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Grand Living

Vol. 4 Issue 3 - May/June 2012


Delmarva’s Premier 50+ Magazine

Joint Pain?

Baby Boomer

Dress Code

Power of Attorney Acupuncture Stroke Does Not Discriminate Cleaning Services: Really Worth the Money? 1

Grand Living Magazine

May June 2012

How can we take a vacation and know that Mom will have fun and be safe?

We Chose Respite... We had no idea that Mom could vacation at Brandywine while we were away! She can meet new friends with lots to talk about, share pictures of the grandkids, laugh about the crazy clothes we used to wear in the 60’s... all while enjoying a beautiful suite and fun-filled days.

We Chose Five-Star Dining... Every day there are choices from many delicious selections prepared by Brandywine’s chefs... and served restaurant-style in their beautiful dining room. We could not believe how great the food was!

We Chose No Worries... A licensed nurse is on-site (not on call), 24/7 to make sure Mom has all the help she needs – should she need any. In addition to the nurse, we were amazed at the other team members who took care of her room, and made sure there were lots of things to do everyday.

There are so many good choices available — but there is only one great one...

Choose Brandywine! Call the location nearest you to schedule a tour & complimentary lunch


21111 Arrington Drive | Selbyville, DE 19975 | 302.436.0808


36101 Seaside Blvd. | Rehoboth Beach, DE 19971 | 302.226.8750

Ask about our award-winning Reflections® program for memory-impairment.

Brandywine Senior Living has Locations throughout NJ, PA, DE, CT, NY • 1-877-4BRANDY 2 Grand Living Magazine May June 2012


Grand Living Magazine

May June 2012

Grand Living Magazine Publisher Sandy Phillips


Pg. 20

Vol. 4 Issue 3 May June 2012

Associate Publisher Farin Phillips Editor Lou Ann Hill-Davis Creative Farin Phillips Photography Kyle Hughes, Next Wave Studios Contributing Writers Polly Elliott Therese. H. Ganster, ACSW, MPM Marie Nottingham Bob Perry James W. Respess, Esq. Mark Stoehr, MAC, LAC Betsy van Die Michelle White, RN, BSN

For Advertising, Contact:: Grand Living Main Office (410)726-7334 Field Management Phil Lewis Brandon Phillips

Cover: The well-dressed boomer. Grand Living Magazine is published six times a year; Jan., Mar., May, July, Sept., and Nov. It is circulated throughout Worcester, Wicomico & Sussex counties, by Grand Living Magazine, LLC. Grand Living Magazine is protected under trademark registration. “Grand Citizens”™ is also protected under trademark. No portion in whole or part maybe reproduced without written permission of the publisher. Copyright 2010 ©, Grand Living Magazine LLC. All rights reserved. Content in Grand Living Magazine is intended to provide information only, and is in no way meant to treat or diagnose. Always consult with a speciality professional (i.e. medical, financial, etc.) to address your own personal needs. The company makes every effort to ensure that all information presented is correct. However, we do not make any representations or warranties as to the accuracy of the information, and reliance on information provided is solely at your own risk.


Grand Living Magazine

May June 2012

6 Learning Curve 9 Grand Calendar 10 Announcement

Peninsula Home Care Administers Chemo in the Home

11 The Grand Life

Baby Boomer Dress Code

12 Home & Hearth

Are Professional Cleaning Services Really Worth the Money?

14 Utilizing Bird Houses As A Learning Tool 15 Donating Tips to Lighten Your Load 16 Financial Strength Power of Attorney

18 Well Being

Stroke Does Not Discriminate

20 Acupuncture 21 Joint Pain? 23 Heart’s Desire Pg. 14

Pg. 11

Pg. 18

Pg. 23

Grand Living Magazine

May June 2012


Learning Curve

The All-New Salisbury Diagnostic & Breast Center Established in 1992, Salisbury Diagnostic and Breast Center is an innovative, patient focused, private facility specializing in Women’s Imaging. We have recently undergone some dramatic changes for you to see and experience! Our facility has been redesigned for women, by women with a personalized touch. Salisbury Diagnostic and Breast Center has created a warm, inviting setting with a crisp, new, modern waiting room. The facility is under the new management of Lori Smith, RT of RMS Sonography, Inc., and we have added a new supervising radiologist who specializes in women’s imagery and has received numerous awards for her expertise in the field. Salisbury Diagnostic and Breast Center provides mammograms, biopsies, osteoporosis screenings, stereotactic breast biopsies, sonograms, and vascular studies of arteries and veins. Results of your mammograms and sonograms are available to you within 30 minutes. If further testing or surgery is needed, you can be confident that you are in the hands of more than 70 years of unparalleled experience with Dr. John Bartkovich, Dr. Nicholas Dudas, Dr. David Sechler, and Dr. John Reilly. Through the affiliated facilities of Peninsula Surgical Group and Chesapeake Surgery Center, all of your information and care are able to come from the same sources for your treatment plan and follow-up care. As Dr. Bartkovich states, “There is no part of breast diagnostic and treatment care that we cannot provide.” Salisbury Diagnostic and Breast Center has made it our mission to transition our patients into the correct avenue of care as quickly and as worry free as possible. We provide the experience, technology, staff, and compassion to provide the best quality care on the Eastern Shore. We invite you to stop in and see us.


