Milestones: News & Possibilities for Older Adults - November 2021

NEWS AND POSSIBILITIES FOR OLDER ADULTS

A Publication of

CARING

NOVEMBER 2021 • FREE

IN THIS ISSUE

TIME TO ADDRESS MEN’S HEALTH ISSUES

For Older Loved Ones P5

THANKSGIVING’S PHILADELPHIA TIES

P10 THE PCA HELPLINE IS HERE FOR YOU

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November is National Family Caregivers Month.

PCA’s Caregiver Support Program helps caregivers keep their loved ones at home.

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NOVEMBER 2021

Spotlight on an overlooked issue: Men’s mental health

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

WHAT IS PCA?

Philadelphia Corporation for Aging (PCA) is a nonprofit agency dedicated to serving Philadelphia’s older adults and people 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, President and CEO PCA Board of Directors 2021-22 Katherine E. Galluzzi, D.O., F.A.C.O.F.P., Chair Judee M. Bavaria, Vice Chair Satya B. Verma, O.D., Secretary Glenn D. Bryan, Treasurer Louis A. Bove, Esq. Nora Dowd Eisenhower, Esq. Lynn Fields Harris Angela Foreshaw-Rouse Sandra McNally Fran Miller Victor M. Negrón Jr. Eloise N. Young Jaqueline 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 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. ©2021 Philadelphia Corporation for Aging. All rights reserved.

November is National Alzheimer’s Disease Awareness Month and a good time to note the importance of mental health, especially among older male adults. According to the World Health Organization, dementia and depression are two common types of challenges experienced by those 60 years old and older.

Mental well-being in men, as well as promoting healthy lifestyles and prevention screening, are some of the important topics covered in this month’s edition of Milestones. According to the American Journal of Men’s Health, men are far less likely than women to seek treatment for issues such as depression, substance abuse, and stressful life events.

Depression has many real consequences for men in America. According to the American Psychological Association, about 30% of men have suffered a period of depression in their lives, and men are four times more likely to commit suicide than women. While the diagnosis and treatment of depression is crucial for those experiencing its effects, stigma around mental health and lack of mental health outreach for men prevent many from seeking the resources they need.

Philadelphia Corporation for Aging (PCA) is working to share resources across communities and identifying those at risk through several initiatives. In June, PCA held its Men’s Wellness Event: Managing Changes in Our Lives During COVID-19, which included a presentation on men’s mental wellness from the Department of Behavioral Health and Intellectual disAbility Services.

Last year, PCA began working with the Pennsylvania Department of Aging as

one of seven Area Agencies on Aging to pilot Healthy IDEAS (Identify Depression and Empowering Activities for Seniors).

Pennsylvania has become the first state to independently train and administer the Healthy IDEAS program, which is an evidence-based program that aims to heighten awareness about depression in older adults and provide resources for depression management. Since participating in the fall 2020 pilot of this program, PCA has trained care managers in its Longterm Care OPTIONS Program, which provides home- and community-based services to eligible older adults, and has screened more than 300 OPTIONS participants.

We encourage everyone to learn more about depression screening and prevention, and how to discuss related issues with friends and family by visiting resources at the Substance Abuse and Mental Health Services Administration (SAMHSA) at samhsa.gov or call the SAMHSA Treatment Referral Helpline at 1-800-662HELP (4357). The National Suicide Prevention Lifeline can also be accessed 24/7 by calling 1-800-273-TALK (8255) (En español 1-888-628-9454) for crisis counseling and mental health referrals.

Funded by PCA

PCA is hiring! For open positions, go to pcaCares.org/careers.

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NOVEMBER 2021

Caring for Mom: How caregiver support helped one woman continue her ‘life’s work’ at home

By Shannon Reyes Pat Coker, 68, spent her entire career as a social worker serving older adults.

Prior to retiring in 2020, she worked at the Delaware County Office of Services for the Aging (also known as “Delcosa”).

Yet when her own mother, Mary Coker, confessed that she was having trouble remembering things and feeling forgetful, Pat was unprepared for the road ahead.

“I told her, ‘It’s okay, Mom. It’s normal,’” Pat said. “I didn’t really realize how much she had forgotten until she was in the hospital and couldn’t remember the year.”

In 2016, Mary was diagnosed with dementia. She was able to navigate the beginning stages of dementia by living with one of her five sons and with minimal assistance from her children. But by 2018, her disease had progressed significantly.

Mary, who is now 91, was forgetting to take her medication, dressing differently and losing the ability to cook for herself.

Mary’s six children held a family meeting to discuss how to best address their mother’s worsening condition to ensure her safety and well-being. Soon after this meeting, Mary began experiencing fainting spells that often sent her to the hospital. Despite several conversations with her mother’s social worker, Pat was initially hesitant to bring an aide into the home.

“I didn’t think anyone could take care of her like I could,” Pat said.

