Rock County Senior Review by Senior Review Newspapers

Rock County Council on Aging's

Oc t obe r 2014 Free

Senior Review A Senior Magazine for Living a Healthier, Smarter and More Active Life in Rock County!

Area Fall Senior Fairs Beloit Senior Fair Tuesday, October 7, 2014 10:00 am to 2:00 pm “Follow the trail to Wellness – Health and Wellness Round Up” Circle your calendar for the annual 27th Beloit Senior Fair at the Eclipse Center, Beloit. The event will be held from 10:00 a.m.2:00 p.m. Admission is free. Rock County Health Department will be offering many types of shots such as the flu, pneumonia, tetanus, pertussis (whooping cough) and shingle. Drop off old and unused medications. Free health screenings, door prizes, food, plus over 60 vendors with updates on area services will all be featured. Wheelchairs will be available. Free bus rides for seniors will be available, compliments of Beloit Transit. Live music by Bill Stevens and John Solis.

Rock County Senior Fair and Expo Friday, October 24, 2014 9:00 am to 2:00 pm “Health and Wellness Under the Big Top” Fun, Information, Flu Shots and Giveaways! Join us at the Rock County Senior Fair and Expo on Friday, October 24, 2014, the Holiday Inn Express, 3100 Wellington Drive, Janesville. The Expo will be from 9:00 a.m. to 2:00 p.m. Admission is free! Parking is free! Wheelchairs will be available. Come and visit with the 80+ local businesses and

agencies. Pick up important information about services and products and giveaway items, and sign up for prizes! The Rock County Health Department will be offering many types of shots such as the flu, pneumonia, tetanus, pertussis (whooping cough) & shingle. New this year will be a used eye glass collection for the Lions Club – Recycle for Sight. There also will be a food drive to benefit the local food pantries! Please bring a non-perishable food item for the pantry. Bring your old medications to the RX Round-Up, take advantage of the many free health screenings such as getting your blood pressure taken and blood sugar tested, along with hearing and eye screenings. Attend the informational workshops. At 10:00 am “Facebook..everyday uses and security settings”. At 12:30 pm, “ Fun and Easy Apps for Kindle and Tablets”. Both presentations by the Milton Public Library Staff. There is no cost to attend. Seating is limited. As a special door prize, the Rock County Community Partnerships for Older Adults will be holding a drawing for TWO Shingle shots! Shots are provided by the Rock County Health Department. Sign up to win at the Senior Fair! Thank to our corporate sponsors: Mercy Health System, Evansville Manor, Home Health United, Milton Senior Living and Rock County Council on Aging. The Rock County Senior Fair is hosted by the Rock County Community Partnerships for Older Adults Committee. For questions about the Rock County Senior Fair, call the Council on Aging at 758-8455.

2014 Evansville Health Fair Wednesday, October 1, 2014 9:00 am to 1:00 pm Creekside Place, Evansville For more information contact Shawna at 608-882-0407

Medicare Open Enrollment Starting October 15 through December 7, 2014

This is the time to: • Evaluate your current plan to see if all medications are still covered in 2015 and find out what the estimated costs will be • Switch prescription drug plans or Advantage plans • Enroll for the first time if you are new to Medicare • Enroll for the first time if you did not enroll when you were first eligible Persons 60 and better can contact your Rock County Benefit Specialists/SHIP Counselors for assistance. Josh Hinz at 608-757-5940, ext. 4, assists residents of Janesville, Edgerton, Footville and Johnstown. Lachel Fowler at 757-5414 assists residents of Avalon, Beloit, Brodhead, Clinton, Evansville, Hanover, Milton and Orfordville. Other assistance can be obtained at: • Medicare at (800) 633-4227 • WI Board on Aging - Medigap Part D Prescription Drug Helpline at (855) 677-2783

Want to Advertise in the Senior Review? Call or email Arwen today at 715-831-0325 or seniorreviewnewspapers@gmail.com

Rock County Council on Aging Mailing Address: 51 S. Main Street, Janesville, WI 53545 Location: 3328 US HWY 51 North, Janesville, WI 53545 Phone: 608-757-5472 Fax: 608-758-8472 Website: www.co.rock.wi.us/aging Joyce Lubben, Director 757-5472 Ranee Goodroad, Nutrition Program Supervisor 757-5474 Lachel Fowler, Elderly Benefit Specialist 757-5414 Senior Review | ‌ 1 Julie Seeman, Family Caregiver Support Specialist 758-8455

Sherry Muth, Specialized Transit Dispatcher Joyce Jass, Clerk Typist III Steve Skelly, Transportation Program Supervisor Justin Svingen, Mobility Manager

