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CNA-SS-12-26-2013

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A SPECIAL SECTION OF

WINTER ISSUE 2013

The benefits of aging By SARAH BROWN

CNA staff reporter sbrown@crestonnews.com

Taking advantage of age-related discounts can help improve your financial health, that is, if you’re not afraid to ask. For seniors who have been out of the workforce for 10 or 20 years, senior discounts have become almost a necessity for survival in some cases with the inflated cost of goods over the years. “I have seen people living on $700 a month,” said Jaelyn Dobbs, family care giver specialist at Connections Area XIV Agency on Aging. “How does one live on $700 a month? That is just incredible to me.”

While few businesses in Creston offer discounts for seniors, some businesses do not advertise them, and some may not kick in until you turn 55, 60, 62 or 65. According to Dyann Bowers, executive director at Area XIV Agency on Aging, the increased cost of living — including food, shelter, medication and fuel — make discounts for seniors more important than ever. Locally, the following businesses offer discounts for seniors. • Strand Theatre, 309 W. Adams St. — Admission for seniors is $5 for 2-D movies and $7 for 3-D movies. That’s the same as child and Please see DISCOUNTS, Page 2c


Page 2c— Creston News Advertiser — Thursday, December 26, 2013

DISCOUNTS: Continued from Page 1

matinee prices for the general public, except adults who are 60-plus may benefit from special pricing at any show time.

• Panther Lanes, 301 N. Cherry St. — Seniors can play during open bowling for $2 per game. On Mondays, seniors can play three games for $8 and have a chance of winning quarters for strikes and splits. • Creston Family Restaurants, 802 W. Taylor St. — Discounted menu of 10 to 12 items specially priced for those 60-plus.

• Pizza Ranch, 520 Livingston Ave. — $2 off for customers age 65-plus.. • Shop & Save, 109 North Maple – 10-percent off purchase for customers age 65-plus. • Jade Garden, 315 W. Adams St. — 10-percent off for customers age 60-plus. • Hardee’s, 807 W. Taylor St. — Seniors may choose any beverage for 63 cents. • Southern Prairie YMCA, 1201 W. Townline St. — Membership for individuals 62-plus is $20.58 a month, about an $8.50 discount. Couples 62-plus may join the YMCA for $29 a month. Additional savings are

offered for annual membership. • Subway, 602 W. Taylor St. and 806 Laurel St. — 10-percent off total purchase for customers age 55-plus. • Smartstyle Family Hair Salon, 806 Laurel St, Inside Wal-Mart — 10-percent off total purchase for customers age 55-plus. • Hy-Vee — 10-percent off purchase for customers age 62-plus on the first Wednesday of the month. • Amtrak — Travelers age 62-plus recieve 15-percent discount on adult rail fare with some exclusions.

Silver Circle at First National Bank First National Bank Silver Circle Club is a benefit for customers age 60-plus and who maintain any deposit account of $2,500 or more. The Silver Circle Club gives members access to exclusive benefits including the following:

• No service charge on checking accounts

• Unlimited check writing • Personalized club checks • Special Silver Circle events such as group travel, seminars and other group outings As a member of First National Banks Silver Circle Club members have exclusive savings to local merchants including: • 10-percent off any regular price meal at Hy-Vee kitchen in Creston. • $19.95 oil change at Stalker Chevrolet. • $25 towards purchase or service at Cook Video & Appliance. • 10-percent off regular price fabric and notions at Quilts & Other Notions. • 5-percent off any jewelry at Quik Pawn. • 20-percent off one regularpriced item, once per month, at The Wishing Well. • 10-percent off on exhaust and brake work at Hi Creston

Auto Inc. • $1 off deluxe or super wash at United Super Wash. • Buy a meal or sandwich and receive a free cup of coffee or hot tea at Garden Cafe and Coffee Shop.

• 10-percent labor discount on shop service at M&M Motors. More information can be obtained from www.fnbcreston. com, by calling (641) 782-2195 or visiting any First National Bank location.

In this season...

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CNA photo by SARAH BROWN

Millie Barker and Marilyn Engleson, both of Creston, take advantage of the special pricing and services for seniors offered at Southern Prairie YMCA.

