Issuu

YOUR TOTAL SOURCE FOR LATER LIVING

SUMMER 2015

300+ OPTIONS FOR CAREGIVER SUPPORT

ZOOM …into Summer!

Healing Remedies that Work! TTSummerCover5.indd 3

WHEN YOUR PARENTS SHOULDN’T DRIVE ANYMORE

TAKE THE WHEEL 6/4/15 2:40 PM

CONTENTS: SUMMER 2015

24 SURGERY & RECOVERY 2015 SPEC IAL SUPPLEMENT sponsored by

30 Illustration by Silvia Cabib

SurgeryRecoverySupp_TW0515.indd 1

Directories

39 How to Use 39 41 42 48 52 58 68 70 71

Directories Adult Day Care Facilities Aging-in-Place Facilities Alzheimer’s Care Facilities Assisted Living Facilities Home Health Nursing/Rehab Facilities Personal Care Facilities Retirement Communities Helpful Resources

FEEL BETTER THIS SUMMER

By Tiffany White

6 8

WHAT I KNOW NOW By Lucy M. Pritchett

UNCONVENTIONAL HEALING By Amanda Beam

IT’S HECK GETTING OLD

By Yelena Sapin

14 16

BOOK CLUB

WISE & WELL

TECH TALK

10 QUESTIONS TO ASK YOUR EYE DOCTOR By Mary Ellen Bianco

By Megan M. Seckman

THE MOST DIFFICULT CONVERSATION: PLEASE STOP DRIVING By Kimberly Crum

For advertising information, call 502.327.8855 or email advertising@todayspublications.com.

2 todaystransitionsnow.com | Summer 2015

UPDATES AND HAPPENINGS

By Gioia Patton & Anna Patterson

SELF-CARE

CARE PACKAGE FOR THE CAREGIVER

WHAT TO WEAR

MOMMA

By Connie Meyer

after p. 36

5 THINGS TO KNOW ABOUT MEDICARE & MEDICAID

By Patti Hartog

By Mark Kaelin

4/23/15 9:31 AM

By Melissa Donald & Anita Oldham

CAREGIVER CIRCLE By Torie Temple

WHAT’S IN OUR CART?

todayswomannow.com | todaystransitionsnow.com

By Bob Mueller

By Alissa Hicks & Tiffany White

Summer 2015 | todaystransitionsnow.com

From the Editor Volume 12 / Number 2 PUBLISHER

Cathy S. Zion cathy@todayspublications.com

Feel Better this

Summer

EXECUTIVE EDITOR

Anita Oldham anita@todayspublications.com EDITOR

Tiffany White tiffany@todayspublications.com CONTRIBUTING EDITOR

Lucy M. Pritchett

ADVERTISING DIRECTOR

Susan Allen susan@todayspublications.com ACCOUNT EXECUTIVES

Kaitlyn English kaitlyn@todayspublications.com Teri Hickerson teri@todayspublications.com Suzy Hillebrand suzy@todayspublications.com Joyce Inman joyce@todayspublications.com MEDIA ASSOCIATE

hether you’re a caregiver or someone with physical limitations, getting out of the house to socialize with others might be difficult, but you don’t have to settle for less. We’ve devoted part of this issue to helping you move yourself up on the priority list.

Start with reading Bob Mueller’s article about the benefits of taking better care of yourself physically, emotionally, and spiritually (p.38). He also offers a few ideas on how you can gain more fulfillment and lessen stress. Next, explore options to improve your health. Read our alternative medicine feature (p.8) for tips on choosing the right supplements and herbal remedies for your situation. Eat something nutritious and delicious (and easy!). We have some great suggestions to change your eating routine (p.18). Get some insider tips on caring for your loved one by reading the Caregiver Circle feature (p.14). Our panel of health care experts and caregivers provides ideas for helping you handle daily caregiving tasks and can help you feel less alone. Taking the time out to invest in yourself is the quickest and easiest way to jumpstart your summer — and your life.

—

Got something to say? We’d love to hear from you! Send an email to tiffany@todayspublications.com and put “feedback” in the subject line. Also, don’t forget to visit TodaysTransitionsNow.com to read current and archived articles or find out about upcoming events. 4 todaystransitionsnow.com | Summer 2015

Alissa Hicks alissa@todayspublications.com GRAPHIC DESIGNER

April H. Allman april@todayspublications.com GRAPHIC DESIGNER

Kathy Bolger kathyb@todayspublications.com ASSISTANT EDITOR/DESIGNER

Jessica Alyea jessica@todayspublications.com PHOTOGRAPHY

Melissa Donald melissa@todayspublications.com OFFICE ADMINISTRATOR

Jillian LeMaster officeadmin@todayspublications.com CIRCULATION MANAGER

W. Earl Zion COVER ART

Silvia Cabib TODAY’S TRANSITIONS is published by: Zion Publications LLC

9750 Ormsby Station Road, Suite 307 Louisville, KY 40223 (502) 327-8855 Fax (502) 327-8861 TodaysTransitionsNow.com The opinions expressed herein are exclusively those of the writers and do not necessarily reflect the position of the publisher. The staff has made good-faith efforts to provide comprehensive and accurate listings in all directories. Information included in the directories is based strictly on that supplied by each entity. Zion Publications does not endorse or guarantee any advertiser’s product or service. Copyright 2013 by Zion Publications LLC with all rights reserved. Reproduction or use of editorial or graphic content in any manner is prohibited without permission from Zion Publications LLC.

Summer 2015 | todaystransitionsnow.com

WHAT I KNOW NOW

Cindy Adelberg

In 2010, Cindy Adelberg retired after 16 years as founding director of The Clifton Center, during which time she helped develop the historic site into the popular conference and performance facility it is today. She now serves as an independent management and governance consultant to nonprofits. BY LUCY M. PRITCHETT / PHOTO MELISSA DONALD

What were your plans for yourself?

What skill should every woman have?

I knew I wanted a family, but I also wanted to do something professionally. I started out as a French teacher. I am still teaching, but it has evolved from the classroom to helping nonprofits. While I was raising my three children, I volunteered with the Kentucky Opera, StageOne, the Junior League, and the Speed Art Museum. All of those opportunities offered me good exposure to other attitudes and cultures. I tried to use the skills I had and also learn new things.

She should know how to grow an edible or flowering plant. To be able to grow something besides children. What’s the best advice you ever received?

Waste not, want not. This from my Irish grandmother. I recycle everything I can and try to make sure everything I want to give away finds a good home. What would be your advice to a younger you?

Take a little more time and enjoy doing some things. Don’t rush too much through life.

”Take a little more time and enjoy doing some things. Don’t rush too much through life.” What drives you now?

Doing something that is interesting and challenging. Helping others. How do you motivate someone?

By being a good example. What qualities did you look for in hiring someone?

Reliability, creativity, and common sense.

What should a woman taste at least once?

A vegetable right out of the ground or a fruit right off the tree or bush. What is the secret to a good marriage?

Persistence. What should a woman never be seen wearing in public?

A hairnet and those pink foam rollers.

6 todaystransitionsnow.com | Summer 2015

Cindy’s green thumb thrives in tending to a small plot in the Billy Goat Hill Community Garden on Payne Street and in her own garden at her home in the Highlands. What experiences would you like to have in retirement?

I would like to travel to Yosemite, France, and Greece. I am looking for a trip where I could participate in doing something educational and experience the local culture. What do you find difficult about growing older?

It takes a little more energy to do things. I keep thinking of projects I want to start. Rewarding?

The life lessons I have learned and the knowledge I have of other people and an appreciation of their difficulties and situations. And time to attend programs and workshops such as Phyllis Fitzgerald’s class on reflections on aging at the Passionist Earth & Spirit Center. Also, it is quite luxurious not to have to get up early and be out of the house.

What does the average American not understand?

The importance of putting good food in their bodies, although that is slowly changing, which is encouraging. What do you like about Louisville? What would you change?

I like its mix of Southern hospitality and Midwestern business attitude. I do wish we had better public transportation. We could put all our railroad tracks to good use. The biggest issue facing America today?