757-5054 757-5472 757-5413 757-5408

Educational Corner

Understanding and Coping with the Challenges of Alzheimer’s Disease and Dementia Thursday, October 30, 2014 United Methodist Church, 2227 4th Street, Monroe 9:30 a.m. -4:00 p.m. The Alzheimer’s & Dementia Alliance of Wisconsin is partnering with the Green County Aging & Disability Resource Center and Monroe Clinic to offer family members, direct care workers and professionals an excellent opportunity to learn the latest information and resources that can help you face this growing health epidemic. Learn more about Alzheimer’s disease and other dementias and person centered care through informative and interactive presentations. Back by popular demand, the conference will feature Teepa Snow, MS, OTR/L, FAOTA. Teepa is a very popular and dynamic speaker

with over 30 years of experience with dementia issues. The combination of Teepa’s been-theredone-that skills and her formal training as an Occupational Therapist give her the credibility and experience to help caregivers with tried-and-true solutions. Teepa’s philosophy is based on years of medical research and making mistakes firsthand to perfect a positive approach to caregiving. Her teaching style integrates facts about the brain and how it works, or doesn’t work in the case of dementia, while going in and out of character as a typical person with Alzheimer’s who has anxiety and behavioral problems. Since her lectures are

ARE YOU:

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There Is Assistance For You! Apply Now! Consider applying for home energy assistance program that assists low to moderate income families. To find out if you qualify, please call toll-free 1-800-522-3014 or contact the local Energy Services office at 363-9200. Eligibility is based on the size of your household and the household's income. If you qualify and apply, you will get help. Remember, if you are struggling with heating costs and you've never been eligible for assistance before, you may be eligible now. Homebound? If you are unable to make it to an application site due to a physical disability, an energy assistance worker will visit your home. Call for an appointment. For more information or to apply call Energy Services at 363-9200.

usually done in the first-person - as if she is the person with dementia - her training gives the audience a first-hand understanding and experience with the disease and a hands-on opportunity to try out new skills in a safe and fun environment. There will also be an interactive panel discussion featuring local experts in dementia care and resources. On site respite will be available at no cost through the Hand in Hand Adult Day Center. Please contact Lou Dalton at 608-328-9499 to make respite arrangements by October 15. Registration deadline is October 23. For more information and to receive a detailed brochure, please contact Deanna Truedson, Alzheimer’s & Dementia Alliance at 608-843-3402 or deanna. truedson@alzwisc.org.

Want to Visit Rotary Gardens in the Fall for Free?

To commemorate the 25th Anniversary of Rotary Botanical Gardens, the community is invited to enjoy the Gardens with free admission on the 25th of the month. In October, the date is Saturday, October 25, 2014. Rotary Gardens is located at 1455 Palmer Drive, Janesville. In October the garden hours are daily, 8:30 am – 6 pm.

For more information visit their website at http://rotarybotanicalgardens.org or contact them at 608-752-3885

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Educational Corner

Planning the Nutrition Program Menu By Ranee Goodroad, Nutrition Program Supervisor

long with cooler temperatures and the beautiful colors of changing trees, the fall is also the start of the new menu for the Rock County Nutrition Program. The menus provide the basis for 50,000 meals served each year to hundreds of older adults (age 60+) in Rock County at congregate dining centers and as home delivered meals. The program serves a diverse group of people with their own likes and dislikes, so the start of a new menu brings some anticipation and excitement that diners will find as tasty as it is balanced and nutritious. A six-week menu is created twice per year: a spring/summer menu and a fall/winter menu. A lot of work goes into creating a menu that incorporates suggestions and preferences of the diners as well as the nutrition requirements set by the U. S. Department of Agriculture (USDA) 2014 Dietary Guidelines for

Americans. The menu is designed by the caterer, Best Events, and is then reviewed by a Registered Dietitian to ensure that the menu includes a variety of texture, color, and flavor as well as the nutrition to meet at least 1/3 of the daily needs of the diners. There are many people involved in the production and serving of each meal. Each of these “many hands” is committed to providing enjoyable and nutritious meals. We are continually striving to improve our service. Comments, compliments and suggestions are encouraged; please share them with the dining center manager or with the Registered Dietitian during her visits to the dining centers. The menu can be found each month in the Senior Review. If you have questions about the program or eligibility please call the Nutrition Program Supervisor, 7575474.

Now Open! Center for Hospice & Palliative Care

12 Inpatient Suites, Close to Home 2901 N. Wright Road, Janesville (608) 755-1871 Senior Review |‌ 3

And Then There Was One Sometimes it's sudden. Sometimes there is time to prepare but it's filled with health concerns. Most times there has not been a lot of discussion about it before it happens. When it happens, there is immediate change. Life will no longer be the same. There can be feelings of shock, isolation, confusion, anger, panic, intense sadness, relief and guilt. People who did not get along well before it happened will probably get along worse. A death can cause all of these things to one degree or another. One out of one of us will die. We can make our passing easier for the ones we leave behind by being PRE-pared and talking about it with our loved ones. One way to be PRE-pared is to attend this workshop called End of Life Preparedness. The workshop is based on a workbook called And Then There Was One written by Charlotte Fox of Flagstaff, Arizona. Charlotte's husband of three years died beside her in bed in his early fifties. It was devastating and the paperwork was horrendous, Charlotte designed the workbook with 70 checklists and memory

prompter pages for you to complete. You can find out more at her website: http://www.therewasone. com/ This End of Life Preparedness Workshop is being held at the Rotary River Center, 1160 Riverside Drive in Beloit Thursday, October 16 and 23 from 5:30 - 7:30 p. m. The two part workshop includes speakers: a lawyer, a banker, a hospice rep and a tax specialist. There is no charge for the workshop. The workbook may be purchased at the workshop for $30, but is not required. Please register by calling Grinnell Senior Center at 608-364-2875.

