Living Well Jan 2016 Cover.crtr - Page 1 - Composite
Your resource for senior living in the Susquehanna Valley and neighboring communities.
EYE EXAMS CAN REVEAL an array of health problems, page 3
January 2016
GEISINGER DOCTORS RECOMMEND ways to live healthier, page 6
Connecting those retired with new and exciting adventures.
THINK OUTSIDE THE BOX to celebrate 25th anniversary, page 10
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Press Enterprise n Friday, January 22, 2016
Guest Columnist
Lend seniors helping hand Help improve quality of life for those in community Courtesy of Metro Creative Graphics
Study showing hearing aids reduce risk of cognitive decline is wake-up call to address hearing loss now
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take its toll. The latest earing loss is the hearing aid technology is most common not only programmed for chronic health your individual hearing condition affecting older adults. Despite numerous loss, it is designed for your brain to support the hard studies showing the link work it does. The between hearing result is a more loss and the risk natural, effortless of cognitive delistening expericline, less than 75 ence. This means percent of people less demanding with hearing loss mental processwho could benefit ing throughout from hearing aids the day so you can use them. A new study may proKristin Hale engage more actively in everyday vide the wake-up call that prompts them to life. New hearing technolofinally seek help for their gy can also be personalized to your unique hearing hearing loss. The study, published in needs and sound preferthe prestigious Journal of ences to deliver the clearest, purest sound possible the American Geriatrics in a way that the brain is Society, found no differbest able to understand. ence in the rate of cogniResearch on the latest tive decline between people hearing technology has rewith no reported hearing loss and people with hear- ported up to 20 percent iming loss who used hearing provement in understandaids. By contrast, cognitive ing soft speech, so wearers can hear more of the subtle decline is significantly nuances of a conversation. accelerated for people who have hearing loss and With the overall improvement in sound quality and don’t use hearing aids. For the first time, we are the boost in the ability to seeing evidence that hear- hear soft sounds without turning up the volume, ing aids are a prevention against accelerated cogni- people are hearing better tive decline associated with with less effort, even in the most challenging listening hearing loss. Researchers agree that cognitive decline environments. Better hearing is only is likely related to the lack one of the many benof social interaction that efits that hearing devices older adults have because provide. The body and its of their hearing loss. The systems are all interrelated, assumption has been that and a healthy hearing sysif people use hearing aids tem increases the likelihood and thus become socially that other systems, includactive again or are able to ing cognition, will be stimumaintain an appropriate level of social activity, then lated and remain healthy as well. For more information, they would decrease their risk of a more rapid decline contact ACE Hearing Cenin cognitive skills. The new ters at 570-784-8050. Kristin D. Hale is audiolostudy appears to corrobogist/owner of ACE Hearing rate those assumptions. When the sound signals Centers in Scott Township. The views expressed from your ears are comin this column are those promised by hearing loss, of the writer and do not your brain has to work necessarily reflect those of even harder to fill in the gaps. This extra effort can Press Enterprise Inc.
Men and women looking to give back to their communities can do so in various ways. Some might coach youth sports teams, while others might organize food and clothing drives for the less fortunate. Giving back to seniors in your town or city is another way to strengthen your community. Many seniors maintain their independence long past retirement age, but some may need a helping hand as they get older. The following are a handful of ways you can improve the quality of life of seniors in your community. • Deliver meals. Seniors who are confined to their homes typically need to have their meals delivered to them. Men and women looking to help seniors can volunteer to work with their local Meals on Wheels program. Meals on Wheels boasts a national network of more than 5,000 independently run programs, and these programs rely on more than two million volunteers to deliver nutritious meals to seniors with limited mobility. The need for volunteers to help seniors figures to grow in the coming decades, as Meals on Wheels America notes that the percentage of the population that qualifies as seniors will grow from 18 percent in 2010 to 26 percent by 2050. • Help around the house. The work required to maintain a home is considerable no matter a person’s age, but that task is even more difficult for seniors. Even the healthiest seniors may not have the mobility or physical strength required to keep up with household chores. Offering to help a senior maintain his or her home is a great way to improve their quality of life. Visit an elderly relative or neighbor and offer to mow their lawn, take out their garbage or perform another task they might find chal-
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Inviting elderly relatives or neighbors over to dinner and social gatherings is a great way to make them feel like valued members of your community. lenging. Performing a few chores around a senior’s house won’t take long, but such gestures can have a big impact on seniors’ lives. • Invite seniors over for dinner. Many seniors suffer from feelings of isolation, which can contribute to depression. Families are now more geographically diverse, and a senior’s children and grandchil-
dren may not live nearby. In such cases, it’s easy for seniors to grow lonely and feel isolated from their communities. Inviting seniors over for a weekly dinner or to backyard social gatherings can help them maintain a connection to their communities and reduce their feelings of isolation. Extending such invitations also provides a great
way for parents to instill in their children a respect for and appreciation of the elderly. • Arrange transportation for seniors who no longer drive. Many seniors stop driving when they realize their skills behind the wheel have diminished. But even though they may relinquish their drivers’ licenses, seniors still need to keep their doctor’s appointments and get out of the house. Speak with your neighbors who also want to help seniors to arrange transportation for those who can no longer get themselves around town. Explain to seniors’ physicians when you or your neighbors are most available to get seniors to their appointments. In addition, offer to drive seniors to the grocery store when making your own shopping trips. Many seniors made valuable contributions to the communities they call home. And those communities can give back by helping seniors overcome the demands of aging.
The Gift Making all of the funeral arrangements in advance is one last wonderful gift you can give the loved ones who will be left behind. By freeing them from the burden of many details, you give them time to do the work of grieving and caring for one another. Let us help you remember your loved ones without all of those decisions.
JAMES L., JR.
