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Informational Articles 

Each month Senior New Ways publishes a new article providing information and insights on topics relevant to boomers, seniors and/or caregivers.  Be sure to check back every month for a new article!

Index of Articles:

• Importance of eating right
• Disaster Preparedness for Seniors
• A Holiday Boost for Family Caregivers
• Sitting Is Detrimental to Your Health
• Memory and Music
• September is Healthy Aging® Month
• July is National UV Safety Month
• May is Older Americans Month
• April is Parkinson's Awareness Month
• Protect Seniors Against Heightened Medication Risks
• Loneliness Harms Health: Love and Companionship Result in a Healthier and Longer Life
• Mood-Boosting Strategies to Beat the Post-Holiday Blues
• Respite Care Critical for Long-Term Family Caregivers
• The Holiday Gift of Care Can Benefit Senior Citizens Year-Round
• Consumer Alert: Diligence and Education Thwart Scams
• September is National Cholesterol Education Month
• Easy and Healthy Eating for Seniors
• Senior Driving and Traffic Safety
• June is "Home Safety Month"
• Factors to Consider Before Moving Your Aging Loved One into Your Home
• Consumer Alert: Diligence and Education Thwart Scams
• Rising Costs for Seniors in 2010
• Multigenerational Households: A Rising Trend in Caregiving
• Recognizing Signs Your Aging Loved One Needs Assistance

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March 2013

 March National Nutrition Month

An article written by Senior New Ways board memeber Gene Lennon on the importance of eating right.

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January 2013

Disaster Preparedness for Seniors

Hurricane-force storms. Raging floodwaters. Surging wildfires. Damaging tornadoes. No matter where we live, natural disasters, and even the man-made ones like arson fires and toxic spills, typically strike quickly and without warning. Recent “superstorm” Sandy decimated parts of the East Coast and served as a brutal reminder that no one is immune from the effects of disasters, particularly the elderly.

If we know disasters are inevitable in any location, what can we do to safeguard ourselves and our older loved ones from potential devastating effects? Preparation is crucial – before disaster strikes. In an emergency, basic services including water, gas, electricity and communications may be cut off, and grocery stores, gas stations and pharmacies may be closed or crippled with long lines. The key to withstanding disasters is readiness.

With emergency situations, we need to consider the special needs of aging loved ones who are confined to a bed, are wheelchair-bound or who have limited mobility, cognition, vision or hearing. Some of the most tragic losses in times of disaster are the seniors who couldn’t leave their homes to get to safety. With a little planning, aging seniors can stay safe and comfortable in times of disasters and emergencies.

The following steps will help to ensure older adults are well cared for during disasters:

Secure a supply kit.

• Assemble these items: Flashlight and first aid kit; Batteries and blankets; Cash and coins since ATMs may be inaccessible; Adequate supplies of water, nonperishable food, medications, hygiene items, etc. for a minimum of three days; and Supplies for pets or service animals.
  
  
• Pack supplies in an easy-to-transport container such as a seal-tight plastic bin or waterproof duffle bag. A storage container with wheels is even better.
  
  
• Pack supplies in an easy-to-transport container such as a seal-tight plastic bin or waterproof duffle bag. A storage container with wheels is even better.
  
  
  
• Label any ambulatory equipment such as walkers, canes and wheelchairs.
  
  
• Every six months, or as needs change, review the survival kit contents and keep supplies updated.
  
• In addition, a vehicle supply kit should include a tire repair kit, jumper cables and flares. Winter drivers also should carry warm clothes, a shovel, sand, tire chains and a windshield scraper. Summer drivers need sunscreen and items that provide shade, such as a wide-brimmed hat.

Create a personal support network and plan. Whether they are family members, neighbors, friends or professional caregivers, seniors need a group of people who can offer hands-on assistance in disasters. The elderly need to talk with a circle of helpers about personal limitations and concerns, and an action plan should be created to resolve these issues. Planning should include home escape routes, community response and evacuation plans, transportation needs, family/friend communication contacts, and relevant emergency documents/health information. Keeping copies of important documents such as birth certificates, Social Security cards, wills, passports, insurance and financial records in a fire-protected container or separate location also is advised. Thinking through safe places in the home and other available shelter is essential. Those with in-home caregivers should ask about available assistance in times of emergency. All members of the personal support network should review the agreed-upon disaster plan and test it occasionally to be sure it works.

Stay informed. The Federal Emergency Management Agency (FEMA) and the American Red Cross are two of the nation’s best resources for planning in advance of a disaster. The Administration on Aging website at aoa.gov lists state emergency preparedness websites, and many states and local communities provide disaster preparedness guides for seniors. Older adults should know in advance community warning systems and how they will be notified in a possible emergency, especially if they have problems hearing a telephone or viewing television or computer screens. Many communities have neighborhood watch groups, block associations and advance registration systems (i.e., reverse 911) for alerts and assistance during community emergencies. Check in advance with local fire departments, ambulance services and other first responders who may come door to door with emergency warnings or use special radios that have hazard alerts.

 

Helping older loved ones plan for possible disasters and community emergencies reduces anxiety, injuries and life-threatening situations. Possessions can be replaced, but the preciousness of life cannot. We can all help each other by planning for disasters as not just a matter of if, but when.

Gene Lennon
Director, Senior New Ways Board of Directors

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December 2012

A Holiday Boost for Family Caregivers

Two days after Christmas in 1947, the Saturday Evening Post featured a cover of iconic painter Norman Rockwell’s “Tired Salesgirl on Christmas Eve.” In Rockwell’s beloved painting, a dazed sales clerk slumps against a wall with her shoes kicked off amid a scattering of disheveled dolls and wrapping paper remnants. While we may smile at Rockwell’s whimsical depiction of one careworn holiday worker, thousands of Americans feel just as worn out during the holiday season without wrapping one gift or attending one party.

These done-in citizens are the family members who attend the needs of aging parents or an ill spouse, relative or family friend every day, all yearlong. By December, many home caregivers feel so weary and overwhelmed with daily duties that the thought of idyllic families enjoying the holidays only adds sadness, depression and resentment. Instead of the last weeks of the year being filled with fond memory-making, many family in-home care providers struggle with feelings of “Bah! Humbug!” from being burdened and isolated from the rest of the celebrating world.

The holidays are particularly challenging for family caregivers because they often feel torn between being there fully for their loved one and wanting to be free to enjoy festivities with family and friends. Fortunately, there are workable solutions so caregivers can do both and avoid extra stress and negative feelings that tend to surface during the holidays

The following are some ways that family caregivers can lighten their load from now through New Year’s:

Adjust expectations. Unmet expectations during the hustle and bustle of the holidays often trigger more anger and discouragement. Instead of setting the bar high for caregiving and decorating the house, buying gifts, sending cards, baking goodies, etc., lower the demand factor.

Acknowledge feelings. Family caregivers deal with a range of emotions from frustration with lack of help to fear over an unpredictable future. It is sad that the loved one can’t live alone anymore or engage socially like in previous holidays, so caregivers need to set aside time to listen to and work through those more difficult feelings.

Allow for “good enough.” If the tree lights are uneven this year, tell yourself that it’s good enough. If you only have time to bake one round of cookies, it’s good enough. If you need to send your holiday cards after January 1, it’s good enough. For family caregivers already stretched thin, perfect isn’t always the wise choice.

Be free from the “shoulds.” Free yourself from the mindset that there’s a right way to spend the holidays. Consciously toss aside these statements: “I should feel chipper. I should have people over. I should carry on our usual holiday plans.”

Extend compassion to yourself. Compassion and gentleness are gifts family caregivers can give back to themselves. Taking time for regular exercise and leisure activities allows for healthy self-care. For their own holiday wish lists, caregivers might enjoy special treats including nail treatments, massages and restaurant gift cards.

Practice letting go. Family caregivers can waste emotional energy wishing circumstances were different for their loved one. A key to enjoying the holidays is to cease fighting what is beyond one’s control. Determine to end the year letting go of disgruntled attitudes, relationship squabbles and past mistakes that can interfere with the best care for an aging or ill relative.

Plan ahead and ask for help. Simplify priorities. Ask other family members to take shifts and rely on professional caregivers to step in with a variety of services from respite care and transportation to light housekeeping and meal preparation.

Even Norman Rockwell added a little lightheartedness to the picture-perfect holiday with his cross-eyed sales clerk who survived the Christmas rush. No one was designed to run ragged by doing it all during the holidays, especially family caregivers who choose to narrow their focus on the priceless gifts of extending love and self-sacrifice to another.