I’m Alyce, not Apt 1B

Alyce down the hall.

I chose The Heights because it is more than a beautiful place to live. Here, life is easier. No shoveling snow, for one thing! Fresh-made meals served daily, van service for shopping, 24-hour caring staff, emergency call system, rehab therapists if needed, housekeeping service, library, salon...the list goes on. This is a senior living community where people know me by name. That’s why I live at The Heights at Evansville Manor.

The Heights at Evansville Manor 201 N. Fourth St. Evansville, WI 53536 608-882-9995

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The Evansville Manor 470 N. Garfield Ave. Evansville, WI 53536 608-882-5700 www.evansvillemanor.com

White Cane Safety Day Has an Anniversary!

his year marks the 50th anniversary of White Cane Safety Day in Wisconsin and nationwide. Since 1964, this national observance is celebrated annually on October 15th. On October 6, 1964, a joint resolution of the U.S. Congress H.R. 753, was signed into law as Pub.L. 88–628, and codified at 36 U.S.C. § 142. This resolution authorized the President of the United States to proclaim October 15 of each year as "White Cane Safety Day". The date was designated to acknowledge the achievements of people who are blind or visually impaired and heighten public awareness of the white cane as a tool used by blind and visually impaired persons to gain mobility and independence. In honor of the 50th Anniversary of White Cane Safety Day, various groups throughout Wisconsin and the nation will be organizing events in their communities to bring safety awareness and join in the celebration of the White Cane for Blind and Visually Impaired People. In recognizing the importance of White Cane Safety, Wisconsin has enforced a traffic law since 1947. White Cane Safety Day acknowledges the law enforced year-round based on the following statute: S. 346.26 WISCONSIN STATUTES Blind pedestrian on highway (1) An operator of a vehicle shall stop the

does not relieve the operator of a vehicle from the duties imposed by this subsection. (2) Nothing in this section shall be construed to deprive any totally or partially blind person not carrying the white or the red and white cane or walking stick or not using a service animal, as defined in s. 106.52 (1) (fm), of the rights of other pedestrians crossing highways, nor shall the failure of such totally or partially blind pedestrian to carry such cane or walking stick or to use a service animal be evidence of any negligence. (3) No person who is not totally or partially blind shall carry or use on any street, highway or other public place any cane or walking stick which is white in color, or white trimmed with red. History: 1977 c. 302; 2005 a. 354.

vehicle before approaching closer than 10 feet to a pedestrian who is carrying a cane or walking stick which is white in color or white trimmed with red and which is held in an extended or raised position or who is using a service animal, as defined in s. 106.52(1)(fm), and shall take such precautions as may be necessary to avoid accident or injury to the pedestrian. The fact that the pedestrian may be violating any of the laws applicable to pedestrians

For more information, or to have a staff member from the Office for the Blind and Visually Impaired come and talk to your organization about the white cane statute or other topics regarding blind and low vision rehabilitation in Wisconsin please contact: Kristin M. Fountaine M.S., Rehabilitation Specialist for the Blind, State of WI Dept. of Health Services Office for the Blind and Visually Impaired 608-757-5203 Kristin.Fountaine@wisconsin.gov

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Now

Ava ilab le

Leona Petit

Leona Petit has lived in Beloit since she was nine years old and has raised her family here. When Leona moved to Riverside Terrace in early 2011, she didn’t realize how many residents would be familiar faces. “Some of us even had our first jobs together,” she explains. “It’s so nice to not be alone and feel so comfortable.” What else does Leona like about her Riverside Terrace apartment?

“I can’t come up with anything I don’t love!” she replies. She enjoys the programs, delicious food, and is one of the “Baking Ladies” concocting goodies for the residents. Her doctor and children wanted her to live where she could “be active” and she is!

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Senior Review |‌ 4

In Sickness and in Health

ge Sch t- 1 ed ac 0 ul qu -m e a a i in F nt ut RE ed e E vi si t.

Caring for our family members is the most important job there is. As we age, our needs change, and sometimes the kind of help or care we provide to our loved ones changes also. When people get married, they vow to be there for each other “in sickness and in health.” Many of us come to realize the full meaning of those words when our spouse requires more of our care because of age or illness. There are definite rewards in caring for our spouse. The feeling of being useful, needed and engaged in a meaningful role that really makes a difference in the life of another affirms the significance of our part in their life. However, no matter how much a person loves and cares about their spouse or elderly family member, caregiving presents many challenges. It can be both physically and emotionally draining at times. We take care of our family members because we love them and we want the best for them. In that process though, many people neglect their own health and well-being, which in turn can affect the one they are caring for. As a caregiver, you need to take care of yourself too! Seek help from others, even though your loved one may object. There are services in Rock County

The “Extra Help” Program. Something to Talk About! Help for prescription drug costs

that can provide help in your home which would allow you to get away and feel comfortable that your loved one is cared for and safe. Adult Day Service centers in the community are another option that can offer a fun and structured environment for your loved one to go to during the day. Funds are available to help pay for these types of services through the National Family Caregiver Support Program (NFCSP). And for those families affected by Alzheimer’s and other related dementias, there is the Alzheimer’s Family Caregiver Support Program (AFCSP). These programs were developed to help keep individuals in their homes for as long as possible, while providing much needed support to the family caregiver(s). Contact the Rock County Council on Aging, Family Caregiver Support Specialist at 608-758-8455 for more information about these programs and other services in Rock County that might be of help to you.

