55 & Better Expo Guide

Presenting Sponsor

EXPOS

LOVELAND EXPO

Wednesday, June 12 • 9 a.m.-2 p.m. Chilson Senior Center, 700 E. 4th St., Loveland

GREELEY EXPO

Saturday, June 15 • 9 a.m.-2 p.m. Greeley Recreation Center, 651 10th Ave., Greeley GREELEY INCLUDES FREE LECTURES

5 Senior Living

Leading communities in the area like Columbine Health, The Capstone at Centerra, Brookdale and Avenida at Centerra talk about trends and innovations in senior healthcare.

8 Healthcare

These outstanding local insurance agencies are simplifying senior healthcare. Here’s how they set themselves apart.

10 Helping Hands

How nonprofits support seniors across Colorado, and

how those organizations are aided by Seniors Helping Seniors, a for-profit company who partners with nonprofits.

14 A Million Strong

If there’s strength in numbers, Colorado seniors should feel pretty powerful indeed, as the State of Colorado has the second fastest national population growth in residents aged 65 and older.

17 Retirement Strategies

If your finances aren’t as squared away as you’d like, it’s not too late to make

decisions that can steer you to the path of financial wellness in your golden years.

20 Hospice

A topic we’re rarely ready for and often try to avoid, but the first best step for a family to approach the conversation of hospice is to first of all normalize death and dying.

21 Top to Bottom

A guide to key issues to look out for as you age. Aging can bring various health challenges, but with the right guidance, you can maintain a healthy lifestyle.

32 Aging with Assistance

24 Awareness

Knowing the signs of stroke, what to do in a lifethreatening emergency, and how to begin recovery.

26 NOCO Support

How local agencies on aging in Weld and Larimer Counties are helping and supporting Seniors.

29 Doors to Floors

How to “future-proof” your house and make sure it will be a safe environment for years as you age.

Seniors across Colorado are experiencing a shift in technology that has never been seen before. How it can help them as they age.

35 New Help

Caring for older adults with dementia is stressful, especially when they become physically or verbally aggressive or refuse to let caregivers help them. Editorial:

SENIOR living

The Future of Senior Living: Trends and Innovations from Leading Communities

by Sarah Huber

Thanks to technological advances in senior health and creative engagement opportunities, vibrant senior living is on the upswing. Some local senior living communities are amping up their rehabilitation centers to help seniors achieve and maintain fitness, for example, while others are wholeheartedly leaning into the importance of human connections for physical health and mental well-being. “Aging should be valued and enjoyed as any other stage in our lives,” said Vanessa Bretz, Colorado therapy supervisor for the Good

Samaritan Society.

Therapeutical innovations have made Good Samaritan the “place to be” for inpatient and outpatient occupational, physical and speech therapy, Bretz said. At Good Samaritan Fort Collins, seniors have access to an AlterG anti-gravity treadmill, which allows users to modify how much weight they bear on their lower extremities, and Good Samaritan Loveland recently purchased an OmniCycle, a motor-assist, biofeedback-driven exercise bike. “It’s state-of-the-art, customizable exercise modes helps us challenge residents

at their exact need,” she explained. Therapists work with seniors on everything from mobility and daily function to balance, strengthening, pain management, dementia management and pre- and post-surgical therapy.

Especially because the risk of falls increases with age, “it’s ideal to have a therapist do an evaluation to determine if there are warranted interventions that can reduce future falls,” said Bretz, adding, “Most importantly, we determine reasons for the fall and provide strategies to prevent future falls.”

Aiming to benefit residents in mind and body, Columbine Health in Loveland, with independent and assisted living and skilled nursing, has partnered with Sound Affects to bring the transformative power of music to seniors.

Professional musicians from Sound Affects provide multiple live performances of various musical genres at Columbine Health each month. Residents close their eyes, sway to the tunes and sometimes sing along.

“At Columbine Health, we believe in the power of music to uplift and inspire,” said Columbine CEO Paul Benigni. “Our partnership with Sound Affects aligns perfectly with our mission to provide exceptional care and enriching experiences for our residents. Together we’re creating an environment where music becomes a catalyst for joy, connection and lifelong memories.”

Another local senior community forging connections to enhance wellness is The Capstone at Centerra Senior Living in Loveland. A resort-style senior living community with assisted living and memory and respite care, The Capstone offers tailored spaces via a “permanent vacation destination” vibe that gives each resident the opportunity to find their niche. Those spaces include restaurant-style dining, 24-hour fitness center, a salon and spa, theater, chapel, continued on page 6

A man works through physical therapy. (Courtesy Good Samaritan Society)

gardens with raised beds and, for pet owners, a fully fenced dog park.

Because seniors may be prone to isolation, communities such as Brookdale Senior Living in Boulder and Avenida at Centerra 55-plus apartment community in Loveland have intentionally designed programs to foster friendship. At Brookdale, the “EngagementPlus” program welcomes residents to gather over shared interests and gradually nurture meaningful relationships. “EngagementPlus” is centered in the Brookdale belief that genuine connections with others lead to a more satisfying and enriching daily experience.

Similarly, Avenida at Centerra’s “5 to Thrive” resident program is designed to empower residents to “Live Life, Live Confidently, Live in Motion, Live and Learn and Live Connected.”

Robert May, managing partner with Avenida, said, “The objective of our lifestyle program at Avenida is to provide a multitude of opportunities for connection with similar-aged, like-minded seniors that share values and have ea mindset that intends for this later stage of life to be as fulfilling and exciting as any other.”

From fostering friendships to the newest advances in therapy, Colorado senior communities are creating places where residents of any age can thrive. “Ultimately it’s about having fun in life and experiencing those moments with other people,” May said. “Those shared experiences are what makes memories. And memories make us all smile.”

Avenida at Centerra showcases the space in their facility. (Courtesy Avenida at Centerra)

Columbine Health’s Sound Affects program (Courtesy Columbine Health)

Therapy equipment (Courtesy Good Samaritan Society)

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senior HEALTHCARE

These Outstanding Insurance Agencies Are Simplifying Senior Healthcare

by Emma Castleberry

In the complex landscape of health insurance, a few names consistently emerge as trusted providers, known for comprehensive service, customer satisfaction, and innovation. Seniors in northern Colorado are lucky to have choice and access to insurance providers that can offer trusted guidance. Here’s how these providers set themselves apart.

