YOUR GUIDE TO LIVING ACTIVE, REWARDING LIVES www.siouxlandprime.com | October 2011
Dementia patients are being over-medicated to control behavior but through the“Awakening” program, family members question the need to be
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Coming Up
Reba comes to Sioux City Country music star Reba McEntire stops at the Tyson Events Center in Sioux City on Thursday, Oct. 27. Performing live with Reba are The Band Perry, Steel Magnolia and Edens Edge. Named the No. 1 female country touring artist by Pollstar and Billboard’s Boxscore, and playing to more than 9 million fans throughout her career, Reba is one of the most successful female recording artists in history. As a leading lady in the genre, she was recently inducted into the Country Music Hall of Fame for her
IF YOU GO WHO: Reba McEntire WHERE: Tyson Events Center, Sioux City WHEN: 7:30 p.m. Oct. 27 INFORMATION: www. tysoncenter.com nine People’s Choice Awards; six Country Music Association Awards; and two Submitted photo Grammy Awards. Reba’s reign of 35 Entertainment Reba No. 1 hits spans four McIntire will bring her “All decades, prompting the Woman I Am� tour to Billboard, Country Sioux City’s Tyson Events Aircheck, and Center on Oct. 27. Mediabase to all recognize her as the biggest contributions. She has won 15 American Music female hit-maker in Awards; 13 Academy of Country music history. Country Music Awards;
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Appointments must be made in advance by contacting the Collection Center at (712) 255-8345 October 2011 | 3
Finances Adult Day Care 401k hardship withdrawals require serious thought Services Bring your loved one to our Center. Home respite available. Supported community living. Call today for information
Siouxland Adult Day Services Care givers need a break too! We’re here to help!
2524 Glenn Ave Sioux City, IA 712-560-7373
BY DAVID PITT The Associated Press
The numbers show that times are still tough financially. More workers are taking money from their 401(k) accounts early and using the hardship withdrawal rules to give them access to needed cash. The lingering high unemployment rate and slew of home foreclosures have been major factors. The most frequently cited reason for hardship withdrawals last year was to avoid a home eviction or foreclosure. Because hardship withdrawals require the worker to pay taxes and a 10 percent penalty on the money taken out, it should be viewed as a last resort, said Cheryl Krueger, an actuary and financial advis-
er with Schaumburg, Ill.-based Growing Fortunes Financial Partners. “Is this something you really ought to be considering,” she said workers need to ask themselves.
HARDSHIP DEFINED
The Internal Revenue Service, which oversees collecting taxes on retirement funds, defines a hardship as an immediate and heavy financial need. It also makes clear the worker must have exhausted other financial resources first. That includes bank loans and tapping the assets of a spouse and even minor children. The IRS classifies six expenses as hardships and most plans follow these guidelines when considering wheth-
er a request meets the immediate and heavy need requirement. They include certain medical expenses, the cost of buying a family’s principal home, college costs, payments to avoid eviction or foreclosure, burial expenses, and certain expenses for the repair of damage to the employee’s principal residence.
HOW IT WORKS
An employee seeking to take a hardship withdrawal will need to contact the person in their company responsible for managing the 401(k) program. There will be an application process during which the worker will have to demonstrate the hardship. In the case of a home foreclosure, for example, the bank documents will need to be provided
including the amount owed. The worker also will need to demonstrate other borrowing and resources have been tapped and the withdrawal is the last resort. Employees considering a hardship withdrawal need to review the rules of their company’s plan because they can differ from one company to another.
THE DOWNSIDE
In addition to the taxes and penalties, early withdrawals mean the account balance has been immediately reduced and removed the ability of that money to work over time. Accountholders will likely be prohibited from contributing money to the account for six months after taking the withdrawal, further cutting into what’s accumulated.
Imagine this! Visit your dentist in the morning, and have mini dental implants placed, most often in less than 2 hours. Your denture feels secure and is held firmly in place. Within a few days, start eating comfortably in public and enjoying your favorite foods. Have a pleasant conversation, laugh and talk with confidence. All of this at an extremely affordable price… with an easy, oneappointment schedule that won’t disrupt your life. Discuss the risks and benefits with your dentist, and ask if mini dental implants are right for you.
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McQueen Monument Has Served the Northwest Iowa Area since 1938 Someday every family will face the task of selecting a monument or marker. Locally owned and operated since 1938, McQueen Monument has been helping families make their selections. Located in Pierson, Iowa, we provide home town value and service. We offer a wide selection of designs, as well as custom designs and laser etchings for a personal touch. Our displays of monuments and markers and computer drawings help families make their selection. For your
convenience we can schedule home appointments. More recently we are seeing families select a monument or marker before the need arises. They have the satisfaction and peace of mind knowing this is done to their wishes. When you are ready, we are here to help you. You may contact us at 712-375-5414. Our E-mail is mcqueen-monument@frontiernet.net.
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It’s about more than caring for a patient. It’s about providing peace of mind for a family. At St. Luke’s Home Care, we’re redefining what it means to provide patient care in the home. From nursing services and rehabilitation therapy to help with personal care and everyday activities, we care for the whole patient – promoting health, well-being, independence and quality of life. You won’t find a higher standard of care anywhere else. What’s more, we bring it all to you in the comfort of your own home.
Exceptional Health Care. In Your Home.
To learn more about the St. Luke’s Home Care difference, give us a call at 712-279-3279. 6 | Prime | www.siouxlandprime.com
Puzzle Page
THAT SCRAMBLED WORD GAME by David L. Hoyt and Jeff Knurek
FIRDT Š2011 Tribune Media Services, Inc. All Rights Reserved.
ESRSD
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Unscramble these four Jumbles, one letter to each square, to form four ordinary words.
