The Wise Guide Summer/Fall 2016 by Jonnie Bradley

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E Stem Cell Therapy Medications & Aging Helping Parents Make a Change Healing Wounds with Hyperbaric Therapy

WE’RE MAKING IDAHO AN EVEN BETTER PLACE FOR PEOPLE OF ALL AGES.

We’re working hard to make Idaho a better place to live, work and play. When con artists try to separate you from your money, we’re there with the Idaho attorney general hosting statewide identity theft and fraud conferences. When family caregivers need resources to keep loved ones at home, we‘re ghting at the Idaho State Legislature to get them the help they need and deserve. And when you want to stay sharp and engaged, we’re offering exceptional continuing education classes designed exclusively for people 50+. See everything we’re doing and get to know us at aarp.org/id

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N. Central Idaho & S.E. Washington

SUMMER / FALL 2016

Features

Healing Chronic Wounds With hyperbaric oxygen therapy

B:11.125”

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About the Cover Artist................................................. 5 Healing Wounds with Hyperbaric Therapy................ 8 Stem Cell Therapy............................................................ 10 The Magic Trunk........................................................ 12 Medications and Aging.............................................. 14 Caregivers Should Ask: “Am I Depressed?”.............. 16 Improving Communication...................................... 20 Veterans Treatment Courts........................................ 22 Veterans Pages.......................................................24-27 VA - Death Benefits Preparedness............................ 28 Crossword & Sudoku.............................................30-31 Planning Your Doctor Visit........................................ 32 Is Assisted Living the Right Choice?......................... 34 Helping Parents Make a Change............................... 42 Senior Meal Sites........................................................ 44

Directory

Stem Cell Therapy A new tool

Medications and Aging

Changes can increase adverse reactions

Aesthetics.................................................................... 36 Agencies, Free Referral Services & Volunteer Opportunities....................................... 36 Care Communities; Independent & Assisted Living, Adult Day Care........................... 36 Entertainment & Recreation..................................... 37 Financial & Asset Management................................ 38 Gifts & Shopping........................................................ 38 In-Home Services ...................................................... 38 Hearing & Vision ........................................................ 38 Hospice ...................................................................... 38 Hospitals, Medical Care & Surgery Centers............. 39 Long-Term, Skilled Nursing & Restorative/Rehabilitative Care........................... 39 Legal............................................................................ 40 Pharmacies, Medical Equipment, Safety & Supplies.................................................. 40 Veterinary & Animal Care.......................................... 40

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FesTival aTsandpoinT The

Music under the Stars, on the Lake in Sandpoint, Idaho! August 4-14, 2016, Featuring:

~ Bruce Hornsby & the Noisemakers ~ ~ Railroad Earth ~ ~ Emmylou Harris ~ ~ Angelique Kidjo ~ ~ Nitty Gritty Dirt Band ~ ~ Ben Harper ~ ~Spokane Symphony Orchestra with Maestro Gary Sheldon and Vadim Neselovskyi~ For more information and tickets visit us online at:

Wise Guide | Summer / Fall 2016 FestivalAtSandpoint.com or call: (208) 265-4554

About the Cover Cover Artwork:

“The Dance” by Barbara Janusz

About the Artist

Barbara Janusz received her Masters of Arts Degree from the University of California, Long Beach. She taught Art on the Secondary and University levels, and has given numerous Watercolor Workshops in the Western United States including Alaska and her Studio by the Lake in Hope, Idaho. Janusz has exhibited in many juried shows, solo exhibits and has received numerous awards such as

painting I have the choice of trusting the true nature of my experience, freeing myself to the newness of each moment, constantly clearing away thoughts and fears that have obstructed the trust that the painting can paint itself. I find myself dissolving into the clear water and purity of paint flowing on to the paper. One stroke leads to the next. The act of painting comes out of the now. I must be fully present with an open heart and mind, open to all possibilities. This openness is not an absence of thought but a clear attentiveness to the moment.

by collectors because of their passionate and luminous qualities of scenes of Idaho, Montana and Yellowstone National Park and is exhibited at the Grizzly Bear and Wolf Discovery Center in West Yellowstone, Art Works Gallery in Sandpoint (www. SandpointArtWorks.com), and Janusz Studio by the Lake during the (Self Guided Driving) Artists Studio Tour, August 12,13,14, and August 19,20,21 from 10 am to 4 pm daily (www.ArtTourDrive.com) in the Greater Sandpoint Area. Janusz says, “Through the arts, our society depicts its self image and declares its identity to the world. The arts define our quality of life and forecast our visions of the future. They reveal our dreams and

Clockwise from left: “Moss Creek Falls”, “Hook Up”, “Cowboy”, and “Lily Pond” The Gold Medallion at the Rocky Mountain National, the Ruth Elliot Award for Women Painters of the West, Best of Show, Westwood Center for the Arts to name a few. She is a signature member of Watercolor West and a member of the Northwest Watercolor Society. Janusz describes how she paints, “Timeless moments in the studio transforming my imagination to collaborate with my emotion and memory. I realize while I am

It is not by effort but by letting go that the painting becomes its essence. I feel the act of painting nourishes my soul and the completed painting nourishes the soul of others. I am truly thankful for the journey.” All Janusz paintings express a celebration of life. Her Waterfalls and Fly Fishing series are sought

“Northwest Falls” nourish our spirituality.” You’re always welcome to visit Janusz Studio by the Lake in Hope, by calling 208-290-1279 or visit her website at: www.BarbaraJanusz.com.

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A Note from the Editor... One of the greatest gifts we have is each other. Support groups are a place where those of us with a common concern can come and learn what others are doing to understand their circumstances, improve their quality of life and those of loved ones. Support groups are NOT about self-pity; they are a wonderful resource of information, ideas and ways to learn what works, and what doesn’t. Why reinvent the wheel? You are not alone. You’ll be surprised just how many people have walked the path you are on. If you know of a support group in your community and wish to share that information with others, please contact us and we will try to help you reach our readers who would benefit from participation.

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

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Jonnie Bradley Editor

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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.

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Healing Wounds with Hyperbaric Therapy

by Jonathan Scott, CHT Director of Wound Healing & Hyperbaric Services Tri-State Memorial Hospital & Medical Campus

ave you ever had a wound that just would not heal correctly? Living with a chronic wound can make daily activities a constant battle. Suffering long term without improvement may cause serious infection and the loss of a limb. If you or a loved one has a wound that has not healed 50% in four weeks, you may have a non-healing wound and may benefit from the specialty of wound healing and hyperbaric medicine. Some non-healing wounds are pressure ulcers, diabetic ulcers, non-healing surgical wounds and many other difficult to heal wounds. Initially, a team approach is utilized to help address the underlying reason the wound is not healing. Key factors such as nutrition, blood flow, treating infections, diabetes control and many others are addressed. Advanced technologies such as wound vacs, compression therapy, skin substitutes, advanced wound care dressings, several diagnostic technologies, and many other time-proven methods can be used to help you heal faster, allowing you to get back to your daily activities sooner. Hyperbaric Oxygen Therapy is successfully being used today to heal chronic wounds. While the term might sound mysterious, it can be broken down to “hyper” meaning increased and “baric” relating to pressure. Therefore, hyperbaric oxygen therapy refers to the treatment of the entire body with 100% oxygen under increased pressure.