Cigna Healthcare

Cigna Healthcare is a long-standing global health service company with a vast network and extensive range of services. Cigna offers a wide array of health insurance products, including Medicare Advantage plans, which are particularly beneficial for seniors. These plans often include additional benefits like vision, dental, and prescription drug coverage, ensuring

that all aspects of health are addressed.

Cigna is known for its customer-centric approach, making healthcare more accessible and manageable for seniors. The myCigna mobile app provides easy access to personal health information, claims, and customer support, allowing seniors to manage their health effortlessly. Additionally, Cigna’s emphasis on preventive care and wellness programs helps seniors maintain their health and well-being, reducing overall healthcare costs and enhancing quality of life.

cigna.com

DCT Insurance

DCT Insurance excels in personalized service and community-based care. Guided by a deep understanding that seniors have unique healthcare needs, owner/agent Diane

Brush-Goldsberry and her team of licensed agents offer tailored insurance solutions to meet those needs effectively.

One of DCT’s significant strengths is its dedication to transparency and education. The company goes the extra mile to ensure that seniors understand their insurance options, the details of their coverage, and how to maximize their benefits. This approach empowers seniors to make informed decisions about their healthcare.

Additionally, DCT’s strong community presence and commitment to building lasting relationships with clients further enhance its reputation as a reliable and caring source of health insurance information. dctinsurance.com

Devoted Health

Devoted Health, founded in

2017, takes a mission-driven approach to improving the well-being of America’s senior population. Specializing in Medicare Advantage plans, Devoted Health offers seniors personalized care and support that goes beyond the basics. Leveraging advanced technology and data analytics, Devoted Health ensures coordinated, high-quality care. This means seamless communication between seniors, healthcare providers and the insurance company, ensuring that seniors receive the right care at the right time. Their approach earned them a spot on Fast Company’s list of the Most Innovative Companies 2024. By prioritizing the needs and experiences of seniors, Devoted Health has quickly established itself as a trusted provider in the Medicare space. devoted.com

Clear Spring Health

Clear Spring Health focuses on providing Medicare Advantage and prescription drug plans, offering high-quality, affordable health coverage for seniors. One of Clear Spring Health’s notable strengths is its commitment to affordability without compromising on the quality of care. The company offers competitive pricing and a variety of plan options to meet the diverse needs of seniors.

Clear Spring Health emphasizes preventive care and chronic disease management, which lead to better health outcomes and lower healthcare costs. The company’s strong focus on customer service and member engagement further solidifies its position as a dependable and compassionate health insurance provider.

Choosing the Provider That’s Right for You

All of these companies have a focus on senior health, offering Medicare-related plans and focusing on the specific healthcare needs of the senior population. Our health changes as we age, and it’s important to find a company that you can trust to provide individualized care.

Whether it’s the extensive networks and services of Cigna, the personalized approach of DCT Insurance, the mission-driven care of Devoted Health, or the affordable and comprehensive plans of Clear Spring Health, these companies exemplify what it means to provide trusted and effective healthcare for seniors — and seniors in northern Colorado benefit from this wealth of choice.

• Medicare counseling and assis tance

• Health screenings

helping HANDS

How Nonprofits Support Seniors across Colorado

by Shelley Widhalm

The seniors hired by Seniors Helping Seniors don’t need a specific degree or background, but they do need to have “a heart.”

“They must have a good heart, a loving heart, and they have to want to help seniors stay at home,” said Sandra Acevedo, co-owner of Seniors Helping Seniors in Fort Collins. “It’s not easy to train someone on how to have a good heart, but I can train you how to do the rest of the stuff.”

Seniors Helping Seniors, a for-profit founded in 1998, has 190 franchises worldwide, including six in Colorado in Fort Collins, Aurora, Lafayette, Lakewood, Monument and Parker.

The Fort Collins franchise opened in 2009, followed by another in Greeley in 2013, with the two merging into the Fort Collins location in 2022.

continued on page 12

“We saw there was a huge need for seniors to be able to remain at home as long as possible, as safe as possible,” Acevedo said. “We help our elderly … remain at their own place where they feel comfortable and have familiar things around them. We help them stay where they want to be.”

Seniors Helping Seniors combines professional, nonmedical home care services with companionship for seniors. Typically, the caregivers are seniors, who know about the importance of retaining independence and building friendships to help prevent the negative effects of aging.

“When we have older caregivers, they can relate better to those clients because they may have things in common. Older caregivers understand the things they’re going through,” Acevedo said. “They are more reliable, and very empathetic, loving, caring and patient.”

Seniors Helping Seniors matches caregivers with seniors based on hobbies, activities and other mutual interests. The caregivers help the clients with daily tasks, such as light housekeeping, cooking, shopping, transpor-

tation, medication reminders, light handyman services and small repairs, yardwork and pet care. The caregivers also help with self-care activities like bathing and showering, dressing, eating and drinking, and mobility access.

“We’re there 24-7, 365 days a year, so we’re open all the time,” Acevedo said.

Currently, there are 120 caregivers helping 150 regular clients, plus another 50 that need short-term services. The clients typically are 55 years and older, and the caregivers are in their 30s to mid-80s.

“We benefit both, the seniors and the employees— even though they’re retired, they can remain active and make a little bit of money,” Acevedo said. “They change the life of the client making it a little bit easier.”

Seniors Helping Seniors of-

• O nly one p e r s on p e r hou se hold m ay a pply.

• A pplic a nts c a nnot b e T homp s on S cho ol

fers other services that include memory, dementia and Alzheimer’s care, where caregivers are trained to understand the impacts of memory impairment and how to care for seniors with dementia. There’s also respite care for caregivers and specialized care following a hospital stay or illness or health condition.

Other Northern Colorado organizations that help seniors among their client lists include Good Health Will, Assistance League of Greeley and Volunteers of America.

Good Health Will, founded in Fort Collins in 2006, collects donations of durable medical equipment and healthcare supplies and provides them thriftstore style at stores in Loveland and Greeley. The nonprofit serves as an affordable option for those who can’t get what they need through insurance. The donations are clean and in good working condition, sold at 10 to 50% of retail value.

