Health&Wellness May 2018

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Vol. 15 • Issue 8 • May 2018

SENIOR H E A LT H S P E C I A L

SENIOR

SERVICES DI

REC TORY

ALSO INSIDE

The best local selection!

SENIOR LIVING

IN-HOME CARE

TRUSTS & WILLS DOWNSIZING

Nurture and care for your body, mind and soul!

HEARING

T R A N S P O R TAT I O N

...AND MORE!

Tour: Lexington Senior Center

Audibel Promotes Hearing Health

Aging Life Care Solutions

C Change Your Hearing Ch ha an ng g C Change Your Life Ch h

Change Your Hearing Change Your Life

Call us Call us today for a complimentary Call consultation! us t t

859.963.2958 www.kyhearing.com Lexington 259 Southland Dr Other convenient locations: Prestonsburg • 1428 N Lake Dr Pikeville • 5425 N Mayo Trail, Ste 201 Dr. Robert Manning, Au.D. Doctor of Audiology

Jake Manning, HIS Hearing Instrument Specialist

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Caring for families for over 190 years

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When you look at the faces of our residents, you’ll see laugh lines from a happy life, eyes that have seen it all, and smiles filled with hope for the future.

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Call us to stop by for a tour.

www.LafayetteLexington.com I N D E P E N D E N T L I V I N G • S H O R T-T E R M R E H A B S K I L L E D N U R S I N G & R E H A B I L I TAT I O N © 2017 Five Star Senior Living

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ORTHOPAEDICS Joint Replacement and Your Health and Well-Being YOGA Yoga for Any Age FAMILY DOC What is a Medicare Wellness Exam?

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NATURE'S BEAUTY Squash

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PERSONAL TRAINING Is it ever too late to start moving better?

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FUNERAL Have the Talk of a Lifetime

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BUSINESS SPOTLIGHT Aging Life Care Solutions

FEATURES

Taking a Tour: Lexington Senior Center Satellites

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A Good Night’s Sleep is Important for Senior Health

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Audibel Promotes Hearing Health

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Taking Care of Your Aging Skin

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Helping Seniors make a Smooth Transition

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Seniors Can Build Muscle Mass to Live Longer

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Taking Away the Car Keys

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Senior Living Placement

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DEPARTMENTS SPECIAL: Senior Services Directory

FAMILY VISION Vision Therapy and Acquired Brain Injury

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Events Calendar

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Food Bites

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In The News

Dr. Tom Miller Harleena Singh

COLUMNISTS/GUESTS Jill S. Cole, LMT, BCTMB

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LEXINGTON HEALING ARTS ACADEMY

Greg D'Angelo, M.D.

BLUEGRASS ORTHOPAEDICS

Lauren Weaver, RYT 200

LEXINGTON HEALING ARTS ACADEMY

January Hamby, APRN

FAMILY PRACTICE ASSOCIATES OF LEXINGTON, P.S.C.

Lucy Hendricks

LEXINGTON HEALING ARTS ACADEMY

Kim Wade, Community Relations Director MILWARD FUNERAL DIRECTORS

Dr. Rick Graebe, FCOVD

FAMILY EYECARE ASSOCIATES AND VISION THERAPY

ROCK POINT PUBLISHING Brian Lord / Publisher Kim Blackburn / Sales Representative Jennifer Lord / Customer Relations Specialist Barry Lord / Sales Representative Anastassia Zikkos / Sales Representative Kim Wade / Sales Representative Janet Roy / Graphic Designer

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COLUMNS MASSAGE Hospital-Based Oncology Massage

STAFF WRITERS Angela S. Hoover Jean Jeffers

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CONTENTS

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MAY 2018: SENIOR HEALTH

WEBSITE & SOCIAL MEDIA PROVIDED BY

Purple Patch Innovations

Health&Wellness is a proud product of

E R AC E N I L N O DAR C A L E N magazine.net s dwellnes healthan -calendar.html /race

FROM THE

EDITOR

Tanya J. Tyler, Editor | Share your story: editor@healthandwellnessmagazine.net

Publishing

Health&Wellness Magazine can be found in 20 central Kentucky counties and is distributed to over 90% of medical facilities, including chiroprator’s, eye doctor’s and dentist’s offices. You can also pick up your FREE copy of Health&Wellness at most grocery and convenience stores as well as many restaurants throughout Central KY. For advertising rates and to find out how to get YOUR article published:

Hello, Friends, Senior health is an interesting topic to explore. First off, we should applaud today’s seniors who are living longer and more healthier lives. I have numerous friends in their 70s and 80s who are absolute dynamos, traveling and exercising and serving in the community. I want to grow up to be just like them. Conversely, I also have friends who feel every ache and pain of their longevity and who are immobilized or confined by such age-related conditions as arthritis, stroke and diabetes. I suppose a lot of it depends on the luck of the draw, in addition to having good genes and the blessing of good health.

ROCKPOINT

And even more depends, I believe, on your attitude and your outlook. I’m a prime advocate of changing the expectations of age.

I don’t believe we are destined to give up and take to our rocking chairs at some arbitrary number of years. I firmly believe that as long as you can, you need to keep moving and keep doing and remember age is just a number.

Start young and nurture and care for your body, mind and soul to stay in the game for as long as you possibly can!

Here’s to your health,

Tanya

859-368-0778 e-mail brian@rockpointpublishing.com © Copyright HEALTH&WELLNESS Magazine 2018.

All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Health&Wellness Magazine. Health&Wellness Magazine reserves the right to publish and edit, or not publish any material that is sent.

Health&Wellness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Health&Wellness should not be considered as a substitute for medical examination, diagnosis or treatment.

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May 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

TAKING A Lexington Senior Center Satellites

By Brian Lord, Publisher

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Built in 1865

by John Bell, The Bell House opened as a Senior Center on June 1, 1967.

It has been over 35 years since the city of Lexington built its first senior center. This dedication to seniors has continued over the years. On Sept. 15, 2016, a newly constructed senior center opened to meet the needs of a growing senior population.

But are you aware this is not the only center built specifically for seniors in our city? Lexington has a rich history of programs that have been set aside for the aging population. Some centers are located in historic buildings. Others are repurposed programs that more readily offer opportunities for people age 60 years and older of all backgrounds, races and income levels to stay active and healthy in each stage of life.

Let’s begin our tour with the Bell House Senior Programs.

The Bell House In June 2017, Lexington celebrated the 50th anniversary of the historic Bell House being used as a senior center. Major figures in Lexington history visited this home, which was built in 1865

by John Bell. It was even the stamping grounds of Abraham Lincoln, his wife, Mary Todd, and his mother-in-law. The building was the first senior center in Lexington. On June 1, 1967, the Bell House opened its doors to senior adult programs, thanks to a federal grant obtained through the Older Americans Act. Until that time, senior programs were generally only offered through churches.

Dorothy Large, who was Lexington’s first director of senior adult programs and served for 40 years, helped create, provide and manage programming at the Bell House. These included classes in writing, music, theater, fitness, wellness and more. In March 2017, the Division of Parks and Recreation gave control of the program to the Division of Aging and Disability Services. It is now a satellite location providing a stimulating environment where adults ages 60 years and older engage in all sorts of activities.

When you visit the Bell House, you will encounter all kinds of services, including the Monday Club, an art class held throughout the week, as well as educational courses. You can even take piano lessons there. If you listen carefully, you might hear the Bell House Troubadours choral group singing. The Bell House also has fitness activities such as chair yoga and aging with grace exercise. The facility has developed a partnership with the YMCA to do offsite water fitness classes in their multiple locations.

At the centrally located Bell House, seniors will also find resources they need for themselves or a loved one. You might even find and make new friends as the programs help you stay active and enjoy the wonderful years ahead.

The Bell House 545 Sayre Avenue Operates 5 days a week: Monday, Tuesday, Thursday: 8:30 a.m.- 4:30 p.m.; Friday 11:30 a.m.-4:30 p.m. By appointment only on Wednesday (all day), Friday 8:30 a.m.-11:30 a.m. (859) 233-0986

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2018

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The Charles Young Center

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The next stop on our tour is one of a kind – the Charles Young Center Senior programs. The center is named after a freed slave who was the highest-ranking black officer in the military at the time of his death in 1922. It was built using federal funds in 1934. It was formerly a community center for the local African American population during segregation. On Aug. 17, 2016, the Young Center celebrated its inclusion on the National Register of Historic Places. The center has been remodeled and rejuvenated and is now one of the newest satellites of the Lexington Senior Center, which opened five years ago on the east side of Lexington. The repurposing of the center keeps alive a lot of rich history. Kristy Stambaugh, Director of Aging and Disability Services, says several people have told her the center played a significant role in their lives – it was where some even had their first kiss.

Reopening the Young Center brought back many positive and wonderful memories for the community. Like the Bell House, it brings together people from all ages and stages of life and racial backgrounds.

The Young Center is open three days a week, Monday, Wednesday and Friday, from 9 a.m. to 1 p.m. As many as 40 people use the center daily. It is home to a full-size gymnasium and offers classes on Bodies in Balance to help with fall prevention. There is also a line-dancing class, as well as classes on scam prevention, Medicare enrollment and healthy eating for one. The people who gather at the Charles Young Center enjoy many traditional and even new cards games. A fun activity called pickleball is often played there. It is said to be extremely challenging and can become slightly addictive.

Many creative activities, including jewelry making and crafts, and social/educational opportunities such as tablet training are available for seniors. You are encouraged to bring in your smart device (phone, tablet, laptop) and volunteers will assist you in using it. With lectures and other informational classes geared for the needs in a senior’s life, we encourage you to participate with other seniors at this wonderful community resource.

Charles Young Center 540 E. Third Street Hours: Monday, Wednesday, Friday 9 a.m.-1 p.m.

(859) 246-0281

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Black and Williams Center Finally, the third part of our tour is the Eldercrafters at the Black and Williams Center. This satellite of the Lexington Senior Center is the city’s second oldest senior program. Its unique claim to fame is its commitment to crafts and art work. The participants have a wonderful reputation for creating amazing quilts, ceramics, needlework projects and more. The women in the past have volunteered their crafting skills for community projects, such as making pillowcase dresses for a program at the Lyric Theatre and Cultural Arts Center and sewing quilts or afghans for nursing home residents. They have also made hats and blankets for babies at the Shriners Hospital, and they prepare and paint ceramic pieces as well. Recently they knitted hats and gloves for the Hope Center and Chrysalis House.

If crafting is not your thing, the center also has activities such as card games, dominoes, movies, community potlucks and social gatherings. This active group is also known to organize trips to see the unique areas of the Bluegrass.

Two days a week the group Eldercrafters Dog Show hosts Chair Yoga 2, an exercise program dedicated to helping build strength and stability for seniors. The convenient office reaching people on the west side is open Monday through Thursday from 9:30 a.m. to 2 p.m.

Lexington Senior Center is so proud to offer these three satellite offices to meet the needs of seniors in different areas of the city. These centers are beautiful places for you to meet new friends, exercise, listen to music, have adventures and stay active. You no longer need to travel across town to experience all that is offered. Check out one or all three of these great locations. To learn more, go to the Senior Programs at the City of Lexington website, www.lexingtonky.gov/browse/ community-services/senior-programs.

Eldercrafters at the Black and Williams Center 498 Georgetown Street Hours: Monday-Thursday 10 a.m.-2 p.m. (859) 252-1288

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May 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

A GOOD NIGHT’S SLEEP IS IMPORTANT FOR SENIOR HEALTH

The need for good sleep patterns is as basic as the need for water and food.

