Coming of Age Issue 8: Navigating Post COVID-19

ISSUE 8| OCTOBER 2020

HELPING SENIORS NAVIGATE COVID

Understanding the Impact

For a new era

PET THERAPY FOR THE ELDERLY It really works

THE FAMILY AND THE FACILITY THAT WESTCHESTER HAS TRUSTED FOR NEARLY 40 YEARS WHEN IT COMES TIME TO FACE LIFE’S MOST DIFFICULT MOMENTS. FAMILIES HAVE TRAVELED THE EXTRA MILE TO CALL UPON US, KNOWING FULL WELL WE WILL DO THE SAME FOR THEM.

767 E. Boston Post Road Mamaroneck, NY 10543 (914) 698-5968

134 Hamilton Avenue Greenwich, CT 06830 (203) 869-5968

A

s I write this final editor’s note of 2020 I find myself not knowing where to begin. This has been a year of unprecedented hardship, sadness, illness and loss. The year we are saying goodbye to is not the one we excitedly rang in. Who could have imagined the landscape that defined the year 2020? And how can we imagine the long-term effects that will be carried forth into the coming year(s)?

On a personal level, 2020 will forever be remembered as a dark and sorrowful year for my family.

Our mother, Ann Marie, received a fateful diagnosis of cancer in the spring and by summer had succumbed to her battle. A family of funeral directors, who dedicated their life to helping others prepare for the end, now found ourselves paralyzed with grief. Shock, sorrow and sadness overtook us and suddenly, the comforting words we relayed to so many over the years seemed meaningless. Walking on the other side of grief is a path you

In Loving Memory...

Ann Marie, Mom, Mimzy

know you’ll travel someday as a funeral director. Somewhere in the faded distance of your mind there is always the contemplation of your own mortality and that of those you love. Still, you never expect it to happen, nor are your more “ready” as a funeral director. Your instincts to plan, anticipate, comfort and console don’t automatically kick in when you’re the bereaved. Death humbles you, indeed. It is a reminder that no one escapes the pain of loss in life, not even the ones whose life work is the “business” of grief.

EDITOR'S NOTE your loved ones will feel upon your passing. It’s simply a pain for which we cannot prepare.

As we leave 2020 and voyage into the unknown, all of us enter as vulnerable beings in an unfamiliar world. Whether you lost someone to COVID or cancer, whether you lost a job, Speaking for my father, brother a relationship, or your ability to and myself, there is no pain more interact in real time and not raw, real and anguishing than just virtually, all of us are losing our wife and mother. No forever changed. How we matter what you do to brace navigate the new landscape is yourself for impact, nothing will yet to be seen, but we carry life cushion the fall. The logical side of lessons from this dreadful year your brain may anticipate the as we go forward. death of a terminally ill loved one, Collectively, we leave this year but that other part of you holds on in the hopes of a better one to to hope with every fiber of your come. Personally, we leave this being. year sadly knowing we leave In recent months, I’ve recalled the our matriarch in its aftermath. countless articles I've written or There is no real comfort, but lectures given about some help in knowing she is pre-planning funerals. resting in her Heavenly life, Oh, the wisdom, I and the love we shared is thought in planning immortal.

Our family ahead so that your understands loss in a new way, family is "ready" when and we’ll strive harder to help you pass. So now I offer you and yours. a confession, no amount With warm and sincere wishes of planning can prepare for a better year ahead for us your loved ones to say all. goodbye. While I still hold true to the logic that making your wishes known is a good thing, no level of preparedness can avoid the sorrow

n e J

COMING OF AGE | 02

COMING OF AGE

CONTENTS 5 Three Ways to Advocate For a Hospitalized Patient

9 Pet Therapy Benefits

24-25 Embrace Your Age

Gluten Free Eggnog & more pp. 7 & 8

How to love the skin you’re in during menopause

2 EDITOR'S NOTE: Jennifer Graziano

9 Helping Seniors Navigate COVID What's the impact on this vulnerable population 11 Tips and Advice for the Grieving Important information for dealing with loss 28 A gift during this time of Covid How journaling can get you through 26 Business Advice post COVID Helping businesses stay afloat

Editor: Jennifer Graziano Contributing Authors: Salvatore DiCostanzo, esq.

Terri Agliardo Erin Mulqueen Galyean Richard Sgaglio Jennifer Graziano Jennifer Lanser ChrisAnn Sepkowski Dr. Kim Nichols Lori Contadino

21 -22 Checklist to prepare and protect for another outbreak

03

15-18 Advice from a SuperLawyer and why the new look back period makes planning necessary.

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Publisher: Jennifer Lanser JL Harbrook Copyright Š 2020 All rights reserved. No part of this publication including but not limited text and photographs may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the publisher. For permission requests write to the publisher addressed.

The reality of having a loved one hospitalized is hard enough. Being told you cannot visit them is horrifying. No one should have to endure limited or zero access to their seriously ill loved one. Unfortunately, today this is our reality.

So how do you advocate for a hospitalized patient when you can't physically be there?

Using my industry knowledge as well as the advice of a few healthcare professionals, here are three tips that will help while trying to navigate these unchartered times.

3 WAYS TO ADVOCATE FOR A HOSPITALIZED PATIENT DURING COVID-19 Head Nurse

BY ERIN MULQUEEN GALYEAN

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2 05

Request regular check-in calls with some of the key players (Note: getting a hold of someone may not be an easy task – be persistent!). This highlighted list on the left names some of these individuals.

Elect one person to handle all key phone conversations. This helps advocates to move forward versus continually having repeated conversations. Choose someone who is calm but assertive to be the

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My insights won't change the fact that you can't see your loved ones. But, at least, you'll have ideas on how to proactively advocate for them while hospitalized.

This person runs the hospital unit/floor where your loved one is staying.

Hospital Case Manager This person is different than the Head Nurse.

They coordinate the patient's total care while in the hospital including Physical Therapists, Dietitians, Physicians, etc.

Palliative Care Team They can manage the patient's pain meds and are trained to deal with the psychological ramifications of a serious illness.

Hospitalist This is the doctor who takes care of patients in the hospital. There are several who will monitor your loved one's care during their stay.

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voice of the patient. They should come prepared with a list of key questions. This will help to keep the conversation focused on what's most important. As a team, brainstorm on what you need to know in order to better support your loved one.

Request video calls. Ask the medical staff if they are willing to do video calls (they may not due to HIPAA laws, but it is worth asking).