Assistance League of Greeley, an all-volunteer nonprofit chartered in 1973, offers six philanthropic programs to meet underserved com-

munity needs in Greeley and Weld County. The Assistance League is a national organization founded in 1919 that provided food and clothing to families impacted by WWI and has since grown to 120 chapters nationwide.

The Greeley chapter provides scholarships for single parents and offers programs like Warm Up Weld County, Operation School Bell school uniforms, Color Me Weld at hospitals, File of Life medical forms, and Assault Survivor Kits.

Volunteers of America, a faith-based nonprofit headquartered in Alexandria, Va., and founded in 1896, provides affordable housing and other assistance to low-income seniors, veterans and families.

Volunteers of America Colorado operates 50 human service programs that include housing and emergency shelters, the Handyman Program, hunger and nutrition services like Meals on Wheels of Loveland & Berthoud, and other community support programs. The Colorado services are divided into four regions, including one for Northern Colorado.

819

Collins,

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over a MILLION STRONG & growing

If there’s strength in numbers, Colorado seniors should feel pretty powerful indeed.

by Linda Bond

According to agewisecolorado.org, the State of Colorado has the second fastest population growth in residents aged 65 and older. For the first time in history, the number of Coloradans over age 60 (1.3 million+) exceeds those under age 18. This is a trend with no end in sight. It’s not just numbers that tell the story. This group of seniors has access to more opportunities than any other generation in history. 55 & Better looked at three statewide organizations that provide information to seniors right here at home: AgeWise Colorado, Aftersight

.org and Aspen Club.

Bob Brocker is the founder and president of AgeWise Colorado. Officially launched July 1, 2021, AgeWise offers a directory of service providers, news capsules, newsletters, websites and videos with experts in their field specifically designed to provide information to seniors and their adult children/caregivers.

Brocker said, “The senior population in the past was at the tip of the population pyramid (small), which got bigger as it went down to younger ages. Now because of the trends in world birth

(often below replacement rate) and longer lives, the population pyramid has become more of a column as the different generations even out in numbers.”

AgeWise Colorado has found that older adults consistently and strongly favor living in place as long as possible. Doing so requires becoming better informed and educated about the “how” of doing that, and the services that enable that desire to age at home.

The gap in available caregivers for the old and frail requires both innovation and a focus on preventative health care, putting more caregiving responsibility in the hands of family and friends. “Our culture has focused too much on fixing what is broken and not enough on proper maintenance. We know what happens to a car that is not properly maintained;

something inevitably goes wrong, requiring often extensive, and preventable, repairs,”

Brocker said.

The directory of services offered by AgeWise Colorado is free to use for both older adults and caregivers. There is a continuously growing list with over 450 vetted service providers in the directory. The directory includes government agencies

that many people know nothing about — but may need, nonprofit, and for-profit organizations all in 11 major categories and many sub-categories. There is no fee to be listed in the service directory.

Recent articles in the news area and podcasts include estate planning, self-care, trends in assisted living, Medicare, transportation options, and

how to recognize scammers — to name just a few examples of the over 250 articles and 50 webinar videos available. Brocker said one of the biggest webinar responses was focused on getting help with income tax preparation. A very close second was with Dr. Huntington Potter, a leading researcher on Alzheimer’s disease, who is exploring new avenues for cures while also pointing to reducing lifestyle risk factors that may alleviate or delay the onset of Alzheimer’s.

To learn more about the available webinar videos and other great information, visit the AWC website and click on “Practical Advice.”

On Jan. 8, 2024, the Audio Information Network of Colorado officially became Aftersight for individuals who are blind or have low vision. Specifically, continued on page 15

Aftersight:

l Produces and broadcasts audio recordings of newspapers, magazines and other printed materials in English and Spanish.

l Creates original podcasts specifically for the blind, covering a wide range of topics and interests.

l Provides free access to pro-

gramming through a variety of distribution channels, including radio broadcasts, streaming services, and digital downloads. Offers free listening equipment to help listeners access our programming with ease.

l Offers support groups to connect individuals and provide a sense of community

and support.

l Hosts empowering events that bring together blind and low-vision individuals to learn new skills, network, and connect with one another.

Aspen Club was established in 1989 to provide a wide range of program benefits including health education, screenings, hospital discounts and social opportunities to residents ages 50-plus in northern Colorado. There are 12,700 members in Colorado.

One of the Aspen Club’s most popular services remains helping older adults set up their advanced directives — wills and medical and financial powers of attorney — and file them at medical facilities in the region. Having these documents on file can be vital during sudden and serious medical issues.

Another service Aspen Club

provides is regular prescription drug plan updates, which can be confusing in today’s ever-shifting healthcare landscape. Aspen Club leaders estimate that an average of 2,000 people saved money on their plans each year with help from the club’s counseling service. The club also helps find individual doctors, their locations and their specialty. Resources include medical records, classes and events, referrals and clinical trials.

l AgeWise Colorado, P.O. Box 102662, Denver, CO 80250-2662; (720) 2950163; agewisecolorado.org

l Aftersight, 1700 55th St, Suite A, Boulder, (303) 786-7777, aftersight.org

l Aspen Club Northern Colorado, (970) 495-7000, uchealth.org/services/com-

by Darren Thornberry

Ideally, we have our finances squared away as we near retirement. However, if that’s not your experience, you’re not too late to make decisions that can steer you to the path of financial wellness in your golden years. These resources can help along the way.

Investing 101

We asked Edward Jones financial advisor Dayna Hazlewood for an overview of what a great retirement strategy looks like. “Pre-retirement is the accumulation phase — working to accumulate as much wealth as possible,” she says.

“Retirement is moving into the withdrawal phase and requires specific strategies to manage money, spending budget, estate strategies, generational wealth transfer, etc. Work with a professional who understands your income needs, your risk tolerance, your time horizon and listens to your goals.”

Are you a senior investing for the first time? Hazlewood advises that you work with a professional who will help you understand your current financial status, goals, emergency needs and overall time horizon and who will educate you continued on page 18

and your family throughout the process.

What about the pitfalls to avoid when planning for retirement? “Common pitfalls are: not accounting for the unexpected, taxes and not understanding your true budget — both on the necessary and discretionary items,” Hazlewood explains. “All are associated with the withdrawal phase post-retirement. Many seniors don’t account for taxes on social security, pensions or IRA distributions. It’s important to work with a team: your financial advisor, your CPA and your estate planning attorney.”

