The Wise Guide - Winter/Spring 2016 by Jonnie Bradley

F R E E

DE Every 40 Secondsâ&#x20AC;Ś Veterans Resources Specialized Acute Care Are Your Ears Ringing?

N. Central Idaho & S.E. Washington

WINTER / SPRING 2016

Features

12 Every 40 Seconds......

Someone in the U.S. suffers from a stroke

E26

Directory

Are Your Ears Ringing?

Specialized Acute Care

Continued care beyond hospital stay

Cataracts....................................................................... 4 About the Cover Artist................................................. 7 When is it Time to Consider Assisted Living?............... 10 Every 40 Seconds........................................................ 12 Achieve Your Highest Level of Independence.......... 14 Understanding the Cost of Assisted Living.............. 16 Confused About In-Home Care?............................... 17 AARP Foundation Tax-Aide....................................... 18 Veterans Pages.......................................................20-23 State Run Veterans Homes........................................ 24 Anyone Can Ride!....................................................... 25 Are Your Ears Ringing?............................................... 26 Crossword & Sudoku.............................................28-29 Not Just Another Squirrel.......................................... 30 Support Groups.......................................................... 32 Senior Meal Sites........................................................ 33 Specialized Long-Term Acute Care........................... 34 Get the Most from Your Medicare............................. 36 Emergency Planning Assistance............................... 44 Crossword & Sudoku Answers.................................. 45 Emergency Caregiver Respite................................... 46

About tinnitus

Aesthetics.................................................................... 38 Agencies, Free Referral Services & Volunteer Opportunities....................................... 38 Care Communities; Independent & Assisted Living, Adult Day Care........................... 38 Entertainment & Recreation..................................... 39 Financial & Asset Management................................ 39 Gifts & Shopping........................................................ 40 Hearing & Vision ........................................................ 40 Hospice ...................................................................... 40 Hospitals, Medical Care & Surgery Centers............. 40 In-Home Services....................................................... 41 Legal............................................................................ 41 Pharmacies, Medical Equipment, Safety & Supplies.................................................. 41 Veterinary & Animal Care.......................................... 42

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Cataracts David B. Leach M.D., F.A.C.S ClearView Eye Clinic

f you are over 60 years of age, it is likely you or someone you know has cataracts. This is because cataracts affect over 22 million Americans over 40 which is about 1 out of every 6 people in this age range. Studies have shown that by age 80, more than half of all Americans have visually significant cataracts, and many of these already had cataract surgery.

What are cataracts? A cataract is a clouding of the naturally clear lens of the eye. Symptoms include blurry or hazy vision and diminished night or reading vision. Often patients see glare and halos around headlights while driving at night. Cataracts are progressive in nature and their symptoms worsen over time.

Can I prevent cataracts? All of us will get cataracts in due time. Early in life, protecting the eyes with ultraviolet coating in glasses and sunglasses can be beneficial in delaying cataract onset. For those with medical conditions like diabetes mellitus, optimizing blood sugar control aids in cataract prevention as well as general eye health. However, there are currently no proven medications or diet supplements to definitively prevent cataracts.

What happens during cataract surgery? There are two methods of cataract surgery. One is the older, traditional method of cataract surgery using a manual or “free-hand” approach. Second is a more modern procedure called Femtosecond Laser-Assisted Cataract Surgery.

Wise Guide | Winter / Spring 2016

The manual approach involves performing every step of surgery manually and with nothing more than free hand cutting with a blade and ultrasound. For the

The more modern technique of laserassisted surgery ensures precision at every step of your procedure. majority of patients, this produces good results and improved vision. The more modern technique of laser-assisted surgery ensures precision at every step of your procedure. The laser is used to create a “bubble channel” that separates the tissue, and creates a precisely centered opening into the front capsule of the cataract. Next the laser simultaneously softens and prepares the cataract for ultrasonic removal instead of manually chopping up the cataract. Additionally, the femtosecond laser makes “arc” incisions around the edge of the cornea to reduce or eliminate corneal astigmatism, something that cutting freehand is imperfect at performing no matter how steady the surgeon’s hand. The advantages of femtosecond laser-assisted cataract surgery are that every step of the procedure is performed with laser precision and postoperative vision is expected to be better when compared to manual cataract surgery.

Continued on page 8

I am ClearView At ClearView Eye Clinic, we are honored to serve the communities surrounded by the natural beauty of the Lewis & Clark Valley. With locations in Moscow and Lewiston, you will see our commitment to your vision from the moment you enter our doors. Whether your ClearView is a night in or a day trip through the

Palouse, we’re here to support your vision, and we appreciate the trust that’s been placed in us as the region’s leading eye care team. David Leach, MD FACS

Shawn Richards, MD FACS

Katherine Gleason, OD, FAAO

Julie Cheng, MA, CCC-A

Rhonda Comstock, RN CLT

David Wood, AuD, F-AAA

C Ve y e s . c o m

LO CAT I O N S

SERVICES

LEWISTON 2840 Juniper Drive 208.746.5100

• Complete Family Eye Care

• Glaucoma Care & iStent

• Laser-Assisted Cataract Surgery

• Advanced Facial Aesthetics & Eyelid Lifts

MOSCOW 2500 West A St 208.882.4662

• Bladeless LASIK

• Hearing Aids & Audiology

• Consults & Second Opinions

• Optical Gallery & Designer Sunglasses

• Macular Degeneration Care

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Cataracts

Continued from page 7 ________________________________________________

Are there different types of lens implants? There are 3 different types of lens implants. A basic single focus implant, a multifocal implant and an astigmatism correcting implant. The single focus (“monofocal”) lens implant allows a person to see at near or at distance, but not at both ranges. This type of basic implant is typically covered by most insurance companies and Medicare. The astigmatismcorrecting lens implant is called a TORIC lens, enabling patients to see at distance after surgery. The multifocal lens implant allows the patient to see well both at near as well as at distance, giving a broader range of vision. The TORIC and multifocal implants are premium options that are partially covered by Medicare or insurance, meaning there is an out-ofpocket investment by the patient who desires these optional vision benefits.

Movin’ On FREE Weekly Exercise Class for all Cancer Survivors Every Tuesday - 10:00 AM Welcoming men and women at any stage of their cancer journey. St. Joseph Regional Medical Center Idaho Street Building 1250 Idaho Street, Lewiston Call 208-799-5219 for more information. 6

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Summary The methods of cataract surgery differ depending on the surgeon’s training and experience, and while some prefer to stick with the basic manual surgery, laser-assisted cataract surgery is becoming the preferred method by the more progressive cataract surgeons worldwide. There are wonderful choices of lens implants available to the modern cataract

There are wonderful choices of lens implants available to the modern cataract patient. patient. When the time comes for cataract surgery verify that your surgeon offers a full range of lens and surgical options. It may be one of the most important decisions you’ll ever make in your healthcare. _________________________________________________ David B. Leach, M.D., F.A.C.S., is a graduate of the University of Kentucky Department of Ophthalmology and Visual Sciences and specializes in the techniques of laser-assisted cataract surgery. Dr. Leach has been awarded Top Surgeon by Sightpath Medical several consecutive years and founded the ClearView Eye Clinic & Surgery Center with locations both in Moscow and Lewiston, Idaho. The ClearView Surgery Center in Lewiston is the first location to offer LenSx femtosecond laser-assisted cataract surgery in the Pacific Northwest. Dr. Leach can be contacted at davidleach2020@gmail.com or via www.CVeyes.com.

About the Cover Cover Artwork:

“The Paint Horse” by Connie Spurgeon

About the Artist Connie was born into a very artistic family where family members wrote poetry, painted or played musical instruments and she was encouraged to pursue her love of drawing. Horses were and still are, a huge part of Connie’s life. Growing up riding, showing and competing at different levels with a variety of breeds, her dream was to train thoroughbred race horses. She moved to Canada to pursue that dream and a career on the racetrack where she was very successful until a serious injury

Mustang Sky changed her plans and she returned to Sandpoint. Connie continued to paint and over the years has had the opportunity to work and paint mostly in water mediums; Yellowstone Morning Bull watercolor,

Buddies

Shady Siesta gouache and acrylic, with pastel, casein and some silk dye paintings for variety. Her subject matter mostly revolves around horses and the people whose lives involve them. Connie and her husband, Gary, enjoy a western lifestyle and are in both involved in their community. Connie has won the Presidential Award for Community Service and is an active leader in Ranch Horse 4-H. She also competes in local cattle sorting events. encouraging and teaching others. Connie has been involved with the Susan Kathleen Black Foundation since its beginning, encouraging and teaching young artists through mentorship programs. Connie likes to inject humor into her work by subject matter

or catchy titles. Specializing in portraits she captures the beauty of each individual animal and has won numerous awards. Her art hangs in private collections across Canada and the U.S. Originals & prints of her body of work, can be found at: etsy.com/ConnieMSpurgeonArtist Connie welcomes commissions too.

Bearly Morning

No Ewe Turns

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e are delighted to have the opportunity to bring The Wise Guide to you! While there is a wealth of information available about how to live a healthy lifestyle, few resources offer relevant information for dealing with the realities of aging and health-related issues, your own and that of your loved ones. We and our parents’ generation are living far into our advanced years, and along with that comes a host of maladies and remedies to cope with them. Let’s face it, health care today bears little resemblance to that of the past with continually changing treatment modalities and technological advances. Knowing WHAT to do, and WHEN to take action, is important. Making informed decisions, not crisis driven decisions made in panic mode, assures a more positive outcome. There is nothing more disturbing than saying, “I wish I had known…” so we, at The Wise Guide, work very hard to inform you so you DO know, and CAN make plans and decisions you feel better about. And for those things you didn’t anticipate, we provide resources for agencies, companies and individuals to help.

Wise Guide | Winter / Spring 2016

The Wise Guide Winter / Spring 2016 Office: 208-263-5654 Email: info@thewiseguideonline.com www.TheWiseGuideOnline.com

Jonnie Bradley Editor

The Wise Guide

Patty Jo Carter Marketing Director

208-512-0912 PJC@TheWiseGuideOnline.com

Donna Brosh Designer

The Wise Guide

Although every precaution has been taken in the publication of this guide, the publisher and authors assume no responsibility for errors or omissions. This guide is not intended to be legal or medical advice or to endorse any product or service. It is meant to serve as an information resource guide and not as a substitute for professional assistance. The Wise Guide, LLC is not responsible for the contents of any websites referenced within this directory, nor does it endorse any specific products or services referenced. No part of this directory may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage and retrieval system without the express written permission of the publisher, The Wise Guide, LLC.

Five-Star Quality Care Full-Time On-Site Physician | Therapy Offered 7 Days a Week Skilled Nursing and Long-Term Care | Memory Care Unit Certified Wound Care Services Call today to schedule a tour.

208.798.8500

LifeCareCenterOfLewiston.com 325 Warner Dr. | Lewiston, ID Wise Guide | Joint Commission accredited

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When is it Time to Consider Assisted Living? by Mandi White, Community Relations Director, Bishop Place Senior Living

“M

y mom is not ready to move into an assisted living community. She has lived in her home for over 50 years. She gets around the house fairly well.” This is a typical phone call that senior living communities receive every day. The next statement is usually, “But I don’t think she is eating well” or “She calls me frequently to ask questions I know she knows the answer to” or “Mom does not go out of

the house to do the things she enjoys anymore.” These little red flags did inspire the daughter to make a phone call to seek advice, indicating it probably is time to approach the topic of Mom’s ability to remain independently at home. Discussing the topic of leaving home to go to an assisted living facility is never easy. Families often feel guilty for not being able to care for their loved one. And, the loved one often feels forced into the decision, or feels as though they don’t have a say in the matter at all. These thoughts and feelings are very normal

Discussing the topic of leaving home to go to an assisted living facility is never easy. Families often feel guilty for not being able to care for their loved one. and commonly detour families from researching the matter further until something drastic forces the issue. Senior care professionals use two scales to measure a person’s need for assistance; Instrumental Activities of Daily Living (IADLs) and Activities of Daily Living (ADLs). Activities of Daily Living are basic personal self-care tasks performed regularly to get them through their day. Instrumental Activities of Daily Living are tasks that need to be routinely done to support an independent lifestyle.