Rehab To Home


Creston News Advertiser — Thursday, December 26, 2013 — Page 3c

How specialized nursing can benefit you or loved one (BPT) — If you or a loved one is suffering from a wound-, ostomy- or incontinence-related issue and receiving treatment, it may feel like the condition will never stabilize. But many patients in similar situations are finding relief through the services of professional, Baccalaureate-prepared specialty nurses trained and certified in wound, ostomy and continence (WOC) care. In fact, new research publicized by the Wound, Ostomy and Continence Nurses Society (WOCN) shows patients receiving care from a WOC nurse are more likely to see a successful stabilization of their condition than those who are not receiving specialty care. Across the nation WOC nurses are having a positive impact on patient care according to the findings of a recent study conducted by the University of Minnesota.

The research study examined more than 400,000 episodes of care and found that home health care (HHC) patients who were treated with the specialized skills of a WOC nurse improved dramatically compared to HHC patients without a WOC nurse. WOC nursing principles and care strategies apply to all care settings. If you are in need of WOC care or you have a loved one who is, you may be interested in learning more about the specialty and how a WOC nurse can help. Here are some answers to common questions you may be asking yourself. What is a WOC nurse? A WOC nurse specializes in treating and caring for patients who have wounds, ostomies or incontinence issues. Certified WOC nurses are highly trained in treating these ailments and they direct, coordinate and evaluate patient care regarding these condi-

tions. Only highly credentialed WOC nurses certified through the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) must earn a Bachelor’s degree and RN license before completing rigorous coursework and hands-on clinical training through one of several WOCN-accredited-WOC Nursing Education Programs nationwide. In addition to their coursework, the WOC nurse training program includes 50 contact hours of professional development and 1,500 clinical experience hours. To become a certified wound, ostomy or continence nurse, these nurses must also pass a certification exam in each or several of the three focus areas. Recertification is required every five years. How can a WOC nurse help my loved one?

The research study found patients were: • more than 2.3 times as likely to have their urinary incontinence condition stabilize when they received treatment from a WOC nurse • 1.2 times more likely see their urinary tract infection stabilize • 1.16 times more like to achieve stabilization of fecal incontinence issues. The study also revealed that patients were nearly twice as likely to see improvement in pressure ulcers, 20 percent more likely to experience improvement in lower extremity ulcers and 14 percent more likely to see improvement in bowl incontinence. “This study proves that WOC care results in better patient outcomes, which

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means patient survival rates are better and relapse rates are lower,” says Phyllis Kupsick, WOCN president. “WOC specialty nurses deliver a unique skill set and are highly trained to treat wounds, ostomies and incontinence.” How can I find a WOC nurse? WOC nurses are more prevalent than you may think. They are employed in all healthcare settings around the nation

and the WOCN Society has nearly 5,000 members. If you or a loved one suffers from wound, ostomy or incontinence issues, be sure to request the services of a WOC nurse. You’ve seen the numbers and you know the positive effect WOC nurses are having across the country. To learn more about how a WOC nurse can help you, visit www. wocn.org-to find a list ofWOC nurses in your area.

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Page 4c— Creston News Advertiser — Thursday, December 26, 2013

Mixing medication, food can be deadly (BPT) — More than onethird of adults in the U.S. have high cholesterol and high blood pressure. Yet many of those treated for these conditions don’t realize they are putting themselves at risk by not understanding the basics about their medications. Many commonly prescribed drugs have potentially fatal side-effects when mixed with other medications, over-the-counter drugs, supplements and even foods. This is true for the widely used cholesterol-lowering drugs known as statins, which can be deadly when mixed with grapefruit juice. These medications include atorvastatin, simvastatin, lovastatin and fluvastatin. “Most people don’t know that something as common as drinking grapefruit juice when taking statins can increase the risk of muscle pain and have serious adverse side effects that can be life-threatening,” says