HINCKLEY FUNERAL HOME 1024 Market St., Berwick
570-752-3805
Serving Greater Berwick Area for Over 50 Years
Press Enterprise n Friday, January 22, 2016
What eyes can tell doctors Vision exams may reveal range of health problems Courtesy of Metro Creative Graphics
People who have been putting off eye examinations may want to call their opthalmologists to schedule an appointment. That’s because vision checkups can do more than protect your eyes. By examining the eyes, doctors may have a window into health problems affecting other areas of the body. Researchers recently discovered a link between detected retinal amyloid plaques and the onset of Alzheimer’s disease. While evidence was found in lab mice, autopsies of at least eight Alzheimer’s disease patients have also shown amyloid plaques, which are known to interfere with memory and other mental functions, present in the retinas. Doctors at CedarsSinai Hospital in Los Angeles, Calif., are gearing up for larger studies of humans to determine if an Alzheimer’s imaging technique can be perfected. Dementia is not the only
“allergic shiners,” also may indicate certain allergies. When clogged sinuses cause a blockage of blood flow in the nasal passages around the eye, darkness may result. This symptom in conjunction with persistent nasal congestion could be a sure sign of allergies.
High cholesterol The presence of bumpy, yellowish patches on the eyelid, known as xanthelasma palpebra, is a warning sign of high cholesterol, which is often initially diagnosed during a routine eye Metro Creative Graphics exam.
Certain medical conditions can be detected early during routine eye examinations. thing that doctors may be able to detect through an eye exam. Jaundice in the whites of the eyes may indicate liver disease, and early warning signs of diabetes may be detectable in the eyes. The American Academy of Opthalmology says the eye is the only place where doctors can see veins, arteries and a nerve without surgery, and eye examinations are increas-
ingly being relied on to gauge overall health. The following are a few additional conditions that may be detected through the eyes.
Allergies
Cancer Some cancer metastases can be detected during an eye exam. The presence of a bump or brown spot on the eyelid also may be indicative of skin cancer. Many malignant eyelid tumors are basal-cell carcinoma. If the spot is brown, it’s more likely to be malignant melanoma.
Patients may be referred to an allergy specialist if they exhibit dark under-eye Thyroid issues circles. While this can be a When the outer onesign of aging, dark circles, sometimes referred to as third of the brow (the part closest to the ear) begins to disappear on its own, this is a common sign of thyroid disease. The thyroid helps regulate metabolism, and thyroid hormones are essential to hair production. Retirement Homes & Apartments Hair loss may occur elsePersonal Care • Memory Care where, but is much more Skilled Nursing • Short Term Rehab visible in the brows. Centrally located between area towns & hospitals
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Clogged arteries
Blockages in the smaller veins in the retina may indicate clogs caused by arterial plaque. This will show up as a retinal occlusion in a visual exam. If blood vessels in the eyes are blocked, clogged arteries may be present elsewhere in the body, so a cardiology workup may be ordered.
York
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The inability to close one eye or to control tear production in that eye may be a sign of Bell’s palsy. This is a condition of the nervous system that controls facial muscles, causing temporary paralysis in one side of the face. Sometimes Bell’s palsy follows a viral or bacterial infection.
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Guest Columnist Diabetes and hearing loss
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iabetes is on the rise, wireless. Today’s hearing and it may be affect- aids stream sound directly ing people’s hearing. from your smartphone, home Research shows that people entertainment systems and with diabetes are about other electronics directly into twice as likely to develop the hearing aid itself — at hearing loss. Yet volumes just right hearing tests are for you. frequently over3. Keep your looked in routine blood sugar undiabetes care. In der control. Just fact, some experts as your heart, eye, believe that hearand nerve health ing loss may be an are affected by under-recognized your blood sugar complication of levels, your heardiabetes. Hearing LAUREN ing health may depends on small be as well. Work GROMEL blood vessels and with your doctor nerves in the inner ear. Reto monitor your blood sugar searchers theorize that, over and take appropriate meditime, high blood glucose lev- cines as prescribed. els can damage these blood 4. Maintain a healthy vessels and nerves, diminlifestyle. Even for people ishing the ability to hear. without diabetes, a healthy Good diabetes managelifestyle benefits hearment should include annual ing health. Not smoking, hearing tests, says the Betexercising and maintaining ter Hearing Institute (BHI), a healthy diet all support which suggests five habits your ability to hear. In fact, for healthier hearing for studies show that smokdiabetics. ing and obesity increase People with diabetes are the risk of hearing loss, encouraged to take care of while regular physical activtheir hearing by following ity helps protect against it. these five healthy habits: 5. Use ear protection. Ev1. Get a thorough hear- eryone is at risk of noise-ining exam every year and duced hearing loss. But using watch for signs of hearear protection is one of the ing loss. You do it for your best — and simplest — things eyes. Now do it for your ears. you can do to preserve your See a hearing healthcare hearing. Carry disposable professional every year for a earplugs with you, especially thorough hearing examinawhen you know you’ll be tion. If you notice a change somewhere noisy. Use approin your ability to hear under priate ear protection in loud certain conditions — like at work environments. Keep the a restaurant or on a confervolume on smartphones and ence call — go sooner. And be other electronics low. Limit sure to share the information your use of headphones and with your primary care phy- ear buds. And get in the habit sician and endocrinologist. of quickly plugging your 2. Use hearing aids, if ears with your fingers and recommended. Hearing aid walking away if a loud noise technology has advanced rad- takes you by surprise. Most ically in recent years. While of all, limit your time in noisy hearing loss is not reversible, environments. today’s hearing aids can draFor more information matically enhance your abil- or to schedule a hearing ity to hear and engage with evaluation, please call The others — which can make Hearing Place at 570-759a tremendous difference in 1113 or visit our website: your overall quality of life. www.hearingplace.net. Many hearing aids are virtuLauren Gromel is an aually invisible, sitting discreet- diologist with The Hearing ly and comfortably inside the Place in Berwick. ear canal. They adjust to all The views expressed in this kinds of noise environments column are those of the writer and pick up sound from all and do not necessarily reflect directions. Best of all, they’re those of Press Enterprise Inc.