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Below is a guide for measuring assistance needs. It was developed by Circa 46, an advertising firm specializing in senior living. When looking at the following tasks ask yourself if Mom needs help rarely, sometimes or often:

ADLs • Dressing • Moving around inside the home • Bathing or showering • Maintaining personal hygiene • Taking medication correctly • Getting in/out of bed or a chair • Eating • Using the bathroom Answering “sometimes” or “often” to 3 or more of these items, is a good indication that your loved one should be considering Assisted Living.

IDLs • • • • • • •

Grocery shopping Doing housework Preparing meals Managing money Paying bills Dialing the telephone Moving around outside the home

Again, examine the answer of “sometimes” and “often” to understand how much help your loved one needs and how many of these tasks are family and friends willing to help with. The guide is a great tool for families to use when beginning to talk to Mom about how well she is living at home independently. It lends factual points for one to understand and discuss how successful they are, or where the downfalls may be and help is needed. Assisted Living communities offer much more than just care for seniors. They can offer social interaction that seniors who sometimes disengage themselves from as they age, most often because they are not as mobile as they once were. More than just Bingo, many communities offer educational opportunities, spiritual engagement, and various support groups. Today’s Assisted Living communities strive to enrich the lives of their seniors, caring for them both physically and mentally. They are engaged and free to enjoy life rather than being “home alone.” While, this topic is sensitive and difficult, it is necessary to have conversations about assisted living to ensure that our loved ones have a healthy, happy, quality lifestyle. Families struggling to start the conversation may turn to the family physician. They can be helpful in situations where a loved one is debating if it is time and they can shed light onto the benefits of assisted living. There are also many online websites dedicated to helping seniors and their families through the discussions. And, we are here as well to help answer your questions so you are better able to make decisions. Just give us a call at 509-334-9488. ________________________________________________ Pullman native, Mandi White, began working in gerontology as a Certified Nurses Aid while attending the University of Idaho, Moscow. She graduated in 2001 with a Bachelor’s in Public Communications. Remaining in the medical field, Mandi worked for physicians’ practices and for the hospital in various roles. In the spring of 2014, she began work at Bishop Place Senior Living where she enjoys working with and learning from seniors.

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Every 40 Secondsâ&#x20AC;Ś.. by Stephanie Field, Marketing Director Tri-State Memorial Hospital & Medical Campus

hat is how often someone in the U.S. suffers from a stroke. I have been extremely lucky in my life that stroke has not yet affected my immediate or extended family, but I am the exception to the rule. Working at a hospital, I see firsthand the devastating effects stroke can have on the individual experiencing the stroke and their loved ones who stand helplessly by their side. Approximately 795,000 Americans suffer a new or recurrent stroke and 129,000 people die of stroke every year, making stroke the fifth leading cause of death in America. While men are more likely to suffer from stroke, 40% of deaths from stroke occur in men, while 60% are in women. A stroke occurs when a blood vessel in the brain ruptures or is blocked by a clot. This â&#x20AC;&#x153;brain attackâ&#x20AC;? can happen to anyone at any time and can have serious effects depending on how much of the brain is damaged. Small strokes can have barely noticeable side effects such as temporary weakness of a limb while larger strokes can cause permanent paralysis or inability to speak. Some can recover completely from a stroke, but more than 2/3 of survivors may be left with some type of disability and makes stroke the leading cause of disability in the U.S. The most common form of stroke is the ischemic stroke which accounts for almost 80 percent of all strokes. This type is caused by a blood clot or other blockage within an artery that leads to the brain. An intracerebral hemorrhage is another type of stroke that is caused by the sudden rupture of an artery inside the brain. Finally, a subarachnoid hemorrhage is also a sudden rupture of an artery, but differs from the intracerebral hemorrhage in that the rupture leads to blood filling the space surrounding the brain rather

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than the inside of the brain. Fortunately, there is good news for prevention! Up to 80% of strokes can be prevented if you know your risks and take action. Some risks of stroke cannot be changed such as age, family history of stroke, race, gender, and a previous stroke, transient ischemic

....other stroke risk factors can be changed, treated, or controlled; risks such as high blood pressure, cigarette smoking, diabetes, heart disease, high blood cholesterol, poor diet, and physical inactivity and obesity attack, or heart attack. But other stroke risk factors can be changed, treated, or controlled; risks such as high blood pressure, cigarette smoking, diabetes, heart disease, high blood cholesterol, poor diet, and physical inactivity and obesity. If you have any of the risks associated with stroke, consult with your physician to learn how to manage and control those risks today to try to prevent stroke in the future. Spot a stroke FAST! The sooner you can recognize symptoms of stroke, the more treatment options become available and associated side effects from stroke can be reduced. Stroke symptoms include sudden numbness or weakness of the face, arm, or leg, specifically on one side of the body; sudden confusion, trouble speaking, or understanding; sudden trouble

seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance or coordination; and sudden severe headache with no known cause. Using FAST is an easy way to remember and identify the most common symptoms of stroke: F – Face Drooping Does one side of the face droop or is it numb? A – Arm Weakness Is one arm weak or numb? S – Speech Difficulty Is speech slurred? Is a simple sentence difficult to repeat? T – Time to call 9-1-1 If you see these symptoms in a person, call 9-1-1 or get to the hospital immediately. It is of importance to note the time you first noticed symptoms as this information is important in treatment decisions.

If you or a loved one happens to suffer a stroke, researchers have found that the central nervous system is adaptive and can recover some functions that may have been lost. As you recover from stroke, rehabilitation programs can help you gain back independence over time. While the severity of the stroke and each person’s individual ability to recover can vary, stroke rehabilitation can be successful to improve quality of life after a stroke. Even with careful attention to prevention techniques, you or a loved one may suffer a stroke. It can be a scary time in your life, but there are people here to help. Caregivers including doctors, emergency medical responders, nurses, social workers, physical therapists, support groups, and many others are here to help you or those you love get through a difficult time in your life. You are not alone and we are here to help. _________________________________________________ Stephanie Field is the Marketing Director at Tri-State Memorial Hospital & Medical Campus, a Critical Access Hospital serving a 10-county region in Washington, Idaho, and Oregon. New to the LC Valley, Stephanie began her career in healthcare marketing in 2013 coming from an extensive marketing career in other industries. She works side-by-side with departments and providers on campus to bring awareness to the community of services and education opportunities TriState offers to fill healthcare needs.

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Achieve Your Highest Level of Independence

by Heidi Frazier, Director of Marketing and Business Development Rehabilitation Hospital of the Northwest

We specialize in rehabilitative services for patients with functional deficits, such as stroke, trauma, spinal cord injury, brain injuries, cardiac, orthopedic, complex medical conditions and other disabling impairments. Our passionate and supportive staff helps patients recover quickly and return home safely with a renewed sense of self-sufficiency. Each of our patients benefit from a unique plan of care that is led daily by a specially-trained rehabilitative physician. As the only freestanding acute rehabilitation hospital serving all of central and northern Idaho, we provide world-class care in a beautiful, healing environment.

ndividuals disabled by an illness or injury often face difficult challenges and major lifestyle changes requiring intensive rehabilitation to regain function and independence. Residents of the Inland Northwest looking for care for themselves or loved ones need look no further than their own backyard to find nationally recognized care. Rehabilitation Hospital of the Northwest (RHN), located in Post Falls Idaho, offers patients the highest level of specialized medical and rehabilitative care available.

The goal for patient care is to regain their physical or cognitive abilities so they can return home at their highest level of independence.

Learn more at RHN.ernesthealth.com.

We provide intensive physical rehabilitation services to patients recovering from strokes, brain, spinal cord and orthopedic injuries, and other impairments as a result of injuries or illnesses. Individuals are also treated for chronic illnesses such as cerebral palsy,

Wise Guide | Winter / Spring 2016

ALS (Lou Gehrig’s Disease), multiple sclerosis, or Parkinson’s disease. The goal for patient care is to regain their physical or cognitive abilities so they can return home at their highest level of independence. Patients who receive rehabilitative services experience more positive results in regaining or improving productivity and independence. For example, a recent national study shows that patients treated in inpatient rehabilitation facilities have better long-term results than those treated in skilled nursing facilities. The study, commissioned by the ARA Research Institute, shows that patients treated in rehabilitation hospitals live longer, have fewer hospital and ER visits, and remain longer in their homes without additional outpatient services. These patients returned home from their initial stay two weeks earlier and remained home nearly two months longer. In addition, patients experienced an 8 percent lower mortality rate and 5 percent fewer emergency room visits per year. Rehabilitation Hospital of the Northwest is ranked in the top 10% of inpatient rehabilitation facilities in the United States for care that is patient-centered, effective, efficient and timely. The ranking is by the Uniform Data System for Medical Rehabilitation (UDSMR), a not-for-profit corporation that was developed with support from the National Institute on Disability and Rehabilitation research, a component of the U.S. Department of Education. Patients that come to Rehabilitation Hospital of the Northwest must: • Require active intervention of two therapeutic regimens (physical therapy, occupational therapy, speech-language pathology, or prosthetics/ orthotics training); one of which must be physical or occupational therapy • At the time of admission, require an intensive therapy program consisting of 3 hours of therapy per day at least five days per week • Require daily physician supervision • Require an interdisciplinary team approach, including nursing care and therapeutic care. • Specially trained physicians, nurses, case managers, and occupational, speech and physical therapists, among other medical professionals, work as a team with their patients and their family members to create individualized treatment plans so our patients can progress at their own ability

levels. Our rehabilitation team is led by our fulltime medical director who is board certified in physical medicine and rehabilitation. The healthcare team provides our patients with 24hour rehabilitation nursing care and daily physician management. Our patients have access to all private patient rooms and well-equipped therapy areas which include a 2,360-square foot therapy gym with private treatment rooms, a heated aquatic therapy pool with an electric lift, and a therapeutic courtyard to allow practice on different terrains such as ramps, stairs, gravel, dirt, curb, curb cut-outs, and wood decking. Services provided include: • Rehabilitation nursing care • Respiratory care to treat, manage, control and provide diagnostic evaluation of the cardiopulmonary system • Speech, memory and cognitive therapy • Physical therapy to help with balance and mobility • Occupational therapy to help perform daily activities, including guided community outings and home evaluations • Aquatic therapy water-based treatments • Wound care to help in the healing, prevention, and management of wounds • Neuropsychology that focuses on how the brain and rest of the nervous system influence a person’s cognitive skills and behaviors • Prosthetic consults, fittings, and equipment assistance • Pain management RHN offers treatment in their multiple day rooms, which include a daily living suite and a transitional suite. These areas allow patients to practice normal, daily, at-home activities while still under the supervision of a healthcare professional. Some of these activities may include get-ting in and out of bed, showering, cooking, or doing laundry. In addition, home evaluations can be done in order to identify any necessary modifications that may need to be made to a patient’s home before leaving the hospital. This helps ensure a safer return to home. To learn more about Rehabilitation Hospital of the Northwest please visit RHN.ernesthealth.com or call 208-262-8700.