As time went on, Pat’s brothers urged her to take a break from the physical and mental burdens of full-time caregiving.

As her mother’s dementia progressed further, Pat spent each day helping her mother with every aspect of daily life, including showering, dressing, cooking, eating and taking medication.

Then, she met Francine Williamson, a

care manager with Philadelphia Corporation for Aging’s (PCA’s) Caregiver Support Program.

As one of the programs federally funded through the Older Americans Act (OAA), caregiver support is provided by all Area Agencies on Aging (AAAs) across the nation, including PCA, which provides OAA services in Philadelphia County. Through the Caregiver Support Program, caregivers of older adults and adults with disabilities, as well as relative caregivers of children, can receive formal supports with caregiving, including financial assistance, care management, education, training and benefits counseling.

Recently, Act 20 of 2021 was signed into law by Pennsylvania Gov. Tom Wolf and allowed for the Pennsylvania Department of Aging (PDA) to increase monthly and lifetime housing reimbursement limits for participants through the Caregiver Support Program for the first time in nearly 30 years. The new guidelines apply to all Caregiver Support Programs offered through AAAs in Pennsylvania, including programs provided by PCA. For caregivers of older adults, like Pat, financial reimbursements make a huge difference. “I was taking a lot out of my pocket because she’s my mother,” said Pat. “Receiving reimbursements was a big help.”

With financial reimbursements from PCA’s Caregiver Support Program, Pat was able to help her mother with all aspects of her care, including maintaining dignity in her appearance.

Although hesitant at first, Pat has agreed to have a personal care aide visit the home every day, which gives her three to four hours of respite. “I am now able to do what I need to do for myself,” she said.

Prior to the COVID-19 pandemic, Pat and Mary enjoyed going out to eat, at-

Robin Miller

tending theater performances and traveling. Their favorite destinations included Ocean City, New Jersey and Mary’s hometown of Florence, South Carolina.

While the pandemic and the progression of Sally’s dementia have limited their ability to travel, the two are still able to enjoy Gospel programming together.

“The music makes her feel so good,” Pat said. “She is such a spiritual person, and she gave us all that foundation.”

Reflecting on her time as a social worker, Pat has been around people living with dementia her whole career. Therefore, she can extend those skills and knowledge to her brothers, as they all continue to navigate the progression of their mother’s dementia.

She lovingly refers to caring for older adults as her “life’s work” and also fre-

quently helps her mother’s 80-year-old neighbor with her mail and utility bills.

“To be a caregiver, you have to care,” Pat said. “You have to love what you’re doing, so you can give that love to the person.”

Shannon Reyes is the public relations specialist at Philadelphia Corporation for Aging.

Help for caregivers PCA’s Caregiver Support Program empowers caregivers of older adults, adults with disabilities and grandparents caring for grandchildren through information, planning resources and financial assistance. For information, call the PCA Helpline at 215-765-9040 or go to pcaCares.org/ caregivers.

NOVEMBER 2021

Now is the time to address men’s health issues

By Mary Anna Rodabaugh Did you know? Prostate cancer is most often diagnosed in men older than 65.

Men living in the United States have the highest risk of testicular cancer in the world. Men die by suicide four times more often than women.

Men: It’s time to get serious about your health and make sure you’re getting regular screenings for prostate cancer, testicular cancer and depression.

A closer look at men’s cancers

The prostate is a gland that surrounds the urethra at the base of the bladder in males. Prostate cancer occurs when cells within it grow and reproduce more rapidly than normal. This abnormal growth results in the formation of a tumor. If left undiagnosed and untreated, prostate cancer can spread to other parts of the body, including the bones and lymph nodes.

According to the Centers for Disease Control and Prevention (CDC), prostate cancer is the second most common cancer among American men, behind non-melanoma skin cancer. Most prostate cancers are slow growing and small.

A prostate specific antigen (PSA) screening can identify abnormalities in the blood and determine if a biopsy is needed.

Prostate cancer might not cause any signs or symptoms in its early stages.

Therefore, it is common for men to seek screening and/or treatment when the cancer is more advanced. Symptoms related to advanced prostate cancer include trouble urinating, decreased urine flow, blood in the urine, bone pain, and unexplained weight loss.

The American Cancer Society recommends that all men 50 and older have

regular PSA screening tests. Men who are African American and/or have a family history of prostate cancer should speak with their doctor about prostate cancer screening at age 45.

While prostate cancer typically affects middle-aged to older men, testicular cancer primarily impacts younger men. According to the American Cancer Society, about half of testicular cancers occur in men between the ages of 20 and 34. But this cancer can affect males of any age, including infants and elderly men.

The risk of testicular cancer among white men is about more than four times that of Black and Asian men. Worldwide, the risk of developing this disease is highest among men living in the United States and Europe.

Several studies have found that tall men have a somewhat higher risk of testicular cancer. Most studies have not found a link between testicular cancer and body weight.

