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HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY

IN THIS ISSUE | 3-6 ALZHEIMER’S AWARENESS MONTH:

NOVEMBER 2016

Presented by the Alzheimer's Association Desert Southwest Chapter

Time to choose your Medicare Advantage plan

How to successfully navigate the journey

What you should know to make the right decision

B Y M E G H A N N F I N N S E P U LV E DA

t's far more common today, as opposed to 50 years ago, to see people live into their 90s. Of those, some who face financial difficulty may have to move back in with their children who then take on the role of caregiver, according to the American Psychological Association.

By Debra Gelbart

f you’re a Medicare “first-timer” this year, meaning this will be your first Annual Election Period (AEP) since turning 65, you may be concerned about deciding the best way to receive Medicare benefits. AEP is the time of year when you are allowed to select or switch a Medicare Advantage plan.

Original Medicare

CARING FOR AN AGING PARENT

Thinkstock

ROLE REVERSAL Other seniors may benefit from a retirement community or might require additional care through assisted living or a memory care facility. These difficult decisions often fall on the adult children and are accompanied by worry and fear. It’s important to realize the emotional impact of role reversal and accept it as a new chapter in life.

Know when it’s time Peggy Wells, a Phoenix-area realtor, first became concerned for the wellbeing of her elderly mother, who is in the early stages of Alzheimer’s, when she began to isolate herself from the activities she loved most, following the loss of her husband. “She no longer went out with friends and stopped going to church,” she said. “She also became obsessive about reading and responding to the mail.” Wells eventually moved her mom into Fellowship Square Phoenix, a senior retirement community, three years ago. “She is currently living independently, but caregivers check on her daily,” Wells said. “She’s also found companionship with other residents which has kept her social and active. It’s been such a positive experience because she’s happy and safe.”

Look for signs of aging Changes in a parent’s declining health are usually gradual. This can be challenging, especially when adult children live out of state and only visit a few times per year. “The holidays are a very advantageous time to check in with mom and dad,” said Donna Thomas, director of corporate communications for Senior Resource Group. “It can often be surprising and

concerning, especially if a significant amount of time has passed.” Changes can be seen upon arrival, from the maintenance and condition of the home to personal hygiene and overall appearance. “These are things you can immediately sense and are indicators that care might be needed,” Thomas added. Other signs include changes in a loved one's behavior, such as ignoring favorite hobbies, missing dates with friends, or forgetting to pay bills, according to AARP.

Evaluate the need Sometimes aging parents simply need assistance with everyday activities like

! Communicate successfully with your aging parents

When you turn 65, you have many choices for your regular medical care: original Medicare, Part A and Part B (also known as “original” or traditional Medicare), which you sign up for through the Social Security Administration anytime between three months before your 65th birthday month and three months after your birthday month; a Medicare supplement plan used with Part B; or a Medicare Advantage plan. Original Medicare and some other Medicare plans do not cover prescription drugs, so you may want to look into a Medicare Part D (prescription drug) plan as well. Original Medicare Part B lets you see any doctor who accepts Medicare, but only 80 percent of charges are paid by Medicare. You are responsible for the remaining 20 percent and there’s no maximum out-of-pocket expense. Many people with Medicare Part B also enroll in a Medicare supplement plan and Medicare Part D plan to help pay for costs not paid for by traditional Medicare.

Advantage Plus

Talking to your elderly parents about the need for additional care can be challenging. There may be feelings of resistance, denial and anger. In order to avoid a confrontation and successfully take the conversation further, Donna Thomas, director of corporate communications for Senior Resource Group, provides the following tips:

! Don’t be accusatory ! Be open-minded, caring, sensitive and diplomatic ! Ask questions and get feedback ! Let your parent make the decisions and be in control ! Make it easy – look at Fellowship Square Phoenix is one of many senior facilities together online retirement community in Phoenix metro area. before scheduling a tour getting dressed, cleaning, grocery shopping ! Encourage participation and taking medication. MORE INFORMATION: “Consider hiring someone for a few hours a Senior Resource Group, week,” Thomas said. “This can be a great first srgseniorliving.com. step that gets parents used to having help.” If more care is required, there are a variety of options available from retirement communities to assisted living and memory support facilities. “Do your research in advance before you broach the subject with your parents,” said " AGING PARENTS, continued on page 2

With a Medicare Advantage Plan, by contrast, you have a maximum out-ofpocket expense, little or no monthly premiums, all the same Medicarecovered benefits and even some supplemental benefits, such as an annual physical exam. Some Advantage plans include prescription drugs; others don’t.

“The Medicare Annual Election Period and the sign-up process for Medicare are completely separate from the Affordable Care Act Health Insurance Marketplace. The websites are separate, the insurers for each are separate and the options for Medicare enrollees are far more plentiful.” — Donna Jennings, COO Blue Cross Blue Shield of Arizona Medicare Advantage

Other services may have a low co-pay, unlike Part B, where whatever charges Medicare allows are what you have to pay (up to 80 percent). But with Medicare Advantage, you’re typically limited to a specific network of health care providers. If you decide a Medicare Advantage Plan is right for you, here are the top three things to keep in mind as you mull over your choices:

The Annual Election Period is critical. You can sign up for or switch Medicare Advantage Plans or prescription drug plans (Part D) between Oct. 15 " MEDICARE, continued on page 2

You’ll never make a bigger choice. HonorHealth.com/cancercare

2 | Livingwell a-z | Wednesday, November 2, 2016

Aging parents

What can you do to fight the flu?

" continued from the cover

By Paula Hubbs Cohen

Lindsey Arrey, director of marketing for Fellowship Square Phoenix. “There is a lot to absorb.” While it can be heartbreaking for everyone involved, moving an elderly parent into a retirement community can also provide a great deal of relief. “It’s a hard transition, but you will ultimately find peace of mind, knowing your parents are in good hands,” said Martha Batista, president and managing partner of Senior Living Advisory Group. “When a trained caregiver takes over those responsibilities, adult children can resume a traditional relationship with that parent.”