If I had to put it on an umbrella… education. What did you learn from your mom?

Stick-to-it-iveness and to think of other people. Your dad?

Honesty and calm, quiet leadership.

Summer 2015 | todaystransitionsnow.com

According to recent Center for Disease Control and Prevention research, Wallis and Heichelbech join more than half of all Americans who take at least one dietary supplement. In 2013 alone, sales of supplements reached $13 billion, supported in part by those over the age of 65 looking for ways to restore their vitality and combat various illnesses.

Unconventional Healing Herbal remedies and supplements that can improve your overall health BY AMANDA BEAM

arolyn Wallis remembers almost to the day when her symptoms started. Fatigue, lack of mental clarity, and body aches began to plague the Louisville resident in October of 2008. Soon she was diagnosed with chronic fatigue syndrome. “I didn’t feel as vibrant,” the 58-yearold says. “I felt like I was maintaining, and I had gotten better, but I had plateaued and I wanted more healing in my body.” Through lifestyle changes, her condition became controlled at best. Wallis soon researched other methods to improve her health. Under the supervision of a physician, nine months

8 todaystransitionsnow.com | Summer 2015

ago she started using supplements, including one called Dr. Christopher’s Adrenal Formula. Containing natural ingredients such as Gotu Kola, cayenne, and Hawthorne berries, the supplement, Wallis says, improved her overall health, allowing her to get out of bed easier without so many pains. Mary Heichelbech also takes several herbal remedies for acid reflux, as well as probiotics, calcium, and fish oil to prevent illnesses from happening in the first place. “I just feel good,” the 63-year-old says. “I honestly don’t have any aches and pains. I don’t have anything.”

A HOLISTIC APPROACH For the same reasons, Wallis and others see Dr. Peter Swanz, a board certified naturopathic physician and a fellow of the Homeopathic Association. Swanz takes a deeper approach to remedying ailments by first examining underlying factors that contribute to the symptoms of diseases. “Really my goal is to take a holistic approach with everybody and, to as much as possible, avoid just recommending for specific pathologies,” he says. “We’re not just treating a particular condition. We’re going to try and optimize your health holistically and get to the underlying issue.” While every patient differs, Swanz generally recommends that those over age 65 have their vitamin D levels checked for deficiencies. Also, quality fish oil or other Omega 3 supplements are often prescribed to reduce inflammation and improve circulatory health, a significant component in keeping brains, hearts, and libidos functioning properly as we age. Dementia, Alzheimer’s, and other diseases of the mind may be slowed through combating this inflammation early on. Probiotics, too, may be given to improve the overall digestive tract. But supplements aren’t a substitute for prescribed medications. “Somebody that is looking to replace a pharmaceutical drug with a botanical or a vitamin or a supplement is not a good patient for me,” Swanz says. “Those are the patients I discourage from trying to see me because I want to work with people who want to change their diets, want to change their lifestyle, want to get to the underlying issue so they can have lasting health and vitality.” PAGE 10 >>

Summer 2015 | todaystransitionsnow.com

<< PAGE 8

To aid in this, Swanz reminds everyone to eat a hearty share of fruits and vegetables. For those not getting enough of the formidable foods, a supplement called Juice Plus+ can help. “I do that because most people just don’t eat enough fruits and vegetables, and there’s never been a study that’s shown that we can over-consume those things,” he says. CLEAN EATING HABITS Also emphasizing clean eating habits, sisters and healthy living advocates Shelly Sorg and Katrina McGillivray evaluate a patient’s overall lifestyle in order to understand their medical conditions. Sorg is a master health professional and certified strength and conditioning specialist, and McGillivray is a doctor of osteopathic medicine and a board certified family physician in functional medicine with Havens’ Medical Group in Jeffersonville. Health and underlying conditions can be improved dramatically by eating five to seven servings of fruit and vegetables a day including dark greens, colorful berries, and cruciferous goodies as well as eliminating sugar, caffeine, packaged foods, and most dairy, the sisters say. Supplements, they add, are just the icing on the cake.

“Damage occurs over time as the cells run out of energy and cannot help the body repair efficiently,” she says. “In addition, stress, lack of sleep, chemicals in foods we eat or put on our skin or breathe in the air, and lack of adequate nutrition create inflammation and oxidative stress and wreak havoc on our immunity. Univera has developed products from plant extracts that can greatly help prevent or slow down these four underlying forces of degeneration.”

WHAT WORKS FOR ONE MAY NOT WORK FOR ANOTHER Diet and exercise are also recommended as a first line of defense by Dr. Christian Furman, interim medical director of the Institute for Sustainable Health and Optimal Aging and vice-chair of geriatric medicine at the University of Louisville. But most needed vitamins and minerals can be found in foods, she says. Supplements aren’t always the answer. “In older adults, medicine can be very helpful and very dangerous because their kidneys aren’t working the same as a younger patient,” she says. “If you eat enough fruits and vegetables, you don’t have to take a multivitamin every day. You know, a lot of people just don’t get enough fruits and vegetables.” Furman asks her patients ”Until your body has the nutrients to bring all their current it needs, it can’t heal itself.“ medications and supplements in a brown paper bag to their “At age 30, your body is kind of like a appointments so she can ensure they seesaw. The seesaw is level. But after age are safe with no chance of negative 30, there’s more damage and less repair, interactions. so the seesaw isn’t in your favor,” Sorg Anti-inflammatories such as aspirin says. “Until your body has the nutrients should also be reviewed by a health care it needs, it can’t heal itself.” professional since they can produce Both Sorg and McGillivray suggest gastrointestinal bleeding in some patients. Univera, a pharmaceutical-grade plant Furthermore, she cautions that just research company with 44 different because people hear a supplement all-natural supplements, to their clients. worked for someone else, they shouldn’t Gastrointestinal inflammation aid aloe; begin to take it without first speaking antioxidants CoQ10, Vitamin C, and with their physician. Vitamin E; and joint-repairing and arthritis“Just because you read it doesn’t relieving glucosamine and chondroitin mean it’s pertaining to you,” Furman are available in many of the products. says. “Everything is so individual — While aging can’t be delayed, their diseases, their medicines. We just degeneration can be reversed, have to have somebody who is looking McGillivray says. at all of it together.” 10 todaystransitionsnow.com | Summer 2015

Popular Supplements Dr. Swanz shares his top picks for supplements you should be taking. FISH OIL: “Fish oil is the number one most popular supplement. I want patients to get between 1,000 and 2,000 milligrams a day, so two capsules twice a day. Fish oil helps to keep inflammation modulated and helps the body to communicate. It also helps with mood, emotional health, and brain health while we’re aging. The only potential problem occurs if someone is on blood thinners, in which case they should work with a doctor to adjust the medication to support them while on the fish oil.” PROBIOTICS: “Most people should consider taking probiotics as we get older. There’s not any one favorite brand, but I tell patients to get a multi-flora, not just one strain by itself. People should take somewhere between 10-20 billion multi-strain live bacteria for a beginner dose. If I talk to a patient and they tell me their bowel movements are great when taking probiotics but bad if they’re not, then I want to get to the underlying issue. They’re using the probiotics as a Band-Aid for some kind of digestive distress.” VITAMIN D: “We can convert sun rays to Vitamin D to our skin, but almost nobody is getting that day in and day out year-round from the sun. I recommend most adults take 1,000-2,000 IU of Vitamin D3 daily. I want people to have doctors test their Vitamin D levels. I’m not a fan of incredibly high dosing, especially if we haven’t tested the levels. Vitamin D is good for concerns about bone health as we age and immune function.” – AVERY WALTS

Summer 2015 | todaystransitionsnow.com

! d l O g n i t t e G It’s Heck BY YELENA SAPIN

es don’t work the way they Solutions for when our bodi

PROBLEM:

Tinnitus

nown to many as ringing in the ears, tinnitus is a common condition defined as hearing noises that aren’t present in the environment. Most sufferers hear ringing, roaring, or buzzing, but people can also hear crickets, running water, or even music. The condition “is typically associated with some form of hearing loss due to aging or excessive noise exposure,” says Kentuckiana ENT neurotologist Dr. Mark Severtson, but it can also be a side effect of aspirin and other medications. Although it can be annoying, tinnitus is usually harmless. If only one ear is affected, however, you should get a medical evaluation to rule out anything more serious.

