Georgia
Generations
A Wealth of
Help for
Caregivers Also in This Issue: ■ Retiring in Comfort ■ A Look at Georgia’s AAAs Published quarterly by Georgia’s Area Agencies on Aging
Fall 2005
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Area Agencies on Aging – Gateways to Community Resources 1
Area Agencies on Aging (AAAs) were established under the Older Americans Act in 1973 to respond to the needs of older adults age 60 and over in every community. To read more about each of Georgia’s AAAs and the services available, turn to a statewide map and news from each agency, beginning on page 9.
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Georgia is divided into 12 AAAs, each serving a different part of the state. They are:
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9 12
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1 Northwest Georgia 2 Legacy Link 3 Atlanta Regional Commission 4 Southern Crescent 5 Northeast Georgia 6 Lower Chattahoochee 7 Middle Georgia 8 Central Savannah River 9 Heart of Georgia Altamaha 10 Southwest Georgia 11 Southeast Georgia 12 Coastal Georgia
Georgia
Generations FALL 2005 Published quarterly through a cooperative effort of Georgia’s Area Agencies on Aging.
For information contact: Atlanta Regional Commission Aging Services Division 40 Courtland St., NE, Atlanta, GA 30303 404-463-3239 jkauffman@atlantaregional.com
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Editorial Project Development: JAM Communications, Atlanta, GA Design and Production: Wells-Smith Partners, Lilburn, GA
Georgia Generations is a:
On the Cover: For caregiver Debbie DeLoach and her mother Cornelia Arnold, both of Covington, a new mobile adult day care program at their local senior center provides badly-needed respite care. For more caregiving resources, see story, page 4. Photo by John Clemmer.
Fall 2005, Volume 5, #1. © 2005 by the Atlanta Regional Commission. The information contained herein has been obtained from sources believed to be reliable. However, the Atlanta Regional Commission and JAM Communications make no warranty to the accuracy or reliability of this information. No part of this publication may be reproduced or transmitted in any form or by any means without written permission. All rights reserved.
Georgia Generations
Medicare PART D
CAREGIVING NEWS&NOTES
Enrollment Begins on November 15
Combating
S
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tarting January 1, 2006, Medicare prescription drug coverage — Part D — will become available to all beneficiaries who want it. Open registration for these drug benefits will take place November 15, 2005, through May 15, 2006. Enrollment is voluntary, but individuals doing so after May 15, 2006, may incur higher premiums. Everyone — including those eligible for limited-income assistance — must enroll in a Medicare drug plan to get coverage. For more information on enrollment for Part D, call GeorgiaCares at 1-800-669-8387 or go to www.medicare.gov. In the coming months, look for a copy of Georgia Generations Winter 2006 to read more about Medicare Part D coverage.
Jobs
More
A
for Older Workers
fter a successful pilot project with Home Depot to incorporate older Americans into its work force, AARP has expanded the program to include over a dozen major companies. The AARP Featured Employers Program provides older workers with online links to the participating businesses. Job openings, training and information about member companies are provided. Participating businesses pay a fee to cover the cost of the online service. To join, companies must be financially sound and must have demonstrated a commitment to older workers. Each company has different jobs available, which require different skills. Each has a different application process. In addition to helping older workers, the initiative is seen as an effort to help employers avert possible labor shortages that may occur as boomers retire and fewer younger workers enter the workplace.
Protect Medicare and Medicaid Benefits Fall 2003
Loss of Appetite
ndividuals in poor health may experience weight loss, which can be frustrating for caregivers. The cause might be attributed to the treatment of their illness, medications or physiological problems — or a loss of appetite from not feeling well. Here are tips to follow from Caregiver.com: 1. Make sure the person has plenty of water to avoid dehydration. 2. Instead of three regular meals a day, serve six small meals a day. 3. Bulk up on the amount of calories
per meal — for instance, add protein powder mix to drinks. 4. Serve soft foods such as pudding, ice cream or fruit smoothies, which are easy to digest. 5. Make meals tasty. Don’t serve bland or sour-tasting foods. 6. When possible, let your loved one decide what to eat. 7. Present appetizing-looking meals by decorating the plate with a garnish. 8. Make the experience pleasant by playing soft music or talking about the day’s events.
Georgia Celebrates Family Caregivers Month
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ith November targeted as National Family Caregivers (NFC) Month, various events are being planned in Georgia. ■ Gov. Sonny Perdue will sign a proclamation designating Caregivers Month across the state. ■ The Rosalynn Carter Institute will host a gala on November 14 at the Rialto Theater in Atlanta. The Second Gala Celebration of Caregivers will be an evening of comedy, music and song, while recognizing the individual stories of dedicated caregivers. For information, visit www.rosalynncarter.org. This year, NFC Month will have a new theme, “Caring Every Day,” which encourages caregivers to take steps daily to make their lives easier and to raise awareness of their continued commitment. For more information, visit www.nfcacares.org.
Surfing the Net Each issue of Georgia Generations offers several Web sites devoted to caregiving information and resources: www.seniorwomen.com offers articles and columns — from book reviews to cultural commentaries — devoted exclusively to issues and concerns of women over age 50. www.discountsenior.com is a directory of information, ideas and resources — all geared to help you make smart spending decisions and save money. Look for more helpful Web sites in the next issue of Georgia Generations.
Report suspected fraud and errors. Call your Senior Medicare Patrol Project for details and to request a presentation.
