Saturday, October 21
9 a.m. – 2 p.m. EVENT DETAILS Page 2 SCHEDULE OF SPEAKERS Page 3 EXHIBITORS Page 4
W REGISTER NO AN D IN A ENTER TO WRD TO A $250 GIFT C PERS KING SOO SEE PAGE 2
SAVE THE DATE! LIVE, IN-PERSON EVENT!
“ "
The Gazette’s Senior Life Expo:
An experience for an experienced audience By Nina Glaser, The Gazette
The Senior Life Expo wants to help you make your senior life your best life! Join thousands of like-minded Pikes Peak region residents on Saturday, October 21 from 9 a.m. – 2 p.m. at the DoubleTree by Hilton Colorado Springs at 1775 E. Cheyenne Mountain Blvd. Free overflow parking will be available at The Broadmoor World Arena, plus shuttle service to the event courtesy of Rocky Mountain Ride.
This highly anticipated event will feature products and services, presentations, demonstrations and speaker sessions that will inform, educate and inspire — and help you make decisions about your health, finances, home and technology with confidence. There will be free admission and parking, and participants will have the opportunity to win a $250 gift card to King Soopers! Your journey to aging well begins at the Senior Life Expo.
2 | SENIOR LIFE EXPO | October 2023
Saturday, October 21 9 a.m. – 2 p.m.
DoubleTree by Hilton Colorado Springs 1775 E. Cheyenne Mountain Blvd. Free overflow parking at The Broadmoor World Arena, plus shuttle service to the event location!
Register today:
SeniorLifeExpoCS.com
SCHEDULE OF SPEAKERS SESSION TIME
9:15 a.m.
ROOM: SEVEN FALLS
ROOM: ROYAL GORGE
ROOM: PIKES PEAK
ROOM: PALMER
Long-Term Health Care Expenses
Ear, Nose and Throat issues
Bone Health & its Importance to Longevity
Maintaining Control in Senior Living
Clear Wealth Management
10:15 a.m.
11:15 a.m.
Fear of Falling: Break the Cycle UCHealth Memorial Hospital
Understanding Medicare
United Health Care
12:15 p.m.
Do You Suffer From Neck or Back Pain?
1:15 p.m.
We Speak Medicare
Colorado Center of Orthopaedic Excellence
Kathleen Graberg Insurance
Colorado ENT & Allergy
Choose the Plan that is Right for You
Select Health Plans
How to Choose the Right Walk In Tub or Shower Colorado Walk In Bath
Five Wishes
Silver Key Senior Services
Medicare 101
Ignite Insurance Group
Colorado Springs Talem Home Care & Orthopaedic Group Placement Services
Protecting Loved Ones Through Pre-Planning
Dignity Memorial Funeral, Cremation and Cemetery
Preserving and Protecting Your Estate for Your Family The Gasper Law Group
ROOM: ACADEMY
Inspirational: It’s a Wonderful Life
Dream Again, LLC
The Perfect Mortgage In Retirement C2 Financial
Trust Medicare Mentors to Are You Sure You May Have Guide Your More Choices Your Retirement Healthcare Fits? Than You Think Strategy Iron Mountain Experience The Natural Funeral Financial Medicare Mentors, LLC
Die Young at an Old Age Prime IV Hydration & Wellness of Monument
End of Life Options Compassion and Choices
Navigating the e-Edition The Gazette
Medicare Enrollment Periods Cigna
Fall Prevention
FYZICAL Therapy & Balance Centers
Optum: Value Based Care Optum
October 2023 | SENIOR LIFE EXPO | 3
VENDORS AND EXHIBITORS
These local and national exhibitors will be available to answer your questions:
AAA Medicaid Consulting, Inc. AARP Colorado Aetna All American Gutter Protection The Bridge at Colorado Springs C2 Financial Cigna Clear Springs Healthcare Clear Wealth Management Colorado Center of Orthopaedic Excellence Colorado ENT & Allergy Colorado Gun Services Colorado Springs Orthopaedic Group Colorado Walk In Bath Compassion and Choices Diginity Memorial Funeral, Cremation and Cemetery 4 | SENIOR LIFE EXPO | October 2023
Five Elements Massage Therapy FYZICAL Therapy & Balance Centers The Gasper Law Group Golden Corral Hilldebrand Care Center Humana / Oak Street Health Iron Mountain Financial Kaiser Permanente Kathleen Graberg Insurance Solutions Kissing Camels Dentistry Lynn Institute of the Rockies Mackenzie Place Medicare Mentors North End Dental The Natural Funeral Home NurseCore Optum
Pikes Peak Area Council of Governments Pikes Peak Library District Prime IV Hydration & Wellness of Monument QC Kinetix Quality Medical Clinic Relay Colorado Renewal By Andersen Restore Wound Care Rocky Mountain Healthcare Select Health Silver Key Senior Services SilverLining Insurance Advocates Talem Home Care and Placement Services UCHealth Community UnitedHealthcare
SPONSOR SPOTLIGHT
Thank you to our Diamond Sponsors for making the Senior Life Expo possible!
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SMART CHOICES
Combating depression in older adults BY AMY POLLICK WEALTH OF GEEKS
While depression is not a natural part of aging, about 7% of the general population of elderly adults has been diagnosed with major depressive disorder, according to psychologist Dr. R.Y. Langham. The Centers for Disease Control estimates up to 13.5% of elderly patients receiving home health care or who are hospitalized may struggle with this disorder. Dr. Langham notes older adults have several risk factors that contribute to depression. “Chronic medical illnesses, cognitive decline and the side effects of medications can play a significant role. Additionally, life events like decreased mobility, social isolation, bereavement or even a history of depression can make older adults more vulnerable.”
