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Boomers d n o y e B & Westchester County

October 2013

Westchester Care At Home

The care you need with temporary or longer-term care for loved ones p12

Wartburg

Opens new Rehabilitation Center of Excellence in Westchester p16

Edna L. Roker Social Adult Day Center

Provides nationally recognized caregiving services to seniors in Westchester County p22

Schnurmacher

Provides a range of specialty and advanced services for long-term care patients p21


Gilberg and staff provide unmatched care, special touch It’s 9 a.m. on Labor Day, a day off for many, but Loren Gilberg is exactly where she wants to be - at the bedside of one of her clients, an 84-year-old gentleman with serious medical issues, who lives in an assisted living facility in Westchester County. It’s not uncommon for Gilberg and her staff to spend time with their patients on other holidays such as Christmas and New Year’s Day. Call it the Gilberg touch. That’s who she is, caring, experienced, knowledgeable, innovative. Her firm delivers extraordinary care on a daily basis. As the founder of Elder Care Consulting Inc. and Elder Care Homecare Inc., Gilberg, together with her renowned staff, helps her senior clients receive outstanding care and maintain their quality of life. “People are living to ripe old ages,” Gilberg said. “We do everything like a daughter would do for her mom, dad or loved ones. We oversee and coordinate home visits, medication management, doctors visits, emergency room and hospital visits, and other needs our clients have on a daily basis. The commitment we make to all of them is extremely significant.” As for Gilberg’s credentials: Where do we start? Gilberg, a registered nurse with more than 20 years of experience in geriatric care, has a Bachelor’s Degree in Social Work, a Master’s Degree in Business Administration and is a certified care manager. Her unique and impressive credentials allow her to help clients of Elder Care Consulting and their families navigate the complex world of managed care, medical benefits, homecare services, social service organizations and legal issues. Elder Care Consulting is a professional Geriatric Care Management firm offering seniors and their families a comprehensive range of GCM services with a personal touch. The mission is simple: to help older adults maintain quality of life, independence and dignity.

To complement her vision at Elder Care Consulting, Gilberg founded Elder Care Homecare. There has been a perfect synergy between the two firms, which has led to unmatched attention and care in the Tri-State area. The firm also provides care for clients in Florida, including their snowbird set. Elder Care Homecare provides quality home care services that are individualized to meet clients’ needs and allow them to reside with dignity and comfort in their own home. Elder Care Consulting and Elder Care Homecare also help clients in need find the perfect assisted living facility for them. “To maintain the proper quality of life for seniors, you have to make sure nothing falls through the cracks,” Gilberg said. “You have to be on top of everything and make sure your client has an advocate. Whether our client is at home, or residing in an assisted living facility or short-term rehab, we assist them with all of their needs – from doctor’s visits and all other areas of daily care.” Gilberg is an expert in the field of eldercare. She has been interviewed on Cablevision’s News 12 Westchester and Bloomberg Cable News, and has had articles published in numerous journals, including The Journal News, Senior News, Inside Westchester County, Advance for Nurses, and Town Report. The firm’s clients and their families are what matter most to Gilberg and her staff. Take, for example, an 84-year-old gentleman under their care. He was recently relocated from Florida in poor health, suffering from kidney issues, diabetes, vascular problems and bed sores. His family contacted Elder Care Consulting for help and advice in a desperate situation. The 84-year-old’s health improves daily thanks to Elder Care Consulting extraordinary care. Before the firm intervened, the family felt helpless. Not anymore. That’s the Gilberg touch, special in so many ways, a leader in the field.

PAGE 2

October, 2013

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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.

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PAGE 4

October, 2013

Boomers & Beyond - Westchester

Seniors Halloween Children look forward to costume parties, trick-or-treating, and visiting haunted houses. Ah, Halloween is right around the corner. Seniors, however, can celebrate Halloween, too. Here’s how: Pumpkin carving: If you volunteer at a nursing home, working with the Activities department to coordinate an afternoon of pumpkin carving would be a great way to get into the Halloween spirit in the nursing home or assisted living facilities. You could award small prizes to the person who created the most creative and scariest pumpkins. Afterwards, you can decorate the nurses’ stations, the front porch, and the dining room with the carved pumpkins. Decorate: Help your favorite senior decorate their home for Halloween. You can buy Halloween posters and put them on residents’ doors. Write scary stories or draw pictures that can be put up all over the home, showcasing their talents, as well as celebrating the holiday. Dress up: If you work in a nursing home, designate a day in which residents and facility staff can dress up in Halloween costumes. Awards may be given to the worker and resident with the scariest, funniest, and most creative costumes. At home, seniors can dress up and greet trick or treaters. Read a scary story or watch a scary movie: Sometimes nursing homes will have book groups for the residents who live there. Having someone read a horror novel for the month of October is a perfect way to get residents into the Halloween spirit. Watching a scary movie in the activities room is another great way to celebrate the holiday. At home, the grandkids can come over and watch a good Halloween movie.

Beverly & Alfred J. Green Pavilion

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PAGE 6

October, 2013

Boomers & Beyond - Westchester

Advertiser’s Index

From the General Manager

A&J Home Care, Inc.............................................................10

When we started Boomers & Beyond last year, we wanted to serve as an advocate for seniors in Westchester County.