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Understanding the Cost of Assisted Living By Jan Ahles, Community Relations Manager, Clark Place Senior Living

t’s not always easy moving your loved one into an assisted living community. It’s an emotional decision that comes with financial concerns and questions. How much does assisted living cost? Are there extra fees? Can my mom afford it? Does my dad have benefits that can offset the costs? There are many variables that affect the cost of assisted living. Location is one factor. Other factors include the level and duration of care, and the types of services. Many assisted living providers charge separately for services such as bathing and dressing,

Enjoy the Comforts of Home with the Loving Care you Need. At Clark Place, a full range of assisted living services and advanced levels of care are available in the comfort of a warm, friendly community. To take a personal tour, call us at 208-882-3438. TM

Clark Place Senior Living

1401 North Polk Street Moscow, ID 83843 208-882-3438

enlivant.com

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housekeeping, laundry, and pet care. These extra fees for care or services can add up. At other communities, many services are included in your base rental cost.

Comparing the Costs of Assisted Living vs. Living at Home Keeping a loved one at home and serving as their primary caregiver may seem like a cost-effective way of meeting their needs. Over time, as the loved one’s needs increase, many care-givers find this option actually creates more personal stress and financial burden than other options.

Caring for a loved one requires a large time commitment. Initially, most caregivers spend an average of 21 hours a week taking care of a loved one, according to a recent study. Some caregivers spend more than 30 hours a week taking care of their loved one. If you are employed outside the home, consider as well the amount of work you are likely to miss due to your caregiving responsibilities (doctors’ appointments, personal obligation for their social life, being late to work taking care of them or missing work altogether if they are ill). More than 65 percent of surveyed caregivers missed some work, and more than half had lost income due to the demands of providing care. Before you choose to serve as a primary caregiver, consider the personal and financial strain it may cause. In addition, there is increased burden on other family members too. They may share in some caregiving, but typically, one person is responsible for providing the lion’s share of the care for a loved one.

• VA Benefits: Many veterans and their spouses are eligible for up to $2,000 of tax-free aid per month toward care services, thanks to the Aid and Attendance Pension benefit. Even veterans who were not injured in their service qualify for the benefit — they only need to have served 90 days active duty, at least one of which was during wartime. This benefit is available to surviving spouses as well. To find out if your loved one qualifies for this assistance, contact your local Veterans Service office.

How to Pay for Assisted Living If you’re considering assisted living, there may be ways to help pay for some of the costs. elling the senior’s home: While this option may not S initially seem appealing, selling the home is typically the best source of revenue to help move your loved one into assisted living. The income gained from selling the home can greatly ease the stress and financial burden of paying for senior care. • Long Term Care Insurance: These policies typically cover assisted living costs. If your loved one has a long term care insurance policy, check with the insurance carrier to fully understand what costs are covered. •

It’s often a balancing act between the time and money you can afford to spend in order to provide quality care. Lastly, are you able to be there for them all the time? Assisted living communities provide continual interaction and observation, and availability to care around the clock. Are you and/or your family able and willing to do these things? Please give us a call at 208-882-3438 and we will gladly help you consider the options that may be available to you and your loved one. _________________________________________________ Jan Ahles, a Latah County native, began her career caring for seniors as a Nurses’ Aide when she was 16 years old. Although life has taken her in many directions, Jan says, “Seniors have always been a part of my life. What better career than to spend it serving seniors?” The most recent 13 years have been helping seniors find the right fit for their healthcare needs.

Confused About In-Home Care? Home HEALTH CARE

PERSONAL Home Care

• Doctor’s order required

• No doctor’s order required usually

• Some private insurance

• Some private insurance (insurance assessment is required) • Long term care insurance • Medicaid (must qualify first and a nurse is sent to provide assessment)

• Medicare (60 days) • Medicare HMO’s • Medicaid • Short term for medical recovery wound treatment, medication administration and/or infusions, therapies. • Performed by nurses, physical, occupational and speech therapists, CNAs

• Term is longer - can be lifetime. Assistance with laundry, meals, housekeeping, medication prep, transportation. • Performed by CNAs or caregivers

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AARP Foundation Tax-Aide — It’s free for everyone! A By Randy Simon, Director of Communications, AARP Idaho

ARP Foundation Tax-Aide is the nation’s largest volunteer-run tax preparation and assistance service. And we want you to join us (or use us)! AARP Foundation Tax-Aide started in 1968 with just four volunteers at one site preparing 100 tax returns. It now involves more than 35,000 volunteers and serves 2.6 million taxpayers annually at more than 5,000 sites nationwide. In fact, it is one of the most effective volunteer programs in America. That could not be more true right here in Idaho. More than 300 volunteers across the Gem State prepared more than 19,000 returns bringing back over $19M in refunds. You will find volunteers in nearly every community, including North Idaho, where we prepare returns in Athol, Bonners Ferry, Coeur d’Alene, Moscow, Post Falls, Priest River, Rathdrum and Sandpoint. That also includes parts of eastern Washington in the cities of Newport, Pullman and Clarkston. In fact, per capita, Idaho has one of the most robust Tax-Aide programs in the country. Even though we have grown a lot, we are still all about the grassroots. You will be helping people in your own community with a much-needed service that is free, individualized and has no strings attached.

Who will you help as a volunteer? Almost four out of five people who turn to AARP Foundation Tax-Aide are 60 or older. Household incomes are not high. For many of them, a tax refund could mean they will not have to choose between paying for groceries or medication and keeping the lights on. And just to be clear, our services are FREE and available to anyone - young or old, AARP member or not.

And just to be clear, our services are FREE and available to anyone - young or old, AARP member or not. Who volunteers? People like you. There is a role for everyone and believe it or not, this is a fun group of folks. People that enjoy preparing taxes must maintain a good sense of humor. How could you not?

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Good with numbers? Be a tax volunteer.

AARP TAX AI DE

You will work with taxpayers directly; filling out tax returns and helping them seek a refund. Experience is not necessary — we will train you on the latest tax preparation forms and software.

Skilled in all things digital? Be a technology coordinator. You will manage computer equipment, ensure taxpayer data security and provide technical assistance to volunteers at multiple sites.

Love working with people? Be a greeter. You will welcome taxpayers, help organize their paperwork and manage the overall flow of service.

Want to help us get the word out? Be a communications coordinator. You will promote AARP Foundation Tax-Aide and recruit volunteers in your community.

Have a knack for running things? Be a leadership or administrative volunteer. Manage volunteers, make sure program operations run smoothly, track volunteer assignments and site activities, and maintain quality control. Tax volunteers are some of the best people you will ever meet. Many have been doing this for years and years, and have built relationships with the people and communities they serve. Many come from professional backgrounds and spend their weekends or evenings doing this work. For most, it is a labor of love. For people of any age, AARP Foundation Tax-Aide is the perfect volunteer opportunity that works your mind while warming your heart. See aarp.org/taxvolunteer to sign up to be a TaxAide volunteer in your community or call me at 208855-4004 and I will put in you in touch with local volunteers in your community. Get the joy and satisfaction of helping others by applying to join the AARP Foundation TaxAide volunteer team today! Your expertise will be appreciated more than you can imagine. AARP Foundation Tax-Aide is offered in conjunction with the IRS. ________________________________________________ Randy Simon is the Director of Communications for AARP Idaho. Prior to joining AARP Randy worked as a consultant for Gallatin Public Affairs and as a journalist in New Mexico. He can be reached at rsimon@aarp.org or 208-855-4004.

FREE for EVERYONE! You do NOT need to be any age NOR an AARP member. From February 1st until April 15th, 2016 Walk-in Sites: • 1912 Center 412 E. 3rd St., Moscow 9:30 AM - 2:00 PM - Wed & Fri • Asotin County Library 417 Sycamore St., Clarkston 9:00 AM - 12 Noon - Mon & Thurs Appointments are required at the following locations: (Call 1-888-227-7669) • Salvation Army Meal Site 1220 21st St., Lewiston 9:00 AM to 12 Noon - Mon-Thurs

• Pullman Senior Center 208-882-5406 325 SE Paradise St., Pullman 9:30 AM - 2:00 PM Thursdays

Wise Guide | www.TheWiseGuideOnline.com

This page brought to you by:

We Salute Our Veterans . . . VA Resources Walla Walla VA Medical Center - 888-687-8863 77 Wainwright Dr., Walla Walla, WA DAV Van Schedule: Thursdays: 6:00AM departs State Veterans Home 821 21st Ave., Lewiston Picks up: Clarkston, Pomeroy, Dayton, Waitsburg & Dixie, WA Arrives at Walla Walla at 8:30 AM Appointments for rides must be made 72 hrs. in advance - Call DAV Transportation Office Walla Walla VA Med. Ctr.: 888-687-8863 x22529 Spokane VA Medical Center - 800-325-7940 4815 N. Assembly St., Spokane, WA DAV Van Schedule: Wednesdays: 6:00 AM departs State Veterans Home 821 21st Ave., Lewiston Picks up: Genesee, Moscow, Viola, Potlatch, Tensed, Plummer & Worley Arrives: 9:30 AM Fridays: 6:00 AM departs State Veterans Home Picks up: Uniontown, Colton, Pullman, Colfax, Steptoe, Rosalia & Spangle, WA Arrives at Spokane: 9:00 AM Appointments for rides must be made 72 hrs. in advance- Call DAV Transportation Office Spokane VA Med. Ctr. 800-325-7940 DAV VAN - Volunteer Drivers Welcome! Call 509-434-7503

CBOC’s and Rural Health Clinics Grangeville Outpatient Clinic 208-983-4671 711 W. North St., Grangeville Lewiston CBOC 208-746-7784 1630 23rd Ave., Bldg. 2, Lewiston Coeur d’Alene CBOC 208-665-1700 915 W. Emma Ave., Coeur d’Alene

Wise Guide | Winter / Spring 2016

“Heroes never die. They live in our hearts forever. Thank you for your service and sacrifice.”

Outreach Centers Walla Walla Vet Center 509-526-8387 1104 West Poplar, Walla Walla, WA Spokane Vet Center 509-444-8387 13109 East Mirabeau Pkwy, Spokane Valley, WA www.vetcenter.va.gov M-Th 7 am - 6:30 pm, Friday 7 am - 4:30 pm, Saturday by appointment only.

Need to talk to someone NOW? Combat Call Center: 1-877-927-8987 (WAR-VETS) Veterans Crisis Line: 1-800-273-8255 Press 1 Confidential Online Chat: VeteransCrisisLine.net

Online Resources www.va.gov/homeless Each VA medical center has a homeless/at risk coordinator and programs that help veterans establish or maintain safe, stable housing. Call VA’s National Call Center for Homeless Veterans 1-877-424-3838, 24 hours, 7 days a week. www.oefoif.va.gov Toll-free line and website that provide information about health care, dental care, education and other benefits for OEF/OIF/OND veterans. 1-877-222-8387 www.va.gov/vetsinworkplace A toolkit that supports veterans seeking work and also helps employers support their employees who are veterans and members of the Reserve & National Guard. www.ptsd.va.gov VA’s center of excellence for research and education on the prevention, understanding and treatment of PTSD. 1-802-296-6300 www.caregiver.va.gov Provides support for caregivers of veterans and information about services that may be available to them. 1-855-260-3274

This

Do you know someone who could remain in their home if they had help with pagehousehold broughtchores to you by: or personal care?

Offering SelfDirected Care: Clients can choose their personal care attendant from family members, friends or one of our attendants. We serve all of North Idaho!

208-245-5920 “We honor and serve those who served for us.” or 800-576-1825

StoryCorps

Ext. 1 or 2

Idaho State Veterans Home, Lewiston We accept some insurances, VA, Private Pay & Medicaid

Ask

about M edicaid Providing the very best long-term care, advocacy and Approv ed Life li ne! professional care delivered with a holistic approach, offering medical, dietary, social and rehabilitative care. Honoring Idaho’s veterans in recognition of their sacrifices in protecting our freedoms and individual rights, sharing a common bond of “pride in service” (and great war stories too). Want more information? Call: 208-750-3600, ask for Rose.