Gene Lennon
Director, Senior New Ways Board of Directors

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November 2012

Sitting is Detrimental to Your Health

Researchers are finding that a sedentary lifestyle is harmful to your health, and over time, sitting on your backside can literally kill you. Thanks to the electronic age, people worldwide are spending less time in physically active jobs and hobbies and more time sitting at computer screens and texting via smartphones. At home, couch potatoes watch TV, pay bills online and catch up with friends via Facebook and FaceTime – all without standing up and moving around. As people of all ages sit for longer periods of time, their metabolism slows, circulation decreases and muscles become weak and stiff.

With less movement, the body uses less blood sugar, and research shows that for every two hours a person sits per day, the chance of getting diabetes increases by 7 percent. Inactive people also are more prone to heart disease because enzymes that regulate blood fats become sluggish. With less activity, individuals also burn fewer calories, which can lead to obesity and further health complications.

A medical study by the University of Hong Kong and the Chinese Department of Health found that in people 35 years of age and older, 20 percent of their deaths were from lack of physical activity – that’s more deaths than from smoking. The same research concludes that for more lethargic people, the risk of dying from respiratory illnesses was 92 percent higher for men and 75 percent higher for women. Also in this study on physical activity and morbidity, the chance of dying from heart disease for the inactive is 52 percent higher for men and 28 percent higher for women.

The troubling health effects of the sedentary lifestyle has spawned a new medical field called “inactivity physiology” that explores what researchers are dubbing “sitting disease.” Fortunately, sitting disease can be prevented and often reversed through physical activity. Movement massages the body’s tissues and organs, supplying them with oxygen and improving flexibility. The body’s lymph system relies on physical activity to keep lymph fluid circulating to boost the immune system and fight infections. More rigorous exercise produces perspiration, which rids the body of toxins. Consistent activity also fuels the mood-elevating hormones that sharpen thinking and decrease depression. Getting up and moving throughout the day also lowers one’s number of doctor visits and reduces healthcare costs. Statistics show that older adults who engage in regular exercise improve their overall physical and mental health and are 60 percent less likely to get dementia.

Even a few simple adjustments in daily activity, particularly in the non-exercise routines that burn calories, such as folding laundry and standing to stretch, can deter the perils of extended sitting. For example, standing at your desk burns 115 calories per hour compared to 83 calories sitting. Taking the stairs uses 509 calories vs. riding the elevator, which uses only 128 calories. Chatting on the phone while pacing expends 147 calories, compared to talking on the phone while seated, which burns a mere 102 calories. Small increases in daily moving add up to better health and longevity in the long-run.

The following are tips for shaking up the sedentary life every day:

• Stand up every half-hour and walk around and stretch.
• Stand while you read emails or clean up your desk.
• Walk around when you are on the phone.
• Watch TV while on an exercise bike or treadmill.
• Consider trading your chair for an oversized stability ball.
• Cook more meals instead of ordering fast food or delivery.
• Shop at the mall instead of shopping online.
• Play Wii or another active video game vs. sitting to play computer games.

Are you worried about contracting sitting disease? There is a preventive cure. Getting off one’s behind and swapping a more active approach to common everyday activities is just what the inactivity physiology experts ordered.

Gene Lennon
Director, Senior New Ways Board of Directors

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October 2012

Memory and Music

Do any of these lyrics bring back any MEMORIES for you?

..memories are made of this..

..memories, light the corners of my mind..
misty watercolor memories of the way we were..

..I remember you..

..I remember the night at the Tennessee waltz..

Memory is in as many songs and poems as LOVE, or it’s pretty darn close anyway.

What is memory and why do we want it? From the song lyrics above, it seems like memory is the record-movie-cd-photoalbum of our lives, not always pleasant but always important.

Well, according to psychology, memory is set of the three processes that encode, store, and retrieve information. Encoding is our receiving information from the outside world which reaches our senses in the forms of chemical and physical stimuli, and processing and combining the information so that we may store the memory. Storage is the second memory stage or process, so that we can maintain information over (long) periods of time. The third process is retrieval or recall or recollection of information that we have stored; i.e. locating it and returning it to our consciousness.

Given a random seven-digit number we may remember it for only a few seconds before forgetting, suggesting it was stored in our short-term memory. On the other hand, we can remember telephone numbers for many years through repetition; this information is said to be stored in long-term memory. In the brain, long-term memories are maintained by more stable and permanent changes in neural connections widely spread throughout the brain.

Recognition memory occurs when you have encountered a stimulus (like a picture or a word) before. Recall memory is about retrieving previously learned information. For example, you might be asked to produce a series of actions you have seen before or to say a list of words you have heard before.

The most vivid autobiographical memories (our life) tend to be of emotional events, which are likely to be recalled more often and with more clarity and detail than neutral events.

Music evokes Episodic memory –what was I doing when I heard, or listened to, that song? The sensations, emotions, and personal associations of a particular place or time, like autobiographical memory, and the content to be remembered is in the past, or retrospective memory.

One of the key concerns of older adults is the experience of memory loss, especially because it is one of the hallmark symptoms of dementia-Alzheimer's disease. Memory loss is qualitatively different in normal aging from the kind of memory loss associated with a diagnosis of dementia-Alzheimer's, but it is just as frustrating and debilitating.

There is no cure, either to aging or memory-robbing diseases. There is a hereditary connection to memory diminishing disease. There are medications that can slow the diseases, and some lifestyle changes that can improve the chances we will not suffer the isolation of lost memory later. But some world-renowned neurologists, psychologists and others have come to believe that a very important THERAPY for memory stabilization or enhancement is MUSIC.

A recent YouTube video (see below) shows Henry, an elderly Alzheimer's patient in an American nursing home, who starts out slumped over and unresponsive — but undergoes a remarkable transformation as he listens to music on a pair of headphones. He is able to actually answer questions and speak about his youth, and this is sort of the magic of music that's familiar for those with dementia.

"Even though Alzheimer's and various forms of dementia will ravage many parts of the brain, long-term memory of music from when one was young remains very often. So if you tap that, you really get that kind of awakening response. It's pretty exciting to see." says Dan Cohen in the documentary Alive Inside.

So apparently music does more than soothe the soul.

 

John Lehman
Executive Director, Senior New Ways

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September 2012

September is Healthy Aging® Month

September is the annual Healthy Aging® Month when Americans nationwide are reminded to focus on the positive aspects of growing older and take personal responsibility for one’s health – physically, socially, mentally or financially. More than 15 years ago, the national health initiative, Healthy Aging®, was developed to provide people with helpful information for successful aging.

If you think it’s too late to reinvent yourself, Carolyn Worthington, the executive director of Healthy Aging®, urges you to think again. “Use September as the motivation to take stock of where you’ve been and what you really would like to do if money were no object. And try it!” Worthington advises. “Who says you have to do something related to what you studied in school? Who says you can’t start your own home business later in life, test you’re your physical prowess, or do something wildly different from anything you’ve done before? Only that person you see in the mirror!”

Part of this year’s September campaign is the launch of the free, digital Healthy Aging® Magazine, which centers on older adults living their vibrant best. Subscribe to this free digital newsletter delivered to your inbox.

The following are Healthy Aging® Month tips for reinventing yourself:

• Go back to school. It’s never too late to take courses to refocus your career, enhance a skill set or expand your knowledge. Choose a focus or specialization that you care about and can balance well with work, family and other commitments. Many degrees are now available through online courses.

• Take a volunteer vacation. Perhaps it’s time to visit new places, connect and give back. Many travelers are opting for “giving back” vacations that allow for meeting and helping new people, learning something new or fulfilling a dream. Volunteer Vacations Across America (www.immersiontraveler.com) is an excellent resource with more than 200 trips for volunteering to help people.

• Initiate a financial makeover. Make an appointment with your financial advisor or find one this month and walk through your current finances and long-range monetary plans. Don’t be afraid to readjust investments or pull out of financial commitments that weigh you down.

• Get moving like there’s no tomorrow. Older adults getting regular physical exercise are 60 percent less likely to get dementia and improve their overall physical and mental health. Exercise increases oxygen to the brain and releases a protein that strengthens cells and neurons. Dancing, swimming, walking and golfing are a few of the favorite activities of people age 50 and older.

• Eat fresh. Make a commitment to add more fresh fruits and vegetables to your daily snacks and meals. In September, many local farmers markets are still available and stores carry fresh, local produce. Try to cook from scratch using fresh ingredients as much as possible, skipping the processed, canned foods that often have excess fats and sodium.