Metro Atlanta: 404-463-0763 Outside Metro Atlanta: GeorgiaCares 1-800-669-8387 3
Wealth HELP A
FOR
C
OF
aregivers By Martha Nolan McKenzie
C 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
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aregivers have long been silent, unseen heroes in our society. Thanks to the care they provide, millions of seniors are living a better quality of life or living relatively independent lives much longer. Caregivers save some $257 billion a year — more than twice the amount spent on nursing homes and paid home care combined — by providing their services for free. Until recently, caregivers provided these services under a cloak of anonymity. Resources, services, products and information were aimed at the seniors who were receiving the care. But in 2000, the federal government enacted important legislation called the National Family Caregiver Support Program, which focused attention — and resources — on the caregiver. “There’s been a real move toward focusing not just on the person who is in need of care but on the person who is providing it as well,” says Mary Lou Vergara, caregiver program coordinator for the Atlanta Regional Commission. Indeed, about 80 percent of all care received by older Americans is provided by family members — spouses, children, grandchildren and other relatives. They often don’t even identify what they are doing as caregiving. “People tend to think of it as just being a good wife or daughter,” says Vergara. Georgia Generations
One of the challenges is getting these individuals to recognize that they are, in fact, caregivers, so they can take advantage of the resources and support that are available in their communities. There are more services to help them than ever before. In just the past few years, significant strides have been made in establishing innovative services for Georgia caregivers and care recipients. And the process of linking to those resources has become easier as well. Georgia is unique in that it has a statewide network of service providers and family caregivers dedicated to assessing caregivers’ needs, evaluating what services are available in the communities, identifying the gaps and filling them. Called CARE-NET, the collaboration grew out of a 1991 project at the Rosalynn Carter Institute for Caregiving in Americus. “Georgia is the only state with a statewide network like CARE-NET,” says Pat Baker, a consultant for CARE-NET. “It has done a lot to raise awareness of the needs of caregivers and to encourage the development of supporting services.”
New Ideas in Respite Care One of the most pressing needs of many caregivers is a temporary break from their responsibilities. Respite care, whether at a center such as adult day care or in the home, can give the caregiver time to rest and recharge. In Georgia, the choices of adult day care options are growing every year. One of the most innovative new programs is a mobile adult day care serving rural communities. Two programs operate in the state. One program, funded by the Northeast Georgia Area Agency on Aging (AAA), has sites in Elbert, Greene, Morgan and Newton counties. The second program is funded by the Southern Crescent AAA and has sites in Butts and Upson counties. The programs operate under a similar model. An adult day care staff — usually an activity director or recreational therapist, an aide and an RN supervisor — travels as a team to each of these counties at least once a week and runs the program at a local senior center. “We might serve between four and eight people per day at a location,” says Fall 2005
money will go toward a statewide trainKathryn Fowler, executive director of the ing program produced by the Georgia Athens Community Council on Aging, Chapter of the Alzheimer’s Association which administers the program for the and the Georgia Division of Aging SerNortheast Georgia AAA. vices. It will be aimed at teaching faith “These counties don’t yet have communities how to start and run enough need to justify the expense of a respite programs. fully staffed full-time freestanding facilA church-based respite program is a ity. But there is still a tremendous need godsend for many. Julie Barbaree of for relief for caregivers. For many of Columbus moved with her husband and them, this is the only break they get.” It’s certainly the only break Debbie DeLoach gets. For the past 10 years, the 44-year-old Covington woman has been taking care of her 74-year-old mother, Cornelia Arnold, who suffers from dementia. As her mother’s only caregiver, DeLoach cooks for her, bathes her and helps her dress — all while running her own business as a lifestyle consultant out of her home. She had no help and no breaks until last November, when her mother was accepted into the mobile adult day care program at a senior center in Covington. “She goes there every Friday from ten until one, and it’s helped me so, so much,” says A staff member guides participants in puzzle-making DeLoach. “It’s absolutely the activities at Covington’s mobile adult day care. The program only time I get to myself, and I is held weekly at a senior center at the Newton County Turner Lake community complex. need that time.” Fees for the program, which two children into the second floor of her accepts seniors with and without mother’s home when her mother was dementia, are on a sliding scale, rangdiagnosed with Alzheimer’s about eight ing from $1 to $10 per day, depending years ago. Barbaree, 49, continued to on the person’s ability to pay. work full-time until six months ago, when Georgia’s mobile day care program her mother’s condition worsened. She was featured at a U.S. Senate Special has a caregiver come to the home twice a Committee on Aging hearing and has week, and on three days she takes her been highlighted in a number of state mother to adult day care at St. Luke and national conferences. United Methodist Church in Columbus. Churches and synagogues have “Taking care of my mother is like long provided adult day care as part of taking care of a three-year-old,” says their outreach ministry. The Mt. Bethel Barbaree. “I feed her. I bathe her. I United Methodist Church in Marietta administer her medications. It’s mornopened one of the state’s first churching, noon and night constant care. The based adult day care centers 13 years program at St. Luke gives me time to ago. The program has grown from one renew myself and regain my patience. day a week to five and serves anywhere And my mother loves going there.” from nine to 25 seniors a day. Many senior centers throughout Many more will likely follow Mt. the state also offer adult day care, as do Bethel’s lead, since Gov. Perdue recently a large number of private facilities. The included funding for congregational Jud C. Hickey Day Care Center in respite as part of his budget. The
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Augusta, for example, operates a day care program for seniors with dementia. Activities, ranging from singing to exercise and from sweeping floors to answering trivia questions, are arranged throughout the day to keep attendees happily occupied. “Everything we do has a therapeutic purpose,” says Nancy Calfee, director of the center. “It’s all designed to make them feel good about themselves.” Many caregivers are reluctant to take their loved ones to a facility and would prefer to have in-home care. There are plenty of options in the state. In addition to private in-home care, Georgia is home to a growing nondenominational church-based program called the Stephen Ministry. Created in St. Louis in 1975, the Stephen Ministry is a complete system that trains laypersons for caring ministry in and around the congregation. Volunteers go through the intensive 50-hour training course and then visit those in need, particularly the elderly and frail, in their homes. In Georgia, there are nearly 260 Stephen Ministry programs. Roger Ray, community education director with Legacy Link AAA in Gainesville, has been a Stephen Minister for three years. “For nearly two years, my care recipient was an elderly gentleman with Alzheimer’s,” says Ray. “I went to his home once a week and stayed for about three hours. Mostly I listened to him, and I think he really enjoyed our time together. And it gave his wife a chance to get out and do the things she needed to do.”