The good news is that testicular cancer is highly treatable and is often detected early. Most of the time a lump on the testicle is the first symptom, according to the American Cancer Society. The testicle may also be swollen or larger than normal. To screen for any testicular abnormalities, monthly self-exams are recommended for all adult men. Most doctors agree that examining a man’s testicles should be part of a general physical exam during a routine check-up.

The importance of mental health

The stigma surrounding men’s mental health has been prevalent for ages.

Emotions and mental health conditions, such as depression, anxiety and mood disorders, are not often discussed openly about among men. This is especially true

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iStock

for older men. Fortunately, many social and public health efforts are encouraging a change in the stigma.

According to the American Foundation for Suicide Prevention, men died by suicide four more times than women in 2019. The suicide rate that year was highest among adults 85 and older – the only age demographic to see an increase from the prior year.

If you or a loved one is experiencing thoughts of suicide or needs mental health resources, please call the National Suicide Prevention Lifeline at 1-800-2738255 or the National Alliance on Mental Health (NAMI) at 1-800-950-6264. You can also text NAMI to 741741 to be connected with lifesaving resources.

Start the conversation One of the best ways to raise awareness

for men’s physical and mental health is to start the conversation with your friends and loved ones. Check in on your male friends, neighbors, sons, grandsons and other relatives. Let them know you are willing to listen, whenever they are feeling low.

As a conversation starter, the “Movember” movement suggests that clean-shaven men grow a mustache (not a beard) throughout the month of November to draw attention to the importance of men’s health issues. The practice began in Australia in 2003 to get people talking about men’s health issues in local communities.

A little facial hair can have a powerful, positive effect on men’s health. For more information, visit us.movember.com.

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

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NOVEMBER 2021

Leave your mark: Volunteer opportunities abound in Philadelphia area

By Kathleen Harte Simone

Where to volunteer?

Nearly one-third of all American adults are volunteers, according to a recent survey by the Corporation for National Community Service. That statistic speaks volumes about our empathy for others and commitment to lending a hand. The older adult community pitches in at an even higher rate than the general population. Nearly 31% of baby boomers volunteer their time, according to the study.

“

To be good, and to do good, is all we have to do.

”

~ John Adams As Philadelphians, we’re full of community spirit. We donate our time to more than 4,200 nonprofit organizations.

If you haven’t volunteered your time and talents lately, there’s no time like the present to invest your free time in serving others. Your contribution will be greatly rewarded.

“I didn’t start volunteering until my late 50s,” said West Philadelphia resident Clara Sharp. “I always planned to volunteer but kept putting it off because I didn’t know where to start. My first volunteer work was at my church, and it has ballooned ever since. I don’t have enough hours in the day to do all the volunteering I’d like to do.”

Organizations need your help to serve underprivileged and marginalized communities. There are also places that need volunteers to assist with serving the community at large, such as programs in the arts or history. “No one organization is more important than another,” Sharp said. “If we all just do a little, for whichever organization we feel connected to, we’re helping others.”

Determining where to get involved is the first step to becoming a volunteer.

With a wide variety of opportunities in the city and suburbs, as well as online, deciding can be challenging. Here are some helpful tips and links to valuable volunteerism resources.

Connect your interests A great first step is to get involved with familiar causes or organizations. If you’re a book lover, you can connect with the Free Library of Philadelphia’s Volunteer Services. Many different volunteer opportunities are available, including book reader for people with visual impairments or physical disabilities, tour guide of the historic Parkway Central Library, English Language Facilitator, or author event staff. For more information, go to libwww.freelibrary.org/programs/volunteer, email volunteer@freelibrary.org or

call 215-686-5340.

Love strolling through museums?

Consider volunteering at one of the city’s famed art, history, science or cultural sites. Explore a comprehensive list of almost 200 Philadelphia museums with descriptions and links to the museum’s website for volunteer opportunities at MuseumHack.com/museums-in-philadelphia. You can also call your favorite museum directly to ask how you can share your talents.

If you’re passionate about helping animals, connect with the Philadelphia Animal Welfare Society (PAWS) at PhillyPaws.org/volunteer. The organization has multiple and immediate volunteer care opportunities at their three locations in Old City (215-238-9901), Grays Ferry (215-545-9600) and Northeast Philadelphia (215-545-9600). To help out from home, you can volunteer to foster a dog or cat that is waiting for adoption.

Local houses of worship are always in need of kindness and time. Some locations provide free meals and support services for members of the community.

You can quickly become an impactful part of their volunteer team, with little or no training.

Spread brotherly love The notion of older adults reaching out to help each other is nothing new to Philadelphia Corporation for Aging (PCA).

Check out PCA’s Volunteer Programs, powered by older adult volunteers. Opportunities include becoming a Senior Companion or Ombudsman and leading a course in health management. To find out more, call the PCA Helpline at 215765-9040 or visit pcaCares.org/volunteer.

