TT Spring 2014 by Today's Transitions

Spring 2014 | todaystransitionsnow.com

CONTENTS: SPRING 2014

30 36

28 Directories 44 How to Use 44 46 50 54 58 66 74 75

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

PET PROJECT

PICK THE PERFECT PET

IT’S HECK GETTING OLD!

By Tiffany White

BOOK CLUB

GRAB A GOOD BOOK

WHAT I KNOW NOW

FROM EDUCATION TO WEDDINGS

COUNTDOWN TO DERBY

WHAT'S FOR DINNER?

RETIRING OUTSIDE THE LINES

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

By Lucy M. Pritchett

By Bob Mueller

By Mali Anderson

CONNIE'S WORLD: LIFE LESSONS

CARE PACKAGE FOR THE CAREGIVER

CAREGIVER CIRCLE

IT’S YOUR STYLE

WISE & WELL

By Connie Meyer

By Melissa Donald

By Torie Temple

By Mali Anderson

UPDATES & HAPPENINGS

By Gioia Patton and Tiffany White

By Sandra Gordon

By Torie Temple

By Yelena Sapin

2 todaystransitionsnow.com | Spring 2014

KEEPING YOUR GRANDCHILDREN SAFE

By Mali Anderson

By Tiffany White

Spring 2014 | todaystransitionsnow.com

From the Editor Volume 11 / Number 1 PUBLISHER

Cathy S. Zion cathy@todayspublications.com

Pe t

EXECUTIVE EDITOR

Anita Oldham anita@todayspublications.com EDITOR

Tiffany White tiffany@todayspublications.com CONTRIBUTING EDITOR

Linda Hitt Kempf COPY EDITING

t c oj e r P W

hen I brought Heaven, my cat, home from the Kentucky Humane Society eight years ago, it was one of the happiest moments in my life because I love animals. Taking care of an adorable, helpless animal is gratifying to me — especially when I am able to give it a home. For me, being a pet owner has given me something else to look forward to when I come home from a long day at work. Here are a few reasons to consider becoming a pet parent: • They provide constant companionship. My youngest cat Boscoe follows me from room to room. • They give you unconditional love every day. The occasional roughness of life is more bearable when your animal shows you some affection. • Dogs and cats require playtime, which also benefits your physical health. • They make you feel needed, because they do need you. • They are good for your mental health. But above all else, you can create sweet memories with your pet you’ll always cherish. If you think you’re ready to become a pet owner, turn to page 6 to find out what type of animal would be best for you, and let the memories begin.

FIND A PET

Ready to adopt an animal? Try one of these places. Kentucky Humane Society, kyhumane.org The Animal Care Society, animalcaresociety.org Shamrock Pet Foundation, shamrockpets.com Animal House Adoption Center, louisvilleky.gov/ animalservices/ animalhouse/

—

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 | Spring 2014

Lucy M. Pritchett ADVERTISING DIRECTOR

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Silvia Cabib TODAY’S TRANSITIONS 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. 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.

Spring 2014 | todaystransitionsnow.com

Pick the Perfect Pet BY TORIE TEMPLE

Before choosing a pet, it's important to identify your lifestyle. Going over your daily routine is one way to help you pick a pet that will fit perfectly into your day-to-day activities. Follow the chart below to get started in your search.

START

Dan

s Ye

Go dancing or stay in? in

s Ye

Is exercise a daily ritual?

Retired or working?

Are you an outdoors person?

St a

How much spare time do you have?

Working

ce !

Are you a night owl?

A little

A lot

Do you travel frequently?

YOU SHOULD GET A:

Turtle

YOU SHOULD GET A:

Small breed dog

Consider a turtle for those late nights. They are up anytime and ready to entertain.

A small breed dog makes a great active travel companion.

Taking it easy

Apartment or house?

m A p art

ture A little adven

Ye s

Are you looking for adventure or taking it easy?

Yes

Retire

YOU SHOULD GET A:

Large breed dog

A large breed dog is a good match for those who are more active with lots of room.

YOU SHOULD GET A: YOU SHOULD GET A: Cat

Laid-back and easygoing is what they are known for. Cats are easy to take care of and fit into most lifestyles.

Rabbit

They may be small, but they have big personalities and are always entertaining. Rabbits are similar to cats and are easy to care for. LEARN MORE ABOUT THESE PETS ON PAGE 8 >>

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Spring 2014 | todaystransitionsnow.com

<< PAGE 6

Turtles Rabbits One little-known fact about rabbits is they can be litterbox-trained. Another is that they will come when called. “With personalities similar to cats, rabbits are easy-to-care-for animals that don’t need free reign of your house,” says Margaret Brosko of Louisville Metro Animal Services. They can be caged or housed in a hutch until let out for big entertainment.

Cats Older cats are great for those looking for easy company. “Cats are the ideal pet,” says Sharon Coyle, owner of The Pet Lady Barks Professional Pet Sitting Service. “They are easy to care for and love to lie around or to be in your lap.” Cats also don’t mind being alone for those who may work during the day. With just the upkeep of a litter box along with the occasional affectionate and playful moments, cats will adjust comfortably to your lifestyle.

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They have been roaming the earth since the dinosaur era and still remain fascinating creatures. With their keen sense of sight and smell, turtles can be good company during the day or night. “Turtles are great for those who are looking for more of a caretaker role,” says Margaret Brosko of Louisville Metro Animal Services. A turtle’s habitat can also be a fun project, and turtles are soothing to watch in the evenings. There are several different species, so be sure to research which turtle is right for you.

Small breed dogs Small breed dogs, such as Yorkshire Terriers, are popular travel companions. They are the right size and have just enough energy for a day of activities. When choosing a small breed dog, be sure to do research on personality traits, as some breeds tend to be higher energy than others. Louise Keller, president of the Louisville Kennel Club, also suggests sticking with slightly older dogs. “Puppies tend to wear on your patience and may be too energetic,” she says.

Large breed dogs Always ready for a long walk or a day in the park, large breed dogs are a good match for those who like to stay active. Even though they are cute, puppies might be a bit too active and a lot of work. Instead, Margaret Brosko of the Louisville Metro Animal Services recommends considering a 3to 4-year-old Labrador that is already housebroken and not too energetic, which could prove to be overwhelming on daily walks.

Spring 2014 | todaystransitionsnow.com

! 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:

Inner Ear/Balance Issues The inner ear houses the vestibular system, which is responsible for balance and proper orientation in space. Over time, normal wear-and-tear in this system can lead to dizziness and balance problems. According to Dr. Steven Shotts of Advanced ENT and Allergy, the most common vestibular disorder for older adults is Benign Paroxysmal Positional Vertigo (BPPV), a spinning sensation brought on by sudden changes in head position. Caused by the migration of tiny calcium crystals known as “ear rocks” from their normal place in the inner ear, BPPV is a significant cause of falls among the elderly.

Age-related Macular Degeneration (AMD)

PROBLEM:

Located in the center of the retina — the tissue at the back of the eye that turns light into signals the brain interprets as “seeing” — the macula is the area responsible for clear central vision. With age, the macula can begin to break down, causing central vision to become blurry or grayed out, to have missing spots, or for straight lines to appear wavy, says Dr. Thomas Stone of Retina Associates of Kentucky. AMD is classified as either of the “dry” or “wet” type. 10 todaystransitionsnow.com | Spring 2014

used to

SOLUTION:

Get Treatment

Minimize Vertigo Triggers

A simple procedure called the Epley maneuver is the most effective treatment for BPPV. Performed in the doctor’s office, it involves a series of movements that dislodge ear rocks, allowing the body to harmlessly reabsorb them. BPPV is often misdiagnosed, however, especially in the chaos of the ER or urgent care centers. To get proper diagnostic tests, Dr. Shotts recommends seeing your regular practitioner or an ENT (ear, nose, and throat specialist).