Voucher and Reimbursement Programs Vouchers and reimbursements, which are gaining in popularity, provide financial relief for caregivers. Here’s how they work: ■ Voucher programs — the caregiver can exchange the voucher for a specific product or service. ■ Reimbursement programs — the caregiver pays for the service but then later receives reimbursement. Some programs, such as the Georgia Alzheimer’s Association’s Caregiver Time Out, are geared specifically to
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support respite care. The program will reimburse a caregiver up to $1,200 a year, and he or she can use it for whatever type of respite services are needed. “This program is special because the caregivers have the freedom to use the service when and where they want,” says Ginny Helms, the association’s vice president of chapter services. “They can use it for an adult day care or for in-home care. They can use it once a month or save it up and go away for a week.” Other programs allow caregivers to use the funds on any type of product or service. Jewish Family & Career Services gives caregivers a book of $500 worth of vouchers to last four months. Over the course of the year, the caregiver can get up to $1,200 in vouchers. “We’ve had people use the vouchers to hire someone to do their yard work,” says Barbara Rosenberg, supervisor of Elder Connections for Jewish Family & Career Services. “People have used it for respite care, housecleaning services, prescription drugs and even counseling for the caregiver. The beauty of the program is it lets the caregivers decide what type of help they need and then helps them pay for it.”
Growth of Support Groups Caregivers often feel isolated from their peers and overwhelmed with their responsibilities. New or expanded support groups throughout the state provide a much-needed shoulder to lean on and a sympathetic ear to talk to. Associations focused on a specific illness often sponsor support groups for those caring for loved ones suffering from a particular disease. The Alzheimer’s Association, for example, currently runs more than 100 support groups throughout Georgia. For the past seven years, the Georgia chapter has also run a telephone support group called the Caring Connection. Three times a month, an average of five caregivers participate in an hour-long conference call moderated by a leader. “It’s a great option for caregivers who cannot get out or who live in a rural area,” says John Thames, the chapter’s family and community services director.
In addition, the chapter has begun offering specialized support groups for adult children caregivers, and some groups now offer care for the care recipient, so the support group essentially doubles as a respite program. The Parkinson’s Support Group run by the Augusta Chapter of the National Parkinson’s Foundation also offers respite at some of its meetings. Caregivers and their care receivers meet once a month at a local retirement facility for a group dinner. Sometimes the caregivers and care recipients split up after the meal to hear a speaker. Other times they stay together as a group for the presentation. Mary Ann Navarro of Grovetown began attending the support group nine years ago when her husband was diagnosed with Parkinson’s. “My husband enjoyed the company of others facing the same difficulties,” says Navarro, who now serves as the group’s president. “I enjoyed talking with other caregivers, finding out how they were coping, what lessons they had learned. It was tremendously helpful to both of us.” More employers are starting to offer support groups for caregiving employees. The Atlanta law firm Alston & Byrd, for example, sponsors a group that meets once a month for employees to discuss caregiving issues. Harris Rothenberg International, a New York–based consulting firm, runs telephone support groups for its clients’ employees. “For far-flung employees or caregivers who can’t get out, this is a great option,” says Bernadette Fusaro, director of work/life services for Harris Rothenberg. “They can talk by phone with other caregivers, and an elder care specialist is on the phone with them to facilitate the session.”
No need to “go it” alone Today’s caregivers may be feeling their way one step at a time. But they needn’t take those steps alone. The services performed by caregivers — and their needs — are drawing more attention, effort, funding and help than ever before. A wealth of resources and services is available in every community in Georgia. It’s just a matter of reaching out for it. GG Georgia Generations
Better Access to Caregiving Services
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hile respite care, voucher programs and support groups have seen impressive growth in the past few years, myriad other resources are available to help caregivers. Transportation services, nutrition programs, assessments, case management services and legal and financial counseling are some of the services that are expanding around the state. To find these services and more, you just have to know where to look. Here are good places to start:
Your local Area Agency on Aging Georgia’s 12 AAAs serve as gateways to local resources. Many offer online databases that you can search yourself if you have a computer. Services are organized by topics, such as “help in your home,” “Meals on Wheels” and “prescription assistance.” Clicking on the service and the county you are in will bring up a list of service providers and their phone numbers. You can also call your AAA and talk to a certified counselor, who will refer you to the services you need. The referral service, whether online or via telephone, is free. To find the AAA nearest you, turn to “A Look at Area Agencies on Aging Around Georgia” starting on page 9. For AAAs in other states, call the Eldercare Locator at 1-800-677-1116.
Your employer About 60 percent of male caregivers and 41 percent of female caregivers work full-time, according to the MetLife Mature Market Institute. These people may be able to find supportive services through their employers. “Although we have not seen a huge increase in the number of elder care programs provided by employers, there has been a significant increase in work/life programs, such as flex time and telecommuting,” says Sandra Timmermann, director of the MetLife Mature Market Institute. “Those options are very helpful to caregivers.” Many companies also offer resource and referral programs, and some — mostly large corporations — have gone a step further and offer geriatric assessment case management services. “That can be an extremely useful service, especially if it’s a long-distance caregiving situation,” says Mary Brown, senior vice president with BrownRichards & Associates, an Atlantabased work/life consulting and referral service. “A geriatric care manager will go to the home, meet with the senior and/or family members to conduct a full assessment — physical, emotional and cognitive – and then develop a written care plan. We’ve been talking to a lot of employers about the value of adding that service.” Verizon, the communications giant, recently began offering geriatric care management services to all employees, including those in Georgia. Employees are eligible for up to six hours of free consultation yearly with a professional care manager.
management services. “We will go into the older person’s home and do a full functional assessment looking at virtually everything we can think of,” says Moira Keller, LCSW, geriatric case manager with Sixty Plus. “Then we’ll draw up a care plan and make referrals to services.” Sixty Plus also offers ongoing caregiver support groups, and four times a year it runs workshops that target caregivers for people with dementia. For $35, caregivers get breakfast, lunch, volumes of educational materials and the opportunity to listen to experts from geriatric psychiatrists to elder law attorneys. “We really want to educate the caregivers,” says Keller, “because the more knowledge they have, the more in control they are going to feel.”