Swelling and Stiffness of Joints

PROBLEM:

ccording to Dr. James Patrick Murphy of Murphy Pain Center, swollen, stiff joints can be caused by injury, autoimmune disorders such as rheumatoid arthritis, or age-related wear-and-tear conditions such as osteoarthritis. Non-joint-related conditions such as heart disease and kidney problems can also result in swelling, especially around the ankles, so it’s important to see your doctor if the problem persists or gets worse. Other red flags that merit a visit to your physician include numbness and signs of infection, such as fever, an area that feels hot to the touch, or drainage. 12 todaystransitionsnow.com | Summer 2015

used to

SOLUTION:

Lifestyle and Behavioral Modifications

Hearing Aids

Because tinnitus can be most bothersome when it’s quiet, Severtson suggests using a fan, an ambient noise machine, or leaving on the TV or radio to add background sound. He also recommends limiting salt intake to 15002000 mg of sodium per day and avoiding caffeine, nicotine, and chocolate to improve blood flow to the inner ear. You can also try biofeedback therapy, which is a relaxation program where one learns not to attend to the ringing so it becomes less emotionally bothersome, Severtson says.

When tinnitus is accompanied by hearing loss, getting fitted with a hearing aid can provide significant relief. Since a hearing aid amplifies environmental sounds, it distracts your brain from the internal noises and lessens symptoms of tinnitus. You can also get a tinnitus masking device, Severtson says, which can be built into your hearing aid or worn alone. The masking device emits low-level white noise that’s tuned by your audiologist to the same pitch or frequency as your tinnitus, thereby also helping to retrain your brain.

SOLUTION:

TLC and Exercise

Medications

Depending on the cause of your discomfort, you can apply either ice or heat, Murphy says. Ice is usually best for injuries and pain, while heat decreases stiffness by increasing blood flow to the area. You can experiment to see what works for you. But the best thing for your joints is to keep moving. Any exercise that works on range of motion, strength, and flexibility of joints and surrounding tissues is good, Murphy says. Swimming, especially in warm water, offers the added benefit of cushioning joints from the pull of gravity.

Use caution and consult your medical provider when taking Motrin, Tylenol, aspirin, or similar over-the-counter drugs to ease symptoms. These can be harmful in large doses and can also interact with your prescribed drugs in unintended ways. Over-thecounter or prescription topical medications are safer and often more effective, Murphy says. Applied directly on the joints, they can provide cooling, warming, and pain-relieving effects while also increasing blood flow to the area through the very act of massaging in the medication.

Summer 2015 | todaystransitionsnow.com

Caregiver

CIRCLE BY TORIE TEMPL

TRY THIS FIVEMINUTE IDEA

“Don’t expect other people to know what your needs are. You have to let them know, even if it is an hour just to take a walk, go to a movie, or just to get away and take a deep breath.” – HELEN SMITH, physician office receptionist and patient support coordinator with Floyd Memorial Hospital Cancer Center

Virtual Assistant Home Instead Senior Care has released Alz & Dementia, a free app about Alzheimer’s and other dementias, to accompany its book Confidence to Care. Download the app for tips and practical advice compiled by experts as well as family caregivers. Also, get 24-hour caregiver assistance through a toll-free number. 14 todaystransitionsnow.com | Summer 2015

Make Bathing Easier Kayla Cook, RN, owner and director of Caring Excellence Personalized Home Care Services, shares a practical idea for bathing your loved one. “The elderly don’t need a complete bath or shower every day. Their skin is fragile and is often dry,” she says. “An easy way to stay

fresh is to take eight washcloths and moisten with no-rinse soap and baby oil mixed in water. Place cloths in a large Ziploc bag and microwave one minute. Check temperature before using. You can quickly help your loved one wash needed areas and keep skin moist.”

Resources for Veteran Care The VA Hospital in Louisville offers a wide array of resources for those caring for a veteran. Go to Louisville.va.gov to find out about the Peer Support for Caregivers program, the Caregiver Support program, or just to browse the numerous resources available. What else you can find: • How to enroll in the local VA health system • Long-term care guide • A-to-Z list of local veteran services

ALZHEIMER'S CAREGIVER CONNECTION The Alzheimer’s Association of Greater Kentucky and Southern Indiana has a website complete with events to raise awareness, local classes, a 24-hour helpline, and caregiving resources. Visit alz.org/kyin/.

Summer 2015 | todaystransitionsnow.com

10 Questions to Ask Your

Eye Doctor BY MARY ELLEN BIANCO

Dr. Aaron McNulty of Elliott Rosengarten O.D. PSC and Aaron McNulty O.D. has the answers. 1. How often should I get my eyes checked?

An annual exam is recommended for all ages. In adulthood, it’s important to closely monitor eye health. The exam is not only to check vision or eyeglasses. We proactively monitor conditions since eye diseases such as glaucoma are easier to treat if detected early. 2. Is there anything I can do to maintain good vision as I age?

First, a good pair of sunglasses or a brimmed hat help protect against early development of cataracts and macular degeneration. Second is good nutrition such as fruit, vegetables, and Omega-3 fatty acids. If it’s good for your heart, then it’s good for your eyes. 3. Should I take over-the-counter eye health vitamins?

Eye vitamins are marketed using the formulation in the Age-Related Eye Disease Study (AREDS) sponsored by the federal government’s National Eye Institute. The study found that patients with early age-related macular degeneration can benefit from the vitamins. Most of us don’t get enough of these nutrients in our daily diet, especially zinc and antioxidants. 4. What is my likelihood of getting cataracts?

Cataracts are like gray hair, in a sense, because most of us will develop them later in life. It’s a gradual clouding-over of the lens inside the eye. Studies suggest progress can be slowed by limiting exposure to UV 16 todaystransitionsnow.com | Summer 2015

light. Cataracts develop slowly, usually starting in our 40s and 50s. Within 20 to 30 years, lenses will be cloudy enough that we can’t see through them. This is when treatment is needed. Early onset can be caused by diabetes and long-term use of medications such as steroids. 5. How long would it take for my eyes to heal after cataract surgery?

This is the most common operation done in the U.S. It’s an outpatient procedure with local anesthesia, and the healing is quite quick. There will generally be good visual performance within three to four days after surgery. Patients have to take it easy for one to two weeks, avoiding strenuous activities, lifting, and straining. After a month, the vision will be stable enough to update an eyeglass prescription. 6. Are contact lenses better than glasses? What are the pros and cons?

Contacts and glasses are roughly equivalent for most people. Contacts can help patients with astigmatism and can even help eliminate the need for reading glasses. Contact lens technology has improved over the last several years. Our office specializes in fitting patients who haven’t been able to wear contacts. Some patients who have had Lasik or other eye surgeries or conditions can see better with custom-made contacts.

7. What things could I be doing that may be jeopardizing my vision?

Study after study shows that tobacco use can increase your risk of macular

degeneration, glaucoma, and cataracts, as well as dry eye disease. 8. Is it OK to use over-the-counter drops for red or itchy eyes?

We do not recommend the regular use of vasoconstrictor drops, which narrow the opening of blood vessels. They tend to lead to a dependency — the more they’re used, the more they will be needed. Once a day is fine, but you need to check with your eye doctor if you use drops more often. Allergy drops that contain ophthalmic ketotifen are recommended for itching, red eyes. Some are available over the counter. An allergy pill generally doesn’t work as well as a drop to relieve allergy symptoms. 9. Are there any health conditions that can affect my eye health?

High blood pressure can affect the supply of blood to the retina, which is the internal lining of the eye. Uncontrolled diabetes can cause short-term vision changes, with possible vision loss in the long term. Both need to be detected early before there is damage to the blood vessels. 10. What can I do about bothersome glare from headlights when I drive at night?