Seeing someone's face is always more telling and personable. If they don't have their own video call account, sign up for a FREE one (ie.

Zoom, Skype, Facetime). Log onto the call 30 minutes prior.

Even if you are comfortable with video calls, technical issues happen. Logging on early will allow you to troubleshoot and not waste time. You can always grab a coffee or snack while waiting for the medical professional to join on the call I hope this helps you to be a Badass Advocate during such a difficult time. You got this!

About the Author: Erin spent two decades honing her communication and interpersonal skills in the corporate sector. As a professional trainer, author, and public speaker, Erin is passionate about inspiring and encouraging others to live the life they truly desire. Daily, she equips sales professionals with the skills needed to better communicate and connect with healthcare providers and mentors a small group of toprated sales trainers. Erin’s favorite training workshops are those that focus on developing relational skills like emotional intelligence, advanced communication, and leadership.

Erin lost her father in 1997 to Non-Hodgkin's Lymphoma and her sister Meghan in 2018 to a rare lung disease. These heartbreaking life events taught her how to effectively advocate for a a patient. The most recent loss of her sister led her to a vision of helping others powerfully advocate for the patient in their life.

COMING OF AGE | 06

Healthy Pecan Crescent Cookies

by Chris Ann Sepkowski, Certified Holistic Health and Wellness Coach

The Ingredients (~ 2 dozen cookies) 2 cups finely ground almond flour 6 Tablespoons softened organic butter or vegan butter 6 Tablespoons confectioner’s sugar (extra on the side for dusting) 1 teaspoon pure vanilla extract ¼ teaspoon salt 2/3 cup finely chopped pecan or walnuts (nuts optional)

1. Preheat oven 325* 2. Line a baking sheet with parchment paper.

3. In a bowl, mix together almond flour, softened butter, confectioner’s sugar, pure vanilla extract and salt until a soft dough forms. Add in chopped pecans or walnuts if desired.

4. Form Tablespoons of dough into crescent shapes or roll into balls and place on a baking sheet about an inch apart.

5. Bake cookies for about 20 minutes or until

Be Well with Chris Ann, Inc. (914) 715-8576 bewellwithchrisann@gmail.com

they begin to turn light golden brown.

6. Remove baking sheet from the oven to cool for about 15 minutes.

7. In a small bowl, put some extra confectioner’s sugar (about 4 TBLPNS) and roll each cookie carefully until fully coated. Let cookies continue to cool.

8. Store any leftover cookies in the refrigerator up to a week or freeze for a month.

Sofiahealth.com/viewpractitioner/ChrisAnn_Sepkowski_175

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Healthy Gluten Free Vegan Holiday Eggnog The Ingredients 3 cups non dairy milk (coconut, almond, cashew, or oat) 1 14 oz can full fat organic coconut milk 5 Tablespoons pure maple syrup 1 teaspoon ground cinnamon (extra to taste and garnish) ½ teaspoon ground nutmeg (extra to taste) 1 teaspoon pure vanilla extract Optional 1 ounce (per 8 oz serving) of bourbon or dark rum Non dairy coconut whipped cream (usually sold in freezer section) Cinnamon or nutmeg to garnish each glass

1. In a blender, add the non dairy milk,

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ou y e p ho

wo t e s e th y o j en s! e p i c e r nn A is r h -C

canned coconut milk, pure maple syrup, cinnamon, nutmeg and pure vanilla extract.

2. Blend on high until smooth, frothy and creamy about 2 minutes.

3. Taste and add more spices or syrup if desired.

4. Pour in a glass ž full, add bourbon or rum if desired and add a dollop of coconut whipped cream to the top.

5. Sprinkle cinnamon or nutmeg to the top 6. *Can be served warm as well. Heat and pour into a mug and follow instructions above.

7. Store leftovers in refrigerator for 5 days or freeze into ice cube trays for up to a month.. Shake before serving.

COMING OF AGE | 08

THE BENEFITS OF PETS FOR OLDER ADULTS

BY RICHARD SGAGLIO FROM THE OSBORN Pets can warm our hearts and enrich our lives. This can be especially true for older adults who sometimes feel isolated and alone. This has never been more apparent than throughout the 2020 public health crisis. Many of us have found comfort through our pets during these uncertain times. In a period where things seemed out of control in so many ways, pets help provide us with structure and purpose.

Believe it or not, according to a recent article in The Washington Post, pet adoptions have soared throughout the pandemic. Some shelters have seen a 50% increase in pet adoption applications compared to just a year ago. The reason is because people are home and many feel they have the time to dedicate to a new pet. Older adults can experience the same feeling because they usually have more time than their younger (and often busier) counterparts. Regardless of age, you can form strong, meaningful bonds with their four-legged companions and receive health benefits as well. These benefits are varied and differ from person to person, of course, but many older adults report gaining a new or increased feeling of general wellbeing and joy from their pet.

LOWERS BLOOD PRESSURE According to a 2019 study by The Mayo Clinic, older adults with a dog had overall better cardiac health than others who didn’t have a dog.

According to the study, "In general, people who owned any pet were more likely to report more physical activity, better diet and blood sugar at an ideal level.” Even those who did not

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ncrease their physical activity due to a pet saw a cardiac benefit.

REDUCES DEPRESSION AND LONELINESS The Mayo Clinic study stated that in addition to the cardiovascular benefits of pet ownership, participants in the study were less likely to feel lonely, isolated or depressed. There are several factors for this. One is that pet owners feel needed when a pet is depending on them. It gives them a sense of companionship and wellbeing. It also is a warm, cuddly family member that they can’t help feeling good around.

PROMOTES LIVING IN THE PRESENT Anyone who has ever had a pet knows that they are work. For example, dogs must be fed and walked multiple times per day.

This schedule often helps the older pet owner stay in the present, knowing that at 4:00 pm Sparky needs to be fed and then walked. It gives an older adult a sense of timing and perspective in their life.

According to a recent article in Aging.com, “Dogs and cats live very much in the present. They don’t worry about tomorrow, which can be a very scary concept for an older person. An animal embodies that sense of here and now, and it tends to rub off on people.”

INCREASES MOBILITY AND INDEPENDENCE Both dog and cat owners tend to be more independent than their non-pet counterparts. This is because pets have needs.

They need to be fed, walked, have their litter box changed, to name just a few of the activities of pet ownership.

