Today's Transitions Winter 2013-2014

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WINTER 2013/2014

Y O U R

T O T A L

S O U R C E

3 HEALTHY FOODS YOU NEED

F O R

L A T E R

L I V I N G

300+

LIVING SOLUTIONS

DO YOU BELIEVE IN AN

AFTERLIFE?

4

GOOD READS

Slim Down! HOW TO DO IT



Winter 2013-2014 | todaystransitionsnow.com

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CONTENTS: WINTER 2013/2014

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28

30 Directories 42 How to Use 42 44 48 52 58 66 74 76

Directories Adult Day Care Facilities Aging-in-Place Facilities Alzheimer’s Care Facilities Assisted Living Facilities Home Health Nursing/Rehab Facilities Personal Care Facilities Retirement Communities

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WRAP YOURSELF IN COMFORT

16

BOOK CLUB

24

8

By Mali Anderson

WHAT’S FOR DINNER?

CAREGIVER CIRCLE By Mali Anderson

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WHAT I KNOW NOW

30

WISE & WELL

32

IT’S HECK GETTING OLD!

By Lucy M. Pritchett

By Melissa Donald

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CARE PACKAGE FOR THE CAREGIVER

14

ATTACHMENTS By Bob Mueller

34

By Yelena Sapin

By Tiffany White

6

"I GO TO SEEK A GREAT PERHAPS"

UPDATES & HAPPENINGS

By Gioia Patton and Tiffany White

38

LIFE IN RERUNS

78

THE SMART RECOVERY CHECKLIST

By Connie Meyer

By Lisa M. Petsche

By Mali Anderson

80

IT’S YOUR STYLE By Tiffany White

By Yelena Sapin

34 For advertising information, call 502.327.8855 or email advertising@todayspublications.com.

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From the Editor Volume 10 / Number 4

Yourself in Com p a for r t W

PUBLISHER

Cathy S. Zion cathy@todayspublications.com EXECUTIVE EDITOR

Anita L. Oldham anita@todayspublications.com EDITOR

Tiffany White tiffany@todayspublications.com CONTRIBUTING EDITOR

Linda Hitt Kempf COPY EDITING

Lucy M. Pritchett ADVERTISING DIRECTOR

Susan Allen susan@todayspublications.com SALES DIRECTOR

Cheryl Suhr cheryl@todayspublications.com ACCOUNT EXECUTIVES

Teri Hickerson teri@todayspublications.com Rose Helm rose@todayspublications.com

I

f you are anything like me, feeling overwhelmed is common — especially when you have too many bills to pay, deadlines to meet, and other responsibilities you’d rather drop. Sometimes, I want to take a break from thinking about how I can get to the finish line of life first. I don’t like figuring out a way to snag the best parking spot at the mall or dealing with occasional glares from rude motorists who think you’re not driving fast enough. What I and everyone else really needs is comfort. In this issue, we explore ways of finding comfort when your life feels hectic. • Our feature on spirituality and aging might help you find comfort in your faith and beliefs (pg. 16). • Make every step you take more comfortable by buying the right shoes (pg. 80). • Instead of trying to decide what to fix for dinner, have fresh food delivered to you. We have a couple of suggestions about delivery services you can use (pg. 8).

MEDIA ASSOCIATE

Alissa Hicks alissa@todayspublications.com SENIOR GRAPHIC DESIGNER

April H. Allman april@todayspublications.com ASSISTANT EDITOR/DESIGNER

Jessica Alyea jessica@todayspublications.com PHOTOGRAPHY

Melissa Donald melissa@todayspublications.com OFFICE ADMINISTRATOR

Kaitlyn Tew officeadmin@todayspublications.com CIRCULATION MANAGER

• Learn what you can do to ward off seasonal depression and fill your refrigerator with some comfort foods that are also good for you (pg. 30).

W. Earl Zion

• Caregivers will find many helpful tips they can use from our Caregiver Circle feature (pg. 24), and we’re giving you a chance to bring comfort to a caregiver you know by nominating him or her for our Care Package for the Caregiver Award (pg. 12).

TODAY’S TRANSITIONS

Take some time to let go of the stress and step into the comfort zone. You’ll be glad you did.

COVER ART

Silvia Cabib is published by: Zion Publications LLC

9750 Ormsby Station Road, Suite 307 Louisville, KY 40223 (502) 327-8855 Fax (502) 327-8861 TodaysTransitionsNow.com The opinions expressed herein are exclusively those of the writers and do not necessarily reflect the position of the publisher. The staff has made good-faith efforts to provide comprehensive and accurate listings in all directories. Information included in the directories is based strictly on that supplied by each entity. Zion Publications does not endorse or guarantee any advertiser’s product or service.

Got something to say? We’d love to hear from you! Send an email to tiffany@todayspublications.com and put “feedback” in the subject line. Also, don’t forget to visit TodaysTransitionsNow.com to read current and archived articles or find out about upcoming events. 4 todaystransitionsnow.com | Winter 2013-2014

Copyright 2013 by Zion Publications LLC with all rights reserved. Reproduction or use of editorial or graphic content in any manner is prohibited without permission from Zion Publications LLC.


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BOOK CLUB: AAUW BOOK CLUB

Catching Up Here’s what other book clubs are currently reading:

BOOKANALIA The First Four Notes: Beethoven’s Fifth and the Human Imagination, Matthew Guerrier Contact: Sarah Grant, 502.239.1927

Freida Freeman listens to the discussion on the September selection of the AAUW Book Club.

DISCUSSING A TURKISH LOVE AFFAIR BY MALI ANDERSON / PHOTOS PATTI HARTOG

S

2006, and studied art and architecture. ome members of the AAUW (American Centering on a fixation of epic proporAssociation of University Women) Book Club tions, The Museum of Innocence is about a man have been attending meetings since the 1960s, searching for his love and collecting items when the club evolved out of a children’s study associated with her. When he finds her, this group. Susan Baker hosted the last meeting, and compulsive behavior continues. her mother was a member of the For instance, he collects 4,213 group in prior years. AAUW BOOK CLUB cigarette butts within the eight Baker suggests three areas of WHEN: Third Mon. of the month, 10 a.m. years he visits in her home. discussion for Orhan Pamuk’s WHERE: Members’ homes Toward the end of the converThe Museum of Innocence: CONTACT: Susan Henson Baker, sation, The Museum of Innocence “First, the novel as a romantic 502.895.4319 is related to other books of tragic tragedy. Then we can discuss the love such as Anna Karenina and The Great Gatsby. concept of collecting because [the main characAlthough the book starts slow, the members agree ter] is an avid collector; he puts great significance that the book is lyrical and beautifully written. on objects. And lastly, Istanbul, Turkey, where The educated and well-traveled members East meets West and the conflicts that can cause.” of the group are interested in the history of Before the discussion, Baker shares a brief world powers and how the past influences the biography of the author, Orhan Pamuk. He is politics of today. Turkish, won the Noble Prize for literature in

BOOK TALK CLUB Gone Girl, Gillian Flynn Contact: Mary Faltin, 502.396.5069

HARVEY BROWNE’S MEN’S BOOK FORUM A Higher Call, Adam Makos Contact: Gary Faltin, 502.396.5069

< From the book

“Yes, if I had recognized this instant of perfect happiness, I would have held it fast and never let it slip away. It took a few seconds, perhaps, for that luminous state to enfold me, suffusing me with the deepest peace, but it seemed to last hours, even years.” — Orhan Pamuk, The Museum of Innocence 6 todaystransitionsnow.com | Winter 2013-2014


