/ageless-spring-2010

And One to Grow On RIOA Celebrates 10 Years of Success

Thirty-one years ago, geriatrics was a relatively new word in most people’s vocabularies. It was a term that was often spoken in a hushed voice, referring to sick senior citizens residing in nursing homes with limited futures.

However, in spite of the misguided, colloquial definition, geriatrics was on the cusp of becoming a positive mainstream term associated with living longer and better.

Those who may have once questioned, or remember when others questioned, the need for unique care for children can quickly recognize the similar need for another area of important specialized care.

The UAMS College of Medicine began offering postdoctoral training in the care of older adults in 1978, and as they say, “the rest is history.” Interest in the new specialty was slow at first, but by 1990 the field of geriatrics had created a new presence at UAMS and was well on its way to becoming a nationally recognized and celebrated program.

Today in Arkansas we have one of only a few stand-alone departments of geriatrics, a pristine center of excellence at UAMS, and we have trained more than 60 geriatricians with our postdoctoral program. In fact, today Arkansas has more geriatricians per capita than any other state in the nation. In this rural state with a large number of retirees, providing this specialized care has been warmly welcomed.

The Donald W. Reynolds Foundation, our generous founder/ supporter, gave a major gift to establish the department and to construct our magnificent four-story building. Now the Reynolds Foundation has provided us with another opportunity to take a second calculated leap by expanding our building by four more floors. “Calculated” because we already know that these new floors will make a huge difference in the lives of older adults who want to live well and age better.

About eight years ago I moved to Arkansas after directing the Division on Aging at Harvard. Without question, the Reynolds Institute programs are on par with others at Harvard, Duke, UCLA and other well-known and respected institutions.

I am proud of the Reynolds Institute – and I am making it my heartfelt mission to educate more geriatricians, to make the type of care that older adults need more accessible across Arkansas, and to move the Reynolds Institute to the top in national rankings.

Please consider your own future health needs and the needs of your loved ones. Join us in opening doors to better care for older adults. It is time to make geriatrics a positive household word.

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Editor Marsha Hines Art Director Laurie Shell Photographer Johnpaul Jones Director of Special Programs Linda Sue Sanders Interim Director of Creative Services Angi McDaniel Director Donald W. Reynolds Institute on Aging Jeanne Y. Wei, M.D., Ph.D. Chancellor University of Arkansas for Medical Sciences Dan Rahn, M.D. Vice Chancellor of Communications & Marketing Pat Torvestad Associate Vice Chancellor of Communications & Marketing Leslie Taylor Assistant Vice Chancellor of Communications & Marketing Tim Irby AgeLess is published quarterly for the Donald W. Reynolds Institute on Aging by the Office of Communications & Marketing at the University of Arkansas for Medical Sciences, 4301 W. Markham St. #748, Little Rock, AR 72205-7199; phone (501) 686-5686; Fax (501) 686-6020.

Jeanne Y. Wei, M.D., Ph.D. Director, Donald W. Reynolds Institute on Aging Chair, Donald W. Reynolds Department of Geriatrics

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Inside FEATURES 4

“Healthy as a Horse”

Love of horses is a full-time job

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“Sometimes I am a doctor….”

A lesson in Palliative Care

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Have Bag Will Travel

Housecalls are reborn at Reynolds Institute

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healthNOTES

An aspirin could save your life.

And One to Grow On RIOA Celebrates 10 Years of Success

Lifetime RIOA Board Members Jo Ellen Ford (left) and Sissy Clinton celebrate 10 years of success for the geriatrics program at UAMS. Cover photo by Johnpaul Jones

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Jane Lyon cradles newborn foal named Stormin’ Indian at Summer Wind Farm.

y h t l a e H As a Horse As 4

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Aging Well, Living Better

Jane Lyon is not likely to be offended if someone remarks that she is as healthy as a horse. In fact, the strikingly attractive, blond horse woman would likely consider it a sincere compliment to be compared to the sleek thoroughbreds on her Summer Wind Farm in Kentucky.

