MIG04-3_Su_Editorial by Wells-Smith Partners

Generations Michigan

Summer 2004

Understanding Your Choices

PRESCRIPTION

DRUGS Phase 1: Temporary Discount Cards Phase 2: The Medicare Drug Benefit

Also in This Issue: ■ Walking for a Healthier Michigan ■ A Look at AAAs Around Our State

Published quarterly by Michigan’s Area Agencies on Aging

Welcome to Michigan Generations Michigan is divided into 16 AAAs, each serving a different part of the state.

They are:

AAAs— Gateways to Community Resources

7 5

3A 3B

4 Region IV Area Agency on Aging 5 Valley Area Agency on Aging 6 Tri-County Office on Aging 7 Region VII Area Agency on Aging 8 Area Agency on Aging of Western Michigan 9 NEMCSA Region 9 Area Agency on Aging 10 Area Agency on Aging of Northwest Michigan 11 Upper Peninsula Area Agency on Aging 14 Senior Resources of West Michigan

6 1A

The services offered by Michigan’s 16 AAAs cover a broad spectrum of needs such as information and referral, case management, in-home services, home-delivered meals, senior centers, transportation and special outreach. To read more about each of Michigan’s AAAs and the services available, turn to page 10 of this issue. MI

Michigan

Generations SUMMER 2004 Published quarterly

through a cooperative effort of Michigan’s Area Agencies on Aging. For information contact: Jenny Jarvis 248-262-9202 jjarvis@aaa1b.com

Editorial Project Development: JAM Communications, Atlanta, GA Design and Production: Wells-Smith Partners, Lilburn, GA

On the Cover: The new Medicare drug benefit program went into effect in May, and Michigan seniors are evaluating their options. The immediate challenge is how to select the best temporary discount drug card. See story, page 4

Summer 2004, Volume 2, #1 © 2004 by the Michigan Area Agencies on Aging. The information contained herein has been obtained from sources believed to be reliable. However, the Michigan Area Agencies on Aging 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.

Michigan Generations

MAP PHOTOGRAPHY COURTESY TRAVEL MICHIGAN

Whether you are an older adult yourself, a caregiver or a friend concerned about the well-being of an older adult, Area Agencies on Aging (AAAs) are ready to help. AAAs in communities across the country serve as gateways to local resources, planning efforts and services that help older adults remain independent. AAAs were established under the Older Americans Act in 1973 to respond to the needs of Americans age 60 and over in every community. The services available through AAA agencies fall into five general categories: information and consultation, services available in the community, services in the home, housing and elder rights. A wide range of programs is available within each category.

1A Detroit Area Agency on Aging 1B Area Agency on Aging 1-B 1C The Senior Alliance 2 Region 2 Area Agency on Aging 3A Kalamazoo Cty. Human Services Dept.Region 3A 3B Burnham Brook Region IIIB Area Agency on Aging 3C Branch-St.Joseph Area Agency on Aging IIIC

CAREGIVINGNews&Notes

Counting

Sheep

Do you often have trouble falling asleep? Do you wake up during the night and find it difficult to fall back to sleep? Studies have shown that almost 60% of adults have problems with sleep! Sleep is essential for our mental, physical and emotional health. People with chronic insomnia, sleep apnea or other sleep problems tend to have more medical and psychological difficulties. Remember these tips for sounder sleeping:

Longevity Heads UPWARD Interesting news from the longevity experts: More and more seniors are living beyond their original life expectancy. Let’s say you’re 65 years old.When you were born in 1938, your life expectancy was around 64 years.Yet today, at age 65, you have not only surpassed that original life expectancy, you can expect to live an average of another 18 years, according to national health statistics.That takes you to age 83.What’s more, if you reach age 83, your life expectancy then extends, on average, to age 90.The odds of a long life are even better for couples than individuals. — Courtesy Capital Investment Advisors, Inc.

Surfing the Net Each issue of Michigan Generations offers several websites of interest to older adults and their caregivers … right at your fingertips. www.go60.com focuses on aging wisely and successfully. It offers a wide range of seniors news, thought-provoking articles, how-to tips, travel advice and an online pharmacy.

www.familycareamerica.com works with corporate and community partners and employers nationwide, helping family caregivers to help themselves and their loved ones. Look for more helpful websites in the next issue of Michigan Generations. Summer 2004

• Avoid caffeine or nicotine products in the late afternoon and evening; • Try not to nap in the afternoon or evening; • Use your bed only for sleeping, if possible; • If you like a snack before bed, a warm noncaffeinated drink and a few crackers may help; • Try not to worry about falling asleep. Playing mental games, such as counting, can actually work.

FIGHT THE

BITE

The risk of severe illness and death from West Nile Virus is highest for people over 50 years of age, according to the Centers for Disease Control. Avoiding mosquito bites reduces your risk of getting this disease. Here are four important tips to follow: ■ Apply insect repellent containing DEET and follow all label directions. ■ Mosquito-proof your home — drain standing water and have well-fitting screens.

Scam Alert

dentity theft continues to be one of the fastest-growing crimes in the country — and seniors are especially vulnerable. One reason is that perpetrators find seniors more trustworthy than younger targets; therefore gaining access to seniors’ personal information is often easier. These thieves know how to hack into computers for information. They also steal credit reports, wallets and purses, mail

■ Wear protective clothing when outdoors — light-colored, long-sleeve shirts, long pants and socks. ■ Be aware of peak mosquito hours from dusk to dawn.

and credit or debit card numbers. They might even rummage through your trash! How can you safeguard your identity? Monitor the balances of your checking, savings and credit card accounts. Look for withdrawals or charges that you don’t recognize. Be aware of bills you should have received but have not. If you receive credit cards that you did not apply for, act immediately to close those accounts. Finally, denial of credit for no apparent reason could also be an indication of identity theft. 3

VIOLA STRECH IS ALERT AND INQUISITIVE AT 82. She reads the newspaper, watches CNN and the local news and votes in every election. She even writes her congressman and President Bush when she feels a need. Yet Strech can’t make heads or tails out of the new Medicare drug benefit and Medicare-approved discount cards. “I’ve tried to figure it all out,” said Strech, who lives in Birmingham. “I’ve gone to a presentation, I’ve asked a lot of questions, I’ve tried to call Medicare but I couldn’t get through. When I do talk to people, I get conflicting answers. It’s not fair to expect us to be able to sort this all out when the so-called experts can’t even do it. I really don’t know what I’m going to do, so I may not do anything.”

Choices

Understanding Your

Prescription Drugs

By Martha Nolan McKenzie

trech is in good company in her confusion. The new Medicare drug benefit — officially dubbed the Medicare Prescription Drug Improvement and Modernization Act of 2003 — is a complicated bit of legislation that has even policy makers and senior advocates scratching their heads. The law, which is aimed at providing prescription drug coverage for seniors who don’t have it, goes into effect in two phases: ■ THE FIRST PHASE, which began in May and goes through December 31, 2005, involves the issuing of Medicare-approved discount drug cards. These temporary cards, which are issued by private companies, offer discounts on prescription drugs. ■ THE SECOND PHASE is the actual Medicare drug benefit, and it begins January 1, 2006. The drug benefit, which will also be administered by private companies, will be a type of insurance coverage for prescriptions. It will replace the temporary discount drug cards. “I have been giving presentations all over our region, and everywhere seniors are confused,” said Ann Burch, community information manager for the Region IV Area Agency on Aging (AAA) in St. Joseph. “Seniors are confusing the discount cards with the Medicare drug benefit, and they are not the same thing.