DEVELOP HABITS THAT OPTIMIZE YOUR SIESTA TIME

By Dr. Tom Miller, Staff Writer

may change with age, too. As we age, we tend to get less deep sleep, For some and it’s more common for senior seniors, getting a good night’s sleep adults to spread their sleep over a 24-hour period, sleeping four is an everyday challenge. Some to five hours at night and taking sleep specialists recommend additional naps during the day. seniors sleep about seven and When seniors do not a half hours on average, while experience adequate and others say seniors to get need restful sleep, their bodies fail to as much sleep as they always regenerate cells and clean the have to function at their best. blood by circulating it through The National Sleep Foundation the liver. The need for good sleep (NSF) convened experts from patterns is as basic as the need for the fields of sleep research, water food.

Senior adults are anatomy and physiology well Call us toasschedule yourand tour today! already prone to some illnesses, as pediatrics, neurologySignature and HealthCARE at Tanbark as well as falls, accidents and gerontology to reach a consensus Rehab & Wellness Center balance deficiencies, and failing to from the broadest range of (859) 273-7377 1121 Tanbark getRoad enough sleep increases risks scientific disciplines. Their results KY 40515 all these setbacks. There is recommend wider appropriateLexington, for compelling research that indicates sleep ranges forwww.facebook/SHCatTanbark all age groups. www.SHCatTanbark.com too little sleep contributes to an The results were published in increased appetite and weight Sleep Health: The Journal of the gain as well. From a mental health National Sleep Foundation. The perspective, while many senior panel revised the recommended adults do struggle with depression sleep ranges for all six children and anxiety, they are more prone and teenage groups as well as to developing these conditions if those for adults and seniors. they don’t get enough sleep.

For older adults, age 65 years Senior health requires and older, the NSF guidelines recommend a sleep range of seven developing good habits that support good sleep over a to eight hours. lifetime. There are numerous There are two main reasons suggestions to help seniors get many seniors don’t get as much enough restful sleep, and many restful sleep as they need. Among apply to people of all ages. the challenges facing seniors These include avoiding caffeine is getting to sleep and staying and having large meals close to asleep. Seniors typically take bedtime. Exercise early in the day longer to fall asleep than the rest and rise and go to bed at the same of the population and often wake time every day. Be sure to have up numerous times during the an annual physical and wellness night. According to Aging Care exam so you and your physician (2017), studies of adults over age know you are healthy and all your 65 years indicated 13 percent of medical conditions have been men and 36 percent of women need more than 30 minutes to fall diagnosed and are being treated. asleep. Nighttime sleep schedules

Sources and Resources National Sleep Foundation (www.sleepfoundation.org)

About the Author Thomas W. Miller, Ph.D., ABPP, is a Professor Emeritus and Senior Research Scientist, Center for

Health, Intervention and Prevention, University of Connecticut and Professor, Department of Psychiatry, College of Medicine and Department of Gerontology, College of Public Health, University of Kentucky.

Call TODAY for Spring Move-in Specials!

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We admit and treat all patients/residents without regard to color, race, religion, national origin, gender, sexual orientaiton, disability,j age or other legally protected status.

English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-392-8886.

Español (Spanish) ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-392-8886. 繁體中文 (Chinese) 注意：如果

使用繁體中文， 可以免費獲得語言援助服務。請致電 1-888-392-8886。

Deutsch (German) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1- 888-392-8886.

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-392-8886. ‫( ةيبرعلا‬Arabic) ‫هيبنت‬: ‫ةيبرعلا ةغللا ثدحتت تنك اذإ‬، ‫ةيوغللا ةدعاسملا تامدخ‬، ‫ًاناجم‬، ‫كل رفوتت‬. ‫ ءاعدتسا‬1-888-392-8886.

Srpsko-hrvatski (Serbo-Croatian) OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1- 888-392-8886.

日本語 (Japanese) 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-888-392-8886 まで、お電話にてご連絡ください。

Français (French) ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-392-8886. 한국어 (Korean) 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-392-8886 번으로 전화해 주십시오.

Deitsch (Pennsylvania Dutch) Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-888-392-8886.

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Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-392-8886.

Tagalog (Tagalog – Filipino) PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-888-392-8886.

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Visit our website for a full list tour of services and amenities Signature HealthCARE at Tanbark Rehab & Wellness Center (859) 273-7377 1121 Tanbark Road Lexington, KY 40515

www.facebook/SHCatTanbark

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We admit and treat all patients/residents without regard to color, race, religion, national origin, gender, sexual orientaiton, disability,j age or other legally protected status.

May 2018

MASSAGE

–COLUMN PROVIDED BY–

Lexington Healing Arts Academy 859.252.5656 | www.lexingtonhealingarts.com 272 Southland Drive, Lexington, KY 40503

Hospital-Based Oncology Massage REACHING PATIENTS THROUGH EDUCATED, COMPASSIONATE TOUCH

By Jill S. Cole, LMT, BCTMB, Director of Education, Lexington Healing Arts Academy The field of oncology massage has grown leaps and bounds over the past decade. With the increase in evidence-based, peer review research around the efficacy and effectiveness of oncology massage, more and more massage therapists are being trained in this needed and meaningful field. More importantly, more and more cancer patients are receiving the healing power of touch.

Oncology massage, according to the Society for Oncology Massage, can best be described as “the modification of existing massage therapy techniques in order to safely work with complications of cancer and cancer treatment. Anyone who has ever received cancer treatment, from those in active treatment to those in recovery or survivorship, as well as those at the end of life, are best served by a massage therapist who has received training in oncology massage” (www.s4om.org/oncology-massageoverview).

Medical complexities, both shortand long-term, arise from receiving cancer treatment. Having the proper understanding of these complexities and how educated touch may impact the body is vital for oncology massage therapists.

Clinical assessments and adaptations to the massage session for someone experiencing cancer or with a history of cancer treatment are critical to providing a safe massage. Standard oncology massage intake questions include those pertaining to cancer treatment history; tumor site or metastasis; compromised blood cell counts; lymph node involvement; blood clots or blood clot risk; medications (short and long term);

vital organ involvement; fragile or unstable tissue; medical devices; fatigue, neuropathy or pain; changes in sensation; and late effects of treatment.

A properly trained massage therapist will ask questions about these issues and more, depending on your unique situation. Many of the changes that will be made to your session will be virtually imperceptible to you as a recipient (others may be obvious), but they are essential to safety and the proper support of your well-being.

Another important consideration with oncology massage is pressure, site and positioning. Deep tissue massage is a significant contraindication with a cancer patient because of the risk of deep vein thrombosis (DVT) (blood clot), lymph node dissection, death through radiation and possible organ and bone damage from radiation.

Even for life, massage pressure through survivorship should adjust for lymph node removal or death because of the risk of lymphedema; for chemotherapy because of the risk of DVT; and for radiation therapy because of the risk of bone and organ damage. Being aware of the site is important because of possible equipment sites used with cancer treatments (port-a-cath, IVs, piic lines), and positioning is important to adjust for a patient who may not be able to lie on her stomach or back.

While oncology massage encompasses services offered to cancer patients and individuals in survivorship, hospital-based oncology massage (HBMT) focuses on the side effects of cancer treatment in a hospital setting, both in patient and outpatient. Some of the side effects massage therapy has been able to help decrease includes but

is not limited to fatigue; pain; nausea; chemotherapy-induced peripheral neuropathy; constipation; and scar tissue post-mastectomy and/or postreconstruction.

Some more promising effects of oncology massage encompass reduced anxiety in advance of and during treatment; reduced posttreatment fatigue; improved appetite and decreased depression; increased feelings of well-being; being pleasantly distracted; improved body self-image; restored hope; and satisfaction in participating actively in a part of the healing process (www.s4om.org/faq/ item/what-are-the-benefits-of-massagefor-someone-with-cancer).

Along with the many benefits of HBMT/oncology massage, it is the act of touch patients receive that is so profound. For many years, many cancer patients went without massage therapy because we were too afraid to touch them safely and soundly.

Through research and practice, we can safely move forward with our field and responsibly and safely touch an individual whose life has been affected by cancer.

Hospital-based Massage Therapy 100-hour Training Program Lexington Healing Arts Academy (LHAA) is very excited to offer a 100-hour advanced training in hospitalbased massage therapy (HBMT), the first of its kind in Kentucky. Our program offers licensed massage therapists the skills to safely and confidently work on oncology patients in any setting, hospital or private practice. Our focus is not on the treatment of cancer – the patients are already receiving their specific dosing and protocols – but rather treating the side effects of cancer treatment.

In addition to our HBMT training program, LHAA offers massage therapy services to the public seven days a week. We have well-trained therapists on site who can safely work with cancer patients or individuals well into survivorship, as well as clients seeking massage therapy as part of their healthcare and well-being. Scientific evidence supports the benefits of massage. These include but are not limited to: • Pain Relief: Massage helps block nervous system pain receptors and increase blood flow to the muscles. It can reduce the pain of arthritis as it relieves and increases joint mobility, taking pressure off painful joints.

• Stress Relief: Massage calms the body and helps relax the mind, in turn helping reduce stress by lowering the body’s cortisol levels, a prime ingredient in stress.

• Maintaining Good Health: Massage is to the human body what a tune-up is to a car. The International Journal

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of Neuroscience says massage helps reduce heart rate and blood pressure. In addition, it helps boost the immune system by increasing the production of the body’s natural killer cells.

• Faster Recovery from Injury and Illness: Tense muscles pull on and tighten tendons and ligaments. This can cause rigidity, cut off circulation for proper metabolism, drain your energy and pull your body out of alignment. Unattended, this can eventually lead to a host of diseases.

• Improved Posture: Massage can improve body posture by helping train muscles to be in the right position, improving their ability to support the bone structure of the body.

• Relaxing Muscle Tension and Improving Mobility and Flexibility: Massage stimulates blood circulation, increasing oxygen and nutrient flow to connective tissue and muscles, easing tension and muscle knots while soothing and lubricating overworked joints for increased flexibility.

• Stimulating and Detoxifying the Body: The lymph system is the body’s natural defense system against toxins and impurities. Bodywork stimulates the flow of toxins from muscles, organs and tissues for improved health and digestion.

• Increasing Attitude and Alertness: Massage improves attitude. It gets things flowing in the brain by stimulating brain-wave activity and helping increase alertness.

• Becoming More Successful: Perform better in your life! A high-tech society calls for hi-touch to counteract the stresses of a demanding schedule and the hassles of modern life. A more stress-free existence boosts performance by allowing you to be more efficient and calm during your daily challenges.

Lexington Healing Arts Academy is a post-secondary proprietary school offering career education in Massage Therapy, Personal Fitness Training and Yoga Teacher Training. The school was established in 1999 and is licensed by the Commission on Proprietary Education and is accredited by the Accrediting Bureau of Health and Education Schools. In addition, the school also serves the Greater Lexington area through exceptional massage sessions, yoga classes and personal training sessions.

Massage therapy services begin at $35 an hour with a student, $50 an hour with a newly licensed graduate of our program and $65 an hour with a seasoned licensed professional.

Our clinic is open seven days a week, MASSAGE Continued on Page 31

ORTHOPAEDICS

–COLUMN PROVIDED BY–

Locations in Georgetown and Lexington 859.263.5140 | Bluegrassortho.com

Joint Replacement and Your Health and Well-Being

pain wakes you up or keeps you awake.