September’s Healthy Aging® Month is a motivation for Americans of any age, but particularly those in their golden years, to resolve that it’s not too late to shore up their health, pursue something new or revive a favorite hobby or activity. Today is the perfect day to start.

 

Gene Lennon
Director, Senior New Ways Board of Directors

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June/July/August 2012

July is National UV Safety Month

July is National UV Safety Month when Americans of all ages are reminded to protect their skin and eyes from the sun’s ultraviolet (UV) radiation. UV radiation is not just a summertime occurrence, but a year-round constant even on cloudy and hazy days. UV radiation is the main cause of skin cancer and can cause eye damage including cataracts and macular degeneration, the primary causes of vision loss in seniors. In addition, harmful UV exposure can weaken the immune system, increase sun spots and wrinkles, and lead to premature aging.

In the U.S., skin cancer is the most common form of cancer with more than 4 million new cases diagnosed each year. Proper UV protection lowers the risk of developing all types of skin cancer. UV Safety Month aims to educate individuals on how to protect themselves from overexposure to the sun. Anyone can get skin cancer, but people with fair skin, blond or red hair, and blue or green eyes are at greatest risk.

Today’s older Americans face increased sun-related health problems because when they were growing up, little was known or communicated about protection from UV rays. Fortunately, widespread support for UV safety from the country’s medical community is currently helping reduce painful and life-threatening conditions from too much sun exposure. The following are recommended ways to protect both adult and children’s skin and eyes from damaging UV radiation:

• Before going outdoors, generously apply a broad-spectrum, water-resistant sunscreen with a Sun Protection Factor (SPF) of 30 or higher to all exposed skin. Reapply sunscreen after swimming or sweating and about every two hours in the sun.

• Wear protective clothing including long sleeves and a broad-brimmed hat that shades the face, ears and neck.

• Wear polarized sunglasses that block 99 to 100 percent of UV rays and wrap around to protect eyes from every angle. The ability to protect the eyes does not depend on the sunglass lens’ darkness or cost.

• Limit time spent in direct sun, especially when the sun’s rays are most intense, usually from 10 a.m. to 4 p.m.

• Be cautious around the intensified UV light of sunlight that reflects off water, snow, sand and cement.

• Avoid tanning beds, sunlamps and welding lamps, which also give off UV radiation.

• Regularly check your skin for any changes and consult a dermatologist about any areas of the skin that bleed or have changed color or size. During periodic health exams, ask your doctor for a skin cancer check.

The American Cancer Society promotes a clever slogan that is easy to remember for ultimate UV radiation protection: Slip! Slop! Slap! and Wrap. Slip on a shirt, slop on sunscreen, slap on a hat and wrap on sunglasses. Also to help in planning outdoor activities, the Environmental Protection Agency (www.epa.gov/sunwise/uvindex.html) offers an online daily measurement of the sun’s UV rays nationwide on a scale of 1 to 11. A higher UV index calls for maximum sun protection.

In addition to advocating personal monitoring of sun exposure, National UV Safety Month is an opportunity for businesses and community organizations to raise awareness about UV safety by posting tips about reducing everyday UV exposure and sun protection on vacation. Groups also are encouraged to ask a health professional to demonstrate regular skin cancer checks for employees and members. The goal of personal and community-wide awareness of UV safety year-round is to reduce the harmful effects of UV rays for everyone—babies through seniors.

 

Gene Lennon
Director, Senior New Ways Board of Directors

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May 2012

May is Older Americans Month

Annually since 1963, Older Americans Month has rallied communities across the country in celebrating the contribution and achievements of American seniors. “Never Too Old to Play” is the theme of this May’s celebratory month honoring the experience, wisdom and understanding that older adults pass on to other generations. According to the Administration on Aging, approximately 40 million senior adults—people 65 years or older—live in America, comprising 13 percent of the U.S. population. One of every eight Americans is a senior citizen, and this number is expected to reach 72.1 million older persons by 2030.

This year’s Older Americans Month salutes the spirited endeavors of an increasing number of older people who volunteer and participate in community service groups, faith-based organizations, arts and recreational groups, and online social networking. These older adults bring invaluable contributions to our individual communities. Grandparents and elder adults help shape the values, achievements and life choices of our young people and lend inspiration and stability to our nation as a whole.

As an increased number of older Americans are living longer and healthier lives, they continue to engage in social, creative and physical activities. The proven health benefits of staying active include retaining mobility, muscle mass and cognitive abilities. But older adults are not the only ones who benefit from their engagement in community life. Studies show their interactions with family, friends and neighbors across generations enrich the lives of everyone involved. Here are suggestions for recognizing and appreciating older adults during May and throughout the year:

• Enjoy a leisurely phone call to an elderly friend or relative

• Visit with a senior in person and do something you both enjoy (drink coffee, watch a classic movie, look through photo albums)

• Bring over a home-cooked or takeout meal and eat together

• Offer to help out around the home and yard

• Plan a fun social activity or take a recreational/arts class together

• Make a things-yet-to-enjoy “bucket list” and together help each other tackle your lists

• Keep in regular touch through visits, calls, cards and social media

As part of Older Americans Month, every person is encouraged to interact with at least one senior and enjoy more playful social interactions such as games, sports, contests and other forms of intergenerational engagement. Possible fun activities include board games, swimming, bowling, cooking, baking, going to movies, taking nature walks, volunteering with a community service group and reading to young children.

Older Americans Month is a wonderful opportunity to show special appreciation for some of our most beloved citizens. To find ongoing opportunities to celebrate and support older Americans, contact your local Area Agency on Aging by visiting www.eldercare.gov or calling 1-800- 677-1116. More information and ideas about Older Americans Month at www.olderamericansmonth.aoa.gov.

 

Gene Lennon
Director, Senior New Ways Board of Directors

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April 2012

April Is Parkinson’s Awareness Month

In 2010, the U.S. Senate designated April as the country’s annual Parkinson’s Awareness Month to help educate the public about the neurological disease and promote cutting-edge treatment and care for people with Parkinson’s. Parkinson’s disease is a progressive disorder often associated with tremor, slowness of movement and muscle stiffness. Approximately 1 million people in the U.S. have Parkinson’s, and 50,000 new cases are diagnosed each year.

In addition to a month-long focus on helping improve the lives of people with Parkinson’s disease through education, research and outreach efforts, April 11 is World Parkinson’s Day when people across the globe are encouraged to be advocates for Parkinson’s disease patients and their families.

In spreading the word about Parkinson’s and finding a cure, people are challenged to join the cause in a variety of ways: Spend time with someone who has Parkinson’s; volunteer for a local chapter event; participate in a local fundraiser; join a local support group or start your own; or start a daily exercise routine. Early diagnosis of Parkinson’s gives individuals the best possibility for healthier living. Initial warning signs of Parkinson’s disease include:

• Tremor or shaking
• Small handwriting
• Trouble sleeping
• Trouble moving or walking
• Constipation
• A soft or low voice
• A masked or serious-look face
• Dizziness
• Fainting
• Stooping or hunching over

Anyone experiencing any of these symptoms associated with Parkinson’s disease is encouraged to see a doctor to help diagnose the illness and rule out other possible symptom causes. Parkinson’s disease is not fatal itself, but the Centers for Disease Control and Prevention lists Parkinson’s complications as the 14th leading cause of death in America. Currently there is no cure for this neurodegenerative brain disease, and cases are expected to rise significantly worldwide in the next 20 years as the aging population increases.

Research shows that in addition to advanced medications, movement and exercise helps slow the disease’s progression and is central to maintaining balance and mobility in people with Parkinson’s. To help emphasize movement in managing the disease, the National Parkinson Foundation is sponsoring its annual Moving Day events. Moving Day features fundraising walks, food and music, plus a Movement Fair with demonstrations of exercise, yoga, Pilates, dance and Tai Chi—all beneficial in limiting Parkinson’s symptoms.

For information about Parkinson’s disease, Parkinson’s Awareness Month and Moving Day events, visit www.parkinson.org or call 1-800-327-4545.

 

Gene Lennon
Director, Senior New Ways Board of Directors

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March 2012

Protect Seniors Against Heightened Medication Risks

Prescriptions can be the key to a longer, fuller life; but if not handled properly, they can also cause serious problems. To help us all use prescriptions properly and minimize risk, "Talk About Prescriptions" Month is organized by the National Council on Patient Information and Education (NCPIE), a coalition of over 125 diverse organizations whose mission is to stimulate and improve communication of information on appropriate medicine use to consumers and healthcare professionals.