Recognizing the symptoms
If someone notices an older friend or loved one is feeling sad or listless, is that person depressed? Not necessarily. According to the CDC, it is appropriate to be concerned if these feelings last for weeks at a time. Ryan Hetrick, a therapist and psychologist, says depression symptoms include “feeling hopeless and/or helpless, difficulty concentrating, withdrawal from family and friends, changes in appetite, difficulty sleeping and lack of interest in activities that were once enjoyed.” For those who may notice these symptoms in themselves, the key to dealing with them is getting help. You can contact your primary care physician to get connected to a
therapist or psychiatrist. A referral may be required for some insurance plans, so it is always a good idea to see the primary care doctor first. As most adult children know, however, getting an elderly parent to the doctor can be a fight, and that struggle may be more difficult if the conversation is about seeing a therapist. According to Licensed Clinical Social Worker Mindy Crouch from Care, a website helping provide care options, “Many of our older relatives grew up in a different time with institutionalization or very negative societal attitudes towards mental health care.” Crouch advises having a conversation with loved ones to help them understand they deserve to feel better, and therapy may be a helpful part of that self-care. Loved
ones should work to reassure these older adults that seeking therapy is not shameful or a sign of weakness. This is where the primary care physician can assist. The doctor can urge the person to seek help. Most older people will do as their physicians ask, even if reluctantly. Once they start therapy, they may be more inclined to continue if they see a positive change in how they are feeling.
Prevention and treatment
Knowing depression in older adults is an issue, what can you do to help prevent it? Experts agree the number one method of keeping depression at bay is staying engaged with others. Licensed Marriage And Family Therapist Michelle Landeros
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We’re in your corner.
People today can spend nearly half their lives over the age of 50. That’s a lot of living. So, it helps to have a wise friend and fierce defender like AARP in your corner and in your community so your money, health and happiness live as long as you do. AARP offers virtual offerings, including health and fitness, cooking and wine demonstrations and neighborhood walking tours; as well as vital information and local resources to help you achieve your goals and stay connected. Find us at aarp.org/co 6 | SENIOR LIFE EXPO | October 2023
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SMART CHOICES encourages older adults to help themselves by “… engaging in social activities, seeking purpose (be it through hobbies, volunteering, or even a part-time job), and maintaining physical health …” According to Licensed Professional Counselor Marissa Moore, keeping up with doctors’ appointments is crucial to avoiding depression or spotting it early. “Regular medical check-ups can help identify and address any underlying health issues or medication-related factors that may contribute to depression,” she said. Like Landeros, Moore also recommends older adults stay as active as possible. Even if they are engaging in light physical activity, “… exercise has been shown to improve mood and reduce the risk of depression.” If an older adult has been diagnosed with depression, what are the treatments? Modern mental health has come a long way, and there are many solutions that can help alleviate symptoms of depression.
Psychiatrist Ketan Parmar, M.D., offers a list of treatments that includes medication, therapy, lifestyle changes, and even neuromodulation. This method involves using electrical or magnetic stimulation on parts of the brain that control mood. Although electroconvulsive therapy has a checkered past, times have changed, and it can be
used effectively and safely. Other neuromodulation methods include transcranial magnetic stimulation, vagus nerve stimulation and deep brain stimulation. “Neuromodulation can help older adults with depression who do not respond well to psychotherapy or medication by improving their mood and cognitive functioning,” Dr. Parmar explained.
He says medication can be an effective method of treating depression. Because of potential drug interactions and side effects, he advises it should always be under close supervision from a doctor. Physicians should follow up frequently to adjust dosages as necessary. According to Dr. Parmar, depression in older adults may not have exactly the same symptoms as it does in younger people. He said this population may not cry or seem sad but may instead be more irritable and apathetic. He also said depression can increase cognitive impairment, such as memory loss or confusion. This underlines the importance of seeing a physician for these symptoms to distinguish between depression and early signs of dementia. Early diagnosis and treatment help preserve function for a longer time. Although depression may crop up, it does not have to be a normal part of aging. Early detection, treatment and frequent follow-ups can help keep this disorder from taking over someone’s life.
Let’s see you through a healthy 2024 Senior Life Expo • Saturday, October 21 • DoubleTree By Hilton Colorado Springs • Join us for this no-cost event Make a point to visit with our team at the Senior Life Expo. Talk to us about the importance of your annual wellness screening, preventive care measures, and other health care services we offer. You can also speak to a licensed insurance agent about Medicare options. There will be door prizes and fun giveaways! Medicare Annual Enrollment Period is October 15 through December 7. Optum accepts Humana, UnitedHealthcare, and Aetna Medicare Advantage plans.
Talk to a licensed insurance agent any time at 1-719-657-6887, TTY 711 or visit optum.com/AEPCO24.
1
Calling this number will direct you to a licensed insurance agent. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Sales agents and Optum are separate entities and are not responsible for each other’s contractual or financial obligations. 2 There are several ways to learn about your Medicare coverage options. You can review the CMS website at medicare.gov or call 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048), 24 hours a day/7 days a week.