Religious and non-sectarian organizations Both local and national religious and non-sectarian organizations, such as Jewish Family & Career Services, Catholic Charities USA and the Lutheran Ministries Association, often offer resource and referral services. Some provide services as well. Jewish Family & Career Services, for example, offers support groups, a transportation program, a Kosher Meals on Wheels program, counseling, geriatric care management and home care in addition to a voucher program (see page 6).
Health-related associations Groups such as the American Heart Association, the American Diabetes Association and the American Cancer Society all offer supporting services for caregivers. The Georgia Chapter of the Alzheimer’s Association stands out for the depth of its offerings. In addition to its respite reimbursement program and support groups, the chapter offers a 24/7 help line staffed with professionals, a Safe Return program to help identify and return seniors who wander, educational materials and a social club for people with early memory loss.
Your local hospitals
Geriatric care managers
Georgia hospitals are offering an increasing array of services for caregivers. Consider the Sixty Plus Older Adult Services at Piedmont Hospital in Atlanta. The program began about 19 years ago with one part-time geriatric care manager and now employs three full-time managers. Piedmont Hospital patients and their families are eligible for free geriatric case
If the thought of navigating the available resources is too overwhelming and you have sufficient funds, you can hire a professional geriatric care manager to navigate this labyrinth for you. For a fee, a manager will meet with the caregiver and care recipient, conduct an assessment of the needs of both the care recipient and caregiver and arrange the services to meet those needs.
Fall 2005
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GUEST CLOSE-UP The Clubhouse at Park Springs, a CCRC in Stone Mountain, GA.
Retiring in
Comfort
By Kevin Isakson, Isakson-Barnhart
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etirement brings new adventures in life. Along with traveling, making new friends and developing new interests, there are many decisions to make as you begin to think about long-term plans. Matters such as general health, physical abilities and basic living arrangements have to be considered. According to the Georgia Division of Aging Services (www.aging.dhr.georgia.gov), studies show that older adults want to remain in their homes and communities for as long as possible. By making a one-time choice to move into a continuing care retirement community (CCRC) early in the retirement years, seniors can create a new home and become part of a supportive community. Offering several housing options, including detached single-family homes, villas or condominiums, continuing care retirement communities have become extremely popular. With 24-hour on-site security and health care, residents — as well as their loved ones — can have freedom from health or safety concerns. By living in a CCRC, seniors do not have to worry about where they may have to move next, because their longterm care needs are met within one community. For example, most move independently and choose among single and multi-family living options with living rooms, full kitchens, multiple bedrooms and bathrooms. If they begin to need additional services, residents can simply move into assisted living or skilled nursing. In some CCRCs, specially designed, secure Alzheimer’s wings also are available. Couples do not have to worry about living far from each other as their needs change. All of the living accommodations and health care options are available within one community. According to the Administration on Aging, an active schedule helps older Americans remain mentally and physically fit. While living in a CCRC, seniors can take part in the extensive amenities available within the community — remaining mentally
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and physically fit. With activity centers, dining areas, libraries, fitness centers and gardening areas, CCRC residents are encouraged to stay healthy and busy. Although one of the more costly options for seniors, CCRCs meet the needs of an aging society, as the United States Census Bureau estimates the elderly population will grow faster than the total population over the next 25 years. According to the Federal Interagency Forum on Aging-Related Statistics, most of the older population is healthier, wealthier and better educated than the generation before them. With a preliminary
By making a one-time choice to move into a continuing care retirement community, seniors can create a new home and become part of a supportive community. investment, or an entrance fee based on the type and size of home they initially choose, CCRC residents are guaranteed a place to suit their changing needs. A variety of retirement options are available. However, many do not meet the full needs of the physically changing population. At a CCRC all levels of care are available, setting these communities apart from other options. When thinking about where to spend your retirement years, consider a CCRC. There you can rest assured you will be retiring in comfort. Isakson-Barnhart is a leading developer of residential communiKevin Isakson ties for seniors. GG Georgia Generations
A Look at Area Agencies on Aging Around Georgia In communities across the country, Area
Northwest Georgia
Northeast Atlanta Regional Georgia Commission Southern Crescent
Agencies on Aging (AAAs) serve as gateways to local resources, planning efforts and services that help older adults remain independent.
Legacy Link
Central Savannah River Middle Georgia
Lower Chattahoochee
Heart of Georgia Altamaha
Southwest Georgia
Southeast Georgia
Coastal Georgia
On the following pages are the programs and services offered by Georgia’s AAAs.
Northwest Georgia Covers a 15-county area surrounding Rome, Dallas, Dalton, Cartersville
CARE-NET extends arm to Northwest Georgia
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ith 67,478 people in Northwest Georgia over the age of 65, many who require constant attention from someone, caregiver support has always been needed, but caregivers have had few places to turn for help. Until now, that is. CARE-NET, a support program founded in 1991 by the Rosalynn Carter Institute for Caregiving, now has a unit located in Northwest Georgia. CARE-NET helps to provide a link between the professional and family caregiver. It gives caregivers a chance to see Disclaimer/Apology: Our article in the last issue of Georgia Generations included a photo of two women from this area who modeled for the AAA.The caption beneath the picture was about their satisfaction with the availability of prescription assistance for low-income patients.The publication of this photo in no way implies that the models are low-income or actually receive the services.