So if we know pain and dysfunction tell us when to have a joint replacement, why not just have it? If we know arthritis is incurable and it slowly progresses despite the best of modern medicine, YOU’LL KNOW WHEN IT’S TIME why not have replacement surgery as soon as the diagnosis of arthritis is made? That way you won’t have to

by Greg D'Angelo, M.D., Bluegrass Orthopaedics experience the pain and you can get ahead of it. But joint replacement is not Joint bodies raises a concern for possible a benign procedure. There are risks to replacement is serious health conditions. be weighed against the benefits. indicated for So how do you decide if or when The risks rates are very low but the patients who to have a joint replacement? After all, risks themselves are very real. There are are experiencing intolerable pain and most other medical treatments have to risks with early and late complications problems with daily functioning. In be obtained in a certain timeframe to with the surgery. Anesthesia risks can other words, they have end-stage be effective or the disease will get more range from nausea to serious heart and arthritis. The X-rays of this type of difficult to treat or lung complications. arthritis usually show “bone on bone.” become untreatable.

The surgery can We all want to maximize our health and We usually have to result in issues such Pain is the No. well-being, so common questions from make a decision about as bleeding, pain, these patients include, “When should treatment that will blood clots, infection, 1 criteria for I have joint replacement?” and “What make us healthy again fracture and will happen if I wait?” or prolong our life. If dislocation. Longdeciding when Joint replacement surgery is one we delay treatment, term complications of the largest line-item expenses for we may miss an can include to have a joint Medicare, but it is also one of the most opportunity for a cure infection, loosening, successful and cost-effective surgeries or shortened disease incomplete pain replacement. performed in the United States. It process. relief and failure of provides pain relief for the patient and Pain is the No. 1 the components. adds net revenue to the economy with criteria for deciding Basically, it is best to improvements in function and incomewhen to have a joint wait until your life is earning potential. It can contribute replacement. It is not based on how miserable from pain before you have the greatly to a patient’s well-being but not stiff the joint is or how much noise surgery. to their health. it makes or whether it is swelling. All A good analogy is to think of it like a Replacing a joint is different than these symptoms are secondary signs dirty car that needs to be washed. The most surgeries. In contrast to most of of arthritis and we can usually live and dirtier the car gets, the better it looks the medical treatment we receive, joint function with them if it does not hurt. when it is washed! The worse the joint replacement will not improve health Pain that interferes with daily pain is, the more you will appreciate the or prolong life. We get vaccines, take function is the standard we use to judge surgery, and you are much more willing medicines and have surgery to prevent the impact of the arthritis. We assess to accept the risks of the procedure. We or cure a disease. These diseases criteria such as if it gets difficult to walk know a patient is ready for surgery when can adversely affect our health and or if every step hurts; if it is difficult to he or she comes in and says, “Doc, I therefore our well-being. Pain in our go upstairs and you need a banister; if don’t care if you cut it off!” or “I don’t joints is rarely a sign of a life-threatening you need arms on a chair because it is care what you do, just make it stop condition. Pain anywhere else in our difficult to get up; and especially if the hurting.”

The operation has improved over the years. Many joint replacements can be performed as same-day surgery, allowing the patient to sleep in his or her own bed that night. The surgery is not a life-saving but a lifestyle-saving procedure. It does not improve health but it does improve well-being. It is an excellent choice when all else fails. So the best advice on when to do it is to realize you’ll know when it is time.

About the Author

Dr. D’Angelo is a senior partner in Bluegrass Orthopaedics. Dr. D’Angelo has specialty training in adult joint reconstruction of knees and hips. He has also been fellowship trained in arthroscopic (minimally invasive) joint surgery as well. He has performed thousands of knee and hip surgery procedures. He has an interest in performing minimally invasive surgery such as the anterior approach for hips and partial knee replacement as well as developing techniques that minimize post operative pain and for rapid mobilization and rehabilitation.

Dr. D’Angelo received his medical education from McMaster University in Hamilton Ontario, Canada and served an internship at Mount Sinai Hospital Toronto, Canada. He did his residency at the University of Toronto.

He is Board Certified by the American Board of Orthopedic Surgery and a Fellow of the Royal College of Surgeons Canada.

About Bluegrass Orthopaedics At Bluegrass Orthopaedics, we want each patient to feel like they are the center focus.

To do so, we combine our commitment of being the most affordable, high quality orthopaedic practice in the commonwealth.

Ensuring our time-honored belief that at the core are our values, integrity, respect and compassion. For questions or to make an appointment, please call 859-263-5140.

May 2018 3 - PA G E D I R E C T O R Y

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710 E. Main St. Lexington, KY 40502 859-408-1145 www.seniorshelpingseniors.com/ lexington You deserve to have someone in your life who really wants to help you. Whatever your needs, our helpers are more than just providers of service, they become your friend.

Lifeline Homecare 3130 Custer Drive, Suite 230 Lexington, KY 40517 1-844-534-3546 (1-844-LIFELINE) www.lifelinehomecare.org Lifeline Homecare is a Kentuckybased company, with several regional offices across the state, providing the best in quality nonmedical homecare since 1989.

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Daisy Hill Senior Living 1001 Crossfield Drive Versailles, KY 40383 859-753-2000 www.daisyhillseniorliving.com Offering Certified Assisted Living & Independent Living - A Villa Community. Services We Offer: • 45 residential suites with optional floor plans • Full dining services with three meals daily • Housekeeping and laundry services • 24-hour assistance/2-hour well checks • Medication reminders and monitoring • Full range of social activities • Beauty/Barber Salon • Emergency support systems

Mayfair Village Retirement Community 3310 Tates Creek Road Lexington, KY 40502 859-266-2129 www.mayfairseniors.com

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Morning Pointe of LexingtonEast Senior Living and Alzheimer’s Memory Care 150 Shoreside Dr. Lexington, KY 40515 859-721-0350 www.morningpointe.com At Morning Pointe of LexingtonEast, you’ll experience the best in personal care and Alzheimer’s memory care. We offer personalized care plans, exceptional nursing, onsite therapy, an engaging activities calendar, plus The Lantern Meaningful Day™ memory care programming.

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Smooth Transitions 638 Parkside Drive Lexington, KY 40505 859-447-4853 www.smoothtransitionsCKY.com Smooth Transitions® can help simplify your next move.

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Ste. 170-165 Lexington, KY 40509 859-629-4454 www.aginglifecaresolutions.com ALCS uses a team approach to address short and long term needs. We assist clients/families understand care options in order to make decisions that promote successful aging.

Services include: • Comprehensive evaluation • Individual care planning • Navigation through systems • Mediation • Crisis intervention

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Caring Transitions 859-543-9848 1411 Delaware Avenue Lexington, KY 40505 www.CaringTransitionsLex.com www.AuctionLex.com Caring Transitions is the nation’s largest professional resource specializing in downsizing, move management, estate sales, house clear-outs. With 9 years of experience serving seniors in the Lexington area, we make it easy! Call for a free consultation.

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Charles Young Center 540 E. Third Street Lexington, KY 859-246-0281

Black and Williams Center 498 Georgetown Street Lexington, KY 859-252-1288 www.lexingtonky.gov/browse/ community-services/seniorprograms.

The Lexington Senior Center is home to a variety of activities and services for all Fayette County resident age 60 or older or spouse of a person that is 60 or older and are independent. Offers Educational Activities, Fitness, Recreational Activities, Local Travel.

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By Tanya J. Tyler, Editor, Health&Wellness

A

ccording to hearing health providers, nearly one in five Americans age 12 years and older – 48 million people – experience hearing loss severe enough to hinder communication. Hearing loss is the third most prevalent age-related disability in adults age 75 years plus, following arthritis and hypertension. Only 5 percent of hearing loss in adults can be improved medically or surgically.

The vast majority of Americans with hearing loss are treated with hearing aids. Audibel, a Starkey Hearing Technologies brand, is recognized worldwide as a premier provider of hearing health care.

“Audibel has been my family’s company for 68-plus years,” said Michael Hoagland, an audioprosthologist at Audibel Hearing Aid Center in Lexington. (An audioprosthologist is a specialist who fits hearing instruments.) “We’ve been here for quite a while.”

Over the years, there have been many intriguing innovations in the design and development of hearing instruments.

“The world’s first hearing aid was your hand cupped behind your ear,” Hoagland said. “A lot has changed since then. The difference today is night and day. It has changed dramatically, even in the last two years. We’ve made leaps and bounds in technology. It’s always evolving.”

Hoagland said Audibel is a pioneer in nanotechnology, which has made it possible to shrink hearing instruments and their components and put more features into them, such as noise reduction and feedback cancelation. “It enables people to hear better in noisier environments,” Hoagland said. “We have industrial patents on just about everything we do and we usually stay ahead of the curve as far as that technology goes.”

Perhaps more important for many people, hearing instruments these days are practically invisible. That’s a strong rebuttal to the oftenheard argument against getting a hearing

instrument – people who need them often are reluctant to let others know they have a hearing problem.

“One of the most popular hearing instruments today is what they call an invisible in- thecanal hearing aid,” Hoagland said. “They tuck discreetly in the ear to where no one can see them at all. Unless you told someone you were wearing it, they would never know. That’s what I wear.”

What are some signs you may need a hearing instrument? Do you frequently:

• ask others to repeat themselves?

• turn up the TV or radio volume to levels other people find excessively loud?

• have trouble understanding conversation in noisy places?

• feel other people mumble or slur their words?

• have trouble hearing women’s and children’s voices?

• have trouble hearing on the telephone?

• have ringing in your ears (tinnitus)?

The first step toward getting a hearing instrument is to have a hearing evaluation.

Hoagland recommends having your hearing checked during your annual physical, especially if you’re age 55 years plus.

“We do a full spectrum of audiometric testing, such as air and bone conduction tests and speech testing, to evaluate the hearing and find out where we stand,” Hoagland said. “At Audibel Hearing Aid Center, the test itself is free. It usually takes about an hour and it’s quick and painless.”

Bone conduction testing is extremely important, Hoagland added. “It allows us to find out what type of hearing loss the patient has, whether there’s something structural preventing sound from getting to the cochlea or whether it’s traditional sensorineural loss, which is basically nerve damage.”

During the testing, the hearing specialist may use a video otoscope to look into the ear. “It allows us to see exactly what’s going on inside the ear,” Hoagland said. “So if it’s something as simple as ear wax that’s causing the hearing loss, we can spot it and address the problem.”

A silicone impression is taken of the ear so a

May 2018

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• FREE technology demonstration both A4 hearing aidsloss and custom-made, custom-fitted hearing instrument The good news of is, the earlier your hearing hile youcan sleep be created. Everyone’s ear canal is different; ZPower batteries is detected, the easier it is torechargeable treat.

One pair of that’s why it’sZPower not a good idea to use someone “That’s one of the things we really, really want batteries able batteries • 30-DAY risk-free trial*said. else’s hearing instruments. to drive home: early detection,” Hoagland equals 200 y once a year “I strongly prefer custom-fitted hearing Taking care of hearing aids is relatively easy, • FREE clean and his check of instruments as disposables! opposed to the over-the-counter but Hoagland says he prefers seeing patients your current hearing aids hearing instruments that are one-size-fits-all,” about every three months for maintenance.

He’ll Hoagland said. “At Audibel, we’re big proponents perform a 10-point check-up on the hearing 0% INTEREST financing available** of custom-fitted hearing instruments. Everyone instruments and•the ears to make sure everything has their own fitting formula that’s best for them. is working properly.