Whether you are waiting to see a specialist or adopting a wait-and-see approach, it helps to modify activities to avoid movements that bring on the spins: getting up from bed quickly, bending over or tilting the head to look up, sudden head movements when working around the house, or certain types of exercise and sports. Lying flat on your back can also induce vertigo in BPPV sufferers, so use two or more pillows in bed and be careful when in the dentist’s or salon chair.

SOLUTION:

Treat Dry AMD

Treat Wet AMD

Most people with AMD have the milder dry form, where deposits of cellular debris called drusen accumulate under the retina and cause vision distortions. Some people with dry AMD have no symptoms or experience some blurriness, but the disease usually progresses slowly enough that people can simply live with it. There really isn’t any treatment for dry AMD, but studies have shown that specially-formulated vitamins can help stabilize the condition and, most importantly, keep it from turning into the wet type.

Characterized by irregular growth and leakage of blood vessels beneath the retina, wet AMD can cause significant vision loss. But the newest and most promising therapy is a family of injectable medications that reduce or eliminate the bleeding, making it possible to stabilize or even reverse the damage. The exact cause of AMD is still unknown, says Dr. Stone, but the same factors that contribute to heart disease — smoking, high blood pressure, high cholesterol — appear to also play a role in eye health.

Spring 2014 | todaystransitionsnow.com

Countdown to Derby Inspiration for this year's Run for the Roses

Don't miss these 2014 Kentucky Derby Festival events:

THUNDER OVER LOUISVILLE When: April 12 @ 9:30pm Where: Downtown riverfront Tickets: Free Contact: ThunderOverLouisville.org

Looking Back The Social Scene

NOW: Women can bet as much or as often as they choose.

SIP ON THIS “Bourbon has the most amazing characteristics. If you add complementary flavors such as brown sugar, coconut, vanilla, pineapple, or chocolate, you will have a wonderful combination that will appeal to more people.” – Local mixologist Joy Perrine

The Fashion THEN: Widebrimmed hats and fascinators weren’t the focus of Derby style — instead, some women settled for more a conservative look such as a cloche. NOW: It's all about the hat, from wide-brimmed classic styles to trendy fascinators. 12 todaystransitionsnow.com | Spring 2014

Try Joy's Chocolate Mint Julep recipe for your Derby party: 1 shot Woodford Reserve or other bourbon 1 shot créme de menthe 1 shot Godiva liqueur (look for the original, not 'chocolate cream' version) Mint sprig Strain bourbon, créme de menthe, and Godiva liqueur over ice and pour into a martini or cocktail glass. Garnish with the sprig of fresh mint.

PHOTOS COURTESY OF KENTUCKY DERBY FESTIVAL; MELISSA DONALD; FILE PHOTOS

THEN: In the early years of Derby, women could not bet and weren’t allowed in the betting shed, according to Chris Goodlett, curator of collections for the Kentucky Derby Museum. Women had to ask men in their parties or messenger boys to place bets for them. “Once pari-mutuel betting was adopted in 1908, that stance softened," Goodlett says. "Still, even up through 1926, Derby Day programs stated that ‘tickets will be sold at machines to men only.’”

BASKETBALL CLASSIC

When: April 18 @ 7pm Where: Freedom Hall Tickets: $13 and $18 reserved Contact: 502.367.5144

WINEFEST

When: April 29-30, 5-9pm Where: Belvedere Tickets: $40 Contact: 502.584.3378 or kdf.org

Find a full list of events at kdf.org.

What are they doing right? These 2013 racegoers know what works in Derby fashion

The unconventionality of Carol Mack's Derby hat gives her outfit a sophisticated yet fun look. Check out the shoes.

The style of Jennifer Settle Reese's dress is ideal for her shape, the huge hat ties in with the green, and the feather purse adds some sassiness.

The floral accent of this hat is the perfect compliment to Lillian Hunt's dress.

These ladies are looking pretty in pink and are wearing shoes that will get them around all day. Many women carry their heels and switch when they reach their seats.

Derby Guests Welcome Cheryl Sabin, innkeeper and president of Bluegrass Country Estate, a bed and breakfast in LaGrange, Ky. “The night the guests come in for Derby, we have a barbecue and cocktail party. They can hang out at the pool and do the hot tub or whatever they want to do. Last year, we had steaks, corn, doublebaked potatoes and a big salad. “Each day has a different menu. Derby Day breakfast was a sausage and sun-dried tomato and cheese casserole, fresh scones, and a big bowl of fresh fruit.

“Most of the guests want to go to the Derby, so while they're out, I have friends and family over for a little party. Of course, the guests can stay if they want to. I have a full theater room downstairs, and so I make hors d'oeuvres and drinks. When everybody gets back, we have cocktails and do re-runs of the Derby if they want to see it again, because sometimes it's difficult to see it if you're at the track.” Spring 2014 | todaystransitionsnow.com

p u o S

Perfect Spri

Whatâ&#x20AC;&#x2122;s for Dinner? COOKING AT HOME

A simple, delicious recipe and the tools you need for a downsized kitchen STORY & PHOTOS BY MELISSA DONALD

14 todaystransitionsnow.com | Spring 2014

Use an immersion blender for this soup.

The Recipe My recipe for my roasted red pepper and tomato soup is great on a cool spring day and so easy to make and blend using my handy immersion blender.

Roasted Red Pepper and Tomato Soup 4 shallots, chopped 2 Tbsp butter 2 28-oz cans of crushed tomatoes 1 8-oz jar of roasted red peppers 4 cups vegetable or chicken broth ½ cup heavy cream pinch of cayenne pepper salt and pepper to taste

Hook

In a medium pot, sauté shallots in butter over medium heat until soft, about 5 minutes. Add the tomatoes, roasted red peppers, and broth and simmer for 10 minutes. Add the cayenne pepper, salt, and black pepper to taste. Let cool slightly and then stir in the heavy cream. Place an immersion blender in the pot and blend to the desired consistency. Serve warm.

When this recipe seems like too much work... My inspiration for the above soup recipe came from one of my favorite store-bought soups, Trader Joe’s Roasted Red Pepper Tomato Soup. I suggest you keep a few of these type of soups on hand when you don’t have time or feel like cooking. A low-sodium version is also available at Trader Joe’s. You can find similar boxed soups at Kroger, Paul’s, and Rainbow Blossom markets.