Educating patients is critical for promoting healthy use of prescriptions, as people tend to see many different doctors for various conditions instead of one primary physician. Seniors are at an even higher risk than most for serious side effects and other medication risks.

According to NCPIE, two out of every three doctor visits result in the prescribing of a medication, with a total of 3.5 billion prescriptions dispensed every year. Prescription education is particularly important for seniors, who tend to take more medications on average — 50 percent of seniors take an average of eight medications or more regularly, according to a news release from the National Council on Aging and CVS/pharmacy. Since the risk of experiencing side effects increases with the number of prescriptions taken, most seniors have a high risk. As bodies change and age, this can cause the body to react differently, so a senior may start to experience a side effect from a prescription even if they have been taking it for years without any issues.

NCPIE advises all prescription users to "Be MedWise" and practice safe medicine use by focusing on the "3Rs": risk, respect and responsibility. Use these top 10 best practices for senior medication safety:

1. Always keep a complete, updated list of medications, including prescriptions, over the counter medications, vitamins and supplements. Give a copy to family members and others who may need to know in an emergency, such as a close neighbor or medical proxy. Show this list to all physicians you see at every visit.

2. Use one pharmacy. People usually see several doctors to address different problems, so prescriptions can’t be managed through a primary physician as they used to be. Going through the same pharmacy for all prescriptions will create one more check point to make sure prescriptions won’t mix dangerously.

3. Know your medications. Read the information that comes with each medication, know the purpose and be aware of their side effects.

4. Only take medications as directed. If you feel a change needs to be made, talk to the physician who prescribed it; never self-medicate.

5. Store medications in a dry place of moderate temperature; do not store in areas where temperatures vary greatly or where it gets humid (like the medicine cabinet in the bathroom). Know what prescriptions need to be stored in the refrigerator.

6. Talk to a doctor before adding a new medication, vitamin or supplement to your routine if you are taking a prescription.

7. Do not share prescriptions with others, no matter what. Even the same medication can come in pills of varying amounts, and even a small amount of difference in dosages can make a big difference to your body.

8. Get rid of expired prescriptions, even if you haven’t used all of them yet. Prescriptions change as they age, meaning they will mix differently with your body and other prescriptions and can lead to dangerous adverse reactions.

9. Speak up—keep the conversation going with your physicians and pharmacy. Ask questions and voice your concerns. You know your body best, and when it comes to your health, there are no bad questions.

10. If applicable, use medication management tools like reminder services, electronic pill dispensers or in-home services to ensure that medications are taken properly. Missing a dosage, confusing pills or other innocent medication mistakes can have serious ramifications.

  

Gene Lennon
Director, Senior New Ways Board of Directors

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February 2012

Loneliness Harms Health: Love and Companionship Result in a
Healthier and Longer Life

February is the month of love, but dark chocolate isn’t the only sweet gift that is good for the heart – building strong relationships plays a vital role in living a longer and healthier life, too. Physicians have been preaching that eating right and getting regular exercise will improve longevity. But, what about the idea that maintaining positive relationships also can help keep people healthy? In numerous studies, researchers are finding that people who have strong friendships age better, recover from illness quicker, have stronger immunity and live longer.

For many years, research focused on the practical view of socialization. As they grew older, people with more developed social connections could get a ride to the doctor, find someone to lend a hand with physical care or go out to dinner with companions. And this is indeed an important part of the picture. However, it is now known that this isn’t the whole story of why social engagement is so important.

According to researchers at Brigham Young University and the University of North Carolina at Chapel Hill, who pooled data from 148 studies involving more than 300,000 men and women across the developed world, those with poor social ties had an average of 50 percent higher odds of death in the study’s follow-up period (an average of 7.5 years) than those with “robust” social ties.

Among the aging, the lack of ongoing relationships and love is a common concern, and the connection between relationships and life expectancy is not a new theory. One health problem reported by Medical News Today links the risk of developing Alzheimer’s disease in old age to social isolation. Loneliness was linked to lower levels of cognitive function as well as more rapid decline of function. People who identified themselves as lonely experienced double the risk of developing Alzheimer’s than those who described themselves as least lonely. According to AgeInPlace.com, an online resource that helps seniors maintain their quality of life, 28 percent of Americans older than age 65 live alone. It is important for seniors and caregivers to be aware of the potential for social isolation and how to create opportunities to develop personal bonds with others.

Additionally, gerontologists state that maintaining human relationships promotes healthy aging in many ways, including:

• Strengthening the immune system

• Lowering blood pressure

• Encouraging physical fitness

• Improving sleep

• Motivating good nutrition

• Reducing the perception of pain

Love from friends and family could be the key to ensuring a longer, happier life. Remember your loved one this Valentine’s Day by giving a cherished gift – your time.

Gene Lennon
Director, Senior New Ways Board of Directors

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January 2012

Mood-Boosting Strategies to Beat the Post-Holiday Blues

The holiday season is a festive time of year, when family and friends get together, gifts are exchanged, delicious treats are shared, and music and laughter fill the air. However, following New Year’s Day, the cheerful mood may turn into the doldrums. Loved ones return to their homes thousands of miles away, the credit card bill arrives, decorations are back in boxes and the scale reveals that too many treats were eaten.

So how can you fight the post-holiday blues? Help boost your spirit in the following ways:

• Exercise: When you exercise, the brain’s executive functions (planning, organizing and multitasking, among others) can improve and dementia is less likely to occur, so take an exercise class or join a walking group to add spark to your step.

• Eat healthy foods: You feel better when you eat a healthy diet; therefore, substitute junk food with fruits, vegetables and healthy fats like fish, nuts and seeds.

• Get out of the house: Don’t stay cooped up at home all day; engage in an outdoor activity that will make you feel alive and happy. Go to the park or take a trip to the hairdresser. If you cannot drive or a bus stop or subway station isn’t near your home, find local services that can transport you to where you want to go, so you are not homebound.

• Socialize: The human touch releases uplifting endorphins like serotonin, and reduces blood pressure and heart rate, making you more relaxed and content. Participate in social activities as often as you can. Have lunch or go to a movie with a friend. By getting out and meeting people, you will keep your mind sharp and give yourself something to look forward to regularly.

There are many other ways you can enhance your mood. For example:

• Volunteer: Taking time to help others is one of the best ways to feel better about yourself and regain perspective.

• Listen to music: Music entertains, distracts you from negative thoughts and encourages daydreaming. It can soothe patients with dementia, treat anxiety and insomnia, and lower blood pressure.

• Start a hobby or learn a skill: Take up painting, scrapbooking or chess. Challenge yourself by trying something you’ve always wanted to learn or that stimulates your creativity.

• Get a pet: Petting a dog or playing with a cat enhances your mood and lowers stress, so keep yourself company with a furry friend.

• Laugh: Follow the adage “laughter is the best medicine”; watch a comedy movie or TV show, read a funny book or swap humorous jokes and stories with a loved one.

By following one of more of these methods, you’ll chase those blues away in no time. However, if you cannot shake your gloomy feeling after trying some of these suggestions, you may be suffering from depression. Contact a professional therapist for help.

Gene Lennon
Director, Senior New Ways Board of Directors

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December 2011

Respite Care Critical for Long-Term Family Caregivers

November is National Family Caregivers Month

More than 65 million family caregivers, 29 percent of the U.S. population, spend an average of 20 hours per week providing care for their chronically ill, disabled or aging loved ones each year, according to the National Family Caregivers Association (NFCA). November is recognized as National Family Caregivers Month by the NFCA and is a time each year to thank, support, educate and empower those who selflessly devote their time and energy in their roles as family caregivers.

Every day, family caregivers assist loved ones with daily tasks including personal care, homemaking and transportation. However, caregiving can have broad physical, emotional and financial implications. This month-long awareness helps educate family caregivers and their loved ones on the respite options available.

Caregiving is a demanding job and respite care provides a short-term, much-needed break to relieve stress, restore energy and promote balance in a caregiver’s life. There are both in-home and out-of-home respite care options to consider.

In-home respite care services allow loved ones to remain in their own homes and can be provided by volunteers or paid help, occasionally or on a regular basis. Many in-home care agencies offer trained, insured and bonded caregivers who can provide homemaking, physical assistance, hygiene, wellness and skilled nursing services. Companionship and assistance with basic daily tasks can also be provided by other family members, neighbors or volunteer and nonprofit groups in the community.

There are also many out-of-home respite care options available for family caregivers. Adult day care services can provide social and health services for adults who need supervised care outside of the home. These services are typically available during normal business hours and often offer social activities, transportation, meals and snacks and personal care. There are also residential respite care facilities who offer short-term care, whether it is needed over night, for a few days or for a few weeks. The cost for this supervised, safe care varies and is not always covered by insurance or Medicare.