Fall 2005
Pat Baker, CARE-NET consultant, Karen Carter, Northwest Georgia CARE-NET liaison, and Vicki Hodge from the Jimmy Simpson Foundation met with others to establish CARE-NET services for Northwest Georgia.
others in similar situations and empathize, while still learning more about their responsibilities. Karen Carter, caregiver programs coordinator at the Northwest Georgia AAA,
says of the new Northwest Georgia CARE-NET: “The CARE-NET has brought together a group of people who have a special interest in caregivers. I believe this CARE-NET will grow and prosper as more people become aware of the group and its specific focus on caregivers and their special needs.” The new CARE-NET is currently publicizing its services by exhibiting at various health fairs. It also held a workshop titled Caring for the Caregiver, with a presentation by Dr. David Haigler of the Rosalynn Carter Institute. For other information, contact the AAA of Northwest Georgia, P.O. Box 1793, Rome, GA 30162-1793; 706-802-5506 or toll-free 1-800-759-2963. NORTHWEST GEORGIA ENCOMPASSES THESE COUNTIES: Bartow, Catoosa, Chattooga, Dade, Fannin, Floyd, Gilmer, Gordon, Haralson, Murray, Paulding, Pickens, Polk, Walker, Whitfield
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Atlanta Regional Commission Covers a 10-county area surrounding Atlanta
Wills Project serves Atlanta’s GLBT community
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ark and Bill were partners for more than 20 years. Unexpectedly, Bill became ill and was hospitalized. Eventually he could no longer make decisions for himself. Bill’s family never approved of his relationship with Mark and kept Mark from Bill’s side in the hospital. They also made decisions for Bill that Mark knew were against his partner’s wishes. There was nothing Mark could do. When Bill died, Mark had no control over the things they had collected through the years. The couple did not have wills, and Bill’s family made all the decisions about who would receive his possessions. Once again, Bill’s wishes were disregarded, and Mark was emotionally and financially unable to fight. The Atlanta Regional Commission’s Aging Atlanta Project, Atlanta Volunteer Lawyers Foundation and Stonewall Bar Association have joined in the “Wills Project” to help members of Atlanta’s gay, lesbian, bisexual and transgender communities obtain legal assistance to address critical health and end-of-life decisions.
This partnership is the first time these organizations have joined forces to ensure that gay and lesbian partners can make their own decisions without intervention from the state or unauthorized family members. While wills and advance directives are important for everyone, their absence can cause irreversible problems for gay and lesbian caregivers. Mark would have been able to make health care decisions for Bill if Bill had executed durable medical power of attorney. Similarly, things that Bill had loved could have gone to Mark if Bill had completed a will naming his partner as beneficiary. The Wills Project is one of several initiatives promoted by the Gay, Lesbian, Bisexual, and Transgender (GLBT) Advisory Group, which formed in March 2004. The group brings together local professionals in the field of aging and other individuals who are concerned about the unique issues
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Atlanta Regional Commission 404-463-3333 If you need caregiving information, contact an AgeWise Connection partner: Cherokee County Cherokee County Senior Services, 770-345-5312 Clayton County Clayton County Aging Program, 770-603-4050 Cobb County Cobb Senior Services, 770-528-5364 DeKalb County Office of Senior Affairs, 404-687-7117 Douglas County Douglas Senior Services, 770-489-3100
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Fayette County Fayette Senior Services, 770-461-0813 Fulton County Fulton County Aging Program, 404-730-6000 Gwinnett County Gwinnett County Senior Services, 678-377-4150 Henry County Henry County Senior Services, 770-898-7670 Rockdale County Rockdale County Senior Services, 770-922-4633
facing GLBT older adults. In its advisory role to the Atlanta Regional Commission, the group is charged with finding ways to prepare the Atlanta aging network to serve this distinct population and ensure that older members of the GLBT community can access aging services. Later this Fall, the group will sponsor a film and discussion at the Atlanta GLBT Film Festival. Plans are also underway for a symposium next Winter on the needs of GLBT seniors. To find out more about the Wills Project, call AgeWise Connection at the Atlanta Regional Commission at 404-463-3333. Eligible individuals can receive assistance in creating a will and durable power of attorney for health care from an experienced attorney at little or no cost. “Mark” and “Bill” are not actual individuals.Their story is a composite of the issues faced by older gay and lesbian adults. For more information on GLBT projects and ways to get involved, contact Laura Prough at 404-463-1942 or lprough@atlantaregional.com. ATLANTA REGIONAL COMMISSION ENCOMPASSES THESE COUNTIES: Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, Rockdale
Georgia Generations
Northeast Georgia Covers a 12-county area surrounding Athens, Winder, Monroe, Covington, Madison
New program supports older adults with depression
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re you feeling sad and don’t have any 13 percent of the population but account interest in activities you once enjoyed? for 20 percent of all suicides. Are you always tired, and yet not able to The Fuqua Center for Late-Life Depressleep? These feelings, along with hopelesssion at the Emory University School of ness and wishing you were dead, are not Medicine and the Georgia Department of normal feelings for older adults. Unfortunately, one in four older One in four older adults exhibits adults exhibits a number of these symptoms at the same time. When a number of the symptoms of this happens, the medical illness depression at the same time. referred to as depression, which can be a life-threatening illness, is generally the cause. Human Resources, Division of Aging ComDepression can rob older adults of munity Care Services Program, are working their quality of life by affecting their to address this problem among frail older ability to remain independent and exaceradults. Community Care provides Georbating the severity of other medical illgians who are eligible for nursing home nesses. Nationally, older adults make up care options to remain in their homes by
providing home-based services. Community Care recipients are at high risk for depression because of multiple and chronic medical illnesses. Community Care coordinators and nurses are receiving training on the symptoms of depression. They are learning how to screen for depression and suicidal thoughts. The findings are then communicated to the patient’s clinician, treatment options are explored and treatment effectiveness is monitored. For further information, contact the Northeast Georgia RDC, 305 Research Drive, Athens, GA 30605-2795; 706-583-2547 or toll-free 1-800-474-7540. NORTHEAST GEORGIA ENCOMPASSES THESE COUNTIES: Barrow, Clarke, Elbert, Greene, Jackson, Jasper, Madison, Morgan, Newton, Oconee, Oglethorpe, Walton
Lower Chattahoochee Covers a 16-county area surrounding Columbus, Americus, Butler, Montezuma, Cuthbert
Turning obstacles into opportunities
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imited funding often presents obstacles in providing services to meet the needs of seniors and the disabled. However, we are reminded that obstacles can also become opportunities. The Lower Chattahoochee Area Agency on Aging (LCAAA) has turned the obstacles of home modifications into opportunities. Public hearings and surveys of older adults and caregivers identify home modifications and, in particular, wheelchair ramps as one of the greatest unmet needs. In seeking to address this need and after meeting with elected officials, local companies and corporations, the LCAAA has launched successful partnerships. Harvey’s Lumber Company, Lowe’s and Fall 2005
Valley Fir have donated materials for wheelchair ramps. Cash donations were received from Total System Services, Inc., and the LCAAA staff researched and drew up the specifications for the ramps. The shop class at Shaw High School in Columbus provided the labor, assisted by Lowe’s Heroes (employees that give back to the communities). Community Care Services coordiLowe’s Heroes in Columbus construct a wheelchair ramp. nators have identified older disabled adults in the community who are the For further information, contact Lower most in need. The goal is to construct 12 Chattahoochee AAA, P.O. Box 1908, Columbus, wheelchair ramps by December of this year GA 31902-1908; 706-256-2900 or toll-free and to continue this program into the future. 1-800-615-4379. Wheelchair ramps are making a difference in providing clients with mobility and LOWER CHATTAHOOCHEE ENCOMPASSES THESE COUNTIES: Chattahoochee, Clay, Crisp, Dooly, Harris, accessibility. With these newly forged partMacon, Marion, Muscogee, Quitman, Randolph, Schley, nerships, obstacles have definitely turned Stewart, Sumter, Talbot, Taylor, Webster into opportunities!