Chose the right facility Take into consideration the environment in which your parent will thrive, schedule a tour of the facility and talk to the staff. “People often underestimate the social aspect that comes with living in a retirement community, which is critical to the health of an aging senior,” Arrey said. “When residents move in, they eat well, get out more and really begin to blossom.” At Fellowship Square Phoenix, residents can take advantage of a variety of social activities such as gardening, dancing, exercising, and swimming.

Determine the financial impact According to the U.S. Department of Health and Human Services, nearly 70 percent of adults 65 and older will need longterm care, and often the need comes unexpectedly. In January, Sun Health launched the Sun Health at Home program, the first continuing care at home program in the Southwest that allows seniors to age in place. “The Sun Health at Home program, helps seniors mitigate the financial risk

! Determine if your loved one needs a caregiver AARP’s Caregiving Resource Center put together a checklist to help people determine if a caregiver is needed for a loved one. This list can serve as a guide, but a primary care doctor can also provide input. PHYSICAL HEALTH ! Diagnosis of any chronic diseases such as diabetes, high blood pressure, arthritis, emphysema, or stroke. ! Unusual weight loss or gain in a short amount of time. ! Incontinence. ! Balance problems: How steady is the person while walking? ! Persistent fatigue or sleeplessness. MENTAL HEALTH ! Diagnosis of any psychiatric disorders such as depression, anxiety disorder or psychosis. ! Diagnosis of Alzheimer’s or other form of dementia. ! Recent hospitalizations for any of these problems. ! Mood swings, including rage or hostility. ! Forgetfulness or wandering off. Other things to consider include home safety, medication usage, support system, hygiene, finances and interests. MORE INFORMATION: aarp.org of long-term care,” said Joshua Freegard, membership coordinator. “Our wellness coordinators, who get to know the member's likes, dislikes and habits, become their health advocate who can arrange for any medical and nonmedical needs, removing the stress and burden from the adult children or other caregivers.”

Medicare

What exactly is “flu”? Rigler: Influenza is a viral illness that causes high fever, chills, cough, runny nose, muscle aches and severe exhaustion. In the U.S., flu is responsible for approximately 226,000 hospitalizations a year and thousands of deaths. Influenza vaccine helps to protect against influenza, but the vaccine does not protect against many other respiratory and gastrointestinal illnesses that people sometimes call the “flu.”

Why does vaccine change every year? Sunenshine: The virus that causes flu changes constantly which is why a new vaccine is required to prevent the spread every year. There are two types of mutations: “genetic drift” where the virus changes slightly over time but just enough to require a different vaccine every year. The second is called a “genetic shift” which is a sudden and major change in the virus that causes a completely new strain that the population has no immunity to. This is what leads to a flu pandemic, such as the one in 2009.

Who should get the vaccine?

" continued from the cover and Dec. 7 every year. If you miss the deadline, you’ll have no wait until next year’s AEP. “Every year, we hear from someone on Dec. 8 or 9 who says they forgot to sign up,” said Steve Stedman, Arizona sales director for Humana. There are almost no exceptions to the deadline.

Start your search at www.medicare. gov. “I strongly recommend that anyone looking at Medicare enrollment for the first time visit the plan finder on medicare.gov,” said Donna Jennings, the COO for Blue Cross Blue Shield of Arizona Medicare Advantage. “It’s a fantastic resource.”

Make sure your doctors are part of a particular plan’s network and that your prescription drugs are part of the plan’s formulary, or approved list of drugs. Three of the biggest players in the Medicare market in Arizona are Blue Cross Blue Shield of Arizona, Humana and UnitedHealthcare. At medicare.gov, you’ll be able to search among each company’s plans to determine if your providers and

Livingwella-z

t might not be quite flu season just yet — but it is definitely the start of flu vaccine season. Indeed, while the flu season in Arizona typically runs from October to March, “it’s hard to predict the severity of it or when it will peak,” said Rebecca Sunenshine, M.D., Medical Director, Disease Control Division, Maricopa County Department of Public Health. Sunenshine added that since it takes about two weeks for the body to build up immunity and provide protection, it’s a good idea to get vaccinated as early in the season as possible. We asked Sunenshine and Jessica Rigler, Branch Chief for Preparedness for the Arizona Department of Health Services, to provide an overview of flu and the flu vaccine. Here’s what they had to say:

November 2016 | Vol. 6, No. 11

Living Well A-Z publishes on the first Wednesday of the month. From A to Z, we tackle a broad range of health issues and offer resources to find more specific information.

A division of The Arizona Republic, 200 E. Van Buren St., Phoenix, AZ 85004. For general advertising inquiries, contact Republic Media at 602-444-8000. General Manager: CAMI KAISER, CKaiser@RepublicMedia.com Creative Development Director: ISAAC MOYA, IMoya@RepublicMedia.com Editor: JIM WILLIAMS, JLWilliams@RepublicMedia.com Project Manager, Custom Products: NICK KOSTENKO, NKostenko@RepublicMedia.com Design: CRAIG KURTZ, CraigRKurtz@gmail.com

your medicines are part of a particular plan. “Ask yourself if the plan is a good fit for your budget, and pay attention to more than just the premium,” advised George Young, CEO of UnitedHealthcare Medicare & Retirement in Arizona. “Look at the other out-of-pocket costs, like the deductible, copays and coinsurance.” Original Medicare doesn’t cover routine dental, vision and hearing services, “so if those are important to you, look for plans in your area that cover routine exams and dental cleanings,” Young said. “Some plans also cover hearing aids and eyewear.” Each company’s Medicare plans may have new benefits for 2017. Humana, for example, will offer a hearing-aid benefit, where you pay either $699 or $999 per device for high-quality, technologically advanced hearing aids, Stedman said. Blue Cross Blue Shield of Arizona Advantage has added a $0 copay annual physical exam. In addition, copays for many commonly used benefits such as primary care provider and specialist visits are not increasing in 2017.

