A MON T H LY M AG A Z I N E F OR T H E R E G I ON ’ S R ET I R E E S B Y TA R G ET P U B L I C AT I ON S
G OLDEN June 4, 2012 / VOL. 22, NO. 6
Special Care A look at care for Alzheimer’s and dementia patients here in the LewistonClarkston Valley / Page 10
ID S N I
Senior lunch menus — Page 3
Volunteer of the month — Page 15
Senior Talk — Page 16
House Call — Page 17
Thought for the month “No pessimist ever discovered the secret of the stars or sailed an uncharted land, or opened a new doorway for the human spirit.”
INDEX: Social Security Q&A................... Page 4 Catching up with ......................... Page 4 Briefs .......................................... Page 5 Birthdays .................................... Page 5 Reader poetry .............................. Page 9 Crossword solution .....................Page 12 Sudoku solution ..........................Page 12 Volunteer opportunities ..............Page 15 Sudoku ........................................Page 18
Crossword ...................................Page 19
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E DI TO R Mary Tatko COORDINATOR: Peggy Hayden Golden Times is inserted in the Tribune the first Monday of every month. To advertise, contact your Tribune advertising sales representative at (208) 848-2292. On the cover: Ann Julias, activities director at Wedgewood Terrace in Lewiston, assists a resident in coping with the confusion that comes as part of life for those with Alzheimer’s. Photos by: Steve Hanks of the Tribune Golden Times P.O. Box 957, Lewiston, ID 83501 (208) 848-2243
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Parks & Recreation Senior Nutrition Program
Senior lunch schedules Senior Roundtable Nutrition Program
Moscow Friendly Neighbors Nutrition Program
The Lewiston meal sites for the Senior Nutrition Program serve hot lunch at noon Mondays-Wednesdays at the Lewiston Community Center, 1424 Main St. and the United Methodist Church, 1213 Burrell Ave. Suggested donation is $4 for seniors age 60 and older. There is a charge of $5 for those younger than 60.
Clarkston meals are served Tuesdays, Thursdays and Fridays at the Pautler Senior Center, 549 Fifth St. No. F. Asotin meals are served Tuesday and Thursday. There is a salad bar at 11:30 a.m. Fridays only. Suggested donation is $3 for those 60 and older. Cost is $6 for those younger than 60.
Moscow meals are served at noon Tuesdays and Thursdays in the Great Room of the 1912 Center, 412 East Third St. Suggested donation is $4 for people age 60 and older and $6 for those younger than 60. Salad bar is available at 11:30 a.m. The dessert bar is year-round.
Monday, June 4
Meatloaf / mashed potatoes and gravy / vegetable salad / corn / roll
tuesday, June 5
Tuesday, June 5
Chicken-fried steak / mashed potatoes and gravy / baby lima beans / muffins / apricots
Tuesday, June 5
Sweet and sour pork / rice / coleslaw / peas / muffin
Thursday, June 7
Baked chicken with gravy / mashed potatoes / beets / bread / fruit cocktail / cookies
Thursday, June 7
WED., June 6
Fried chicken / mashed potatoes and gravy / Jell-O salad / carrots / roll / dessert
Friday, June 8
Monday, June 11
Lasagna / vegetable salad / carrots / French bread / cookie
Tuesday, June 12
Tuesday, June 12
Turkey and noodles / Jell-O salad / broccoli / roll / pudding
WED., June 13
Baked breaded fish / potato patty / cook’s choice salad / bread / pears
Spaghetti and meatballs / garlic bread / vegetables / soup Tuna loaf / mashed potatoes and gravy / vegetables / soup
Tuesday, June 12
Barbecue riblet / baked beans / vegetables / soup
Meatloaf / mashed potatoes and gravy / green beans / biscuit / peaches