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Heart of Georgia Altamaha Covers a 17-county area surrounding Baxley, Dublin, Vidalia, Jesup, Swainsboro
C3: Caregiving, Coping and Comedy
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he Heart of Georgia Altamaha (HOGA) CARE-NET coalition is making plans for the second annual HOGA Caregiver Conference, scheduled for November 8 at the Heart of Georgia Altamaha Technical College in Dublin. This promises to be an excellent event, designed to meet the needs of family and professional caregivers. The theme of the conference is C 3: Caregiving, Coping and Comedy. Two distinct tracks of training will be offered.The professional track offers Ethics, Part A and Ethics, Part B; the caregiver track offers Legal Issues Every Caregiver Must Know and Dealing with Dementia. P.K. Beville, PhD, will be the keynote speaker and workshop presenter. Samantha
Respite will be provided for caregiver family members who need the assistance in order to attend the conference. Workshops, entertainment, vendor exhibits and a plated lunch will be included in the registration fee for the conference. Reserve this date on your calendar. Call 1-888-367-9913 if you would like to receive the regisRachel Hilliard, chairman of HOGA CARE-NET; Kathy tration brochure when all program Keith, HOGA RDC special projects coordinator; Pat Baker, and facility details are finalized. consultant for the Rosalynn Carter Institute; Gail Thompson, director of the HOGA AAA. For further information, contact Heart of Georgia Altamaha RDC, 331 W. Parker St., Baxley, GA 31513; Stephens, former Watermelon Queen, will 912-367-3648 or toll-free 1-888-367-9913. entertain with music, and Carey Knowles, a well-known comedian, will perform. HEART OF GEORGIA ENCOMPASSES THESE COUNTIES: Appling, Bleckley, Candler, Dodge, Emanuel, Evans, Jeff Continuing education unit (CEU) credits Davis, Johnson, Laurens, Montgomery, Tattnall, Telfair, from Georgia Southern University will be Toombs, Treutlen, Wayne, Wheeler, Wilcox available to caregiver professionals who register and attend the professional track.
Southeast Georgia Covers an 18-county area surrounding Waycross, Valdosta, Tifton, Douglas, Folkston
Wheelchair ramps provide new freedom for seniors
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illiam Register of Waycross can now easily access his own backyard, thanks to the recent construction of a wheelchair ramp through a program at the Southeast Georgia Area Agency on Aging (SEGa AAA). Over the past year, SEGa AAA’s con-
tractor, ETC Schools, has constructed more than 40 wheelchair ramps at various homes throughout the 18-county region. All ramps are built to code, allowing wheelchair-bound seniors safe entrance and exit from their homes. When a client is approved to receive a ramp, the area is assessed by ETC and the needed building materials are acquired. Farmers & Builders Ace Hardware in Pictured on William Register’s new ramp are (left to right): RDC Chairman Wink Strickland; SEGa AAA Director Wanda Taft; William Register (seated); Matt Cochran, Farmers & Builders; Dan Walker, ETC Schools; and Laura Sapp, SEGa AAA lead RN.
Blackshear, Pierce County, has generously donated building materials for the projects. These ramps have provided freedom for many seniors who have been homebound for years. For two days a wheelchair-bound gentleman in Tifton watched from his doorway as the ETC workers constructed his ramp. Immediately following the ramp’s completion, the man steered his wheelchair down and into the yard. Smiling, he told the men that he had been unable to reach his yard for years and that he was extremely thankful for the ramp. For information, contact Southeast Georgia RDC, 1725 South Georgia Parkway West, Waycross, GA 31503; 912-285-6097 or toll-free 1-888-732-4464. SOUTHEAST GEORGIA ENCOMPASSES THESE COUNTIES: Atkinson, Bacon, Ben Hill, Berrien, Brantley, Brooks, Charlton, Clinch, Coffee, Cook, Echols, Irwin, Lanier, Lowndes, Pierce, Tift, Turner, Ware
Georgia Generations
Legacy Link Covers a 13-county area surrounding Gainesville, Cumming, Clarkesville, Toccoa, Hiawassee
Living long and prospering: Legacy Link honors older employees
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loise Gilmer, age 79, works at the Public Utilities Department for the City of Gainesville. Her responsibilities include ordering supplies and maintaining records for all assets located in six separate facilities of the Public Utilities Department. She handles her duties with punctuality and accuracy, while willingly assisting peers. The Legacy Link Senior Community Service Employment Program (SCSEP) honored Eloise Gilmer as Older Worker of the Year at a ceremony in late July. “Eloise richly deserves this recognition,” says co-worker Sue Walker. A gracious lady, Gilmer, with bright, twinkling blue eyes, declares, “I don’t deserve any special recognition. I just love my work and the
The center, led by a board of community leaders and Jim Gardner, CEO, returns all revenues generated above operating expenses to the community through people I work with.” Also honored was improved services and new programs. Northeast Georgia Medical Center and Eloise Gilmer and the Northeast GeorHealth System in Gainesville. The center gia Medical Center and Health System are was named Employer of the Year. well-deserved recipients of these awards. For further information, con“I just love my work...,” says Eloise Gilmer, tact Legacy Link, who was named Older Worker of the Year. P.O. Box 2534, Gainesville, GA Northeast Georgia Medical Center 30503-2534; 770-538-2650 or toll-free and Health System is a 461-inpatient, 2611-800-845-LINK. bed skilled nursing health system serving LEGACY LINK ENCOMPASSES THESE COUNTIES: Banks, Dawson, Forsyth, Franklin, Habersham, Hall, Hart, Lumpkin, almost 70,000 people in more than 15 Rabun, Stephens, Towns, Union, White counties across Northeast Georgia. The Medical Center is finely attuned to older adults and their needs. Among the work force are 581 employees age 55 and over.