Sunenshine: Everyone six months of age and older should get a flu vaccine every season with rare exception. Infants younger than six months should not be vaccinated because they cannot develop an adequate immune response. That is why it is so important that people in close contact with them are immunized to avoid spreading the virus. People should talk to their doctor before getting a flu shot if they have a severe

For more information • MEDICARE.GOV • BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE: azblue.com/seniors/; 888-274-0367 • HUMANA: Humana.com/Medicare; 602-760-1700 • UNITEDHEALTHCARE: UHCMedicarePlans.com; 800-UHC-6509 • KAISER FAMILY FOUNDATION: kff.org/medicare/issue-brief/ medicare-advantage-2016-spotlightenrollment-market-update

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! Flu facts ! “Influenza causes about 100 pediatric deaths every year in the United States. During the 2015–2016 influenza season, there were four pediatric deaths in Arizona due to influenza.” Source: Jessica Rigler, Arizona Department of Health Services

! “Since no vaccine is 100 percent effective, some people who get vaccinated will still get the flu. However, people who are vaccinated who get the flu are much less likely to be hospitalized or die and tend to have milder disease than those who didn’t get the vaccine.” Source: Rebecca Sunenshine, M.D., Maricopa County Department of Public Health

allergy to flu vaccine or to any ingredient in the vaccine (gelatin, antibiotics, eggs) and/ or a history of Guillain-Barré Syndrome.

What about the nasal mist? Rigler: In the past, the nasal mist form of influenza vaccine was one of the recommended influenza vaccines for healthy people ages two to 49. However, the Centers for Disease Control and Prevention (CDC) has recommended that the nasal mist form not be used during the 2016–2017 influenza season since the influenza shots are expected to give much better protection this year.

Is the vaccine covered by insurance? Rigler: Many health insurance companies will cover the vaccine since it is a great way to keep people from getting sick. You need to check with your health insurance company to make sure.

More info • ARIZONA ALLIANCE FOR COMMUNITY HEALTH CENTERS: aachc.org • ARIZONA DEPARTMENT OF HEALTH SERVICES: azhealth.gov/flu • ARIZONA PARTNERSHIP FOR IMMUNIZATION (TAPI): WhyImmunize.org • CENTERS FOR DISEASE CONTROL (CDC): cdc.gov/flu • FLU SHOT LOCATIONS: flushot.healthmap.org • IMMUNIZATION ACTION COALITION: immunize.org/influenza • MARICOPA COUNTY HEALTH DEPARTMENT: maricopa.gov/publichealth • STOP THE SPREAD ARIZONA: topTheSpreadAZ.org

Wednesday, November 2, 2016 | Livingwella-z | 3

PRESENTED BY LIVINGWELL A-Z AND THE ALZHEIMER'S ASSOCIATION DESERT SOUTHWEST CHAPTER

A STORY OF ALZHEIMER’S --

AND THE ENDURING BONDS OF FRIENDSHIP PHOENIX WALK TO END ALZHEIMER'S SATURDAY, NOV. 12 WHAT: The Phoenix Walk to End Alzheimer’s is the largest fundraising event for the Alzheimer’s Association Desert Southwest Chapter. In 2015, the Phoenix Walk grossed in excess of $487,000 with approximately 10,000 people in attendance; in 2016, the goal is to raise close to $600,000 and have 12,000-plus participants. Funds raised from the Walk support local Alzheimer’s no-cost programs and services, advocacy initiatives, clinical trial enrollment and more. Thanks to the funds raised in 2015, 1,454 families and individuals received free-of-charge support through the Association’s Family Care Consultation program, 3,888 people called the Association’s Help Line for support, and more than 11,000 individuals attended information and education sessions. In addition, the Desert Southwest Chapter was able to help fund hundreds of research projects. David Kadlubowski The Arizona Republic and AZcentral.com

Janna Bommersbach (above) and her late, dear friend, Marge Injasoulian (right). ARTICLES FOR ALZHEIMER'S PULLOUT BY

PA U L A H U B B S C O H E N hoenix-based Jana Bommersbach is an acclaimed journalist whose work encompasses multiple facets of the profession: she’s been a reporter and editor for newspapers; she’s authored several books and is a major contributor to an anthology; she’s written columns and investigative stories for magazines; she’s appeared on television and is a much-sought-after speaker. But the title of which she is most proud is a simple yet profound one: friend. And it’s one of Jana’s dearest friends, Marge Injasoulian, who took Jana on a journey upon which no one is prepared to embark: a heart-wrenching odyssey through the ravages of Alzheimer’s disease. But first, who was Marge Injasoulian? To the residents of Phoenix in the 1970s and 1980s, Marge was a much-heralded community leader, first from her days as vice president for communications at KOOL-TV — and the first woman to do editorials on air — then as the first female Director of Communications for the Catholic Diocese of Phoenix, where she was a major organizer for the Pope's visit in 1987. She was a dynamic media and community leader who embodied such strength, passion and ferocity that Jana laughs when she recalls that the local press corps anointed Marge with the moniker of “Pitbull Injasoulian.” Whether pitbull or pussycat, to Jana and a plethora of other individuals, Marge Injasoulian was a much-cherished family member, a respected mentor, a sharp-as-a-proverbial-tack businesswoman and a treasured friend.

A four-decade friendship “Marge and I were friends from 1975 until her death in 2015. We were like sisters — she was the emergency contact on my medical record, she was the first name on my friends’ list; she was my mentor and guide and best friend,” Jana said. “I first met her when she was the hotshot vice-president for communications at KOOL-TV and then I got to know her through the Soroptomist Club of Phoenix. I was awestruck by her intelligence, her integrity, her humor and her quest for fair play for all. There were several personal crossroads in my life where I relied on Marge's advice — and it was always the right path.” Over the years, Marge and Jana established a bevy of

WHERE: Wesley Bolin Plaza, 1700 W. Washington St., Phoenix

A POEM IN HONOR OF MARGE INJASOULIAN My sister-friend not of my blood, but of my soul, a sister I made myself.