Michigan Generations

Since the drug benefit does not go into effect until 2006 and no one is sure exactly how it will unfold, we have been concentrating on educating seniors on the discount cards.”

“The cards can change the list of drugs they cover every seven days,” said Franz Neubrecht, director of pharmacy resources for the Michigan Pharmacists Association. “Pharmacies can change which cards they accept and which they don’t. It’s a very dynamic — and confusing — situation.”

May 2004 through December 2005

Discount Drug Cards It’s important to remember that Medicare’s new drug benefit, also called Medicare Part D, does not kick in until January 1, 2006. Until then, a temporary program is offering Medicare-approved discount cards as a stopgap measure to help seniors who have no other drug coverage. All Medicare recipients are eligible for the cards, except those getting Medicaid drug benefits. The cards will save seniors about 10 to 25 percent on their total prescription costs. But getting a card is totally optional — an individual doesn’t have to get one if he or she doesn’t want one. Indeed, many of the 1.4 million Medicare beneficiaries in Michigan might be better off with the drug coverage they already have, either through their employer’s retirement plan, a county discount card, their Medigap coverage or other plans. “If you already have good coverage, you may not benefit from the discount cards at all,” said Tom Oren, communications director for AARP Michigan. “If that’s the case, you shouldn’t get one. The people it’s really going to help are low-income individuals who have no drug coverage. Those with the lowest incomes will qualify for a $600 credit on their discount card, so they’ll get $600 worth of prescriptions free.”

How the Discount Cards Work Medicare is contracting with private companies to offer Medicare-approved discount drug cards. You could have begun signing up for the cards this past May 1 and started using them on June 1, but there is no hurry. In fact, once you do sign up with a card, you only have one opportunity to change your mind — during an open enrollment period between November 15 and December 31, 2004. “We are cautioning people not to rush into a decision,” said Oren. “Give it some time for everything to shake out and for the competition to kick in. Because once you commit to a card, you can’t change your mind until the end of the year.” The Medicare-approved discount cards will cost no more than $30. For that fee, you can save 10 to 25 percent on drug costs. However, choosing the right card for you likely might be difficult. At press time, 41 different Medicare-approved discount cards were available in Michigan. Each card has its own list of covered drugs. The cards are required to have at least one drug from each therapeutic class, but not all drugs in that class. For example, a plan might cover two drugs for high blood pressure, but neither may be the one you are taking. In addition, each pharmacy decides which cards it will accept, and it’s unlikely any pharmacy will accept all the cards. And they can change.

Summer 2004

How Discount Cards Work With Other Coverage Though there are numerous cards available, you can have only one Medicare-approved discount card at a time. However, keep in mind these special situations: ■ IF YOU HAVE A NON-MEDICARE DISCOUNT CARD, such as one issued by your county (over two-thirds of Michigan’s counties offer prescription discount cards to seniors), your local pharmacy or a pharmaceutical company (such as the Pfizer Share Card or Together Rx), you can keep it and get a Medicare-approved card as well. Then you can use whichever card gives you the most savings on a particular prescription. ■ IF YOU HAVE A MEDIGAP PLAN WITH DRUG COVERAGE (Medigap H, I and J), you can still get a Medicare-approved discount card. You may get lower prices using the card, or you may be better off using the Medigap coverage. You can use whichever is most advantageous on that particular trip to the drug store. ■ IF YOU ARE IN A MEDICARE+CHOICE PLAN (the HMO plan), your plan may decide to offer a Medicare-approved discount card. If it does, that’s the only Medicare discount card you can choose. However, if your plan does not offer a card, you can pick any other Medicare-approved discount card you wish.

Discount Cards’ Low Income Feature If you are in a Medicaid program with outpatient drug coverage, you cannot get a Medicare discount card. However, if you are enrolled in Michigan’s Elder Prescription Insurance Coverage (EPIC) program, which helps with prescription costs for the state’s low-income seniors who do not qualify for Medicaid, you can still get a Medicare-approved discount card. In fact, it may be doubly advantageous. About 10,000 of the 15,000 Michigan seniors currently enrolled in EPIC will qualify for the $600 credit being offered to low-income recipients. EPIC is automatically enrolling these individuals into the First Health Services Medicare-approved discount card, although they will be able to opt out if they want to. “Opting out would not be a good choice,” said Lisa Trumbell, assistant director of Michigan’s Medicare Medicaid Assistance Program (MMAP). “If you qualify, you get a $600 credit this year and another $600 credit in 2005. That $600 covers your co-pay, and the federal government will pay your enrollment fee. Once you use up that $600, you just go back to what your co-pay was on the EPIC program. So you get the benefit of both.” But EPIC seniors who don’t qualify for the $600 transitional aid (those with incomes greater than $12,569 for singles or $16,862 for couples) likely will be better off sticking with EPIC. “With the discount cards, you just get a discount on the total cost of the drug,” said Trumbell. “But in the EPIC

program, you only have to pay a small co-pay for each prescription. That will save you much more money.” For more information on Medicare-approved discount cards and EPIC, call 1-800-642-3195 or go to miepic.com.

Where to Get Help With the plethora of cards available, each offering its own list of drugs and pharmacies, how do you choose the best card for you? Basically, you should start by lining up all the prescription drugs you take. It is very unlikely you’ll find a card that covers all your drugs. Instead, concentrate on the most expensive ones and then try to find a card that covers those. For instance, one card might cover three of your medications and another card only one, but that one may be so expensive that the latter card saves you the most money. You will also need to consider if any of these cards are accepted at a nearby pharmacy. Sound nearly impossible? Many seniors think so. Medicare officials anticipated this challenge and have set up an automated worksheet to guide seniors through the process (see example on page 20). If you have Internet access, go to www.medicare.gov and click on the first topic listed “Find Medicare-approved drug discount cards, and compare prices for your prescriptions.” Then follow the prompts, filling in your zip code and the list of medications you take. The tool will analyze all your card options and tell you which one will save you the most money. If you do not have Internet access, Medicare has hired over 1,400 employees to take your call over a toll-free number. Call 1-800-MEDICARE (1-800-633-4227), and a staffer will help find the most advantageous card for you. Sounds great in theory, but the reality so far has been a bit different. “A specialist from our office got on the website the other day and tried to navigate the drug discount card tool to find the best card for a client,” said Louanne Bakk, director of

Finally, Michigan Pharmacists Association is designing its own assessment tool, which it plans to make available to all member pharmacies. Once it is in place, seniors can take their prescriptions to their pharmacist, who will be able to compare the cards for them to find the best one. There are a couple more things to consider before you commit to a Medicare-approved discount card. If you’re a snowbird who travels south every winter, you need to make sure the card you sign up for is honored in the states you’ll be visiting. And, of course, you need to make sure you are signing up for “the Real McCoy.” All Medicare-approved cards have the oval Medicare Rx Approved logo on them. “We are very concerned about fraud,” said Oren. “If someone calls you on the phone or comes to your door, it’s not legitimate. And always look for the Medicare Approved logo.”