Even those with mobility issues have reported feeling more

WHERE CAN YOU ADOPT? First and foremost, make an effort to adopt not shop. There are thousands of pets in shelters across the United States that need caring homes. You can contact the local ASPCA or the local Humane Society to inquire about adoption. Sites like Petfinder allow potential owners to search for their perfect pet in a nationwide database. You customize your search by size, activity level and age. Please consider adopting a senior animal – they tend to be a bit calmer then puppies and often are less desirable to younger people.

“Adopt from shelters, local ASPCA local Humane Society.

Also websites that match Pets to owners like Petfinder” This can cause them to be overlooked by adopters. Senior animals can enrich our lives and are often a great fit for their senior counterparts. So open your heart and your home to a pet. You’ll both be glad you did!

COMING OF AGE | 10

e c i v d A & s T ip

Thoughts and suggestions from

Be willing to open up and share your grief experience. Discussions, open dialogue and communication ultimately lead to healing.

Grief is something with which we must deal. At some point, whether in the immediate aftermath of loss or years down the as you process road, our grief will catch up with us. Acknowledge this. Allow your loss. yourself the chance to walk through this journey and resolve the thoughts and feelings you have.

Consider professional bereavement counseling, Although friends and relatives are wonderful resources and certainly well-intentioned, there are many benefits to speaking with a trained professional. Support groups are also beneficial. It is helpful to be amongst others who are traveling or have ventured on a similar path. Often times we hold back our deepest emotions from the ones closest to us so as to shield them. Group discussions may lead to more honest conversations about one’s own thoughts and feelings.

Jennifer Graziano

Speak their name….so long as they are remembered, they are alive in your heart.

Children grieve too, don’t deny them the opportunity. It is our human inclination to shield children from all that which is painful and uncomfortable. However, removing children from the process of grief will have long-term affects down the road. Children should be handled with age-appropriate, sensitive honesty. Avoid euphemistic language such as the decedent is ‘sleeping’ or “gone to rest”, as this may instill a fear of sleeping in a child or cause them to believe their loved one will ‘wake up’. Children should be given an opportunity to know the truth and to express whatever feelings and emotions come to mind. It is ok if a child dismisses news about death, or doesn’t have a reaction upon immediately being told. Likely their grief will be manifested behaviorally or down the road. Just acknowledge though that they, just like their grown up counterparts, are grieving, too.

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Pet loss is real and it is painful. However, if you’ve never had or owned a pet, it is a difficult concept to understand. Don’t be dismissive of grief people feel for their animals. It is an indescribable pain to lose a pet.

There is no time limit for grief. Grief is the price we pay for loving. It is quite possible, and highly likely, you will forever grieve for the loved one(s) you’ve lost. You learn to live again in the new “normal” without them physically here, but the longing for them never truly goes away.

Be good to yourself. You can’t go back and change what happened, bring someone back, take back things you said or in the alternative, say the things you wish you had. This life is part of a greater plan and every lesson, hardship or bad experience, somehow is rooted in purpose.

Don’t punish yourself. Accept the things you can not change. If you’ve suffered a loss, take time to heal. Go for walks, consider exercise or mindful activities such as meditation or yoga.

Go for a massage, or treat yourself to something enjoyable. Do not neglect yourself and your own needs.

There will come a day in the aftermath of loss where you find yourself laughing, smiling, or perhaps even loving again; whether it be a person or just life in general. Embrace it. Life is meant to be lived.

Always remember...

LOVE LIVES ON.

self." r u o y o t d "Be goo

COMING OF AGE | 12

MESSAGES

FROM AN ESTEEMED ESTATE LAWYER In my practice, repetition inspires action.

Sometimes, people need to hear the same advice over and over again before they act.

Since one of the most important planning techniques implemented by an elder law attorney is the Medicaid Trust, it is prudent to repeat this writing every now and again.

Perhaps this will be the impetus you need to act.

The Purpose of the Trust It is irrefutable that there is a possibility that you may require nursing home care or homecare someday. The next logical question would be “How am I to pay for my care?� There are limited options. For many, privately paying is cost prohibitive, as the average monthly cost of a nursing home exceeds $12,000/month. In homecare cases, it could be as much as $10,000/month. Long-term care insurance is an option, but many people cannot afford the premiums or cannot qualify due to age or health.

Medicare is limited, in fact, it only covers the first 100 days in a nursing home.

That leaves Medicaid as your only viable alternative. Those who intend on relying on Medicaid as the payor of their nursing home or home care costs are regularly introduced to the Medicaid Trust as a mechanism to obtain Medicaid eligibility without losing their assets. turpis.

Salvatore M. Di Costanzo is a partner with the firm of Maker, Fragale & Di Costanzo, LLP located in Rye and Yorktown Heights in New York. Mr. Di Costanzo is an attorney and accountant whose main area of practice is elder law and special needs planning which consists of wills, trusts, probate and administration of estates, Medicaid planning, asset preservation, nursing home and home care planning and planning for individuals with special needs. Mr. Di Costanzo is a frequent author and lecturer on current elder law and special needs topics. Each year since 2013, he has been selected by the rating service, Super Lawyers, as a New York Metro leading elder law attorney and, recently, by the rating service Best Lawyers as a leading elder law attorney in the New York Metro area.

He can be reached at (914) 925-1010 or via email at smd@mfd-law.com. Visit his practice specific website at www.plantodayfortomorrow.com.

"Medicare is limited, in fact, it only covers the first 100 days in a nursing home."

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-SALVATORE DICOSTANZO, ESQ

Mechanics of the Trust You are the creator of the trust. Usually, one or more of the children are the trustees. The children are usually the beneficiaries of the trust after your death; however, you can name anyone as the beneficiary. The trust is irrevocable. However, there are provisions under New York State law that allow for the revocation or amendment of an irrevocable trust and our trusts are drafted in such a manner to allow for changed circumstances.

You are entitled to receive the income of the trust, if any. This means that you are entitled to receive the interest, dividends, etc. generated from that any trust assets. You are not entitled to take the principal out of the trust. After five years from the date the assets are transferred to the Trust, the assets of the Trust can no longer be considered by Medicaid when applying for nursing home Medicaid. Recently, a new look-back period has been instituted for community Medicaid (care at home). The look-back period for community Medicaid is two and one-half years.

Provisions Pertaining to the House The Medicaid Trust is largely drafted with the intent to transfer your house and/or other assets to the Trust. The Trust provides that you have the right to live in the property of the trust. This means that you cannot be kicked out of your house. You are still considered the owner of the house for purposes of maintaining the house, payment of real estate taxes, the STAR exemption, the Veteran’s Exemption and any other tax benefits attached to the house.