Wise Guide | Summer / Fall 2016

One of the key factors for healing wounds is oxygen, normally carried in our red blood cells. As we age and with many different diseases, the blood flow to our extremities can be significantly reduced. The increased pressure and oxygen with hyperbaric treatment, dissolves the oxygen into the blood plasma as well as in all body cells and tissues, allowing oxygen to better reach the area to be healed. In a sense, hyperbaric oxygen therapy helps your body work to its maximum capacity for healing. Many people think hyperbaric medicine is a new medical therapy, however it’s use dates back to the 1600’s. Similar to the treatment of decompression sickness with scuba divers, the atmospheric pressure is doubled and the chamber is pressured with 100% oxygen, rather than the 20% oxygen and 80% nitrogen that is normally breathed. This allows up to 10 times more oxygen to be retained by the body, which is high enough to sustain life with no blood at all. The oxygenrich blood bathes damaged tissue, stimulating the release of chemicals that promote healing, including the formation of new blood vessels, experts say. Today there are thirteen conditions recognized for FDA approved hyperbaric oxygen treatment: air or gas embolism, carbon monoxide poisoning, gas gangrene, crush injury, decompression sickness, arterial insufficiencies, severe anemia, intracranial abscesses, necrotizing (dying) soft tissue infections, osteomyelitis or chronic bone infections, delayed radiation injury,

compromised skin grafts and flaps, and acute thermal burn injury. In one instance, Ben was referred for problems with his jaw and mouth deteriorating due to high dose radiation treatment for cancer in his past. He broke a molar and had been working with his dentist and oral surgeon to fix the problem. He was referred to hyperbaric treatments to help rejuvenate the damaged cells from the radiation proper before and after oral surgery. Ben completed 20 treatments prior and 10 treatments after surgery and had a full recovery. Wound healing and hyperbaric medicine is a growing specialty in healthcare. At TriState Memorial Hospital, we offer wound healing specialist services for both inpatient and outpatient needs. Our highly trained staff is at the ready, and consults with patients regarding wound care and hyperbaric needs in the emergency room, hospital and outpatient clinic daily. _____________________________ Jonathan Scott, Certified Hyperbaric Technologist, EMT has worked in the Wound Healing and Hyperbaric Oxygen industry throughout the Western USA for 9 years and held the position of Hyperbaric Safety Director in several clinics. Since 2013, Jonathan has been the Director of the Wound Healing and Hyperbaric Services at Tri-State Memorial Hospital. He has firsthand experience with the positive effects of hyperbaric medicine and has participated in multiple hyperbaric studies and clinical trials.

Tri-State Hospital Support Groups Tri-State Hospital Conference Room 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 6:15-7:00 AM 509-758-2821 Parkinsons Support Group Helping each other live well with Parkinsonâ&#x20AC;&#x2122;s! 2nd Monday - Monthly 2:00 - 4:00 PM Contacts: 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

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Stem Cell Therapy - a New Tool

by David Vanos, MD Stem Cell Centers

Wise Guide | Summer / Fall 2016

he medical field of Pain Management is changing rapidly because of a state-of-the-art procedure called “stem cell therapy.” There have been numerous studies showing both the safety and effectiveness of stem cell therapy in treating pain and degenerative conditions in joints and the spine. Stem cell therapy utilizes either a person’s own stem cells, or another person’s stem cells, to target and treat damaged tissue that is causing pain and/ or loss of function. A stem cell’s role in our body is to heal and regenerate all of the tissues; every cell in our body dies and self-renews with new tissue because of our stem cells. Stem cells can turn into every single type of tissue and they secrete growth factors and various other substances that activate other healing cells in the damaged area of your body. Stem cells can multiply and turn into the “tissue builder” for the tissue that needs to be repaired. When a person has damaged tissue, for example an osteoarthritic “bone on bone” knee joint, the damaged cartilage tissue in that knee lets off little “beacons” to signal to your body’s own stem cells to come and heal that damaged tissue. If you have a heart attack or a stroke, your body’s own stem cells can go to the damaged area of your heart or brain and become cells that produce new heart or brain cells. These amazing stem cells are literally what regenerate your body and keep it young and healthy. Unfortunately, as we age, the number of stem cells we have in our body drastically decreases and their potency diminishes substantially as well. This is one of the primary reasons our body starts to “wear out” as we get older and we begin to encounter different degenerative problems. Stem cell therapy counteracts these problems by replenishing your body with stem cells. Stem cells are either harvested from your own bone marrow or adipose (fat) or from brand new stem cells obtained from an FDA certified tissue laboratory. These stem cells are then re-injected back into your body, turning on your body’s own regenerative capabilities to heal your damaged tissue.

Stem cell therapy is widely used in the field of Pain Management across the country and other disciplines of medicine as well. There are many new research studies being released every week showing the huge promise of stem cell therapy. treatment of stroke victims with stem cell therapy this month. Subjects in the study saw remarkable results including the ability to walk again as well as talk again after the treatment. http://www. nbcbayarea.com/news/local/Stanford-DoctorsStunned-Stroke-Patients-Walk-Again-After-StemCell-Injections-381840871.html Some of the more common conditions treated with stem cells in this country include osteoarthritis of the joints, degenerative disc disease, herniated and bulging discs in the spine, spinal degeneration, neuropathy, COPD and neurological conditions. Although the success rates are not 100% with this new therapy, they are very high with some conditions showing an over 90% success rate. These studies have also shown that stem cell therapy is much safer than almost all other medical interventions with virtually no side effects ever reported. Stem cell therapy is quickly becoming the future of medicine. ________________________________________________ Dr. David Vanos is a former Air Force Officer and former head of the anesthesia Dept. at Fairchild AFB. He is board certified in Pain Management and Anesthesiology with 27 years of experience in Pain Management. He enjoys spending time with his wife of 32 years and 3 wonderful children. See ad on inside back cover.

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The Magic Trunk by Linda Vestal, Administrator Guardian Angel Homes, Lewiston

s an Assisted Living Administrator for 18 years, it has been my honor to serve the greatest generation that has ever lived. My love for my job all started with my grandmother. Grandma was the most wonderful woman I have ever met. If I had a time machine I would love to go back in time just so I could meet up with her in the 1920’s and become her best friend. Her zeal for life, her outrageous laugh, her love of God, and her unending commitment to service of others is what inspires me to this day. My grandmother learned to drive at the age of 10. She was a working woman. She danced the Cancan and the Charleston. She yodeled. She loved

Wise Guide | Summer / Fall 2016

to camp. She knew how to shoot. She owned her own restaurant. She was a modern woman for her day. And then, she developed Alzheimer’s. Grandma was never very forthcoming with information about herself as a young woman. I would ask her about what it was like for her growing up and she would just talk in generalities, until the day we moved her in to my aunt’s house. At that time her Alzheimer’s had progressed to the point that she could not live alone anymore. Among her other possessions, my grandmother had a giant trunk in the basement of her home that was always locked. When the trunk arrived in my aunt’s house on moving day something wonderful happened. My grandmother and I were looking at the trunk

and I asked her if she knew where the key was. She reached into her bra and pulled out the key. Once the trunk was opened my view of my grandmother was changed forever. The real Margie was revealed. Marge the girl. Marge the young woman. As each item came out, there was a story to go with it— stories never told, not even to her children. The first thing that came out of the trunk was a full length mink coat with matching hat, a flapper dress, pictures of her as a young woman, pictures of their homestead in Montana, a marriage license to a man no one had ever heard of, white helmet with a red stripe down the middle, a Bavarian woman’s costume and many other treasures. Every item brought back memories for her, memories she had never shared until that afternoon. I found out that my grandmother drove moonshine from Montana to Chicago. That her father really wasn’t a veterinarian; that was just a cover for their moonshine business. She taught the Cancan and the Charleston in a speakeasy in Chicago. Her mink coat had three bullet holes in it because the man that gave it to her wanted it back and she would not give it up. There were several pictures of her holding tommy guns, which she knew how to shoot. She raced cars on dirt tracks wearing the white helmet. She yodeled on stage with Riley Puckett. Many, many great stories came out that day, stories I would never have heard if it wasn’t for the Magic Trunk. The Magic Trunk allowed me to meet Margret E. Campbell and hear stories I would not have heard if not for the Alzheimer’s. The last 12 years of my career have been exclusively dedicated to the excellent care everyday of Alzheimer’s and dementia residents who reside at Guardian Angel Homes. Thank You, Grandma! ________________________________________________ Linda Vestal has been an Assisted Living Administrator for 18 years. She began as a cook, then caregiver, medaid, lead caregiver, assistant administrator and finally administrator. Prior to healthcare, she was in the Hotel business; bussed tables, did room service, waited tables, prep cook, line cook, banquet cook and most of all, learned the importance of customer service. Customer service and being in service to the residents goes hand in hand. In her words, “I love being able to make a positive difference in the lives of the residents.” Call (208)743-6500 and come for a tour! Learn more online: GuardianAngelHomes.com and we look forward to meeting you!

y a d y r e ev

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o r e h In an emergency, natural disaster, or public health incident, a trained volunteer is invaluable. Volunteers are needed all across Idaho. Whether you have medical training or not, you can become a Medical Reserve Corps volunteer. Training is free. Join the Medical Reserve Corps by registering at:

www.volunteeridaho.com For more information: (208) 799-0393 or E-mail: rbender@phd2.idaho.gov

