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||| COMMUNITY 39th Helen Keller Festival ||| PUZZLE Suduko (answer on 37)

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African Festival

12 ||| SPINNING SPOKE

Our Story

16 ||| CHILDREN’S HOSPITAL

Tips on Asthma

18 ||| COMMUNITY

Shoals Marathon

22 ||| LOCAL: NACOLG 26 ||| HEALTH INNOVATIONS

Keller Infusion Center

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Walking Tour

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Senior Center

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Veteran’s Day Parade

34 ||| HEALTH & WELL BEING

Getting Into Shape

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H E A LT H A N D W E L L N E S S M AG A Z I N E

Team Healthy Horizons is proud to be able to bring you our newest edition of Muscle Shoals. You will notice many changes including innovative graphic design and editorial content dedicated to supporting our mission of health and wellness. Our publication is continually being refined to reflect current issues and trends relevant to society. Owners Mark and Kimberly Helms are excited about the refinements to our publication and are equally excited to share these changes with your community. We want to remain a vital resource for your healthcare needs and recognize our duty to consciously maintain relevant content and health education to better serve our communities. Our magazine is freely distributed throughout the Southeast. Healthy Horizons was founded 15 years ago by Mark and Kimberly. With their passion for God, community and family, this publication is a natural extension of their core beliefs and values. Wishing you success as you strive for Healthy Horizons! -The Helms Mark Helms, Publisher

mhelms@cableone.net (256) 235-1955

Kimberly Helms, Publisher & Events Coordinator khelms@jsu.edu (256) 235-1955

Amy Askew, Art Director

healthyhorizonsart@gmail.com

HEALTHY HORIZONS: ABOUT US |||| 5


JUNE 22-25, 2017 | TUSCUMBIA America’s First Lady of Courage’s birthday is celebrated in late June with one of the top festivals for family fun in the South. The 39th annual Helen Keller Festival is June 22-25 in Tuscumbia, where Keller was born on June 27, 1880.

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The festival features music, arts and crafts, tours of historic sites, a movie night, car and truck show, a run, a golf tournament and other activities. “The Miracle Worker” play, Alabama’s official outdoor drama, will be performed Friday, June 23 and Saturday, June 24 at Ivy Green, Keller’s home.


JUNE 22-25, 2017 | TUSCUMBIA

The festival honors Keller, who became blind and deaf as a child, but overcame both, to become an author, lecturer and advocate for people with disabilities. Darren J. Butler, director of “The Miracle Worker” said people throughout the United States and in other countries plan their vacations around the Helen Keller Festival. “I have known children who chose for their family to come see “The Miracle Worker” at Ivy Green and attend the Helen Keller Festival instead of going to Disney World,” Butler said.

“THE MIRACLE WORKER” WILL BE PERFORMED JUNE 2-JULY 8 AT IVY GREEN Weekend performances of "The Miracle Worker" play are presented in late spring through early summer at Ivy Green, the Home of Helen Keller in Tuscumbia. William Gibson's epic drama about Helen Keller's childhood will be performed on Fridays and Saturdays June 2-July 8. Gates open at 6:30 p.m. for a free tour of the home and grounds. The play starts at 8 p.m. Reserve seats are $15. General admission is $10. Group rate (20 or more) for reserved seats is $13. Advance tickets can be purchased at Ivy Green For more details call 256-383-4066. • www.HealthyHorizons.com |||| 7


JUNE 22-25, 2017 | TUSCUMBIA

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H E A LT H A N D W E L L N E S S M AG A Z I N E


The North Alabama African Heritage Association will host the Annual North Alabama African Heritage Festival on Friday and Saturday, June 2nd and June 3rd, 2017 at the Willie Green Recreation Park in Tuscumbia.

“Our festival gets bigger every year. We have people who plan their vacation around coming back home and going to the festival. Plus, we have lots of local people who never miss going to the festival.�

Wallace D. Ricks of Tuscumbia, an organizer of the festival, is expecting a big crowd, including many former Shoals residents who make the festival a homecoming.

Susann Hamlin, president and CEO of Colbert County Tourism and Convention Bureau, said the North Alabama African Heritage Festival is one of the largest

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annual events in the area. A festival preview will begin on Friday at 5 p.m. with “Music on the Lawn”. On Saturday, the festival will resume at 11 a.m. with African singing, drumming and dancing. There will be performances by local musicians in multiple genres including, gospel, R & B and more. There will be numerous vendors on hand with food, clothing, African attire, paintings and a variety of other items. Some of the featured acts include the Muscle Shoals Twirlers, the Come Up Band of Decatur, Dorothy Cole, James Street Entertainment, Mojo Risin’ Blues Band and more. Friday and Saturday’s festival events are provided free by the Association with help from city of Tuscumbia and Shoals area merchants. For more information call 256-335-2911.•