“I had always dreamed of raising horses in the Bluegrass,” Jane, a native of Arkansas, confessed.

merely an undeveloped interest for animals into a very successful business that is reinforced by an unending passion. Karen began showing hunterjumpers at the age of 11 and never lost her enthusiasm for horses (and every other animal you can name). After earning her master’s degree in business administration at Vanderbilt University, Karen became Summer Wind’s brood mare manager, a demanding position that is definitely more than an idle hobby.

Jane loves spending time at the Kentucky farm.

“I particularly enjoy the foaling season,” she said.

Jane and Karen wrote “Witnessing the birth of SKIPINGO HOME, the story a possible champion race of a colt raised at Summer horse is like welcoming Wind Farm. Illustration by a new member into the Susie Gordon. family. “ “When my husband Frank Now serving her bought Summer Wind Farm second term on the Reynolds Institute on for me nearly 15 years Aging Community Advisory ago, my lifelong dream Board, Jane is very came true.” The pristine supportive of programs manicured farm in the that seek to improve the rolling hills of Kentucky quality of life for older is now home to 35 brood Arkansans and that can mares and has produced help them maintain and owned a number of functional independence.

Grade 1 racing winners, Two years ago Jane and including the “mother” of Frank gave $2.5 million two Horses of the Year. to the Reynolds Institute The mother/daughter to reinforce its primary team of Jane and Karen has turned what was once care clinic programs. With

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the generous gift, they honored the memories of their parents – Henry & Helen Thomas and Frank & Marion Lyon – thereby renaming the Senior Health Center as the “Thomas & Lyon Longevity Clinic.”

“When our parents were patients at the Reynolds Institute, I began to appreciate the importance of receiving specialized care as an older adult,” she said

“The Reynolds Institute helped our parents to age gracefully, and now Frank and I are both cared for by geriatricians there. It just makes good sense.

“If you stop and think about it, people and horses are not all that different when it comes to their care.

We both need exercise, a balanced diet, some time to relax and someone to oversee our health needs.”

“Aging can be a wonderful journey for humans and animals,” she concluded. “On the racetrack of life, I want to cross the finish line as a winner. My goal is to remain as healthy as a horse.” v

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Sometimes I am a doctor …sometimes I am the daughter

Palliative Care Physician Dr. Kimberly Curseen loves her job at the Reynolds Institute and UAMS because she says it allows her to experience the very best elements of mankind. “I watch people find their inner strength when facing difficult decisions about death, and I am amazed at their sense of calm and their inner peace,” she said thoughtfully.

Palliative care is still a relatively new concept in patient care, and the techniques used to manage pain, in addition to the psychological, social and spiritual care, are not well known.

Similarly, hospice care, (which helps people live fully and die peacefully,) is often misunderstood.

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“Both of these care models help patients who have medical problems for which there is no known cure,” she explained. “Palliative care and hospice are not about giving up or waiting to die.

People do not die sooner because they have received this care; in fact, there is some evidence that they live longer once their pain and fears are removed.

As a practicing geriatrician, I am just as aggressive for a patient’s recovery and wellness. I believe life is truly a gift and that we are meant to savor every minute.

Even in palliative care, I focus on living your remaining life with as much vigor as possible.”

Dr. Curseen and Dr. Sarah Beth Harrington, who is affiliated with the

Aging Well, Living Better

Winthop P. Rockefeller Cancer Institute, conduct a Palliative Care Clinic weekly in the Thomas & Lyon Longevity Clinic at Reynolds Institute. Patients are referred to the clinic, and the goal is to minimize their suffering. “People should be allowed to receive what they want and need at this point,” Dr. Curseen said. “They will receive good comfort care and support.”

When a patient switches to palliative care, which is aimed not at a cure but at improving comfort, the emphasis shifts away from aggressive treatment so that pain can be eased swiftly and dramatically. It is important to recognize that narcotics, sedatives and other medications are not the only element of comfort care. Alternative medicine, such as acupuncture, reflexology, meditation and relaxation techniques, are also helpful. “Emotional, spiritual and family support is an essential part of palliative care,” Dr. Curseen emphasized.