The Mayor’s Office of Civic Engagement and Volunteer Service offers a vast array of opportunities.

Continued on page 14

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OCTOBER 2021

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Milestones

Events

November 2021

Send your calendar items to MilestonesNews@pcaCares.org by the 25th of the month (for publication in month after next) Questions? 215-765-9000, ext. 5081

*MASKS ARE REQUIRED FOR ALL IN-PERSON SENIOR CENTER EVENTS* NOVEMBER 2 ELECTION DAY

NOVEMBER 4 GETTING & STAYING OUT OF DEBT

Virtual presentation on strategies to manage finances, get out of debt & avoid racking up more. 7 p.m. Host: AARP. Register: bit.ly/AARPVirtualSessions

FRIDAYS STARTING NOVEMBER 5 VIRTUAL GAMES

TUESDAYS STARTING NOVEMBER 2 SKETCH & DRAW WORKSHOP

Join St. Edmond Senior Community Center for weekly Bingo over Zoom.

A free card will be emailed to registrants.

10:45 a.m. Register for Zoom info: 215-790-9530.

Explore the concepts behind lines, shaping & shading with a fun & forgiving medium. 10 a.m. to noon.

Host: Journey’s Way. Register: 215-487-1750, ext. 1007. Tuesdays through Nov. 16. ($14 per class)

THURSDAYS STARTING NOVEMBER 4 COLOR YOUR MIND: ADULT COLORING BOOKS Activity intended to calm the mind.

10:30 a.m. West Philadelphia Senior Community Center. Register: 215-386-0379, ext. 7302

National Family Caregivers Month A time to recognize and honor family caregivers across the country.

NOVEMBER 7 PHILADELPHIA VETERANS PARADE & FESTIVAL

Parade starts at noon on Market Street at Juniper, heading east to N. 5th Street. Festival runs from noon to 4 p.m. on Market Street, between 3rd & 5th streets. Family-friendly event with food & activities, plus resource information for veterans: PhillyVeteransParade.org

NOVEMBER 7 VIRTUAL SUNDAYS ON STAGE: CELLO FURY – SONIC EVOLUTION

From high-energy original music to classical pieces to contemporary cover songs, this cutting-edge cello trio bridges classical & rock music. Presented by the Free Library of Philadelphia. 2 p.m.

Stream live: https://www.facebook. com/FLPYouthServices/

NOVEMBER 8 TRIP: RESORTS CASINO IN ATLANTIC CITY NOVEMBER 5, 12, 19 GETTING MATURE JOB SEEKERS BACK TO WORK

Virtual presentation about JEVS Career Solutions for 55+ employment program for older workers. 11 a.m. Register: jevsHumanServices.org/events

8 a.m. to 5 p.m. Host: West Philadelphia Senior Community Center. Register: 215-386-0379. ($30)

NOVEMBER 18 OPENING NIGHT: WINTER IN FRANKLIN SQUARE

NOVEMBER 8 WINTER FIRST AID: STAYING SAFE IN COLD WEATHER

Experience the magic of the holidays, including the Electrical Spectacle Light Show. 5-9 p.m. Franklin Square.

215-629-4026 (Open daily through Dec. 31)

Winter safety presentation by University of Pennsylvania nursing students. 11 a.m. Host: Journey’s Way. 215-487-1750, ext. 1007

NOVEMBER 9 CIVIC ENGAGEMENT, VOLUNTEERISM & LOCAL ADVOCACY Virtual presentation by former AARP President Jim Palmquist. 7:30 p.m.

Host: The Sisterhood of Congregations of Shaare Shamayim. Register for Zoom info: 215-677-1600

NOVEMBER 11 VETERANS DAY NOVEMBER 11 PGW ENERGY CONSERVATION WORKSHOP

Tips for reducing energy use & information about energy assistance programs. Attendees will receive a free weatherization kit. 11 a.m. Host: St. Edmond Senior Community Center. Register: 215-790-9530.

NOVEMBER 16 HOW TO PLAN FOR MEDICARE WHILE STILL WORKING

Get a head start on planning for your future health care. 7 p.m. Host: AARP. Register: bit.ly/AARPVirtualSessions

NOVEMBER 17 VIRTUAL CRAFTER GATHERING

NOVEMBER 25 OPENING DAY: CHRISTMAS VILLAGE IN PHILADELPHIA

Authentic German Christmas Market in the shadow of City Hall. 9 a.m. to 5 p.m.

Love Park. Information: PhilaChristmas. com. (Open daily through Dec. 24)

Log in with your knitting or crocheting project to enjoy an evening of crafting & conversation. All skill levels welcome.

6-8 p.m. Host: Lucien E. Blackwell West Philadelphia Library. Join live: bit.ly/ CrafterGathering

THANKSGIVING DAY PARADE

America’s oldest Thanksgiving Day Parade returns as an in-person celebration for 2021. 9 a.m. to noon.

