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Boomers d n o y e B & Westchester County

January 2014

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PAGE 2

January, 2014

Boomers & Beyond - Westchester

SPECIALIZING IN CARDIOLOGY, INTERNAL MEDICINE AND GASTROENTEROLOGY

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ROBERT BELKIN, MD GABRIELLE BOLTON, MD MARK BORKIN, MD SUSAN CAMPANILE, MD LEO CARDILLO, MD MAXWELL CHAIT, MD ALBERT DELUCA, MD JEFFREY DONIS, MD JOYDEEP GHOSH, MD LAWRENCE GLASSBERG, MD EDUARDO GRANATO, MD CRAIG HJEMDAHL-MONSEN, MD KUMAR KALAPATAPU, MD

SRIRAMA KALAPATAPU, MD RICHARD KAY, MD ANDREW CARL KONTAK, MD ANDREW KUPERSMITH, MD STEVEN LANDAU, MD YAT WA (BETTY) LI, MD SANJAY NAIK, MD DIMPLE PATEL, MD RONALD PRESTON, MD ANTHONY PUCILLO, MD TODD C. PULERWITZ, MD MONICA REYNOLDS, MD JAE RO, MD

WARREN ROSENBLUM, MD ABDOLLAH SEDIGHI, MD INDERPAL SINGH, MD SUSAN SOEIRO, MD DAVID E. SOLARZ, MD CARMINE SORBERA, MD ELENA L. TSAI, MD STEVEN L. VALENSTEIN, MD MELVIN WEISS, MD RONALD WEISSMAN, MD PRESTON WINTERS, MD

Visit us at one of our locations: 19 Bradhurst Avenue Suite 700 Hawthorne, NY 10532 (914)593-7800

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ATTORNEYS AT LAW Many Years of Experience Protecting the Legal Interests of the Elderly & Special Needs Populations Advising Families about: • • • • • • • • •

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See more information on page 14

Client Testimonials I reached out to you during the most stressful time of life for both my loved ones and myself - horror had occurred to my dear loving mother. My mom had fractured her hip and due to her frail health and advanced age required risky hip replacement surgery. Many issues legal and otherwise arose which I could not personally resolve. You not only resolved each and every one, but you continue to do so now, over 4 years later. You always display extreme sincerity, compassion and friendship, using your vast experience and confidence in your ability, to continually bring satisfaction, positive results and a tremendous sense of relief and comfort to my loved ones and myself. You have gone out of your way to visit Mom on multiple occasions in her Nursing house and we love you for it. As an attorney, friend, and a great man, I could not possibly hope to know anyone more phenomenal. The three greatest men I have ever known are my dear departed father, my dear departed father-in-law and Ely Rosenzveig. – Jeff D. I hired Ely to assist with my parents estate planning and it was a wise decision. He is a true expert in navigating through complex elder care law and procedures. His guidance was invaluable and his communication excellent. I would strongly recommend his services.

2 Gannett Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com

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– Tom C.

www.ejrosenlaw.com ELDER LAW

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PAGE 4

January, 2014

Boomers & Beyond - Westchester

It’s that time of year again: Flu (shot) season For many of us, the seasonal flu is little more than a temporary annoyance, causing sniffles and aches and, maybe, a few days in bed. But for vulnerable groups—including seniors - influenza can cause serious complications such as bronchitis and pneumonia, leading to hospitalization and even death. The CDC estimates that 90 percent of flu-related deaths and over 60 percent of flu hospitalizations occur in adults aged 65 and older. As we age, our immune systems weaken, leaving us more susceptible to infection. This is the chief reason why medical professionals urge everyone, especially vulnerable individuals like the elderly, to get a flu shot every year. Though there is a possibility for side effects, the vaccine is generally considered a critical first line of defense against a potentially deadly virus. And there’s even more good news: seniors can get their annual flu shot at no cost thanks to Medicare Part B coverage. Keep in mind that the flu shot isn’t only important to individual protection. It reduces the chances of spreading flu throughout the population at large. Why Seniors Are Advised to Get the Flu Shot A yearly flu shot helps protect the immune system against changing influenza viruses: each year the vaccine is updated to reflect the most prevalent strains. Although it’s true that the flu shot may not work as well in older adults, it still does lower the risk of flu, and there is a higher-dose version available for seniors who want extra protection. Evidence suggests the high-dose vaccine helps the recipient produce more antibodies. Also, new this year is the option to get a quadrivalent vaccine that protects against four different flu strains, compared to the standard trivalent version, which protects against three. According to the CDC, regardless of which version you get, the vaccine isn’t foolproof. But the risks to older people of getting the flu can be life-threatening. Besides a weaker immune system that may be more vulnerable to flu viruses,

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older adults may have other health issues—including neurological conditions, heart disease, or diabetes — that make them susceptible to flu-related complications. Medical professionals generally agree that it’s a good idea to minimize those risks by getting a flu shot every year. Potential Downsides to the Flu Vaccine Yes, there are possible downsides to getting a flu shot. Side effects are possible, though the most common ones are mild, such as soreness at the injection site, aches, or low-grade fever. Also, certain people are at higher risk of adverse reactions to vaccines: those who have had an allergic reaction to vaccination, those who are already ill (they should wait until they are better), and those with a history of Guillain-Barré Syndrome (GBS). However, some of the most widespread arguments against getting the flu vaccine are based on misinformation.

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PAGE 6

January, 2014

Boomers & Beyond - Westchester

Advertiser’s Index

From the General Manager

A Healthier You.......................................................................11

With the New Year quickly approaching, we should all be prepared to come up with our New Year's resolution list. Sigh.

A&J Home Care, Inc.............................................................16 Audio Help Hearing Centers...................................................5 ColumbiaDoctors....................................................................2 Edna L. Roker Social Adult Day Center.................................24 Ely J. Rosenzveig & Associates, PC...................................3,14 Glen Island Center for Nursing and Rehabilitation..................17 Interim Healthcare............................................................12-13 The Kensington.....................................................................8-9 Margeliz Center.......................................................................21 Neighbors Home Care Services.............................................15 Steps in Home Care..............................................................23 United Hebrew......................................................................19 Victoria Home.......................................................................10 Visiting Development Care Group, LLC...............................7 Willow Towers.........................................................................4

But there is no need to fret: This is an excellent way to take time and think about things that we want to change and achieve in our lives as seniors. When making a new year's resolution, it is important to set realistic and attainable goals. Otherwise, it may lead to frustration and become very difficult to accomplish. The key is your willingness to adjust and make changes in your life, as this will help you stay motivated in achieving your goals. Need help keeping your resolution? You can turn to family, friends and us, Boomers & Beyond. In this issue, we include a feature on ways to keep your resolution, which is important for our vibrant senior set. Many of these resolutions will center around your health and well-being, which is important. So, go ahead, make that New Year’s resolution, make it a healthy one. And, remember, you have a lot of support right here - and at home. Think big. You have to remember that it will take time. Usually resolutions are not achieved overnight. Be patient but also be consistent. Good luck. Have a happy, healthy 2014!