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Katie and Timothy Wakefield are proud owners of The Spinning Spoke Cycle Hub. For years, Timothy was unable to purchase bike parts and accessories in town. In fact, he had to travel more than an hour just to get his bike serviced. Assuming that other area cyclists were having the same troubles, he and Katie started looking at locations to open a bike shop. They wanted a location

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that was convenient for residents of Florence, Muscle Shoals, Tuscumbia and Sheffield. After careful deliberation, they decided that Downtown Florence was the best fit for their new business. In early 2014, they found the perfect building located just seconds from The University of North Alabama on


the corner of Wilson Park. They wasted no time signing up vendors and starting renovations. The rest is history. The shop has been open since July 1, 2014. Timothy, Katie, and the entire staff at The Spinning Spoke Cycle Hub are committed to creating a positive experience for cyclists of all skill levels. They also cherish the opportunity they have to help grow and serve the local cycling community. While working toward this goal, our own team

has grown through the addition of several team members. We also welcomed our youngest team member last summer: Timothy and Katie's daughter Ruthie! Timothy and Katie also own Trek Bicycle Store Tuscaloosa, the first Trek Concept Store to open in the state of Alabama.

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About Our Service Department We are a full service bicycle shop with two mechanics on staff. To get your bike serviced please bring it by the shop. We will take a few minutes to check it and give you a quote. Wondering if we will service your bike? We sell Trek bicycles, but we happily service all makes and models of bikes.

Driving in from out of town? Give us a call! We will schedule an appointment with our mechanic at no extra charge. Do you require same-day or next-day service? Call ahead to make sure we can work you in. Are you a student needing a repair? Show your student ID and we will be happy to hook you up with a student discount. 20% off labor!

Service Manager Eero Wilson -eero@spinningspoke.com

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Got Dust? Got Dust? It's virtually impossible to avoid—and it can trigger virtually impossible to is avoid —and it canby trigger anIt's asthma attack. Asthma characterized

an asthma attack. Asthma is characterized excessive sensitivity of the lungs to various by stimuli. excessive sensitivity of the lungs to infections various stimuli. Certain triggers—ranging from viral to Certainto triggers—ranging fromparticles viral infections allergies irritating gases and in the to allergies to irritating gases and particles in the air—can make asthma worse. Each child reacts air—can make asthma worse. Each child reacts differently to the factors that may trigger asthma. differently to the factors that may trigger asthma.

We can help you recognize what makes We can help you recognize what makes your child's asthma worse and find simple your child's asthma worse and find simple solutions to reduce and avoid asthma attacks. solutions to reduce and avoid asthma attacks.

ChildrensAL.org/asthma ChildrensAL.org/asthma

Asthma Clinic Clinic Asthma Specializedasthma asthmacare carefor: for: Specialized l Children with severe asthma or asthma refractory to standard therapies l Children with severe asthma or asthma refractory to standard therapies l

Children with recurrent hospitalization and/or urgent care visits Children with recurrent hospitalization and/or urgent care visits l Children and families with unique asthma self-management education needs l Children and families with unique asthma self-management education needs l Children with co-morbid conditions that contribute to difficult disease control l Children with co-morbid conditions that contribute to difficult disease control l

Appointments made by physician referral only. For appointments, call: 205.638.9583 ChildrensAL.org/asthma Appointments made by physician referral only. For appointments, call: 205.638.9583 ChildrensAL.org/asthma

For Children’s Financial Assistance information contact 1.844.750.8950 or visit www.childrensal.org/financial-assistance For Children’s Financial Assistance information contact 1.844.750.8950 or visit www.childrensal.org/financial-assistance

www.readhealthyhorizons.com www.readhealthyhorizons.com

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Respiratory illnesses like asthma are the number one reason why patients come to Children’s of Alabama. Asthma is an inflammatory lung disease that is very common in children and adults.

HAVING ASTHMA CAUSES:

• airway muscles to tighten • inflammation to increase • swelling in the airways • mucus to build up Airways become swollen, tight and narrow making it hard to breathe. Common symptoms include: • coughing which is often worse at night • chest tightness • wheezing • coughing or difficulty breathing with exercise

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There are two main types of asthma: persistent and intermittent. In persistent asthma, children have more frequent symptoms and flare-ups. This is caused by increased airway inflammation, swelling and narrowing that is present every day. Children with intermittent asthma have few symptoms because they only have rare times of airway swelling and narrowing. Janet Johnston, CRNP, is a nurse practitioner and asthma educator at Children’s of Alabama. She said even


though there’s no cure for asthma, in most cases families can learn how to make sure their child’s asthma is well controlled. One of the most important ways to do that is to know the triggers of asthma.

