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Slow it Down
I stumbled upon a book—Slow Productivity: The Lost Art of Accomplishment Without Burnout by Cal Newport—that changed the way I view business and personal life. The chaos of modern living takes a real toll on our well-being. The pressure to be hyperproductive and lead an extraordinary, purpose-driven life—paired with the relentless pace—is society’s true illness. It creates dis-ease.
Slow productivity is how I work, so reading a book that celebrates that pace felt like a breath of fresh air. In a world obsessed with speed and instant solutions, taking your time has become a bit of a lost art.
The author shares this story about lying on a table in the woods for two weeks, trying to work through a writing challenge—and wow, could I relate. That’s my kind of problem-solving. I work best independently, with plenty of space to think things through. Sometimes, I need a lot of time just to figure out what to do next. I’m not stuck—I’m thinking.
Those frantic deadlines everyone loves to toss around? They mess with my flow and, more importantly, my creativity. I’ve always been a bit of a daydreamer. Back in
school, I was constantly getting in trouble for staring out the window. But honestly, I wasn’t zoning out—I was imagining my life now. The lessons before me just didn’t seem as interesting as what was happening in my head. Anyway, the point of this little ramble? Don’t forget to keep your mind sharp. Read, learn, stay curious. Pick up that project you’ve been meaning to get to. It’s never too late, but most of all… SLOW. DOWN.
Age Well!
Jacqui
Clark,
CSA Editor in Chief
Jacqui Clark is a Certified Senior Advisor™ (CSA™) consultant with Living Coastal Senior Resources, editor-in-chief of Aging Well Magazine, and host of Get Ready for Better Aging podcast. She is an industryleading living-and-aging well expert and a respected communications specialist. Jacqui@LivingCoastalSR.com www.ThisIsLivingWell.com
Contributing
Carina Sammartino
Creative
kennyboyer.myportfolio.com
It’s Just a Mortgage
Misinformation is rampant in the world of reverse mortgages.
All you need to do is Google “reverse mortgages,” and you will see so many articles and posts that it will make your head swim. Over the past decades, only a few financial products have evolved and improved more than this one, but that sure doesn’t get headlines and clicks online; good news usually doesn’t.
With so much to share and limited space for our discussion, I want to focus on what I see as the most important pieces of misinformation. First, I start every conversation with someone inquiring about reverse mortgages by saying it is “Just a Mortgage.” That’s right. The only difference between a reverse and a traditional mortgage is that you don’t have to make a principal and interest payment unless you decide to. There is no obligation to make a payment!
Under the umbrella of “It’s just a mortgage,” did you know that a reverse mortgage offers flexibility? You can choose to make payments, refinance for better terms, or even use it to purchase a new home. This adaptability makes a reverse mortgage a versatile financial tool, putting you in control of your financial future.
Another common misconception is that the bank or lender takes ownership of your home in a reverse mortgage. This is not the case. In reality, a reverse mortgage functions much like a traditional mortgage. It places a lien on your home, which must be repaid when you sell the house or if you move out in the case of a reverse mortgage. You retain ownership of your home.
Let’s discuss the most often-used strategy with those two key concepts out of the way. It is estimated that 70% of reverse mortgages originated to eliminate the need to make a mortgage payment, i.e., freeing up monthly cash flow for the household. Many retirees today face a monthly shortfall or a very tight budget while sitting on a large amount of home equity.
Case Study #1
A recent client of mine was precisely in this situation. A healthy 80-year-old woman was coupon-cutting and living exceptionally
frugally while seeing her investment account dwindle. She had $1.3 million worth of home equity yet was required to make a $1500 monthly mortgage payment. Her kids strongly desired her to travel and enjoy her retirement, so we discussed and eventually helped her complete a reverse mortgage transaction, which enabled her to eliminate the payment. At the same time, we also opened a line of credit she could use for her travel. This improved her household cash flow while giving her access to money without continuing to draw down her investments.
Case Study #2
A widow had a home that was too big for her, and she wanted to downsize while moving closer to her children and grandchildren. She was also running out of money in her investment account, even though she had over $1.5 million in home equity. The home was paid and mortgage-free.
So, we helped her with what the industry calls the “Move Down” scenario. First, she sold her home in the Los Angeles area, which netted her $1.3 million after taxes and expenses. Her next step was to buy a smaller condo in the desert for $700,000, and she used a reverse mortgage to finance a piece of this transaction. The mortgage was for $280,000, so she used $420,000 of her sales proceeds and then funded her investment account with a balance of $880,000. This strategy enabled her to buy the home she wanted with no mortgage payment, and her retirement account was funded, allowing her to enjoy the rest of her life!
This was a truly impactful event in our client’s life. As living costs continue to rise well beyond social security, pensions, and savings, we will see more of this in the coming months and years.
Remember, “it’s just a mortgage”.
“You can choose to make payments, refinance for better terms, or even use it to purchase a new home.”