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Press Enterprise n Friday, January 22, 2016
Take steps to keep your mind active
Guest Columnist Importance of keeping estate plan current when life changes
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ife changing events or low interest student loans that could be used to such as marriage, pay for college. divorce, disability, birth of a child or Power of attorney grandchild, etc., occur • Equally as important every day. It is extremely in keeping your important for will up-to-date your estate plan is keeping your to change right power of attoralong with these ney up to date. It life changing is important to events. In fact, make sure that not reviewing the person you your estate plan have named to after these life act as your agent changing events Marissa is still able to could end up Marshall and is someone having negative you continue to effects on your loved ones. trust with your finances and personal information. Spouses Moreover, the power of • If a married person doesn’t name their spouse attorney law changed in in their will, their spouse January 2015, and many older documents will not may not receive all of allow the agent the autheir assets; thority to carry out your • If a wife is separated estate wishes. from her husband but no There are ways an divorce has been filed and experienced elder law she does not remove the husband from her will, he attorney can create an escould end up receiving all tate plan to address all of life’s changes. It is imporof the assets; tant to discuss your goals • If a husband is in a with an elder law attorney nursing home receiving medical assistance benefits, knowledgeable in these areas so that your goals it may be more beneficial that the wife direct that the continue to be met in your estate plan. husband only inherit the Attorney Marissa minimum amount allowed Marshall is an attorney at by the Commonwealth. the Law Offices of KreInheritance to children isher & Gregorowicz in • If one of your children Bloomsburg. Her practice is primarily focused on is disabled and receiving the handling of elder law Social Security benefits, matters. She is a member it is extremely important to consult with an experi- of the National Academy of Elder Law Attorneys, enced elder law attorney to assure that the disabled Pennsylvania Association of Elder Law Attorneys child will not lose those and is accredited to handle very important benefits; • If one of your children cases before the Veteran’s Administration. Attorney is a spendthrift, you may Marshall provides home, want to put provisions in your will to ensure that the hospital or nursing facility child’s inheritance is spent visits and also has evening hours. She can be reached on investing in his future at 570-784-5211. rather than spending the The views expressed money on a flashy new car; in this column are those • If your children are of the writer and do not college bound and they necessarily reflect those of inherit from your estate, they may be denied grants Press Enterprise Inc.
Courtesy of Metro Creative Graphics
No one, regardless of age, is immune to random bouts of memory loss. While misplaced car keys or forgetting items on your grocery list are nothing to get worked up over, many men and women over 50 do start to worry about memory lapses, especially when they start to occur with more frequency than they might have just a few years ago. But while memory loss might be quickly associated with aging, increased forgetfulness is not an inevitable side effect of getting older, a fact that those at or approaching retirement age should find comforting. When considering the relationship between memory and aging, it’s important that men and women recognize the distinction between memory lapses and dementia, as the two are not one and the same. As a person ages, his or her hippocampus, the region of the brain involved in the formation and retrieval of memories, often deteriorates. This can affect how long it takes to learn and recall information. But just because this process is slower does not mean it’s a warning sign of dementia, which is the loss of certain mental functions, including memory. Though taking longer to recall information can be frustrating, many people still retain their ability to recall information. In addition, while dementia brought on by conditions such as Alzheimer’s disease or Parkinson’s disease is untreatable, there are things men and women can do to strengthen their memories and reduce their momentary lapses in memory. • Start playing games. Games that test the mind have long been believed to benefit the brain, though some remain skeptical about the true impact of brain games. However, a University of Iowa study funded by the National Institute on Aging found that brain games may in fact pay numerous and long-term dividends. In the study, 681 healthy volunteers over the age of 40 were divided into four groups. One group played computerized crossword
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Staying socially active after 50 can benefit the brain and reduce a person’s risk of dementia. puzzles, and three other groups played a brain training video game from Posit Science designed specifically to enhance the speed and accuracy of visual processing. The volunteers showed less decline in visual processing as well as in other tests that measured concentration, memory and the ability to shift quickly between tasks, and the benefits from the training games lasted as long as seven years after training. Brain games are now more accessible than ever before, as players can access such games on their smartphones, tablets, ereaders and computers. And in addition to being effective, the games also provide entertainment value. • Alter your routine. Many working professionals recognize that each day tends to have its mundane moments. The brain can grow accustomed to these moments, which tend to be a routine part of the day. But altering your daily routine can jar the brain awake, forcing it to focus during those times that had become mundane but now present new challenges. Something as simple as alternating driving routes to work from day to day or preparing some new, yet healthy, breakfast each morning can help the brain stay alert and sharp. • Become a social butterfly. Maintaining a social life as you age is a great way to keep in touch with friends
and family. But there’s another reason to continue to be socially engaged. A 2008 study spearheaded by the clinical trials administrative director at Southern California Kaiser Permanente Medical Group and published in the American Journal of Public Health found that older women who maintained large social networks were 26 percent less likely to develop dementia than women with smaller social networks. In addition, those who had daily contact with friends and family cut their risk of dementia by nearly half. The study also noted that regular social interaction can delay or possibly even prevent cognitive impairment. • Continue your career. While the idea of retiring poolside and watching the world go by might seem
nice, such a scenario is not necessarily good for your brain. Numerous studies have shown the benefits that staying engaged in professional activities can have on brain health. The brain does not thrive if it’s sitting on the sideline. Staying active in your career will continue to provide the challenges your brain needs to stay sharp and avoid memory loss and struggles with concentration. Men and women who want to leave office life behind can branch out on their own and work as consultants or put their years of experience to use by teaching at a nearby university or secondary school. But heading off for the hammock once you have hung up your briefcase can prove troublesome for your brain.
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OF BERWICK
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Press Enterprise n Friday, January 22, 2016
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Watch for warning signs aging parents need help Courtesy of Family Features
If you’ve been entrusted to assist an elderly relative with scheduling preventive exams and putting a health care plan in place, you may struggle with knowing when it’s time to take on a greater role in other aspects of their life. That’s why now is the perfect time to look for warning signs that your loved ones might be suffering from a decline in financial ability. Despite years of accumulated knowledge and experience, it is likely that at some point your loved ones’ financial capability will be challenged as they age, making it more difficult to competently handle money-related matters on their own. And this decline can occur even if illnesses, such as Alzheimer’s or dementia, are not present.
