely or struggling. Being a companion to older adults has not only enriched their lives, but also mine, and I am grateful for the opportunity to make a meaningful impact in their journey.”

The work of volunteers is often vital to helping nonprofit organizations achieve their mission. “PCA, as an organization, benefits from the experience, dedication, and support of older adults,” said Lynda Pickett, PCA’s assistant director of community engagement. “These active, older adult volunteers, in turn, allow PCA to expand its reach to help more older adults achieve independence in their lives that may otherwise be out of reach. Their unwavering commitment to serving our community is a testament to the power of aging with purpose.”

The COVID-19 pandemic created challenges for aging care over the past three years, which required adapting. In response, the Senior Companion Program implemented a telephone assurance component where volunteers can also call older adults to check in, share food resources, provide updates regarding the pandemic and socialize to combat isolation. As vaccine rates

“The pandemic was a difficult period; my companion was completely cut off from many of the social interactions they relied on to stay connected and engaged,” Spann said. “For myself, the absence of in-person companionship was especially hard, and I am now more grateful to go out every day to play games and watch our favorite programs.”

Currently, there are more than 50 Senior Companion volunteers, but the program is actively seeking more older adults to provide invaluable socialization to older Philadelphians. Volunteers attend monthly in-service meetings, which are held virtually. Personal protective equipment is provided for use during home visits. If you’re interested in becoming a Senior Companion, call 215-422-4888 or email seniorcp@pcaCares.org

Volunteer counselors

PCA offers additional volunteer opportunities for older adults who have an interest in sharing health information with their peers. “At PCA, we believe that good health is essential to aging well,” said Lauren Jirinec, health promotion specialist at PCA. “That is why we are proud to offer a range of health promotion programs that empower older adults to take charge of their health and well-being. From fitness classes to chronic disease management, our programs are designed to support older adults in leading active, healthy and fulfilling lives.”

The Pennsylvania Medicare Education and Decision Insight Program (PA MEDI) is a federally funded health insurance counseling program for Pennsylvanians eligible for Medicare that is also largely run through volunteer work. Services are provided by the

After completing comprehensive training through the Pennsylvania Department of Aging and receiving certification, PA MEDI volunteers help older adults understand and navigate their health insurance options. Volunteers provide information and assistance by phone to help with Medicare eligibility and enrollment, Medicare Advantage, Medicare Supplement Insurance (Medigap), and prescription drug coverage.

PCA’s Health Promotion Programs offer other opportunities for those interested in volunteering to improve the health and wellness of older adults. PCA administers an evidence-based workshop series for self-management of chronic diseases, chronic pain and diabetes. Each series includes six weekly workshops taught by a trained volunteer instructor.

PCA also offers an evidence-based falls prevention program taught by volunteer facilitators, called coaches. This course runs for eight sessions and addresses the fear of falling by providing strategies to improve balance, mobility and activity level. Since the pandemic began, these workshops have been offered virtually, either by video conference or telephone.

“Our volunteers are committed to promoting the health and vitality of our community’s older adults,” Jirinec said. “We believe that our health promotion programs are an integral part of that mission.”

If you are interested in volunteer opportunities with PCA, call the PCA Helpline at 215-765-9040 or visit pcaCares.org/volunteer.

Bill Conallen is the public relations specialist at Philadelphia Corporation for Aging.

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Senior Environment Corps volunteers make big impact

By Mary Anna Rodabaugh

The Senior Environment Corps (SEC) program has been engaging volunteers aged 55 and older in nature-based projects since 1993. SEC volunteers participate in numerous scientific activities, including water quality monitoring, stream habitat assessment and soil testing.

“I was involved with the inception of SEC,” says Fred Lewis, 95, of Germantown. “I had just retired, and I was looking for something to do in my retirement.”

One day 30 years ago, Lewis passed by Center in the Park, a nonprofit senior community center in Northwest Philadelphia. He walked inside, introduced himself and asked about possibilities beyond retirement. The staff mentioned they were considering forming a Senior Environment Corps and asked Lewis if he would be interested in being a part of the new group.