The settings are different, and the key is to get it Several factors will determine which hearing properly fit.” instrument will be the right one for you. These Besides age, a number of other factors can cause include the nature and severity of your hearing hearing loss, including today’s environment in loss; your lifestyle and the activities you regularly general. “The world is a noisy place,” Hoagland enjoy; your job; and the size and shape of your said. Hearing loss can occur because of working ear canal. If you’re still not sure whether a hearing in a loud factory or because you use headphones instrument is right for you, Audibel offers a to listen to music. Heredity plays a major role in 30-day money-back guarantee on the purchase of hearing loss as well. a hearing instrument.

“If your parents had difficulty hearing or your “Try it and see how it works for you,” Hoagland brothers or sisters did, there’s a strong possibility said. “If it works, great. If it doesn’t work, it doesn’t some of it gets passed on to you,” Hoagland said. cost you a penny.”

Hearing loss has a vital connection to brain health. “There have been two studies that have come out recently that have found a definitive ton, London, Morehead, link between what they call brain atrophy and early-onset Alzheimer’s disease and early-onset merset and Winchester dementia,” Hoagland said. “The brain is a muscle Hearing Aid Centers and if it doesn’t get exercise, eventually it will fail you. If the ears aren’t carrying the signals to theProviding AT Abetter GLANCE hearing for 54 years!

AUDIBEL HEARING AID CENTER brain, the brain can’t do its work; it can’t exercise.

120 Cherrybark Drive, Lexington, KY 40503 We need to keep those signals going up to the WE ACCEPT MOST MAJOR ACCREDITED (859) 278-9568 • www.centralkyaudibel.com brain and keep it active.”

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The earlier your hearing loss is detected, the easier it is to treat.

—Lane B. Hait, President

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May 2018

Taking Care of Your Aging Skin COMMON CONDITIONS, GENETIC FACTORS PLAY A ROLE

By Harleena Singh, Staff Writer As you age, you may notice wrinkles and brown spots on your skin. Aging makes skin more prone to dryness. Your skin also becomes thinner and loses fat, making it less plump and smooth. Cuts and bruises might take longer to heal.

How skin ages will depend on several factors: your heredity, lifestyle, diet and other personal habits, such as smoking. Sunlight is another major cause of skin aging.

Here are some common skin conditions that occur as you age: Wrinkles: These are the most visible signs of aging skin. They form when the skin loses its flexibility. Wrinkles also follow chronic sun exposure, and smokers tend to have more wrinkles than nonsmokers.

Facial movement lines: Also known as laugh lines or worry lines, these become more visible

as the skin loses its elasticity, usually around age 40 through 50 years. The lines may appear on the forehead, above the nose, on the temples and upper cheeks and around the mouth and eyes.

Dry, itching skin: Dry, flaking skin can be simply a sign of age-related skin changes or it can signify underlying medical problems that need to be monitored. There are many possible reasons for dry skin, such as not drinking enough liquids, spending too much time in the sun, being in very dry air and smoking. Rough, scaly, flaky or cracked skin can indicate xerosis, or dry skin. The loss of oil glands, which help keep the skin soft, is the main cause of dry skin. Rarely, dry, itchy skin may be a sign of diabetes or kidney or liver disease. Using too much soap, antiperspirant or perfume and taking hot baths can make dry skin worse.

Skin cancer: Sun exposure is the most common cause of pre-cancers and skin cancer, either basal cell carcinoma or squamous cell carcinoma. Skin damage from the sun is due to the sun’s ultraviolet (UV) light, which breaks down elastic tissue (elastin) in the skin and causes it to stretch, sag, wrinkle and become blotchy, occasionally with pre-cancerous growths and even skin cancer. Many Americans will develop a skin cancer by age 65 years.

Age spots: Also called liver spots, these flat, brown spots are bigger than freckles and commonly show up on areas such as the face, hands, arms, back, feet and other sun-exposed parts of the body.

Bedsores: This is another term for pressure ulcers, which are skin ulcers that develop when people lie in bed or sit in a chair for long periods

of time. Bedsores are a common problem in elderly people who have difficulty moving on their own. People with diabetes are more prone to bedsores because of their poor circulation and decreased feeling in their skin. Frequent rotation or re-positioning helps prevent bedsores.

Wrinkles can’t be cured, but their appearance can be softened through the use of tretinoin (Renova). The best treatment for dry skin is to lubricate it with the regular use of over-the-counter lotions. Moisturizers help hydrate the skin by trapping moisture. Humidifiers also help hydrate the skin.

You can protect your skin by staying out of the sun when it is strongest; using sunscreen with an SPF of 15 or higher; wearing protective clothing; and avoiding sunlamps and tanning beds. Wear a hat, long sleeves and pants when outdoors, as well as sunglasses that block UV rays.

References

• • • •

Medline Plus (https://medlineplus.gov) National Institute on Aging (www.nia.nih.gov) Parent Giving (www.parentgiving.com) Today’s Geriatric Medicine (www.todaysgeriatricmedicine.com) • WebMD (www.webmd.com)

About the Author Harleena Singh is a freelance writer and blogger who has a keen interest in health and wellness. She can be approached through her blog (www.aha-now.com) and Web site, www.harleenasingh.com. Connect with her on Twitter, Facebook and Google+.

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LOVE where you LIVE. Highgrove at Tates Creek offers a memory care respite program to fit your needs.

Whether a day or two, a week or longer, we can provide the respite you need.

This is an ideal option for care between a hospital stay, injury, or illness and the return home. OR, your loved one may require assistance while you go on vacation or take a well-deserved break. Highgrove at Tates Creek is ready.

Call Highgrove at Tates Creek about our Memory Care Short Term Respite Services today so you can recharge and refresh while your loved one is professionally cared for.

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May 2018

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Helping Seniors make a

Smooth Transition MOVE MANAGEMENT, HOUSEHOLD DOWNSIZING, ESTATE DISPERSAL When Anne Combs decided to downsize from her home of 64 years, she knew she wasn’t physically able do it on her own. Her two daughters were more than willing to help, however, one lived and worked in Cincinnati and the other, though living in Lexington, had a busy job and other family obligations. Moving and downsizing was going to be overwhelming for all three of them.

Because time, distance and capability were huge hurdles, they hired Susan Thomas, a senior move manager and owner of Smooth Transitions® of Central Kentucky. Senior moves managers specialize in helping older adults and their families downsize and move to a new residence.

When seniors and their families bring on this type of professional, it can prove to be a big time saver and a stress reducer. A senior move manager is a project manager, orchestrating and overseeing all aspects of the work to be done.

What does Smooth Transitions® do?

As a senior move manager, Thomas typically does what the senior and family can’t or doesn’t have time to do. She specializes in handling the details of moving, household downsizing and disposing of unwanted items. Whether finding the right movers for the job or arranging donations, Thomas provides services that encompass everything from space planning to post-move support.

One of the first tasks Thomas undertook for Combs was to create a floor plan of her new apartment at Mayfair Village in Lexington. “Anne had certain furniture pieces she knew she wanted to take with her. Because the apartment was small, I wanted to ensure that everything fit and was attractive, as well as not be overcrowded and therefore safe.”

Thomas sorts, packs and unpacks. She will even call the cable company, change utilities and have mail forwarded. She works with out-of-town family

members who may want items shipped to them. If a client is moving long distance, she will partner with another senior move manager on the other end. If a senior wishes to age-in-place, Thomas will declutter and organize the home for convenience and safety.

One of the final tasks she arranged for Combs was hiring a company to do a thorough cleaning of the emptied house.

Top: Smooth Transitions team member beginning to unpack kitchen at Brookdale Richmond Place.

Above: Anne Combs (seated) in her apartment at Mayfair Village with senior move manager Susan Thomas of Smooth Transitions.

Letting Go Moving is stressful at any age, but for those who have lived in one place for 30, 40 or 50 years, getting rid of things accumulated over decades is a huge obstacle. Thomas’s job can be crucial by helping people through the emotional process of letting go as well as developing a step-by-step plan for proceeding through the project.

“When someone is downsizing, some pretty tough decisions have to be made about what stays and what goes,” she says. “By breaking down the work into manageable steps, my clients feel less overwhelmed. Plus tackling one closet, one drawer, one room at a time gives them time to reflect on their possessions and what they represent. It’s a process, and that process can’t be rushed.”

Once Thomas has helped the client sort through their things, arrangements are made for the disposal of unwanted items through auction, consignment, donation, or a combination of all three. Some items are tossed, of course.

a membership organization committed to programs and expertise related to senior move management, transition and relocation issues affecting older adults. Smooth Transitions® was reviewed for insurance and experience requirements prior to acceptance into the organization, and adheres to its code of ethics and standards of practice.

Thomas was trained by Smooth Transitions® founder Barbara Morris, who is also one of the founding members of NASMM. Smooth Transitions® of Central Kentucky is one of 60 Smooth Transitions® operations nationwide, with licensees also in New Zealand. www. movingforseniors.com Besides working with seniors and family members, Smooth Transitions® provides services for bank and trust officers, attorneys, social service and health care providers, realtors, and senior living communities. The company can also provide services for families of any age.

Advantages of using Smooth Transitions® Smooth Transitions® tailors its service to each client’s individual needs and preferences, providing as much or as little as required. From beginning to the end, the company reduces the stress and chaos associated with a move. It has significant expertise in resources and approaches that save money and produce quality results.

Smooth Transitions® is a member of National Association of Senior Move Managers (NASMM),

Contact Susan Thomas for a free consultation.

859-447-4853 susan@smoothtransitionsCKY.com www.smoothtransitionsCKY.com

Free Consultations

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YOGA

–COLUMN PROVIDED BY–

Lexington Healing Arts Academy 859.252.5656 | www.lexingtonhealingarts.com 272 Southland Drive, Lexington, KY 40503

Visit us online to learn more!

Yoga for Any Age

By Lauren Weaver, YTT 200 Yoga is an activity that is appropriate for all ages. This article discusses a few benefits of yoga, makes some recommendations for how you might practice and offers tips to get the most out of your time.

Benefits There are numerous benefits of yoga. Here are just a few.

Strength, Balance, Flexibility: As our human bodies move through life, they experience injury and natural wearing. Maintaining the body is critical for a healthy life. Appropriate yoga can be a great way to increase strength, balance and flexibility in a way that is both safe and enjoyable.

Back Pain Relief: Many studies, including a recent one from the National Institutes of Health, have shown yoga “eases moderate to severe chronic low back pain” as effectively as standard physical therapy. If you are able to see a physical therapist, ask him or her for advice on what you should and should not do. Present that information to a qualified yoga instructor for best results.

Mind Tranquility: Yoga is centered largely on the mind rather than the body, although our norm in Western society emphasizes physical practice.

As such, yoga is beneficial for attaining a calm and content state of mind …

something anyone can benefit from by integrating yoga into more aspects of life – daily and in times of trial.

your body in any given moment.

Study Solo: While it is ideal to have the guidance of a qualified instructor, sometimes that is just not feasible.

Don’t that deter you. There are many books and Web sites with suggestions for incorporating yoga into your life. Organizations such as Yoga International offer classes through the Web that you can watch anywhere and anytime on your own.