Seniors may consider diversifying their investment portfolio to mitigate risk and preserve wealth. This involves spreading investments across various asset classes such as stocks, bonds, real estate and alternative investments. Diversification can help cushion the impact of market fluctuations and provide a more stable long-term return on investment. Consulting

Budget and Plan

It’s crucial to establish a budget that reflects one’s lifestyle, expenses and income sources. It should cover essential expenses such as housing, healthcare, and utilities, as well as discretionary spending for leisure activities and travel. Planning for potential longterm care needs is important for seniors to protect their assets and maintain financial independence. Long-term care insurance, health savings accounts and annuities are options to consider for covering healthcare costs in retirement. Additionally, exploring options for in-home care, assisted living facilities and nursing homes can help seniors make informed decisions about their future care needs.

with a financial advisor such as Dayna Hazlewood (970330-8397) or wealth management professional specializing in retirement planning can provide personalized guidance based on individual goals and circumstances.

Reverse Mortgages

A reverse mortgage is a type of loan available to qualifying senior homeowners that allows them to convert part of the equity in their homes into cash. Unlike a traditional mortgage where the homeowner makes monthly payments to the lender, with a reverse mortgage, the lender makes payments to the borrower/homeowner, either as a lump sum, a line of credit, or periodic payments. A reverse mortgage can provide a valuable source of income during retirement. For retirees who own their homes outright or have significant equity, a reverse mortgage lets them tap into that equity without selling the property. Reverse mortgages offer

flexibility in how funds are received. Borrowers can choose to receive a lump sum, monthly payments, a line of credit or a combination of these options. This flexibility allows individuals to customize their payment plan based on their financial needs and preferences. For example, they might opt for a steady stream of income to supplement retirement savings, or they could use a line of credit for unexpected expenses or emergencies.

Seniors may also want to prioritize estate planning to ensure their assets are distributed according to their wishes and minimize estate taxes and probate fees. This may involve creating or updating a will, establishing trusts, designating beneficiaries for retirement accounts and life insurance policies and setting up powers of attorney and advance directives. Regularly reviewing and updating estate planning documents as circumstances change is crucial for maintaining an effective estate plan.

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Hospice CARE

A Topic We Are Rarely Ready For

by Darian Armer

Hospice. It’s a topic you’re rarely ready for and often try to avoid, but Nikki Lyons, LNHA, director of business development for AccentCare in Colorado, says the first best step for a family to approach the conversation of hospice is to first of all normalize death and dying.

“That is something we fail to do, but death is a certainty for all of us. We need to be approaching the conversation sooner and planning earlier what our loved ones want as

their illness progresses. We often wait for the last few days. But if your loved one is having increased hospitalizations or increased falls, don’t be afraid to discuss what your loved ones’ goals are for the end of their life,” Lyons says.

Lyons encourages families to gather their own information about what hospice is and isn’t.

She says there are a lot of old beliefs about what hospice is and when it’s appropriate to initiate.

Companies like AccentCare can help in the process as well. AccentCare services Northern Colorado in home health services, personal care services and hospice care. With a drive to provide patients and families with easier access to personalized, high-quality care, the company’s purpose is to reimagine care, together.

Starting with a quick phone call or a scan at resources online can help familiarize seniors and their families

with what hospice can mean for them. Call (800) 834-3059 to find out more about hospice services from AccentCare.

“Empower yourself with end of life services. You can utilize them so much sooner than you think,” she says. “Hospice is really a care philosophy that provides supportive care to the patient and their entire chosen family unit. They help everyone transition through this period.”

Top to BOTTOM

A Guide on Key Issues to Look out for As You Age

by STAFF

Aging can bring various health challenges, but with the right guidance, you can maintain a healthy lifestyle. Learning how to navigate key health issues is extremely important, and can be found with expert advice from professionals in Northern Colorado.

Vision changes and common problems

Vision changes have a severe effect on people as they age. It’s important to keep a close eye on problems that could surface down the road, like cataracts.

Cataracts are a cloudy area in the lens of your eye that prevents light from clearly passing to the retina. As they form, vision is blurred, which can lead to blindness if left untreated. The Kirk Eye Center is a fantastic resource to make continued on page 22

When it comes to staying healthy, having a hear ing assessment is just as impor tant as any other health check-up. If you suspect that you have hear ing loss, call us today and book a complimentar y hear ing assessment with one of our hear ing care exper ts

These are impor tant factors when looking for a hearing aid:

• Delivers clear speech, even in crowded, noisy situations

• Provides access to the full sound scene

• Helps you to select what sounds to focus on

• Enables you to hear all the sounds around you (360-degree sound exper ience)

Book a complimentary hearing assessment - No obligationSame-day results Visit our booth at the 55 and Better Senior Expo

1470 10th St. SW Loveland, CO 80537 970-593-9137

Greeley 4675 West 20th Street Road, Unit A Greeley, CO 80634 970-352-2881

(Ken Teegarden / AssistedSeniorLiving.net / Flickr)

sure

Glaucoma is also a risk for seniors, occurring most often in people over 40 years old. Checking into an eye doctor on a routine basis and if diagnosed, using the proper medication or getting treatment is paramount to staying healthy as you age.

l Kirk Eye Center & Eye Care Center of Northern Colorado kirkeyecenter.com

Sleep Dentistry & Snoring

More than 100 million Americans regularly fail to get a good night’s sleep, leading to a lower quality of life and reduced personal health.

Seniors experiencing sleep apnea may experience excessively loud snoring, generalized daytime sleepiness, irritability, morning headaches and many more symptoms.

Properly diagnosing sleep apnea and committing to

proper care can result in a healthier sleep schedule and enhance daily life!

l Implant & General Dentistry implantdds.com

Age Spots

Age spots, also known as liver spots or solar lentigines, are flat, gray, brown or black spots found on the skin, typically appearing on the face, hands, shoulders and arms.

These spots, caused by prolonged sun exposure, occur more often in adults over 40. Though harmless, many seek treatments to remove them. Treatment options include prescription bleaching creams, laser therapy, cryotherapy (freezing with liquid nitrogen), and dermabrasion (sanding down the skin’s surface).