The Kitchen Tools to Keep

hen people consider downsizing, kitchen appliances go quickly as people realize they are not cooking for larger families and are looking to spend less time in the kitchen. You don’t need a lot of tools to keep you eating fresh and healthy. Here are some tools and tips to make cooking in the kitchen quick and easy, even after most large appliances no longer sit on the kitchen counter. An immersion blender, a common handheld can opener, and my two favorite knives are some of my most useful tools. Immersion Blender I use my immersion blender often and rarely use my blender or handheld mixer anymore. This tool is fast, easy to clean, and takes up little space. Mine is an older model that still works perfectly. New ones cost around $40, and some even have different attachments. I use my immersion blender to whip eggs and heavy cream, but it’s most commonly used in my house for blending soups and sauces. Sharp Knives The two knives I use most in my kitchen are the two shown above. Both are profes-

sional-grade knives with weighted handles for a good grip and nice weight for chopping. One of the most important things to realize about knives is how to keep them sharp. The safest knife to work with is an extremely sharp one. It’s nicer on the food you are working with as well and helps keep the integrity of the flavor. Dull knives are more dangerous to use because a dull knife slips easily and can cause injury. Two local places that will sharpen your knives are William-Sonoma in the Mall St. Matthews and Heimerdinger Cutlery Company, Inc., 4207 Shelbyville Road. Both recommend sharpening your knives about twice a year. Handheld Can Opener Here’s a handy tip for opening jar lids that seem impossible to loosen. A common handheld can opener with a small hook along the bottom side is extremely handy. Rather than running a lid under hot water or banging the side with a spoon or on a counter, simply place that small hook under the lip of the lid of the jar and pull upward. This easily breaks the seal of the lid, which makes it much easier and quicker to open. Spring 2014 | todaystransitionsnow.com

BY TORIE TEMPLE • PHOTOS MELISSA DONALD

Society has its own definition of every stage of life. Because of this, we have a projected outcome of what we might be doing in future years. The word ‘retirement,’ for instance, can bring up images of palm trees, Bermuda shorts, and golf clubs. But even though society paints this picture, not everyone follows the same stroke of the brush. Three local retirees share how they are still shaping their own masterpieces. VOLUNTEERING IN THE COMMUNITY on Parkinson retired as the senior vice president and chief franchise officer of KFC in 2000 at the age of 57. In that same year, Parkinson and his wife, Libby, had a house built in Naples, Fla., where they had planned to live out their retirement. “I thought building a house in Florida was what I was supposed to do,” Parkinson says. However, the couple quickly learned that the Florida retirement plan wasn’t for them. “The first two weeks of retirement were nice,” Parkinson says. Golfing, going out to dinner, and walking on the beach were fine, he says, but there were so many more interesting things to do. “I still like those things, just not as a full time job.” Three weeks into retirement, Parkinson and his wife decided to sell the house in Naples and return to their Louisville home.

Volunteering for a charitable organization gives Don Parkinson a sense of purpose.

16 todaystransitionsnow.com | Spring 2014

Parkinson has been on the board at the Kentucky Center for the Arts since 1999, so it was an easy transition when he was asked to volunteer as the interim president in 2001 while the organization was in the process of recruiting a new president. “A lot of people can retire to Florida and be happy, but I need a challenge,” he says. “I enjoy work and making a contribution. Charitable jobs are rewarding and challenging.” Parkinson again volunteered at the Kentucky Center as the chief executive officer until a new president was recently named. Now that his time as interim president has expired, Parkinson would like to travel with his wife — but not for too long. He plans on coming back to Louisville to find his next volunteer opportunity, saying, “It doesn’t matter where you contribute, as long as you contribute.” PAGE 18 >>

Spring 2014 | todaystransitionsnow.com

<< PAGE 16

"Everyone wants to leave their money to their children, but far too few people leave to charities."

LEAVING A CHARITABLE LEGACY iving a semi-retired life, Lynn Harpring makes the commute once a week to his office at Harpring and Pope, a financial planning business that has been around for 32 years. Harpring and his wife, Gwen, have always given to charities, so it was no surprise when they made the decision to leave a portion of their estate to their favorite charitable organizations. “Everyone wants to leave their money to their children, but far too few people leave to charities,” Harpring says. “You could certainly leave a portion of your estate to your children or grandchildren — you can still leave them most everything — but leave 10, 15, or 20 percent to charities that you believe in and leave a significant legacy.” One of the Harpring’s favorite charities is the Crusade for Children, where Harpring has served on the endowment board for the last seven years. “The Crusade is a great charity that does great things,” he says. If giving to a charity is a possibility for you, Harpring suggests considering those you may already give to, such as a church, college, or hospital. Harpring doesn’t plan on fully retiring for a while, but when he does, he wants to make sure his money continues to work for the charities that work so hard to help others.

Lynn Harpring wants to put a portion of his money back into the community.

18 todaystransitionsnow.com | Spring 2014

PAGE 20 >>

Spring 2014 | todaystransitionsnow.com

<< PAGE 18

“I didn’t think this is what I would be doing during retirement, but it is immeasurably more fulfilling.” ‘THE BENEFITS ARE AWESOME’ nita Morrison of New Albany, Ind., worked for 49 years. She spent the last 37 of those years at American Commercial, which suddenly downsized and from which she found herself abruptly retired at the age of 66. “I didn’t know what I would do with myself when I did retire. I was devoted to my work,” says Morrison, who had put off retirement for fear of how she would support herself and what she would do with her time. “You don’t wake up one morning and think, ‘I will go talk to people in jail when I retire,’” she says, but that’s exactly what she did. Morrison got deeply involved at Northside Christian Church after not being a part of any church for 50 years. Her first involvement at Northside was through a Bible study. This eventually led to serving communion for two consecutive months and greeting on the third month — a pattern she continues today. Her involvement with Northside has grown to serving throughout the community. Morrison’s passion lies within mentoring through the Jesus Cares at Exit Zero Homeless Ministry and especially with the Residents Encounter Christ Jail Ministry. The REC Ministry gives Morrison an opportunity to mentor women in prison in hopes of helping them leave their former lives behind. “Some of these women don’t know God, and some of them know Him but don’t know anything about Him,” she says, tearing up at the thought. After visiting these women in prison, Morrison continues to mentor them through letters and keeping in touch with their families. “I didn’t think this is what I would be doing during retirement, but it is immeasurably more fulfilling,” she says. “There is a quote on a poster I love that says, ‘Working for God doesn’t pay much, but the benefits are awesome.’”

Anita Morrison mentors women in prison through a ministry at Northside Christian Church.

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Spring 2014 | todaystransitionsnow.com

Keeping Your

Grandchildren

Safe BY SANDRA GORDON

f your grandchildren are infants or toddlers, before you know it, they’ll be highly mobile — and into everything. That’s why it’s a good idea to make your home a safety zone well before your grandchildren start crawling. Toddlers, especially, are injury magnets. In fact, a study in Pediatrics found that childhood injuries peaked at 15 to 17 months of age — which isn’t surprising considering that these natural explorers typically put everything in their mouths but lack the cognitive development to know right from risk.

IN THE KITCHEN Get into the habit of drinking coffee, tea, and other hot beverages from a travel mug, and use placemats instead of tablecloths. Also, stir microwave food carefully and check it before serving it to your grandchild. It should feel just slightly warm. Hot liquids, hot water from the tap, and foods steaming right from the microwave are a major cause of burns in toddlers, whose skin is naturally thinner and more sensitive to heat than adults. A common scenario: Grandma puts her cup of coffee on a table with a tablecloth, which gets pulled from the table, coffee and all.

22 todaystransitionsnow.com | Spring 2014

“Because toddlers aren’t yet able to protect themselves, it’s 100 percent up to the adults around them to provide a safe environment,” says Rose Ann Soloway, R.N., of the National Capital Poison Center, in Washington, D.C. Still, it’s not realistic to expect yourself to be vigilant every single moment. “You’re human. You will get distracted,” says Robert Sege, M.D., Ph.D., director of Family & Child Advocacy at Boston Medical Center. A better idea? Think one step ahead and try to minimize the dangers in your grandchild’s environment.