StoryCorps’ mission is to provide people of all backgrounds and beliefs with the opportunity to record, preserve, and share their stories. Each week, millions of Americans listen to StoryCorps’ awardwinning broadcasts on NPR’s Morning Edition. For more information StoryCorps Military Voices: storycorps.org/military-voices StoryCorps Outloud: storycorps.org/outloud (Facebook & Twitter Symbols here please…

Freedom Has a Face

Say What? Hearing Benefits Mutual, the Veterans of Foreign Wars, and Veteran’s Care Plus, a veterans advocacy group, have created an exclusive hearing care program offering discounted hearing aids and free services to veterans and their families who do not have access to hearing care through the Veterans Administration. Veterans receive free professional hearing exams and save up to 60% off leading brand hearing aids. Veterans and family members can schedule by calling 888-802-3141 to speak with a Benefits Coordinator who will assist you in setting up your free appointment. www.hearingbenefitsmutual.com

An online site honoring ALL Veterans killed in action from the Civil War to Present Day. www. freedomhasaface.org - 509-435-6851

Camp Lejeune - Past Water Contamination & Health Benefits. From the 1950’s thru the 1980’s, people living or working at the U.S. Marine Corps Base Camp Lejeune, North Carolina were potentially exposed to drinking water contaminated with industrial solvents, benzene, and other chemicals. This chemical exposure may have led to health conditions. There are 15 qualifying health conditions for which you may be eligible for benefits. If you or a family member were there, contact 866-372-1144. Talk to your VSO officer! He or she can help with the application process.

Dental Insurance The VA has partnered with Delta Dental and MetLife to allow eligible Veterans, plus family members receiving care under the Civilian Health and Medical Program (CHAMPVA), to purchase affordable dental insurance. Learn more at www.deltadentalvadip.org or contact your VSO for more information!

‘It is generally inadvisable to eject directly over the area you just bombed.’ —US.Air Force Manual Wise Guide | www.TheWiseGuideOnline.com

This page brought to you by:

“If you are a Veteran....Thank you! If you are not a Veteran...Thank one!

Homeless Veterans Reintegration Program (HVRP) Who can we help? Veterans who are homeless or are at risk of becoming homeless, including veterans who are: couch surfing / temporarily living with relatives or Friends / Living in a Hotel or Public or Private shelter / on the verge of losing his/her home / have identified housing but lack the resources to obtain it / exiting an institution (including prison) and have no subsequent residence identified. How Can We Help? Our primary goal is to assist homeless veterans to find employment and become self-sufficient so they can obtain permanent housing. We provide the following services: classroom training / workforce training / job readiness preparation / job search assistance / on the job (OJT) training / job placement / clothing for Interviews / clothing or tools needed for specific job placement / bus fares. Working in conjunction with the Idaho Department of Labor and other community resources, our objective is to assist every homeless veteran in his/her efforts to break the cycle of homelessness. For questions or referrals, call Mary S. Taylor 208-621-4738 or David Scott 208-621-4795

North Idaho

A Day of Appreciation for All Veterans Military Surplus (Homeless Vets Only)

May 7, 2016

Housing 0800 to 1400hrs Employment Family Activites Brunch Medical/Dental Hair Cuts Dept. of Veterans Affairs ADMISSION: Veterinary (limited) Military or V.A. ID or DD214 Kootenai County Fairgrounds

Kootenai County Fairgrounds 4056 N. Government Way • Coeur d’Alene, ID 83815 For more information contact: Eric Swanbeck 208.704.0548 To Volunteer visit: www.KootenaiUnitedWay.org

4056 N. Government Way • Coeur d’Alene, ID 83815 For more information contact: Eric Swanbeck 208.704.0548 To Volunteer visit: www.KootenaiUnitedWay.org

‘Airspeed, altitude and brains. Two are always needed to successfully complete the flight.’ —Basic Flight Training Manual

Wise Guide | Winter / Spring 2016

This page brought to you by: Idaho State Veterans Home

READ THIS!

“Caring for America’s Heroes.”

These Veterans Service Officers are here for you: Idaho State VSO

Bob Cooper 821 21st Ave., Lewiston 208-750-3690 M-F 8:00 AM - 5:00 PM email: bob.cooper@veterans.idaho.gov

Contact your County or State Veterans Service Officer (VSO) BEFORE you submit anything to the VA! VSO’s are trained, certified and accredited ADVOCATES FOR YOU! They are employed by your County or State and are NOT employees of the VA. Their assistance is FREE of CHARGE to any veteran and/or family member. Contact your VSO FIRST! It will save you a lot of grief.

Idaho State VSO

Rockey Davis 821 21st Ave., Lewiston 208-750-3690 M-F 8:00 AM - 5:00 PM email: rockey.davis@veterans.idaho.gov

Clearwater County

Janet Boyer 208-476-7378 330 1/2 Michigan Ave., Orofino (behind VFW Post 3296) M-TH 9:00 AM - 2:00 PM email: vsoclearwater@gmail.com

Idaho County

Camden Schacher 208-983-0239 320 W. Main Rm 29 M-F 8:30 AM - 5:00 PM (appointments) Grangeville (Courthouse) email: cschacher@idahocounty.org

Latah County

Tom Idol 208-883-2274 220 E. 5th St. Suite 307, Moscow M-F 9:00 AM – 4:00 PM (Appointments) email: veterans@latah.id.us

Lewis County

Michelle A. Lyons 208-937-9248 510 Oak St. Room #1, Nezperce M-F 9:00 AM -12 noon, 1:00 - 5 PM Wednesdays & Fridays Drop-ins email: mlyons@lewiscountyid.org

Nez Perce Tribe Veteran Benefit Specialist

Mary S. Taylor 208-621-4738 271 B Street, Lapwai M-F 8:00 AM - 4:30 PM email: mtaylor@nezperce.org

Nez Perce County see Idaho State VSO’s Idaho Department of Labor Veterans Representatives Lewiston

Don Erickson Disabled Veterans Outreach Program (DVOP) Phone: (208) 799-5000 Ext. 3526 1158 Idaho St., Lewiston email: donald.erickson@labor.idaho.gov

Moscow

Kristy Scaraglino Veteran Services Representative Phone: (208) 882-7571 Ext. 3357 1350 Troy Road, Suite 1, Moscow email: kristy.scaraglino@labor.idaho.gov

Wise Guide | www.TheWiseGuideOnline.com

State Run Veteran Homes… Things You Should Know by Rose Steeley, LMSW Admissions Coordinator/ Marketing Director Idaho State Veterans Home – Lewiston

t’s a fact… there are millions of American Veterans and their surviving spouses who have no idea that they’re eligible for benefits from the U.S. Veterans Administration. What makes this worse, is that part of these earned benefits could be helping them financially in their long term care and rehabilitative service needs at state run veteran homes specializing in skilled nursing care and rehabilitative services. Curious about what Veteran Services have earned you? I think you’d be doing yourself a tremendous disservice if you weren’t. I highly encourage you to read the Fall, 2015 edition of the The Wise Guide… specifically the article entitled, “Veteran Benefits and Long Term Care Planning.”* Mr. Jeffrey Crandall, an attorney in Hayden, Idaho has penned a very informative article about your veteran benefits. I strongly suggest you give it a read. Once you know what benefits you’re missing, you’ll realize what a great resource you have in every state run veterans home. Since all state run veteran homes only cater to the military veteran and their surviving spouse, they are uniquely qualified to address all veteran specific questions and issues about the care your military loved one receives. Beyond the skilled nursing care, and the communication dynamic between our interdisciplinary teams, and the rehabilitative services

Wise Guide | Winter / Spring 2016

offered, your loved one will be moving into an environment where sharing a common bond of “pride in service” (and great war stories too) are only the beginning. The familial bond we share as a veteran family unites us as a brotherhood (and sisterhood) that is truly unique. We approach each of our residents with a commitment to loyalty and dedication that is rarely duplicated by any corporate run facility, as we

Tremendous resources, and our amazing staff allow our residents to explore an unsurpassed, new level of skilled care and rehabilitation are literally built (from the ground up) differently. Because we’re state funded, we spend just a little more time to ensure your loved one’s expectations are not only met, but exceeded. Our activities and social environment are unsurpassed. We incorporate top of the line technology tools that enrich the day-today lives of all of our veteran residents. From Smart

Boards, taking advantage of the internet’s rich supply of entertainment and stimulation to future projects involving interactive computer systems allowing our residents to engage in flight and bike simulators, to iPads utilizing interactive music immersion, all of these tools bring a level of realism and cognitive awareness that is so essential to keeping (and maintaining) the mind active and engaged.

As American Veterans (and spouses of these veterans), our residents are truly immersed in community recognition; specifically from Veteran Assistance Leagues, VFW, American Legion, and most profoundly, the donations these organizations give so generously to our residents, spouses and family members. From local schools celebrating our veterans’ heroism, to volunteers who simply take your breath away with their unwavering support and dedication to our heroes. We definitely have the veteran spirit, as voiced by the communities we serve. These tremendous resources, and our amazing staff allow our residents to explore an unsurpassed, new level of skilled care and rehabilitation. Come experience the difference that a state run veterans home can make in the life of your loved one. Call Rose Steeley at the Lewiston Veteran’s Home today, 208750-3600, and ask for a tour of our facility. Chat about financing and see what the VA has done for you. _________________________________________________ *Crandall, J. (2015, Fall 2015, pg.40-41). The Wise Guide, Veteran Benefits and Long Term Care Planning. Retrieve from: http://issuu.com/thewiseguide/docs/ finalproofsouth?e=7895306/31177096

You will never know how comfortable, relaxing, safe, enjoyable and addictive a Recumbent Cycle can be unless you try one. There are many different types and styles that will fit almost anyone’s wants or needs. People ride recumbents who can’t walk a single step, have several joint replacements, only one arm or leg and a host of other issues that prevent riding a regular bike. Recumbents can offer people confidence, independence and freedom from canes, crutches, wheelchairs and psychological issues. We do many special needs and custom adaptations to fit most requirements. Or you could simply be more comfortable sitting back rather than balanced upright, and enjoy riding more often! Give us a call and make an appointment to come ride a variety of recumbent cycles. You will have our full attention and understanding of your specific wants and needs in cycling.

208-818-5491

Gary@nwrecumbentcycles.com www.nwrecumbentcycles.com Wise Guide | www.TheWiseGuideOnline.com

Are Your Ears Ringing? by Kevin W. Hague, M.A., CCC-A Certified Audiologist Hearing Healthcare Associates

innitus is an abnormal perception of a sound not caused by external noise, and typically heard only by the patient. It may be a ringing, buzzing, cricketlike, ocean, or other type of sound in the ear or head. It may be intermittent, constant or fluctuating, mild or severe and varying in nature from a low roaring

Tinnitus may occur with hearing loss, vertigo, or pressure symptoms in the ear or it may occur alone. sensation to a high-pitched sound. While it may be associated with hearing loss, it will not cause you to go deaf, and statistically, tinnitus decreases or is hardly perceptible over time in 50 percent of patients. Tinnitus may occur with hearing loss, vertigo, or

Keep hearing the sounds you love!

HEARING AID SOURCE Spence Killian, Hearing Aid Specialist

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Your health care experts in digital hearing aids 30 day trial program. Reasonable pricing and hearing aids of most types and styles. 3-year warranties and 3-year free batteries with purchase of new digital hearing aids. Appointments on Tuesdays - Call to schedule today!