The house can be sold at any time, but only with your consent. A new house can be purchased with the proceeds of the sale from the first house.

Special Powers Retained by the Creator Many clients are concerned about losing control.

However, a properly prepared trust affords the creator a great deal of control as permissible by Medicaid rules, regulations and case law. For instance, you have the power to change the trustees of the Trust. Consider for a moment a child named as a trustee that becomes a hooligan. You can remove and replace the trustee with someone else. Another scenario might be where you want to sell the house, but the trustee will not sign the contract. All you need to do is remove and replace the trustee.

You also have the power to change the beneficiaries of the trust. Assume for a moment that your three children are the beneficiaries of the trust and one child gets divorced. You can change the beneficiaries to your remaining children to avoid having your assets become subjected to the divorce proceeding.

This is a summary of the salient provision of a Medicaid Trust. It should not be dismissed for lack of understanding. I can be reached at

(914) 925-1010 or by e-mail at smd@mfdlaw.com. Our website is www.plantodayfortomorrow.com.

COMING OF AGE |

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PLAN TODAY FOR TOMORROW

THE NEW LOOK BACK PERIOD

by Salvatore DiCostanzo, esq.

As if dealing with the Covid-19 pandemic wasn’t enough, on April 2, 2020, Governor Cuomo’s State Budget implemented a new 2.5-year look-back period for Medicaid home care services (“Community Medicaid”). As discussed below, this is a drastic change for those seeking Medicaid eligibility to cover the cost of an aide at home.

To understand the impact of the new law and the importance of planning immediately, you must first understand the look-back period, which is a certain period of one’s financial history that will be scrutinized when one applies for Medicaid. Until the adoption of the new law, a look-back period arose only when one applied for Medicaid to cover the cost of nursing home care.

As part of that application, the Department of Social Services (“DSS”) asks the applicant to submit five (5) years of financial records to determine whether the applicant – or the applicant’s spouse – transferred any of their assets for less than fair market value (like a gift) during those five years. While some transfers may be considered exempt transfers, most are not, and if the applicant made non-exempt transfers during that five-year lookback period, DSS will impose a penalty period during which Medicaid will not pay for nursing home care. During the penalty period, one must privately pay for their nursing home.

By way of background, there was never a look-back or penalty period for Community Medicaid. This allowed people to transfer their assets today and apply for Community Medicaid tomorrow.

While friendly to those needing care at home, this policy created a false sense of security for many who thought they were never going to need nursing home care. I often would hear people

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Established by Cuomo's State Budget

IT'S A 2.5 YEAR LOOK BACK PERIOD

PLAN TODAY FOR TOMORROW

disregard my advice to create a Medicaid

This is going to have a tremendous impact on

Trust or conduct other types of advanced

many families wishing to remain at home,

planning because they were “never going into

especially those without a spouse. Creating a

a nursing home,” “wanted to stay home,” or

Medicaid Trust and transferring assets to that

the proverbial “my kids are going to take care

trust continues to be one of the most popular

of me”. That’s all changed on October 1, 2020.

and viable planning techniques to preserve

As of October 1, 2020, there will be a new 2.5-

your assets in the face of long-term care. Prior

year look-back period for Community

to the recent changes in law, the goal has

Medicaid but it will not be retroactive prior to

always been to create a Medicaid Trust and

October 1, 2020. For instance, if you apply for

get past the five-year look-back period for

Community Medicaid on January 1, 2021, DSS

nursing home care. Now there is a new

will look-back to October 1, 2020 to

element. You must now be mindful to getting

determine if you made any non-exempt

past the 2.5-year look-back period for

transfers and penalize you if you did. The

Community Medicaid purposes. For those of

look-back period will be phased in each

you who were hesitant in implementing the

consecutive month thereafter until it reaches

Medicaid Trust because of the five-year look-

2.5 years (April 1, 2023). You will no longer be

back period, you should reconsider in light of

able to simply transfer your assets and

the recent changes in law.

immediately apply for Community Medicaid.

Existing non-exempt transfers remain in effect, such as transfers to a spouse.

You will no longer be able to simply transfer your assets and immediately apply for Community Medicaid.

If you would like to discuss your planning, please contact me at 914-925-1010 or by email at smd@mfd-law.com . You can also learn more about our elder law and special needs practice by visiting our website at www.plantodayfortomorrow. Questions can

also be submitted by e-mail at smd@mfd-law.com

COMING OF AGE | 18

We’ve been living with the COVID pandemic and the impact it’s had on our daily lives for over seven months. Concern and uncertainty have become a common denominator for individuals of all ages and life stages. No one knows how long this health crisis will last, and until a safe, effective vaccine is available, everyday life will remain temporarily changed.

The way we live, work, socialize and learn has given way to a new normal. Phrases such as “social distancing” “flattening the curve” and “contact tracing” have become part of our new shared vocabulary.

Keeping older adults informed, connected and engaged during the COVID crisis remains one of our highest priorities. With the close of the Senior Center in Mid-March, the Commission on Aging immediately pivoted and adapted programs and services to effectively operate to overcome new challenges and obstacles.

Lori Contadino

Initially, our primary focus was ensuring access to accurate and timely information and outreach to older residents and community partners. Frequently Asked Questions were posted on the Town of Greenwich website along with up-tothe-moment information about the availability of community resources and services. Multiple communication channels were utilized to reach a digitally diverse target audience of older adults including email, social media, automated calls, cable TV, radio, direct mail and telephone calls.

While it was immediately evident that stay-at-home orders and social distancing were necessary steps in reducing the risk of exposure, mitigating the spread of the virus and staying safe, we remained gravely concerned about the resultant isolation and loneliness that could occur. Social distancing does not mean that we have to socially disconnect or disengage. In fact, we knew that the greatest long-term impact we could have was to virtually bring people together so they could continue to support one another, have access to important information and remain engaged in remote programming. The depth and scope of relationships the Commission on Aging has engendered through the years with a diverse array of community organizations and agencies enabled amazing opportunities during an extremely challenging time.

The Greenwich Country Day School presented us with an amazing and intriguing prospect - if teachers can connect with students remotely via Zoom why can’t we utilize the same platform to connect seniors to each other, to a host of educational and enjoyable offerings and to essential resources and information? In the midst of this chaos, there was great opportunity - Greenwich Country Day School faculty, staff and students collaborated with the Commission on Aging and created the CONNECTT program.