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ACROSS 1 Capital of Peru 5 Underground plotters 10 Pointed tools 14 Goddess of discord 15 Norwegian king 16 Carp 17 Small cut 18 She done him wrong 20 Rowan 21 Difficult journey 22 Formerly, once 23 Tibetan or Chinese 25 Easy job 27 Coils of yarn 29 Queen of lilac time 31 Christmas decoration 32 Lariat 33 Australian state, briefly 34 Huck Finn’s mode of travel 35 Davis or Midler 36 Fever
37 Inventor Whitney 38 Fine sprays 39 Modern stove accessory 40 The pipes are calling him 42 Menu items 43 Deceived by flattery 44 Hike 45 Town in southern Hungary 46 Superman’s companion 47 Mischievous child 50 Sweet personality girl 53 Defendant’s statement 54 Mountains of Russia 55 Present or past 56 Norse god 57 A Redgrave 58 Fed up 59 Urn protuberances DOWN 1 Singer Horne 2 Eye part
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FIND ANSWERS ON PAGE 9 3 He had chin whiskers 4 Inquire 5 Hooded snakes 6 Strange 7 Dig in one’s heels 8 National athletic assn. 9 Free 10 Up and about 11 Three-four time dancer 12 First UN secretarygeneral 13 Foxy 19 Where the action is 21 Very little 24 Sedimentary deposit 25 Pulses 26 Followed 27 Merest particle 28 Marsupials from Down Under 29 Pier
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Health
Walking across Iowa without leaving home BY EARL HORLYK Prime staff writer
SIOUX CITY – Joyce Kaiser has two goals she’s set for herself. First, the resident of Prime Assisted Living Apartments wants to walk from Sioux City to Davenport and back. Second, she doesn’t want to leave home to do it. “It’s about 500 miles between Sioux City and Davenport,� Kaiser explained, consulting a map that hangs on the assisted-living facility’s dining room wall. “Since July, I’ve been walking down hallways and walking the downtown area for a total of 166 miles.� At the beginning of September, that put her at the equivalent of Webster, Iowa, in terms of miles covered. “Pretty good, huh?� Kaiser said, smiling. “I didn’t have to get on the highway and fight rush-hour traffic or anything.� A 57-year-old Archer, Iowa, native, Kaiser had long battled weight and health problems. “I was getting sick of feeling sorry for myself,� she said. “Instead of having my tail up in the air, I decided to do something about it.� Working with Prime Assisted Living activities director Jessica Thiel, Kaiser devised an exercise plan whereby she’d tally the total number of miles she walked, entering it onto a map of the Hawkeye State. “Yes, I hit the road at Highway 20 to see where it would take me,� Kaiser said jokingly. “I haven’t
Journal photos by Earl Horlyk
Prime Living Assisted Living residents Linda Brinkert, Betty Carter, Betty Bobier and Joyce Kaiser are walking across the state of Iowa ‌ or at least the equivalent in terms of miles. looked back since.� Along the way, Kaiser’s picked up some like-minded travelers. Specifically, fellow Prime Living residents Betty Carter, Connie Caces, Linda Brinkert and Betty Bobier are
joining Kaiser on her simulated trip across the state. “Ladies like traveling in packs,� Kaiser said of her crew, which includes women ranging in age from mid-50s to mid-80s. “That never
changes no matter how old you get.� According to Thiel, organizing a support team is an excellent way to keep fit. “They can walk together or go at their own pace,� she said. “As long as
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An idea inspired by Joyce Kaiser (standing, behind), Prime Living activities director Jessica Thiel said the simulated walk across Iowa is a great way for people to keep active as the weather gets cooler. they keep attainable goals, the ladies can make exercise fun and a part of their daily routine.” For instance, Bobier and Carter (both in their early 80s) always travel together, walking the hallways after each meal. Caces – a native of Hawaii and, at 85, the group’s elder stateswoman – charts the distance she travels shopping at an Asian food market more than a mile away. “Connie’s amazing,” enthused Prime Living director Jean Parrish. “I have a bad back and she taught me how to walk without aggravating it.” “You gotta walk like a turtle, with your feet placed squarely on the ground,” Caces said. “If you walk like a turtle, you will soon be able to run like a gazelle.”
Brinkert enjoys the supportive nature of the informal group of walkers. “Exercise is more fun when you’re doing it with friends,” the 60-something observed. Yet no one is more enthusiastic than Kaiser, the group’s leader. “Am I gonna make it across the state of Iowa?” she asks with a mischievous grin. “Sure I am. Will I be able to walk all the way back? Absolutely.” But Kaiser said this is just the beginning for her and her fellow long-distance walkers. “Who knows what state we’ll choose to walk next?” she said, glancing over to her map. “California? Texas? I’d love to walk to Hawaii if I didn’t think I’d drown.”
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Health
‘Life is going on here again’ Push underway to cut antipsychotic drugs for dementia patients BY MATT SEDENSKY The Associated Press
Day after day, Hazel Eng sat on her couch, a blank stare on her face. The powerful antipsychotics she was taking often cloaked her in sedation. And when they didn’t, the 89-yearold lashed out at her nursing home’s aides with such anger and frequency her daughter wondered if her mother would be better off dead. Until, in a matter of days, everything seemed to change. Eng’s daughter, Jean Lynch, says her mother was moved to a different section of the Ecumen home in North Branch, Minn., and taken off every drug but her daily aspirin. She now beams as she ambles the hallways, reads the newspaper, tells stories and constantly laughs. “Now I hope she lives till she’s 200 years old,” Lynch said. “She’s just so happy.” Antipsychotics are meant primarily to help control hallucinations, delusions and other abnormal behavior in people suffering from schizophrenia and bipolar disorder, but they’re also given to hundreds of thousands of elderly nursing home patients in the U.S. to pacify aggressive and paranoid behavior related to dementia. The drugs can limit seniors’ ability to effectively communicate, socialize or participate in everyday life. But a series of warnings has prompted a movement of nursing homes trying to reduce the decades-old practice, often resulting in remarkably positive changes. Still, doctors say the drugs are sometimes the only things that help the small number of dementia patients that display psychotic behavior, making them a danger to themselves and others. Ecumen’s three-year-old program 10 | Prime | www.siouxlandprime.com
The Associated Press
Hazel Eng, 89, who lives at Ecumen nursing home and suffers from Alzheimer’s, left, shares a laugh with her daughter, Jane Lynch, at the North Branch, Minn. facility. As part of the facility’s Awakenings program, Eng was taken off the powerful antipsychotics she was taking, and now beams as she ambles the hallways, reads the newspaper, tells stories and constantly laughs. called “Awakenings” isn’t just about reducing drugs. Personalized care plans use exercise, aromatherapy, pets and other methods. Patients who were sedated and detached are now playing video games, listening to music and playing balloon volleyball. “It was quiet before but now it’s not,” said Eva Lanigan, a nurse who piloted Ecumen’s program. “Life is going on here again.” A government audit released in May looked at Medicare payments for atypical antipsychotics, as a newer class of the drugs is known, and found in a six-month period that was analyzed in 2007, about one in seven nursing home patients aged 65
Jean Lynch, right, spends time with her mother Hazel Eng, 89, at the Ecumen nursing home in North Branch, Minn. As part of the facility’s Awakenings program.