When selecting any of these options, family caregivers should assess what their needs are: type of care, skills, location and frequency. Qualified providers should then be chosen based on the services that best meet these needs. While finding and implementing successful respite care can be challenging, in the end the relief and revitalization that follows benefit all involved in the caregiving process.

Gene Lennon
Director, Senior New Ways Board of Directors

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November 2011

The Holidy Gift of Care Can Benefit Senior Citizens Year-Round

Most senior citizens already have access to the material possessions they need, such as clothing, bath towels, bedding and small kitchen appliances. Rather than replacing these items as gifts this holiday season, senior care experts suggest family members give the gift of care – a present that will benefit senior citizens year-round.

When a senior citizen receives in-home care for a few hours or on a regular basis, that individual is able to live a happier and healthier life in the comforts of his or her own home. This gift not only benefits the senior citizen, but the family members, as well. Such care can reduce stress on the entire family. This type of care also allows more quality time between the loved one and his or her family members.

Families can establish a set dollar amount to spend on care. They also can determine how much care is needed for their loved one on a regular basis, such as visits by the caregiver once a week or even once a month.

When in-home care is arranged for an individual, that person can receive help around the home, with tasks such as washing the dishes, light cleaning or doing laundry. The caregiver also can run errands for the senior citizen and even assist with meal preparation on a regular basis.

The amount of care given to the individual can certainly vary. Senior citizens and their families can work together with caregivers to determine just how much assistance is necessary. That way, the senior citizen will retain control of his or her life while still living at home.

The U.S. Department of Health and Human Services agrees that in-home care can yield a healthier life for senior citizens. The department states that promoting the healthy lifestyles of older Americans is vital in helping them maintain health and functional independence.

Coordinating care can be an introduction to in-home care for family members and their loved ones. Seniors may be reluctant to seek out such care for themselves, so the family’s purchase of this care can ease that transition.

Gene Lennon
Director, Senior New Ways Board of Directors

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October 2011

Consumer Alert: Diligence and Education Thwart Scams

Bernie Madoff-like ponzi frauds, foreign lottery winnings ploys and work-at-home check cashing schemes. These are just a few of the scams that have made headlines over the past year. Scams and fraudulent business practices that intend to swindle can impact anyone including the affluent and highly educated, as well as the non-native speaking, the poor and the elderly. In difficult economic times, scammers continually search for new ways to deceive. Recently publicized scams include individuals posing as bank officials offering to refinance mortgages or to confirm account numbers via the Internet or over the phone.

Anyone with a phone, mail box, Internet access or front door can be a possible scam target. Scammers prey on the weakness of human nature or a specific demographic group. They understand that most people want a “great deal” or desire to be wealthier and more beautiful. Scams are often targeted to individuals with unique backgrounds and special needs, including seniors.

“Scam artists steal more than money for a product or service. They steal a senior’s dignity, trust and self esteem,” said Allen Hager, CEO and founder of Right at Home, a national provider of in-home care with 160 locations in 41 states. “Education and awareness are key components of stopping scams and protecting our loved ones.”

It has been the experience of the Federal Bureau of Investigation (FBI) that the elderly are targeted for fraud for several reasons:

- Seniors grew up in an era in which your word was your bond and a handshake closed a deal. They assume that if someone seems nice, they must be trustworthy.

- These individuals were raised to be polite, especially if they are showing the time to care. Many scammers prey on their loneliness and desire for conversation.

- Seniors have money to spend. Many seniors have retirement savings, own their home and have an excellent credit rating.

- As seniors strive for independence, they have an increased need for goods and services to maintain their homes. They make purchase decisions without the input of others.

- Mental or physical impairments are used by perpetrators to confuse the elderly. Scammers can give one price, but demand more money after the service is completed, claiming the senior did not clearly hear or completely understand the price.

- Seniors are least likely to report a fraud since they are afraid that relatives will doubt their mental competency. They fear that they will seem foolish since they fell for a fraud.

Most common senior scams according to FBI:

- Health Insurance (“rolling lab” schemes, medical equipment fraud, Medicare fraud)

- Counterfeit Prescription Drugs (“Special deals” or on-line purchases)

- Funeral and Cemetery Fraud (contracts, refund terms, embalming rules)

- Telemarketing (“get rich quick” schemes, travel offers, often involve prizes)

- Anti-aging Products (vitamins, creams, “secret” formulas, “breakthroughs”)

- Investment Schemes (advance-fee, Nigerian letter, Prime bank notes)

- Internet Fraud (non-delivery of items, credit/debit card fraud)

- Charitable Fraud (non-existent charity)

 

Things to remember to stop scamming by Stopseniorscams.org:

1. If an offer sounds too good to be true, it probably is.

2. When it comes to a "now or never" opportunity, choose "never."

3. Keep account numbers, codes and passwords private. Be wary of giving any information out to anyone over the phone unless you initiated the call.

4. Shred bills, junk mail and receipts before discarding them.

5. Don't be afraid to report your experiences. If you feel uncomfortable, tell someone.

 

If you have any questions regarding a company, contact your local Better Business Bureau (BBB) at www.bbb.org to check its service or complaint record. To find out your legal rights if you or a family member has been a victim of a fraud, contact the Consumer Protection Division of your state Office of the Attorney General. A number of federal and state laws are designed to protect consumers from unethical business practices including the Federal Trade Commission or the Postal Inspector.

If an individual has been victimized once, he or she becomes a more likely target for additional scams. You can take precautions to avoid a second incident, including changing the senior’s phone number and making it unlisted. The telephone company can also block all outgoing 900 numbers. In addition, a family member, caregiver or friend can assist seniors with sorting mail and identifying possible scams.

Gene Lennon
Director, Senior New Ways Board of Directors

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September 2011

September is National Cholesterol Education Month

September is National Cholesterol Education Month, an ideal time to have your blood cholesterol checked and take action to lower it if it is high. High blood cholesterol affects more than 65 million Americans and is a major risk factor for heart disease, the No. 1 killer of women and men in the U.S. Many people don’t know their cholesterol is high since the condition usually doesn’t have any symptoms. However, a simple blood test can determine your cholesterol number. If your cholesterol is too high, you can lower it by incorporating lifestyle changes that will lessen your risk for developing heart disease and reduce the chance of having a heart attack or dying of heart disease. If lifestyle changes aren’t enough, medication can help.

Cholesterol is a waxy, fat-like substance your body needs to function normally. Your body makes all the cholesterol it needs, so when there is too much of it in your blood, it builds up on the walls of your arteries, causing them to narrow and slow blood flow to the heart. If enough blood, which carries oxygen, cannot reach your heart, you may suffer chest pain. If the blood supply to a portion of the heart is completely blocked, the result is a heart attack.

The National Heart, Lung and Blood Institute recommends that you have your cholesterol checked every five years with a blood test, called a fasting lipoprotein profile. Compare your results with the following information:

• Total cholesterol – Less than 200 milligrams (mg) of cholesterol per deciliter (dL) of blood is desirable.

• Low-density lipoprotein (LDL or “bad” cholesterol) – Less than 100 mg/dL is best; LDL is the main source of cholesterol buildup in the arteries; the higher your LDL level, the greater your chance of getting heart disease.

• High-density lipoprotein (HDL or “good” cholesterol) – 60 mg/dL or more is optimal; HDL helps keep cholesterol from building up in the arteries; the higher your HDL level, the lower your chance of getting heart disease.

• Triglycerides – 150-199 mg/dL is borderline high and 200 mg/dL is high; triglycerides is another form of fat in your blood that can increase the risk of heart disease; if your level is borderline high or high, you may need treatment.

You can lower your cholesterol number by making these lifestyle changes:

• Eat more fresh fruits and vegetables and whole grains, which are low in fat and high in fiber.

• Maintain a healthy weight.

• Be physically active for 30 minutes on most, if not all, days.

• Don’t smoke or quit if you smoke.

Factors you cannot control but also can affect your cholesterol number include:

• Age – Cholesterol increases with age.

• Gender – Before menopause, women have lower total cholesterol levels than men of the same age. After menopause, women’s LDL levels tend to rise.

• Heredity – Your genes partly determine how much cholesterol your body makes. High blood cholesterol can run in families.

Gene Lennon
Director, Senior New Ways Board of Directors

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August 2011

Easy and Healthy Eating for Seniors

Aging Changes the Body's Nutritional Needs

A balanced diet is the key to health and vitality. But what makes up a "balanced" diet? The body's needs change as it ages, and the nutritional needs of seniors' bodies are different than when they were younger. Adapting to the body's changing needs can be a challenge, especially for seniors, who have become used to particular dietary rituals that have worked for them their entire lives.