Daniel Williams is a Certified Reverse Mortgage Professional with almost 20 years of experience in the residential lending industry and co-author of two books. Daniel is with C2 Financial, the largest mortgage broker in the country, and has been a Top 20 Producer in multiple recent years. Daniel also has expertise in investment real estate and works closely with our veterans to help them with the VA mortgage process. www. sandiegolending.us daniel@ sandiegolending.us
KAREN FLOYD headshot & branding photographer
Capturing Confidence & Vitality at Every Age
by the Aging Well Editorial Team
(619)206-4042
For many people, turning 65 marks a time to slow down and relax. For San Diego photographer Karen Floyd, it’s the opposite. She’s busier and more inspired than ever.
As the founder of Karen Floyd Portraits, she’s built a thriving business that celebrates confidence, presence, and purpose, showing that creativity and ambition don’t retire with age.
Karen began her professional photography career at 55, a time when many people are in the midst of change. “I’ve had a camera in my hand since 15,” she says, “but it wasn’t until midlife that I realized it could become my calling.” That decision launched her second act filled with artistry, connection, and an unexpected sense of aliveness.
Her work focuses on branding and portrait photography, particularly for professionals and entrepreneurs seeking to enhance their visibility. What sets her apart is her profound understanding of how midlife and older adults wish to be perceived: as vibrant, capable, and relevant in a world that often equates youth with value. “I love helping people show up in a way that reflects who they feel they are inside, rather than what they see in the mirror,” she explains. “It’s about creating images that radiate their confidence, wisdom, and vitality.”
Karen’s sessions are renowned for their warmth, guidance, and transformative impact. Most of her clients (especially the women over 50) arrive feeling camera-shy or disconnected from their
own charisma. Through thoughtful posing, natural lighting, and genuine encouragement, she helps them rediscover a spark they may not have seen in years. The result is more than a photograph; it’s a renewed sense of self-esteem.
Her approach extends beyond individual portraits. Karen also photographs business professionals who understand the importance of presenting themselves effectively in today’s competitive marketplace. “Being seen in business is the name of the game,” she says. “When someone’s images align with their expertise and personality, it changes how they’re perceived, the money they can make, and how they feel about themselves.”
For Karen, photography is more than a profession; it’s a lifestyle that keeps her engaged, active, and happy. Each session requires creativity, problem-solving, and genuine human connection. The constant motion, both physical and mental, has become a cornerstone of her well-being.
“Aging well means staying curious and doing things that light you up,” she says. “Photography gives me that. It keeps me learning, meeting new people, and moving every single day.”
As she celebrates her 65th birthday, Karen reflects not on slowing down, but on what’s next. Her message to others considering a new chapter later in life is simple and heartfelt: It’s never too late to start again. Whether it’s a new career, hobby, or dream, she has seen that the second act can be the most vibrant of all!
Elder Fraud: Protecting Yourself from Scams
Every year in the United States, scams targeting seniors lead to losses at the multi-billion-dollar level. With the holiday season approaching, it’s timely to be on the lookout for two types of scams that frequently target seniors:
Gift card scams – where the unsuspecting victim is coaxed into buying gift cards and sharing their redemption codes – are popular among fraudsters. The scammer typically contacts the
victim by phone, email, or social media. They instill a sense of urgency by posing as a distressed family member, a government or utility company official, or a tech support representative. They claim that a pressing issue can be instantly resolved by purchasing gift cards from popular retailers and then sharing the codes with the scammer. Once these codes are in the scammer’s hands, the money is gone in a matter of minutes.
Romance Scams prey on people who feel lonely, especially during the holiday season. The absence of loved ones, memories of times gone by, and isolation intensified by colder weather can make seniors more emotionally vulnerable. As seniors increasingly venture into the digital realm of online dating, the same platforms that promise companionship also harbor dangers. Cybercriminals who pose as potential romantic partners exploit the emotional needs of their victims. They may spend weeks or months courting the targeted senior before an urgent need for a loan, a time-sensitive business opportunity, or a family emergency pops up. The fraudster will appeal to an older person’s generosity and desire to be helpful, promise to pay them back and shower them with verbal affection to finance their request. Of course, it’s all bogus, and the money (and relationship) disappears as soon as the funds are handed over.
To avoid falling victim to these scams, the lead FBI Special Agent for the Elder Justice Task Force in San Diego offers simple
“Elder fraud affects our most vulnerable citizens,” said FBI San Diego Field Office Special Agent in Charge Stacey Moy.“In many instances, someone has had their entire life savings stolen, and they’re embarrassed to speak out about it. We want victims to know that they are not alone and should report it to law enforcement as soon as possible because we want to get the bad people responsible for these crimes off the street.”
advice, “Never send money to someone you don’t know.”
Why are Seniors Targeted?
Several factors make older adults prime targets:
• Digital unfamiliarity: Seniors might not understand the digital implications of gift cards or that sharing the redemption code is tantamount to giving away money.
• Isolation: Living alone or being distant from family makes seniors susceptible to scams, especially when a scammer poses as a trusted person – such as a friend, government official, or utility company representative.
• Cognitive challenges: Age-related cognitive decline can hinder seniors’ ability to recognize suspicious activities quickly.