“I guess the rest is history,” Lewis said. “From that point on, I ended up forming the program and becoming the coordinator.”

According to Lewis, it is very stimulating to be among peers and encouraging to interact with people his own age who have the same kind of ambitious thoughts. SEC tends to attract older adults who feel they have a lot to offer.

Currently, SEC has 20 active volunteers.

Creating a legacy

David Schogel, 82, from Germantown, has been an active member of SEC for the past 25 years.

“After I retired, I was looking for a place to do some exercises,” he said. “I went to Center in the Park to its exercise room. One day, I saw a poster that read: ‘Do you like the environment?

Join Senior Environment Corps.’ I met Fred, learned what the group was doing and have been a member ever since.”

When Schogel joined SEC, the group was actively monitoring and testing water from nearby creeks, rivers and streams. He learned how to properly monitor water quality through trainings and mentorship. Now, Schogel mentors other SEC volunteers.

“I get a lot of enjoyment out of helping create something from nothing,” he said. It’s enjoyable “bringing people together, getting them interested, working with them and getting to know them better. Over the years, I’ve formed a lot of friendships through the group. I like the intellectual stimulation and the social interaction. I like being able to be concerned about the environment, not only for myself but for others and for my grandkids. I know what we do is important for society as a whole. That gives me a legacy to leave.”

Current projects

SEC has been conducting very important soil tests throughout northwest Philadelphia, with the guidance of Adrian Wood, program coordinator for community engagement at the Center of Excellence in Environmental Toxicology in University of Pennsylvania’s Perelman School of Medicine.

Using specialized soil kits, SEC members go to various locations and collect soil samples. The members identify the samples using precise coordinates so the results can be illustrated on a map.

“We are trying to concentrate on the northwest section of the city right now,” Schogel said. “We are in the process of visiting every schoolyard, playground and park in the area. We also have tested several community gardens.”

SEC is testing the soil for the presence of lead. Even though lead is a natural mineral found in the ground, high levels of lead can present dangerous health risks. Lead can find its way into soil from car exhaust and building demolitions. SEC volunteers have collected about 100 samples. Findings

will be presented to the Philadelphia Department of Public Health and city officials.

In addition to the soil testing project, SEC is also rolling out the Salt Watch project, where volunteers use kits to test nearby bodies of water for salt content after a big snowfall. The salt used by the Pennsylvania Department of Transportation to treat roads for snow and ice can find its way into local waterways, causing a spike in the water’s salt content. SEC is also going to be testing nitrate levels in local waterways.

Air quality monitoring is the newest venture for the group. The parameters and process are still being mapped out, but SEC volunteers hope to learn more about proper air quality monitoring and begin testing in the near future.

“SEC is now taking this threepronged approach: land, sea and air,” Schogel said. “We hope that we can make some valuable contributions to society.”

Get involved with Senior Environment Corps

SEC is always open to new membership. The group meets at Center in the Park, located at 5818 Germantown Ave. in Germantown, on the first Friday of each month at 1 p.m. Virtual attendance options are available through Zoom or videoconferencing. Volunteers do not need to live in northwest

Philadelphia, nor do they need to have a science or biology background. Current SEC volunteers have worked as teachers, bus drivers, social workers and homemakers.

“There is something for everyone,” Lewis said. “And we train everyone.”

If you are interested in volunteering with SEC or want more information, call Center in the Park at 215-848-7722 or visit CenterInThePark.org.

Milestones wants to hear from YOU!

We welcome your story ideas, feedback and suggestions. (Story-specific comments or questions will be forwarded to the writer.) Submissions of letters or articles for publication must be signed and dated and include your address and phone number. Submission constitutes permission to edit and publish in any form or medium.

