Generations Michigan
Spring 2006
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Raising Grandchildren Also in This Issue: ■ Ask the Expert About Diabetes ■ A Look at Area Agencies 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.
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They are:
AAAs— Gateways to Community Resources
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3A 3B
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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 Visit the AAA’s state website at www.mi-seniors.net
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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
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Michigan
Generations SPRING 2006 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
Photo Credits Cover photos: Group from Traverse City Senior Center at Tahquamenon Falls State Park; Henry Maloney and guide in Mexico; Dot and Sheldon Cohen in India. Feature photos (pages 4-7): Pat and Bob Pierce in Alaska; travelers with St. Clair Council on Aging in Cape Cod; Sanford Schwartz (and camel) in Israel. Other photos courtesy Seaborne Cruise Line; Grand Circle Corp.; Elderhostel, AARP.
Spring 2006, Volume 3, #4 © 2006 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.
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 aged 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 Co. Health & Community Services Dept. Region 3A 3B Burnham-Brook Region IIIB Area Agency on Aging 3C Branch-St.Joseph Area Agency on Aging IIIC
CAREGIVINGNews&Notes
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igh-Tech Devices F O R
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magine a talking medicine cabinet that helps seniors manage their medications. Sound far-fetched? Think again. Technologyservices company Accenture is developing such a product, and while it’s still several years away from the consumer market, a protoptype has been on display, according to BusinessWeek magazine. More and more high-tech products directed toward older adults or their caregivers are arriving in the marketplace. These cuttingedge devices keep the elderly healthier, safer and able to maintain their independence.
S E N I O R S Look for these new products: • E-HealthKEY stores medical history,drug lists,contact names, etc. on a chip embedded in a unit that fits on a keychain. In an emergency, the key can be plugged into the USB port of a computer to access the information. • E-Neighbor consists of wireless sensors programmed to detect unusual activity in a senior’s house or apartment. It can make a call to the senior or send an e-mail alert to a caregiver.
New Bill Changes
MEDICAID
Rules Again
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ew things are more frightening than facing the costs of nursing home care. As many elderly people know, life savings can be spent paying for care before they can become eligible for Medicaid assistance. Medicaid eligibility rules are complicated, and they change often. This past February, with the passage of the Deficit Reduction Act of 2005, these complicated rules changed again. The new bill makes it harder for people to give away assets and qualify for Medicaid assistance in the nursing home. The Deficit Reduction Act of 2005 increases the period of time that people have to disclose assets given away, from three years to five years. It also changes the timing of penalty periods imposed for making gifts. Remember, there are many ways to qualify for Medicaid assistance, but giving away assets is often a bad idea. Courtesy Douglas G. Chalgian, certified elderlaw attorney, and Amy R. Tripp, attorney at law. Spring 2006
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Heart Hints
Healthy
ost heart disease is caused by atherosclerosis, the build-up of fatty deposits in the arteries that supply blood to your heart muscle. Too much cholesterol in the blood contributes to atherosclerosis. You can reduce cholesterol in your blood by eating less fat. To put you on the right track, here are some common foods and their fat grams (average serving size): Ground Beef. . . . . . . 18 g Bacon . . . . . . . . . . . . 15 g Fried Chicken. . . . . . 30 g Roast Chicken . . . . . . 4 g Shrimp . . . . . . . . . . . . 1 g Cornbread . . . . . . . . . 5 g English Muffin . . . . . . 1 g
Potato Chips . . . . . . . 10 g Doughnuts . . . . . . . . 14 g Popcorn (plain) . . . . . . 1 g Vegetables . . . . . . . . 0.2 g Milk (2%) . . . . . . . . . . 5 g Cheese . . . . . . . . . . . . 9 g Yogurt. . . . . . . . . . . . . 4 g
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Exercise for caregivers with
Arthritis
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ife can be stressful for a caregiver with arthritis. But by being physically and socially active, an individual can feel less overwhelmed. One helpful tool is the Arthritis Foundation Exercise Program, formerly known as PACE (People with Arthritis Can Exercise). The program uses gentle activities to help increase joint flexibility and range of motion and to help maintain muscle strength. Goals also include improving the performance of daily activities and providing participants with methods for incorporating these skills into their home environment. For more information, contact the Arthritis Foundation at 1800-283-7800 or visit their website www.arthritis.org.
Surfing the Net Each issue of Michigan Generations offers several websites of interest to older adults and their caregivers … right at your fingertips. www.familiesusa.org is a nonpartisan nonprofit working with a range of organizations — from business to consumer — to achieve high-quality, affordable health care for all Americans. www.owl-national.org is a national grassroots organization that focuses solely on issues unique to midlife and older women as they age. Look for more helpful websites in the next issue of Michigan Generations. 3
Hit the Road By Martha Nolan McKenzie
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enry Maloney caught the travel bug when he was 27 years old while on a 10-week cycling trip through Scandinavia and the British Isles. The Troy retiree is now 78, widowed, and still an avid traveler. For the last two summers, he attended short courses in Oxford and Cambridge. He has taken numerous theater trips to New York and London. He has stayed with a family in Gifu in central Japan and watched primitive cormorant fishing at night. He took his then college-age daughter to Russia before the Communist regime had been swept out so that she could further her study of the Russian language. Later this year he will be taking one of his sons to attend the FIFA World Cup in Germany. “Travel expands my experiences,” says Maloney. “I would not like to imagine my life without travel in it.” Maloney is in good company. Indeed, traveling has always been a popular pastime for the older generation, since they are the ones who tend to have the time and the money to do it. But as the baby boomers swell the ranks of seniors and the average life span in this country approaches 80, the number of seniors hitting the road — and the oceans and the airways — is exploding. And, like Maloney, seniors are also venturing farther and farther afield. While cruising is still immensely popular, mature travelers are now flocking to alternative vacations that emphasize adventure, Michigan Generations
education or service. They are traveling with children and grandchildren. Even seniors who are confined to wheelchairs and walkers are heading out to discover new frontiers, thanks to products and services that ease their way. “There is no reason for seniors to feel like they can’t travel anymore, because they can,” says Renee Werbin, president of SRI Travel. “The world is open to all of us. You can travel without a spouse. You can travel in a wheelchair. You can travel with oxygen. And you should. Travel brings refreshment to the body, mind and spirit.”
CRUISING Cruising has long been, and remains today, an extremely popular vacation for seniors. Many cruise lines cater to the mature market, with offerings such as enrichment lectures, medical facilities, specialized menus and even gentlemen hosts to escort single female senior travelers. Many lines are also revamping their ships and services to include cabins with grab bars and roll-in showers, large-print menus and early boarding and departure assistance. Perhaps the most compelling testament to cruising’s popularity is the fact that AARP has gotten into the cruise business. In response to member demand, AARP has put together a cruise collection with 44 different cruises to destinations all over the globe. In addition to traditional cruise destinations such as the Caribbean and Alaska, AARP offers several Mediterranean trips, a tour of Northern Europe on the Baltic Sea and several Canada and New England cruises. Though passengers on the cruises are not exclusively AARP members, those who are get special treatment, including access to a trained AARP representative who can assist with any individual needs that arise. On the flip side of the penchant for cruising on floating cities is a growing demand for small ship trips. Grand Circle Travel, a national tour operator that specializes in active trips in exotic locations for the 50-plus market, first saw interest in this type of travel in the late ’90s. “It was so popular and grew so quickly that we decided to go into the ship-building business,” says Priscilla O’Reilly, spokesperson for Grand Travel. “Today we have a fleet of 50 ships, and about half of all of our clients are now small ship clients.” These senior sailors can cruise the Yangtze River in China, the Nile in Egypt, the canals of St. Petersburg, Russia, and the Danube from Prague to the Black Sea. The ships and Spring 2006
barges hold from 16 to 330 passengers for a more intimate experience than large cruise ships can offer. They can traverse rivers and dock in small ports that larger ships can’t enter. “Our travelers love the fact that they only have to unpack once, but they still have access to unique, out-of-the-way places,” says O’Reilly. “At the various ports, we arrange for them to have dinners in the homes of locals and visit local schoolchildren. They get to really experience the culture and the customs yet have all the amenities the ship offers.”