A&T Healthcare.......................................................................15 Audio Help Hearing Centers...................................................5 ColumbiaDoctors..................................................................23 Edna L. Roker Social Adult Day Center.................................24 Edward Prus, DDS...................................................................9 Elder Care Homecare Inc..........................................................2 Ely J. Rosenzveig & Associates, PC...................................3,14 Integrated Medicine of Mount Kisco...................................11 Patricia G. Micek, Esq. ......................................................19 Schnurmacher Center for Rehabilitation and Nursing.......21 United Hebrew........................................................................7 Victoria Home.........................................................................8 Westchester Care at Home..................................................13 Willow Towers.........................................................................4

We wanted to be the publication that you came to for community news, information and health tips. It looks like we have succeeded. We can’t thank you enough for your support. Thanks to you, Boomers & Beyond continues to evolve and flourish. Just like all of you. What we pride ourselves on most is telling your stories. Whether you live in Rye, White Plains, Larchmont or Pelham. Write us any time - we are looking for a good senior story. For now, enjoy October’s issue, it’s another must read! And than you for the support!

Jim Stankiewicz, General Manager

Wartburg...............................................................................17

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) ••• BUSINESS DEVELOPMENT, PUBLISHER’S REPRESENTATIVE Jeff Horton jeff.healthcarenewspaper@gmail.com Field office; Mahopac, NY cell- 845-729-2525 ••• CIRCULATION Michelle Belsito (Michelle@healthcarenewspaper.com) ••• SENIOR CORRESPONDENTS Brendan Coyne John Jordan

Corporate Information Healthcare News - Westchester, New York edition - Vol. 6 No. 10 - 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… Alzheimer's Awareness Month Top Alzheimer's facilities in the areaWarning signs and how caregivers cope Financial plans, Estate planning and Life insurance examined


Boomers & Beyond - Westchester October, 2013

PAGE 7

senior memory foods Although there’s no single must-have food to prevent age-related memory impairment, there are some important dietary tips that can help seniors maintain a healthy memory. According to the Alzheimer’s Association, a brain-healthy diet is much like a heart-healthy diet: it “reduces the risk of heart disease and diabetes, encourages good blood flow to the brain, and is low in fat and cholesterol,” as well as being high in like B vitamins, protein, omega-3s, and antioxidants. In order to get enough of these brain boosters, you’ll want to make sure your favorite senior(s) stocks up on these foods: Vegetables, especially leafy greens like spinach, kale, and turnip greens and cruciferous vegetables like broccoli, have been strongly linked with lower levels of cognitive decline in older age, according to a study in the Annals of Neurology. Salmon and other cold-water fish such as halibut, tuna, mackerel, and sardines are rich in omega-3 fatty acids. Other omega-3 sources include beans, some nuts, flax seeds, and healthy oils like canola oil. Berries and dark-skinned fruits are rich in antioxidants. According to the Alzheimer’s Association, some of the fruits that pack the most punch are blueberries, blackberries, strawberries, raspberries, plums, oranges, red grapes, and cherries. Coffee and chocolate are surprisingly good for you. Recent studies have shown that caffeine and coffee can be used as therapeutics against Alzheimer’s disease. The caffeine and antioxidants in these two tasty treats may help ward off age-related memory impairment, along with cinnamon, olive oil, and curry.

The Outlook Just Got Better At

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View from our gracious nursing pavilion

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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


PAGE 8

October, 2013

Boomers & Beyond - Westchester

Maintaining your vision in your golden years Taking good care of your eyes is vital to your overall health and well-being as a senior. Even if you enjoy good vision now, you need to start or continue to practice good eye healthcare by visiting your eye care professional to have a comprehensive dilated eye exam. Who Performs Eye Exams? An eye care professional is either an optometrist or ophthalmologist. An ophthalmologist is a medical or osteopathic doctor who specializes in eye and vision care. An optometrist is the primary health care professional for the eye. Both professionals are qualified to perform eye exams. Aging and Vision Changes As you age, it is normal to experience some changes in your vision, such as difficulty adjusting to glare, and distinguishing some colors, particularly shades of blue and green. Some common vision problems require glasses or contacts to see clearly and up close. However, these changes can be easily corrected and won’t lead to vision loss or blindness. Remember, vision loss is not a normal part of aging. In fact, you can live an active lifestyle well into your later years without ever experiencing vision loss.

To keep our eyes healthy, it helps to know the different parts of the eye. There are many different parts of the eye that help create vision. Cornea. Light passes through the cornea, the clear, dome-shaped surface that covers the front of the eye. The cornea bends or refracts the light coming into the eye.

provided

Iris. The iris is the colored part of the eye. It controls the amount of light that enters the eye through an opening called the pupil. Pupil. The pupil is the opening in the iris. The iris adjusts the size of the pupil and controls the amount of light that can enter the eye. Lens. The lens is a clear part of the eye that focuses light coming into the eye. The lens is behind the pupil and fine tunes the image that reflects onto the retina. Retina. The retina is a thin, delicate, light-sensitive tissue that lines the inside of the eye. It converts light into electrical signals and sends them to the optic nerve. Optic nerve. The optic nerve is a bundle of about one million nerve fibers that carries electrical signals from the eyes to the brain. The brain interprets these signals, allowing us to see. Macula. The macula is the most sensitive part of the retina. It provides the sharp, central vision we use for activities such as reading and watching television.


