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Press Enterprise n Friday, May 4, 2018
Learn about various types of arthritis Guest Columnist
Essential aspects of hearing aid use By Louis R. Sieminski
T
he correct fitting and wearing of hearing devices frequently goes unaccomplished. Often individuals, and especially the elderly, fail to be correctly fitted for hearing devices and fail to receive instructions on proper care of the devices. Individuals’ brains process sounds differently, and people’s homes as well as work and social environments are different. It is imperative that when hearing aids become necessary, they are fitted and programmed by a qualified and experienced audiologist. A free or nominalcost trial of the aids prior to purchase is highly recommended. The audiologist should explain the correct way to wear the aids, how to clean the devices and how to properly change the batteries or troubleshoot the aids if they stop working. Hearing aids need periodic service and come with factory warranties. Payment can often be facilitated by companies that allow for monthly payments over extended periods. Numerous studies have shown that the wearing of two hearing aids vs. one is far more effective. Hearing devices must be worn all day every day, even when a hearing-impaired person is home alone. It takes the brain time to adapt to hearing more normally with the hearing aids. Often in the initial few days of use,
an individual doesn’t like or even recognize his or her own voice. Many hearing-impaired individuals tend to speak more loudly than necessary. Hearing loss interferes with the ability to properly monitor one’s own voice. Nobody prefers to wear hearing devices or spend money to purchase hearing aids. However, when they’re necessary, it’s imperative that professionals properly fit the appropriate hearing aids. Providers should refer hearing-impaired patients to a boardcertified professional to properly evaluate hearing and then fit the correct hearing devices. Discourage patients from the inclination to purchase cheap hearing aids. Most professionals maintain websites listing their qualifications. Suggest to patients that they find a professional they trust and like, who will treat them with kindness, respect and competence and provide great service. For more information, call 570-784-8050 or visit acehearingcenters. com. Louis R. Sieminski, Ph.D., CCC-A, is an audiologist and owner of ACE Hearing Centers, with offices in Kingston, Williamsport and at 2201 Fifth Street Hollow Road, Suite 3, in Bloomsburg. The views expressed in this column are those of the writer and do not necessarily reflect those of Press Enterprise Inc.
Courtesy of Metro Creative Graphics
ease” or “OA,” is the most common chronic condition of the joints. The symptoms of OA vary depending on the joints that are affected, but pain and stiffness, especially first thing in the morning or after resting, are common. OA can affect the hips, knees, fingers, or feet, and those with OA may feel limited range of motion in their affected areas. Some with OA may hear Metro Creative Graphics clicking or cracking sounds when the Arthritis can affect people of any affected joints bend, and pain associated with OA may be more intense after age, race or gender. activity or toward the end of the day. more effectively.
Arthritis affects hundreds of millions of people across the globe. The Arthritis Foundation reports that more than 50 million adults in the United States have some type of arthritis. The foundation notes that arthritis is not a single disease. In fact, the word “arthritis” is something of an umbrella term and an informal way of referring to joint pain or joint disease. While these conditions may produce some common symptoms, such Inflammatory arthritis as swelling, pain and stiffness, learnOsteoarthritis ing to distinguish between some comInflammatory arthritis occurs Osteoarthritis, which is sometimes when the immune system, which can mon types of arthritis can help men and women manage their conditions referred to as “degenerative joint disPlease see LEARN page 3
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Continued from page 2 employ inflammation to fight infection and prevent disease, mistakenly attacks the joints with uncontrolled inflammation. Such a mistake can contribute to joint erosion and even organ damage. Psoriatic arthritis, which the Arthritis Foundation notes affects roughly 30 percent of people with psoriasis, and rheumatoid arthritis are two examples of inflammatory arthritis. Genetics and environmental factors, such as smoking, may trigger instances of inflammatory arthritis.
Infectious arthritis Bacterium, a virus or a fungus that enters the joint may trigger inflammation and lead to infection arthritis. The Arthritis Foundation notes that the most common bacteria to cause infection arthritis is staphylococcus aureus, or staph. The majority of infectious arthritis cases occur after an infection somewhere else in the body travels through the bloodstream to the joint, though some infections may enter the joint directly through a puncture wound near the joint or during surgery near the joint. Intense swelling and pain, typically in a single joint, are the most common symptoms of infectious arthritis, which is most likely to affect the knee, though it can affect the hips, ankles and wrists. Some people with infection arthritis may also experience fever and chills.
Metabolic arthritis The body produces uric acid to break down purines, a substance found in many foods and in human cells. But some people produce more uric acid than they need, which they then struggle to get rid of quickly. As a result, uric acid can build up. The Arthritis Foundation notes that this buildup can lead to the formation of needle-like crystals in the joints that cause sudden spikes of extreme pain. Arthritis can affect people of any age, race or gender. More information about the various types of arthritis is available at www.arthritis.org.