Do you know about the “Extra Help” program? My mother always told me if you wanted to know anything, you went to the town square. You went to socialize with neighbors, exchange important news, pass “chisme” (gossip) and take part in the community. The plaza was all about conversation and learning from one another what’s really happening in the world. We may have left the plaza behind, but the tradition of sharing information is as vital as ever. Blogs, Instant Messaging, chat and social media are now our plaza. So here is some important information you might want to pass on. Many people with limited income and resources may qualify for Medicare’s “Extra Help” program, but they must apply to find out. You could be one of them. You can get help with Part D prescription drug coverage premiums, deductibles and co-payments. This means you don’t have to go without medications because you can’t afford them. It’s easy and free to apply for “Extra Help.” • Visit Social Security’s Web site (www.socialsecurity.gov) to apply online or for more information.

• Call Social Security at 1-800-7721213 to apply over the phone or request an application (TTY users should call 1-800-325-0778). • Apply at your local Social Security office. • Contact the local Elder Benefit Specialist. Save money, live well, and share the information, because this program is too important to keep to yourself. Article from www.medicare.gov website.

Get in Quickly When it comes to caring for your health, you don’t need to wait. Dr. Michael Schreiber, Edgerton Hospital’s new family physician understands this. He is currently seeing patients at our convenient Milton Clinic location. From newborns to seniors, he’ll get you in quickly and care for all your family’s health needs.

Schedule a FREE 10-minute get-acquainted visit by calling 608-868-3526. www.EdgertonHospital.com 831 Arthur Drive Milton, WI 53563 Complimentary visit is simply a brief opportunity for you to meet Dr. Schreiber. It is not intended for the treatment or diagnosis of medical issues. 0923

Senior Review |‌ 5

Benefit Specialist Community Outreach Schedule October 2014 What is a Benefit Specialist and how can they help me? A Benefit Specialist is responsible for assisting older persons in gaining access to benefits, entitlements and legal rights. They work with county residents, age 60 years and older, regardless of financial status. There is no charge for their services. The Benefit Specialist can help you with problems in areas such as Medicare, Medicare Part D, Social Security, SSI, Medical Assistance, Homestead Tax Credit, Food Stamps and other benefit problems. The Benefit Specialist outreach schedule is listed below. Appointments can be made to meet at the office or at an outreach site. If home bound, arrangements can be made for a home visit.

Lachel Fowlers' Schedule

Josh Hinz’s Schedule

For seniors who live in Afton, Beloit, Clinton, Evansville, Milton, Orfordville, Hanover & Brodhead contact Lachel at Council on Aging at 757-5414. 1 Creekside Place - Evansville 11:30 – 1:00 8 Clinton Senior Center 11:30 – 1:00 9 Beloit Senior Center 8:00 – Noon 14 Milton Senior Center 11:30 – 1:00 16 Beloit Senior Center 8:00 – Noon 21 Beloit Library Eclipse Center 11:30 – 1:00 23 Beloit Senior Center Noon – 4:00 28 Merrill Community Center 11:30 – 12:30 30 Beloit Senior Center Noon – 4:00

For seniors who live in Janesville, Edgerton, Footville and Johnstown contact Josh Hinz, Benefit Specialist, Senior Services of Rock County at 757-5940 Ext 4. Green Forest Run Apartments 2:00 – 3:00 Riverview Heights Apartments 11:30 -- 1:00 Edgerton Public Library 10:30 – 11:30 Janesville Senior Center – Lobby Area 1:00 – 2:00 Edgerton Elm Drive Apartments 2:00 – 3:00 NOTE: If schedules should change, the outreach location will be notified prior to that date, whenever possible.

Rock County Council on Aging Golden Diner Centers andMenu Home Delivered Meals - October 2014 Regular Rock County Council on Aging - Nutrition Program

Dining Centers and Home Delivered Meals

October 2014

Monday

Do You Have a Question About Your Social Security? The Social Security Administration has an Internet website at www.ssa.gov. Their website is a valuable resource for information about all of Social Security’s programs. There are a number of things you can do online at their website. In addition to using their website, you can call them toll-free at 1-800-772-1213. They can answer specific questions from 7 a.m. to 7 p.m., Monday through Friday. They can provide information by automated phone service 24 hours a day. (You can use their automated response system to tell them of a new address or request a replacement Medicare card.) If you are deaf or hard of hearing, you may call their TTY number, 1-800-325-0778. They treat all calls confidentially. The Social Security Administration also wants to make sure you receive accurate and courteous service. Information obtained from Social Security’s website at www.ssa.gov

Senior Review |‌ 6

Tuesday

Wednesday

Thursday

Mashed Potatoes Gravy Carrots Wheat Bread

Italian Pasta Bake Squash Green Beans Wheat Bread Mandarin Oranges

1 Chicken Drumsticks

Hawaiian Pineapple Cake

D 8

D 6 7 9 Chopped Steak Swedish Meatballs Cheesy Potato Broccoli Chicken & Au Gratin Potatoes Noodles Bacon Soup Rice Casserole SF Blend Vegetables Red Cabbage Green Beans Stewed Potatoes Tossed Salad Wheat Bread Carrots Cauliflower Mandarin Oranges Wheat Bread Dinner Roll Wheat Bread D Apricots & Peaches Pumpkin Bar Pears D D D 13