Establish a plan Establishing a plan to manage your parents’ finances is an important task in their senior years, particularly if you intend to engage other family members in the process. A survey from the National Endowment for Financial Education (NEFE) found that 86 percent of people want their family to help with financial matters if they become unable. However, nearly 7 in 10 say their family dynamics prevent
that from happening. According to the survey, 58 percent of families experience disagreements, conflicts or confrontation with others when aging affects financial decision making. Whether you’re a child or family member who has been enlisted to help or even charting your own financial future, approaching these discussions with candor and an open mind is critical.
Be realistic “Especially if you’re accustomed to handling money matters privately, learning to talk more candidly about your finances may be uncomfortable,” said Ted Beck, president and CEO of NEFE. “However, allowing trusted individuals to take a closer look at your accounts can help you establish a realistic plan for the future, and help flag any potential concerns.” One way Beck recommends protecting your parents is to allow view-only access to let loved ones help monitor for unusual activity on your banking and credit accounts. If restrictions to unauthorized users prohibit this, you can set up an alert program (via email or text) when a transaction over a set amount occurs. Also, remember to perform regular credit checks to avoid scams and identity theft.
Family Features
Additional tools and at smartaboutmoney.org ones’ finances stay healthy Check the three major reporting bureaus and stag- resources are available to help ensure your loved through these golden years. ger the reports to get one every four months.
Maybe you recently went out to dinner with mom and dad, and while paying, they took an inordinate amount of time to calculate the appropriate tip. New dents, scratches and dings on 4. Have you noticed a decreased your aging parent’s car might be a sign understanding of financial concepts of deteriorating driving ability. These are pretty obvious warning signs. With with your loved ones? Are they having impaired financial decision making, the increased difficulty comprehending signs may not be quite as obvious, but if health care matters like deductibles, you know what to look for you might be or are they having a hard time understanding the bank statements they able to spot it early. receive? 1. Is the aging person taking longer 5. Are they having new difficulty to complete financial tasks? Does she identifying investment risks? Are they struggle with everyday efforts like preparing bills for mailing, reconciling able to minimize the risks in potential investments? Did they recently fall bank statements or organizing papervictim to fraud or a scam because they work? could not spot the liabilities? 2. Is the person missing key details Pay extra attention toward looking in financial documents? Are bills piling for the warning signs of mental and up and has he missed a payment? Is he financial decline. Most importantly, able to prioritize his regular responsitake the time to talk to your parents bilities? about their wishes and how you can 3. Is your aging parent experiencing help them. problems with everyday arithmetic?
Financial Warning Signs
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Press Enterprise n Friday, January 22, 2016
Resolve to start leading healthier lifestyle By Shawn H. Stair
Press Enterprise Special Editions Editor
DANVILLE — This is a time of year when people of all ages make New Year’s resolutions or otherwise decide to start leading a healthier lifestyle. While taking steps to improve your health is generally a good idea, older adults in particular should proceed with caution. Some common New Year’s resolutions include losing weight, eating healthier, exercising more, quitting smoking and cutting back on alcohol. According to two experts at Geisinger — Dr. Greg Burke and Dr. Robb McIlvried — pursuing these goals could produce mixed results for seniors. Burke, whose clinical interests include medical consultation, preventive medicine and geriatrics, said making drastic dietary changes could lead to undernourishment, a more serious concern than being moderately overweight. In addition, some medications — such as Coumadin and other anticoagulants — are very diet-sensitive. He also noted that weight in the older population could be a result of factors like fluid retention, so it typically shouldn’t be overemphasized. McIlvried, whose clinical
Geisinger doctors offer suggestions for older adults
Burke Both physicians recommend checking with your doctors and pharmacists before making any significant changes to your diet or exercise regimen. Press Enterprise/Bill Hughes
Instructor Joann Gray, right, leads a Silver Sneakers exercise class at the Danville Area ‘Never too old to quit’ Community Center recently. This is a time of year when many people decide to start exercising Beyond issues of weight, more and make other healthy lifestyle changes. But seniors should keep some risks in mind. diet and exercise, Burke interests include geriatrics, general internal medicine, medical consultation and the Geriatric Assessment Clinic, agreed. “Being a little bit overweight can be good,” he said. “It can help you get through times of stress. We don’t recommend weight loss for those who are mildly to moderately overweight.”
creases in physical activity side to get some exercise. also carries risks, particu- In addition, as we get older, larly for those with diabe- we are more susceptible to tes, hypertension or cardio- the cold, so seniors should dress warmly. vascular conditions. Some people also start “If you are starting a new exercise program, be taking vitamins, medicicautious about any pain in nal supplements or herbal your knees or other joints remedies as a part of their or a worsening of any ar- resolutions. While some thritic conditions,” he said. of these can be beneficial, With snow and ice preva- people should be aware lent this time of year, older they can have side effects Be wary of risks adults should use good or dangerous interactions Burke noted going to the judgment to avoid falls and with prescription or other medications. whenPlace going out- - Page gym or other sudden in- injuriesHearing 2X4.crtr 1 - Composite
McIlvried for the older population, even if it is not a long-term habit. So, Burke said, if you tend to consume more than that, cutting back could be good for your health. In addition, keeping the mind active is important for the overall health of seniors. Burke and McIlvried suggest activities like reading, doing puzzles and following current events, which can help preserve memory and cognitive ability. They say mental, as well as physical, resolutions should be considered by those interested in taking steps to improve their health at this time of year or any time.
and McIlvried also urge seniors to quit smoking and cut back on drinking. Even if you have been smoking for decades, quitting can have immediate benefits like breathing easier and lowering blood pressure, as well as extending life expectancy. “You are never too old to quit,” McIlvried said. Hazardous drinking, generally defined as more Shawn H. Stair can be than two drinks per day reached at 570-387-1234, ext. for men or one per day for 1300, or specialeditions@prwomen, also carries risks essenterprise.net.
