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Cutting Edge Eye Care TAKING A GOOD LOOK AT FAMILY EYECARE ASSOCIATES & VISION THERAPY ALSO INSIDE A Glimpse Inside Monastic Life
Benefits of Massage
Dealing with IBS
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Contents 5
STAFF WRITERS
Sept/Oct 2016
The Abbey of Gethsemani: A Glimpse Inside Monastic Life
Harleena Singh
TaNiqua Ward, M.S.
Lisa M. Petsche
Martha Evans Sparks,
Dr. Tom Miller
Jean Jeffers
Frank Kourt
Charles Sebastian
ROCK POINT PUBLISHING Brian Lord / Publisher
7
A Social Senior is a Healthier Senior
8
Benefits of Massage Include Stress Relief, Relaxation
10 FOOD DUDE: French Food Can Be Down to Earth 12 COVER STORY: Taking a Good Look at Family Eyecare Associates
Kim Blackburn / Sales Representative Brandon Cartwright / Sales Representative Jennifer Lord / Customer Relations Specialist Barry Lord / Sales Representative Anastassia Zikkos / Sales Representative Janet Roy / Graphic Designer
15 PROFILE: Bobbie Ann Mason Living Well 60+ is a proud product of
ROCKPOINT
16 EVENTS CALENDAR
Publishing
18 SENIOR SERVICES DIRECTORY 24 AGE ALLOWS: What is Creative Life? 25 Celebrate Healthy Month and International Day of Older Persons 27 Dealing with Irritable Bowel Syndrome 28 Respite is a Must for Caregivers 31 LONG-TERM CARE: The Unknown Step to Saving Money for Married Couples on the Way to Medicaid
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FROM THE
EDITOR Dear Friends, Happy Healthy Aging Month! This annual observance was designed to focus national attention on the positive aspects of growing older. And despite what the sitcoms and movies may try to tell you, there are plenty of positives about growing older. I find myself growing more fierce and daring, less focused on what other people
Tanya J. Tyler, Editor | Share your story: tanyaj@twc.com think about me or what I’m doing. I used to enter restaurants warily, wondering whether people were looking at me with pity because I’m usually alone. Then I think, “I’m here because I’m hungry and I want to EAT!” And so I do. When running, I used to wonder whether people are snickering at my efforts. Then I think, “At least I’m out here DOING something, TRYING something. I’m
© Copyright LIVING WELL 60+ Magazine 2016. 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 Living Well 60+ Magazine. Living Well 60+ Magazine reserves the right to publish and edit, or not publish any material that is sent. Living Well 60+ Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Living Well 60+ Magazine should not be considered as a substitute for medical examination, diagnosis or treatment.
out here because I want to stay fit and healthy and mobile!” It’s great to come to that point in your life when the only opinion about yourself that matters is your own. And I think I’m pretty darn fabulous. What do you think about you? Live life you mean it!
Tanya
SEPTEMBER/OCTOBER 2016
5
The Abbey of Gethsemani: A Glimpse Inside Monastic Life Community lives in ‘school of the Lord’s service’ by Dr. Tom Miller, Staff Writer
A visit to beautiful Bardstown, Ky., offers visitors several options for escaping from the challenges of everyday life. One of these options can be found 12 miles away, nestled in the hills of Trappist, accented by a simple white edifice towering above the tree line. The tower leads you to the Abbey of Gethsemani, founded in 1848 by the Order of Trappist Cistercians and home to Trappist monks who live, pray and work there. The abbey welcomes
guests of all faiths from everywhere, as hospitality is an essential element of the monastic life, in keeping with St. Benedict’s rule: “Let all guests that come to the monastery be received as Christ. For one day he will say, ‘I was a stranger and you welcomed me.’” The monks are gathered in community, following the call of Jesus to become his disciples. The monastery, according to its Web site, is “a school of the Lord’s service and a training ground of love.” Among the best known of the monks who lived at Gethsemani was Thomas Merton. Merton entered the monastic community
in December 1941. The abbot urged the young monk to write his autobiography, The Seven Storey Mountain, which was published in 1948. Merton’s later writings took up controversial issues such as social problems and Christian responsibility in race relations, violence, nuclear war and economic injustice. Merton also wrote prolifically on a vast range of topics, including the contemplative life and prayer. In addition, he was the author of several religious biographies. Merton died in 1968, but many people still esteem him as a spiritual master, a brilliant writer and
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a man who embodied the quest for God and human solidarity. Since his death, five volumes of his letters and seven of his personal journals have been published. More than 60 titles of Merton’s writings are in print in English. Many of his collections of works are at Gethsemani’s library, which has a selection of contemporary religious and other books and periodicals as well. Also open to the pubic are the abbey’s gardens, cemetery and chapel. Approximately 1,200 acres on the side of the road opposite the church are available for walking and hiking. Visitors may attend gatherings in the chapel where the monks chant during vigils (which begin at 3:15 a.m.), lauds, Eucharist, terce, sext, none, vespers and compline. The public is welcome to visit the abbey Monday through Saturday from 9 a.m. to 5 p.m. The welcome center offers displays and a video presentation about monastery life as well as a gift shop with Gethsemani Farms products, which include fruitcake and fudge. For more information, visit the abbey’s Web site at www.monks. org.
The Benedictine motto is “Ora et Labora” (work and pray).
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SENIOR LIVING
A Social Senior is a Healthier Senior How senior living communities contribute to overall wellness by Lauren Ashley German, Community Relations Director, Highgrove at Tates Creek
Selecting a senior living community for yourself or the senior in your life can be a stressful and overwhelming process beginning with the initial decision to move. Perhaps you want peace of mind that Mom is getting the nutrition and medication reminders she needs. Maybe lack of transportation is keeping Dad isolated and he is becoming withdrawn. Or, it could be that you just aren’t up to the yard work and maintenance that owning a home typically requires. Regardless of the primary reason for moving, it’s important for families and individuals to understand all the benefits that come from being in a community of like-minded individuals with programs, activities and environments specifically designed for older adults. The National Wellness Institute identifies six dimensions of wellness that everyone needs to achieve a happier, heathier self: Emotional – In order to thrive emotionally, individuals need a support network and engaging activities that seniors often lack when they are isolated from friends and family. Senior living communities provide an opportunity for residents to interact on a daily basis, allowing personal relationships to form which creates a support system outside of the family unit. And don’t underestimate the value of peer-to-peer bonding. Building interpersonal connections
with others who share your challenges can help reduce symptoms of depression. Physical – Regular physical activity can lead to significant health benefits in seniors, such as reduced risk of falling, stroke and heart disease. Wellness programs found in senior living communities may offer activities like yoga to help with balance, tai chi to improve coordination or gardening to provide strength training. Studies show that exercise does not have to be intensive in order to be beneficial, but indicate that moderate, daily activity is key to receiving maximum results. Spiritual – Community life and worship is an important wellness component to many lives. Lack of transportation or mobility can keep seniors from attending their place of worship. Senior communities often have a chapel onsite with a chaplain to provide spiritual enrichment or may provide transportation to the resident’s own church, temple or synagogue. Intellectual –Studies suggest that engaging in brain boosting activities do more than just keep your mind sharp. Keeping your brain active every day by exploring new hobbies, playing games or working puzzles may help you live longer and possibly reduce the risk of Alzheimer’s and other dementias. Senior living communities offer a wide-variety of on-campus and off-campus activities to help keep cognitive skills intact by creating an environment centered on lifelong learning. Social – Socialization can improve both quality and length of
life and staying socially connected grows increasingly difficult with age. Isolation due to living alone, having a small social network or lack of participation in social activities can have a direct impact on one’s health, increasing the likelihood of chronic health problems. Community dining like those found in senior living communities not only create opportunities for socialization, but also give seniors access to well-balanced meals. A poor diet can lead to a weakened immune system, but communities provide the convenience of on-site dining with chef-prepared meals so it’s easier to eat well. Occupational – The opportunity to stay engaged in the community while utilizing your unique set of skills is a crucial step to achieving overall wellness. Many senior living communities offer volunteer opportunities for their residents based on their interests and abilities. Seniors can get involved with local charities, host support groups or mentor children. Volunteerism is beneficial for seniors in a number of ways – not only does it have mental and physical benefits, but it also helps improve the perception of seniors in society. The ability to achieve whole-person wellness is even more important for seniors experiencing memory loss. Many senior living communities offer memory care programs which provide specialized care for those living with Alzheimer’s or other forms of dementia. These are often secured environments staffed by caregivers who have training and experience working with residents living with memory impairment. In addition to all the benefits that come with living in a senior living community, memory care programs offer unique activities that are specifically designed to engage their residents which increases self-esteem. And not only is the nutrition that comes along with mealtime even more important to people with dementia, but studies show that the environment in which they eat is crucial as well. When memory care residents have the opportunity to eat with their caregivers in a family-style setting, their eating and
7
drinking habits improve. The advantages of belonging to a senior living community are too important to ignore. Seniors who choose to live in communities designed with their interests and abilities in mind will be healthier, happier and will live longer. Combine that with the maintenance-free living, care and safety that senior residences offer and the decision to move into a community just became much easier. SOURCES & RESOURCES:
• The Six Dimensions of Wellness http://www.nationalwellness. org/?page=Six_Dimensions • Community Living: It’s Healthier http://www. whereyoulivematters.org/ community-living-its-healthier/ • Benefits of an Active Lifestyle on Health and Well-Being Later in Life http://aging.wisc.edu/ outreach/2011_colloquium/ Edwards2011.pdf • Social Disconnectedness, Perceived Isolation, and Health among Older Adults http:// www.ncbi.nlm.nih.gov/pmc/ articles/PMC2756979/ • Efficacy of Peer Support Interventions for Depression http://www.ncbi.nlm.nih.gov/ pubmed/21353125 • 2016 Alzheimer’s Disease Facts and Figures http://www.alz.org/ documents_custom/2016-factsand-figures.pdf • Why Pleasant Mealtimes Could Be Key to Alzheimer’s Care https://consumer. healthday.com/seniorcitizen-information-31/ dementia-news-738/happymeals-can-be-critical-indementia-care-710689.html ABOUT THE AUTHOR:
Lauren Ashley German is the Community Relations Director at Highgrove at Tates Creek, a premier senior living community coming to Lexington. Highgrove at Tates Creek offers independent living, assisted living and memory care. Lauren Ashley can be reached at 859-245-0100 or lagerman@traditionsmgmt.net.