Press Enterprise n Friday, May 4, 2018
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Press Enterprise n Friday, May 4, 2018
Should you stay or should you go? Guest Columnist
Not just sensible move for seniors
M
ore than 40 years ago, attorney Fred Kessler had a dream. Although involved in several other area nursing centers, having one in the town of Northumberland was occupying his thoughts. After all, Northumberland was his hometown. “I’d like to Judi give something back to the community,” he stated. And so, in 1977, Nottingham Village was born. Our sprawling 105 acres have expanded to include not only a first-class skilled nursing and rehabilitation center, but beautiful custom-built retirement cottages adorn our campus. Suppose one needs a little help with activities of daily living; we offer more than 60 traditional studio, one- or two-bedroom apartments. Residents enjoy delicious meals and activities and share a companionship with others with similar needs. Just opened this year is Heather Court for memory care. Forty-eight beds in a secure setting offer four separate neighborhoods housing 12 residents each. A universallytrained staff provides person-centered care, enriching and innovative activities and delicious meals right
in their own neighborhood. Making a decision to leave your home is never an easy one. But your family member’s safety and security should be a top priority in later years. Nottingham Village Senior Living Community has long been established Karr as a better choice no matter what your needs. Chores got you down? Let us do the work. We not only make life fun, but a whole lot easier. A continuum of care is always preferable over stand-alone options. It’s like carrying an umbrella; if you do, it doesn’t rain. If you are not prepared, it sure will rain. For more information on options at Nottingham Village Senior Living Community, call me, Judi Karr, at 570473-2360, and I would be happy to help assist you through the transition. It’s not only sensible, but inviting on our beautiful campus. Karr is the marketing director at Nottingham Village Senior Living Community, 60 Neitz Road, Northumberland. The views expressed in this column are those of the writer and do not necessarily reflect those of Press Enterprise Inc.
Courtesy of North American Precis Syndicate
The choice about where to live in retirement is one of the most crucial decisions that a senior makes. It’s not just a major financial consideration, it’s also a highly emotional issue as a retiree’s home is often the anchor to their golden years. “One needs to think about where to live, how long to stay there, and whether to move later in retirement,” writes Wade Pfau, Ph.D., professor of retirement income at The American College, and contributor to Forbes.com. “There are plenty of justifications for either staying put or moving early in retirement.” There are a few important questions that a senior should ask before deciding whether to stay in their home or to relocate during retirement: 1. Are you making accurate comparisons? If you stay in your home, you may need to make improvements or renovations in the future to accommodate changing needs. If you move to a new home, you may incur expenses associated with fix-up costs and moving expenses. Make sure you are considering total costs in either scenario. 2. Are you open to renting? “It can be hard for retirees who have spent their lives building equity in their homes—and being taught about the virtues of homeownership—to become renters,” reported The Wall Street Journal. “But renting a home in a city before buying can give retirees a chance to really know if it’s the place they want to spend retirement.” Moreover, the cost of ownership in many locations actually exceeds the cost of renting, so it may be prudent to consider this option for both short- and long-term possibilities. 3. Where will you have access to important services? Every consumer looks into the quality of restaurants, supermarkets and other day-to-day retail offerings when scouting out a possible new residential location. Seniors must be
North American Precis Syndicate
It pays to plan ahead when it comes to where you’ll spend your golden years. especially concerned about practical considerations such as the number of nearby physicians who accept Medicare, convenient transportation for those who are unable to drive, and community centers with special programs for seniors. 4. Would you prefer to age in place or have a change of scenery? Many people dream about moving to some exotic location for their golden
years, but the truth is that 85 percent of retirees stay in the area where they raised their families, according to Realtor.com. Think seriously about whether you’re willing to trade your current community for a new one, weighing the pros and cons of aging in place versus charting a new course. Whether you choose to stay in your home or move during retirement, it will be important to have ample
cash on hand that can fund renovations of your existing home or the purchase of a new one. Many seniors are surprised to learn that one potential asset for generating immediate cash is a life insurance policy. A life insurance policy is considered your personal property and — as such — you have the right to sell that policy any time you like. When a consumer sells a policy in a “life settlement” transaction, the policy owner receives a cash payment and the purchaser of the policy assumes all future premium payments — then receives the death benefit upon the death of the insured. Candidates for life settlements are typically aged 70 years or older, with a life insurance policy that has a death benefit of at least $100,000. To learn more about life settlements, visit www. LISA.org or call the LISA office today at 888-672-3917.