After January 1, 2006

Medicare Drug Benefit

For all the hassle and hype they have created, the Medicareapproved discount cards are destined to live for only 18 months. On January 1, 2006, they will all disappear as the new Medicare drug benefit — Medicare Part D — becomes effective. Some of the features of Medicare Part D are still being ironed out, and many may change. But here’s what the new drug benefit looks like at this point: Medicare Part D is insurance coverage for prescription drugs — not a discount program like the cards that preceded it. The enrollment period to sign up for Medicare Part D is Nov. 15, 2005, to May 15, 2006. Like the discount cards before it, the new drug benefit is voluntary. You don’t have to sign up for it. However, if you don’t sign up during the enrollment period and then later decide you want to, you’ll pay a penalty of one percent of your premium for every month you delayed. The exception to this rule is if you have prescription cover—Tom Oren, AARP Michigan age that is at least as good as the Medicare drug benefit, and you subsequently lose that covaccess and benefits assistance for the Area Agency on Aging erage, either because you move or the plan folds. Then you 1-B in Southfield. “The client was only taking one medication, can choose a Medicare drug plan within 63 days with no but it took our specialist 58 minutes to get an answer.” penalty. Another way for seniors to choose their cards is to call Like the discount cards, Medicare will contract with priMichigan’s Medicare Medicaid Assistance Program. The tollvate companies to offer the benefit. At least two plans should free number — 1-800-803-7174 — is manned with some 400 be available in every area. Some areas will have many more to volunteers. “The volunteers can tell you where to go — a senior choose from. And like the discount cards, the plans will vary center, a hospital, your AAA office — so you can sit down face widely and each will cover a different list of drugs. to face with someone to take your information,” said Trumbell. Premiums, or the monthly charge, for Medicare Part D will “Or you could do it over the phone. Or, if you are homebound, likely be around $35 per month. They will increase every year we can make a visit to your home. All you would need to have and are estimated to be about $58 a month by 2013. is a list of your prescriptions and, if you are going for the $600 Though the plans will vary, they will all have a $250 credit, proof of your income.” deductible, so you will have to pay the first $250 of your drug

No matter where you get help, the final decision rests on you. “In the end, it’s really going to be up to the consumers to do their homework.”

Michigan Generations

plan, and currently only three plans remain. Medicare costs out of pocket before the benefit kicks in. (Like the preAdvantage is being expanded to include PPO (preferred mium, the deductible will increase every year.) provider organizations) models, but the jury is still out on Once you have paid $250 in drug costs yourself, Medicare their staying power. will start paying 75 percent of your drug costs and you will only have to pay 25 percent. Medicare will keep paying that 75 percent until your total drug costs reach $2,250 (at that point Medicare Drug Benefit Low-Income Features you would have paid $750 in drug costs out of pocket — your If you currently have prescriptions covered through Medic$250 deductible and 25 percent of $2,000, or $500). aid, you will have to enroll in the new Medicare drug program Then participants who do not qualify for low-income subsito continue coverage. If you are enrolled in EPIC, you’ll have dies will enter what is called the “coverage gap” or “doughnut to wait and see what happens. hole.” At this point, Medicare stops paying anything, and you “We really don’t know what’s going to happen with EPIC pay 100 percent of the cost of your drugs. The gap continues in 2006,” said Trumbell. “We know there can’t be any wrapuntil your total drug spending around coverage with state programs, reaches $5,100 (so you would so EPIC’s future is up in the air at pay up to $2,850 out of pocket this point.” while you are in the gap). Medicare recipients with the lowTrying to decide which Medicare-approved Once total spending est incomes (below $9,630 for singles discount card to select is not easy. Here exceeds $5,100, Medicare’s and $13,000 for married couples) will are some places you can go for help: “catastrophic benefit” begins. pay no premiums, deductibles and From this point on until the small or no co-pays. Those with • 1-800-MEDICARE (1-800-633-4227) or end of the year, Medicare will slightly higher incomes will pay www.medicare.gov pay 95 percent of your drug reduced deductibles and premiums • Michigan’s Medicare Medicaid Assistance costs and you will pay based on a sliding scale. Program (MMAP): 1-800-803-7174 whichever is greater — 5 per• Elder Prescription Insurance Coverage cent of the drug cost or $2 coOther Changes to Medicare (EPIC) program: 1-800-642-3195 pay for generic and $5 co-pay Though drug benefits have been or miepic.com for brand name drugs. in the spotlight, the new Medicare law included some other changes. Among them: How the Benefit Works ■ BEGINNING IN 2005, Medicare With Other Coverage will now offer a wellness physical to If you have a Medigap plan new Medicare beneficiaries who are that does not have drug coverenrolled in Part B. It will be available age, your coverage is not only for new enrollees. affected. If you have a Medigap Medicare will also begin offering plan that does offer drug coverblood test screenings for cardiovascuage, you will have to choose lar diseases and diabetes for those who are at risk. between keeping that coverage or enrolling in the Medicare drug ■ STARTING IN 2006, deductibles will begin to rise for Part benefit. However, if you decide to keep your Medigap drug covB, the part of Medicare that helps pay for doctor bills. Curerage and then change your mind later, you’ll have to pay the rently, the annual deductible is $100. That will rise to $110 in premium penalty mentioned above. If you do decide to enroll in 2006 and continue to go up from there. the Medicare drug benefit, you can either enroll in another ■ IN 2007, premiums will follow suit. Currently, the preMedigap plan without drug coverage or keep your current Medimium for all is $66.60 a month, which is about 25 percent of gap plan but drop the drug benefit and pay a lower premium. the actual cost of Part B. Beginning in 2007, seniors with If you have drug coverage through your employer’s retirehigher incomes will pay higher premiums — up to 80 percent ment health benefits, you’ll need to keep an eye on the situaof Part B’s actual cost by 2011 for individuals with incomes tion. “I get asked about this more than anything else when I over $200,000 and couples above $400,000. give presentations,” said Burch. “There is a big concern out “For many middle-income seniors, the rising premiums will there that employers will drop their retiree drug coverage once erode their nest egg,” said Burch. “I think it will be a hardship Medicare Part D goes into effect, even though the government on many seniors.” is giving them a subsidy if they don’t. Nobody really knows But many seniors, such as Strech from Birmingham, what is going to happen, so seniors are just going to have to aren’t going to worry about what happens after 2006 until watch the situation very carefully.” they have to. “I’ve read about what they plan to do in 2006, It remains to be seen how Medicare Advantage (formerly but they may decide to do something else by then,” she Medicare+Choice) will fare in Michigan. In the past, the said. “In my 82 years, I’ve learned you just have to take HMO model has not worked well in the state, which has a it day by day, because God only knows what may happen large rural population. Most plans folded, dis-enrolling the tomorrow.” MI seniors, who then had to sign up for a regular Medicare

Where to get help

Summer 2004

GUESTClose-Up PHYSICAL FITNESS

Walking

WORKS Healthier

for a

Michigan

In our educational materials the Michigan Blues are asking people to start by adding 30 to 45 minutes of moderate walking to their daily routines and look for convenient ways to reach that goal. The WalkingWorks program suggests that we start new habits like taking the farthest, not the closest, parking space in the lot and preferring stairs over escalators and elevators when available. The Michigan Blues have retained legendary sportscaster and walking advocate Ernie Harwell as our health and fitness advocate. Ernie leads the way for walkers in a series of free fitness walks held across the state. Last year more than 1,300 Michigan residents came out for a walk with Ernie. This year walks take place in Detroit, Lansing, Grand Rapids, Frankenmuth and other communities. The public walks inspire individuals to