• Emotional manipulation: Scammers fabricate scenarios that prompt strong emotional reactions, muddling the targeted individual’s judgment. These kinds of scams aren’t limited to seniors—they have targeted people of all ages.
The FBI’s Role in Combating Scams
Recognizing the growing threat of such scams, especially to vulnerable groups, the Federal Bureau of Investigation (FBI) has responded proactively. The FBI regularly releases information on current scamming tactics, helping to educate the public about what to watch out for. Specialized cybercrime units are dedicated to tracing and tracking digital scam operations and working diligently to shut them down.
Despite the FBI’s efforts, prevention remains the best form of protection:
• Stay informed: Knowledge remains our most powerful shield. Understand the common scams and never provide personal or payment information impulsively.
• Safeguard personal information: Be cautious about sharing personal details online, as scammers can manipulate them. Don’t share personal or financial data over the phone if you didn’t initiate the call.
• Verify information: Always double-check any suspicious claims by contacting the alleged source directly.
• Maintain connections: Regular interactions with family and friends can help detect and prevent suspicious activities.
• Foster open communication: Talk about dubious calls or interactions you’ve experienced. Elder fraud victims are often embarrassed and worry about telling their adult children or caregivers when they’ve lost money for fear of losing access to their accounts. Make it safe to have vulnerable conversations and share information.
• Report any suspicions: If a call or transaction feels off, report it immediately. Speedy reporting can increase the chances of culprits being apprehended and serves as a warning for others. In San Diego County, the Law Enforcement Coordinator Center compiles tips and information that seniors and their loved ones report. Report the who, what, when, where, and how details of your attempted scammer to local law enforcement (police or sheriff’s department) and the Internet Crime Complaint Center (IC3) at IC3.gov.
According to the FBI, more than 88,000 fraud victims aged 60 and older suffered $3.1 billion in losses in 2022, an 84% increase from the prior year. Each victim lost an average of $35,101.
Cox is an FBI San Diego Citizens Academy graduate and
Immediate Past President of the Alumni Association. She founded the non-profit Victim Assistance Project in 2019 and launched an elder fraud outreach initiative in 2023. The organization is committed to sharing information that prepares and prevents seniors from becoming victims of scams. More information and resources are available at SDElderFraud.com.
Elizabeth
Medication-Induced Bone Loss
The most commonly prescribed medications strip bones of minerals, damage collagen, and increase the risk of osteoporosis, falls, and fractures 1 Not all drugs increase a person’s risks equally. It can depend on the dose, your age, how long you take it, and whether you’re on multiple medications.
This is a dangerous and essential issue that everyone needs to be aware of. I’ve lectured at medical conferences to educate physicians on this topic, and it is also included in a chapter in my book, Fracture-Proof Your Bones. Consult your doctor and pharmacist if you are taking any medications, especially those listed below. This is not an all-inclusive list.
Acid blockers
Androgen-deprivation therapy (ADT)
Antidepressants (specifically those that increase serotonin)
Antipsychotics
Aromatase inhibitors
Blood pressure medications
Chemotherapy
Depot medroxyprogesterone acetate (DMPA)
Glucocorticoids
Heparin
Hypnotics (e.g., for anxiety and sleep
Immunosuppressants
Muscle relaxants
Opioids
Acid Blockers
In 2010, the FDA warned about taking acid-blocking medications and fracture risk.2 Taking a PPI for one year is associated with a 22% increase in hip fracture risk, which climbs each year: 41% after two years, 54% after three years, and 59% after four years.3
Antidepressants
Serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs)—are prescribed for depression, anxiety, fibromyalgia, premenstrual syndrome, and more. Patients taking SSRIs have a 67% increased risk of fractures. These medications are so harmful that one person is expected to break a bone for every 85 people taking the drug for one year. After five years, one will fracture for every 19 patients taking an SSRI .18 It’s not just the SSRIs that damage bone. A ten-year study of 6,645 Canadians concluded that SSRIs and
SNRIs are both associated with an increased fracture risk.19
Antiseizure medications
Osteoporosis affects up to 31% of people with epilepsy, and people taking antiseizure medications are two to six times more likely to break a bone compared to people not taking these drugs.20 Importantly, not all epilepsy medications seem to cause bone loss and osteoporosis. Although data are limited, research suggests that Lamictal (lamotrigine) does not appear to harm bones or increase the risk of fractures.23 However, valproate can, but only when taken for 36 months or longer.24
Aromatase Inhibitors
Aromatase inhibitors (AIs) block estrogen production and are one of the top-prescribed drugs for postmenopausal women with estrogen receptor-positive (ER-positive) cancers.25,26 Once a woman starts an AI, it’s common for her to continue taking it for many years. Bone loss in women with breast cancer is a major concern. Up to 80% of all breast cancer patients lose bone.27,28 Plus, breast cancer patients who are hospitalized with a fracture have an 83% higher risk of dying compared to breast cancer patients who don’t break a bone.29
Glucocorticoids
Glucocorticoids, such as prednisone, suppress inflammation and modulate the immune system. Fractures occur in up to 50% of patients who take them for an extended period.39 Even taking less than 2.5 mg/day for six months increases fracture risk up to 200% compared to people not taking them.40
High Blood Pressure Meds
Maintaining healthy blood pressure is essential for cardiovascular health. If one of these medications decreases your blood pressure too much, it can create dizziness and imbalance. This increases your risk of falls and fractures. Making sure you’re on the proper dose is essential for safely taking these drugs. If you’re taking any blood pressure medication, regularly monitor your blood pressure and ensure it is within the target range set by your doctor.