Tips How To Keep these tips in mind to get the Interested in trying yoga or most from your yoga practice. integrating it more into your existing Use These Tools: All you truly need practice? Here are a few options. is your mind, your body and the desire Use Daily: Many best practices to spend some time caring for yourself. from yoga can be Comfortable integrated into your clothes that let daily life. Things you move around such as how to freely are ideal. If intelligently move you are practicing Appropriate yoga joints and cultivate on your own, you self-awareness of may want a yoga can be a great way your body are taught mat and a clear area through yoga. You of floor big enough to increase strength, can even practice for you to stretch while driving, out, though you balance and flexibility washing dishes, can practice seated petting animals and in a chair. If you go in a way that is both even putting on to a yoga studio, socks! they will provide safe and enjoyable.

Take a Class: what is needed for Finding a class that class. Look or personal yoga for studios that instructor you like have props such as and that has a positive blankets, bolsters, impact on your straps and blocks. health is well worth Practice Selfthe effort. Consider Compassion: Give yourself permission sharing your background and goals to make any adjustments for pain with the instructor beforehand to find or discomfort. Be kind to areas of a good fit for you. Look for studios your body that tend to cause you that emphasize safe practice and make discomfort, such as your joints and adjustments that feel good for you in any areas of injury or wear. If you feel

any pain, move out of that position; pain does not serve you. Remember you know your body more intimately than any other person.

Ask for Personal Advice: We all have different bodies and needs. It can be helpful to seek personalized attention. To do this, seek qualified instructors and ask them for advice.

You may find an individual yoga session is invaluable for you, but don’t hesitate to ask an instructor you like after a class.

Sources and Resources

• Website: National Institutes of Health (https://www.nih.gov/newsevents/nih-research-matters/yogaeases-moderate-severe-chronic-lowback-pain) • Book: Yoga in No Time At All (DiGirolamo, 2009) • Website: Yoga International (https:// yogainternational.com/classes) • Book: Chair Yoga (Rohnfeld, 2012)

About the Author Lauren Weaver is the Yoga Center Coordinator with Healing Arts Yoga at Lexington Healing Arts Academy. She can be reached at LaurenWeaver@ LexingtonHealingArts.com

About Lexington Healing Arts Academy LHAA is a licensed, accredited school offering career education and services in Massage, Personal Training and Yoga.

APPOINTMENTS AVAILABLE WITH FPA PROVIDERS AT BOTH LOCATIONS

Family Practice Associates of Lexington, P.S.C.

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2040 HARRODSBURG ROAD, SUITE 300 CHECK US OUT ON THE WEB

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859.278.5007

May 2018

FAMILY DOC

–COLUMN PROVIDED BY–

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859.278.5007 | fpalex.com 1175 Alysheba Way, Lexington KY

What is a Medicare Wellness Exam?

By January Hamby, APRN, Family Practice Associates of Lexington, P.S.C. A Medicare Wellness Exam is a preventative screening visit your provider wants you to have once a year. This visit is free and is separate from your annual physical exam (if your plan covers annual physicals).

Traditional Medicare does not pay for a physical – it only covers a Wellness Exam.

What is a Wellness Exam? The visit is covered once every 12 months (11 full months must have passed since your last visit). It is designed to help prevent disease and disability based on your current health and risk factors. Your provider will have you fill out a Health Risk Assessment before the exam. The questionnaire asks about your health status, injury risks, behavioral risks and urgent health needs. Answering the questions can help you and your provider develop a personalized prevention plan to help you stay healthy and get the most out of your visits. The Wellness Exam may also include: • a review of your medical and family histories; • developing or updating a list of current prescriptions; • height, weight, blood pressure and other routine measurements;

• detecting cognitive impairment; and • an assessment of your ability to perform activities of daily living, such as bathing and dressing.

Additional services are often offered during this Wellness visit, some of which you may not otherwise receive. These may include a fall risk assessment and a mini hearing screening; advanced care planning; and a chance to discuss services Medicare pays for that you may not be aware of. If you meet certain criteria, you may qualify for a low-dose CT scan to screen for lung cancer or an ultrasound to screen for abdominal aortic aneurysms or hepatitis C screening. You will also discuss recommended testing, such as mammograms, colonoscopies or osteoporosis screenings and when you last had them. You’ll receive a written schedule listing when those screenings will be due again. If you need vaccines, referrals, lab work or personalized health education, you can talk to your primary care provider about these issues at your Wellness Exam.

The exam is longer than a typical visit because it’s a chance to discuss and update your medical history as well as comprehensively review different aspects of your health. You can also discuss advance directives, which outline your desires for medical decisions and interventions if you become too ill to speak for

yourself. These legal documents let your family, friends and health care providers know what kind of health care you want and who you want to make health care decisions for you, should you become incapacitated.

You can choose to have a health care proxy or a living will, which describes treatments you want, such as artificial nutrition, breathing machines or resuscitation if you stop breathing or your heart stops beating.

Your yearly Medicare Wellness Exam is important because it allows your primary care provider to focus on managing any chronic and acute illnesses you are currently dealing with. The goal is to keep you healthier longer and improve your outcomes. Schedule your Medicare Wellness Exam soon.

About the Author

Family Practice Associates of Lexington, PSC is pleased to welcome January Hamby, APRN, to the office. January has experience in critical care and geriatrics.

After working for 18 years as an RN in hospital critical care units and at the VA Medical Center, January decided to further her education and graduated as a Board Certified Adult Gerontological Nurse Practitioner in August 2017 from Maryville University in St. Louis, Mo. January enjoys geriatric health and preventive medicine but can see adult patients of all ages. She also performs annual Medicare Wellness exams.

To schedule an appointment with January Hamby, APRN, call our office at (859) 278-5007 or request an appointment through your online portal access.

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may events MAY 2018

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Submit your healthy event listings: brian@rockpointpublishing.com

Wednesdays Mindfulness and Relaxation for Health

Relax the body, quiet the mind, open the heart. Arrive 6:00-6:30 and deeply relax, instruction 6:308:00 PM. Mobilize inner resources for promoting health, preventing burnout and managing stress-related chronic disease. Study and practice in a supportive group. Gentle yoga, mindful movement, deep relaxation, sitting meditation and discussion. Instructor- John A. Patterson MD, MSPH, FAAFP, Cost $10. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033.

Full details at http://www.mindbodystudio.org/?page_id=1055

Fridays Argentine Tango Passionate and Romantic- Mindful and Meditative. A uniquely transformative social skill, art form and

LEXINGTON FARMER'S MARKET

Saturdays

Cheapside Park, Downtown Lexington 7am–2pm April–October

Sundays

Southland Drive, Near Geno's & Sav-a-Lot 10am–2pm April–October For more information and dates/locations, please visit www.lexingtonfarmersmarket.com

movement therapy. No partner or dance experience required.

Friday evening 7:30-9:00 PM. You may drop-in to any class- this is not a series. Cost $10. InstructorsDr. John Patterson and Nataliya Timoshevskaya. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at http:// www.mindbodystudio.org/?page_ id=214.

May 1 Eat, Move, Lose Weight Support Group

12 – 1 pm, Lexington-Fayette Co. Health Dept. South, 2433 Regency Road. Free weight-loss support group appropriate for anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information and to confirm the group is meeting, call 288-2446.

May 2 Diabetes Basics Class and

AC E R E N I ONL ENDAR C A L magazine.net

s nesgenerously grown, nurtured l ndwelland tm healtha lendar.h /race-ca

Bingo!

2:30 – 4:00 pm, Ballard Griffith Towers, 650 Tower Plaza, Ballard Cafeteria. Free. Sponsored by the Lexington-Fayette Co. Health Dept.

For more information, call (859) 2882446.

11 am, Bourbon County Senior Citizens Center, 11 Legion Rd, Paris.

Open to anyone with diabetes or pre-diabetes and their support persons. Lunch can be provided for anyone age 60 and over by calling the Senior Center at 987-7453 by the Friday morning before the meeting (Sept 1). For those under age 60, call Lisa Wheat at the Bourbon Co. Health Department 987-1915 ext. 4117.

donated by each club member. This wonderful community benefit will be held rain or shine. Natives, Herbs, Fruits, Vegetables, Perennials, Wildflowers, Grasses, Hostas, Shrubs, Trees, Annuals, Container Gardens, Succulents, Irises, Decorative Containers, Gardening Books, and many plants for sun or shade will be available for purchase during this spring event. Come support your community while adding beauty to your garden! Money raised will be donated to local projects. For details please visit www.downtoearthky. com. 9am–12pm at Woodland Christian Church, 530 E. High St. in Lexington.

May 10 Low-cost Rabies Clinic

May 15 MaterniTEA

May 7 Diabetes Support Group

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6 – 9 pm, Castlewood Park, 201 Castlewood Dr. $3 rabies shots for pets this day only; animal licenses also available for $8 with proof of spay/neuter, or $40 without proof.

All cats must be in a carrier and all dogs must be on a leash. Clinic date subject to change in the event of inclement weather. Sponsored by the Lexington-Fayette Co. Health Dept.

For more information, call 859- 2319791. Also, follow the LexingtonFayette County Health Department on Twitter @LFCHD to get updates about the event.

May 12 Down to Earth 2018 Community Benefit

Every May, the Down to Earth Garden Club holds a special plant sale community fundraiser. The plants are

6:30 - 7:45 PM, Baby Moon, 2891 Richmond Rd., Lexington. FREE information session to learn how to navigate the 9 months of pregnancy and beyond. Visit http://www.babymoonlex.com/ to register.

May 22 Freedom from Smoking Class Series

5:30-6:30 pm (weekly to June 26), LFCHD South, 2433 Regency Road.

Sessions are free, and 4 wks of free nicotine replacement therapies (patches, lozenges, and gum) will be provided for participants who attend all classes. To register or for more info call 859-288-2457 or email Angela.

Brumley-Shelton@ky.gov.

Like getting a little help from your friends®

Home Care by Seniors for Seniors

Food, Mood and Aging Young and mature adults require different foods to improve their mental health, say researchers from the State University of New York at Binghampton. The researchers used an anonymous Internet survey, asking people around the world to complete the Food-Mood Questionnaire, which includes questions on food groups associated with neurochemistry and neurobiology. Mood in young adults (ages 18-29 years) seems to be dependent on food that increases the availability of neurotransmitter precursors and concentrations in the brain, such as meat. Regular consumption of meat leads to a build-up of two brain chemicals, serotonin and dopamine, known to promote mood. Regular exercise leads to an increase in these and other neurotransmitters as well. Young adults who ate meat fewer than three times a week and exercised fewer than three times a week showed significant mental distress.

Mood in mature adults (over 30 years of age) may be more reliant on food that increases the availability of antioxidants, such as fruits, and abstinence from food that inappropriately activates the sympathetic nervous system, such as coffee and foods with a high glycemic index. “One of the major findings of this paper is diet and dietary practices differentially affect mental health in young adults versus mature adults,” said Linda Begdache, assistant professor of health and wellness at SUNY Binghampton. With aging, there is an increase in free radical formation (oxidants), so the need for antioxidants increases. Free radicals cause disturbances in the brain, increasing the risk for mental distress. Also, the ability to regulate stress decreases, so if people consume food that activates the stress response, such as coffee, they are more likely to experience mental distress. Begdache and her team believe there is a gender difference in brain morphology, which may also be sensitive to dietary components. This could explain some documented gender-specific mental distress, said Begdache. The research was published in Nutritional Neuroscience.

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here’s a huge difference in the kind of home care you can receive from someone who really understands your life as a senior. Our caring, compassionate seniors are there to help. We offer the services you need to stay in your home, living independently. Call us today!