• Early cataracts cause the lens to get cloudy and scatter light from headlights and street lights. This can happen years before the cataracts cause blurry vision. Discuss this with your doctor. • Update your glasses prescription and consider adding an anti-reflective coat to the lenses, which will cut down on glare.

Summer 2015 | todaystransitionsnow.com

What’s In Our Cart? BY MELISSA DONALD & ANITA OLDHAM / PHOTOS MELISSA DONALD

We are taking you into Trader Joe’s, a small, nationwide grocery store that’s fun to shop in and easy to navigate. Here are some nutritious, easy-to-prepare items that are perfect for one- or two-person meals.

WHERE WE SHOPPED:

Trader Joe’s 4600 Shelbyville Rd. TOTAL COST: $35

Find out what you can make with these items on p. 20.

7 3

SHREDDED 3 CHEESE BLEND

ORGANIC YELLOW CORN TORTILLA CHIPS

SEA SALT AND TURBINADO SUGAR DARK CHOCOLATE ALMONDS

TRADER JOE’S GARLIC NAAN BREAD

TRADER JOE’S CHICKEN POTSTICKERS

TRADITIONAL MARINARA SAUCE

MINI CROISSANTS

First aisle

Last aisle

Third aisle on shelf above frozen desserts

Freezer section in second aisle closest to front

TRADER JOE’S REDUCED GUILT CHUNKY GUACAMOLE

$3.99

Fourth aisle toward back of store (lefthand side)

$2.69

Things We Also Wanted to Get:

$4.79

$3.69

Enchiladas A variety of chicken, beef, and vegetarian options, located in a small freezer area toward the back of the store in aisle 2.

18 todaystransitionsnow.com | Summer 2015

$2.99

$3.79

First aisle just below the Ferguson Mansion mural

Steak Ale Pies In the freezer section of aisle 2 located near the front of the store to the left of the Indian display.

$1.39

Refrigerator section aisle one

$4.49

Third aisle with breakfast foods

Pork Roast Florentine Also in the freezer section next to the Steak Ale Pies. From freezer to oven, this roast will make a nice meal for several people.

PAGE 20 >>

Summer 2015 | todaystransitionsnow.com

<< PAGE 18

These palate pleasers require minimal preparation.

5 Quick Food Ideas TRADER JOE’S POTSTICKERS are quick and easy to make and are a good source of protein (top left). Try this versatile dish as a snack or a meal. Fry in a pan and then add water to steam according to the cooking instructions on the back. They can also be microwaved. Serve with a side of soy sauce or place on a bed of salad greens with a drizzle of ginger dressing. TIP: You can combine these with Trader Joe’s Miso broth for a quick, hearty soup. MAKE A PERSONAL PIZZA: A simple cheese pizza is made with Trader Joe’s Garlic Naan Bread (prebaked and ready to eat), Traditional Marinara Sauce, and Shredded 3 Cheese Blend (bottom right). Bake either in a toaster oven or fullsized oven at 375 degrees. I bake mine until the cheese has completely melted, about 5-10 minutes. Add your favorite toppings for a complete meal. 20 todaystransitionsnow.com | Summer 2015

Use the items in our cart (on previous page) to fix these super snacks.

A DIPPING SNACK: Trader Joe’s Organic Yellow Corn Tortilla Chips are a perfect snack paired with their Reduced Guilt Chunky Guacamole (bottom left). This flavorful dip is rich and creamy and loaded with healthful avocados. Use this dip on sandwiches, place a dollop on top of chili, refried beans, or tortilla soup. WE LOVE THESE! Sea Salt and Turbinado Sugar Dark Chocolate Almonds are the perfect ending to any meal (top right). A great balance of salty-sweetness with a dark chocolate coating and almond nut crunch. Eat them on their own or add to ice cream or yogurt. MINI CROISSANTS: Don’t be fooled by the “mini” label. Once baked, these croissants are equivalent to regular-sized ones (middle right). As the instructions suggest, place croissants on a cookie sheet and let rise overnight. Bake according to package instructions. Serve with your favorite jam or make a breakfast or lunch sandwich.

Summer 2015 | todaystransitionsnow.com

BOOK CLUB: THE BOOK GROUP

Catching Up Here’s what other area clubs are reading next:

From the book: “Now it’s time for payback. So when you least expect it, you’ll pay for the role you had in causing my pain. And I can promise you the pain you experience will be excruciating.”

THE BOOK GROUP WHEN: 4th Mon. of each month WHERE: Location varies CONTACT: Kathy Reed,

kathy@reed.win.net

BROWN BAG AND A BOOK The Alchemist by Paulo Coelho Contact: Reneta Sancken, rsancken@nafclibrary.org

Have you read this? STORY & PHOTOS BY PATTI HARTOG

The Book Group invited local author Linda Y. Atkins to its spring meeting to discuss her latest book, Deadline for Murder: A Hilary Adams Mystery. Atkins draws on her own courtroom experiences as a former director and chief prosecutor in the Commonwealth Attorney’s office in Louisville for inspiration in writing her mystery thrillers. Book club member Kathy Reed shares her thoughts on the book. What she learned from the book: “I learned more about the inside workings of the legal system, particularly as it relates to a capital murder case. It was especially interesting to see that significant resources can be spent by the defense team on investigative work such as hiring a detective and private investigator. There isn’t a total reliance placed on the police investigation. The number of hours required in this preparation can result in a case that isn’t always financially lucrative for the attorneys involved.” How it changed her thinking: “Deadline for Murder highlighted the power of the written word. It was a 22 todaystransitionsnow.com | Summer 2015

THE EPICURIOUS READERS Whistling Past the Graveyard by Susan Crandall Contact: Michelle Maxim, michelle_maxim@hotmail.com

newspaper article about a long-forgotten incident that sparked revenge, leading to the murder that was the focus of the book. It also brought to mind the balancing act of work and home in the life of the female defense attorney as she became more and more involved in her case.” Thoughts this book brought to mind: “The book took place in Kentucky, and it was interesting to read about the events unfolding in familiar local surroundings. The reader can visualize not only the local landmarks but also the characters that might frequent familiar places in Louisville and the surrounding areas.”

THE MOTHER-DAUGHTER BOOK CLUB One Thousand White Women by Jim Fergus Contact: Pamela Greenwell, greenwell@derbycitylaw.com

Summer 2015 | todaystransitionsnow.com

Wise&Well

Tidbits, news, and tips to help you live your healthiest years yet

BY MARK KAELIN

Keep your

COOL

Hot summer days are dangerous for the very young and the very old. If your air conditioner is working overtime and you still can’t get any relief, one of Metro Louisville’s cooling centers can offer a haven from the heat. Call 502.574.5000 or MetroCall 311 to find a location near you.

SUMMER CLOTHES WOES

Summer skin rules “Any sort of tan reflects skin damage, and that damage is cumulative and increases your chances of developing skin cancer.” – DR. LAURA KLEIN, BROWNSBORO DERMATOLOGY

Protect your skin by investing in UV-reflective clothes, hats, and broad spectrum sunscreens with a sun protection factor (SPF) of 30 or higher. 24 todaystransitionsnow.com | Summer 2015

Last year’s shorts a little tight? Don’t reach for your wallet but for your walking shoes. “Abdominal fat promotes insulin resistance, which can lead to Type 2 diabetes,” says Dr. Bryant Stamford, professor of kinesiology and integrative physiology at Hanover College. “The smaller the waist, the better. Certainly keep it under the red flag limits of 40 inches for men and 35 inches for women.”

Take a walk on the wild side Spice up your morning stroll by joining Norton Healthcare's Zoo Club. Members are allowed access to the Louisville Zoo’s 1.1-mile walking loop every day of the week from 8-9:30am. For more information on this free program, call 502.629.1234.

Hot, humid, and hard to breathe “Ohio Valley summers take a toll on your breathing when you have COPD (chronic obstructive pulmonary disease),” says Peggy Cox, a registered nurse at Frazier Rehab Institute. High temperatures and humidity cause airways to constrict and symptoms to flare up. Cox recommends running errands early in the day to limit your exposure to these triggers and always carrying your rescue medications as they can’t help you if you don’t have them on you.