Happy, she's the first call Sad, she's the first call Scared, she's the first call If I'm dying, she's the first they're supposed to call.

40 years we've shared secrets and fears, Now I lie here in a motel, wins and losses listening to her snore in the and still we stick next bed, Wondering how long before my Our own language sister-friend annual traditions no longer remembers who I am. our favorite things — Jana Bommersbach the rituals of life.

Slip, slip, slipping away Jana estimates that Marge’s descent into full-blown Alzheimer’s developed over at least a decade, but the writer and author said that friends and loved ones noticed Marge’s mental “slipping” for about 15 years. “For a long time, I refused to accept that the day would come when she wouldn't know me, when she wouldn't remember the thousands of memories we shared, when she'd see me with blank eyes,” Jana said. “Watching her disappear was at first frustrating and perturbing, then sad and dismaying, then painful and devastating. Her passing in 2015, when she was 79, left a hole in my heart, but also a treasure-chest of memories. I now know first-hand the agony of watching a friend disappear into the abyss of Alzheimer’s.” Jana will be the keynote speaker at the Alzheimer’s: ‘A Love Not Forgotten’ Gala on Feb. 11, 2017.

Lunch and Tour See for yourself how you can stay active, take up a hobby, form new friendships, and enjoy each day to its fullest in a community that shares your values. Contact us today.

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Join the Alzheimer’s Association and help realize a world without Alzheimer's disease. The Desert Southwest Chapter offers many ways for an individual to support our mission to eliminate Alzheimer’s disease. DONATE: ! online at alz.org/dsw, ! by phone at 602-528-0545, ! by mailing a check to: Alzheimer’s Association Desert Southwest Chapter 1028 E. McDowell Road Phoenix, AZ 85006-2662 The Alzheimer's Association also accepts in-kind donations, securities and planned gifts. The Desert Southwest Chapter is a tax-exempt, 501(c)(3) nonprofit, donor-supported organization.

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famously fun-filled family traditions including a special Armenian Christmas celebrated every January, hosting each other's birthdays and taking numerous vacations together. “We both liked to cook and had many dinner parties; we both loved Christmas and made thousands of holiday cookies together,” Jana said. “We both loved Arizona and we traveled throughout the state. She was the friend who knew all my secrets.”

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4 | Livingwell a-z | Wednesday, November 2, 2016

MORE THAN 5 MILLION AMERICANS ARE LIVING WITH ALZHEIMER’S

AND AS MANY AS 16 MILLION WILL HAVE THE DISEASE IN 2050

ARIZONA ALZHEIMER’S STATE PLAN

Experts have created a framework of action against this deadly disease

he Arizona Alzheimer's State Plan is a collaborative document with goals and recommendations to address the growing human and financial cost of dementia in Arizona. The Plan’s vision is that there will be quality care and supportive services available, accessible and acceptable throughout Arizona. “The Plan is meant to be a living, usable document for everyone in Arizona who has been impacted by dementia to utilize as a tool for support,” said James Fitzpatrick, MAS, Program and Advocacy Director for the Alzheimer’s Association Desert Southwest Chapter. The Plan includes five goals with several recommendations for each:

1 2 3 4 5

Maximize public awareness and understanding Develop new and enhance existing supports for people with Alzheimer’s and their families Expand the dementia-capable workforce in Arizona Advance and disseminate research Create a dementia-capable system in Arizona

Implementation and stakeholders More than 100 stakeholders from various entities throughout Arizona are overseeing the Plan’s implementation. The list includes government agencies, non-profits, elected officials and private citizens.

Next steps The Framework for Action was released a year ago. The next phase — the release of the "Call to Action Plan" — is set to be disseminated to the public at the end of November 2016. It will include concrete actions that targeted audiences — such as caregivers, persons living with the disease, researchers and educators, volunteer organizations, workforce and policymakers — can actively carry out to achieve the goals of the plan.

For more info ARIZONA ALZHEIMER’S STATE PLAN: govtrans.az.gov/Aging/Documents/ AZAlzheimersStatePlan AFrameworkforAction.pdf

TEMPE

At the forefront of dementia awareness

he City of Tempe has been chosen by the White House to be one of five communities to transition into a “dementiafriendly community” using a roadmap developed by the White House Conference on Aging and Dementia Friendly America. But what is a dementia-friendly city? “Becoming a dementia-friendly city is all about preparing for the future growth of dementia in our community,” said Tempe Mayor Mark Mitchell. “One in nine seniors has some form of dementia, meaning that in Tempe today, more than 1,500 people Mayor Mark Mitchell live with dementia.” Mitchell said that over the next ten years, there will be a 71 percent increase in the number of Arizona residents with dementia. “That is the biggest projected increase of any state in the country,” Mitchell noted. “The City of Tempe is taking an all-sector approach (e.g., businesses, legal, financial and faith communities) which means everyone plays a role. With our dementia-friendly initiative, we can prove we are not powerless against this devastating disease. We can also show that our neighbors facing dementia are not alone and that we can provide support to those living with dementia.”

Shining a light on dementia In 2014, Mitchell brought the topic of becoming dementia-friendly to the Tempe City Council. “I had heard about a city in Minnesota that was going through the process of becoming dementia-friendly and I thought this could shine some light on a growing issue,” he said. “My family had already been dealing with dementia and Alzheimer’s for several years; my mom was first diagnosed with mild cognitive impairment and then a few years later, Alzheimer’s.” Mayor Mitchell’s mother, Marianne Mitchell, recently began living full-time at a care facility that specializes in dementia.