Press Enterprise n Friday, May 4, 2018
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Get up to speed on raising grandchildren Courtesy of Metro Creative Graphics
Older adults whose children have grown up often look forward to the next stages in life, which may involve retirement, downsizing and enjoying visits with their grandchildren. A growing number of aging adults may find themselves playing a key role in their grandchildren’s lives. According to data from the U.S. Census Bureau, 2.7 million grandparents across the country are stepping into parental roles for their grandkids. Some assist their adult children while others have become the primary caregivers. Factors like military deployment, illness, incarceration, and substance abuse are forcing grandparents to take on responsibilities they may have thought were over. PBS reports that, between 2009 and 2016, the number of grandparents raising grandchildren in the United States rose by 7 percent. Although raising the next generation can bring about many rewards, including security, sense of purpose, a deeper relationship with family and social interaction, there are many obstacles as well. That includes the financial strain that raising children can place on individuals unprepared for the cost of child-rearing. Census figures also show that about one-fifth of grandparents caring for children have incomes that fall below poverty level. Grandparents may be rusty concerning safety requirements and equipment now needed to care for grandchildren as well. As grandparents navigate the unexplored waters of raising grandchildren, there are certain factors they need to consider.
Legal advice, advocacy Certain circumstances may require grandparents to seek legal help so they can raise their grandchildren in lawful ways. If there is neglect, divorce, arrest, or other factors, it may be a smart idea for grandparents to seek the help of
More older adults find themselves playing parental role second time can be emotionally taxing, especially if poor circumstances led to the grandchildren being placed with family. It is crucial to recognize feelings and one’s own health when caring for others. A grandparent who is Metro Creative Graphics exhausted or overwhelmed More and more may not offer the approprigrandparents are step- ate care. Emphasizing one’s own mental and physiping into parental roles for cal health is essential, as their grandkids. is getting help and advice an attorney or advocacy group to clarify their legal rights and ensure access to grandchildren. In addition, grandparents may need certain legal documents, such as a power of attorney, citizenship papers, adoption records or consent forms. The rules have changed since grandparents raised their own children. It is important they learn as much as possible on child safety guidelines. Consumer advocacy groups or pediatricians can help explain how guidelines have changed. New furniture and toys that meet current safety guidelines may have to replace older, unsafe items.
Children, whether they are old enough to understand or not, may react to change differently. Some children may act out while
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Raising
when it’s most needed. The organization AARP recommends compiling a list of support services, such as respite care providers, counselors and support groups.
or actions. Raising grandchildren can be complicated, but it has become more prevalent. It can take time for these new family units to find their grooves. More information is available at www.aarp.org in their GrandFamilies Guide.
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Press Enterprise n Friday, May 4, 2018
Sleep on it: Insomnia can contribute to memory loss Courtesy of Metro Creative Graphics
be intrinsic to the disease. tors can be cognizant of and discuss insomnia treatWhen slow-wave deep sleep how sleep impacts memory ment options with their pais disrupted, levels of amy- and the onset of dementias tients. loid can grow and clog the brain. This is corroborated by data published in the journal Neurology. Getting deep sleep is important for MASSAGE TO RELIEVE THE WEIGHT OF YOUR WORLD reducing these proteins. The American Academy v Swedish v Hot Stone v Reflexology of Sleep Medicine recogv Deep Tissue v Sinus Massage nizes the difficulties elderly v Pre-Natal v & More people may have in regard Senior/Military Discounts to sleep. The quality of deep Rewards Program sleep among older adults is often 75 percent lower than 570-394-6142 Metro Creative Graphics it is in younger people. Doc- MEREDITH WOMER, LMT 1130 Orange St., Berwick
Poor sleep can leave people feeling groggy, disoriented, depressed and not up for facing the day. And now there’s new evidence that insomnia can contribute to memory loss and forgetfulness among the elderly. A study — the first of its kind — unveiled a new link between lack of sleep and memory loss. Researchers at the University of California, Berkley found that during sleep important brain waves are produced New evidence suggests that insomnia can contribute to that play key roles in storing memories. These waves memory loss and forgetfulness among the elderly. transfer the memories from it may increase brain amy- loid proteins believed to the hippocampus to the prefrontal cortex, a portion of the brain where long-term information is stored. Sleep loss can cause the memories to remain in the hippocampus and not reach the longterm storage area, found researchers. This can contribute to forgetfulness and difficulty remembering simple details, such as names. Seniors are frequently plagued with deteriorated sleeping patterns that lead to shallow sleep and more awakenings, says those at the University of California. This can contribute to the prevention of memories being saved by the brain each evening. This is not the first time sleep and brain health have been measured. A 2008 University of California, Los Angeles study discovered that people with sleep apnea showed tissue loss in brain regions that help store memories. WebMD says imaging and behavioral studies show the role sleep plays in learning and memory and that lack of sleep can impair a person’s ability to focus and learn efficiently. Combine this with the necessity of sleep to make those brain wave connections for memories to be stored, and the importance of deep sleep is apparent. Another study, published in the journal Brain, conWWW.PLAZAHOUSE.COM ducted by doctors at Washington University in St. Louis, linked poor sleep with early onset of dementia, The Bloomsburg/Berwick Hwy especially Alzheimer’s dis570-784-2234 • Mon.-Thur .10-7 ease. Although poor sleep Fri. & Sat. 10-8; Sun. 12-5 does not cause Alzheimer’s,