Jim Stankiewicz, General Manager

Westchester County

Boomers d & Beyon

845-534-7500 • (fax) 845-534-0055 Info@HealthcareNewspaper.com PUBLISHER Joseph P. Belsito (Joe@healthcarenewspaper.com) ••• GENERAL MANAGER James Stankiewicz (Jim@healthcarenewspaper.com) ••• MANAGING EDITOR Cathryn Burak (Cathy@healthcarenewspaper.com) ••• MARKETING EXECUTIVE Anthony Mairo (Anthony@healthcarenewspaper.com) ••• CIRCULATION Michelle Belsito (Michelle@healthcarenewspaper.com) ••• SENIOR CORRESPONDENTS Brendan Coyne John Jordan

Corporate Information Healthcare News - Westchester, New York edition - Vol. 7 No. 1 - is published monthly, 12 times a year by Belsito Communications, Inc., 1 Ardmore Street, New Windsor, NY 12553. Postage Paid at New Windsor, NY and additional mailing offices. Postmaster: Send address changes to Healthcare Newspaper, 1 Ardmore Street, New Windsor, NY, 12553. No financial responsibility is assumed by this newspaper to publish a display, classified, or legal ad or for typographical errors except of reprinting that part of the ad which was omitted or in error. Omissions or errors must be brought to the attention of the newspaper during the same month of publication.

Next Month in Boomers & Beyond… Senior Residences

The right communities for your loved ones

Heart Health

National Cardiovascular Rehabilitation Week (February 10-17)

Preventive Medicine Urgent Care


Boomers & Beyond - Westchester January, 2014

PAGE 7

Visiting Development Care Group, LLC—Let us Care for the One you Love By Viviana DeCohen After years of having cared for my Wonderful surrogate Grandmother who was diagnosed with Alzheimers/Dementia in 1993, I can truly say that “Love is never a burden, it is an honor.” Simultaneously, my husband was helping to care for his aunt who had the same diagnosis. Now we find ourselves in the seat of honor again as we have

been caring for my mother-in-law who was diagnosed with Dementia 3 years ago. We did not hesitate to bring her home and begin her new journey. This journey has led us to where we are now. We are so happy to present The Visiting Development Care Group, LLC. A service owned and operated by “Caregivers” who have been in the Home and Healthcare field for more than 20 years.

Please take a moment to view our website www.visitingcaregroup.com and feel free to call for more information. Ask us if we care and we will give a resounding “Yes” and we care about you! Viviana currently serves as a volunteer Caregiver Coach for the Department for Senior Programs and Services and sits on the Elderserve Alzheimer’s Leadership Committee as well as many others

committees to advocate for the Rights of Seniors and those with Alzheimer’s Dementia. She is a veteran of the U.S.M.C. and is currently taking classes with her sights set on a Master’s of Gerontology. Troy DeCohen currently sits as Financial Officer on the board for Mount Vernon Hospital. He has been working within the Social Service sector for over 25 years and left his position as C.O.O. with Help USA to embark upon

Visiting Development Care Group, LLC

Family Caregivers Live Longer Plenty of studies have shown us how caring for an elderly loved one can lead to stress, exhaustion, and even illness in family caregivers, particularly if that family member has dementia. But that’s not the full story. Studies also indicate that, on the whole, family caregivers live longer than non-caregivers. Why is that? When conventional wisdom and scientific research report a high rate of stress-related illness in many caregivers —particularly those caring for a loved one with dementia — how is it possible that caregiving can actually extend your life?

this needed service that will allow those caring for their loved ones to take a much needed break with the assurance that their loved one is not only cared for but engaging in s specific activity for that day; whether assisting them to write a letter or going in with a large lettered Scrabble board, they will feel as though they are sitting with a friend and the family will have peace of mind if only for a day.

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Studies Show Caregivers Live Longer The truth is, there are rewards to caregiving as well as stresses, and those rewards can be life-affirming, even if the day-to-day work of being a caregiver feels like a bit of a slog sometimes. And in fact, studies on caregivers are not as cut-anddried as you might think. A recent study reported in the American Journal of Epidemiology found that caregivers were 18 percent less likely to die than noncaregivers over a 6-year period. The Hidden Rewards of Caregiving Sometimes care giving causes harmful stress, but the very demands of the job— physical and mental—also seem to confer benefits, requiring people to stay physically active and mentally focused. It can also make you feel good about yourself, giving back to your parents and, perhaps, forming a new, healthier relationship than the one you had in the past.

Caregiver Tips for Beating Stress Focusing on the rewarding aspects of caregiving can also help you beat caregiver stress. We’ve compiled a short list of tips for getting in touch with positive emotions and fighting stress: Learn to recognize warning signs of stress and frustration, whether it’s losing patience more quickly or physical symptoms such as headaches or fatigue. Practice physical and mental relaxation techniques: exercising, meditating, listening to music, or whatever works for you. Take time for yourself. Rethink a difficult situation objectively, so you can avoid unhelpful thought patterns that may be causing more frustration. Find your “why” and remind yourself of it: “A daily reminder of why you are caregiving will help anchor you and help you realize your own reward,” says Today’s Caregiver. Don’t be afraid to ask for help. Family members and friends may be willing to assist with caregiving duties or household chores, or provide a sympathetic ear. Sharing your feelings with a counselor, spiritual advisor, or support group can help.