Preventing age spots involves limiting sun exposure, wearing sunscreen consistently, and using protective clothing. Even if some sun damage has occurred, it is

(Bruce Tang / Unsplash)

beneficial to start protecting your skin now.

l Ideal Dermatology idealdermatology.com

Chiropractic Services/Evaluation

Whether you’re seeking relief from pain, enhancing your body’s potential or improving your overall well-being, chiropractic services are tailored to your needs.

Solutions to chronic pain can be found through adjustments and targeted therapies. Improving overall mobility helps seniors take back their lives and services offered by companies like Inner Vitality Chiropractic show that they can be extremely effective.

l Inner Vitality Chiropractic innervitalitychiropractic.com

Peripheral Neuropathy and Joint Pain/Natural Options

The peripheral nervous system is a part of the nervous system, which means that this is the collection of nerves that connects your limbs and organs to the central nervous system. Damage through injury, diabetes, infection or numerous other reasons can result in sensations described as tingling, burning and prickling.

There are numerous options out there to treat peripheral neuropathy, from medications to special diets and therapies. The Althoff Wellness Clinic is a great resource to begin looking at diagnoses and solutions, as their professional care is superb.

l Althoff Wellness Center drjillalthoff.com

(Joyce Hankins / Unsplash)

AWARENESS

Knowing the Signs of Stroke

by Judith Graham / kffhealthnews

Strokes can happen to anyone. They happen to more than 800,000 people every year in the United States.

Knowing the signs of stroke and how to prevent it can help protect you or your loved ones from disabilities caused by stroke.

That’s why the National Institute of Neurological Disorders and Stroke (NINDS), part of the National Institutes of Health, created the “Know Stroke” campaign to disrupt stroke and help people in your community who might be at risk of stroke through prevention, treatment and research.

“Seconds are critical when someone is having a stroke,” said Dr. Clinton Wright, vascular neurologist and director of the Division of Clinical Research at NINDS. “It’s important to know the signs.”

Know Stroke

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Most strokes happen when the brain stops getting the blood supply it needs to work properly. Without enough blood flow, the brain starts to lose function. Two million brain cells die every minute during stroke, which is why stroke prevention is important. Preventing stroke protects you from developing disabilities that stroke may cause like speech problems, limited movement and memory loss.

Know the Signs of Stroke

Stroke symptoms often appear suddenly and can be easily missed. Treating stroke by getting to a hospital

quickly is critical to prevent brain damage. If you see these signs, act F.A.S.T.:

l Face drooping: One side of the face droops when smiling

l Arm weakness: If both arms are raised, one drifts down

l Speech difficulty: Slurred or strange speech

l Time to call 911: Do not drive yourself or your loved one — call an ambulance immediately if you notice one or more of these signs

Learning these stroke symptoms can help disrupt stroke before it disrupts your (or someone else’s) life. Other signs to look for include sudden numbness, confusion, difficulty seeing, difficulty walking and severe headache, especially one that occurs in a split second, called a thunder-clap headache. Remember stroke is always an emergency that requires fast action and medical treatment.

Know How to Prevent Stroke

Some medical conditions and lifestyle considerations can put you at higher risk for stroke. For example, high blood pressure is the leading cause of stroke. Stroke can be prevented by effectively treating high blood pressure as well as high cholesterol, heart disease, diabetes, smoking and obesity. There are several ways to lower your risk for stroke:

l Treat high blood pressure

l Exercise regularly

l Eat healthy and maintain a healthy weight

l Manage diabetes

l Quit smoking

l Control cholesterol

Doing your best to prevent stroke from happening is the No. 1 way to lower your risk of disabilities caused by stroke. Even if you have had a stroke before, you can take steps to reduce your risk. Treating these risk factors may also reduce the chance of developing age-related dementia. For more information on the connection between stroke risk factors and dementia, mindyourrisks.nih.gov.

Know How to Recover from Stroke

As much as prevention helps lower the chances of having a stroke, it can still happen. Rehabilitation

therapy is usually started in the hospital within 48 hours after a stroke. Health care workers help stroke patients relearn skills that were lost from the stroke or teach them new ways to compensate

for remaining disabilities. Researchers continue to investigate how patients can restore blood flow to the brain and how to protect brain cells after stroke to improve recovery.

Know More

When you know the signs of stroke, you can help prevent one for yourself or someone you care about. You could even save a life. Visit stroke .nih.gov to learn more.

NOCO SUPPORT

How Local Area Agencies on Aging are Helping Seniors

by Ben Haney

eld and Larimer county encompass a large section of Colorado, stretching across the Front Range and to the border of Eastern Colorado. Their senior populations are supported by a variety of outlets, but their respective Area Agencies on Aging are a large network for seniors in the area.

These agencies help to not only to provide direct services and fund community partners, but to grow with the needs of their communities.

Weld County

Located in Greeley, the Weld County Area Agency on Aging (AAA) supports older adults and high-risk individuals in Northern Colorado. The agency’s mission is clear and impactful: “to help maintain an individual’s independence and dignity in their home and community.”

Weld County AAA operates under the guiding principles of “Assistance, Advocacy, Answers on Aging,” and provides a lifeline to those in need through its extensive range

of services and community partnerships.

The primary focus of Weld County AAA is to support individuals aged 60 and over, as well as high-risk adults, by offering a variety of programs and connecting them with essential resources.

These resources are designed to promote independence and enhance the quality of life for seniors and vulnerable adults. The agency collaborates with several community partners to extend its reach

and effectiveness, including 60+ Ride, Catholic Charities, Colorado Legal Services, Meals on Wheels and North Range Behavioral Health.

These partnerships enable Weld County AAA to provide comprehensive services such as case management, Hispanic outreach, home-delivered meals, legal services, peer counseling and transportation.

Key Programs

Adult Protective Services (APS)

One of the cornerstone

programs offered by Weld County AAA is Adult Protective Services (APS). This program is dedicated to investigating reports of abuse, neglect and exploitation of at-risk adults. An at-risk adult is defined as a person aged 18 or older who is unable to provide or obtain necessary services for their health, safety,and welfare or who lacks the capacity to make or understand responsible decisions. Upon receiving a report, APS evaluates the situation and implements preventive and protective measures to safeguard the individual.