Mary Anna Rodabaugh is a writer, editor and writing coach

PCA Celebrates 50 Years of Aging With You: A timeline of our service to older Philadelphians

1965 Congress Passes Older Americans Act (OAA) to address lack of community social services for older people. The Administration on Aging (AoA) is also established to administer OAA grant programs and to serve as the federal focal point on matters concerning older people.

1971 Pennsylvania Lottery begins to provide property tax relief for older Pennsylvanians. It grows to include the funding of 52 Area Agencies on Aging (AAAs) across PA. The PA Lottery remains the only state lottery that designates all proceeds to programs that benefit older residents.

1973

PCA is founded as Philadelphia’s AAA to serve older adults and adults with disabilities in Philadelphia County. Rodney D. Williams is appointed executive director.

1974 PCA provides support for older Philadelphians with these services: Senior community centers, congregate meals, telephone information and referral, homemaker assistance, and free or discounted transportation.

LATE

1970’s

1977

PCA starts providing home-delivered meals throughout Philadelphia via six senior centers including Philadelphia Senior Center (PSC) Main (now PSC Avenue of the Arts), Holmecrest, North Broad Street Senior Center, Haddington Multi Services for Older Adults, and Center in the Park.

PCA adds new supports for older adults: in-home care and domiciliary care to connect those with daily living barriers with families who can assist with their needs; and an employment/job training program.

1979

1981

1983

The Ombudsman program is created to advocate for residents of Philadelphia’s long-term care facilities.

A pre-admission assessment tool is created to assist care managers to evaluate consumers’ needs for care in the home. A state program, Community Care OPTIONS, is launched as a result of the National Channeling Project. Care management begins with trained social workers providing personalized coordination of services for older adults who need long-term support to remain safely in their homes.

1984 The Victims of Crime Act (VOCA) is established by Congress to provide federal support to state and local programs that assist victims of crime.

1987 Pennsylvania enacts the Older Adults Protective Services Act for older adults who lack the capacity to protect themselves and are at imminent risk of abuse, neglect, exploitation or abandonment. The law establishes services necessary to protect older adults’ health, safety and welfare.

1988 PCA adds additional services for older Philadelphians: The Senior Companion Program matches individuals age 55 and older with a homebound older adult to provide companionship and some assistance; the Family Caregiver Support Program assists caregivers of older adults or adults with disabilities and older relatives caring for children; Older Adult Protective Services begins its confidential investigations of reports of suspected abuse, neglect, financial exploitation and abandonment of older adults.

1989

PCA begins administering the Emergency Fund for Older Philadelphians to older adults in crisis who need immediate assistance with shelter, food utilities and health care.

1980 Key services are added to PCA: Senior Housing Assistance Repair Program (SHARP) improves home accessibility through home repair; legal services for older adults with legal challenges or proceedings, including wills, taxes and landlord-tenant disputes. The National Channeling Project: Nursing Home Diversion Program is developed as a pilot program, and precedes the beginning of formal long-term care services at PCA with the goal of diverting older adults from nursing homes.

The Emergency Fund Coalition is formed by PCA by collaborating with 25 social support organizations to assist at-risk, low-income older adults who are facing severe hardship. PCA adds adaptive home modifications

1990 PCA’s offices move to its current location: the historic, six-story Wallace Building at 642 N. Broad St.

1992 National Center on Elder Abuse (NCEA) becomes a permanent part of the U.S. Administration on Aging (AoA).

1993

The PCA Heatline begins, in collaboration with the Philadelphia Department of Health, offering callers of all ages tips to stay healthy during a heat health emergency.

1995 PCA expands services again: The Waiver Program provides older Philadelphians with care services in their home, such as personal care, home health and home-delivered meals.The In-Home Support Program, in partnership with five senior centers, provides short-term services on a temporary basis; The Pennsylvania Department of Aging Waiver Program is created for Philadelphians over 60 to enable them to continue to live in their homes and communities with support and services.

1997 PCA opens its Meal Distribution Center to create one location for centralized provision of home-delivered meals and regular contact to older Philadelphians and people with disabilities who are experiencing barriers to proper nutrition.