Summer 2015 | todaystransitionsnow.com

TECH TALK: SOCIAL MEDIA

Give Social Media a Thumbs-Up Which sites you should try — and why BY MEGAN M. SECKMAN

magine a place where you could reconnect with your high school sweetheart, the mentor that helped you believe in yourself, your former college roommate, the wild couple from Minneapolis you met on vacation in Cabo last year, and your distant 15-year-old granddaughter. This isn’t heaven, it’s called Facebook — and according to the American Psychological Association, it might even be good

for you. Research is now showing social media strengthens cognitive health in seniors and lowers blood pressure in those that have frequent positive interactions on these sites. However, a 2014 PEW research study shows that only 46 percent of plugged-in seniors are using social media. So, if you are in the hesitant other half, here are some popular sites to get you started.

Facebook

Vibrant Nation

We “like”: With more than a billion users, this is the way to stay connected to old friends, colleagues, and family members peppered across the planet. You can join interest groups, learn of sales at your favorite stores, and see videos and pictures of your distant loved ones. It’s also a great way to get involved in or organize for social causes in your community.

The beauty: A world of visually inspiring and easyto-access ideas for DIY projects, art, gardening, decor and design, hairstyles and fashion, recipes and cocktails — really anything aesthetic you want to create or change can be found on Pinterest. Create a “board” (think ”folder“) and “pin” (think “clip”) any pictures or links you like to save them. For example, you could search for “fashion at 60” to find style ideas. Click, related images appear, and voila — inspiring pictures of beautiful things!

Staying connected: Targeted for women ages 45 and up, this local site is dedicated to keeping women connected who might be feeling alone in the new chapters of their lives. From sex through menopause to feeling the need to purge all your crap once your kids move away from home, the bloggers on the site spill all. They also offer a safe network of support for those facing similar situations. Think of this site as a Dear Abby column where other women weigh in on your troubles (ranging from removing catfish whiskers from your chin to more serious concerns such as infidelity and abuse).

Thumbs-down: It can be addicting and a time-guzzler. At first you may be tempted to check it obsessively throughout the day to see if anyone “liked” the photo you were “tagged” in. You should be conscientious of your privacy settings and realize that any photo (or comment) you post is permanent and generally public knowledge — free for others to dissect and comment upon. Facebook terms to know: Tag: to identify in a picture or refer to in a post by one’s name Poke: a meaningless gesture of annoyance; to get someone’s attention Follow: way to stay abreast of people you aren’t friends with (such as businesses or Willie Nelson)

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The beast: Again, it can be addicting and may lead to excessive shopping, redecorating, and cooking. Feelings of inadequacy may arise (why does my kitchen/chili/ vegetable garden never look like that?). The primary audience is 45 and younger, so you will have to use specific search keywords to eliminate the hipster, 20-something style from your feed. Once you have “pinned” enough items, your feed begins to suggest related images.

Be wary: Women must join the site to post comments, but be mindful that the bloggers are not trained therapists, nutritionists, or lawyers (or grammarians, as evidenced by the abundance of typos). Many posts morph into hard-luck stories, and some of the advice can be just as dramatic. If you are facing tough situations, this might be a healthy way to express yourself, but it probably won’t be the only answer to what lies ahead.

Summer 2015 | todaystransitionsnow.com

Connie’s World Connie Meyer writes regularly for Today’s Transitions. You can reach Connie at ConnieL605@aol.com.

MOMMA I

I remember how sick Momma looked as they carried her down three flights of stairs on the stretcher. She promised me that everything would be all right, but nothing could be right without her. Momma said that Miss Ruby would take care of me, but what did she know about kids? Before I was born, she didn’t even allow children or pets in the apartment building where we lived. At age 4, I had never spent a night away from Momma, and the prospect terrified me. Since my father worked nights and slept during the day, I had no choice but to stay with Miss Ruby until Momma’s return. Fear covered me like Miss Ruby’s colorful quilt that first night. I hugged both close and vowed not to go to sleep without Momma. The next thing I knew, I woke up to the sounds and smells of breakfast from Miss Ruby’s kitchen. Miss Ruby wasn’t anything like Momma. She was old and smelled like waxed hall floors. She always wore an apron that she pulled over her head and tied in a bow in the back. It had large pockets in the front from which she’d pull a pencil or dust rag or sometimes a candy treat. Momma said Miss Ruby never got mar28 todaystransitionsnow.com | Summer 2015

When I finally went in the kitchen ried or had any kids, so that was why she and saw Momma, the part of me that loved me so much. She was our landlady, wanted to run to her shut down in but she was like a grandma to me. stony silence. I turned my back on her I didn’t mean to be mad at Miss Ruby. to punish her for leaving me. As always It wasn’t her fault that Momma left, and though, Momma understood. She didn’t she was really good to me. She’d let me have to wait long before I threw myself make cookies with her in the kitchen, into those comforting arms sobbing and she even let me play with the little my regret. Amid the hugs and tears, china dolls that stood on the shelf in the Momma reassured me and scattered my bookcase of her living room. My favorites were the bride and groom. fear like the dandelion seed I loved to The bride looked so delicate with her blow on windy days. flowers and veil. The groom was shorter, When we were alone, she helped me but not by much with his china top hat. understand that the baby I both despised Standing close by was a short Santa and desired was not to be. She told me statue who was caught with a continuous wink of Fear covered me like Miss Ruby’s colorful quilt that first night. I hugged both close and vowed one eye. I would make up not to go to sleep without Momma. stories that included this impish Santa presiding over the wedding of the tiny twosome. I it wasn’t my fault. Just because I secretly loved playing with them so much that for wanted Momma all to myself did not a while I forgot to be sad. make the baby die. She said only God made those decisions. Momma underOn the fourth day after Momma left, Miss Ruby called me in from play. She said stood my fears as only she could. It wasn’t until 40 years later when she became tershe had a surprise for me. I felt the familminally ill with cancer that I realized the iar fear inch up my back like icy fingers. fear of her leaving had never left. That is Could the surprise be the baby sister or brother Momma had talked about before? when I would finally be forced to face it.

Summer 2015 | todaystransitionsnow.com

BY KIMBERLY CRUM PAGE 32 >>

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Summer 2015 | todaystransitionsnow.com

P Perhaps one of the most difficult conversations for adult children is the one in which they must ask an elderly parent to stop driving. Some have rated the discomfort of this encounter significantly higher than talking about money, end-of-life preferences, and wills. Yet the need for this conversation is unavoidable when there is an observable decline in attention and ability. In my case, the pressure to talk to my father about his driving came from his friends and my mother. “Your dad should not be on the highway in his condition. You should see him trying to turn left.” “I take my life in my hands when I get in the car with your dad,” Mom said. My brother and I were surprised that this memory had survived her dementia. “You’ve got to do something!” was the consensus. Though we were long-distance caregivers, we would have to initiate The Talk. My brother was even less eager than I to pressure our father to sacrifice his last claim to independence. We both dreaded the need to be patriarchal with The Patriarch. At 76 years old, Dad had endured greater hardships than the loss of a driver’s license — among them, the loss of a child and a business, a life-threatening illness, and Mom’s Alzheimer’s disease. Yet driving provided him a measure of dignity after his body, and my mother’s mind, had betrayed them. Behind the wheel, he felt normal, with his wife of 50-plus years at his side. But like many persons his age, Dad suffered osteoarthritis with inflammation in his joints and reduced range of motion, flexibility, and strength. His 32 todaystransitionsnow.com | Summer 2015

most observable deficit was that he could not turn his head to the right or left. And so we initiated the conversation. “Dad, we’re really concerned about your driving.” “Don’t worry about me. I’m fine.” “But you can’t move your neck.” “I use the rearview mirror, and your mother helps me look.” “I hate the idea of you turning left on the highway.” “I take my time. Everyone can see me in the Cadillac.” “Dad, I’m afraid you’ll get in an accident and hurt yourself or someone else.” “Look who’s talking!” Dad said. “I have NEVER been the CAUSE of a car accident.” Silently, we both recalled my storied driving record — how, when I was 21, he retrieved me from the emergency room after a one-car accident. Then, there were the numerous crumpled parked cars whose distance I had misjudged. Indeed, according to the American Automobile Association (AAA), elderly people have safer driving habits than younger persons. Seniors “reduce risk of injury by wearing safety belts, observing speed limits, and not drinking and driving.” Nevertheless, fatal crash rates increase for 75-year-olds and rise sharply after age 80 due to medical fragility. The car crash fatality rate is 17 times higher for seniors than for 25 to 64-year-olds. Dad responded to each of my concerns with answers that seemed logical to him. He admitted his disability and explained how he had adapted. He cited convincing evidence about my credibility as a judge of good driving. We ended the conversation with one conclusion — he was the father with a lifetime of good judgment to back him up, and I was the child.

