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Empty Nest, January 2018

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Appen Media Group

Empty Nest January Special Section


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It’s time to plan to 'Age in Place' Brought to you by: Home Helpers Home Care If you have noticed that your elderly loved one is experiencing increased challenges and limitations, or they have recently been diagnosed with a condition that could mean they will need additional care and support in their later years, it’s time to think about whether they’re ready to age in place. “Aging in place” is a term used to describe elderly adults choosing to remain in a home environment as they move through the later stages in their life. This is the desired method of aging for over 90% of seniors. To provide a loved one with the type of support, care, and assistance they need to manage their aging challenges, make sure they are truly ready for it as early as possible in your care journey with them. Use these tips to make meaningful modifications in areas where they might not be as prepared, and feel confident that both of you are on the right path towards the quality of life they deserve. • Ensure they can utilize their home safely. Evaluate their home in com-

parison to their physical and mobility limitations to determine if they can continue to utilize their home safely, confidently, and securely. Depending on their specific needs and challenges, they might need to transition into a smaller home with senior friendly features to ensure that they stay safe. • Make their home safer. If you have identified areas of the home that might be risky with aging, make sure that you make the necessary modifications as soon as possible. This can include putting in more lights, adding grab bars and hand rails throughout the home, investing in a stair lift, and removing loose throw rugs to reduce trip and fall hazards. • Create accessibility. One of the most appealing aspects of aging in place for many seniors is the ability to maintain more of their independence. Help them to achieve this by creating accessibility throughout the home. If your senior is suffering from arthritis, for example, trade out doorknobs for handles to make them easier to use. Consider adding ADA-approved features to the bathroom to make it safer and easier to use as well. Wider

doorways will make long term mobility easier. • Consider if they feel ready. Being ready for this change is not just about having the right environment. Your aging loved one should also feel emotionally prepared for this change. Talk to your loved one about this new chapter in their life and how you will help them to manage it in the best way possible. Seek out a support group to give them support and encouragement. Consider high quality in-home assistance to fill challenging care gaps and provide peace of mind.

Home Helpers, winner of the 2017 Best of Senior Home Care in North Atlanta, is here to help people in our community live independently in the comfort and security of their own home. We offer a free in-home consultation that can determine the personalized services, customized schedule and the right caregiver match that is ideal for you. Contact us by phone at (678) 4308511, by email at alpharetta@homehelpershomecare.com or visit us online at www.HomeHelpersHomeCare.com/ Alpharetta.

Visit Arbor Terrace of Johns Creek THEY MADE THIS TIME OF THE YEAR SPECIAL FOR YOU. NOW, YOU CAN MAKE IT FOR THEM. Special e

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Schedule a visit and have a cup of coffee and a treat, or take a Starbucks gift card to use later. WWhile you a’re here a warm, engaging Senior Care Counselor will chat with you about what is most important to you- such as when is the right time for Seniors to move to a safer environment and how to approach the resistant loved one. You willthere discover that, discover Arbor Terrace of Johns Creek, is a beautiful resort style community witha one-of-a-kind community offering a luxurious lifestyle with concierge services, chef-prepared meals, housekeeping and more, and more. Most importantly you will learn how. Arbor Company has been helping families for 30 years in the Atlanta area have peace of mind knowing their loved one is well cared for and

safe.New residents need not make a large investment or long-term commitment. And se e why Arbor Terrace was voted named first runner-up in the Appen Media 2017 Best Senior Community in North Atlanta competition. The winner was Independent Living so we are honored to know that when a little extra care is needed we are first!. “We’re so honored to receive this acknowledgement,” said Beth Richardson, Executive Director. “It reflects the caring and dedication that our staff brings to our senior residents every day.” Call Senior Care Counselor’s Penny or Lynn at to 770-999-9577 to and schedule a day to come visit. We will come to your home or office to meet too.RSVP for the holiday events or to schedule a tour at any time.


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Thank you for voting Home Helpers Best Home Care for Seniors! Personalized Home Care that nurtures a youthful spirit

Greg and Hilary Eldridge,

Owners – Home Helpers of Alpharetta Certified Senior Advisors(CSA)®

Serving Communities North of Atlanta

www.HomeHelpersHomeCare.com/Alpharetta

WINNER 2017

Best Of North Atlanta Presented By

Finding the right caregiver is much more than just seeking a professional with great skills. It’s about finding a caregiver with the heart and spirit to make a difference in someone’s life.

