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L I V I N G 55 + | d i s e a s e
Watching for Melanoma
M
elanoma, the leading cause of death from skin disease, is not to be taken lightly. The cancer is less common than other types, but it is extremely dangerous if not found early.
Melanoma accounts for less than 2 percent of skin cancer cases, but the vast majority of skin cancer deaths, according to the Skin Cancer Foundation. Seniors are urged to be extra cautious, because the risk of developing melanoma increases with age. Other risk factors for melanoma include fair skin, certain types of moles, multiple birthmarks, using tanning devices, having relatives with a history of melanoma and a weakened immune system.
Checking Yourself Self-examinations can help you spot potential skin cancers early, when they can almost always be completely cured. The Skin
Cancer Foundation recommends you examine your skin from head to toe once a month, even in the fall and winter.
Take note of any new moles or growths during your self-check, as well as any changes to existing growths. Lesions that change, itch, bleed or don’t heal are signs you need to take seriously. Make an immediate appointment with your physician to have it checked. Another smart practice to consider is regularly using an SPF 15 or higher sunscreen. People who do so reduced their risk of developing melanoma by 50 percent, according to the Skin Cancer Foundation.
The ABCDE System To help people identify and seek treatment for this deadly cancer, physicians have developed the ABCDEs of Melanoma: • Asymmetry: One-half of the abnormal area is different from the other half. • Borders: The edges of the growth are irregular. • Color: Color changes from one area to another, with shades of tan, brown or black • Diameter: The spot is usually larger than 6 millimeters in diameter • Evolution: The mole keeps changing appearance.
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2015 TRIPS Funny Girl - Dutch Apple Theatre: April 22 Made famous by Barbara Streisand, Funny Girl is a flashback to the life of comedienne Fanny Brice. It highlights her rise to stardom in the Ziegfield Follies and stormy relationship with her husband Nick Arnstein who gambled their fortune away. Cost: $93pp Departure Locations: CH, Hbg, Carl, YS Branson Fever- Penn’s Peak Theatre, Jim Thorpe PA: May 5 After lunch, enjoy a show featuring Dave Rehrig of Twitty Fever, the comedy of Craxy Elmer and a tribute to Dolly Parton. Combine chart topping country music with comedy and you’ve got an afternoon of fun! Cost: $118pp Departure Locations: CH, Hbg, Carl, YS Two Castles & A Cathedral: May 27 Visit the village of Bryn Athyn, home to industrialist Jon Pitcairn. Enjoy guided tours of Pitcairn’s Beaux-Arts Mansion, Cairnwood, Glencairn and the Gothic Bryn Athyn Cathedral. Enjoy lunch at Cairnwood. Cost: $97pp Departure Locations: CH, Hbg, Carl, YS
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L I V I N G 55 + | h e a lt h
Getting Healthy: It’s Never Too Late
M
aybe you’ve been sneaking a few too many bites of red meat or skipping your morning walk lately. Before you come down too hard on yourself, realize that it’s never too late to redesign how you approach your lifestyle choices.
Maybe you’ve been sneaking a few too many bites of red meat or skipping your morning walk lately. Before you come down too hard on yourself, realize that it’s never too late to redesign how you approach your lifestyle choices.
We all know the simple way to losing weight and finding more energy is through exercise and healthy eating. But what about a senior with a slower metabolism or even a physical disability? Everyone’s situation is unique and may call for a differentiated strategy to achieve healthier living. But one thing remains consistent throughout everyone’s personal journey: You can positively impact your well-being by making smart, health-focused decisions. Here’s how:
Take Control Sometimes, we are our own biggest obstacle to following through on our healthy choices. We make excuses, re-schedule workouts and find reasons to indulge in foods that we know aren’t good for us. It might be time for a long look in the mirror. Are you serious about incorporating more exercise into your daily routine? Do you plan to execute your meal plan without any major slip-ups?
Educate Yourself If the answers to the aforementioned questions are no, remember that unhealthy choices are major catalysts in the worldwide increase of chronic diseases such as diabetes, heart disease and arthritis. These diseases lead to a substantial number of preventable deaths and disabilities, as well as negative effects to our healthcare system. The Centers for Disease Control and Prevention estimates that 75 percent of our healthcare dollars go to the treatment of chronic diseases.
Don’t Forget Mental Health Being healthy isn’t constrained to physical well-being. Seniors should maintain their mental sharpness as the years go by to achieve increased vitality, social function and life satisfaction. Doing so requires a little extra attention to the things that can stimulate your brain – such as reading the newspaper, watching a live play or solving a crossword puzzle. Conversing with others about current events also can help you maintain your mental health.