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Wise Guide | Winter / Spring 2016

pressure symptoms in the ear or it may occur alone. This condition is a neurological symptom and not a disease, just as pain in the arm or leg is a symptom and not a disease. Because the function of the auditory (hearing) nerve is to carry sound, when it is irritated from any cause, it produces head noise. Tinnitus may originate from various lesions at different locations in the auditory system. A lesion may be located on the auditory nerve or cochlea and does not reach the brainstem, or it may begin at the brainstem and involve other portions of the central nervous system. The auditory system involves highly complicated inner ear structures, many nerve pathways, and a great amount of nuclei that form a complex neural network. Pinpointing the cause of tinnitus to a certain structure can be difficult. There are many other causes related to the ear which would result in tinnitus: • Abnormal neural activity in the auditory nerve fibers, which may occur if there is a partial breakdown of the myelin covering of individual fibers. A defect in the hair cell would trigger the discharge of connected nerve fibers. • Chronic cochlear disorders - There are two different kinds of afferent fibers in the auditory nerve: inner hair cell fibers with large diameters and outer hair cells fibers with small diameters. Loss of signals from the cochlea between the two sets of fibers or other abnormal changes of the cochlear fluids may result in tinnitus. • Medications - If you have tinnitus and are on medication, you should discuss the symptoms with your physician.

• Ear wax (Cerumen) in the ear canal. • Fixation of the stapes bone in the middle ear (Otosclerosis). • Meniere’s disease - a complex syndrome involving hearing loss and vertigo. • Sudden trauma from a direct blow to the ear or head. • Damage to the inner ear such as exposure to excessively loud sounds. • Tumors on the hearing nerve or other problems in the brainstem or central nervous system. • Other vascular abnormalities that can occur in the skull or base of the skull. Generally, most patients will not need any medical treatment for their tinnitus. For patients who are greatly bothered by tinnitus, they may use masking techniques and other treatments, such as: • Listening to a fan or radio. This generally is more advantageous if one is attempting to go to sleep. • A tinnitus masker - a small electronic instrument built into a hearing aid case. It generates a noise which prevents the wearer from hearing his own head noise. The masker is based on the principle that most individuals with tinnitus can better tolerate outside noise than they can their own inner head noise. • Biofeedback training is effective in reducing tinnitus in some patients. It consists of exercises the patient learns in order to control various parts of the body and relax the muscles. When a patient is able to accomplish this type of relaxation, tinnitus generally subsides. Most patients have expressed that the biofeedback offers them better coping skills. • Avoidance - This includes making every attempt

to avoid anxiety, as anxiety increases tinnitus. A person with tinnitus should avoid losing sleep and becoming fatigued, because, generally, patients who are tired seem to notice their tinnitus more. Also, the use of nerve stimulants is to be avoided, as excessive amounts of coffee and smoking contribute to the head noise. • Medications - There are some medications utilized to suppress tinnitus. Some patients benefit with these drugs, and others do not. Each patient has an individual response to medication, and what works for one patient will not always work for others. Some of these medications have been proven, however, to decrease the intensity of the tinnitus and make it much less noticeable to the patient. There is, however, no drug anywhere which will eliminate tinnitus completely and forever. If you are experiencing severe, disabling tinnitus, have a complete cochleovestibular evaluation done to attempt to establish the site of lesion and to rule out any significant pathology which may require further treatment. _______________________________________________ Kevin W. Hague, M.A., CCC-A Certified Audiologist

Do you know someone who could remain in their home if they had help with household chores or personal care?

Offering SelfDirected Care: Clients can choose their personal care attendant from family members, friends or one of our attendants. We serve all of North Idaho!

208-245-5920 or

800-576-1825 Ext. 1 or 2

We accept some insurances, VA, Private Pay & Medicaid

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out Me

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Wise Guide | www.TheWiseGuideOnline.com

Crossword Itâ&#x20AC;&#x2122;s a Horse, of Course Across

1 Pie___: a horse of a different color? 5 Deluge refuge 8 Walt Kelly comic strip character 12 Sign after Pisces 14 Tavern 15 Finished 16 Saddle horse with a spotted rump 18 Like some eclipses 20 Blueprint 21 Trigger was one 23 Snob 26 Chop off 27 In the past 28 Show ___ 29 Student of Seneca 31 Like some oats 33 Harem rooms 35 Wool weight, in the UK 36 Bambiâ&#x20AC;&#x2122;s aunt 37 Fair-sized musical group 39 Hitherâ&#x20AC;&#x2122;s partner 41 New Mexicoâ&#x20AC;&#x2122;s state flower 45 Grand ___, Nova Scotia 47 Burgle 49 Movie VIPs, briefly 50 Mortgage holder 53 Fillyâ&#x20AC;&#x2122;s father 55 Diaper wearer 56 Colorado native 57 Personal quirk 59 The daily grind 61 Dark reddish-brown horse 64 Horseâ&#x20AC;&#x2122;s trot or canter 65 Home on the range 66 Racehorses, to some 70 In the vicinity 71 Cousin of an ostrich 72 Brown ermine 73 Sea eagles 74 D.C. bigwig 75 Capp of the comics

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Call to Bo-peep Dadaism founder Saddle horse bred in Vienna

4 Passed out, as cards 5 Blood-typing letters 6 Farrierâ&#x20AC;&#x2122;s tool 7 African village of huts 8 Small agile sporting horse 9 Egg cell 10 Cordial 11 Florida fruit 13 Assassinated 17 Beginning 19 Crucifix 22 Eldersâ&#x20AC;&#x2122; teachings 23 Black, in poetry 24 Italian resort 25 â&#x20AC;&#x153;Iliadâ&#x20AC;? city 30 Smells 32 Extol 34 Fall mo. 38 Harness racing horses 40 Film genre 42 Triple crown winner in 1948

Wise Guide | Winter / Spring 2016

43 Swamp critter 44 Village in the south of France 46 Leprechaun land 48 North Carolina fort 50 Water carrier 51 Flammable colorless gaseous alkene 52 Pager 54 States (Fr.) 58 Sugar portions 60 Rodeo rope 62 Actor Connery 63 Broken 67 Convent dweller 68 Young fellow 69 Hog haven Copyright ÂŠ2016 PuzzleJunction.com

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National Website: www.alz.org Chapter Office: Deaconess Education Center 910 W. 5th Avenue, Suite 256 Spokane, WA 99204 (509) 473-3390

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The true, spellbinding account of Sandpoint resident Bill Collierâ&#x20AC;&#x2122;s experiences piloting a Marine Corps H-34 helicopter in combat during the Vietnam War.

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â&#x20AC;&#x153;The journal of an honest, down-to-earth and courageous American in some of the most difficult circumstances in this nationâ&#x20AC;&#x2122;s history.â&#x20AC;? -Ben Stein, former speechwriter for President Richard Nixon

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Not Just Another Squirrel by Kathleen St. Clair – McGee American Heritage Wildlife Foundation Inc. Founder and Board of Directors President

ou may think ‘just another robin’ (or squirrel) but each individual animal plays a role in the survival of all the animals. All species are vital to maintaining our healthy and complex ecosystem. Once a key piece of the ecosystem is gone it cannot be replaced. Consider the metaphor of removing nuts and bolts from an airplane, how many can be removed without losing the integrity of the plane? Some of our wildlife patients at the American Heritage Wildlife Foundation (AHWF) are abundant today, but wildlife biologists are reporting a startling decline in many of these native wildlife species. Each year we receive an average of 250 phone calls reporting a wild animal in need. Our volunteer staff and summer interns contribute between 2,500 and 3,500 hours annually, responding to these calls, caring for the animals. In 2015, our three interns tallied

Wise Guide | Winter / Spring 2016

almost 800 hours in just 4 months. The American Heritage Wildlife Foundation began with two zoo keepers discussing their mutual desire to work with native wildlife. In 2001, they formed the first non-profit 501(c)3 in the Panhandle of North Idaho with the mission to provide rehabilitative care for all species of native wildlife and provide community education. The vision of the founders is to create the first Inland Northwest Nature Center. The presence of Nature Centers in any community not only preserves the integrity of the wildlife population but also provides positive economic impacts. AHWF exists to keep North Idaho wild; we are supportive of activities such as hunting, fishing, hiking, & birding. Our annual budget for wildlife care and educational expenses alone is near $10,000. We are not county, state or federally funded; our funding is exclusively from community support, grants and fundraising events. We seek business sponsorship and encourage citizens to become members. The flurry of activity that takes place behind the scenes is due to the efforts of our board of directors. We currently have a few seats open and encourage those interested to sit in on a monthly meeting and consider joining. The applications and questionnaire are available on the www.ahwf.org website. In addition, you can find information about our group, animals in care, upcoming events, general wildlife information and much more on Facebook, Twitter, Blogger, Pinterest, LinkedIn, Vimeo, You Tube, Referral Key, Guidestar & Great Nonprofits. You can help us with our mission to support local wildlife in many ways online. Donation buttons are available and fundraising campaigns are detailed on our www.ahwf.org website. Other ways to help are programs like iGive, GoodShop, eBay, Amazon, FredMeyers community partners, Escrip Yokes Market. Many magazines including Bird Watchers Digest will contribute a percentage to our cause when you subscribe. CafePress has our merchandise and Lulu has our five illustrated books for young readers.

Horned Grebe

AHWF wants everyone to

Aware of their surroundings, Hesitate before approaching any wild animal, Watch for signs of distress; and Follow through with contacting proper authorities be

if an animal is in need. Do not consult the internet to ‘find out how to provide care on your own.’ Knowledge may take minutes to learn but professional experience takes years to earn. If you truly want to help an injured or orphaned animal, contact us at 208-266-1488.

She was brought to us by a rescuer who found her on the roadway one late summer evening. It is not uncommon for Grebes to mistake a roadway for a waterway once the sun has begun to set. These birds have a unique physiology that renders them basically helpless once on land. The bird was carefully examined for injury and provided specialty rehabilitative care. As it was late in the season, we contacted a facility on the coast that could provide care. We then located a volunteer able to drive this migrating waterfowl to its final destination for release.

Striped Skunk This guy was brought to us by a family that had seen the mother in their yard and allowed her to remain through the spring (they breed in winter). She began showing her two youngsters around, but then the mother was not seen for a few days leaving the two, 3-week old babies alone. They brought them into the house and consulted the internet to find out how to care for these youngsters. After a week of ‘care’ the skunks’ health was declining. They contacted AHWF and delivered them to our facility. The female died overnight but the male was treated for external and internal parasites, dehydration and malnourishment. He thrived and was released after a few months of care, giving him the chance to consume the underground wasp nests and all the lawn destroying grubs in an undisclosed neighborhood.

North American Porcupine This young male was found lying beside his mother who had been hit by a car a few days prior. The rescuer took him home that night, tried to feed him and called AHWF in the morning. (She meant well but you cannot feed a starving animal.) At the AHWF facility every effort was made to stabilize him, but due to the delays in treatment, the little one just did not have the strength to survive without its mother. He was just over 1.5 pounds. An average adult weighs between 15 and 25 pounds.

Saw-Whet Owl A logger fell a tree and began limbing it. He noticed an opening and found five saw-whet owl chicks inside. He carefully removed them and placed them in his jacket. He brought them to our facility and after a few months of care, they were successfully released.

Long Tail Weasel This little male was out on probably one of his first outing adventures with his family one spring morning. A hiker discovered him and thought he was in distress. He picked him up and took him to the nearby vet clinic. They contacted AHWF who sent a volunteer to retrieve the youngster. He was provided rehabilitative care and successfully released. There is a short video listed on Facebook and YouTube.