Boomers & Beyond - Westchester October, 2013

PAGE 9

Take A Blood Pressure Break Believe it or not, you might not need to put as much effort in as you think to keep your blood pressure in the healthy range. Over time, small changes, combined with traditional remedies such as medication, exercise and diet, can make a big difference. These tips are easy to squeeze in, no matter how much time you have — or don’t.

5 minutes

Eat berries: According to studies, having about a cup a week can reduce your risk of developing hypertension by eight percent.

10 minutes

Be caring and loving: Couples who held hands with their partners for 10 minutes and then shared a 20 second hug had lower blood pressure after completing a stressful task, than those who didn’t get physical, according to a University of North Carolina study.

15 minutes

Listen to a story: People with hypertension who heard someone else talk about coping with the condition experienced a reduction in blood pressure, a study from the University of Massachusetts found.

Rumor has it…Everyone Are YOU Doing it? Why not?

25 minutes

Have a laugh: Some good laughs can improve blood-vessel function. Researchers have found that people who watched funny videos or movie clips experienced a drop in blood pressure similar to that caused by moderate exercise.

45 minutes Hang out with your pet: Just another reason to love your furry friend. When 2 groups of hypertensive stockbrokers were prescribed either medication, or meds plus an adopted dog or cat, the pet owners had a greater reduction in blood pressure. According to research, the social support pets provide counters mental stress.

is Doing it…At any age

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PAGE 10

October, 2013

Boomers & Beyond - Westchester

Mamaroneck Centenarian advises to be mindful of how you live your life. Long-time Mamaroneck resident Viola Pennucci turns 100 on October 19th. Her secret? “Don’t think about your age; it doesn’t mean anything. Instead, you have to think about how you’re living.” She is one of 6 centenarian residents celebrating their oncein-a-lifetime milestone this fall at Sarah Neuman Center, where Viola has been living for the last year and a half. Lori Grossman, Sarah Neuman’s Community Coordinator marvels when she talks about Viola. “She brings such good energy and positive thinking to our programs and activities. Everybody wants to sit next to Viola and talk with her. She tells great stories and jokes - I can’t blame them!” With a wonderful sparkle in her tone and action, Viola is also an enthusiastic volunteer at Sarah Neuman, helping out wherever and whenever she is needed. For instance, when the usual exercise instructor took a brief medical leave, Viola took over and instructed the class! “I learned by watching,” she says, shrugging nonchalantly. Viola, a devoutly religious woman, also volunteers for Sarah Neuman’s Rosary Circle. “I hand out the rosary’s and collect them at the end of each service. I fix them so they don’t get tangled and put them away for the following week.” Last year, Sarah Neuman honored Viola at its Awards Dinner as a Resident Volunteer. She was presented her with a certificate for the invaluable clerical work she does in the volunteer office.. Amy Lionheart, Director of Volunteer Services shared, “Viola is remarkable. Her valuable contributions truly enhance the quality of life at Sarah Neuman for residents and bring joy to the staff, as well.”

Still as sharp and active a lady as she was in her 70s, she has maintained her Westchester relationships. Viola is picked up every Friday afternoon to meet her friends at the Harrison Senior Center for a few spirited games of Bingo and lively conversation. While born in Branford, Connecticut, Viola is a true-to-the-core Westchester resident. She moved to Mamaroneck when she was a young teen and stayed in the community for more than sixty years. When she was a school girl, a mean-spirited teacher made a fool of her in class, which propelled Viola to drop out of high school. She immediately found a job and went to work on Mamaroneck Avenue at Pure Food Company. The canning factory experience was a memorable one for Viola. “I enjoyed all the people I worked with so much that we didn’t want the weekends to come,” she recollects with a big smile. She stayed at Pure Foods until she married and gave birth to her son in 1940. Viola readily shares that she was a pretty sick lady when she was a younger woman. “There isn’t a part of my body without a scar on it, but I’m actually in pretty good health now.” The only living sibling of three sisters and two brothers, Viola thinks her lifestyle may have helped her through her medical issues. “I rarely rode in a car. I walked everywhere. I was in my 80s and still walking from Mamaroneck to Harrison to play cards several times a week.” She also confided that she never ate rich or fatty foods, but does have a sweet tooth for cookies. “I don’t feel that old. I still walk pretty fast, albeit with a walker for safety precautions. The Sarah Neuman folks always joke that they’re going to give me a speeding ticket for moving too quickly.” For more information, please visit www.jewishhome.org

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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.

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Boomers & Beyond - Westchester October, 2013

PAGE 11

After working out, do some quad stretches. Stand straight and hold on to a wall or a sturdy structure to balance yourself. Bend your right knee behind you and hold your right foot with your right hand. Stretch the thigh muscles gently for about 10 seconds. Repeat with your left leg. Try lower-risk sports like swimming or cycling. This is especially important if you’ve had knee troubles. These are low-impact moves for the knee. A caveat: If you cycle, make sure the seat is adjusted to the proper height. A proper adjustment helps protect your knees. Consider losing weight. Being heavy puts an extra burden on your knees that could lead to arthritis.