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Medications and Aging by Brian Auer Owl Pharmacies, Pharmacy Manager

here are physiological changes that occur as a person ages which can increase the risk of adverse reactions from certain medications. Changes like decreased renal function, decreased hepatic metabolism in the liver, reduced gastrointestinal absorption, and changes in fat/ water distribution can increase the time medications remain in their body. The “Beer’s Criteria for Potentially Inappropriate Medication Use in Older Adults,” often referred to as the “Beer’s List,” has been an important resource for preventing adverse outcomes of medication use in the elderly population since it was first published in the Archives of Internal Medicine in 1991. It serves as a guideline for practitioners and pharmacists of medications to avoid in prescribing decisions. The list of medications has been updated several times, most recently in 2015. The “Beer’s List” is meant to be a guideline and not to override professional judgement. If a person is taking a medication on the list, it does not mean it is inappropriate for them. One person may respond differently to a medication than another, and that is why the panel of experts that review and update

the criteria use the phrase “potentially inappropriate.” Never stop taking medications without first checking with your healthcare provider. Following is a summary of the “Beer’s List” medications: Antihistamines (typically prescribed for allergies, hives and eczema) • Brompheniramine • Chlorpheniramine • Clemastine • Cyproheptadine • Dexbrompheniramine • Dexchlorpheniramine • Diphenhydramine (oral) • Doxylamine • Hydroxyzine • Promethazine • Triprolidine They may cause many side effects in older adults, including confusion, drowsiness, blurred vision, difficulty urinating, dry mouth and constipation. Safer medications are available. Antiparkinsonian (prescribed for Parkinson’s disease and other health problems) • Benztropine (oral) • Trihexyphenidyl There are other medications that are usually more effective for Parkinson’s disease and related disorders than these. These drugs should not be used for other conditions, like treating side effects of other medications, for example the movement side effects of antipsychotic medications.

Wise Guide | Summer / Fall 2016

Antispasmodic medications (prescribed to relieve cramps or spasms) • Belladonna alkaloids • Clidinium-chlordiazepoxide • Dicyclomine • Hyoscyamine • Scopolamine Nitrofurantoin (an antibacterial drug prescribed for urinary tract infections) This drug may cause side effects that affect the lungs. Safer medications are available. Alpha1 blockers (drugs for the prostate but also prescribed for high blood pressure) • Doxazosin • Prazosin • Terazosin These drugs can cause a drop in blood pressure and dizziness when you stand up. This can lead to falls. Alternative treatments provide better results with lower risks. Medications, called Alpha agonists (prescribed for high blood pressure) • Clonidine • Guanfacine • Methyldopa These drugs may cause a slow heartbeat and dizziness. They are not recommended for routine treatment of high blood pressure.

Digoxin (at doses higher than 0.125 milligrams per day) In older patients with heart failure, higher doses appear to offer no additional benefit and may increase risks of dangerous side effects. Older patients with kidney problems are at particular risk of side effects. Spironolactone (at doses higher than 25 milligrams daily) In people with heart failure, higher doses may boost risks of high potassium levels. Tertiary Tricyclic Antidepressants (alone or in combination) • Amitriptyline • Chlordiazepoxide-amitriptyline • Clomipramine • Doxepin at doses of more than 6 milligrams per day • Imipramine • Perphenazine-amitriptyline Potential side effects include: confusion, drowsiness, blurred vision, difficulty urinating, dry mouth and constipation in older adults. They can also cause a drop in blood pressure and dizziness when you stand up. Safer medications are available. Benzodiazepines short- and intermediate-acting: • Alprazolam • Estazolam • Lorazepam • Oxazepam • Temazepam • Triazolam Long-acting: • Chlorazepate • Chlordiazepoxide • Chlordiazepoxide-amitriptyline • Clidinium-chlordiazepoxide • Clonazepam • Diazepam • Flurazepam

Older adults are especially sensitive to these medications. These drugs may increase risks of mental decline, delirium, falls, fractures, and car accidents in older adults. Despite these risks, they may be appropriate, in certain cases, for treating seizures, certain sleep disorders, anxiety disorders, withdrawal from benzodiazepine drugs and alcohol, and end-of-life care. Estrogens (with or without Progestins) These hormones may increase risks of breast cancer and cancer of the lining of the uterus. They don’t appear to help protect women from heart disease or loss of cognitive (thinking) ability in later life. The complete list with explanations and recommendations can be viewed at a number of online sources including the American Geriatrics Society website: geriatricscareonline.org ________________________________ Brian Auer completed a BS in Pharmacy at Washington State University Cum Laude in1984. His professional profile: Lewis-Clark Pharmacy Association Continuing Education Coordinator 1986-1991; Idaho State Pharmacy Association Board Member 1991-95 & President 1994-95. Brian was Washington State University Pharmacy School Alumni Board Member 1995-96. Brian has been a Long Term Care Consultant Pharmacist from 1990 to present and Pharmacy Manager of Owl Southway from 1987-2016. He is affiliated with the National Association of Community Pharmacists, American Society of Consultant Pharmacists, Idaho State Pharmacists Association & LewisClark Pharmacists Association.

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Caregivers Should Ask: “AM I DEPRESSED?” By P.J. Christo RN, MS – Outreach Coordinator Alzheimer’s Association, Washington State Chapter Serving Washington and Northern Idaho

tudies show us that depression in caregivers is quite common. Typically, caregivers in general have a higher incidence of depression than the general population and not surprisingly, caregivers for people with dementia have the highest rates of depression overall. Depression often coincides with increased stress levels. And unfortunately, for some reason, stress doesn’t motivate us to take better care of ourselves but rather it tends to do the opposite. During stressful times, people’s health habits change. Rather than exercising, consuming

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nutritionally rich foods, and reaching out for support from friends and family, stressed caregivers tend to become more sedentary, eat poorly, and often become isolated. Interestingly, men either drink more alcohol or watch more television while women exercise less and eat more junk food. These resultant behaviors more often than not, make one feel worse rather than better! The short term ‘relief’ obtained by neglecting self care and increasing the frequency of poor selfindulgent health habits is tragically outweighed by the long-term consequences. If your health, as a caregiver becomes compromised, who will care for the one you’re caring for? It is only human to be tempted to indulge when stressed, whether indulging means more frequent servings of ice cream, laying on the couch rather than going for a walk, or watching more TV. And certainly, caregivers do not need to be scolded into eating only nutritious food, consume no alcohol or caffeine, and begin a rigorous exercise regimen! Yet, it is important to begin to think of your own needs while simultaneously thinking of your care receiver’s needs. Items on your own list of needs might include: • Time to exercise because your body deserves it • Obtaining quality rest • Consuming nutritious healthy food • Helping your own emotional well-being by having a little fun.

Following through with your specific needs diligently is not only good for you, but also for your care receiver. You will have more energy, feel better, and ultimately be able to better care for them. If you are already doing these things but cannot muster the energy to take care of yourself in these ways and still feel “down in the dumps,” seriously consider getting professional help. Although it is relatively normal to feel ‘down’ at times, if any of the following behaviors or feelings are pervasive for two weeks or longer, please seek outside help: • Sleep difficulties • Loss of pleasure in previously enjoyed activities • Fatigue/loss of energy – even after a good night’s sleep • Pervasive sadness • Appetite changes • Abnormal restlessness (nervous energy) • Low self-esteem • Decreased concentration and/or difficulty with decision making • Preoccupation with thoughts of suicide There is no one sign but rather a cluster of symptoms that requires treatment in depression. Seeking help for depression is really a sign of strength rather than weakness. Often we cannot recognize these signs in ourselves. If friends or family are concerned

about you, please take them seriously! When your emotional pain overshadows all pleasure and you cannot enjoy activities you previously enjoyed, it is time to seek treatment. Depression is a change in YOU. Depression is treatable. And whether treatment is with antidepressants, talk therapy, or a combination – treated depression often has good results! ________________________________________________ A Chicago native, PJ Christo received a BA Education and BS Nursing from Southern Illinois University, and a MS in Physiology from the University of Arizona. PJ worked many years as an RN in hospitals, a Charge Nurse in Neurology at Letterman Army Medical Center, and ICU at the VA San Francisco. In 1997 she became employed by the Alzheimer’s Association and coordinates support groups, answers the helpline, presents educational programs, does care consultations and assists with fundraising for Alzheimer’s disease - a National epidemic and defining disease of the Baby Boomers. Her duties encompass the greater Spokane region, all of northern Idaho from Lewiston/Clarkston Valley to Montana and to the Canadian border and the Palouse. The satisfaction of helping families in her community is what keeps her uplifted, determined, and encouraged.