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Press Enterprise n Friday, May 4, 2018
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Seniors becoming more tech-savvy Guest Columnist How noise affects our hearing
W
e hear sound you know you’ll be around when delicate loud sounds, use earplugs. hair cells in our Disposable earplugs, made inner ear vibrate, creating of foam or silicone, are ofnerve signals that the brain ten available at your local understands as sound. audiologist or pharmacy. But just as we can They’re practical overload an electribecause you can cal circuit, we also still hear music can overload these and conversation vibrating hair when they’re in cells. Loud noise your ears. But damages these when they fit snugdelicate hair cells, gly, they’re effecLAUREN resulting in sentive in adequately sorineural (nerve) GROMEL blocking out hearing loss and dangerously loud often tinnitus (ringing in sounds like fireworks. the ears). The cells that are 2. Limit your time the first to be damaged or in noisy environments. die are those that vibrate Do all you can to limit the most quickly — those that length of time you spend allow us to hear higher-fre- in a noisy environment. quency sounds clearly, like When you do participate the sounds of birds singing in noisy activities, alterand children speaking. nate them with periods of Sound volume is meaquiet. And remember to sured in decibels, with the use ear protection. softest sound a normal 3. Turn it down. When hearing human can hear listening to smartphones measuring at 0 dBA. Any and other electronics, keep sounds above 85 dBA for them at a low volume. eight or more hours are Importantly, limit your considered unsafe. Most use of headphones and ear firecrackers produce buds. Remember, it’s not sounds starting at 125 dB just the volume that matpeak sound pressure level ters; it’s also the duration (SPL), presenting the risk of time spent listening. of irreversible ear damage. 4. Visit your local Repeated exposure to audiologist for customloud noise, over an extend- fitted ear protection ed period of time, presents and a hearing test. An serious risks to hearing audiologist can provide a health as well. If you have hearing test to determine to shout over the noise to be your baseline hearing heard by someone within level and determine if arm’s length, it’s probably you have any hearing loss in the dangerous range. that should be addressed. Here are the warning signs: Audiologists can provide • You have pain in your custom ear protection to ears after leaving a noisy ensure a proper fit. area. For more informa• You hear ringing or tion or to schedule a free buzzing (tinnitus) in your consultation, call The ears immediately after Hearing Place at 570-759exposure to noise. 1113 or visit our website at • You suddenly have diffi- www.hearingplace.net. culty understanding speech Lauren Gromel is an after exposure to noise; you audiologist with The Hearcan hear people talking, but ing Place in Berwick. can’t understand them. The views expressed in this column are those Tips to protect your of the writer and do not hearing this summer necessarily reflect those of 1. Use earplugs. When Press Enterprise Inc.
Courtesy of Metro Creative Graphics
Technology is the future, and digital communication has opened many doors for people around the world. Although younger generations have grown up with technology at their fingers, Baby Boomers and older adults did not. But in spite of that, studies show that growing numbers of seniors are open to the idea of technology and even seeking ways to further their use and knowledge. According to a 2014 study by Pew Research Center, 59 percent of seniors regularly use the internet — a 6 percent increase from the previous study conducted in 2012. Today, 67 percent of adults age 65 and older say they go online. Pew also says that, although seniors consistently have lower rates of technology adoption than the general public, four in 10 seniors now own smartphones, which is more than double the amount that did in 2013. Seniors in Australia are especially tech savvy, as Deloitte’s mobile consumer survey found 78 percent of Australian seniors aged 65 to 75 own a smartphone, up from 69 percent in 2016. While stereotypes have long painted seniors as technologically inept, seniors are actually more socially and digitally engaged than ever before. Seniors use technology in many different ways. Some use mobile apps to manage
and provide assistance even if they are not nearby. SilverSurfers, a seniorbased information website, says other tech that seniors are embracing includes online dating; audio and digital books; online shopping, which is especially valuable to seniors who have mobility issues; and social media, which can keep seniors connected to others and feeling less lonely. A study conducted by researchers from the University of California, San Fran-
medications and doctor’s appointments and monitor their fitness regimens. Some families employ 24/7 alert systems or smarthome technology to keep seniors comfortable and safe at home for as long as possible. Noninvasive, “smart” technology can analyze factors such as whether or not doors are left open, if there has been movement in a home, or whether appliances/lights are on or off. This represents a great way for families to stay informed
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cisco found 18 percent of American seniors live alone, and 43 percent report feeling lonely on a regular basis. Loneliness can increase death risk. Social media and internet connectivity can be an important tool in helping seniors feel like active members of society. Technology is no longer just for teenagers or active workers. Seniors are increasingly embracing technology and becoming a fast-growing demographic for tech usage.