 ,  .UTRITIONAL 3UPPORT

Senior knee injury prevention As seniors, we encourage you to be active and energetic, whether it’s routinely walking, playing tennis or a round of golf with friends. Keep at it. However, keep in mind, if you ride a bike, dance, hike, or even climb stairs, you can be susceptible to knee problems. The knee is especially vulnerable to injury. Think about it: The knee works hard as a hinge and a shock absorber. It lets us walk, run, slide, climb, bend, lift, kick and assume all sorts of positions. Despite this versatile mobility and function, the knee is not designed to take too much impact, overuse or abuse. You have to respect your knees. They get you where you want to go and help you do what you want to do. As we get older, one of the things that happens is that the circular cartilage within the knee, called the meniscus, can tear. Sometimes these tears have to be removed surgically; sometimes they do not. For example, experts found that most people by the age of 50 already have some meniscus tears but without troublesome effects. Protect your knees and prevent injuries, while still staying active: Each week, do some strengthening exercises for your quadriceps (the large four-part muscle group on the front of the thigh). Building the muscles in this region of the body strengthens the area surrounding your knee. Leg extensions are a good exercise for most people. Listen to your body. Don’t overdo or overintensify your exercise routine or you could cause an overuse injury to your knees.

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PAGE 12

October, 2013

Boomers & Beyond - Westchester

Helping Those Who Help Others: Respite Care a Popular Service at Westchester Care at Home “What happens when the caregiver needs a break?” Oftentimes family members serve as primary caregivers for loved ones requiring care at home. According to the Family Caregiver Alliance, approximately 29% of the U.S. adult population – including spouses, partners and other family members, friends or neighbors – serve as informal caregivers who assist those who are ill, disabled or elderly with activities of daily living. But what happens when the caregiver needs a break to go on vacation, to a wedding or other important event? What if they need a few hours to take care of personal business? Dedicated as they may be, caregivers often experience stress as they contend with juggling the everyday needs of a loved one with their own busy lives.

At times like these, Westchester Care at Home (WCAH), a White Plains-based NYS licensed home health care agency offers relief to families through its Respite Care Program. According to WCAH Administrator, Karen T. LaMonica, “people may not realize that we provide home health aide services on an extremely flexible basis, whether for one hour, all day, or around the clock. It’s not uncommon for us to receive calls from adult children of elderly parents, spouses, and others who are simply seeking temporary help with caring for loved ones. Some people think that hiring a home health aide is an “all or nothing” proposition, but it’s important for family members to realize that they have options for short-term vs. longer-term care.”

For more information about Respite Care and other WCAH services: • Call us 24/7 at: 914-997-7912 or 1-800-305-9224 • Request services online at: www.vns.org/home-health-aides • Visit us at: 360 Mamaroneck Avenue, White Plains, NY 10605

Through its Respite Care Program, WCAH’S highlytrained, certified home health aides can step in to assume caregiver duties, providing personal care such as grooming and bath service, light housekeeping and laundry, grocery shopping and meal preparation, escort to medical appointments, and additional activities. “Temporary care can take place at the individual’s home or at a nursing home or other healthcare facility,” LaMonica noted. Respite Care is one of the unique home health care services offered by Westchester Care at Home, with no minimum hours or days of service required, and no contracts to sign. An affiliate of VNS Westchester, Westchester Care at Home serves residents of Westchester, the Bronx, Dutchess, Putnam and Rockland counties. WCAH services meet the Community Health Accreditation Program (CHAP) National Standards of Excellence for Home Health Care.


Boomers & Beyond - Westchester October, 2013

Providing the Highest Quality Home Health Care in Westchester & Putnam

Our Certified Home Health Aides, supervised by Registered Nurses, can assist you or your loved one with:

s 0ERSONAL#ARE s -EAL0REPARATIONAND (OUSEKEEPING s ,AUNDRY 3HOPPING AND Errands s #OMPANIONSHIP s %SCORT3ERVICESTO !PPOINTMENTS

Call us to learn about our affordable rates on an hourly or live-in basis. Some third party payers provide reimbursement for our services.

800-305-9224 914-997-7912 A New York State-Licensed Home Health Care Agency An Affiliate of Visiting Nurse Services In Westchester CHAP Accredited

Westchester Care at Home, 360 Mamaroneck Ave, White Plains, NY 10605

PAGE 13


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?

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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.

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Boomers & Beyond - Westchester October, 2013

PAGE 15

Protect Seniors: Warning Signs Of Elder Abuse It’s sad, but true: Elder abuse happens, more often than you would actually suspect. Your family, your loved ones can be affected. Elder abuse refers to intentional or negligent acts by a caregiver or trusted individual that causes harm to a vulnerable elder. Learn the warning signs and act to protect seniors, whether they are a friend, loved one, or a patient at an assisted living facility or nursing home you work at. Warning Signs Financial Exploitation • Lack of affordable amenities and comforts in an elder’s home • Giving uncharacteristically excessive gifts or financial reimbursement for needed care and companionship • A caregiver has control of an elder’s money but fails to provide for the elder’s needs • An older adult has signed property transfers Physical Abuse • Inadequately explained fractures, bruises, welts, cuts, sores, or burns • Unexplained sexually transmitted diseases Neglect • Lack of basic hygiene or appropriate clothing • Lack of food • Lack of medical aids • Person with dementia left unsupervised • Person confined in bed is left without care • Home is cluttered, dirty, or in disrepair • Home lacks adequate facilities • Untreated bed sores or pressure ulcers Emotional Abuse • Unexplained or uncharacteristic changes in behavior • Caregiver isolates the elder • Caregiver is verbally aggressive or demeaning, controlling, or uncaring Risk Factors Elder abuse can happen to anyone and anywhere—in a person’s own home, in nursing homes or assisted living facilities, even in hospitals.