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Private care in Home Hospital or Rehab Short Term (Min. 4 hrs.) Overnight and Weekends Specializing in Dementia Care Extended Care Helping Care for those who have cared for you! Troy DeCohen President/C.E.O., M.A., M.S. Viviana DeCohen Caregiver Advocate V.P. Operations/Provider Relations Danna Wood Elder Care Attorney at Law

Contact us Visiting Development Care Group, LLC 419 Union Avenue Mount Vernon, New York 10550

Phone: 914-619-4515 Www.visitingcaregroup.com


PAGE 8

January, 2014

Boomers & Beyond - Westchester

The Sound of a Snow Shovel By Susie Sarkisian

A few years back my family and I had just moved to Connecticut from our home in Massachusetts while changing jobs. At the time, our living

arrangements were a little tenuous and the four of us found ourselves living in a condominium – a new adventure for our small family. I will never forget the first time of an overnight snowfall in the condominium. Having

lived for years in our own home, a morning snowfall sparked automatic responses for my husband and me. Snow = shoveling. Snow = clearing the driveway. Snow = cleaning off the car. Snow = snow boots, mittens, hat, coat and ski pants to be protected while shoveling. Strangely enough, as we were just beginning to go into snow-shoveling mode, I heard a sound. It was a scraping sound. The sound of metal against the concrete. I knew the sound well, yet I didn’t expect to hear it so close to our front door. Meekly, I peered out the kitchen window in time to see the maintenance crew from our complex laboring away to clear OUR front steps! I was convinced that this was a mistake, or that we were the lucky target of Good Samaritans. Then I realized that this new way of living meant those daunting

homeowner chores could be handled by someone else, while we were allowed to enjoy the snow from a child’s point of view. I have to admit that it felt strange at first, and, at the same time it was a relief. A welcome relief. As you approach the winter with your aging parents or your not-so-well spouse, you may be wondering how things like snow shoveling will get done when a doozy of a storm strikes. What if you can’t get to the other side of town to check on Shirley in an electrical outage? How will Mom and Dad get groceries if something happens to your car? What if we’re all snowed in and can’t get to the doctor? Who’s going to shovel? This kind of thinking runs through the minds of caregivers when Mother Nature comes into the winter picture. It’s a normal thought process; however you

may not be aware of the multitude of options available to you for facing the months ahead. The peace of mind that comes along with options like Assisted Living, having in-home care, or developing a caregiving circle is not out of your reach. At The Kensington, we are proud to care for our residents as individuals, as mothers and fathers, as our own. To learn more about what The Kensington has to offer and explore your options for the welcome relief during the winter, give us a call at 914-390-0080 or log onto www.TheKensingtonAL.com. The Kensington is located at 100 Maple Avenue, White Plains, NY 10601. Susie Sarkisian is a Certified Life Coach and Director of Family Services at The Kensington, Assisted Living Residence.


Boomers & Beyond - Westchester January, 2014

PAGE 9

S IGNS OF THE T IMES : C L U E S

YO U R

L O V E D

O N E

N E E D S

C A R E

When visiting with senior loved ones this holiday season, pay attention to the clues that may indicate a need for new living arrangements which include care. Common signs include: • Changes in eating habits – skipping meals can result in weight loss and frailty

• Misuse of medication or alcohol • Presence of bruising, burns, or injuries which may signal falling or confusion

• Change in mood – depressed, irritable, excessively fearful or boisterous

• Disorientation or forgetfulness

• Hygiene neglect

• Erratic or wandering conversation

Even subtle changes can be cause for concern. Our caring team at The Kensington can help you identify whether your loved one is at risk and in need of increased care in a more supportive living environment.

Call us today to discuss available options including enhanced assisted living, two levels of memory support, and caregiver support.

Follow us on Facebook and Twitter

100 Maple Avenue • White Plains, NY 10601 914-390-0080 www.TheKensingtonAL.com


PAGE 10

January, 2014

Boomers & Beyond - Westchester

Top Five New Year’s Resolutions for Seniors and their Families Making New Year’s resolutions is easy and can be quite fun. The hard part is putting those resolutions into action and maintaining the momentum to keep those promises throughout the year. Promises of actions to make ourselves better, happier and healthier; and commitments to keep in touch, to quit bad habits, and to pursue the good things in life This year, try something different. When making your list of resolutions, think of ways to involve family members and friends as support. Whether you live near or far, deciding to join forces and make New Year’s resolutions together increases the odds that you stay true to your goals. Start a letter journal. Handwritten letters have nearly become a thing of the past, thanks to the Internet. However, seniors are from an era when writing letters by hand was an important and valued form of etiquette – a more personal way of keeping in touch. Purchase a bound journal and write a letter inside, then give it to your loved one who will write a letter to you and return the journal. The same can be done with individual letters written back and forth and pasted into the journal. The process repeats throughout the year, or until the journal is full. Sharing a letter journal with your loved one is a unique way to strengthen your connection, and for you to get to know each other better. An added perk is the excitement of looking forward to receiving “real” mail. Get tech savvy. Believe it or not, seniors are the fastest growing segment of computer users. If Grandma and Grandpa do not already have a computer, now is the time to expand their horizons! It might seem a bit intimidating at first, but once they are comfortable their prowess might surprise you. Communication and trading pictures becomes a snap, and imagine being able to see each other over a web cam if you live apart! Plan to age gracefully. Growing old has advantages, as well as a few disadvantages, such as wrinkles, gray hair and changes our bodies undergo in the process. It is never too late to decide to pursue a healthy lifestyle, which increases the odds of aging gracefully. Plan to exercise often, eat nutritious foods and to encourage each other while doing so. If you live near your beloved senior, take walks or participate in a group exercise class together. Even if your senior lives far away, you can take walks during the same time of day and talk on the phone to plan healthy meals and other activities. Share your favorite recipes. Exchanging healthy recipes can help your elderly loved one eat more nutritious meals and gives you the opportunity to ensure they are eating well. The bonus is receiving favorite family recipes from your loved one that have been passed down through the generations! Talk about the hard stuff. This resolution may not be fun, but it is the most important of all. While your senior is able, help set standards of care they desire should they become incapacitated later. Form plans within your family as to who might become the caregiver or if an outside source will be hired. Talking about estate planning and wills, along with other related issues helps prepare you all for the inevitable. Discussing these things in advance ensures that your loved one’s wishes are recorded and understood by all.