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HELPING SENIORS NAVIGATE THROUGH THE COVID ERA An interview with Lori Contadino, Chair of Greenwich Town Commission on Aging

By Jennifer Graziano CONNECTT (Connecting Our Neighbors Naturally Enriching Community Through Technology) enabled daily engagement during a time of isolation and uncertainly and fostered connection and a new sense of community. GCDS faculty worked tirelessly to create the infrastructure and initial programming that could be offered in this new reality Initially, faculty and students taught classes and provided technical support to older adults to enable successful connection to the program. Access for all was assured by enabling connection to all programs via telephone for residents that did not have access to technology or the internet. A new virtual community emerged. Older adults were now able to see friends they hadn’t seen in weeks and an opportunity to meet new people and socially engage on a daily basis from the comfort and safety of their homes.

“Community” took on a whole new meaning because of CONNECTT. Students taught classes, faculty led seminars, Senior Center fitness instructors began teaching virtual classes, counselors led discussions on maintaining emotional well-being, regular community conversations with our First Selectman, special evening performances and dance parties created opportunities for engagement during a very uncertain and challenging time. CONNECTT programming engages older adults in different workshops and modules which focus on their emotional, physical and social well-being. CONNECTT is, and will continue to be our virtual Senior Center, a robust program with a loyal following offering multiple instructor facilitated programs each weekday.

The partnership with Greenwich Country Day School has resulted in a long-term, sustainable community engagement program and a source of pride and validation for all. not reaching. The “Hello Neighbor” program – a large telephone outreach initiative was created. The Commission on Aging recruited and trained 70 volunteer members of the Representative Town Meeting and 40 volunteers from the Commission on Aging’s vast

professional network. 110 volunteers reached out directly, via telephone, to over 3,300 households of individuals 75 years of age and older. It was clear that we, as a community, can all play a role in supporting older adults during this extraordinary time and combat the detrimental result of social isolation. This pandemic has taught us many things, but perhaps, most notably that we are social creatures and that connecting to others is crucial. Reaching out directly, via telephone, to older adult residents to ask “How are you?” or “Is there anything in particular you need?” lets them know they are not alone and that someone cares.

Wellness calls enabled the sharing of trusted information, the ability to provide reassurance and an essential opportunity to connect with another human being.

Overwhelmingly “Hello Neighbor” was as gratifying for the volunteer as it was for the call recipient. Volunteers were thanked for their thoughtfulness and older adults were touched to know that the Greenwich community cared. “Hello Neighbor” calls provided reassurance, a valuable opportunity to share information about available programs and referrals to appropriate resources creating a sense of safety and caring for our most vulnerable residents. The recent launch of 299 To You our Senior Center by mail initiative designed to reach a larger cross-section of older adults has been enthusiastically received. 299 to you is designed for all older adults, no technology is required.

Outdoor classes (weather permitting) tai chi, walking groups and art classes are offered as well as Drive-Thru grab and go lunches. In addition to the social isolation and loneliness caused by stay-at-home orders and safe distancing practices described in detail above, many older adults have faced numerous threats and challenges. Many struggle with food insecurity due to a lack of access to groceries. The most at risk older adults include those over the age of 80, individuals that lived alone, those that were experiencing food insecurity, those with compromised health or multiple health conditions, diminishing mental and emotional wellbeing, their caregivers and those that are financially at risk. Access to nutritious groceries and personal care items became a significant challenge due to the fear and vulnerability to the virus.

CARES ACT funding was made available to the Greenwich Commission on Aging through the Southwestern CT Agency on Aging in late April. The Commission on Aging created an inter-agency funding was

made available to the Greenwich Commission on Aging through the Southwestern CT Agency on Aging in late April. The Commission on Aging created an inter-agency collaborative of community partners to identify nutritionally at risk older adults – Collaborative partners included Neighbor to Neighbor, Greenwich Department of Human Services, At Home in Greenwich Community Centers, Inc. (CCI), Jewish Family Services of Greenwich, River House Adult Day Center and Meals on Wheels.

215 Grocery bags containing fresh produce, eggs, cheese, butter, bread, shelf-stable and personal care items were delivered to the homes of older adults by scores of volunteers each week for a 10-week period. At the close of the program in July, 2,065 grocery bags were delivered to the Town’s most vulnerable older residents utilizing $51,625 in CARES Act funding - a significant accomplishment with absolutely no financial impact to the Town. Multiple threats continue to challenge older adults: Isolation, loneliness, food insecurity, compromised health or multiple health conditions, diminishing mental/emotional health and wellbeing, caregiving challenges and the needs of individuals with dementia or cognitive impairment, financial constraints, lack of physical exercise and restricted mobility, lack of contact with family and friends, poor sleep, increased anxiety and depression, the inability to visit loved ones in hospitals, nursing homes and assisted living facilities, inability to spend time with family, grandchildren, etc… The lack of digital literacy or the digital divide and connecting with the low tech/no tech older adult have been ongoing challenges. Covid has also magnified the stress and strain on family caregivers.

What are the most common fears you’ve heard expressed by members of the senior community?

Older adults have expressed numerous fears and concerns during this unprecedented and extraordinary time.

Fear of the virus itself; fear of dying alone; fear the actual loss of time with loved ones; fear of isolation and diminishing social network and opportunities; fear of the loss of health status and overall independence; fear of diminishing mental health; - fear of

increasing vulnerability to abuse or victimization; avoidance of needed health services due to fear of COVID.

What are the psychological effects of isolation on our seniors?

Studies have shown that prolonged isolation has a profound negative effect on health and wellbeing. According to the National Institute of Health, research has linked social isolation and loneliness to “higher risks for a variety of physical and mental conditions: high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer’s disease, and even death.”

Social isolation can lead to loneliness, depression and a general decline in health. In contrast, older adults who engage in meaningful, productive activities with others tend to live longer, have greater life satisfaction and a sense of purpose – even in the midst of COVID-19. Activities and opportunities to help maintain connectedness to other individuals and to the greater community boosts mood, enhances coping and lends a greater sense a purpose and improved cognitive function.

What tools or tips do you find have been most helpful to seniors in recent months?

Let’s be honest, continuing to adapt to the increased uncertainty of the pandemic is challenging. Many of us are tired of dealing with the multiple stressors the virus brings, tired of all

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Connect with Others

the extra things we need to think about or do, tired of the isolation, tired of wearing masks and keeping distance from friends and loved ones and perhaps most of all, tired of not being able to do the things we most enjoyed doing. These feelings are appropriately called “pandemic fatigue” –feeling tired physically, mentally and emotionally…tired of absolutely everything the virus brings. But, it’s important to remind older adults that where they are now, is a true testament to how successfully they’ve learned to adapt; and how they’ve used a myriad of strategies – honed over a lifetime - to help cope. This is a true measure of their resilience.