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Alzheimers/Dementia Support Groups Support Groups Why struggle alone? Attendees share their knowledge and experience of what works, what doesn’t, in caring for themselves and loved ones. Groups are facilitated by professionals and are confidential. Come learn and get solutions. Interested in forming a group in your community? Contact P.J. Christo at 208-666-2996. Alzheimer’s ASSOCIATION 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 LEWISTON 2nd Wednesday - Monthly, 7- 9:00 PM Guardian Angel Homes 2421 Vineyard Ave. Facilitators: Cara Snyder, Maggie Morrison For questions: 208-743-6500 TELEPHONE CAREGIVER SUPPORT GROUP Group sessions by phone, call the 24/7 Helpline at 800-272-3900 for schedules. ONLINE ALZConnected.org - an online social networking community for people with Alzheimer’s, their caregivers and others affected by the disease. ALZ.org for more valuable resources!

Walk to End Alzheimer’s 2016 ...is the world’s largest event to raise awareness and funds for Alzheimer care, support and research. Since 1989, the Alzheimer’s Association mobilized millions of Americans in the Alzheimer’s Association Memory Walk®; now the Alzheimer’s Association is continuing to lead the way with Walk to End Alzheimer’s. Together, we can end Alzheimer’s – the nation’s sixth-leading cause of death. Walk to End Alzheimer’s participants will learn about Alzheimer’s disease, advocacy opportunities, clinical studies enrollment and support programs and services. Walk participants also honor those affected by Alzheimer’s disease with the poignant Promise Garden ceremony. Dates & Locations: Sunday, Sept.11th - McEuen Park, Coeur d’Alene, ID Saturday, September 24th - Kiwanis Park, Lewiston, ID Saturday, October 1st - North Bank Shelter in Riverfront Park, Spokane, WA Schedule: 8:30 a.m. Registration, 9:45 a.m. Opening ceremony 10 a.m. Walk begins (you can also “walk in spirit” through donation) Start or join a team today at alz.org/walk or walk in spirit/donate - call 509-456-0456, ext. 8311 for more information. ____________________________________________ ADDITIONAL Alzheimer’s Groups: COTTONWOOD 3rd Tuesdays - Monthly - (Beginning September 20th) 6:30 - 8:00 PM St. Mary’s Hosp. - Small Conf. Room Facilitator: Sister Barbara, 208-962-3251 OROFINO Want a support group in your community? Please call Sister Barbara - she can make it happen! 208-476-4555 (leave a message!)

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Improving Communication O

ften, one of the most frustrating challenges we face as our parents age is communicating our concerns about their health, whether it be physical, mental or financial. The dynamics of the parent/child relationship (you being the child) do not change. They still see you as their child and it’s their job to see to your needs. They don’t particularly like to hear what you think they should do when they have needs. Nor do they like the fact that you might notice they are having problems. Hence a bigger problem - they don’t tell you they are having any issues, and often, you are literally the last to know because they “didn’t want to worry you.” The first hurdle is to establish a basis of trust from which to communicate. Love is a good place to start. A heart to heart conversation about aging (yours and theirs), how much you care about them and their well being, and your need to talk about these things. (Remember, they see you as the child whose needs are to be met, so let’s use that knowledge - it’s about your needs, not theirs.”

by Jonnie Bradley, Editor

Many people think they are good listeners. Are you? Do you listen to the entire story, hear everything they say without thinking about what you want to say and interrupting them to express your thoughts? Being a good listener means waiting until they say whatever they are trying to say without interruption of any kind. No help, no interjecting your thoughts along the way, simply giving them the time with your full attention to enable them to feel like they have actually been heard, completely, the whole story. Listen openly and digest what they have said, when they have finished, perhaps rephrase it in your own words so it’s clear to them (and you) that you truly have heard what they said and do understand their concerns. You will get your chance to explain your thoughts, however, this is not intended to be advice on effective arguing. If you learn of their concerns, with courteous and respectful listening, don’t be in a big hurry to reply. Maybe you should think about it a while. This is not the time to disagree or you will defeat the trust you’ve built. Depending on how sensitive the subject is, you could even say, “I’ve heard what you say, and I understand this to be your meaning (state what you understand) and I need some time to think about all this. Can we talk about it a bit more later? When can we talk more about this?” This last question is a commitment to respond in a specific amount of time. It also gives you time to think about their thoughts, your thoughts, and perhaps do some research into the topic. Being prepared with more information is always good and leads to much more positive outcomes.

Four words to take out of your vocabulary: Always, Never, But & Why. Sometimes, talking about a sensitive subject is easier when utilizing a third person as an example. This removes the word “you” from the discussion, which is like jabbing a finger at them. Let’s just say you’re concerned about them living alone. Do you know of anyone or any circumstance where an older person is living alone? What are the issues that person deals with? What were their outcomes? What does your parent/loved one think about that person living alone; what works, what doesn’t? This gives you insight into

Wise Guide | Summer / Fall 2016

their own fears and allows you to ask, “What would you do then?” or, “What do you think they should do/ have done?” Then, on another day, pick a different topic and learn what they think about it. You will glean a great deal of useful information. Four words to take out of your vocabulary: Always, Never, But & Why. Remove these words from most sentences and you will receive a much better response from people. You always … nobody always does or always thinks anything. You never … nobody never does or never thinks something. (Besides, how does anyone ever really know what someone thinks or doesn’t think?) But … negates or contradicts the first part of the sentence: “It’s a nice day, but I wish it would stop raining.” This means you are complaining about the rain. “I like it, but…..” means you don’t really like it, you prefer something else. “I agree with you, but I think….” really means you disagree!

Why … Asking why someone did or thought something is considered a challenge; you are essentially asking them to justify their thoughts or actions. If you want to understand why they did or said something, say these phrases instead: “What brings you to that conclusion? What was your reasoning when you said or did that? How did you come to that point? What are your reasons?” Lastly, people hate silence. Do not fill the void. Ask a question and WAIT for an answer. Silence will wear on them and they will reply — IF you give them time. And, if you put words in their mouth, i.e., help them with their answer like, “Do you mean X or do you think Y?” their answer won’t be in their words, it will be in yours. If they originate the answer, it’s in their words, from their heart and their mind, not yours and you will get their perspective. Isn’t that what you want? Your guesses are not helpful and they will not be their words. It will be something YOU said, not them! This takes practice and making a serious effort to take time to think before talking. The results will prove it’s worth the effort.

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Veterans Treatment Courts by Lisa Martin, Problem-Solving Court Manager Idaho Judicial District II

ugust 1, 2013 the Idaho Judicial District II opened their court room doors to veterans who are facing criminal charges with the start-up of the Veterans Treatment Court. The first Veterans Treatment Court began in 2008 and today there are over 250 court programs throughout the nation. The court program is modeled after Drug Courts, whereby treatment is the focus and participants are reviewed for participation in a Drug Court program, with the possibility of having their charges either dismissed or reduced. The District II Veterans Treatment Court serves both combat and non-combat veterans. These court programs were developed to keep veterans out of the prison system and to address their treatment needs. The Veterans Treatment Court, like Drug Court, is based upon a team concept. Stakeholders from various professions come together to form an interdisciplinary team, including the Judge, Coordinator, Probation, Defense Attorney, Prosecutor, Treatment providers, and a VA liaison. There is collaboration within the court and with the treatment providers and liaison, focusing on each veteran and their individual needs. Veterans are assessed for a variety of treatment needs, including PTSD, traumatic brain injuries, mental health, domestic violence, substance abuse and a variety of medical needs. Once those needs are determined, the veteran will have further assessments before the court determines if they’re eligible for the 18-24 month program. Not only do Veterans Treatment Courts provide treatment, they also have a mentor program, whereby veterans are assigned a volunteer mentor from the community. The mentor provides support and encouragement.The mentor program has been a highly successful component for the program. The District II Veterans Treatment Court holds a monthly educational Forum for veterans in the