2000

2018

PCA secures funds from the Victims of Crime Act (VOCA) federal grant creating the Victims Services Program (VSP). The grant helps meet the needs of crime victims and assists in providing and/or enhancing services to victims of crime.

2019

The Community Relations Department is created to reach out to older Philadelphians and their families in their communities through awareness and informational campaigns and events.

2001 PCA centralizes all information and referral services, opens Helpline call center: 215-765-9040. PCA begins publishing the monthly Milestones newspaper.

2004 New PCA programs added: The Community Choice Program is created to expedite assessment and service for home- and community-based services to ensure nursing home placement diversion. Nursing Home Transition helps residents of long-term care facilities to transition back to community-based living.

2007 PCA launches its new website, pcaCares.org. PCA starts managing Southwest Senior Center and what is now Firehouse Active Older Adult Center.

2011 PCA undertakes operation of Older Adult Sunshine Center and Southwest Senior Center. The Environmental Protection Agency and the National Association of Area Agencies on Aging give PCA awards for Agefriendly Philadelphia.

2012 PCA’s initial Executive Director Rodney D. Williams retires after 39 years; Holly Lange is named President and CEO of PCA. The U.S. Administration for Community Living (ACL) is established

2014 PCA establishes the Philadelphia Senior Fund to support the vital, basic services that PCA provides to help older adults maintain their maximum levels of health and productivity, and to age in place.

PCA Care Connections is launched to provide high-quality, personcentered and cost-effective service coordination for older adults and people with disabilities, who are consumers of Community HealthChoices (formerly served by the Waiver Program), in partnership with managedcare organizations and integrated health systems.

2019 Firehouse Senior Center opens under a new name at a new location after 42 years of operating in the Philadelphia community as Older Adult Sunshine Center.

2020 PCA’s resilience: Caring through crisis was PCA’s reaction to COVID-19. PCA pivoted to remote operations and continued services with limited interruption. More than 1.2 million meals were served. Former CEO Holly Lange retires and Najja R. Orr, MBA, DBA named new President and CEO. The former Philadelphia Senior Fund was renamed as the Rodney D. Williams Philadelphia Fund for Seniors. The Healthy IDEAS pilot program launched at PCA to heighten awareness about depression in older adults and provide resources for depression management.

20202022

PCA’s fundraising efforts bring in nearly $450,000 in crisis aid donations for older Philadelphians and people with disabilities in Philadelphia during the COVID-19 pandemic.

PCA partners with City of Philadelphia, Philadelphia Department of Public Health, AARP and other community organizations to keep older adults informed during the pandemic by reducing social isolation, educating on safety and prevention methods, and scheduling vaccine appointments.

2023

PCA celebrates 50 years of Aging with You. PCA marks five decades of service to older Philadelphians and those with disabilities and launches its commemorative year with a variety of activities and events. December 3, 2023 is PCA’s official golden anniversary date.

April 2023 Events

APRIL 1-30

NATIONAL VOLUNTEER MONTH

Send your calendar items to MilestonesNews@pcaCares.org by the 25th of the month (for publication in two months)

Questions? 215-765-9000, ext. 5081

APRIL 5

EGG HUNT

Find eggs around the facility for a special treat. 10:30 a.m. Juanita Park Older Adult Center. 215-685-1490 | Free

APRIL 6

CHAIR YOGA

APRIL 10

AFRO-BRAZILIAN MUSIC, DANCE & MARTIAL ARTS

Enjoy a diverse performance, which includes capoeira martial arts dance & samba. 4 p.m. Independence Library. 215-685-1633 | Free

APRIL 3

CLAYMOBILE

Learn skills from professional artists using clay to nurture imagination, critical thinking & persistence. 6 p.m. Katherine Drexel Library. 215-685-9383 | Free

APRIL 4

STORYTELLING WORKSHOP

We all have a story. Learn to share yours so that people will read or listen to it. 4:30 p.m. Lucien E. Blackwell West Philadelphia Regional Library. 215-6857431 | Free

APRIL 5-13

PASSOVER

Enjoy the calm, peace & self-acceptance of yoga, no matter what shape you are in. 11:30 a.m. Joseph E. Coleman Northwest Regional Library. 215-685-2151 | Free

APRIL 8

INCOME TAX PREPARATION

Free income tax preparation services to any individual or family with an income less than $60,000. Bring all relevant tax documents.