Grand Living Magazine

May June 2012

Learning Curve

Early Spring Means Longer Exposure Season for Tick-Borne Illness

According to Cornell University, Natural Resource Professor, Paul Curtis, 2012 maybe be a very bad year for ticks. “With the early spring, ticks are already active. The current mild winter weather does not cause a rise in the tick populations, however, it can change the tick behavior. Adult ticks, which are slightly larger than a seasame see, are normally dormant in winter. Ticks start to seek a host for a blood meal whenever temperatures are above freezing. With the early spring, ticks are out earlier than normal increasing the lenght of the exposure season. People should be especially aware when outdoors during May and June, for nymphal black-legged ticks. Nymphal ticks are often responsible for spreading Lyme disease to people. The disease can be debilitating to humans if undiagnosed, causing chronic fatigue, joint pain and neurological problems.” Lyme disease is the most common tick-borne illnes on the Lower Shore, however cases of Ehrlichiosis, Babesiosis and Rocky Mountain Spotted Fever have been reported.

Caring Hearts Inspire Volunteers and Local Projects The ShoreCAN Volunteer Center engages volunteers aged 50+ in our local community. Our volunteers are inspired to help others in a variety of ways and for a variety of reasons. Recently one local 50+ volunteer was awarded the Volunteer of the Year Award by the Community Foundation. The winner, Mrs. Mary Gladys Jones, is the founder of the Fruitland Community Center and has been the driving force behind it for 28 years. She was inspired by a kindness in her life. "There was someone once who did something for me, encouraged me, and I just feel like it’s my duty to give back as long as I can. That's what I enjoy doing, it's just such a blessing," Jones said. Similarly, another 50+ volunteer, Ms. Carol Steffy, is in the business of caring. After her mother passed away, Carol created a fund in her memory but wanted to get even more involved in her community. Carol now administers a care cart program at Deer’s Head Hospital. The care cart is stuffed full of books, magazines, gifts, and little rays of sunshine for patients at the hospital. This year we are looking for volunteers like Mary and Carol who want to make an impact in their community. Our volunteer center will be hosting a Volunteer Leadership Academy in May. This training series will give volunteers the tools they need to lead other volunteers in small service projects. These projects are expected to have high impact in causes such as homelessness, hunger, animal rescue, disaster recovery, environmental protection, etc. ShoreCAN staff will provide technical assistance and a small grant to each approved project, and completion dates will be by Make a Difference Day in October. Interested applicants will be encouraged to apply. Find out more about what you can do in your community by calling us at 410-742-9911 or by visiting

Grand Living Magazine

May June 2012


Salisbury’s Official Concierge to the Visitor,

Salisbury INSIDE

is currently looking for photographers!

Being a part of Inside Salisbury is a great way to get your work published! We are currently seeking images of Salisbury and the surrounding areas, including a cover shot! The cover must be of the utmost quality and reflect the heart and soul of the area. We are also seeking high quality two page spreads and images of local events. Full credit will be given for your work. All images submitted become the property of Inside Salisbury, with all rights to publication. Send high resolution digital images of at least 300 dpi to Photographers whose images are selected for use as cover or spreads will be notified in advance of publication. Spread images must be 8.75 x 23 at 300 dpi. Cover image 8.75 x 11.75 at 300 dpi. Like us on Facebook at Inside Salisbury for updates.


Grand Living Magazine

May June 2012

Grand Calendar

Mid May - Mid June, 2012

May 17

May 26

Parkinson Support Group

Prime Hook Shorebird & Horseshoe Crab Festival

FREE 3rd Wednesday every month at 2:30 p.m. Community Foundation of the Eastern Shore 410-749-8511

Prime Hook National Park All Day For more information:

June 10 - Shorebirds Pets in the Park

May 26

May 27

June 10

June 8

Spring Arts & Crafts Show

Clear Space Theatre “Little Shop of Horrors”

DU Model Search & Pets in the Park

Berlin Art Stroll

Roland E. Powell Convention Center

Main Street Berlin 5:00 p.m. - 8:00 p.m. More information at

Ocean City, MD Saturday 10:00 a.m. - 5 p.m. Sunday 10:00 a.m. - 4 p.m. For info call 410-213-0735

Rehoboth Beach Theatre of Arts Sunday 3:00 p.m. - 5:00 p.m. For other dates and times visit

June 8

June 9-10

June 12

June 12

Lunch ‘n Learn Long Term Care Insurance Seminar 12:30 p.m. Brandywine Senior Living at Fenwick Island 302-436-0808

Ocean City Air Show

Alzheimer’s Support 1:30 p.m. Brandywine Senior Living at Fenwick Island 302-436-0808

Alzheimer’s Support Group

June 13-17

June 14

Ocean City Shark Tournament

Parkinson Support Group

16th St. & The Boardwalk

Saturday 12 p.m. - 4 p.m. Sunday 12 p.m. - 4 p.m. For info call 800-626-2326

June 13-17 Ocean City Shark Tournament

2 p.m. - 5 p.m. Shorebirds Stadium Pre Register at

Ocean City Fishing Center Wednesday - Sunday All Day 1-800-626-2326

June 15

June 16

July 18

Delmarva Chicken Festival

22nd Annual Lewes Garden Tour

Purse Bingo

The Centre at Salisbury Friday 12:00 p.m. Saturday 12:00 p.m. For info call: 800-878-2449

Various Places around Lewes 10:00 a.m. - 4:00 p.m. For info call: 302-645-8037

FREE 2nd Tuesday every month at 1:30-2:30 p.m. 302-436-0808 RSVP the Friday before the meeting you wish to attend .