Wise Guide | Summer / Fall 2016

Veterans throughout the decades have provided a service to our country with a mission to keep the citizens of the United States safe. They need our help as they return from combat, many having experienced horrors that some of us could never imagine. program and veterans within the community. The Forum is held at the Lewiston VFW Hall at 1104 Warner Avenue from 1730 – 1830 the third Thursday of the month. A meal is donated by various businesses and individuals in the community. Veterans throughout the decades have provided a service to our country with a mission to keep the citizens of the United States safe. They need our help as they return from combat, many having experienced horrors that some of us could never imagine. It’s our responsibility to make sure that they receive the services and resources to help them address treatment issues and begin to adjust to civilian life. Their lives will never be the same and for most of us we’ll never understand their experiences, but we can be there to support them! For more information about Veterans Treatment Courts or how to volunteer to be a veteran mentor or provide a meal for our monthly Forum, please call Lisa Martin, Veteran Treatment Court Coordinator at 208790-1748. ________________________________________________ Lisa Martin is the Problem-Solving Court Manager in Idaho Judicial District 2 and has been coordinating Problem-Solving Courts for the past 9 years. She has coordinated rural court programs including Drug Court, DUI Court and Child Protection Drug Court. She currently coordinates the Veterans Treatment Court and the Mental Health Court. Lisa completed her academic studies with a BA in Social Services from University of Portland, a BA of Social Work from Lewis Clark State College and her Masters of Social Work from Eastern Washington University. Like most social workers, Lisa has a passion for helping others but more importantly strives for a better understanding of what the underlying issues are for those involved in the court programs.

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This page brought to you by:

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

Retreats: Women Veterans and Active Duty of Iraq, Afghanistan and Global War on Terrorism Wilderness Retreats funded by Readjustment Counseling Services (sub agency of VA) and FREE of charge, including airfare. More details & application form: www.centerpointretreats.org Dates & Locations: September 11-16 - Rocky Mountains, Colorado October 28 - November 2 - Coastal Mountains, So. California December 4-9 - Gulf Coast, Alabama Participants are asked to attend the one closest to their home, if possible. Over 200 women veterans have been served since 2011 on these retreats. Contact your local Veterans Center NOW for eligibility requirements to participate! Spokane Center: 509-444-8387 Walla Walla Vet Center: 509-526-8387

I am

Wise Brave Strong Valued Resilient

and I belong to a

Sisterhood

September 24, 2016 EFFECTIVE 4-5-16: Summit has been rescheduled from 9-17-16 at the Clearwater Resort to the Hotel Murano in Tacoma on 9-24-16

Hotel Murano

1320 2 Broadway B y Tacoma, WA 98402 Register: For more information: Flyer updated: April 5, 2016

Wise Guide | Summer / Fall 2016

Warriors Heart to Art - A Healing Retreat for Veterans with PTSD Free 4-day retreat providing hope and help for healing…. All ages, all conflicts, men and women with PTSD/MST, no required disability documentation. No need for creative experience. Contact Mary DeLateur 509-893-4737 www.warriorshearttoart.org Dates & Locations: November 2-6 - Immaculate Heart Retreat Center, Spokane.

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 â&#x20AC;&#x153;We honor and serve those who served for us.â&#x20AC;? or 800-576-1825 Ext. 1 or 2

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Women Veterans Forum Ask ab out M dicaid Approv veterans To provide a time and placeefor women ed Life line! to gather, exchange information on interests, activities, resources and make personal connections. For more information contact Tzena M Scarborough, 509-891-8588 Dates & Locations: Meets the second Friday of the month from 10 am to noon at the Spokane Vet Center, 13109 E. Mirabeau Parkway, 509-444-8387. Stand Downs Stand Downs offer many of these services: Employment Assistance, Housing Assistance, VA Enrollment, Medical Screenings, Flu Shots, PTSD/MST Counseling, Haircuts, Surplus Supplies, Live Music, Breakfast & Lunch Provided August 5th - Wenachee, WA National Guard Armory - contact: Zack Badger 509-462-2500 September 10th - Moses Lake, WA - 10-2, Grant County Fairgrounds, 4H bldg. 3953 Airway Dr., Moses Lake. Contact: Eileen Boylston 509-766-4111 October 1st & 2nd - Libby, MT - 9-4 & 9-2, LibbyVFW Post 1548, 110 W. 2nd St, Libby. Contact: Allen Erickson 406-756-7304 November 4th - Kennewick, WA - 9-3, Columbia Basin Veterans Benefit Fair & Stand Down - Southridge Sports Pavilion, 2901 Southridge Blvd., Kennewick, WA. 509-545-6558 veteransopportunitycenter.org

Job & Resource Fair: Thursday, September 29th - 10:00 AM - 2:00 PM Pybus Public Market, 3 N. Worthen St., Wenatchee, WA Monthly Hiring Event: Idaho Dept. of Labor in Post Falls, ID. Contact: Robert Shoeman 208-457-8789 x3993

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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 208-750-3690 821 21st Ave., Lewiston 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 208-750-3690 821 21st Ave., Lewiston 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

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

Latah & Nez Perce Counties

Please call the Idaho State VSO offices in Lewiston: 208-750-3690

Wise Guide | Summer / Fall 2016

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

Idaho Department of Labor Veterans Representatives Moscow

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

Lewiston

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

This page brought to you by:

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

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

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

Idaho State Veterans Home, Lewiston Providing the very best long-term care, advocacy and 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.

VAMC Mobile Health Clinic Days & Locations: Moscow - Fairgrounds - Last Monday of the month Pullman - WSU Alumni Center - Last Tuesday of the month Osburn - VFW Post - Last Wednesday & Thursday of the month To be seen by the mobile health clinic, a veteran must call the Mann-Grandstaff (Spokane) VAMC and ask for an appointment. 1-800-325-7940 or 1-509-434-7000 The VAMC tries to schedule all of these appointments for the last week of each month. Contact your local VSO (Veteran Service Officer) for further questions.

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VA - Death Benefit Preparedness

by Rockey Davis Idaho State Veterans Service Officer

ealing with the death of a loved one is always a very stressful time. In the blink of an eye our lives are forever changed. And for some, it may seem as if our world has completely flipped upside down. We are truly in one of our lowest moments. Yet, we are expected to immediately know what to do. So many decisions. So many agencies. Where does one begin? If you have suffered the loss of a veteran, the following summary should provide you with much needed guidance in your moment of crisis. Additionally, many funeral homes have pre-planning tools that can prove to be very useful.

The Veterans Administration provides death benefits on behalf of veterans who served

honorably, as well service members who die while on active duty. Benefits are based on certain qualifying factors that are in place at the time of passing and may include: • Military Funeral Honors; • Burial in a National Cemetery; • Burial in a State Veterans Cemetery, such as the one in Boise; • Government furnished headstone, marker or medallion; • Presidential Memorial Certificate; • Burial Flag; • Burial and/or Plot Interment Allowances; • Survivor Pension (for qualifying dependents); • DIC-Dependency Indemnity Compensation (for qualifying spouses).

Preparedness is crucial and often overlooked. No one really wants to think about death. However, in order to lovingly ease the stress of that

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moment, veterans should ensure their surviving spouse or other dependent/representative has access to, and knowledge of the location, of the following documents and/or information: • DD214 or other official Military Discharge document. • VA Benefits Rating Letter if in receipt of a monthly financial benefit. • What VA Medical Center is the veteran enrolled with? • What are your final wishes regarding burial and/or cremation?

I am the survivor. What do I need to gather at the time? • • •

In addition to the above items, you will need: Summary of Costs from the Funeral home or Cemetery. Proof of payment in full of all goods purchased. Certificate of Death.

Who can help me understand and apply for these benefits? Ask your funeral home if they assist (without charge) with any VA Death Benefits. Many facilities are equipped and trained to take care of some VA Death Benefits. The Idaho & Washington State Veterans Cemeteries can also provide you with valuable information for both pre-planning as well as for the survivor. Most importantly, contact your local Idaho State Veterans Service Officer. With just a few questions being asked and answered, you can be confident that all qualifying benefits will be applied for, and that all involved VA offices will be notified of the veteran’s passing. Services provided by an Idaho State Veterans Service Officer are always free of charge. Remember, you are not alone! We are here to answer your questions and prepare and file all needed VA documents. _________________________________________________ Rockey Davis retired from the US Navy in 1995 after 22 years of service. As an Idaho State Veteran Service Officer, he has been serving veterans in the Lewis/Clark Valley and surrounding areas for over 10 years.