For a free consultation, please call 770-681-0323

At Home Helpers, our focus every day is matching the right caregiver with each of our clients. This thoughtful selection helps establish a bond between a caregiver and client that bolsters the young at heart spirit waiting to come out in each client. Each office is independently owned and operated.


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Three new luxury 55+ communities Brought to you by: Kathy Rice, Atlanta Fine Homes Sotheby’s International Realty Longleaf Communities is the premier luxury homebuilder for active 55+ adults in metro Atlanta. Their spectacular, English Cottage style homes and communities are designed to meet the lifestyle needs Rice and wishes of active seniors while providing low maintenance living. With three convenient locations, Longleaf Communities provides things other Active Adult communities provide: proximity to area attractions and life necessities, low maintenance and ease of living, a lock and go lifestyle and neighborhood amenities. With a Longleaf home, you can have all that plus the distinguished architecture, attention to detail and superb craftsmanship you’re accustomed to. Our elegant homes feature airy floor plans with lofty 10-foot ceilings

and solid 8-foot doors outfitted with generous millwork throughout. Choose from a variety of custom cabinetry for your designer kitchen and select your preferred finishes for your designer bath. All of our homes feature two main floor bedrooms, each with a full bath

and laundry on the main. The upstairs includes a finished loft, additional full bath and the option to add another bedroom for more livable space to welcome guests.Longleaf currently has 3 communities: Village Green of East Cobb in Marietta, Longleaf Woodstock

in Cherokee County and Longleaf Battle Park in West Cobb. Our thoughtful floor plans and Longleaf’s reputation for superior craftsmanship are what makes Longleaf the luxury builder of active adult communities. www.longleafsouth. com (678) 697-4984

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Do you wear contact lenses? Can you imagine a world without them? Over the past few decades improvements in contact lens optics and material enhancements have dramatically improved the wearing experience of users globally. Looking forward, there is much to anticipate in the future of contact lenses beyond vision correction. Contact lenses may act as biosensors, drug delivery devices or in virtual/augmented reality. As futuristic as these ideas may sound, researchers are on the brink of bringing these technologies to life. Advancements in engineering and chemistry certainly drive new contact lens innovations, but clinical data is crucial to bring new products and product enhancements to the market. That’s where we at the Johns Creek Research Clinic come in and that’s how you may help…. Our staff thrives on vision care research. As we are not a primary care clinic, we are dedicated to clinical research that enhances product development. In our program, qualified partici-

pants gain the opportunity to try new investigational contact lens designs, materials, and lens care systems and provide feedback which directly influences next generation goods. Our mission is to help deliver enhanced vision care products that can improve vision, quality of life and customer satisfaction. With over 45 combined years of clinical and ophthalmic research experience, the clinicians and staff at the Johns Creek Research Clinic bring top-notch vision care research to Johns Creek, GA. Interested in learning more about our program and how you can become involved? Stop by and meet us or give us a call to learn more about this exciting opportunity right here in the North Atlanta area.


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Vickery Rose Retirement Resort Imagine coming home to a warm, friendly community that’s luxurious, safe and comfortable. Maintenance and housekeeping included, and every meal of the day is expertly prepared and pleasing to the palette. With all the work done, you have time for family, friends and the important things in life. That can be your life at Vickery Rose Retirement Resort. Designed for your comfort, our community will feature studios, to 3-bedroom apartments with a variety of floor plans and smart details. Each apartment will feature window coverings, climate-controlled thermostat, ceiling fans, and ample closet space. Our kitchens will be fully equipped with a dishwasher, range, microwave, refrigerator and a garbage disposal. Washer/dryer hook-ups are located in a separate laundry closet within the apartment. Our professional staff will provide as-needed maintenance repairs and light housekeeping on a weekly basis. Vickery Rose’s stunning main dining room is the perfect setting to savor meals prepared fresh daily by the chefs in our state-of-the-art commercial kitchen. Experience our signature Freedom Dining program, which includes flexible dining hours throughout the day, plus these dining experience options: • Fine dining • Casual buffet • Chef’s Pantry on-the-go snacks • Room service Residents can access to on-site banking, salon, general store, and pharmacy services. Through our

24/7 concierge services, everything you need will be available at the touch of a button, even scheduled transportation on our shuttle. Relax by the fireplace in our community lounges, or a night of movies or live entertainment in the 150-seat theater. At Vickery Rose, there will be no shortage of social activities. Our community Lifestyle

Directors consistently schedule unique activities designed to meet the resident’s requests. Ultimately, companionship and interaction with others are powerful tools to enjoy retirement and with so many entertaining options and the caring community staff on hand, Vickery Rose brings residents together.