8
SEPTEMBER/OCTOBER 2016
Benefits of Massage Include Stress Relief, Relaxation You’ll also find serenity, experience radiance and manage pain
by Jamie Lober, Staff Writer
Many people are drawn to massage for the eclectic atmosphere of the massage center, the serenity they feel or the radiance it adds to their wellbeing. “Massage relieves stress,” said Cindy Hutchison, co-owner of The Massage Center & Yoga
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“People get massages for low back pain, fibromyalgia, muscle tension and muscle pain from exercising,” said Hutchison. “It restores balance to the muscles that are overly tight and helps relax the tension. The circulation of blood through the muscles helps get the lactic acid out of the muscles so people can get back to their training or exercise.” Older people find massage helps them with their range of motion. Some people say they can sleep better when they receive regular massages. “A lot of times [lack of] sleep is stress-related,” Hutchinson said. “A massage can break the cycle and give you an example of what being relaxed feels like.” Massage is also helpful for your emotional state. “It can help ease symptoms of depression,” said Hutchison. Nearly everybody can benefit from massage, Hutchison says. “People are realizing stress is going to be the No. 1 reason their health declines,” she said. “Each individual is different, but because massage has done so many things for their health, it is part of their wellness plan.” Just as all massage receivers are not alike, all massage is not the same. “Therapeutic massage is our most popular,” Hutchison said. “That indicates someone is coming in for a specific treatment to a certain area of the body for a specific kind of result.”
Another option is relaxation massage, which Hutchison describes as a gentle and relaxing. Deep-tissue massage is a deeper massage with pressure. The duration of the different massages varies. “There is a trend toward longer two-hour treatments but there is also a trend toward real short 20-minute treatments [where you are] fully clothed during lunch break,” said Hutchison. If you have never had a massage before, talk about what you expect and want. “Speak up if you have preferences, like a male or female therapist, and do not feel embarrassed,” said Hutchison. During your massage, let the therapist know how you are feeling. “If the pressure is too much or too little you need to have a voice,” Hutchison said. “You should know you can keep on or remove as much clothing as you are comfortable with and you will always be professionally draped. Disrobing is probably the No. 1 [reason] people do not get a massage.” As with anything, there are some contraindications to massage. “If you have a fever, an acute injury, had a recent operation or a pregnancy in the first trimester, we would not recommend a massage,” said Hutchison. Sometimes it can be nice to have a massage as a couple. “There are suites designed just for couples, and each person has their own table and therapist,” said Hutchison. Massage Envy says massage is medically beneficial and offers more reasons to get one: • improves posture; • improves circulation; • promotes deeper and easier breathing; • relieves headaches; • strengthens the immune system; • enhances post-operative rehabilitation; and • improves rehabilitation after injury. Taking all of this into consideration, it may be a good idea to schedule a massage today, whether it is your first or your 50th.
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French Food Can Be Down to Earth TRY SOME HEARTY ALTERNATIVES TO HAUTE CUISINE If you’d like a magnificent, hearty alternative to what many people consider “fancy French food,” consider some of the earthier dishes France has to offer. This is peasant food – the meals French housewives make when they look around their kitchens, find the best ingredients and use them in creative ways. You’ll find no haute cuisine here, just very tasty, stick-to-your-ribs recipes that will both tickle the taste buds and fulfill the most demanding appetites this side of the Atlantic. The fun thing about these dishes is that you get to use the same wonderfully fresh ingredients as French home cooks, but you don’t have to go through all the fuss that traditional haute cuisine demands. Below you’ll find a magnificent French onion soup, whose secret is a blend of both beef and chicken stock. The pork chops will bring to your palate the flavor of summer and fresh, ripe tomatoes along with the magnificence of fresh herbs. The boeuf Bourguignon may be a bit more complicated to prepare, but the result is well worth the effort. Part of the beauty of simple French cooking is that you not only can improvise, but are encouraged to do so. You can throw in a handful of basil in place of parsley or put in four instead of two cloves of garlic. Let your culinary imagination run amok. Bon appetite!
FRENCH ONION SOUP
• 4 T butter or margarine • 2 T olive oil • 3 lbs. thin-sliced onions (they cook way down) • 1 tsp. seasoned salt • 4 T flour • 1 quart beef stock
• 1 quart chicken stock In a soup kettle, melt the butter or margarine and combine with the oil. Add the onions and seasoned salt and cook over low heat, stirring occasionally for about 45 minutes or until the onions are cooked down and become a golden brown color. Sprinkle in the flour and cook for about five minutes, stirring constantly. Add the stock and simmer, partially covered, for about 45 minutes. If you want to dress up your creation even further, take about six one-inch thick slices of French bread, brush each side with a little olive oil and sprinkle on a little garlic salt. Place them on a baking sheet in a 325-degree oven for about 10 minutes on each side until lightly browned. Top with grated Swiss cheese and return to the oven briefly, until the cheese is melted. Place a slice of the bread in individual soup bowls and ladle the soup over it when serving.
PORK CHOPS PROVENÇAL
• 6-8 3/4-inch-thick pork chops • 1/4 cup olive oil • 1 large onion, coarsely chopped • 1 green pepper, coarsely chopped • 3 stalks celery, chopped • 4 cloves finely chopped garlic • 1/2 lb. fresh mushrooms, sliced • 1 16-oz. can tomato puree • 1 cup dry vermouth • 1/4 cup chopped fresh basil, or 2 T dried • 1/4 cup fresh chopped parsley, or 2 T dried • 1 tsp. salt • 1/2 tsp. black pepper In a large frying pan, brown the chops in the olive oil, then put them in a large casserole. Sauté the onion,
green pepper, celery, garlic and mushrooms in the remaining oil for about five minutes or until the onion is limp and tender. Stir in the tomato puree, wine, basil, parsley, salt and pepper and simmer for about five minutes, then pour over the pork chops in the casserole. Cover and bake in a pre-heated 325-degree oven for about an hour or until the chops are done. Serve with rice and a cold bottle of rosé.