GROUP TOURS Just as cruising lures seniors with the promise of an allinclusive vacation, group tours are popular with seniors for the security and ease they offer. In fact, so many tour organizations have sprung up to serve the senior market that they have begun to sub-specialize. For example, some concentrate on senior cruises, some on senior overseas travel and some target only senior women. Mary Ann Zimmerman has been leading women-only trips through her agency, Senior Women’s Travel, for six years. She favors cultural trips that feature fine dining, museum visits and concerts. “A lot of older women who have lost their spouses are reluctant to travel alone,” says Zimmerman. “They feel more comfortable in a group setting. I try to replicate the sorts of trips these women might have taken with their spouses.” Some tours focus on special interests, such as golfing, birding or gardening. For example, AARP is offering a “Holland in Bloom” tour, on which a gardening expert will give lectures throughout the trip. Closer to home, senior centers and organizations routinely organize day and overnight trips. In Port Huron, for example, the St. Clair County Council on Aging offers four to nine trips a month. “We’ve got people going to China, to Italy, you name it,” says Deborah Lemke, travel director for the agency. “But our most popular trips, by far, are our day trips — especially our theater and lunch trips. They are less expensive than our longer trips, obviously, so many seniors find them more affordable. And some seniors just don’t like to be away from home overnight.” Sunshine Senior Tours, which draws clients from Bay City, Midland, West Branch, St. Charles and Frankenmuth, organizes “mystery trips,” which are a favorite with many travelers. 5
“I can fill two busses on every mystery trip,” says Karen Smith, owner of the Linwood-based travel company. “They don’t have a clue where they’re going, but they just love it.” Ellen Czerwinski, of Essexville, is a fan of Smith’s mystery trips. “They are just packed full of interesting places to go and to see — things I’d never experience in my lifetime otherwise,” says Czerwinski, 79. “Karen finds the most wonderful things to do and see in each place.” Despite seniors’ love of travel, some centers find it difficult to fill a trip. That’s why Pat Thompson, program coordinator for the Traverse City Senior Center, forged an alliance with the Leelanau Commission on Aging two years ago. “It makes no sense for everyone to be offering the same trip, and none of us being able to fill it,” says Thompson. “We decided to share our trips. Now we’re pretty much full every trip, and we can offer more and better trips.” Although day trips remain the most popular, Thompson is planning a trip to Greece later this year. “Our seniors generally feel safer traveling with the senior center,” says Thompson. “They know we are looking out for their safety, and we’re going to take care of them. We plan it all.” That’s what lured Pat and Bob Pierce into travel. The Pierces had not traveled widely before Bob retired. Now the couple, age 71 and 73 respectively, take between five and six trips a year — some day trips and some longer journeys. They’ve traveled as far as Alaska and Hawaii, and also enjoyed short jaunts to see plays in Chicago or Stratford in Canada and nature trips to Tahquamenon Falls in Paradise. “The fellowship we have traveling with the senior center and the safety we feel is part of why we travel as much as we do,” says Pat. “I go places I may not think about going otherwise.”
ALTERNATIVE TRAVEL Although traditional, relaxation-oriented travel remains the popular choice, more and more seniors are going off the beaten track, fueling a boom in the so-called alternative travel market. Instead of lounging in a deck chair, these seniors are climbing into kayaks in Alaska, reshingling damaged roofs in Jamaica and studying Indian temples in Delhi. “Seniors make up the bulk of the alternative travel market,” says Alison Gardner, editor of Travel with a Challenge, a web magazine devoted to alternative travel suitable for mature vacationers. “And it’s not the boomers who are driving it — it’s the generation before them. They are not tired and they don’t want to sit on a beach. If they are going to travel, they want to do something that is meaningful and memorable.” One way to ensure your vacation has meaning is to give something back to the place you are visiting. Through organizations such as Global Volunteers, Habitat for Humanity and Elderhostel, seniors can COMBINE VOLUNTEER SERVICE with travel to create a unique and rewarding vacation experience. Consider just a few offerings from Global Volunteers: Seniors can help care for severely disabled residents of a care facility in northern Greece, teach English to children in Tanzania or help repair community structures on the Rosebud Indian Reservation in South Dakota. 6
“I call it ‘voluntourism,’ and it attracts hundreds of thousands of seniors each year,” says Travel with a Challenge’s Gardner. “Whether teaching English to classes of Chinese students, sailing out to sea to conduct marine mammal research, or caring for children at an orphanage in the Dominican Republic, an increasing number of retired and retiring people have caught the voluntourism bug. It’s a great way to get to know a country and a culture, but also to give something back.” Some alternative travelers SEEK CONTINUING EDUCATION. Elderhostel is the granddaddy of educational vacationing, offering trips in over 90 countries. Travelers can study marine life at Australia’s Great Barrier Reef, explore art and architecture in Paris and learn about Inca history at Machu Picchu. In the U.S., Elderhostel has programs in every state, from studying the art and architecture of Boston to investigating winemaking in California’s Sonoma Valley. These trips are generally less expensive than their overseas counterparts. “Our clients are seniors who want to learn a lot about where they are going and really get behind the scenes — not just see the sights as a tourist,” says Despina Gakopoulos, spokesperson for Elderhostel. “They want to keep learning and discovering.” That’s exactly what Rob and Kathy Dean look for when they plan a trip. The Western Michigan couple has traveled with Elderhostel, tour groups and on their own, but the objective is always the same. “We aren’t interested in ‘look ’em, see ’em, buy ’em’ trips,” says Rob, 69. “We like to take trips that increase our knowledge, that expose us to things we haven’t experienced before. We like to meet the local people, learn the local culture and experience the local food.” Their wanderlust has taken the Deans to China, Tibet, Japan, Thailand and Vietnam. They have retraced the path of the Vikings, sailing to Scotland, Iceland and Greenland. Later this year they will travel to Antarctica. “We like to go away from the crowds to the less inhabited places,” says Kathy, 64. A growing number of seniors have become thrill seekers of sorts, and they are turning to THE EXCITEMENT OF ADVENTURE TRAVEL. No longer the domain of free-spirited youth, adventure travel has opened up to the senior market in a big way. Large national tour operators, such as Overseas Adventure Travel (an arm of Grand Circle Travel), 50plus Expeditions and ElderTreks, offer a smorgasbord of active trips in exotic locations. Travelers with 50plus Expeditions, for example, can explore India from the back of an elephant, hike among wildlife and glaciers in the Patagonian region of Argentina and Chile or climb Mt. Kilimanjaro in Tanzania. In response to a growing taste for adventure, Sandy Nicholson, trip coordinator at the Portage Senior Center in Portage, is trying to add some spice to her travel itinerary. While she offers a variety of day trips, theater trips and traditional European country trips, earlier this year she offered a trip to Costa Rica through Smithsonian Journeys. “We hiked into the jungle and we went to a volcano,” says Nicholson. “One of my lady travelers, who is 82, was swinging from a rope from tree to tree.” Michigan Generations
INTERGENERATIONAL TRAVEL In these days of adult children and their parents living in different time zones, intergenerational travel has emerged as a popular way for families to reconnect. Grandtravel, the pioneer of intergenerational travel tours, offers elaborate trips for grandparents and their grandchildren — no parents allowed! “We think the grandparent/grandchild relationship is important, special and does very well on its own,” says Helena Koenig, director and founder of Grandtravel. “Our most popular trip has always been, and continues to be, our safari in Kenya. This year Italy, Alaska and western U.S. parks are also popular destinations.” Other options for intergenerational travel abound. The Generations Touring Company in Seattle takes grandparents, their adult children and their grandchildren on small-group trips in the U.S. and abroad. And grandparent/grandchild camps have sprouted up all over the country. “It’s a niche that’s growing,” says Gardner. “The older people have the money and the younger people have the encouragement and organizational skills. And they have a chance to focus on each other without the distractions of daily living.” Cruise lines have noticed the trend and responded. “Cruise lines are building facilities to accommodate families traveling together,” says Brian Major, a spokesperson for Cruise Lines International Association. “Most of the newest ships have dedicated spaces for teens and children — one new ship coming out even has a water park aboard.”