October 2023 | SENIOR LIFE EXPO | 7
SMART CHOICES
Dating later in life METRO SERVICES
People are living longer, a reality that can be traced to a number of factors, including advancements in medicine and greater dissemination of information regarding preventive health care. According to data from the United Nations Population Division, the average life expectancy in the United States is 81.65 for women and 76.61 for men. Canada has even higher life expectancies, at 84.74 for women and 81.15 for men. As people live longer, some may outlive their significant others and, ultimately, find themselves once again interested in sharing experiences with a special someone. Seniors ready to re-enter the dating pool may find that things are quite different from what they experienced as naive teenagers or young adults. Dating used to be about hanging out with friends and meeting people at shared events,
such as school dances or work parties, or even while enjoying a night out with friends. Nowadays, dating often begins in cyberspace. This can be confusing and anxiety-inducing for adults who did not grow up with technology guiding their every move. According to a report in The Atlantic, more than one-third of baby boomers are not married, and this generation has had higher rates of separation and divorce, and lower rates of marriage than the generations that preceded them. Many have years ahead of them to devote to new relationships. Here is what they may want to know before navigating 21st century dating waters: • You are not in this alone. While online dating may be portrayed as a young person’s game, plenty of older adults are now finding connections online. In fact,
many different dating apps are geared toward the senior set, including SeniorMatch, eHarmony, Singles50, OKCupid, and Silver Singles, among others. • You have more time for fun. As a senior, you may have more time to devote to recreation and leisure. This can be a great opportunity to get out and meet someone who shares your passions and interests. • Online dating has its advantages. While online dating apps and websites may have certain things working against them, particularly if their algorithms for pairing
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people are not fine-tuned, they also can be helpful. Online dating can expand social circles beyond local neighborhoods or even states, provinces or countries. You are casting your net over a much larger body of water. Furthermore, dating app profiles typically spell out exactly what another person is seeking, which can save seniors from having to revisit awkward dating moments from years past. With a good mindset and a little persistence, it is possible for seniors to find a special someone.
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SMART CHOICES
Think life insurance is not for you? Consider these insights STATEPOINT
Life insurance can provide protection to loved ones. But experts say that common misconceptions lead many to assume this aspect of financial planning is not right for them. “If you think you can’t afford life insurance or are not eligible, keep in mind that there are many different types of life insurance. Everyone has unique needs, so finding a policy that addresses your circumstances is key,” said Kate Long, consumer financial wellness advocate at Assurance IQ. To help you navigate the complexities of finding and choosing life insurance, the team at Assurance IQ is debunking some of the most common misconceptions: MYTH: It is impossible to secure life insurance with pre-existing conditions. REALITY: While it is more difficult to acquire certain kinds of life insurance with pre-existing health
conditions, you have options. If you are denied a policy, consider enrolling in group life insurance through your employer, as preexisting conditions may not be considered when signing up. Another option could be guaranteed issue life insurance, which can offer lifetime coverage without a medical exam or any health questions. MYTH: Retired people do not need life insurance. REALITY: Life insurance is often viewed as a source of income replacement, but depending on your situation, you may still benefit from coverage even after you retire. For example, if you have debt, like a mortgage or medical bills, life insurance could help your family settle it in the event of your passing. It can also help fund final arrangements, relieving financial stress during a difficult time.
MYTH: Buying life insurance is too complicated. REALITY: Approximately 106 million adults in the United States are underinsured or have no life insurance coverage. In a recent survey by Assurance IQ, 15% of those who are uninsured cited lack of knowledge about what kind of policy to get and 12% cited lack of knowledge around how much coverage to get as the reason they have elected to forgo coverage. “Unfortunately, a large portion of today’s population remains uninsured because life insurance sales models weren’t designed to serve everyone,” said Long. Speaking to a licensed insurance agent who sells life insurance from multiple carriers can help simplify the process. An agent can ask questions to understand your needs and deliver personalized
recommendations for relevant insurance products. MYTH: Life insurance can be too expensive. REALITY: Life insurance may be more affordable than you think. Term life insurance could be a great option for budget-conscious consumers who need to protect their income or pay off a debt. For example, if you have a mortgage, you might purchase a term life insurance policy for the life of the mortgage so that your spouse could stay in your home in the event of your untimely death. You can get an estimate of what your term life insurance rates might be with Assurance IQ’s calculator at assurance.com/life-insurance/termlife-insurance-calculator. Before you buy a policy, do your research and understand which type of life insurance is right for you.
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Your personal connection with the Colorado Springs Philharmonic SPONSORED FEATURE
Imagine sitting in a grand concert hall, enveloped in the rich acoustics that only a live performance can provide. As a member of the audience at the Colorado Springs Philharmonic, you’re not just a spectator; you’re an integral part of a musical communion that transcends time and space. You feel a wave of anticipation sweep through the room as musicians take their places, the air tingling with collective excitement for the impending musical journey, all under the inspiring gaze of Pikes Peak outside the windows. Imagine the first notes cascading from the stage. Here, you are more than an everyday enthusiast; you are part of a community of avid fans, curious minds, thrill-seekers, and lovers of life, all united by the power of music. Founded in 1927
and enriched by the pioneering spirit of Colorado Springs, the Philharmonic engages you in a conversation without words, a dialogue where every nuance counts. Music is a sacred human
journey shared by musicians and their listeners, and second-hand renderings, however brilliant, can never create the bond of give-andtake between those on stage and those in the audience.
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When you think of “senior living,” what comes to mind? Award-winning dining options? Annual golf tournaments? Chauffeur service? What about your own personal concierge, educational lectures, getting involved in your local community, or setting fitness goals? That’s probably not what you think of – unless you are thinking of MacKenzie Place – Colorado Springs. MacKenzie Place is the premier senior living community in Colorado Springs, offering cottages, independent living, assisted living, and memory care. The proud, consistent recipient of the best retirement community in the Gazette’s Best of the Springs, MacKenzie Place empowers residents to continue living the life they love while receiving the care services they need. Moving to MacKenzie Place does not mean sacrificing independence, privacy, or your active lifestyle. Your retirement is yours to design. With well-trained
caregivers, a dedicated support staff, and amenities that rival most five-star resorts, MacKenzie Place offers a dynamic activity calendar that makes retirement feel more like a resort vacation. The community features restaurant-style dining with award-winning food. Residents enjoy a wide range of activities and amenities that meet diverse interests and needs. The activities include
everything from fitness classes, outings, educational lectures, movies, and special groups like ping pong, poker, discussion groups, book club, and more. MacKenzie Place is also proud to offer its signature PrimeFit Wellness program, a fitness program that really makes fitness fun! Residents participate in group fitness classes, water classes, and personal training sessions to maintain and increase health and wellness. Combine all of that with weekly housekeeping services, scheduled transportation, a salon, library, maintenance services, and even a concierge, living at MacKenzie Place is more like a resort vacation than typical retirement. Interested in learning more? Give them a call at (719) 280-2021 to learn how senior living at MacKenzie Place can help you live your best retirement! October 2023 | SENIOR LIFE EXPO | 11
SMART CHOICES Too many Americans are missing crucial planning steps to make sure they are set up for success as they age.