Thursday, June 14
Chicken cordon bleu / rice pilaf / vegetables / soup
Thursday, June 14
Spaghetti with meat sauce / vegetables / fruit Jell-O / cheesy bread sticks / pudding
Tuesday, June 19
Stuffed cabbage / mashed potatoes and gravy / soup
Roast beef / mashed potatoes and gravy / fruit salad / green beans / roll / dessert
Friday, June 15
Broccoli-cheese soup / cook’s choice salad / pears / crackers
Thursday, June 21
Omelets and bangers / vegetables / soup
Monday, June 18
Chicken-fried steak / potatoes / coleslaw / broccoli / roll
tuesday, June 19
Biscuit with pork-sauage gravy / beets / carrots / applesauce
Tuesday, June 19
Beef stroganoff with buttered noodles / pea salad / carrots / biscuit / ice cream
WED., June 20
Roast pork / potatoes / vegetable salad / corn / roll / dessert
friday, June 22
Beef stew / cornbread / cook’s choice salad / peaches
tuesday, July 3
Monday, June 25
Baked ham / scalloped potatoes / applesauce / green beans / cornbread / cookie
tuesday, June 26
Roast pork / mashed potatoes and gravy / peas and pearl onions / orange wedge / roll / cake / ice cream
thursday, July 5
Tuesday, June 26
Beef chili mac / vegetable salad / mixed vegetables / roll
thursday, June 28
Sweet and sour chicken / rice / broccoli / vegetable Jell-O / biscuit / pineapple
tuesday, July 10
fRIDAY, JUNE 29
Hamburger on a bun / lettuce / tomato / onion / potato patty / cook’s choice salad / pears
thursday, July 12
WED., June 27
Barbecue chicken / potato salad / baked beans / carrots / roll / dessert
thursday, June 21
Baked ham with pineapple / sweet potatoes / peas / roll / brownies
Tuesday, June 26
Swedish meatballs with noodles / vegetables / soup
Thursday, June 28
Hamburgers with all the fixings / vegetables / soup Pizza party / salads / desserts
Fried chicken picnic / vegetables / salads / desserts Bratwurst / mashed potatoes / vegetables / soup Lasagna (meat or cheese) / vegetables / soup
ď ˇ Birthday submissions
Social Security Q&A MCCLATCHYďšşTRIBUNE NEWS SERVICE
Q: I know you need to have limited resources to receive Supplemental Security Income (SSI). But what is considered a â€œresource?â€? A: Resources are things you own that you can use for support. They include cash, real estate, personal belongings, bank accounts, stocks and bonds. To be eligible for SSI a person must have $2,000 or less in countable resources. (A married couple must have
$3,000 or less in countable resources.) Not all of your resources count toward the SSI resource limit. For example: The home you live in and the land itâ€™s on do not count. Your personal effects and household goods do not count. Life insurance policies may not count, depending on their value. Your car usually does not count. Burial plots for you and members of your immediate family do not count. Up to $1,500 in burial funds
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Office Hours: Mon-Fri 9-5 Evening & Saturdays by Appointment
Birthdays starting at 70 and every year after will be accepted for publication in Golden Times. The word limit for each submission is 200 words. Photographs are welcome. Birthday submissions must include the name and phone number of the person submitting information. If you would like your photo returned, please include a self-addressed, stamped envelope. If you have questions about submitting a birthday, please call Peggy Hayden, Target Publications coordinator, at (208) 8482243. Mailed information may be sent to: Golden Times, P.O. Box 957, Lewiston, ID 83501; emailed submissions should be sent to email@example.com.
July birthdays must be received by 5 p.m. June 18.