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Press Enterprise n Friday, January 22, 2016
7
Is it time for you to get a hearing aid? By Craig W. Armstrong
and most likely refer you to an audiologist. This specialist will test your hearNo one wants to get older. ing and provide you with a You lose your hair, you gain definitive answer. weight and your parts genIf hearing aids are recerally start wearing out. ommended, it’s not the end Some of the aging process of the word. Today’s techwe can’t control, but other nology offers many options, effects of aging can be comsome of which are undetectpensated for. As we age, our able. Consider living in the sense of sight and hearing days of yore when people tend to suffer. For our sight had to put a horn-looking we wear glasses or contacts, device up to their ear. Now for our hearing, we use a tiny hearing aid doesn’t hearing aids. Most people sound so bad, does it? don’t have a problem wearA basic hearing aid coning glasses or contacts, but sists of three parts: a miwhen it comes to a hearing crophone, which picks up aid, they see it as surrenderthe sound, an amplifier ing to age. Here is the bottom to make the sound louder line, your hearing is affected and a speaker to deliver the by age, and you can either sound into your ear. suffer with hearing loss or Hearing aids come in do something about it. If you many forms, but here are MultiAd Builder the most common: decide the latter, here are a few things to consider. A basic hearing aid consists of three parts: a microBehind the ear or BTE First, what are the signs phone, which picks up the sound, an amplifier to make the hearing aids are just what of hearing loss? While the sound louder and a speaker to deliver the sound into your ear. they sound like. The device symptoms of hearing loss is positioned behind your may seem obvious, some- people to repeat themselves see their face ear with a tube, leading to • You have trouble hear• You need the TV or ratimes they occur so gradually that they may be hard dio louder than anyone else ing voices over the phone If you think you have • It’s hard to understand to recognize. Do you suffer people when you are in a hearing loss what do you with any of the following? do? Your first step is to see • People seem to be mum- group • It’s hard to understand your doctor. They will be bling able to assess your hearing someone when- Page you 1can’t • You are always askingArea Col-Mont Aging 3x5.crtr - Composite MultiAd Builder
an ear mold which fits into your ear. Technology has given us a mini version of the BTE, which is obviously smaller and the tube leading into the ear is considerably less noticeable. In-the-ear or ITE hearing aids are also available. Again, this is just what it sounds like. Instead of the aid itself being positioned behind your ear, it is placed on the outer portion of the ear. In-the-canal or ITC hearing aids fit partially or completely within the ear canal. Hearing aids can also be surgically implanted. This is normally done for severe hearing loss or when someone cannot wear an external hearing aid. The more advanced the technology and the more inconspicuous the hearing aid is, usually means the most costly. Before deciding on the type that is best for you, be sure to check your insurance coverage. Even
with good insurance coverage, find out about return policies and any warranties that exist. While a hearing aid can restore some of your hearing, it is still a piece of technology and most technology fails at some point. Once you have decided on the type of hearing aid that is best for you, you will still go through a period of adjustment. Your doctor will help you through this process with suggestions and patience. Growing old is a double edged sword. You know far more today than you did as a young person, and most likely you are far more sure of yourself. But where time has given you wisdom, it has also taken a toll on your body. There is no shame in using a hearing aid, wearing glasses or even taking more time getting up and down the stairs. You may need a little help, but you’ve earned your place, just by growing older.
Columbia/Montour Aging Office, Inc.
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n Assessments - For Personal Care/Nursing Home Placement and In-Home Care. n Care Management - Continuous follow up & provision of in-home services n Family Care Giver Support Program - Assistance for the Care Giver. n Waiver Program/Nursing Home Transition Program - Alternatives to Nursing Home Placement n Care Transitions - helping to connect the dots from inpatient hospitalization to home n Ombudsman - Investigation of complaints at Personal Care & Nursing Homes. n Protective Services - Investigation of cases of abuse, neglect or exploitation.
For more information on these or other services please contact us at:
702 Sawmill Road, Bloomsburg, PA
Hours: 8am-4:30pm Monday thru Friday Business hours phone: (570) 784-9272 • Toll Free 1-800-598-5001 For Emergencies after business hours, please call (570) 784-0828 or Toll Free: 1-866-448-0141 Senior Centers Benton (570) 925-6533 • Berwick (570) 759-8529 Bloomsburg (570) 784-8615 • Catawissa (570) 356-2219 Montour Co. (570) 275-1466 • Wilburton #2 (570) 339-1386.
•• Skilled Nursing •• Home Health Aide •• Physical Therapy •• Occupational Therapy •• Speech Therapy •• Medical Social Work •• Pastoral Care •• Registered Dietician/Certified Diabetic Educator
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8
Press Enterprise n Friday, January 22, 2016
Use prescription drugs properly Guest Columnist
Change: It’s all in the attitude
“L
ife is change — ride need to call 1-800-632evolve or die!” 9063, which goes to rabbittransit’s regional call is a quote that center. This center houses when first read feels like a slap in the face. I have to the schedulers who are say it was a very awaking taking calls from five counties. The quote until I caller needs to started absorbprovide: their ing its meanname, traning. Perhaps sit number, Stephen Covey their pick-up summed it up address, their best with, “It phone number, isn’t the changtheir destinaes that do you tion with adin, it’s the dress, the time transitions.” of the appointChange is ment and what a simple word KATHI LYNN they feel is the that modifies at least one aspect in our life approximate time they will be ready for pick-up or environment. This results in what we personal- from the appointment. ly experience as a result of Pick-up times are there to the change or our emotion- assist in efficient schedulal response. Simply put, it ing. The approximate return time home will hold is the transition of going a space on the vehicle. from point A to point B. When a rider is done And, going from point A early from their appointto B is never an easy one. ment, they can call rabbittWhy? Because we tend to ransit and let them know put on our mental brakes when we leave our comfort they are ready for pick up, zone and immediately feel and, if a van is near- by, they will be picked up. it will never work. The residents of Colum- Those riding rabbittransit at a reduced fare are rebia County using sharedride, medical assistance or quired to share a vehicle. Otherwise, it would be call persons with disabilities and demand, and that cost transportation services would be at a much higher have recently seen a change in the way they get rate that no individual or agency could afford. from point A to point B. Change is a learning Current and all new riders need to complete an process for everyone. If you application to get services see something isn’t working after you tried it out, at a reduced rate. While please feel comfortable to the 11-page application speak up. You can reach me looks daunting, only at 570-784-9272. Let us all certain pages and sections may be required for remember that change can completion. This one-time lead to many a great thing! Kathi Lynn is director collection of data will follow the rider for life, and, of the Columbia-Montour as their payment situation Aging Office Inc. The views expressed changes, a new applicain this column are those tion will not be required. of the writer and do not No longer a call to the necessarily reflect those of county, Aging Office or Press Enterprise Inc. K-Cab, those needing a
By Craig W. Armstrong MultiAd Builder
As we get older most of us need the help of prescription drugs. Whether it’s for high blood pressure, high cholesterol or even diabetes, with age come health issues and prescription drugs become a way of life. While these drugs help us, they also need to be taken with care. Many seniors take several different medications, several times a day. This would be confusing for anyone. The first and probably the most complicated part is understanding the guidelines for each drug. When the drugs are prescribed, make sure you go over the instructions thoroughly with your doctor. If your doctor is not available, get your answers from a nurse or physician’s assistant. The bottom line is to make sure you understand everything before you leave the office. It’s OK to take notes or have instructions written down for you. Your pharmacist is also a great resource in case you forgot something or have additional questions. Some drugs should not be taken with others and this is factored in when they are prescribed. But what if you want to start taking herbal supplements, vitamins, or over-the-counter medicine? Don’t do so without checking with your doctor or pharmacist. The last thing you want is an adverse effect which can jeopardize your health. Make that call and make sure it is OK to add anything to your regimen of drugs.