A patient’s discomfort should be treated vigorously, Dr. Curseen emphasized. “Pain can change a person’s personality, making them shorttempered, tired and less able to cope.

It can also cause anxiety, depression, nausea, insomnia and decreased quality of life.” Chronic pain can cause patients to be less able to cope with the pain.

For most patients who are experiencing unbearable discomfort at the end of life, medication should be administered on schedule and before pain becomes acute. For some patients, even nerve blocks could be considered.

This calm, compassionate and thoughtful physician considers patient’s emotional needs as an integral part of his/her overall treatment. She possesses an appreciation for the importance of human rights and the intrinsic value

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of every individual. “By his words and example, my father instilled a very conscious respect for the value of human life in me at a young age,” she said. “My spiritual background has also helped me to gain insight into why people do what they do, as well as why they need a certain understanding as they approach the end of life. I am privileged to be the person who helps control their pain, and who helps them maintain their dignity at the end of life.

“Sometimes I find myself sitting quietly with a patient who is seeking atonement or listening as a patient recounts his/her life, often revealing things which that person feels a need to share. Sometimes I am not a doctor, instead I become a daughter or friend in a patient’s eyes,” she said. “And I am thankful because it is an incredibly gratifying experience.” v

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Lessons in Palliative Care March 8 – 29, 2010

The public is invited to attend a four-week series of educational programs about Palliative Care and Hospice at the Reynolds Institute. The series began Monday, March 8, and will continue on Monday evenings throughout the month of March.

Sessions will be held from 5:30 until 7:00 p.m. in the Jo Ellen Ford Auditorium at Reynolds Institute.

Weekly topics include the following:

Week 1 – Introduction to Palliative Care

Week 2– “Stop the Myths about Hospice”

Week 3 – Understanding a Chronic Illness Week 4 – Advance Directives

To reserve a seat at the series, please call 501-526-6553.

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10 Years and Still Growing “If we build it, they will come”

That’s the confidence that the Reynolds Foundation displayed 10 years ago when it funded construction of one of the only free-standing institutes on aging in the nation. During the last decade, the specialty of geriatrics became the type of care that older adults prefer.

Today, the Reynolds Foundation has again confidently acknowledged the critical need for more geriatricians by funding a $30.4 million vertical expansion for the Reynolds Institute on Aging.

In September 2000, the opening of the four-story, 96,000 square-foot Donald W. Reynolds Center on Aging at UAMS was a noteworthy event. For the first time ever, seniors in Arkansas could access specialized geriatric care; medical doctors could receive unique training required to treat older Arkansans; and innovative research could be conducted all under one roof.

In the first 10 years, the Reynolds Center on Aging evolved into an institute on the UAMS campus; more than 60 physicians completed fellowship training in geriatrics; research activity crackled with enthusiastic progress; and at the end of the decade, a new chairman with robust vision for growth took the helm.

“We are eternally grateful to the Reynolds Foundation for its support and for the continued faith it has in the future of our programs. This welcomed addition will take clinical care, education and research in geriatrics to a new level,” Dr. Jeanne Wei, executive director of the Reynolds Institute, commented. v

Jo Ellen Ford added her name to the beam for the “topping out” ceremony.

The ceremonial ground-breaking was conducted in September 1998 at the building site.

Events for celebration

Plans are leaping into place for an unprecedented three-day celebration of a decade of accomplishment. We want you to join us for the every part of the exciting weekend.

Friday, September 24, 2010

The late Dr. Harry P. Ward, UAMS Chancellor, paid tribute to the vision behind the Reynolds Institute on Aging.

“Hot Dogs and Hard Hats” Party – Don a hard hat and join us as we “raise the roof!” Construction will be underway.

This event promises to be heavy on FUN with a side order of festivities and franks.

Saturday, September 25, 2010

“Elder Fair” – We will quiet down a bit on Saturday morning with an Elder Health Fair for older adults. Take advantage of health check screenings, vision and balance checkups, and a lot about staying healthy beyond your fifth decade. Come and bring your friends – we applaud good health at the Reynolds Institute.