Common risk factors for abuse include: • The elder is socially isolated or withdrawn • The elder is in poor physical health • The elder has dementia or mental health or substance abuse issues • The perpetrator has mental health or substance abuse issues

If you suspect elder abuse, report it. Act to protect seniors by bringing suspected abuse to the attention of the appropriate authorities. To report suspected abuse, contact your local adult protective services agency. For state reporting numbers, call the Eldercare Locator at 1-800-677-1116.

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PAGE 16

October, 2013

Boomers & Beyond - Westchester

Wartburg Opens New Rehabilitation Center of Excellence in Westchester

A new, state-of-the-art rehabilitation center of excellence is opening this fall at Wartburg in Westchester, New York. Located on the care provider’s beautiful 34-acre park-like campus, the 75,000-square-foot center focuses on helping individuals recover from an accident, illness or injury faster – and resume their independent lives sooner – with: ■

A proven, patient-focused approach. At Wartburg, each patient benefits from a customized intensive therapy regimen based on their needs and goals and focused on speeding their recovery. The center’s flexible schedule offers therapy 11 hours a day, 7 days a week.

A multidisciplinary team of experienced, dedicated professionals. Led by a staff of primary care physicians, each therapist on the team possesses an average of 18 years of clinical experience.

State-of-the art facilities. The inpatient center features 50 private rooms and includes a simulated apartment to help physical and occupational therapists assess how patients perform their daily tasks.

An inclusive, family-centered care philosophy. Patients – and their families – are viewed as central, active members of the care team. Family support is welcome at Wartburg. Visitors are free to join residents in the sunroom or courtyard or to enjoy the gazebos and benches on the property.

The new center takes Wartburg’s proven rehabilitative approach to a whole new level, according to David Gentner, president and chief executive. “Simply put, Wartburg will be the market leader for post-acute rehabilitative services in our community,” Gentner explains. The continuing care provider is well on their way. More than 84 percent of rehabilitation patients treated in 2012 successfully recovered and returned to their independent lives within an average of 25 days, which is comparable to the other premier rehabilitative institutes in the region. Integrated, comprehensive rehabilitative care At Wartburg, rehabilitative care focuses on enabling every patient to achieve maximum independence after surgery, illness or accident. Its integrated team works with the patient and their family to help the individual get back on their feet – and back to their home – as soon as possible: ■

Skilled nurses monitor each patient around the clock.

On-site physicians along with an interdisciplinary team of professional staff develop each individual’s recovery plan.

Experienced physical therapists build physical strength and improve large motor function.

Occupational therapists improve fine motor skills and assist in retraining for activities of daily living (ADLs).

Speech pathologists evaluate and treat speech, language, cognitive and swallowing disorders.

A pain management consultant provides such nonpharmacological relief techniques as acupuncture and electromyography.

A full-time, licensed respiratory therapist helps improve a patient’s ability to breathe comfortably.

Social workers assess the emotional needs of each patient and work with patients and family to determine the right level of care and arrange for service after discharge. Dietitians work with the medical and nursing team to determine any special dietary needs for patients who need to build strength or suffer from chronic illnesses such as diabetes or heart disease. Spiritual care visits help individuals with coping, understanding and exploring their spiritual needs during their recovery.

While the overwhelming majority of rehabilitation center patients will return home, those who cannot may easily transition to the U.S. News and World Report award-winning Wartburg nursing home and receive the same superior, compassionate care. The Waltemade Skilled Nursing Center is part of Wartburg’s integrated spectrum of senior living and care services, which also includes adult day and home care as well as assisted and independent senior living options. To find out more, call 1-855-WARTBURG (927-8287) to speak with a care adviser or visit wartburg.org.


Boomers & Beyond - Westchester October, 2013

PAGE 17

Your wife’s doing better, but she’ll definitely need rehab. Who will help get her stronger and back on her feet? Where can you find the best care? From rehabilitation, adult day and home care to assisted living and nursing home care, Wartburg offers a full range of integrated services for your changing life. Our continuing care approach means you can trust us to be here – how, when and where you need us. Our care advisers will help you navigate your options to best meet your family’s needs. Call 1-855-WARTBURG (927-8287) or visit wartburg.org today.

For Wartburg life stories, visit wartburg.org. INDEPENDENT LIVING | ASSISTED LIVING | ALZHEIMER’S/DEMENTIA | NURSING HOME | ADULT DAY CARE | HOME CARE | REHABILITATION


PAGE 18

October, 2013

Boomers & Beyond - Westchester

Four tips for aging well – and healthy We all get older, but we don’t have to feel old. Maintaining the right attitude about aging —and keeping up with our physical health — can help us stay young at heart. From Dr. Oz to Joan Rivers, there’s no shortage of advice on how to get older without feeling like we’re getting old. Some see age as a state of mind, some cite social engagement, and still others emphasize diet and physical health as essential to keeping us young. After combing through dozens of tips, articles, and scientific studies, we’ve focused on four major must-do items for aging happily and staying healthy.