TRAVELING WITH A DISABILITY Age often brings infirmity, but that doesn’t necessarily mean an end to travel. Indeed, travel agencies, hotels, cruise lines and airlines have recognized and responded to the specialized needs of senior travelers. “It’s a different world out there today,” says Carol Randall, co-founder of Access-Able Travel Source, an information service for travelers with disabilities and seniors. “Many hotels now have ‘senior rooms,’ which have grab bars in the bathrooms, raised toilets and walk-in showers. Airlines and cruise ships can provide wheelchairs and accommodate oxygen. There is just a lot more awareness of travelers requiring assistance.” There are also numerous products available. Walkers with large, all-terrain wheels, fold-down seats and baskets, lightweight Spring 2006
scooters and portable ramps are just a few of the products designed to meet the needs of mobility-impaired travelers. And some tour operators arrange trips specifically for this market. The website of Access-Able Travel Source lists some 20 tour operators who cater to this market, including those who can accommodate dialysis patients, diabetics and oxygendependent travelers. The site also lists cruise lines that have accessible ships, as well as hotels, attractions and public transportation that are accessible. Accessible Journeys organizes tours for travelers in wheelchairs and slow walkers, but limited mobility does not mean limited destinations. Upcoming trips include a cruise in Alaska, tours of Australia and For more New Zealand and a water and travel tips land trip from Santiago. turn to “Don’t limit yourself because you have this new page 19. way of transportation,” says Howard McCoy, president of Accessible Journeys. “Keep those travel dreams alive. You can make them come true.” Randall agrees. “Having a disability is no reason to stop traveling,” she says. “The only thing that has been taken away from a traveler with a disability is spontaneity. But if you plan well, there is no reason a person with a special need can’t travel.” And you don’t necessarily need to find a tour operator that specializes in specialneeds travelers. Sunshine Senior Tours, for example, has three accessible motor coaches. “If someone is in a wheelchair or just unable to get up and down the stairs, no problem. We can get them on and off the coach with the lift,” says Sunshine Senior Tours’ Smith. “We’ve got people with vision problems who come on our trips. We’ve got people who come with portable oxygen tanks. As long as you still want to travel, you can.” Portage senior Cheryl Warren is pretty sure she’ll want to keep traveling for a long, long time. The 59-year-old began traveling as a child, taking transcontinental train and car trips to visit relatives on the West Coast. These days, Warren takes about six trips a year, some through the Portage Senior Center, some through other tour organizers and some on her own. While she is primarily drawn to cultural offerings, such as theater trips and museum visits in the U.S. and Europe, she likes to mix it up a bit, too. “I’ve climbed Mayan pyramids in Mexico and hiked on treetop suspension bridges in Costa Rica,” says Warren. “I always want to have a trip to look forward to.” MI 7
GUESTClose-Up BETTER
NUTRITION
Tips for
Reducing
SUGAR in your diet By Louise Whitney
D
id you know the number one New Year’s resolution is to lose weight? Unfortunately the resolution is hastily planned and gets lost somewhere between January 1 and Valentine’s Day! But it is not too late to reinvigorate the plan to manage your weight and take steps toward a healthier lifestyle.
One way you can make progress with weight management is to look for ways to reduce sugar intake. America’s sweet tooth has resulted in sugar consumption steadily increasing since the early 1900s, when the average intake was just four pounds a year. By 1999 the USDA reported that the average American was eating 158 pounds of sugar a year or the equivalent of 50 teaspoons of sugar a day!
Sugar and Your Health It is important to note that all sugars are equal both in terms of calories and nutrients. If your diet is too high in sugar, it might not be healthy for you. Foods high in sugar: • Are usually low in needed nutrients, hence the term “empty calories” • Have extra calories that will make it hard to maintain your body weight • Can increase the chances of dental decay • Might increase risk of developing diabetes, heart disease, some types of cancer and bone loss
Sugar Linked to Increased Weight Gain The increase in sugar consumption occurred at the same time Americans doubled their rate of overweight and obesity. 8
Most of the sugar consumed today in the U.S. is high in highfructose corn sweetener, which is made from corn. Fructose as a sugar tastes sweeter and is found in a myriad of foods, especially soft drinks, sweetened beverages, jams and jellies and baked goods. Fructose, while still a simple sugar, is metabolized differently than glucose, the sugar found in the blood. In some ways it acts more like a fat after absorption and results in a series of biochemical reactions that may increase the likelihood of gaining weight. Initial research has also implicated fructose in altering hormone levels that might lead to disturbances in blood glucose levels. In addition, high-fructose corn sweetener may alter magnesium levels, which could accelerate bone loss. High intake of fructose has also been shown to elevate triglyceride levels, which increases risk of heart disease. Nutritionists suggest that sugar intake be limited to no more than 10% of total calories. On a 2,000-calorie diet, that translates into 200 calories of sugar or 13 teaspoons of sugar. That is about the amount in 16 ounces of soda, or three ounces of M&Ms or about eight commercially baked chocolate chip cookies.
Tips for Reducing Sugar in Your Diet Here are some tips for reducing sugar in your diet: • Use less sugar, including white sugar, brown sugar, honey, jam and jelly and syrups. • Eat less high-sugar food, including soft drinks, juice drinks, candy, cakes, cookies, ice cream, dessert confections and frozen yogurt. • Choose canned or frozen fruits processed without added sugar. • Watch out for low-fat foods, as they are usually higher in sugar calories. • Read labels and look for sugar. If any of these are listed first in the ingredient list, then the food is high in sugar. Here are some of sugar’s other names: Sucrose Dextrose Fructose Glucose
Maltose Invert sugar Corn syrup Turbinado sugar
Molasses Levulose Brown sugar High-fructose corn syrup
• Substitute fruit juices mixed with sparkling water for soft drinks. • Buy unsweetened cereals and sweeten with sliced fruit. • Try reducing the amount of sugar in recipes. You can usually cut the sugar by 1/2 cup or more without losing flavor. • Try using heated cinnamon applesauce over pancakes and waffles instead of syrup. Continued page 18 Michigan Generations
ASKtheExpert
Corey Williams
Diabetes in the U.S.