Saturday, September 25, 2010

Employees showed tremendous pride during the construction process.

“White Coat Ceremony” – This formal dinner for invited guests will pay tribute to persons who have made outstanding contributions of all kinds to the Reynolds Institute since its inception. This will be an opportunity to see the Reynolds Institute “all dressed up.”

Sunday, September 26, 2010

“Art of the Third Age” – Join us for a reception celebrating the artists currently part of the our permanent collection. Also enjoy a juried exhibition showcasing the talents of working Arkansas artists ages 65 years and older.

And that makes it official! (l. to r.) Dr. I. Dodd Wilson, Steve Anderson of Reynolds Foundation, Jo Ellen Ford, Dr. David Lipschitz and Dr. Harry Ward.

In the coming weeks, you will hear much more about these wonderful events, but for now, please mark your calendar and make plans to join us for the Reynolds Institute on Aging’s 10th Anniversary Celebration. v

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Aging Well, Living Better

Photo by Mike Pirnique

Have Bag Will Travel

“I was only FOUR years old when I made my first housecall and I remember it vividly,” Delbra Caradine, M.D. at the Reynolds Institute, commented. “I went with my greatgrandmother to comfort a very sick friend in our hometown. While I didn’t realize it then, practicing medicine was to become my ‘have bag will travel’ life mission. I’ve been preparing for this work all of my life.”

The HouseCall Program, directed

by Dr. Caradine, provides primary care, within a 30-mile radius of Little Rock, for older adults who are physically or medically unable to visit the Thomas & Lyon Longevity Clinic at Reynolds Institute. In today’s fast-paced world, housecalls are almost a thing of the past.

But these home visits are a lifesaver for many patients. “I know patients who would be in long-term care facilities if we could not visit them,” Dr. Caradine said. “Being able to remain in their own homes with loved ones noticeably improves their quality of life. For me, making housecalls is like visiting my favorite relatives.”

The program began on a part-time basis in September 1999 with Dr. Caradine leading the effort. Just two months later, the program became full-time in response to the tremendous demand.

As the HouseCall physician, Dr. Caradine is the patient’s primary doctor and coordinates care among families, nursing agencies and home health services. Medicare, Medicaid, private insurance and private pay are accepted forms of payment. This service does not provide emergency care, so patients who experience a sudden health issue should go to the nearest emergency room immediately.

Dr. Caradine and Melissa Cleary, SPRING 2010

APN, share visits for about 275 homebound patients. The closest patient may be only a few short blocks away from the Reynolds Institute, but patients also reside in Cabot, Benton and in between.

“I have a GPS and I still get lost,” Dr. Caradine said smiling. “Some of my patients really live well off the beaten path.”

In the program, the same clinic model of interdisciplinary care used at the Thomas & Lyon Longevity Clinic is provided, including the expertise of a geriatrician, advanced practice nurse and a social worker. Other disciplines are added when the patient needs them.

The HouseCall Program not only attentively cares for the patient, but in many cases, the visits comfort the entire family as well. Dr. Caradine, who was once a social worker, said these visits allow her to see the patient’s entire living situation, including the caregiver’s health and needs. “If needed, I may also ask a social worker to make a visit,” she said. “Social workers are trained to evaluate a home and offer suggestions that will make it safer and more patient friendly. Some family dynamics can require a social worker’s objective viewpoint to help resolve interpersonal issues. You can imagine how easy it is to feel like a member of the family.”

Today, 10 years later with at least 13,000 visits on record, the need continues to grow. This nearly-forgotten form of medical care has proven to be an excellent way to provide quality, cost-effective and efficient medical services to homebound patients, so there is often a waiting list.

“I love making housecalls, it is a great way to practice medicine and a true ministry for me. I know my greatgrandmother would agree that human contact is often the best medicine,” she concluded. v AgeLess

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healthcare notes

An Aspirin Could Save Your Life

Even though taking a baby aspirin daily has been shown to lower the risk of heart attack and stroke, it may not be the correct therapy for every person, according to geriatricians at the Reynolds Institute’s Thomas & Lyon Longevity Clinic. Aspirin is readily available, but check with your physician before you start a daily aspirin therapy.