1 p.m. Walnut Street West Library. 215-6857671 | Free

APRIL 9 EASTER

APRIL 12

ADULT NUTRITION WORKSHOP

Registered dietitian engages, educates & empowers participants to promote healthy lifestyles & to build a sustainable food system. 1 p.m. Walnut Street West Library. 215-685-7671 | Free

APRIL 13

EASTER PLAY

Enjoy a 20-minute dramatization depicting the resurrection of Christ. 10:30 a.m. St. Edmond Senior Community Center. 2157980-9530 | Free

Milestones 11

APRIL 14

LIHEAP INFORMATION

Learn tips & tricks to get help with your energy bills. 11 a.m. Philadelphia Senior Center. 215-546-5879| Free

APRIL 17

TAKE BACK YOUR HEALTH DEMO

A holistic approach of healthy eating provided by Divine Resources. 10:30 a.m. Juanita Park Older Adult Center. 215-685-1490 | Free

APRIL 18

COMPUTER SKILLS WORKSHOP

Learn how to use a computer, get online & more. 2 p.m. Northeast Regional Library. 215-685-0522 | Free

APRIL 22

EARTH DAY

APRIL 18

TAX DAY

APRIL 19

HEALTHY STEPS FOR OLDER ADULTS

Educational workshop includes falls prevention, nutrition & home safety.

9 a.m. to 1 p.m. Juanita Park Older Adult Center. 215-685-1490 | Free

APRIL 21

URBAN FORAGING

Take part in a walk to FDR Park to learn more about the plants that grow in the Philadelphia area & how they are used. 10 a.m. Fumo Family Library. 215-6851758 | Free

APRIL 24

LINE DANCING

Learn dances from the best, perfect your steps & have fun. 12:30 p.m. KleinLife: Northeast Philadelphia. 215-698-7300 | Free

APRIL 25

COMMUNITY HEALTH FAIR

Free health screenings for hearing, skin cancer, blood pressure & height/ weight measurements. Healthy cooking demonstration & information about senior services, including new SEPTA cards. 12-3 p.m. Lutheran Settlement House. 215426-8610 | Free

APRIL 26

CELEBRATION OF BLACK AMERICAN MUSIC

Enjoy a concert highlighting the contributions of Philadelphia composers to the rich & varied cultural tradition of Black American music. 6:30 p.m. Falls of Schuylkill Library. 215-685-2093 | Free

APRIL 26

THE PLANET & OUR PLATES

Celebrate Earth Day with a video that takes a deeper look at the many environmental crises our planet faces. 11:30 a.m. to 12:30 p.m. Lutheran Settlement House. 215-426-8610 | Free

APRIL 27

LET’S TALK CARBS

Take part in a discussion about the role carbs play in your diet & the “good vs. bad” debate. 10:30 a.m. KleinLife: Northeast Philadelphia. 215-698-7300 | Free

APRIL 27

THE MOON: OUR COSMIC NEIGHBOR

Prepare to be amazed in this class discussing what it’s like on the surface of the moon. 1-2 p.m. Philadelphia Senior Center on the Avenue of the Arts. 215-546-5879| Free

APRIL 28

HEARING SCREENING

Get your hearing checked & learn to spot any issues that may arise. 10 a.m. to 1 p.m. Philadelphia Senior Center. 215-546-5879| Free

APRIL 28

SHABBAT GATHERING

Join us to recognize this Jewish tradition with your family & friends. 10:30 a.m. KleinLife: Northeast Philadelphia. 215-698-7300 | Free

APRIL 29

LINE DANCING

Get a great workout through the movement of dance! Led by an experienced dance instructor. 11 a.m. Star Harbor Community Center. 215727-0100 | $3

The Americans with Disabilities Act (ADA): Know your rights

The ADA and older adults

The ADA is very important legislation for older adults who may experience a disability due to aging. According to the ADA National Network, more than 30% of Americans over age 65 and more than 50% of those 75-plus have a disability. These may include difficulties with vision, hearing, walking and thinking.