Ed Dannemiller, specialist pharmacist in the Express Scripts Cardiovascular Therapeutic Resource Center (TRC). “The juice can substantially raise the concentration of statins in the body and make them much more potent.” As a specialist pharmacist, Dannemiller is one of a team of experts who are specifically trained to help patients with heart disease understand everything they need to know about their medications, including how their diet and other medications they take may affect their health. They also work closely with physicians to prevent potential problems that medications may pose to their patients. “Another popular drug, warfarin, which is a blood thinner that helps prevent heart attack and stroke, can react harmfully with a number of commonly used products,” he says. “When warfarin is mixed with antidepressants, alcohol, ibu-

profen or aspirin, and even herbal products like gingko biloba or garlic, patients may be at risk of internal bleeding.” If you are one of the millions of Americans being treated for one of these common conditions, Dannemiller offers these tips to help prevent medication interactions. • Ask before you use: Check with your doctor or pharmacist to find out what foods, medications and supplements should be avoided when taking a medication. Some combinations cause bad reactions by making the drug more potent, while others can make the medication less effective. • Read the fine print: Always read the caution information provided in the medication package and make sure you understand how and when to take your medications. Instructions such as taking your dose with food or on an empty stomach should not

be overlooked. Also, taking too much or too little of a drug can significantly impact how well the drug works. • Look beyond prescriptions: Make sure your physicians know all the other medications and supplements you’re taking, such as herbal remedies and over-the-counter products, including vitamins since some interactions can cause life threatening side-

effects. • Follow doctor’s orders: Taking your medications as prescribed by your doctor is essential for ensuring that they’ll effectively treat your condition. Don’t ever stop taking your medications or simply use them “when needed” without talking to your physician or specialist pharmacist. Even if you have no apparent symptoms, you may still be at risk. For example, blood

pressure can reach dangerous levels, yet a patient may not be aware of any of the warning signs. Remember, just because you don’t notice any symptoms doesn’t mean that your disease is under control. For more information and additional ways you can avoid harmful drug interactions, visit Express Scripts’ Healthcare Insights blog at lab.express-scripts. com.

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Creston News Advertiser — Thursday, December 26, 2013 — Page 5c

Overcoming the top five challenges of being retirement ready steps BPT) — It’s no secret that Americans aren’t saving enough for retirement. Many people are coming up short when it comes to funding their nest egg. But why is the problem so wide-spread? Insight can be found in the human behaviors that tend to get in the way of saving adequately. With National Save for Retirement Week the third week in October, now is the perfect time to learn more about the most common hurdles of retirement savings. The experts at Prudential Retirement note the top five challenges to being retirement ready include: 1. Living longer Did you know a baby born today is more likely to live to 100 than to be born with blue eyes? The fact is, people are living longer,

and it’s hard to know how long you’ll live. You may live many years beyond retirement, a time when you’re no longer creating income. The challenge is we still believe we’re living to 70 or 75 - but think about it. How old is the oldest person you know alive today? Chances are, you know someone who is well into their 90s. Saving for retirement now prepares you for the exciting possibility of having a longer retirement. 2. Procrastination It’s human nature to procrastinate. And while some things take the same amount of time to do whether completed today or a year from now, others only get harder to do the longer you delay them. Saving for retirement is one example - every year

you don’t save for retirement is less money you may have when it comes time to retire, making it that much more difficult to reach your goals and pursue your dreams. 3. Optimism People in general are optimistic, which is a wonderful quality, except when it comes to retirement planning. It’s easy to think bad things won’t ever happen to us - including unexpected health issues, loss of a job, or a bad accident. It’s important to be realistic when planning for retirement, and always plan for the unexpected. 4. Following the pack Humans are social beings. If enough people are doing something, we tend to want to follow because we assume there must be a good reason. The urge to follow

the pack can get us in trouble, though, particularly when it comes to saving and investing. Make sure you

define your own goals for retirement and work with a financial advisor to create an individual plan that works

for you. Please see RETIREMENT, Page 6

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Page 6c— Creston News Advertiser — Thursday, December 26, 2013