By Diana Jones

ike most of the nation, young and old, Michigan residents just aren’t moving enough these days. Many studies point to our sedentary lifestyle as a contributing factor in the epidemic levels of obesity and chronic disease that lower the quality of our lives and add a growing cost burden to our local and national health care. A May 2003 study conducted for the Governor’s Council on Physical Fitness, Health and Sports showed that 55% of Michigan residents, or 4 million of the state’s 7.5 million adults, do not meet recommended levels of physical exercise, costing Michigan nearly $8.9 billion in 2002. The researchers concluded that if just 5% of the state were to become more physically active, it could Individuals enjoy a walk with Ernie Harwell through Blue Cross Blue Shield of Michigan save Michigan $575 million a year through the WalkingWorks. next four years. The U.S. Department of Health and Human Services’ “Physical Activity and Health: A Report of the Surgeon start and maintain a personal fitness regimen, meet other walkers General” states that 25% of American adults are not active at all. and have some good, old-fashioned family fun in the process. The report predicts increasing regular moderate physical activity WalkingWorks will continue to help Michigan fight the threat among the more than 88 million inactive Americans over the age of obesity and chronic disease and address the cost of health care of 15 might reduce annual health care costs for the nation by as by adding moderate physical activity to much as $76.6 billion. our lifestyles. We urge you to take the In response to the growing need to get Americans moving, first steps and don’t stop. The payoffs in 2003 Blue Cross Blue Shield plans across the nation will be well worth the effort — walking launched a public awareness campaign called WalkingWorks. truly works. The goal for everyone is to help individuals see the link For more information on Walkingbetween inactivity, illness and the cost of treatment. Growing Works and dates of walks with Earnie awareness will encourage us all to get moving a little more. The Harwell, please visit www.bcbsm.com MI health plans decided to promote walking as the best way to start because almost everyone can walk. Walking requires little or no DIANA JONES is the Vice President of special equipment, can be done almost anywhere and carries Community Affairs for Blue Cross Blue low risk of injury. Shield of Michigan. 8

Michigan Generations

ASKtheExpert

Jean M. Barnas

Understanding Persons with

Alzheimer’s Disease

Why do “difficult” behaviors occur in persons with Alzheimer’s disease? THERE ARE A NUMBER OF REASONS WHY

behavior challenges occur. The behavior may be related to actual changes taking place in the brain, caused by Alzheimer’s disease. The person may be progressing in the disease. There may be an environmental factor triggering the behavior, such as too many people in the room at one time, making it difficult for the person to concentrate, or very loud noises that are distracting and over-stimulating. Maybe the task that the person is performing (like taking a bath) has become too complex — there are now too many steps within the task for the person to complete it successfully. The person simply may not be feeling well and is unable to communicate that to the care partner.

How can the care partner minimize the behavior from happening? IT IS IMPORTANT TO TRY TO UNDERSTAND

why this behavior is occurring. Ask yourself: What are the factors that are triggering the behavior? What was going on just before the person became angry, upset or agitated? What can I do to change this? Try keeping a daily log describing the problem

Do you have a caregiving question? Write or email your question to our “Expert” at: Jenny Jarvis,Area Agency on Aging 1-B, 29100 Northwestern Highway, Suite 400, Southfield, MI 48034; jjarvis@aaa1b.com.We will make every effort to answer your question in an upcoming issue of Michigan Generations.

Summer 2004

situation. In as much detail as you can, write down the time and what happened. Again, think about what was going on right before the behavior occurred. Who was involved? Did his/her approach or response work?

Is it possible that the person with Alzheimer’s disease is doing these things on purpose or to annoy me? ALTHOUGH SOMETIMES IT MAY SEEM

this way, please remember that the behavior is happening because of a brain disease that the person cannot control. S/he is not deliberately trying to spite you or be nasty. The person is not behaving this way on purpose.

What can I do to prepare myself to respond to a challenging behavior? REQUEST THE HELP OF YOUR FAMILY

and other care partners and develop a list of strategies for responding to the behavior or situation. Be creative. Ask each other: What has worked in the past? This will give you more options. One idea is to redirect the person by engaging him/her in a favorite activity such as walking, gardening, eating, looking at pictures and so on. Decide which strategy you will use first. If that one does not work, try another one. Do not worry if the first one fails. Problem solving is a process of trial and error. Keep in mind that even though a strategy does not work one time, it may work a different time. Keep trying.

What can I do to help the person with Alzheimer’s disease after an upsetting or “difficult” behavior occurs? REASSURE. REASSURE. REASSURE. LET

the person know that it is okay, you do understand and you do care. Give the person a hug and then redirect him/her to a new activity.

What do I do when the person becomes frustrated, agitated or angry while trying to complete a task? IF YOU FIND THAT THE TASK IS TOO

complicated for the person, break it down into small, concrete and manageable steps. Make sure you are only doing one step at a time. Do not combine several small steps together. As the person progresses in the disease and his/her functioning declines, modify the task appropriately. You may have to do the first few steps of the task to get the person started, but keep the person involved as much as possible to maintain his/her independence. For example, if the person is having a more difficult time getting dressed, try laying out the clothes in the order they need to be put on. Try demonstrating what needs to be done, and have the person mirror you. If you are fully assisting the person with an activity such as dressing, be sure you are literally saying what you are doing as you are helping the person get dressed. (“Now I am putting your shoe on your right foot. Now I am tying the laces.”) Verbal cues and guidance can help the person understand what is going on.

What can I do if the cause of the behavior is related to communication? KEEP IN MIND THAT MANY TIMES PEOPLE with dementia become agitated or angry because they do not understand what is expected of them. Or perhaps they are frustrated with their inability to make themselves understood. Communicating with a person with Alzheimer’s disease can be a difficult task. It is almost like learning a new language. Think about both your nonverbal and your verbal communication skills, and keep them simple. Be aware of your nonverbal signals such as facial expressions, body

Continued on page 19 9

REGIONALNews In communities across the U.S.,

Area Agencies on Aging (AAAs) serve as gateways to local resources, planning efforts and services that help older adults remain independent. Here are the programs and services offered by Michigan’s AAAs.

1A Detroit Area Agency on Aging 1B Area Agency on Aging 1-B 1C The Senior Alliance 2 Region 2 Area Agency on Aging 3A Kalamazoo Cty.Human Services Dept.Region 3A 3B Burnham Brook Region IIIB 3C Branch-St.Joseph Area Agency on Aging IIIC 4 Region IV Area Agency on Aging 5 Valley Area Agency on Aging

6 Tri-County Office on Aging 7 Region VII Area Agency on Aging 8 Area Agency on Aging of Western Michigan 9 NEMCSA Region 9 Area Agency on Aging 10 Area Agency on Aging of Northwest Michigan 11 Upper Peninsula Area Agency on Aging 14 Senior Resources of West Michigan

14 6 4

3A 3B 3C

1A 1C

S POTLIGHT ON …

Region IV Area Agency on Aging Covering Michigan’s Great Southwest including Berrien, Cass and Van Buren counties

Senior Companion Program Helps Frail Elderly Prepare for Disasters

he Region IV Area Agency on Aging’s Senior Volunteer Programs were awarded a Corporation for National and Community Service grant of $56,400 earmarked for the Senior Companion Program. At the end of three years, funds will be added permanently each year to the programs’ federal financial support. Senior Companions have been trained as disaster advocates, working with homebound elderly clients on emergency and disaster preparedness. Disability and impairments of aging often prevent seniors from following through with the necessary processes and procedures for disaster preparedness or in the aftermath of a disaster. 10

prepare emergency kits for homebound seniors; help develop individualized evacuation plans; assist seniors in registering with their respective county emergency management coordinators; and help with advocating and filling out necessary forms after a disaster. The Corporation for National and Community Service and its programs are part of USA Freedom Corps, a White House initiaSenior Companions prepare emergency kits for homebound tive to foster a culture of seniors. citizenship, service and The Senior Companions will assist responsibility, and to help all Americans in evaluating a home for safety and answer the President’s Call to Service. preparedness; provide education For more information, visit regarding emergency procedures; www.nationalservice.org. Michigan Generations