Benjamin Franklin Parkway. The parade will also be broadcast on 6ABC.

NOVEMBER 16 FALL FLORAL ARRANGEMENT CLASS

Use autumn foliage & flowers to create seasonal décor. 10 a.m. Host: West Philadelphia Senior Community Center. Register: 215-386-0369. ($10 for non-members)

NOVEMBER 25 THANKSGIVING DAY

NOVEMBER 18 FOOD BAG GIVEAWAY

St. Edmond Senior Community Center will distribute bags of food to adults 60-plus in the community & caregivers for older adults. 2-4 p.m. Information: 215-790-9530

NOVEMBER 30 SOCIAL SECURITY & RETIREMENT: YOUR QUESTIONS ANSWERED Join AARP in this virtual session about Social Security & what to expect in retirement. 7 p.m. Register: bit.ly/SSPlanningRetirement

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NOVEMBER 2021

The Thanksgiving holiday’s Philadelphia ties

Nostalgia

By Dorothy Stanaitis

Each year, on the fourth Thursday in November, most Americans gather with family for a feast and to offer thanks for the good things they’ve enjoyed during the year.

However, I doubt that anyone thinks to thank the resourceful and determined Philadelphia woman whose vision and persistence is responsible for the modern-day observance of Thanksgiving Day. Over the years, many cultures and countries held services of thanks for a good harvest. In America, early Thanksgiving observances by the early settlers of New England were devoted to prayers and fasting, not feasting and merriment.

But, over time, the religious aspect gradually lessened.

On Oct. 3, 1789, George Washington issued a Thanksgiving proclamation, designating for “the People of the United States a day of public thanks-giving” to be

held on “Thursday the 26th day of November.” But subsequent presidents failed to maintain Washington’s designation, and, for the next 75 years, Thanksgiving was irregularly celebrated in some states, each on a different date set by the governor.

Most stately celebrations were held from October to January, if at all.

This confusion annoyed Sarah Joseph Hale, the editor of “Godey’s Lady’s Book and Magazine,” the most popular and influential periodical of its time. A New England widow with five children to support, she had moved to Philadelphia where the magazine was published when she received the editorship. Greatly patriotic, and devoted to home and family life, Hale believed that one day a year should be set aside for all American families to join together in acknowledging the bounty of peace and plenty that they enjoyed.

In 1827, she began a crusade for a uniform observance of Thanksgiving Day that would last for more than a decade.

Every year, Hale wrote impassioned editorials and personal letters to each governor and U.S. president. She finally surmised that it would take the support of American women to bring action.

Understanding the influence that “Godey’s Lady’s Book and Magazine” exerted, Hale began to publish tantalizing Thanksgiving menus that featured turkey, stuffing, cranberry sauce and pumpkin pie. She wrote sentimental stories with descriptions of celebrations that included reunions of friends and families for a sumptuous holiday dinner. She even added articles with directions for creating beautiful autumn table decorations, along with suggestions of games, songs and recitations that would make the day memorable.

Her efforts finally garnered some results when 19th century American women gladly embraced the holiday. Popular printmakers Currier and Ives began producing hearth-warming scenes of fami-

lies celebrating. Hale’s good friend, Lydia Marie Childs, was even inspired to write the festive song, “Over the River and Through the Woods.”

But the greatest success came after 16 years of fruitless letters to presidents Polk, Taylor, Fillmore, Pierce, Buchanan and finally Lincoln. Her third letter to Abraham Lincoln, written during the ravages of the Civil War, convinced him to declare on Oct. 10, 1863, that the fourth Thursday of November would be a National Day of Thanksgiving.

So thanks to a very determined woman and the influence of her Philadelphia magazine, we now have a holiday that isn’t overly commercialized by retailers, florists, candymakers or greeting card copies and can be celebrated by all Americans – regardless of their religion, political affiliation or background.

Happy Thanksgiving to all!

Dorothy Stanaitis, a certified Philadelphia Tour Guide, writes about history and culture.

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NOVEMBER 2021

Recipe Box

Meatless options for Thanksgiving iStock

Butternut Squash Steaks with Brown Butter-Sage Sauce Applying the classic steakhouse butter-basting technique to slabs of butternut squash turns it into a hearty vegetarian main dish.

Ingredients: 1 large butternut squash (about 3 lb.), preferably with a long, thick neck 1 tbsp. extra-virgin olive oil 2 tbsp. unsalted butter, cut into pieces 6 sage leaves 2 garlic cloves, crushed 1 tbsp. fresh lemon juice Kosher salt Freshly ground pepper Directions: Cut the neck off squash; reserve base for another use. Trim the stem off the neck then peel. Resting neck on cut base, cut in half lengthwise, creating two lobes. Trim off outer rounded side of each piece to create two ¾-inch-thick steaks (about 6 oz. per steak). Reserve trimmed sides for another use.