Impact on families Mitchell said that obviously his family is not the only one in Tempe that has a family member living with dementia. “We are lucky — we are able to provide support for my mom,” he said. “But many of our residents are unable to provide that level of care to their loved ones, and even more distressing is the fact that one in seven seniors with dementia currently lives alone.” Mitchell points out that if those with Alzheimer’s and dementia were the only people impacted by this epidemic it would be serious enough. “Unfortunately, it is well-documented that this disease also seriously impacts the physical and mental health of the loved ones who take care of them, creating an exponential effect on the number of people negatively impacted by dementia,” he said. “This is why our community needs to prepare and why becoming dementia-friendly is a priority of mine.”

Rick D'Elia

PLEASE PROOF -- Brandon Barkwell lost his dad Brian to younger-onset Alzheimer's Disease and has since started Project YAFA (Young Advocates Fighting Alzheimer's) at Chaparral High School. Below, Brandon talks with his friends and fellow advocates, Cole Gibson, 16, right and John Henry Celigoy 17, center, about their advocacy efforts in raising awareness in how Alzheimer's Disease affects families including children.

BRANDON BARKWELL'S STORY

How Alzheimer’s affects families, including young children

eventeen-year-old Brandon Barkwell was just five years old when his father, Brian, was diagnosed at age 51 with younger-onset Alzheimer’s disease. After a decade-long battle with Alzheimer’s, Brian passed away on May 19, 2015. To honor his memory, Brandon made a commitment to advocate for, raise awareness about and raise funds for Alzheimer’s research in order to make a difference for future generations. One of Brandon’s primary advocacy efforts revolves around Project YAFA (Young Advocates Fighting Alzheimer’s), a group he founded at Chaparral High School in Scottsdale. The group aims to give voice to the fact that Alzheimer’s disease doesn’t just affect the elderly; it also affects families, many of whom still have children at home. We recently spoke with Brandon about his life, his father and his Alzheimer’s advocacy efforts. You can learn more about Brandon on his website, BarkysHope.com. WHAT ARE YOUR FIRST MEMORIES OF YOUR FATHER? I was in kindergarten when my dad was diagnosed with Alzheimer's. He seemed fine for the next several years, but he didn't work like the other dads. However, he was always a lot of fun and had a great sense of humor. He lived life to the fullest and never let on that there was

anything wrong. He provided a safe, secure world for me as his son as long as he could. WHEN DID YOU REALIZE THERE WAS SOMETHING DIFFERENT ABOUT HIM VERSUS YOUR FRIENDS’ FATHERS? I first knew there was something different about my father when I was in sixth grade. In the early years, he had profound memory loss and he became agitated and paranoid. The hardest part of this was watching my father’s life slowly deteriorate. This was difficult for me because my family and I seemed to no longer fit into typical social situations. My mom did an amazing job trying to balance it all from multiple perspectives. WHEN YOU WERE YOUNGER, DID YOUR FRIENDS UNDERSTAND YOUR SITUATION? I frequently had to explain to new friends and neighbors that my dad had Alzheimer’s. Most of the time it became more than they could handle. WHAT TYPES OF ADVOCACY EFFORTS ARE YOU INVOLVED IN AND WHY? My advocacy efforts started when I was just 13 and have focused on raising awareness about how Alzheimer’s affects entire families, including young children. It is important to get a grassroots effort of young people involved in being passionate about finding a cure for Alzheimer's. It is critical to all of us.

“I was given enormous responsibilities at a really young age but I happily chipped in because it was what was needed in our home.” — Brandon Barkwell

Wednesday, November 2, 2016 | Livingwella-z | 5

ALZHEIMER’S IS THE SIXTH-LEADING CAUSE OF DEATH IN THE U.S.

AND THE FIFTH-LEADING CAUSE OF DEATH IN ARIZONA

TRAINING FIRST-RESPONDERS

Approximately 70 percent of people with dementia will wander. If they are not found within 24 hours, there is a 50 percent risk of serious injury or death.

Understanding how to deal with people with dementia is critical Communication tips Course instructors emphasize the importance of clear, concise communication when dealing with people with dementia. “We stress how important it is to approach these people from the front and to slowly and clearly introduce themselves,” Fitzpatrick noted. “First-responders need to speak with short simple statements, be mindful of body language and minimize distractions.”

Trained responders The Mesa Fire and Medical Department has trained approximately 40 percent of their paramedics on how to deal with individuals with dementia, with more training planned in the near future, according to Ryan Herold, RN, EMS Coordinator for Mesa Fire and Medical. “We saw a need for this type of training because the number of adults in Arizona with dementia is on the rise,” Herold said. “It is important for our providers to recognize the progression of this disease in order to get these patients the appropriate treatment they deserve.” In addition to learning to recognize the signs and symptoms of dementia, Herold said that the training also helped his team be aware of how to make interactions as positive as possible for all parties involved. Herold goes on to say that for the providers who have had the training, “it gives them a sense of confidence in their ability to recognize this disease process that they did not have in the past.”

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hether police, fire or EMS, first-responders are just that — generally the first to arrive on the scene of an accident, medical call, domestic violence situation, natural disaster and the like. But what happens when the person they are trying to assist has dementia? Fortunately, the Alzheimer’s Association has created training for first-responders to help them identify dementia characteristics and understand how to approach and positively deal with individuals who display signs of dementia. The training, which several Valley cities have offered to their first-responder teams, encompasses a number of relevant topics and common issues — along with correlating examples — related to subjects such as wandering, driving behaviors, shoplifting, abuse and neglect. “We also educate attendees as to situational responses when dealing with violent offenders who have dementia as well as the appropriate way to deal with people with dementia in the event of a disaster such as a fire, flood or a prolonged power outage,” said James Fitzpatrick, MAS, Program and Advocacy Director for the Alzheimer’s Association Desert Southwest Chapter. Additional topics covered include how to de-escalate situations, how to deal with aggressive and dangerous behaviors, and what to be aware of when responding to domestic calls. “We particularly cover how to take a non-aggressive posture and how to scan for and secure possible weapons,” Fitzpatrick said.