Many Americans believe AI will provide their in-home care as they age BUSINESS WIRE
Less than a year since the launch of the popular Artificial Intelligence chatbot ChatGPT, Americans are embracing AI-based care as they age. One-third of Americans and over half (58%) of millennials believe AI and robotics will provide their future in-home long-term care. According to the annual Nationwide Retirement Institute Long-Term Care survey, conducted in partnership with LIMRA in May, this survey of 1,439 U.S. adults aged 24 and over found that younger generations were particularly apt to embrace the technology. Among the key findings: • Daily functions: More than one in three (35%) Americans would accept help from a robot for activities such as toileting, dressing and transferring. This rises to 52% among millennials and declines with older generations (23% for boomers and 36% for Gen Xers). • Companionship: Nearly the same amount (32%) say they would talk to robots/AI if they are feeling lonely. This increases to about half (52%) of millennials. • Physical safety: Almost seven out of 10 (68%) Americans would
use AI to alert family/friends if they were to experience a fall or physical danger (63% boomers, 70% Gen X, 72% millennials). • Medical history: Nearly half (48%) of Americans say they would share their medical history with AI to help support their care needs. This figure increases to 65% for millennials. In response to the increasing acceptance and adoption of AIbased care, Nationwide is testing eldercare robots in homes of select policyholders with mobility issues. The goal of this trial is to assess if the robots increase the potential for policyholders to age in their home and remain independent. “It is difficult for many families to find quality care for their loved ones. We are considering AI and robotics as potential solutions for this and are identifying if eldercare robots could become credible, compelling examples of extraordinary care for our members,” said Holly Snyder, president of Nationwide’s Life Insurance business. “As we continue to see advancements in AI and an uptick in consumer adoption, AI and
12 | SENIOR LIFE EXPO | October 2023
robotics could permanently change how people receive their longterm care and provide them with more opportunity to safely remain independent for longer.”
Many mistakenly believe they have long-term care coverage
The survey reveals that 18% of adults report that they currently own long-term care insurance, including 27% of millennials. However, industry data shows only 3.1% of Americans have purchased longterm care insurance and most of those are older consumers. More than half (51%) who mistakenly thought they owned long-term care insurance confused it with long-term disability insurance. Almost a third (30%) confused it with health insurance. In conjunction with the survey, Nationwide conducted focus groups made up of four different demographics: baby boomers, Gen Xers, millennials and those who believe they had long-term care coverage. Unsurprisingly, these sessions revealed that, like survey respondents, focus group participants also often mistakenly confused long-
term care insurance with their longterm disability insurance or health insurance. Neither of these cover long-term care expenses. “Many Americans — mostly millennials — mistakenly believe they have long-term care coverage, usually in their company’s benefit package, when in fact they do not,” said Snyder. “Though this misconception is understandable, it puts them at danger of discovering that they don’t have coverage much later on when they really need it.”
Americans have concerns about how to manage aging
Though many Americans do not own long-term care policies, they do have very real concerns about how to manage the aging process and its associated costs. For example: • Nearly half of respondents (49%) are worried they will become a burden to their family as they age. • Almost one-third (28%) say they would rather die than live in a nursing home. • More than one-quarter (26%) believe paying for long-term care will diminish their children’s inheritance.
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“Too many Americans are missing crucial planning steps to make sure they’re set up for success as they age,” said Snyder. “The first step is to understand what’s important to you and your family. From there, we recommend talking to a financial professional to help build a plan.” Financial professionals need to bring up long-term care planning While more than half (51%) say it is important that a financial professional discuss long-term care costs with them, fewer than one in five adults (18%) say they have discussed long-term planning with their financial professional. In fact, more than one in four adults (27%) across all age groups have not discussed long-term care costs with anyone. The good news is 30% say they would discuss long-term care costs with a financial professional in the future. “Financial professionals need to be proactive in helping families plan for important long-term care issues, including how to pay for it,” Snyder added. “Even if a client believes they are covered, we suggest probing them with some followup questions to be sure they are, in fact, protected. If not, financial professionals have an important role in helping them put together a plan of action.” To encourage discussions around long-term care costs in retirement, Nationwide’s Health Care/LTC Cost Assessment tool uses proprietary health risk analysis and updated actuarial cost data to provide a meaningful, personalized cost estimate to help financial professionals and clients plan for future expenses. To learn more about the importance of long-term care planning, visit www.nationwide. com/LTCbasics. Financial professionals can learn more at www.nationwidefinancial.com/LTC.
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Methodology
The 2023 Nationwide Retirement Institute/NCOA Long-term Care survey was conducted online within the United States between adults aged 25 and over by LIMRA on behalf of The Nationwide Retirement Institute. Survey participants were drawn from a nationwide consumer panel and data collection occurred between April 25 and May 12. The sample was weighted by race/ethnicity and income and included quotas for age and gender to approximate U.S. general population representation.