Catching up with ... SONNY NUMMI
Kamiah resident Sonny Nummi, who was featured in Golden Times last year for his efforts to raise money for juvenile diabetes by lifting a total of one million pounds in one day, has repeated his feat. Nummi, 71, lifted 1,492,740 pounds in six hours 45 minutes at the Valley Fitness Center gym in Kamiah, raising $2,000 for Camp Hodia, run by the Idaho Diabetes Youth Programs. He said the number of pledges increased to 73, up
from 38 last year, with most of the donors from Kamiah, Kooskia and OroďŹ no. He was presented with a plaque of appreciation April 27 at the Clearwater Valley Hospital and Clinics Auxiliaryâ€™s annual wine tasting event in OroďŹ no. After competing in a power-lifting event in Missoula, Mont., this spring, where he took ďŹ rst-place age-group honors in dead lift and bench press, Nummi said he felt good going into his marathon lifting session. â€œMy shoulders are a little sore, so I had to go a little light on the bench press,â€? he said. â€œBut I made up for it on the leg press.â€?
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for you and up to $1,500 in burial funds for your spouse may not count. If you are blind or have a disability, some items may not count if you plan to use them to work or earn extra income. You may also wish to read our material on â€œresourcesâ€? in the booklet, Understanding SSI at www.socialsecurity.gov/ssi/ text-understanding-ssi.htm â€”â€”â€” Q: Can I receive Social Security beneďŹ ts and Supplemental Security Income (SSI) beneďŹ ts at the same time? A: You may be able to receive SSI beneďŹ ts in addition to monthly Social Security beneďŹ ts if your Social Security beneďŹ t amount is low enough for you to qualify. Whether you can get SSI beneďŹ ts depends on your income and resources (the things you own). Social Security beneďŹ ts you receive can make a difference in SSI eligibility and the amount you may be entitled to. You can ďŹ nd out more about the SSI program by going to www.socialsecurity. gov and selecting the SSI tab. ď ˇ This column was prepared by the Social Security Administration. For fast answers to specific Social Security questions, contact Social Security tollfree at (800) 772-1213.
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Phone 208-746-8881 TOLL FREE 1-877-566-8300 Fax 208-746-5694
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Good Samaritan will have barbecue MOSCOW — A barbecue for seniors will be from 4 to 6 p.m. June 21 at Moscow Village, 640 N. Eisenhower St. This is the sixth year of the event, which is held in honor of National Older Americans Month. There is no charge for those age 55 and older. The menu consists of hamburgers, bratwurst, potato salad, baked beans, chips, desserts and cold drinks.
It’s time for North Idaho Senior Games The annual senior games are June 18-23 in the LewistonClarkston Valley. Seniors, age 50 and older, will compete in 14 events with medals awarded in all age groups of each event. Competitions will be held in track and field, archery, horseshoes, 5K run/walk, bowling, tennis, swimming and more. The WA-ID Volunteer Center manages the games and registration, which
g o l den t i me s is accepted through today. 2-6), but meals will still be served More information is available July 3 and 5 at the Latah County by calling Cathy Robinson at the Fairgrounds. center (208) 746-7787.
AARP driver safety classes being held
Senior fair taking place in Moscow MOSCOW — The 2012 Senior Fair will be held from 10 a.m. to 4 p.m. Tuesday at the Palouse Mall here. The event will include workshops, vendors and door prizes. The workshop schedule is as follows: l 10-11 a.m., Fit and Fall Proof. l 11 a.m. - noon, Identity Theft: How to avoid it and what to do if it happens. l Noon-1 p.m., Cooking with grains and greens. l 1-2 p.m., Advocating for yourself. l 2-3 p.m., What’s new with Medicare? l 3-4 p.m., Sail — Stay active and independent for life.
Friendly Neighbors closes for repairs The 1912 Center, where Friendly Neighbors Senior Center and meal site is located, will be closed the first week of July for floor maintenance. All senior activities at the center are canceled for the week (July
You know you’ve been thinking about it!
There are two AARP driver safety classes scheduled for June. The first will be held June 1213 at Gritman Medical Center Conference Room, 700 S. Main St. in Moscow. The class is from 8:30-11 a.m. each day. The second class is in Clarkston from 1-5 p.m. June 15 and 8:30 a.m. to 12:30 p.m. June 16 at TriState Memorial Hospital Community Room on Highland Avenue. Both days of classes must be attended to receive a certificate. Cost is $12 for AARP members and $14 for non members. Advance registration is encouraged and can be done for the Moscow class by calling Claudine Planck at (208) 882-2098, and for the Clarkston class by calling Dave and Sharon Muda at (509) 7582871.