Shepherds Pie w/ Mashed Potatoes Winter Mix Veg Wheat Bread Applesauce

D 20 Rosemary Pork Loin

Sweet Potatoes Peas Wheat Roll Pears

Savory Pork Brown Rice Carrots Peas Dinner Roll Chocolate Cake

CA Mix Vegetables

Tossed Salad Garlic Bread Pineapple & D Oranges

21 Burgundy Beef Tips

w/ Noodles Sliced Beets WI Blend Veg Dinner Roll D Diced Fruit

27 Chicken Cacciatore

Penne Pasta Winter Blend Veg Carrots Breadstick Mandarin Oranges D

Corn Chowder

Spaghetti & Meatballs

Baked Chicken Red Poatoes

D 22

Mediterranean Veg

Dinner Roll Brownie 28

D 29

Tossed Salad Lemon Poppyseed Cake

Chicken Breast Sweet Potatoes Mixed Vegetables Wheat Bread Carrot Bar

Turkey Sandwich (1/2)

Stuffed Chicken Breast (Spinach & Cheese) Squash Broccoli Wheat Bread Fruit Whip

Chili Carrots Peaches Corn Bread Jello

D 23

Friday

3 Quiche (w/Bacon, Spinach, Cheese) CA Mix Vegetables

Tossed Salad Dinner Roll

Peaches w/ Granola

Pork Pot Roast Brussels Sprouts Red Potatoes Baking Powder Biscuit Pineapple

Roast Beef Mashed Potatoes Garden Blend Veg Wheat Roll Apricots

Janesville Riverview Heights Apartments 930 N. Washington St. Meals served at 11:30 a.m Manager: Lauri March Clinton

17 Tuscan Chicken & Vegetable Soup

Tossed Salad Hot Spiced Apples Wheat Roll M & M Cookie D 24 Western Meatloaf Au Gratin Potatoes

Broccoli Dinner Roll Sugar Cookie D 30

golden diners locations

Senior Center 508 Front Street Meals Served at 11:45 a.m. Managers: Chris Tracy and Pam Dewey Beloit Grinnell Hall 631 Bluff Street Meals served at 11:45 a.m. Manager: Cindy Ross Evansville

D 31

Breaded Fish Cheesy Potatoes Beets Wheat Bread Pineapple

D = Diabetic Substitutions Available Meals served Monday – Friday. Milk is served with all meals. Coffee and tea served with dining center meals. Dining center meals require reservations which must be made by noon of the prior business day. For reservations or additional information, please call Rock County Nutrition Program at 757-5474. Meals are available to anyone 60 years or older. Home delivered meals are available only to those 60 years of age and homebound. Suggested Donation for Each Meal: $3.25 (dining center) $3.65 (home delivered) No eligible person will be denied a meal. Rock County COA Nutrition Program is an equal opportunity provider. Funding provided by Title III (Older Americans Act) and donations.

Creekside Place 102 Maple Street Meals served at 11:45 a.m. Transportation Available Manager: Pat Engendorf Milton The Gathering Place 715 Campus Lane Meals Served at Noon Transportation Available Manager: Mary JurgensJones

Nutrition Prescription for Managing Medications

The following are common complaints people have about taste/ appetite changes and ideas to try. Appearance

Make the meal more appealing by setting the table, using colorful placemats and decorations.

Herbs/seasoning

Enhance foods with stronger flavors like garlic, onion, flavored vinegars or citrus. Add dry herbs and seasonings to foods before cooking.

Texture

Combining foods with different sizes, shapes and textures make a meal more appealing, especially if foods are not as flavorful.

Temperature

Having cold and hot foods at a meal can enhance flavors but avoid extremely hot or cold foods because they can lessen the flavors.

Smells

Cover foods until the meal is ready and eat in the kitchen area to increase the intensity of smells.

Flavor is too sweet Try sour juices or cooking with lemon juice, vinegar, spices, herbs or mint to lessen the sweetness

ave you ever sat down for a meal that you have had for years and taken the first bite only to find it just does not taste the same? Taste changes can occur for many reasons, including: age, health conditions, smoking and medications. People are often surprised by the impact that medications have on the taste of food, appetite and saliva production. There are over 400 different medications that affect your appetite and taste, and the more medications taken, the greater the likelihood that it will impact how you eat. Medications are an important part of managing health, so finding ways to control some of the side effects can help you continue to enjoy the foods you eat. Being knowledgeable about the medications you take is essential.

Ways to be smart about medications include: • Keep your doctor informed about all medications that you take; including prescriptions, over-thecounter, herbal supplements, and vitamins. One idea is to keep a list of all medications/supplements you are taking to share with your doctor and pharmacist. • Review medications at least yearly with your doctor so they can be sure that none of your medications are interacting with one another. • Take time to read all the labels of your medications carefully and follow the directions. • Ask your doctor or pharmacist if there are any foods or beverages that should be avoided with the medications you take.

Flavor is too bitter

Avoid red meat, sour juices, coffee, tea, tomatoes, and chocolate. Try poultry, fish, eggs, dairy, sweet fruit drinks, carbonated beverages, herbs and spices.