Hazel Eng holds her favorite doll at the North Branch, Minn. facility as her daughter, Jean Lynch, looks on. or older had been prescribed them. Some 83 percent of Medicare claims for such drugs were for off-label purposes such as dementia, the audit found. Since 2005, atypical antipsychotics have been under an FDA warning alerting doctors they could increase the risk of death in patients with dementia due to heart attacks or pneumonia. The most common atypical antipsychotics are sold under the brand names Risperdal, Zyprexa, Seroquel, Geodon, Abilify and Invega. An older class of the drugs, known as typical antipsychotics, was added to the FDA warning three years later. The warnings did not apply to other medicines widely used in nursing homes, such as the antidepressants Prozac and Paxil, and the anti-anxiety medicines Xanax and Valium. Still, off-label use of antipsychotics has continued to be widespread. Some see it as a crutch, used to quiet seniors’ outbursts or mask difficult personalities, though many others say it’s the only pharmaceutical option to treat a patient with a cadre of behavioral problems. “Give someone enough medications, you don’t have to worry about them wandering around or cursing or fighting,” said Dr. Karl Dhana, medical director at MorseLife, which
operates a nursing home in West Palm Beach, Fla. For several years, MorseLife has done quarterly reviews of any patient on an antipsychotic, antidepressant or sedative to see if such medication is necessary. At the start, around a quarter of patients were on such drugs. Dhana said the rate is now around 14 percent. But the shift hasn’t been without challenges. There are no FDAapproved drugs for behavioral problems related to dementia. Nursing home patients today are often sicker and showing more signs of behavior problems than in years past. Dr. Jason Karlawish, a fellow at the University of Pennsylvania’s Institute on Aging, said he uses antipsychotics in only about 5 percent of his dementia patients. But sometimes they’re the only thing that helps, such as with a woman he treated who was showing clear signs of psychoses, convinced that her house was on fire. She attacked caregivers, tore pictures off the wall, wouldn’t eat or be bathed. When she was put on an antipsychotic, the symptoms subsided, Karlawish said. “There is a role for these drugs,” he said. Cobble Hill Health Center, a Brooklyn nursing home, began a program several years back to reduce such drugs, but the home’s medical
director, Dr. Louis Mudannayake still remembers the doomsday prediction of one nurse. “She said, ‘Lou, you’re crazy! We’re going to have all the patients stripping,” he recalled. Cobble Hill has cut the number of patients on antipsychotics from about 30 percent to less than 15 percent, and the nurse’s predictions never came true. The staff has learned to help patients avoid outbursts without pills. The solution is often simple: Asking before entering a room, serving a meal earlier or putting on a favorite Nat King Cole album. Private “old age homes” began cropping up after Social Security was established in 1935 and by the 1950s, antipsychotic drugs were commonplace and remained so for decades. Some estimated as many as 85 percent of nursing home patients were being given antipsychotics before the Nursing Home Reform Law was passed in 1987. The use of such drugs was reduced – by around one-third, by some estimates – after the law, but then began to increase again once new antipsychotics were introduced in the 1990s. The FDA’s warning on the drugs led to nursing homes again rethinking their use of antipsychotics. Dr. Izchak Kohen, a geriatric psychia-
Hazel Eng, 89, shares a laugh with daughter Jean Lynch, right, and son-inlaw Bob Lynch, left, as they go for a walk at the Ecumen nursing home in North Branch, Minn.
trist for North Shore-Long Island Jewish Health System, surveyed nursing homes across the country and found 39.1 percent had decreased their use of the drugs since the warning. Spending by Medicaid – the largest payer of nursing home care in the U.S. – also indicates a shift. For all age groups, in the 2006 fiscal year, antipsychotics drug bills totaled about $7.9 billion for Medicaid. The following year, it dropped to about $4.9 billion. Spending in 2008, the latest year for which data is available, totaled about $3.7 billion. However, the increasing use of generics may have also helped bring the dollar figure down. The addition of the Medicare prescription drug program, for which some Medicaid patients are also eligible, is also believed to have drawn down the spending figure. It may be difficult to reduce the use of antipsychotics further, Kohen said, because there aren’t alternative drugs. Kohen said he continues to have to prescribe the drugs in certain cases, particularly for elderly dementia patients who are paranoid or aggressive. “Until we come up with better treatments, I think we’re going to have to use them,” he said. Nicole Brandt, a pharmacist who teaches geriatric pharmacotherapy at the University of Maryland and has lectured on antipsychotic use, said low doses of the drugs can sometimes help a dementia patient who is agitated, delusional or hallucinating. But sometimes, she said the drugs are used to treat anxiety, depression or sleep problems, for which they’re not helpful. “There are times when you have to wonder if an antipsychotic is the best treatment,” Brandt said. “There may be a safer alternative.” Eng, a retired department store worker with advanced Alzheimer’s disease, continues to thrive without the drugs, her daughter says. Teeth grinding that started when she was on the medications, has gone away, and she’s again able to feed herself finger foods. More than anything, though, Lynch says she can tell her mother is happy again. She sees it in her face. October 2011 | 11