As aFintelmann nationally recognized ophthalmologist with Barnet Dr. provides excellence in care of corneal Dulaney Perkins Eye Center, Dr. Perkins has performed disease, cataract and vision correction surgery (includingover 50,000and cataract surgeries anda over 10,000 vision correction LASIK ICL). He performs range of procedures procedures. As an innovator in the field of ophthalmology, including partial, full thickness and laser assisted corneal he has participated over 25 clinical for both transplants (DSAEK,inDMEK, DALK). In trials addition, he teaches pharmaceutical and ophthalmic devices. residents and medical students. BARNET DULANEY DULANEY PERKINS PERKINS EYE EYE CENTER CENTER BARNET Locations throughout Arizona Locations throughout Arizona 800-966-7000 www.GoodEyes.com 800-966-7000 www.GoodEyes.com

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6 | Livingwell a-z | Wednesday, November 2, 2016

IMAGINE

TYING YOUR SHOES

WITHOUT

JOINT PAIN Join our FREE seminars to learn about treatment options Is It Time To Move On From Chronic Hip Pain? Thursday, November 10, 6 PM - Abrazo Arrowhead Campus Learn about the common causes of hip pain, therapies to ease pain and surgical options to treat the pain.

Causes of Knee Pain, Current Treatments & Prevention Thursday, December 8, 6 PM - Abrazo Arrowhead Campus Learn about the most common causes of knee pain and treatments available from conservative therapies to surgery.

For more information and to register visit AbrazoHealth.com/JointEvent or call 866-581-3364

Rhythm Keep the beat strong

Balance Between mind and body

FREE

Online Seminar!

Health Seminars!

Thinking About Weight-Loss Surgery?

Join Abrazo Community Health Network at events to keep you informed about the latest treatments for cardiovascular conditions.

Get answers at our online seminar

Cardiovascular Care Seminars:

Bariatric Myth Busters

• Thursday, November 3

There have been several advancements in medical weight loss. Join our health professionals for an online question-and-answer session. Have your questions answered, dispel myths and learn the facts.

• Tuesday, November 15

Tuesday, November 15, 6 PM

AbrazoHealth.com/BariatricEvents

Do you have wounds that won’t heal or experience leg pain when walking? A-Fib: You may have more control than you thought when it comes to your Atrial Fibrillation For more information and to register visit

AbrazoHealth.com/HeartSeminar or call 855-292-9355

Wednesday, November 2, 2016 | Livingwella-z | 7

NOVEMBER CALENDAR Take advantage of opportunities to meet others with similar issues and learn more about various aspects of your health – from A to Z. All groups and events are believed, but not guaranteed, to be free unless otherwise stated. Every effort has been made to verify accuracy, but please call before attending to confirm details.

ALZHEIMER’S/DEMENTIA ALZHEIMER’S CAREGIVERS SUPPORT Various dates, times & locations By Alzheimer’s Association Desert Southwest Chapter 602-528-0545; ALZ.org/DSW

BARIATRIC SURGERY SEMINARS ABRAZO HEALTH AbrazoHealth.com; 602-923-5734 BANNER HEALTH BannerHealth.com; 480-543-2606 HONORHEALTH HonorHealth.com/bariatrics; 623-580-5800 ST. LUKE’S MEDICAL CENTER BridgesAZ.com; 800-248-5553

BRAIN/NEUROLOGICAL YOUNG ADULT BRAIN INJURY Nov. 9, 6–7:30 p.m. Barrow Neurological Institute 350 W. Thomas Rd., Phoenix 602-996-1396; 602-406-6688 BRAIN ANEURYSM SUPPORT Nov. 16, 6–8 p.m. Barrow Neurological Institute 350 W. Thomas Rd., Phoenix 760-333-7658 kimberly@joeniekrofoundation.org BRAIN TUMOR SUPPORT Nov. 22, 6–8 p.m. Barrow Neurological Institute 350 W. Thomas Rd., Phoenix 623-205-6446

BREAST CANCER CIRCLE OF HELP ADVANCED BREAST CANCER Meets as needed Info: Becky Chase, 623-236-6616 or Teresa Hill, AdvancedBreast Cancer@gmail.com BREAST CANCER SUPPORT Nov. 12, 10 a.m.–noon Ironwood Cancer & Research Centers 8880 E. Desert Cove Ave., Scottsdale Register: 602-588-4367; IronwoodCRC.com

a-z I N F O R M AT I O N O N L I N E ABRAZO COMMUNITY HEALTH NETWORK: AbrazoHealth.com; 602-674-1400; Abrazo Arizona Heart Hospital; Abrazo Arrowhead Campus; Abrazo Central Campus; Abrazo Maryvale Campus; Abrazo Scottsdale Campus; Abrazo West Campus BANNER CHILDREN’S-CARDON CHILDREN’S: BannerChildrens.com; 480-412-KIDS (5437) BANNER HEALTH: BannerHealth.com; 602-747-4000; Numerous hospitals and medical centers BANNER POISON AND DRUG INFO CENTER HOTLINE: 800-222-1222 BARROW NEUROLOGICAL INSTITUTE: TheBarrow.org; 877-602-4111 DIGNITY HEALTH CHANDLER REGIONAL MEDICAL CENTER: DignityHealth.org/chandlerregional; 877-728-5414 DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER: DignityHealth.org/mercygilbert; 877-728-5414 DIGNITY HEALTH ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: DignityHealth.org/stjosephs; 877-602-4111 DIGNITY HEALTH ST. JOSEPH’S WESTGATE MEDICAL CENTER: DignityHealth.org/westgate; 877-602-4111 HONORHEALTH (formerly Scottsdale Healthcare): HonorHealth.com; 623-580-5800; HonorHealth Scottsdale Shea; HonorHealth Scottsdale Thompson Peak; HonorHealth Scottsdale Osborn HONORHEALTH DEER VALLEY MEDICAL CENTER: HonorHealth.com; 623-580-5800 HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER: HonorHealth.com; 623-580-5800 MARICOPA INTEGRATED HEALTH SYSTEM: MIHS.org; 602-344-5011 MAYO CLINIC: MayoClinic.org; 800-446-2279 MOUNTAIN VISTA MEDICAL CENTER: MVMedicalCenter.com; 480-358-6100 MUHAMMAD ALI PARKINSON CENTER: TheBarrow.org; 602-406-6262 PHOENIX CHILDREN’S HOSPITAL: PhoenixChildrens.org; 602-933-1000 ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com; 602-251-8100 TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com; 480-784-5500 VALLEY FEVER CENTER FOR EXCELLENCE: vfce.arizona.edu; 602-406-8253 BREAST CANCER SUPPORT Nov. 14, 2–3:30 p.m. Ironwood Cancer & Research Centers 8880 E. Desert Cove Ave., Scottsdale Register: 602-588-4367; IronwoodCRC.com