Southern Crescent Covers a 10-county area surrounding Franklin, Newnan, LaGrange, Griffin, Carrollton
Four new initiatives expand services
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uring the summer of 2005, the Southern Crescent Area Agency on Aging (SCAAA) developed four new initiatives that support older adults and their caregivers in the region. Kinship Care supports grandparents who are raising their grandchildren. Program components include support groups, counseling, after-school tutoring, respite care, nutrition counseling and home modifications. Wellness programs have also expanded. SCAAA now offers additional health screenings, more exercise activities, education on proper nutrition and diet and a special emphasis on managing diabetes and heart disease. Fall 2005
Life Long Planning 10-county area promotes personal and with case manfinancial independence agement services. for individuals.The The growth program will help indiin programs at viduals approaching the SCAAA is retirement or those exciting. The who have already addition of new Belinda Jones (left), Life Long Planning retired plan ahead to staff and building coordinator, with Gloria Sanford, Kinship Care coordinator. better meet their expansions suplong-term needs. port these new This program gives individuals more initiatives. Watch for more information on choices, more financial security and more these much-needed new programs in resources as they plan for their retirement. upcoming issues of Georgia Generations. Finally, SCAAA now offers care manFor other information, contact the Southern agement services for non-Medicaid Crescent AAA, P.O. Box 1600, Franklin, GA clients.This new effort expands case man30217-1600; 706-675-6721, 770-854-6026 agement beyond clients in the Community or toll-free 1-866-854-5652. Care Services Program to individuals who SOUTHERN CRESCENT ENCOMPASSES THESE COUNTIES: Butts, Carroll, Coweta, Heard, Lamar, Meriwether, Pike, are not on Medicaid. SCAAA will continue Spalding, Troup, Upson to seek resources to cover our entire
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Middle Georgia Covers an 11-county area surrounding Macon, Warner Robins, Milledgeville
“Money Counts” in Middle Georgia
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iddle Georgians interested in learning about planning their financial futures and protecting their money from fraud and scams are invited to a “Money Counts” seminar to be held on November 3, 2005,
in Milledgeville. This is a repeat of a seminar conducted in Perry last February. These seminars are the result of efforts by the Secretary of State, the chief regulator of Georgia’s investment industry, who has created a statewide investor education, awareness and financial literacy program. Attendees at the February seminar learned about credit management, investment fraud, investing basics and retirement planning. Secretary of State Cathy Cox gave the keynote address, recognizing the need for Georgians to become more comfortable with their roles in planning for their financial futures and proA workshop presentation at the “Money Counts” seminar. tecting their money from fraud. She
said,“Investor education and awareness is critical in today’s global financial environment as trends in employee retirement plans shift greater responsibility to employees.” If you missed the February 8 seminar in Perry, which was co-sponsored by the Middle Georgia Area Agency on Aging, please plan to attend the upcoming “Money Counts” seminar on November 3 in Milledgeville. For more information or reservations, call 1-888-265-1115 or visit www.georgiainvests.org. If you suspect fraud or abuse, contact the Elder Abuse Prevention Program at 478-751-6466. For more information, call the Middle Georgia AAA at 478-751-6466 or toll-free 1-888-548-1456. MIDDLE GEORGIA ENCOMPASSES THESE COUNTIES: Baldwin, Bibb, Crawford, Houston, Jones, Monroe, Peach, Pulaski, Putnam, Twiggs, Wilkinson
Central Savannah River Covers a 14-county area surrounding Augusta, Thomson, Martinez/Evans, Waynesboro, Sandersville
Small steps, big results
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surprised Walker with a visit to her home. They found that the diabetic shoes have enabled her to be more active, stabilize her blood sugar, reduce medications and lose about 100 pounds. While Walker’s outlook on life has always been positive, her newfound excitement is contagious. Walker’s story is a reminder of the
allace White, GeorgiaCares coordinator for the Central Savannah River Area Agency on Aging (AAA), first encountered Annette Walker three years ago. Walker contacted the AAA for information regarding home services. In particular, she needed a pair of diabetic shoes with insoles. White connected Walker with a pharmacy that would accept her Medicare payment, and she received the shoes with no out-of-pocket cost. But the story continues. Recently, White reconnected with Walker through her case manager, Ann Roberson, when White and Roberson Wallace White, Annette Walker and Ann Roberson.