Hypnotics
Hypnotics, like zolpidem (Ambien), eszopiclone (Lunesta), and lorazepam, are typically prescribed for difficulty sleeping, anxiety, and panic. While they help people feel calmer and sleep better,
they also decrease alertness and can cause dizziness and lightheadedness the next day. Additionally, they can increase the risk of accidents and falls and have been associated with other health issues.48,49 A systematic review and meta-analysis of data from eighteen studies with patients 72 to 84 years old concluded that taking any of these medications increased fracture risk by up to 240% compared to people not taking them.51
Muscle relaxants
Like hypnotics, opioids, and antihypertensive medications, muscle relaxants increase the risk of falls and fractures, especially in older adults.52 A review of Medicare Advantage patient data concluded that taking a muscle relaxant was associated with a 40% increased risk of fracture compared to individuals not taking one.54
What You Can Do
Here are some tips on how to protect and maintain strong bones.
Get a bone density test: Individuals taking any of these medications should consult their doctor about undergoing a bone density test to screen for potential bone loss.
Dietary supplements: Testing vitamin D and taking a vitamin D and calcium dietary supplement are also commonly recommended. A form of vitamin K2, specifically MK4, has been demonstrated in clinical trials to support healthy bone density and maintain strong bones, even in individuals taking
certain medications. Clinical trials have shown more significant improvements in bone density when people combine MK4 (45 mg/day) with Vitamin D rather than taking them separately.
Diet: A plant-forward, Mediterranean Diet is associated with improved bone health and a 21% lower risk of fractures.
Exercise: Engaging in regular exercise to improve stability, mobility, and strength can help keep you safer.
For more information and tips, consult Fracture-Proof Your Bones: A Comprehensive Guide to Osteoporosis. It covers important topics, provides essential questions to ask your doctor, and helps you create a comprehensive bone health plan to keep you safe.
References Available Upon Request
. Dr. John Neustadt, ND, is the Founder and President of Nutritional Biochemistry, Inc. ( NBI ) and NBI Pharmaceuticals. He is the host of the Delivering Health podcast, wrote four books, including Fracture-Proof Your Bones: A Comprehensive Guide to Osteoporosis , worked with the FDA on evaluating the use of natural products for the potential treatment of rare diseases, and is on the Bone Health and Osteoporosis Foundation Corporate Advisory Roundtable. He’s been recognized as one of the Top 10 Cited Authors in the world for his work and frequently teaches about bone health and other topics at medical conferences and on podcasts
Permaculture A Sustainable Wayof Living
In 1995, my television died, and I turned all my viewing time to reading books. And not just any books. I wanted to go back to growing food in my condo garden. After all, if I was going to care for and water a plant, I wanted more than greenery; I wanted food and/or medicine. As a teenager, we had a large garden on a large plot of land. So, I studied many books. One that appealed to me was Carrying Water as a Way of Life: A Homesteader’s History by Linda Tatelbaum. While she and her husband had a large plot of land, it introduced permaculture to me. I was hooked as it was scalable and has changed my life in many ways. Most notably, if your garden has a problem, compost tea can heal it! What is permaculture, you may ask. Here is a little introduction for you.
It is a design system developed by Bill Mollison and his student, David Holmgren, in the 1970s to outline a land management and settlement design. Bill was a one-time forester, school
A Kiddie Pool herb garden with an olla for watering and rosescented geraniums as a bug deterrent.
You may see weeds, but Stinging Nettle is better than spinach, and it grows for free!
Kratky Hydroponic System to grow lettuce and basil. Organza Netting to keep bugs away.
teacher, trapper, and field naturalist. While working in a Tasmanian rainforest, he started to look at how nature took care of itself and surmised that if agriculture used the same methods, sustainable communities could be developed to be selfcontained and grow an abundance of food to feed the world over. Together, they wrote the book Permaculture One, which started a movement away from traditional agriculture to permanent agriculture, also known as permaculture.
Three photos on the right by Mary Dralle.
Bill based his new system on Three Ethics:
• Caring for the Earth
•Caring for People
• Reinvesting the surplus that this specific care will create
In his book Essence of Permaculture, Dave further developed it to the 12 Principles of Permaculture:
1. Observe and interact
2. Catch and store energy
3. Obtain a yield
4. Apply self-regulation and accept feedback
5. Use and value renewable resources and services
6. Produce no waste
7. Design from patterns to details
8. Integrate rather than segregate
9. Use small and slow solutions
10. Use and value diversity
11. Use edges and value the marginal
12. Creatively use and respond to change
In permaculture, much time is spent on the design portion of any new project. It can take up to a full year to see how the earth, the water, the sun, and the air work together before any changes are made. There is a significant focus on how much water comes onto the land naturally and how it can be utilized in dry times. Also, a concerted effort is made to repurpose any waste from the system within the system itself. The goal is to keep anything from leaving the land and going into a landfill.