COMMON TRIGGERS ARE:

• respiratory infection • allergies • irritants such as smoke • exercise

Oftentimes, just avoiding the triggers can help reduce the occurrence of symptoms. The exception is exercise. “One trigger you don’t want to avoid is exercise,” she said. “If the child’s asthma is well controlled, they shouldn’t have to avoid exercise.” Johnston said another concern is making sure the child gets the full dose of medicine through an inhaler alone. She recommends always using a spacer with the inhaler. “Using a spacer ensures the proper dose of medicine is

going deeply in the child’s lungs,” she said. “It’s important to get the full dose of medicine. Otherwise, it’s like pouring half of it on the floor.” Johnston encourages families to have an action plan to help keep their child’s asthma well controlled. The plan should include: • seeing the child’s health care provider regularly for asthma • having clear instructions about using the inhaler and any other medicine • know what to do when symptoms increase • know when to call the doctor • know when to seek care Well-controlled asthma means a child is: • symptom-free most of the time and not needing frequent quick relief medicine • able to play and exercise like other children • sleeping through the night • not missing school or work due to frequent asthma flare ups More information about managing asthma is available at www.childrensal.org/asthma. •

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The 2017 Running The Shoals Marathon and Half Marathon at The Shoals Robert Trent Jones golf courses in Muscle Shoals, Alabama. Shoals Sav-A-Life is the charity focus for this event.

When: March 18th, 2017

Race Day Packet Pickup: 6:00am

Where: The Shoals Robert Trent Jones golf courses, Muscle Shoals, AL 990 Sunbelt Pkwy, Muscle Shoals, AL

Race Time: 7:00am

Charity Focus: Shoals Sav-A-Life Packet Pickup: Friday, March 17th, 1pm - 7pm

Marathon: Limited to 125 runners Half Marathon: Limited to 225 runners www.runningtheshoals.itsyourrace.com

Each participant will receive a short sleeve tech shirt, and each finisher will receive a race specific finishers medal.

7:00am. Each proceeding wave will start every 2 minutes.

Marathon and half marathon will utilize a wave start in order to reduce potential congestion on the course.

Courses: The half marathon course includes running all 18 holes of both golf courses and finishing on the 18th hole of the Schoolmaster course behind the clubhouse.

Marathon and half marathon first wave start will be at 18 |||| HEALTHY HORIZONS


The full marathon course includes all 36 holes of the golf courses as well as another 13 miles on nearby paved roads. Both courses will be fully staffed including water, sports drinks and restrooms. Unofficial Course Time Limits: Full - 8 hours, Half - 4 hours (but we have not pulled anyone off the course in past years).

If you are not participating please consider volunteering for the event. We have many different 3 hour shifts available to choose from and all help is greatly appreciated. Just click the volunteer link found at www.runningtheshoals.itsyourrace.com and choose your time. •

Post race food and snacks for all races. Race Day Registration Mar 18: Full-$80, Half-$60 Awards: Overall Male/Female, Overall Male/Female Masters, Top 3 in each Age Group CALLING ALL VOLUNTEERS!

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NACOLG

NORTHWEST ALABAMA COUNCIL OF LOCAL GOVERNMENTS

AREA AGENCY ON AGING { PROGRAMS & STAFF } RESOURCE CENTERS

Aging and Disability Resource Centers (ADRCs) are part of a national initiative put in place by the Administration for Community Living to provide access to information and assistance for older adults, individuals with disabilities and their caregivers. The ADRC acts as a no wrong door for those seeking assistance for themselves,

Aging and Disability Resource Center Specialist, Ashley Counts works with ADRC Specialist Amy Vanderpool.

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a family member, neighbor, friend or clients. All callers are screened for assistance utilizing a universal screening tool that prevents the caller from having to give the information numerous times. Referrals are made on behalf of the individual needing assistance and follow-up is provided for quality assurance. To reach the NACOLG ADRC Specialists call (256)389-0530 or 1-800-838-5845 for NACOLG’s Service Area of Lauderdale, Colbert, Franklin, Marion and Winston Counties in Alabama. NACOLG’S Area Agency on Aging has 25 senior centers in the five county area which offer daily activities, nutritious meals, free health screenings and special planned events and outings. For seniors unable to leave their homes the senior centers offer a homebound meal program.


NORTHWEST ALABAMA COUNCIL OF LOCAL GOVERNMENTS

NACOLG

MEDICAID WAIVER CASE MANGERS

Alabama’s Elderly & Disabled Waiver Program provides home-based services needed to keep senior citizens or disabled individuals living independently in the community as an alternative to long term care placement. NACOLG’s case managers assess clients’ need for assistance, verify Medicaid eligibility and coordinate services required to keep home conditions safe & sanitary for 620 persons residing in the NACOLG Region.