May 28 Jerome Peer Jerome Peer of Lewiston was honored Saturday at a reception hosted by his children for his 90th birthday. He was born May 28, 1922, in Winchester, to Alphonso and Margaret Peer. He attended schools in Reubens, Winchester and Orofino. He and Jean Rugg were married Dec. 26, 1945. The couple have four children, 10 grandchildren and 14 greatgrandchildren. He served during World War II from 1942-1945, being stationed in North Africa, Italy, France and Germany, and participating in four beach heads.
Through the years he worked at various saw mills in the region, he also farmed in Winchester, and sold farm equipment in Lewiston and on the Prairie. He retired in 1984. He served as president of Winchester Federal Credit Union in 1971 and was president of Winchester Saddle Club in 1972. He has been a member of the Elks for 43 years in Lewiston and was past president. He is a life member of the Veterans of Foreign Wars and the American Legion. He is also an elder at Congregational-Presbyterian Church in Lewiston. He is a former Twin City Twirler and Boy Scout leader.
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ď ˇ Lila Zimbauer Lila Zimbauer of Orofino celebrated her 91st birthday Friday. She was born June 1, 1921, at Central Ridge, above Peck, and has lived in the area all her life. She married Paul Baugh in 1941 and the couple had three children. He died in a logging accident. She later married Tim Zimbauer. In her younger years she enjoyed working in her yard and garden, but due to health issues she canâ€™t do as much anymore.
ď ˇ Herman (Sonny) Schillings Herman (Sonny) Schillings of Orofino celebrated his 92nd birthday Saturday. He was born June 2, 1920, in Dekalb, Ill. In 1936, he joined the Civilian Conservation Corps, which brought him to Idaho. He married Annabell Pearsall in 1941. He worked for the U.S. Maritime Commission during World War II. Later, he worked as a bus driver and a gas truck driver for 20 years. He was president of the Clearwater Senior Citizens for many years and is still active in the organization.
ď ˇ Bob Clark Bob Clark of Lewiston celebrated his 80th birthday at an open house Saturday. He was born June 3, 1932, to Hazel Beaumont. He graduated from Clarkston High School in 1950 and served in the U.S. Navy from 1951 to 1955. He
was stationed on the USS Jason in Japan. He and Barbara were married in 1955 in Lewiston. The couple have two children and one grandchild. He was a mechanical contractor and former owner of Lewiston Refrigeration, Heating and Air Conditioning. He retired in 1997. He is a member of the Kelly Creek Flycasters and is a director for Lewiston Orchards Irrigation District. His favorite pastime is building bamboo rods.
June 5 ď ˇ Nellie Chase Nellie Chase of Orofino will have her 83rd birthday Tuesday. She was born June 5, 1929, in Seminole, Okla. She has lived in Idaho since 1930. She married Levon Chase June 4, 1950. They moved to Orofino in 1954. He died in 2008.
She has three children, four grandchildren and five great-grandchildren. She is a member of the P.E.O. Chapter AW and is on the Area Aging Advisory Council. She volunteers at the Orofino Senior Center and the meal site, the Clearwater County Senior Citizens and for the WA-ID Volunteer Retired Senior Program.
June 7 ď ˇ Corrie Shriver Corrie Shriver of Orofino will turn 85 Thursday. She was born June 7, 1927, in Orofino and grew up in Grangemont. She married Wayne Shriver in 1947 and they celebrated nearly 65 years of marriage before he died in January. She has three children, 12 grandchildren and 20 greatgrandchildren.
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JUNE 8 EDMUND RICARD
four children. The family moved to Lewiston Edmund Ricard of where he and his wife Lewiston will celeraised their kids on brate his 93rd birthday fruits and vegetables Friday. they grew. They also He was born June 8, grew ﬂowers. 1919, on a farm north His wife and a daughof Uniontown and grew ter died. up there. He is known as the He served in the Dahlia Man by many. U.S. Army during World His dahlias and other garden War II. After his service, he and treasures can be seen yearly at Cecilia were married and had the Nez Perce County Fair.