Selecting a Medicare plan: making the right choice (BPT) — Seventy percent of people 64 and older say that selecting the right Medicare coverage impacts their ability to live a healthy life, according to a national survey of Medicare-eligible Americans conducted this year by Humana Inc., one of the nation’s leading health and well-being companies. As a result, seniors are taking the plan-selection process very seriously - spending nearly a full day, an average of 22 hours, on

their plan decision. Medicare’s Annual Election Period runs through Dec. 7, and Medicare beneficiaries are utilizing specific criteria and turning to different resources to navigate their coverage options. Quality is king: Sixty-four percent of people eligible for Medicare cite plan quality as the key factor driving them to switch their Medicare coverage, rating overall quality as more

important than plan cost and the ability to continue receiving care from their current primary care provider. In order to help people eligible for Medicare find quality plans, The Centers for Medicare & Medicaid Services (CMS) offers a Plan Finder Tool available on their website. People 65 and older and those with disabilities who qualify for Medicare can compare health-care plans based on available options

within their Zip code. Other online resources include Humana-Medicare.com, a website that highlights the basic information about Medicare plans and also provides tools to help find a plan that meets a person’s health and wellness needs. Help is here: The survey also found that one in 10 seniors say they would like someone else to do their Medicare planning. Saving seniors an average of three hours in the planning pro-

cess, Humana agents help Medicare beneficiaries pick a Humana plan that’s right for them. “Online resources and Medicare agents offer valuable information on Medicare options,” says Dr. Roy Beveridge, Humana’s chief medical officer. “By using these resources, eligible adults ensure they understand their options and select the best Medicare plan for their individual needs.” Here are some helpful

tips to remember during Medicare enrollment this year: 1. Talk to your doctor about your health to get a better overall picture of your coverage needs. 2. Do your research. Understand the difference between the different parts of Medicare - Parts A, B, C and D. 3. Decide what benefits you want based on your health care needs. 4. Enroll in the plan that

matches to potential tax benefits, retirement programs deliver numerous positives for employees. Remember, compound interest is an important factor in building retirement income, so it literally doesn’t pay to put saving off. 2. Diversification Putting all your eggs in one basket is risky when it comes to retirement funding. A diversified investment strategy can help protect you from the

unexpected. 3. Financial planner Working with a professional can help you learn about various savings

options for reaching your personal retirement goals. The expertise of a financial planner can make the stressful and confusing

process easier. For more information about retirement challenges and what you can do to become retirement ready

RETIREMENT: Continued from Page 5c

5. Instant gratification The newest car, computer or video game — it’s easy for Americans to feel like they need to keep up with the Joneses. Spending too much on impulse purchases rather than funding savings can be devastating, particularly for your retirement. Learning to delay gratification and keep a budget is key. We all want to imagine living out our dreams in retirement — rather than

worrying about money. Whether you’re in your 20s or your 50s, retirement savings should be top of mind. In addition to knowing and conquering the top challenges of retirement readiness, here are three simple things you can do today to ensure you’re on the right path: 1. Workplace retirement opportunities If your place of work offers a retirement program, sign up for it as soon as possible. From employer

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Creston News Advertiser — Thursday, December 26, 2013 — Page 7c

Modern answers help seniors stay in their homes longer (BPT) — Retirement marks the start of the golden years, the period when hard-working individuals can put their feet up to relax after a long, successful career. But for seniors who think they can no longer live in their homes alone, retirement may be a stressful time. They worry they will have to give up the homes they have enjoyed for so many years. But the good news is options are available to help seniors maintain their independence. Today, modern technology and everyday conveniences are making it easier for seniors to stay in their homes longer than

ever before. These options provide seniors a better quality of life and a means to save money by remaining in their homes instead of moving into a senior home. If you are a senior or you are the child of a senior and you’re looking for options to remain in the home, here are some ideas that may help. * Find a solution for those stairs. The staircases common in split-level and multi-level homes can be difficult for seniors to navigate, limiting access to the other floors of the home. The Stairfriend from Savaria, is a stairlift specifically designed for the curved or turning staircases featured in many mod-