Much has changed since my conversation with Dad. Organizations such as AAA and AARP have programs to evaluate and advise older drivers. These services have become more essential as older people live longer. According to AAA, “Seniors are outliving their ability to drive safely by an average of seven to 10 years.” More than half of U.S. states have implemented restrictions upon license renewal, generally for drivers over 70 years. Many states have reduced the license renewal time period and require onsite renewal as well as vision testing. Some have medical review boards that consider written requests submitted to the state departments of motor vehicles by a doctor, lawyer, peace officer, or concerned citizen. The Kentucky Driver Licensing Division imposes no special rules on older drivers. It will, however, accept requests from doctors, city and county officials, police, and concerned citizens to conduct an unsafe driver investigation — and can place specific restrictions on vehicles or their drivers in an attempt to keep them safer behind the wheel. It seems I was a failure at my task to stop my father from driving. But I had initiated the conversation — expressed concern, listened to his views, and acknowledged how difficult it would be to lose his mobility. This conversation gave Dad the opportunity to retain some dignity while scoring one more victory in a debate with his only daughter. Within a month of our talk, Dad surrendered his license after his doctor advised him to stop driving and wrote a letter to the local DMV. Dad kept his Cadillac in the driveway as a monument to his independence. But he never drove again.

Regulations, Options & Communication Strategies Tips on how to have the conversation with an elderly parent: caring.com/articles/ when-should-seniors-stop-driving

Contact your local AAA office for specific information about driver safety offerings: eastcentral.aaa.com/offices/kentucky/index.jsp

Driver safety information with classroom and online courses are available through AARP: Call 877.846.3299 to find out about local classes for senior drivers.

Read about regulations and options for elderly drivers in the Kentucky and Indiana departments of motor vehicles: dmv.com/ky/kentucky/senior-drivers dmv.com/in/indiana/senior-drivers

Professional driver safety evaluation and self-evaluation tools available through AAA: seniordriving.aaa.com/evaluate-yourdriving-ability/professional-assessment

If your parent refuses to surrender the keys, read this advice: agingcare.com/Ways to Legally Get Your Elderly Parent's Keys

Summer 2015 | todaystransitionsnow.com

About Medicare & Medicaid Insights & tips to help you navigate your benefits

– one —

Timing is Everything Many people think that as long as a nursing home resident applies for Medicaid within three months of going into a nursing home, Medicaid coverage will be retroactive to the date of admission. However, Medicaid will only be approved starting the first day that the person was deemed eligible. If the resident was not eligible when she entered the nursing home, even if the application is made within three months, Medicaid coverage will not be effective as of the date of admission.

Medicare has an Extra Help program that will pay the Part D premium DID YOU for people with KNOW? limited assets and income. In 2015, a single individual may qualify if he has less than $17,655 in annual countable income and $13,640 in countable assets.

3 AVOID LATE FEES There is a late enrollment fee for not getting Part D coverage or for letting it lapse for more than two months. In 2015, that penalty is 1 percent of $33.13 for every month you were without Part D coverage.

Make a Call FOUR

5 THINGS TO KNOW

The State Health Insurance Assistance Program (SHIP) is a state program that receives funding from the federal government to give free, local health insurance counseling to people with Medicare. There is a SHIP in every state, although some states call the program by a different name. The program in Kentucky can be reached during normal business hours at 877.293.7447 and in Indiana at 800.452.4800.

Look for This in Your Mailbox

Information compiled by Kelly Gannott, attorney with Kentucky Elderlaw, and Tihisha Rawlins, associate state director, Grassroots Initiative, AARP Kentucky 34 todaystransitionsnow.com | Summer 2015

If you have Original Medicare, you’ll get a “Medicare Summary Notice” (MSN) in the mail every three months for Medicare Part A and Part B-covered services. The notice shows what providers and suppliers billed to Medicare during the three-month period, what Medicare paid, and what you may owe. If you don’t want to wait for your MSN, you can access your Original Medicare claims at MyMedicare.gov. Typically, you will be able to see a claim within 24 hours after Medicare processes it.

Summer 2015 | todaystransitionsnow.com

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Updates & Happenings | news you can use + events not to miss |

BY ANNA PATTERSON & GIOIA PATTON

A Sweet Treat

The Van-Dells Live In Concert!

Jessica Powers attended culinary school before starting work at Highlands Community Ministries Adult Day Health Center as a care worker. Although the majority of her day is consumed with attending to residents and planning daily activities, Jessica puts her culinary skills to use whenever she can. The residents, she says, love her desserts. “As long as it’s something sweet, they’re excited,” she says. One of Jessica’s specialties is her original chocolate cupcake recipe. She adds a chocolate ganache center and homemade cream cheese icing.

As the nation’s number one 1950s and ‘60s rock ‘n’ roll tribute show, the Van-Dells have been entertaining audiences for 41 years with their blend of comedy, choreography, and tight harmonies. Backed by a fivepiece band, singers Mark Barnett, Stacy “Duke” Todd, and Steve “Moose” Ricks deliver out-of-this-world vocal performances from doo-wop classics to Elvis. The Van-Dells have been called “The Three Stooges set to music” with a fun show for the whole family.

> Derby Dinner Playhouse

PHOTO MELISSA DONALD

Jessica's chocolate ganache cupcake with cream cheese icing

WHEN: Aug. 24 @ 7:15pm (doors/buffet open 6pm) WHERE: Derby Dinner Playhouse, Clarksville TICKETS: $30 and $37 CONTACT: the box office @ 812.288.8281

In addition to her desserts, Jessica also shares her baking skills with residents. Once a month she holds demonstrations on how to make a certain dish or dessert. Both Jessica’s desserts and cooking classes have become a “sweet” treat for her residents. – ANNA PATTERSON

The Church Basement Ladies in “The Last Potluck Supper” > Derby Dinner Playhouse They’re cookin’ again! It’s 1979, and past parishioners have gathered to share hot dishes and stories from the last 100 years. As the women work in the kitchen, these shared memories burst into life through a series of flashbacks. Travel back to 1897 and meet Vivian’s grandmother, one of the founding members of the church. See Karin as a newlywed, cautiously navigating her way through the politics of the kitchen. And be there in 1944 when Mavis first barreled her way through the swinging door. As they time-jump through the century, these ladies serve up a rib-tickling panorama of the changes in the kitchen over the years. Inspired by the books of Janet Martin and Suzann Nelson, this new musical features songs such as “You Can Learn A lot About a Lady,” “Use It or Ya Lose It,” “An Old Wooden Spoon,” and more. WHEN: Aug. 12 – Sept. 27, various performances WHERE: Derby Dinner Playhouse, Clarksville TICKETS: $38-$48 CONTACT: 812.288.8281 or derbydinner.com PAGE 46 >>

The Ride of His Life Mike Wilson’s beloved motorcycle jacket, after years of wear and tear, was falling apart. In his heyday, Wilson was an avid motorcyclist. But by age 59, he was confined to a health and rehab facility and no longer able to enjoy his favorite pastime. His tattered jacket was the only thing that connected him to his Harley days of the past. After hearing Wilson’s story, Opal’s Dream Foundation contacted Bluegrass Harley Davidson, which donated a jacket, and the local motorcycle club, which inducted Wilson as a member. Opal’s Dream Foundation works to grant wishes and dreams of elderly confined to nursing homes, as well as improve the overall nursing home experience. For more information about Opal’s Dream Foundation, visit opalsdreamfoundation.com. – ANNA PATTERSON Summer 2015 | todaystransitionsnow.com