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Press Enterprise n Friday, May 4, 2018
Good nutrition made easy for older adults
Guest Columnist Help us fill the gap
A
re you the type of person who is always looking to help the community? Looking to develop new skills? Looking to be with people? Have a desire to connect with our area’s oldest residents? The Columbia/Montour Aging Office Inc. can fulfill all of your volunteer needs. The agency believes that evKathi ery older adult should have the opportunity for independence and self-determination within our community; we can only carry out this mission with the help of volunteers. The agency’s budget has not had the increase it needs to sustain older adults with needed services. Volunteers can assist the agency in meeting their goals. The agency delivers meals to several hundred older adults in Columbia and Montour counties. The Bloomsburg and Berwick areas deliver a hot meal Monday through Friday. They would need assistance between the hours of 9:30 a.m.-noon. The remainder of Columbia and all of Montour County residents receive frozen meals each Wednesday. Volunteers use their own vehicles to deliver the meals to the homes of older adults. The delivery of meals also serves as a safety check to ensure the older adult is physically doing well and has no other needs. If you like to drive, you may want to consider providing escort service for older adults to their appointments. Some older adults can’t ride independently on public transportation and need that extra assistance in getting to
their destination. Do you like being in groups of people? Why not volunteer at your local senior center? There are many ways to become active. Examples are: answer phones, greet people when they arrive at the center, kitchen helper, piano player, craft leader, game coordinator, creative discussion organizer, assist Lynn with center fundraising, trip planner, sitting one-on-one with members to show your electronic skills or just sitting and talking. If you like conversation, the agency offers a Friendly Visiting Program. Older adults and volunteers are paired up to one-to-one visits. Many new friendships have developed from this program. If you like to be involved in fundraising, why not assist the agency with its many fundraisers? Assistance is especially needed with Chicken’ Pickin’/ Corn Roastin’ Good Time, their annual fundraiser that attracts several hundred people to the Catawissa Boat Club in August. Does office work sound more appealing to you? You can assist us by doing telephone surveys, filing, gathering printed information and other related duties. The agency is at 702 Sawmill Road, Bloomsburg. For further information, contact me at 570784-9272, Monday-Friday, 8:30 a.m.-4:30 p.m. Kathi Lynn is director of the Columbia/Montour Aging Office Inc. The views expressed in this column are those of the writer and do not necessarily reflect those of Press Enterprise Inc.
Older people can help their own health by watching what they eat.
Courtesy of North American Precis Syndicate
Roughly 110 million adults in the U.S. are age 50 or older. If you’re one of them or know someone who is, there’s something you need to know: As you age, your nutrition needs change. You may become less active, your metabolism slows, and your ability to absorb some nutrients becomes less efficient. You need fewer calories to keep you going — which means the amount of nutrients in your food becomes even more important. To help, the U.S. Department of Health and Human Services and nutrition scientists at the Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging at Tufts University, with support from AARP Foundation, created MyPlate for Older Adults. • What’s on MyPlate for Older Adults? Based on the federal government’s guide to forming healthy dietary habits, MyPlate for Older Adults makes good nutrition easy. Even better, it helps seniors with fixed incomes select healthy foods within their budget. That includes showing how frozen, dried and canned fruits and vegetables can be wise alternatives to fresh produce. MyPlate for Older Adults encourages eating whole grains, which are high in fiber, as well as plant-based proteins such as beans and
North American Precis Syndicate PHOTO
tofu, along with fish and lean meat. Vegetables and fruits make up half the plate, reflecting the importance of eating several servings a day in a range of colors. MyPlate for Older Adults also recommends using herbs and spices instead of salt to season food. Cutting back on salt can have big health benefits — especially for older adults, who are at risk of hypertension. You can use the MyPlate for Older Adults as a tool when you shop to help you decide on types and combinations of foods, and as a reminder that the foods you choose to eat should be rich in vitamins and minerals. The rest of the recommendations include:
• Brightly colored vegetables such as carrots and broccoli • Deep-colored fruit such as berries and peaches • Whole, enriched and fortified grains and cereals such as brown rice and 100 percent whole wheat bread • Low-fat and nonfat dairy products such as yogurt and low-lactose milk • Dry beans and nuts, fish, poultry and eggs
• Liquid vegetable oils, soft spreads low in saturated and trans fats • Lots of fluids such as water and fat-free milk • Physical activity such as walking, resistance training and light cleaning. You can check out MyPlate for Older Adults and find more information about AARP Foundation at www.aarpfoundation.org/ myplate.