Terry’s Turn
Halloween just isn’t the same 712-258-3251
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Well, here it is October and trick or treating was getting time for one of the best holicandy and plenty of it. The days of the year – Halloween. I Halloween I remember most used to love this spooky holiday happened when I was about 12; but today it seems when I decided I was Halloween isn’t the too old for such childsame as it was when I ish things. was a kid. Maybe it’s One morning at just me and my getbreakfast as the big ting older but in reality night approached, my Halloween has been mother asked what I changing since it first was going to be when I began. went out trick or treatIn researching the ing. I replied, “That’s history of Halloween I kid’s stuff, Mom. I’m found it’s a mix of ritu- Terry Turner too old for that.� She tturner174@longlines.com looked at me like she als and traditions that are centuries old. It’s a couldn’t believe what time of celebration and supersti- she just heard. “Excuse me?� tion. The ancient Celts believed she asked. “Did you say what I Halloween was a time when the thought you said?� dead could return to earth. They “I’ll just stay home,� I said as would light bonfires and wear I shoveled in my oatmeal. “It’s costumes to ward of wandering no big deal.� I didn’t realize how ghosts. But by the 19th century wrong I was. Halloween began to change and The talk around school before evolve into a children’s holiday. Halloween was what everyone Way back when I was a kid was wearing. When someone Halloween meant dressing up in would ask me that popular a costume and those costumes question I’d simply reply I was didn’t come from a store like through with those childish most do today. They were made things. My friends gave me the at home. Some of those getups same look my mother did. Oh served us kids during the rest well, I thought, they’re just chilof the year too. One year I went dren. as a cowboy and wore the hat That Halloween night I was and cap gun on a daily basis and about to settle in for an evesometimes slept in. Another time ning of Captain Video and His I put on an old sheet and cut Video Rangers when my mother two holes for eyes and went as a walked into the living room with ghost. Although dressing up was a large bowl. “Here’s the candy fun the best part of Halloween for the kids,� she said dropping
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the bowl in my lap. “I’ll turn the porch light on.� OK, I thought, this won’t be tough. Just then the doorbell rang. I grabbed the bowl and went to the door. A couple of little kids stood there looking up at me while a woman who was obviously their mother watched from a few feet away. “Trick or Treat!� they shouted. I dropped some candy in each bag and heard their mother loudly whisper, “What do you say?� “Thank you!� they shouted in unison. As the evening wore on I began to realize something was changing. I’m sure at the time I didn’t know exactly what it was. But from then on things were going to be different. Since that Halloween night I’ve come to understand that was a major milestone in my life. I left one stage of my life behind and was moved into another. A portion of my childhood was gone and would never return. It was sad but exciting at the same time. As Halloween approaches I think back to that time long ago and secretly wish I could go back and be a kid again dressed in a homemade costume and eating too much candy. Of course that’s not to be but maybe if I can find an old sheet and cut some holes for eyes... Terry Turner is a Prime writer who can be reached at tturner174@longlines.com 800 5th St. Sioux City, IA
Life Can Change. We Can Help.
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Local & Government Listings Siouxland Directory of Elderly Services
Sioux City Better Business Bureau: 1-800-222-1600 City Hall: 405 Sixth St., 279-6109 Department of Human Services: 822 Douglas St., 255-0833 Elder Abuse Awareness: 1-800-362-2178 Emergency: 911 Fire Department: 279-6314 Police Department: 2796960 (general) Post Office (Main): 214 Jackson St., 277-6411 Siouxland Aging Services: 2301 Pierce St., 279-6900. Information and referral services, case management. Senior Advocacy Program, Chris Kuchta, program director. Social Security Office: 3555 Southern Hills Drive, 255-5525 South Sioux City City Hall: 1615 First Ave., 494-7500 Department of Social Services: Dakota City, Neb., 987-3445 Emergency: 911 Fire Department: 494-7555 Police Department: 701 West 29th St., 494-7555 Post Office: 801 West 29th St., 494-1312
Adult Day Programs Adult Day Program: Alzheimer’s Association, 420 Chambers St. 279-5802. A safe, nurturing group environment for functionally impaired adults who need supervision. Available Monday through Friday from 7 a.m. to 6 p.m.
Siouxland Mental Health: 625 Court St., 252-3871 Vet Center: 1551 Indian Hills Drive, No. 204, 255-3808
Employment and Volunteer Service RSVP (Retired and Senior Volunteer Program): Center for Siouxland, Johnalyn Platt, 252-1861, ext. 21 Senior Community Service Employment Program: 2700 Leech Ave., Cindy Thomas, 274-1610 Experienced Works: Siouxland Workforce Development Center, 2508 Fourth St., assistant; Faye Kinnaman, 233-9030 ext. 1020 Senior Companion Program: 4200 War Eagle Drive, 712577-7848 or 712-577-7858 Financial Assistance Commission of Veterans Affairs: 702 Courthouse, 2796606 Iowa Department of Human Services: 822 Douglas St., 255-0833 Salvation Army: 510 Bluff St., 255-8836 Social Security Administration: 3555 Southern Hills Drive, 255-5525 South Sioux City Community Center: 2120 Dakota Ave., 494-3259 Center for Siouxland: 715 Douglas St., 252-1861, Tax Counseling Community Action Agency of Siouxland: 2700 Leech Ave., 274-1610, energy assistance