Create a system Taking your medication every day and in some cases at the same time everyday can be crucial. You need to create a system. Try scheduling your doses around something you do every day like brushing your teeth or eating breakfast. Using a “pill minder” can make things easier. These plastic wonders will provide a section for each day and mark the day of the week. Pill minders come in many forms, some even have alarms, and there should be
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When drugs are prescribed, make sure you go over the instructions thoroughly with your doctor. one to fit your needs. Speaking of breakfast, some medications need to be taken with or without food. Make sure you know which meds require a full stomach or an empty stomach and work it into your regime. Furthermore, some medication can make you drowsy. Know which meds will have this effect and plan accordingly. Once you have done
your homework, make your schedule or regimen. At this point, its a good idea to have someone check your work. Have a friend or family member look over your plan and make sure it is sound. Better yet, have your doctor of pharmacist look over it. This is your health you are dealing with and it’s important to take the time to make sure you are safe. It’s also a good idea to give some extra medication
to a family member or close friend to hold for you in case of emergencies. This will be valuable if you are unable to tell a doctor in an emergency situation. Getting older is no picnic and many things we took for granted can become a challenge. Taking your medication doesn’t have to be one of those challenges. Do your homework, make a plan and ask for help, it’s worth it.
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Bloomsburg Berwick 1000 S. Market Street 145 East 9th Street 570-784-9582 570-759-1239 Hours: Monday thru Friday 9:00am-6:00pm; Saturday 9:00am-1:00pm
Press Enterprise n Friday, January 22, 2016
9
Starting over again: Choosing second career Courtesy of Metro Creative Graphics
might want to pursue a second career that will make little to no use of their skillset, and that’s perfectly alright. But extra schooling might be necessary in such situations, and going back to school oftentimes requires a considerable commitment of both time and money. For those who simply want to put their existing skills to use in a different field or environment, assess those skills and look for lines of work in which they figure to be especially valuable. If there are any particular aspects of your current job that you want to avoid in the future, consider that when assessing your skills and choosing a second career. Even if they don’t know it, established professionals over 50 have many transferable skills, and such skills can be a considerable asset when pursuing a second career, especially when those Metro Creative Graphics skills have been assessed Many men and women over 50 have turned their per- and can be applied to a new profession. sonal passions into successful second careers.
The days when people would spend their entire professional lives with a single firm are largely a thing of the past. In fact, many people not only switch companies multiple times before retirement, but some even switch professions before retiring. As exciting as it can be to pursue a new career, men and women over 50 know that such a decision is not without risk. While younger professionals with few obligations can often handle bumps in the road on their way to a second career, older professionals making a similar move often must consider the potential effects such a pursuit might have on their families, finances and futures, including their retirements. But as difficult as it may seem to pursue a second career after your fiftieth birthday, there are steps men and women over 50 can take when pursuing a new career to ensure their second act is as successful as the first. • Decide what you more time to pursue a par- want is a more challenging want, and not just what ticular hobby, then keep career and to be your own you want to do. The desire this in mind when look- boss, then you will likely to pursue a second career ing for a second career, find the cost of achieving no doubt stems from more and make sure that career that goal, even if that cost than just dissatisfaction won’t demand too much of is more demands on your time, is worth it. with a current profession. your time. • Assess your skillset. For example, if your goal Many people switch jobs or even careers because they in finding a new career is to Professionals over 50 have find their current careers get more work-life balance, lots to offer, but it’s still imtoo demanding, leaving then starting your own portant for such men and little time for family or hob- business, which can require women to make an honest bies that have nothing to do long hours at the outset and assessment of their skillset even after the business has and find a career in which with work. If what you really want established itself, might not those skills are transferable. Some men and women for 3x3.crtr you. But if what you is more time at home or &beGreg Kreisher - Page 1 - Composite
Attorney Marianne Kreisher
Kreisher & Gregorowicz 401 Market St., Bloomsburg
Certified Elder Law Attorney
Services Provided
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• Make a trial run. Nowhere does it say that professionals can’t take a trial run at a second career while still fully engaged in their first career. In fact, testing the waters before you jump in is a good way to gauge your interest in a potential second career and how well your skillset applies to that field. A trial run, which can be conducted by volunteering with a nonprofit organization or through a part-time job or simply offering your services to a company free of charge in exchange for a chance to learn how the business operates, can shed light on the inner workings of a particular industry, showing you how things work behind the curtain. Testing the waters may reaffirm your belief that a certain line of work is for you, or it might send you back to the drawing board. Either way, it’s valuable experience that may reassure you that whatever decision you ultimately make is the right one.