Boomers & Beyond - Westchester January, 2014

PAGE 11

Updated Guide on Elder Law issues available in English and Spanish Updated guides on a wide range of legal and financial issues that affect seniors and their families are now available in English and Spanish on Westchester County’s website. The guide – “Elder Law Q&A: An Introduction to Aging Issues and Planning for the Future” – can be found in both languages at www.westchestergov.com/ seniors. Topics covered in the guides include wills and trusts; powers of attorney; long-term care insurance; health care planning; taxes; how to preserve assets; and elder abuse, among others. Also included are samples of documents that may be needed, such as the Medicaid application form. The 164-page, user-friendly guide is a publication of the Harry & Jeanette Weinberg Center for Elder Abuse Prevention at the Hebrew Home at Riverdale in collaboration with the Westchester Public/Private Partnership for Aging Services and the Pace Women’s Justice Center at Pace Law School in White Plains. Just a few of the changes included in the new 2013 editions are: • Updates of the “Taxes” section to reflect the ongoing evolution of U.S. and N.Y. State estate planning tax law. • A new section relating to the 2012 New York state ruling that requires adults receiving or applying for long-term care in the community to enroll in a managed long-term care plan. • Adjustments to checklists in the Medical Orders for LifeSustaining Treatment (MOLST) section, which guides seniors and their families about eligibility for this order. The “Elder Law Q&A” was written by attorney Steven A. Schurkman, a partner at Keane & Beane, PC, in White Plains. Schurkman is chairman of the annual Senior Law Day in Westchester, which takes place

every October at the County Center and is sponsored by the Westchester County Department of Senior Programs and Services, the Westchester Public/Private Partnership for Aging Services and the Ninth Judicial District of the New York State Office of Court Administration. Schurkman also heads up the senior law education programs that take place at locations throughout Westchester during the year. “I wrote the ‘Elder Law Q&A’ so there would be a plain-language guide for the consumer concerning estate planning and elder law,” Schurkman said. “Over my 32 years of practice, I have gotten many requests from

clients wanting an understandable resource they can refer to in this complex field.” Commissioner Mae Carpenter of Westchester County’s Department of Senior Programs and Services said that the elder law guide is an invaluable empowerment tool for seniors. “This is a superb guide to help older adults and their families benefit from the expertise of top elder law attorneys about issues that directly impact their lives,” Carpenter said. “It also helps them to ask the right questions when they meet with lawyers and other professionals. Seniors must make informed decisions, and the ‘Elder Law Q&A’ will help them to do just that.”

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PAGE 12

January, 2014

Boomers & Beyond - Westchester

www.interimhealthcare.com


Boomers & Beyond - Westchester January, 2014

www.interimhealthcare.com

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ATTORNEYS AT LAW Many Years of Experience Protecting the Legal Interests of the Elderly & Special Needs Populations

Why should I spend money hiring attorneys to do asset protection planning for me and my loved ones? Currently, the monthly cost for nursing home care in New York ranges between $10,000-$15,000, and properly certified home health attendants (nurse aides) can cost as much or more for round- the-clock home care. Statistically, it is likely that most people will need either or both of these care options as they grow older. It is critical that you plan appropriately to best minimize the strain that elder care costs may have on your estate, and to help put you in the best position possible to qualify for benefits that are largely covered by the government, under Medicare or Medicaid. Our firm has attorneys with extensive experience in developing tax-effective action plans for our clients that help protect their assets from government imposition. We have also been very successful in negotiating the complex bureaucratic minefield in which Medicaid is now mired. We have achieved remarkable results for our clients on a host of Medicaid related issues, from obtaining Medicaid approvals for coverage of home care and institutional care benefits, to very accommodative resolutions of Medicaid spousal recovery claims, where the office of Medicaid aggressively pursues the non-institutionalized (i.e., or “community”) spouse for Medicaid benefits provided.

Why should I have a lawyer prepare my will? If you die without a Will, the law, not you, determines how your assets are divided and to whom they are given. A poorly drafted Will may result in a sizeable chunk of your assets not ending up where you want them to go. We are an experienced law firm that can expertly craft your will to address your long-term care, tax, estate planning, and asset protection planning issues. It is in your best interest that planning be done properly so as to minimize the tax burden on your estate. Our experience and skill in the fields of Trusts, Wills, and Estates enables our firm to uniquely tailor estate planning to your individual needs. We will review your entire estate and draft a personalized plan that will best direct the disposition of your assets after death, whether through your Will, or by means of testamentary substitutes (trusts, joint-asset ownership with right of survivorship, or by beneficiary designation in life insurance policies, annuities, or individual retirement accounts).

My father is having difficulty caring for himself. I am afraid he will no longer be able to live on his own. I am worried about finding the money to pay for his care, whether he stays at home or moves to an assisted living facility or nursing home. What do I do?

2 Gannett Drive, Suite #108 White Plains, New York 10604 Email: Info@Ejrosenlaw.com

Tel: (914) 816-2900 www.ejrosenlaw.com ELDER LAW

Your concerns are certainly daunting, and heart-rending. Our firm offers you a caring hand, an open ear, and uncompromising professional competence, and commitment. We will help find for you solutions that best suit your needs, using the latest tax, trust, and other asset protection strategies available under the law. The law firm of Ely J. Rosenzveig & Associates, P.C. practices in all aspects of elder law, including trust and estate planning, administration, and litigation, tax counsel, asset protection and special needs planning, Medicaid, Medicare, and Social Security disability benefits, guardianships, long term care planning, spousal recovery claims, and Medicaid lien resolutions.

TRUSTS & ESTATES

Attorney advertising • Prior results do not guarantee a similar outcome

EMPLOYMENT LAW

MEDIATION


Boomers & Beyond - Westchester January, 2014

PAGE 15

Top 5 New Year’s resolutions for seniors and caregivers Promises, promises. It’s that time of year again where we stand in front of the mirror and tell ourselves that we’re going to do things better in the new year. Eat healthy. Exercise more. Quit bad habits. However, so many abandon their well-intended resolutions less than a month out and fall back into default mode. This year, let’s be different. Let’s make meaningful pledges to ourselves and stick with it. How? Here are six key steps to keeping your resolution: “Make your goals realistic and attainable.” “Set both short-term and long-term goals.” “Identify specific steps in your plan to achieve your goal.” “State your intentions publicly, and enlist support.” “Plan what you will do if you slip.” “Celebrate your successes, and surround yourself with others who are on the road to success.” This new year, Boomers and Beyond encourages you to make some resolutions of your own, and to map out your road to success. We’ve compiled our own Top Five Resolutions lists for seniors and for caregivers that we hope you’ll include in your own personal pledge for 2014. In addition to the Top Five listed, we hope you will also make involvement in civic affairs a resolution of yours. If you’re reading Boomers & Beyond, odds are your life is impacted by homecare and you have a great story to tell. Our elected representatives need to hear from us and to know the importance of homecare. Every person counts, and it is an individual responsibility we each bear. Embrace the freedoms granted to us by our founding fathers to participate in the political process and help shape our futures.