An Undiagnosed Killer
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ate last year, the federal Centers for Disease Control and Prevention released updated statistics about the total prevalence of diabetes and pre-diabetes in the United States. The numbers staggered many in the media and others affected by diabetes. However, the medical community was far from shocked at the new numbers of 20.8 million people — seven percent of the population — who have diabetes.
More disturbing is the fact that 6.2 million Americans are undiagnosed. They have diabetes but don’t know it. And each day, the disease — untreated and unmanaged — is doing some level of damage to their bodies. The American Diabetes Association is working to reach the diagnosed and undiagnosed, and much of our success begins with education.
What is diabetes? DIABETES IS A DISEASE IN WHICH THE
body does not produce or properly use insulin, a hormone that converts sugar, starches and other food into energy. What causes diabetes is a mystery. Researchers believe genetics and environmental factors such as obesity and lack of exercise appear to play roles. There are several forms of diabetes: type 1, type 2, pre-diabetes and gestational.
Type 1 and type 2 are the most common forms. In type 1 diabetes, the body does not produce insulin. In type 2 diabetes, either the body does not produce enough insulin or the cells ignore the insulin.
How is diabetes diagnosed? TO DETERMINE IF SOMEONE HAS
pre-diabetes or diabetes, a Fasting Plasma Glucose Test (FPG) or an Oral Glucose Tolerance Test (OGTT) is given. Either test can be used to diagnose pre-diabetes or diabetes. The American Diabetes Association recommends the FPG test because it is easier, faster and less expensive to perform. Both tests show milligrams of glucose in one deciliter of blood (commonly designated as mg/dl). With the FPG test, a fasting blood glucose level between 100 and 125 mg/dl signals pre-diabetes. A person with a fasting blood glucose level of 126 mg/dl or higher has diabetes.
What are the symptoms? PART OF LIVING WITH DIABETES IS
“Expert” at: Jenny Jarvis,Area Agency
learning to cope with some of the problems that go along with having the disease. Hypoglycemia or low blood glucose (sugar) is one of those problems. The symptoms include: shakiness, dizziness, hunger, headache, sudden mood or behavior changes, confusion, seizure, and tingling sensations around the mouth. Another problem is hyperglycemia — high blood glucose (sugar). Its symptoms include: high levels of sugar in urine, frequent urination and increased thirst.
on Aging 1-B, 29100 Northwestern
What are the complications?
Highway, Suite 400, Southfield, MI 48034;
MANY PEOPLE ARE NOT EVEN AWARE
Do you have a caregiving question? Write or email your question to our
jjarvis@aaa1b.com.We will make every effort to answer your question in an upcoming issue of Michigan Generations.
Spring 2006
they have diabetes until they develop one of its complications, which include heart disease and stroke, high blood pressure, blindness, lower limb amputations, kidney failure and gum disease.
How do I manage it? PART OF MANAGING DIABETES IS
checking your blood glucose often. Ask your doctor how often you should check and what your blood glucose levels should be. It’s also important to take good care of your body. The time you spend now on eye care, foot care and skin care, as well as your heart health and oral health, could delay or prevent the onset of dangerous diabetes complications. In addition, nearly nine out of 10 people with newly diagnosed type 2 diabetes are overweight. If you are overweight, losing some weight could help you better manage your diabetes. Physical activity also can lower your blood glucose (sugar), blood pressure and cholesterol, and reduce your risk for heart disease and stroke. By the way, regular activity helps insulin work better.
How can I get more information? THE AMERICAN DIABETES ASSOCIATION
(ADA) is the foremost authority on diabetes. Our mission is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. We fulfill our mission by providing information, advocacy, research and programs to people with diabetes, their caretakers and medical professionals. We can be reached at 1-888-DIABETES or at www.diabetes.org. On Saturday, May 20, 2006 the ADA will host Metro Detroit Diabetes EXPO 2006, at Rock Financial Showplace. This event is free to all participants. For more information call 1-888-DIABETES. COREY WILLIAMS is communications director for the American Diabetes Association in Michigan and Northwest Ohio. He is a Michigan State University graduate and spent 18 years as a newspaper reporter and editor. 9
REGIONALNews In communities across the U.S.,
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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 1B 1C 2
Detroit Area Agency on Aging Area Agency on Aging 1-B The Senior Alliance Region 2 Area Agency on Aging 3A Kalamazoo Co.Health & Community 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
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10
7
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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
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14 6 4
1B
3A 3B 3C
2
1A 1C
S POTLIGHT O N …
ValleyArea Agency on Aging Serving Genesee, Lapeer and Shiawassee counties
exercise and nutrition education. Health professionals conduct program is monthly blood presto delay the sure checks and blood onset of sugar tests. functional Kathryn Boles, limitations, executive director reduce falls, of VAAA, says, “The improve cogHealthy Aging proHealthy Aging program promotes exercise and nition and gram provides an good nutrition. bring chronic opportunity for sendiseases under control. iors to gain knowledge of the imporThe Healthy Aging program meets tance of physical exercise and proper weekly for two hours per week at the nutrition in the later years to help Hasselbring Community Center. The improve their strength and flexibility.” program is targeted to serve persons For more information on services who are 60-plus years of age and resiprovided by the Valley Area Agency on dents of Genesee County. Physical Aging, call 810-239-7671 or toll-free therapists from University of Michigan1-800-978-6275, or visit our website at Flint provide instruction on proper www.valleyaaa.org.