Learning to adapt along with your body can be confusing and challenging for seniors. But fulfilling the body's needs with a nutritious diet can keep seniors healthy and independent for much longer.

Seniors' Changing Needs

As people age, their bodies change. These changes affect the nutritional needs and wants of the body. The metabolism begins to slow beginning at age 40, so seniors require fewer calories than they did when they were younger. When coupled with the reduced activity levels of most seniors, reduced calorie needs can require some significant diet changes to maintain a healthy weight. According to the National Institute of Aging, women 50 and older should consume 1,600 to 2,000 calories per day, while men 50 and older should consume 2,000 to 2,800, depending on activity level. A reduced metabolism also results in lower levels of stomach acid, which means seniors are not able to digest vitamins and minerals as effectively. Additionally, the senses become less sensitive over time, so foods sometimes taste differently than they did earlier in life.

A Balanced Diet for Seniors

Due to these natural changes, the nutritional quality of what seniors consume matters even more than when they were younger; they must gain the nutrients they need through a smaller amount of food. Following simple guidelines can help make every calorie count:

• Choosing a colorful variety of fruits and vegetables rather than sticking to just a few favorites helps seniors gain the greatest nutritional benefits from their servings. Seniors should consume 1 1/2 to two servings of fruits and two to 3 1/2 servings of vegetables each day.

 • Seniors should keep bones strong with 1,200 milligrams of calcium each day. Dairy products, including milk, yogurt and cheese are great sources of calcium. Non-dairy sources include almonds, broccoli, kale and tofu.

 • Keep the brain sharp with omega-3 fatty acids. Consumption of these healthy fats has been linked to a reduced risk for Alzheimer’s disease. For optimal health, seniors should consume three to four servings of fish, nuts and other foods rich in omega-3 fatty acids each week.

 • Fiber-rich whole grains can improve digestion, reduce risk of coronary heart disease and help the body absorb important nutrients. Seniors should eat six to seven ounces of grains each day; a slice of bread is one ounce.

 • Seniors need to consume one gram of protein each day for every two pounds they weigh (half their body weight) to maintain energy levels.

 • Many seniors may not feel as thirsty as they felt earlier in life, but they still need just as much water. Encourage your loved one to drink several large glasses of water throughout the day and not to wait until he or she feels thirsty.

 • Seniors can benefit from adding vitamins and other supplements to their diets and should talk to their doctors to learn about which may help them stay healthy.

Smart Cooking

Starting with healthy raw foods is the first step, but how foods are cooked impacts their nutritional benefits, too. Overcome common cooking challenges for seniors and get more from each meal by cooking smarter:

• Although it’s important for seniors to reduce their sodium intake to prevent high blood pressure and other health conditions, seniors also have a reduced sense of taste. Stave off the impulse to douse meals in salt by cooking with more herbs and spices to keep meals flavorful.

 • When cooking vegetables, opt to steam or sauté them in olive oil. Unlike butter, olive oil will keep bad cholesterols low and good cholesterols high. Steaming and sautéing preserve the most health benefits in veggies; boiling will deplete them of nutrients.

 • It can take a while to get used to major changes in eating habits for seniors who have eaten a particular diet their whole lives. Taking small steps gradually to make healthier choices can have a more lasting impact than overhauling their entire diets at once.

Eating healthy can improve strength, energy and mental acuity. It also keeps the immune system strong, reducing seniors' vulnerability to disease — as well as the risk for many health conditions that become common with age, such as type 2 diabetes, high blood pressure, heart disease, stroke, anemia and much more. A balanced diet is also linked to better emotional stability and higher self-esteem. With a balanced diet, seniors can live fuller, longer and more independent lives.

Gene Lennon
Director, Senior New Ways Board of Directors

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July 2011

Senior Driving and Traffic Safety

Safety Tips for Older Drivers

While traffic safety is important for all drivers, seniors experience physical changes that can affect their driving abilities. Although some seniors can drive well into their 70s, 80s and 90s, others cannot. It can be a tough adjustment for people who are used to using their cars to visit friends and family, attend doctor appointments and go shopping. Seniors often equate losing their driving privileges to becoming dependent and losing control and spontaneity in their lives. However, there are simple safety steps older adults can take to ensure they are driving safely.

Vision

The ability to see clearly while driving changes with age. According to AAA, the amount of light needed to drive nearly doubles every 13 years. For example, a 45-year-old requires four times as much light as a 19-year-old, and a 60-year-old requires 10 times as much.

Change in vision is a common reason why many seniors have restricted licenses or have their licenses revoked. Good vision is crucial to driving and senior drivers should keep the following in mind:

• Get an annual eye exam. Your eyes change rapidly and early detection can slow the progress of many eye problems.

• Limit driving to the daytime. It takes more time for aging eyes to adjust to the glare of oncoming headlights.

• Keep your head and eyes moving. While driving look ahead of your vehicle for other vehicles, pedestrians, animals or hazards. While driving in the city look at least one block ahead and on the highway look 12 to 15 seconds ahead. Glance frequently in your rearview mirror.

• Keep your headlights, taillights and the inside and outside of your windshield clean. Choose a car with a clear windshield as tinted windows can reduce the amount of light entering the eye.

• Avoid wearing eyeglasses and sunglasses with wide frames that may restrict your side vision. Always keep your eyeglasses clean.

Medications

Many senior drivers take medications that may affect safe driving, leading to drowsiness and confusion. Seniors should talk to their doctors about the effects their medications may have on their driving abilities and follow these guidelines:

• Read the fine print. Many prescription and over-the-counter medication labels include the message "Do not use while operating heavy machinery." Be cognizant of the warnings on your medications before getting behind the wheel.

• Consult with your doctor before taking any new medications. The interaction between certain drugs can affect your ability to safely drive.

• If any medications cause fatigue or disorientation, stop driving.

Physical and Mental Fitness

Driving takes strength, flexibility and coordination and seniors should continue to participate in physical exercise to keep their motor skills sharp. Mental fitness is also important as older minds sometimes react more slowly than younger minds. Here are some ways for seniors to enhance their physical and mental fitness:

• Take a brisk walk every day or start a garden in your backyard to stay physically fit.

• Stimulate your brain. Activities such as crossword puzzles, brain teasers and card games stimulate your mind and enhance your problem solving, memory, reasoning and concentration skills.

Alternatives for Older Drivers

A person’s driving ability is dependent on many factors. Chronological age is not always the best predictor of one’s ability to drive safely. If you or your loved one has had a series of minor accidents, is unable to concentrate, is getting lost on familiar roads or is unable to read or recognize ordinary road signs, it may be time to step out from behind the wheel. However, there are alternatives available. Many in-home care agencies may offer many companion services including transportation to doctor’s appointments and recreational activities, as well as shopping and errand services.

Seniors can also utilize public transportation where available. There are often community agencies that provide volunteer transportation services for seniors, as well. These alternatives can give retired drivers the independence they once had while keeping them out of harm’s way.

Gene Lennon
Director, Senior New Ways Board of Directors

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June 2011

June is "Home Safety Month"

Seniors Twice as Likely to Suffer Injuries or Death in Their Home

June is “Home Safety Month,” an opportunity to educate and empower older adults and their families to take action and increase the safety of their homes. The aging population can continue to live safely and independently in their homes by implementing fall prevention and fire safety habits.

No one wants to think about being injured at home as it is a safe haven for many of us. Thankfully there are many simple actions you can take to help save lives and prevent injuries. Agencies and organizations are available to help older adults and their loved ones identify and correct household hazards that can lead to slips, falls and other dangers.

For many older adults, falls can be a life-changing event leading to less mobility, independence and even death. According to the Home Safety Council, an average of nearly 5,000 Americans age 65 and older die from fall-related injuries in their homes each year.

The Home Safety Council offers the following tips for fall prevention:

• Install handrails on both sides of the stairs and ensure they go from the top to the bottom.
• Tape small rugs to the floor or do not use them at all as they can be a tripping hazard.
• Have plenty of lights at the top and bottom of the stairs and be sure to keep them clear of debris.
• Place night lights in the bedroom, hallway and bathroom.
• Lay a mat or non-slip strips in the tub and shower and have grab bars installed.