Financial, Insurance and Tax Counseling
Consumer Credit Counseling Service: 705 Douglas St., 252-5666 Counseling Siouxland Senior Center: Catholic Charities: 1601 217 Pierce St., 255-1729, tax Military Road, 252-4547 counseling Heartland Counseling SHIIP (Senior Health Service: 917 West 21st., South Insurance Information Sioux City, 494-3337 Program): Information Lutheran Social Service: available from either Mercy 4240 Hickory LaNeb.276-1073 Medical Center, St. Luke’s Mercy Behavioral Care Regional Medical Center, or Center: 4301 Sergeant Road, The Center 274-4200 Center for Siouxland: Prime Time Connections: 715 Douglas St., 252-1861. Mercy Medical Center, 279Conservatorship service, 5700. Social support program provides money management using volunteers who provide and protective payee services companionship for elderly Woodbury County Extension experiencing depression Service: 4301 Sergeant Road,
276-2157
Food Iowa Department of Human Services: 822 Douglas St., 255-0833 Meals on Wheels: Siouxland Aging Services, 2301 Pierce St., 279-6900, deliver noon meals, suggested donation $3.72 per meal Salvation Army: 510 Bluff St., 255-8836 Le Mars SHARE: Betty Dutcher, (712) 548-4229 (Distribution Site: Assembly of God, 410 First St. S.W.) Mid-City SHARE: Center for Siouxland, Johna Platt, 252-1861, ext. 21, (Distribution Site: Mary TreglIowa.900 Jennings St.) Sioux City SHARE: Center For Siouxland, Lisa Thomas, 259-7412 (Distribution Site: DAV, 5129 Military Road) South Sioux City SHARE: Sherry Stubbs, 494-6477 (Distribution Site: First Lutheran Church, 3601 Dakota Ave.) Siouxland Senior Center: 217 Pierce St., 255-4240, congregate meal site Siouxland Tri State Food Bank: 215 Douglas St., 2559741 South Sioux City Community Action Center: 2120 Dakota Ave., 494-3259 South Sioux City Senior Center: 1501 West 29th St., 494-1500, congregate meal site St. Luke’s Heat-n-Eat Meals: 2720 Stone Park Blvd., 279-3630, Cindy Hanson Center for Siouxland: Food pantry, 715 Douglas St., 2521861 Community Action Agency of Siouxland: 2700 Leech St., 274-1610
Health Care Information Alzheimer’s Association: 420 Chambers St., 279-5802. Referral and information about Alzheimer’s disease, support groups and respite care Dakota County Health Nurse: 987-2164 Iowa Department of the Blind: 1-800-362-2587 Lifeline: Personal emergency response system: October 2011 | 13
Local & Government Listings St. Luke’s, 279-3375, Jenny Herrick; Mercy Medical Center, 279-2036, Karen Johnson Marian Health Center: Community Education, 2792989 Siouxland Community Health Center: 1021 Nebraska St., 252-2477 Siouxland District Health: 1014 Nebraska St., 279-6119 or 1-800-587-3005 St. Luke’s Health Professionals: 279-3333
Home Health Care Boys and Girls Home and Family Services: 2101 Court St., 293-4700 Care Initiatives Hospice: 4301 Sgt. Road, Suite 110, Sioux City, Iowa, 712-2391226 Geri-Care: Transit Plaza, 276-9860 Home Instead Senior Care: 220 S. Fairmont, 258-4267, non-medical home health Hospice of Siouxland: 4300 Hamilton Blvd., 233-4144, nursing care, home health aide/ homemaker, social services
Mercy Home Care: 801 Fifth St., Suite 320, 233-5100, 1-800-897-3840, home health aides/homemaker services, therapy services REM Health of Iowa Inc.: 2212 Pierce St., Suite 200, 233-5494, skilled nursing care, home health aides, homemaker services, waivers Siouxland District Public Health Nursing: 1014 Nebraska St., 279-6119, skilled nursing care in home, home health aide, homemaker services St. Luke’s Home Care: 2905 Hamilton Blvd., 279-3279. In-home nursing, therapy, home medical equipment and supplies, lifeline program. Tri-State Nursing Services: 621 16th St., 277-4442, skilled nursing care, Home Health aide services, services ordered by a doctor Synergy Home Care: Kim Kreber, 600 Stevens Port Drive, Suite 102, Dakota Dunes, S.D., (605) 242-6056.
Home Maintenance
pets. Bickford Cottage Memory Care: 4022 Indian Hills Drive, 239-6851, Joy Beaver, director. 36 apartments, three levels of care depending on need. Countryside Retirement Apartments: Lilac LaNeb.276-3000 Floyd House: 403 C Street, Sergeant Bluff, Iowa, 712943-7025, Affordable, multiple levels of care, studio, onebedroom, respite Holy Spirit Retirement Apartments: 1701 West 25th Hospitals Mercy Medical Center: 801 St., 252-2726 Lessenich Place Fifth St., 279-2010 St. Luke’s Regional Medical Apartments: 301 Fifth St. Contact Connie Whitney or Pat Center: 2720 Stone Park, Trosin at (712) 262-5965 279-3500 Maple Heights: 5300 Stone Siouxland Surgery Center: Ave., 276-3821, contact 600 Sioux Point Road, 232Jennifer Turner. This is 3332 subsidized low-income housing with rent based on income Housing NorthPark Senior Living Sioux City Community: 2562 Pierce St., Bickford Cottage Assisted Living: 4042 Indian Hills Drive, 255-1200. 48 independent living apartments, 57 239-2065, Troy Anderson. director. 36 apartments, family supervised living apartments and three respite apartments owned and operated. We take Siouxland Aging Services: 2301 Pierce St., 2796900, CHORE service, yard maintenance, heavy cleaning (Riley Fields) SOS of Siouxland Inc.: Center for Siouxland, 715 Douglas St., 252-1861. Nonprofit organization which uses volunteers to provide repair services. Serves veterans, senior citizens (especially women) and handicap persons. Services based upon need.