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Press Enterprise n Friday, May 4, 2018
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Discounts are available to those who are over 50 Courtesy of Metro Creative Graphics
Many people may not look forward to the day they turn 50, but cracking the half century mark can have its perks. Many retailers and businesses offer discounts to men and women over 50, and the following are just a few ways that people who have turned the big 5-0 might be able to save some money. • Movie tickets: The cost of going to the movies has skyrocketed in recent years, as today’s theaters now offer an array of amenities and, thanks to bigger screens and better technology, a better viewing experience than the theaters the over50 crowd grew up visiting. While film lovers may need to wait until they turn 60 to cash in on discount movie tickets, many chain movie theaters offer discounted tickets to older patrons. • Travel: Men and women over 50 may be able to save substantial amounts of money on travel simply by typing in their birthdays when purchasing tickets or planning trips. For example, men and women over the age of 62 are eligible to receive a 15 percent discount
on the lowest available rail fare on most Amtrak trains. • Ancestry: As men and women age, many begin to develop a greater interest in their heritage. Those who join AARP (membership is available to men and women who are 50 or older) can receive a 30 percent discount on an Ancestry World Explorer membership in the first year they’re members. • Auto rentals: AARP members also are eligible to save up to 30 percent on base rates for vehicle rentals at Avis. The discounts are applicable at participating locations in both the United States and Canada.
• Hotels: Men and women over 50 may have extra time on their hands once their kids go off to college and then begin careers and families of their own. Many such adults use that extra free time to travel, which requires staying in hotels. Many hotels offer discounted rates to travelers over the age of 50, and such discounts may make it more affordable to book directly through hotel websites instead of using popular travel sites where rates tend to fluctuate by the minute. • Dining: Of course, many restaurants offer early bird specials for patrons
who want to eat a little bit earlier than guests typically arrive for dinner. However, many chain restaurants also offer discounts to senior diners regardless of when they arrive. Such discounts are
sometimes even applicable to both food and beverages. • Mobile phone services: Men and women over 50 may not have grown up with smartphones in their hands, but chances are they now
cannot imagine life without them. Some mobile providers offer discounts to AARP members, while others may offer senior discounts to customers whether they’re AARP members or not.
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10 Press Enterprise n Friday, May 4, 2018
May is good ‘Time To Talk’ about stroke
Guest Columnist Grandview provides skilled care near GMC
G
randview Nursing complex medical needs, & Rehabilitation is a including total parenteral 172-bed skilled care nutrition (TPN), comfacility on Woodbine Lane plex wound care (such as in Danville. We are convevacuum assisted closure niently located less than or VAC), tube feedings, IV two miles from medications and Geisinger Medidialysis (we are cal Center (GMC) conveniently loand offer free cated very close to transportation Geisinger’s hemoservices to and dialysis center). from all Geisinger Is your loved appointments one in need of to our residents. a short term Grandview has a rehabilitation ANN strong connection McLAUGHLIN stay? Grandview with the Geisinger provides the most Health System and has comprehensive rehabilitarecently been recognized tion services in our area, as a Geisinger Preferred offering inpatient physiProvider. This assures a cal, occupational and high continuity of care speech therapies. Our goal for our residents who is to enable our residents come to us from GMC and to regain their fullest poother hospitals within the tential and to be able to reGeisinger system. Most of turn to their home setting Grandview’s Medical Team as quickly as possible. Our members are also Geisinger therapists are involved in staff, including our Medical developing a daily care Director, facility physiplan for each resident to cians, nurse practitioner meet his or her individual and physician assistants. needs, either for rehab At Grandview, you are following an accident, more than just a resident. illness or surgery or as a You’re part of our Grand- maintenance program for view Family. Our manage- routine health and fitness. ment team uses a hands-on We also offer long term approach, actively engaged placement, short term in the daily life and culture respite stays and hospice of the residents. That’s services. Our resident why we don’t just ensure rooms provide a comfortthat we meet all estabable living space in which lished care protocols, we residents may relax, purcontinually are striving to sue hobbies and visit with friends and family. exceed them through our For more information, individualized, residentcall our office at 570-275centered, loving care. We provide on-site vision, psy- 5240 or me directly at 570594-9341 to schedule a tour chology, dental, podiatry of our facility. We would and audiology services, so your loved one does not love a chance to show you have to leave the building. why we think our friendly, family atmosphere is the The difference begins best in our area! even before a resident Ann McLaughlin, RN, is arrives at Grandview, because we welcome many the Director of Admissions. The views expressed residents that some skilled nursing and rehabilitation in this column are those facilities will not accept. In of the writer and do not fact, we specialize in caring necessarily reflect those of Press Enterprise Inc. for residents who have