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What’s for Dinner? DELIVERY

Produce & Grocery Bin Green B.E.A.N. Delivery

Deliciousness at your doorstep STORY & PHOTOS BY MELISSA DONALD

T

he weather is turning colder, and leaving your home for even necessities such as food can be difficult this time of year. Why not have food delivered to your door instead? Here are two different food delivery options to consider not only this winter season, but all year round as well. GREEN B.E.A.N. DELIVERY This popular delivery service offers inseason fruits and vegetables and natural groceries from mainly local, organic, and sustainable farmers and food artisans. The majority of their produce is from Ohio and Kentucky. Green B.E.A.N bins come in several different sizes. A small bin plus groceries is a great choice for a household of one or two people. Customize the grocery portion of your order with local items such as Lotsa Pasta products, Nancy’s 8 todaystransitionsnow.com | Winter 2013-2014

Bagels, Red Hot Roasters coffee, and sustainable meats from Fox Hollow and Ashbourne Farms. Prepackaged meals for just one are also available from companies such as Amy’s Kitchen. The membership sign-up is easy, and delivery options can be biweekly, which is a popular service. Green B.E.A.N delivers Tuesday through Friday in the winter months between 1 p.m. and 8 p.m. All bins are lined to keep produce and groceries safe from the outdoor elements. All packaging

material and bins are picked up the next time your order is delivered. Delaying an order, moving a delivery date, or changing the size of your order is easy to do and can be accomplished when given proper notice. Recipes are available online for creative inspiration when you receive your produce. Green B.E.A.N is a great way to receive your groceries at your doorstep. Look up their information online at greenbeandelivery.com/louisville or give them a call at 502.587.8998. PAGE 10 >>


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<< PAGE 8

SCHWAN’S A family favorite and still going strong to this day, Schwan’s provides high-quality frozen food and meal options to keep menu planning simple and dishes easy to prepare. There are more than 350 food items to choose from, all flash-frozen to preserve quality, taste, and freshness. Many items are microwavable, which is quick and easy. Choose from their 1-4 Meal category. This offers an array of dishes that serve a smaller household. Signing up for service is simple. Either call, go online, or download their app and use your smartphone to place your orders. There are several different delivery options to choose from. Biweekly home deliveries are the most popular service. You can schedule when and where to have items delivered, or if you live in a more remote area, mail order is a great option. For home deliveries, if you are not home during the time of drop-off, then you can request a freezer bag to store your items for a few hours. New to Schwan’s are their LiveSmart foods, which are lower in

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LiveSmart Microsteam Green Beans and Marinated Salmon Schwan’s

sodium, fat, and calories and have fewer preservatives. Meat, fruits, vegetables, breakfast items, orange juice, frozen yogurt, pizza, and pasta are just a few of the items you can find in this Schwan’s category. Everything is 100 percent guaranteed, so if you are dissatisfied with an

item, let them know and send it back. For a company to have been around since the 1950s, Schwan’s is definitely doing something right! Great food and service. Call 1.888.724.9267 or go online to schwans.com to learn more. A convenient Live Chat option is also available for questions.


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Caregive r winner T O D AY ’ S T R A N S I T I O N S

We'll be announcin g the winner of our Ca regiver of the Year Award at the GuardiaCare Chocola te Dreams event on Feb. 24. Th e evening will feature live entertai nment and a chance for you to sample a variety of delectable chocolate desserts.

Meet our “Care Package for the Caregiver” contest winner! Tanya Mangrum is the winner of our quarterly Care Package for the Caregiver Award, which includes two tickets to a Derby Dinner Playhouse performance, four hours of sitter service from Right at Home, and a $25 gift card to A Taste of Kentucky. Why She Won: Joyce Coppegde thought she would need to put her motherin-law on dialysis because of her deteriorating health, but Tanya Mangrum, a close family friend, wasn’t going to let it happen. Tanya monitored Joyce’s mother-in-law’s eating habits and was able to increase her weight from 80 to 110 pounds. For more than a year, Tanya has been helping Joyce manage her 82-year-old mother-in-law’s daily needs without hesitation. “She cooks for her, does her grocery shopping, and bathes her,” Joyce says. “She buys stuff for her out of her own pocket.” Tanya has a full-time job as a CNA and is a wife and mother to three children, but she says she doesn’t feel overwhelmed with her caregiving responsibilities. “I’ve been a CNA for 17 years, and I enjoy helping people,” Tanya says. “I know that one day I will be old, and I hope there is someone to lend a hand to me as I have lent a hand to others.” < Tanya Mangrum

PHOTO MELISSA DONALD

Do you know a caregiver who deserves some pampering and recognition? Nominate him or her for our Care Package for the Caregiver contest and tell us what makes this person stand out. The winner will receive gifts from our sponsors and be featured in our next issue. Deadline: Jan. 18. Mail form to: Today’s Transitions 9750 Ormsby Station Rd. Suite 307 Louisville, KY 40223

Nominator’s name: ________________________ Phone number: _____________ Email: ____________________________________________________________

Fax to 502.327.8861 or go online to TodaysTransitionsNow.com

Caregiver’s name: ___________________________________________________

The care package will include:

City: _____________________ State: _______ Zip: ________________________

•Four hours of sitter

Phone number: __________________ Email: ______________________________

service donated by Right at Home

•$25 gift certificate to

A Taste of Kentucky

•Two tickets to a Derby

Dinner Playhouse production

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Address: __________________________________________________________

He/She is an exceptional caregiver because: ______________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________


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ATTACHMENTS BY BOB MUELLER

O

ur society surrounds us with a great cloud of enticement. Wherever we turn, we confront the claim that happiness is just around the corner, a matter of having more or better or newer things. The father of American capitalism certainly endorsed this creed. John D. Rockefeller, when asked what would make him happy, is said to have replied, “One dollar more.” Our economy relies on such unstinting desire. In the sad aftermath of September 11, 2001, when many Americans, stunned with grief, seemed to lose their taste for spending, President Bush personally urged the public to get up and go shopping. But special prompting is not ordinarily necessary. We need only peruse the pages of any popular magazine. Each advertisement is a window on a parallel universe, where beautiful and apparently happy people invite us to share the pleasures that expensive cars, new clothes, and shiny hair can provide. The siren call of these voices is so ubiquitous that we hear them in our dreams. It is not only property that we grasp and hold. We may cling to many things: our security, our self-image, the sense of being “in control,” the overpowering conviction of 14 todaystransitionsnow.com | Winter 2013-2014

being right. We prize respectability, the desire to be thought better than we really are. We even cling to our own miseries. How difficult it is to let go of an injury, a shameful memory, or anxiety about the future. What would it mean to let go of all this? It might begin with an act of forgiveness, a decision to erase the mental rally of ancient wrongs and unpaid debts. It might involve the tranquil acceptance of circumstances beyond our control or the recognition that not everything has to be perfect. Insofar as we define ourselves by what we lack, letting go might begin with an expression of gratitude, some gracious acknowledgement of all we do have and how much we owe to others. Ideally, what is left after we have let go of our attachments is a kind of poverty. Call it what you will — emptiness, freedom, simplicity. This is the way to happiness. A powerful quote by Anthony de Mello about learning to let go that has recently profoundly influenced me is: “If you look carefully, you will see that there is one thing and only one thing that causes unhappiness. The name of that thing is Attachment. What is an attachment? It’s an emotional state of clinging caused by the belief that

without some particular thing or some person you cannot be happy.” The peril of this passion for “new and better things” is the moral of dozens of children’s tales. Among these is the fable of the foolish fisherman and his wife who, as a reward for sparing the life of a magical fish, are granted their heart’s desire. What should they wish for? They begin with modest improvements in their circumstances: a larger house, a pretty garden. But their desires quickly escalate, assuming ever more extravagant forms. The house gives way to a mansion and then a palace. Ultimately, nothing satisfies them. They reach too far, the bubble bursts, and they are restored once again to their humble origins. The key to happiness, we may infer, is not to have all that you desire but instead to desire (or better, to be satisfied with) what you have. Letting go of our attachments is not a form of tightfisted austerity, the spiritual equivalent of a crash diet. On the contrary, it is a matter of relaxing our grip. By the same token, spiritual poverty does not translate into any arbitrary standard of living. Ultimately it refers to where our treasure lies. And where our treasure lies, there will our hearts be also.