Push tea kettles and coffee pots away from counter edges and wrap dangling cords in a twist tie or rubber band. Or tape cords to the wall with masking tape or a cord cover. Cook only on the back burners of the stove and turn handles so they don’t extend over the edge of the cook top. IN THE NURSERY Don’t buy a “pre-owned crib” at a yard sale, thrift shop, or online. Because safety standards change all the time, it’s important to buy new. Updated federal crib safety standards went into effect in June 2011, which stopped the manufacture and sale of dangerous, traditional drop-

side cribs, made mattress supports stronger, made the hardware more durable, and made safety testing more rigorous. Don’t use crib bumpers or crib positioners (wedges used to keep a baby sleeping on his back) or place blankets, stuffed animals, or toys in the crib. Each of these is considered a strangulation hazard. When it comes to crib safety, bare is best. Arrange your grandchild’s crib and other nursery furniture away from a window to prevent falls. Cut looped cords on window blinds in two, or choose window treatments that don’t use cords; they’re a major strangulation hazard.

PAGE 24 >>

Spring 2014 | todaystransitionsnow.com

<< PAGE 22

at Using a car se of k ris e th s reduce rs le death for todd in t en rc by 54 pe hicles. passenger ve gov

Source: cdc.

IN THE BATHROOM To reduce the risk of drowning, keep the toilet lid down when not in use. If that doesn’t dissuade your grandchild from playing in the water, invest in a toilet lock or block off the doorway with a safety gate. Never leave the room or answer the phone when your grandchild is taking a bath. “Don’t even bring your portable phone into the bathroom when a child is bathing,” says Meri-K Appy, a fire and life safety education expert in Washington, D.C. “Children can drown in as little as a few inches of water. You don’t want any distractions during bath time.” Don’t use a bath seat, or bath ring, which is a plastic seat made with suction cups on the bottom that attach to a regular bathtub. Bath seats are supposed to make it easier to handle a child during bathing, but dozens of children have drowned using them, even when there was a parent present. 24 todaystransitionsnow.com | Spring 2014

ALL AROUND THE HOUSE Continuously collect choking hazards on the floor, such as small toys (anything that fits in a toilet paper roll), coins, batteries, and bits of popped Latex balloons, which Dr. Sege describes as “the biggest single non-food choking hazard parents overlook.” What makes balloon pieces particularly dangerous is that they conform to the shape of a child’s airway, which makes them difficult to dislodge, and they can easily go in farther as a child inhales. Place TVs and DVD players on a wall-mounted stand or a shelf fastened to the wall. Consumer Product Safety Commission statistics show that the number of child head injuries from falling televisions has been steadily rising in conjunction with the increasing number of home TVs sold each year.

OUTWARD BOUND Keep the front and back doors of your home locked when you’re home so your grandchild can’t sneak out and head to the nearest swimming pool, pond, street, or driveway. Driveway backovers are a major cause of injury and death in this age group. Purchase a tall flag for the back of your grandchild’s tricycle or riding toy so it will be visible to motorists. You should also be sure your grandchild has a certified helmet and always supervise he’s when riding. Keep your grandchild indoors whenever you use power tools and garden equipment, such as the lawn mower. It’s too dangerous at this stage for your toddler grandchild to be your little helper. Treat store matches, antifreeze, charcoal lighter fluid, windshield wiper fluid, gasoline, and oil like medicine — keep them in their original containers out of children’s sight and reach in a locked cabinet. ON THE ROAD Don’t leave medication on night stands or in suitcases. Place it out of reach and sight of children. Don’t buy a used car seat. It’s just too risky. A used seat might have been in a crash or recalled. The manufacturer’s instructions might be missing. Start with an infant seat for a newborn, facing rearward. When the baby reaches the infant seat’s limits for weight and height, use a convertible seat in rear-facing mode up to the seat’s limits in that position. Then use the convertible seat front-facing until your toddler grandchild reaches the next weight limit. After that, use a booster seat until your grandchild is tall enough to use the car’s safety belts.

Spring 2014 | todaystransitionsnow.com

BOOK CLUB: FOOD FOR THOUGHT

Catching Up Here's what other area clubs are reading next:

JCC BOOK CLUB My Beloved World by Sonia Sotomayor Contact: Slava Nelson, 502.459.0660

Book club member Susan Baker is an avid reader who also belongs to three other book clubs.

Finding Common Ground BY MALI ANDERSON / PHOTOS PATTI HARTOG

advocate for autism and autistic communities. t its recent meeting, members of the Thinking in Pictures spoke to Food for Thought; book group Food for Thought discussed many members of the group have autistic family Thinking in Pictures: My Life with Autism by members and socialize with autistic adults within Temple Grandin. Grandin tells her own story, neighborhoods and church meetings. A few in allowing readers insight into the thoughts and the group have also had firsthand instincts of an autistic mind. experience with autism as educaBook club member Betsy FOOD FOR THOUGHT tors. How sensory experience is Foshee shares a biography of the WHEN: Second Tues. of the month different for a child with autism, author to launch the discussion. WHERE: Members’ homes how the diagnosis has changed Because Grandin has a PhD in CONTACT: Janet Raderer, 502.897.5986 over time, and the benefits of animal science, Foshee discusses early intervention and hands-on Grandin’s observations on the education were main themes of discussion. relationship between animal behaviors and “What really hit me about this book is we autistic temperament, including troubles with have all been exposed to children with autism, language, sensory memories, savant skills (proand we have raised a whole generation that indigious abilities in a certain area despite a mental cludes autistic children, and now those children disability), detailed thoughts, and sensitivity are adults,” says Food for Thought member Janet to tone. Grandin worked diligently to promote Raderer as the group closed. humane treatment of animals and is also a strong

MAYOR’S BOOK CLUB The Sandcastle Girls by Chris Bohjalian Contact: Kelly Dunnagan, 502.574.1611

THE RANSDELL READERS Beautiful Ruins by Jess Walter Contact: Maureen Kirk, 502.893.7988

< From the book “Any event that actually involved a door being blocked seemed like part of a grand plan that God had in store for me. My visual-symbol world enabled me to keep on going. A blocked door had to be conquered. True to form, I was like a bull filled with pure determination. Nothing was going to stop me.” — Temple Grandin, Thinking in Pictures 26 todaystransitionsnow.com | Spring 2014

Spring 2014 | todaystransitionsnow.com

WHAT I KNOW NOW

Ben Richmond

The president and CEO of the Louisville Urban League is a jazz enthusiast, a hacker at golf, and was a fan of the Dodgers when they were in Brooklyn. BY LUCY M. PRITCHETT / PHOTO MELISSA DONALD

What were your plans for yourself?

I was going to be the first black Pavarotti. I earned a BA in music from Tougaloo College in Jackson, Miss. That is where I grew up. Then I went 1,000 miles due north to the University of Wisconsin in Madison. I earned two master's degrees there — one in choral conducting and one in voice. Then I traveled and studied in Europe for seven years. How did you get to the Urban League?

After Europe, I went back to Madison looking for a professorship job. That was in 1979. I went to the Urban League for help, and the organization ended up hiring me. I got a taste of helping people find their way. Of helping to create a diverse society. Of helping people thrive in a community. What's the best advice you've ever received?

Account for what you do and the impact you have. When I first came to Louisville as president of the Louisville Urban League, David Jones, founder of Humana, shared the perspective with me that even though the Louisville Urban League is a nonprofit organization, the designation 'nonprofit' is really a misno-

mer. We still have to operate above the line. What is the one skill every man should have?

To read and understand what you read. If you can't read, you are really handicapped. When should a man raise his voice?