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Pikes Peak Area Agency on Aging
YOUR FIRST CALL FOR SENIOR SERVICES Your Area Agency on Aging focuses on providing services that help older adults stay independent and secure. Our services are available to anyone over 60 years of age in El Paso, Teller or Park counties. Your First Call for Senior Services Senior Information and Assistance
(719) 471-2096
Family Caregiver Support Center
www.ppacg.org/aging
Medical Alert Systems
14 S. Chestnut St., Colorado Springs, CO 80905
Mobility Coordination
PIKES PEAK
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SMART CHOICES NUTRITIONAL NEEDS FOR AGING SENIORS:
It is never ‘one size fits all’
BY GRETCHEN MCKAY, TRIBUNE NEWS SERVICE
Having a poor diet can damage a person both mentally and physically, so good nutrition is essential at any age to stay strong and prevent dietrelated illness. It is especially important for the elderly, whose bodies do not absorb the nutrients they need for proper function as efficiently as a younger person, and who are at a higher risk for chronic diseases such as high blood pressure, diabetes, osteoporosis and heart disease. “As we age, there are nutritional needs that shift,” said Registered Dietitian Andrew Wade, co-owner of Case Specific Nutrition, a counseling service that also offers
a selection of dietitian-approved prepared meals. As a result, certain foods and proper hydration become even more important for well-being. Among the trickiest changes to navigate is the increased need for protein. To prevent the loss of muscle mass and strength that occurs naturally with age, an older person requires roughly 50% more protein than a young adult. The amino acids in protein also power up the body’s immune functions, decreasing one’s chance of getting sick. But because people in their 70s or 80s typically move less throughout the day, and their metabolism slows
down, they might not feel hungry — and no matter how hard you nag or tempt your loved ones with favorite foods, it can be difficult to convince them otherwise. Simply being unhappy — a common emotion following life changes like the death of loved ones or declining health — can also cause a loss of appetite. Also a concern: The body does not absorb vitamin B12 as well in old age, leading to a reduction of red blood cells. Besides anemia, that can cause neurological problems such as numbness or tingling in the hands and feet, vision problems and confusion.
Certain medications can also decrease absorption of vitamin B12. In addition, our digestive system slows as we age. So, it is essential for seniors to get more fiber in their diets to improve digestion and prevent constipation, said Wade. “It feeds gut bacteria and keeps things moving.” Complicating matters is that older adults often have more trouble chewing or swallowing food because of dental issues or the loss of control of mouth and throat muscles following a stroke or conditions such as Parkinson’s disease. Seniors also are more apt to become dehydrated because they CONTINUED ON PAGE 16
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often just do not feel thirsty and forget to drink or fear incontinence; a UCLA School of Nursing study published in 2019 found that up to 40% of elderly people may be chronically underhydrated. Also, our taste receptors start to break down as we age, resulting in diminished taste for most seniors. That can make food bland and unappetizing. “There’s a lot going on,” said Laura Ali, a registered dietitian, culinary nutritionist and author of “Mind Diet for Two,” a cookbook focused on “brain healthy” foods. “And that can be a challenge.”
Clues and conversations
So how do you know if your senior is eating and drinking properly, especially if you do not live nearby and visit often? And just as important, what can you do to help them get the healthful calories and fluids needed to nourish an aging body? For starters, it is important to have frequent and respectful conversations. Simple questions like “how is your appetite,” “what’s in the fridge” and “what did you have for dinner” can give important clues, so long as you come from a place of curiosity and don’t pander, says Wade. “You don’t want to sound patronizing.” Keeping in touch with your loved one’s physician — by email or virtually, if you are not local or they do not want you to tag along on appointments — can also help provide data points, since they are probably getting weighed during visits; trending down on the scale can be a sign of undereating. Doctors and pharmacists also can provide information about which medications might affect appetite or cause issues with chewing or swallowing.
It is never ‘one size fits all’
When Pittsburgh private chef Brandon Blumfield prepares meals for elderly clients, “I always get to know them before cooking,” he said. “That includes not learning just what they want but what they need.” That often means modifying a recipe to reduce fat and sodium, and portioning the food to fit each eater’s appetite. For those who have issues with gripping utensils, he also cuts the food to smaller sizes that are more manageable. To help with hydration, Ali recommends a refillable water bottle
with time markers placed next to a chair or bed for easy access if the senior has mobility issues or keeping a lightweight pitcher and cup handy. If they do not like plain water, add some fruit or berries for flavor, or a squeeze of lime or lemon. Providing ready access to fruits and vegetables with high water content, such as watermelon, cucumbers, lettuce and tomatoes, also can prevent dehydration, along with liquid foods such as soups and broths. Encouraging them to take small, consistent sips throughout the day instead of trying to chug several ounces in one (uncomfortable) fell swoop is another smart move. Wade suggests giving them a shot glass necklace they can wear around their necks and refill every 15 or 20 minutes.
Counting calories
Calorie-wise, it all depends on the individual, as some seniors need more and some need less. One useful tool in figuring out which camp your loved one falls into is the USDA’s “MyPlate” guide, available both on the web and as an app. It helps calculate what and how much to eat based on age, sex, height, weight and physical activity level. For example, an 80-yearold woman who stands 5-foot-4 and has less than 30 minutes of moderate activity a day requires 1,600 calories, including 5 ounces of protein, 5 ounces of grains, 3 cups of dairy, 2 cups of veggies and 1 1/2 cups of fruit. If your senior is undereating, Ali says one solution is to figure out ways to concentrate calories and protein into smaller amounts of food. Adding a bit of powdered milk to a glass of milk or plate of scrambled eggs is a great way to sneak protein into a meal without changing taste. Several small meals throughout the course of a day instead of three squares is another. Regular exercise can also boost appetites. Another strategy would be to start the day with one of the body’s main sources of energy: carbohydrates. A simple breakfast of toast or a breakfast biscuit is easy to digest and will get the appetite going, says Wade. If their taste runs salty, add a little peanut butter; if it is sweet, pair the toast with some jam. For those with chewing or swallowing issues, texture is key. Softer foods such as cottage cheese, milkshakes, smoothies, cereal and milk, oatmeal or mashed
16 | SENIOR LIFE EXPO | October 2023
High-calorie egg muffins These are like mini crustless quiches. You can swap the cheese with other varieties, use different vegetables, and add in canned salmon or other meats to boost the protein. These freeze well and can be reheated in the microwave. They are an easy breakfast or midmorning or afternoon snack. Makes 12 muffins. 6 large eggs 1/2 cup nonfat powdered milk 1/2 cup half and half 1 cup shredded cheddar cheese 2 cups thinly sliced spinach 1/4 teaspoon each black pepper and nutmeg 1. Preheat oven to 350 degrees Fahrenheit. Spray the wells of a 12-cup muffin tin with nonstick cooking spray. 2. In a medium bowl, whisk the eggs until fluffy. In a small measuring cup, mix the powdered milk with the half and half until the powder has dissolved. Add the milk mixture to the eggs and whisk to combine. 3. Add the cheese and the spinach to the egg and milk mixture and mix well. Evenly distribute the egg mixture between the 12 muffin tin cups. 4. Place in the middle of the preheated oven and bake for about 20 minutes or until the muffins puff up and are firm to touch. 5. Cool on a wire rack. The muffins will deflate as they cool.