NACOLG’s Area Agency Director Jeff Thompson and Nutrition Program Director Cindy Roberts reviewing nutrition reports.

ACT WAVIER AND TRANSITION WAIVER

Transition Coordinator, Melanie Crittenden and ACT Waiver Case Manager, Emily Gunter

Medicaid Initiated last year the ACT Waiver Program which is designed to assist long-term care recipients in transitioning back into the community. A Transition Coordinator, along with the ACT case manager, assists the Long-term care client in determining eligibility, securing housing, setting up a household and obtaining assistance with activities of daily living. This year, a new waiver program is being established which will provide consumer-driven options for in-home services. Medicaid Waiver Case Managers

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NACOLG

NORTHWEST ALABAMA COUNCIL OF LOCAL GOVERNMENTS

For residents of long term care facilities and their families NACOLG has the LongTerm Care Ombudsman Program. The Ombudsman is an advocate for residents of nursing homes and assisted living facilities and works to protect the health, safety, welfare and rights of resiNACOLG’s Long-Term Care dents. To contact the OmOmbudsman, Trenelia budsman call (256)389-0533.

any age who have a chronic medical condition and have no prescription drug insurance and meet the income requirements.

The Alabama Cares Program provides support for caregivers through providing information, assistance, as well as temporary respite and supplemental services on a limited basis.

LEGAL ASSISTANCE

Senior Rx Coordinator, Paula Pardue working on RX application.

Hamm.

For those in the NACOLG region age 60 and older, legal assistance is available which includes counsel, advice and representation in civil, non-fee generating The State Health Insurance Program (SHIP) provides cases such as: access to public benefits, advance dieducation, counseling and information for Medicare rectives for financial, routine medical and end of life Beneficiaries to allow them to make informed choices decision making and simple wills. regarding their insurance benefits. SHIP, along with Senior Medicare Patrol Program (SMP) works to keep beneficiaries from becoming victims of health care fraud. ADRC/Alabama Cares Director, Kathy Spears with family caregiver, doing reassessment.

Working hand in hand with SHIP is the Senior RX Program which is a prescription drug assistance program for Alabamians age 55+. This program also provides assistance for persons with disabilities of SHIP/Senior RX Program Director, Linda Newkirk.

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Program Coordinator, Amber Isbell with former Sr. Aide Participant, Diane McBrayer who was hired from the program by a host agency.

NACOLG’s Senior Employment Program is for low income seniors who are 55 and older and want to get back into the work force. This program allows them to work with host agencies within the community to refresh their job skills in order to find permanent employment. For any of these and other programs not listed here call (256)389-0530 or 1-800-838-5845. •


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Don’t take another Let Home Instead Senior Care takejob! care of business so that you Senior may continue tocare spend Let Home Instead Care take of precious time withyou your loved one. to Call us business so that may continue spend today for time a free in your home consultation! precious with loved one. Call us today for 256-764-4316 a free in home consultation! 256-764-4316

Affordable In-HomeCare Care AffordableOne One On On One In-Home HomeInstead InsteadCaregivers Caregivers Home

• Our Caregiver’s our employees. We Wetake take • Our Caregiver’s areare our employees. care of payroll and state andfederal federaltaxes. taxes. care of payroll and state and • Covered by general liability insurance. • Covered by general liability insurance. • Covered worker’s compensationififthey theyare are • Covered by by worker’s compensation injured on the job we have them covered. injured on the job we have them covered. • Covered by employee dishonesty insurance. • Covered by employee dishonesty insurance. • Pre-employment and random drug testing. • Pre-employment and random drug testing. • Pre-employment references, 3 personal, 3 • Pre-employment professional. references, 3 personal, 3 professional. • Nationwide Criminal background checks, • Nationwide background checks, including Criminal social security skip trace, driving including securityregistry, skip trace, drivingaid record,social sex offender and nurses record, sex offender registry, and nurses aid registry. registry. • Ongoing and specialized training in o Alzheimer’s disease training and dementia • Ongoing and specialized in o Falls prevention o Alzheimer’s disease and dementia •o Office staff is available 24 hours a day 7 days Falls prevention a week phone to handle any that • Office staffby is available 24 hours a problem day 7 days may by arise. a week phone to handle any problem that • Large pool of caregiver’s available to cover a may arise. shiftpool if scheduled caregiver calls in to sick. • Large of caregiver’s available cover a • We file long term care insurance and work shift if scheduled caregiver calls in sick. with Veterans Care Coordination • We file long term care insurance and work with Veterans Care Coordination