BOEUF BOURGUIGNON
• 3 lbs. lean beef chuck, cut into 1 1/2-inch cubes • Flour • Salt and pepper • 1/2 cup butter • 1/2 cup cooking oil • 8 slices bacon, chopped into small pieces • 2 cloves fresh garlic, minced • 5 carrots, chopped into 1 1/2-inch pieces • 2 large onions, finely chopped • 1/4 cup fresh parsley, chopped • 2 cups burgundy wine • 1 tsp. dried oregano • 2 bay leaves • Dash paprika • Dash fresh celery seed • 1 T butter • 1/2 lb. frozen pearl onions • 18 small whole mushrooms Coat the beef in flour that has been seasoned with salt and pepper and brown in a stew or soup kettle on all sides in the melted butter and oil. In a large fry pan, cook the bacon until crisp. To the bacon, add the garlic, carrots, onion and parsley and sauté until the onion is golden brown. Drain off the grease and add to the beef. Add the two cups of burgundy, using more, if necessary, to cover the meat, then add the oregano, bay leaves, paprika and celery seed and stir well. Cover and simmer atop the stove for two hours, stirring occasionally to prevent sticking. Melt butter in a fry pan and add the pearl onions, sautéing until golden, then add the onions to the stew. In the liquid remaining in the fry pan, add the mushrooms and cook until limp. Add mushrooms to the stew and continue to simmer for about 1/2 hour more, or until the onions are tender. Serve over rice.
SEPTEMBER/OCTOBER 2016
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Expanded Memory Care Services
• Assisted Living Apartments • Memory Care Apartments • Independent Living Garden Homes
859.543.9449
www.libertyridge.com
Come stay with us for the winter!
CALL TODAY TO SCHEDULE A COMPLIMENTARY LUNCH AND TOUR. LOCATED IN LEXINGTON NEAR HAMBURG PLACE | 701 Liberty Ridge Lane Lexington Ky 40509
Conflict Resolution & Trainings 400 Etter Drive, Suite 1 Nicholasville, Kentucky, 40356 www.summitcrt.com Phone: 859-305-1900 Email: contact@summitcrt.com
Family Services Conflict Resolution/Mediation Life & Crisis Coaching Care Community Investigation Parenting Classes Business Services Workplace Investigation Leadership Building Team Building Family Classes Are Your Kids Bullying You? Case Management for Families: Making the Right Choices for Your Loved One Thinking Beyond Retirement Industry Classes Planning For The End of Retirement Business Etiquette Workshops All In The Family: Inspiring Families To Choose You!
Taking a Good Look at Family Eyecare Associates ‘PERSONAL CARE WITH A PROFESSIONAL TOUCH’
September/October 2016
“The function of the eye is to send information to the brain. If we improve your efficiency with your vision system, we’ve improved 70 percent of the input that goes to your brain for the rest of your life.” – Dr. Graebe
by Tanya J. Tyler, Editor
Family Eyecare Associates (FEA) in Versailles works with people of all ages and situations, from seniors with balance difficulties to children with learningrelated vision disabilities. In business for 25 years, FEA’s goal is to develop a lifelong relationship with you and your family, as both patients and friends. FEA sets its sights on maximizing your visual performance and preserving your eye health, now and in the future. Working alongside Dr. Rick Graebe, O.D., FCOVD, are Dr. Regina Callihan, O.D., and Dr. Rebecca Swartzentruber, O.D. Dr. Graebe said he always knew he wanted to have a career in medicine, but he wasn’t sure what health-related specialty he would pursue until, at age 17, he tried on his girlfriend’s glasses. He was astonished to realize he could see much better. “I saw what I was missing,” he said. “The right door opened at the right time. Optometry was the only career path that I’ve ever really chosen.” Dr. Callihan joined FEA in 2004. Her specialty includes primary care optometry as well as vision therapy
and low vision. Dr. Swartzentruber, who came on board in June, brings a great deal of knowledge about primary eye care and vision therapy to the practice. Everyone on staff at FEA realizes there is more to eye health than just having 20/20 vision. The measurement of 20/20 simply means you can clearly see a certain letter on the standard Snellen eye chart that is equivalent to what a person with normal vision should be able to see at 20 feet. You can see 20/20 and still have functional problems. Eye health means getting regular checkups; wearing your prescribed corrective lenses or contacts; and protecting your eyes from the sun’s harmful UV rays. It encompasses visual efficiency and the ability to process visual information effortlessly. At FEA, a comprehensive vision exam evaluates visual skills, including visual acuity at close distances, which is vital to reading and computer use; eye teaming skills to make sure your eyes work in sync; eye focusing skills; and eye movement skills. A weakness in eye teaming skills can cause difficulties such as convergence insufficiency, a disorder that interferes with a person’s ability to see, read and work at near close distances.
Rapid, automatic eye focus adjustment is critical to learning, reading, writing, sports and other activities. Deficiencies can cause visual fatigue, reduced reading comprehension and/or an avoidance of close work or certain activities. Eye movement skills are essential for reading because they involve the quick, accurate shifting of the eyes along a line of print or from book to desk to blackboard and back. The exam will also evaluate problems such as cataracts, glaucoma, hypertension and diabetes. In addition to general eyecare, there is a clinic that continues the work Dr. Graebe and his team are doing. The Children’s Vision and Learning Center (CVLC) offers unique Neuro-Visual Perceptual Therapy (NVPT) programs for children and adults who are having difficulty reading and thus are underachieving at school and in the workplace. Thanks to these NVPT programs that target learningrelated vision problems, including many who have been diagnosed with ADHD, ADD and dyslexia, children average more than a threeyear performance improvement in 30 weeks. The programs can benefit adults as well. It’s all about changing the input into the brain.
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“We’re making new pathways in the brain,” Dr. Graebe said. “Once patients improve these pathways, they will stay with them forever.” This happens because about 70 percent of all the pathways in the brain are involved in vision, directly or indirectly. “The function of the eye is to send information to the brain,” Dr. Graebe said. “If we improve your efficiency with your vision system, we’ve improved 70 percent of the input that goes to your brain for the rest of your life. We also work sensory integration. There are all sorts of sensory input coming to the brain and it all needs to be in agreement.” Dr. Graebe says vision and eyesight are not the same thing. “Vision involves how our eyes, brain and body interact – so many different things from balance to spatial awareness and even our sleep cycles,” he explained. “Eyesight is [measured by] the acuity chart, but vision is sending information to the brain.” Two neurological pathways lead from the eye to the brain. Dr. Graebe says the parvo cellular or “focal” path is the part of the vision system that answers the “what is it” question. He says the magnocellular focal is the “ambient” path that’s in the background. “The ambient pathway deals more with the ‘where is it’ question,” he said. “It has to do with balance and spatial awareness. The ambient pathway will always fire first and tell the focal path what to look for.” He says many attentional problems may occur because these pathways are not working properly. “It’s just overwhelming,” he said. “People get sensory overload. We see this with the autistic spectrum. Those patients are always in what I call focal lock. The No. 1 sign of autism is the person won’t make eye contact and it’s because they’re in focal lock.” Dr. Graebe often prescribes therapeutic ambient prisms for autistic patients. “The prism bends light so it just changes the distribution of light Continued on NEXT Page...