Companionship | Light Housekeeping | Meal Preparation | Transportation

859.408.1145 KY 500239

www.seniorshelpingseniors.com/lexington

If you are interested in becoming a service provider we would like to hear from you too. ©2017 Seniors Helping Seniors. Each office is independently owned and operated. All trademarks are registered trademarks of Corporate Mutual Resource Inc. Not all services are available in all areas.

ARE YOU IN NEED OF A MAMMOGRAM?

Palm Oil Suppliers Revealed to Curtail Deforestation

WOULD YOU LIKE A TAKE-HOME COLON CANCER SCREENING KIT?

Italy-based confectionary maker Ferrero issued an extensive list of 116 oil palm mills, which includes suppliers in Malaysia, Indonesia, Papua New Guinea, Brazil and Colombia in March.

The list reveal was brought about by an initiative by Greenpeace International to clamp down on deforestation by palm oil producers before the end of the decade. Ferrero will update the list every six months and provide information about its sustainability progress. Greenpeace says decades of deforestation by the oil producers has set conditions for forest and peat-land fires and endangered the health of people across Southeast Asia, exploited workers and encouraged child labor.

HAVE YOU RECENTLY BEEN DIAGNOSED WITH CANCER? Give us a call today! We may be able to help you!

(859) 309-1700 www.kycancerlink.org Sponsored in part by:

ROCKPOINT Publishing

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N AT U R E ' S

Squash

DON’T PUT THE KIBOSH TRYING ON THESE VERSATILE FRUITS

By Tanya Tyler, Editor Health&Wellness

Is squash a vegetable or a fruit? You would probably call a zucchini squash a vegetable, but you would most likely call a pumpkin a fruit.

The definitive answer, from a botanical view, is squash are fruits because they contain the seeds of the plant.

Squash are some of the oldest cultivated crops on earth, believed to have originated in Mexico and Central America more than 10,000 years ago. The word squash comes from the Narragansett Native American word askutasquash, which means “eaten raw or uncooked.” Within the United States, California, Florida, Georgia and Michigan grow the largest volume of squash.

Squash is usually divided into two categories, summer and winter squash. Summer squash typically require about 50 to 70 days of growth; they are harvested before they reach full maturity. Winter squash typically require about 90 to 120 days of growth; they are allowed to fully mature. Summer squash can be planted in the spring and harvested in the summer. Winter squash can also be planted in the spring but is not harvested until the fall. Summer squash is further separated into four groups: crookneck, zucchini, straightneck and pattypan or scallop.

They are distinguished by their thin, edible skins and soft seeds. Because of their high water content, summer squash do best if they are stir fried, grilled or sautéed. Summer squash is an excellent source of copper and manganese, as well as magnesium, phosphorus, potassium, zinc, calcium and iron.

B E A U T Y

Winter squash are so named because they can be stored throughout the winter due to their thick, inedible skins. Some winter squash varieties grow on bushes, while others grown on vines. They, too, are subdivided into four species: cucurbita pepo (acorn and spaghetti squash); cucurbita moschata (calabaza); cucurbita mixta (butternut and others); and cucurbita maxima (Hubbard, turban, banana and other squashes).

The flesh of winter squash is firmer than the flesh of summer squash, so they must be cooked longer. Winter squash is an adequate source of heart-healthy omega-3s, folate and vitamins B2, B3 and B6. They also provide nearly 6 grams of fiber per cooked cup. Both varieties of squash are high in vitamin C, as well as iron. Squash with orange-colored flesh are great sources of carotenoids and vitamin A, providing up to 42 percent of your recommended daily value of these nutrients.

The wide variety of squash available is enticing for an adventurous cook. Butternut

squash, which features a large bell-shaped bottom section and a slimmer, tapering neck, has a sweet flavor. Kabocha squash has a mottled white and green skin with vertical pale greenishwhite stripes and is more savory than other squash. Spaghetti squash gets its name because its flesh separates into long thread-like pieces reminiscent of spaghetti when scraped with a knife, fork or spoon. All types of squash are wonderfully versatile; you can incorporate them into soups, casseroles and even desserts and pair them with other vegetables and fruits. Don’t squash your creativity when it comes to cooking with these colorful, healthful fruits.

Sources and Resources

• • • •

Food Facts (www.foodfacts.mercola.com) Organic Facts (www. Organicfacts.net) The Spruce (www.thespruce.com) World’s Healthiest Foods (www.whfoods.org)

Squash is usually divided into two categories, summer and winter squash.

PERSONAL TRAINING

–COLUMN PROVIDED BY–

Lexington Healing Arts Academy 859.252.5656 | www.lexingtonhealingarts.com 272 Southland Drive, Lexington, KY 40503

Visit us online to learn more!

IS IT EVER TOO LATE TO START MOVING BETTER?

By Lucy Hendricks With a society that sits all day, works too long and doesn’t stay active, we have seen a huge decline in people’s quality of life.

At our gym, we see many people in their 50s and 60s who come in their first day with a belief they’re “getting old.” They believe their movement quality has no choice but to decline and never get better. With our

You CAN change the way you feel and move in your body.

technology-filled world, we’re even seeing people in their 20s who think feeling stiff and restricted are a few things they’ll have to deal with for the rest of their lives.

Not being able to get down on the ground, keep up with your kids and grandkids or balance on one leg are all issues that are extremely common but not normal. The saying “If you don’t use it, you lose it” holds a lot of truth when it comes to people being

able to freely move around without restrictions or limitations.

Is it possible to change the path you’re on? Is it ever too late to start moving better?

The human body is amazing. It can learn and adapt to new ways, so the answer to those questions is yes, you CAN change the way you feel and move in your body. You don’t have to accept the fact that everyone else your age moves like they’re in their 80s.

Here are three ways you can help your body move better and prevent your quality of life from going down the drain.

3. Find a personal trainer who coaches breathing Did you know breathing was the first movement you did as a baby? As we said earlier, youngsters know how to move way better than any adult. It’s the life society takes them through that changes them. If you’re interested in changing the way you move, find a trainer who can retrain your breathing pattern. You breathe over 20,000 times a day, so any movement performed that many times will have a huge impact on your ability to freely move without restrictions and compensations.

1. Walk like a human As humans, walking is essential.

We’re meant to do it a lot. Before cars, grocery stores and online shopping, we did a lot of walking. When was the last time you walked outside and enjoyed nature and all the benefits of the sun? Try taking 10- to 30-minute walks each day, and you body will thank you. Go without your phone, with your arms swinging by your side and your eyes looking at the world around you. A good goal to strive for is 10,000 steps a day.

Lucy Hendricks is co-owner of Enhancing Life and a teacher at Lexington Healing Arts Academy Personal Training Program. She is a personal trainer that takes a holistic approach to health and fitness. She looks at all factors that impact her clients results in the gym: stress, nutrition, breathing, routine, sleep, and more. By considering the whole picture, her clients can expect to achieve sustainable results and avoid plateaus or overtraining.

2. Move around like a kid Do you have kids or grandkids?

Chase them around the playground and mimic what they do. They’re the best movers you’ll ever see! Entire movement and posture courses in the fitness industry are created based on movement patterns studied in young kids and toddlers. Crawl on the ground, roll from your back to your side, kneel with one knee down and have fun doing it.

About the Author

About Lexington Healing Arts Academy LHAA is a licensed, accredited school offering career education and services in Massage, Personal Training, and Yoga.

FUNERAL

–COLUMN PROVIDED BY–

Downtown: 159 North Broadway | 859.252.3411 Southland: 391 Southland Drive | 859.276.1415 Man O'War: 1509 Trent Boulevard | 859.272.3414 www.milwardfuneral.com

Have the Talk of a Lifetime

by Kim Wade, Community Relations Director, Milward Funeral Directors Now that it is finally Spring, it might be a good time to start crossing off those tasks on your to do list you couldn't get done during this year's long Winter.

However, don't just include chores.

Set aside time to enjoy family and friends while sipping on some sweet tea. While you are visiting, make sure to begin having the Talk of a Lifetime.

What is the Talk of a Lifetime you might be asking. Having

the Talk of a Lifetime means sharing your story and experiences with those you love so they can remember you the way you want to be remembered.

Think about it…you talk about everything. You share the big events and small victories. There's so much we experience in our lives. There are the big moments that shape us graduation, a first job, falling in love and getting married, having children, seeing children grow into adulthood.

When we reflect on our lives, it's

these memories and milestones that may come to mind first.

But a life story is so much more than that. The small moments and people we meet along life's journey are a part of us and helped shape who we are and what we value.

Although we may know about some of the big moments in the lives of our loved ones, we may not know much about the other experiences and people who helped shape them.

Sitting down with our loved ones to talk about their lives can be rich and satisfying. Learning about memorable events and people, places and favorite activities, values and lessons they have learned, can help bring us closer to those we care about most.

Having the talk of a lifetime can make the difference of a lifetime.

It can reacquaint us with our loved

Sometimes, using a visual prompt, such as a photo album, can be a great way to start a conversation.

ones and help us get to know them in a new and different way.

Finding a way to start talking with a loved one may be the most difficult part; however we might find that once the conversation starts, it may be hard to stop.

Your conversation can take place at any time - not just at the end of life.

Sometimes, using a visual prompt, such as a photo album, souvenir or memento, can be a great way to start a conversation. Memorable locations, such as the church where your loved one was married or a favorite park can also help someone begin to open up and share their story.

As much as you will gain by getting to know your loved one better, having the talk should be a dialogue. It's an opportunity for you to share some of the ways they have impacted your life and the lives of others.

You may also want to visit BeRemembered.com, an online community where you can record and share how you want to be remembered, even upload video messages to share with your loved ones.

About the Author

Kim Wade has been a marketing consultant for more than 20 years specializing in the funeral industry.

Currently, she is the Community Relations Director for Milward Funeral Directors, the 37th-oldest continuously operated family business in the United States which operates three locations in Lexington including its Celebration of Life center at 1509 Trent Boulevard.

Kim can be reached at marketing@milwardfuneral.com or 859-252-3411.

May 2018

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BUSINESS SPOTLIGHT:

Aging Life Care Solutions

By Brian Lord, Publisher As we age and life begins to slow down, we enter into a new and exciting chapter of our lives. Yet there are many unknown variables at this stage of life that can quickly take us from new adventures to serious challenges, including health issues, living arrangement changes and more. We are pleased to spotlight a local business dedicated to bringing solutions to help meet these challenges of aging.

Aging Life Care Solutions LLC is an experienced group of Aging Life Care professionals that uses a team approach to assess and address both the short and long-term needs of their clients. They listen, evaluate and provide solutions customized to your needs and budget or those of a loved one. As experts in the field of aging with over 50 years of combined experience, they promote the best possible quality of life for seniors and their families who are facing the challenges of growing older by assisting in the navigation of systems to promote independence and successful aging.

A snapshot of how ALCS can help you or your family member begins with a holistic evaluation, which looks at the individual’s medical history, functional status and environmental and safety needs. Based on this evaluation, a care plan will be developed to guide you and your family to understand care options so you can make the right decisions that promote high-quality care for yourself and your loved ones.

ALCS also assists with health and disability issues. The team can interact with the health care system, whether it is a doctor’s office, hospital or nursing care facility. Your ALCS team will be your advocate to ensure your needs are being adequately addressed. They will also facilitate communication between the health care staff and you and your family.