Healthy Aging Program Targets Minority Elderly
M
any seniors experience functional limitations and loss of independence as a result of growing older. This is even more prevalent in the African American/Hispanic community due to a lifetime of poor health care. However, with proper diet and physical activity, the impact of chronic conditions such as diabetes, obesity, arthritis, hypertension and coronary disease symptoms can be lessened. The Valley Area Agency on Aging has received grant funding to provide the Healthy Aging program. The goal of the program is to improve the health status of minority elderly persons through nutrition education and exercise. The objective of the
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Michigan Generations
Detroit Area Agency on Aging Serving Detroit, Highland Park, Hamtramck, Harper Woods and the five Grosse Pointes in Wayne County
My Medicare Matters Free Mobile Help with Medicare Part D Assistance Program ow that the new Medicare Part manager for DAAA. D program is officially up and When a unit is running, it is being greeted with mixed onsite, trained eduemotions. In fact, many of those who cators sit down are eligible are downright furious. with interested More than anything, people seem to Medicare beneficiabe totally confused about the program ries and provide and how it works. one-on-one, per“It is just a month into the new sonal attention and Medicare prescription drug benefit, and guidance about the it is a disaster,” says U.S. Senator Carl new coverage and Levin. “Beneficiaries are confused, and its options. With the some seniors are worse off today than help of web-enabled they were 30 days ago. The only computers, educagroups that have benefited from the tors also help senprogram are the insurance and drug A My Medicare Matters educator assists a senior with enrollment in iors assess their companies. Medicare Part D. situation, understand “Congress needs to take a comprea combination of technology and the choices they “need to make, use hensive look at the major flaws of this mobile education, provides one-on-one Internet-based tools like the Medicare program and quickly address them,” he assistance for seniors and others with Plan Finder, and find and compare continues. “I plan to introduce legislaMedicare. prescription drug plans. tion to address some of the program’s There is also a helpful website, deficiencies, MyMedicareMatters.org, that is availwhich I have able to people with Medicare and their heard about friends and families, as well as profesfirsthand from sional organizations. seniors and Medicare prescription drug coverpharmacists in age is insurance that covers both Michigan.” brand-name and generic prescription It seems that drugs at participating pharmacies. It one of the provides protection for people who biggest probhave very high drug costs. lems is that My Medicare Matters vans are people just equipped with nine computers each, don’t underincluding four handheld computers and stand how the five kiosks with wireless connections plan is supposed that can be assembled in church to work. Some organizations, senior apartments, senseniors are Paul Bridgewater, DAAA executive director, with My Medicare Matters educators. ior centers and health organizations to receiving per“We’re doing this to help seniors provide one-on-one counseling with a sonalized education and enrollment sort through the deluge of informatrained educator. assistance with Medicare prescription tion they’re receiving about prescripIf you are interested in having the drug benefits through an initiative and tion drug plans and to help them My Medicare Matters program available state-of-the-art presentation coordimake the right decisions,” explains at your site, contact Minito Reasor at nated by the Detroit Area Agency on ® Minito Reasor, Medicare/Medicaid 313-446-4444, ext. 5337. Aging (DAAA). My Medicare Matters ,
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Area Agency on Aging 1-B Serving the counties of Livingston, Macomb, Monroe, Oakland, St. Clair and Washtenaw
Older Iraqi Refugees Have Access to Computers and Internet
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n January 31, 2006, the Area Agency on Aging 1-B opened a computer lab for older adults living at Hazelcrest Place Apartments in Hazel Park. Demonstrations on Microsoft Office Suite in Arabic and English were provided to interested attendees, as well as instructions on how to use the Internet. A volunteer assists an older Iraqi adult with using one of the new computers. The computer lab is intended to (www.aaa1b.com), and to learn about serve a large Iraqi population of older services available to help them in the adults residing at Hazelcrest Place. The community. The computer and Intercomputers were installed with Internet net training is provided by volunteers access, allowing older adults to from Hazelcrest Place. research resources in the aging net“Most of elderly refugees don’t work, such as the AAA 1-B’s website
know that regardless of where they were born, they are eligible for services in the aging network that can help improve their quality of life,” says Tina Abbate Marzolf, director of Contracted and DSP Services at the AAA 1-B. “For instance, the AAA 1-B offers access to homebased services, such as personal care, homemaking and home-delivered meals, and also community-based services, such as adult day centers, out-of-home respite for caregivers, counseling, legal assistance and employment.” Computers will also be used to help elderly adults stay in touch with their families overseas, email friends, keep updated on news events and access many sites on the web to help establish themselves in the community.
Save the Date
Help is a Phone Call Away
2ND ANNUAL ST. CLAIR COUNTY CAREGIVER FAIR Saturday, September 30, 2006, 9 a.m. to 1 p.m.,Thomas Edison Inn, Port Huron, MI. 7TH ANNUAL SOLUTIONS FOR FAMILY CAREGIVERS FAIR Saturday, October 21, 2006, 9 a.m. to 2 p.m., Best Western Sterling Inn, Sterling Heights, MI. Both fairs are FREE and open to the public. Attend various presentations on a variety of topics, visit with exhibitors, enjoy complimentary refreshments and have a chance to win great door prizes! For more information, call 1-800-852-7795 or visit www.aaa1b.com.
The Area Agency on Aging 1-B is the first resource for older adults, caregivers and persons with disabilities to call when looking to resolve problems or locate the resources they need to improve the quality of their life. When individuals call the toll-free Information and Assistance (I&A) service at 1-800-852-7795, they speak with a certified Information and Referral Specialist to determine what their needs are and the services and assistance available to address those needs. Once the needs are determined, the specialist accesses the I&A database of over 2,000 community agencies and mails the individual a complete listing of relevant services and providers in their local community.
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Call us. We can help.
1-800-852-7795 Michigan Generations
Area Agency Continues to Provide Help with Medicare Part D
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he Area Agency on Aging 1-B staff and volunteers continue to provide one-on-one assistance to local Medicare beneficiaries on Medicare Part D — Medicare’s new prescription drug coverage program through the Medicare/Medicaid Assistance Program. On average the AAA 1-B receives about 200 calls a day from older adults with questions on Medicare Part D. Beneficiaries have the option to provide the AAA 1-B certified resource specialists with relevant information (Medicare card number and effective date; a list of all prescriptions with dosage and frequency; a description of your current coverage; income and asset qualifications to determine eligibility for extra help) to enable a trained Medicare/Medicaid Assistance Program volunteer to conduct a personalized search at the website www.medicare.gov and secure a list
of the top three Medicare Part D plans that best meet the beneficiary’s needs. An individual can expect to receive this list in the mail within two
such as community centers, hospitals, school districts and public libraries, where a beneficiary can make an appointment in advance to meet oneon-one with a trained Medicare prescription assistance counselor. The counselor will use the online Medicare plan finder to find the top Medicare Part D plans and walk through all of the information with the beneficiary at that time. Volunteer counselor Dr. Martin Barr explains Medicare Part D options to To find out if there Ava Resnick during an AAA 1-B Medicare Assistance Day. is a local Medicare to three weeks of placing the call. Assistance Day being offered in your area, The AAA 1-B has also been concall the Medicare/Medicaid Assistance ducting Medicare Assistance Days in Program at 1-800-803-7174. the community at various locations,
Region 2 Area Agency on Aging Serving Hillsdale, Jackson and Lenawee counties
Seniors Stay in Shape at Fitness Center
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ore than 120 people are taking advantage of Perennial Park’s fitness center. Located in the lower level at 320 W. Bacon Street, the fitness center is open 7 a.m. to 7 p.m., Monday through Friday. The fitness center boasts more than 19 pieces of equipment plus free weights. Membership is open to all ages, starting at 13 with parent or guardian. “We are more than just a fitness center,” says Laura Howell, life enrichment director for the Hillsdale County Senior Services Center at Perennial Park. “We provide staff who are committed to seeing people meet their fitness goals.” Howell says that she and her assistant,Val Flowers, can design a program to help any individual with specific
Spring 2006
Special equipment at fitness center includes NuStep machine.
health issues, such as high blood pressure or surgeries. Programs can also be adapted to help people with postrehabilitative needs following surgeries. Unique equipment includes the
NuStep, a machine that allows a person to sit while doing the leg-building moves of a vertical step machine. “This is made for people who experience difficulties with balance,” says Howell. “Or they may have complications from strokes, Parkinson’s disease, arthritis or spinal cord injuries. They can sit and receive the same benefits.” Fitness center staff will help members with taking body measurements and keeping records on weight loss. Each new member will receive a complete orientation on using the equipment and will have a card on file to keep a record of what equipment is used, how many repetitions, and so on. For information, contact Laura Howell or Val Flowers at 517-437-2422, or call the toll-free number at 1-800-479-3348. 13
Kalamazoo Co. Health & Community Services Dept. Region 3A
Covering Kalamazoo County and its 24 municipalities
Safe, Sound & Secure Conference Set for May
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n Wednesday, May 10, from 8:30 a.m. until 12:30 p.m., a free conference will be offered for older adults at the Third Reformed Church on 10th Street in Kalamazoo. The goal of the conference is to present helpful information on a variety of topics, including personal and home safety; phone, Seniors benefit from informative workshops ranging from personal safety to identity theft. mail and home improvement scams; and knowing your rights. Over the past four years, marks for the quality of the speakers this conference has attracted nearly and the timeliness of the sessions. 600 older adults and has received high The conference is sponsored by the Kalamazoo County Consortium, conCaregiver Resource Center . . . . . . . . . . . 269-978-0085 sisting of dedicated 3A AAA Information & Assistance. . . . . . . 269-373-5173 professionals com-
mitted to the protection of vulnerable adults and elders. This year’s conference will feature free blood pressure screening and a variety of exhibitors. The keynote speaker will be Dr. Jeanette Meyer, speaking on the topic of prescription medications. A choice of workshops will include Identity Theft, Financial Exploitation, Personal Safety, Using Prescription Medications Safely, and Guardianship and Alternatives. A free continental breakfast will be sponsored by the Lioness’ Club of Kalamazoo, and a free lunch will be provided by Life EMS Ambulance. A raffle will end the day. Watch the local newspaper for information about making reservations, or call the AAA 3A Information & Assistance line at 269-373-5173.