1. Watch Your Stress Levels Relax! Slow down! Why? Debilitating stress can have negative effects on our health later in life: a February study in the Journal of Gerontology found that adults who reported greater work stress in midlife were more likely to show disabilities and physical difficulties in older age. Oddly enough, though, a little stress can be good for us. Striking the right balance for each individual is the key. 2. Rethink the Idea of Older Age Several aging experts are starting to lay some of the blame for our ambivalence about getting older on the pervasive effects of ageism in our society. Learning to accept the natural changes to our minds and bodies that occur as we age is a big part of combating the problem. Whether it’s the media or pharmaceutical companies, we are bombarded with messages about how we’re going to start falling apart, our bodies losing vitality and our minds losing acuity, and this makes the prospect of getting older somewhat depressing; but with aging as with anything else, there is such a thing as a self-fulfilling prophecy. If we look at getting older as an opportunity — a chance to really focus on what is important to us — we can look forward to actually becoming healthier and happier with age.

3. Stay Physically Active We’ve all heard the saying: use it or lose it. If you want to remain vital and healthy well into your later years, exercise is a must. Regular physical exercise will help you maintain muscle mass and flexibility, sure, but it can also keep you feeling young. It’s mentally empowering to be able to continue doing many of the physical activities you did when you were younger —s ome people, in fact, are more fit as older adults than they were as young adults. Those who were more physically fit in midlife were less likely to develop chronic health conditions in old age, such as congestive heart failure or Alzheimer’s disease. 4. Be Socially Engaged Maintaining active connections with our family, friends, and community is critical to staying healthy, both mentally and physically. As we ourselves get older, our family relationships change, and we have opportunities to mend fences—particularly with our own aging parents. In addition, aging adults are in the unique position of being able to learn a lot from older and younger friends—the former providing a sense of perspective, and the latter a sense of youth and freedom. Meanwhile, social isolation is a major predictor of unhappiness and depression, as well as having negative health effects.


Boomers & Beyond - Westchester October, 2013

PAGE 19

Steps You May Be Able to Take to Help Your Parent

Financial Advice

Estate sale: Your parent may consider holding

Have them live with you: Rather than

an estate sale to clear out furniture, household items, and assorted small possessions that are no longer needed. These sales are doubly helpful because they earn money as well as reduce the amount of things to be disposed of or otherwise distributed down the road.

entering a care facility, your parent may be able to live with you and receive skilled nursing care in your home. If the burden of paying for care falls to you, this could be a far less expensive option than a care facility, but realize that you may also find it to be far more demanding emotionally, physically and even logistically.

Use investments: If your parent has any investments, this is the time and place to use them. Rather than cashing everything in, however, they may be able to sell an investment gradually, thus extending its lifespan and earning potential. Besides, a big sell-off could trigger a large and unwelcome tax event. An investment advisor can provide guidance on how to sell out of a portfolio in a way that meets your parent’s financial needs.

for Sandwich Generation Caregivers

Sell big-ticket items: Many people are naturally hesitant to sell valuable possessions, such as their house or car (or other family valuables). However, there may not be any easier options for easing your parent’s financial burdens at this point. And sometimes it’s necessary to reconsider whether your elderly loved one should be driving, making the step more natural.

Those of us who are members of the “Sandwich Generation” may not have expected to find ourselves in the position of helping to provide for our elderly parents, nor may our parents have anticipated needing our support at this stage of their lives. Whether the recession, lack of financial planning – or a combination of factors – had something to do with it; sometimes difficult decisions have to be made when it comes to ensuring proper care for aging parents. Sandwich generation caregivers sometimes have it most difficult as they can feel the financial burden from both their kids and parents. If you find your parent slips through all the cracks of long-term care funding options, you may need to get creative to find ways to pay for care.

If Crisis Strikes, You Risk: • • •

Losing Control Additional Stress on Your Family The Loss of What You Spent a Lifetime Building

Re-budget: In order to financially assist your parent while continuing your own retirement saving efforts – and potentially saving for your children’s college expenses – you may need to tighten your budgetary belt.

Enlist extra help: You may have to enlist siblings or relatives who can help with the expense. And your children may have to help save for college with their own weekend jobs.

Claim your parent as a dependent: There’s no guarantee, but under some circumstances, you may be able to claim your parent as a dependent, which can help financially. Every situation is unique, so check with the IRS to see whether this may be an option.

Planning Protects Your Family From: •

• • •

Proper Planning Ensures You: • • •

• •

The Government Second Marriages Taxes Lawsuits Nursing Homes Those That Want to Take Your Assets From You

Maintain Control of Your Assets Life is Complicated Enough for the Sake of The Family DISCOVER: Protecting Your Family Give Control, to Those you Trust Shouldn’t Be... • How to Avoid the Nursing Home Most, When You’re not Able by Using Government Assistance Remain Home Without Stress on PAT MICEK, ESQ. the Family, Should the Need McMillan Constabile, Maker & Perone, LLP to Pay for Your Care at Home for Long Term Care Arise 2180 Boston Post Road, Larchmont, NY 10538 Keep Your Family’s PLANNING IS CARING! Business Private (914) 834-3500