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on the retina,” he said. “The theory that makes the most sense is that if the ambient and focal paths are out of sync, a prism changes the timing.” Dr. Graebe is enthusiastic about behavioral optometry. “My personal passion is kids with reading and school-related issues,” he said. “That’s why I get out of bed in the morning. I really do consider it my personal ministry. I can make a bigger change in someone’s life with this than with anything else I’ve run across. “It’s such a shame that people get these labels: ‘I guess I’m just not very good at reading’ or ‘I guess I’m dyslexic or ADD,’ where in reality, so many of those times it’s just you’re having visual skills deficits that are totally fixable,” he added. “You put this artificial ceiling on your capabilities, and that’s the part that breaks my heart.” Seeing dramatic results is encouraging. “My goal for these kids is keeping these doors open so their vision won’t be a limiting factor on what they do professionally or personally,” Dr. Graebe said. “People say, ‘I wish I had known about you five or 10 years ago’ or ‘I wish I had had you for my kids.’” A wide variety of visual services are available at FEA and CVLC, including: • contact lenses, including bifocal and disposable astigmatism lenses with fitting and follow-up; • treatment for binocular vision conditions such as amblyopia (lazy eye); convergence insufficiency (near vision disorder); diplopia (double vision); lack of stereopsis (two-eyed depth perception); and strabismus (cross-eyed, wandering eye and eye turns); • visual rehabilitation for patients with traumatic brain injury (TBI); and • Orthokeratology, also known as corneal molding – a nonsurgical alternative to (LASIK). Orthokeratology patients wear rigid lenses that are designed to reshape the cornea while they are sleeping. “When you wake up the cornea is the shape it’s supposed to be and you can see
SEPTEMBER/OCTOBER 2016
all day without glasses or contacts,” Dr. Graebe said. “There’s no need for an operation.” Some visual conditions that cannot be treated adequately just with glasses, contact lenses and/or patching are best resolved through a program of NVPT. This is an individualized, supervised treatment program designed to correct visual-motor and/or perceptualcognitive deficiencies. “We always say we’re just getting pieces of the puzzle and when we get all the pieces together, then we look at the completed picture and go, ‘All right, here’s what needs to be in here and here’s what we recommend,’” said. Dr. Graebe. “We’re creating a balance within the visual system that will carry over into the autonomic nervous system that helps with a lot of other systems.” Vision therapy is essentially physical therapy for the eyes and brain. It includes training and rehabilitation of the eye-brain connections involved in vision. VT is directed toward resolving visual problems that interfere with learning. It can improve visual function so the student is better equipped to benefit from educa-
Dr. Graebe
Dr. Callihan
tional instruction. It helps both children and adults who have been diagnosed with learning-related vision problems, attention deficit disorders, dyslexia and learning disabilities. It helps patients develop normal coordination between the two eyes and improve binocular vision. When the eyes work together effectively, reading, sports, depth perception and eye contact are enhanced. VT helps people who play sports by improving eye-hand coordination, visual reaction time, peripheral vision, eye focusing, eye tracking, eye teaming and visualization skills. The eye muscle training benefits of vision therapy are medically proven. “There’s some great science behind this,” Dr. Graebe said. “It’s so amazing when you really understand what happens and some of the changes you can make with VT.” VT procedures are designed to enhance the brain’s ability to control eye alignment, eye tracking, teaming and focusing abilities, eye movements and/or visual processing. The therapy utilizes specialized computer and optical devises such as therapeutic lenses,
Dr. Swartzentruber
Family Eyecare Associates and Children’s Vision And Learning Center 105 Crossfield Drive | Versailles KY 40383 (859) 879-3665 | www.myfamilyvision.com
prisms and filters. The patient’s visual skills are reinforced and made automatic through repetition and by integrating them with motor and cognitive skills, avoiding the need for surgery. “I’m not against surgery of any kind, but to me, that should always be the last resort, not the first line of defense, because you’re still not treating the real root cause of the problem; you’re just worrying about the smoke and ignoring the fire,” Dr. Graebe said. FEA also treats many stress-related visual problems. Graebe says our 21st-century lifestyles demand more from our vision than ever before. “We have so many computers and phones and all this other stuff, we’re spending much more time in a 2D world,” Dr. Graebe said. Excessive computer use or close work can sometimes induce headaches and visual difficulties that can be effectively treated with corrective lenses and vision therapy. When you are sitting and talking to someone, you blink about 22 times a minute. When you sit staring at a computer screen, the eyes blink about seven times a minute. The blue light emitted from computer screens suppresses melatonin, and chronic blue light has been shown to cause macular degeneration. Dry eyes are another problem that stems from computer use. “From a visual development perspective, there are a lot of reasons not to do a bunch of computer work, but that’s the world we live in,” Dr. Graebe said. He offers advice for doing near work with computers. “Follow the 20-20 rule,” he said. “After every 20 minutes of reading or doing close work, look 20 feet away for 20 seconds. You’re relaxing the pointing muscles; you’re relaxing the focusing muscles.” Dr. Graebe spends from 15 to 20 hours a week reading about and studying VT. “I’m board certified and I have a national certification,” he said. “I am very passionate about this. Good therapy can truly change lives.” u
SEPTEMBER/OCTOBER 2016
Profile:
Bobbie Ann Mason Writer is at the forefront of Kentucky’s literary heritage by Charles Sebastian, Staff Writer
The tapestry that is Kentucky’s literary heritage is colorful and vast. In the center of this grand design is Bobbie Ann Mason. Mason began her literary career over four decades ago. As her short stories began to find publication in The New Yorker in the early 1980s, her name became associated with the newer women’s literature of the South. With the publication of Shiloh and Other Stories in 1982, Mason’s position as a leader in the world of fiction, especially Kentucky fiction, was secured. The volume won the PEN/Hemingway Award and was nominated for the
American Book Award, the PEN/ Faulkner Award and the National Book Critics Circle Award. Mason’s talent for writing stories and redefining literature, however, long predates the publication of Shiloh. It reaches back to her childhood, when she was first introduced to Louisa May Alcott’s Little Women. She discovered Ernest Hemingway, J.D. Salinger, F. Scott Fitzgerald and many other outstanding writers during her early college days. She earned her B.A. in English from the University of Kentucky in 1962 and her M.A. from the State University of New York at Binghamton in 1966. This period culminated with Mason
earning her Ph.D. from the University of Connecticut in 1972. “I’ve always been fascinated with puzzles,” Mason said. “It was this, perhaps, that led me to Vladimir Nabokov, whose Ada was the subject of my dissertation.” Since that time, Mason has published numerous works, including her most recent novel, The Girl in the Blue Beret, which was inspired by the wartime experiences of her late father-in-law. It won the Kentucky Book Award in 2011. The publication of In Country in 1985 made it difficult for Mason to go unnoticed, and her fascination with war and stories based around war have become central themes in her work. When Hollywood called, wanting to make a film of In Country, Mason’s name was cemented in not only the literary world but also in that of cinema. Bruce Willis signed on to the project and the film appeared in theaters in 1989. “Of course the movie is incomparable to the book,” Mason said. “I was happy it all came together the way it did.”
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Other works include a memoir, Clear Springs, which was a runnerup for the Pulitzer Prize, Elvis Presley, Feather Crowns and Zigzagging Down a Wild Trail. The last two won the Southern Book Critics Circle Awards. She wrote The Girl Sleuth, a guide to the girl detective series books that are read widely in adolescence. Mason has received the Guggenheim Fellowship and the Arts and Letters Award for Literature from the American Academy of Arts and Letters as well as a National Endowment for the Arts grant. She is a former writer-in-residence at the University of Kentucky. Mason’s Web site (www. bobbieannmason.net) offers a complete list of her works, some reviews, a wonderful video featuring Mason with another acclaimed Kentucky writer, Wendell Berry, and information about upcoming events, including readings and signings.
Join us for a complimentary Bluegrass Tours Horse Farm Tour on Thursday, September 15th. Come learn the history behind some of Kentucky’s beautiful horse farms and the future of Kentucky’s newest Senior Independent Living Community.
September 15
1:00–5:00pm
Seating is limited RSVP by calling 859.537.1123
T he best season of your life awaits you. L E G A C Y R E S E R V E K Y. C O M
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SEPTEMBER/OCTOBER 2016
Events Calendar SEPTEMBER Sun Mon Tue Wed Thu
4 11 18 25
5 12 19 26
6 13 20 27
7 14 21 28
1 8 15 22 29
Swing Lessons Every Tuesday: 8pm–10pm at Tates Creek Recreation Center, 1400 Gainesway Dr. $5.00 per person per lesson. Call for more information: Glenn and Rosalee Kelley 859-233-9947; OR Peter and Robin Young 859-224-3388.
OCTOBER
Fri
Sat
2 9 16 23 30
3 10 17 24
Sun Mon Tue Wed Thu
2 9 16 23 30
3 10 17 24 31
4 11 18 25
5 12 19 26
6 13 20 27
Fri
Sat
7 14 21 28
1 8 15 22 29
Send us your event listings
List your event for FREE if it’s free to the public*. E-mail your event information to brian@rockpointpublishing.com (*$35 fee for events that are not free to the public)
Ongoing
Yoga Health & Therapy Center Classes Our Yoga Classes feature slow stretch with gentle breathing, and relaxation techniques. Class size is small, to provide careful instruction. Yoga classes are offered Mon through Thurs (daytime and evening), and Sat mornings. Our Meditation Starter Course teaches simple ways to focus and quiet the mind; 5-week sessions are offered on Sundays at 5:30 pm. A nonprofit organization operating since 1981, The Yoga Health & Therapy Center is located at 322 W. 2nd St. Free private parking is provided for most classes. For more information on fees and scheduled dates and times, call us at 859-254-9529, or email us at info@yogahealthcenter.org
Sit and Get Fit Mondays and Fridays, 9:30am10:30am. FREE! This event is a seated controlled exercise/ movement class to improve strength, flexibility, balance and coordination. It is taught by Anne Graff, MS, OTR/L, Occupational Therapist certified by the American Senior Fitness Association as a Senior Fitness Instructor and trained in Body Recall. Also included are: Fall Prevention and Recovery, Fun Movements to Strengthen Body and Mind, Improve Posture and Core Conditioning, Wellness Education, Relaxation Techniques, and Music. The Charles Young Center is located at 540 E. Third Street. Parking is available on Shropshire Avenue or Lewis Street, Lexington, KY. Ages 60 and older. For more information, please contact Alexis Edge at 859-2460281 or aedge@lexingtonky.gov.