Also be aware that stopping your daily aspirin therapy may have a rebound effect – stopping may increase your risk of heart attack or stroke. If you have been on daily aspirin therapy and want to stop, it is important that you talk with your doctor before making any changes. The rebound effect of stopping this daily regimen may trigger a blood clot.

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If you are experiencing heart attack symptoms, doctors recommend chewing or swallowing one plain regular-strength or two to four baby aspirins.

Chewing the aspirin speeds up the absorption process and minimizes any delay in the beneficial effects. You should still take aspirin if symptoms occur, even if you are on the daily aspirin therapy.

Aspirin interferes with your blood’s clotting action.

For example, when you bleed from a cut or scratch, your platelets or clotting cells form a seal at the site of the wound to help stop the bleeding. This clotting can also happen within the vessels that supply blood to your heart and brain. If your blood vessels are already narrowed from atherosclerosis (the

accumulation of fatty deposits in your arteries) a blood clot can form quickly and block the artery that feeds the brain or heart. Aspirin reduces the clumping action of the platelets, thereby reducing the risk of a heart attack or a stroke.

Both aspirin and ibuprofen reduce the clotting action of blood platelets, but ibuprofen can counteract the benefit of daily aspirin therapy when they are taken together.

Aspirin is still effective if it is taken two hours before a single dose of ibuprofen.

However, taking multiple doses of ibuprofen daily or taking ibuprofen before aspirin can sometimes prevent aspirin from working effectively.

Occasional use of ibuprofen – less than 60 days a year – is usually okay.

If you only need a single dose of ibuprofen, take it eight hours before or 30 minutes after the aspirin. If you need to take ibuprofen more often, talk to your physician about other medication alternatives.

With all of the amazing medical advances and the new medications available, it is reassuring to know that aspirin is still an effective, affordable and simple option for many people who are at risk of heart attack and stroke.

Aging Well, Living Better

Students Give RIOA Faculty High Scores for Professionalism UAMS College of Medicine third-year students have evaluated the Reynolds Department of Geriatrics faculty members and rated them very high on professionalism and ethics in a six-month research survey. The Learning Environment for Professionalism survey is designed to assess the students’ perceptions about the environment for professionalism for each rotation they complete. The survey is collected at the end of each of their nine required clerkship rotations.

The goal of the survey was to obtain data to better

understand the professional culture at our institution (UAMS) from the perspective of third - year medical students in order to improve our culture for our entire community: learners, faculty, staff and patients. The faculty professionalism and ethics observed by the students in the Geriatrics Department has been extremely positive and provides excellent examples of positive role models.

During medical school, students observe and assist in the clinic, nursing home, inpatient and hospice settings. Dr. Vinay Kutagula, Geriatrics

clerkship director stated, “Our medical students, and physicians everywhere, are beginning to recognize the unique kind of care that is needed to adequately care for older adults. We want to expose these students to as much about the specialty of Geriatrics as possible.”

Reynolds Gift to AAIs Training Caregivers

When the Reynolds Foundation presented its major gift to the Institute in June 2009, it also announced a second gift – $3 million to the Arkansas Aging Initiative (AAI). The AAI received funding to replicate the caregiver training model currently offered at the Schmieding Senior Health Center in Springdale.

The Schmieding Center’s caregiver training program teaches persons how to provide care for older, dependent persons.

The need for such a training program is what inspired the late Lawrence Schmieding to

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fund the Center in Northwest Arkansas six years ago.

When his brother became seriously ill, Mr. Schmieding tried desperately to hire a trained professional to care for him.

As he soon found out, there are few trained caregivers in the state. He decided that no one should experience the anxiety that he did when searching for a caregiver.

He gave funds to establish the center on aging in Springdale, requesting that a specific caregiving curriculum be developed.