CANCER SUPPORT GROUPS LOOK GOOD FEEL BETTER By the American Cancer Society Various dates, times & locations 800-ACS-2345 LookGoodFeelBetter.org By Ironwood Cancer & Research Centers Various dates, times & locations 480-855-2224; IronwoodCRC.com CANCER SUPPORT COMMUNITY SUPPORT GROUPS 360 E. Palm Lane, Phoenix Info: 602-712-1006; rsvp@cscaz.org • CANCER SURVIVORS Various dates & times • MULTIPLE MYELOMA Nov. 3, 10 a.m.–noon • SURVIVING & THRIVING Nov. 8 & 22, 1–2:30 p.m. • SPANISH SUPPORT Nov. 8, 6–7:30 p.m.

• PROSTATE CANCER Nov. 10, 6–7:30 p.m. • LYMPHOMA Nov. 12, 10–11:30 a.m. • PANCREATIC CANCER Nov. 12, 10–11:30 a.m. • CARCINOID Nov. 12, 12:30–2:30 p.m. • LUNG CANCER Nov. 12, 12:30–2 p.m. • FAMILY CONNECT Nov. 17, 6–7:30 p.m. • OVARIAN CANCER Nov. 19, 10–11:30 a.m. • BREAST CANCER Nov. 19, 10–11:30 a.m. HONORHEALTH SUPPORT GROUPS Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale RSVP: 480-323-1321; HonorHealth.com/cancer • GRIEF Nov. 8 & 22, 3–4:30 p.m. • BREAST CANCER Nov. 9, noon–1:30 p.m. • PANCREATIC CANCER Nov. 14, 4–5:30 p.m. • GYNECOLOGICAL CANCER Nov. 15, 4–5:30 p.m.

• CAREGIVERS & FAMILY Nov. 16, 5:30–6:30 p.m. • ORAL, HEAD & NECK Nov. 17, 6:30–8 p.m. • LYMPHEDEMA Nov. 28, 6:30–8 p.m. CANCER SUPPORT Nov. 9, 6:30–8:30 p.m. Ironwood Cancer & Research Centers 5810 W. Beverly Lane, Glendale Register: 602-588-4367; IronwoodCRC.com

Elite Home Healthcare Services 2140 W. Greenway Rd., Phoenix 602-246-8221

480-325-4707

OSTOMY SUPPORT Nov. 17, 12:30 p.m. LaCasa de Cristo Lutheran Church 6300 E. Bell Rd., Scottsdale 623-580-4120

KNEE & HIP PAIN Nov. 7, 5:30–7 p.m. Deer Valley Medical Center 19841 N. 27th Ave., Phoenix RSVP: 623-580-5800; HonorHealth.com

PAIN

GRIEF SUPPORT GRIEF SUPPORT Various dates, times & locations By Banner Hospice Rev. Cindy Darby, cindy.darby@ BannerHealth.com 480-657-1167; BannerHospice.com

LYMPHOMA SUPPORT Nov. 10, 6–8 p.m. Ironwood Cancer & Research Centers 8880 E. Desert Cove Ave., Scottsdale Register: 480-340-4013; IronwoodCRC.com

GRIEF SUPPORT Various dates & times Dignity Health St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-3275

COLON CANCER Nov. 17, 6–7:30 p.m. Ironwood Cancer & Research Centers 8880 E. Desert Cove Ave., Scottsdale Register: 602-588-4367; IronwoodCRC.com

HEART/STROKE

MOMS ON THE MOVE Various dates, times & locations By HonorHealth 480-323-3878; HonorHealth.com

STROKE SUPPORT Nov. 2, 5:45–7:45 p.m. HonorHealth Outpatient Services 3134 N. Civic Center Plaza, Scottsdale 480-882-6821; HonorHealth.com

MULTIPLE MYELOMA Nov. 28, 1–2:30 p.m. Ironwood Cancer & Research Centers 8880 E. Desert Cove Ave., Scottsdale Register: 480-340-4013; IronwoodCRC.com

PERIPHERAL ARTERY DISEASE Nov. 3, 6–8 p.m. Abrazo Arizona Heart Hospital 1930 E. Thomas Rd., Phoenix 855-292-9355; AbrazoHealth.com MENDED HEARTS Nov. 3, 6:30–8 p.m. Deer Valley Medical Center 19841 N. 27th Ave., Phoenix RSVP: 623-879-1800; HonorHealth. com

DIABETES DIABETES WORKSHOPS Various dates & times Dignity Health St. Joseph’s 3033B N. 7th Ave., Phoenix Register: 602-406-2288 MANAGING TYPE 2 DIABETES Various dates & times Dignity Health Mercy Gilbert 1760 E. Pecos Rd., Gilbert 480-728-3535

STROKE SUPPORT Nov. 8, noon Abrazo Scottsdale Rehab Center 3805 E. Bell Rd., Phoenix sritchie@abrazohealth.com 602-923-5546

GASTROINTESTINAL

WELLNESS & MORE MEDICATION CHECKS Call to schedule a personal meeting St. Luke’s, 1800 E. Van Buren St., Phoenix Tempe St. Luke’s, 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355) VOLUNTEER People impacted by cancer volunteering Various dates, times & locations Cancer Survivors Circle of Strength info@azcscs.org; azcscs.org

WALK ON! CHALLENGE Nov. 1–18; Across Arizona WalkOnAZ.com STEPNOUT RUN/WALK Nov. 6, 7:30–11 a.m. Scottsdale Sports Complex 8081 E. Princess Dr., Scottsdale 602-343-8572; TGENFoundation.com

BE STROKE SMART Nov. 29, 1–2 p.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa

OSTOMY SUPPORT Nov. 8, 6 p.m.