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� �� TO SEEK �

Great erha s p P – François Rabelais, French Renaissance writer

We may disagree when it comes to matters of faith and spirituality, but there is one undeniable factor that unites us all — whatever we believe or don’t believe, none of us is going to live forever. But do our personal beliefs impact how we find meaning in our lives, how we come to terms with the inevitable, and what we wish to leave behind? Three people with different beliefs share their thoughts. B� YELENA SAPIN Phot�s MELISSA DONALD

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<< PAGE 16

Frank Lovell Jr. 70, retired ATHEIST

W

hat do you think gives life meaning? When people ask me what’s the meaning and purpose of life if I don’t believe there’s a god, I say that the good news is — I think it’s good news — that we are free to give life all the meaning and purpose that we choose to give life. There is still a morality, and meaning, and purpose to life if you don’t believe in God. How do you feel about dying? I’m often asked, “If you think this is all there is, isn’t that a sad thought?” Well, you know, there are people who live in poverty, who are going hungry — that’s a sad thought. I think I’m exceedingly fortunate to have lived, and I want to take advantage of the opportunity I have

and enjoy the life while I have it. I’m not really excited about dying, not looking forward to the process, but I don’t fear being dead. I do contemplate what will happen to my family after I die because I won’t be here to help them through it. Those things bother me, as I think they do all people, and I don’t have any easy answers to that. What do you want your legacy to be? One thing I think about the most in respect to my family after I’m gone is that I hope they forgive me for my failures and remember the good things. I hope for them to be glad that I was in their lives. As for others outside my family, I’m not too worried about what they think of me after I’m gone. PAGE 20 >>

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<< PAGE 18

What do you think gives life meaning? Buddha teaches that life is suffering. And the conclusion that people come to through Buddhist practice is that the only real outlet you have in life is compassionate activity. That’s what makes people happy. The whole point is that it’s not about you. You’re here to be of service to other human beings — that’s all there is to life as far as I’m concerned.

Gerald F. Stribling 62, writer & life coach BUDDHIST

How do you feel about dying? The cold comfort of Buddhism — that life is suffering, and as you age the suffering is going to get worse, and then you’re going to die — basically inures you to fears because you’re strengthening your mind as a result of Buddhist practice. You have the opportunity to develop the fortitude to face whatever happens in your life and to learn to rise above stuff. If I die suddenly, then it’s not an issue. But for a Buddhist facing a painful long-term illness, the point is to quit focusing so much on yourself. There are going to be people around you who love you and who are going to be suffering as a result of your sickness and death. What can you do to lessen their suffering by being a comfort to them and showing that there’s nothing to be afraid of? What do you want your legacy to be? My book, Buddhism for Dudes, is my legacy. There are an awful lot of people out there who are unhappy, and Buddhism can show them how to be happy and content with their life. It’s my opportunity to share this knowledge, which is the most blessed thing a Buddhist can do.

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<< PAGE 20

Jim England

65, Hosparus chaplain BAPTIST

What do you think gives life meaning? As a chaplain, I work on a broader definition of spirituality: it’s about how you make meaning in your life. We talk more openly about it, maybe, in religious circles, but I think all of us do it in some way. I see people who have rejected faith but are still very spiritual people – meanings are in their families, meanings are in their work, meanings are in their relationships. I have a lot of meaning in my life: my wife, and my kids, and my grandkids. And the work that I do is very meaningful. How do you feel about dying? One of the things that’s often said to me is “I’m not worried about death. I just don’t like the dying process.” There’s a book about dying well by Ira Byock in which he talks about the five things that we need to say: I know I hurt you, I’m sorry, and please forgive me; I need to tell you that you hurt me, and I want you to know that I forgive you; thank you; I love you; and goodbye. It’s in saying those things that a relationship becomes complete. I guess my greatest fear about dying would be losing my mind and not being able to tell my family that I love them or not even knowing who they are. What do you want your legacy to be? I would like people to remember me as kind and loving. I once watched a child at her grandmother’s funeral as tears rolled down her cheeks and into the casket. And I thought, if I live my life in such a way that a child weeps for me when I die, then I’ve lived it well enough.

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Caregiver

CIRCLE BY MALI ANDERS

ON

Caring for

AGING LOVED ONES BY LINDA HITT KEMPF, RN, LNHA

Q

My father’s condition has worsened due to neglect in the nursing facility where he has been for two months. What steps can I take?

A

Here are proactive ways to stay on top of things: 1. Request a private meeting with the key people responsible for residents’ care needs: the director of nursing (DON), assistant director of nursing, nurse manager, and dietician.

2. Request copies of your dad’s nursing documentation up to now and a copy of these policies: monitoring/recording meal, fluid, and snack intake every shift; assessing and maintaining intake and output; monitoring urine output and bowel movements or the lack thereof; and reporting normal and abnormal results. 3. Request a meeting with the DON to explain forms until you understand them.

Read more details from Linda about this subject at TodaysTransitionsNow.com.

Find out who our Caregiver of the Year Award winner will be at GuardiaCare's Chocolate Dreams event, 6 p.m. Feb. 24 at the Marriott Louisville East. See page 13 for more details. 24 todaystransitionsnow.com | Winter 2013-2014

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n winter, it's not unusual to miss summer days and sunlit rooms. But for some, winter and fall depression can be debilitating. Why? Because the lack of sunlight during cold months can lead to seasonal affective disorder (SAD). Physical limitations and living in isolated environments can cause seniors to be especially vulnerable to this seasonal form of depression. SAD happens because the body’s internal clock is disrupted. Symptoms include weight gain, fatigue, low energy, and apathy. Plus, reduced sunlight can result in less serotonin, a chemical in the brain that modifies mood. Do you know someone suffering from the winter blues? Is it severe enough to be seasonal affective disorder? A visit with a doctor or other medical professional is necessary to diagnose a patient with SAD. Treatments such as imitating outdoor light through light boxes (also know as light therapy boxes or phototherapy boxes) are often used to ease symptoms of SAD. Bright light can create a chemical shift in the brain, alleviating a sufferer’s mood. In some cases, an artificial light source is combined with antidepressants or counseling.

DID YOU KNOW? In the United States, about 4 to 6 percent of the population may have SAD, but 10 to 20 percent might have milder winter blues, according to the Cleveland Clinic. Women are more prone to SAD, but it can also affect men. Source: cnn.com

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<< PAGE 24

Memory Café Provides a Meeting Place A monthly program called Memory Café is a chance for individuals with dementia to share time with others and gives care partners an opportunity to relax and MEMORY CAFÉ socialize with other caregivers. WHEN:

Make the most of visits If you have a family member or friend living in an assisted living facility or nursing home, here are a few suggestions to help make yourself and your loved one more comfortable during visits. Contact the facility with specific questions or guidance on personal issues. • Often, visiting hours are an open period, stretching 10-12 hours. Choose an hour conducive to a pleasant visit for you and your loved one. If your schedule leaves you unavailable during regular visiting hours, contact the administrative offices to make a special arrangement. Once a time is established, try to keep a consistent visit time, whether weekly or monthly, to On average, current avoid feelings of disappointment or blame. residents have spent • All ages are welcomed at most nursing homes. For young children, the experience is usually happy. Once children are older, in their teen years, they may need reassurance or an explanation of what to expect prior to the visit.

about 2.3 years in their nursing homes since admission. Source: cdc.gov

• Ask about taking residents on an outing or home for a holiday celebration. Planning these field trips with facility staff will ensure these fun days remain stress-free for both the resident and the visitor. • Be supportive of the situation. Bring personal items the resident might miss, but try to be encouraging of the circumstances. Of course, if there are issues, take your concerns to a social worker.