Older adults and their families are also encouraged to prepare for fire emergencies. Older adults are twice as likely to suffer injuries or lose their lives in a fire than the general population, according to the Home Safety Council. The Home Safety Council also offers the following tips for fire safety:

• Make sure there is a least one working fire alarm on each level of the home, located inside or near sleeping areas.
• Create a home escape plan and practice it at least twice a year. Move the bedroom to the first floor to escape outside quickly in case of a fire.
• Keep escape routes clear and make sure doors and windows open easily.
• Keep a phone in the bedroom to call for help if necessary.
• Always stay in the kitchen when food is cooking on the stove and avoid loose clothing while cooking.
• Smokers should use large, deep ashtrays on a sturdy table and stay alert while smoking.
• Plug only one cord into each electrical outlet and unplug appliances when not in use.

Taking many of these simple safety steps can help to keep older adults living safely and independently in their own homes. We know that living independently has many benefits, and these steps will help older adults maintain their independence and enjoy a full life.

Gene Lennon
Director, Senior New Ways Board of Directors

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May 2011

Factors to Consider Before Moving
Your Aging Loved One into Your Home

As a person begins to age, family members often feel the need to help with everyday tasks that become challenging, such as meal preparation, laundry and housekeeping. Eventually, many family members find themselves assisting in ways they never expected, such as with hygiene and grooming. This can lead to the common decision to move an aging loved one into the home of a family member. One out of four adult children lives with an elderly or disabled relative he or she cares for, according to Caring.com.

However, moving a loved one into your home may take a toll on the family caregiver, causing stress, fatigue and strained relationships with family and friends. There are additional options to consider, such as in-home care, assisted living or a nursing home facility. If you need help, you’re not alone. Recognizing your loved one requires additional assistance is just the first step to ensuring your loved one gets the assistance needed.

Family caregivers should consider the following factors before moving an aging loved one into their home:

• Consider your daily schedule and availability. Caring for an aging loved one is a great way to repay the nurturing love and care he/she gave to you. However, if you are working a full-time job and caring for children of your own, it may be difficult to take on the additional responsibility of someone requiring constant assistance. Be realistic about how much time and energy you have each day to devote to your aging loved one. Also, understand that the level of care you need to provide will most likely increase over time.
• Review the history of your past relationship. Getting along well with your loved one and being able to peacefully and successfully overcome any differences is a major benefit when living under the same roof as someone. However, if you have a strained relationship and have a hard time resolving conflicts, be aware that the relationship will not magically improve if you live together. If your loved one suffers from Alzheimer’s or dementia, consider whether you will be able to handle the possible personality changes that may come in the future.
• Ensure your home is physically safe for an aging adult. Ensure that your home doesn’t pose any health or safety hazards. For example, older adults should ideally live on the first floor of your home to avoid stairs. If this is not possible, you may need to have an automatic stair lift installed. You may need to put in a ramp if there are stairs leading up to the front door of your house. Additional modifications may be needed in the bathroom, kitchen and bedroom. For a home safety checklist, visit http://www.rightathome.net/assets/PDF/HomeSafetyChecklist-2.pdf.
• Consider the financial impact. Moving an aging loved one into your home may become a financial burden or may provide financial benefits. Come to a financial agreement before any living arrangements are made. Consider having your loved one contribute to household costs to ease the burden. Recognize that you and your family may have to make sacrifices to make the situation work, such as using your savings account or cutting back on entertainment spending. Include other family members involved in your loved one’s care in the discussion. There is no right or wrong way to deal with finances, and agreeing on an arrangement first can help you avoid disagreements later.

Taking a broad view of the situation and determining which solution is right for everyone involved can lead to a happier and healthier family. If you decide to move your aging loved one into your home, remember to allow yourself an occasional respite from caregiving and consider hiring an in-home care agency. Trained caregivers are available to provide companionship, homemaking, physical assistance, hygiene and wellness for your loved one.

Gene Lennon
Director, Senior New Ways Board of Directors

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April 2011

Consumer Alert: Diligence and Education Thwart Scams

Bernie Madoff-like ponzi frauds, foreign lottery winnings ploys and work-at-home check cashing schemes. These are just a few of the scams that have made headlines over the past year. Scams and fraudulent business practices that intend to swindle can impact anyone including the affluent and highly educated, as well as the non-native speaking, the poor and the elderly. In difficult economic times, scammers continually search for new ways to deceive. Recently publicized scams include individuals posing as bank officials offering to refinance mortgages or to confirm account numbers via the Internet or over the phone.

Anyone with a phone, mail box, Internet access or front door can be a possible scam target. Scammers prey on the weakness of human nature or a specific demographic group. They understand that most people want a "great deal" or desire to be wealthier and more beautiful. Scams are often targeted to individuals with unique backgrounds and special needs, including seniors.

"Scam artists steal more than money for a product or service. They steal a senior's dignity, trust and self esteem," said Allen Hager, CEO and founder of Right at Home, a national provider of in-home care. "Education and awareness are key components of stopping scams and protecting our loved ones."

It has been the experience of the Federal Bureau of Investigation (FBI) that the elderly are targeted for fraud for several reasons:

- Seniors grew up in an era in which your word was your bond and a handshake closed a deal. They assume that if someone seems nice, they must be trustworthy.

- These individuals were raised to be polite, especially if they are showing the time to care. Many scammers prey on their loneliness and desire for conversation.

- Seniors have money to spend. Many seniors have retirement savings, own their home and have an excellent credit rating.

- As seniors strive for independence, they have an increased need for goods and services to maintain their homes. They make purchase decisions without the input of others.

- Mental or physical impairments are used by perpetrators to confuse the elderly. Scammers can give one price, but demand more money after the service is completed, claiming the senior did not clearly hear or completely understand the price.

- Seniors are least likely to report a fraud since they are afraid that relatives will doubt their mental competency. They fear that they will seem foolish since they fell for a fraud.

The most common senior scams according to the FBI:

- Health Insurance ("rolling lab" schemes, medical equipment fraud, Medicare fraud)
- Counterfeit Prescription Drugs ("Special deals" or on-line purchases)
- Funeral and Cemetery Fraud (contracts, refund terms, embalming rules)
- Telemarketing ("get rich quick" schemes, travel offers, often involve prizes)
- Anti-aging Products (vitamins, creams, "secret" formulas, "breakthroughs")
- Investment Schemes (advance-fee, Nigerian letter, Prime bank notes)
- Internet Fraud (non-delivery of items, credit/debit card fraud)
- Charitable Fraud (non-existent charity)

Things to remember to stop scamming by www.stopseniorscams.org:

1. If an offer sounds too good to be true, it probably is.
2. When it comes to a "now or never" opportunity, choose "never."
3. Keep account numbers, codes and passwords private. Be wary of giving any information out to anyone over the phone unless you initiated the call.
4. Shred bills, junk mail and receipts before discarding them.
5. Don't be afraid to report your experiences. If you feel uncomfortable, tell someone.

If you have any questions regarding a company, contact your local Better Business Bureau (BBB) at www.bbb.org to check its service or complaint record. To find out your legal rights if you or a family member has been a victim of a fraud, contact the Consumer Protection Division of your state Office of the Attorney General. A number of federal and state laws are designed to protect consumers from unethical business practices including the Federal Trade Commission or the Postal Inspector.

Gene Lennon
Director, Senior New Ways Board of Directors

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March 2011

Rising Costs for Seniors in 2010

Resources Are Available to Help Pay for Senior Care Expenses

How much does it cost to grow old in the United States? Many people look forward to retiring with a healthy savings account and dream of spending their days traveling and spending time with their grandchildren. But as seniors are living longer – the average life expectancy in 2010 is 78 – they are also becoming financially vulnerable when it comes to their ability to meet essential expenses and cover projected costs over their lifetimes.

“Some seniors are faced with a growing financial gap between income and basic needs,” said Allen Hager, CEO and founder of Right at Home, an international provider of in-home care with 175 locations across the U.S., United Kingdom and Brazil. “However, there are resources available to help seniors continue to live independently.”

Rising Costs

Seniors and their loved ones are dealing with the rising costs of food, housing, transportation and healthcare. While the average Social Security benefit for a couple is $21,569 per year, basic living expenses exceed an average of $31,000 per year.

Rising healthcare costs are a main concern for seniors. Research has shown that Medicare covers only about half of a senior’s medical expenses, contrary to the common belief that Medicare will cover most costs. Seniors spend more on out-of-pocket healthcare expenses than any other age group and their spending is more than double the average of non-elderly adults, according to the National Center for Policy Analysis. Seniors, ages 65 and older, spend an average of $4,888 annually for deductibles, co-payments, premiums and other healthcare expenses not covered by insurance.