References:
1. Holmgren, David (2020). Essence of Permaculture. Melliodora Publishing. ISBN 978-0975078662
Permaculture, at its core, is about producing food in well-designed gardens and food forests that rely on compost, compost tea, and mulch instead of commercial fertilizers. If the soil requires additional amendments, permaculturists turn to sustainable compounds such as alfalfa pellets, bone meal, blood meal, lime, kelp meal, rock dust, rock phosphates, and wool pellets that naturally break down into fertilizers. This approach steers away from using peat moss, Perlite, and other ‘organic’ materials that are not sustainable. After the harvest, a portion is preserved for future use and seed harvesting, all part of a closed system of self-sustainability. Another takeaway from permaculture is its scalability. It can be done on vast landscapes such as the Sahara Desert, the Dead Sea region in Jordan, and the Loess Plateau in China, or it can be done for a food-producing rose bush in a small patio area. The principles can be applied at any level and in any part of the world to uphold ethics. When used in cities and towns, locally grown foods that do not require extra fuel to transport them over long distances are produced. If each home in a neighborhood had different fruit tree guilds, they could feed each other, help end hunger, and maybe form lasting bonds in a gentler, happier world. If you’d like more info on growing your permaculture garden, contact Mary “Klibs” Dralle. Until next time, keep those hands soiled.
Mary “Klibs” Dralle is a Certified Permaculture Designer and the head chef at The Dancing Raven Ranch & Retreat Center, where she brings farmto-table dining straight from clients’ gardens. She hosts the popular show, Cookin’ with Klibs Presents: The Chemistry of Cooking, blending science with culinary art. Additionally, Mary coordinates and builds events for the Wander-Full Labyrinth Walkers, promoting meditative walking practices. Once a month, she leads Color Me Joyful, a vibrant adult coloring group. She is also a regular contributor to the San Diego Horticulture Newsletter, where she writes bi-monthly on topics in permaculture.
Image from Essence of Permaculture, David Holmgren {1}
Six Ways the Doctor + Doula Partnership Improves Your End-of- Life Care
After more than 35 years as a physician, I’ve seen and experienced the limitations of our healthcare system—especially when it comes to palliative and end-of-life care. I’ve also learned that through a collaborative, compassionate, and holistic approach, it’s possible to transform the end-of-life experience for everyone.
When medical professionals team up with holistic providers, such as doulas, they can offer comprehensive care that addresses the unique needs of patients and their families. Research has shown that patients who work with death doulas gain a better understanding of the dying process, which leads to greater empowerment and more positive experiences for both individuals and families. * Death doulas are changing the way people write the final chapters of their lives. They walk alongside patients and loved ones during a very challenging time.
Medical Care + Compassionate Support
Traditional medical care often focuses on physical health, with little to no consideration of emotional, spiritual, and social aspects. When individuals facing complex and terminal illnesses tap into a model of care that combines medical care with compassionate support, such as the doctor-and-doula partnership, they experience a new standard of care. This model of care addresses all aspects of a patient’s experience while also supporting their loved ones. This all-encompassing care ensures that everyone feels respected and supported throughout the end-of-life journey.
A crucial aspect of the end-of-life journey is engaging in meaningful conversations that foster greater understanding, connec-
tion, and peace of mind. Death doulas foster an open environment in which to do so and are successful in helping people plan for the journey with intention and clarity. This empowers people to take charge of their decisions and define their wishes, ensuring they are honored by loved ones when it matters most. Through my experience, I’ve seen that by collaborating, doctors and doulas can offer services that extend their support beyond the limitations of our current healthcare system, filling existing gaps in care.
These services can include:
1. Comprehensive Care: By combining medical expertise with holistic support, we ensure that all aspects of a patient’s well-being are considered, resulting in more effective and personalized care.
2. Companionship and Presence: So much of modern healthcare focuses solely on the physical body and its ailments. Doulas provide a comforting presence, helping patients and their families feel less anxious and isolated during this challenging time.
3. Education and Advocacy: Doulas educate patients and their families about the dying process, ensuring their wishes are respected and heard. This advocacy fosters a more patient-centered approach.
4. Emotional and Spiritual Support: Doulas help patients find peace and meaning as they approach the end of life, also guiding families in understanding their loved ones’ experiences.
5. Rituals and Resources: Doulas offer rituals and resources that can provide comfort and help families cope with loss in a meaningful way.
6. Better Communication: The relationships that doulas build with patients and families enhance communication with healthcare providers, reducing misunderstandings and improving the overall experience.
This partnership provides a caring, holistic approach to end-oflife care, providing peace, dignity, and comfort to those facing their final days.