Each meeting has a theme, and participants can discuss traditions and memories or bring in objects to share with the group.

“Part of the reality for both a person living with dementia and their care partner is the struggle to maintain the facade of normalcy that is expected in society,” says Bari Lewis, Alzheimer's Association chapter director. “In a safe, social atmosphere designed to engage both parties, no one needs to worry about forgetting a train of thought or missing a social cue because everyone in that room has been there.” Memory Café is not a place for embarrassment or uneasiness, she says. “It is just a time to relax and enjoy each other and even develop new friendships.”

Does your loved one miss going to church? Try these television broadcasts. ION: Channel 183 Time Warner channel 183 has religious programming from 9 a.m. - noon, Sunday through Friday.

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WHERE: The Greater Kentucky and Southern Indiana Alzheimer’s Association, 6100 Dutchmans Lane, Suite 401, Louisville, Ky.

Memory Café was started by U of L School of Nursing Caregivers Program and the Alzheimer’s Association Greater Kentucky and Southern Indiana.

Tune in to Worship EWTN: Global Catholic Network Services are broadcast at 8 a.m., noon, and 7 p.m. every day on Time Warner channel 275. Also available online.

The last Monday of each month at 2 p.m. Meetings are open to the public.

Southeast Christian Church Services are broadcast on Sundays at 10 a.m. on WAVE 3, channel 3. Also available online.


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WHAT I KNOW NOW

Helen Lang

Founder of Crane House, the Asian cultural center at 1244 S Third St., on music, why you should try waiting tables, and paying her dues BY LUCY M. PRITCHETT / PHOTO MELISSA DONALD

What adventure changed your life?

Founding Crane House (in 1986). I was 60 years old. It was another chapter in my life. I wanted to spread the gospel of Asia! It has succeeded beyond my wildest dreams. It offers educational and cultural programs, classes, and art for the community. Right now it has a wonderful exhibit of hats from all over Asia. What does the average American not understand about Asian culture?

Americans tend to view all Asian cultures — Chinese, Japanese, Vietnamese, Indian — as one, with no unique characteristics. This sometimes comes from non-exposure or unfamiliarity with the diverse ways of life in the different Asian countries.

when I was irritated. But our children always said I talked loudly. I wasn’t mad or hard of hearing; I was just excited about what we were discussing. When I was angry, I went to the piano and played “Revolutionary Etude” by Chopin. That would take a lot out of me. Whenever I played that, my husband and children knew I was upset. What should everyone taste at least once?

Liquor. Wine wasn’t at our house when I was growing up, but whiskey was. We weren’t drinkers, but on special occasions, we liked to take a sip. What drives you now?

Knowing how to cook. I used to like to cook; I was a foodie. I even taught cooking at one time. Time in the kitchen offers you a chance to be innovative and creative. It can be a time to contemplate. I found cooking to be therapeutic.

I am studying history, political science, sociology, and psychology. It is all self-education. I love it. I am reading The New Digital Age: Reshaping the Future of People, Nations and Business by Cohen and Schmidt. It is fascinating. And, I just finished Cooked by Michael Pollan. We buy books and pass them around among the family.

When should a woman raise her voice?

What book should everyone read?

What skill should every woman have?

I have to say I don’t remember raising my voice

A People’s History of the United States by Howard Zinn.

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Helen, 87, was born in Seattle, but her ancestral home is Canton, China. She and her husband Calvin (deceased), professor of biochemistry at U of L, moved to Louisville in 1959. What plans did you have for yourself?

I am fulfilling them now. I have loved each stage of my life, but now is the best. I can read without distraction. I can do anything I want and say anything I want. I have paid my dues. What advice would you give the younger you?

Hang in there, the best is yet to come. Each decade should be a new chapter in your life. I really felt that, especially when I turned 50. What is the key to a good marriage?

To grow. Even if it’s in different directions, you are still growing. What part has music played in your life?

I have played the piano since I was a child, but I wasn’t disciplined. I took classical music, attended symphonies. In the late ‘80s, I took a two-week jazz

clinic at the University of Louisville School of Music. I got a lot out of it even though I was a novice. I was a little inhibited and self-conscious. I had a hard time letting go. I can think the music, but sometimes I can’t get it to graduate to my fingers! How should a woman handle getting old?

Think positive and have a sense of humor. It is better to laugh than to cry. What advice do you have for young people?

There is no better experience than being a waiter or waitress. You are serving people. It teaches you civility. And you are performing manual labor. I love manual labor. All four of my children (two daughters, two sons) mowed the lawn, cleaned the bathrooms. I wanted to be a waitress in the dining room here at Treyton Oak, but I can’t carry those big trays full of plates and glasses.


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Wise&Well

Tidbits, news, and tips to help you live your healthiest years yet BY MALI ANDERSON

Butternut squash is high in heart-disease-preventing carotenoids, while onions are great for lowering blood pressure. Source: wholeliving.com

Get Walking! Exercising can be particularly daunting in the cold months, but it’s not any less important to your health. Indoor options such as walking in your local shopping mall can help you stay in shape this season. Still need motivation? Consider these benefits of mall walking: WEATHER: Since you are in an indoor mall, you don’t have to worry about the cold, rain, or snow. You can even leave your coat in the car.

Winter’s Bounty

Eat these fresh foods this season Ron Smith, owner of The Root Cellar, a food store selling produce, dairy, and meat from Indiana and Kentucky farms, tells us what local foods are available during winter.

BONUS: You can window-shop while you exercise!

Mall St. Matthews opens at 7:30 a.m. Monday through Saturday and 10 a.m. on Sunday to accommodate walkers. • 1.2 miles per lap PHOTO MELISSA DONALD

Q: Are there any local foods that shoppers are surprised to find in winter? A: Yes, because some local foods are available through greenhouses. A lot of

times there is a bias against things grown in hothouses, but some things do really well. Our tomatoes, for example, are grown throughout the year. They have a really good flavor.

Q: Is kale grown in a greenhouse? A: No, Siberian kale is named ‘Siberian kale’ for a reason. It is a hardy North-

ern plant. Kale will die in a hard freeze, but if it starts to warm up, it could start new growth in a cold month like February.

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PLUMBING: In a shopping mall, you can stop for a drink at the water fountain or to use the restroom at any time.

Oxmoor Center, Mall St. Matthews, and Jefferson Mall each offer walking programs through Norton Healthcare’s Get Healthy Walking Club. Members of this free club receive a T-shirt, pedometer, and other benefits and gain access to the malls’ walking paths during special hours:

Q: What is in season during cold months? A: Squash, sweet potatoes,

and onions are great winter choices. They are available until April or May.

TRAFFIC: With no cars to worry about, it is easier to find a comfortable walking pace and stick with it.

Oxmoor Center opens at 7:30 a.m. Monday through Saturday and 10 a.m. on Sunday. • 0.75 miles per lap Jefferson Mall opens at 9 a.m. Monday through Saturday and 11 a.m. on Sunday. • 0.75 miles per lap Learn more about the mall walking programs or join the Get Healthy Walking Club by visiting nortonhealthcare.com/walkingclub or calling 502.629.1234.


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! d l O g n i t t e G It’s Heck BY YELENA SAPIN

es don’t work the way they Solutions for when our bodi

PROBLEM:

Weight Gain

An increasingly sedentary lifestyle, stress, age-related metabolism changes, aches and pains that make it difficult to exercise, and even side effects from certain medications can cause the number on the scale to creep up as you add more candles to your birthday cake. But shedding those extra pounds and keeping them off can greatly improve your health and overall quality of life and even let you get off many commonly prescribed medications, says Joan Weston, an RN at Floyd Memorial Weight Management Center.