With the $3 million gift, four of the eight centers on

aging will add the caregiver program to their educational mission. Robin McAtee, RN, PhD, associate director of AAI and the grant’s director, said the first four centers to receive the training will be Jonesboro, Pine Bluff, Texarkana and the Delta.

“After these programs are up and running, we will apply for additional funding to include the program at the other four centers on aging,” Dr. McAtee explained. “Our Jonesboro Center on Aging has begun its caregiver program with an enthusiastic response.”

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Challenge Campaign

Will Raise $5.6 Million

Committee Leadership

Charlotte Gadberry, Chair

Sandra Connor, Leadership

Sharon Bailey, Partnership

The Reynolds Foundation’s gift of $30.4 million requires the Reynolds Institute on Aging to raise an additional $5.6 million before taking occupancy of the planned expansion.

It is normal procedure to require institutions that receive funding to raise an additional percentage of the gift for a designated purpose. Instead of raising money for bricks and mortar, the Reynolds Foundation has graciously agreed that the money raised can be used to support programs at the Reynolds Institute.

The Foundation’s generous $30.4 million gift will expand the Reynolds’ original structure by 55,000 square feet and will add four more floors.

“We are thrilled because strengthening and adding programs is one of Chairman Jeanne Wei’s highest priorities, and an important factor as we work to train more physicians in geriatric care,” Charlotte Brown, Director of Development, explained. “Hard hats are polished and enthusiasm is mounting as members

of our ‘New Challenge Campaign Committee’ prepare to formally launch their effort.”

Although work to raise the funds has already begun quietly, the Board’s enthusiasm is far from silent. Fourterm board member Charlotte Gadberry is chairing the committee of 21 energetic board members. The campaign has been strategically divided into three phases – Leadership, Partnership and Ownership – and should last from 18 to 24 months.

“We hit the ground running in June and have had several workshops with both our architects and general contractor,” Linda Sue Sanders, Director of Special Projects, commented.

“Everyone in the building has had an opportunity to speak up with space needs and suggestions.

Now, after months of planning and anticipation, construction will begin this summer and completion is projected for the fall of 2012. The next two years will be extremely exciting.” v

Robin Armstrong, Ownership

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Aging Well, Living Better

In Grateful Appreciation

MEMORIALS 2009 Mr. Donald Beverly Mr. & Mrs. David Clinton Ms. Frances Bradsher Mr. & Mrs. Al White Judge and Mrs. Bruce T. Bullion Mrs. Mary F. Worthen Mr. Michael L. Campbell Mr. Mike Halferty Mr. Ernest Catenacci Mr. & Mrs. Eugene Cremins Mr. Stanley Clark

Mrs. Dick (Marie) Fikes

Mr. & Mrs. Al White Mrs. Marcia Collier Dees Mrs. Dorothy Glenn Downie Mr. Horace “Sonny” Everett Mrs. Amanda Dees Brown James Mrs. Marylena L. Kennedy Mr. Joe T. Reynolds Mr. Ed Warmack Mr. Charles “Chas” Williamson Mr. James Cobb Mr. Pete Hoover Mr. Boyd Anderson Mr. Ed Warmack Mr. Boyd Anderson

Hon. & Mrs. Robert Brown Richard W. Dickenhorst, MD

Sol I. Courtman, MD Mr. Warren Everson

Mr. & Mrs. Tim Breth

Mr. & Mrs. Ronald M. Clark

D.J. Dailey, DDS

Ms. Ethelyn Dow

AR Children’s Hospital employees

Mr. & Mrs. Chuck Erwin

Ms. Melissa Fontaine

Dr. & Mrs. Robert J. Forrest

Mrs. Peggy H. Fregia

Mr. & Mrs. Richard Furr

Mr. John Gann & Ms. Nancy Hicks

Mr. Fred Harrison

Ms. Virginia Henker

Ms. Peggy W. Hundley

Dr. & Mrs. Richard Jacobs

Ms. Wadena Lemley

Dr. & Mrs. Malcolm Moore, Jr.

Mr. & Mrs. Skip Rutherford

Mr. & Mrs. Mark Saviers

Scarano Boat Building, Inc.