Including a Doctor + Doula in Support Team
Including a physician and a doula in end-of-life care fosters a patient-centered approach that is often lacking in traditional medical settings, ultimately leading to more compassionate care for all involved.
While doctors often learn to see death as something to be avoided, with a heavy focus on life-saving care, doulas recognize death as a natural part of life. A doula can offer a compassionate approach to the end-of-life experience, providing a range of supportive services focused on comfort, education, and advocacy.
Combining medical expertise and holistic support establishes a NEW standard of care that should be available to everyone. And in truth, it is not an unfamiliar model. As we’ve seen with the birthing movement, integrating doulas into medical care can help create robust, supportive, and holistic options for everyone. Recognizing that the option is there can help you experience a richer and more empowered end-of-life experience.
Doctors and doulas are trained in how to have difficult con-
versations about death. Having a guide walk you and your loved ones through the various options and plan out what the final years, months, or days will look like brings clarity and peace of mind to everyone. Tapping into the doctor-and-doula care model is one decisive way to improve the end-of-life journey for yourself and those you love.
Dr. Bob Uslander is the Co-Founder and Chief Medical Officer at Empowered Endings™. As a physician with over three decades of experience, Dr. Uslander is raising the bar in palliative and end-of-life care for patients and their families. Learn more at: https:// empoweredendings.com/ and https://empoweredendings.com/ team/dr-bob-uslander-md/.
*McGhee, M. (2023). Death doulas: An exploration of their role and impact on end-of-life care. Health & Social Care in the Community, 31(5), 123-133. https://doi.org/10.1177/26323524231207112
Teepa Snow’s Positive Approach® to Care: Transforming Dementia Care
Are you searching for the best way to support a loved one living with dementia? Finding caregivers equipped to handle the unique challenges of this condition can be aa significant hurdle for many families. Dementia care requires specialized approaches that address not only physical needs but also emotional and cognitive well-being, ensuring meaningful and compassionate support.
According to a report from the Population Reference Bureau, approximately 85% of Americans with probable dementia lived at home in the community or in supportive care settings (such as assisted living or personal care homes), whereas about 15% lived in memory care communities. This highlights the critical need for effective care strategies that meet the unique challenges of supporting individuals in these environments. While many caregivers are dedicated and compassionate, access to specialized tools and training remains essential for addressing the complexities of dementia care.
One transformative solution is Teepa Snow’s Positive Approach® to Care (PAC), a groundbreaking philosophy that reshapes the way dementia care is provided. PAC goes beyond traditional caregiving methods by emphasizing an understanding of brain changes and fostering compassionate, person-centered connections. This approach empowers both families and care professionals to deliver dignified, meaningful support.
Let’s explore what PAC is, why it’s important, and how its techniques can benefit both care recipients and care partners.
What is the Positive Approach® to Care?
Teepa Snow’s Positive Approach® to Care (PAC) is a philosophy and a series of immediately useful care techniques designed to improve the quality of life for individuals living with dementia and their care partners. At its core, PAC emphasizes adaptation and genuine partnership in response to the changes caused by dementia. Rather than focusing on what someone living with dementia can no longer do, PAC encourages care partners to understand brain changes, meet individuals where they are, and find ways to connect meaningfully. PAC incorporates tools such as the GEMS® States model and the Positive Physical Approach™, which are widely recognized frameworks for compassionate dementia care.
Why is PAC Important?
Traditional caregiving models often fall short when it comes to dementia care. Caregivers may inadvertently approach situations with frustration, confusion, or fear, which can lead to ineffective communication and unnecessary stress for everyone involved. PAC addresses these gaps by:
1. Changing Perspectives: PAC teaches care partners to see themselves as collaborators rather than “fixers,” focusing on shared experiences and building trust.
2. Understanding the Brain: By educating care partners about how dementia affects the brain, PAC helps demystify behaviors like resistance and agitation.
3. Promoting Dignity: The philosophy emphasizes helping individuals maintain a sense of control and independence as their abilities evolve.
Benefits of the Positive Approach® to Care
1. For the Care Recipient:
o Enhanced emotional well-being through respectful and tailored interactions.
o A greater sense of connection and security.
o Reduced agitation, confusion, and frustration.
2. For the Care Partner:
o Improved confidence in handling challenging situations.
o Stronger relationships with loved ones or clients.
o Decreased stress and burnout through better communication and understanding.
Transforming Care with Compassion and Understanding
Assisting someone living with dementia in managing activities of daily living (ADLs) or instrumental activities of daily living (IADLs) can be challenging. Teepa Snow’s Positive Approachâ to Care offers a revolutionary way to navigate these challenges by shifting perspectives and equipping care partners with practical tools.
By understanding the brain changes associated with dementia and adopting techniques such as the Positive Physical Approach™, Hand-under-Hand™ guidance, and the GEMS® States model, caregivers can transform frustrating moments into opportunities for meaningful connection. The result is better outcomes for care recipients, stronger relationships, and less stress for care partners.
If you’re searching for a way to make caregiving more manageable and meaningful, the PAC philosophy can make all the difference. Explore PAC resources, seek certified training,
and embark on your journey toward compassionate and effective dementia care. Together, we can reimagine caregiving as a partnership that preserves dignity and fosters joy, even in the face of life’s challenges.