FREE 2nd Thursday every month at 1:30 p.m. The Woodlands Ocean Pines 410-208-9001

1:00 p.m. Brandywine Senior Living at Fenwick Island 302-436-0808

Grand Living Magazine

May June 2012


Peninsula Home Care Administers Chemo in the Home


or many cancer patients, the idea of making frequent treks to the hospital for chemotherapy treatment is daunting. Through a partnership with local hospital cancer treatment centers, Peninsula Home Care Chemotherapy Certified nurses, can now administer this sometimes debilitating treatment in the comfort of the patients’ home – a first on the Lower Shore. “Our nurses have earned the required certification to administer chemotherapy,” said Nancy Bagwell, Peninsula Home Care (PHC) branch director. “It is our goal to help each patient stay as relaxed as possible while receiving treatment. This can help provide a less stressful environment which can lead to greater recovery outcomes.” Chemotherapy is a mainstay cancer treatment designed to stop the growth of cancer cells. The process involves mixing sophisticated drug regimens and administering them either orally or via transfusion. Chemotherapy can have a wide range of side-effects including nausea, lethargy, depression, and hair loss. For many suffering from cancer, having to travel to and from the hospital for the treatment is highly stressful, causing anxiety as well as disrupting their everyday life. Thirty-seven year old Julie Littleton is fighting stage three colon cancer. She is a Peninsula Home Care patient who receives chemotherapy treatments in her home. “I go to the hospital every Friday for four hours, but then I receive the rest of the treatment at home over the weekend,” said Littleton. “It prevents me from having to spend three days a week in the hospital, and it is much more comfortable to be in my own home with my family when the chemo takes a toll on me.” From Hospital to Home: How the Partnership Works • After a doctor’s orders are completed, the patient may receive his or her first chemotherapy treatment at a cancer treatment center. • When the patient is discharged to the home, a Peninsula Home Care Chemotherapy Certified nurse will administer chemotherapy through a special pouch that is worn by the patient for 46 hours. • PHC nurses are available 24 hours a day to provide support to cancer patients with discomfort or illness, and to help manage any complications with the chemotherapy process. For more information visit Peninsula Home Care provides health care services, resources and “real world” therapy in the home. The home health staff provides and coordinates the care and/or therapy that a patients doctor orders. The home health staff develops a care plan that includes services to reach and maintain a patient’s physical, mental and social well being. Services include nursing, physical therapy, occupational therapy, speech language pathology and access to medical social workers and home health aides. Peninsula Home Care ensures that all patients are involved in their plan of care and strives to give them every opportunity to maintain their independence in the home. Peninsula Home Care has recently surpassed serving 30,000 patients and has been named to the “Home Health Care Elite” for the second consecutive year. The Home Health Care Elite, awarded by OCS Home Care, recognizes the top 25-percent of home health agencies based on performance measures in quality outcomes, quality improvement and financial performance.


Grand Living Magazine

May June 2012

Staying Healthy in the Home Chemotherapy is a “cytotoxic” medication, which means that it is poisonous to cells. When chemotherapy is given in the home setting, it is important to take precautions to protect both the patient and the family. The following tips will help people who live in a home where home chemotherapy is being administered: • Make a special work area for handling chemotherapy agents. Use soap and water to wash areas that come into contact with the medicine. • Store the medication in a sealed plastic container in a dry place. • Pre-wash soiled linens before placing the linen in the regular wash. • Wash reusable items, such as a bedpan or urinal, with soap and water every day and with each use. • Dispose of chemotherapy agents and all items used to mix the medicine in a secure biohazard bin or bag labeled “hazardous waste.” This includes opened capsule parts, gloves, and stirrers. • Keep people and pets away from all chemotherapy components. • Skin irritation may occur if chemotherapy comes into contact with your skin. If this happens, wash the area with soap and water, then dry. Call your doctor if a redness or irritation lasts longer than one hour. • If the chemotherapy splashes into your eyes, flush them out immediately with water for 10 to 15 minutes and call your doctor.