Branch–St.Joseph Area Agency on Aging IIIC Serving a two-county area surrounding Sturgis, Three Rivers, Coldwater and Quincy
National Senior Health & Fitness Day 2006
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he Branch-St. Joseph Area Agency on Aging is happy to work with our local partners to assist in sponsoring two fitness events taking place on May 31, 2006. We will be honoring the 13th Annual National Senior Health & Fitness Day through special events open to the public. We hope you and your loved ones will participate! In Branch County, the Commission on Aging office will host a Community Walk at Heritage Park in Coldwater. One-on-one nutrition counseling, fitness consultations and camaraderie in the park will offer all participants a chance to learn and just get out and have fun! Please call the Branch County Commission on Aging office to RSVP and for 14
additional information at 517-279-6565. In St. Joseph County, the Commission on Aging office will offer a Health Sampler Day in conjunction with HealthTrac in Three Rivers. Participants will be welcome to try out different pieces of cardiovascular equipment, consult with a personal trainer and work with a dietician one-on-one as well. Please call the St. Joseph County Commission on Aging office to RSVP and
for additional information at 269-279-8083 or tollfree at 1-800-641-9899. The Branch-St. Joseph Area Agency on Aging is happy to pass along special funding for this project from the Michigan Office of Services to the Aging. Our mission is to provide a full range of high-quality services, programs and opportunities that support the independence and dignity of older adults in Branch and St. Joseph counties. For additional programming and services in your area, please call us toll-free at 1-888-615-8009 or 517-279-9561, ext. 135. Michigan Generations
Region IV Area Agency on Aging Covering Michigan’s Great Southwest including Berrien, Cass and Van Buren counties
A Look at the Benefits of Exercise
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eniors who are overweight and consist of 53 seniors between the inactive are more likely to experiages of 60 and 79. The primary goal ence significant health problems and of the program is to measure indicaincreased health care costs. In Octotors of health and fitness in order to ber 2005, the Region IV AAA was provide concrete evidence of the awarded a grant to support community-based efforts that promote healthy aging. The AAA partnered with the YWCA of Berrien County to implement a program designed to improve awareness of the benefits of exercising. Water aerobics provides excellent exercise — and fun as well! The participants
benefits of exercise. The indicators are measured quarterly over a one-year period and include such things as weight, blood pressure, cholesterol levels, body mass index, walk tests and a self-evaluation. Other benefits include an increase in physical activity, monthly health education sessions and ongoing encouragement. This program will continue with the current participants through September 2006. Results of the pilot program will determine if the program will be offered on an ongoing basis. If you would like more information on this program, or information on fitness opportunities in your area, contact Judy Lammers at the Region IV Area Agency on Aging at 269-983-0177, ext. 757.
Tri-County Office on Aging A consortium of Clinton, Eaton and Ingham counties and the cities of Lansing and East Lansing
Self-Determination Long-Term Care Project
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he Tri-County Office on Aging is one of four pioneer sites in Michigan to implement a program called the Self-Determination Long-Term Care Project.The Self-Determination approach provides a flexible monthly allowance to participants in the MI Choice waiver program.This allowance is based on an individualized budget, allowing them to direct and manage their own personal assistance services. The service plan and budget are determined through Person-Centered Planning and are based on needs. Participants will be supported to direct the use of funds, hire personal assistants, contract with preferred providers, make home modifications and select from home care services
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that best meet their needs.They will have the option of appointing a representative and being part of a peer support group. Originally called “Cash and Counseling,” the project was piloted in three states — Florida,Arkansas and New Jersey — and funded by the Robert Wood Johnson Foundation. Michigan is among 11 states that have been funded to initiate this project.“We have both the experience from the pilot states and what Michigan has learned by offering Seated is Dorothy Granberry, consumer directed supports coordinator,TCOA, and standing is Tari Muñiz, project coordinator, MDCH Office of Consumer Directed Community & Home Based Services.
self-determination to mental health consumers to create from,” says Tari Muñiz, project coordinator for the Michigan Department of Community Health.“TCOA has been committed to giving participants as much choice as possible, and this is a natural partnership.” Dorothy R. Granberry, hired in November as the consumer directed supports coordinator, has experience teaching, developing and implementing person-centered plans. She will be working with Tari Muñiz and the three other initial project sites: Detroit Area Agency on Aging, Burnham Brook and UPCAP Services. For more information about Cash and Counseling, visit www.cashandcounseling.org or call 517-887-1371. 15
Region VII Area Agency on Aging Serving Bay, Clare, Gladwin, Gratiot, Huron, Isabella, Midland, Saginaw, Sanilac and Tuscola counties
Chore Service Program of Gratiot County
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ne of the many services that is partially funded by the Region VII Area Agency on Aging is the Chore Service Program. In Gratiot County, there are two full-time chore service specialists who coordinate a busy daily schedule throughout the county. Chore service examples are: cleaning eaves and windows, snow removal, storm window/screen placements in windows and storm doors, lightbulb replacements, installation of bathroom grab bars, window air conditioners, plus many more minor home repair “chores.” The process begins with a senior citizen placing a call to the Gratiot County Commission on Aging. A work order is then generated.The senior is notified of the date and time that
Chore service worker Scott Knapik assists Gratiot County residents Gwendell and Virginia Teachman with eave cleaning. Gwendell exclaims,“It’s a great service!”
the chore service worker will arrive, the service is performed and the work order is completed. A monetary
estimate of time and materials is presented to the resident upon completion. The resident is encouraged to donate toward the calculated labor and materials estimate, but payment is not required. Area businesses have shown support by contributing tools and equipment along with offering a monetary discount for materials. The Chore Service Program facilitates a safer environment for seniors, keeps the property well maintained, and meets the aim and objective of helping seniors to stay in their own homes longer. For additional information on these programs or other services, contact the Region VII Area Agency on Aging, 1615 S. Euclid Ave, Bay City, MI 48706, toll-free 1-800-858-1637, or visit our website at www.region7aaa.org.