Top 5 RESoLUTIoNS for SENIoRS 1. Exercise your body and your mind. Research shows numerous physical and psychological benefits; plus, this is great preventative care. 2. Eat nutritious meals. This is the fuel that gets your body through the day; make it count! 3. Fall-proof your home. Be proactive about your living situation and make it a safer place. 4. Get your affairs in order. Gather and organize important documents such as insurance, will, financial information, auto & home. 5. Increase your social activities and engagement with others. Visit a senior center or religious group; connect with others and make new friends.

Caregivers are licensed & bonded • Home Health Aides • Personal Care Aides • 24 hour Live-In Aides • RNs & LPNs Compassionate, comprehensive & customized services • Medication Management • Escort to and from Appointments • Bathing Services • Companions/Sitters • Grocery Shopping/Errands

Top 5 RESoLUTIoNS for CAREGIVERS 1. Make some YOU time. You’ll find that you’re a better caregiver when you’ve had a break! 2. Learn to say no. Over-committing wears you thin and can lessen the quality of the help you are providing. 3. Ask for help–and accept it. Get assistance with the caregiving responsibilities, be it from family or a professional company. 4. Take care of yourself physically and emotionally. Acknowledge and address your needs instead of solely focusing on the person you care for. 5. Get educated about your loved one’s illness, disability, or disease. May you each have a beautiful beginning to the coming year!

24 Hour Emergency On-Call Service Private pay, Medicaid & Most Long Term Care insurance accepted

Serving Westchester County since 1983

914-949-3112 148 Hamilton Ave., White Plains, NY 10601 www.neighborshomecareservices.com

A Program of


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January, 2014

Boomers & Beyond - Westchester

10 Practical, but fun Holiday gifts for the senior in your life Sometimes it’s hard to choose the right gift for you aging parent, grandparent or loved one. After all, they’ve had a lifetime of gifts and often have a different perspective on life than you may have. So what is the secret to success when shopping for the senior in your life? Do you go with practical or fun? Homemade or store-bought? Will your aging loved one even know what to do with the latest tech gift, like an iPad? Here are some great holiday gift ideas to help get you started.

1. Tablets and iPads — These allin-one devices are in many ways tailored for seniors with their touchscreen technology and large print options. The social connection is important for elders, and you might be surprised how savvy your senior can be with a quick tutorial on both Kindle Fire and customizable iPads. Good for entertainment, medication management and brain-exercising fun, this impressive technology is an excellent option for aging loved one. 2. Smartphone — Phones are not only important for keeping the social connection—a necessary ingredient for quality of life—but also are crucial for senior safety. Many smartphones of today offer large buttons, photo speed dial, visual rings and more. 3. Kitchens Essentials Set — For seniors who struggle with arthritis or limited hand strength, custom kitchen sets that cater to these conditions can make a perfect gift. OXO GOOD GRIPS Kitchen set and Arthritis Supplies both offer excellent options.

4. Kitchen and bath towels — Everyone can use new kitchen and bath towels as these daily items are such a necessity of the every day. Adding monogrammed initials or patterns that compliment the home or apartment will only enhance this gift. 5. Blankets or throws — While this may sound obvious, you can’t go wrong with a cozy blanket or throw— and there are so many custom options available these days! Whether you’re a talented quilter who can create a homemade masterpiece, or you prefer to customize with a heartfelt photo throw from Costco or Shutterfly— this is a gift option that will warm the soul along with the aging body. 6. Gift certificates to grocery stores & favorite dining venues — If your loved one is still independent, gift certificates to grocery stores and dining venues allows the senior to not only cut expenses grocery shopping, but also allows them an entertaining lunch or evening out for a special dining experience.

7. Custom gift basket — Gift baskets add the personal touch to practical products. So whether you create a care basket that includes slippers with your loved ones’ favorite lotions, bath soaps, cologne or perfume, or would rather create a custom food basket of your loved ones favorite meats, cheeses chocolates or sauces; a gift basket balances practicality with custom personality and love.

9. Photobooks, Scrapbooks and Custom Videos — Compiling memory books, scrapbooks or custom videos is a nostalgic gift option that’s sure to please. By gathering cherished photos, newspaper clippings, travel souvenirs and other mementos and compiling them into a chronological art form; the senior in your life will have a tangible piece of his or her own heritage to hold onto and savor.

8. Clothes — Think about it—when was the last time your senior loved one bought new clothes for him or herself? Chances are it has been months, with today’s recession many seniors’ need to save money on a fixed income. Buying pajamas, sweaters, sweat pants, underwear and socks will assure a gift that won’t go unused.

10. Health Management and Fitness Options — Staying fit can help prevent stroke, heart conditions and other common ailments that come with age. Meeting with a nutritionist, dietitian or naturopathic physician who specializes in senior health is an excellent idea to customize your loved ones’ health, nutrition and fitness plan.

A&J Home Care, Inc. A name that families have learned to trust with the care of their loved ones.

A Licensed Home Care Agency 359 East Main St. Mt. Kisco, NY 10549 When temporary or long term Nursing or personal care is needed, let our professional staff assist you to plan for your individual needs.

,ŽŵĞĂƌĞ^ƚĂĨĨ͙ Registered Nurses, Licensed Practical Nurses, Home Health Aides, Personal Care Aides, Companions, PRI Certified R.N. & Geriatric Care Assessments. Please call for a free consultation. We are available 24 hours a day and 7 days a week.