Detroit Area Agency on Aging Serving Detroit, Highland Park, Hamtramck, Harper Woods and the five Grosse Pointes in Wayne County

Detroit Senior Ambassadors Program

of food, prescriptions and household tor of the Detroit Area Agency on ow can seniors help to ensure expenses. Aging. “They represent seniors of all that their interests are being “Many times,” continues Dudley, “I ethnicities, income levels and social considered by legislators and elected have met with people who are backgrounds — but they are particuofficials? What’s the best way to get shocked when I tell them about how larly crucial to seniors who are frail, community support for critical prosome seniors try to eke out disabled or homebound and unable to grams that are crucial to the welfare a living on their meager of thousands of incomes. Of course, once older adults? How they are aware of the issues can seniors influence within the senior community, policy makers and they are more than ready to corporate leaders? support programs to assist The answer to all this at-risk group.” three of these ques“Seniors are the best advotions can be summed cates for themselves,” says up in one word — Dr. Jennifer Mendez, director ADVOCACY. of education, Institute of The Detroit Gerontology,Wayne State Senior Ambassadors University. “The seniors who Program (DSAP) is train to become Senior an advocacy group The Detroit Senior Ambassadors meet monthly to develop advocacy strategies that Ambassadors have a profound consisting of seniors promote senior services and programs. commitment to their commuthroughout the nity and a strong sense of pride about meet with stakeholders within the Detroit area. Seniors who are interthe work that they do.” community or go to Lansing to advoested in social and political activism The Detroit Senior Ambassadors cate for services that are dire to their are encouraged to join DSAP. Once meet monthly at the Detroit Area well-being and independence. They enrolled in the program, members Agency on Aging to develop advocacy give a voice to those who are unable participate in a multiday training on strategies that promote senior servto speak for themselves.” city, state and federal budget and legices and programs, public policies “I truly enjoy being a Senior Ambasislative processes; senior policies, beneficial to older adults and vital sador,” says Shirley Dudley, a Senior programs and entitlements; organizing findings related to the Detroit area Ambassador for over two years. “This across generations; fundraising senior community. program gives me the opportunity to fundamentals; organizing in a multicultural community; techniques of social action; volunteerism and mentoring; These newly empowered advocates begin a highly organized and how to run an effective meeting. educational campaign that encourages others within the comAfter training is completed, these munity to become active in support services for the aging. newly empowered advocates begin a highly organized educational camThe Detroit Senior Ambassadors educate the community on what we paign that encourages others within Program was established by Wayne — as seniors — must contend with the community to become active in State University’s Institute of Geronon a daily basis. Many people take it support services for the aging such tology in 2001. The program is for granted that seniors are well as nutrition, caregiving, long-term sponsored through the Detroit Area provided for through social programs care, housing, health care and Agency on Aging. or Medicare and Social Security. They Medicare reform. For more information on the Detroit aren’t aware of the fact that a lot of “The Detroit Senior Ambassadors Senior Ambassador Program, call Delores seniors are living on small fixed are essential to the senior community,” Archie Schultz at 313-446-4444. incomes, trying to balance the cost says Paul Bridgewater, executive direcSummer 2004

Area Agency on Aging 1-B Serving the counties of Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw

Title V Program Helps Older Workers

Linman-Duda and learned about the — mostly women — ages 58 to 77. t’s not often that enrolling in an Title V program was “the best day of Participants leave the program fortified employment program is a life-changmy life.” Mitzi had been a licensed real with marketable computer skills, ing experience … unless that program estate agent for over 30 years, giving Red Cross certification as nurse is the Senior Community Service up her career in the late 1990s as she assistants or training needed to work Employment Program (SCSEP). Often found the physical requirements of the in the food service or maintenance referred to as the Title V program, this job to be too demanding. However, industries.When you multiply those special program is operated under after a few years of retireTitle V of the Older Ameriment she needed to supcans Act and provides plement her income and training, experience and found out about the senior part-time employment employment program opportunities with nonoffered by the AAA 1-B profit organizations for a through a local organizalimited number of lowtion in Ferndale. income individuals age 55 Mitzi was placed at the and over. Troy Community Center, Suzanne Linman-Duda where she organized coordinates the Title V events for seniors. Mitzi program for the Area planned variety shows, art Agency on Aging 1-B (AAA fairs, dances and other 1-B) and has seen firsthand Mitzi Barnett, a participant in the Senior Community Service Employment programming at the comhow vital this service is. Program, is now employed fulltime at the Southfield Parks and Recreation. munity center for three Returning to work at an years. At that point, she left the Troy numbers over the more than 25 years age when many people hope to be Community Center and went to the that Title V programs have been in place, securely retired is a daunting chalCity of Southfield, Parks and Recrethe number of people living enhanced lenge. “Many of our clients have not ation Senior Division, to complete her lives is impressive.When you talk with used their work skills for 10 or 20 training. After six months at the an individual who has benefited from years, and the work world has altered Southfield Parks and Recreation she the program, it’s even more so. radically in that time,” she says. was hired on full-time. Mitzi now During the past year, Linman-Duda Mitzi Barnett, who turns 76 this organizes at least four field trips a summer, says the day she met Suzanne has worked with some 85 individuals month for local Metro Detroit seniors. Mitzi works harder at this job than during her 30 years in real estate, but finds the position very, very rewarding. The Area Agency on Aging 1-B is the first resource for older adults, careShe says, “The job is a challenge and I givers and persons with disabilities to call when looking to resolve problems love it. It is a wonderful experience to or locate the resources they need to improve the quality of their life. motivate older people to get out of When individuals call the toll-free Information and Assistance (I&A) the house, to have fun, socialize and service at 1-800-852-7795, they speak with a certified Information and enjoy life. I don’t know where I would Referral Specialist to determine what their be today if I did not have Suzanne needs are and the services and assistance Linman-Duda, the AAA 1-B, and the available to address those needs. Once the Title V program.” needs are determined, the specialist accesses the I&A database of over 2,000 For more information on the Senior community agencies and mails the individual a complete listing of relevant Community Service Employment Program, services and providers in their local community. please call the Area Agency on Aging 1-B Call us. We can help. at 1-800-852-7795.

Help is a Phone Call Away

1-800-852-7795

Michigan Generations

Advocating on Behalf of Older Adults

he Area Agency on Aging 1-B Senior Advocacy Network is a group of individuals and organizations that are committed to following public policy issues that affect older adults, and speaking out on behalf of older persons’ needs. Senior advocates Bob Sanchez. receive informational e-mail or print mailings from the AAA 1-B; keep abreast of issues affecting older adults; call, write, e-mail and speak with elected officials and other key decision makers on aging issues; attend public information sessions; provide leadership in urging others to be active senior advocates; and respond to calls for action when advocacy on behalf of older persons is needed. There is no cost to participate. Bob Sanchez has been a member of the Senior Advocacy Network for the

last few years and “really enjoys being a member, attending advocacy workshops and receiving updates on issues, as it makes me more aware and knowledgeable about what older adults are in need of.” Sanchez has been a very active member of the network, constantly e-mailing legislators on several issues, including providing choice in Medicaid long-term care options, the cigarette tax increase and, most recently, his concerns with the new Medicare prescription drug benefit. When asked why he has become such a strong advocate for older adults, Sanchez replies, “Because I am an older adult, and also now that I am more aware of the needs of more frail seniors, somebody has to speak for them.”