Cumberland County Aging & Community Services An agency dedicated to providing programs and services that assist older adults to maintain their health, welfare, and independence. • APPRISE—Medicare & Related Health Insurance Counseling • Caregiver Support • Home and Community Based Support Services • Information and Referral • Long-Term Living Assessments & Care Management • Older Adult Protective Services • Ombudsman • Senior Centers • Transportation • Volunteer Opportunities ...and much more! Contact us at: 717-240-6110 * 1-888-697-0371 x6110 1100 Claremont Rd * Carlisle PA 17015 www.ccpa.net/aging
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219 N. Hanover St. | Carlisle PA 17013 | 717-243-4511 | Email: Info@HoffmanRoth.com
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L I V I N G 55 + | r e t i r e m e n t h o m e s
These are not your grandmother's retirement homes
A
s the Baby Boomer generation enters retirement age, there has been an increased demand for services that meet the needs of this segment of the population. Amenities such as active-living communities that boast top-ofthe-line features typically are the first things individuals seek.
Age-restricted, 55-plus communities cater to what the name implies -- people who are age 55 and older. However, these home developments are a far cry from what they used to be. Now they rival some of the best resorts in their features and are designed entirely around the needs of a group of active, amenity driven people. Plus, considering there now are more Americans age 65 and older than in any other point in history, according to the U.S. Census Bureau, developers understand the benefits of catering to this group of people. Therefore, there are more high-end active-living communities now than ever before. There are many choices with regard to active adult retirement communities. Many of these developments boast everything from detached, single-family homes to villas to condominiums. These residences are built with the active adult in mind. Here are some of the benefits that these communities boast.
Community companionship Due to the age-restricted nature of active-adulthome-developments, the residents are all in a similar age range, and may have similar interests. At a time in life when friendships from work may waver due to retirement, and older children may be busy with their own lives, these communities can help foster new friendships. Whether through community-sponsored activities or just through home proximity, residents can enjoy one another's company and never worry about feeling lonely into their retirement years.
Low- or nomaintenance living One of the biggest attractions to active-adult living is that these homes are built to provide worry-free living. Included in the home ownership fees are provisions to take care of much of the interior and exterior maintenance. That means should a pipe leak or the lawn needs mowing, maintenance staff rather than the homeowner will handle the problem. This peace of mind enables residents to pursue interests rather than worry about the upkeep on their homes. Many times the community is expertly manicured, helping to create an aesthetically pleasing environment.
Activity-based fun Many communities build activities into the living plan. Therefore, there may be a workout room, the game center, exercise classes, movie nights, and many other attractions to keep residents busy.
Active-adult communities may be similar to allinclusive vacations and cruises in that they have their own activities coordinator on staff. Should residents prefer solo activities, the property on which these homes are built are often created with recreation in mind. There can be walking paths or areas for cycling. Pools and spas are often part of the living package as well.
Security Individuals who are no longer bogged down with work requirements may be more likely to take vacations or go visiting. In a traditional home, there may be worries about leaving the home unattended for a period of time. However, in 55-plus residences, homes may be in gated communities or have security patrols. Also, the sheer number of homes in a townhouse-style building can camouflage homes that are currently vacant, easing the minds of those who are planning on going away.
Concierge services Some of the more exclusive communities may have staff who can help with everything from booking vacations to helping with moving details. There also are developments that offer transitional homes, and someone may be available to help with the transition from an active-style home to one that has nursing staff or assisted living offerings at that time in life when it is needed. Active-living communities offer many of the features that recently retired people seek in homes that do not compromise on amenities. Individuals who are looking for comfortable, maintenance-free homes often seek out these developments for the convenience and services they offer.
VILLAGE SQUARE
At the all new Village Square, retirement is where work ends and life begins. It’s taking a class. Catching a lively show. Uncovering a brand new talent. It’s personalizing your charming, modern apartment home to your exact taste. Proudly entertaining friends and family. Living at the heart of a thriving community. It is a life of purpose and zest that’s as spontaneous, vibrant, and independent as you.
To learn more about Village Square, call 717.967.0735 today. Be sure to ask about the financial benefits of Priority Club Membership.
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L I V I N G 55 + | LE G AL ISSU ES
A Look at Advance Directives
D
eciding to create advance directives can be one of the most important – and complicated – decisions one can make.
Advance health care directives offer you a way to give consent for certain situations for which you may or may not want medical treatment. This can be a touchy subject for many people, but they can be extremely useful documents that outline and facilitate your wishes should the circumstance arise.
Timing of Advance Directives The best time to create an advance directive, obviously, is before you need one. If you become ill or are near the end of your life, it may be too late to cognitively make your own decisions about what medical care you may want in certain situations. Along those lines, if you make an advance directive early in your adulthood, you are allowed and even encouraged to review and update your documents if you are diagnosed with any type of serious illness.