Medicaid approved - CHAP accredited Tel 914.244.9570 Fax 914.242.0389 ʹ Ajhomecare.com


Boomers & Beyond - Westchester January, 2014

PAGE 17

Twenty ways to manage stress 1. Think positively and surround yourself with others who do so. 2. Don’t demand too much of yourself. Ask for help. 3. Accept that you can’t control everything and be flexible. 4. Divide big tasks into smaller ones. 5. Eat healthy and avoid sugar. 6. Get plenty of sleep each night. 7. Exercise some each day to boost energy and improve your mood. 8. Use stairs instead of elevators. 9. Avoid alcohol, tobacco and drugs. 10. Use mistakes to learn. 11. If possible, say “no” to tasks that you know will be stressful for you. 12. Talk about things with a friend so that frustrations don’t build up. 13. Be organized. 14. Laugh and have fun. 15. Let yourself cry. 16. Do anti-stress exercises. 17. Do things that refresh your spirit. 18. Make time to relax in your easy chair and put your feet up. 19. Practice deep breathing. 20. Listen to music, meditate, read or do something you like.

Five-Star Quality Rating - 2009, 2010, 2011

GLEN ISLAND CENTER

FOR NURSING & REHABILITATION SERVICE BORN OF COMPASSION

OUR PROMISE At Glen Island Center for Nursing and Rehabilitation, we are committed to providing our residents with excellent nursing care while always respecting their personal dignity and individuality. Our highly trained professionals strive to make every resident feel as comfortable as possible. Our clean facilities lead to a quality of life experience at Glen Island Center that is second to none. This is reflected in the deficiency free survey we were granted by the New York State Department of Health. We recognize the need to keep our residents and their loved ones fully informed and to deeply respect the trust they have placed in us. We also maintain a family culture within Glen Island Center, which extends to residents and staff alike. Every resident is an individual, whose special needs and preferences are identified and accommodated.

“We treat our residents with dignity”

CARE PROVIDED Glen Island Center for Nursing and Rehabilitation offers the following services:

• Long Term Care • Rehabilitation • Post acute • Respite Care • Dementia Care

Glen Island Center 490 Pelham Road, New Rochelle, NY 10805

Phone: (914) 636-2800 or toll free (866) 614-4398 Fax: 914-636-2895


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January, 2014

Boomers & Beyond - Westchester

The Biggest Fears of Senior Living (that really shouldn’t be fears) Your aging parent might find moving into senior living to be a scary prospect. Think again! We break down the 6 biggest fears of senior living and why there’s nothing to be worried about. If TV is to be believed, senior living is for grey-beards and golden girls. It’s where you go when you have nobody else to take care of you, where you go to get old and lonely. It’s no wonder your aging parent might find moving into senior living to be a scary prospect. But it really doesn’t have to be. The truth is, the vast majority of our fears are inaccurate. Especially in recent years, when baby boomers are reinventing what senior living really means, these common stereotypes are falling by the wayside. Instead, what we have is a wide range of types of state-of-the-art senior housing, from independent living for active adults to assisted living for those who need a little day-to-day help. If your loved one is worried about moving into senior housing, read on for answers to some of the most common fears of senior living. 1. I Will Lose My Independence While some seniors fear that assisted living is equal to a loss of independence, the truth is in fact much the opposite. Yes, you’ll have help with cleaning, cooking, and other chores that only become more onerous over time. What senior living offers is greater freedom with the precious time you do have. To make that time happy and rewarding, communities provide ample opportunity for social activities on-site as well as transportation around the area when you need it. 2. People Will Forget About Me It’s natural to worry about being alone, especially if you define yourself wholly or in part by those relationships you value. However, moving into senior living doesn’t mean you’ll lose those relationships. In fact, you just might value them even more. At the same time, a senior community provides new venues for social contact, not to mention on-site help when where’s an emergency. 3. I Will Get Old and Sick Faster Whether you’re old or young, it’s being alone or isolated that leads to anxiety and depression, while the social contact a senior community provides is key to better health and quality of life. If a senior loved one is already ill— with Alzheimer’s disease, for example— memory care offers daily stimulation, planned activities, and customized care, all of which can actually slow down the progress of an illness or even improve health and behavior.

4. I’ll Be Bored With the amenities and activities offered by today’s senior living communities, there’s no time to be bored. Senior housing nowadays offers everything from field trips and outdoor excursions to fitness and personal enrichment classes. There are even unusual types of assisted living communities that cater to specific tastes— imagine living on or near a college campus and taking lifelong learning to its ultimate extreme!

5. I’ll Drain All Of My Finances Yes, senior living can seem financially daunting; no doubt about that. But if you’re already thinking about how to afford assisted living, you’re ahead of the game. With savvy financial planning—and maybe a little help from Social Security or VA benefits—senior living can sometimes come out to the same cost as living at home. If you factor in home health care, senior living communities just might cost less than staying at home.

6. I Won’t Be Able to Control My Daily Life and Activities Assisted living can be a necessary and freeing step for both seniors and their families. If it is already too difficult for a senior to care for herself independently, or for caregivers to provide the necessary help, then assisted living may be a good option. The emphasis is on safety and security, but also independence and privacy, enabling each resident to have the care they need without compromising individual dignity.


Boomers & Beyond - Westchester January, 2014

PAGE 19

Latest Senior Citizen Hall of Fame is honored Lois Taplin Bronz, the first woman and first African-American to chair Westchester County's Board of Legislators and a life-long champion for early childhood education, was the top honoree at the 31st annual Westchester Senior Citizens Hall of Fame on Dec. 6 at the Westchester Marriott Hotel in Tarrytown. Bronz was one of 57 seniors from 25 municipalities that were honored at this year's Hall of Fame. Westchester County Executive Robert P. Astorino said that the Senior Citizens Hall of Fame is a marquee event on Westchester's calendar every year, and that all county residents should be impressed by the honorees' accomplishments. “We're lucky to say that they are our friends and neighbors,” Astorino said. “Their achievements enrich our lives and their spirits inspire us.”

The Senior Citizens Hall of Fame is co-sponsored by the Westchester Public/Private Partnership for Aging Services, the Westchester County Department of Senior Programs and Services (DSPS) and the Westchester County Department of Parks, Recreation and Conservation. The Children's Rehabilitation Center in White Plains supports the Senior Hall of Fame as a friend of the co-sponsors in honor of Dr. Maria A. Pici, its medical director and a Special Recognition Honoree. DSPS Commissioner Mae Carpenter said that the honorees are role models for their peers and neighbors. “They show how important it is that we give back to each other and to the community,” she said. “It’s their generosity of caring and giving that has made Westchester County one of the most age-friendly communities in the world.”