Northern Hills Retirement Community: 4000 Teton Trace, 239-9400. Studio, onebedroom and two-bedroom apartments. Northern Hills Assisted Living: 4002 Teton Trace, 2399402. Studio, one-bedroom and two-bedroom apartments. Oakleaf Property Management: 1309 Nebraska St., 255-3665, contact leasing department. Martin Towers, 410 Pierce St.; Shire Apartments, 4236 Hickory LaNeb.Centennial Manor, 441 W. Third St. This is subsidized housing, rent is based on income. Prime Assisted Living: 725 Pearl St., 226-6300. Affordable, spacious 1 bedroom assisted living apartments for persons 65 and older. Income guidelines apply. Accept all sources of payment including Title 19 and private pay. River Heights: 2201 Gibson St., 276-4930. This is subsidized housing that is not handicapped accessible. Siouxland Aging Services
Inc: 2301 Pierce St., 279-6900. This is subsidized housing, rent based on income. Evergreen Terrace, 2430 West St., 258-0508; Riverside Gardens, 715 Brunner Ave., 277-2083; Fairmount Park Apartments, 210 Fairmount St. Sunrise Retirement Community: 5501 Gordon Drive, 276-3821. 64 one and two bedroom ground level homes with attached garage, some with den and sunroom. War Eagle Village Apartments: 2800 W. Fourth St., 258-0801, subsidized housing based on income Community Action Agency of Siouxland: 2700 Leech Ave., 274-1610. Carnegie Place Apartments, Sixth and Jackson sts. South Sioux City Autumn Park Apartments: 320 East 12th St., 494-5393 Dacotah House: 316 East 16th St., 274-9125. Subsidized housing, you must be over 62 or handicapped
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Travel
Andrew Jackson’s Hermitage BY TERRY TURNER Prime staff writer
NASHVILLE, Tenn. – Just outside of Nashville is the home of our nation’s seventh president Andrew Jackson. The home along with the 1,120-acre plantation known collectively as The Hermitage was saved from ruin by “The Ladies Hermitage Association” in 1889. While touring the home and grounds visitors can feel what it must have been like to live there in the early 1800s and better understand the impact Andrew Jackson had on our young nation. The story of Andrew Jackson begins on March 15, 1767, although his place of birth is somewhat of a mystery. Jackson claimed to have been born in South Carolina but many believe that assertion was made for political reasons. But most historians believe he was born in either Waxhaw, N.C., or Lancaster, S.C. In reality the lines between the two states had not been drawn at the time of his birth. He was born to Scotch-Irish immigrant parents Andrew Jackson, Sr. and Elizabeth “Betty” Hutchinson who came from Carrickfergus in Northern Ireland in 1765. Jackson was to become the first U.S. president not born an aristocrat. As a child 16 | Prime | www.siouxlandprime.com
Journal photos by Terry Turner
Andrew and Rachel Jackson’s tomb on the grounds of the Hermitage near Nashville, Tenn. Jackson received little in the way of formal education but in his late teens he studied law for about two years and became a successful lawyer in Tennessee. At a very young age Jackson and his brother Robert joined the Continental Army during the Revolutionary War and they both served as couriers. At one point in the war Andrew and his brother were captured by the British. When Andrew refused to shine the boots of one of the British officers he was struck with a saber injuring his hand and forehead. After that incident Jackson developed a hatred for the British that remained with him for the rest of his life. While in the army the brothers came down with smallpox and although Andrew survived Robert died of the disease.
IF YOU GO
A tour guide waits at the front door of Andrew Jackson’s home.
Jackson continued to serve in the army rising in the ranks and becoming a national hero following his defeat of the British in the Battle of New Orleans in 1815. Because of his toughness in battle Jackson became known as “Old Hickory.� A few years later in 1819 he became Florida’s military governor. He began his political career as the first man from Tennessee to be elected to the House of Representatives. He later served briefly in the Senate. Jackson prospered enough during this time to buy slaves and build a mansion, the Hermitage near Nashville. The mansion at the Hermitage was built between 1819 and 1821 and is a brick Federal Style house. The house originally contained four rooms on each of the two floors and two wide center halls. In 1831 while Jackson was president he hired architect David Morrison to renovate the home. Morrison added one-story wings on each side, a twostory entrance portico with ten Doric columns, along with a small rear portico. The east wing contained a library and office and the west
wing had a large dining room and pantry. A new kitchen and smokehouse were added behind the now 13-room home. Jackson ran for the presidency in 1824 and although he received more popular and electoral votes than any of the other candidates he didn’t receive a majority of either one. Therefore the election was decided by the House of Representative who surprisingly awarded the office to John Quincy Adams. Not being one to give up easily Jackson ran again for president in 1828 and won by a large majority. Jackson’s time as president was not without controversy. During the campaign against John Quincy Adams for the election in 1828 opponents of Jackson pointed out when Jackson and Rachel Robards got married she was still in the process of divorcing her husband Col. Lewis Robards. In reality it was after the marriage the couple discovered the divorce wasn’t final and separated until that process was complete. Then they were legally married. But that didn’t matter to Adams’
The Hermitage, 4580 Rachel’s Lane, is just outside Nashville, Tenn. The mansion and grounds are open daily from 9 a.m. to 4:30 p.m. Oct. 16-March 31, and 8:30 a.m. to 5 p.m. the rest of the year. Admission is $18 for adults, $15 for seniors, $12 for student ages 13-18, $8 for children 6-12 and free for active military and children under 6. For more information about the Hermitage visit their website at www.thehermitage.com supporters and they spread gossip about the couple. Rachel died on December 22, 1828, just six weeks after Andrew Jackson was elected to the presidency. She was 61. Jackson blamed Adams for her death and never forgave him. In 1834 tragedy struck Andrew Jackson again when a fire heavily damaged the mansion at the Hermitage and a second remodeling was done. The entrance to the home was made to look like a Greek temple with six two-story columns across the front porch. The remodeling was completed in time for Jackson’s return from Washington following his second term as president. Today visitors to the Hermitage can get a guided tour of the mansion and get an audio guided tour of the more than 40 sites around the grounds that include Andrew and Rachel Jackson’s tomb, a cabin belonging to Jackson’s slave Uncle Alfred and Rachel’s garden. Also on the grounds is a visitor center, cafÊ and museum store.