Heat oil in a large heavy skillet over medium heat. Cook squash steaks, turning every 3 minutes, until deeply browned on both sides and fork-tender, about 15 min-

utes total. Add butter, sage and garlic to skillet. Tilt pan toward you so that butter pools on one side and use a large spoon to continually baste steaks with butter. Cook, basting, until butter is no longer bubbling, smells nutty and begins to brown, about 1 minute. Remove from heat and stir in lemon juice. Season with salt and pepper.

Transfer squash steaks to plates and spoon sauce over.

Source: Bon Appetit

Crossword Puzzle Solution (See page 15 for clues)

Sautéed Collard Greens with Caramelized Miso Butter Ingredients: 2 tbsp. white miso 2 tbsp. mirin (sweet Japanese rice wine) 2 tbsp. unseasoned rice vinegar ¼-cup (½ stick) unsalted butter, cut into pieces 3 tbsp. vegetable oil 4 cloves garlic, crushed Kosher salt 2 large bunches collard greens, ribs and stems removed, leaves torn into large pieces (about 8 cups) Freshly ground black pepper 1 lemon, quartered Directions: Heat miso in a large skillet over medium, stirring constantly, until it starts to caramelize and brown (it will be very dark), about 3 minutes. Add mirin and vinegar, scraping up any browned bits.

Reduce heat to low and, stirring constantly, add butter one piece at a time; stir until emulsified. Transfer miso butter to a small bowl and set aside.

Wipe out skillet. Heat oil over medium and cook garlic, smashing with a spoon, until golden brown and broken into bits, about 4 minutes. Using a slotted spoon, transfer garlic to a small bowl; season with salt.

Working in batches, add collard greens to same skillet, tossing and letting them wilt slightly before adding more. Season with salt and pepper. Cook, tossing occasionally, until all greens are wilted, bright green and crisp-tender, about 5 minutes.

Add half of reserved miso butter and toss to coat.

Transfer collard greens to a large serving bowl and drizzle with remaining miso butter. Top with reserved garlic and freshly squeezed lemon juice.

MEDICARE ANNUAL ENROLLMENT DATES

October 15 through December 7, 2021 While making health insurance and prescription drug coverage decisions for 2022, be sure to consider applying for Extra Help (Low-income Subsidy) through PA MEDI (Medicare Education & Decision Insight).

Informational and enrollment events are being held throughout Philadelphia. Trained counselors are available to assist you with any of your questions about Medicare, Medicaid, Medigap, long-term care insurance, filing appeals and preventive care.

For information, call one of the numbers provided below: Einstein Medical Center: 215-456-7600 The Center for Advocacy for the Rights and Interests of the Elderly (CARIE): 215-545-5728

Funded wholly or in part by the Administration for Community Living PA MEDI is the State Insurance Assistance Program for Pennsylvanians 60 and older. The State Department of Aging created PA MEDI to help older adults understand their health insurance options and make the best decisions about their insurance needs.

Milestones 12

NOVEMBER 2021

The importance of fall prevention to older Philadelphians

By Shannon Reyes According to the Centers for Disease Control and Prevention (CDC), 3 million older adults come into the Emergency Room each year to be treated for falls. One in five falls causes serious injury, including traumatic brain injuries (TBIs) which are most commonly caused by falling.

While prevalent among older adults, falling is not a normal part of aging.

There are many steps and prevention methods to mitigate the risk of falling, including one as easy as movement.

For Stephen Merrill, RN, Philadelphia Corporation for Aging’s (PCA’s) health promotion nurse supervisor, movement is key to reducing the risk of falls. While programs, such as “A Matter of Balance” and “Healthy Steps for Older Adults,” directly address movement in relation to

falls prevention, Merrill also adds that “EnhanceFitness,” an evidence-based group exercise program, also supports falls prevention because it focuses on movement for overall health.

“Wherever you are physically, there is something you can do to prevent deconditioning and improve balance or strength,” Merrill said.

Movement and balance exercises are essential for building and maintaining strength in the body. Physical strength is important because it supports balance, which helps to prevent falls. Other PCA Health and Wellness programs, such as “A Matter of Balance,” also focus on improving balance and, most importantly, overcoming fears associated with falling and increasing activity levels for those who have concerns about falling.

Over the last few years, the conversations around falls prevention have

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increased as health care providers are discussing the long-term effects of falls.

“Recently, there’s been more recognition of what happens after a fall,” Merrill said. “One fall can increase the likelihood of another fall, so the discussion

is how to prevent injury and keep people out of the hospital.”

According to CDC data, falls are the underlying cause of death for more than 100 Pennsylvanians each year.

Continued on page 14

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NOVEMBER 2021

PCA is here to help older Philadelphians: 215-765-9040

By Ralph Richardson Did you know there is one number to call for information about resources, services and programs to assist older adults and people living with disabilities in Philadelphia? It’s the PCA Helpline: 215-7659040.