potatoes are good options, along with berries and fruit. So are eggs, which have the added benefit of providing protein. Nutritional shakes like Ensure are easy to criticize because they have very little protein and a lot of sugar, notes Wade, but they are a source of calories that are intentionally filling for older adults. “It’s not right for everybody, but if they have no appetite and are withering away and losing tissue, having them sip on something that tastes like a milkshake and building on that is a tool in the toolbox,” he said. When it comes to adding protein, both animal sources (lean meats, fish, poultry, eggs, dairy) and plant sources (tofu, lentils, chickpeas, beans, quinoa) will work their magic. Vitamin B12 is also found naturally in foods like meat, eggs and dairy products, and seafood; good sources of fiber include beans, whole grains, brown rice and my elderly mother’s favorite nosh: popcorn.
Also, do not be afraid to salt to taste when cooking from scratch — it can make food taste better — but keep a watchful eye if your senior suffers from high blood pressure. Current Dietary Guidelines for Americans recommends adults limit sodium intake to less than 2,300 mg per day, or about a teaspoon of table salt. Cooking with ingredients that naturally contain high-enough levels of sodium can keep your senior from reaching for the salt shaker. Chef Blumenthal, for instance, seasons roasted vegetables with low-sodium tamari he waters down with apple cider vinegar and spices. He also adds flavor with a lot of mustard, capers and olives. Finally, keep in mind that older adults are at a higher risk for foodborne illness because their body’s immune response to disease is weaker. So, if you or they are cooking meals at home, make sure you always wash your hands, are careful not to cross contaminate and always cook (and store) food at the right temperature.
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Do you have long-term care insurance? Perhaps you were smart and bought your policy years ago, and it has brought you — and your family — peace of mind (and protected your assets). As advertised, long-term care insurance is one of the best ways to financially prepare for the non-medical expenses not covered by health insurance, Medicare or Medicaid. Long-term care insurance was designed to reimburse policyholders a daily benefit amount for services to assist them with the activities of daily living — things like bathing, dressing, meal preparation, medication reminders, housekeeping, shopping, toileting and more. It seemed like a win-win for a time when you might be ill or have reached old age. That was then; this is now. Have you been notified that your premium is going to increase because of higher-than-expected aggregate policyholder claims costs? Have you found the options offered challenging, cumbersome and/or intimidating? “Long-term care insurance companies are trying to frustrate their customers by raising rates and hoping they will reduce their benefits, or — worst-case scenario — drop the policy altogether,” said Ken Jenson, owner of Amada Senior Care Colorado Springs. “They never mention that using the policy and filing a claim will stop the premiums if they use the policy. Most folks do not understand how these policies work. That is why I am willing to visit them and educate the customers for free.” Just as you may have sought help from a professional when considering long-term care insurance initially, you can count on an Amada Senior Care professional to help you get the most out of your policy benefits. As advocates for policyholders, they can help you navigate the sometimes-complicated world of long-term care insurance in several ways, including: • Helping you understand and verify benefits.
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Social Security benefits,” said Paul LaPiana, CFP, head of product with MassMutual. “Knowing your total retirement income and where it will come from is part of the foundation of retirement planning.” One of the most misunderstood and asked about nuances when it comes to Social Security has to do with benefits for married and divorced couples. More than onequarter of near-retiree respondents (28%) did not know that if they have a spouse, the other spouse can receive benefits even if the spouse m Cal ov l t e- od in ay sp fo ec r ia ls!
The latest Social Security retirement benefits quiz of nearretirees from Massachusetts Mutual Life Insurance Company exposes that too many — 69% — failed or barely passed. In fact, more than one-third (35%) failed (vs. 29% last year) and another one-third (34%) barely passed with a grade of D (vs. 36% last year). “One of the most concerning findings was that 43% of near retirees do not know what percentage of their income in retirement will be coming from m Cal ov l t e- od in ay sp fo ec r ia ls!