Wise Guide | www.TheWiseGuideOnline.com

Support Groups

For CAREGIVERS of those with Dementia, Alzheimer’s & any Related Disorder: MOSCOW 3rd Monday - Monthly 3:30 – 5:00 PM Martin Wellness Center 510 W. Palouse River Dr. Facilitators: Tiffany Christian, ABD & Julia Parker, RN For questions phone Julia: 208-310-0915 Alzheimer’s Association 208-666-2996 www.alz.org LEWISTON 2nd Wednesday - Monthly 7- 9:00 PM Guardian Angel Homes 2421 Vineyard Ave. Facilitators: Cara Snyder, Maggie Morrison For questions: 208-743-6500 Alzheimer’s Association 208-666-2996 www.alz.org —————————— LiveSTRONG Cancer Support Group for all whose lives are touched by Cancer 2nd & 4th Wednesdays Monthly 7-9:00 PM St. Joseph Regional Medical Center 415 6th St, Lewiston Facilitator: Al Banta 208-746-3974 Friends of Hospice Grief Support Group 3rd Friday Monthly 12:30 - 2:00 PM Trinity Lutheran Church 1300 NE Lybecker, Pullman Facilitator: Annie Pillers 509-332-4414

Wise Guide | Winter / Spring 2016

Camp Erin - July 15-17, 2016 - A bereavement camp designed for children 3-18 years who are grieving the loss of someone close to them. It’s a weekend long experience filled with traditional, fun, camp activities combined with grief education and emotional support. Also offering Monthly Support Groups. Contact the Willow Center: 208-791-7192 Lewiston/Clarkston or 208669-0730 Moscow/Pullman. www.willow-center.org (Facebook Icon)

Tri-State Hospital - Support Groups: 1221 Highland Avenue, Clarkston, WA Us TOO Prostate Support Group 1st Thursday - Every Other Month 12:00 -1:00 PM Contact: Jerry Gilbert 509-751-6930 Early Riser/Alcoholics Anonymous Meeting Monday, Wednesday, & Friday from 6:15-7:00 AM Contact: Wes Wallace 208-791-1772 Parkinsons Support Group Helping each other live well with Parkinson’s! 2nd Monday - Monthly - 2:00 - 4:00 PM Contact: John Molohon 509-758-3758 Doris Berry 208-743-3947 Breast Cancer Support Group 1st Wednesday - Monthly - 7:00 - 9:00 PM Contact: Linda Malcolm 208-743-7766 Diabetes Community Education (Free) 1st Tuesday - Monthly - 4:00 - 5:00 PM Contact: Trudy Bly 509-758-5511 x2512

Senior Meal Sites Seniors are offered a nutritious hot meal at these locations for minimal donation. Those â&#x20AC;&#x153;younger folksâ&#x20AC;? are welcome too and only asked to pay a very reasonable cost to join them. Cottonwood Community Church 510 Gilmore Cottonwood, ID 83522 208-962-7762 Meals served at noon on Tuesday.

Orofino Senior Center 930 Michigan Ave. Orofino, ID 83544 208-476-4328 Meals served at noon on Tuesday and Friday.

Grangeville Senior Center 108 N. State Street Grangeville, ID 83530 208-983-2033 Meals served at noon on Monday and Friday.

Potlatch Senior Citizens IOOF/Rebekah Hall on Pine St. Potlatch, ID 83855 208-875-1071 Meals served at noon on Tuesday and Friday.

Kamiah Senior Center 125 N Maple St. Kamiah, ID 83536 208-935-0244 Meals served at noon on Monday, Wednesday and Friday.

Riggins Odd Fellows Building 121 S Lodge St. Riggins, ID 83549 208-628-4147 Meals served at noon on Tuesday.

Kendrick Senior Citizens Center 104 S Sixth Kendrick, ID 83537 208-289-5031 Meals served at noon on Wednesday and Friday. Lewiston Community Center 1424 Main St. Lewiston, ID 83501 208-743-6983 Meals served at noon on Monday, Tuesday and Wednesday.

Weippe Hilltop Sr. Citizens Center 115 1st Street West Weippe, ID 83553 208-435-4553 Meals served at noon on Monday and Thursday. Winchester Senior Citizens Center 413 Nezperce St. Winchester, ID 83555 208-924-6581 Meals served at noon on Wednesday.

Orchards United Methodist Church 1213 Burrell Ave. Lewiston, ID 83501 208-743-9201 Meals served at noon on Monday, Tuesday and Wednesday. Moscow Senior/Community Center 412 3rd St. Moscow, ID 83843 208-882-1562 Meals served at noon on Tuesday and Thursday. Nezperce Senior Citizens 501 Cedar St. Nezperce, ID 83543 208-937-2465 Meals served at noon on Monday and Thursday.

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Specialized Long-Term Acute Care by Heidi Frazier, Director of Marketing and Business Development Northern Idaho Advanced Care Hospital

ost people who need inpatient hospital services are admitted to an “acute care” hospital for a relatively short amount of time. But patients with medically complex conditions may be referred to a long-term acute care hospital for continued care beyond their original hospital stay. Often these individuals require more intensive services than what is provided in a normal acute hospital setting for medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation, and ventilator weaning.

We understand that YOU HAVE A CHOICE when it comes to your post-acute care. At Northern Idaho Advanced Care Hospital (NIACH) we are connected at our core by the treatment needs of our patients. At our state-of-the-art facility, we offer long-term acute care and critical care services for patients recovering from serious illnesses or injuries. We treat patients requiring intensive care, medically complex care, modified rehabilitation, ventilator/pulmonary care, wound care and more. Our 40-bed, long-term acute care hospital complements existing hospitals in all of the Northern Idaho area. Our passionate and supportive staff helps patients recover quickly and return home safely with a renewed sense of self-sufficiency. Learn more at NIACH.ernesthealth.com.

This type of patient can be transferred from an acute care hospital to a long-term acute care hospital, like our Northern Idaho Advanced Care Hospital, to receive additional long-term or critical care services. We specialize in treating patients who may have more than one serious condition, but who may improve with time and care and then return home. Northern Idaho Advanced Care Hospital (NIACH), located in Post Falls, Idaho, offer patients the highest level of specialized medical and rehabilitative care available. The hospital features all private rooms and a well-equipped therapy area, along with ventilator weaning, amputation, and a wound care program. The 40-bed hospital will complete its 10th year of service in February 2016, having treated more than 3,700 patients thus far. NIACH is the only freestanding, long-term acute care hospital serving patients throughout the Inland Northwest. Our long-term acute care team, led by a full-time medical director that specializes in pulmonary and intensive care, consists of specially trained physicians, nurses, therapists, pharmacists, and other highly trained medical professionals. Patients receive 24-hour nursing and respiratory care services with daily physician management. Medical services are tailored to the complex needs of each patient, creating a personalized plan of care that is guided by the patient’s attending physician and coordinated with consulting specialists when necessary. Other services we provide include: • • • • • • • •

Speech, memory and cognitive therapy Physical therapy Occupational therapy Aquatic therapy water-based treatments Pain management Dysphagia management Ventilator weaning Wound Care

Northern Idaho Advanced Care Hospital is especially proud to be recognized as the 5th hospital in the nation to earn The Joint Commission’s Gold Seal of Approval for Respiratory Failure.

Wise Guide | Winter / Spring 2016

Family Owned & Operated Since 1896

Full Service Pharmacies “Respiratory failure occurs when there isn’t enough oxygen passing from the lungs into the body’s bloodstream,” explains Dr. Kevin Strait, Medical Director of Northern Idaho Advanced Care Hospital. “Oxygen-rich blood is needed to help the body’s organs such as the heart and brain to function properly. Respiratory failure also can occur if a patient’s lungs can’t remove carbon dioxide from the blood. Carbon dioxide is a waste gas that also can harm a body’s organs.” Different types of diseases can cause respiratory failure. Included among these are lung diseases such as chronic obstructive pulmonary disease (COPD), pneumonia, or cystic fibrosis. Respiratory failure also can be caused by conditions that affect the nerves and muscles that control breathing such as stroke, spinal cord injuries and muscular dystrophy. In addition to The Joint Commission’s respiratory failure certification, Northern Idaho Advanced Care Hospital also is one of 700 nationwide – or 15

percent – that has earned the National Quality Respiratory Care Recognition from the American Association for Respiratory Care. This designation is given to facilities that meet strict safety and quality standards related to providing respiratory care. To achieve the best possible results for our patients, we have utilized best practices and a patient-centered, rehabilitative approach. This includes progressive ventilator management and weaning, pneumonia prevention, recovery from complex medical, surgical, or traumatic conditions, and home ventilator teaching. “We’re committed to providing the highest level of care available, and never take our responsibility to our patients for granted,” says Sandra Yule, Chief Executive Officer of Northern Idaho Advanced Care Hospital. “We’re honored to be a vital part of Post Falls and the Inland Northwest communities that we serve.” For more information please visit NIACH.ernesthealth.com or call 208-262-2800.

Hallmark Gold Crown, Fine Gifts, Fashions & Accessories

Owl Southway 208-743-5528

720 16th Ave., Lewiston, ID

Owl Uniforms

(Lower Level Southway) Complete Line Medical Uniforms, Nursing Shoes and Accessories. Many Name Brands to Choose From

Owl Tri-State

(We Offer Compounding!)

509-758-5533

1275 Highland, Clarkston, WA

208-743-7766

312 St. John’s Way, Lewiston, ID Home Medical Supplies, Rentals & Sales, Scooters, Power Lift Chairs, Mastectomy Products and More Major Insurance Billing Available

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Get the Most from Your Medicare:

Using Preventive and Wellness Benefits

By Idaho SHIBA Staff

t’s easier to stay well than to get well. You know this, and so does Medicare, so they cover 17 types of preventive and wellness services - most for no deductible or copay - to help you maintain and manage your health. But Medicare is complicated, and coverage has changed over the past several years, so while these are some of the most helpful services they are also some of the most underused benefits available.

. Save Money on Medicare Expenses . Review Health and Drug Plan Options . Get the most from your Medicare benefits . Learn what you need to know when starting Medicare

Assistance available in many Northern Idaho communities and by phone

Open Enrollment is October 15 - December 7 Free, Unbiased Medicare Counseling, Workshops and Resources

For appointments and information call the SHIBA Medicare Helpline at 800-247-4422

On Facebook: Idaho SHIBA

800-247-4422

shiba.idaho.gov

Wise Guide | Winter / Spring 2016

How it Works Effective health management starts with a clear understanding of one’s current health, and a plan to maintain or improve it. Medicare offers two types of visits, at no charge to you, so you and your doctor have the information needed to develop and maintain a personal health and wellness plan. Descriptions of the visits follow: 1. Welcome to Medicare Preventive Visit – a one-time visit with your primary care provider designed to map out your health needs and create a preventive services plan to keep you healthy. It includes a physical examination, a review of your medical and social history related to your health, and education and counseling about preventive services, including certain screenings, shots and referrals for other care, if needed. To be covered by Medicare, it must be completed during the first 12 months you have Part B. When you make your appointment, tell the provider you are scheduling your “Welcome to Medicare” visit. 2. Annual Wellness Visit – a yearly visit in which your primary care provider creates or updates your personal wellness and prevention schedule based on your risk factors and health. This service is available once you’ve had Part B for more than 12 months. You will be asked to complete a “Health Risk Assessment” questionnaire that can help you and your healthcare provider develop a personalized plan to help you stay healthy and get the most out of your visit. It does not include a physical examination. To be covered by Medicare, this visit cannot occur in the same 12 month period as the Welcome to Medicare or preceding Annual Wellness visits. When you make your appointment, tell the provider you are scheduling your “Annual Wellness” visit.

Advisors (SHIBA) has trained counselors offering free, unbiased Medicare information in communities across Idaho and by phone. Information is available through its Medicare Helpline at 800-247-4422. SHIBA, the State of Idahoâ&#x20AC;&#x2122;s program for the federal State Health Insurance Assistance Program (SHIP) network is a service of the Idaho Department of Insurance.

About the Department of Insurance

The results of the Welcome to Medicare and Annual Wellness Visits are used to create and update a personal five-to-ten year prevention schedule based on your risk factors and health. Your healthcare provider then refers you for tests, screenings and treatment programs based on needs identified during the visit and your preventive schedule.

The Idaho Department of Insurance has been regulating the business of insurance in Idaho since 1901. The mission of the Department is to equitably, effectively and efficiently administer the Idaho Insurance Code and the International Fire Code. For more information, visit www.doi.idaho.gov.