For older adults living with disabilities, the ADA ensures reasonable accommodations including:

• Accessible parking near the home and in parking lots.

• Closed captioning on television programs.

By Mary Anna Rodabaugh

In 1990, the Americans with Disabilities Act (ADA) became law and established sweeping protections against discrimination for individuals living with disabilities. The ADA guarantees equal opportunities for individuals living with disabilities regarding employment, transportation, government services and telecommunications.

The ADA National Network, which provides a wealth of information, guidance and training on the Americans with Disabilities Act, shares the following information about this vital legislation for older adults and people living with disabilities.

The ADA defines a person living with a disability as “a person who has a physical or mental impairment that substantially limits one or more major life activity.” This definition includes people who have a record of such an impairment, even if they do not currently have a disability.

Broken up into five sections, the ADA relates to different aspects of public life. Following is a description of the protections provided for adults living with disabilities within each section.

Title I: Employment

Employers are required to provide reasonable accommodations to qualified employees, such as an adjustment to the work environment that allows an employee with a disability to perform essential job functions. For older adults who use mobility devices, such as wheelchairs, walkers or canes, an employer must make reasonable accommodations for employees to be able to do their work. This is also true for older adults who are experiencing hearing or vision impairments.

Title II: State and Local Government

Discrimination is prohibited against qualified individuals living with disabilities in all government programs, activities and services of public entities.

Title III: Public Accommodations

The ADA prohibits private places of public accommodation from discriminating against people living with disabilities, including hotels, restaurants,

retail merchants, health clubs, sports stadiums and doctor’s offices. The ADA also requires public accommodations to eliminate barriers that prevent people living with disabilities from entering and utilizing the space. For example, ramps or elevators must be available to access health care facilities. Accommodations must also be made for customers with vision, hearing and/ or speech disabilities.

Title IV: Telecommunications

Telephone and internet providers are required to make accommodations for individuals living with hearing and speech disabilities. This section of the ADA also requires closed captioning of federally funded public service announcements.

Title V: Miscellaneous Provisions

The ADA covers a variety of provisions and includes a list of conditions which are not considered a disability, including compulsive gambling, kleptomania, pyromania or psychoactive substance use disorders resulting from current illegal use of drugs.

• Assisted listening devices for theatrical or musical performances.

• Wide paths, entrances and aisles.

• Clear directional signage with high-contrast colors and large type, both as a physical sign and as an accommodating design on most websites.

Resources

Older adults can complete an intake with Disability Rights Pennsylvania to determine eligibility for resources at 1-800-692-7443 or DisabilityRightsPa. org/get-help/intake

Legal Clinic for the Disabled provides free legal services to low-income people with disabilities and to the deaf and hard of hearing in Philadelphia, Bucks, Chester, Delaware and Montgomery counties. For more information and assistance, call 215-587-3158 or visit lcdphila.org.

The SeniorLAW Center helps protect the rights of older adults and adults with disabilities and can provide legal advice and information. For more information on services, call 1-877-PA SR LAW (727-7529) or visit SeniorLawCenter.org.

Mary Anna Rodabaugh is a writer, editor and writing coach.

Living well with Parkinson’s disease

By Jay Nachman

that it will progress slowly.”

Parkinson’s disease is not a death sentence, and it will not initially lead to use of wheelchair or walker.

neurons to die.

One million people in the United States are living with Parkinson’s disease, and nearly 90,000 new diagnoses are made each year, according to the Parkinson’s Foundation.