Community Yoga Class with Lauren Higdon Every Tuesday 10:30am– 11:30am at Centered Studio, 309 n Ashland ave suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. Classes may include chair yoga, restorative, yin yoga, tai chi, and more. Perfect for beginners as well as experienced yogis! Donations-based class.
Community Flow This weekly (Tuesdays) restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. 10:30am–11:30am. Donation only (great portion of all donations go to the Backpack Food Program at Ashland Elementary.) Inspiring, Educating & Supporting our World through the Moving, Visual & Healing Arts! Daily classes, therapies, workshops & a great spot to host your next event! 309 N Ashland Ave Ste.180, Lexington, KY 40502. 859-721-1841. www.centeredlex.com.
Lupus Support Group Living & Coping with Lupus: meets 1st Tuesday of every month at Imani Baptist Church, 1555 Georgetown Road,
Lexington from 7:00pm–8:30pm. The Lupus Foundation of America support groups are intended to provide a warm and caring environment where people with lupus, their family members, caregivers and loved ones can share experiences, methods of coping and insights into living with chronic illness. www.lupusmidsouth.org 877-865-8787.
MELT Method Hand, Foot and Body Healing Class by Shayne Wigglesworth. Mondays and Wednesdays at 12pm - Discover painfree living at any age! Enjoy a gentle foam roller class to reduce pain, inflammation, stress, anxiety and more! MELT Method certified instructor Shayne Wigglesworth will teach you healing techniques you can use for self care at home. All materials and rollers are provided. Perfect for all ages, body types and experience levels. Learn more – call/online: www.centeredlex.com 859-721-1841
Mindfulness-Based Stress Reduction Full 8 week program (Thursdays) the gold standard in mindfulness. Orientation January 14th @ 6:00PM. Study and practice with a supportive group and learn to: relax your body, quiet your mind, open your heart, manage stress and prevent burnout , learn nondrug approaches for managing chronic conditions. Cost deeply discounted for UK employees, spouses and retirees. Sliding scale for non-UK participants. Facilitator: John A. Patterson MD, MSPH, FAAFP, Mind Body Studio 517A Southland Drive
SEPTEMBER/OCTOBER 2016
Lexington KY 859-373-0033. Full details at http://www. mindbodystudio.org/?page_ id=1262
Sept 12
Diabetes Support Group 10-11 am, Senior Citizens Center, 1530 Nicholasville Road, Free. Sponsored by the LexingtonFayette Co. Health Dept. For more info.: (859) 288-2446.
September 13 “Understanding Fats, Sugar and Oil” Nutrition Class
5 – 6 pm, Bourbon County Health Department, 341 East Main Street, Paris. All are welcome. Food demonstrations, sampling, and recipes will be provided. For more information or to register, call (859) 987-1915.
September 15 Horse Farm Tour
Join us for a complimentary Horse Farm Tour on Thursday, Sept 15. A guided bus tour (Bluegrass Tours, $65 value –free!) will discuss the history behind some of Kentucky’s most beautiful horse farms! Provided by Legacy Reserve at Fritz Farm. RSVP by calling 859.537.1123. Seating is limited.
September 15 Healthy Brain Aging
Join us for a special presentation on healthy brain aging! In this free event, Dr. Gregory Cooper with Baptist Health Neurology will present “Understanding Normal Forgetfulness vs. Dementia” along with the latest facts and figures from the Alzheimer’s Association. A light breakfast will be provided and all attendees will be entered to win a gift card. 10am–11am at the Lexington Public Library, Eastside Branch, 3000 Blake James Dr., Lexington, Kentucky 40509.
September 20 Meal Planning Class
5 – 6 pm, Bourbon Co. Health Dept., 341 East Main Street, Paris. All are welcome. Food demonstrations, sampling, and recipes. For more information or to register, call (859) 987-1915.
September 27 Understanding your Medicare Options
This presentation is designed to
help new beneficiaries and their caregivers a better understanding of the Medicare program. Even those who currently have Medicare coverage could benefit from this detailed overview. Topics will include an introduction to Medicare including what Medicare covers, supplemental Medicare Health plans including Medicare Supplements, Medicare Advantage plans, and Part D prescription drug coverage. 6pm at the Eastside Library in Lexington at 3000 Blake James Dr. This 45-minute presentation includes time for scenarios & Q&A time. To RSVP, call 859-312-9646
September 27 Hospice of the Bluegrass Lunch & Learn Series
Are you interested in learning more about end-of-life care? Are you curious about the vast array of services Hospice of the Bluegrass offers? Join us for our monthly Lunch & Learn series on the last Tuesday of each month at noon for an informative conversation about our work. Lunch will be provided and each session will be led by a knowledgeable Hospice of the Bluegrass administrator. This overview will touch on how hospice services work and the services provided. This is a free event. Register by calling (859) 296-6895.
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to register. More info at http:// joannutley.byregion.net
October 11
Understanding your Medicare Options This presentation is designed to help new beneficiaries and their caregivers a better understanding of the Medicare program. Even those who currently have Medicare coverage could benefit from this detailed overview. Topics will include an introduction to Medicare including what Medicare covers, supplemental Medicare Health plans including Medicare Supplements, Medicare Advantage plans, and Part D prescription drug coverage. 1pm at the Beaumont Library in Lexington at 3080 Fieldstone Way This 45-minute presentation includes time for scenarios & Q&A time. To RSVP, call 859-312-9646
October 13
AARP Driver Safety Learn how age-related changes affect driving at this driver safety course. Held the second Thursday of every month from 11:30am–4:00pm at Don and
Cathy Jacobs Health Education Center, UK HealthCare’s Chandler Hospital Pavilion A, 1000 S. Limestone Street, Lexington, KY. Call 859-3231890 for reservation. $15 AARP members, $20 non-members.
October 25
Hospice of the Bluegrass Lunch & Learn Series Are you interested in learning more about end-of-life care? (event details same as September 27 listing). Register by calling (859) 296-6895.
October 29 Hallow-Health
Join us from 12–4pm for a FREE afternoon of healthy Halloween festivities, thrills and fun for the entire family! Costume contest, music, face painting, local health/ wellness enthusiasts, healthier trick-or-treating, silent auction and much more! Pain Old Eagle Creek Library, 101 North Eagle Creek Drive, Lexington, KY. Presented by Management Medicine 859-275-4878.
Home Care by Seniors for Seniors
September 27
Community Sneak Peek Join The Willows at Fritz Farm to learn more about our new campus opening early next year. Be one of the first to reserve a private suite in our campus and you’ll receive all kinds of advantages. To learn more, call today: 859-273-0088. Event starts at 6:00pm at Pax Christi Catholic Church, 4001 Victoria Way, Lexington. Light refreshments & door prizes offered.
September 27
There’s a huge difference in the kind of home care you can receive from someone who really understands what your life is like as a senior. Your concerns and need for independence. Someone who like you, has a little living under his or her belt. Our caring, compassionate seniors are there to help. We offer the services you need to stay in your own home, living independently. • Companionship • Light Housekeeping
• Meal Preparation • Transportation . . . and more!
Reiki Practice & Introduction to Reiki
6:30pm- 8:30pm. 2508 Wallace Avenue, Louisville, KY 40205. Free. Those with Reiki come to practice & receive the Reiki energy. Those who do have not Reiki training—come for an introduction/question & answer. Contact JoAnn Utley at 502-7773865 or jutley5122@bellsouth.net
KY 500239
Like getting a little help from your friends® Call us today! If you are interested in becoming a service Provider we would like to hear from you too.
(859) 408-1145
www.seniorshelpingseniors.com/lexington ©2016 Seniors Helping Seniors. Each office is independently owned and operated. All trademarks are registered trademarks of Corporate Mutual Resources Inc. Not all services are available in all areas.