Feeling in control during this very uncertain time is paramount for individuals of all ages. Self-care is important for maintaining optimum overall health and wellbeing and for maintaining a sense of control. The good news is that there actually are several things we can do right now to reduce stress and to nurture and support ourselves physically, mentally and emotionally during this challenging time. So, where do we begin?

Checklist to Prepare and Protect your Family and Household in case of an Outbreak

Take care of your body

Get enough sleep - go to bed and get up roughly the same time every day.

Eat right– eat nutritious meals on consistent and regular schedule.

Stay well hydrated.

Exercise – indoors/outdoors, seated/standing - every day, several times a day. Physical exercise will boost your energy, lift your mood and strengthen your immune system.

Get your flu shot.

Follow guidelines for preventing the spread of the virus.

Contact your healthcare provider if you are not feeling well.

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Make it your goal to connect with 1 or 2 people every day.

Utilize technology as a means for communicating and connecting. Video chat, skype, FaceTime, or Zoom - these make it easy to interact with your social circle no matter where they are.

Make phone calls.

Participate in online groups and classes – even if by telephone.

Explore social media – learn how to navigate Facebook or Instagram.

Plan a drive by greeting maintaining social distancing and safety protocols. eMail friends and family or, send cards and notes.

Register to receive a regular call from a trusted volunteer.

Exercise your brain

Learn something new.

Write down unfamiliar words and look up their meaning.

Do jigsaw puzzles.

Learn how to play an instrument.

Take an art class.

Join a book club.

Learn a new card game.

Engage all five senses in an activity such as cooking or baking a new recipe. Focus on smelling, touching, tasting, seeing, and hearing all at the same time.

Turn reading material upside-down and read from the bottom to the top and from right to left.

Organize, Prioritize and Establish New Routines Plan a consistent time for exercise, activities, chatting with family and friends. Write it in your calendar to make it feel more official.

Get some things done that you’ve been putting off OR do things you never had the time to do.

Create new traditions.

Practice relaxation exercises.

Watch a funny film.

Cook or bake.

Attend online religious services.

Get up and get dressed – this truly can uplift your mind and your mood.

Find moments of stillness where you can enjoy the quiet and unplug from technology overload.

Spend time outside to be in nature. Look around, feel the air and breathe.

Reduce Your Stress and Maintain Emotional Wellbeing Limit news intake - so much news can overload you with negative emotions.

Meditate.

Practice deep/cleansing breathing.

Go for a walk.

Listen to music.

Laugh or find humor - an excellent way to temper stress and fear. Humor also helps keep things light and not so intense.

Dance alone or with a partner.

Read.

Practice relaxation exercises.

Watch a funny film.

Cook or bake.

Attend online religious services.

Get up and get dressed – this truly can uplift your mind and your mood.

Find moments of stillness where you can enjoy the quiet and unplug from technology overload.

Spend time outside to be in nature. Look around, feel the air and breathe. If you cannot go outside, sit by a window so you can feel the warmth of the sun or notice the changes fall is bringing.

Look for ways you can help your community by volunteering and enjoy the rewards of doing something to improve life for someone else.

Try journaling – create a new habit – write what you are thinking or feeling or experiencing. Begin with just a couple of lines and perhaps at the same time each day. Release stress by expressing your thoughts in writing. Nothing fancy here, this is for your eyes only.

Be kind to yourself and Be kind to others. Work to have kindness spread faster throughout the community than the virus.

Avoid self-medicating. Be careful that you’re not using alcohol or other substances to deal with anxiety or depression.

Call your healthcare provider if stress gets in the way of your daily activities for several days in a row or if you feel overwhelmed with emotions like sadness, depression or anxiety.

Create New Traditions Make mealtime an activity – plan your meals and schedule Sunday nights for a family/friends Zoom Plan to socialize or watch the same movie on Friday evenings via telephone or video chat OR Plan a safe distance backyard gathering every Saturday OR Watch a game show together via video chat or telephone and see who can get the right answer first OR Be creative and come up with ideas that work best for you.

Make sure your new routine includes a mix of things that make you feel good physically, mentally, and emotionally.

FocusonGratitude Grateful for family, friends and the relationships you have Grateful for the beautiful sunny day Grateful for your health and safety Grateful that everything has NOT be cancelled: hope, laughter, love.

Start a Gratitude Journal

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Do they know?

If you want to be buried or cremated?

If you want a visitation for those who knew and loved you?

If you have a favorite photo,.. song,.. or prayer?

If you have a special way you'd like to be remembered?

Perhaps you should tell them...

Pre-arranging a funeral allows you to make choices and selections so that your loved ones are not left to guess, but rather, are able to grieve.

Don't assume your family will make the same choices you'd prefer. Let your voice be heard and your wishes known.

Cut off this portion of the page and send it to either address below for a licensed, trusted, knowledgeable, funeral director to help you learn about pre-planning and to have your voice be heard.

We are not sales people, we are family.

767 E. Boston Post Road Mamaroneck, NY 10543 (914) 698-5968 Name

www.coxandgraziano.com

Phone preferred method of contact:

134 Hamilton Avenue Greenwich, CT 06830 (203) 869-5968 eMail

eMail

Phone

EMBRACE YOUR AGE How to Love the Skin You’re in During Menopause On average, 27 million women experience menopause each year. With menopause comes a new set of skincare concerns and struggles, from dry skin and hormonal acne to hair loss and wrinkles. Yet, in the beauty and skincare industries menopause and skincare has been so often overlooked. At my practice, NicholsMD of Greenwich in Greenwich, Connecticut, my goal is to help every woman look and feel their best at every age.

Skin: Wrinkles and Laxity As a board-certified dermatologist, I am an expert in hair, skin, and nails. I enjoy helping treat common problems that arise as women reach menopause, because I strongly believe that aging is not something to fear.

Because the face has a high concentration of estrogen receptors, dramatic changes in hormone levels have direct impacts on women's skin. Decreased estrogen levels often lead to slower cell turnover and decreased collagen production, which, in turn,

causes sagging, wrinkles, and jowls. For those wanting to restore firmer, more youthful skin, I recommend Ultherapy. It is one of the most popular treatments at my practice, averaging one to three patients per day. I personally do Ultherapy as maintenance to keep my face, neck, and décolletage lifted and firm. Ultherapy uses focused ultrasound to stimulate collagen production deep within the skin without the downtime of an invasive treatment. For women looking to prevent wrinkles during perimenopausal and menopausal stages, I always recommend injectables such as Botox®, Dysport®, and Xeomin® to soften expressions that create deeper fine lines.