Probably never. In business, you don't want to raise your voice. Mine does get a little louder when I am excited or emotional. I don't like raising it in an angry sense, but to cheer someone on. Or cheer myself on. What advice would you give to the younger you?

Prepare yourself. Get a good education. This is the biggest thing. Go farther academically than you ever thought you would go. Develop life skills and have life experiences that you can navigate by. And, keep good company. That helps you stay on the straight and narrow. What books have influenced you?

Winning by Jack Welch, former CEO of General Electric. I couldn't put it down. The stories he told and the decisions he made impacted the business five to 10 years down the road. Another one is To Be Equal by Whitney Young Jr. I

28 todaystransitionsnow.com | Spring 2014

Richmond, 70, has led the Louisville Urban League since 1987. The one thing he must have? “Sirius XM radio in my car. I am a consumer of music of all kinds.”

read it often and use it as a reference. I am not a Bible reader, but I like certain parts...the Psalms, Proverbs, the story of David. I like a good story that has a good message. What did your parents instill in you?

They always told me and my brother and sister, “You are going to go to college.” And we all did, and we all finished college. My father was a Methodist minister and very strong-willed. How do you motivate people?

On the positive. You always want them to see the glass half full. I try to look at the positive and be encouraging and complimentary. What can a man learn by spending time in the kitchen?

Well, I am a bachelor. I can boil water and occasionally cook an egg in it. I would like to learn how to

cook. Maybe how to bake a chicken. I eat out a lot. What has been your philosophy in life?

I like to think the best of people. It has gotten me a long way. How should a man handle getting old?

I never think about getting old. I like to keep some pep in my step. What piece of music should every man experience?

Otello by Verdi. I like big, dramatic pieces. You can't just listen to it once. You have to listen to it several times. Look for a version with Jon Vickers as Otello. What drives you now?

I love my work and the difference the Louisville Urban League makes in our community. We are building bridges for people without hope. We are helping our community be a better place.

Spring 2014 | todaystransitionsnow.com

Connie’s World

Life Lessons T

he older I get, the more life lessons I recall. Some of the greatest lessons came from my mother-inlaw’s Aunt Daisy. Aunt Daisy has been gone for several years now, but her stories keep her wit and positive attitude close at hand. Recently I came across a story I had written about her when she was in her late 80s. . . Aunt Daisy told me about going to her grade school reunions in her childhood home of Bethlehem, Ind. She loved to talk about her two best friends, Faye McGregor and Emma Sellmar. The three of them always went to the reunion together. When Aunt Daisy told me this story, she knew the reunion that year would be different. “That’s right, hun,” Aunt Daisy said. “This’ll be the first year me and Faye’ll go by ourselves since Emma just passed on. You know, Emma was the oldest. She woulda been 88 on June 17, but I reckon Faye’s the oldest now. She turned 88 the day ‘fore me on June 19. I wasn’t 88 ‘til the 20th, so she’s one day older’n me. And a course I don’t never let her forget it, neither! Reckon it was awful fun when we was little, havin’ our birthdays so close and all.” I can remember the excitement in Aunt Daisy’s voice as she described the reunion.

30 todaystransitionsnow.com | Spring 2014

“You know, they give a fruit basket to the one’s the oldest at the reunion, and a course poor Emma always got it. Reckon Faye’ll get it this year since she’s a whole day older ‘n me. She promised to give me the apples from it, though, since she don’t eat apples.” I remember how anxious I was to hear about the reunion afterward, but as soon as Aunt Daisy started talking, I knew things had not gone as expected. She said Faye had been in a terrible mood from the beginning. “You know, hun, from the minute I picked her up, all she done was gripe the whole time. Why, she didn’t even have to drive or nothin’. I picked her up in my Ty-ota (Aunt Daisy always pronounced the make of her car as “tie-ota” instead of Toyota), and she sit there and still beeped. Beep! Beep! Beep! The whole way to the reunion! “First, she said I come too early, and she beeped ‘bout that. Then she said she wasn’t hungry for lunch at Wendy’s. Why my goodness, it was almost ‘leven o’clock! She finally went on and ordered a chicken sandwich with me, but she didn’t even eat no bread. I know she done that on purpose just to make me feel bad. “You know it always was her nature to be downright bitey at times, but I

thought since I was drivin’ ‘n all, the least she coulda done was keep her mouth shut and quit beepin’ for awhile. ‘Course, you know me. I never did say nothin’ to her. I just swallowed it and went on. Reckon I’ve swallowed plenty in my day ‘cause I just hate fussin’. Why, you know I was watchin’ that Sally Jasperelli show the other day, and they had these families on there and everybody was fussin’ so much at everybody else, you couldn’t make heads nor tails of what all they was fussin’ ‘bout. Beep! Beep! Beep! Just like Faye, so I just got up and turned it off. “I thought sure Faye’d be in a better mood once we got to the reunion, but to top it all off, she didn’t even win the fruit basket for bein’ the oldest. Why, there was some old lady there was 91 that we never heard tell of. I don’t know who brought her. Probably come from some nursin’ home, poor ol’ thing. But a course that really made Faye mad, and she beeped all the way back home ‘bout not winnin’ the fruit basket. ‘Course, that meant I didn’t get no apples, neither, but you didn’t hear me beepin’ bout that. “Why, when we got almost home, Faye up ‘n said she wasn’t goin’ back to the reunion next year. Humph. I thought to myself that I sure wasn’t askin’ her to go neither, but a course I didn’t say it. I just swallowed it like I usually do. Why, we might not even be ‘round next year. We’ll both be 89 then, but ‘course Faye’ll be 89 first! Reckon if we’re both still here, Faye’ll still be beepin’ and I’ll still be swallowin’, but guess that’s what keeps us goin’!” Aunt Daisy kept going the next year and several after that. She died on her 100th birthday. Her practical outlook on life and gift for storytelling continue to touch us every day. Whenever I find myself about to “beep” about some trivial inconvenience, I think of Aunt Daisy swallowing. It makes me smile every time.

From L: Juanita Meyer, Aunt Daisy, and Connie

PHOTO COURTESY OF CONNIE MEYER

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

Spring 2014 | todaystransitionsnow.com

Caregiver

CIRCLE BY MALI ANDERS

Caring for

AGING LOVED ONES BY LINDA HITT KEMPF, RN, LNHA

What is the best information available on helping our family member with Alzheimer's?

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

5 Stress Signals Being a caregiver can be stressful. Are you: 1. Tired more than usual or most of the time 2. Feeling overwhelmed and/or irritable 3. Getting too much or too little sleep 4. Gaining or losing a lot of weight 5. Losing interest in favorite activities If you are a caregiver exhibiting signs of stress, seek support or see your doctor. Remember, being a healthy caregiver is paramount in supporting your aging spouse or disabled relative. Source: Mayo Clinic

Organize your caregiving notes When taking care of a loved one, many caregivers write out lists of medications, appointments, and lifestyle patterns. A Caregiver’s Diary is designed to track prescriptions, exercise, dietary changes, and important contacts all in one spot. Convenient for daily documentation, the format of the diary keeps all your knowledge at hand for your next doctor visit. Visit acaregiversdiary.com to receive a complimentary diary, or ask your health care provider about other options. Source: A Caregiver’s Diary

32 todaystransitionsnow.com | Spring 2014

PAGE 34 >>

PHOTO COURTESY OF SALLY MOON

You should purchase the KET documentary titled The Forgetting: A Portrait of Alzheimer’s, which is based on the book by David Shenk. His book focuses on how three individuals and their families deal with the intensity of managing Alzheimer’s in the real world. The documentary, which provides insight into the possible causes of Alzheimer’s, includes management techniques and tips on reducing your risk of getting the disease. The book and DVD are available at shop.pbs.org, or you can call 800.746.7727.