If you have additional questions about the Senior Advocacy Network or would like to join, please contact the AAA 1-B Advocacy Specialist at 1-800-852-7795.

Annual Caregivers Fair Mark your calendars to attend the Area Agency on Aging 1-B’s 5th Annual Solutions for Family Caregivers Fair to be held on Saturday, October 16, 2004, from 9 a.m. to 2 p.m. at the Sterling Inn Banquet & Conference Center, 34911 Van Dyke Avenue, Sterling Heights. This event is FREE, open to the public and includes breakout sessions on a variety of caregiving topics; more than 80 exhibitors specializing in products and services to assist caregivers; free refreshments, giveaways and much more.

The Senior Alliance Serving caregivers and seniors in the 34 communities of southern and western Wayne County

Reaching Out to the Arab Community

n what is sometimes described as the largest contingent of Arab Americans living outside of the Middle East, there are approximately a quarter million Arab Americans currently residing within Wayne County. To assist and serve this growing community, The Senior Alliance, in partnership with the Arab Community Center for Economic and Social Services (ACCESS), the City of Dearborn and Oakwood Healthcare System, provides a multitude of Wayne County, The Senior Alliance, ACCESS and City of Dearborn officials cut the ribbon for the new ArabAmerican seniors’ club.

Summer 2004

programs that offer information and assistance in a manner cognizant of custom, culture and communication norms. Oakwood Healthcare System, for example, recognizing the importance of offering information in a person’s native language, has diligently translated important health information into Arabic. This information is available on both Oakwood’s website (www.oakwood.org,

linked to The Senior Alliance’s site, ww.aaa1c.org) and at a kiosk located at the ACCESS community center in Dearborn. Oakwood has also pioneered an award-winning, bilingual (English and Arabic) cable televison show. The City of Dearborn and Wayne County have been deeply committed in meeting the needs of Arab Americans for years. Recently, a forum for Arab senior women was developed by the Dearborn Senior Center, in partnership with ACCESS and The Senior Alliance, where Islamic women can meet regularly to discuss issues ranging from health information to immigration law. For information about these programs, contact The Senior Alliance at 734-727-2050. 13

Region 2 Area Agency on Aging Serving Hillsdale, Jackson and Lenawee counties

Food Safety Tips for Seniors

armer weather is here at last. It’s a great time to be out and about, but it is also when the incident of food-borne illnesses can be higher. Food can become unsafe when left out too long. The temperature danger zone is between 40° and 140°. The rule is that cold foods need to be kept cold (40° or lower) and hot foods need to be kept hot (140° or higher). If food is left out and allowed to reach temperatures in the danger zone, bacteria can start to multiply. Remember the two-hour rule: Discard any perishable foods left at room temperature for longer than two hours. Take-out foods from restaurants are often the culprit in food-related illness. Because meal portions are

getting bigger all the time, many people pack up their leftovers to make another meal out of it. Special care must be taken to make sure that these foods are not left out too long. If you will not Kristine Godbold, R.D. be home within two hours, it is best to leave the leftovers at the restaurant. In warm weather the inside of your car can become very hot, which allows bacteria more opportunity to grow. Seniors can eliminate the risk of foodborne illness by doing the following:

■ Order smaller portions at restaurants and avoid leftovers. ■ Carry a small cooler in your car to store takeout food until it can be refrigerated. ■ If leftovers are not eaten within a few days, throw them out. If you are not sure if a food is safe for whatever reason, do not eat it! Foods that go bad may look, smell and even taste okay, but they aren’t. Remember: When in doubt, throw it out! For more information about the Region 2 AAA services, please call Ginny WoodBailey at 1-800-335-7881.

Kalamazoo Cty. Human Services Dept. Region 3A Covering Kalamazoo County and its 24 municipalities

are experiencing the stress of caring for a dependent loved one. Counseling at Home is the amily and informal caregivers are business of James Loomis, the backbone of our long-term ACSW, a certified social worker care system. While caregiving affects who has practiced in the Kalapeople in different ways, research over mazoo area for over 25 years. Counseling at Home staff: Jim Loomis, Fran Morrow, Deb Search Willoughby and Ann Leary. the past 20 years shows common He and three other experienced themes such as financial pressures; clinical social workers provide legal quandaries; health problems; lack and physical health of caregivers. counseling right in the client’s home or of knowledge about services; emoThe National Family Caregiver wherever they are comfortable meettional turmoil; family conflict; and social Support Program, financed through ing. Caregivers are most often isolation. Prolonged caregiving often the Administration on Aging, has made referred by friends, family, church staff has negative effects on the emotional it possible for us to provide counselor service providers. Financial assising services for caretance is available. givers in Kalamazoo Contact the AAA 3A at 269-373-5147 Counseling at Home . . . . . . . . . . 269-327-7472 County. We have conor the Caregiver Resource Center at Information & Assistance. . . . . . . 269-373-5147 tracted with Counseling 269-978-0085 for information on other at Home to provide supin-home respite care agencies, adult day Caregiver Resource Center. . . . . 269-978-0085 port to caregivers who programs or overnight respite care facilities.

Counseling for Family Caregivers

Michigan Generations

Tri-County Office on Aging A consortium of Clinton, Eaton and Ingham counties and the cities of Lansing and East Lansing

Rebuilding Together with Christmas in April

n 1992 the Tri-County Office on Aging (TCOA) received a federal Community Action to Reach the Elderly grant. The purpose of this grant was to bring community leaders together to focus on the needs of elderly individuals. As an outgrowth of that process,TCOA started an affiliate of Christmas in April with business and civic leaders in Ingham County — a program called Rebuilding Together with Christmas in April. TCOA soon assisted Rebuilding Together with Christmas in April in becoming a nonprofit organization. Now there are over 80 local

sponsors, including many faith communities. The aging network, neighborhood groups and local governments all refer seniors who need their homes repaired and refurbished.

Home improvements include reconstruction of front porches, interior painting, extensive yard cleanup and new floors. A wonderful partnership between Habitat for Humanity and Christmas in April has been established. Through this joint venture, ramps are built so wheelchair users can safely leave their homes. Over the last 11 years, Christmas in April — with its 400 volunteers — has annually helped over 251 seniors, with an estimated value of $1 million in donated materials and labor. For more information, contact the Tri-County Office on Aging at 517-8871440 or toll-free at 1-800-405-9141. Renovating helps seniors to stay in their homes.

Branch–St.Joseph Area Agency on Aging IIIC Serving a two-county area surrounding Sturgis, Three Rivers, Coldwater and Quincy

The Bob & Jeff Show

his show doesn’t have curtains from which to choose prizes, famous slogans or fancy music … It’s all about camaraderie and making new friends. The “Bob & Jeff Show” began after some conversations among a few gentlemen at the H. & C. Burnside Senior Center who wanted to do something just for men. The conversations turned into the Men’s Breakfast Group, which began meeting in November 2003. Attendance has doubled since their first gathering, and this month’s group includes 72 men, a congressman (Rep. Nick Smith, guest speaker) and a few women (cleanup volunteers)! The group’s leader, Bob Betts, says, Summer 2004

Men’s Breakfast Group enjoys monthly meetings, where topics range from current events to health — over eggs, toast and coffee.