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Smoky Mountains Music, Majesty and Praise ...................Oct. 19-28 Christmas in Bethlehem.......... Nov. 14-21 San Diego & Palm Springs Sun & Sand ..................... Feb. 26 - Mar. 3 Tennessee Civil War & More ..............................April 9 - 16 Chicago Milwaukee Flair ............ June 6-1 Canadian Rockies & Calgary Stampede ......................July 6-16 You are invited to our Allied Travel Show, Nov. 10, 2 & 5pm. Northwestern Bank basement, Orange City, IA. RSVP
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Calendar Nutrition program
off pounds, 10 a.m.; painting class, pitch, tap practice, 1 p.m.; zumba gold, 2 p.m. Oct. 20: Chorus, senior yoga, 9 a.m.; painting class, duplicate bridge lessons, 9:30 a.m.; beginner tap practice, 3 mile walk (tape), 10 a.m.; talk show, “Yummy Halloween treats,� 10:30 a.m.; drama group, folk music, 11 a.m.; bridge, 12:30 p.m.; 500, 1 p.m.; one mile walk warm up, 2:40 p.m.; fitness with Kelly, 3 p.m.; duplicate bridge, 6 p.m. Oct. 21: Penny bingo, 8:30 a.m.; walking off pounds, beg. 1 line dance, 9 a.m.; beg. 2 line dance, 9:45 a.m.; advanced line dance, senior yoga, Men’s Club, beginning German, 10 a.m.; advanced line dance, advanced German, 11 a.m.; inter. line dance, 12:45 p.m.; woodcarving, bridge group, cribbage, 1 p.m. Oct. 22: Fitness with Sandy, Wii practice, Siouxland Center 9:30 a.m.; blood pressures, 10 a.m.; bridge For Active Generations group, noon; bridge & 500, scrabble, dance Siouxland Center, 313 Cook St., is open with Big River Country, 1 p.m. (Saturday from 8 a.m. to 4:30 p.m. Monday through jam session) Friday. Oct. 25: Experienced tap class, 9 a.m.; OCTOBER CALENDAR: Wii practice, 9:30 a.m.; beginner tap class, Oct. 1: Fitness with Sandy, Wii practice, 9:45 a.m.; story time, guitar lessons, 10 9:30 a.m.; blood pressures, 10 a.m.; a.m.; tap dance workshop, 10:30 a.m.; ballroom basics, 10:45 a.m.; bridge group, duplicate bridge, 11:30 a.m.; movie “Thicker noon; bridge & 500, scrabble, dance with Than Water,� Parkinson’s meeting, Mah Burt Heithold Band, 1 p.m. (Saturday jam Jong, pinochle, woodcarving, 1 p.m.; Super session) Strong Seniors with Kelly, 2:30 p.m. Oct. 4: Experienced tap class, 9 a.m.; Wii Oct. 26: Penny bingo, 8:30 a.m.; practice, 9:30 a.m.; beginner tap class, 9:45 advanced Spanish, senior yoga, 9 a.m.; a.m.; guitar lessons, 10 a.m.; tap dance genealogy, painting class, 9:30 a.m.; beg./ workshop, 10:30 a.m.; duplicate bridge, interm. Spanish, creative writing, walking 11:30 a.m.; movie “Letters to Juliet,� Mah off pounds, 10 a.m.; crafts, 10:30 a.m.; Jong, pinochle, woodcarving, 1 p.m.; painting class, pitch, tap practice, 1 p.m.; Fitness with Kelly, 2 p.m. zumba gold, 2 p.m. Oct. 5: Penny bingo, 8:30 a.m.; advanced Oct. 27: Chorus, senior yoga, 9 a.m.; Spanish, senior yoga, 9 a.m.; genealogy, painting class, duplicate bridge lessons, painting class, 9:30 a.m.; beg./interm. 9:30 a.m.; beginner tap practice, 3 mile Spanish, creative writing, walking off walk (tape), 10 a.m.; talk show, “My Nurse pounds, 10 a.m.; painting class, pitch, tap Program,� 10:30 a.m.; drama group, folk practice, 1 p.m.; zumba gold, 2 p.m. music, 11 a.m.; bridge, 12:30 p.m.; 500, 1 Oct. 6: Chorus, senior yoga, 9 a.m.; p.m.; one mile walk warm up, 2:40 p.m.; painting class, duplicate bridge lessons, fitness with Kelly, 3 p.m.; duplicate bridge, 9:30 a.m.; beginner tap practice, 3 mile 6 p.m. noon; bridge & 500, scrabble, dance with Strong Seniors with Kelly, 2:30 p.m. walk (tape), 10 a.m.; talk show “Peripheral Oct. 28: Penny bingo, 8:30 a.m.; walking Art & Gwen, 1 p.m. (Saturday jam session) Oct. 12: Penny bingo, 8:30 a.m.; neuropathy,� 10:30 a.m.; drama group, folk advanced Spanish, senior yoga, 9 a.m.; Oct. 18: Experienced tap class, 9 a.m.; Wii off pounds, beg. 1 line dance, 9 a.m.; beg. music, 11 a.m.; bridge, 12:30 p.m.; 500, 1 practice, 9:30 a.m.; beginner tap class, 9:45 2 line dance, 9:45 a.m.; senior yoga, Men’s genealogy, painting class, 9:30 a.m.; beg./ p.m.; one mile walk warm up, 2:40 p.m.; Club, beginning German, 10 a.m.; advanced a.m.; guitar lessons, 10 a.m.; tap dance interm. Spanish, creative writing, walking fitness with Kelly, 3 p.m.; duplicate bridge, line dance, advanced German, 11 a.m.; workshop, 10:30 a.m.; duplicate bridge, off pounds, 10 a.m.; crafts, 10:30 a.m.; 6 p.m. 11:30 a.m.; movie, “Prince of Persia,� Mah inter. line dance, 12:45 p.m.; woodcarving, painting class, pitch, tap practice, 1 p.m.; Oct. 7: Penny bingo, 8:30 a.m.; walking Jong, pinochle, woodcarving, 1 p.m.; fitness bridge group, cribbage, 1 p.m. zumba gold, 2 p.m. off pounds, beg. 1 line dance, 9 a.m.; beg. Oct. 29: Fitness with Sandy, Wii practice, with Kelly, 2 p.m. Oct. 13: Chorus, senior yoga, 9 a.m.; 2 line dance, 9:45 a.m.; beg. card design, 9:30 a.m.; blood pressures, 10 a.m.; bridge Oct. 19: Penny bingo, 8:30 a.m.; painting class, duplicate bridge lessons, senior yoga, Men’s Club, beginning German, 9:30 a.m.; beginner tap practice, 3 mile walk advanced Spanish, senior yoga, 9 a.m.; group, noon; bridge & 500, scrabble, dance 10 a.m.; advanced line dance, advanced with Art & Gwen, 1 p.m.; (6 p.m. Steve genealogy, painting class, 9:30 a.m.; beg./ (tape), 10 a.m.; talk show, Mid America German, 11 a.m.; inter. line dance, 12:45 Bledsoe dinner/dance Saturday) interm. Spanish, creative writing, walking Museum of Aviation and Transportation, Persons 60 years of age and older and their spouses may participate in the elderly nutrition program in Siouxland. In Sioux City, meals are served Tuesday-Friday at Riverside Lutheran Church, 1817 Riverside Blvd.; on Monday at Riverside Gardens’ Community Room, 715 Bruner Ave., Fairmount Park, 210 S. Fairmount St., and Centennial Manor, 441 W. Third St. A suggested contribution is $2.75 or what each person can afford without causing a financial hardship. Reservations required a day in advance by calling the Sergeant Bluff site, 943-5356, or the Siouxland Aging Services nutrition office at 279-6900, ext. 15. For more information about other available meal sites, call Siouxland Aging Services at 279-6900.