She married Stanley Cramer. Her husband later Barbara Thomas of Oroﬁno died. will turn 83 on Friday. She married Jim Thomas. She was born June 8, 1929, She has three children and in Clarkston. four stepchildren.
ARLENE ELIZABETH SCOTT
Feb. 14, 1949, and they
Arlene Elizabeth McDole Scott of Oroﬁno will turn 83 Friday. She was born June 8, 1929, in Eugene, Ore., the oldest of four children born to Elroy McDole and Myrtle Brownlee McDole. She received her schooling in Ontario, Ore., graduating in 1947. She married Dale Scott
The couple have three chil-
made their home in Oroﬁno. dren, ﬁve grandchildren and several step-grandchildren. She worked at Watkins Dry Goods. Her hobbies include quilting, baking cookies and taking care of her husband.
JUNE 9 ROY KENNEDY Roy Kennedy of Clarkston will celebrate turning 85 during the Brushy Flats class reunion in Riggins. He was born June 9, 1927, in Canﬁeld, Idaho, to Angus and Ethel Kennedy. He attended schools in White Bird, John Day,Ore., Brushy Flats, Riggins and Clarkston. He graduated from Clarkston High School in 1945. He served in the U.S. Army for two years beginning in 1945 with the 2nd Army Division. He married Ilene Carroll Jan. 17, 1947, and they were married for 45 years at the time
JUNE 10 GORDON THIESSEN Gordon Thiessen of Oroﬁno will turn 87 on Sunday. He was born June 10, 1925, in Tillamook, Ore. He married Lillie Snyder, and they have two daughters, eight grandchildren and 10 great-grandchildren. They had a son who died. He enjoys taking care of his ﬂowers.
of her death in 2001. He has six children, 12 grandchildren and 16 great-grandchildren. He worked for Asotin County Housing Authority as the maintenance supervisor until retiring in 1989. His wife owned The Silver Dollar Cafe, where he helped out with whatever she needed him to do — except cooking. He enjoys his morning coffee with the guys and all the talk. He is a 25-year member of the Clarkston Eagles Lodge, where he is the treasurer. He also takes pride in being the chairman of the Brushy Flats school reunion.
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JUNE 11 ď ˇ JENETTE (JETT) GORDON Jenette (Jett) Gordon of Culdesac will be honored by family and friends from 1 to 4 p.m. Sunday at the Veterans of Foreign Wars Post 1443 in Lewiston. The occassion is to celebrate her 70th birthday. She was born June 11, 1942, in Kyle, S.D. She married Leroy Gordon Feb. 29, 1988. She has three children, four stepchildren, 14 grandchildren and seven greatgrandchildren, with another on the way. Her hobbies include being an avid hunter and ďŹ sher, mushroom and huckleberry
M O N D A Y, J U N E 4 , 2 0 1 2
picking, and just spending time in the woods. She enjoys time in her vegetable garden, and machine embroidery and quilting. She enters her wares in the Nez Perce County Fair each year. In the past, she has enjoyed doing needle work and cake decorating. She is an active member of the Grubby Knuckles Garden Club and the V.F.W. Post 1443 Womenâ€™s Auxiliary. She served as past president of the auxiliary and was also past district auxiliary president. She has served as judge for area county fairs and is superintendent of gift baskets at the Nez Perce County Fair.
Complete and compelling. All the news you need.
ď ˇ MARVIN SIELER
ď ˇ ROWENA J. NELSON
Marvin Sieler of OroďŹ no will celebrate his 81st birthday June 12. He was born in Plevna, Mont., June 12, 1931. He married Irene Dawson May 3, 1952, in Billings, Mont. They have two daughters, six grandchildren and eight great-grandchildren. He was an Assembly of God minister for more than 40 years.