According to Weld County AAA’s HelpSource Program & Resource Guide, any concerned individual can report suspected abuse to APS by calling (970) 400-6700 or submitting a report online at their website.

Mandatory reporters, such as law enforcement and healthcare professionals, must follow specific protocols when reporting abuse, particularly for adults aged 70 and older or those with intellectual or developmental disabilities. For community education on recognizing and reporting abuse or neglect, APS offers presentations that can be arranged by contacting (970) 400-6122.

Family Caregiver Support

The Family Caregiver Support program is another vital service provided by Weld County AAA. This program assists caregivers by offering resources and support designed to ease the burden of caregiving. It includes both in-home and out-home respite care options, allowing caregivers to receive temporary relief while ensuring their loved ones are well-cared for. Respite care can be provided in the family member’s

home, the caregiver’s home, a facility, or a supportive group setting within the community.

To be eligible for this program, caregivers must be Weld County residents who provide informal in-home care to adults aged 60 and older or those with conditions such as Alzheimer’s disease or neurocognitive disorders. For more information, interested individuals can contact (970) 400-6130.

Grandparents Raising Grandchildren

Recognizing the unique challenges faced by older adults who are primary caregivers to their grandchildren, Weld County AAA offers the Grandparents Raising Grandchildren program. This initiative supports Weld County residents aged 55 and older who are caring for children. The program provides support groups and workshops tailored to address the specific needs and challenges of these caregivers.

For additional details on the Grandparents Raising Grandchildren program, reach out to (970) 400-6130.

Contact Information

For more information about the services and programs offered by Weld County AAA, or to get in touch with the agency, please use the following contact details:

• Address: 315 North 11th Avenue, Buildings A & C, Greeley, CO 80631

• Phone: (970) 400-6950

• Fax: (970) 400-6951

• Website: www.weldaaa.org

• Email: AAAinfo@weld.gov

Weld County AAA remains committed to providing elderly and at-risk adults with the support they need to live with dignity and independence in their own homes and communities.

Larimer County

The Larimer County Area Agency on Aging, operating as the Larimer County Office on Aging, provides a crucial lifeline to older adults,

individuals with disabilities, and caregivers in the community. Dedicated to supporting those aged 60 and older, the agency offers a range of continued on page 28

(Janosch Lino / Unsplash)

to enhance quality of life and promote independence. A comprehensive resource, the Answers on Aging Resource Guide 2023-2024, details the numerous programs available to residents.

Key Programs

Options Counseling

One of the standout services is Options Counseling, which provides personalized assistance to older adults and their families. This program helps individuals navigate the complexities of Long Term Care Medicaid eligibility, public assistance programs, in-home and community care options, and other community resources. Whether through virtual meetings, phone calls, or in-person home visits, this one-on-one counseling requires appoint-

ments to ensure tailored and effective support.

Chore Voucher Program

The Chore Voucher Program is another vital service offered by the Larimer County Office on Aging. This program provides financial assistance to adults aged 60 and older who need help

with household chores. By alleviating the burden of household maintenance, the program helps seniors maintain a safe and comfortable living environment.

Long-Term Care Ombudsman

Advocacy is at the heart of the Long-Term Care Ombudsman program. A dedicated

team investigates complaints about the quality of care and resident rights in long-term care facilities. This program ensures that the voices of residents are heard and that their rights are protected. For assistance, residents can contact the ombudsman team at (970) 498-7750.

Contact Information

For more information on the programs and services offered by the Larimer County Area Agency on Aging, residents can reach out using the following contact details:

• Phone: 970-498-7750

• Email: aging@larimer.org

• Website: larimer.gov/seniors

The Larimer County Office on Aging remains committed to empowering seniors and caregivers through comprehensive support and advocacy.

(Josh Appel / Unsplash)

Doors to Floors

How to Future-Proof your House

by STAFF

The home is an amazing space to personalize and create a safe environment as you age. Understanding how remodeling can make your space last is important to maintaining a healthy home. Here are some tips on ways to keep up with your space with help from professionals in Northern Colorado.

Aging in the Bathroom

Re-Bath of Northern Colorado suggests many tips to seniors looking to improve safety and longevity in their living spaces. Increasing mobility through grab bars, comfort-height toilet seats, non-slip flooring, and bath benches are all options to help in the bathroom.

Having brighter lighting installed in the bathroom also allows for ease of use in the continued on page 30

With kindness and integrity as our guide, we strive for excellence in every interaction.

◊ Attending physicians and RN’s provide top-quality care

◊ Individualized treatment plans for each resident

◊ Long-term skilled nursing care

Broadview Health & Rehabilitation Center 850 27th Ave Greeley, CO 80634 970.353.1018

Creekside Village Health & Rehabilitation Center 1000 E. Stuart St Fort Collins, CO 80525 970.482.5712

Linden Place Health & Rehabilitation Center 1800 Stroh Place Longmont, CO 80501 303.776.6081

◊ Short-term post acute rehab

◊ Hospice care & respite care

◊ In Colorado: 41 skilled nursing facilities and 5 assisted living facilities

Pelican Pointe Health & Rehabilitation Center 710 3rd St Windsor, CO 80550 970.686.7474

Poudre Canyon Health & Rehabilitation Center 1000 S. Lemay Ave Fort Collins, CO 80524 970.482.7925

Riverbend Health & Rehabilitation Center 821 Duffield Ct Loveland, CO 80537 970.669 0345

Westlake Lodge Health & Rehabilitation Center 1637 29th Ave Pl Greeley, CO 80634 970.356.8181

Creekside Gardens Assisted Living 1000 E. Stuart St Fort Collins, CO 80525 970.494.3253

www.vivage.com

(Christian Mackie / Unsplash)

space. A minimum of 32 inches of space in a doorway is recommended for walkers and wheelchairs to access rooms. Widening a space can also be combined with a walk-in tub for a simpler path to different points.

l Re-Bath of Northern Colorado / rebath.com/location/ berthoud

Addressing the Stairs

Moving between floors can be tricky, but with products from companies such as Frontier Access & Mobility, things can be simplified. The Bruno vertical platform lift provides a reliable solution for those looking for a safe and efficient way to access leveled spaces. The compact design is a bonus as well. Stairlifts are a great solution when faced with less

Image of an outdoor Bruno Vertical Platform Lift. (Courtesy Frontier Access & Mobility)

access areas. The ease of use in indoor and outdoor spaces combined with their affordable price make them a great addition to a staircase. For shorter gaps, a variety of ramps can be used as easy solutions. Threshold, portable and modular ramps all have their place in the home and can be used for a variety of purposes.

l Frontier Access & Mobility / frontieraccess.com

Doors and Windows

Getting a consultation from trusted professionals like Renewal by Andersen can help maintain key points of the home like windows and doors. Finding the door that’s

right for you can make a massive difference in moving in and out of spaces in your home.