Look for the Blue Apples Medicare covers 25 preventive screenings, tests and wellness programs. You pay nothing for 21 of them when your doctor refers you and they are provided in the required setting. Explanations and a tracking chart for preventive and wellness benefits are in Section 3 in your Medicare & You handbook. To find them, look for the blue apples.

Important Notes As with all Medicare-related treatment, your doctor and other health care providers must accept assignment for these guidelines to apply. If your doctor or other health care provider performs additional tests or services during a preventive care visit that are not covered by the benefit, you may have to pay a co-pay, and the Part B deductible may apply.

Still Have Questions? SHIBA has Answers! If you have questions about preventive services or other benefits, Senior Health Insurance Benefits

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Directory Listings

Aesthetics ClearView Aesthetics.............................. 208-882-4662 2500 West A St. Suite 202, Moscow, ID CVeyes.com With advanced training in Botox, dermal fillers, laser treatment, and Blepharoplasty (Eyelid Lifts) we are able to offer patients the most sophisticated and refined medical aesthetic services. ClearView Aesthetics is dedicated to delivering medically proven, visible results with exceptional patient care.

Agencies, Free Referral Services & Volunteer Opportunities AARP Idaho............................................. 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian, ID facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over. Aging and Disability Resource Center / N. Central Idaho Area Agency on Aging.................. 208-746-3351 124 New 6th St., Lewiston, ID cap4action.org/PSAgencyOnAging Providing information and assistance for people of all ages, incomes and disabilities enabling them to plan for present and future long-term care needs. Assisting older Americans and their families in making informed decisions and choices about life. Alzheimerâ&#x20AC;&#x2122;s Association Inland NW Chapter N. Idaho Office........................................ 208-666-2996 alz.org/inlandnorthwest P.J.Christo, RN; email: pj.christo@alz.org 24-Hour Help line................................... 800-272-3900 We connect families to needed programs, products and services, provide Dementia Information, Local Support Groups, State and Federal Advocacy, educational programs, workshops and lectures for caregivers, families and the general public.

Wise Guide | Winter / Spring 2016

Board of Community Guardian............. 208-750-2080 Nez Perce County, Lewiston, ID We are a last resort for anyone (often with dementia or debilitation) without family or friends to care for them. If you know of anyone like this, or would care to serve as a guardian or conservator, please call Stephanie at 208-750-2080. Disability Action Center NW 330 5th St., Lewiston, ID......................... 208-746-9033 505 N. Main St., Moscow, ID................... 208-883-0523 dacnw.org DAC NW is the local Center for Independent Living which offers a variety of services from peer-to-peer independent living support, medical equipment exchange, help with self-advocacy, and access to assistive technology. Idaho Commission for the Blind & Visually Impaired................................ 208-799-5009 1118 F St., Lewiston, ID gworthington@icbvi.idaho.gov ICBVI is a state agency that provides free independent living training and offers adaptive aids, such as magnifiers and talking devices, to help individuals who are struggling with vision loss to be more independent in their homes and the community. Lilac Blind .............................................. 509-328-9116 1212 N. Howard St., Spokane, WA lilacblind.org Lilac Services for the Blind provides individualized training in alternative techniques and strategies, adaptive aids and optical devices, and continuing support to help individuals maintain independence and safety at home and in their communities. Serving Eastern and North Central Washington. Retirement Publishing........................... 800-584-9916 retirementpublishing.com Keeping Idaho seniors informed of their options with our FREE publications: Idaho Elder Directory, North Idaho Retirement, Assisted Living in Idaho, Alzheimerâ&#x20AC;&#x2122;s Resource Directory. Call toll free during regular business hours for your FREE copy or visit our Web site.

Care Communities; Independent & Assisted Living, Adult Day Care Bishop Place Senior Living.................... 509-334-9488 815 SE Klemgard, Pullman, WA BishopPlace.net At Bishop Place we offer Independent Living Apartments and Cottages, Assisted Living, and Memory Care. We tailor care plans to fit the needs of each individual to keep them living as independently as possible, and within their schedule.

Life Care Center of Lewiston.................. 208-798-8500 325 Warner Dr., Lewiston, ID LCCA.com Life Care Centers of North Idaho specialize in long term care, special needs and dementia care, postoperative and acute illness restorative nursing and therapy, 24/7 admissions. Full-time on-site physician. Respite stay is also available. Semi-private and private rooms. Schedule your tour today!

Entertainment & Recreation

Brookdale............................................... 208-746-8676 2975 Juniper Dr., Lewiston, ID brookdale.com Offering seniors the independence of a private home plus the type of supportive aid they need with daily tasks. Residents live as members of a family of friends in resort-style comfort with personalized care.

NorthWest Recumbent Cycles................ 208-818-5491 Gary@NWrecumbentcycles.com We specialize in getting anyone riding cycles, especially those with special needs. We build custom bikes and trikes for those with almost any disability. Come on out to Post Falls and play on many models of the most stable and comfortable bikes and trikes in the world. Call for appointments.

Clark Place.............................................. 208-882-3438 1401 N. Polk St., Moscow, ID enlivant.com We offer a full range of personalized, attentive assisted living care and advanced levels of care in a comfortable, warm community. A full slate of activities, full-time nurse available 24/7, and a pet friendly environment helps our residents thrive.

Financial & Asset Management

Guardian Angel Homes.......................... 208-743-6500 2421 Vineyard Ave., Lewiston, ID guardianangelhomes.com Providing Independent & Assisted Living, Alzheimer’s & Dementia special care and Respite Services. Assistance with all aspects of daily living and a fulltime nurse on duty. Pets are welcome. Family, dignity, independence, and choice are not simply words; they are a way of life. Idaho State Veterans Home.................... 208-750-3600 821 21st Ave., Lewiston, ID veterans.idaho.gov Honoring Idaho’s veterans in recognition of their sacrifices in protecting our freedoms and individual rights. Providing the very best long-term care, advocacy and professional care delivered with a holistic approach, offering medical, dietary, social and rehabilitative care maximizing residents’ independence and self-worth.

AARP Idaho............................................. 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian, ID facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over.

Gifts & Shopping Owl Pharmacies/Hallmark Gold Crown Stores 720 16th Ave., Lewiston, ID.................... 208-743-5528 1275 Highland, Clarkston, WA............... 509-758-5533 owlpharmacies.com We carry Hallmark Gold Crown Cards and Keepsake Ornaments at both locations. Offering a wide array of hard to find Fine Gifts and Fashion Accessories. Stop in today and see what we have to offer. “The Adventures of a Helicopter Pilot Flying the H-34 Helicopter in Vietnam for the United States Marine Corps” by Bill Collier, USMCR The true, spellbinding account of Sandpoint resident Bill Collier’s experiences piloting a Marine Corps H-34 helicopter in combat during the Vietnam War. Available at local bookstores or online at Amazon.com

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Directory Listings

Hearing & Vision ClearView Eye Clinic, Surgery Center & Audiology 2840 Juniper Dr., Lewiston, ID............... 208-746-5100 2500 West A St. Suite 202, Moscow, ID.... 208-882-4662 CVeyes.com Hearing is a precious sense for many reasons. Good hearing helps us connect with people and adds to our favorite experiences. Research suggests that hearing even helps us stay cognitively fit as we age. If you or someone you love experiences frustration with hearing, we can help. Hearing Aid Demonstrations are available. Hearing Aid Source................................ 509-751-9440 721 6th St., Clarkston, WA hearingtricities.com Serving North Idaho for over 20 years. We help you hear better! Hearing evaluations for adults and children. We sell the most advanced digital hearing aids available. Each new digital hearing aid comes with a 30-day trial program, 3 year warranties and 3 years free batteries. Appointments on Tuesdays - call to schedule today! Vision Matters, Inland Empire............... 888-281-1492 Vision matters is in business to help people living with low vision, providing quality service, a gentle touch and no obligation, in-home and hands-on demonstrations of video magnifiers.

Hospice Friends of Hospice.................................. 509-332-4414 Gladish Community Center 115 NW State St.,Ste 117, Pullman, WA friendsofhospice.net Offering a wide range of services to ease suffering at the end of life. Willow Center Lewiston/Clarkston, WA......................... 208-791-7192 Moscow/Pullman, ID.............................. 208-669-0730 willow-center.org Making a profound difference in the lives of grieving children by helping assist them with hope and healing. Offering a unique program of peer support to assist children, teens & families after the death of someone close. Camp Erin is a weekend program offered July 15-17 this summer.

Wise Guide | Winter / Spring 2016

Hospitals, Medical Care & Surgery Centers ClearView Eye Clinic, Surgery Center & Audiology 2840 Juniper Dr., Lewiston, ID............... 208-746-5100 2500 West A St. Suite 202, Moscow, ID.... 208-882-4662 CVeyes.com With cataract & bladeless Lasik surgery and advanced vision treatments at ClearView Eye Clinic, you can be free to find your Clear View. ClearView continues to lead the way in laser vision correction. They are committed to bringing patients the best technology available for vision care, providing you with more options than ever to achieve clear vision and live freely. Gritman-Fresenius Medical Care........... 208-882-1817 723 S. Main St., Moscow, ID ultracare-dialysis.com The nation’s largest network of dialysis clinics. Our expertise, experience and commitment all combine to provide you with comprehensive services and technologically-advanced care. We’re proud to have helped improve the health of thousands of people living with kidney disease. North Idaho Advanced Care Hospital.... 208-262-2800 600 N. Cecil, Post Falls, ID NIACH.ernesthealth.com We hold a Joint Commission “Gold Seal of Approval” and 5th in the nation rating for care of diseases associated with respiratory failure (COPD, pneumonia, cystic fibrosis, etc.). Our 40-bed facility provides longterm acute care and critical care services for patients recovering from serious illnesses or injuries. Rehabilitation Hospital of the Northwest ................................................................ 208-262-8700 3372 E. Jenalan Ave., Post Falls, ID rhn.ernesthelath.com We provide intensive physical rehabilitation services to patients recovering from strokes, brain, spinal cord and orthopedic injuries and other impairments as a result of injuries or illness. Also treated are cerebral palsy, ALS (Lou Gehrig’s Disease) multiple sclerosis & Parkinson’s disease.

Tri-State Memorial Hospital & Medical Campus................................. 509-758-5511 1221 Highland Ave., Clarkston, WA tristatehospital.org Tri-State Memorial Hospital & Medical Campus is committed to caring for you with the latest in medical technology and techniques, yet true healing takes place when expert medical care is combined with a smile, a caring touch, a kind word.

In-Home Services Idaho Partners In Care, LLC 800-576-1825, Ext. 1 or 2 820 Elm Dr., St Maries, ID....................... 208-245-5920 Providing services that reduce the difficult and stressful aspects of living at home. With a list of caregivers or if you have a relative or friend you would prefer, it is possible they could become a member of IPIC and provide you with your services.

Legal Idaho Legal Aid Services........................ 208-743-1556 633 Main St., Ste 103, Lewiston, ID Idaho Legal Aid has attorneys available to assist you at NO COST if you qualify. Call us to determine if you are eligible and schedule an appointment with an attorney in person, or by phone.

Pharmacies, Medical Equipment, Safety & Supplies Owl Pharmacies Owl Southway & Owl Uniforms............. 208-743-5528 720 16th Ave., Lewiston, ID owlpharmacies.com Full Service Pharmacy, over-the-counter medications, and Hallmark Gold Crown cards and keepsake ornaments, fine gifts & fashion accessories. Our lower level offers medical uniforms, scrubs, nursing shoes, accessories with brands such as Dickies, Cherokee, Koi, Dansko and much more.