Rowena J. Nelson of Lewiston will turn 90 on June 20. She was born to William and Alice Millage in Nezperce on June 20, 1922. She and Loren Bolen were married Sept. 1, 1940, in Peck, where they lived for a short time before relocating to Pierce. He died in 1951. She married Albert Nelson and they celebrated 50 years of marriage before he died in 2001. In her younger years she loved spending time in her kitchen cooking and canning, and was known for her pies. She also enjoyed having a garden, especially her ďŹ‚ower garden. She has three sons, 13 grandchildren, 22 greatgrandchildren and six greatgreat-grandchildren. She currently resides at Royal Plaza Care Center.
JUNE 18 ď ˇ PEARL RENFREW Pearl Renfrew of Moscow will celebrate turning 98 June 18. She was born June 18, 1914, to William and Lizzie Murphy in Moscow, where she grew up and received her schooling. She married Alfred Renfrew in 1933. Her husband died in 1976. She worked for Psychianna, Majors Clothing and retired from the University of Idaho physical plant. She has two children, four grandchildren and six greatgrandchildren, with another on the way In her younger days, she was active with the Royal Neighbors of America, Rebeccas, Moose Lodge and the Lady Eagles. Until a few years ago, her hobbies included bowling, which she only gave up at age 92.
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The New World
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skill and graceful way, my heart gives thanks for butterfly friend as I pray. Please let this beauty remain close to me each day.
They’ve walked on the old U.S. Flag again And they burned it last night in the street Lucille Magnuson, 92, Moscow That it really airn’t tearthin by time. before God took you in His Two kids were molested on drops we’re seeing arms, Priscilla Armitage, 77, Kendrick Friday Reflections In the Statue of Liberty’s eye and carried you away. Where Second and Porney Howard Norskog, 79, Lewiston Mary Ann Pavel, 69, Clarkston How sweet it is to reflect the Infant Road meet time that has come and gone I used to fish down in that and now you are alone. Iris guard the little stone creek there Blue-Veined Hands Butterfly Friend There were children who that marks your place on But the water’s not fit played at your feet and you earth, anymore Blue-veined hands with Waiting for that warm sunny felt them such a treat to be the stone that has a single Soldiers are browbeat and wrinkled skin, day that comes in May. with you. chastised date worn by time till seeMy flowers are smiling up at I reflect on time and I see the The ones who came home to note both death and through thin. blue sky to say, change as the children move from the war birth. Once they held a lover’s “Hurry please, and show us on into their world. A man killed his father and Did you get to take a breath, spring’s really here to stay.” hand, It’s their time away as they mother to feel your own heart beat? My butterfly friend and red later on a wedding band. The judge set him free just move away from your world Did someone hold your little They gently stroked a breast robin will play today you begin to reflect on time. hand, newborn’s head, at the feeder and birdbath They threw out about all of then closed in prayer beside and rub the bottoms of your When will they reflect? all the early day. the evidence feet? her bed. As I marvel at their winged Yvonne Carrie, 68, Lewiston A small technicality they say To ask that God would lead Did your mama get to hug My boy he was caught with you, the way, some drugs here and kiss your baby face, in guiding her through life Just 13 years down here or did they whisk you out of each day. from heaven sight, They labored daily — sun Folks say that I’m lucky away from her embrace? to sun, regardless So why no given name, with little rest till tasks were Most kids get hooked about just “infant” on your stone? done. 799-5767 seven Were names so precious Yet found the time to aid a A man shot four punks on THANK YOU... then, friend, the subway they could not spare you and gave with joy when Fraternal Order of Eagles, Nez Perce Auxiliary Cause they wanted what one? asked to lend. No. 631 for their recent donation and gold that he had And yet you left your tiny A lifetime written line by And the judge said he’s Coleman Oil and Big Country 97.7 Radio mark, line, really a hard core We are looking for volunteer drivers to deliver meals to our seniors on blue-veined hands worn though here for just one day, A boy who had gone to the and home bound clients. We have over 150 clients that need food. bad Some say it was raining this Call 799-5767 today and morning “help us keep the wheels turning Some said that the fog with your donation.” seems to lie