“People contact us [the PCA Helpline] wanting to learn more about the services Philadelphia Corporation for Aging has to offer,” said PCA Helpline Director E. Nolan Lawrence. “We encourage older adults and their caregivers to go to the PCA website, pcaCares.org, for a full overview of programs. For those without access to a computer, the PCA Helpline staff are happy to discuss the different programs PCA offers and to mail materials to callers.”

Here are answers to the PCA Helpline’s most frequently asked questions.

Does PCA only help low-income individuals?

While there are income requirements for some PCA programs, help is available to older Philadelphians of all income levels. The PCA Helpline can assist with inquiries concerning services that may be available to you or a loved one.

How many different meal options does PCA provide?

PCA provides meals to older Philadelphians through its home-delivered meals program and congregate meals at senior community centers and satellite meal sites. During the COVID-19 pandemic, grab-and-go meals have been distributed to older Philadelphians at senior centers and other sites throughout the city.

Who do I contact about the well-being of an older neighbor?

If you suspect an emergency, please call 911. The PCA Helpline takes reports on suspected cases of elder abuse or self-ne-

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glect. Reports can be made anonymously 24/7, 365 days a year.

Can PCA help older adults who need home repairs?

Yes. PCA provides minor repairs and modifications to make homes safer and more accessible for older Philadelphians and people with disabilities. Many of these repairs are made free of charge through our Senior Housing Assistance Repair Program (SHARP).

The PCA Helpline operates from 8:30 a.m. to 5 p.m., Monday through Friday.

Callers can obtain information about programs and services for older Philadelphians who are 60-plus or who have disabilities. These programs include housing repairs, care at home, senior community centers, employment and volunteer opportunities, health insurance counseling, protective services, and transportation.

The PCA Helpline (215-765-9040) offers English and Spanish options. For those with hearing impairments, call 215765-9041 (TDD). PCA contracts with a telephone-based language interpreter service that allows communications in more than 140 languages. PCA also maintains the following foreign-language telephone lines: Chinese (215-399-4944), Hindi (215-399-4943), Khmer (215-399-4940), Korean (215-399-4941), and Vietnamese (215-399-4942).

Ralph Richardson is the communications manager at Philadelphia Corporation for Aging.

Milestones 13

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Volunteer

• continued from page 6

Some of the fall 2021 volunteer opportunities include mentoring high school students at risk, assisting at the Fringe Festival, kitchen volunteering to prepare meals for people in need, planting trees at Pennypack Park, and providing support for a small business convention. There are also many volunteer opportunities you can do from the comfort of your home, such as letter writing to inmates and tax preparation. For more information, go to phila.gov/volunteer or call 215-686-2055.

The nation’s largest volunteer organization, AmeriCorps, connects volunteers directly with nonprofit organizations to tackle America’s most pressing challenges. The organization boasts 1.6 billion hours served by 270,000 volunteers in 40,000 communities, including Philadelphia. The opportunities are bountiful.

For information, go to AmeriCorps.gov/ seniors, email help@AmeriCorps.gov or call 1-800-942-2677.

Preventing falls • continued from page 12

for MEDICAID and MCO RECIPIENTS

In addition to physical measures that mitigate fall risks, evaluating environmental factors can further help to prevent falls. According to the National Council on Aging (NCOA), more than half of falls take place inside the home.

So, it is important to keep homes accessible and easy to move through.

Some considerations Merrill notes include making sure rooms are well-lit and are free of items that may pose a tripping hazard. He also discourages area rugs that could slide from under an individual’s feet and says adding no-skid surfaces can help to prevent slipping and falling.

Tips include adding a non-skid mat to the bottom of a shower or tub. Grab bars in showers, as well as sturdy rails, will help support an individual while bath-

NOVEMBER 2021

#GivingTuesday

Since 2012, #GivingTuesday has inspired millions of people across the world to donate their time, talent and/or money. In 2021, #GivingTuesday will be Nov. 30. This year, you can help older Philadelphians who are in need by supporting Philadelphia Corporation for Aging’s (PCA’s) charitable funds: • The Rodney D. Williams Philadelphia Fund for Seniors helps to support PCA’s mission of improving the quality of life of older adults and people with disabilities.

• The Emergency Fund for Older Philadelphians provides crisis assistance to at-risk, low-income older people who are facing severe hardship.

To make a difference in the lives of older Philadelphians by donating to PCA, contact the PCA Helpline at 215-7659040 or visit pcaCares.org/donate.

Kathleen Harte Simone is a Philadelphia-based journalist.

ing. Sturdy exterior handrails and stable steps/porches are important considerations for many Philadelphia homes, since many are older and often fall into disrepair.