Life-Sustaining Treatment
The American Cancer Society defines life-sustaining treatment as anything mechanical or artificial that sustains, restores or substitutes for a vital body function. It can include: • Cardiopulmonary resuscitation (CPR). • Artificial respiration (mouth-to-mouth breathing, manual ventilation or a ventilator). • Medicine to help with blood pressure & heart function. • Artificial nutrition or hydration. • Dialysis. • Certain surgical procedures such as amputation, feeding tube placement or tumor removal).
Putting Someone in Charge Sometimes, family members make tough medical decisions for spouses, parents, or adult children who can no longer speak for themselves. Many states have passed laws that say which family members may act on behalf of someone in this situation. A variety of documents can be considered advanced directives, including power of attorney, living wills, do-notresuscitate orders and other agreements. Since laws vary state by state on such documents, be sure to check in with your local healthcare agency to find out what your state requires.
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Board Certified Gastroenterologists Theodore Berk, M.D., F.A.C.P. | Robert Levy, D.O. Jonathan Verrecchio, D.O. | Patrick McDevitt, D.O. Tareq Yasin, M.D. | Atul Bhardwaj, M.D. Danielle Oakes, C.R.N.P. | Michelle DeLeon, CRNP
COLORECTAL CANCER Are you over 50?
If you answered “Yes”, it is time for everyone over the age of 50 to get screened for colorectal cancer. Colorectal cancer is the second leading cause of cancer-related death for both men and women.
Have you been screened? Get the facts. You can reduce your risk if you get screened starting at the age of 50. Colorectal cancer is preventable if polyps that lead to the cancer are detected and removed. Since there are very few symptoms associated with colorectal cancer, screening is essential! Carlisle Endoscopy Center provides patients with state of the art, high definition endoscopy performed by our Board certified gastroenterologists. OPEN ACCESS ENDOSCOPY NOW AVAILABLE! This allows healthy patients to schedule a screening colonoscopy in our endoscopy center without a prior office visit.
Call today! Other services provided by Carlisle Endoscopy Center include non-surgical hemorrhoid treatments, capsule endoscopy, upper endoscopy (EGD) and 24-hr pH monitoring.
+241 Alexander Spring Road • Carlisle • Pennsylvania • 17015 717-245-2228 • Fax 717-245-0806 www.carlisledigestive.com
L I V I N G 55 + | h e a lt h
Dehydration: A Real Concern
L
istening to your body is crucial for senior citizens. This especially rings true when you’re feeling thirsty or dry-mouthed.
This can be a sign of your body becoming dehydrated, most commonly during hot, humid weather. Seniors’ signaling mechanism for thirst start to weaken as we age, making it harder to stay properly hydrated, according to the Mayo Clinic. If we don’t feel that urge to drink water, it may be too late by the time our thirst actually kicks in. Dehydration is a serious health issue that must be addressed quickly and comprehensively should it occur to you.
Warning Signs The Mayo Clinic identifies the following as warning signs for dehydration: • Little or no urine • Dry Skin • Urine that is darker than usual • Disorientation • Dry mouth • Confusion • Fatigue • Headache • Light-Headedness
Danger of Dehydration
Real dangers are associated with becoming dehydrated, most notably an increased risk of falls, urinary tract infections, kidney stones, constipation, dental disease and impaired cognitive function. If you have recently experienced any of the above symptoms, it is important to talk with your physician. Together, you can put together a plan of action for avoiding future dehydration-related issues.
Ways to Avoid It Staving off dehydration requires you to bring a bottle of water with you wherever you go – whether you’re taking in an afternoon baseball game or raking leaves in the yard. Drink from it often to keep your body properly hydrated. The Mayo Clinic also recommends drinking a glass of water or juice while you enjoy a meal or snack. This will combine with the natural liquids in your food to keep your body up to speed. If you’re taking a bike ride or going for a walk, be sure to take along a water or sports drink. Your body needs to be replenished during exercise as it releases sweat.
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Who will speak for you if you cannot speak for yourself?
A medical crisis can happen to anyone. All adults should consider what their future healthcare choices would be if they are unable to speak for themselves. An advance directive can make sure your loved ones and healthcare providers are aware of your priorities.
Pennsylvania has two kinds of advance directives: + Living will—A document that tells others about your medical care choices. You can specify the care you want or do not want.
+ Healthcare power of attorney (or durable power of attorney)—You can specify the person who will make your healthcare choices if you are unable to do so.
You do not need a lawyer to complete an advance directive. Talk to your physician, clergy, family and friends about your wishes. Discuss your wishes with them often, particularly if your medical condition changes. To get started, visit pinnaclehealth.org/livingwill.
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