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October, 2013

Boomers & Beyond - Westchester

Secrets to Living a Longer (Happier) Life We know that a healthy lifestyle is a major factor in living a long, healthy life, but new studies show that having hobbies and staying socially active are equally important. A nutritious diet, regular exercise, and positive health choices such as not smoking all contribute to helping seniors feel younger and more energetic. Now, emerging research into longevity indicates that mental and social activity are just as critical as physical activity when it comes to healthy aging. Hobbies, leisure activities, and a rich social network are factors that correlate with living longer. What does it mean to have a healthy lifestyle as we age? Scientists are finding that if seniors want to live longer, it’s more than a matter of just staying fit and eating right—but we can’t forget that those are still important. In fact, for seniors in a recent study, those who were physically active — getting regular exercise through swimming, walking, or gymnastics — lived more than two years longer on average, and those who didn’t smoke lived a year longer than smokers. Diet is important too —those who are overweight or underweight are at greater risk of mortality as they age. The latest research on longevity in older adults In one study on seniors, scientists also looked at factors that haven’t been studied as closely; namely, whether mental activity and social engagement also affect longevity. A group of 1810 seniors age 75 and older were followed over an 18-year period and quizzed on their activities, and those who lived the longest had a number of characteristics in common: – they got regular physical activity – they didn’t smoke – they engaged in a range of mental activities, social activities, and productive hobbies – they had a rich social network of family and friends

All told, the seniors who were active physically, mentally and socially were the most likely to live past the age of 90, and lived an average of 5.4 years longer than inactive seniors, reports the Assisted Living Federation of America. How Seniors Can Live Longer, Happier Lives The researchers listed a wide range of leisure activities that are associated with health and longevity, aside from physical exercise. The National Institute on Aging further notes that these activities can increase seniors’ sense of well-being as well as lowering the risk of some health problems, including dementia. – Mental activities: reading books or newspapers, doing crossword puzzles, drawing or painting, writing, studying, learning a musical instrument - Social activities: going to concerts or performances, visiting art museums, traveling, playing cards or games, joining a senior center, starting a book club, taking a class – Productive activities: gardening, cooking, knitting, getting a part-time job, volunteering at a library or hospital.


Boomers & Beyond - Westchester October, 2013

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Bethel’s Home Care Program Celebrates 100th Birthday of Theodosia Green, Program Participant for 20 years! Don’t let her 100 years fool you. Ms. Theodosia Green was getting ready to party through the weekend to celebrate her centennial milestone this past summer. On July 22, 2013, Ms. Green turned 100 years old. “We had family coming from all over,” said Ms. Green. “The party started Saturday and continued into Sunday!” The Peekskill resident shared party details and also reminisced about moving to Peekskill 66 years ago, her supportive family, church involvement and more, as she sat in her apartment surrounded by five generations of a six-generation family, who had stopped in to visit with the matriarch, one summer afternoon. Also in attendance were two members of Bethel’s Home Care Staff, Leeada Durant, R.N, and Jamie Zhang, Home Health Aide, who were continuing the services started 20 years earlier when Ms. Green first became a client of Bethel’s Long-Term Home Health Care Program. Ms. Durant visits with Ms. Green once a week to manage her medications and assess her clinical needs as well as to confer with Ms. Zhang on Ms. Green’s general well-being and if there are any notable changes in her day to day activities. And Ms. Zhang would know - she has been caring for Ms. Green for about five years now, seven hours a day, six days a week, assisting her with shopping, cleaning, food preparation and other needed tasks!

Another long-time member of the Home Care team supporting Ms. Green is Bethel’s Social Worker, Barbara Passick, who coordinates Ms. Green’s services to ensure all medical and social needs are met. She first heard about Bethel’s Home Care program when she was going to her church’s nutrition center. “A friend mentioned it to me and that’s how I found out about the home care,” she said. Two decades later, Ms. Green says she would recommend the program to others who need at-home assistance. “I am very satisfied with the care I receive from Bethel,” says Ms. Green. Born in Belzoni, Mississippi, Ms. Green and her husband, Albert, came to Peekskill in 1947. The couple had five children, three sons and two daughters. The Greens had been married for over 40 years when Albert Green passed away in 1976. In the years that followed, though, the couple’s legacy continued to grow. Today, six generations later, Albert and Theodosia’s family includes: five children; 29 grandchildren; 90 great-grandchildren; 110 great-great grandchildren and four greatgreat-great grandchildren! Susie Daniels, one of Ms. Green’s grand-daughters says that her grandmother likes to be kept in the loop about everything that is going on. “She wants to know about it before it happens!” she says.

provided

Ms. Theodosia Green, 100 years old is greeted with a kiss by her great-great grand-daughter, 7 year-old Zakiyah, during a recent visit to her Peekskill apartment.

Ms. Green laughed and said, “They maybe think I am too nosy!” Bethel’s Long Term Home Health Care Program is pleased to be part of Ms. Green’s story by providing her with clinical and home help for two decades. The Long Term Home Health Program has helped patients maintain their health and well being in the community by providing consistent and continuous services and interventions to promote patients health and aid in preventing disease.