• Don’t go it alone. Switching careers after 50 carries some risk, but it’s certainly a risk that many before you have been willing to take. If you know any people, be it a friend, family member or former or even current colleague, who has reinvented themselves professionally, then speak with these people and ask for any advice they might have. If you know you want out of your current career but aren’t quite sure of what you want to do next, those who have faced a similar fork in the road may be able to help you narrow down your options. The notion of changing careers is exciting, and you can expect your personal and professional confidantes to share your excitement and be willing to help you in any way they can. Making a career change after 50 can be a risky yet ultimately rewarding move, especially for those men and women who take a thoughtful approach to finding their second careers.
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10 Press Enterprise n Friday, January 22, 2016
Creative ideas for celebrating 25th anniversary By DIANA MARSZALEK
if you’re considering it, ter year but, depending on now could be good time). the activity, you could creInscribe a small plaque ate a collection of memenwith the date and occasion, toes, too. The Baby Boom genera8. If you’re going to and put it on a piece of outtion has put its own stamp door furniture. Or have a travel, make it an adon many traditions, so why professional photo taken of venture. Hike the Grand should 25th wedding anthe two of you. Write your Tetons, go whitewater raftniversaries be different? names in a slab of wet ce- ing or learn to scuba dive. If Many couples are ditching you have the itch to travel ment. convention when it comes 4. Have a day of ser- but not the cash, look into a to marking the milestone. vice — to each other. If house exchange. And sure, “When they get to these you usually cook and your if you really want to, it’s OK more dramatic occasions, spouse mows the lawn, to go to Disney World withso many couples want to switch jobs for the day. Nei- out the kids. do something exciting and 9. Have a party, but ther of you will get off scot different,” says Charles free, but the effort shows make it sort of retro. Schmitz of St. Louis. He you’re willing to help carry You were married in the and his wife, Elizabeth, are 1990s after all! Event planthe burden. marriage counselors and 5. Have a day of ser- ner Jason Jani, owner of authors, most recently of vice — to others. Do the SCE Event Group, sug“How to Marry the Right something charitable, gests making a playlist of Guy” (Briarcliff, 2014). whether it’s making a do- songs from the year you “They don’t want to go to nation somewhere or serv- were married and showing their favorite Italian resing dinner at a shelter. It’s videos from the wedding. If taurant.” nice to be reminded after you’re renewing your vows, Schmitz says that “up25 years how good we have invite your bridesmaids ending experiences,” Associated Press/Francesco Bellini and groomsmen back to it. whether that’s going on 6. Learn something recreate their roles. And if safari or serving dinner A couple looks at the Florence Santa Maria del Fiore Basilica, with Giotto’s bell tower, left, “all splendid in nothing,” and Brunelleschi’s dome from Forte Belvedere, Italy, in 2013. An exciting vacation is one way new together. It doesn’t you still have your dress, matter what: speaking wear it. strengthen marriages, es- to celebrate your 25th anniversary. 10. Finally, when French, tending to bonsai pecially when they involve “thinking about those won- sity of Washington-Seattle excited for the future.” this changed on our 25th,” trees, restoring cars, learn- all else fails, you can ing massage therapy. When do what Schmitz said: derful moments in our rela- sociologist who works with Schwartz says. tionships. AARP’s Life Reimagined Ways mark occasion 2. Do something espe- not in class, you can study Let your hair blow in Here are 10 ideas to do cially romantic at home. together, and eventually ap- the wind while riding “It’s celebrating those program. around in a torch-red milestones like you’re let“A 25th anniversary can that, some of which require Read poetry to each other ply your new skills. convertible. 7. Start an annual tra- Mustang ting your hair blow in the be celebrated in two ways. very little money or plan- by candlelight, for instance. wind riding in a torch-red One is celebrating who you ning. Or have your favorite food dition doing something He and his wife did buy a As Schwartz says: “You for dinner, even if it in- you both enjoy. Planting a Mustang, and make sure to Mustang convertible,” he have been to each other. tree, say, or going to a pot- drive it with the top down says. The other is celebrating the mark the day, but it doesn’t volves marshmallows. have to be a trip to Africa.” For many of us, however, future,” she says. 3. Mark the day per- tery place to make an an- at least once a month re1. Change things up manently, which doesn’t niversary plate. Not only do gardless of the weather. that may be easier said than Keeping the occasion done; there are time and in perspective — i.e., not at home. That could mean necessarily mean get- you and your spouse get a Perhaps you can borrow money constraints, to say freaking out — is also wise. anything from stringing ting a tattoo (although shared experience year af- one. ACE Hearing 3x4.crtr - Page 1 - Composite nothing of not owning that “This isn’t the last thing celebratory lights outside Mustang — yet. you do before you jump to sprucing up the house. Celebrating your 25th in off the face of the Earth,” Paint the bedroom wall a meaningful way doesn’t Schwartz says. “It’s a big or rearrange your living require big expenditures moment, and it deserves to room furniture. It doesn’t or elaborate staging, says be celebrated by something matter what, as long as it’s Pepper Schwartz, a Univer- memorable that makes you “just something that says, Grandview 3x3.crtr - Page 1 - Composite Associated Press Writer
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Press Enterprise n Friday, January 22, 2016 11
Downsizing meal preparation Courtesy of Metro Creative Graphics
Seniors face many changes as they move into their golden years. Downsizing living spaces and vehicles is common, as is implementing certain changes to improve quality of life. Many seniors also scale back in the kitchen, where some must make changes because of medical conditions. While it seems like reducing food portions would be easy, those used to prepping meals for a large family may find it difficult. The following tips can make meal preparation efficient and cost-effective. • Divide and store: Supermarkets are increasingly offering larger packages of food products as well as “family size” offerings to compete with warehouse clubs. Buying in bulk can help individuals save money, but it may not always be practical for people living alone or with just a spouse. If you must buy in bulk, invest in a food vacuum sealer or freezer storage bags. Immediately separate meats and poultry into smaller portions before storing them in the freezer. Otherwise, look for bulk items that are individually wrapped to maintain freshness. Many canned and jarred items can be covered and stored in the refrigerator after containers are opened.