The Senior Hall of Fame began in 1983 – the year of the 300th anniversary of the county's founding. Its purpose was to showcase how seniors have contributed to building the county. Over the past three decades more than 950 seniors have been inducted. To be nominated to the Hall of Fame, seniors must have made significant and enduring contributions to enhance Westchester’s quality of life through their professional work, volunteer achievements or both. Seniors are nominated to the Hall of Fame by members of the community, and the winners are selected by a panel of judges and Hall of Fame members. The names of past honorees are engraved on plaques that are permanently displayed at the DSPS office in Mount Vernon.

The Outlook Just Got Better At

United Hebrew of New Rochelle’s Rehabilitation and Nursing Pavilion

View from our gracious nursing pavilion

Burke Rehabilitation Therapists On-Site Private Rooms with Stunning Views

Nursing & Rehabilitation Center Burke Rehabilitation | Willow Towers Assisted Living Independent Living | Home Health Care

New York State Department of Health Award Winner – Top 4% Performer in Nursing Care

For more information or to schedule a tour, please call 914.632.2804 ext. 1148.

www.uhgc.org


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January, 2014

Boomers & Beyond - Westchester

ColumbiaDoctors of the Hudson Valley Physicians raise awareness for heart disease at Tri-County Go Red for Women luncheon ColumbiaDoctors of the Hudson Valley sponsored the American Heart Association’s Tri-County Go Red For Women Luncheon, held Nov. 1, at the West Hills Country Club in Middletown. During a “Heart to Heart” education breakout session, Dr. Ainat Beniaminovitz and Dr. Judy Lin presented an insightful and lively physician/patient role play, highlighting the risks for coronary heart disease and key tips for heart health. The event was part of American Heart Association’s national “Go Red For Women” campaign, which empowers women with knowledge and tools necessary to take positive action to reduce the risk of heart disease and stroke. The luncheon included heart disease education, uplifting stories, a silent auction, heart-healthy lunch and a keynote by comedian Diana Jordan. About ColumbiaDoctors of the Hudson Valley Founded in 1979 as Ramapo Cardiologists (and later renamed Hudson Heart Associates), ColumbiaDoctors of the Hudson Valley (CDHV) provides comprehensive cardiovascular and internal medicine services, with a focus on prevention, diagnostic testing, and treatment. Its physicians and nurses, who have special expertise in women’s heart health and older adults, are committed to providing exceptional and compassionate care at every step of a patient’s treatment. CDHV physicians are faculty members of the Columbia University College of Physicians & Surgeons and affiliated with New York-Presbyterian/Columbia University Medical Center, one of the nation’s top academic medical centers.

photos provided

Dr. Ainat Beniaminovitz, M.D., F.A.C.C. (standing, left) and Dr. Judy Lin, M.D. (standing, right) answered audience questions during an educational breakout session at the Tri-County Go Red for Women Luncheon titled “At the Heart of the Matter: Keeping Yours Healthy.”

Dr. Ainat Beniaminovitz, M.D, F.A.C.C., (left) and Dr. Judy Lin, M.D. (right) were presenters at the Tri-County Go Red For Women Luncheon’s morning education session, held on Nov. 1 at West Hills Country Club in Middletown. Sister Fran Gorsuch (center) was the chair of the luncheon.

Pictured (l-r): ColumbiaDoctors of the Hudson Valley staff members Terri Sullivan, R.N., nursing manager, Yandreily Arroyo, operations manager, and Danielle Postiglione, medical assistant, attended the Tri-County Go Red for Women Luncheon to show their support for physicians Dr. Ainat Beniaminovitz, M.D., F.A.C.C and Dr. Judy Lin, M.D. The doctors presented a lively physician/patient role play during the event’s morning education session titled “At the Heart of the Matter: Keeping Yours Healthy.”


Boomers & Beyond - Westchester January, 2014

PAGE 21

2051 Baldwin Rd., Yorktown Heights, NY 10598 914.276.7601 www.margelizcenter.com

7 Rules to Turning Back the Clock You can live strong, fit and get this - even sexy, until you’re 80 and beyond! Do we have your attention? Good. We all know there is not really a fountain of youth, but scientific research supports that you can age more gracefully. You can age and continue to be fit and healthy, well into their autumn years if you follow these seven rules:

1 Exercise six days a week

2 Do serious aerobic exercise four days a week

3 Do serious strength training with weights, two days a week

4

Pictured from the left, Eliza Zelazowski, OTR/ L, CEO, David Paganelli, Councilman, Michael J.Grace, Town Superervisor, Vishnu Patel, Councilman, Margaret M. Dobkowski, COTA, CEO.

On Thursday, October 3, 2013, the Margeliz Center Social Adult Day Program hosted an Open House and a Ribbon Cutting Ceremony for the upper Westchester Community announcing their new location in the Old French Hill School on 2051 Baldwin Road in Yorktown Heights, NY. Yorktown Town Supervisor Michael J. Grace expressed the growing need for the Social Adult Day Program in our community. In addition, Yorktown Council persons Vishnu Patel and David Paganelli attended the event to show their support by physically cutting the ribbon symbolizing that Margeliz Center is officially open for business.

Spend less than you make

5 Quit eating junk food

6 Care

7 Connect and commit

The Margeliz Center is known for providing services for individuals with conditions such as Stroke, Parkinson’s, PTSD, TBI, MS, Alzheimer’s and other dementia related conditions. The Margeliz Center includes programs such as Memory Training, Wellness Center, Occupational, Physical and Speech Therapy, Therapeutic Recreation and even in-home-visits from medical specialties such as podiatry, neurology, internal medicine and more. Additional information about the Margeliz Center may be acquired by visiting their website, www.margelizcenter.com or calling 914.276.7601.