Private Caregivers Private Caregivers

• Client/Clients Client/Clients family employer • familybecomes becomesanan employer responsible for: responsible for: o o Scheduling Scheduling/ /managing managing/ providing / providing backup for caregivers. backup for caregivers. o Paying Social Security and Medicare o Paying Social Security and Medicare taxes on wages over $1900 taxes on wages over $1900 o Paying unemployment tax on wages over o $1,000 Paying unemployment tax on wages over $1,000 o Taxes not paid may be subject to fines, o penalties, Taxes not and paidinterest may be subject to fines, penalties, and interest o Any accident / injury to the caregiver o Home Any accident injury to the caregiver o Owner’s /Insurance will not cover o employees. Home Owner’s Insurance willopen not cover Leaving yourself to employees. legal action if Leaving caregiveryourself is hurt open to legal action if caregiver is hurt


KELLER INFUSION CENTER

The Infusion Center at Helen Keller Hospital is focused on providing a safe and comfortable treatment experience. This new, state-of-the-art center is located in a completely renovated space in the 1100 Professional Building on the Helen Keller Hospital campus. For added patient convenience, registration is on-site at the center, totally eliminating the need to enter the main hospital. The 1100 Professional Building features a covered patient drop off and pick up area only steps away from the center’s entrance. The center features eight treatment suites, including private suites for those who prefer to nap or read while receiving treatments, and a multi-patient social suite for those who wish to chat and interact with other patients. Each suite is equipped with a television, comfortable infusion chairs, and seating for patient companions. 26 |||| HEALTHY HORIZONS

Comprehensive, Patient-Focused Care At Keller Infusion Center, our goal is to make your visit with us as comfortable as possible while providing you with the best of care. The Keller Infusion Center offers a wide array of treatments for osteoporosis, anemia, autoimmune disorders, multiple sclerosis, cancer, infections (antibiotics), and other conditions requiring infusion therapy. Orders from your physician, based on your diagnosis, will determine what type of infusion you receive. The center cares for adults, adolescents, and children over the age of six.

OUR STAFF

The Keller Infusion Center is staffed by highly qualified nurses and support personnel, including a nationally


KELLER INFUSION CENTER certified oncology nurse. All of the center’s nurses are trained in chemotherapy administration and all have certifications in Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). The Keller Infusion Center is open Monday through Friday, 8 a.m. – 5 p.m. by appointment and physician referral. For more information, call 256-386-4759. •

SEPSIS: CHANGING CULTURE AND SAVING LIVES

According to the National Institute of Health, every year, severe sepsis strikes more than a million Americans. Between 28-50% of these people die each year – more than the number of U.S. deaths from prostate cancer, breast cancer, colon cancer, and pancreatic cancer combined. It is a global healthcare problem, striking 30 million people worldwide each year. Helen Keller Hospital was chosen as one of only five hospitals nationally to participate with the Joint Commission in a reducing sepsis mortality pilot project. This project began in June 2014. Dr. Bill Meckes and the Quality Council have worked over the past two years to develop a sepsis screening tool and patient care protocols. Sepsis is a life-threatening condition that arises when the body’s response to infection injures its own tissues and organs. Common signs and symptoms include fever, increased heart rate, increased breathing rate, and confusion. Severe sepsis causes poor organ function or insufficient blood flow. The project was developed to increase the awareness of sepsis and to see it treated as an emergency, much like chest pain, a heart attack, or a stroke. This initiative is aimed at promoting early diagnosis and reducing sepsis mortality through the delivery of evidence-based care. The participating hospitals have educated their staff, implemented screening tools, and sepsis care “bundles” that include timely screening for signs and symptoms of sepsis, performance of sepsis sensitive diagnostic tests, and urgent delivery of fluids and antibiotics. Helen Keller Hospital has recognized a reduction in sepsis mortality through implementation of these initiatives. This project has become a model for hospitals throughout the country. • www.HealthyHorizons.com |||| 27


The Colbert County Tourism and Convention Bureau is inviting residents and tourists to walk through history in April. Free walking tours will be held every Saturday in April to explore the history of Tuscumbia. The hour-long tours, which are being organized by the 28 |||| HEALTHY HORIZONS

Colbert County Tourism Bureau, begin at 10 a.m. at the Cold Water Bookstore in downtown Tuscumbia. The tours will be led by local historians and include living history demonstrations. “Tuscumbia has a rich history,” said Susann Hamlin, president and CEO of Colbert County Tourism. “This year’s tours are a great opportunity to learn about the history


of the town as we begin the celebration of Alabama’s Bicentennial.” Hamlin said walking tour participants should wear comfortable shoes and dress appropriately for the weather that day. The tours are handicap accessible.

The weekly outings are part of the Alabama Tourism Department’s April Walking Tours program that includes cities throughout the state. For more details on the tours call 256-383-0783.•

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If you are fifty five years of age or older and young at heart, the Living Center is for you! Established in 1983, the center began with a small room located in the Recreation Center. In 1988 the seniors moved into a new building, the Frank G. Little Senior Center, named in memory of Frank G. Little who served as a long time City Clerk of Muscle Shoals for 22 years.