Skin: Age Spots and Sun-Damage

show in age spots and discoloration all over the body. The most important thing to do is get routine full-body skin exams and cancer screenings, as well as protect your skin with ample SPF and sun protective clothing.

While past sun damage can’t be undone, sun protection will stop additional damage from occurring. In addition, I offer a variety of laser treatments to help reduce the appearance of photo damage and discoloration.

Further, over time the abuse of sunbathing begins to

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reactivate inactive hair follicles, triggering hair regrowth. On the opposite end of the spectrum, while women tend to lose hair on their heads during these stages of life, it is also common to experience an increase in unwanted facial hair. When this occurs, both laser hair removal and dermaplaning are a solution.

Body: Feminine Health

Skin: Dryness and Dullness Another common issue I treat is dry, dehydrated, and dull skin. When skin becomes estrogen-deficient, it becomes harder to absorb the nutrients in moisturizer and skincare regimens. And there is nothing more frustrating than when products you invest time and money in suddenly stop working. When patients come in with this concern, I typically suggest the Complete Emepelle System, a two-step skincare line that is designed specifically to revitalize the natural function of estrogen deficient skin. These products use MEP TechnologyÒ to help keep skin hydrated, even, and bright by restoring lost collagen, without acting as a hormone replacement.

Hair: Thinning and Facial Hair Growth However, skin isn’t the only thing that is negatively affected by decreasing estrogen levels. Hair also tends to start thinning during perimenopausal and menopausal stages of life. To strengthen and help stimulate hair regrowth, I often advise my patients to consider PRP (platelet-rich plasma) injections. Using each patient’s natural growth factors found in their platelet-rich plasma, these injections help 25 | COMING OF AGE

Aside from the visible aging concerns most women have as they reach menopause, the natural aging process and decrease in estrogen can also sometimes lead to unexpected and embarrassing physical conditions such as urinary incontinence, vaginal laxity, dryness, and recurring infections. These symptoms hinder feminine confidence, as well as the ability to fully enjoy intimate moments. However, at NicholsMD of Greenwich, I believe that age should never stop women from looking and feeling their best, inside and out. When women open up about this, the treatment I offer is feminine rejuvenation with the CO2RE® Intima laser.

This non-surgical treatment helps to relieve these symptoms related to vaginal wellness and enhance sexual functioning – restoring self-assurance that is so often lost as women age.

These concerns may arise as women reach perimenopausal and menopausal stages of life, but they no longer need to be feared. With medical-grade skincare, advanced treatment options, and professional guidance from a boardcertified dermatologist such as myself, women can regain the confidence they need to live their best lives every day, at any age. If you would like to schedule a consultation with NicholsMD of Greenwich, please call at (203) 862-4000 or email Info@KimNicholsMD.com.

BUSINESS NEWS WHAT DO WE DO NOW?

by Jennifer Lanser During my six years with the New Rochelle Chamber of Commerce, I learned a thing or two about small business. I would like to share a few of these with you, some of whom may be business owners and some of whom are customers to these small businesses.

Moving on from the Chamber, exactly one year ago as its Executive Director, I never would have believed what would transpire over the course of time. It’s unbelievable to think what has changed – absolutely everything. Small businesses have especially been affected by the pandemic and the uncertain political climate. The demise of businesses around the community and surrounding areas is heartbreaking to me because I spent so much of my energy trying to help businesses succeed, and many of them, in turn, helped me to run the 98 year old non-profit community organization. I am overjoyed to see the businesses that have survived this ordeal and which are staying afloat. One thing I noticed is that it is many of the members of the Chamber of Commerce made it through. You may ask "why?" is it because they had connections?

In the face of COVID-19 the stats are showing that it is only online and big box businesses that have endured through this and which are growing. However, if there is anything we can do, even if this is the only county in America that does it, let’s try to do what we can to support our local economies.

Growing up, I was taught not to go to the neighborhood stores because they pay high rents and, in turn, are not able to give us the best “deals.” As the ED of the Chamber, I had to be enlightened to a paradigm shift. The new thinking includes that even though you may pay a little more for something at a neighborhood store, the effect of the store increasing the value of our neighborhoods, by their support of the community, and their endearing stores on Main Street is the bigger picture. I found it was the small businesses who support the community functions like the Thanksgiving Parade, the Street Fairs, the Golf Outings, the many PTA events, fundraisers and other events. These were the businesses who supported our schools, our local sports programs, local publications, girl and boy scouts and who decorate their stores for the holidays. No matter how many times I asked the local big box stores, they were not the stores who supported our community in these events, yet those are the stores that had the most crowds during the pandemic.

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We as consumers need to think more about the small businesses and restaurants that are the fabric of our neighborhoods. If need be, we have to throw money at them, by eating out regularly (take-out if need be), visiting/ ordering from their stores and by having patience with their services. They, unfortunately, do not have an entire staff devoted to modifying their business model as some corporations do.

Jennifer Lanser broadcasting the New Rochelle Thanksgiving Parade

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To business owners, consider joining your local Chamber of Commerce and those of surrounding areas. It is the Chambers that keep businesses connected, and the staff there that work tirelessly disseminating information about your businesses. The new Executive Director of the New Rochelle Chamber of Commerce, Catherine White, did a superb job of getting out information for businesses to obtain grants in a timely fashion. As a result, Chamber Members were the first to learn and to benefit from it.

Chamber members found out about resources from our local and federal government and had access to free masks, face shields, gloves, sanitizer and equipment to keep employees safe. Mostly, the members felt they were in this together with someone.

With the constant flow of information to them they did not feel as though they were on a stranded island by themselves. True, we were in unchartered waters on how to conduct business in the face of COVID-19, but there was a connection and a network of colleagues.

Also, consider changing the way you conduct business. If you don’t have a website – get one. Hire a professional to create one for you. An online presence would have saved some of the businesses that didn’t have one and which could not survive through the pandemic. The Curtain Shop, started his online business years ago and benefitted from it during the lockdown.

Consider changing your business model.