Owl Tri-State........................................... 509-758-5533 1275 Highland, Clarkston, WA owlpharmacies.com Full Service and Compounding Pharmacy. We are also a Hallmark Gold Crown store with cards and keepsake ornaments to a wide array of hard to find fine gifts and fashion accessories. Stop in today and see what we have to offer! Owl Home Medical................................. 208-743-7766 312 St. Johnâ&#x20AC;&#x2122;s Way, Lewiston, ID owlpharmacies.com Carrying a full line of home medical products. Rentals &/or sales of scooters, power chairs, walkers, lift chairs, etc. We also carry Amoena post-mastectomy products. Major insurance billing is available.

Veterinary & Animal Care American Heritage Wildlife Foundation ................................................................ 208-266-1488 AHWF.org The only 501(c)3 non-profit in the Panhandle working with all native wildlife species, through rehabilitation of injured or orphaned wildlife. The primary wildlife care specialist is a member of the National Wildlife Rehabilitators Association and International Wildlife Rehabilitation Council and holds rehabilitation permits with the US Fish and Wildlife Service Migratory Bird Department and Idaho Department of Fish and Game. If you find an animal in need - Donâ&#x20AC;&#x2122;t wait! Call Us First! - you risk their survival with any delay in seeking proper care WE KNOW WHAT TO DO!

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It is personal, practical and relevant.

Health = Mental, Physical & Financial The Wise Guide is … … a FREE & LOCAL educational health resource distributed deeply into the rural communities of N.Central Idaho & S.E. Washington. … in Healthcare Professionals’ clinics, offices, and shared during in-home care. … is provided to Non-Profits & Veteran Service Organizations for clients during consultation, outreach and events. … in Grocery, Specialty Food, Rural Convenience & Hardware Stores, Hospitals & Urgent Care, Professional Offices, Pharmacies, Senior Centers, Libraries, Select Restaurants, Chambers of Commerce…

That’s why people say, “The Wise Guide is Everywhere!” AND — It’s ONLINE TOO! Share the current edition, past editions and articles with family & friends everywhere at:

www.thewiseguideonline.com Wise Guide | Winter / Spring 2016 42Interested in Advertising in Print, Online, Both? pjc@thewiseguideonline.com • 208-263-5654

VA Expands Disability Benefits for Agent Orange Exposure T

he Department of Veterans Affairs (VA) published a new regulation on June 18, 2015 that expands eligibility for some benefits for a select group of Air Force Veterans and Air Force Reserve personnel who were exposed to the herbicide Agent Orange through regular and repeated contact with contaminated C-123 aircraft used in Vietnam as part of Operation Ranch Hand (ORH). This regulation allows VA to begin providing benefits to eligible Air Force veterans and Air Force Reserve personnel who submit a disability compensation claim for any of the 14 medical conditions determined by VA to be related to exposure to Agent Orange. Secretary of Veterans Affairs Robert A. McDonald made the decision to expand benefits following receipt of a 2015 report by the National Academy of Sciences Institute of Medicine (IOM) on Post-Vietnam Dioxin Exposure in Agent Orange-Contaminated C-123 Aircraft. This VA-requested report found evidence that as many as 1,500 to 2,100 Air Force and Air Force Reserve personnel who served as flight, medical and ground maintenance crew members on ORH C-123 aircraft previously used to spray Agent Orange in Vietnam were exposed to the herbicide. “Opening up eligibility for this deserving group of Air Force veterans and reservists is the right thing to do,” said Secretary McDonald. “We thank the IOM for its thorough review that provided the supporting evidence needed to ensure we can now fully compensate any former crew member who develops an Agent Orange-related disability.” Under this new rule, Air Force and Air Force Reserve flight, medical and ground maintenance crew members who served on the contaminated ORH C-123s are presumed to have been exposed to herbicides during their service, thus making it easier for them to establish entitlement for some VA benefits if they develop an Agent Orange-related presumptive condition. In addition, for affected Air Force Reserve crew members, VA will presume that their Agent Orange-related condition had its onset during their Reserve training. This change ensures that these reservists are eligible for VA disability compensation and medical care for any Agent Orange-related presumptive condition, and that their surviving dependents are eligible for dependency

and indemnity compensation and burial benefits. The interim final rule can be found on the Federal Register: www.federalregister.gov/public- inspection. VA will immediately begin processing claims and issuing benefits to eligible Air Force crew members. VA encourages reservists who were assigned to flight, ground or medical crew duties at Lockbourne/ Rickenbacker Air Force Base in Ohio (906th and 907th Tactical Air Groups or 355th and 356th Tactical Airlift Squadron), Westover Air Force Base in Massachusetts (731st Tactical Air Squadron and 74th Aeromedical Evacuation Squadron) or Pittsburgh, Pennsylvania, International Airport ( 758th Airlift Squadron) during the period 1969 to 1986, and developed an Agent Orange-related disability to file a disability compensation claim online through the joint VA Department of Defense web portal, eBenefits (https:// www.ebenefits.va.gov/). VA also has identified several active duty locations where ORH C-123 aircraft may have been used following their service in Vietnam. Active duty personnel who served in a regular USAF unit location where a contaminated C-123 was assigned and who had regular and repeated contact with the aircraft through flight, ground or medical duties during the period 1969 to 1986, and who develop an Agent Orange-related disability, also are encouraged to apply for benefits. For more information on applying for these benefits, including the affected units, Air Force Specialty Codes and dates of service for affected crew members, and a listing of Agent Orange-related conditions, visit www.benefits.va.gov/COMPENSATION/ claims-postservice-agent_orange.asp. Contact your Local Veterans Service Officer (VSO) to learn more and for assistance in filing a claim - it will be MUCH easier.

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Emergency Planning Assistance (For IDAHO residents only) By Krista Kramer, DAC Northwest

his is emergency planning and alerting system information for Idaho folks with disabilities, especially those in outlying areas. Please help people put some thought into being ready if an emergency occurs. While the wildfires have had peopleâ&#x20AC;&#x2122;s attention, we want to encourage everyone, and especially people who have disabilities, to make an emergency plan that takes your unique circumstances into account. We know several people who have had to evacuate already and know some who have been near fires that they didnâ&#x20AC;&#x2122;t know were happening. One step in emergency preparedness is signing up for the Idaho State Alert and Warning System. This alert system will send weather, fire, and other emergency information directly to your cell phone, land line, e-mail, pager, or even specialty communication device. It allows you to register your contact information (especially important for those who do not have land lines) as a person with special needs, where it will be

Wise Guide | Winter / Spring 2016

available to first-responders. Caregiver information can be included, as well as information about your condition, such as evacuation assistance needed. www.isaws.org. A good resource for more information on emergency preparedness is: www.fema.gov/media-library/assets/documents/897 www.disability.gov/resource/disability-govs-guideemergency-preparedness-disaster-recovery/ Fire information maps can be found at: www.geomac.gov/viewer/viewer.shtml If you have questions concerning developing your emergency backup plan, what/how to pack a preparedness bag, how to create a buddy system, creating a map of escape routes through your home or neighborhood, or technology to improve your safety, give us a call at Disability Action Center - 208-883-0523 (Moscow) and 208-664-9896 (Dalton Gardens). We will be more than happy to assist you wherever we can.

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Emergency Caregiver Respite (ECR) When no other resource can help

Available to all 24/7 Idaho Caregivers.

ECR

is a respite care program designed to assist 24/7 family caregivers. Through ECR any caregiver providing 24/7 care to any person of any age (child, adult or elder) is eligible to apply for funding.

Facts •

Respite care is an intermittent period of relief for primary caregivers so that s/he may take a break from the continual responsibilities of caregiving. ECR is a short-term period of relief when there is an unforeseen emergency or crisis or there is trauma or increased family stress.

•

An emergency is an urgent or unforeseen event such as a funeral, need for medical attention, or severe emotional distress, which results in the immediate or unavoidable absence of the primary caregiver or back up caregivers from the home where care is provided.

•

To obtain ECR funds, caregivers in an emergency situation, and/or agency staff assisting a caregiver, may apply for emergency respite care funds at www.idahofederation.org. Click on “Respite Care” and then “Emergency Caregiver Respite” to complete an on-line application form, or print a form to email or fax. Caregivers or agency staff can also call the Federation of Families for Children’s Mental Health (Federation of Families) at 208-433-8845 or 1-800-905-3436 to initiate the application process.

•

Caregivers are responsible for identifying their choice of respite care provider. The respite provider can be a family member, trusted friend or an agency providing in-home or temporary residential care. If the caregiver needs assistance locating a respite provider the 211 CareLine may be of assistance.

•

ECR is a collaborative project of the Idaho Commission on Aging, the Idaho Federation of Families for Children’s Mental Health, and the Idaho Caregivers Alliance. More detailed information regarding eligibility, emergency criteria, additional resources and the application can be found at: www.idahofederation.org or by contacting the Idaho Federation of Families at: 208-433-8845 or 1-800-905-3436.

Wise Guide | Winter / Spring 2016

YOU’RE GOOD

WITH NUMBERS AND PEOPLE. YOU’RE OUR KIND

OF VOLUNTEER.

Looking for a rewarding volunteer opportunity that makes the most of your talents? Volunteer for AARP Foundation Tax-Aide, one of the most effective grassroots volunteer programs in the nation. You’ll be helping low- to moderate-income taxpayers—especially those 60 and older— in your own community with much-needed tax preparation assistance that’s free, individualized and has no strings attached. And because we go beyond the 1040EZ form to cover the 1040 with Schedules A, B and D, our volunteers often find claims and deductions that a taxpayer might not even know about. We’re 35,000 volunteers strong. Join us.

AARP Foundation Tax-Aide is offered in conjunction with the IRS. C2919 (1013)

aarp.org/taxaide

Your HEALTH Is Our First Priority Tri-State Memorial Hospital is committed to caring for you and those you love with the latest in medical technology and techniques. But true healing takes place when expert medical care is combined with a a smile, a caring touch, a kind word. 365 days a year, day or night, we are here to treat you well. Family Practice

Medical Office Building 1119 Highland Ave, Suite 10 509.758.1450 Tyler Anderson, PA-C Tamara Bruns, ARNP Jennifer Creaser, FNP Warren Ellison, MD Don Greggain, MD Christopher Iacobelli, MD Jeremy Ostermiller, PA-C Carson Seeber, MD

Diabetes Education 1221 Highland Ave 509.758.5511 x2512

Internal Medicine

1119 Highland Ave, Suite 1 509.254.2708 James B. Fisher, MD Bhupesh Rathod, MD

Pediatrics

1231 Highland Ave. 509.254.2725 R. Todd Parkey, MD

Rheumatology

1119 Highland Ave, Suite 3 509.780.4444 Zeeshan Afzal, MD

Pain Clinic

1119 Highland Ave, Suite 11 509.758.4673

Kidney & Hypertension Clinic 1119 Highland Ave, Suite 5 509.751.0312 Meghana Awad, MD

General Surgery

1119 Highland Ave, Suite 6 509.254.2722

Sleep Diagnostic Services 1119 Highland Ave, Suite 8 509.751.0223

Urology - Pediatric & Adult 1119 Highland Ave, Suite 6 509.254.2722 Richard Zobell, MD

Wound Healing & Hyperbaric Services 1119 Highland Ave, Suite 7 509.758.1119

Recognition is nice, but it is YOU who really matters. We do our part to make sure we are meeting the highest level of safety and service for our patients, which is why we are proud to be awarded so many honors. None of that really matters unless you and your loved ones feel safe and comforted in our care. Our awards pale in comparison to the letters and phone calls we receive every day telling us how well we treated you, our patients. We will gladly continue to receive awards and recognition from agencies that watch and follow our model of care, but it is YOU and your opinion that counts the most to us.

Your Health Is Our First Priority! Your Community-Owned & Operated Hospital Since 1955

Tri-State Memorial Hospital & Medical Campus 1119 Highland Avenue, Clarkston, WA â&#x20AC;˘ 509.758.5511 â&#x20AC;˘ www.TriStateHospital.org