Schnurmacher Center for Rehabilitation and Nursing Schnurmacher Center for Rehabilitation and Nursing, a member of CenterLight Health System, has served the Westchester community for more than three decades. We are centrally located in White Plains, NY and provide a caring place to recover for patients who no longer require hospitalization, but still need therapeutic care to continue the healing process. Our Rehabilitation Program, managed by the Burke Rehabilitation Hospital, works to get patients better and back home as quickly as possible. To achieve this goal, we offer physical, occupational and speech therapy from our compassionate, highly skilled therapists who work with our team of physicians, nurses, social workers and nutritionists, along with the patient and their family, to develop an individualized plan of care. Traditional rehabilitation is complemented with advanced therapies, including a virtual rehabilitation system; and music therapy, managed by CenterLight’s Institute for Music and Neurologic Function. Schnurmacher provides a warm, friendly environment and a range of specialty and advanced services for our long-term care patients. Our 200-bed facility has five floors, with separate floors designated for patients with Alzheimer’s disease and other forms of dementia, as well as those in short-term rehabilitation. Learn more at www.schnurmacher.org.

Schnurmacher Center for Rehabilitation and Nursing is there... when you need a little more help to get you home. · Short Term Rehabilitation · Subacute Medical Services · Skilled Nursing Care · Music Therapy

Schnurmacher and Burke Rehabilitation Hospital Working together to provide excellent rehabilitative care

12 Tibbits Avenue White Plains, NY 10606 914-287-7200 Schnurmacher.org


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October, 2013

Boomers & Beyond - Westchester

Finding Money For Long-Term Care By Christina Horsford, MSW, MPA Choices in long-term care can be confusing. Home care, adult day centers, assisted living, and continuing care retirement communities offer a range of services. Prices vary across settings too, and individuals may ask themselves: How do I pay for this? For many people Medicaid is not an option, and Medicare pays only a portion of the costs for medical services and supplies. Additional options include: Aid and Attendance Pension Benefit: This benefit is offered by the Veterans Administration and pays almost $1000-$2000 monthly to veterans and their surviving spouses. There are income and asset limits, and payment is based on several factors including marital status and length of service. Long-Term Care Insurance: This policy should be purchased prior to the diagnosis of a chronic or debilitating illness. Long-term care insurance policies vary in terms of premium cost, length of the waiting period before benefits are paid, daily benefit limit, and length of time the benefit is received. Once a claim has been initiated, premium payments cease. Reverse Mortgage: A homeowner aged 62 and older who is not permanently leaving their home may qualify. This loan is based on the equity in the property, and money is usually disbursed as a home equity line of credit. The homeowner is responsible for paying all taxes, association dues, and maintenance costs while receiving the loan. The propertyâ&#x20AC;&#x2122;s equity will be reduced by the amount of the loan, and it does not need to be repaid until an individual dies, sells, or moves permanently. Viatical Life Settlement (or Life Settlement): Whole- or term-life policies can be sold on the viatical market for a significant percentage of their face value. Policy owners with chronic or terminal illnesses can sell their life insurance policies for cash. Once the life insurance policy is sold, it will no longer be in force. For individuals who have a plan in place for their long-term care needs, additional programs include:

For individuals living with memory impairment(s) and dementia, the Roker Center aims to enhance clientsâ&#x20AC;&#x2122; physical, social, and cognitive functioning in a bright and sunny setting, as opposed to a hospital or clinic. Physical, occupational and speech therapy are available on-site, in addition to several recreational activities including field trips, yoga, and virtual travel programs (www.RokerAdultDayCenter.com). Miriam Roker Horsford, RN, Executive Director, opened the day center 20 years ago, and has served hundreds of clients since 1993. To reach a care manager at the Roker Center, call: 914-761-3885. Start planning as early as possible to ensure your needs are met in the future.

Access to Home: Homeowners can receive up to $25,000 in home modifications. Disabled individuals, frail elderly, and renters can qualify for this grant. In Westchester County, Westchester Residential Opportunities and The Family Service Society of Yonkers administer the program. Medicaid Consumer-Directed Personal Assistance Program (CDPAP): For individuals who are Medicaid-eligible, the entitlement can pay informal caregivers (i.e., family members or non-relatives). After an individual has applied for and been admitted to CDPAP, they can hire, train, and fire personal care staff. Consider care managers for the coordination of care for yourself, a parent, spouse, relative, or friend. Care managers can assess your needs, offer a selection of services, help complete applications, and can advocate on your behalf. The Edna L. Roker Social Adult Day Center (311 North Street, 1st Floor, White Plains, New York 10605) is an award-winning dementia-specific social adult day program that offers care management.

Christina Horsford, MSW, MPA is a geriatric social worker and voluntary consultant to the Edna L. Roker Social Adult Day Center.

Roker Center staff include: Miriam Roker Horsford, R.N., Executive Dir., / Owner Grace Sells, R.N., Nurse Manager Jim Agostino, Director Sales & Marketing Susan Sourby, MS, CTRS, Dir. Therapeutic Recreation Jeanette Ebanks, Administrator


Boomers & Beyond - Westchester October, 2013

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

15 North Broadway 2nd Floor White Plains, NY 10601 (914)428-6000

5 Coates Drive Suite 2 Goshen, NY 10924 (845)294-1234

30 Greenridge Avenue Suite 207 White Plains, NY 10605 (914)328-8555

180 East Hartsdale Avenue Suite 1E Hartsdale, NY 10530 (914)725-2010

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

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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

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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 October 2013 ebook