Perhaps it is offering something never thought of before today. One of my Chamber members, Mikey Dubbs, was solely a frozen custard shop. Before the pandemic, the owner realized he needed to offer some seasonal options to get him through the winter, so he began offering acai bowls and artisanal donuts. Mikey Dubbs survived the pandemic.

Another business in New Rochelle, Beechmont Tavern, lost their liquor license for one year three years ago when they changed owners. The new owner focused his business model around their amazing pub food & take-

27 | COMING OF AGE

Frederique Declercq in one of her pop up shops at Bryant Park

out menu, like wings, subs and desserts to die for, and I’m happy to say, it survived as well.

Last, reach out to the community. There is no better way to get information out about your business than by giving back to it. A local entrepreneur who sells hand sewn purses and travel bags shifted her talents in the lockdown and creates masks for the members of the community for free. During the pandemic, Ici et la Creations sewed more than 1500 masks and gave them out for free to people who needed them. Her name is Frederique Declercq and she has beautiful and functional designs and cute masks too! What better way to get your business name out to the community than with a feeling of good will. https://icietlacreations.com/ In summary, whether you are a local business owner or a consumer, this pandemic taught us a few things about small business. Mainly, the message is to support each other, because together everyone achieves more. Now go out, shop local and support your local Chamber of Commerce!

Snce leaving the Chamber of Commerce, Jennifer applied her talents, MBA, and many years as a marketing executive and began her own consulting business, JL Harbrook LLC. The business focuses on marketing, public relations, consulting for businesses and event planning for anyone. Her event planning ranges from city-run parades and large Galas & weddings to children's parties and intimate affairs.

THE ART OF JOURNALING: A GIFT DURING THIS TIME OF COVID

By Terri Agliardo, MS Bereavement Counselor, Coxe and Graziano

The past seven months have been difficult at best. The uncertainty, the anxiety, the fear that have plagued us is something this country has not experienced in over 100 years. All of us have had to adjust to life in ways no one could have imagined a year ago. This “new normal� which is a phrase usually associated with coping with grief is now we have all lived our lives. We all yearn for the way things were, not unfortunately as they are, and fear how much longer we must continue to live this way. We are masking before we leave our homes, keeping socially distant from all those around us and return home only to experience thoughts which will not go away. The important question is what are we to do with these thoughts and feelings when there is no one with whom we can zoom or call. Phoning and zooming have become our lifelines to the outside world in the light of day, but what are we to do when it is the middle of the night or when you just do not feel like talking.

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JOURNALING can help.

Think back to when you were a child, and you had a diary or a notebook that only you knew existed. You wrote about the events of the day, the rites of passage, the first crush, the first date, the first kiss. Somewhere between the time we were children and our adulthood we lost the art of journaling. We no longer write out our thoughts, feelings, hope and dreams.

However, during this very scary time of COVID-19, wouldn’t it be wonderful if we could recapture the joy in expressing our thoughts, anxieties, fears, and concerns of our earlier lives.

Many articles have been written about journaling and the various types of journals one could have.

This article is intended to inform the reader of the benefits of journaling and how to begin. It is not based on scientific research, but on human experience. For NOW is a time for human touch, and not necessarily scientific statistics. The author

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believes that the readers of this magazine need practical human advice and something personal that he/she can implement into his/her own life.

What is journaling? Journaling just means setting aside a little quiet, undistracted time to sit down and think about your life. It can be just by writing down a record of what you did that day; by venting about one thing that you cannot get off your mind; by noting something that inspired you.

Now that you know what journaling is, let us talk about what some of the benefits that journaling may bring to you. Remember as human beings, we are made body, mind, heart, and soul. If one aspect of our humanity is hurting, the others will follow. Journaling addresses all aspects of our being.

Some overall benefits to journaling: first, it can help clarify your thoughts and feelings. Second, it may provide you with the opportunity to come to know

"we could recapture the joy in expressing our thoughts, anxieties, fears, and concerns of our earlier lives." yourself better. Third, journaling may assist you in solving problems that you may be experiencing in a more effective manner because of the clarity writing may bring.

Journaling may also be beneficial to your overall health. When we experience stress in our lives, our immune system is impacted. Believe it or not, journaling can strengthen your immune system by therefore decreasing your risk for illness.

Expressive writing has been shown to help people heal faster. Journaling helps keep

your brain in tip-top shape. Not only does it boost memory and comprehension, it also increases working memory capacity. Expressive writing can also boost your mood. Want more sunshine in your life? Try journaling. A unique social and behavior outcome of journaling is this: it can improve your mood and give you a greater sense of overall emotional well-being and happiness.

As a spiritual person, you may experience some spiritual benefits to journaling. If you have a relationship with a being outside yourself, a higher power, you may want to express gratitude in your journal for what you have rather than focusing on what is missing. You may also want to pray in your journal, connecting you with the Source of your being and placing before your higher your concerns, your fears, and your anxieties. Journaling may provide you with the opportunity to dialogue with your higher power in ways you have never done before. All the benefits mentioned above provide us with an opportunity for each of us to grow and become better than we are today.

You now know the benefits, so let us begin. You need to have a desire to write, you just need to want to do it. This is for your eyes only to begin with. This is not going to be corrected for spelling, punctuation, or grammatical errors, it does not matter. Just give yourself permission to let the words come. The art of journaling involves a commitment to yourself, a desire to make yourself feel better by writing about thoughts you have inside.

Start by scheduling a time during the day when you will sit down and write, a time you will eventually turn this new behavior into a helpful habit of coping with the uncertainty that is life as we know it. It gives you something to look forward to. Find a place in your home where you will be free from distractions and interruptions. This is your “me time�.

You may be asking, okay, I am sitting down with a journal in front of me, now what. Just close your eyes for a moment and think about the day. What happened today? How did it make you feel? Is there something happening soon that you are worried about or excited about? Reflect on the thoughts and feelings you are having at this very moment. Now, start writing whatever comes to mind. Keep writing for as long as you need to and then stop. Usually people set time limits in the beginning because they may become overwhelmed, simply pick a time limit that is most comfortable for you and stick with it. Time limits help

"accept the gift... and use the information in this article as means of coping in this time of uncertainty."

the writer stay focused. After you have written your entry for the day, go back and re-read what you have written and add any additional thoughts that may come to mind. Once you have reviewed what you have written, summarize your thoughts, feelings, fears in a sentence or two =and in this way you will be able to make note of your progress in handling the world as we now know it.

My hope is that you accept the gift that I have given you, and use the information in this article as means of coping in this time of uncertainty. Stay safe and be well.

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