Food tastes “old”

Sour and salty foods often taste “old,” so try adding sugar, sweet flavor, or vanilla/fruit extracts

Metallic taste

Try using plastic utensils instead of metal and focus on good oral hygiene

Dry mouth

•Take sips of water or sugar-free beverages with or between each bite • Focus on good oral hygiene. • Limit beverages that cause dry mouth: coffee, tea, and caffeinated sodas. • Avoid alcohol and smoking. • Ask your doctor about other tips for dry mouth

Resources 1. Nutrition and Oral Health of Aging Adults. The Spectrum Newsletter. Healthy Aging Dietetic Practice Group 2. Bernstein, M and Schmidt Luggen,

A. Nutrition for the older Adult. Jones and Bartlett Publishing, 2010 3. Niedert, KC and Dorner, B, ed. Nutrition Care of the Older Adult. Chicago, IL: The American Dietetic Association, 2004

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Senior Review |‌ 7

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Douglas Hearn Douglas Hearn Administrator Administrator

238 E Madison Ave 238 Madison 238 EE.53563 Madison AveAve. Milton, WI Milton, 53563 608-868-3040 Milton,WI WI 53563 608-868-3040 www.theheartwarminghouse.com www.theheartwarminghouse.com

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There’s No Place Like Home HEARTHSIDE The Heartwarming House The Heartwarming House Visiting Angels is a non-medical homecare service A N ASSI ST E D L I V I NG FAC I L I T Y SI NC E 1 9 8 9

Assisted Designed for the Aging Needing Senior Assistance 1stLiving Month Rent which allows people to remain in their homes and enjoy Senior Assisted Living Located Next to the Janesville Mall off A Home Away From Home$500 providing a caring

the independence of the their daily routines and familiar A for Home Away From Home providing a caring seniors. • 24 hourenvironment Staff • All Home Cooked Meals and Snacks surroundings. environment for seniors. • CompletePrivate Housekeeping Laundry Rooms - and Home CookedService Meals - Activities Private Rooms --Home Cooked Meals Housekeeping Laundry - Salon • Medication Management • Large Private Bedrooms and Baths- Activities *Up to 24 hour care *Companionship *Errands/Shopping *Light Housekeeping *Meal Prep *Hygiene Assistance Housekeeping - Laundry - Salon Medication Management • Wheelchair Accessible Barrier Free Design Medication Management *Short-term / Long-term *Insured/Bonded *Respite Care • Douglas Assistance with Bathing, Dressing HygieneAve 238 and E Madison Hearn 238WI E 53563 Madison Ave • FREE Cable TV (70+ Channels) • 24 HrMilton, Emergency Call System 608-756-4100 Douglas Hearn Milton, WI 53563 Administrator 608-868-3040 • Building Security Alarm (Wandering) or Toll Free Administrator 608-868-3040

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Private Rooms - Home Cooked Meals - Activities Private Rooms --Home Cooked Meals - Activities Housekeeping Laundry - Salon Housekeeping - Laundry - Salon Medication Management Medication Management 238 E Madison Ave 238WI E 53563 Madison Ave Milton, Milton, WI 53563 608-868-3040 608-868-3040 www.theheartwarminghouse.com www.theheartwarminghouse.com

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Senior Review |‌ 8

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238 E Madison Ave Douglas Madison Ave 30%Hearn of income forMilton, rent238WIE 53563 Douglas Hearn Milton, WI 53563 Administrator 608-868-3040 Includes all appliances and all608-868-3040 utilities. Administrator www.theheartwarminghouse.com

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2001 Wesley Avenue, Janesville, WI 53545 608-758-3737

Professionally Managed by Oakbrook Corporation

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Private Rooms - Home Cooked Meals - Activities Private Rooms --Beautiful Home Cooked Housekeeping Laundry - Salon 1Meals & 2- Activities bedroom apartments for seniors 55 & BETTER. Housekeeping - Laundry - Salon Medication Management Rent includes Medication Managementheat & water. A fun community with many amenities! 238 E Madison Ave Douglas Hearn 238WI E 53563 Madison Ave Income restrictions apply. Milton, Douglas Hearn Milton, WI 53563 Administrator 608-868-3040 Administrator www.theheartwarminghouse.com 608-868-3040 www.theheartwarminghouse.com

2200 Burton Street, Beloit, WI 608-363-9246 Professionally managed by Oakbrook Corporation

Prevent Falls While Staying Active

By Dr. Daniel Staddler, M.D., Family Medicine, Stoughton Hospital

s we grow older, it’s no surprise to anyone that we tend to walk a little bit more carefully to avoid falling and breaking a bone. But falls are much more serious than that. According to the University of Wisconsin-Madison Institute on Aging, Wisconsin is the second highest rated state for number of older adults who die from falls. The injuries sustained amount to over $18 million in health care costs for those citizens. Falls amount to more than just monetary costs, there are emotional tolls as well. People who fall are more likely to fall again with the second time around being more serious. In addition, people who become injured on their first or subsequent falls may lose confidence in their ability to walk – resulting in a loss of independence. And many times falls go unreported because people are worried that if they say they fell, they’ll lose their independence. Knowledge is needed to prevent falls and keep people independent for as long as possible.