Ms. Emily Ann Smith

Ms. Rosalind O. Smith

Mrs. Dorothy B. Snow

Dr. Sally Bates’ Dept. Managers

Students, Faculty and Staff@Clinton School of Public Service

Mr. Charles B. Whiteside III

Mr. & Mrs. Stanley W. Yates Ms. Lillian Grimes

Ms. Jeanne Barker Mrs. Connie Larson

Mrs. Melba Munnerlyn

Mr. & Mrs. Ed Turner Mr. Paul (Pete) Williams Hon. & Mrs. Robert Brown Mr. & Mrs. Joe Ford Mrs. Carolyn Pfeifer Horchow

Mr. Brooks Rosen Mrs. Anne Jones-Banks

The Honorable John Stroud Mr. Don O. Kirkpatrick

Mrs. Carolyn Kirkpatrick Mrs. Marian Klein

Mrs. Karla Back Ms. Leah Caradine

Mr. & Mrs. Richard Douglass

Mr. & Mrs. Shepp Lesser

Mr. & Mrs. Maurice Mitchell

Mr. & Mrs. Lee Ronnel

Mr. & Mrs. Steve Ronnel

Mr. John S. Selig

Mr. & Mrs. Sam Strauss, Jr.

Mr. James L. Lessel

Bell & Company, PA

Mrs. Jean S. Healey

Mr. John C. Lessel Ms. Lucy Martin

Mr. Arthur Kerns Mrs. Rosemary Mason

Mrs. H. Maurice Mitchell Ms. Dortha Maynard

Ms. Kathy Johnston Mrs. Kathryn McIsaac

Mr. and Mrs. Ed Irwin Ms. Fay Suriani Plohn Mrs. Grace Rainwater

Mr. & Mrs. Philip Jonsson Dr. Ben O. Price Mr. James T. Dyke Mr. Jim Rice Ms. Kathryn Rice Mr. Lawrence H. Schmeiding

Arvest Bank Operations, Inc. Backer’s Potato Chip Co. Barrel O’ Fun Snack Food Co. Better Made Snack Foods, Inc. Cleverdon Farms, Inc. Mrs. Dorothy G. Colvin A.I. Corte, Jr., FLP DeChene Corporation

Frey Produce LLC Mrs. Linda Geels Gray Potato Farm Mr. Gerald Harp Ms. Marjorie L. Hart Jones Insurance Agency, Inc.

Hartkopf Potatoes, Inc.

Longer Investments

McNitt Produce, Inc.

Mr. Neal R. Pendergraft

Shearer’s Foods, Inc.

Jack H. Smith Trucking, Inc.

Sowinski Farms, Inc.

Szawlowski Potato Farms, Inc.

Mr. Lance Taylor

Mrs. LeAnn M. Underwood Mr. “Bill” Toler Shepherd

Hon. & Mrs. Robert Brown

Mrs. Carolyn Kirkpatrick Dr. Norman K. Smith

Ms. Nikki Lawson Mr. Winston T. Treadway

Mr. & Mrs. Ted Treadway Mr. Edward Waldheim

Mr. &Mrs. Weldon Aultman

Mrs. Mary Clouse

Mr. & Mrs. Randy Evans

Hanjin Shipping Hardcash Planting Company Mr. & Mrs. Calvin Lang Mr. & Mrs. Michael Meek Mr. & Mrs. Peter Peerbolte Planters Bank & Trust Company Ms. Kathy Rateliff Mr. Charles Yarrington Hon. & Mrs. Robert Brown The Clinton School of Public Service Mr. & Mrs. Wayne Cranford Mr. & Mrs. Kearney Dietz Ms. Melissa Fontaine JTS Spine & Neuroscience Institue Mrs. Sidney Nisbet Mr. & Mrs. Skip Rutherford Dr. & Mrs. Louis Sanders Mrs. Jack Treece Mr. & Mrs. Dick Wyatt Mr. James (Jimmy) Younts, Jr.