“The guys pick the speaker, Chef Jeff Wilcox cooks up a storm and we all just have a great time! It’s really taken off!” They discuss current events, health topics, politics, their community and much more. “So often in retirement,” Mr. Betts says, “the women keep

socializing, but us men just don’t keep up with it. That’s what the Men’s Group has started doing, it’s keeping us involved.” There is no charge for the breakfast, but many of the men do make a donation toward the cost of the food. This helps — especially when they have to make a second run for eggs! The Group welcomes newcomers. They meet at the H. & C. Burnside Senior Center, 65 Grahl Drive in Coldwater, on the third Thursday of each month at 8:00 a.m. — sharp! “The Guys” hope to see you there! For further information, please contact the Branch-St. Joseph Area Agency on Aging (IIIC) at 517-279-9561 or toll-free at 1-888-615-8009. You may also visit our website at www.bhsj.org. 15

Burnham Brook Region IIIB Serving Barry and Calhoun counties in Southwest Michigan

Dining Options for Rural Seniors

he Burnham Brook Region IIIB Area Agency on Aging has traditionally been providing social and nutritional services through nutrition contract providers at established congregate sites in Barry and Calhoun counties. In reviewing the location of the established congregate sites and considering senior requests for more meal options, we recognized our need to expand nutritional services in the twocounty region with an emphasis on targeting our more rural areas. To meet this goal, Burnham Brook has initiated a new meal program, Senior Meal Choice, in cooperation with and to be administered through the nutrition providers. The program is designed to provide greater dining

options for older adults and to better serve those residents in outlying/isolated areas of the two counties. The initiation of the restaurant program in combination with the traditional congregate sites now provides nutritional opportunities for seniors throughout the two-county region. The initial response by restaurants and participating seniors has been very positive, expressing satisfaction with a choice of meals and the times of day to enjoy them. Utilizing the services in local restaurants, Senior Meal Choice provides an alternative to the congregate

meal. Eligible seniors are issued Senior Meal Choice cards that are similar to credit cards. At designated restaurants, seniors identify themselves as a participant and choose an approved menu selection. The restaurant swipes the card just as they would a credit card. For information on Senior Meal Choice in Barry County, contact the Barry County Commission on Aging at 269-948-4856; in Calhoun County, contact the Community Action Agency at 269-966-2466. For more information on the Burnham Brook Region IIIB Area Agency on Aging, call 269-966-2450.

Area Agency on Aging of Western Michigan Serving Allegan, Ionia, Kent, Lake, Mason, Mecosta, Montcalm, Newaygo and Osceola counties

Chronic Disease Self-Management Groups

iabetes, arthritis, lung and heart disease are common chronic conditions that set in as we age. Coping can be much easier with the help of new support and educational workshops that are being offered — or will soon be offered — to older adults in seven West Michigan counties. Personal Action Toward Health workshops, also known as PATH, teach older adults how to manage their own chronic illnesses. “This is a workshop that’s proven to help people improve their confidence and effectiveness in handling chronic disease,” says Bonnie Hafner, project coordinator at the Area Agency on Aging of Western Michigan. “Those who’ve been through it lead a better quality of life as a result.” 16

Developed at Stanford University, PATH workshops deal with topics such as exercise, nutrition, talking with your doctor, overcoming frustration and evaluating new treatments. Each group consists of 10 to 16 people. “This is a highly interactive group that will be led by trained leaders who themselves have a chronic disease and learned to continue active and full lives,” says Hafner. The six-week course will meet at various times and locations, including senior centers, churches and libraries. PATH groups began in Kent County in June. Leaders are being trained to facilitate two groups per county starting after November in

Allegan, Ionia, Lake, Montcalm, Mecosta and Newaygo counties. Those who participate in Kent County groups will be part of a study on whether a closer relationship between the providers of medical and aging services will result in a better personal management of chronic diseases and ultimately a better quality of life. To qualify, you must be at least age 60, live in a county where the group is offered and have arthritis, chronic lung disease, diabetes or a cardiovascular disease. Registration is required since groups are limited to 16 people. Support persons of those with the disease may also participate. For more information, call the Area Agency on Aging of Western Michigan at 1-888-456-5664. Michigan Generations

Region VII Area Agency on Aging Serving Bay, Clare, Gladwin, Gratiot, Huron, Isabella, Midland, Saginaw, Sanilac and Tuscola counties

MI Choice: Your Choice to Stay at Home

I Choice, or the Medicaid Home and Community-Based Waiver, is an in-home long-term care program designed to provide managed care for the elderly and disabled. The program provides clinical and physical support that allow a person to remain at home and avoid premature or inappropriate nursing home placement. If you are Medicaid-eligible, 18 years of age and older, blind or disabled, or at least 65 years of age with significant health issues, you may qualify for MI Choice. Perhaps you are unable to perform basic activities of daily living, such as bathing, meal preparation or household tasks. If you are a nursing home resident, you may be able to return home with supportive services.

MI Choice cannot provide ongoing 24-hour care and is a supplement to family, friends, neighbors and other caregivers making up the informal support system. Services that may be covered are adult day care, homedelivered meals, homemaking, personal care and supervision, chores, counseling, transportation, environmental modifications, medical supplies and equipment, respite and training. A personal emergency response system may be installed in homes when appropriate, so that help can be summoned with a push of a button. Medication management is another important option that promotes independence and safety. MI Choice referrals for all 10 coun-

ties are accepted at Region VII (1-800-8581637). We conduct a telephone interview to determine initial financial and medical eligibility. A registered nurse and a social worker then follow up with an assessment of physical, social and environmental needs and develop a care plan. In-home health and social services are arranged with service providers in your area. No services are put into place without the consent of the client. Monitoring and ongoing contact ensure that the care plans are implemented correctly and that your needs are being met. For more information about MI Choice, call the Region VII Area Agency on Aging at 1-800-858-1637 or visit our website at www.region7aaa.org.

NEMCSA Region 9 Area Agency on Aging Covering 12 counties of Northeast Michigan

Free In-Home Respite Care

he Greater Michigan Alzheimer’s Association’s Northeastern Regional office was awarded a grant through the Region 9 AAA’s National Family Caregiver Support Program to provide in-home respite care so family caregivers may attend a support group meeting. The benefits of attending support groups are numerous. Family caregivers who care for a loved one in their home often cope with sleepless nights, difficult behaviors, limited social opportunities and added stress and physical strain. By attending a support group meeting, caregivers receive muchneeded understanding of their frustrations and dilemmas. Summer 2004

Caregivers learn of community resources as well as strategies that help them and their family members deal with diffiThe Goszczynski family, who cared for their loved one, benefitted cult situations. from in-home respite, adult day services and caregiver support from the Otsego County Commission on Aging. The monetary savings of learning new ways to in-home respite care so the family enhance home caregiving can be subcaregiver may attend their local supstantial. Families who regularly attend port group meeting. The in-home support group meetings delay nursing care provider service is arranged home placement an average of 340 through the local Commission or days longer than families who do not Council on Aging offices. attend meetings. That is a savings of For more information, call the Region 9 approximately $60,000! AAA at 989-356-3474 ext. 216 or the The Region 9 AAA National FamNortheastern Michigan Alzheimer’s office ily Caregiver grant allows the opporat 1-800-337-3827. tunity to pay for two hours of 17

Area Agency on Aging of Northwest Michigan Offering information and funding senior services in the 10-county area of Northwest Lower Michigan