ern homes. The Stairfriend offers riders a smooth, comfortable and reliable means of reaching the multiple levels of the home without putting stress on a person’s joints. Best of all, the Stairfriend can be customized to any staircase in any home. * Reinvent the bathroom. Bathrooms can be dangerous for people of any age, as water can lead to slippery surfaces. For seniors who may struggle with balance or have trouble climbing in and out of the tub, navigating the bathroom can be more difficult. Replacing the existing tub with a walk-in tub will make baths a safe and enjoyable experience once again. Installing a handrailing on the shower wall also adds greater stability. * Technology offers a friendly reminder. Many seniors take several medications each day and some-

times mistakes are made or a dosage is missed. An electronic pill box can help seniors stay on track. Pills can be sorted by the day of the week as well as morning, afternoon, evening and bedtime periods. In addition, an LED light will glow beneath the proper container when it is medication time. The pill box can also be programmed to send an alarm, email or text message whenever a medication period is missed. Smart phone apps that allow seniors to keep track of their medication periods can also help to avoid confusion. * Organize your cupboards. Decreased vision or memory loss can lead many seniors to make mistakes when it comes to food preparation. This can be prevented by storing certain foods in the same location every time

to avoid confusion. * Make washing the dishes easier. Dishwashers have made cleaning up after a meal easier than ever but for many seniors, leaning over to load the dishes can be difficult. Dishdrawers offer two, smaller dishwashers stacked on top of the other, offering seniors an easy-toreach alternative. * Help is just a phone call away. Many seniors feel they must move into a senior home when they can no longer drive and run errands. However, many services exist today that can lend a helping hand. Professional services are available to provide comfort and companion-

ship, meal preparation, personal care and help with light housekeeping, transportation and medication as needed. Many of these companies can be researched on the Internet. Technological advances and modern conveniences have empowered today’s seniors with more options to stay in their homes than any generation before. The key is to recognize these opportunities and make the most of them. You can learn more about how the Stairfriend makes traveling up and down stairs a breeze and see how it can be customized for your home by visiting savaria.com and watching their informational video.

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Page 8c— Creston News Advertiser — Thursday, December 26, 2013

Working can benefit those suffering with chronic illness (BPT) - No one needed to tell Houston’s Robert Gandy that he would reap health and wellness benefits from continuing to work after he started dialysis four years ago. For more than 42 years, Gandy has worked in the restaurant business. The thought of leaving the job he loves never crossed his mind when he started treatment for kidney failure - he would find a way to make dialysis fit with his work and his life. “Going to my job takes me away from the fact that I have end stage renal disease (ESRD), because I’m absorbed in my work,” says Gandy, an executive chef, proud grandfather and DaVita dialysis patient. As Gandy discovered - and studies have proven - when patients continue working after they go on dialysis, it

can help them feel healthier, happier and more financially secure. Nearly 50 percent of new ESRD patients are of working age and currently there are 430,000 people in

the U.S. with end stage renal disease. Individuals who work are more likely to receive a kidney transplant, according to a recent collaborative study

from the University of New Hampshire. Those who work full-time are the most likely to be placed on the transplant waiting list and receive a kidney.

In addition, people on dialysis who keep their jobs are generally happier, the study found. Working patients tend to experience lower rates of depression, their survival rate is notably 6 percent better than those who are not working and overall they are less likely to be hospitalized, which can dramatically improve quality of life. For individuals who have been diagnosed with ESRD, DaVita encourages them to: • Get educated - Talk with their doctor and care team about any limitations. Sign up for a free Kidney Smart (SM) class to learn about kidney disease and taking control of their kidney health. • Understand their treatment options and insurance benefits — Employer-provided insurance may offer additional coverage for trans-

plants and better access to the care team of their choice. • Inform others about their illness — Tell their family and friends to build their support network and find support online. • Continuing to work can benefit chronically ill patients with extra income, a bigger support network and even a greater sense of purpose,” says Dr. Allen R. Nissenson, DaVita chief medical officer. • Talk to your work to make sure dialysis fits in, so you put the least amount of stress upon yourself as possible,” shares Gandy. “But get the information, process it and talk to your family.” For more information about living with kidney disease, visit DaVita.com/ WorkingPatients or call (888) 405-8915.

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