by Polly Elliott

The Grand Life

Baby Boomer

Dress Code

H H wear? It's an age-old question. Or is what we wear relative to our age? Or the age? Back in the '70s, during the “denim” revolution, jeans and a tee shirt became a casual standard of dress. Forty years later it's a look that has never gone out of style. It even has a place in the professional world, such as jeans and a polo shirt for "casual Friday." The concept hasn't changed, but the jeans have. The modern look, for today’s youth are a low-slung jean that just covers the most critical anatomy. In comparison, the higher waist versions, or “old school” jeans, are now called "mom jeans." So, what to wear? Totally toned bodies are "in," and it doesn't matter the age. If eating well and exercise are the secret to the fountain of youth, it's certainly key to looking good in your clothes. If you’re not yet a member of the growing “fit” Nation, here are a few tips for dressing during your transition. Ladies should shop for tailored outfits which set off your best features, without flaunting them. Well- fitting clothes, including jeans and a tee, will look pulled together without looking "old," when they fit properly. Pay attention to the plunging necklines. They are perceived as “sexy” for the younger woman, and today, often a bit revealing for the boomer. To minimize that deep plunge, add a camisole for a feminine look to soften the neckline. Yes, you’re revealing your underwear, but it's acceptable today and it doesn't scream "cougar" like the exposed décolletage. Use care when choosing short sleeve shirts. "Granny arms" aren’t flattering on an aging body. Until your biceps become more firm, avoid sleeveless shirts and cap sleeves. Still like the comfort of a tank? Pair it with an open blouse for a more finished look. Yes guys, all this applies to you too. Many of the fit young men look just great in those skinny jeans and even if you are fit, they just aren’t age appropriate for you anymore. The mature man looks great in a pair of Classic Levi’s. They offer just enough flow for a relaxed look, yet crisp enough to fit most any body style and still send the correct message. As for dressing the upper man, you can always get away with a polo, shirt or tee shirt at any age. Just remember that if you pull out that old rock-n-roll tee and it’s not a current reproduction graphic one, you just dated yourself. Mature men seem to struggle most in the midriff area. No one wants to see your belly, so be sure your shirts are long enough. Loose fitting button-up shirts offer a well-dressed look in this instance. Just be sure to heed the word “loose.” Even a box cut, button-up shirt looks less than desirable if it’s tight across the belly. Keep in mind that this is only a temporary problem, if you are dedicated to a quality diet and exercise program. The more youthful body will follow. Shoes can pull any outfit together. As we age, shoe selection doesn’t impact perception as much. Sneakers are sneakers and casual shoes, such as boating shoes, loafers, etc… will be what they are at any age. I recently saw an older gentleman in a pair of black and white checked Vans, and he pulled it off. He wore a pair of Classic Levis, a crisp white button-up shirt. I think carrying a small part of his youth, in his apparel lended to the younger version of himself. After all, isn’t that what we are all after? GLM Grand Living Magazine

May June 2012


Home & Hearth

Cleaning Services : Really Worth the Money? by Marie Nottingham


long exhausting work day has come to a close. You stop on the way home, grab a gallon of milk, maybe some Chinese food, and when you open the door to your abode. Everything is neat and tidy and the house smells fresh and clean. What a bright spot at the end of the day! In today's world, more than ever, the home is a haven from the reality of the work world. Coming home to a clean home is no longer a luxury but a mental necessity. There was a time when having a housekeeping service was only for the rich. Today, housekeeping services have a place in the middle-class home. Because of the rising demand for cleaning services, prices have dropped considerably from the past. Professionals offer a variety of services, from seasonal cleaning to weekly services. There are basic cleaning services that include dusting, vacuuming, etc. Then add on services like linen changing, refrigerator clean up, and many services will even clean windows to keep your home sparkling year ‘round. In the 1950's, June Cleaver had all day to clean and prepare a family meal. Today, the modern woman works at least a fortyhour week, and if she has to come home to more work in the house, it takes a toll on everyone. Having a professional cleaning service for today’s busy household is a must! Moved to the beach to retire? Then enjoy the beach and hire a cleaning service.

Why Be Here?

With a shift in this country to healthy living, having a clean home plays a part in the overall plan. It’s not completely about diet and excercise; we need to live in quality home/work environments. Unclean homes breed germs, mold, etc. With regular, routine cleaning, allergens and germs are often minimized. Professionals don’t just push the dust around. The pros are informed in proper care of various home building materials like Corian, fiberglass and fine woods. You can trust they will care for your home in the best way, with the appropiate cleaning products for the job. Professionals will also clean the corners, paddle fans and baseboards, where allergens can hide. When you’re looking for a service, interview several. Discuss the areas to be cleaned and expectations. If you have allergies to cleaning agents, discuss those before hiring a service. Many offer “green” solutions and are happy to explore your individual needs. Your estimate will be more precise, if everyone knows your objectives. Are you looking for a weekly service or someone to just “spring clean?” Planning a party? Need and extra cleaning before out-of-town guests arrive? Your needs may change over time. If so, speak with your service so they can help. Today’s professional cleaning services can play a valuable part in your over-all health plan. A healthier home environment and less stress at the end of the day. Are they worth your money? Absolutely! GLM

When You Could Be Here? L L C

A Residential & Commercial

Cleaning Company

Call today for your FREE in home estimate


Serving the beach communities of Bethany, Rehoboth, Lewes, & Fenwick Island since 2003


Grand Living Magazine

May June 2012

Home and Hearth Adult Adult Day Day Program Program & & Alzheimer’s Alzheimer’s Program Program When illness or disability occurs, Easter Seals can help. When illness or disability occurs, Easter Seals can help. Our Adult Day program provides a safe, secure and active environment for your loved Our Adult Day program provides a safe, secure and active environment for your loved one, while allowing you to rest, work or take care of other needs. one, while allowing you to rest, work or take care of other needs.

• • • •

• Alzheimer’s respite each Wednesday • Alzheimer’s respite each Wednesday Continue to live at home • Transportation and meal provided Continue to live at home Transportation and meal provided Affordable compared to other options • • Flexible schedules Affordable compared to other options • Flexible schedules

Due to the recent expansion of our Georgetown facility, we now Due to the recent expansion of our Georgetown facility, we now have room for more people in our Adult Day program! have room for more people in our Adult Day program! Call NOW to reserve your space! Call NOW to reserve your space!