What is a Quilt of Valor®? A Quilt of Valor® is a “Thank You” from all of us for your service and sacrifice. Each QOV Awarded comes with the words “On behalf of the Quilts of Valor Foundation we serve honor and comfort upon you. Though we may never know the depth of your sacrifice, as a gesture of gratitude from a grateful nation, we award you this Quilt of Valor. Welcome home.” A Quilt of Valor® is not a charity quilt; it is an award given to honor those who have served. It is PRICELESS. It can never be bought - it can never be sold - it is never a birthday gift or a Christmas gift! Recipients often state it means more to them than any of the military medals they received - BECAUSE it comes from the heart and hands of the makers, their community and their nation. Founder Catherine Roberts, a Blue Star Mom, delivered the first QOV to Walter Reed Hospital in 2003. Since that date the Foundation and our volunteers have grown, making and awarding in excess of 120,000 Quilts of Valor nationwide. We cover veterans from all conflicts including, but not limited to, WWII, Korea, Vietnam, Iraq and Afghanistan. Quilters have full discretion of pattern choices.

Our Standards of Excellence found on our website www.QOVF.org guide our quilters. Quality fabric and quality workmanship honor, comfort and heal those who have stood in harm’s way. We follow our Core Values of: Service over Self; Promoting Excellence; Treating people with respect; Being Accountable. Want to be a volunteer quilter? Or, if you know of a veteran or active military potential recipient of a Quilt of Valor, contact Sheri “Samy” Owen, Idaho Central State Coordinator, Quilts Of Valor Foundation 501(c) (3). 509-758-0627. samy.owen@qovf.org

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

Crossword Gone Fishing Across

1 Fictional terrier 5 Flowâ&#x20AC;&#x2122;s partner 8 Commotions 12 Anglerâ&#x20AC;&#x2122;s basket 13 And others, for short 14 Dufferâ&#x20AC;&#x2122;s cry 15 Not level 16 Wise guy 17 Merriment 18 Jogged 19 Anglerâ&#x20AC;&#x2122;s weapon 21 Secures, like a false tooth 24 Compote fruit 25 Book after Ezekiel 27 Roadhouse 28 That is, in Latin 29 Fishing locale 32 Kind of nut 35 Certain fishing venue 39 German river 40 Disney dog 41 Like some buckets 42 Chem. class 44 Overly worry 45 The March King 47 Like an alarm clock, maybe 49 Anglerâ&#x20AC;&#x2122;s fishing station on the shore? 51 Reelâ&#x20AC;&#x2122;s partner 54 Highlands tongue 55 Klutzâ&#x20AC;&#x2122;s word 56 Be wild about 58 All square 59 Libertine 60 Skepticism 61 Exam 62 LAX abbr. 63 Hardens

Down 1 2 3 4 5

Ionian gulf Fishermanâ&#x20AC;&#x2122;s traps Bus. card abbr. Computer key Ornamental purses

6 One of TVâ&#x20AC;&#x2122;s Simpsons 7 Walleye type 8 Kind of blanket or hound 9 Grief 10 Cream-filled cookies 11 Hunt for 12 Elevator part 13 â&#x20AC;&#x153;Holy moly!â&#x20AC;? 19 ___ Paese cheese 20 Family room 22 Catchall abbr. 23 â&#x20AC;&#x153;Little Womenâ&#x20AC;? woman 25 Chop up 26 Garden figure 29 Paternity identifier 30 Like some socks 31 Have a bawl 32 Freshwater fish 33 Manipulates 34 Some mil. officers

Wise Guide | Summer / Fall 2016

36 Long-fin tuna 37 Arcing shots 38 Leisure 42 Like the moon, at times 43 Cigar residue 44 Not â&#x20AC;&#x2DC;neath 45 Wait on 46 Desert sights 47 ___ New Guinea 48 Greet the day 49 Red vegetable 50 Owlâ&#x20AC;&#x2122;s shout 52 Globes 53 Abbr. before a policemanâ&#x20AC;&#x2122;s name 56 Much spam 57 Female antelope Copyright ÂŠ2016 PuzzleJunction.com

Sudoku

How to Play Sudoku To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to 9. Crossword and Sodoku answers on page 41.

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Planning Your Doctor Visit By Jonnie Bradley, Editor It was requested that a guide to planning for a doctor visit be included in this edition of The Wise Guide. Rather than re-inventing the wheel, I located this wellorganized information, freely available for reproduction. You can go online to this link and read it there (and watch a video) or read it here! Online there are also forms to print out to make it easier and those links are included below as well. The only thing not addressed is that someone you trust should go with you, and it would be a good idea to have them take notes so you both can refer back to it later if questions arise. http://nihseniorhealth.gov/talkingwithyourdoctor/ planningyourdoctorvisit/01.html

A Partnership How well you and your doctor talk to each other is one of the most important parts of getting good health care. Unfortunately, talking with your doctor isn’t always easy. In the past, the doctor typically took the lead and the patient followed. Today, a good patient-

doctor relationship is a partnership. You and your doctor can work as a team. Creating a basic plan before you go to the doctor can help you make the most of your visit. The following tips will make it easier for you and your doctor to cover everything you need to talk about.

Make a List of Your Symptoms Talking about your health means sharing information about how you feel. Sometimes it can be hard to remember everything that is bothering you during your doctor visit. Making a list of your symptoms before your visit will help you not forget to tell the doctor anything. Symptoms can be physical, such as pain, fever, a lump or bump, unexplained weight gain or loss, change in energy level, or having a hard time sleeping. Symptoms can also involve your thoughts and your feelings. For example, you would want to tell your doctor if you are often confused, or if you feel sad a lot.

What to Include When you list your symptoms, be specific. Your list should include: • what the symptom is • when it started • what time of day it happens and how long it lasts • how often it happens • anything that makes it worse or better • anything it prevents you from doing. http://nihseniorhealth.gov/talkingwithyourdoctor/ planningyourdoctorvisit/concerns_to_discuss.pdf

List Your Medications Your doctor needs to know about ALL the medications you take. Medications include • prescription drugs • over-the-counter (non-prescription) drugs • vitamins, herbal remedies or supplements • laxatives • eye drops

Wise Guide | Summer / Fall 2016

Sometimes doctors may ask you to bring all your medications in a bag to your visit. Other doctors suggest making a list of all your medications to bring to your visit.

Note Dosages, Frequency, Side Effects If you do make a list of the medications you take, do not forget to write down how much you take and how often you take it. Make sure to tell the doctor if a dose has changed or if you are taking a new medicine since your last visit. Write down or bring all your medications even if you think that one or some of them are not important. The doctor needs to know everything you take because sometimes medicines cause problems when taken together. Also, sometimes a medicine you take for one health problem, like a headache, can cause another health problem to get worse. Write down any medication allergies you have and any bad side effects you have had with the medicines you take. Also, write down which medications work best for you. http://nihseniorhealth.gov/talkingwithyourdoctor/ planningyourdoctorvisit/keeping_track_your_ medicines.pdf

Any Life Changes? Sometimes things happen in life that are sad or stressful. Your doctor needs to know about any life changes that have occurred since your last visit because they can affect your health. Examples of life changes are divorce, death of a loved one, or changing where you live. Your list should include all your life changes but does not need to go into detail. It can be short like “had to sell home and move in with daughter.”

To provide the best care, your doctor must understand you as a person and know what your life is like.

Do You Use Assistive Devices?

Be sure to let your doctor know if you use any assistive devices to help you in your daily activities. Assistive devices can help you see, hear, stand, reach, balance, grasp items, go up or down stairs, and move around. Devices used by older adults may include canes, walkers, scooters, hearing aids, reachers, grab bars, and stair lifts.

Any Other Medical Encounters?

What Are Your Everyday Habits? Be prepared to tell your doctor about where you live, if you drive or how you get around, what you eat, how you sleep, what you do each day, what activities you enjoy, what your sex life is like, and if you smoke or drink alcohol. Be open and honest. It will help your doctor to better understand your medical conditions and figure out the best treatment choices for you.

Also, write down and tell your doctor if you had to go to the emergency room, stay in the hospital or see a different doctor, such as a specialist, since your last visit. It may be helpful to bring that doctor’s contact information.