Many seniors also must deal with the costs of home care, assisted living, or nursing homes. The costs associated with senior care can vary greatly depending on the number of hours of service needed each day or week, where you are located in the country and the level of services you need. According to a recent survey by MetLife, the hourly rates of home health aide workers and respite care providers range from $8 to $40 per hour. Monthly costs vary widely because of the varying time periods that someone may need care. For example, some people use home care a few hours a day while others use home care around the clock. Cost can also vary depending on the services utilized in your home. The cost of assisted living facilities ranges from $850 to $4,000 per month, while the average cost for a private room in a nursing home is $6,400 per month.

Available Resources

There are many options and tools available to help seniors pay for these necessary expenses. One option is the purchase of long term care insurance. Just like other insurances, with long term care insurance, policy owners pay a premium for coverage in the event that you will need home care, an assisted living facility or a nursing home in the future. There are many different types of policies that you can choose from, some that even protect against inflation. Of course, the best time to apply is when you are healthy, young and not in need of it.

Long term care insurance can be an important investment in your future, but it’s very important to have all of the facts before you buy. Before you make any decision on whether or not to purchase long term care insurance, you should seek the counsel of your financial advisor, elder law attorney or insurance agent to fully review all of the different types of coverage available.

Another option to pay for costs associated with aging is a reverse mortgage, which allows homeowners ages 62 or older to access the equity they have in their home. The lender makes payments to you, the homeowner, not the other way around. Think of it this way: a reverse mortgage gradually reduces the amount of equity you have in your home by the amount of the payments advanced to you, plus interest on the amount advanced, plus any fees you finance as part of the deal.

The money that is accessed can be used to make improvements and modifications for safety and accessibility, pay for home care needs or a variety of other expenses. The funds you receive are likely to be tax-free and will not affect Social Security payments or Medicare benefits. For more information on reverse mortgages, you can call the Housing Counseling Clearinghouse at 1-800-569-4287 to obtain contact information for an HUD-approved housing counseling agency and a list of FHA-approved lenders in your area. AARP also offers information about reverse mortgages you may find useful, including alternatives to a reverse mortgage. The National Reverse Mortgage Lenders Association (NRMLA) is another great Web site to visit for more information.

The Veteran’s Aid and Attendance Benefit is available to help Veterans and their surviving spouses pay for home care and other care services. The assistance is a benefit paid in addition to monthly pension to those who require the regular attendance of another person to assist in bathing, dressing, meal preparation, medication monitoring or other various activities of daily living. This benefit is available to individuals who reside in assisted living communities, personal care homes, skilled nursing facilities and those receiving personal in-home care.

Gene Lennon
Director, Senior New Ways Board of Directors

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February 2011

Multigenerational Households: A Rising Trend in Caregiving

Multigenerational households, those that consist of at least three generations living together, are greatly increasing in numbers in the US. Many adult children are choosing to move their elderly parents and loved ones into their homes for several reasons, including aging, health problems and economic considerations.

Multigenerational households were once a common occurrence in the U.S. In the late 1800’s, almost 70 percent of elderly widows lived with an adult child, according to the U.S. Census Bureau. By 1990, that number drastically decreased to 20 percent but the trend has reversed again. U.S. statistics show the number of parents who have moved in with their adult children increased 67 percent to 3.6 million people between 2000 and 2007.

It is important for caregivers in multigenerational households to be aware of the stress that may arise from this type of living arrangement. For those with children still at home, caring for their older relatives under the same roof can increase the stresses of caring for the rest of the family. In addition, caregivers may worry about their own health or have their own financial issues. It is also important to consider potential needs such as home modifications, the division of chores and outside assistance.

Whether the creation of a multigenerational household is permanent or temporary, sandwich generation family caregivers should keep the following tips in mind to help all family members peacefully adjust to their new living arrangement:

- Discuss the circumstances: Discuss the circumstances upfront with the entire family so that everyone understands why the arrangement is in place. Every living arrangement has its benefits and drawbacks, and in order for it to work, the benefits must be recognized and outweigh the drawbacks. In the future, remembering why one has chosen to live in a multigenerational household will help family members cope with any conflicts that may arise.

- Share responsibility: Caregiving is a family responsibility and it lessens the weight for all involved if everyone works as a team. Devise a system to help out with household chores; each person should be responsible for something that helps the whole household.

- Prepare the home: Several physical modifications may be necessary to ensure the home is safe and convenient for seniors. Make sure there is proper lighting throughout the house and no loose carpeting, cords or other hazards to help avoid falls. It also may be necessary to modify the bathroom by adding non-slip surfaces in the tub or shower and grab-bars near the tub, shower and toilet.

- Consider hiring a part-time caregiver: Help is available for those caring for their elderly parents or relatives in their homes. Hiring a trained caregiver from an in-home care agency can provide much-needed respite for family caregivers. They offer individualized services ranging from companionship, meal preparation and housekeeping to personal hygiene, bathing, medication reminders and more.

- Be flexible: This new living arrangement will take adjustment time. What works at the beginning will most likely change within the first few months and even more so in the next few years. Use a trial and error approach to refine boundaries and guidelines to keep peace in the household.

With family members living longer, many people are faced with the prospect of becoming a family caregiver for a significant number of years. It is important for the family to recognize that they will not be able to tend to all the needs of their loved ones alone and that occasionally they will need to rely on others for support. Communication is the key to making a multigenerational household a beneficial experience for all.

Gene Lennon
Director, Senior New Ways Board of Directors

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January 2011

Recognizing Signs Your Aging Loved One Needs Assistance

What to do When Holiday Visits Expose New Needs

For those who live far from their parents, the holidays are often a happy time of family reunions and catching up. But as loved ones age, this can also be a time of unpleasant surprises for those who discover that their aging loved one is showing signs of decline.

Aging adults that are facing new limitations often try to avoid drawing attention to themselves. It’s not uncommon for an out-of-town relative to be unaware of the changes their loved ones are facing. Holiday family gatherings can be a good time to assess how your loved one is doing.

But even if a loved one is experiencing new changes or challenges with age, are these changes serious? There are some key signs to look for that a loved one may benefit from in-home assistance.

First, make sure that your loved one is continuing to look after his personal appearance and hygiene as well as he used to. Warning signs could include wearing the same clothes over and over or neglecting to brush his teeth. If he is taking medications, watch to make sure he remembers when to take them, and that he knows what each is for. If he is not eating properly, he may be losing weight.

If visiting with your loved one at his home, you should also look for signs of neglect in the house. If the home looks that it is not getting its usual care, it could be that regular, simple maintenance chores such as dusting are not being performed. Keep an eye out for piles of unpaid—or even unopened—bills. Avoiding tasks such as this could be a sign that once manageable tasks have become overwhelming for your loved one. Keep a lookout for burned pots and pans, as well as food that is past its expiration date or molding.

Additional signs of a problem may be that your loved one is not taking proper care of a pet, is avoiding steps or having difficulty with them or has limited his contact with the outside world. If you see these signs in your loved one, it is time to speak up. You may not want to breach the subject during the holidays, but don’t wait too long.

Planning for a loved one’s future needs as they age can be difficult and emotional for everyone involved. But it’s an important conversation to have to ensure those you care about get the help and care they need in the way they want it. The earlier you start the conversation, the easier transitions will be when they’re needed.

Prepare what you want to say to your loved one beforehand, and focus on “I” statements that express your concern to help him maintain the life he desires as he ages. Bring other family members into the discussion during the early stages so everyone is on the same page. This can spare you and your loved ones much discord later. If you expect it to be a difficult conversation, some experts recommend introducing the topic briefly and then agreeing on a later time to discuss in more detail after everyone has had time to reflect. Another option to consider is bringing in a mediator or geriatric consultant to weigh in and keep the conversation peaceful.

There are many options available for seniors in need of assistance. Sometimes, the assistance of a family or friend caregiver is enough. Other times this is not practical, particularly if family members live too far away or are already overcommitted. Other single-service care options can help to supplement or address a specific need, such as a meal delivery service or an adult daycare. Your local social services office may offer some of these services; contact them to find out. If more comprehensive care is needed, there are assisted living facilities and nursing homes—or, if your loved one wishes to stay at home, you will want to consider an in-home care service such as Right at Home.

Ultimately, no single isolated sign necessarily means your loved one is in trouble. After spending time with your loved one, take a gut check. Sometimes you can feel a change in a person even if you can’t articulate it. Trust yourself. And in the meantime, enjoy your time together and celebrate.

Gene Lennon
Director, Senior New Ways Board of Directors

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