PROBLEM:

Urinary Incontinence

According to Dr. Richard N. Medley of First Urology, there are three basic types of this condition. Stress incontinence is a release of urine when coughing or straining puts pressure on weakened or damaged pelvic floor muscles. Urge incontinence is not making it to the bathroom in time when the bladder spasms or contracts suddenly and creates an urgent need to go, and mixed incontinence is a combination of the two. Women tend to experience incontinence more than men, especially the mixed type. An enlarged prostate that makes it difficult to fully empty the bladder is a common cause of incontinence in men. 32 todaystransitionsnow.com | Winter 2013-2014

used to

SOLUTION:

SOLUTION:

Make Small Changes

Get With a Program

When making food choices, learn to be a good label reader at the store and stay away from empty calories, Weston says. When eating out, look for grilled (not fried!) foods, ask for steamed vegetables, have them box up half your portion in the kitchen, or share your entrée. And get moving! Anything that moves your body through space counts as exercise, Weston says. Take a walk, dance in your kitchen, or do arm or leg exercises while watching TV.

Talk to your doctor about your options, especially if you have underlying health conditions. Some people may benefit from physicianassisted programs that include medication or surgical intervention. Enlisting help from a nutritionist or joining a gym can also help keep you motivated. If your budget is tight, ask your physician about hospitalaffiliated programs, Weston suggests, or look for free or low-cost options in your community, place of worship, or the local YMCA.

SOLUTION:

SOLUTION:

Non-surgical Treatment

Surgical Intervention

The least-invasive treatments for incontinence include Kegel exercises to strengthen pelvic floor muscles (you can find them by trying to stop urine flow mid-stream), biofeedback to retrain the bladder, and medications to relax the bladder or prostate, Medley says. Many of the medications used to relieve symptoms of urge incontinence can cause dry mouth and constipation, however. Your doctor can help you find the best option for you.

The most common surgical treatment for stress incontinence involves using a mesh-like material to create an internal sling that supports the bladder. When the problem is caused by the prostate, micro waves can be used to shrink it from the inside, which is a less invasive procedure that can be performed in the doctor’s office, Medley says. If that isn’t enough, a surgical procedure called TURP (transurethral resection of the prostate) might be needed.


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Updates & Happenings | news you can use + events not to miss |

Slow & Simple Slow cookers produce tasty results with minimal effort, but what if there are only two of you? You can make a smaller, 3 1/2-quart slow cooker work for you in delicious new ways. Cynthia Graubart, author of the new book Slow Cooking for Two: Basics, Techniques and Recipes, provides recipes from chocolate cake to pot roast that are ideal for busy people who don’t have a full household to feed. Try this hearty recipe from the book.

Boneless Beef Shanks SERVES 2 1⁄2 cup beef broth 3 Tbsp tomato paste 1⁄4 cup chopped onion 1⁄2 cup sliced fresh mushrooms 1 cup fresh baby carrots 1 clove garlic, minced, or 1⁄2 tsp. bottled minced garlic

1 lb. beef shanks (boneless if available) Salt Freshly ground black pepper 1 tablespoon cornstarch, optional 1 tablespoon water, optional 1 tablespoon lemon juice

r with cooking spray, if desired. 1. Coat the inside of a 3 1⁄2-quart slow cooke rooms, carrots, and garlic. mush , 2. Stir in beef broth, tomato paste, onion er and transfer shanks to pepp and salt with lly 3. Sprinkle beef shanks libera s with the sauce. the slow cooker. Stir well to coat the shank ve beef shanks to a serving 4. Cover and cook on low for 5 hours. Remo platter and cover to keep warm. tarch and water in a small bowl. 5. If a thicker sauce is desired, combine corns leave uncovered, and cook an Stir into sauce. Turn slow cooker to high, additional 15 minutes for sauce to thicken. with salt and pepper. Pour 6. Stir in lemon juice. Taste, and season again . sauce over beef, and serve

Roméo et Juliette by Charles-François Gounod > Kentucky Opera

BY GIOIA PATTON & TIFFANY WHITE

Ready in a Heartbeat Baptist Health Louisville has earned some well-deserved hand claps for their American Heart Association’s Mission: Lifeline Heart Attack Receiving Center Accreditation. The accreditation recognizes centers that have met or exceeded quality care standards for those who’ve had the most severe heart attacks.

Ellis Hall > Louisville

Orchestra Pops Series guest artist

Ellis Hall is a quintessential performer as a multi-instrumentalist and vocalist who possesses a five-octave range. Hall has also performed, recorded, and collaborated with a vast variety of musical icons, including Patti LaBelle; Michael McDonald; Earth, Wind & Fire; John Mayer; Natalie Cole; and James Taylor. Performing Ray Charles favorites “Georgia on My Mind,” “Hit the Road, Jack,” “Unchain My Heart” and more with the Louisville Orchestra, Ellis Hall is today’s ‘ambassador of soul.’ WHEN: January 25 @ 8 p.m. WHERE: Kentucky Center TICKETS: Starting at $26 CONTACT: box office walk up or drive-

thru, or 502.584.7777 or louisvilleorchestra.org

In 14th century Verona, Italy, star-crossed lovers meet at a party, only to be torn apart by feuding families… and resolution comes at a high price. Shakespeare’s tragedy was adapted into an opera by French composer Charles-François Gounod and features Ava Pine as Juliette and Vale Rideout as Roméo. The opera will be sung in Italian with projected English supertitles. WHEN: February 14 @ 8 p.m. and February 16 @ 2 p.m. WHERE: The Brown Theatre, 315 West Broadway TICKETS: Starting at $31 *appropriate for all ages CONTACT: box office walk up or drive-thru or kyopera.org

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PAGE 36 >>


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<< PAGE 34

A Healing Workout Breast cancer surgery patients can find a healthy way of healing through the Pink Ribbon Program offered at Floyd Memorial Physical Therapy. Pilates instructor and breast cancer exercise specialist Susie Steward incorporates gentle movements into the exercise routine with an emphasis on stretching and strengthening areas affected by surgery. CONTACT: 812.945.3440

The Peking Acrobats > Kentucky

Center

Making Room for Mom Cindy Sullivan and her husband came up with a clever idea for taking care of Cindy’s mom when she began to have health problems. The couple and Cindy’s mother, Chris, sold their home and had a new home built along with a separate apartment for Chris. Chris’s handicap-accessible apartment (pictured above) comes fully equipped with a kitchen, living room, bedroom, bath, and closet. They only share the laundry room. For noise control and privacy, they added double insulation between the two areas. But the convenience, Cindy says, has been one of the biggest assets for the entire family. If Chris has a medical emergency, Cindy knows she or anyone else in the family can get to her immediately. Also, the new living arrangement allows Chris to spend more time with her grandsons. 36 todaystransitionsnow.com | Winter 2013-2014

WHEN: February 13 @ 7:30 p.m. WHERE: Kentucky Center, 501 West Main St. TICKETS: Starting at $15 CONTACT: box office walk up or drive-thru, 502.584.7777, or kentuckycenter.org

Royal Philharmonic Orchestra conducted by Pinchas Zukerman > Kentucky

Center

Acknowledged as one of the United Kingdom’s most prestigious orchestras, the Royal Philharmonic Orchestra (RPO) enjoys a reputation for bringing audiences first-class performances across a diverse range of music. Pinchas Zukerman is a world-renowned Israeli violinist, violist, and conductor. For RPO’s Louisville date, Zukerman will be the violinist for Bach’s Violin Concerto in E major and Brahms’ Double Concerto in A minor. The third program of the evening will be Beethoven’s Symphony No. 5 in C minor. WHEN: January 14 @ 7:30 p.m. WHERE: Kentucky Center. TICKETS: Start @ $35 CONTACT: box office walk up or drive-thru,

502.584.7777, or kentuckycenter.org

PHOTOS COURTESY OF PAUL LABELLE, FLOYD MEMORIAL, CINDY SULLIVAN AND THE KENTUCKY CENTER

Since their Western debut in 1986, the Peking Acrobats have set the bar for spellbinding Chinese acrobats with their daring maneuvers, including trick cycling, precision tumbling, contortion, and gymnastics. Accompanied by live musicians and high-tech special effects, The Peking Acrobats provide an evening of exuberant allages entertainment with the excitement and pageantry of a Chinese Carnival.