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SEPTEMBER/OCTOBER 2016
Senior Services DIRECTORY
Category Key
Does your business provide excellent senior services?
call us for a spot County Offices & Meal Programs in the directory 859.368.0778 Health Care Systems & Hospitals Transportation, Personal Shopping, Errands Senior Day Centers, Adult Day Centers & Respite Care In Home Care (Non-Medical) In Home Medical Care Mental Health, Family & Caregiver Support, Advice Disability & Rehabilitation Medical Equipment, Supplies & Monitoring Systems
Finances & Estate Planning, Trusts/Wills, Reverse Mortgage
About the Directory Living Well 60+ is striving to make your search for local senior services a bit easier. We know there are many companies available to assist seniors in central Kentucky – so many that beginning a search to fit your need can seem like a daunting task. That’s why our directory features a collection of local companies and organizations who have a solid track record of providing exceptional assistance. We hope it becomes a useful starting point in your search for quality senior services.
Funeral Arrangement & Pre-Planning Legal Services Home Repair & Maintenance Skilled Nursing Facilities, Personal Care Homes, Long-Term Care Senior Independent Living & Retirement Housing Real Estate / Rent- Subsidized Housing For Independent Living Moving, Estate Sales, Downsizing Services Fitness, Healthy Eating & Healthy Living Healthcare, Medicare Help and Insurance Vision Care
SEPTEMBER/OCTOBER 2016
HEALTH CARE SYSTEMS & HOSPITALS
DISABILITY & REHABILITATION
Lexington Clinic
YMCA of Central Kentucky
1221 S. Broadway Lexington, KY 40504 859-258-4000
IN HOME CARE (NON-MEDICAL) Accessible Home Care 366 Waller Ave. Ste. 112 Lexington, KY 40504 859-313-5167 www.accessiblebluegrass.com
Assisting Hands 1795 Alysheba Way, Ste. 7105 Lexington, KY 40509 859-264-0646 www.assistinghands.com/lexington
Senior Helpers of the Bluegrass 3070 Harrodsburg Rd. Ste. 240 Lexington, KY 40503 859-296-2525 www.seniorhelpers.com/lexington
Seniors Helping Seniors Where seniors who want to help are matched w/ seniors looking for help
710 E. Main Street Lexington, KY 40502 859-408-1145 www.seniorshelpingseniors.com/ lexington
IN HOME MEDICAL CARE Medi-Calls 1055 Wellington Way #215 Lexington, KY 40513 859-422-4369
Saint Joseph Home Health 2464 Fortune Dr. Ste. 110 Lexington, KY 40509 859-277-5111 www.saintjosephanchomecare.com
239 E. High St. Lexington, KY 40502 859-254-9622 ymcaofcentralky.org
Drayer Physical Therapy Institute: Winchester Center 160 Pedro Way 859-745-2152 www.drayerpt.com
Drayer Physical Therapy Institute: Richmond Center 1054 Center Drive, Ste. 1 859-625-0600 www.drayerpt.com
Drayer Physical Therapy Institute: Lexington Perimeter Center 600 Perimeter Drive, Ste. 175 859-268-1201 www.drayerpt.com
Drayer Physical Therapy Institute: Lexington Beaumont Center 1010 Monarch Street, Ste. 150 859-219-0211 www.drayerpt.com
MEDICAL EQUIPMENT, SUPPLIES & MONITORING SYSTEMS Baptist Health Lifeline 859-260-6217 www.centralbap.com
FINANCES & ESTATE PLANNING, TRUSTS/ WILLS, REVERSE MORTGAGE Attorney Walter C. Cox, Jr & Assoc. LLC 2333 Alexandria Dr. 859-514-6033 www.waltercoxlaw.com info@waltercoxlaw.com
LEGAL SERVICES Bluegrass Elder Law 120 North Mill Street, Ste 300 859-281-0048 www.bgelderlaw.com
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Rose Mary C. Brooks Place 200 Rose Mary Dr. Winchester, KY 40391 859-745-4904 www.brooksplace.org
The Lafayette 690 Mason Headley Rd. 859-278-9080 www.lafayettelexington.com
Ashland Terrace 475 S. Ashland Ave. Lexington, KY 40502 859-266-2581 www.ashlandterrace.org
Hometown Manor Assisted Living Community
Mountain Waterfalls
Georgetown, Lawrenceburg, Shelbyville 859-229-5914 www.hometownmanor.com
Award-Winning Water Features 859-684-0642 www.mountainwaterfalls.net
St Andrews Retirement Community
HOME REPAIR & MAINTENANCE
SENIOR INDEPENDENT LIVING & RETIREMENT HOUSING Mayfair Village 3310 Tates Creek Rd. Lexington, KY 40502 859-266-2129 www.mayfairseniors.com
Windsor Gardens of Georgetown Assisted Living 100 Windsor Path Georgetown, KY 40324 502-570-0540 marsha@goodworksunlimited.com
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Age Allows
What is a Creative Life? Age Allows is a column dedicated to the development of a creative lifestyle for older adults. It is designed to provide new ways of thinking about retirement, to develop creative alternatives to living during advanced age and to enrich the life experience for those living in independent living, assisted living and nursing homes. It seeks to help older adults reexamine and enhance their lifestyles and increase their contributions to society. by Donald Hoffman A Mind Uncluttered: Using Creative Experience to Free Elderly Minds
I learned Liz* had passed away a few days ago at 95 years of age. At the retirement home, I’d come downstairs every morning, during the afternoon and occasionally in the evening, and there she would be – sitting in the same comfortable chair, sometimes asleep, sometimes talking with an acquaintance or occasional visitor, but almost always alone. She would sit there observing the world passing by, now and then acknowledging a passing “hello” from a neighbor but otherwise simply watching others and listening to their comments and conversation. Sometimes she and I would sit and visit for a few minutes. We would talk about current affairs, common interests and previous lives. These moments I cherished for their insights, memories and historic importance.
Don’t get me wrong. Liz was sharp, curious and intellectual. If she chose to, she could converse at the highest level. Liz was a teacher. She knew English and American literature and music. She was an accomplished writer. She had spent years in retirement. So why, with such talent and experience, did Liz spend her time just sitting and watching as the world passed her by? Maybe she truly enjoyed people watching. Obviously there could be many reasons for Liz to adapt her rather passive lifestyle. How many other older adults are forced into a similar rut, unwilling to use creative thinking, previous education and life experience to the advantage of society or themselves?
Living A “Life Expected”
We’d like to think society has progressed to a point where individuals are free to experience life creatively. But some older adults live a “life expected” – a life designed not by themselves but by circumstance.
Our lives are shaped very early by our parents, events in school, interactions with friends and relatives and by our successes and failures throughout our lifetimes. What shaped the lives of people born in the 1930s is vastly different from what shaped the lives of those born in the 1960s. They have differing attitudes, education, upbringings and experiences. Individual attitudes about work, religion, education and self-satisfaction have drastically changed. But social attitudes and expectations change at a much slower pace. Attitudes about how older adults should live their lives have remained basically static. The “old” old are affected by social attitudes to a greater degree than the “young” old because attitudes about aging have changed. Attitudes – the expectation of what life should be – were formed decades before and remain the greatest deterrent to a creative lifestyle. Examine today’s elderly population living in assisted living, independent living and nursing home situations and you will find some of them living their lives as society expects them to. It is for the most part a quiet existence with some activities provided by the facility. For many, it is a life similar to Liz’s. While change has occurred in many locations, most facilities have remained the same and offer only cursory attempts at high-quality creative thinking exercises. Most activities, in fact, limit opportunities for the development of creative thought by their very nature. They
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take a therapy approach instead. While therapeutic approaches by themselves can be valuable for a small number of residents, they do not expand opportunities for creative thinking beyond a few simple games, puzzles and basic craft and arts. So what is a creative life? It is a life reawakened, a life free of inhibitions learned over the years. It is a life where creative thinking crosses all aspects of existence. It is a life uncluttered. It is a life that allows people to interact freely and without judgment with other people. It is a life designed to explore and experiment with new and exciting activities without fear of failure. It is a life full of joy. Join me in succeeding issues as we explore a variety of ways to expand your creative mind. *Name change to protect the deceased. ABOUT THE AUTHOR:
Don Hoffman is the former director of the Donovan Scholars/ Council on Aging at the University of Kentucky and author of Arts for Older Adults: An Enhancement of Life.