Area Agency on Aging of Western Michigan Serving Allegan, Ionia, Kent, Lake, Mason, Mecosta, Montcalm, Newaygo and Osceola counties
Emery Honored with ABLE Award
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on’t mention the contribution to his job and “r” word to Dale community. Eighty peoEmery, 82, of Byron ple were nomiTownship. He’s already nated. A commitretired twice, and he’s tee of workforce not ready to do so again. development and “If I retired and sat on human resource the couch, I wouldn’t managers chose last,” he says. His conine people workers at the Area statewide for Agency on Aging of the award. Western Michigan, where Emery, by 10 the affable Emery is curyears, was the Dale Emery proudly displays his “Ability rently employed as a mainteoldest winner. is Ageless” Most ABLE Award. nance specialist, are happy “It’s rather he decided to stay in the workforce. humbling. I didn’t expect it. I just do Emery was recently honored with a my job,” he says. Operation ABLE, a Michigan “Ability is Ageless” Most nonprofit organization that develops ABLE Award based on his optimistic programs to enhance older adult 16
employment, gave the award. Emery works 20 hours per week handling a variety of maintenance needs, even if that means climbing a 14-foot ladder! His punctuality and dependability are two reasons AAAWM nominated him. “Dale is a symbol of ageless ability. He shows that you can do what you want, no matter your age, if you stay active,” says Jackie O’Connor, assistant director at AAAWM. When he’s not working, Emery can be found helping others with his carpentry and electrical skills or practicing to earn his pilot’s license. Emery and his wife, Judy, who married after both were widowed, have 11 grown children, 42 grandchildren and three great-grandchildren between them. Michigan Generations
NEMCSA Region 9 Area Agency on Aging Covering 12 counties of Northeast Michigan
Representing Northeast Michigan Seniors
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he Michigan Senior Advocates Michigan Regional Council on Aging. Council raises awareness about Bob states, “We enjoy going to Lansthe growing senior population and ing.We’re working to enhance services how it impacts future planning for and benefits to seniors.” communities and service providers. Bob’s wife, Dorothy, is also pleased Advocating on behalf of Northeast to represent Northeast Michigan Michigan seniors for seven years now, Dorothy and Bob Cudney have been true assets to state legislators. Bob is an Iosco County Commissioner and current ChairMichigan Senior Advocates Dorothy and Bob Cudney (center) are presented man of the Board. with awards for their legislative efforts on behalf of Northeast Michigan seniors. Rev. Bill Hipwood, president of the Northeast Michigan Regional He is also an Council on Aging (left), and Sue Schuler, AAA Region 9 director (right), active member of presented the awards during the Northeast Michigan Community Service the Northeast Agency (NEMCSA) board meeting.
seniors. She says, “When we first got into this, I was hesitant to talk with legislators, but they welcome us.” Dorothy says that she now views talking with legislators “as personal friends. They want to know the information we bring to them.” The Senior Advocates Council meets the fourth Wednesday of each month at the State Capitol and receives an update on senior issues. The advocates then visit their region’s legislators and discuss concerns. The Cudneys represent 12 counties and meet often with Senators Stamas, McManus, Allen and Barcia, and Representatives Elsinheimer, Sheltrown and Gillard. Senator Tony Stamas expresses his appreciation for the Cudneys’ efforts: “They fight for the region and the state.They are passionate advocates and do a wonderful job.”
Area Agency on Aging of Northwest Michigan Offering information and funding senior services in the 10-county area of Northwest Lower Michigan
Human Service Agencies Form Alliance to Address Transportation Needs
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ne out of five northern Michigan residents needs transportation support services to maintain independence, continue community involvement and ensure access to health services. A group of human service agencies have responded to this eye-opening statistic by forming an alliance that delivers comprehensive, affordable and safe transportation for seniors. The Northwest Michigan TransRSVP volunteer Mary Pratt (left) and NMTA user Mabel Beeman are on their way to a medical appointment. Mabel has macular degeneration and is unable to drive any longer. “The RSVP volunteers are trained to be alert to the physical limitation of each person they transport,” Mabel shares. “Thank you, thank you, RSVP transport volunteers!”
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portation Alliance (NMTA) is a partnership with the Area Agency on Aging of Northwest Michigan and 26 human service agencies throughout Northwest Michigan. NMTA began offering services in 2005, and currently pro-
vides services in Grand Traverse, Leelanau and Benzie counties. Riders contact Bay Area Transportation Authority (BATA) and arrangements are made to meet the client’s individual needs. BATA serves those seniors who are able to access their traditional system, while seniors whose needs are not best met by BATA are served by RSVP volunteer drivers. Funding for NMTA has also been a collaborative effort among the partnering agencies. NMTA seeks additional partnerships and volunteer drivers to support and expand the program. To learn more about NMTA, contact Coordinator Michelle Goetz-Grahl at 231-941-2324. If you are interested in volunteering, call Susan McQuaid, RSVP Director at the United Way of Northwest Michigan at 1-800-344-9333. 17
Upper Peninsula Area Agency on Aging Serving all 15 counties of Michigan’s Upper Peninsula
Alzheimer’s Assn. and AAA Team Up to Address Caregiver Needs
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aring for a loved one afflicted with Alzheimer’s disease or other forms of dementia can be one of the most demanding and time-consuming caregiver roles facing our society today. An estimated 4.5 million Americans are afflicted with the disease, with seven out of 10 afflicted persons living at home, being cared for by family or friends. The mission of the Alzheimer’s Association is to enhance the quality of living for all persons affected by Alzheimer’s disease and other dementia-related disorders by providing leadership, programs and services, advocacy and research support. The U.P. Area Agency on Aging/UPCAP shares in this mission and has teamed
GUESTClose-Up
up with the U.P. Chapter of the Alzheimer’s Association — Greater Michigan Chapter to utilize limited state and federal resources to assist caregivers throughout the region. The U.P. Chapter of the Alzheimer’s Association — Greater Michigan Chapter serves all counties and offers services to more than 8,200 individuals with Alzheimer’s disease or related dementias, as well as caregivers, health professionals, senior care workers and community members. UPCAP and the U.P. Chapter have collaborated since 1998. The U.P. Chapter also collaborates with 39 service agencies across the U.P. Services available include links to
quality care, education and support for the individuals and caregivers who are struggling to cope with the daily challenges of Alzheimer’s disease and other related dementias. Also available are a wide variety of educational workshops, a 24-hour toll-free telephone helpline, care consultation, caregiver support groups, a Chapter website (www.alzgmc.org), the Safe Return/Wandering Registration Program, a quarterly chapter newsletter, a reference/resource lending library and many additional advocacy and training programs. Beverly Bartlett is the director of the U.P. Regional Office, located at 710 Chippewa Square, Suite 201, Marquette, Michigan 49855. For more information on Alzheimer’s disease, call the Chapter’s toll-free number at 1-800-272-3900.
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• Mashed bananas can be a tasty alternative to jam or jelly on toast, bagels and sandwiches. • Use dried fruits as a sweet snack instead of candy.
calories but little or no nutritional value. Empty calories can dull your appetite, cause you to gain weight, and make you crave sweets more.
Sweetness from Spices
Honey vs. Sugar
These spices are great at enhancing the sweetness already in foods. Use them to perk up flavors and reduce sugar content.
Some people believe that honey is a natural and healthy form of sugar. But one teaspoon of honey has 22 calories and one teaspoon of sugar has 13 calories. Honey is also susceptible to growth of botulism — a deadly food poison. This is a risk for seniors with compromised immune systems.
Allspice Cloves
Cardamon Fennel
Cinnamon Ginger
Nutmeg
Extracts of maple, coconut, banana and chocolate also enhance sweetness.
Sugar Content of Selected Foods Food
Teaspoons of Sugar/Serving
Fruit drink (12 ounces) . . . . . . . . Chocolate milk shake (10 ounces) Soft drink (12 ounces) . . . . . . . . . Yogurt, fruit flavored (1 cup) . . . . Cake, frosted (1/16 of a cake) . . . . Sherbet (1/2 cup) . . . . . . . . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . . . . . . . . . 12 ............. 9 ............. 8 ............. 7 ............. 5 ............. 5
What Are Empty Calories? Empty calorie foods are low in nutrients and high in calories. Many sweet treats fall in this category and have high 18
Sugars and Dental Health Foods that have sugar, especially when it’s sticky and clings to your teeth, can cause cavities. It is important to remember to brush your teeth well after eating foods with sugar. This includes even healthy snacks such as dried fruits, which can stick to your teeth, and starchy foods that aren’t sweet such as crackers and chips. LOUISE WHITNEY is the State of Michigan’s Office of Services to the Aging Nutrition Specialist. She is a registered dietitian and holds an MS degree in human nutrition. Louise has worked in many areas of clinical nutrition and public health and also teaches at Lansing Community College.