The center offers weekly fellowship and activities for senior adults. Seniors may participate in games of Hand & Foot, Bingo, Rook, skip-bo, dominoes, checkers, or a friendly game of pool. For those who prefer to participate in non-competitive activities, the center offers ceramics, a reading area, and art classes. An exercise program is offered for those who desire a type of physical activity. Educational programs on topics such as nutrition, depression, stress, and safety are often scheduled at the center. The center also serves lunch daily for a nominal donation. For those senior adults who may qualify for the service, the center offers a home-bound lunch program. This program allows those who are unable to visit the center to receive a well-balanced meal in their home. The center offers a covered dish dinner each month. Members participate by contributing their favorite dish or dessert to the dinner, and enjoying an evening of fellowship with friends of the center. The senior adults of the center host the “Bean Supper�, a semi-annual social-fund raiser event, held in the Spring and Fall of each year. The seniors have become well known for this popular event in the community. The supper includes beans, slaw, cornbread, desserts, and beverages, all prepared and served by the members of the center. Another favorite event among the senior adults is the Masters Games of Alabama. These games are hosted in various parts of the state in October of each year. Seniors

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have an opportunity to exhibit their skills and talents in many games of competition that include: Basketball Free Throw Basketball-3 on 3 Billiards- 8 Ball Bowling Checkers Dominoes - Single and Double Frisbee Throw Golf- Singles and Doubles Horseshoes

Line Dance Nerfball Throw Pickleball Rook Shuffleboard Softball Throw Swimming Table Tennis 5K Run/Walk Non-Competitive Fun Walk

as theypossibly are able to do so. There are many services and information available through this program such as: Social Security, Medicare and Medicaid, Insurance and Retirement, Hospital Indebtedness, Hospice Services, Home Health Services, Personal needs in the home, Transportation, Free

The center provides a shuttle service for those who may need transportation to and from the center. Should you need transportation services, you may contact Janet Nichols, Living Center Manager and make arrangements. The Muscle Shoals Living Center also offers an Outreach Program to the senior adults of our city. The Outreach Program was created to assist senior adults with various needs, enabling them to remain independent for as long

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The annual Colbert County Veterans Day Parade, organized by American Legion Post 31begins at 11 a.m. Saturday, Nov. 11 in Tuscumbia. Following the parade, a Veterans Day program will be

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held on the front lawn of the Colbert County Courthouse in Tuscumbia. For more details call 256-383-0783. •



Exercise is the magic pill, but how do we balance it all out? First ask your doctor, then check out health. gov Physical Activity Guidelines for more information. Here are a few initial considerations:

AEROBIC ACTIVITY People doing aerobic activities move large muscles in a rhythmic manner for a sustained period. Brisk walking, jogging, biking, dancing, and swimming are all examples of aerobic activities. This type of activity is also called endurance activity. Aerobic activity makes a person's heart beat more rapidly to meet the demands of the body's movement. Over time, regular aerobic activity makes the heart and cardiovascular system stronger and fitter. Adults should aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity physical activity a week, or an equivalent amount (75 minutes or 1 hour 34 |||| HEALTHY HORIZONS

and 15 minutes) of vigorous-intensity activity. Older adults can also do an equivalent amount of activity by combining moderate- and vigorous-intensity activity. As is true for younger people, greater amounts of physical activity provide additional and more extensive health benefits to people aged 65 years and older. Adults who are already active and meet the guidelines can gain additional and more extensive health benefits by moving beyond the 150 minutes a week minimum to 300 or more minutes a week of relatively moderate-intensity aerobic activity. Aerobic physical activity should be spread throughout the week. Research studies consistently show that activity performed on at least 3 days a week produces health benefits. Spreading physical activity across at least 3 days a week may help to reduce the risk of injury and avoid excessive fatigue. (CONT’D ON PG 12)



Episodes of aerobic activity count if they last at least 10 minutes and are performed at moderate or vigorous intensity. These episodes can be divided throughout the day or week. For example, a person who takes a brisk 15-minute walk twice a day on every day of the week would easily meet the minimum guideline for aerobic activity. AEROBIC EXERCISE: • Walking • Dancing • Swimming • Water aerobics • Jogging • Aerobic exercise classes • Bicycle riding (stationary or on a path) • Some activities of gardening, such as raking and pushing a lawn mower • Tennis • Golf (without a cart) MUSCLE-STRENGTHENING EXERCISE: • Exercises using exercise bands, weight machines, hand-held weights • Callisthenic exercises (body weight provides resistance to movement) • Digging, lifting, and carrying as part of gardening • Carrying groceries •Some yoga exercises •Some Tai Chi exercises