Explore and experiment with new and exciting activities without fear of failure
SEPTEMBER/OCTOBER 2016
Celebrate Healthy Aging Month and International Day of Older Persons Take this time to reinvent yourself by TaNiqua Ward, M.S.
Healthy Aging® Month is an annual observance designed to focus national attention on the positive aspects of growing older. The mission of Healthy Aging Month is to encourage local events that promote taking personal responsibility for one’s health, be it physically, socially, mentally or financially. Healthy Aging Month was created by Carolyn Worthington, editor-in-chief of Healthy Aging Magazine. “We saw a need to draw attention to the myths of aging, to shout out ‘Hey, it’s not too late to take control of your health; it’s never too late to get started on something new,’” she said. Healthy Aging Month was first introduced when the baby boomers were about to turn 50 years old. “At that time, no one wanted to talk about growing older,” Worthington said. “It was that same ’60s attitude – ‘Don’t trust anyone over 30.’” Today as the boomers turn 60 and 65, it’s a different story. “We recognized early on that careful attention to the combination of physical, social, mental and financial fitness was powerful in the pursuit of a positive lifestyle,”
Worthington said. “We have built our Healthy Aging programs around that concept for the government and private sector through this annual observance.” September is a perfect time to celebrate Healthy Aging Month since this is when many people think about getting started on new tasks after the summer. Healthy Aging Month activities are designed to encourage people to rejuvenate and get going on positive measures that can enhance their overall wellness. “Use September as the motivation to take stock of where you’ve been and what you really would like to do if money was no object,” Worthington said. “Then try it. Who says you can’t become an entrepreneur, start your own home business later in life, test your physical prowess or do something wildly different from anything you’ve done before? Only that person you see in the mirror.” International Day of Older Persons is Oct. 1 The World Health Organization (WHO) celebrates Oct. 1, 2016 as the International Day of Older Persons. The holiday was first established in 1990 by the United Nations General Assembly to raise
awareness about issues that affect the elderly and to stress appreciation for them. By the year 2050, there will be close to 2 billion people aged 60 and older, according to WHO. This will be one of the largest and most rapid increases in older adults in the developing world. Adults are living longer and healthier lives by maintaining a better quality of life. The world is continuously providing innovative ways to stay healthy while aging. Older adults play a critical role in the world today. It is important they receive the means and resources they need to remain healthy, and it is everyone’s job to make sure they enjoy accessibility. People need to be able to transmit the knowledge they have to teach the elderly what they need to know and, in turn, learn from them. The younger generation needs to make sure older adults are aware of the new things developing all around them. It is just as important that older adults are encouraged to be active members in society. Earlier this year, WHO said, “Aging is a development issue. Healthy older persons are a resource for their families, their communities and the economy.” Older adults are great assets. They are staying in the workforce longer, volunteering more, becoming caregivers and taking on family responsibilities. The younger generation can help older adults find affordable healthcare and social services. They know how to find resources and they know about organizations seniors might not be aware of.
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“Making cities inclusive of older persons means generating opportunities for their economic and social participation in accessible and safe environments,” said U.N. Secretary-General Ban Ki-moon. “It also means providing affordable housing as well as the health and social services needed to support aging in place.”
10 Tips
for Reinventing Yourself During September Is Healthy Aging® Month: 1. Don’t act your age – or at least what you think your current age should act like. 2. Be positive in your conversations and your actions. 3. Distance yourself from people who don’t have a positive outlook on life. 4. Walk like a vibrant, healthy person. 5. Stand up straight. 6. Cherish and care for your smile. 7. Stop brooding and complaining about having no friends or family – go volunteer somewhere, take a class or invite someone to meet you for lunch or coffee. 8. Start walking. 9. Make an appointment for your annual physical and other health screenings. 10. Find your inner artist.
Source: Healthy Aging Magazine
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Dealing with Irritable Bowel Syndrome Healthy lifestyle can help you cope
by Jean Jeffers, Staff Writer
Jenny is a plain-spoken, nononsense woman of 35 who finds herself concerned about her frequent bouts of abdominal pain, bloating and alternating diarrhea and constipation. This condition began after her mother’s death and has continued intermittently for the past two years. She has cut out her favorite pastimes of bowling and movies, leaving the house generally only to go to work or the grocery store. When Jenny went to her doc-
tor complaining of the symptoms, he told her she had irritable bowel syndrome (IBS). In the past, IBS was also known as spastic colon. It is not a disease but a group of symptoms, including primarily both abdominal pain and changes in bowel habits. Bloating and gas, feeling a strong urge to have a bowel movement, mucous in the stool and either constipation or diarrhea or both can occur with IBS. These symptoms are usually mild, but they do affect the day-to-day lives of people who have them. It is
a problem of the large intestine but it does not damage it. IBS affects about twice as many women as men and most often occurs in those younger than age 45. The National Institute of Health has conducted studies that estimate IBS affects 10 percent to 15 percent of U.S. adults. The condition is caused by changes in the way the gastrointestinal system works, but the specific, known causes are generally vague. Most researchers believe a combination of factors cause the syndrome. Treatment consists of leading as
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healthy a lifestyle as possible: eating a variety of fruits and vegetables; drinking plenty of water; and perhaps eating five small meals a day rather than three larger ones. Another aid in treatment is avoiding foods that make symptoms worse. Coffee, carbonated beverages, chocolate, certain fruits, beans and cabbage are a few foods your system may not be able to tolerate. Experiment and keep a log to determine what makes your IBS worse. IBS also causes emotional distress. Like Jenny, many people who have the abnormality are affected emotionally, some wanting to curtail their activities. Find ways to handle stress because stress tends to aggravate the symptoms. Travel, certain social events or changes in routine may trigger IBS and make the symptoms worse. A routine of exercise, relaxation training and meditation are beneficial in dealing with stress and reducing the severity of the symptoms. You may want to increase the amount of fiber in your diet. This helps improve the way the intestines work. There are two types of fiber – soluble and insoluble – and both can help. You can take over-thecounter preparations or increase your consumption of such fiber-rich foods as oats, beans and citrus fruits, as well as whole wheat products, wheat bran and vegetables. Sometimes tranquilizers, sedatives, antidepressants or antibiotics may be prescribed. Imodium may be used for severe bouts of diarrhea. IBS may have prevented you from doing certain things, such as going out or going to work or school, but most people benefit by following a healthy diet, learning new ways to deal with stress and avoiding foods that may make symptoms worse, and they are able to resume their activities. SOURCES:
Cincinnati Public Library National Institute of Diabetes and Digestive and Kidney Diseases National Institute of Health www.Family Doctor.org
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SEPTEMBER/OCTOBER 2016
Respite is a Must for Caregivers It’s important to take regular breaks by Lisa M. Petsche, Staff Writer
If you provide care to a chronically ill or older family member, you may be aware of the importance of taking a break from caregiving duties and having arrangements in place that allow for this. If not, this article is for you. Although caregiving can be extremely rewarding, it can also be quite stressful over time. That’s why it’s important for caregivers to have respite, ideally on a regular basis. Health care professionals encourage caregivers to take breaks in order to attend not only to things on their to-do list they have been putting off, but especially to take care of their personal needs and maintain their individuality.
Benefits of a Break
When practiced regularly, respite helps keep the stresses of caregiving manageable, preventing burnout, a common phenomenon manifested by physical or mental health problems. The benefits of respite extend to care receivers as well: They get a fresh approach to care and perhaps more individualized attention from the alternate caregiver. If respite takes place in the community, it provides a stimulating change of environment and a chance to socialize with others as well as to participate in new or previously enjoyed activities.
Respite Care Options
In-home respite may be provid-
Healing Hands for Arthritis®
ed by a health care aide employed by a government agency or hired directly by the caregiver through a home health care agency; an individual with or without formal training hired under a private arrangement (most often located via word of mouth or newspaper classified advertising); a trained volunteer (for example, someone from the local Alzheimer’s Association); or a relative or friend. Community-based respite options include caregiver support groups that offer concurrent care; adult day care centers that provide social and recreational programming and often include a midday meal; and residential care facilities that have a short-stay program. Selection Factors
Some caregivers are fortunate to have friends or relatives nearby who are able and willing to provide regular or periodic respite. Others, however, must rely on formal help. Here are some factors to consider when choosing a respite service: • the type of assistance needed, such as companionship, supervision or personal care; • the special medical or behavioral needs, communication challenges and eccentricities of the care recipient; • the length and frequency of desired breaks;
• the cost, including whether a subsidy is available or if insurance will cover it; and • the setting. Also consider transportation issues as well as the care recipient’s energy level, personality and any preferences he or she might have. If you decide to seek private inhome help, arrange to meet with a potential helper in your home after performing a telephone interview. Prepare a list of questions in advance to help you determine the person’s qualifications and suitability. Provide a comprehensive description of your care recipient’s needs and your expectations. Pay close attention to the way the candidate interacts with your care receiver. Ask for and check references, both educational and employment related, and do a police check for anyone you’re considering. If you wish to pursue care in an adult day center or residential care facility, take some tours and talk with staff and clients. Involve your relative in the process, if feasible. ABOUT THE AUTHOR:
Lisa M. Petsche is a medical social worker and a freelance writer specializing in boomer and senior health matters. She has personal and professional experience with elder care.