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Part 1

What’s new in melanoma By: Dr. Brent Taylor, Premier Dermatology and MOHS Surgery of Atlanta

Accepting Patients Skin Cancer & Mohs Surgery • Medical Dermatology Vein Care • Cosmetic Services

Insist on the BEST WINNER 2017

Best Of North Atlanta

Voted: •Best Vein Specialist •1st Runner Up for Best Dermatologist

Dr. Brent Taylor is a Board-Certified Dermatologist, a Fellowship-Trained Mohs Surgeon, and is certified by the Board of Venous and Lymphatic Medicine in the Presented By field of Vein Care. Dr. Taylor has performed thousands of Mohs surgeries and reconstructions, dermatologic surgeries and procedures while in private practice in Florida where local and even international patients have sought him out for the best care. He is an expert in skin cancer and melanoma treatment, endovenous laser ablation, minimally invasive vein procedures and cosmetics procedures such as Botox and injectables. He now brings his highly sought after expertise back home to Alpharetta with the opening of Premier Dermatology and Mohs Surgery of Atlanta!

Now accepting patients. We accept Medicare. Schedule your appointment with Dr. Taylor today.

Premier Dermatology and Mohs Surgery of Atlanta 3180 North Point Parkway, Suite 420 Alpharetta, Georgia 30005 Dr. Brent Taylor

PremierDermatologyAtlanta.com • 678-345-1899

Melanoma is often a confusing diagnosis for patients and their loved ones. Available tests and treatments are complicated. Statistics can appear to contradict one another. And navigating clinical trials and research opportunities can be overwhelming. Fortunately, advances are being made against this cancer. Physicians can increasingly provide their patients with clarity. Now, there are more reasons than ever to be hopeful. Melanoma is a cancer of the pigment-producing cells of the skin. These cells, called melanocytes, are the same ones that allow many people to tan in the summer. When one of these cells goes bad and becomes cancerous, we call it a melanoma. Melanoma “in situ” is the mildest melanoma. Invasive melanoma is worse. And “metastatic” melanoma is melanoma that has already spread. If melanoma cells are still confined to the highest level of the skin (the epidermis) then the melanoma is still “in situ” or in the site it should be. For a melanoma in situ, removing the cancer surgically can result in a cure rate of 99%. Once a melanoma has invaded below the epidermis, the melanoma is “invasive.” Invasive melanomas can often be cured by excising them (cutting them out with a margin of healthylooking tissue), the deepest invasive melanomas have often spread even before they can be excised. Finally, metastatic melanoma is melanoma that has spread to other parts of the body. Each of these categories of melanoma has had exciting advances in recent years. This week, we will take a look at an important advance in treating melanoma in situ and shallow invasive melanomas. Next week, we will discuss tools and treatments for more aggressive melanomas. For melanoma in situ and some shallow invasive melanomas, “real time” Mohs surgery has come into its own as the state of the art method for treating melanoma in areas of the body such as the nose and eyelid where it is important to spare as much healthy tissue as possible. Mohs surgery is well known for being the gold standard method for curing basal and squamous cell carcinomas of the skin. Prior to recent years, difficulties staining melanomas made it difficult to perform “real time” Mohs for melanoma. As a result, “slow Mohs” developed, but slow Mohs is a