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SMART CHOICES has no individual earning history. More than one-third (35%) did not know that if they have a spouse and the spouse passes away, the surviving spouse will not receive both their full benefit and their deceased spouse’s full benefit. And 44% did not know that if they get divorced, they might be able to collect Social Security benefits
based on their ex-spouse’s Social Security earnings history. Other key findings: • The majority (84%) know that if they take benefits before full retirement, their benefits will be reduced (vs. 89% last year). Fewer (77%) know that if they receive benefits before their full retirement age and continue CONTINUED ON PAGE 20
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SMART CHOICES CONTINUED FROM PAGE 19
to work, their benefits may be reduced based on how much they make (vs. 82% last year). • 42% plan to rely on Social Security as their largest source of income in retirement, despite the possibility that benefits could be reduced by 2035. Just over one-half (55%) are aware that Social Security benefits
could be reduced by 2035 (vs. 60% last year). • 27% believe that their income can sustain them 10 or fewer years in retirement. Less than half (42%) believe their income can sustain them 21 years or more. More than one-quarter (28%) of near retirees do not know how much money, in addition to Social Security
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SMART CHOICES benefits, they will need to retire. • 28% believe their retirement income plans account for inflation and market volatility (vs. 17% last year). Just under onequarter (24%) feel they are not at all exposed to stock market fluctuations in retirement. • 24% have documented their financial information and online
usernames and passwords in one place as part of their estate plans. Nearly one quarter (22%) have not, and never plan to. “There are two key things to remember when it comes to retirement: Knowledge is power and planning is powerful,” said LaPiana. “For those nearing retirement,
the questions you need to ask yourself are, ‘where is my income going to come from and what do I need to do to ensure that I do not leave anything on the table?’ With Social Security and all of your other retirement income streams, know the nuances. Carefully plan. And make decisions on purpose and not by accident.”
Methodology
An online poll about Social Security commissioned by MassMutual was conducted by PSB Insights from March 31 to April 5, among 1,500 Americans age 55-65 who have not filed for Social Security retirement benefits. The results indicate that near retirees’ knowledge about Social Security is lower than in 2022.
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SMART CHOICES MAKE THE MOVE:
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Assisted living facilities provide a vital service to families across the globe. In fact, more than 800,000 people in the United States are currently living in assisted living facilities, according to a 2023 report from Zippia, an online recruitment service that gathers information from the Bureau of Labor Statistics and its own internal data. The decision to move oneself or an aging relative into an assisted living facility is complicated. Though such facilities typically offer an excellent standard of care, it can still be bittersweet for an individual to leave his or her home. It also can be difficult to identify when the best time is to make such a transition. Though each individual case is unique, the following are some indicators that the time might be right to move oneself or an aging loved one into an assisted living facility.
Emotional challenges
The National Council on Aging notes that certain emotional challenges may indicate the time is right for an individual to move into an assisted living facility. The NCOA encourages individuals making such a decision independent of others to ask themselves if they are experiencing feelings of loneliness or depression. Assisted living facilities can provide much-needed social interaction that seniors may not be getting at home. If feelings of loneliness or depression are present, then the time might be right to make the move to an assisted living facility.
Physical challenges
Many individuals move into assisted living facilities because the physical challenges of daily life have become too significant to handle alone. The NCOA notes that individuals who are feeling overwhelmed by tasks such as buying groceries, cooking and cleaning may benefit from moving into assisted living facilities that handle such tasks for them.
Issues with hygiene
The presence of additional challenges related to hygiene also may suggest a move to an assisted
Allowing a parent, child or yourself to become the full-time caretaker of a loved one can have adverse effects on the health of the caretaker. There is no shame in acknowledging when the time is right to consider an assisted living facility.
living facility may be beneficial. Staff at assisted living facilities can help adults who are struggling to bathe, dress themselves or use a restroom on their own. Family members can look for signs that a loved one’s personal hygiene has taken a turn for the worse. Issues with hygiene can be a byproduct of depression, and poor hygiene also can increase risk for infection and illness.
Injuries
The NCOA notes that falls or nearfalls are another potential sign that
22 | SENIOR LIFE EXPO | October 2023
a person can benefit from moving to an assisted living facility. Falls can hurt anyone, but they can be especially damaging to aging adults. For example, the National Institutes of Health report that falls may result in loss of independence, chronic pain and reduced quality of life. Assisted living facilities are often equipped with features to reduce the risk of falls, such as grab bars in showers and bathrooms and even along corridor walls. In addition, assisted living facilities may be housed in single-story buildings
or equipped with elevators, which means residents will not be forced to navigate potentially dangerous staircases at any point during the day. Staff also can respond quickly if residents experience a fall, providing much-needed assistance that seniors living alone or with an aging spouse may not get at home. Various signs may indicate that the time is right for individuals to move into an assisted living facility so they can more safely navigate daily life.
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SUPPORT YOUR NECK, ALIGN YOUR BODY Scandanavian-designed and endorsed by the American Chiropractic Association, our Stressless chairs give you patented support and comfort with all models available in three sizes to custom-fit your body — from head to toe. They will move backwards and forwards, and swivel from side to side. Check out high backs, low backs, power models, chairs with and without arms, and others with ottomans or footrests and more. Take a seat; see and feel why Stressless chairs are famous the world over for comfort! LIFT CHAIRS THAT MEET YOUR ELEVATED EXPECTATIONS UltraComfort, a family-owned and operated medical device company brings their American-made quality and craftsmanship home with superior functionality, innovative designs and high-end fabrics. The patented mechanism gives you ultra-comfort! Designed for those with mobility challenges, these “best seats in the house” help users sit and stand faster, providing both physical and emotional benefits. Visit a professional at American Furniture Galleries, 3212 East Platte Ave., to find the chairs built for you! We are open seven days a week: Monday to Saturday from 10 a.m. to 6 p.m. and on Sunday from noon to 5 p.m. Call us at 719-632-6621 or visit us at AmericanFurniture.com. October 2023 | SENIOR LIFE EXPO | 25
SMART CHOICES
Volunteering in late life may protect the brain PR NEWSWIRE
Volunteering in late life is associated with better cognitive function — specifically, better executive function and episodic memory — according to research presented in July at the Alzheimer’s Association International Conference in Amsterdam, the Netherlands and online. “Volunteers are cornerstones of all communities and imperative to the success and impact of many organizations, including the Alzheimer’s Association,” said Donna McCullough, Alzheimer’s Association chief mission and field operations officer. “We hope these new data encourage individuals of all ages and backgrounds to engage in local volunteering — not only to benefit their communities, but potentially their own cognitive and brain health.”