Grand Living Magazine

May June 2012

by Bob Perry


Utilizing Bird Houses As A Educational Tool

lot of people are lucky enough to look at birds from a porch. If you have a porch along with a spot to hang a bird house, then purchasing bird house kits may be for you. Placing one so near the residence may give you hours of enjoyment. Bird house kits are entertaining and economical. They are typically so simple to create that a youngster is able to do it.


Grand Living Magazine

May June 2012

If your plan is to build a house for a particular bird species to nest in, you need to do a little research. Different species of birds have different wants and desires in the house they choose to reside in. Planning ahead will increase your chances of having that particular bird take up residence. Getting your grandchild to help you with the planning is informative and enjoyable. The excitement on their face after they know just what the bird eats and what kind of house it lives in is unforgettable. Now the project takes on a whole different dynamic. Consider the next stage and make the bird house yourself. They are really easy to make and children love the process. Bird house kits can be overly easy to make and the project is done too quickly. Creating from scratch will educate the youngster on some fundamental woodworking techniques like the way to cut and measure. It is always much more special to enjoy something built from the bottom up. If you deciede to build your own bird house there are a lot of no cost designs available on the internet. Reviewing several designs offers you a good idea of which bird house you wish to build. My only objection to the free plans might be that they are cost free for a reason. On occasion you get what you pay for. The essential traits of a bird house is are comprised of good ventilation and drain openings. Often the top overhangs the sidewalls to make sure that rainwater doesn't get in to the house. It’s also typical for ventilation holes to be drilled at the very top of the walls where the top overhangs. Drainage openings in the base are crucial to be sure that waste and liquids drain. If you do purchase a kit make certain that most of these attributes are part of the plan. You can convert this whole operation into a family project. Everyone will gain knowledge of something new and it'll bring you closer together. The indisputable fact that your grandchild knows that you care about nature will be sure to make a giant impression in their life. They are going to certainly care about nature and they'll know a lot more about birds. Even if you choose a bird house kit, or perhaps make own, you will feel a sense of pride and satisfaction after you have hung it in your tree. When the house actually becomes utilized, the grandkids will just be thrilled to see your project come to life! GLM

Donating Tips to Lighten Your Load by Lou Ann Hill-Davis For the past two years, I’ve been urging and directing you to de-clutter and get organized. Throughout this purging process, you, no doubt, have found many items which you no longer use or need, but they are still in great condition. Rather than throwing these items away, you can consider donating them and even using the receipt as a tax-deductible donation. Listed below are suggestions on where to donate and what is typically needed. Don’t hesitate to ask the organization if they could use additional items not listed below, and then keep this in mind the next time the de-cluttering bug bites. Salvation Army: Accepts a wide variety of items ranging from clothing to household goods and furniture. (www.salvationarmy. org) GoodWill: Also accepts a wide range of items, as well as holiday decorations throughout the year. ( Libraries: Accepts books. Churches: Craft materials (i.e. yarn, fabric, ribbon, etc.), T.V.’s (all types and sizes), VCR’s and DVD players (for Sunday School use), gently-used toys. Women’s Shelters: Accepts towels, bedding, household goods, children’s clothing and professional attire for women for job-hunting purposes. USO: Accepts board games, books, CAREpackage items, including travel-size toiletries, juice boxes and snacks for our troops shipping out and returning from overseas. Donations are always welcome, and you can also donate your time! ( (in conjunction with Vietnam Veterans of America): Accepts appliances, household items, clothes and shoes. These items generate funds to take care of soldiers and service men and women who help keep America safe from harm, as does the USO. ( Note: This organization is still growing, and may not be servicing the state you live in quite yet. This site truly shows that “one person’s trash is another person’s treasure.”’s mission statement is “Changing the world one gift at a time.” Log on and follow the prompts to your geographical area. (

3rd Annual

Cast Away Cancer Fishing Tournament Saturday, June 30, 2012

Fish for a good cause, win $$$$, & help support your local community friends & neighbors in need.

For more information, contact

Chris 443-477-0520 or Jeanette 410-873-3354

Love Your pharmacy... Discover the Eastern Shore Pharmacy difference! Exceptional Fast, Friendly Service

Across from PRMC, on the corner of Eastern Shore Dr. & Carroll St.


Grand Living Magazine

May June 2012


Power of Attorney by James W. Respess, Esq., RFC


“Power of Attorney.� We see and hear that all the time, but what is it? Better yet, what it is used for and when? I will try to answer these questions by using their many names and parts. There are several instruments used to authorize another to use your authority, or to maintain control, even after yours has been lost.