misnomer: With slow Mohs, a melanoma or other cancer is cut out and sent to a lab where a pathologist checks the edges in the “Mohs manner” – that is, the pathologist looks at all the edges and maps out where tissue needs to be removed. Slow Mohs typically requires 1-3 days for results, and the patient waits with a bandaged but still open wound while results are being obtained. Each additional “layer” of tissue that has to be removed requires an additional 1-3 days of processing time. In contrast, true Mohs surgery for melanoma or melanoma in situ involves using special stains in the Mohs surgeon’s own laboratory. This is same day “true” Mohs surgery because the same dermatologist is both the surgeon and the pathologist. Staining takes 1-3 hours per layer. As a result, multiple layers of Mohs surgery as well as the final suturing step can usually all take place in the same day. True Mohs surgery for melanoma is available at only a few practices in the state of Georgia, but as knowledge of this technique grows it should increasingly become the treatment of choice for melanomas in locations such as the face, scalp, shins, hands and feet where tissue-sparing is important. For particularly delicate locations such as the edge of the eyelid, true Mohs surgery often involves a team approach. The Mohs surgeon will often clear the melanoma from someone’s eyelid in the morning. Then, the patient may have eyelid reconstruction with an oculoplastic surgeon that afternoon or the following day. True Mohs surgery for melanoma allows for faster, high quality treatment and expedited cure and reconstruction. At Premier Dermatology and Mohs Surgery of Atlanta, we are proud to be one of the only practices in the state of Georgia offering true Mohs surgery for melanoma. If you or a loved has been diagnosed with a melanoma in a cosmetically or functionally sensitive area such as the scalp, face, hands, feet or shins, then consider a consultation with Dr. Brent Taylor and explore whether true Mohs surgery for melanoma is right for your. This week, we reviewed what melanoma is and discussed the exciting availability of Mohs surgery for melanoma. In the next issue, we hope you’ll enjoy learning about new diagnostic and prognostic tests for invasive melanoma and hearing about exciting modern treatments that were not available just a few years ago.


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Don’t be embarrassed about alzheimer’s Alzheimer’s disease can be difficult for children, teens, even adults to understand. There will be times your grandma doesn’t seem like she used to be. Or without warning she may get confused, agitated or even angry to the point of accusing you of stealing. And it may happen when you are out in public, at church, the grocery store, or at a family gathering. Even though you know Alzheimer’s is the cause, it is common to be embarrassed about it. While you can’t stop behavior changes due to Alzheimer’s, there are tips to help you better manage the situation. Think About It from Their Perspective Alzheimer’s progressively destroys brain cells over time, so during the early stages many people living with the disease do recognize something is wrong. They may know they are supposed to recognize you, but they can’t. Imagine how frustrating and scary that would be. It is important to put yourself in their shoes and think about how you might react if your world suddenly didn’t make sense or you were in a position where you realized you should

know someone – even a close family member – but just couldn’t remember who they were or what they meant to you. Adjust Social Routines Everyone needs social interaction, even those living with memory loss. But as the disease progresses unfamiliar places and social interactions can become scary and more difficult to manage. Consider hosting the monthly family dinner at your house, or the home of a close friend instead of meeting at a new restaurant. Consider a familiar locale for the family vacation and stick to visiting favorite landmarks and attractions. While each day is different, through many stages of Alzheimer’s it is likely your loved one will feel more comforted and peaceful with the familiar vs. something new that might trigger fear or agitation. Have A Sense of Humor While Alzheimer’s and dementia are serious, as a family member or friend, keeping a sense of humor makes a big difference. Let’s face it, there are times you just have to find humor in the situation. It can lighten the mood not

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only for yourself, but also for your family and your loved one suffering from memory loss. And don’t forget it is human nature to pick up on the emotions of others around you and this is no different for those living with memory loss. Getting embarrassed or anxious when grandma says the wrong thing can even make the situation worse as she picks up on your rising level of anxiety. Sometimes it is just best to whisper a quiet apology, laugh and move on. Don’t Argue Alzheimer’s is a progressive disease that destroys memory. If someone can’t remember, recalls something differently, or is convinced the neighbor stole their favorite pen, don’t spend

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Useful tips to help caregivers navigate the cost of care (BPT) - When a patient receives bad medical news, it can be a paralyzing moment. It’s easy to see how any serious diagnosis can shatter someone’s life into a million pieces, but we often overlook what’s happening to the caregiver who’s devoting their time and energy to provide care. On top of the physical and emotional demands, the financial cost of caregiving is unavoidable. What makes someone a caregiver? American caregivers support patients in a variety of ways. Many of us are caregivers - for our children, parents, siblings or even close friends. Maybe you are a caregiver who provides “hands-on” care now, but may be called upon to provide financial assistance in the future. It’s crucial for caregivers to make wise financial decisions about caregiving - for their loved ones and just as importantly, for themselves. At 34 years old, Danielle Fontanesi had to give up her job as a full-time attorney so she could care for her husband, Matt. Matt was fighting acute myeloid leukemia and needed aroundthe-clock care while recovering from a stem cell transplant. Fontanesi wasn’t able to go back to work for more than a year, and found it challenging to find