PRENATAL SEMINAR Nov. 3 & 10, 5:30–9:30 p.m. Dignity Health Chandler Regional 1955 W. Frye Rd., Chandler Register: 877-601-4111

WALKING GROUP Various dates & locations By Humana; 480-325-4707

STROKE SUPPORT Nov. 10, 1:30-2:30 p.m. Banner Baywood Medical Center 6644 E. Baywood Ave., Mesa 480-321-3848

OSTOMY SUPPORT Nov. 3, 2 p.m. Banner Boswell Medical Center 13180 N. 103rd Drive, Sun City 602-678-4441

BREASTFEEDING SUPPORT Various dates, times & locations By Dignity Health 480-728-5414; 602-406-4954

GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations By Duet; 602-274-5022; DuetAZ.org

STROKE CHECK Various dates, times & locations 480-882-4636; HonorHealth.com MVMedicalCenter.com 877-924-WELL (9355)

METASTATIC CANCER Nov. 23, 3–4:30 p.m. Ironwood Cancer & Research Centers 685 S. Dobson Dr., Chandler Register: 480-340-4013; IronwoodCRC.com

PARENTING

GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations By Benevilla; 623-207-6016; Benevilla.org

GRIEF SUPPORT Various dates, times & locations By Hospice of the Valley 602-530-6970; HoV.org

HEAD & NECK CANCER Nov. 21, 3–4:30 p.m. Ironwood Cancer & Research Centers 685 S. Dobson Dr., Chandler Register: 480-340-4013; IronwoodCRC.com

BACK PAIN Nov. 17, 1–2 p.m. Civic Center Library 3839 N. Drinkwater Blvd., Scottsdale RSVP: 623-580-5800; HonorHealth.com

Join the

MOVEMENT!

A comprehensive array of treatments from the medical and holistic worlds for better health – naturally

With so many things to do, we suggest getting an early start on your want-to-do list.

$ We Treat the Following Conditions:

There’s a lot to do at Maravilla Scottsdale Senior Living — clubs, events, socializing, and more. So, go ahead and make your want-to-do list. But please don’t include a bunch of chores. We’ll take care of most of those for you. We invite you to see all that Maravilla Scottsdale has to offer (including assisted living services if needed) at a complimentary lunch and tour. Please call 480.359.2226 to schedule.

First Visit

Includes Exam, X-Rays and Consultation

Allergies

Hand and Wrist Pain

Chronic Injuries

Back and Neck Pain

Middle and Lower Back Pain

Sleep Disorders

Sciatica or Leg Pain

Fibromyalgia

Ankle and Foot Pain

Arthritis

Hip Conditions

Bursitis

Head Conditions

And Much More

Shoulder Pain Elbow Pain Knee Pain Headaches and Migraines

High Blood Pressure

Ask about our Home for the Holidays special on select residences! 7325 E. Princess Blvd. Scottsdale, AZ 480.359.2226 MaravillaScottsdale.com

SAME-DAY APPOINTMENTS AVAILABLE AR-0008610018-01

Ca sita s | Court ya r d R esidences Independen t & Assisted Li v ing | Memory Ca r e

Most Insurance Accepted • Call a Location Nearest You PHOENIX 602-456-7326 | DESERT RIDGE 480-269-8978 MESA 480-550-8193 | GILBERT 480-535-9114 | PEORIA 623-295-0444 FOUNTAIN HILLS 480-400-9276 | SAN TAN VALLEY 480-630-2645

www.AFCchiropractic.net

WITH AGE IIN NY YOUR OUR

BY AGE

aabout bout tten en p percent ercent o off muscle m uscle aarea rea iiss ggone one

60’s & 70’s

muscle m uscle sstrength trength d declines eclines by by aapproximately pproximately 15 percent 15 p ercent

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muscle m uscle sstrength trength d declines eclines b byy approximately approximately 30 percent 3 0p ercent

Medical professionals recommend exercise programs that include a cardiovascular routine as well as strength and ﬂexibility training. Regardless of age, weight training with dumbells, a kettlebell, weight balls or circuit routines, can be a crucial part of that strength training component for men and women.

BENEFITS OF WEIGHT TRAINING 1 2 3 4 5

Improved walking ability Improved ability to perform daily tasks Decreased risk of falls Relief from joint pain Improved blood sugar gar control

RISK BY NOT MAINTAINING YOUR WEIGHT TRAINING 1

Increased risk of falls and fractures

Impaired ability to regulate body temperature

3 4

Slower metabolism Loss in the ability to perform everyday tasks

Banner CORE Center for Orthopedics offer a full range of orthopedic care in Arizona, it’s care, simpliﬁed.

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To ﬁnd an Orthodedic Doctor near you call 602-346-9827 or visit www.bannercorecenter.com/makeanappointment Sources: Gerontol A Biol Sci Med Sci. 1995 Nov;50 Spec No:5-8, American College of Sports Medicine, Exercise and the Older Adult, US Department of Health and Human Services, Osteoporosis Research, Education and Health Promotion, Annals of internal medicine (Impact Factor: 16.1). 04/1996; 124(6):568-72, J Am Geriatr Soc. 1995 Jul;43(7):756-60, J Am Geriatr Soc. 2004 May;52(5):657-65, Health Day March 11, 2014, Journal of Strength & Conditioning Research: October 2012, Volume 26, Issue 10, p 2806-2811, Archives of Internal Medicine August 6, 2012, Nutrition & Metabolism May 17, 2012