MUSCLE-STRENGTHENING ACTIVITY At least 2 days a week, adults should do muscle–strengthening activities that involve all the major muscle groups. These are the muscles of the legs, hips, chest, back, abdomen, shoulders, and arms. Muscle-strengthening activities make muscles do more work than they are accustomed to during activities of daily life. Examples of muscle-strengthening activities include lifting weights, working with resistance bands, doing calisthenics using body weight for resistance (such as push-ups, pull-ups, and sit-ups), climbing stairs, carrying heavy loads, and heavy gardening. No specific amount of time is recommended for 36 |||| HEALTHY HORIZONS

muscle strengthening, but muscle-strengthening exercises should be performed to the point at which it would be difficult to do another repetition without help. When resistance training is used to enhance muscle strength, one set of 8 to 12 repetitions of each exercise is effective, although two or three sets may be more effective. Development of muscle strength and endurance is progressive over time. This means that gradual increases in the amount of weight or the days per week of exercise will result in stronger muscles.

WHY EXERCISE? • Improved cardio-respiratory fitness • Improved muscular fitness • Lower risk of coronary heart disease and stroke • Lower risk of high blood pressure and type 2 diabetes • Lower risk of high cholesterol and triglycerides • Lower risk of colon and breast cancer, and possibly lung and endometrial cancer • Increased bone density or a slower loss of density Reduced depression and better quality sleep • Lower risk of early death • Weight control Compiled by Cathy Turner Health and Wellness Director YMCA of the Shoals


H E A LT H A N D W E L L N E S S M AG A Z I N E


H E A LT H A N D W E L L N E S S M AG A Z I N E

ACCOMMODATIONS

ELDER LAW

Hampton Inn Florence-Midtown (256) 764-8888

Elder Law Practie (256)389-8820

Residence Inn by Marriott (256)764-9966

FITNESS CENTERS

ASSISTED LIVING Brentwood Retirement Community (256)381-7443 Brookdale Senior Living (256)740-6999 Columbia Cottage Senior Living (256)760-0442

YMCA of the Shoals (256)246-9622

HEARING AID CENTERS Beltone (205)822-0700 Townsend Hearing Aid Center (256)381-9444

Aseracare Hospice (877)350-8688 Gentiva Hospice (256)764-0873 Southern Care Hospice (256)248-2320

HOSPITALS Children’s of Alabama (205)638-9100 Decatur General Hospital (256)341-2000

Heart Health Centers Eliza Coffee Memorial Hospital (256)768-9191

Country Cottage Assisted Living (256)332-4707

Tennessee Valley Cardiovascular Center PC (256)766-2118

Hilltop Asissted Living (256)767-251 (256)767-2550

The Heart Center (256)340-5185

Morningside of Sheffield (256)381-1058

Home Health Care

Russellville Hospital (256) 332-1611

Alacare Home Health and Hospice (256)381-9247

Red Bay Hospital (256)356-9532

Amedisys Home Health (256)766-1817

Shoals Hospital (256)386-1600

Colbert County Home Health Agency (256)383-1234

Shoals Outpatient Surgery (256)760-0672

Wellington Place-Muscle Shoals (256)386-7177

CANCER CARE CENTERS Bethesda/Valley Regional Cancer Center (256)383-5211 Center for Cancer Care (256)355-0370 Northwest Alabama Cancer Center Muscle Shoals (256)381-1001

DENTAL CENTERS

Elder Care Services (256)740-8249 Home Instead Senior Care (256)764-4316

Helen Keller Hospital (256)386-4196

INDEPENDENT LIVING Park Place Retirement Community (256)386-5504

MASTECTOMY APPAREL & PROSTHESES

Dr. William A. McClanahan (256)767-7141

Hospice of Tennessee Valley (256)77-1322

The Uniform Shop(256)764-8422

Teena McLaughlin, DMD (256)764-6677

Milner Rushing Home Care/Pharmacy (256)386-5220

Community Action Agency (256)766-4330

MEALS-ON-WHEELS

EAR, NOSE & THROAT

HOSPICE

MEDICAL EQUIP. & SUPPLIES

Tennessee Valley Ear, Nose & Throat Clinic (256)381-6673

Alacare Home Health and Hospice (256)381-9247

Alabama Healthcare Equipment (256)381-5911

38 |||| HEALTHY HORIZONS


H E A LT H A N D W E L L N E S S M AG A Z I N E

Lauderdale Christian Nursing Home (256)757-2103

Barnett Drug Store (256)247-5451

Community Health LLC (256)247-7094

Mitchell-Hollingsworth Nursing & Rehabilitation Center (256)740-5400

Central Pharmacy (256)766-4200

HCIG (256)247-246-0888

NHC Healthcare Moulton, LLC (256)974-1146

Central Pharmacy (256)766-4200

Hospice of the Shoals (256)767-6699

Russellville Health Care Inc. (256)332-3773

Schofield Medical (256)767-5509

Terrace Manor Nursing & Rehab Inc. (256)332-3826

Scrubs Elite (256)760-2088

ORAL CARE

Southern Patient Care (256)383-8999 Nursing Homes Burns Nursing Home (256)332-4110