Start your PAC journey today because every moment matters.
April Kohnen is a PAC-Certified Independent Trainer and Coach, owner of Griswold Home Care for North San Diego, and a board member of the San Diego Dementia Consortium. Under her leadership, Positive Approachâ to Care has been implemented as the standard of care at Griswold Home Care for North San Diego. April.kohnen@ griswoldcare.com www.griswoldcare.com/north-san-diego
Aging Parent TribeSoCal San Diego: A Private Facebook Group
Because no one should walk the caregiving journey alone.
Caring for an aging parent or loved one can be one of life’s most rewarding—and most challenging— experiences. Whether you’re navigating medical decisions, housing options, emotional ups and downs, or just trying to juggle it all, it’s easy to feel overwhelmed and isolated.
That’s precisely why the Aging Parent Tribe SoCal San Diego was created—a private Facebook group designed to be a trusted space for caregivers to connect, share, and support one another.
This is not just another online group. It’s a local community built on empathy, understanding, and real-life experience. Whether you’re a spouse, adult child, sibling, friend, or neighbor providing care, you belong here.
Inside the group, you’ll find:
• A judgment-free zone to share your story, challenges, and victories
• Meaningful local connections with others who “get it”
• Practical advice from people who’ve been there
• Resources and insights about aging, caregiving, and senior living options
• Encouragement and emotional support when you need it most
The goal is simple: to remind you that you’re not alone. This
tribe exists to lift each other up and provide the tools and encouragement needed to move forward confidently. Whether you’re just starting the caregiving journey or have been walking this road for years, we invite you to join our community.
Search “Aging Parent Tribe SoCal San Diego” on Facebook and request to join our private group today. Together, we’re stronger. We can’t wait to welcome you!
https://www.facebook.com/groups/socalapt
Jacqui Clark is a Certified Senior Advisor™ (CSA™) consultant with Living Coastal Senior Resources, editor-in-chief of Aging Well Magazine, and host of Get Ready for Better Aging podcast. She is an industryleading living-and-aging well expert and a respected communications specialist. Her newest endeavor, Aging Parent Tribe-SoCal San Diego, is a resource and support group she wished was around when she cared for her parents. Jacqui@LivingCoastalSR.com www.ThisIsLivingWell.com
ORGANIZE WELL
The Cost of Clutter
You may have heard the name Marie Kondo, arguably the world’s most famous Professional Organizer, who suggests you hold each object in your home to see if it “sparks joy.” If it doesn’t, Kondo says it needs to go. An entire industry has bloomed around the idea that making these decisions can be utterly overwhelming. This unique niche has become popular here in San Diego, helping people with everything from move management to clearing out cluttered cabinets and tackling overstuffed garages. This kind of help can enhance your well-being, productivity, and mental clarity. Is your home the sanctuary you always hoped it would be? If someone were to drop by, would you invite them in? Do you have a room filled with those “someday” boxes that you’ve been planning to unpack but secretly dread? Decluttering is time-consuming, energy-draining, and inevitably involves a trip down memory lane. That can feel tiring and sometimes brings up painful memories from the past. Spending time going through everything can mean missing out on traveling, golfing, or cooking. Your home should be a place to relax, rejuvenate, and enjoy life with friends and family.
Even though we’d rather not acknowledge it, there’s an emotional cost to that overflowing closet. Maybe you have an extra room that would be great for hobbies or your grandkids’ toys, but it is “off-limits” even now. If you’re constantly looking for things or are living lost among piles of paper, a Professional Organizer can help! What if…
•Instead of shutting the door on those “maybe later” rooms, you could wave your magic wand, have those boxes unpacked, and every last thing put away before that turkey hits the table on Thanksgiving Day.
•You could relax and read while your energetic organizer sorts everything into categories so you can see what you have. All the clothes, picture frames, dishes, and housewares would be whisked away for donation, gifting them to someone who would be thrilled to have your treasure?
Once the decluttering and donating are underway, a great organizer is creative and helps you maximize your existing space so you won’t have to spend money on even more space. Many clients think they need new closet systems, an extra garage, or a storage unit. With the right help, you’ll be amazed at how much room you already have. We just have to think a little differently, find homes for every last thing, and—you guessed it—get organized!
When everything has a place, your home stays tidy and beautiful. The mental clarity that comes with an organized home makes this the ultimate form of self-care.
Here are some great questions to ask before hiring a Professional Organizer. The answers below are exclusive to the author’s company.
Will you make me get rid of everything?
Definitely not You’ve spent a lifetime curating collections and creating priceless memories. We’ll work together to help you let go of the real clutter and create space for the treasures that matter most to you.
Do I have to be home when you organize? You are certainly welcome to be, but it’s up to you. As long as you can check in with me throughout the day, you can come home to a brand-new space!
Do I work alongside you?
Only for the decluttering process, which can sometimes be completed through photos on text.
Are you certified, trained, or insured? Yes to all.