ALCS also provides guidance for guardianship/ healthcare decisions, alternative living situations, family mediation and referrals for legal/Medicaid and financial planning.

Assisting clients in maintaining their independence in a safe and secure environment is what drives the team at ALCS every day. This dedication is seen in the following example about one of their clients: The client is 86 years old with two adult children living in various parts of the country.

The children were not sure their mother could safely live in her current home and were uncertain where to turn for help. After conversations with the client and her children, the ALCS team did a comprehensive evaluation and worked with the

family to develop an individualized plan to address unique background to ALCS. She holds a law her needs. As the team worked with her, they were degree from the University of Kentucky and able to solve issues that arose and modified the has practiced law in the past, focusing on elder plan to address these needs. issues. She is also a courtThe children shared their approved Family Mediator. mother said, “I just love them.

Tamela has a master’s degree I don’t know how I could have in pastoral studies from Your ALCS team will done this without them.”

Lexington Theological Team members include Seminary and a master of arts be your advocate to Billie May, a registered nurse degree in bioethics from the (RN) and a Professional University of Louisville. She ensure your needs member of the Aging Life has completed the training Care Association™. She required to be a guardian in are being adequately holds a master of science the state of Kentucky and has in nursing degree and is an even served as her mother’s addressed.

Advanced Certified Hospice guardian and conservator for and Palliative Nurse. Billie has the past five years. had a diverse career with over Everyone on the team is 40 years of clinical nursing experience in both a member of the Aging Life Care Association, inpatient and outpatient settings, focusing on the a national organization that is recognized for care of the elderly. professional standards and a code of ethics in care The second team member is Debbie Kitchen, management for older adults. who is also an RN and an Associate member of We encourage you to get to know the team at the Aging Life Care Association™. She began her Aging Life Care Solutions and set up a meeting career as a medical-surgical and critical care nurse. for you and your family. It’s never too early to plan.

She received a master of science in nursing with a gerontology focus. Debbie has worked as a clinical nurse specialist in gerontology with 40-plus years of nursing experience. She has a great desire to work with older adults and their families to help maintain their quality of life. She is a Boardcertified Gerontological Clinical Nurse Specialist.

The third member of this team is Tamela R. 1890 Star Shoot Pkwy. Ste. 170-165, Jennewein. Prior to joining ALCS, she was the Lexington, KY 40509 • ph.859-629-4454 Ethics Coordinator and Palliative Care Chaplain www.aginglifecaresolutions.com at a hospital in Lexington. Tammy brings a

AGING LIFE CARE SOLUTIONS TEAM MEMBERS

Tamela R. Jennewein, Esq., MAPS, MA

Debbie Kitchen MSN, RN

Billie May MSN, RN

29

Seniors Can Build Muscle Mass to Live Longer LIFTING WEIGHTS HAS A POSITIVE EFFECT ON WELLNESS

By Angela S. Hoover, Staff Writer Total body mass includes both fat and muscle. Both have an effect on metabolism.

You can distinguish between muscle and fat mass by using a bioelectrical impendence instrument, which measures opposition to the flow of an electric current through body tissues. Muscle and fat have different water content so electrical currents flow through them at different rates of speed. Researchers at the University of California in Los Angeles (UCLA) in 2014 found greater muscle mass and the metabolic stimulus it provides is associated with a lower mortality rate in older adults. Their findings add to the growing evidence that overall body composition is a better predictor of health and morbidity rates than the widely used body mass index (BMI).

“Muscle mass seems to be an important predictor of life expectancy, and maintaining lean muscle mass well beyond middle age can increase your life span,” said lead researcher Dr. Preethi Srikanthan, an assistant clinical professor in the endocrinology division at the David

Geffen School of Medicine at UCLA. This study is the culmination of previous UCLA research Srikanthan led. “As there is no goldstandard measure of body composition, several studies have addressed this question using different measurement techniques and obtained different results,” Srikanthan said at the time. “So many studies on the mortality impact of obesity focus on BMI. Our study indicates clinicians need to be focusing on ways to improve body composition, rather than on BMI alone, when counseling older adults on preventative health behaviors.”

The researchers analyzed data collected by the National Health and Nutrition Examination Survey III (1988-1994) and focused on a group of 3,659 individuals that included men over age 55 years and women age 65 years or older at the time of the survey. From this pool, they isolated those who had died from natural causes based on a follow-up survey done in 2004. The researchers calculated the muscle mass relative to the person’s height, a value called muscle mass index, which is defined as muscle mass divided by height squared.

The results were clear: People with more muscle mass were less likely to die of natural causes.

Total mortality was significantly lower in the 25 percent of individuals with the greatest muscle mass index compared to the 25 percent with the lowest. “In other words, the greater your muscle mass, the lower your risk of death,” said the study’s co-author, Dr. Arun Karlamangla, an associate professor in the geriatrics division at the Geffen School. “Rather than worrying about weight or body mass index, we should be trying to maximize and maintain muscle mass.”

Building muscle mass is important in decreasing metabolic health risks. So adding some muscle

and increasing your BMI by increasing your overall body weight could actually improve your health and decrease your risk of premature death.

Increased muscle mass burns fat by increasing metabolism. A 2005 study compared people who did aerobics-only exercise with those who included strength training in their routine. After eight weeks, the aerobics-only group had lost 3 pounds of fat and half a pound of muscle. The group that combined aerobics and strength training had lost 10 pounds of fat and gained 2 pounds of calorie-burning muscle.

A great way to increase muscle mass at any age or fitness level is resistance training. Training using resistance to induce muscular contraction builds the strength, anaerobic endurance and size of skeletal muscles. Strength training: • Increases muscle mass. In a study, people who lifted weights for 25 minutes three times a week gained up to 3 pounds of muscle mass over an eight-week period.

• Reduces muscle loss. After age 30 years, you lose about a pound of muscle every year. A pound of muscle burns about 30 to 50 calories a day at rest.

• Increases hormones and feel-good neurochemicals. The eustress (good stress) of lifting weights lowers cortisol and triggers the release of human growth hormone, endorphins, adrenaline, dopamine and endocannabinoids.

• Increases bone mineral density. Resistance training has the same effect on bone tissue as it does on muscle tissue, triggering significant increases in mineral density, which can help prevent osteoporosis.

• Increases metabolic rate. A 3-pound gain of muscle mass translates into a 7-percent increase in metabolic rate. When you create muscle, you use more calories all day long, even when at rest.

• Prevents metabolic rate reduction. Because lifting weights increases muscle mass, it prevents resting metabolic rates from dipping.

The more muscle you have, the more energy your body uses to sustain itself. Calories are used for fuel rather than being energy stored in the form of fat.

• Increases glucose metabolism. Consistent resistance weight training can increase glucose metabolism by 23 percent, which can help prevent older age onset diabetes.

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May 2018

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N E W S

By Angela S. Hoover, Staff Writer

How to be a Super-Ager Super-agers are people in their 70s and 80s who have the mental or physical capability of those who are decades younger. The key is to move out of your comfort zone for both cognitive and physical super-aging. Dr. Bradford Dickerson, a neurologist at Harvard-affiliated Massachusetts General Hospital, and his colleagues have been studying super-agers for several years. Embracing new mental challenges is important to preserving both brain tissue and brain function, according to their research. In cognitive word-memory tests, fMRI imaging showed some areas of the brain appeared thinner, indicating cell loss, in the older participants with normal test scores, but not in those who scored as well as younger participants. These particular regions are involved in many functions, including emotion, language and stress. The regions are also responsible for regulating internal organs and coordinating sensory input into a cohesive experience. The thicker these regions of the brain, the better a person’s performance on tests of memory and attention, such as word memorization tests. Although super-agers’ brains show less cell loss than their peers, their IQs and educational levels are similar. What sets them apart may be that they view problem solving differently, said Dickerson. “They may approach these tasks as a challenge they can succeed at, in contrast to typical older adults who may give up,” he said. Additionally, super-agers may share a willingness to endure discomfort to master a new skill, such as playing a musical instrument or speaking a new language, said Dr. Lisa Barrett, a colleague of Dickerson. Physically, super-agers have an aerobic capacity that rivals individuals decades younger. Aerobic capacity is the amount of oxygen one can take in and distribute to the tissues in a minute, expressed as a maximal oxygen consumption, or VO2 max.

On average, people lose 10 percent of their aerobic capacity every decade after the age of 30 years. “Some studies have indicated people in their 80s who exercised at high intensity for 20 to 45 minutes a day have an aerobic capacity of people 30 years younger,” said Dr. J. Andrew Taylor, director of the Cardiovascular Research Laboratory at Harvardaffiliated Spaulding Rehabilitation Network. Several groups of researchers have independently found as VO2 max increases, the risks of cardiovascular disease, dementia and death fall. To be a super-ager, enjoy crosswords or other puzzles, pick up a new hobby or learn a new skill and be sure to exercise regularly.

Pet Bowls Can Spread Germs The common culprits of germ infestations include toilets, sponges, towels and cell phones, but one of the biggest breeding grounds for germs is often overlooked: pet food bowls. A National Science Foundation International (NSFI) study examined 30 everyday items from 22 different households, and pet food dishes ranked fourth on the final list of germ hot spots. The top three were kitchen sponges/ dish rags, kitchen sinks and toothbrush holders. Pet food bowls can serve as ideal breeding grounds for bacteria, mold and yeast, even with dry food. Dry foods leave residue that can result in bacteria such as E. coli and Salmonella living in food bowls, according to veterinarian Dr. Jessica Vogelsang. These germs can cause illnesses in both animals and humans. To prevent sickness from spreading around your home, the NSFI recommends washing your pet’s food and water bowls daily, either in a dishwasher or with soap and hot water. You should also sanitize the dishes weekly by soaking them for 10 minutes in a gallon of water with a half-teaspoon of bleach. Stainless steel or ceramic bowls are preferable to plastic ones that can crack easily, giving germs an ideal place to hide.

MASSAGE continued from Page 9

Monday through Friday from 9 a.m.-9 p.m. and Saturday and Sunday from 10 a.m.-6 p.m. You can reach us at (859) 252-5656. We are conveniently located at 272 Southland Drive, Lexington, KY, 40503.

About the Author Jill Cole is a Licensed Massage Therapist in the state of Kentucky and is Board Certified by the National Certification Board of Therapeutic Massage and Bodywork.

Jill is a 1998 graduate of the Boulder College of Massage Therapy and has served as past president of the American Massage Therapy Foundation, Kentucky Chapter. Jill has vast experience in the clinical setting, serving patients who are both well and medically complex. She also has 12 years of experience in management of multitherapist massage practices and is the current Clinic Director of LHAA. In July 2013, Jill received 100 hours of oncology massage training from the Beaumont Hospital School of Allied Health in Royal Oak, Mich., and is currently studying Manual Lymphatic Drainage with the Dr. Vodder School International. She sat for her decongestive therapy certification in 2016. Jill also serves on the National Education Committee for the Society for Oncology Massage.

About Lexington Healing Arts Academy LHAA is a licensed, accredited school offering career education and services in Massage, Personal Training, and Yoga.

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32

May 2018

or was encouraged by his or her family to curtail this privilege, all affected parties should engage in a decision process that takes time, patience and understanding. All the group members agreed this situation involves a real loss, on a par with the loss of a loved one, financial stability or health.