a new job given her employment gap, which cost her more than $175,000 in lost income. “Not only did I lose income, I lost a year of career progression,” says Fontanesi. “We still had to pay our rent, car payments and hospital expenses, while not having income during this period.” According to Gwen Nichols, MD, Chief Medical Officer of The Leukemia & Lymphoma Society(R) (LLS), Fontanesi is far from alone in her financial plight. “Again and again, we find that caregivers make huge financial sacrifices to care for their loved one,” Nichols says. “When you tally up the losses, it’s quite astounding: loss of wages, loss of health insurance, loss of retirement savings and the list goes on. These hold serious financial consequences for caregivers.” Over time, the economic burdens of long-term medical care can create added distress for patients and caregivers that is often called “financial toxicity.” Financial toxicity occurs when growing out-of-pocket healthcare costs lead to serious financial problems. Out-ofpocket costs can include anything from hospital stays or outpatient services to medical equipment and medications.

To help caregivers navigate the cost of cancer care for themselves and their loved ones, Nichols offers these important tips: Encourage your loved one to seek a second opinion: A second opinion can help ensure an accurate diagnosis, which can then guide your loved one’s treatment plan. When weighing multiple treatment options or in circumstances of uncertainty, it’s also helpful to gain a second opinion to help inform the best course of care and avoid the detrimental health effects and costliness of incorrect or unnecessary treatments. Help start a dialogue: You and your loved one should partner with their medical provider to understand the cost of certain services and treatments. This information can help empower you and your loved one to make the right decision for you and your family. Be an advocate for change: Your voice as a caregiver is valuable, and can help shape discussions about the cost of care. Whether you act as an individual or part of an organized effort by a patient advocacy organization, you can make an impact by sharing your story about the financial hardships you’ve experienced. These firsthand accounts

are vital for spurring action. To learn more about LLS Advocacy and how you can raise awareness about the cost of cancer care, visit www.lls.org/be-anadvocate. Take advantage of available resources: Caregivers are often hesitant to seek help and are often unaware of the many resources available to them at their fingertips. LLS has free resources and support services such as online chats with medical experts, support groups, help with financial pressures, referral to other helpful local and national resources, and more. To learn more, visit www.lls.org/ support/caregiver-support. Nichols also notes that it’s crucial to take time for self-care and remember that your family is your first resource, so don’t be afraid to reach out to them for help. There are many ways for friends and family to lighten the load in this challenging time: assisting with home repairs, running errands, or preparing a meal. These kind gestures go a long way when there’s financial strain. After all, if you sacrifice your own health and well-being, you won’t be at your best to effectively care for a loved one.

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Soleil Laurel Canyon Tucked away in the North Georgia foothills of Canton and just a short drive from exciting Atlanta, Soleil Laurel Canyon is more than a beautiful community of maintenance-free, ranchstyle homes and breathtaking views. It’s the lifestyle you’ve worked your whole life to enjoy. If you are 55+, we invite you to come experience Soleil’s incomparable array of recreation, culture, and entertainment for yourself. You’ll have no doubt why it was named among the Best 50 Master-Planned Communities in the U.S. by Where to Retire Magazine in 2015. “Clubhouses, fitness centers, social clubs and education classes mean residents get much more than a house at a

planned community,” said Karen Northridge, publisher of “Where to Retire.” One of the great pleasures of living at Soleil is that a low-maintenance home gives you the free time to take advantage of all that the community offers or take a trip without concern. The landscaped grounds of Soleil Laurel Canyon are always impeccably maintained, while your HOA dues cover complete lawn maintenance and an irrigation system, in-home security monitoring and maintenance, and even Comcast cable TV. Soleil Laurel Canyon offers a selection of Cottage, Traditional and Crafts-

man-style single-family homes from the mid $200,000s to $400,000s for adults 55+. Residents live independently in homes that range from 1,500 square feet to almost 3,000 square feet. All of Soleil’s new floor plans include elegant details and are designed for aging-inplace with stepless-entry access and wide doorways. These homes are energy efficient with HERS ratings above standard. Soleil residents have membership in a 28,000-square-foot clubhouse complete with an arts and crafts room, billiards room, fitness center, gourmet

teaching kitchen, indoor heated saline lap pool, and library. Outside the clubhouse, residents have a heated Lagoon-style pool, a community garden and greenhouse, a 3.5-acre fishing lake and the tennis facility with a full-time USPTA-certified teaching professional. The Fairways of Canton golf course is located just outside Soleil’s gate within Laurel Canyon, and offers challenging golf for a reasonable, daily-fee price. Two Lifestyle Directors maintain a full social calendar of events including wine socials, movie nights, trips to nearby attractions, and Grandkids day.

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