Betty Holstein fills a plate of food during lunch at the Alpena Senior Citizens Center on Monday. The senior center kitchen staff made and served
than 73,000 meals last year.
A group of senior citizens enjoy lunch at the Alpena Senior Citizens Center on Monday. Director Annie Hepburn said there can be as few as 30 people eating lunch and there can be more than 100 if tacos or roast beef is on the menu.
Meals on Wheels provides more than just food
By STEVE SCHULWITZ News Staff Writer
ALPENA — Without the Alpena Senior Citizens Center’s food programs, many seniors may not receive the nourishment and social interactions they need to live healthy and happily in their golden years.
In order to provide the meal program at the center and the Meals on Wheel food program that delivers meals to people in their homes, it takes a lot of work, materials, and money.
Last year, the senior center prepared nearly 74,000 meals for area seniors, of which about 65,000 were delivered to seniors.
The number of people who consumed meals at the senior Center last year was 8,802 and there can be between 30 and 100 seniors there for a meal.
On average, there are 225 seniors who take part in the Meals on Wheels program and receive hot and healthy food.
The meals are delivered by a team of 10 drivers and two others who are on call to distribute the meals throughout Alpena County. Besides delivering the meals for the seniors, they also provide needed social interaction time with the clients.
Alpena Senior Citizens Center Director Annie Hepburn said the drivers who deliver the meals are very important and often build strong relationships with the seniors they serve. She said they always make sure they see the person they are delivering food to and spend some time with them, while also taking note of their surroundings and health.
“Sometimes we are the only people they might see for a week and it is important that we observe the entire living situation and look for any red flags,” Hepburn said. “If there is something that is concerning, the driver reports it and we follow up to make sure everything is OK. It is sad, but we have found people who have fallen and
have laid on the floor for a couple days and also some people who have passed away, so what we do is very important in many ways.”
Hepburn said the Senior Center receives a mix of federal, state, and local funding for the meal programs. She said the county-wide senior millage helps pay a portion of the cost of the Meals on Wheels programs, but as inflation climbs and more people utilize the service, fundraising is also necessary.
“Those sources of funding still don’t cover the cost, so we are always fundraising,” she said. “I also want people to know, we don’t waste any food here. Whatever we have left over is made into frozen meals for people on the weekends. We don’t waste food.”
To help cover the cost of the meals, the Senior Center suggests a $4.50 donation per plate, but the average donation is only $1.15, which makes state, federal, and local money more critical than ever. Hepburn said during the COVID-19 pandemic the budget for Meals on Wheels was about $250,000 a year, but it has ballooned to $500,000 today.
“The costs have gone up, but the funding has remained the same, which can make it hard,” she said.
On average, it costs more than $18,000 a month for food and supplies.
Hepburn also added a few other tidbits and facts about the food programs. She said the center distributes about 648 gallons of milk each month and about 100 pounds of potatoes are used for a meal that includes them. Drivers total a combined 4,500 miles a month and meals are available to Alpena County residents who are 60 years old and older.
Steve Schulwitz can be reached at 989-358-5689 or sschulwitz@TheAlpenaNews. com. Follow him on X @ss_alpenanews.com.
News Photo by Steve Schulwitz
The goal of palliative care
Medical care often falls into two umbrella categories: curative and illness management. Palliative care belongs to the second category because it focuses on improving the quality of life for those with serious or life-threatening illnesses and is not designed to cure or eradicate an underlying condition. The World Health Organization says an estimated 56.8 million people, including 25.7 million in the last year of life, require palliative care each year. However, worldwide, only about 14 percent of people who need palliative care currently receive it.
What does palliative care do?
Palliative care can improve the quality of life of patients and their families who are facing challenges associated with life-threatening illnesses. Palliative care is offered alongside other treatments a person may receive. The Mayo Clinic says palliative care largely in-
volves managing pain and other symptoms of a serious illness. It also can help one cope with side effects from medical treatments. Palliative care does not depend on whether or not the condition can be cured.