Courtesy of North American Precis Syndicate
A stroke can happen to anyone at any time, regardless of race, sex or age. It is a leading cause of death and serious long-term disability that affects nearly 800,000 people in the U.S. each year. Immediate medical attention may limit the effects of stroke, but most people are unaware of the signs and symptoms and what to do if they think someone is having one. That’s why the National Stroke Association is working with Genentech to launch “Time To Talk,” a national stroke awareness campaign to encourage people to take action by talking with family and friends about the signs and symptoms of stroke and what to do if a stroke occurs. May is National Stroke Awareness Month. Bob Steele of Marietta, Ga., learned the importance of being able to recognize a stroke after suffering one himself five years ago. Fortunately, Steele was able to alert his daughter when he realized he was experiencing symptoms of stroke. “I was outside mowing my lawn when all of a sudden I felt dizzy and fell to the ground,” Steele recalls. “I was lying there, watching my life flash before my eyes, when my daughter thankfully came outside. I knew to tell her I was experiencing a stroke and to call 9-1-1.” A stroke occurs when a blood vessel that carries blood and oxygen to the brain is blocked by plaque or a blood clot (acute ischemic stroke) or breaks (hemorrhagic stroke). The visible signs and symptoms of stroke include speech impairment, arm numbness and weakness, severe headache, sudden confusion, trouble seeing out of one or both eyes, as well as uncontrollable drooping of the face.
Immediate attention “According to one estimate, approximately 1.9 million brain cells may die after being deprived of oxygen, which is why it is imperative to seek immediate medical attention,” said Sarah Park-
a patient’s symptoms are recognized quickly and they are transported to an emergency room early enough.” Steele was rushed to the hospital, and thanks to the immediate medical attention he received, Steele is here today to help spread the word about stroke awareness. “My stroke taught me that life is precious,” said Steele. “I encourage everyone to have the conversation about stroke with family and friends and learn about the signs and symptoms of stroke and what to do if a stroke occurs.” “Time To Talk” asks individuals to pay it forward by sharing vital information about stroke and the importance of acting quickly. You never know when you might need to help someone around you or yourself. Have the conversation today! In the event that you or someone you know begins to show signs and symptoms of a stroke, the North American Precis Syndicate F.A.S.T. test can be used as These are signs of a stroke that you should know about. a quick screening tool. For more information, er, M.D., stroke neurologist stitute in Peoria, Ill. “There go to www.stroke.org/Tiat Illinois Neurological In- are treatments available if meToTalk.
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Press Enterprise n Friday, May 4, 2018 11
Book offers horse sense on race betting By Shawn H. Stair
Press Enterprise Special Editions Editor
ORANGEVILLE — In his book published earlier this year, “Making a Portfolio to Achieve Success at the Races,” Joseph Carpitella isn’t horsing around. The 84-yearold Orangeville resident applies mathematical analysis and money management strategies to help readers across the board be the first past the post when betting on thoroughbred racing. Carpitella spent three years writing the book, utilizing his nearly 50 years of experience attending races in four states to methodically develop a successful formula he calls the Odds Are Right (OAR) system. While the emphasis in racing is often on handicapping skills and recognizing the speed and stamina of the animal and its performances, this horse of a different color aims to help people create a racing portfolio to produce results comparable to what one might get from financial investing. According to promotional material for the book, the focus is on the selection and money management strategies used to schedule the most advantageous times to play, when optimal conditions exist for increasing wagers, recognizing and separating superior races from inferior ones and establishing the standard performance to be expected by the exploits. In developing OAR, Carpitella said, “I had to recognize the ‘hot’ streaks and use them profitably, and while the ‘cold’ ones were evident, keep betting enthusiasm in a dampened mode.”
Orangeville author takes mathematical approach to wagering month. And don’t be champing at the bit; the key is betting heavier on the less risky and lighter on the more risky. “For me, as a mathematician, the formulas are more important than the races,” Carpitella said. “I play with odds.”