Mr. & Mrs. Mike Halferty

HONORARIUMS 2009 Mr. & Mrs. Don Adams Mr. & Mrs. John Borchert Mr. & Mrs. Brian Davis Mr. & Mrs. Jim Faulkner Mr. & Mrs. Davis Fitzhugh Mr. and Mrs. Bo Hawk Ms. Jerry Hill Mr. & Mrs. Jim Irwin Mr. & Mrs. Jim Monk Mr. & Mrs. Shep Russell Mr. & Mrs. Skip Rutherford Dr. & Mrs. Steve Tilley Mr. & Mrs. Brock Whisenhunt Mr. & Mrs. Randy Wyatt

Mr. & Mrs. Rusty Armstrong Dr. Claudia Beverly

Polk Stanley Rowland Curzon Porter Mary Bonner & Mike Hale Mr. & Mrs. Taylor Brown Mr. & Mrs. Ken Jamison Mr. & Mrs. Gus Walton

Ms. Janet G. Mayersohn Crystal Falls Healthcare

Alzeimer’s Alliance Texarkana Mrs. Jo Ellen Ford

Ms. Janet G. Gattis

Ms. Gail Harrison Gerard

Ms. Mary H. Harper

Mrs. Linda Hogue

Ms. Ann Johnston

Mrs. Juanita Patton

Ms. Jane S. Preiss

Mrs. James E. Shuffield

Ms. Mary Catherine Sligh

Mr. & Mrs. David P. Studer

Ms. Norwyn Waters

Mrs. Annette Watson Mr. & Mrs. Joe Ford’s 50th

Ms. Peggy Mathews

Dr. and Mrs. Mack Moore Mr. George Hay’s Birthday

Mr. & Mrs. Tom Schueck Dr. Pham Liem

Dr. Bill Hefley, Sr. Mr. & Mrs. Don M. Mann

Mr. Brooks Rosen Mr. & Mrs. Lee Ronnel

Mrs. Robin Armstrong

Ms. Janet G. Mayersohn TLLC- Drs. Ozdemir, Sauer & Ms. Juli L. McCall

Mr. Francis Loftus Dr. Jeanne Wei

Mr. & Mrs. Ronald M. Clark

Ms. Ethelyn Dow

AR Children’s Hospital employees

Mr. & Mrs. Chuck Erwin

Ms. Melissa Fontaine

Mr. & Mrs. Robert J. Forrest

Mr. & Mrs. Richard Furr

Mr. John Gann & Ms. Nancy Hicks

Dr. & Mrs. Malcolm Moore, Jr.

Mr. & Mrs. Skip Rutherford

Mrs. Judith G. Snowden

Dept. Managers of Dr. Sally Bates

Students, Faculty & Staff Clinton

School of Public Service Mrs. Ann White

Mr. Duke Allison

Mrs. Diane B. Ayres

NONPROFIT ORGANIZATION U.S. POSTAGE

PAID LITTLE ROCK, AR PERMIT NO. 1973

4301 W. Markham St., #748 Little Rock, AR 72205-7199 ADDRESS SERVICE REQUESTED

The

Art of Aging

Reynolds Institute on Aging has a beautiful collection of artwork displayed throughout the building. AgeLess will feature individual pieces from the collection for you to enjoy.

Bicycle in Autumn Tree 2000 watercolor on paper 40” x 60” George Dombeck is a watercolorist from Goshen in Washington County, Arkansas.

This painting seems to catch attention of visitors who wonder “is that a real bicycle?”

It is located on the second floor hallway immediately to the right of the central elevators.

Born in 1944, Dombeck literally spent his entire life painting. He honed his skills at the University of Arkansas in Fayetteville where he earned a master’s degree in Fine Arts and Architecture. His close-up views of the Natural State have won him considerable praise in the art world. He has held oneman shows at the Arkansas Arts Center, The Springfield Art Museum, and the Butler

Institute for American Art. He has carved a niche in the local and national art world. His work can be seen in collectors like McDonald’s Corporation, Chase Manhattan Bank, IBM Corporation, 3M, Hallmark Corporation and the Arkansas Arts Center.