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importance of small steps. The Central Savannah River AAA may not be able to connect every caller with new shoes, but a call could mean the first small step in a long journey. And that first step can often lead to big results. The AAA connects seniors, caregivers and disabled individuals with a wide variety of community resources. And, more specifically, the GeorgiaCares program helps individuals apply for prescription drug assistance. So, take that first step. Call the number listed below if you have any questions. For further information, contact the Central Savannah River AAA, 3023 River Watch Pkwy., Suite A, Augusta, GA 30907-2800; 706-210-2018 or toll-free 1-888-922-4464. CENTRAL SAVANNAH RIVER ENCOMPASSES THESE COUNTIES: Burke, Columbia, Glascock, Hancock, Jefferson, Jenkins, Lincoln, McDuffie, Richmond, Screven, Taliaferro, Warren, Washington, Wilkes
Georgia Generations
Southwest Georgia Covers a 14-county area surrounding Albany, Bainbridge, Moultrie, Thomasville
Support for family caregivers in Southwest Georgia
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he Family Caregiver Program of the Southwest Georgia Council on Aging (SOWEGA) provides financial assistance to family members who are caregivers to relatives age 60 or older. The program is available to caregivers who provide care either in their homes or in the homes of the care receivers in the six counties of Dougherty, Lee,Terrell,Worth, Mitchell and Colquitt. In this program the caregiver is the client, and the goals are to reduce stress and financial burden. Information about
caregiving is provided as well as emotional support and resources for hiring help and purchasing supplies. Eligible caregivers receive an annual allotment that can be used as reimbursement for expenses such
as supplies, over-the-counter medicines, home modifications and assistive devices for the care receiver.The allotment can also be used as payment toward hiring family, friends or professional providers for respite, personal care, lawn care and transportation. The program is considered “selfdirected care” because the caregiver chooses both the services and the service providers. Caregivers express much gratitude for the Family Caregiver Program and knowing that someone appreciates their efforts and is there to support them. For further information on this program, contact Southwest Georgia COA, 1105 Palmyra Road, Albany, GA 31701-2508; 229-432-1124 or toll-free 1-800-282-6612. SOUTHWEST GEORGIA ENCOMPASSES THESE COUNTIES: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth
Coastal Georgia Covers a 9-county area surrounding Brunswick and Savannah
Long-distance caregiver finds assistance in Coastal Georgia
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or most of her adult life, Julia, age 62, has battled mental illness. Routine activities such as shopping or going to the doctor’s office have required physical assistance. In the 1990s she experienced additional stress when she became the primary caregiver for her husband. When he died in 1995, Julia’s nearest relative, her sister, Dorothy Joe, lived more than three hours away. Then, in 2003, the unthinkable happened. Julia was brutally attacked in her home, raped and left for dead by her assailant. Her fear and distrust of others increased sharply, and her need for ongoing family support became even more critical. Dorothy Joe tried to step in, but traveling Fall 2005
three hours each week to help Julia, caring for her own disabled husband and keeping a full-time job exhausted her. Relief finally came when she contacted the Coastal Georgia Area Agency on Aging for assistance through the Caregiver Assistance Program (CAP). Following an assessment, a plan of care was developed that supported Julia and gave Dorothy Joe much-needed relief. Homemaker services, Meals on Wheels and an emergency response system now enable Julia to maintain some independence. With these supports in place, both sisters report improvements in their physical and mental health. For more information about the Caregiver
Julia (left) and her sister, Dorothy Joe.
Assistance Program in Coastal Georgia, call 1-800-580-6860. COASTAL GEORGIA ENCOMPASSES THESE COUNTIES: Bryan, Bulloch, Camden, Chatham, Effingham, Glynn, Liberty, Long, McIntosh
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Sponsors Thanks to these Georgia companies and organizations for their generous support
AARP
GeorgiaCares
Sixty Plus, Piedmont Hospital
Assuming responsibility for the home care of loved ones can involve assisting with daily activities, managing high-tech medical treatments and dealing with issues around dying. AARP’s “Life Answers” program can help you meet these critical responsibilities. Find out more at www.aarp.org/lifeanswers
GeorgiaCares is a private public partnership that assists Medicare beneficiaries with health insurance questions and Medicare problems. GeorgiaCares also seeks to enroll all eligible Medicare beneficiaries in all low-cost prescription assistance programs. For assistance please call 1-800-669-8387.
A program to enhance the well-being of older adults and their families by providing services, education and support. 1968 Peachtree Rd., Atlanta 30309; 404-605-3867.
Southern Home Care Services Georgia Council on Aging
Accessibility Services Plaza 30,000 feet of products and services. Metro’s most complete inventory of wheelchairs, scooters, home access solutions (accessible model home), accessible vans and home healthcare services. 678-819-7583 or www.rehab-plaza.com
Bridgebuilders, Inc. Personal care in the comfort and privacy of your own home. Customized services delivered with compassion, integrity and professionalism. 600 S. Central Ave., Hapeville 30354; 404-765-4300. Bridgebuilders, Inc.
EasyLiving Home Accessible, visitable and livable for everyone! Homes built with the future in mind. A voluntary certification program. www.easylivinghome.org
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The Georgia Council on Aging advocates on behalf of older Georgians and their families. For more information, please visit the Web site at www.gcoa.org
Nursing and personal care services tailored to your needs, Southern Home Care Services serves all ages with compassion, skill and respect. Licensed and accredited. www.southernhomecareservices.com
Isakson-Barnhart Properties
The Rosalynn Carter Institute for Human Development
Georgia’s premier senior housing developers providing amenity-rich independent living for discerning adults over age 62, including Park Springs. 2005 Platinum Award by the Seniors Housing Council of the NAHB. www.isaksonbarnhart.com
Dedicated to promoting the mental health and well-being of individuals, families and professional caregivers. The RCI is proud to partner with Area Agencies on Aging (AAAs) in Georgia to develop CARE-NETs across the state. www.rosalynncarter.org
Pfizer
Georgia Generations is published and supported by Georgia’s Area Agencies on Aging. Additional circulation support is provided by the generous sponsors listed here. For more information on becoming a sponsor of Georgia Generations, please call 404-463-3222.
The “Health, Medicines & Lifestyles” icon on Pfizer’s Web site will lead you to topics that include “Profile of Caregiving,” “Exploring Your Health On Line” and many more. www.pfizer.com
How can I help? The Thanks Mom and Dad Fund® can honor someone who has been an inspiration to you. Call 1-800-676-2433 to learn how.
Georgia Generations