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Connie’s World

LIFE LIFE ININ

Connie Meyer writes regularly for Today’s Transitions. You can reach Connie at ConnieL605@aol.com.

RERUNS

H

ave you noticed how repetitive conversations can be? If you really listen, you will realize that most of us have phrases or stories we repeat over and over again. The same is true for jokes. No wonder couples who have been married for any length of time get bored. I remember Aunt Daisy and Uncle Ed, who were married for more than 60 years. Whenever Uncle Ed would start to tell a story, Aunt Daisy would say, “Oh, Ed, don’t tell that same ol' story again. Reckon we’ve heard it way too much already.” Of course, Uncle Ed paid no attention whatsoever, so we all got to hear it one more time. My dad did the same thing. He loved to tell the story of how he met Mother when he heard she wouldn’t date anybody. “Humph,” Daddy would exclaim, with emphasis always on the exact same syllable, “Reckon that was because she hadn’t met ME.” I can literally mime that story under my breath as Daddy told it. Now I wonder how many stories my sons mimic after me. Repetition starts early. The cartoon characters that children love repeat certain scenarios that hold the child’s attention. The same is true for reading. How many children have a favorite bedtime story they never seem to tire of hearing? We use repetition in teaching. Memorizing flash cards, multiplication tables, and Bible verses was a huge part of my education. Teachers introduce the alphabet and instill the letters through repetition in songs and games. Young children respond

38 todaystransitionsnow.com | Winter 2013-2014

to routine, and in education, a routine is set We all respond to repetition in our early not just to foster learning but for the everyday lives. Think about your daily sense of security every young child needs. routine, and most will find comfort in Television uses repetition in choosing the repeated routines of morning coffee, its programming. Let them have one sucwalks, or prayer time. Our most cherished cessful show, and see how many repeats traditions are routines that bring us joy. follow. Does REALITY ring a bell? How Have you noticed how many of us always many celebrities have cashed in on that sit in the same pew at church? Or think concept by inviting the cameras into their about how hard it is when someone decides homes to follow their every move? Grandma should not cook anymore at Of course, the same is true with comChristmas and the family decides to gather edy sitcoms. Once Jerry Seinfeld hit it at another relative’s house instead. big, how many other comedians Everyone talks about thinkfollowed with their own ing outside the box, but shows? And there are so the truth is the box is many shows on crime overflowing once an How many of us scene investigations, inside idea works. If have watched it’s enough to make repetition didn’t work the same comedy you want to shoot so well, we wouldn’t shows over and someone. Successful have syndicated reover and still television shows give runs. How many of us laughed? birth to spin-offs in have watched the same hope that repeating the comedy shows over and same formula will secure over and still laughed? similar high ratings. Life is all about repetition The show CSI Miami brought when you think about it. We’re born about CSI New York. It’s only a matter dependent and drooling, and if we live of time before CSI goes global or even long enough, we end up in some nursing universal. Can you imagine CSI Mars? home repeating the same process. It could If we should discover life on Mars or be depressing if you didn’t learn to think any other planet, it’s only a matter of outside the box. time before such a discovery leads to If my memory deserts me, I plan to sit in a reality TV show. Once that show the nursing home reading my favorite book becomes popular, you simply can’t miss over and over again. Each time I finish, I’ll Desperate Housewives of Mars or Law & say, “Wow, that’s the best book I’ve ever Order: Special Martian Victims Unit. read.” Hey, it beats a reality show anytime.


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2014 Medicare A and B with KY and IN Medicare and Medicaid Updates Medicare A covered services per benefit period 2014 Covered Services 2014

Benefit Period 2014

2014 Medicare Pays

2014 Patient Pays

Hospitalization

Acute 24-hour medical, rehab, nursing, multi-disciplinary care, medications, treatments and supplies for patients in a dual occupancy room unless doctor orders a private room due to medical necessity.

First 60 days................... Day 61 thru 90............... For each benefit period Day 91 thru 150............. Lifetime reserve days total 60 non-renewable Days 151 and after.........

All over $1184....................... All over $296.......................

$1184 $296

All over $592.......................

$592

Zero.......................................

All costs

Skilled Nursing & Rehab

First 20 days

100% approved costs

Zero

Days 21 thru 100

All over $148

$148

Days 101 and after

Zero

All costs

Services necessary for home care and skilled services to benefit the patient per his/her doctor

100% approved amount*

Zero

80% approved amount*

20% approved amount*

As long as doctor sees a need for continued terminal care

All with cost limits on inpatient respite care and outpatient meds

Limited cost sharing for outpatient drugs and inpatient respite care

Patient must have prior 3-day hospital stay within 30 days to be eligible for 24-hour skilled nursing care per doctor's order.

Home Health Care

Medically necessary skilled home care post hospital stay. (Need IVs, rehab, nursing)

Hospice Services

Doctor-prescribed pain control and support for terminal care.

Medicare Part B: Medical services per benefit period. Fiscal amounts are new 2014 rate changes Covered Services 2014

Benefit Period 2014

2014 Medicare Pays

2014 Patient Pays

• Physician, surgeon fees • Diagnostic-related tests • Medical supplies • Ambulance services • Physical, speech, occupational therapists

Per medical necessity

80% approved amount over deductible paid

$162 deductible plus 20% of Medicare-approved charges plus any costs over approved charges

Outpatient hospital services

Per medical necessity

80% approved amount after $147 deductible

20% approved amount after $147 deductible

Home health care

Per medical necessity

All costs

Zero

Immunosuppressive drugs

Per medical necessity

1 yr. immunosuppressive therapy post transplant

20% of cost

Blood services

As needed

80% of cost after 3 pints

First 3 pints plus 20% cost

Kentucky Medicaid = KY

2014 Medicaid Allowables

Indiana Medicaid = IN

Service

Individual KY / IN

Married Couple KY & IN (same)

Home health care......................................... Cash resources ............................................ May maintain health insurance.................... Personal maintenance allowance*............... May keep prepaid burial contract.................

Yes............................................................... Up to $2,000 / up to $1,500........................ Yes............................................................... $40 month / $52 month............................... Yes...............................................................

Yes................................................................ Up to $115,920............................................ Yes................................................................ $1,939-$2,898 monthly................................ Yes................................................................

• Some Medicare services not covered by Part A and Part B include: Long-term custodial care, routine dental care, dentures, cosmetic surgery, acupuncture, hearing aids. • Medicare Part D is the Medicare Prescription Drug Coverage plan.

*Call 1-800-MEDICARE (633-4227) for information or visit medicare.gov/coverage


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Adult Day Care Directory Our directories are now online! See all of them in our new Directories tab to find what you’re looking for! CLICK ON THIS PAGE TO ACCESS THE ADULT DAY CARE DIRECTORY.

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Aging-in-Place Communities Directory We’ve changed things up! Find your Aging-in-Place directory listings in our new Directories tab! CLICK ON THIS PAGE TO ACCESS THE AGING-IN-PLACE DIRECTORY.

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Aging-in-Place Communities Directory We’ve changed things up! Find your Aging-in-Place directory listings in our new Directories tab! CLICK ON THIS PAGE TO ACCESS THE AGING-IN-PLACE DIRECTORY.