Self-Care BY BOB MUELLER

illions of folks struggle with the problem of inadequate self-care — not taking very good care of ourselves. We know the things we should do, but we just don’t do them. There is a huge gap between what we know and what we do. We must practice the power of positive doing. We’ve all heard of the power of positive thinking. My goal is to take the next step and get into action, no matter what. By taking action, you will move yourself from the back of the bus up to the driver’s seat where you belong. If you find yourself concerned that you might be selfish, think of the airline attendant’s instructions about putting on your own oxygen mask first. What do you need to do to give yourself oxygen today? Make time to do whatever that is. Maybe it’s taking a 10-minute nap or finding a quiet corner and meditating for a few minutes. Perhaps you need a healthy snack or maybe a walk in the fresh air. You are Number One – remember that. We must recharge our batteries first so we can be a light to others. This is the concept of self-care. We must fill our own well first so we can quench the thirst of others. We must feed ourselves first – physically, emotionally, and spiritually – so we can then feed those we love. We are not being selfish when we do this. We are being wise. All of the world’s great spiritual traditions tell us to put others first, to be selfless, to serve others. We applaud self-sacrifice as a noble virtue. Mother Teresa said, “Unless life is lived for others, it is not worthwhile.” With similar messages from wise, respected sources all around us, it is all too easy to confuse self-care with being selfish. 38 todaystransitionsnow.com | Summer 2015

The greatest part of self-care is the basics. It’s not about fancy soaps, exquisite massages, luxury cruises, or expensive anything. Superb self-care is as simple as taking a nap, soaking in a relaxing bath, eating an apple instead of a muffin, saying “no thanks” when you’re overcommitted, and going to bed just a little earlier. Practice these words as your mantra for the week: “I won’t let what I can’t do keep me from what I can do.” Look for little things that you can do in areas important to your self-care. Maybe you can’t go to the gym, but you can go for a walk. Maybe you can’t go for a walk, but you can touch your toes 10 times. It doesn’t matter – just because you can’t do everything doesn’t mean you can’t do something. Several years ago, writer and speaker Robert Fulghum came to Louisville for a presentation and fundraiser for the National Center for Family Literacy. I worked there at the time and was asked to make sure he had everything he needed. He had a terrific attitude about self-care and said this: “Think what a better world it would be if we all, the whole world, had cookies and milk about 3 o’clock every afternoon and then lay down on our blankets for a nap.” He quoted this from his lovely book about important lessons learned from kindergarten. So have a glass of milk (cookies are optional), find your favorite “blankie,” and take a nap every day this week. Perhaps Richard Bach, author of Jonathan Livingston Seagull, says it best about self-care: “Learning is finding out what you already know. Doing is demonstrating that you know it. Teaching is reminding others that they know it as well as you do. We are all learners, doers, and teachers.” Take care of yourself! Bob Mueller is vice president of advancement at Hosparus. Visit his website at bobmueller.org.

The Directories Are Now Online! Click on this page to access directory listings.

DIRECTORIES Adult Day Care Aging-in-Place Communities Alzheimerâ€™s Care Assisted Living Home Health Nursing/Rehab Personal Care Retirement Communities

Larger color Enhanced listings are paid for by the facility. Those interested in Enhanced listings can call (502) 327-8855. Some facilities/services are not listed because information was not provided at printing time. If you feel your facility or service should be listed in the next directory, email directories@todaystransitions.com, or call (502) 327-8855.

Summer 2015 | todaystransitionsnow.com

Click on the Directory names below to access the online directory listings.

Adult Day Care Directory Day program for adults who need to be monitored for safety reasons and/or need nursing care, treatments, incontinence care, and other health services. There are medical Adult Day Care facilities which must be licensed. Adult Day Care facilities that are social cannot provide nursing care. Some offer pickup and delivery services within a radius.

PHOTO MELISSA DONALD

Caregive r winner T O D AY ’ S T R A N S I T I O N S

Meet our “Care Package for the Caregiver” contest winner! Tamula Tucker is our Care Package for the Caregiver winner. Her prize includes admission for two to a Derby Dinner Playhouse performance, four hours of sitter service from Home Instead Senior Care, and a $25 gift card to A Taste of Kentucky.

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Why She Won: About four years ago, Tamula’s husband was diagnosed with Lewy Body Dementia (a combination of both Parkinson’s and Alzheimer’s diseases) on top of his existing Crohn’s disease and prostate cancer. Although his cancer is in remission, Tamula’s husband cannot do anything for himself — making Tamula a full-time caregiver. In spite of it all, Tamula remains in good spirits and continues to love her husband unconditionally. She gets him out of the house — even if it requires pushing him in a wheelchair. She takes him to the movies, the park, church. On their date night, they go to White Castle. While taking care of her husband, Tamula also maintains a full-time job teaching special needs children in the community. Even though her husband is not the same as he once was and is unable to remember much, Tamula says she remembers — and love is forever. — Anna Patterson Complete the nomination form on page 52 or go to TodaysTransitionsNow.com.

Click on the Directory name below to access the online directory listings.

Aging-in-Place Communities Directory An Aging-in-Place community offers several levels of care on one campus. A resident could move into a retirement facility or assisted living facility, then utilize higher levels of nursing care when needed through personal care or nursing/rehab care. A residentâ€™s room might change, but not his or her address.

Summer 2015 | todaystransitionsnow.com

Click on the Directory name below to access the online directory listings.

Alzheimerâ€™s Care Directory Alzheimerâ€™s care is provided at different levels, from assisted living to the skilled care of nursing/rehab. Some facilities accept Alzheimerâ€™s patients into their general care, and others have separate units designed to meet the specific needs of patients with this disease.

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Click on the Directory name below to access the online directory listings.

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Click on the Directory name below to access the online directory listings.

Alzheimer’s Care Directory Alzheimer’s care is provided at different levels, from assisted living to the skilled care of nursing/rehab. Some facilities accept Alzheimer’s patients into their general care, and others have separate units designed to meet the specific needs of patients with this disease.

Updates & Happenings | news you can use + events not to miss |

Let Love...Ring Mary Lee Robinson, a recent widow, sought a ring to symbolize her loss. Her search yielded few results until she discovered “The Widow’s Ring.” Mary Lee, also author of The Widow or Widower Next Door, now represents this elegant line of jewelry designed for both widows and widowers. Through her journey as a widow, she has found the world does not deal well with grievers. After 48 hours or so, they are expected to “be OK” and to move on with their lives. A mourning symbol reminds the rest of the world to treat grievers with a little more kindness and especially patience. For more information on widow and widower rings, visit maryleerobinson.com. — Anna Patterson

A Gold ‘Mind’

> Aging has its benefits for your brain When it comes to intelligence, aging has its benefits. An article published in the April 2015 Harvard Women’s Health Watch, reports that older people show better judgment and are more rational and optimistic than their juniors. “The brain begins to compensate by using more of itself,” explains

Dr. Bruce Yankner, professor of genetics and co-director of the Paul F. Glenn Laboratories for the Biological Mechanisms of Aging at Harvard Medical School. Here are a few ways older adults may surpass younger people: • Inductive reasoning They think before they act which simplifies problem solving and

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increases their efficiency — whether at home or on the job. • Verbal expression Older adults continuously broaden their vocabulary to improve their communication skills. • Basic math Splitting the check and figuring up a tip may come easier. • Accentuating the positive The amygdala, the part of the

brain that controls emotion and memory, is less impacted by negative situations. PAGE 59 >>

Click on the Directory name below to access the online directory listings.

Assisted Living Directory Assisted living offers minimal assistance in care, such as providing meals, helping with baths, and offering reminders to take medications. While some residents drive, scheduled transportation may be provided. Daily activities are organized, and there is around-the-clock supervision. No health care is provided, and these facilities are not licensed, but certification is required.

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Click on the Directory name below to access the online directory listings.

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Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a personâ€™s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

Nominate a Caregiver Deadline: July 18, 2015

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Click on the Directory name below to access the online directory listings.