What Else to Bring Bring your insurance cards, names and phone numbers of your other doctors, and the phone number of the pharmacy you use. Also, bring your medical records if your doctor does not have them.

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Is Assisted Living the Right Choice? nursing home, Brookdale Lewiston is a community of apartment homes where they can have both … the independence of a private home, plus whatever type of supportive aid they need to perform daily tasks and maintain health.

by Hope Brackett, Executive Director Brookdale Lewiston

e understand your concern about the health and safety of the senior in your life. You worry that they may not take their medications properly, suffer a serious fall, or experience a health emergency with no one around. You feel stressed from the time demands of looking after your loved one, and guilt for not doing more. We also understand the emotional turmoil going on within the senior you care for. They love their house and all the things they have filled it with over the years. They fear the unknown, and may mistakenly associate an Assisted Living apartment community with a nursing home. Assisted Living is for those who need some help in their daily lives, but don’t require the medical care provided by a nursing home or other institutional setting. It provides housing and services when it is no longer safe or practical for an older adult to live alone in his or her home. As the population ages, more people are discovering the benefits and peace of mind Assisted Living provides.

Independence with Assistance Your senior doesn’t have to choose between the two options of independence or assistance. Unlike a

Personal Assistance • Help With Daily Personal Tasks — Our staff can assist your loved one with showering, hygiene, clothing selection, dressing, and grooming. • Incontinence Management • Mobility and Escort Service • Dining Assistance Health Services • Nurse on Call • Medication Management • Diabetes Management • Wound Care • Home Healthcare Agency Services • Visiting Physical, Speech, and Occupational Therapists

A Family of Friends If you remember your bygone days in a college dormitory or at summer camp, you recall the fun of living with people your own age who shared your interests and life experiences. You sat together in the cafeteria or living room, where you could play cards, board games, tell stories, share secrets and talk for hours. At Brookdale Lewiston, we recreate that fun communal experience of living with a family of friends. To accommodate the range of resident ages

Discover more than just a place to live.

208-746-8676

2975 Juniper Dr., Lewiston, ID www.brookdale.com

Assisted Living: Studios & Apartments Available Come see our newly remodeled community! Follow us on:

Wise Guide | Summer / Fall 2016

Call today to schedule a lunch tour.

nearby orchards is an exceptional Assisted Living community serving seniors and their families from Lewiston as well as Clarkston and other surrounding towns in Idaho and eastern Washington. We are conveniently close to restaurants, doctor’s offices, churches, coffee houses, banks, a post office, and we also enjoy the security of quick access to the St. Joseph Medical Center and Tri-State Memorial Hospital. Brookdale offers a new way to grow older. Our unique Optimum Life approach to residents’ daily activities balances six dimensions of wellness: Purposeful, Physical, Emotional, Social, Spiritual, and Intellectual. Find out more about our distinctive blend of resort-style comforts and personalized care. Visit our website: www.brookdale.com and call us today 208-746-8676 to schedule a tour. ________________________________________________ Hope Brackett is the Executive Director at Brookdale Senior Living in Lewiston Idaho. She has twenty-eight years of management experience in the Healthcare field. She began in healthcare managing a very large multiphysician clinic, and the most recent thirteen years have been in management of Senior Living. Hope received her education from Walla Walla Community College and Lewis Clark State College. and abilities in our community, we plan a diverse activities schedule that enables everyone to find something they can enjoy.

FREE Publications

The Senior Living Leader Our community is owned and operated by Brookdale, the nation’s largest provider of senior living solutions. We are the number one leader in retirement hospitality and care because our associates connect with our residents and families who entrust us with the well-being of their loved ones, we “adopt” them as our grandparents, and enrich their lives every day. Short-Term Stays When vacancies are available, we offer short-term respite stays for Assisted Living guests so that family caregivers like you, can have a much-needed rest, or attend to personal or business concerns. A short-term stay can also be an opportunity for your loved one to experience our community.

Bringing New Life to Senior Living Brookdale Lewiston, located on ten acres with a view of Lewiston Hill, the Lewis-Clark Valley, and

Idaho Elder Directory Alzheimer’s Resource Directory Just call 800 584-9916

during normal business hours View/download from our Website retirementpubliching.com > Idaho Publications

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Directory Listings

Aesthetics ClearView Aesthetics.............................. 208-882-4662 2500 West A St., Ste. 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, Washington State Chapter Serving Washington & North Idaho....... 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 | Summer / Fall 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. North Central Idaho Medical Reserve Corp. ................................................................ 208-799-3100 215 10th St., Lewiston, ID idahopublichealth.com The Medical Reserve Corps (MRC) is a national network of local groups of volunteers committed to improving the health, safety and resiliency of their communities. The North Central Idaho MRC serves Clearwater, Idaho, Latah, Lewis, and Nez Perce Counties.

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, Alzheimer’s Resource Directory. Call toll free during regular business hours for your FREE copy or visit our Web site.

Care Communities: Independent & Assisted Living, Respite 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. 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. 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. Good Samaritan, Fairview Village Estates ................................................................ 208-882-6560 403 Samaritan Lane, Moscow good-sam.com/moscow Independent Living, part of the Good Samaritan Society Moscow, offers modern one & two bedroom apartments and duplexes for independent seniors. You can be part of the Good Samaritan network and transition to our Moscow Village Campus as needs change.

Good Samaritan, Moscow Village.......... 208-882-6560 640 N. Eisenhower, Moscow, ID good-sam.com/moscow A continuum of care community that provides postacute rehabilitative and long-term skilled nursing care including a memory care unit. Also offers assisted living apartments and independent living apartments & duplexes, all located on 22 beautifully landscaped acres in northern Idaho, nestled between Moscow Mountain and the rolling hills of the Palouse. 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.

Entertainment & Recreation International Idaho State Draft Horse & Mule Show ................................................................ 208-819-9452 September 22-25th - Bonner County Fairgrounds, Sandpoint, ID idahodrafthorseshow.com Come see these gentle giants: log skidding, weight pulling, farm classes, driving classes, demonstrations, raffle, food, art & gear. $10 all day admission (Friday 2 for 1 for Seniors) Great fun for all! Discounted (25% off) Hotel Stays Available.

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Directory Listings

Festival at Sandpoint.............................. 208-265-4554 August 4-14th - 525 Pine St., Sandpoint, ID festivalatsandpoint.com The Festival at Sandpoint is celebrating its 34th annual summer concert series with eight nights of eclectic music under the stars, on the shores of Lake Pend Oreille in Sandpoint, Idaho. A wonderful outdoor venue, great line-up, good food and affordable! August 4-14, 2016. Info & tickets: online or by phone. 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, ID and play on many models of the most stable and comfortable bikes and trikes in the world. Call for appointments.

Financial & Asset Management 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.

In-Home Services Idaho Partners In Care, LLC................... 800-576-1825 Serving All of North Idaho 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.

Hearing & Vision ClearView Eye Clinic, Surgery Center & Audiology 2840 Juniper Dr., Lewiston, ID............... 208-746-5100 2500 West A St., Ste. 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.

Wise Guide | Summer / Fall 2016

Willow Center Lewiston/Clarkston ............................... 208-791-7192 Moscow/Pullman................................... 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.

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.

Hospitals, Medical Care & Surgery Centers

Long-Term, Skilled Nursing & Restorative/Rehabilitative Care

ClearView Eye Clinic, Surgery Center & Audiology 2840 Juniper Dr., Lewiston, ID .............. 208-746-5100 2500 West A St., Ste. 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 nationâ&#x20AC;&#x2122;s largest network of dialysis clinics. Our expertise, experience and commitment all combine to provide you with comprehensive services and technologically-advanced care. Weâ&#x20AC;&#x2122;re proud to have helped improve the health of thousands of people living with kidney disease. Stem Cell Centers................................... 844-632-4246 1415 N. Houk, Ste. B, Spokane Valley, WA stemcellcenters.com Our mission at Stem Cell Centers is to help our patients live pain free and do so naturally without the use of narcotics, pills, steroids or surgery. We use stem cells in your own body to heal damaged tissue and treat joint pain and neuropathy.

Kindred Transitional Care & Rehabilitation Lewiston ................................................. 208-743-9543 3315 8th St., Lewiston, ID kindredhealthcare.com Our clinical capabilities allow us to accept patients with medically complex needs. Our wide array of services provides patients and residents the medical care and support they and their families deserve, from shortterm restorative therapy to traditional long-term care. 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!