Spring 2014 | todaystransitionsnow.com

<< PAGE 32

Ask the Doctor: Dr. Kathy Nieder, Baptist Medical Associates Any advice on scheduling appointments?

It's often hard to get in to see a physician, especially in primary care. My advice is to call early in the a.m., as soon as the office opens, as many physicians leave a certain number of “acute” openings. Ask to be put on a cancellation list. If you can talk to a medical assistant or nurse, they can understand if your problem is more serious compared to what the front office personnel, who have little if any medical training, might understand.

Organizing your days can help alleviate worry. When making a plan, the Alzheimer's Association recommends keeping the following in mind: • Likes and dislikes of person being cared for • How the person used to structure his or her day • Times of day the person functions best

• Plenty of time for meals, bathing, and dressing • Standard times for waking up and going to bed • Time for yourself or activities you enjoy with the person

3 things caregivers should do Elisabeth Knight, a social worker at Louisville’s Caregiving Excellence, recommends caregivers receive education about their loved one’s diagnosis, seek out respite services, and ask for support from family or local groups. For support, Knight suggests a new U of L caregivers’ workshop series at the main campus library from 12 to 12:45pm on the second Tuesday of each month. And while respite services aren’t often free, there are options. For instance, Caregiving Excellence charges a fee for services, but free respite care is available during the Caregiving Excellence support group held at the Milestone center. If you choose to attend this support group, contact Caregiving Excellence in advance to ensure proper staff has been scheduled. > caringexcellenceathome.com

34 todaystransitionsnow.com | Spring 2014

“

There are only four kinds of people in the world – those who have been caregivers, those who currently are caregivers, those who will be caregivers, and those who will need caregivers.

”

– ROSALYNN CARTER

According to doctor-

booking website Local services for ZocDoc, Tuesday is caregivers are typically the most popular day disease specific. There to seek a doctor's is Hosparus, of course, appointment. Eldercare Solutions, Trilogy, and Adult Day care services. The Alzheimer’s Association in Louisville is an excellent resource.

How can a caregiver strengthen a physician/patient relationship?

Be prepared for a visit with questions and concerns written down, and keep an up-to-date personal health history with recent medical problems, doctor visits with the names of doctors seen, and medication history.

Selecting a Space Consider the facility when looking for long-term care. Surveying the building, the land surrounding housing, and any parking lots can give you insight on how well the facility is maintained. Below are a few questions to ask on a tour: • How many common areas are available? • Are there opportunities for residents to enjoy the outdoors? • Is an independent living facility nearby? Source: ukhealthcare.uky.edu

PHOTO COURTESY OF KATHY NIEDER

Planning a Routine

What local services would you recommend to caregivers?

Spring 2014 | todaystransitionsnow.com

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

PHOTO PATTI HARTOG

Wise&Well

SEEING GREEN

Avid Cardinal fans Elmo and Martha Martin stay active through volunteering, exercising, and dancing.

Moving and Grooving Staying active and healthy comes easily for square dancers Elmo and Martha Martin, both 85. The couple exercise at the YMCA every day except Sunday. In addition, they are active in church, attend almost all U of L men’s and women’s basketball games, and donate time to the community.

Feeling less creative than you used to be? Maybe you aren’t seeing enough green. A University of Munich study found enhanced performance for individuals who saw the color green before taking on a creative challenge. So, if your sewing room or studio needs a coat of paint, pick out a shade of emerald or jade.

Both Martins are retired from careers in education, and now Elmo volunteers at Middletown Elementary School, helping kids master math problems. “Often we’ll see kids when we’re out at a restaurant and they’ll say—there’s the math man!” Martha says.

Source: University of Munich, psp.sagepub.com/content/38/6/784.abstract

Martha volunteered at Ronald McDonald House for 29 years. She now visits the family room at a local hospital. You’d think their schedule would be too full for dancing, but they’ve been square dancing weekly for 50 years. Martha says that tradition has been good for them in a variety of ways: “Not only do you get exercise, but you have to remember the calls.” Turns out, dancing strengthens your mind as well as your body. So get out those boogie shoes…

HOW MANY CALORIES DO YOU NEED?

36 todaystransitionsnow.com | Spring 2014

Not physically active

Somewhat active AMOUNT OF PHYSICAL ACTIVITY

2,400 - 2,800

2,000 - 2,200

1,800

1,000

2,000

2,200 - 2,400

– myfitnesspal.com

3,000

1,600

? DID YOU KNOW at a Walking your dog an moderate pace for d un aro rn bu n hour ca 225 calories.

RECOMMENDED DAILY CALORIES

For a man or woman more than 50 years old, the National Institute of Aging recommends the calorie counts below. The institute also recommends a minimum of 150 minutes of exercise per week.

Active

Men Women

Spring 2014 | todaystransitionsnow.com

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

BY GIOIA PATTON & TIFFANY WHITE

ART

by Yasmina Reza > Bunbury Theatre

WHEN: June 6-15, various performances WHERE: Henry Clay Building,

604 S. Third St. TICKETS: General admission $21.

Seniors (over age 62) $18. Group discounts for 10 or more. CONTACT: 502.585.5306 or bunburytheatre.org

Wrapped in Love Residents at Magnolia Springs East are helping children at Kosair Children’s Hospital rest easier through the Comforting Kosair Kids project. Last year, the residents made blankets, pillows, and hats that were given to the children at the Comforting Kosair Kids Donation Ceremony hosted by Magnolia Springs in January. The residents donated more than 500 items for children currently receiving medical treatment.

We Chose Him! We were excited that J.D. Maples Jr. was announced as our 2013 Caregiver of the Year award winner at the GuardiaCare Chocolate Dreams event in February. J.D. is the primary caregiver to both of his parents in addition to being a single father to his teenage son. Turn to page 78 to find out how you can nominate someone for our quarterly Care Package for the Caregiver award.

Party Down Put on your finery and head out to the Pennies from Heaven Annual Gala Auction and Dinner sponsored by Fern Creek/ Highview United Ministries. The cost of your ticket will go toward providing financial assistance, health equipment, and adult day care to families in the Fern Creek and Highview area.

The Specter at the Séance: The Spirit’s Revenge

WHEN: May 10 @ 6:30 WHERE: St. Gabriele Catholic Church TICKETS: $25 CONTACT: 502.762.9608

WHEN: Saturdays May 10 – June 23, seating @ 6:30pm/show @ 7pm WHERE: Ramada Plaza Hotel, 9700 Bluegrass Parkway TICKETS: $45 each, which includes meal, show, tax, and gratuity CONTACT: 502.426.7100. Advance reservations required.

38 todaystransitionsnow.com | Spring 2014

> WhoDunnit A wealthy man consults a fortune teller to learn his future, only to find out that he doesn’t have one! Who made sure he would never leave that room alive? Everyone hides a secret, especially the mysterious guest. Consult Madam Zylphia for your fortune… if you dare!

PAGE 40 >>

PHOTOS COURTESY OF MAGNOLIA SPRINGS EAST; GIOIA PATTON; MELISSA DONALD

One of Marc’s best friends, Serge, has just bought a very expensive painting; it’s all white with white diagonal lines. To Marc, the painting is a joke, but Serge insists Marc doesn’t have the proper standard to judge the work. This “non-stop crossfire of crackling language, serious issues of life, and art,” according to Newsweek, won the 1998 Tony Award for Best Play.