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January, 2014

Boomers & Beyond - Westchester

Sexuality and Aging: It’s Not Over Until It’s Over By Christina Horsford, MSW, MPA Long gone are the days when 60 is considered old. With mottos like “50 is the new 30” or some version thereof, we are generally living longer, healthier, and more active lives well into older age. Regardless of age the majority of older adults are still sexually active. This is also true among older adults where one (or both) partner is cognitively impaired. The Mayo Clinic explains that many older adults enjoy a healthy sex life, and should expect agerelated changes to performance. Illnesses that limit a person’s range of motion (arthritis), or affect breathing (COPD), and circulation (hypertension and diabetes), for example, may cause difficulty performing many basic tasks. To overcome these barriers, use of male erectile dysfunction medications, like Viagra and Cialis, allow older men to achieve – ahem – their full “potential” later in life than ever before. However, unfortunately in the U.S. the rates of sexually transmitted infections (STIs) among adults ages 50, 60, and 70 has doubled in the past 10 years. In 2005, the last year data on HIV infection data for adults aged 50 and older was collected, it was determined that 50-70 year olds accounted for 15% of all new HIV+ infections. It appears that it is no less important to protect yourself from sexually transmitted infections as an older active adult, as it is for younger persons. For adults who are living in residential care settings, the issues surrounding sexuality and aging are more complicated. A recent article by three researchers explored the attitudes of 100 people to see what these individuals thought about sexuality in a long-term care facility. Residents (with and without dementia) and staff of three different nursing homes were interviewed. They found the most common sexual contact was between non-cognitively impaired males and females (almost 68%), and the second-most common sexual contact was between males and females living with dementia (nearly 54%).1 In the nursing home sexuality study, staff indicated discomfort acknowledging that residents were sexually active. This discomfort was heightened if a resident had a dementia diagnosis, or involved in a same-sex relationship. Researchers indicate that staff may treat residents living with dementia differently. Hypersexuality and lack of judgment may be commonly exhibited in persons with certain cognitive impairments. Staff perceived males who expressed sexual contact with female residents living with dementia guilty of sexual harassment. The overarching issue asks, “Which is more important: respecting resident autonomy or stopping any and all sexual contact among residents living with dementia?” No clear laws exist regarding contact between persons with dementia in residential care settings.

Staff sensitivity training and ethical considerations surrounding these issues is important. Acknowledging and accepting the fact that older adults are desirous of contact, touch, and connection, will help to reduce the stigma associated with sex and aging, and the sexuality of older adults in general. After all, it’s just as natural as the “birds and the bees”. Support exists to discuss these issues with trained professionals. The Edna L. Roker Social Adult Day Center (www.RokerAdultDayCenter.com) is an adult day program located in White Plains, and is open six days a week from 8 am- 4 pm Monday through Friday, and 9 am-3 pm Saturday. Extended care hours are offered at an additional cost. The Roker Center offers care management by Registered Nurses, daily recreational programs by a Certified Therapeutic Recreation Specialist (CTRS), personal care by certified staff, and round-trip transportation in Westchester County. Continental breakfast, catered lunch, and afternoon snack are provided daily. Weekly unisex salon services, regular podiatric care, as well as Physical, Occupational, and Speech Therapy (by Fox Rehabilitation) are available. The Roker Center aims to support caregivers by providing respite while engaging clients in meaningful and interesting activities throughout the day. Art programs, animal therapy, and social outings are planned regularly. Registered Nurses manage the certified, licensed, and degreed staff, and care about the total wellbeing of each client and their caregivers. Care management is provided at no additional cost. To tour the Roker Center, please call: (914) 761-3885. Christina Horsford, LMSW, MPA is a geriatric social worker and voluntary consultant to the Edna L. Roker Social Adult Day Center. DiNapoli, E., Breland, G., & Allen, R. (2013). Staff knowledge and perceptions of sexuality and dementia of older adults in nursing homes. Journal of Aging and Health, 25(7), 1087-1105.

1

Roker Center Staff include: Miriam Roker Horsford, RN, Executive Dir., / Owner Grace Sells, RN, Nurse Manager Jim Agostino, Director Sales & Marketing Susan Sourby, MS, CTRS, Dir. Therapeutic Recreation Jeanette Eubanks, Administrator Fox Rehabilitation Staff On-Site: Carolyn Reardon, MPT


3 Barker Avenue, 2nd Floor White Plains, NY 10601

www.stepsinhomecare.com

855.207.STEPS

You Are Not Alone. We Can Help. Helping Your Family One Step at a Time Steps is Licensed Home Care Services Agency (License # 1996-L001). We are a locally, family, and woman owned company with offices in several states, including CT and NY.

Our Goal Our Goal is to help Seniors maintain their health and control over their living situation by staying in a comfortable, safe environment… whether in a Nursing Home or their own home. • • • •

We provide our patients the help they need to maintain their emotional and physical well-being. Steps not only serves the well-being of the patient, but also that of their family. We partner with the entire family. The care our company provides is the same level of care we would want our parents to receive.

Our Philosophy Our Philosophy consists of 3 key principles: Passion, Excellence, and Family. • Passion: This isn’t just our business…it’s our passion. We have passion and pride in everything we do. • Excellence: We hold ourselves to a higher “Standard of Excellence.” We don’t just do the bare minimum…we go above and beyond. • Family: This is a family owned business. Our family is here to help you take care of yours. We will take care of your Mom or Dad just as we would take care of our own.

Call 855.207.STEPS before 12/31/2013 for a FREE RN Assessment.


A Different Kind of Adult Center! • • • • • • •

!

!

!

Round Trip door-to-door pick-up and drop-off transportation provided. Daily Continental Breakfast, Catered Lunch and afternoon snack provided. Safe secure home like environment. ! Certified, trained caring staff. Four separate client groups based on cognitive and physical abilities. ! ! Open 6 days / week 8am-4pm; Extended Care hours 4-6pm Monday- Friday ! ! Recreational activities include: ! ! ! ! ! ! ➢ Early ! stage ! ! programs ! ! ! ! ! ! ! ! ! ! ! ➢ Sensory stimulation ! ! ➢ Cognitive enhancement activities ! ! ➢ Intergenerational programs ! ! ➢ Seated exercise and yoga classes Awards ➢ Art and music classes ! ! ! ! ➢ !Birthday and holiday celebrations ! ! ! ! ! ! ! ! ! ! ! ! ! ➢ Discussion Groups ! ! Excellence in Healthcare ➢ Field Trips American Red Cross Good Neighbor Award ! ! ! ➢ Professional Entertainers Member of the New York State Social Adult Day Services Association

!

Edna! L. Social Adult Day Center ! Roker ! ! 311 !

! !Street! | White ! North Plains, New York 10605 ! To schedule an appointment call: (914) 761-3885 E-mail:! info@rokeradultdaycenter.com

website: www.rokeradultdaycenter.com

Forbes® Enterprise Award - 2006 Winner for Excellence in Healthcare. Nationally recognized award demonstrating the Roker Center's noteworthy achievements in healthcare, self-management, customer service, and community service.


Boomers & Beyond January 2014 ebook