A First Step

One group trying to change the stigma surrounding falls is the Falls Prevention Task Force; a coalition of 47 individuals including members of the community, health care agencies, the Aging Network of Dane County and Safe Communities. The public needs to know just how significant and serious a fall can be. Through awareness we can highlight the fact that this is not an inevitable part of aging. So what can be done to make situations safer? First is the home evaluation. A trained falls prevention specialist visits an individual’s house

Prevent Breast Cancer Christine Horner, MD, author and crusader for women’s breast health says good nutrition supplements along with the right lifestyle choices can reduce the risk of cancer by 75%. In Waking the Warrior Goddess, Horner makes these recommendations.

Consume…

▪ Fresh and organic fruits and vegetables. Concentrate on anticancer cruciferous veggies like broccoli, cauliflower and cabbage as well as high antioxidant berries. ▪ Green tea as a drink or supplement to lower the risk of breast cancer. ▪ Vitamins and minerals, such as B12, folate, vitamins D and E, and selenium, to crush cancer growth. 200mcg of selenium a day lowers your risk by 50%. ▪ Iodine-rich seaweed, which may be more effective at killing breast cancer than many Senior Review |‌ 9

and looks at tripping hazards. This can be chairs, tables, and rugs or any obstruction that could get in the way – especially during a late night trip to the restroom, for instance. Homes with multiple levels can pose risks. Once you know where the risks are in your home, you can make changes or at least know where you need to be more careful. Next, a doctor evaluates the individual’s medical condition. Prescriptions, while important for controlling cholesterol or blood pressure can, in some cases, contribute to falls. Medications are probably one of the more important

things to look at. Certain categories of medications, like sedatives and tranquilizers, can make a person particularly vulnerable to falls. Researchers continue to identify new medications and combinations of medications that can lead to increased fall risk. Once those medications are identified, the next step is for a patient and their doctor to discuss what can be done to minimize that risk. In some cases it could mean extra precautions while taking the drug, and in other cases it may mean decreasing or eliminating the medication. An individual’s physical condition also makes a difference. People who attend exercise classes learn how to strengthen their muscles. This also leads to improved balance and in return a decreased risk of falling. In addition, through the United Way, anyone can dial 2-1-1 and reach a prevention help line. That help line will have information on falls and fall prevention for anyone who’s concerned about the issue. More importantly, this phone number allows individuals to schedule an in-home risk assessment, so all factors can be evaluated. Awareness is going to have a huge impact on our community and mean a better quality of life for many more people.

Care that’s Worth Asking For When you need medical care, you have the power to choose where you’ll be treated. Ask for Stoughton Hospital.

chemotherapeutic drugs.

Limit…

▪ Inactivity and fatty red meats. Fat cells produce estrogen, especially after menopause. That’s why obesity is thought to be the cause of 20 to 30 percent of postmenopausal breast cancer. Just 30 minutes of aerobic activity can help fight that battle. ▪ Birth control pills or hormone replacement therapy, as they may contribute to breast cancer. ▪ Melatonin depletion, as it may increase risk of cancer. Staying up past 10pm, alcohol consumption and electrical appliances cause melatonin levels to drop.

• Ambulatory Infusion Center • Cardiac Rehab & Wellness • Cardiopulmonary & Stress Testing • Emergency and Urgent Care • Geriatric Psychiatry Inpatient Program • Hip Resurfacing • Home Health • Inpatient Rehabilitation (Swing Bed) • Sleep Disorder Center

Accepted Insurance Plans:

Blue Cross/Blue Shield of WI, Dean Health Plan, Group Health Cooperative, Medicaid, Medicare, Physicians Plus, Security Health Plan, Humana, The Alliance, United Health Care, Unity and many more - please check with your individual plan regarding coverage of services at Stoughton Hospital. 900 Ridge Street Stoughton, WI 53589 608.873.6611

stoughtonhospital.com

Successful Outcomes on Second Harvest Foodbank’s Senior Outreach Project

he Elder Benefit Specialist Program and Greater Wisconsin Agency on Aging Resources (GWAAR) recently partnered with Second Harvest Foodbank of Southern Wisconsin on a FoodShare outreach project for seniors with impressive outcomes. Second Harvest was awarded a $100,000 Innovation Grant from Feeding America in December of 2012 to focus and target outreach to seniors in its service area which includes Grant, Crawford, Vernon, Monroe, Juneau, Adams, Richland, Sauk, Iowa, LaFayette, Green, Rock, Dane, Jefferson, Dodge, and Columbia counties. Subsequently, activities were approved and included in the State of Wisconsin’s FoodShare outreach plan and the budget was increased to $200,000. As a result of the increased funding, Second Harvest was able to create materials specifically designed for seniors. The materials featured a coupon addressing misconceptions and equating the concept of claiming FoodShare with claiming Social Security. The Department of Health Services provided senior participation data at the county level to analyze the results from this project and found that:

• Senior participation increased in Second Harvest’s service area by 21% whereas it increased by only 14% statewide during that same time frame. • By comparison, it is helpful to note that senior FoodShare participation increased from December 2011 to December 2012 by 1,400 participants. During the project period from January 2013 to March 2014, the increase nearly doubled that of the previous year — 2,700 more seniors were enrolled from December 2012 to March 2014. This is a 21% increase over the course of 15 months. • There were 2,755 additional seniors participating in FoodShare in Second Harvest’s service area from the beginning to the end of the project period. Each county showed increases ranging from 14% to 40%! • In Second Harvest’s service area, the percentage of eligible seniors who

were enrolled in the benefit increased from 31% to 37%. In comparison, the percentage of eligible seniors participating at a statewide level increased only 4 percentage points from 29% to 33%. • Seniors represented 8.6% of total participants in these counties in December 2012. This rose 1.8 percentage points to 10.4% at the end of the project period. In comparison, this increased by 1.1 percentage points at the statewide level — from 7.8% to 8.9% from the beginning to the end of the project period. Second Harvest, southwestern

Wisconsin’s largest hunger relief organization, is a non-profit organization committed to ending hunger in 16 southwestern Wisconsin counties through community partnerships. It serves nearly 141,000 people struggling with hunger each year; 43% of whom are children. From July 1, 2012 to June 30, 2013, Second Harvest — together with its more than 225 partner agencies and programs — provided 12.6 million meals to those facing hunger. Thank you to Stephanie Jung, Second Harvest Foodbank’s Outreach Manager, for the information used in this article.

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Senior Review |‌ 10

Don’t Let Your Next Step Be Your Last Fall

that limits your vision. Poor vision can increase your chances of falling.

4. Make your home safer.

ne out of three adults age 65 and older falls each year, but less than half talk to their healthcare provider about it, reports the Centers for Disease Control and Prevention. Among these individuals, falls are the leading cause of injury death. Falls are also the most common cause of nonfatal injuries and hospital admissions for trauma. Your chances for falling increase with age. The rate of fall injuries for adults 85 and older is almost four times that for adults 65 to 74. The following four steps, courtesy of the CDC, can help older adults can remain independent and reduce their chances for falling.

1. Exercise regularly.

Exercise is one of the most important ways to lower your chances of falling. It makes you stronger and helps you feel better. Exercises that improve balance and coordination (like Tai Chi) are the most helpful. Lack of exercise leads to weakness and increases your chances of falling. Ask your doctor or health care provider about the right types of exercise for you.

2. Have your health care provider review your medicines.

Have your doctor or pharmacist review all the medicines you take, even over-the-counter medicines. As you get older, the way medicines work in your

Challenges of Caring for Those with Memory Loss By Tammy Pence, Director of Community Relations for Azura Memory Care

hen one finds themselves in the role of caring for an older adult in their lives usually it is for two reasons: your loved one has issues related to their physical well being or they have some form of memory loss. Neither is an easy road to hoe, but for those caring for a loved one with

body can change. Some medicines, or combinations of medicines, can make you sleepy or dizzy and cause you to fall.

3. Have your vision checked.

Have your eyes checked by an eye doctor at least once each year. You may be wearing the wrong glasses or have a condition like glaucoma or cataracts

memory loss there are very different challenges that they face. First there is the change in communication. A person with memory loss is not able to communicate as easily with their loved one. They may have difficulty finding the right word or misunderstand the meaning of words. They may not be able to focus or maintain their train-of-thought and blocking out background noise becomes very difficult. Therefore, they are easily distracted and become frustrated when communication doesn’t work. In addition, one of the first things

Your Home. Your way.

About half of falls happen at home. To make your home safer: a. Remove things you can trip over (like papers, books, clothes and shoes) from stairs and places where you walk. b. Remove small throw rugs or use double-sided tape to keep the rugs from slipping. c. Keep items you use often in cabinets you can reach easily without using a step stool. d. Have grab bars put in next to your toilet and in the tub or shower. e. Use non-slip mats in the bathtub and on shower floors. f. Improve the lighting in your home. As you get older, you need brighter lights to see wall. Hang light-weight curtains or shades to reduce glare. g. Have handrails and lights put in on all staircases. h. Wear shoes both inside and outside the house. Avoid going barefoot or wearing slippers. To lower your risk of a hip fracture if you do fall, make sure you are getting adequate calcium and vitamin D – from food and/or from supplements. Also, do weight bearing exercise and get screened and treated for osteoporosis. Don’t let your next step be your last fall. By taking these easy and inexpensive precautions, you can help to prevent injuries from falling. Article provided by the Rock County Health Department

usually affected by those with dementia and Alzheimer’s disease is their ability to plan or initiate steps to complete a task. This loss is classified as the loss of Executive Functioning. It’s not that Dad doesn’t want to take out the garbage it is that he can’t mentally remember what the first step is to start the process or he may not even truly understand the request that you are asking him to complete. When one takes the time to realize that the act of communicating with those with memory loss when done with patience and warmth can still be effective long into the disease process Tammy Pence is the Director of

Community Relations for Azura Memory Care of Janesville, Clinton, Monroe and Beloit. Azura Memory Care offers a unique model of memory care services and programs for those suffering from dementia and Alzheimer’s. Azura believes in the importance of transforming the culture of care through transformational programming and educational outreach. If you would like to learn more about these FREE educational programs for caregivers, professionals and the community, please contact Tammy at 608-2952764 or via e-mail at tammy.pence@ azuramemory.com.

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Senior Review |‌ 12

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