Spring 2014 | todaystransitionsnow.com

<< PAGE 38

Get More Money Keep more cash in your pocket when you apply for the VA Benefit Aid and Attendance. Veterans or survivors of veterans may be eligible and can apply for free through Senior Helpers. The Veterans Benefit can help cover non-reimbursed monthly medical expenses and provide additional income for up to $2,053 a month. Seniors also can use the benefit to pay for adult day services, home care, in-home safety equipment, assisted living, nursing home care, Medicare premiums, or medical co-pays. Find out more at 502.690.2648.

Canadian Brass

> Louisville Orchestra Pops Series guest artist Five tremendously talented musicians make up the legendary Canadian Brass, which, in the 44 years since its creation, has recorded more than 90 albums and created its own musical world by transcribing, arranging, and commissioning more than 200 works. With a vast repertoire from Baroque masters to marches, holiday favorites to Dixieland, and jazz to Broadway, a Washington Post reviewer’s praise included the following: “These are the men who put brass music on the map. With their unbeatable blend of virtuosity, spontaneity, and humor, they brighten concert halls, international festivals, and orchestra series throughout the world.” WHEN: March 29 @ 8pm WHERE: Kentucky Center TICKETS: $26-$69

CONTACT: 502.584.7777 or

LouisvilleOrchestra.org

Singin' in the Rain > Derby Dinner Playhouse

Based on MGM’s 1952 classic film starring Gene Kelly, Debbie Reynolds, and Donald O’Connor and adapted for the stage by Betty Camden and Adolph Green, this lighthearted romantic comedy takes place during 1920s Hollywood in the days of “talkies.” Complete with big Broadway tap numbers such as “Good Morning,” “Make ‘Em Laugh,” and the title song, it will actually rain on stage during each performance! WHEN: April 2 – May 18, various performances WHERE: Derby Dinner Playhouse, Clarksville, Ind. CONTACT: 812.266.8281 or derbydinner.com

40 todaystransitionsnow.com | Spring 2014

Planning a funeral for a loved one is one of the hardest things anyone will ever do, but Diane Walker is helping grieving families find comfort in the aftermath. Diane, an interfaith minister, plans funerals or life celebrations for families who have chosen a nontraditional Diane Walker sendoff for their loved ones. She became inspired to do this after assisting her parents with their funeral planning. “When my mom died, we had her life celebration at her church and then had an outdoor reception which included food and music in her home of Florida,” she says. The goal is to create a happier experience in spite of the sadness through giving families other options outside of a standard funeral service, Diane says. “Approaching death is a part of life, and it is natural to grieve, but I want to celebrate the gifts they brought and the lessons they’ve taught.” —Tiffany White

PHOTOS COURTESY OF GIOIA PATTON, CANADIAN BRASS PRESS PHOTOS AND DIANE WALKER

A Graceful Exit

Spring 2014 | todaystransitionsnow.com

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. 42 todaystransitionsnow.com | Spring 2014

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

Spring 2014 | todaystransitionsnow.com

The Directories Are Now Online! Click on this page to access directory listings.

DIRECTORIES Adult Day Care Aging-in-Place Communities Alzheimerâ&#x20AC;&#x2122;s Care Assisted Living Home Health Nursing/Rehab Personal Care Retirement Communities

Larger color Enhanced listings are paid for by the facility. Those interested in Enhanced listings can call (502) 327-8855. Some facilities/services are not listed because information was not provided at printing time. If you feel your facility or service should be listed in the next directory, email directories@todaystransitions.com, or call (502) 327-8855.

44 todaystransitions.com | Spring 2014

Spring 2014 | todaystransitions.com

Click on the Directory names below to access the online directory listings.

Adult Day Care Directory Day program for adults who need to be monitored for safety reasons and/or need nursing care, treatments, incontinence care, and other health services. There are medical Adult Day Care facilities which must be licensed. Adult Day Care facilities that are social cannot provide nursing care. Some offer pickup and delivery services within a radius.

Aging-in-Place Communities Directory An Aging-in-Place community offers several levels of care on one campus. A resident could move into a retirement facility or assisted living facility, then utilize higher levels of nursing care when needed through personal care or nursing/rehab care. A residentâ&#x20AC;&#x2122;s room might change, but not his or her address.

46 todaystransitions.com | Spring 2014

Click on the Directory name below to access the online directory listings.

Aging in Place Communities Directory

Grab a Good Book

Reading is Food for the Soul BY BOB MUELLER

I love to read. I digest books and believe that reading is food for the soul. My parents took me to the library at an early age, and I still visit the library at least twice a week. For me, reading is also spiritual. As food nourishes physical life, reading nourishes my prayer life. This became reality when I was in seminary. Public reading during meals is an ancient monastic custom and something that was religiously practiced at St. Thomas Seminary here in Louisville years ago where I attended minor seminary for six years. During lunch and dinner, we listened and learned from readings from the Bible 48 todaystransitions.com | Spring 2014

and many other spiritual writers. Reading continuously tells of the clash of virtue and vices. â&#x20AC;&#x153;Reading is the food, light, lamp, refuge, solace of the soul, and

the spice of all spiritual flavors. It feeds the hungry, gives light to the one sitting in darkness, offers bread to the one fleeing shipwreck or war and comforts the contrite,â&#x20AC;? says Peter of Celle. Reading habits changed gradually over the centuries. Reading became less devotional and more impersonal. Spiritual reading became distinguished from other sorts of reading: study, recreational reading, informational reading, professional reading, and so forth. Reading good literature, which can be described as well-written fiction or poetry that probes the human heart, is a way to connect with the human race, to continued on page 54

todayspublications.com

Click on the Directory name below to access the online directory listings.

Alzheimerâ&#x20AC;&#x2122;s Care Directory Alzheimerâ&#x20AC;&#x2122;s care is provided at different levels, from assisted living to the skilled care of nursing/rehab. Some facilities accept Alzheimerâ&#x20AC;&#x2122;s patients into their general care, and others have separate units designed to meet the specific needs of patients with this disease.

50 todaystransitions.com | Spring 2014

Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

52 todaystransitions.com | Spring 2014

Click on the Directory name below to access the online directory listings.

Assisted Living Directory Assisted living offers minimal assistance in care, such as providing meals, helping with baths, and offering reminders to take medications. While some residents drive, scheduled transportation may be provided. Daily activities are organized, and there is around-the-clock supervision. No health care is provided, and these facilities are not licensed, but certification is required.