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SEPTEMBER/OCTOBER 2016
Hanging with the Right Crowd Discover your self-worth, improve your health by Charles Sebastian, Staff Writer
The old adage, “Lie down with dogs, get up with fleas,” has never been more true than in today’s world. People still fall for the same old stuff: peer pressure leading to crime, addicts with their co-dependents and marriages that border on abusive. Everyone has a deep and abiding need to be loved, and when you find that special person who seemingly likes you for who you are, you will do just about anything to keep that love affair alive. But what if that person doesn’t have your best interest at heart? The drug addict thinks the pusher loves him,
viewing the one who gets and sells drugs as the catalyst for pleasure, for escape, for not having to deal with the realities of life and the world. This feels like unconditional love, but in fact it is a using, abusive love that eventually destroys. These types of sordid relationships seem to more often befall the young – those without experience who feel they still have something to prove to feel all right, to be OK. Here is the newsflash of the decade: You’re already OK. If you feel being yourself is not enough, then you will never feel you’re enough. If you’re concerned about “being somebody,” Zig Ziglar had a great thought along those lines
years ago: “If you’re somebody to anybody, you’re somebody.” Too many people feel their selfworth is based on action. The truth is, correct action comes out of having a strong and healthy sense of self-worth and self-esteem, not the other way around. In a recent program, Dave Ramsey said he always finds it ridiculous when someone talks about a football player making millions of dollars a year. “Nobody deserves that kind of money,” he said. The person speaking in awe of the athlete has failed to realize the difference between a person’s economic value and his or her intrinsic value. A person’s economic value relies on his or her commodity. If a football league knows it will make $150 million if a certain player plays, it can strike a bargain to pay the player $90 million. But the intrinsic value of a person has nothing to do with economics. Everyone has intrinsic value for simply being a member of the human race. No action is required except to be a good person and play well with others.
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Your view of yourself and the esteem in which you hold yourself determine where you go, who you hang out with and ultimately what you become. In a culture where money, fame and the house in which you live largely determine how you’re liked and to what degree, it’s easy to lose sight of this basic fact: You’re worthy without doing anything. You’re worthy for being human. And if you find yourself in a bad relationship or hanging with a crowd that is pressuring you to do the wrong thing, to make the wrong move, to go down the wrong path and be unhappy, it’s time to jump ship. Run from the bums and head into the light.
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LONG TERM CARE
RESOURCE ASSESSMENTS: The Unknown Step to Saving Money for Married Couples on the Way to Medicaid
by Mary Ellis Patton
Many married couples are unaware of an important element of asset preservation when faced with long term care expenses -- the Medicaid Resource Assessment. A portion of the Medicaid rules is designed to protect the community spouse (spouse at home) from impoverishment and unnecessary dissipation of family assets. Only the institutionalized spouse (spouse in a facility) is required to have assets of $2,000 or less and a pre-paid funeral. The inspiration for this article came from a very recent trip to the Medicaid office by one of our staff members. She was waiting to speak to a caseworker and began to chat with a gentleman next to her. Over the course of their conversation, he explained that his parents had spent down all of their assets, more than $100,000, in order to reach a balance of $2,000 so his father could be Medicaid eligible. She came to my office afterwards, heartbroken for the man and his family. They never knew about or obtained a Resource Assessment from the Medicaid office. The failure to have a proper Resource Assessment in a timely manner can cost couples thousands and even hundreds of thousands of dollars. The community spouse is entitled to keep a portion of the family assets and the Medicaid office establishes that amount at the time of the Resource Assessment. During the Resource Assessment, the caseworker will look at the countable assets belonging to the couple and allocate them between them. Depending on the amount of the countable resources, the community spouse can keep half the amount (or a minimum of
$23,844 up to $119,220). At that time the caseworker will determine the amount of the spenddown (if one is necessary) in order to qualify for Medicaid. The Resource Assessment operates as a snapshot of the assets owned by a married couple. A delay in obtaining the assessment will reduce the amount of assets available to be set aside to the community spouse. It is better to obtain the Resource Assessment sooner rather than later (within the first couple of months of institutional placement) when assets are higher rather than lower – yes, you want to walk into the Medicaid office for your Resource Assessment owning more assets than less! The patient usually is not eligible for Medicaid at the time of the assessment which makes the assessment even more important. It may not make sense until you see how it works. Example: Judy and John, a long-time married couple, were devastated when Judy had to be placed in the nearby skilled nursing facility. Judy and John were both well-educated individuals and knew that for Judy to be eligible for Medicaid, they would have to spend down their resources. John read articles in magazines and the internet about Medicaid. He knew Judy could only have $2,000 in assets. Both of them have retirement accounts, they own their home and one car, and John has $80,000 in a non-retirement investment account. The Wrong Way for Judy to qualify is to spend down all their assets until they have only $2,000 in family assets. While she will certainly qualify when the application is made, John will be without assets that he could have retained. The Right Way for Judy to qualify is to get a Resource Assessment as soon as Judy goes to the
nursing home. The Medicaid caseworker will tally up the countable assets, which, in this case, is only the $80,000 account (because, in the state of Kentucky, the retirement accounts are exempt assets) and then divide the assets in half. Judy gets $40,000 in her “bucket.” John gets $40,000 in his “bucket.” The home and the car are exempt for the community spouse. John and Judy’s spend-down amount is $38,000; they will need to spend the funds in Judy’s “bucket” until her assets are only $2,000. These monies can be spent on either of them. John could buy a new car, pay down the mortgage, remodel the home, buy special things for his wife like a new TV or clothing. After Judy’s bucket is at $2,000 or less, she can apply for Medicaid and will be eligible. Tips for your Resource Assessment:
1. Clean up extraneous bank accounts. Think about closing or consolidating accounts you no longer use. 2. After a nursing home placement, the community spouse’s income should be deposited into a separate checking accounts in his or her name alone. The institutionalized spouse’s income should continue to be deposited into a checking account owned jointly with the community spouse. The joint account should be used for the institutionalized spouse alone. Any allocation of income from the institutionalized spouse to the community spouse should be transferred to the community spouse’s account before being spent for the community spouse. 3. After the Resource Assessment, think about moving the spend-down funds to a separate account and spending from that account. When the account has been
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depleted, it is time to make the Medicaid application if the patient is in a Medicaid designated bed. 4. Keep all your bank records and purchase receipts and be prepared to trace all your fund transfers. 5. The Medicaid worker should give you or your representative the Resource Assessment with the spend-down amount. (This form is PA-22.) Do not leave the office without it because the Medicaid office will not retain a copy for you. One Last Note: At the conclusion of your meeting, the Medicaid worker should give you or your representative the Resource Assessment with the spend-down amount. (This form is PA-22.) Do not leave the office without it because the Medicaid office will not retain a copy for you. Interactions with the Medicaid Office can be overwhelming. If you want to know more or need help, contact a qualified elder law attorney. ABOUT THE AUTHOR:
Mary Ellis Patton is an associate at Bluegrass Elderlaw, PLLC in Lexington, Kentucky. In her practice, Mary uses customized Powers-of-Attorney, Wills, and Trusts to help clients to achieve their financial, legal, and health care goals. Mary is licensed to practice law in both Kentucky and Ohio. She is the author of Chapter 13, Age Discrimination, of the Kentucky Practice Series, Elder Law Volume. She serves as the Secretary to the Elder Law Section of the Kentucky Bar. She is also a member of the Fayette County Bar Association and the National Academy of Elder Law Attorneys. Mary earned her B.A. in Communication magna cum laude from the University of Kentucky in 2004. In 2007, she graduated with her J.D. from the University of Dayton School of Law.
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