Is palliative care hospice care?
Palliative care and hospice care are not one and the same. In fact, hospice care is a type of palliative care that focuses exclusively on patients who are expected to live for six months or less. Palliative care can be offered to patients with serious illnesses at any stage.
Who is palliative care for?
Just about any person suffering from a serious, prolonged illness can benefit from palliative care. The Cleveland Clinic notes people with these conditions may benefit from palliative care.
• Amyotrophic lateral sclerosis (ALS)
• Alzheimer’s disease
• Cancer
• Cardiovascular disease
• Cystic fibrosis
• HIV/AIDS
• Kidney disease
• Lung diseases like emphysema
• Multiple sclerosis (MS)
• Parkinson’s disease
• Stroke
Who offers palliative care?
Teams of professionals provide palliative care. A care team can consist of doctors, nurses, nurse practitioners, physician assistants, social workers, and spiritual advisors.
Which conditions can palliative care help with?
Patients may receive palliative care to assist with symptoms of depression, pain, fatigue, constipation, nausea, difficulty sleeping, anxiety, and much more, according to the organization Get Palliative Care.
When does palliative care end?
There is no time limit on palliative care; it can last as long as the patient requires and is exhibiting symptoms suggesting care can help.
Palliative care is an option for those facing serious illnesses. It is designed to help manage symptoms from the illness itself or the side effects of treatment.
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Modifiable risk factors for Alzheimer’s disease
Dementia is an umbrella term used to refer to various illnesses, including Alzheimer’s disease. Dementia is a sinister illness that slowly steals away memories, cognitive function and even personality. According to Alzheimer’s Disease International, as of 2020 there were an estimated 55 million people living with dementia around the world.
That number is expected to rise to 139 million by 2050. The organization reports that someone develops dementia every three seconds.
Alzheimer’s disease can be challenging for patients and their loved ones. Individuals may wonder if there are any controllable risk factors that can help prevent or delay the formation of the disease. Although risk factors like age cannot be avoided, there are some controllable risk factors for Alzheimer’s.
High blood pressure
High blood pressure, also known as hypertension, is a significant risk factor for dementia, according to NYU Langone Health. High blood pressure can damage the small blood vessels in the brain, leading to reduced blood flow and oxygen deprivation. Hypertension also may trigger brain inflammation, which can contribute to cell damage and cognitive decline.
Diabetes
Research indicates that type 2 diabetes increases a person’s risk of developing dementia, and is dependent on the length of time someone has diabetes and how severe it is, says the Alzheimer’s Society. Diabetes, like hypertension, can cause damage to blood vessels feeding nutrients and oxygen to the brain.
Smoking
Smoking is a tricky subject when it comes to Alzheimer’s research. A report published in the journal Alzheimer’s & Dementia in June 2015 indicated cigarette smoking has been linked to both increased and decreased risk for Alzheimer’s disease. However, the study’s findings indicated overall former/active smoking is related to a significantly increased risk for Alzheimer’s disease because of the related cerebral oxidative stress that facilitates Alzheimer’s disease formation.
Head trauma
The Alzheimer’s Association reports there appears to be a link between Alzheimer’s and serious head trauma, especially when an injury causes loss of consciousness. Taking steps to avoid head injury may be a preventive step against Alzheimer’s.
Alcohol
There is a complex relationship between alcohol and Alzheimer’s disease. BrightFocus Foundation reports moderate alcohol use may accelerate Alzheimer’s disease, while the Alzheimer’s Association says recent research published in the journal Neuropsychiatric Disease has shown moderate drinking (two alcoholic drinks per day) reduces one’s chances of developing Alzheimer’s, while regular heavy drinking can increase the chances by 300 percent.
Managing serious illnesses and modifying lifestyle choices may help keep Alzheimer’s disease at bay.