With early diagnosis and treatment, Parkinson’s disease can be managed for many years and even decades, said Dr. Tsao-Wei Liang, associate professor at Thomas Jefferson University and medical director of the Jefferson Comprehensive Parkinson’s Disease & Movement Disorders Center.

“The lifespan is generally not shortened by very much in someone with the most classic tremor dominant form of Parkinson’s,” Dr. Liang said. “Meaning when tremors are present, it tends to suggest

“In an otherwise healthy person in their 50s, 60s or 70s even, 10 years of good function with medication is certainly achievable,” Dr. Liang said. “If you’re playing tennis, we’re going to do everything we can to try and keep you active and playing tennis. If you’re taking daily walks, there is no problem with that.”

The National Institutes of Health’s National Institute on Aging (NIA) describes Parkinson’s disease as “a brain disorder that causes unintended or uncontrollable movements, such as shaking, stiffness and difficulty with balance and coordination.”

Parkinson’s disease occurs when nerve cells in the area of the brain that controls movement become impaired and/ or die, according to NIA. Normally, these nerve cells, or neurons, produce an important brain chemical known as dopamine. When the neurons die or become impaired, they produce less dopamine, which causes the movement problems associated with Parkinson’s disease. Scientists still do not know what causes the

Dr. Liang said a common treatment for Parkinson’s disease is to replace dopamine in patients and provide other, supplemental medications that can reduce symptom fluctuation and control tremors.

Although genetics and environmental circumstances may play a role in someone getting Parkinson’s disease, the biggest risk factor is simply age. “The inflection point happens to be around age 60-65, and the numbers increase steadily from there,” Dr. Liang said.

Although it’s not true for every patient, one of the first symptoms of the disease is a tremor. But the hallmark of the disease is called bradykinesia or “slowed movements.”

“There’s a deliberate or slow quality of movement,” Dr. Liang said. “One side of the body may not move as readily as the other. The side of the body or the part of the body that’s affected may become stiff or rigid.”

There are also secondary characteristics that can lead someone to a Parkinson’s diagnosis, which include loss of facial expression, bent posture, shuffling of feet when walking or even loss of sense of

smell – all of these can be early warning signs of Parkinson’s disease.

Ongoing research at Jefferson and other institutions is edging ever closer to finding the cause of Parkinson’s, as well as more effective treatments.

“One of the hottest areas of research for us is [leading to when] we can finally dig in and say, ‘It’s not some kind of random bad accident that occurred or bad luck’,’” Dr. Liang said. “If we start to look at our genome and understand why someone develops Parkinson’s disease from a molecular standpoint, we’ll have better targets for treatment in the future. And that’s already happening.”

While there is no cure for Parkinson’s disease, Dr. Liang assures new patients, “It’s going to be okay. There’s a lot of research and new treatments on the horizon.”

For more information about Parkinson’s disease, contact the Parkinson’s Foundation at parkinson.org.

Jay Nachman is a freelance writer in Philadelphia who tells stories for a variety of clients.

Information provided by Pennsylvania Department of Human Services

Anyone currently enrolled in Pennsylvania’s Medicaid program, also known as Medical Assistance (MA), should make sure their contact information is correct so they can receive timely updates about their benefits. Under new federal law, continuous MA eligibility will be separated from the public health emergency and will end on April 1. By keeping contact information up-to-date, recipients of MA will receive timely, necessary updates about their coverage and benefits, so they are ready when it is time to renew their coverage.

These changes come following passage of the federal Consolidated Appropriations Act of 2023 and will force states to resume normal MA renewal determination processes after April 1.

“Recent federal law changes Medicaid renewal guidelines, and we need everyone to know what they need to do to stay covered,” said Pennsylvania’s Department of Human Services (DHS) Acting Secretary Val Arkoosh. “In order to keep as many Pennsylvanians covered as possible, DHS needs the most accurate information available in our system so that when it is time to complete their annual renewal, Pennsylvanians can submit their renewal quickly and easily. Take the time now to ensure that your information is correct so when your renewal is due, you have what you need to avoid a potential disruption in coverage.”