Limited or Special Power: This is used to authorize someone, other than yourself, to do something that you could do if you were present, for instance, sell property which you own. A common example is when a person has been transferred and the spouse is left behind to sell the home and wrap up the details of relocating. Both

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Grand Living Magazine

May June 2012

General Power of Attorney: This is very much like a Limited or Special Power, except it is not limited to specific property, but to control over all property not specifically eliminated. It is also effective until the Principal Cancels or Revokes it. Durable General Power of Attorney: Normally the one appointed as a Power of Attorney can only act when and if the Principal cannot act. However, it is necessary to give the POA authority, even if the Principal is no longer competent to act on his or her own. The Durable part extends the Power on or after the Principal has become incompetent for one reason or other. It will, however, expire when the Principal dies. No Power given in a so called Power of Attorney survives death of the Principal. Health Care Power of Attorney; Advance Health Care Directive or Living Will: These are referred to by some as one and the same thing, however, there are some distinctions, usually do to the draftsman, not the name of the document. Pay close attention to the contents and agree to each phrase. This is how you control your destiny even when you can not actually control it. These documents or instruments can be used separately, or in

some cases in conjunction with each other. I prefer the Advance Health Care Directive. It is usually in more detail and authorizes care as well as directions on when and under what circumstances to “stop treatment.” These are very helpful to loved ones and to the medical profession, since they all have clear directions on what the Principal wants and requires. You can put your instructions on body parts to be donated, or not, and if so, how and what. Revocable Living Trust: This is a document used in Estate Planning, to control and manage the property during one’s lifetime, and to give clear directions on what happens to what is left behind at death. This is so you can give as much as you want to whom you want and when you want. That trust can stay in effect for 90 years, if necessary, to carry out your wishes. This is how you can control your property long after you are gone. This will avoid major Probate and will control when property passes to minors. Just think about what would happen without a Trust, the child would get the property at age 18. How destructive would that be? GLM

Financial Strength

names are usually on the properties, and to sell requires two signatures. The absent one gives a Power of Attorney authorizing the other to sign his or her name to all of the necessary documents. Once this is accomplished, the authority in the Power of Attorney ceases.

James Respess is a practicing attorney in Salisbury, Maryland and limits his practice to Elder Care, Veterans Benefits, Estate and Business Planning. He can be reached at 443-736-7523 or

Shane Kelley at 410-968-1022

Grand Living Magazine

May June 2012


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Prevention Through Technology and Risk Modification Crucial to Stopping Stroke from Striking


by Betsy van Die

troke does not discriminate; it can strike anyone, anytime, anywhere – all races – infants and older adults – you and me – celebrities. Dick Clark, Bob Barker, Candice Bergen, Peter Boyle, Tedy Bruschi, James Cagney, Charlie Daniels, Kirk Douglas, James Garner, Hugh Hefner, Burt Lancaster, and Samantha Morton are among the famous people who survived a stroke. Joe Biden, Terri Garr, Quincy Jones, Bret Michaels, Patricia Neal, Della Reese, Sharon Stone, and Neil Young all survived a cerebral aneurysm or hemorrhagic stroke. With 795,000 stroke cases a year in the U.S., chances are you know somebody that has suffered a stroke – a loved one, friend, neighbor, colleague, or your favorite celebrity. Some risk factors are controllable, and if modified will result in a significant decrease in the incidence of stroke according to the Dr. Jeffrey Thomas Stroke Shield Foundation (SSF). “While age, race, and family history cannot be altered, most stroke risk factors can be modified or treated medically. Many stroke risk factors increase the probability of developing a host of other serious diseases including cancer, heart disease, and type 2 diabetes, adding to the grave socioeconomic and personal health burden placed on society,” said Jeffrey E. Thomas, M.D., F.A.A.N.S., F.A.C.S., founder and chairman of SSF. Technology Against Stroke “Great strides have been made in minimally invasive treatment of stroke through endovascular interventions, but little progress has been made in prevention,” said Dr. Thomas. Scalable digital technologies utilizing iPhone and other platforms need to be developed and made widely accessible/affordable to help prevent stroke. The apps would incorporate technology to enable the analysis and ongoing modification of stroke risk factors in high-risk individuals. Ultimately, the SSF aims to minimize the necessity for emergency intervention through its grant program that will fund awards to researchers working on promising, cutting-edge stroke prevention modalities.

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Stroke Does Not Discriminate

Affiliate of Peninsula Surgical Group

May June 2012

Stroke Symptoms The range and severity of early stroke symptoms vary considerably, but they share the common characteristic of being sudden. Warning signs may include some or all of the following symptoms: Dizziness, nausea, or vomiting; unusually severe headache; confusion, disorientation or memory loss; numbness, weakness in an arm, leg or the face, especially on one side; abnormal or slurred speech; difficulty with comprehension; loss of vision or difficulty seeing; and loss of balance, coordination, or the ability to walk. Controllable Stroke Risk Factors Diabetes: The disease affects 25.8 million people of all ages or 8.3 percent of the U.S. population. Of those, a staggering 7 million cases are undiagnosed and therefore untreated, leading to a myriad