For those who are in need of home repairs or would like to install rails or grab bars in their home, PCA’s Senior Housing Assistance Repair Program (SHARP) provides minor repairs and modifications to make homes safer and more secure for income-eligible Philadelphia homeowners. SHARP also evaluates homes for safety and makes recommendations to help older residents avoid tripping or falling. For more information on PCA’s SHARP Program and current Health and Wellness programs being offered, please call PCA’s Helpline at 215765-9040.

Native Philadelphian Constance Garcia-Barrio writes about many topics, including Black history.

Milestones 15

NOVEMBER 2021

Crossword

Health Brief

Skin care and aging: Common concerns for older adults As we get older, our skin changes. Years of exposure to the sun may lead to wrinkles, dryness, age spots and even skin cancer. With age, our skin becomes thinner and our bodies may lose fat. As a result of skin aging, some injuries might take longer to heal. These include even minor scrapes, bruises and cuts. Below are tips for dealing with some of the most common skin-related concerns for older adults.

Dry skin and itching

Many older adults experience patches of dry skin. Common causes of dry skin include low water intake (dehydration); excessive exposure to sun or dry air; smoking; stress; or a loss of sweat and oil glands, which is common with age.

Chronic conditions, such as diabetes and kidney disease, may also cause dry skin.

Scratching dry or itchy patches of skin can cause bleeding that could lead to infection if not treated properly.

To alleviate minor cases of dry skin at home, use moisturizers, lotions, creams or ointments on the affected areas. Use mild soap and bathe with warm water, which is less drying than hot water. You can also use a humidifier, an appliance that adds moisture to a room. Talk to your doctor if your skin is very dry and itchy.

Bruising

Older adults may bruise more easily and take longer to heal than younger people. Some medicines or illnesses may contribute to bruising. Unexpected bruising may be a sign of a more serious problem.

Talk to your doctor if you see bruises that do not have an obvious cause, especially on parts of your body usually covered by clothing.

Age spots

Age spots, sometimes called “liver

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Solution: The solution can be found on page 10.

Team Spirit Across 1 Perform 6 Cereal fad 10 Mind 14 Dance of the ___ 15 M. Lacoste 16 Dairy additive 17 Favorite Van Gogh city 18 Lotion ingredient 19 Actress Olin 20 LA jocks

23 Cartoonist Thomas 24 High 25 Saloons 28 Year opener in Madrid 30 Gloomy 31 Chez Scarlett 33 Hungarian national hero 37 Creative chap

39 Baseball flag 41 Site of French Disneyland 42 Shade of green 44 Followers 45 Modest dwelling 47 Obliterate 49 French wine valley 51 Unexciting 53 Chicago jocks

59 Of hearing 60 Wyandot’s kin 61 Bellowing 62 Kind of physics 63 Grammy winner Turner 64 A Chris craft 65 Part of NBA 66 Hied 67 Fresh

12 Long-legged and slender 13 Special times 21 Dreadlocks wearer 22 Mohammedan’s reading 25 Symphonic ending 26 Master violinist 27 Poor Clares monk

29 Glove leather 30 Obscure 32 Rival 34 Elway effort 35 Dealer’s demand 36 Toper’s woes 38 Stiller’s partner 40 Incense 43 Wreathe 46 Stephen Vincent and William Rose 48 Knocks twice

49 Court instruments 50 News items 52 Up, at Shea 53 Robin Cook chiller 54 Nerd 55 Silkworm 56 Juniors 57 See 6 Across 58 Roentgen discovery

Down spots,” are flat, brown marks on the skin that are often caused by prolonged sun exposure over many years. The spots are larger than freckles and commonly develop on areas of the body that are regularly exposed to the sun. Regularly using a broad-spectrum sunscreen that protects against both UVA and UVB sun rays may prevent the development or darkening of age spots. These spots are usually harmless and may be a cosmetic concern for older adults. But it’s important to have a doctor examine any new or concerning marks on your body.

Skin cancer

There are three types of skin cancer.

Basal cell carcinoma and squamous cell carcinoma grow slowly and rarely spread to other parts of the body. These types of cancer are usually found on parts of the skin most often exposed to the sun, like the head, face, neck, hands and arms. The most dangerous type of skin cancer is melanoma. While it is the rarest form of skin cancer, melanoma can spread quickly to other organs and can be deadly.

Check your skin once a month for signs of cancer. Look for changes on your skin, such as a new growth, a sore that won’t heal or a bleeding mole. Contact your doctor as soon as possible with any concerns about skin cancer.

Source: National Institute on Aging

1 Food fish 2 Picador’s prey 3 ___ lang syne 4 Diver Louganis 5 Palestinian ascetic 6 Nerve 7 Oral historian 8 Erelong 9 One-eyed thing 10 Raiders’ home 11 Spokesperson

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PA Health & Wellness is focused on whole health care, reflecting on a person’s total well-being and meeting each person’s unique needs.

PA Health & Wellness exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.

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