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Directory Listings

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.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 illness. Also treated are cerebral palsy, ALS (Lou Gehrig’s Disease) multiple sclerosis & Parkinson’s disease.

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.

Wise Guide | Summer / Fall 2016

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. John’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 501c3 non-profit in the entire Idaho Panhandle working with all native wildlife species, through rehabilitation of injured or orphaned wildlife. Member of the National Wildlife Rehabilitators Association and International Wildlife Rehabilitation Council, licensed with US Fish and Wildlife Service Migratory Bird Department and Idaho Department of Fish and Game. If you find an animal in need - Don’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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Helping Parents Make a Change

by Tammie Poe Sales & Marketing Director Good Samaritan Society

dult children may come to realize it is time to consider senior housing options for their parents. Perhaps they are noticing more and more how Mom struggles with simple tasks that used to be second nature to her such as sorting laundry, paying bills or taking her medications. Or perhaps the front yard used to be the envy of the neighborhood, but now Dad has to hire lawn service because pushing a mower across the front yard is too physically demanding. Maybe the once outgoing and active couple are becoming more reclusive and depressed, their social circle dwindling and the thought of making new friends feels both overwhelming and frightening.

G et more out of life.

To learn more about our assisted living community, call (208) 882-6560. All faiths or beliefs are welcome.

Wise Guide | Summer / Fall 2016

Whatever the individual situation, making the choice to move to a senior living community is an emotional process for both children and parents. As adult children and parents work through the process, here are a few things to consider. Parents may feel that by moving into a senior community they are giving up their independence, so first and foremost, it is very important that they feel they are part of the decision making. Remember that deciding to leave a home they have built a life around can feel like a loss to parents. A good senior living community will encourage them to be as independent as possible while providing them with safe, comfortable surroundings, and also honor and respect them as adults, even if they have some cognitive or physical challenges. While the community should offer a variety of recreation and activities, ultimately the choice about whether to attend should remain in their hands. The point of moving them out of their house is to give them a more maintenancefree lifestyle, not to enroll them in a â&#x20AC;&#x2DC;program.â&#x20AC;&#x2122; While amenities are important, seldom will one community meet every need and desire of parents, so it is important to tour several places. Rather than focus on amenities, look for a residence where parents can enjoy previous interests, discover new ones and develop friendships. The environment should be one that fosters a sense of community because at the end of the day, there is a difference between finding a place they can stay, and finding a place they wonâ&#x20AC;&#x2122;t want to leave. While touring different places, the adult children may encourage their parents to imagine themselves living there. Talk about how they might arrange their furniture, or on what wall to hang their favorite painting. It is also important to watch how both the staff and residents interact with each other. Do they seem relaxed and at ease? Are people smiling and friendly? Home should never feel like a business or system, but rather a place where you feel valued and free to be yourself. It is a place you can make your own, so if there is any doubt about the culture of a community, it may be best to cross that one off the list of options. It can be a frustrating and tedious process for the adult children who see the necessity of moving their parents to a senior facility. For the parents, they may know in their hearts that it is time to make the move, but negotiating the details seems overwhelming.

Parents may express all kinds of doubts and objections, even nit-picking at the tiniest flaws they see at any given location. That is why it is important to remind them that they have already done the hardest part by making the decision to start the process. They’ve begun the investigation while they have time to consider their options rather than waiting until a move has to be made quickly. Offer them gentle encouragement and advice. By empowering them to make their own decision you are giving them reassurance that they are still in control. In most

cases, though the process can be challenging, once the move is actually made, the result is a satisfied parent who is no longer burdened with the work and worries of maintaining a home and now has the chance to discover what it means to live life to the fullest. _______________________________________________ Tammie works as Sales & Marketing Director, Good Samaritan Society in Moscow, Idaho. She has 20+ years working in sales & marketing including 14 years of experience in international business. She has been with Good Samaritan Society for one year.

Greetings from PublicHealthCorps! ‘Aging in Place’ is a term heard more and more frequently as the aging population continues to grow. Here at PublicHealthCorps, we are particularly interested in the health of the aging population, and how we might inspire seniors to take care of themselves so that the dream of ‘aging in place’ can become reality. These are 10 of the top most helpful and educational resources that I, along with three others on my team, came across. Once you’ve had a chance to review the collection, I invite you to share it with others as you see fit: Aging in Place - ageinplace.com Aging in Place Home Loan Modification Programs - homeadvisor.com/r/home-modificationsprograms-aging-in-place The Aging in Place Initiative - livable.org/program-areas/livable-communities-for-all-ages-a-agingin-place/the-aging-in-place-initiative Technology Innovations That Could Help the Elderly - wsj.com/articles/technology-innovationsthat-could-help-the-elderly-14352245122 Health for Seniors - usa.gov/health 10 Early Signs & Symptoms of Alzheimer’s - alz.org/alzheimers_disease_know_the_10_signs.asp A Caregiver’s Guide to the Benefits of Cooking with Alzheimer’s culinaryschools.org/blog/cooking-with-alzheimers/ Older Adults & Anxiety - adaa.org/living-with-anxiety-older-adults Seniors & Drugs - NCADD - ncadd.org/learn-about-drugs/seniors-vets-and-women/241-olderadults Ultimate Guide to Rehab & Medicare - discoveryplace.info/rehab-medicare-ultimate-guide There is so much we can do to take care of ourselves - and each other - in an effort to promote a long, healthy and enjoyable life! In health, Patricia Sarmiento Putting the Public Back in Public Health • publichealthcorps Wise Guide | www.TheWiseGuideOnline.com

Senior Meal Sites Seniors are offered a nutritious hot meal at these locations for minimal donation. Those “younger folks” are welcome too and only asked to pay a very reasonable cost to join them. Cottonwood Community Church 510 Gilmore Cottonwood, ID • 208-962-7762 12:00 Noon - Tuesday

Pomeroy Senior Center 695 Main Street Pomeroy, WA 509-843-3008 12:00 Noon - Monday, Wednesday & Friday

Grangeville Senior Center 108 Grangeville Truck Rte. Rd Grangeville, ID • 208-983-2033 12:00 Noon - Monday & Friday

Potlatch Senior Citizens IOOF/Rebekah Hall on Pine St. Potlatch, ID • 208-875-1071 12:00 Noon - Tuesday & Friday

Kamiah Senior Center 125 N Maple St. Kamiah, ID • 208-935-0244 12:00 Noon - Monday, Wednesday & Friday

Pullman Senior Center 325 SE Paradise Pullman, WA 509-332-1933 11:45 AM - Monday & Friday

Kendrick Senior Citizens Center 104 S Sixth Kendrick, ID • 208-289-5031 12:00 Noon - Wednesday & Friday

Riggins Odd Fellows Building 121 S Lodge St. Riggins, ID • 208-628-4147 12:00 Noon - Tuesday

Lewiston Community Center 1424 Main St. Lewiston, ID • 208-743-6983 12:00 Noon - Monday, Tuesday & Wednesday

Valley Community Center/Senior Round Table 549 5th Street Clarkston, WA 509-758-4064 12:00 Noon - Tues., Thurs. & Salad Bar on Fridays

Moscow Senior/Community Center 412 3rd St. Moscow, ID • 208-882-1562 12:00 Noon - Tuesday & Thursday

Weippe Hilltop Sr. Citizens Center 115 1st Street West Weippe, ID • 208-435-4553 12:00 Noon - Monday & Thursday

Nezperce Senior Citizens 501 Cedar St. Nezperce, ID • 208-937-2465 12:00 Noon - Monday & Thursday

Winchester Senior Citizens Center 413 Nezperce St. Winchester, ID • 208-924-6581 12:00 Noon - Wednesday

Orchards United Methodist Church 1213 Burrell Ave. Lewiston, ID • 208-743-9201 12:00 Noon - Monday, Tuesday & Wednesday Orofino Senior Center 930 Michigan Ave. Orofino, ID • 208-476-4328 12:00 Noon - Tuesday & Friday Palouse Community Center 220 E. Main Street Palouse, WA 509-878-2301 12:00 Noon - Wednesday Plymouth Congregational Church 321 S. Main Street Colfax, WA 509-397-3011 12:00 Noon - Wednesday

Wise Guide | Summer / Fall 2016

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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Wise Guide | Summer / Fall 2016

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