Learning to Live Again

What My Stroke Taught Me BY ELAINE STEPP

I had a stroke when I was 53 years old. I was in good health and living an active lifestyle. During that time, I lived in Atlanta by myself and worked in a senior living community. One Monday night, we had a party planned for the 300 residents of the community and their families, so I worked late. At 6 p.m., I went into my supervisor’s office and told her I would meet her in the lobby for the party. I was fine. I went into the front lobby to talk with the marketing director. When she asked me a question, I could not answer her. She asked a few more questions, but I still couldn’t answer, so she walked away frustrated. I followed her into her office and sat in a chair. The right side of my body was totally limp. continued on page 56 46 todaystransitions.com | Winter 2014



Alzheimer’s Care Directory Dealing with Alzheimer’s can be frustrating. Find the help you need in our Alzheimer’s Care Directory. CLICK ON THIS PAGE TO ACCESS THE ALZHEIMER’S CARE DIRECTORY.

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Alzheimer’s Care Directory Dealing with Alzheimer’s can be frustrating. Find the help you need in our Alzheimer’s Care Directory. CLICK ON THIS PAGE TO ACCESS THE ALZHEIMER’S CARE DIRECTORY.

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Assisted Living Directory Long-term care differs from other types of health care in that the goal of long-term care is not to cure an illness, but to allow an individual to attain and maintain an optimal level of functioning. Our Assisted Living directories can help you find what you need for all of your goals. See them in our directories tab! CLICK ON THIS PAGE TO ACCESS THE ASSISTED LIVING DIRECTORY.

52 todaystransitions.com | Winter 2014



Assisted Living Directory Long-term care differs from other types of health care in that the goal of long-term care is not to cure an illness, but to allow an individual to attain and maintain an optimal level of functioning. Our Assisted Living directories can help you find what you need for all of your goals. See them in our directories tab! CLICK ON THIS PAGE TO ACCESS THE ASSISTED LIVING DIRECTORY.

54 todaystransitions.com | Winter 2014



Assisted Living Directory Long-term care differs from other types of health care in that the goal of long-term care is not to cure an illness, but to allow an individual to attain and maintain an optimal level of functioning. Our Assisted Living directories can help you find what you need for all of your goals. See them in our directories tab! CLICK ON THIS PAGE TO ACCESS THE ASSISTED LIVING DIRECTORY.

continued from page 46 appointment with the neurologist the next week. He referred She realized something was wrong and called my sume to a speech therapist and said I could return to work. pervisor and the nurse on duty to help me, and then they The stroke primarily affected my cognitive skills. While called 911. I was perfectly aware of everything but could in the hospital, I could speak better every day. But later, not communicate. The ambulance took me to the emerI would be sitting in a staff meeting and be completely gency room, and as I left on a stretcher while the residents following along with the conversation, but when I spoke it and their families watched, I smiled and waved goodbye. was a comment that had nothWhile I was in the emergency room, I came in and out of conThey wanted me to go away ing to do with what was said. My written language skills were sciousness, but I was aware of what was happening. The doctor gave me to heal and come back the way handicapped, and I had to learn a dosage of TPA medication, and I I was before. It’s hard acting how to use them all over again. My co-workers felt uncomremember the physician holding my like you are the same person fortable through this process, hand, smacking it to wake me up, when you have changed and this became difficult for me and saying that he was giving me my life back and I would rememdramatically, but I tried very emotionally. They wanted me to ber him forever. He smiled, and I hard to do this because that’s go away to heal and come back smiled; within minutes, the movethe way I was before. It’s hard actwhat I thought I “should” do. ing like you are the same person ment came back into my right arm and right leg, and I was sent to ICU. when you have changed dramatiA friend stayed with me through the night, and my family cally, but I tried very hard to do this because that’s what came the following day. I thought I “should” do. A level of depression became a My hospital stay was short; I returned home and went for an part of my life. continued on page 58 56 todaystransitions.com | Winter 2014


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Home Health Directory Approximately 12 million people in the U.S. require some form of home health care. Our directories, now located in our directories tab, can help you easily find your local home health providers. CLICK ON THIS PAGE TO ACCESS THE HOME HEALTH DIRECTORY.

continued from page 56 available at all times for my protection, and I have During the following years, my energy level was low. The right side of my body was shorter than my left side. planned which hospital I will go to if something hapI still have problems swallowing sometimes, and I fear I pens. I have my will and healthcare paperwork signed might choke while eating. Also, my sense of smell was reand my financial matters up-to-date. I have planned my duced. My emotions changed, and I did not express them funeral and talked regularly to my sons about this. This like I used to. I did not cry when a gives me the opportunity to voice movie was sad or touching the way my needs while I am capable of My emotions changed, and I had in the past. doing so, and the discussions I did not express them like I But thank God I could always we have about them are “with read. Dealing with the depression used to. I did not cry when a me in the room.” was an ongoing process of using But as I was told recently, movie was sad or touching the “There therapy and reading spiritual is always fear, but God way I had in the past. literature while taking a new look needs you to have a breath, and as at my life. I noticed recently that long as you have a breath, someemotions are more natural to me today, and I have a lot one needs what you have.” I am not afraid of death, but of gratitude for my life, my existence, and the work and I am very thankful that I’m able to breathe and work, play I am a part of today. exercise, enjoy a wonderful meal with friends, and laugh. Now, I know to talk to my sons about my choices Elaine Stepp is the owner of Stepping Stones For Senior Life Choices in Louisville, Ky. She is a transitioning consultant. before an emergency arises again. I keep a cell phone 58 todaystransitions.com | Winter 2014


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Home Health Directory Approximately 12 million people in the U.S. require some form of home health care. Our directories, now located in our directories tab, can help you easily find your local home health providers. CLICK ON THIS PAGE TO ACCESS THE HOME HEALTH DIRECTORY.

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Home Health Directory Approximately 12 million people in the U.S. require some form of home health care. Our directories, now located in our directories tab, can help you easily find your local home health providers. CLICK ON THIS PAGE TO ACCESS THE HOME HEALTH DIRECTORY.

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Home Health Directory Approximately 12 million people in the U.S. require some form of home health care. Our directories, now located in our directories tab, can help you easily find your local home health providers. CLICK ON THIS PAGE TO ACCESS THE HOME HEALTH DIRECTORY.

“I’m not afraid of death; I just don’t want to be there when it happens.”

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— WOODY ALLEN


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Nursing/Rehab Directory Looking for a nursing home or rehab place? Find them in our online directories!

CLICK ON THIS PAGE TO ACCESS THE NURSING/REHAB DIRECTORY.

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Nursing/Rehab Directory Looking for a nursing home or rehab place? Find them in our online directories!

CLICK ON THIS PAGE TO ACCESS THE NURSING/REHAB DIRECTORY.

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Nursing/Rehab Directory Looking for a nursing home or rehab place? Find them in our online directories!

CLICK ON THIS PAGE TO ACCESS THE NURSING/REHAB DIRECTORY.

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Nursing/Rehab Directory Looking for a nursing home or rehab place? Find them in our online directories!

CLICK ON THIS PAGE TO ACCESS THE NURSING/REHAB DIRECTORY.

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Personal Care Directory Did you know? About 70% of Americans over the age of 65 years will need long-term care services during their lifetime. By 2020, this number is expected to exceed 12 million. (Prudential Research Report: Long Term Care Cost Study, 2010) Find all your personal care needs in our new directories tab! CLICK ON THIS PAGE TO ACCESS THE PERSONAL CARE DIRECTORY.

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Retirement Communities Directory Looking for a Retirement Community to call home? See our directory listing to help make the search a breeze! CLICK ON THIS PAGE TO ACCESS THE RETIREMENT COMMUNITIES DIRECTORY.

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Retirement Communities Directory Looking for a Retirement Community to call home? See our directory listing to help make the search a breeze! CLICK ON THIS PAGE TO ACCESS THE RETIREMENT COMMUNITIES DIRECTORY.