Windows that perform poorly waste energy and can add to severe temperature gains or losses in houses. Energy Star-certified products can stop this and reduce energy bills.

Future-proofing your home with these expert suggestions can greatly enhance safety, accessibility, and efficiency. By investing in these improvements, you ensure a comfortable and sustainable living environment for years to come.

l Renewal by Andersen / renewalbyandersen.com

AGING with assistance

How Technology can help You as You Age

by STAFF

Seniors across Colorado are experiencing a shift in technology that has never been seen before. Using the internet or even accessing the home can be made easier with innovations and excellent services provided by professionals across the front range.

Hearing Life Greeley

HearingLife Greeley is assisting seniors with hearing loss through a combination of technology and personalized care. As part of the Demant Group, founded in

1904, HearingLife continues its legacy of compassionate and effective hearing health services.

The clinic offers advanced treatment options, including hearing aids, earwax removal, medication for infections, cochlear implants and bone-anchored hearing systems. A comprehensive hearing assessment conducted by certified experts can help patients understand the severity of their hearing loss, with a focus on finding the right product for each patient being paramount.

Hearing Life’s website is also a great source to start seniors on their journey to understanding hearing loss. Comprehensive breakdowns of various methods of diagnosis, audiograms and hearing aids are easily accessible and consumable for those curious about hearing loss. Dedicated professionals are trained to address various types of hearing loss, ensuring optimal care that enhances the well-being of their patients. HearingLife Greeley enables seniors to regain their sense of hear-

ing and maintain an active, engaged lifestyle, continuing Hans Demant’s legacy of compassionate care.

l Visit hearinglife.com for more information

Relay Colorado

Relay Colorado is revolutionizing communication for seniors with hearing or speech loss through communication platforms available 24 hours a day, 7 days a week. Funded by a surcharge established by the CPUC, continued on page 34

For over 50 years, Cultivate has dedicated itself to helping seniors flourish through active engagement with their communities. Our volunteers support our senior neighbors through programs such as medical rides for military veterans and their senior family members; grocery shopping and delivery; minor home repairs; friendly phone calls; snow shoveling and yard cleanup.

MOBILIT Y & MORE

this service helps to facilitate conversations between anyone who needs help, connecting them with specially trained communications assistants.

Relay Colorado ensures that seniors who are deaf, deafblind, or hard of hearing can stay connected with family, friends and essential services. By typing their messages on a TTY, seniors can have their words read aloud by a communications assistant, who then types the spoken responses back to the TTY user.

This seamless interaction includes English-to-Spanish and Spanish-to-English translations, broadening the service’s accessibility. Relay Colorado uses advanced technology to significantly enhance seniors’ daily lives, fostering independence and enriching their quality of life.

A strong commitment to accessibility and convenience is key to Relay Colorado’s goal of making a profound difference for many seniors across the state, helping them maintain their independence and stay engaged in their communities.

l Visit relaycolorado.com

Mobility and More

Serving Northeast Colorado, including Loveland, Longmont, Fort Collins, and beyond, Mobility and More offers a range of products like scooters, power wheelchairs, walkers, and ramps from top manufacturers. Their RESNA certified Assistive Technology Professionals provide expert assistance with insurance inquiries and specialized equipment, ensuring seniors can navigate daily life with confidence. By leveraging the latest in mobility technology, Mobility & More helps seniors maintain their independence and actively engage in their communities.

Mobility and More’s excellent customer service and amazing products help service Northern Colorado, creating a safer and more accessible future for seniors.

l Visit mymobility.biz/ for more information

Shuttterstock

New HELP

Dealing With Aggression in People With Dementia

By Judith Graham / KFF Health News

Caring for older adults with dementia is stressful, especially when they become physically or verbally aggressive, wander away from home, develop paranoia or hallucinations, engage in inappropriate or repetitive behaviors, or refuse to let caregivers help them.

Upward of 95% of patients experience these neuropsychiatric symptoms of dementia, which tend to fluctuate over time and vary in intensity. They’re the primary reasons people with dementia end up in assisted living

facilities or nursing homes.

At some point, families and friends trying to help at home simply can’t manage.

“When people think about dementia, they usually think about forgetfulness and memory impairment,” said Mary Blazek, director of the geriatric psychiatry clinic at the University of Michigan. “But it’s behavioral and psychological disturbances that are most disruptive to patients’ and caregivers’ lives.”

Now, help is available from a first-of-its-kind website created by prominent experts in

this field. It offers free training in a comprehensive approach to managing neuropsychiatric symptoms of dementia — a method known as DICE — based on several decades of scientific research as well as extensive clinical practice.

The website’s goal is to “give people tools to better manage often-distressing situations,” said Helen Kales, chair of the Department of Psychiatry and Behavioral Sciences at UC Davis Health in Sacramento, California, and one of DICE’s creators.

Users learn that neuropsychi-

atric symptoms are caused by changes in the brain that increase people’s vulnerability. Nine video modules and two simulations provide comprehensive information and problem-solving techniques.

More than 16 million unpaid caregivers — primarily family members and friends — help people with dementia live at home. (An estimated 20% of patients live in institutional settings.) The most common form of dementia, Alzheimer’s disease, affects nearly 7 million Americans 65 and older. continued on page 36

DICE is also designed to help “avoid the knee-jerk prescribing of psychoactive medications” that have potentially serious side effects, Kales said. Several medical organizations recommend that non-pharmaceutical approaches to troublesome behaviors be tried before drug therapy, but, in practice, this doesn’t routinely happen.