Help pulling the load
Press Enterprise/Jimmy May
Author Joseph Carpitella of Orangeville, right, holds a copy of his book, “Making a Portfolio to Achieve Success at the Races,” while standing with Alex Sriharsha of Bloomsburg, who helped with the layout and formatting of the book. and portfolio. In essence, he advises bettors to be conservative, make sure and steady wagers and take a “hit-and-
run” approach to big wins — meaning don’t look a gift horse in the mouth, quit while you are ahead for the
Carpitella wanted to credit Alex Sriharsha of Bloomsburg for helping him put the book onto a computer and formatting the graphs and charts. Sriharsha, 24, who is in school studying environmental science, has previously worked for a Bloomsburg University professor, but his project with Carpitella is hands down his largest so far. “I’ve learned a lot of math from him. He’s a great piece of American history. Any time with him is a great experience,” Sriharsha said of Carpitella. Carpitella hopes to do a book-signing event sometime in the near future at Phillips Emporium in Bloomsburg, but details have not yet been finalized. Carpitella first took an interest in horse racing at age 35, after his golfing partner got married. He said his partner’s wife wasn’t too keen about golf. And since
retiring in 1996, he has devoted himself more fully to this pursuit. Carpitella grew up in New York City and earned bachelor’s and master’s degrees in mathematics from St. John’s University in Queens. Over the next 40 years, he served as a mathematician in the Army, where he worked on weapons systems, and as a quality assurance analyst at the New York Stock Exchange. Carpitella and his first Shawn H. Stair can be wife, who was originally from Shamokin, moved to reached at 570-387-1234, ext. the area in 2002. He has lived 1300, or specialeditions@pressenterprise.net. in Orangeville since 2006.
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And they’re off! As might be anticipated with any new endeavor, Carpitella experienced his share of losses, failures and disappointments out of the gate, but as time went on, it was off to the races. “Things got better,” he said. “Now, I win often enough to be considered profitable.” In chapter 15 of the book, Carpitella outlines his contributions to the sport, described as the three P’s: progressions, preliminaries
Carpitella is available to give seminars, one he does for free as a 20-minute overview, and the other he charges for offers an indepth analysis, taking six hours over two days. Even if you think you are a dark horse, when it comes down to the wire, he can help you avoid being an also-ran. “Making a Portfolio to Achieve Success at the Races” is sold on Amazon. For more information, contact Carpitella at 570-784-3174 or search for his name on Facebook.
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12 Press Enterprise n Friday, May 4, 2018
Guest Columnist Medicaid provides help for care outside nursing homes
O
habilitation and, at times, ne of the greatin-home services. It also est hopes of older offers activities like comAmericans is to munity outings, gardening, age in their own home. Medicaid in Pennsylvania board games and more. As with any Medicaid offers financial assistance program, there to its residents are financial to do just that and mediunder one of cal eligibility its many Medrequirements. icaid waiver Medically, an programs. In individual purPennsylvania, suing HCBS there are two or LIFE must popular Medneed skilled icaid waiver nursing level programs: of care, which Home and is typically Community Marissa determined by Based Services Marshall an individual’s (HCBS) and primary care physician Living Independence for Elderly (LIFE). HCBS and and their local Area Agency on Aging office. LIFE are helping seniors Once an individual is dereceive skilled nursing termined to be medically level of care while resideligible, they must then be ing in their own home. financially eligible. HCBS is a Medicaid The financial eligibility waiver that will provide is similar to the financial financial assistance for eligibility for Medicaid in caregivers in the home, a nursing home. For this either hourly or live-in reason, careful Medicaid in some circumstances. HCBS also provides finan- planning, whether in cial assistance with medi- advance or in response to an unanticipated need cal expenses including prescriptions and co-pays. for nursing home level of care, can help protect HCBS generally does not your assets and assist in have a cost share for the care, so long as their gross qualifying for HCBS or LIFE. A certified elder law income is less than $2,250 attorney has the expertise each month. If their income exceeds that amount, to assist people in prothere may be other options tecting their assets and qualifying for one of these available that require the popular waiver programs. expertise of a certified Attorney Marissa elder law attorney. LIFE allows individuals Marshall is a Certified Elder Law Attorney at to remain in their home the Law Offices of Krewhile receiving compreisher & Gregorowicz in hensive daily living and Bloomsburg. She specialhealth services. The LIFE izes in Medicaid and Asset waiver provides financial Protection Planning and assistance to those seeking enrollment in the LIFE provides home, hospital or nursing facility visits. She program. In our area, the LIFE program is operated can be reached at 570-7845211, ext 2. through Geisinger, and it The views expressed has been called the nursing in this column are those home that nobody sleeps at. LIFE Geisinger offers a of the writer and do not number of health services, necessarily reflect those of Press Enterprise Inc. including therapy or re-
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