Well Being

of health implications. While type 1 diabetes (juvenile or early adult onset) is not preventable, studies estimate that 58-71 percent of type 2 diabetes can be prevented through lifestyle intervention. Obesity: More than one-third of U.S. adults (35.7 percent) and an estimated 17 percent of children/adolescents ages 2-19 years are obese, equating to about 86 million obsese people based on 2011 U.S. census population estimates. Hypertension: An estimated 76.4 million people age 20 and older have high blood pressure and according to 2005-2008 data, more than 52 percent of cases are uncontrolled. According to 2010 mortality data, 26,577 deaths were attributed to essential hypertension. Cigarette/Tobacco smoking: The leading cause of preventable death in the U.S., an estimated 19.3 percent or 45.3 million adults smoke cigarettes. Cigarette smokers have double the risk of stroke as non-smokers and cigar/pipe smokers have a 30 percent increased risk. Alcohol: While studies are not conclusive, most healthcare professionals agree that drinking more than one to two drinks everyday can increase stroke risk. Statistics indicate that nearly 1 out of 4 Americans admitted to hospitals have alcohol problems or are undiagnosed alcoholics. Heart disease (atrial fibrillation, valve disease): Heart disease is the number one leading cause of death in the U.S. People with atrial fibrillation have a five-fold increase of stroke risk, with about 35 percent of all Afib patients suffering a stroke during their lifetime. In 2005, an estimated 5.2 million adults in the U.S. were diagnosed with aortic valve disease. Hyperlipidemia (elevated cholesterol levels): About one in every six adults or 16.3 percent of the U.S. adult population has high total cholesterol. Previous stroke: Of the 795,000 annual cases, 185,000 are recurrent attacks. Experiencing a previous stroke is a very serious indicator and puts one at a heightened risk of suffering a subsequent attack.



Stroke Shield Foundation (SSF) Prevention Tips: • If you have diabetes, control your blood glucose, cholesterol levels, and blood pressure • Modify your diet and participate in regular exercise. under medical supervision if you are severely overweight • Control hypertension through sodium reduction, diet modification, stress reduction, exercise, and/or medication • Quit smoking and limit alcohol intake • If you have been diagnosed with atrial fibrillation or valve disease, control it through medication, regular monitoring, and surgery if warranted • Control your cholesterol levels through diet modification and/or medication • Know the warning signs of stroke and call 911 immediately if stroke is suspected. For more information on Technology Against Stroke, visit the SSF website at and Facebook page at GLM Grand Living Magazine

May June 2012


Acupuncture by Mark Stoehr, MAC, LAC


cupuncture is one modality of the Chinese Medical system. Acupuncture consists of the insertion of fine, sterile needles into the skin. These needles are placed in the body where the electrical nerve impulses run high. Acupuncture has a long history of effectiveness, and it became well known in the U.S. when President Nixon was introduced to it in 1972, during a trip to China. During his stay, the President witnessed a New York Times journalist, James Reston, undergo an emergency appendectomy with acupuncture used as the anesthetic. The first book of acupuncture was the NEI CHING SU WEN, written in 200 B.C., and research suggests acupuncture existed long before this time period. Some theories suggest the use of acupuncture began when injured soldiers accidentally applied pressure to their bodies, their pain and injuries improved. Early on, primitive tools such as sharp stones and bamboo were utilized to penetrate into acupuncture points. Fish bones were later used before methods were developed to construct metal needles. Today, acupuncturists use high tech, ultra fine, sterile, single use, disposable needles, many of which are silicone coated for extreme ease when inserting. These new generation of needles are virtuously painless when inserted into the skin. There are many theories about the mechanism behind acupuncture’s incredible effectiveness. Scientific studies have proven that acupuncture stimulates several different neurotransmitters (brain chemicals) which block pain, stimulate healing, improve immunity and decrease stress. The needles placed into certain areas of the body literally stimulate the body to create its own pain killers. In addition, acupuncture needles inserted at areas of pain or injury are able to increase blood flow and, 20 Grand Living Magazine May June 2012

by causing micro trauma, can actually stimulate the production of collagen. In addition, acupuncture can also reduce inflammation. The ancient Chinese theory behind acupuncture is based on the principle of meridians and Qi (vital life force). The acupuncture meridians flow along the extremities and through 12 main organs of the body. When the energy or Qi is obstructed negative side effects may occur. Qi can be thought of as the thing that separates life from death. A live body has an energetic charge and a dead body does not. For example, if there is a Qi blockage in the large intestine meridian, this blockage may lead to constipation. By inserting needles into the large intestine meridian on the arm, the Qi blockage is released and the patient gets relief from constipation. Think about the analogy of a kink in a garden hose. This kink obstructs the flow of water and prevents nourishment to plants and grass. Eventually the plants and grass die because their vital life force (water) never reaches them due to of the kink. Undoing the kink nourishes the plants and grass. Acupuncture can benefit many ailments. The National Institutes of Health and World Health Organization recognize acupuncture as an effective tool for many conditions including but not limited to allergies, depression, headaches, hypertension, knee pain, lower back pain, nausea and vomiting, neck pain, dental pain, insomnia, arthritis, postoperative pain, sciatica, menopausal concerns, adverse reactions to chemotherapy and radiation. In China and other eastern Asian countries, acupuncture is a major aspect of the medical system. If one were to go into a Chinese hospital for any ailment, acupuncture could potentially be offered to treat the condition. This includes urgent care and chronic problems. One of the more common conditions seen by acupuncturists is lower back pain. The acupuncturist will address this problem by inserting needles locally into the back to stimulate blood flow, reduce inflammation and release trigger points. The practitioner will also insert needles into the arms and legs to remove any obstructions in the meridians going to the low back. 95% of patients are completely relieved of symptoms. In more difficult cases acupuncturist may also prescribe herbal medicines to help relieve pain. Although acupuncture is primarily recognized as a treatment for pain, it is extremely beneficial in preventing disease. Patients receiving regular acupuncture treatments report decreased stress, increased immunity, more resilience, decreased appetite and a more positive outlook on life. In addition, acupuncture addresses the body, mind and spirit, and views the person as a “whole” instead of focusing on only the symptom. The goal is to treat the ENTIRE patient and bring balance to their body, mind and spirit. Once balance is achieved, symptoms tend to subside. Even if someone doesn’t have a “medical problem,” acupuncture is still a tremendously important component to keeping one balanced and healthy. Consider acupuncture as an alternative to managing your health and the health of your family and loved ones. GLM Mark Stoehr earned a BS degree of University of Maryland College Park and a Masters Degree in Acupuncture from Tai Sophia Institute. He has a private practice in North Ocean City on 142nd Street and West Ocean City next to OC Organics. Mr. Stoehr is also a faculty member at Tai Sophia Institute and has been a guest lecturer at University of Maryland Medical School, Salisbury University and Howard Community College. Mark can be reached at (410) 707-1540, mastoehr@ and