Volunteer activities, such as supporting educational, religious, health-related or other charitable organizations, provide a means for older adults to be more physically active, increase social interaction and provide cognitive stimulation that may protect the brain. However, there is a lack of information on the relationship between volunteering and cognitive function, especially in large, diverse populations. As first reported at AAIC 2023, Yi Lor, MPH, an epidemiology doctoral student at the University of California Davis, alongside principal investigator of the studies, Rachel Whitmer, Ph.D., examined volunteering habits among an ethnic and racially diverse population of older adults in the Kaiser Healthy Aging and Diverse Life Experiences Study and Study of Healthy Aging in
2 DAY CENTER
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African Americans. In the combined group, 1,167 (43%) participants reported they had volunteered in the past year. The researchers found that volunteering was associated with better baseline scores on tests of executive function and verbal episodic memory in this study group after adjusting for age, sex, education, income, practice effects and interview mode (phone vs. in-person). Volunteering was also associated with a trend toward less cognitive decline over the follow-up time of 1.2 years, but this association did not reach statistical significance. Additionally, those who volunteered several times per week had the highest levels of executive function. “Volunteering may be important for better cognition in late life and
could serve as a simple intervention in all older adults to protect against risk for Alzheimer’s disease and associated dementias,” said Lor. “Our next steps are to examine whether volunteering is protective against cognitive impairment, and how physical and mental health may impact this relationship.”
Medicaid doesn’t have to be confusing Services Include:
• Application Assistance • Assistance with redetermination • Assistance with Income Trusts • Troubleshooting • Eligibility reviews • Free Consultations • Medicaid Real Estate Assistance We can help provide innovative solutions for your individual situation! AAA Medicaid Consulting, Inc. 719-459-2519 | www.AAAMedicalConsulting.com
CONNECTIONS If you have hearing loss or a speech disability, learn how Relay Colorado can make phone calls easier. The Lynn Institute conducts clinical trials in adult and pediatric populations free of charge for new and existing medications. All participants are compensated for their time. If you are interested or would like more information about participating, please call us at the number below.
719-224-9044 • study@lhsi.net • lhsi.net 26 | SENIOR LIFE EXPO | October 2023
Visit relaycolorado.com for more information
SPONSOR SPOTLIGHT KISSING CAMELS FAMILY DENTISTRY
Quality, compassionate dental care in Colorado Spring SPONSORED FEATURE
Welcome to Kissing Camels Family Dentistry, where personalized dental needs are met in one office. Dr. Boals, Dr. Johnson and Dr. Effinger comprise the caring, kind and friendly team that provides top-quality, gentle dentistry to patients of all ages. The doctors take the time to listen to your needs and guide you through the treatments that you may require, whether your dental needs are preventive, restorative or cosmetic. Services include emergency dental care; pediatric dentistry; facial aesthetics: Botox and dermal filler; ClearCorrect; veneers; tooth extractions; root canal therapy; teeth whitening; dental implants and dentures. A number of sedation types are available for anxious patients.
Building lasting relationships with patients is a priority at Kissing Camels Family Dentistry, which is why the entire care team — from the front desk through checkout — treats you like family. The practice has earned five-star ratings and been voted Best Dentist in Colorado Springs, among many other accolades. But let’s face it: the best reviews come via word of mouth. Check out patients’ reviews that speak to the warm atmosphere and high comfort level experienced. Kissing Camels Family Dentistry gives back to the community, too! Each quarter, the office proudly donates $5 for each new patient seen in-office, and $1 for every Like/Follow on social media (check out www.facebook.com/
Dr. Paul Effinger, Dr. Alexa Johnson and Dr. Cody Boals
kissingcamelsfd), benefiting a local nonprofit organization. This philanthropy puts a smile on the face of a lot of people!
Are you ready to make an appointment? Call 719-301-6604 or visit kissingcamelsfamilydentistry.com; your smile will thank you!
Optum doctor + Medicare Advantage The better choice for your health care We’re a large family of local primary care doctors, specialists, and care teams. We specialize in care for people ages 65+.
Medicare Annual Enrollment Period is October 15 through December 7.
When you choose us, you get: • A dedicated care team • A personalized care plan to help you stay healthier • A wide range of resources to make better health easier
Optum accepts Humana, UnitedHealthcare, and Aetna Medicare Advantage plans. Talk to a licensed insurance agent any time at 1-719-657-6887, TTY 711 or visit Optum.com/AEPCO24.
1. Calling this number will direct you to a licensed insurance agent. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Sales agents and Optum are separate entities and are not responsible for each other’s contractual or financial obligations. 2. There are several ways to learn about your Medicare coverage options. You can review the CMS website at medicare.gov or call 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048), 24 hours a day/7 days a week.
October 2023 | SENIOR LIFE EXPO | 27
Long-term care insurance companies are raising their rates and sending you options to choose from. Don’t make the mistake of choosing the wrong option!
we can help
Call for a free evaluation!
Ken Jenson, Owner/CEO
At AMADA we are a PRIVATE HOME CARE AGENCY that specializes in helping you access and maximize your LONG-TERM CARE INSURANCE POLICY.
OUR SERVICES: LONG TERM CARE INSURANCE • Free expert policy review • Understanding your benefits
DID YOU KNOW? • When you start using your policy, you stop paying your premium. • Your benefits have either doubled or tripled while you held onto these policies.
IN-HOME CARE GIVERS • Personal Care • Meal Preparation • Medication Reminders • Laundry • Transportation Services • Exercise Assistance • Light Housekeeping • Companionship
as you would.
We know that somebody you love needs us. We are here to care for your family
Call for a complimentary long term care insurance review.
719.377.9121 • www.AmadaColorado.com