Reading is Food for the Soul continued from page 48

meet people who think or live differently from us, or to meet people coping with the same problems. More than that, literature provides us with a relaxing escape from the pressures of everyday life. I usually have a least three books going at once: something spiritual and inspirational, something professional and educational, and something fictional and just for fun. I could never support my reading habit, so the library is my salvation, and it’s amazing what all is there waiting for me when I walk in. I also listen to library books on CDs in the car and am comfortable when stuck in traffic. While others might be fuming, I’m enjoying a good book. Why the novel? Reading protects me from thinking about the work I have just left or the audience waiting for me to return an hour later. Immersing myself 54 todaystransitions.com | Spring 2014

in an engaging story allows my mind to rest and my body to relax. It also helps me to drift off to sleep. As Carol Shields has said, “Novels help us turn down the volume of our own interior discourse.” If you have a 9-to-5 job and cannot have the perfect nap at work, take time on your days off to indulge in some good reading rather than filling every single weekend with activities. Plan for it. Everyone needs quiet time, downtime — even your kids. There is nothing like curling up with a good book. Here are some suggestions I think you will enjoy: • For mysteries, anything by Sue Grafton, John Grisham, or Tami Hoag. • For biographies: David McCullough’s Truman or John Adams, Thomas Merton’s

Seven Story Mountain, The Diary of a Young Girl by Anne Frank or Arthur Ashe’s Days of Grace. • For historical fiction, anything by James Michener. • For a great dog book, The Art of Racing in the Rain by Garth Stein. • Anything by Pat Conroy, Hermann Hesse, Silas House, John Irving, Ken Follett, Wally Lamb, or John Steinbeck. I have to read every day before bed to settle my soul and calm down. I start with something professional and instructional and then shift to something fictional. I always end with something spiritual and healing to relax my busy mind. Reading is truly the food for my soul. It’s the perfect daily habit. Bob Mueller is senior director of Mission & Stewardship at Hosparus. Meet him at www.bobmueller.org

Click on the Directory name below to access the online directory listings.

56 todaystransitions.com | Spring 2014

Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a personâ&#x20AC;&#x2122;s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

TodaysWomanNow.com Has it All! You donâ&#x20AC;&#x2122;t want to miss some of these highlights for the upcoming months: MAY What's it like to walk in her shoes? Take a peek inside the lives of women who are doing some extraordinary things.

JUNE The Most Admired Woman votes are coming in fast. The deadline for voting is March 31 @ noon.

JULY Our Girls Want to Have Fun panel of experts will help you plan your next road trip or shopping day with your girlfriends. 58 todaystransitions.com | Spring 2014

Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

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Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

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Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a person’s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

What You’ll Find on TodaysFamilyNow.com Now that the weather is warming up, here’s your chance to take advantage of the fun stuff we have for you and your grandkids! EVERY WEDNESDAY Every Wednesday, you can enter to win prizes! If you are looking for some exciting family activities, check out our event listings or read our tips on planning a road trip. TodaysFamilyNow.com has everything you need all in one place.

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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

From Education to Weddings

Switching Gears BY MALI ANDERSON

After 32 years as a high school special needs teacher, Vicki Dukes launched a second career. Her business, Weddings by Victoria, is seven years strong and still growing.

people, and my skill set led me into wedding work. I took classes online, which were harder than I anticipated. I studied every religion. It wasn’t easy, but it was very interesting.

Do you have advice for anyone planning a business post-retirement? Look forward to it, it’s exciting. It’s more exciting because when you do a second career you can reinvent your life. It’s wonderful. When getting started, trust your instincts and talk to someone in the businesses.

Do you work full time at Weddings by Victoria? My husband and I like to travel, so I work as much or as little as I want. I work most days, but not 8-5.

How did you start as a wedding planner? Well, teachers are often organized 68 todaystransitions.com | Spring 2014

Are there people you rely on? Yes! My partner is my 80-year-old mother. She attends every wedding and takes care of all the gentlemen as they line up. It’s fun for both of us. She loves it.

Vicki Dukes (right) and her mother Carla Mazza work weddings together with Weddings by Victoria, Vicki’s second career after teaching for 32 years.

Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

72 todaystransitions.com | Spring 2014

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

Personal Care Directory Personal Care offers residents minimal assistance for bathing, grooming, toileting, and dressing. The resident must be able to move around (even if in a wheelchair or scooter). Some health care is provided and medications are given. These facilities are licensed.

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Click on the Directory name below to access the online directory listings.

Retirement Communities Directory Retirement communities are for those who are totally independent. Special services are provided, such as meals in a central dining area. Most people drive, but some transportation is usually offered. These communities offer no health care services and are not required to be licensed or certified.

Spring 2014 | todaystransitions.com

Click on the Directory name below to access the online directory listings.

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Spring 2014 | todaystransitions.com

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

Meet our “Care Package for the Caregiver” contest winner! Margaret Dunbar Demaree 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: When Margaret had to start caring for both of her parents, she admits that the transition was difficult, but says she is glad to be there for them. “Becoming a caregiver was hard because I never thought I would be in this position,” she says, “but they did it for me and my brother, and I want to make sure they are comfortable.” Margaret handles grocery shopping, doctor appointments, and other basic needs for both parents, who are in their 80s. To keep her morale high, Margaret says she takes time out for herself and focuses on positive thoughts. “It is nothing but the grace of God that has kept me going.” < Margaret Dunbar Demaree 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: April 17, 2014. 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 service donated by Right at Home

Phone number: __________________ Email: ______________________________

• $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: ______________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________

Helpful Resources FREE HOUSING ADVOCATE

HELPFUL RESOURCES ADVERTISING

Senior Home Transitions

Today’s Transitions

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.

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:

All at NO COST to you! Patti Naiser SeniorHomeTransitions.com 502.396.9228

LAW

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

SENIOR MOVING SERVICES

Timmel Law LLC – KY & IN lic. ELDER PLANNING WORKSHOPS & CONSULTATIONS NO CHARGE MEDICAID & VA BENEFIT Helping individuals and their families including those with elder or special needs issues identify, evaluate and plan for long term care, estate and life care options. Call or email to join us for a workshop where you can learn about Estate Planning and protecting your loved ones’ assets.

Timmel Law, LLC 812.590.2771 aa@timmellaw.com timmellaw.com

• Approximately 650 characters – including punctuation and spaces. • Contact information. • Production services. • Change Listing for each issue. • Deadline for Summer issue: May 9, 2014

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

Caring Transitions

Able Care, Inc.

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

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

– THIS IS AN ADVERTISEMENT –

Spring 2014 | todaystransitionsnow.com

It’s Your Style

BY TIFFANY WHITE / PHOTOS MELISSA DONALD

WEAR IT WELL Try these simple style tips when searching for the right dress for a special occasion.

Our model Marita Willis is president of New Community Housing Development Organization Inc. and chair of the Louisville Water Company Board of Directors.

hether you are attending a graduation or any other special event, the outfit you select depends more on your body shape than your age, says Sara Sharpe, sales manager at Boutique Serendipity. “I think age is only a number, and if you have it, then you should flaunt it,” she says. The style of this dress, Sharpe says, worked well for our model Marita Willis because she could show off her toned arms. For women who have a straight figure, Sara suggests choosing a shift dress, because they fit looser and are more flattering to a woman who doesn’t have curves.

When searching for a mother- or grandmother-of-the-bride (or groom) gown, Sara Rodriguez, manager of The Bridal Suite of Louisville, suggests women keep an open mind. Sara says it is best for women to try on dresses that are their true size rather than waiting to lose an extra five or 10 pounds. She also says women should be open to trying on dresses that don’t look good on the hanger. “The way the dress looks on the hanger isn’t necessarily how it will look when you try it on,” she says.

Curvy women, Sharpe says, should choose a fit-and-flare dress that cinches at the waist like the one Marita is wearing. She also suggests choosing dresses that fall slightly below the knees for women who don’t like their legs.

The mother-of-the-bride gown Marita is wearing has an asymmetrical ruching on the bodice that makes the waist look smaller, Sara says. Also, the length of the bodice elongates the torso, which can make a woman look taller and leaner.

Marita is wearing: Ted Baker dress,$325; Ted Baker purse $285, available at Boutique Serendipity, 1301 Herr Lane, 502.423.0058

Marita is wearing: Mother-of-the-bride gown by Jade by Jasmine, available at The Bridal Suite, 9948 Linn Station Road, 502.244.2909

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