Reducing Financial Exploitation

he Elder Abuse Awareness (EAA) project in Northwest Lower Michigan started in the early 1990s with a contractual arrangement between the Area Agency on Aging of Northwest Michigan (AAANM) and Catholic Human Services, Inc. (CHS). An EAA task force planning committee was formed early on and is still the driving force for the project’s activities. The membership includes law enforcement, adult protective services, women’s domestic violence services, Grand Traverse Band of Ottawa and Chippewa Indians, the financial community, legal services, aging service providers, health care providers and

financial exploitation — following contact with the California Community Partnership for the Prevention of Financial Abuse (CCPPFA), which occurred at the First Joint Conference of the American Society on Aging Members of financial institutions, law enforcement and adult and the National Council on protective services gathered for a luncheon seminar. the Aging in New Orleans. community representatives. The CCPPFA presented a project Early projects included luncheon model for addressing financial abuse, events and workshops for increasing and this model has since been adopted EAA among home health nurses and in Northwest Michigan. EAA continues adult protective service workers, to educate senior advocates, law nursing home staff, law enforcement, enforcement and the financial commuthe aging network, the general public, nity amout financial exploitation. elected officials and, more recently, For other information, call AAANM at the financial community. The collabo1-800-442-1713 or visit our website at rative effort has quickly expanded to www.aaanm.org.

Upper Peninsula Area Agency on Aging Serving all 15 counties of Michigan’s Upper Peninsula

Area Agency on Aging Sponsors “Best Practices” Conference

n October 30, 2003, nursing home administrators from across the Upper Peninsula gathered in Escanaba for what will likely become an annual conference on nursing home best practices. The conference was sponsored by the Area Agency on Aging as part of its role as the long-term care ombudsman.

UPAAA’s ombudsman provided an overview of the role and objectives of the ombudsman program, as well as a recap of recent activities on the state and local levels. Representatives from the Michigan Department of Consumer and Industry Services were on hand to provide the administrators with the latest on nursing home monitoring issues and to provide a forum for the administrators and regulators to discuss the “burning” issues of the day. The primary focus of the conference, however, was on what was working best to Nursing home administrators discuss ways to improve the quality of residents’ lives.

assist the residents of Upper Peninsula nursing facilities and to improve the quality of residents’ lives. The conference provided a forum for nursing homes to showcase the programs and activities they were most proud of. Armed with handouts, slide presentations and even a video presentation, the administrators and their respective staff detailed their programs. Because of the overall success of this first conference, the UPAAA has agreed to sponsor and facilitate another best practices conference, scheduled for October 28, 2004. For information about the upcoming conference, or about any other agingrelated issues, call the Upper Peninsula Help Line at 1-800-338-7227 or the AAA directly at 906-786-4701. Michigan Generations

Senior Resources of West Michigan Located on the shores of Lake Michigan, serving the three counties of Muskegon, Oceana and Ottawa

Transportation Service Gives Seniors a Lift

ceana County, situated on the shores of Lake Michigan, is rural and agricultural. There are no large metropolitan areas, no mass transportation service and no cab services. The Oceana County Council on Aging (OCCOA) provides the only public transportation service Monday through Friday from 7:00 a.m. to 4:00 p.m. This door-to-door service transports residents to medical appointments, shopping and social events throughout the county with three liftequipped buses and two vans. Seniors and those with disabilities receive first priority in order to receive support services, reduce isolation and promote independence. During the past year,

ments on time. Over 600 rides were provided 12,564 rides by the volunteer were provided drivers during through this 2003. program. Mrs. S. of Mrs.T. of New Era writes, Hart says, “I “I would like to appreciate all commend your the help I driver. She… receive … OCCOA driver Frank Knochel provides prompt, friendly makes sure I service to riders Ann Winkelman and Jack McAinsh. Thanks again get up and for everydown the steps and into the therapy thing you’ve done.” center and the car okay. This great In addition, the Council on Aging has service you provide is very much a Volunteer Driver Program for seniors appreciated.” and disabled in need of medical transFor further information, contact portation for out-of-county appointSenior Resources of West Michigan at ments. The volunteers do an excellent 231-739-5858 or 1-800-442-0054. job of getting people to their appoint-

ASKtheExpert Alzheimer’s Disease Continued from page 9 tension and mood. Try a calm, gentle, matter-of-fact approach. Try using touch to help convey your message. When you speak, be sure you are looking directly at the person, you have his/her attention and you are at his/her eye level. Speak slowly and keep the pitch of your voice low. Ask simple questions that require a “yes” or “no” answer.

What can I do if the cause of the behavior is related to the environment? MAKE SURE THE ENVIRONMENT IS NOT too large and there is not too much

clutter. Try to keep each day structured. Routines each day work best. Too much stimulation can be just as bad as too little. Assess the person’s environment: Is there too much noise (for example, there is more than one conversation happening in the room or the television is on loudly Summer 2004

and the dog is barking, and so on)? Are there too many people in the room at one time? Make the environment as familiar as possible so it is less confusing for the person with Alzheimer’s disease.

What can I do if verbal communication is not working?

ject or let it go. You can always try another form of communicating that does not involve words. Gentle touch or massage, familiar songs, favorite foods and walking together can often show concern and care more effectively than words.

TRY DISTRACTING THE PERSON. Is there anything Sometimes diverting his/her attenI can do to make it tion to another activity can be helpeasier for myself? ful. Go for a walk; change the DO NOT TRY TO subject; offer a snack; ask for help CARRY THE BURDEN Jean M. Barnas with a task such as cleaning someall by yourself. It is okay thing or folding and sorting the to ask for help. Be flexlaundry; or turn on the radio and sing or ible. Most importantly, remember that you dance. If nothing seems to be working, simare not alone. Call your local AAA for assisply try again later. tance and guidance. If you cannot think of a positive response, ignore a verbal outburst. It is JEAN M. BARNAS, M.A., is the Education much better to not react to an angry or agi& Training Coordinator for the Alzheimer’s tated statement, and just change the subAssociation — Greater Michigan Chapter.

Prescription Discount Card Worksheet Use this chart to compare

Current monthly costs w/discounts

Discount Card #1

Discount Card #2

Discount Card #3

to card. To learn what you

would pay for your medi-

cine with each card, call

the company that is offering

the card, call Medicare at

1-800-633-4227, call Michi-

gan’s Medicare/Medicaid

Assistance Program at

your drug costs from card

Name of drug, including strength and dose

1-800-803-7174 or visit www.aarp.org. Before you begin, make sure the cards you’re considering are valid in Michigan.

Total monthly cost Does the card apply to all my prescriptions? Which pharmacies accept the card?

Does the card offer drugs by mail order?

SPONSORS Gentiva Health Services

Visiting Physicians

Serving clients in Lansing, Jackson, Flint, Saginaw, Grand Rapids, Kalamazoo, Muskegon and Southfield. Call today to set up your personalized home care services. 1-800-322-7111.

Providing compassionate, high quality medical care in the home. We serve communities across Michigan, Ohio, Chicago, Atlanta and Milwaukee. Services are covered by Medicare and most other insurances. Call 1-877-HOUSE-CALL or visit www.visitingphysicians.com.

Health & Home Services Unlimited, Inc. Care, companionship and peace of mind. In-home or wherever your residence may be! We specialize in meeting your needs — from personal care to home maintenance. Insured and bonded. 1-800-314-8718.

Whirlpool Corporation Whirlpool Corp., the global leader in home appliances, proudly serves and sponsors agencies that help people live their lives to the fullest.

Thanks to these companies and organizations for their generous support. For more information on becoming a sponsor of Michigan Generations please call Jenny Jarvis at 248-262-9202 .