SENSITIVE ISSUE CALLS FOR Losing the freedom to drive means a loss of independence. There will be grieving. Many see it TIME, PATIENCE, FINDING as the end of mobility and access. Yet this change doesn’t have to be a total loss, nor does it necessarily ALTERNATIVES have to be the end. There are ways to stop driving and still have some of the independence that

By Jean Jeffers, Staff Writer means so much to seniors at this time in life. If the difficulties are worked out, the person could stay active, vital and out in the community for years to Life doesn’t have to end with the cessation of come. driving privileges, does it?

Sometimes the senior driver finds himself at I took this thought to a church group that was odds with caregivers and/or family about his meeting at my home for a Kentucky Derby party. continued driving. But when a senior is no longer These members of Guardian Angels Parish in safe on the road, it may be a blessing to make them Cincinnati were all seniors, ages 66 to 90 years. stop driving. No one wants to think they could These men and women attempt to face life with injure themselves or someone else. No one wants courage, kindness and consideration for others. to worry their family about possibly causing an Like many of their generation, they have previously accident where there could be loss of life or bodily experienced their own personal struggles, some injury in addition to destruction of property. with parents who are no longer safe on the road.

What recourse is available? There are numerous They have also witnessed their peers facing this options to consider and implement. One option conflict. might be selling the car and putting the money The group considered my question – and set me in a savings account to use for cab or Uber fare. A straight. cab would allow the senior to continue to go to Taking the car keys away from Granddad is a church, doctor appointments, family visits and even very sensitive issue fraught with difficulty both for shopping or other interests. Calling a cab could be Granddad and family. The consensus of the group used in conjunction with other senior services such was whether a senior voluntarily stopped driving as Wheels. Granted, there are limitations. A senior may not feel she is able to pick up on the spur of the moment and drive wherever she wants. But a phone call could bring a cab within minutes.

Take back control of YOUR life!

Another issue with driving may be a question of control.

People want to feel in control of their comings and goings. Even if they are not the actual “foot on the pedal,” having someone else drive “We offer proven, could still give them a individualized care to way to get out of the reverse Diabetes and house and have the

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freedom to visit whomever they wish, as well as the ability to stay active and avoid isolation.

If financial means are available, you could hire a driver who would use the senior’s car to transport them. Perhaps a younger senior could be found who may have time on his hands and would welcome a chance to make extra money. It would be a chance to have another buddy looking out for the senior. If finances are a problem, the person could post an ad asking for a volunteer who is willing to drive and who would enjoy engaging company and getting out several times a week.

Another practical suggestion is to rely on family members by having a pool of drivers, such as grandchildren and their spouses, who would benefit from an ongoing relationship in new ways with an older, wiser, loving grandparent.

It is all too true one major reason a person must stop driving is Alzheimer’s disease. One member of the church group said her husband, who had recently passed away, was diagnosed with lung cancer and early Alzheimer’s in the same week.

She didn’t want him driving because he had been getting lost. She dealt with the situation by sitting down with him and calmly saying, “Jim, since you have so many distractions just now, how about if I do the driving for a while?” He responded with characteristic good grace and humor, saying, “I didn’t know I was distracted.” He was able to relinquish the car keys. The decision was the source of considerable grief, but he could still get to church, which he loved, and to social events with friends he enjoyed.

Family and friends could help by checking in and setting up visits to maintain friendship and socializing in the individual’s home so the senior does not have to think about driving. Having friends and family surround someone is always helpful.

Giving up the car keys does not have to be the end. Don’t let it. The altered situation could present different types of opportunities.

About the Author

Jean Jeffers is an RN with an MSN from University of Cincinnati. She has taken classes toward a master’s of religion degree at a local seminary. Jean is a freelance staff writer for Health & Wellness Magazine and Living Well 60 Plus. She has been published in a number of magazines including Diabetes Health. This article appeared in Today’s Christian in the Mature Years in 2014.

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Senior Living Placement Local business owner helps families navigate senior living choices Finding a senior living community for a loved one can be difficult and can cause loved ones and family members great frustration and, often times, disappointment.

That is what Susan Neville, owner of Lexington’s newest Senior Living Placement service, saw when she was working in the industry over the last 8-plus years. She has worked in all levels of care including independent living, assisted living, personal care, skilled care, home care and memory care. “I saw a need that families have when they are faced with these decisions. I took a leap in faith and started Silver Lexington. I saw the need to have someone local (I am a Lexington native) who knows the senior living industry and use my knowledge to help seniors and their families. This can be a very overwhelming process.”

That is what Ruth Perry realized before she met Susan. “One of the biggest advantages to using a senior living placement service like Silver Lexington is that the owner, Susan Neville is local. Having her knowledge on all the senior living communities was very beneficial for me. I was still in physical therapy rehab when I met Susan, she was readily available to come and meet with me. After our meeting, Susan set up appointments for her and I to go and tour different senior living communities. I had very specific needs and Susan narrowed down my choice to a couple of communities that were most appropriate for me. Having someone to accompany me on the tours and having the guidance was great… but her personality is what connected me.” Ruth Perry, client of Silver Lexington The senior population is growing and so are the senior living communities in Lexington. “There is a misconception that a nursing home is the only option for seniors. That is so far from the truth.

Lexington and surrounding counties have some great communities with more opening soon. There are a lot of advantages to senior living communities such as maintenance-free living, restaurant style dining, transportation, social engagement and exercise,” says Susan.

One of the biggest advantages to using a senior living placement service like Silver Lexington is that the owner, Susan Neville is local. Having her knowledge on all the senior living communities was very beneficial for me.

— Ruth Perry

About Silver Lexington If you would like to learn more about Silver Lexington and how they can help you whether it be an immediate need or one in the distant future give Susan Neville a call at 859-351-5890.

Stay connected and follow on Facebook @silverlexingtonseniors.

Find additional information on www.silverlexington.com

33

FAMILY VISION

–COLUMN PROVIDED BY–

Family Eyecare Associates 105 Crossfield Drive, Versailles, KY 40383 859.879.3665 | www.myfamilyvision.com www.kentuckyvisiontherapy.com

Vision Therapy and Acquired Brain Injury

by Dr. Rick Graebe, Family Eyecare Associates and Vision Therapy The eye is amazing. Did you know more than 1.9 million fibers come from the eye into the brain? Each of those fibers creates its own pathway to the brain and has its own distinct function. So when someone has a stroke or other acquired brain injury (ABI), vision is often affected.

ABIs include concussions suffered in severe sports-related hits or a car accident, as well as cerebral or vascular strokes. An ABI can affect both neurological pathways in the eye, the focal or parvocellular pathway, which is related to central vision, and the ambient or magnocellular pathway, which are those things that are in the background that you don’t focus on. The ambient pathway also encompasses peripheral vision.

Simply put, the ambient vision system provides information about where you are in space and where you are looking and contributes to balance, movement, coordination and posture. In addition, it controls how well the eyes point and track.

The focal system, on the other hand, provides information about what you are looking at.

With an ABI, one of the first things to go is eye-tracking ability.

This may cause the patient to have double vision or perhaps perceive printed words on a page as “swimmy” because the eyes aren’t aligned property. The patient may have trouble with spatial awareness, judging distances, catching balls or other activities that require the eyes to work together. Other symptoms of an ABI include blurred vision; light sensitivity; difficulty concentrating, reading and comprehending; headache; and visual field loss. You may also have trouble shifting your gaze quickly from one point to another after an ABI. Stroke is a change in or lack of blood flow to some areas of the brain. It can also cause bleeding on the brain. Patients who have had a stroke or traumatic brain injury may lose half of their right or left side vision. This type of side vision loss is called hemianopsia. Patients who just have a hemianopsia are aware of the side vision loss and often can be easily taught to scan their eyes in the direction of the hemianopsia so they can compensate for the field loss. This helps them not miss things that are on the side of the hemianopsia.

Fortunately, the brain is quite adept at training itself how to recreate and reconnect pathways

The patient may have trouble with spatial awareness, judging distances, catching balls or other activities that require the eyes to work together.

or even create new ones. No one is born knowing how to use their arms and legs, much less their eyes. Through interaction with the world, we learn to walk and talk and to point and use our eyes. Once you understand space and where things are, the brain creates neurons that will fire together and you will point, track, focus and otherwise engage your eyes subconsciously. Vision therapy or vision rehabilitation can help when ABI interferes with these vital abilities. You may be fitted with corrective lenses such as yoked

prism lenses or receive light therapy or syntonic optometry. Vision therapy, as with all other types of therapy, is very personalized.

About the Author

Dr. Graebe received both his B.S degree in Visual Science and Doctorate of Optometry from Indiana University. He is a Behavioral Optometrist and learning expert. He has been in private practice here in the Bluegrass area for the past 32 years.

May 2018

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“With Today’s Breakthroughs, You Too Can ELIMINATE Type 2 Diabetes, Obesity, Hypertension & More!”

BEFORE TRUE HEALTH SOLUTIONS

Rick Flannery, now 57, was taking 17 medications a day. He was taking 8 Oral meds and 4 Insulin Injections daily for Type 2 Diabetes. He had Hypertension, High Cholesterol, Sleep Apnea, and Obesity, weighing over 246 lbs.

His A1c was 9.2. NOW 6.7 and OFF all meds for Type 2 Diabetes, Hypertension and Cholesterol. He’s eliminated 16 drugs a day (costing thousands a year) and he’s lost over 72 pounds!

Q: Rick, why did you go to Dr. Miller?

A: “My Type 2 Diabetes was terrible and my health was getting worse. I had High Blood Pressure and I really needed to lose weight, but couldn’t. I heard of Dr. Miller and the results he gets.”

Q: You’ve been seeing other medical doctors for your Type 2 Diabetes and Hypertension, what about Dr. Miller was different?

A: “Dr. Miller made it clear, something was not working correctly in my body. He said his approach is to uncover and reveal exactly what that is. Dr. Miller really takes the time to listen and looked at my whole health history. He makes it clear that Type 2 Diabetes, Hypertension and Obesity are being caused by something. My other doctors just didn’t take the time to do this, they never even talked about what was causing any of these. The other doctors just gave me more and more medications. I knew these were just masking symptoms and not fixing anything. Dr. Miller makes complete sense.”

Q: What does Dr. Miller do to find out what’s not working correctly inside your body?

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He has an amazing blood panel lab he orders through Lab Corp.

He gets the results and does a ‘Functional Medicine’ computer assessment. It is very impressive."

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Q: After Dr. Miller finds what is not working correctly, what’s he do?

A: “Dr. Miller takes the time and goes over everything so I understood. He takes the time to show exactly what needs done and what type of natural treatment he recommends to fix what is causing Type 2 Diabetes, Hypertension, Sleep Apnea and Obesity.

It all makes perfect sense once you see everything.”

Q: Rick, what did Dr. Miller recommend for you to eliminate your Type 2 Diabetes, Obesity and Hypertension?

A: “Dr. Miller just lays it all out so clear. He started off by seeing me every week to ensure I would eliminate the Diabetes, He has amazing instructions on life-style improvements to eliminate all poor health and then stay healthy. He just makes it all so clear and provides great printed instructions. I’m really happy with how he treats me as a client.”

Q: What are the results of your treatment from Dr. Miller?

A: “My results are great! My A1c went from 9.2 to 6.7, after 15 years on medications. I’ve eliminated all my drugs for Type 2 Diabetes, Hypertension or Cholesterol and I’ve now lost 72 pounds! I highly recommend Dr. Miller. I got my health and life back!”

I’m off all medications for Type 2 Diabetes, Hypertension, High Cholesterol and I’ve lost over 72 lbs!

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