p.m.; woodcarving, bridge group, cribbage, 1 p.m. Oct. 8: Fitness with Sandy, Wii practice, 9:30 a.m.; blood pressures, 10 a.m.; ballroom basics, 10:45 a.m.; bridge group, noon; bridge & 500, scrabble, dance with Terry and the Remnants, 1 p.m. ( no Saturday jam session) Oct. 11: Experienced tap class, 9 a.m.; Wii practice, 9:30 a.m.; beginner tap class, 9:45 a.m.; story time, guitar lessons, 10 a.m.; tap dance workshop, 10:30 a.m.; duplicate bridge, 11:30 a.m.; birthday party, Mah Jong, pinochle, woodcarving, 1 p.m.; Super
10:30 a.m.; drama group, folk music, 11 a.m.; bridge, 12:30 p.m.; 500, 1 p.m.; one mile walk warm up, 2:40 p.m.; fitness with Kelly, 3 p.m.; duplicate bridge, 6 p.m. Oct. 14: Penny bingo, 8:30 a.m.; walking off pounds, beg. 1 line dance, 9 a.m.; senior yoga, Men’s Club, beginning German, 10 a.m.; advanced line dance, advanced German, 11 a.m.; inter. line dance, 12:45 p.m.; woodcarving, bridge group, cribbage, 1 p.m. Oct. 15: Fitness with Sandy, Wii practice, 9:30 a.m.; blood pressures, 10 a.m.; ballroom basics, 10:45 a.m.; bridge group,
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Shows & Festivals
recieves the Al Neuharth Award, 7 p.m. Oct. 6, University of South Dakota, 414 E. Clark St. Vermillion. The event is free. 605677-6060. Siouxland Zombie Walk, 4-8 p.m. Oct. 8, Historic Fourth Street, Come get your dead on at the 2nd annual Siouxland Zombie Arts & Theatre 712-460-6595, www.siouxlandzombiewalk. The Legacy Collection Show II, through com Nov. 27, Sioux City Art Center, 225 2011 Fall Career Expo, 10 a.m.-4 p.m. Nebraska St. Includes eight artists from the Oct. 13, Sioux City Convention Center, 801 upper Midwest. Closed on Mondays. 712Fourth St. Free. 279-6272, www.siouxcityartcenter.org Public Forum on the Role of the Federal Crittenton Center: We’re More than You Government in Public Education, 7-8:30 Know Exhibit, through Oct. 31, Sioux City p.m. Oct. 13, SCCSD Board Building Board Public Museum, 607 Fourth St. 712-279Room, 627 Fourth Street. Carolyn Goodwin, 6174, www.siouxcitymuseum.org Goodwin. mk@gmail.com, 274-1948. Rising from Tradition: Navajo Rugs 1900City Council and Mayor General Election 1977 Exhibit, through Oct. 31, Sioux City Public Candidates’ Forum, 7-9 p.m. Oct. Public Museum, 607 Fourth St. Ganado. 27, City Council Chambers, 405 Sixth 712-279-6174, www.siouxcitymuseum.org Street. Carolyn Goodwin, Goodwin. mk@ Rodgers and Hammerstein’s “South gmail.com Pacific,� 7:30 p.m. Oct. 26, Orpheum Theatre, 528 Pierce St. 712-279-4850. Music Music Dept Homecoming Concert, 11:30 Classes & Lectures a.m.-12:30 p.m. Oct. 8, Morningside College Historic Archaeological Sites of the Music Dept, Buhler Outdoor Performance Ioway Tribe, 6 p.m. Oct. 4, Sioux City Center 3625 Garretson Ave. Public Museum, 607 Fourth St. 712-279Riverfest 2011, Oct. 8-9, WinnaVegas 6174, www.siouxcitymuseum.org Casino Resort, 1500 330th St., Sloan, Iowa. Free Community Stroke Education Saturday tickets: $35, Gates open at 3 p.m. Program, 10:30 a.m.-4 p.m. CNOS, Starship starts at 5 p.m., Bret Michaels at 575 Sioux Point Road, Dakota Dunes. 7 p.m. Sunday tickets: $35, Gates open at cnosfoundation.org 1 p.m. Ray Price at 3 p.m., Crystal Gayle at Kidney Health Options, 1-3 p.m., 5 pp.m., Mel Tillis at 7 p.m. Day Pass: $60. Fresenius Medical Care Siouxland, 2530 1-800-468-9466, www.winnavegas.biz Glenn Ave, Free class on treatment options Play With Fire-The Music of the Rolling for those with poor kidney function. Diann Stones, 7 p.m. Oct. 20, Western Iowa Tech Conrad, dconrad@fmc-na.com, (712) 266CC-Cargill Auditorium, 4647 Stone Ave. 1246. Performed by Mike Langley and friends. Community Reba McEntire, 7:30 p.m. Oct. 27, Tyson Founder of C-SPAN Brian P. Lamb Events Center, 401 Gordon Dr. www.
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First Ever Tractor Ride and craft show, 8 a.m.-2 p.m., Knights of Columbus, 1805 W 29th Street, South Sioux City. 712-2043626. Ironhorse Day, 10 a.m.-4 p.m. Oct. 15, Milwaukee Railroad Shops, 3400 Sioux River Road, Come help us celebrate
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GN1355’s 102nd birthday. 712-233-6996, www.milwaukeerailroadshops.org/ Halloween at the Roundhouse, Noon-4 p.m. Oct. 29, Milwaukee Railroad Shops, 3400 Sioux River Road, Free pumpkins, pumpkin painting, pumpkin bowling, a scavenger hunt and more. 712-233-6996, www.milwaukeerailroadshops.org/
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