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Click on the Directory name below to access the online directory listings.

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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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<< PAGE 46

Social Security

> Derby Dinner Playhouse

They’re Keeping You Healthy MD2U is one of 16 health care practices in the country chosen to participate in the Independence at Home Project (IAH). The goal of this project is to reduce the cost of Medicare by providing in-home care to at-risk patients. Through IAH, MD2U also prevents a continuous cycle of admissions and readmissions to the hospital, which could cause further physical and mental distress. IAH also provides supplementary programs that allow patients recently discharged from the hospital or rehab to receive regular in-home visits for up to 90 days after their release. MD2U has also developed a program that provides continuous care as patients transition between their home, hospital, and nursing care. Upon returning to independent homecare, MD2U will visit the patient within 48 hours to ensure they have the necessary tools to remain safely at home. For more information about MD2U and the programs they offer, visit md2u.com.

Derby Dinner Playhouse kicks off the 2015-2016 season with the comedy Social Security. This hilarious Broadway hit comedy tells the chaotic story of a sophisticated, art-dealing New York couple whose domestic tranquility is shattered when the wife’s goody-goody sister, her sister’s uptight CPA husband, and her crazy mother converge on their apartment. The comic sparks really begin to fly when the mother, Sophie, hits it off with the elderly minimalist artist who is the art dealers’ best client. Falling in love again transforms Sophie from senior citizen to femme fatale and provides a hilarious evening for all. Written by one of Hollywood’s top comedy screenwriters, Andrew Bergman, and directed by the legendary Mike Nichols, Social Security opened on Broadway in 1986 starring Marlo Thomas and Ron Silver. WHEN: Running through June

21 for various performances WHERE: Derby Dinner Playhouse, Clarksville TICKETS: $33-$48 CONTACT: the box office @ 812.288.8281 or

derbydinner.com

Fanfare for the 4th — Musical Visions of America America, the Dream Goes On • Dear Land of Home • Dixie • When Johnny Comes Marching Home • The Mansions of the Lord — We Were Soldiers • Song for the Unsung Hero • God Bless America • A Prayer for Our Time.

> Louisville Chorus Enjoy this American historical retrospective and revel in the power of stirring patriotic songs and visuals. This year marks the 11th annual multimedia choral cinema presentation of the Louisville Chorus featuring the founding, expansion, and refinement of America. Instrumental ensemble will include piano, organ, percussion, flute/piccolo, violin/fiddle. Multimedia specialist: Ruth Newman.

WHEN: July 2 @ 7:30pm WHERE: Beargrass Christian Church,

Patriotic tunes will include: Revolutionary Portrait • Nation’s Creed • The God Who Gave Us Life • Battle Hymn of the Republic •

4100 Shelbyville Rd (@ Browns Lane) TICKETS: $20, $15 seniors, $5 students CONTACT: 502.968.6300 or louisvillechorus.org Summer 2015 | todaystransitionsnow.com

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

62 todaystransitionsnow.com | Summer 2015

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

64 todaystransitionsnow.com | Summer 2015

Summer 2015 | todaystransitionsnow.com

Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

66 todaystransitionsnow.com | Summer 2015

Summer 2015 | todaystransitionsnow.com

Click on the Directory name below to access the online directory listings.

Personal Care Directory Personal Care offers residents minimal assistance for bathing, grooming, toileting, and dressing. The resident must be able to move around (even if in a wheelchair or scooter). Some health care is provided and medications are given. These facilities are licensed.

68 todaystransitionsnow.com | Summer 2015

Click on the Directory name below to access the online directory listings.

Retirement Communities Directory Retirement communities are for those who are totally independent. Special services are provided, such as meals in a central dining area. Most people drive, but some transportation is usually offered. These communities offer no health care services and are not required to be licensed or certified.

Summer 2015 | todaystransitionsnow.com

Click on the Directory name below to access the online directory listings.

70 todaystransitionsnow.com | Summer 2015

– THIS IS AN ADVERTISEMENT –

Fern Creek/Highview United Ministries Adult Day Health Center Providing a structured program balancing physical & cognitive activities designed to help frail older adults function at their highest levels. State licensed medical model providing nursing services, medication administration, personal care, memory care, meals, & caregiver respite for over 24 years. Medicaid Waiver, VA, LTCI, & Private Pay.

9300 Beulah Church Rd. 40291 502.762.9612 • adcdir@fchum.org fchum.org

FREE HOUSING ADVOCATE

Senior Home Transitions After hospitalization and/or rehab, what’s next for your loved one? Having personally gone through the process of placing a loved one after rehab, I know how confusing the options can be. Particularly if you only have a short time to find that new home! I have personally visited each community and will help you find the perfect new home based on your financial situation and personal needs. I can also help connect you with resources to help financially.

All at NO COST to you! Patti Naiser SeniorHomeTransitions.com 502.396.9228 INSURANCE

Robin Brown, 21 years with State Farm,

says she likes to help people plan a good life:“We help people protect the things they can least afford to lose: their home, their car, their income when they’re sick or hurt, and their earning capability. The unexpected happens often in life. I want my clients to be prepared for it. We’re also here to help clients assemble and preserve wealth in the most tax efficient ways possible. We educate clients to help them take care of the people who are special to them and to plan for retirement.” Let Robin help you plan for your dreams and manage risk to protect what is yours now and in the future.

Robin Brown, CLU, ChFC, CASL Agent State Farm 4209 Shelbyville Rd, Louisville, KY 40207 502.897.6476 • robinbrowninsurance.com

LAW

Timmel Law LLC – KY & IN lic. ELDER PLANNING WORKSHOPS & CONSULTATIONS NO CHARGE MEDICAID & VA BENEFIT Helping individuals and their families including those with elder or special needs issues identify, evaluate and plan for long term care, estate and life care options. Call or email to join us for a workshop where you can learn about Estate Planning and protecting your loved ones’ assets.

Timmel Law, LLC 812.590.2771 aa@timmellaw.com timmellaw.com

SENIOR MOVING SERVICES

Staging Your Next Move DOWNSIZING MOVING ESTATE CLEAN-OUT

Our team helps eliminate hassle and stress. • Home staging for faster sale • De-cluttering, sorting and organizing • Unpacking and arranging of new space We help with ALL your moving tasks. 10% Savings With This Ad

Lynn Medeiros 502.523.8889 LynnM@StagingYourNextMove.com Kathi Jaggers 502.773.3824 KathiJ@StagingYourNextMove.com StagingYourNextMove.com TRANSPORTATION

Able Care, Inc., since 2001 Providing non-emergency, ambulatory and wheelchair accessible transportation. Our service is available for: • Physician appointments, medical procedures, therapy, dialysis, radiation, and chemotherapy • Social functions and daily errands • Evenings and weekends with advance notice Caregivers or family members are welcome to ride at no additional charge. Pre-paid voucher packages are available. Payment is requested at the time of service. BBB Accredited Business.

Louisville, Kentucky 40269-0381 502.267.1911 • ablecareinc.com

Helpful Resources Directory

ADULT DAY CARE

What to Wear

BY TIFFANY WHITE & ALISSA HICKS / PHOTO MELISSA DONALD

Date Night Pulling together an eyecatching date night outfit is simple — all you need is a little creativity and versatile pieces. Stylist Alissa Hicks shows us how it’s done. MODELS: BILL AND RITA STITES

ON RITA: • “This printed jacket with a pop of green was the perfect summer night-time look.” • “I used accessories to give the jacket a little more sparkle for the occasion.” • “The green tank kept the look more casual and summery.”

ON BILL: • “You can never go wrong with a crisp button-up shirt. Roll up the sleeves for a casual look.” • “The color of these slacks broadens his options of what he can wear with them.” Rita is wearing: jacket $139; top $69; pants $119; necklace $49; earrings $49, clutch $129, all from The Willow Tree, 502.423.9822, 657 S. Hurstbourne Pkwy Bill is wearing: shirt $87; pants $115; belt $40, all from Jos. A. Bank, 502.326.9559, 4256 Summit Plaza Dr.

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