Signature Smile Florence (256)76SMILE Huntsville (256)SMILE97

ORTHOPEDICS Shoals Orthopedics and Sports Medicine, PC (256)718-4041

PEDIATRICS

Chad’s Pay-less Pharmacy (256)766-3298 City Pharmacy (256)331-1919 Crossroads Pharmacy (256)247-5833 CVS Florence-(256)766-2125 Muscle Shoals-(256)381-7641 Red Bay-(256)356-9204 Killen Corner Drug Store (256)757-2166 Kmart Shoals (256)381-0631

Infants and Children’s Clinic (256)764-9522

Logan Pharmacy (256)974-1770

Lakeshore Pediatrics (256)386-4151

Massey Drugs (256)718-3500

Florence Nursing & Rehab Center (256)766-5771

Pediatric and Family Practive (256)332-5901 (256)332-2414

Medical Center Pharmacy (256)381-4311

Glenwood Rehab & Convalescent Center (256)766-8963

Shoals Pediatric Group (256)766-3983

Green Oaks Inn (256)767-2080

Tennessee Valley Pediatric Associates (256)381-6963

Generation Red Bay (256)356-4982 El Reposo Nursing Facility (256)757-2143

Harbert Hills Academy Nursing Home (731)925-5495 Hilltop Assisted Living (256) 767-2510 (256)767-2803

PHARMACIES

Milner Rushing Discount Drugs (256)764-4700 Florence Blvd. (256)740-5515 Hough Rd. (256)386-5220 Muscle Shoals Northgate Pharmacy (256)766-1224

Avalon Discount Drugs (256)314-1101

Northwood Pharmacy (256)767-3100

Barnes Health Care Pharmacy (256)764-3961

Redmont Pharmacy (256)356-9000

www.HealthyHorizons.com |||| 39


H E A LT H A N D W E L L N E S S M AG A Z I N E

Rite Aid Florence-(256)766-7450 Florence GNC-(256)766-2144 Sheffield-(256)1970 Shoal Pharmacy (256)389-9800 Tim’s Discount Pharmacy (256)766-7170 Village Discount Drugs (256)381-8060

PSYCHIATRIC SERVICES Shoals Psychiatric Medicine (256)768-1237 Rehabilitation Centers Generation Red Bay (256)356-4982 (256)356-4953 Easter Seal-Northwest Alabama Rehabilitation Center (256)381-1110 Glenwood Rehab & Convalescent Center (256)766-8963 Integrity Therapy Group (256)764-1442 J.W. Sommer Rehab Unity at Shoals Hospital (256)386-1671 Keller Landing Health & Rehab (256)383-1535 NHC Healthcare Moulton, LLC (256)974-1146 Resoration Ranch (256)386-1600 Sholas Hospital (256)386-1600

40 |||| HEALTHY HORIZONS

United Cerebral Palsy Center (256)381-4310

SPECIALTY CARE ASSISTED LIVING

SCHOOLS

Green Oaks Inn (256)767-2080

Covenant Christian (256)383-4436 Mars Hill Bible School (256)767-1203 Shoals Christian School (256)767-7070

SENIOR CENTERS/SERVICES Double Springs M-P Senior Center (256)489-5479 East Colbert Senior Center (256)446-5327 Elder Care Services (256)740-8249 NACOLG www.nacolg.com

TRANSPORTATION AACLS Advanced Air Ambulance (256)633-3590 Quad City Taxi and Limousine (256)767-0220

UROLOGISTS Shoals Urological Associates, PC (256)381-5510

VOLUNTEER SERVICES/SOCAIL SERVICES ORGANIZATIONS CASA (256)765-0041 Colbert Caring Center (256)381-8464

Florence Senior Center (256)760-6668

Community Action Agency of Northwest Alabama Forence-(256)764-4330 Russellville-(256)332-7534

Senior Friends Program (256)331-9989

The Healing Place (256)383-7133

Senior Rx (256)389-0532

Help Center (256)766-7663

Sheffield Multi-Purpose Center (256)386-5636 Underwood Petersville Community Center (256)764-1960 Waterloo Multi-Purpose Senior Center (256)764-1960

SLEEP DISORDER CENTERS Northwest Sleep Center PC (256)332-6363

WHEEL CHAIR, LIFTS & RAMPS Northgate Home Health Care Inc (256)767-2273

WOUND CARE CENTERS ECM East Wound Healing Center (256)968-9888




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