Drugs prescribed for dementia include antipsychotic medications, such as Risperidone, which carry a black-box warning noting an increased risk of sooner-than-expected death in elderly patients; anticonvulsants, such as gabapentin, for which use has been on the rise despite concerns about safety; benzodiazepines, such as Ativan, which are associated with an increased risk of falls and, thus, fractures; and Celexa and other such antidepressants that have limited data

supporting their effectiveness in easing dementia symptoms.

DICE is a mnemonic — a pattern of letters meant to serve as a memory aid — that stands for Describe, Investigate, Create and Evaluate, the four pillars of this approach. At its core is an assumption people with dementia engage in disturbing behaviors for often-unrecognized

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reasons that can be addressed once they are understood. Take an example on the website featuring Jennifer, a 55-year-old caregiver for her mother, Betty, 85, whom she tries to bathe daily in the late afternoon. When Betty resists getting into the tub, Jennifer insists, “Let’s go! I have things to do.” Betty responds by

smacking her and shouting, “Leave me alone. It hurts.”

DICE asks caregivers to step back from the heat of the moment and examine issues from three perspectives: the person with dementia, the caregiver and the environment. All can contribute to distressing situations and all need to be considered in the response.

Examining the problem by using a “who, what, when, how, why” prompt can reveal several potential issues:

The patient. Betty has arthritis and may experience pain getting in and out of the tub. She may feel tired and overwhelmed in the late afternoon.

The caregiver. Jennifer may become easily frustrated when she encounters resistance — adopting a scolding and commanding tone rather than breaking down what Betty needs to do in simple steps.

The environment. The bathroom tends to be cold, with overly bright lights, tepid bathwater, and no grab bars around the tub.

Some possible solutions discussed on the website: Offer Betty an over-the-counter pain reliever before her bath. Try baths in the morning, not the afternoon. Relax expectations that she’ll have a daily bath and offer sponge baths several times a week. Install grab bars around the tub, and make sure the water temperature is comfortable. Use a nicely scented soap and play music to help Betty relax. Speak calmly, making simple statements.

These embody strategies shown to improve neuropsychiatric symptoms associated with dementia: recognizing and addressing underlying medical issues such as pain, infections, or delirium; simplifying the

tasks a person with dementia is expected to perform; and establishing daily routines that give structure to the day.

Other important steps: Engage the person in activities that are meaningful to them, including social interactions. Reduce clutter and the potential for overstimulation in the environment. Make sure the person is using hearing or vision aids, if needed. Get them outside and exposed to light.

If safety, psychosis, or major depression are urgent concerns, then consider using psychoactive medications after consulting a physician.

Of course, this isn’t a comprehensive list of recommendations. Nor is it prescriptive. What works for one person may not work for another.

Using DICE is an iterative process that involves creativity and frequent evaluation to

assess whether strategies are working, Kales said. If not, new interventions should be tried.

Although this is the first time family caregivers can access the DICE toolkit, the program has been available to health care professionals for a while. Notably, all of Wisconsin’s dementia care specialists have been trained in DICE over the past few years (every county in that state has a specialist who helps families with dementia).

“It’s a really pragmatic approach that’s put together in a very thoughtful fashion,” said Art Walaszek, a professor of psychiatry and medicine at the University of Wisconsin School of Medicine and Public Health, involved in that effort.

Other dementia training programs are available, some of which review behavioral and psychiatric symptoms in less depth, and they, too, are

increasingly available online. Another valuable resource, Best Programs for Caregiving, launched in March, lists evidence-based programs across the country and their availability. Enter a ZIP code to find information that previously hasn’t been assembled in one place. This site, too, is very much worth consulting. We’re eager to hear from readers about questions you’d like answered, problems you’ve been having with your care, and advice you need in dealing with the health care system. Visit kffhealthnews.org/columnists to submit your requests or tips.

KFF Health News is a national newsroom that produces journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling and journalism.

Two Great Events for Seniors, Baby Boomers and Adult Caregivers

Visit with local experts. Learn about aging programs, personal and financial health, elder law, retirement planning, community resources and much more.

LOVELAND

Wednesday, June 12 • 9 a.m. to 2 p.m.

Chilson Senior Center, 700 E. 4th St., Loveland

Accent Care Home Health and Hospice (Loveland)

AgeWise Colorado

Althoff Wellness Center

Altitude Dermatology

Arnett & Devoe Mortgage

ASPEN CLUB/UCHEALTH (Greeley)

Assistance League of Greeley (Greeley)

Avenida at Centerra

Blue Dot Wealth Management (Loveland)

Brookdale Senior Living (Loveland)

Caring Transitions of Fort Collins (Greeley)

GREELEY

Saturday, June 15 • 9 a.m. to 2 p.m.

Greeley Recreation Center, 651 10th Ave., Greeley GREELEY INCLUDES FREE LECTURES

EXHIBITORS

Cigna

Clear Spring Healthcare

Columbine Health (Loveland)

Culver’s Cultivate (Greeley)

DCT Insurance/Humana

Devoted Health

Dignity Memorial

Edward Jones: Financial Advisor –Dayna Hazlewood

Eye Care Center of Northern Colorado (Loveland)

Good Day Pharmacy

Good Samaritan Society –Loveland Village (Loveland)

Good Health Will Hearing Life Greeley & Loveland

Ideal Dermatology (Loveland)

Implant & General Dentistry (Loveland)

Inner Vitality Chiropractic (Loveland)

June’s Team (Greeley)

Kaiser Permanente

Kirk Eye Center (Loveland)

Kohler Luxstone of Colorado/ HomePride Bath (Loveland)

Larimer County Department of Human Services (Loveland)

Mobility and More (Loveland)

ACTIVITIES

Northern Colorado Rehab Pulse Fiber Internet Loveland (Loveland)

Re-Bath of Northern Colorado

Relay Colorado

Renewal by Andersen

Rowes Flowers (Loveland)

Seniors Helping Seniors

The Capstone at Centerra

Senior Living (Loveland)

Thompson School District (Loveland)

Vivage Senior Living (Greeley) Volunteers of America (Loveland)

Both Greeley and Loveland: Free blood pressure checks and recommendations at Good Day Pharmacy, Free event bag from Kaiser Permanente while supplies last Loveland: Free rose from Rowes Flowers, Free basic skin cancer screening checks by Ideal Dermatology

Greeley: Free evaluation by Inner Vitality Chiropractic

Dr. Jeremy Overholt, DC

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