Joint Pain?

by Michelle White, RN, BSN, Director SSU, and Nursing Director of the Nanticoke Orthopaedic Unit


oint pain, tenderness, stiffness, and decreased flexibility can be signs you don’t want to ignore. These symptoms can hinder your quality of daily living. And if you are over 40, have had previous joint or stress injuries, or are overweight, you might want to consider making an appointment to see an orthopaedic physician. When joint pain is severe, doctors will often suggest joint replacement surgery. In a total knee replacement, the cartilage is replaced with an artificial surface. The knee itself is not replaced, as many people think. An artificial substitute for the cartilage is inserted on the ends of the bones. Results have shown that 9598% of patients achieve good to excellent outcomes with relief of pain and significantly increased activity and mobility. Orthopaedic & Rehabilitation Services at Nanticoke Memorial Hospital offers arthroscopic surgery, fracture care, cartilage transplant and total joint replacement. Their goal is to restore independence and quality of daily living while providing the best care possible. Through the collaboration of our team experts we are able to provide personalized care, measure results and provide better outcomes. Services are truly focused on the patient throughout the entire experience. This is done through a plan Nanticoke Memorial Hospital calls the Nanticoke Joint Camp. “Joint Camp” is a team approach involving the patient, their family members, surgeons, nurses, case managers, and physical and occupational therapists. Joint Camp involves: • Education • Therapy • Nursing Staff, Surgeons, and Therapists Working Cohesively with Patient and Coach • An Energized & Positive Environment • Group Activities The Camp is structured using a four-day postsurgical schedule beginning the day of surgery. The camaraderie among patients and their families during group therapy promotes support for one another as well as becomes a motivational factor. Patients are up, dressed and in group therapy the first day post-operative. The constant therapy the patients receive is what makes the difference in their recovery time. The goal for Nanticoke’s “Joint Camp” is to decrease our length of stay and increase the number of patients being discharged home versus a short-term rehabilitation center. Joint Camp is a very intense program based on the ability of patients to improve their own rehabilitation when they are put in a group setting. The

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Grand Living Magazine

May June 2012


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“Thank you to the Grand Living readers, for voting me a Preferred Doc. It’s always our pleasure to serve you at 21st Century Oncology.” -Dr. Vincenzo DeMasi

Vincenzo DeMasi, M.D.

Delmarva’s Cancer Specialists Salisbury 410-543-1943 Berlin 410-641-0277

Manoj Jain, M.D.


Grand Living Magazine

May June 2012

camaraderie among patients and their families during group therapy promotes support for one another and becomes a motivational factor. Group therapy allows for a little “friendly competition” combined with encouraging words and enthusiasm from others going through the same process. Family is greatly involved and is a part of our group therapy. A few weeks prior to surgery, there is a twohour class with the entire Orthopedic Team. This class provides a wealth of information regarding the entire process from the day of surgery to three months after surgery. The class has been found to decrease anxiety and allows patients to focus on recovery. The “Joint Camp” develops an atmosphere conducive to healing and encouragement rather than an environment of sickness. These patients are not sick; they elected to have a joint replaced to improve their activities of daily living. The program is filled with education and therapy requiring nursing, surgeons, and therapist all working very cohesively. It is an energized and positive environment to motivate patients during their recovery. We have several group activities planned for the patients to make the rehabilitation a great experience. For more information about Nanticoke’s Joint Camp, call 302-629-6611x5105 or go to www. GLM

Heart’s Desire

from “Grand Living” Readers

We all have a list of things to do in our lifetime. The list often begins in our childhood. Things like college, marriage, children, and home building, take center stage. There are many other things that make your “list of a lifetime.” Consider adding some of the suggestions below, because you’re only as old as you think you are! Send your “Heart’s Desire” for an upcoming issue, to or call us at 410-726-7334.

“Go big game hunting.” J. Phillips - Age 54 - Bishopville, MD

“To see Vatican City.” F. Armstrong - Age 52 - Ocean Pines, MD

“Travel to all 50 states.” C. Hale - Age 51- Frankford, DE

“Learn to play the piano.” R. Fisher - Age 48 - Pocomoke, MD

Grand Living Magazine

May June 2012


Grand Living Magazine May June 2012  

Delmarva's Premier 50+ Magazine

Grand Living Magazine May June 2012  

Delmarva's Premier 50+ Magazine