Michigan Generations
Tips for Senior Travelers or Caregivers Making your travel arrangements ■ Hire a travel agent with expertise in elderly travel. He or she can find you the most comfortable accommodations, such as hotels with elevators, and design excursions and transportation that meet your specific needs. ■ Check out senior discounts. In addition to AARP, which offers discounts ranging from 10% to 50% on airline tickets, car rentals, hotels and cruises, there are many good deals for seniors. Many resorts, hotels, restaurants and tour operators offer special discounts for senior travelers, but you have to ask for them. ■ If you plan to rent a car at your destination, check to see if there are any age restrictions. Some rental car companies will not rent cars to anyone over the age of 70. ■ Notify the tour operator, airline, motor coach or cruise line of any special needs you may have so they can be ready to accommodate you. ■ Arrange in advance for private transportation at your destination to take you to your hotel.
Medical and health tips Make sure that you have more than enough medication to last your entire trip. Pack it all in your carry-on, in case your suitcase is lost or delayed. ■ Medical supplies, such as prescription glasses and dentures, can be hard to replace when you are traveling. Take backups with you. ■ Take your doctor’s contact information. It’s also a good idea to carry copies of your medical records if you have any special health problems. ■ Consider carrying a MedicAlert card to help you get appropriate care should an emergency arise. Available at most pharmacies, this card lists your medical conditions, allergies and blood type. ■ Find out if your health insurance policy covers out-of-network hospitals and doctors, especially international ones. If not, buy special lowcost travel insurance for medical expenses while traveling. ■
Protecting your travel investment ■ Consider purchasing a trip cancellation policy so you can get your money back if you have to cancel your trip due to illness. ■ Take at least two copies of all important documents, such as your passport, tickets, traveler’s checks, credit cards and visas. Keep one with you and store the other in a safe place.
En route Wear comfortable shoes! Get up and stretch frequently. Sitting still for long periods can slow blood flow to your legs and cause your feet and ankles to swell. Requesting an aisle seat can make it easier to get up and move around. Compression socks, available at many pharmacies, can also help on long trips. ■ Sit up straight and use a pillow or lumbar support behind your back to avoid back problems. ■ Drink plenty of water. It’s easy to get dehydrated. ■ ■
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Special situations Traveling with a senior with Alzheimer’s ■ Make sure your loved one is wearing a Safe Return bracelet or necklace in case he or she wanders away during the trip. ■ Stay away from busy and noisy places that might cause the person to feel overstimulated or anxious. ■ Advise airlines, hotels or tour guides that you’re traveling with someone with memory loss. Reserve a wheelchair, plan for any special meals prior to the flight, and advise the tour guide that your family member must not be left alone or unaccompanied. ■ If traveling by airplane, request seating toward the rear of the aircraft, near the toilets, but not as far back as the galley, which can be very busy. ■ If traveling by car, stop at rest-area toilets every couple of hours. Have on hand a full change of clothing. ■ Try to follow the routine that is followed at home as closely as possible. Even minor changes in routine can be distressing.
Traveling with a senior on oxygen ■ If you are flying, you must arrange for oxygen in advance. You cannot bring your own on board — the airline must supply it. However, airlines don’t provide oxygen for use in the terminal — even during layovers. ■ If you are taking a cruise, make sure the cruise line will accept passengers on oxygen. You must provide your own oxygen and equipment. ■ At your hotel, you can have oxygen delivered. There are a number of companies that can make all the arrangements for you.
Traveling with a senior with mobility problems ■ Some trips, especially those abroad, require a good deal of walking and may prove too taxing for someone with arthritis or hip problems. In North America, almost everything is handicapped-accessible — not so abroad. ■ Investigate products that can help you or your loved one. Lightweight scooters, walkers with large wheels and fold-down seats, portable transfer systems and portable ramps are but a few of the things now available to the mobility-impaired traveler. ■ If traveling by air, request a wheelchair to meet you at the ticket counter. There is no charge for this service — just a 72-hour advance notice requirement. It can also be a good idea to request a bulkhead seat on the aircraft. ■ If traveling by motor coach, ask if it is a “kneeling” coach. When the coach stops, the front lowers so that the last step onto the pavement is only a few inches. If you have a scooter or a motorized wheelchair, make sure it can be stored. ■ Request hotel rooms close to the lobby and on the ground floor or near an elevator. (Note: In Europe, some hotels consider the “first floor” one level up from street level.) Many hotels now have “senior” rooms, with wider doorways and zero-step entries for easier access.
Sources: AARP, Access-Able Travel, Alzheimer’s Association, Grand Circle Travel, Mount Sinai School of Medicine, SRI Travel.
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REMINDER: Medicare Part D Deadline Is Approaching
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AY
• Each plan has a formulary, or list of covered medications.
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ay 15, 2006, is the deadline for joining Medicare Part D with no penalty. This deadline is for eligible Medicare beneficiaries who currently do not have coverage as least as good as the prescription coverage available through Part D. You must voluntarily choose to enroll in Medicare Part D, as enrollment is not mandatory. The next period to enroll in a drug plan will be from November 15 to December 31, 2006. In Michigan there is a choice between benefit plans, with approximately 41 private plans and 37 Medicare Advantage plans.These plans vary in the following ways:
• Each plan is accepted at select pharmacies. • Each plan covers a specific geographic region. Deductibles, co-pays or co-insurance amounts and premiums may vary among plans and may increase each year. Coverage begins the first day of the month after the month you join. For example, if you enroll in April 2006, your coverage will begin May 1, 2006.
After you enroll in a plan, expect a confirmation letter of enrollment about one week after joining. A plan insurance card will follow within three to five weeks of enrollment. Medicare beneficiaries with limited income and resources may qualify for extra help paying for the Medicare Part D benefit. To apply for extra help, call the Social Security Administration at 1-800-772-1214 or visit www.socialsecurity.gov on the web. The Michigan Medicare/Medicaid Assistance Program has trained volunteer counselors to assist you over the phone or in person with questions on Medicare Part D. Call 1-800-803-7174 to speak with a MMAP counselor in your area.
SPONSORS Thanks to these companies and organizations for their generous support. Chalgian & Tripp Law Offices PLLC • Elder Law • Estate Planning • Special Needs Planning Offices in East Lansing, Jackson and Ithaca. 1-888-956-9600
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.
Porter Hills Retirement Communities & Services Nine communities throughout West Michigan offering Residential & Assisted Living, Alzheimer’s/Dementia Care, Skilled Nursing and Affordable Housing. Porter Hills Services provides Home Health Care, Private Duty and Rehabilitation. To learn more, visit www.porterhills.org or call 616-949-4975.
Presbyterian Villages of Michigan Senior Living Communities Serving seniors of all faiths since 1945. To find out more, visit our website, www.pvm.org, or call 248-281-2020 for a brochure describing the variety of housing and services Presbyterian Villages of Michigan offers.
For more information on becoming a sponsor of Michigan Generations, please call Jenny Jarvis at 248-262-9202 .