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The Smart Recovery Checklist BY LISA M. PETSCHE

R

ecovering from surgery or a prolonged acute illness takes time and patience. It also calls for practical adjustments, especially for those living alone. Fortunately, with some thought and creativity, many everyday tasks can be simplified to make maximum use of limited energy. Here are some practical ways to streamline daily life and facilitate your recovery.

PRIORITIZE AND ORGANIZE • Establish and stick to priorities. Curb perfectionism. Not everything needs to be done to a high standard; take housework, for example. Use a timer for chores so you don’t overdo it. • Perform important activities at the time of day when your energy level is at its peak. • Pace yourself. Break down tasks into steps that can be performed with breaks in between. Refrain from rushing or performing activities to the point of fatigue. • Whenever possible, sit down to perform tasks. • Keep frequently used items close to the point of use and within easy reach. • If you have recently had surgery, review any educational materials you received. They may include energy conservation tips specific to your situation. • If there are others in your household, enlist their help with everyday tasks. Be specific about what you need. • Get a portable phone so you can easily answer calls, or an answering machine to take messages. MEAL PREPARATION AND HOME MAINTENANCE • Prepare one-dish meals, such as casseroles, stews, soups, stir fries, and main course salads. • Cook double batches of recipes and freeze half for later use. • Keep a supply of heat-and-serve entrees in the freezer. • Buy convenient foods that reduce preparation time: packaged salads, shredded cheese, fresh or frozen mixed vegetables, and boneless chicken breasts, for example. • Order takeout once or twice a week. Just be sure to make healthy choices. Keep menus in a folder for easy reference. • Concentrate cleaning and tidying efforts on the rooms that are used the most.

• Do full loads of laundry whenever possible. • Ensure you have enough basic clothing — including underwear and socks — to last for a week. Buy clothes that can be machine washed and dried and resist wrinkles. • Replace frequently used manual kitchen utensils and other household tools with electric counterparts — for example, can opener, pill crusher, screwdriver. • Pay for help if you can afford it — for example, a dog walker, housecleaning service, grounds keeping service, handyman, or accountant. Or, hire a trustworthy neighborhood youth to do yard maintenance and perhaps also errands. • Arrange with the bank for direct deposit of pension and other checks and automatic payment of regular bills. If you have a computer, sign up for online banking so you can pay bills, transfer money and check balances from home. SHOPPING AND ERRANDS • Shop through mail-order catalogs, using the telephone or Internet. For gift-giving occasions, purchase gift cards; many kinds are available online, as well as on display near checkouts at department stores and other stores. • Take advantage of stores and other services that offer home delivery (for example, grocery stores, drug stores, dry cleaners). Keep lists of groceries needed and errands to be done. • Investigate available community resources, which might in­clude meals-on-wheels, housekeeping services, mobile hairdressing services, volunteer driver programs, and accessible transportation. • Coordinate errands and avoid peak use times of the day, week, or month when visiting stores, banks, government offices, and other establishments. • Take advantage of electric scooters available for customers in stores and malls.

Lisa M. Petsche is a medical social worker and a freelance writer specializing in boomer and senior health matters.

78 todaystransitionsnow.com | Winter 2013-2014


Helpful Resources FREE HOUSING ADVOCATE

HOME CARE SERVICES

Senior Home Transitions

Homewatch CareGivers

After hospitalization and/or rehab, what’s next for your loved one? Having personally gone through the process of placing a loved one after rehab, I know how confusing the options can be. Particularly if you only have a short time to find that new home! I have personally visited each community and will help you find the perfect new home based on your financial situation and personal needs. I can also help connect you with resources to help financially.

We have 30 years of home care experience helping your loved ones keep the same freedom and independence they have now. "Let our family care for yours." • Fully trained and experienced CNAs and on-staff RN • Complimentary evaluations • Customized care plan • Alzheimer's/dementia expertise • Help with personal care, homemaking, transportation and errands

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Patti Naiser SeniorHomeTransitions.com 502.396.9228

HELPFUL RESOURCES ADVERTISING

SENIOR MOVING SERVICES

INSURANCE

Robin Brown, 21 years with State Farm,

says she likes to help people plan a good life:“We help people protect the things they can least afford to lose: their home, their car, their income when they’re sick or hurt, and their earning capability. The unexpected happens often in life. I want my clients to be prepared for it. We’re also here to help clients assemble and preserve wealth in the most tax efficient ways possible. We educate clients to help them take care of the people who are special to them and to plan for retirement.” Let Robin help you plan for your dreams and manage risk to protect what is yours now and in the future.

Robin Brown, CLU, ChFC, CASL Agent State Farm 4209 Shelbyville Rd, Louisville, KY 40207 502.897.6476 • robinbrowninsurance.com

TRANSPORTATION

Today’s Transitions

Caring Transitions

Able Care, Inc.

Reach more than 75,000 caregivers and seniors with your business message. The resource is in a colorful, easy-to-read format, providing readers with helpful information about your products or services. Each Directory Listing includes:

Senior Relocation - Downsizing - Estate Sales We offer comprehensive services customized to your needs. • Oversee entire move process • Declutter, organize and sort belongings • Inventory, photograph and appraise items • Decide best method to sell, reconcile or distribute items • Advertise/manage sales or auctions • Donate items to maximize tax benefits • Qualify and secure quotes from movers • Arrange for storage • Prepare new home for resettling

Providing non-emergency, ambulatory and wheelchair accessible transportation in Louisville, Kentucky since 2001; the door through door service is available for physician appointments, medical procedures, therapy, dialysis, radiation, and chemotherapy; as well as social functions and daily errands. Evenings and weekends with advance notice. Caregivers or family members are welcome to ride at no additional charge. Pre-paid voucher packages are available. Payment is requested at the time of service. BBB Accredited Business.

Call Owner/Director Tonna Griffin 502.413.2872 estatemovejeffersontown.com tgriffin@caringtransitions.net

P. O. Box 99381 Louisville, Kentucky 40269-0381 502.267.1911 • FAX: 502.267.3004 ablecareinc.com

• Approximately 650 characters – including punctuation and spaces. • Contact information. • Production services. • Change Listing for each issue. • Deadline for Summer issue: May 10, 2013

Call or email us for additional information at 502.327.8855 or advertising@todayspublications.com

If you would like to advertise in the Helpful Resources Directory, call 502.327.8855 or email advertising@todayspublications.com.

– THIS IS AN ADVERTISEMENT –

Winter 2013-2014 | todaystransitionsnow.com

79


It’s Your Style

BY TIFFANY WHITE / PHOTO MELISSA DONALD

STEP LIVELY!

Treat your feet right. Choose comfortable footwear that will put a spring in your step.

Left: Thierry Rabotin, $420, available at H.J. Redmond Exclusive Footwear, 3933 Chenoweth Square, 502.894.9800. Right and below: Ecco, $140, available at J. Carlton Shoes, Westport Village, 1201 Herr Lane, Suite 150, 502.290.4344.

D

on’t underestimate the power of good arch support. John Carlton, owner of J. Carlton Shoes, says these shoes (pictured above, right) have it but are lightweight and supportive to the foot. The sole is long-lasting and durable. Choosing a shoe made from leather is advantageous because it breathes and is more flexible than non-leather. Since the size of your feet can change over time, Carlton suggests that you get your feet remeasured every five to 10 years.

80 todaystransitionsnow.com | Winter 2013-2014

“The high quality of leather and materials used make this shoe stand out,” says Herbert Redmond, owner of H.J. Redmond Exclusive Footwear. Redmond says the shoe (pictured above, left) has a thin lining in the sole that protects your foot as you walk. See some behind-the-scenes shots of Earl and Cathy Zion, who modeled these shoes, on TodaysTransitionsNow.com.




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