“When everything has a place, your home stays tidy and beautiful.”
Organized, a one-woman powerhouse specializing in whole-home organizing, one room at a time. A native of New Orleans, she earned her Master of Social Work degree from Tulane University. She is uniquely qualified to listen and understand her client’s needs, crafting unexpected solutions to reduce overwhelm and elevate their lives.
Jackie Citerony is the owner of Label Me
Iridology: A Window into Health Through the Eyes
My Healing Story
A few years ago, I suddenly got sick with multiple debilitating, chronic illness symptoms that turned my life upside down. Chronic fatigue, constant pain in my muscles, nerves, and joints, severe mood swings, brain fog, hair loss, heart palpitations, and rashes became my daily reality. Even the lightest touch on my skin caused pain. At my worst, I could barely work, walk, or even raise my arms due to muscle weakness.
Despite these alarming symptoms, my bloodwork always came back “normal.” Doctors offered me antidepressants (which I refused) and suggested I “come back in six months.” With conventional medicine failing to provide answers, I decided to take matters into my own hands.
With a background in scientific research, I dove into the medical literature. I discovered that my symptoms were more common than I had initially thought, with documented cases going back to the 1960s. All signs pointed to a viral infection. After requesting a virus test, which confirmed my suspicions, I realized I was alone in finding a solution.
I explored various healing modalities, consulting different practitioners along the way. A turning point came when a friend, an Iridologist, read my irises and provided crucial insights. Through relentless trial and error, I finally found healing through nutritional detoxification and herbal medicine. In the process, I got certified as a regenerative detoxification specialist and iridologist. I was my first client.
I’ve been symptom-free for almost six years. Now, I’m dedicated to helping others uncover the root causes of their chronic health issues and guiding them on their journey to detoxification and healing.
What is Iridology?
Iridology is an alternative health practice that examines the eyes—specifically the irises, pupils, and sclera (the white part of the eyes)—to assess a person’s overall health. Iridologists believe that different colors, markings, and signs within the iris can reveal valuable insights about the health of the body’s organs and systems. The iris is a map with specific areas corresponding to different body parts.
According to iridologists, every organ in the body is connected to the iris via the nervous system. By examining the iris, an iridologist can detect genetic predispositions, hormonal changes, old injuries, inflammation, acidity, toxicity, and the overall health of various organs. They can also determine the stages of tissue change, ranging from acute to chronic conditions and even degenerative or irreversible states.
Iridology is based on holistic health principles, viewing the body as interconnected rather than isolated parts. When one organ is not functioning optimally, it can affect the entire body. This holistic perspective allows iridologists to identify symptoms and the underlying causes of health issues.
Unlike conventional medicine, which often focuses on specific illnesses, iridology does not diagnose diseases. Instead, it reveals the physiological conditions, psychological health
Iris Chart Display
risks, and strengths and weaknesses of various organs and systems. Iridologists believe that understanding these aspects can address the root causes of health problems rather than just treating symptoms.
How Iridology Works
Iridology sessions typically involve taking high-quality photographs of both irises. The iridologist analyzes these images, looking for specific patterns, colors, and markings. This process can be done in person or remotely, as iridologists can provide detailed instructions on how to capture clear images of the eyes.
The History of Iridology
The practice of examining the eyes for clues to health dates back thousands of years. Even Hippocrates, often called the Father of Medicine, used this approach around 2400 years ago. However, iridology as a recognized diagnostic tool began to take shape in the late 1600s.
In the late 1800s, European practitioners made significant strides in correlating iris markings with health conditions. The modern science of iridology owes much to Hungarian doctor Ignatz von Peczely (1822-1911), widely regarded as the father of iridology. His interest in the field began at 11 when he accidentally broke an owl’s leg and noticed a black mark on the bird’s iris. As the owl healed, the black mark changed to white, sparking von Peczely’s lifelong fascination with the connection between iris changes and health.
Dr. von Peczely became a medical doctor and created the first iris chart, mapping eye markings to specific organs. His observations were based on decades of comparative study, particularly in hospital settings, where he observed patients before and after surgery. He published his findings in 1881, laying the foundation for modern iridology.
Around the same time, Swedish minister Nils Liljequist (1851-1936) also contributed to the field by noting changes in his iris color after taking quinine, a drug that caused yellow-green discoloration.
In the 1950s, American chiropractor Dr. Bernard Jensen (1908-2001) advanced iridology and is considered the Father of Iridology in the United States. He extensively mapped the eye and worked with over 300,000 patients, students, and physicians. Dr. Jensen founded Iridologists International in 1977, and his legacy continues through his family’s work.
For more information, contact@corrylang.com or www.corrylang.com Get 20% off your iris reading with coupon code LCSR20!
“Iridology is an alternative health practice that examines the eyes— specifically the irises, pupils, and sclera (the white part of the eyes)—to assess a person’s overall health.”
Corry Lang is a certified regenerative detoxification specialist and iridologist dedicated to helping women with chronic health issues uncover the root causes of their illnesses and guiding them through targeted detoxification processes so their tissues and organs can regenerate and heal.