Outreach to MA recipients has already begun and will continue to include mail, text, email and phone calls to make certain beneficiaries are aware of the federal action affecting their benefits.

Changes to federal policy

The federal public health emergency in response to the COVID-19 pandem-

ic allowed for individuals to continue to remain enrolled in MA, even if they became ineligible based on regular eligibility criteria. This is also known as the MA continuous coverage requirement. On December 29, 2022, President Biden signed the Consolidated Appropriations Act of 2023 into law, which affects continuous MA coverage requirements.

No one will lose their health coverage without having an opportunity to complete a renewal, which will be completed over 12 months. Renewals due in March 2023 will be the first affected by the end of continuous coverage. If a person is found ineligible for the current coverage or does not complete their renewal on time, their MA coverage will end. Pennsylvanians who are no longer eligible for MA will be referred to other sources of affordable medical coverage, like Pennie – Pennsylvania’s health and dental insurance marketplace, so they have no lapse in quality, affordable health care.

Prepare for renewals

Information about when a person’s annual renewal is scheduled can be found online at dhs.pa.gov/compass or on the myCOMPASS PA mobile app. Beneficiaries without computer or mobile access can call DHS’ Customer Service Center at 215-560-7226, weekdays, from 8 a.m. to 4:30 p.m.

Pennsylvanians whose contact information or personal circumstances have changed can use COMPASS to make the following updates to their case file at any time:

• Number of people living in your household.

• Email address.

• Phone number.

• Mailing address.

COMPASS also allows users to sign up to receive e-notifications about their benefits. Keeping information

up to date will help Pennsylvanians receive reminders about their annual benefit renewal quickly, so they can prevent an avoidable lapse in coverage or services. Additionally, DHS encourages Pennsylvanians to opt-in to text messages to receive information about their benefits.

Medical Assistance continuous coverage requirement ends April 1 WHEN

For more information about the end of continuous coverage for Medical Assistance, call 1-866-550-4355 or visit dhs.pa.gov/phe. For more information on health insurance options available to Pennsylvanians, call 1-844-844-804 or visit pennie.org

For expert cardiac care, your heart belongs here.

National Minority Health Month: Better Health Through Better Understanding

Past Attractions

It is estimated that only 14% of the U.S. population has proficient health literacy, according to the U.S. Department of Health and Human Services’ Office of Minority Health (OMH). Additionally, over 60% of racial and ethnic minority adults say it is at least somewhat important to visit a health care provider who shares or understands their culture.

That is why April is designated as National Minority Health Month. This annual observance highlights the importance of improving the health of racial and ethnic minority populations and reducing health disparities.

The theme for 2023 is ‘Better Health Through Better Understanding,’ which focuses on improving health outcomes for racial and ethnic minorities and providing these individuals with culturally and linguistically competent health care services, information and resources. When people are provided with culturally and linguistically appropriate information, they are empowered to create healthier outcomes for themselves and their communities.

Minority Health Month emphasizes the importance of:

• Increased health literacy for patients so they are informed about their health conditions or diagnoses and can take well-informed next steps based upon personal

choice.

• Providing culturally competent care for diverse populations.

• Improving access to health care information for patients with limited-English proficiency.

In 2021, OMH awarded $250 million to local governments to promote evidence-based health literacy strategies that are culturally appropriate. This funding helps support personal health literacy, which is defined as the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.

Personal health literacy emphasizes people’s ability to use health information, rather than just understand it.

The focus is on the ability to make “well-informed” decisions, rather than “appropriate” ones. OMH incorporates a public health perspective in its health literacy programs and acknowledges that organizations have a responsibility to address health literacy.

For more information, call 1-800-444-6472 or go to MinorityHealth.hhs.gov/nmhm.

(Source: U.S. Department of Health and Human Services, Office of Minority Health)