Communication tips for people with dementia
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Metro Creative Graphics
While it seems like reducing food portions would be easy, those used to prepping meals for a large family may find it difficult. • Plan meals with similar ingredients: To reduce food waste, use leftovers to create casseroles or mix them in with new meals. Broiled or grilled chicken can be used to make soups, stir-fry dishes, fajitas, and sandwiches. The fewer ingredients you have to buy, the smaller the risk of spoilage. • Cut recipes in half: Recipes can be cut down depending on how many mouths need to be fed. When baking, cutting back on proportions of ingredients can be challenging. Search online for recipe-scaling programs that can make the work easier.
• Cook on the weekend: Use a weekend day to prepare food and package it into small containers in the refrigerator or freezer. Then the containers can be taken out as needed and heated quickly in the microwave for fast meals. • Organize a meal-sharing club: Get together with a few friends who also have empty nests and split cooking duties. If you’re accustomed to cooking larger portion sizes, do so and then spread the wealth with others in the group. Then sit back and relax when it is your opportunity to have meals delivered to you.
Five foods for the over 50 crowd Courtesy of Metro Creative Graphics
Men and women must alter their diets as they age. Portion sizes that young adults might have been able to get away must shrink when those same men and women enter their 30s. And as 30-somethings head into their 40s, what’s on the plate requires more careful consideration than it might have a decade ago. The same goes for men and women over 50, who must take steps to reduce their risk for heart disease, stroke and diabetes. One of the easiest ways to do just that is to eat healthy foods. The following are five flavorful and healthy foods tailor-made for the over 50 crowd. 1. Apples: Apples definitely qualify as a superfood, helping reduce cholesterol by preventing plaque buildup in the blood vessels and, as a result cutting an individual’s risk of diabe-
Guest Columnist
tes considerably. In fact, a recent study published in the British Medical Journal found that eating at least two servings of apples per week can reduce a person’s risk of type 2 diabetes by as much as 23 percent. Apples also make for a great source of fiber, potassium and vitamin C. 2. Blueberries: Blueberries help men and women maintain healthy blood sugar levels because they are high in soluble fiber, which lowers cholesterol while slowing the body’s uptake of glucose. And despite their relatively small size, blueberries contain more fiber, vitamins and minerals per ounce than any other fruit. 3. Broccoli: Though broccoli might not have been your best friend during childhood, you may want to cozy up to this powerful green vegetable now that you have cracked the half-century mark. Broccoli
is loaded with vitamin C. A single 3.5 ounce serving of broccoli contains more than 150 percent of the recommended daily intake of vitamin C, which can shorten the duration of the common cold. In addition, a 2013 British study published in Medical News Today found that broccoli may help prevent osteoarthritis, a degeneration of joint cartilage and the underlying bone that is most common from middle age onward. A similar study from researchers at New York’s Roswell Park Cancer Institute published in the same publication six years earlier found that just three servings of broccoli per month can decrease bladder cancer risk by as much as 40 percent. 4. Fava beans: Fava beans are cholesterol-free and low in fat. Fava beans also may provide cardiovascular benefits and help men and women maintain
healthy weights. Fava beans are considered “nutrientdense,” a term used to describe low-calorie foods that boast lots of nutrients, and are an excellent source of vitamin B1, which is important for nervous system function and energy metabolism. 5. Oatmeal: Another food that might never make youngsters’ lists of their favorite foods, oatmeal is nonetheless a healthy option at the breakfast table. Oatmeal is loaded with soluble fiber, which can reduce cholesterol levels and subsequently reduce a person’s risk of heart disease. Also low in calories, oatmeal can help men and women maintain a healthy weight. Those who find oatmeal a tad too bland for their tastes can double on their superfoods by adding some blueberries into the mix, making their breakfast more flavorful and more healthy.
t can be challenging • Focus on the feelings to care for a loved not the facts. Emotions one with dementia. are more important Utilizing verbal and non- at times than what is actually being communiverbal communication tools helps diminish frus- cated. Saying, “You must be frustrated” tration and or “I bet that may make makes you tasks easier to sad” helps the accomplish. person cope Here are some with their key aspects feelings and of communimakes them cating with a understand person with that you are dementia. on their side • Get in and are there their line of to help them. vision and COLLEEN FRITZ • Watch for speak to them directly while looking at facial expressions and body language to help them eye to eye. understand what they • Speak clearly and may be trying to commuslowly, using short sennicate. tences. The most important • Give them your full thing to remember is attention. Try to minimize distractions as best NOT to argue with a person with dementia. Helpyou can. ing them communicate • One direction at a keeps them connected to time! It’s easier to reus, reassures them they member. • Give them time to re- are safe and helps them spond. If they feel rushed to remember they are loved. or pressured, they may For more commube unable to respond or nication techniques, become upset. come to our community • Let them answer for information evening on themselves, and don’t April 6. Call 570-522-3671 interrupt them even if you think you know what to reserve your seat or to learn more about our they are about to say. services. • Don’t laugh at, ridiHeritage Springs cule or patronize. Memory Care in Lewis• Acknowledge what burg is the only senior they’ve said even if it living community in the doesn’t make sense to Susquehanna Valley that you. Encourage them to is specifically dedicated say more. to dementia and Al• Give them simple zheimer’s care. choices. For example, in deciding what to wear for Colleen Fritz, RN, the day, pick two outfits PCHA is the executive and let them choose bedirector of Heritage tween the two. Springs Memory Care in • Try rephrasing the Lewisburg. The views expressed question. Instead of sayin this column are those ing, “Do you want to go of the writer and do not to dinner?” try saying necessarily reflect those of “Let’s go down for dinPress Enterprise Inc. ner.”
12 Press Enterprise n Friday, January 22, 2016
Eye Center back page.crtr - Page 1 - Composite