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prints original short poetry from seniors on a spaceavailable basis. Include your age, address and phone number (address and phone number will not be published). Send poetry submissions to: Golden Times, P.O Box 957, Lewiston, ID 83501; (208) 848-2243 Deadline for poetry is June 18
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Seeking peace of mind Caring for elderly family members can be challenging — especially if they suffer with Alzheimer’s or dementia By Mary Tatko
center for 2½ years would have been helpful when her mother was diagnosed. So when people contact WedgeMoving a parent or grandparent to wood Terrace, which has a 24-bed a care facility can be heart-wrenchsecure unit, about care for a family ing for families. Guilt about placing member with Alzheimer’s, Faller a loved one with Alzheimer’s or dementia symptoms in a locked facility knows to expect a certain amount of confusion and guilt. designed to prevent wandering can “I can honestly say, ‘I know how make the decision much more difyou feel,’ ” she said. “To them, it’s ficult. foreign: ‘Where did my mom go? “A lot of people have misconcepWhere did my dad go?’ ” tions about Alzheimer’s care, espeLearning what to expect helps, cially if (the unit is) secure,” Becky Faller, marketing director at Wedge- she said. “Fear is not being educated.” wood Terrace Assisted Living in She recommends families start Lewiston, said. with a list of 10 warning signs of Faller does her best to reassure Alzheimer’s compiled by the Mayo families that seeking professional Clinic and available on its website care within a secure facility – one with key pads or other security mea- at www.mayoclinic.com/health/ warning-signs-of-alzheim sures at exit doors – doesn’t mean their loved ones will be prisoners. In ers/MY01036. Making the journey from fear fact, she said, reducing the overto understanding is an emotional whelming stimulation from a world process, and the facility’s employthat has become confusing often affords those with Alzheimer’s a sense ees can’t help but become close to patients and their families. of freedom. “These people do become your “They’re really secure in there,” she family,” Faller said. “Their family said. “They can be themselves.” becomes your family.” Before they learn more about In her 13 years at Life Care Alzheimer’s disease and care, famiCenter of Lewiston, admissions lies often fear their loved one will be and marketing director Julie King “locked up.” Learning about what’s normal for Alzheimer’s and dementia has learned a good deal about what patients and how a secure unit meets the facility does to meet the needs of residents with Alzheimer’s and detheir needs goes a long way toward mentia, down to the smallest details. easing everyone’s mind, Faller said. For example, she explained, a Nearly every family member feels special matte finish on the floors guilty when they first approach a helps reduce fear of falling among care facility, she said, speaking not just from her interactions with fami- residents, because shiny, glossy surlies at Wedgewood Terrace, but from faces appear wet to many people with Alzheimer’s disease. personal experience with her own Many residents at Life Care Cenmother, who died about five years ter’s 115-bed skilled nursing facility ago. She said what she knows now after working at the assisted living have Alzheimer’s or dementia, King Of Target Publications
Medical technician Krystine Grluck plays balloon volleyball with several Alzheimer’s residents at Wedgewood Terrace in Lewiston. said, but not all have the specific needs that require placement in the 24-bed secure unit. Those at risk for elopement and for whom special Alzheimer’s care can be a benefit are most likely to reside there, she explained. While those unfamiliar with Alzheimer’s and dementia care might focus most on the secure aspect of the unit – all those locked doors – what’s most important is what goes on behind the doors, King said. As Life Care Center’s activities
director, Teresa Senefsky oversees a program within the secure unit tailored specifically for Alzheimer’s and dementia patients. “We do a lot of what are called normalizing activities,” Senefsky said, explaining these are everyday skills such as folding laundry and polishing silverware. “Those kinds of activities always stay in the brain,” she said. “You’re not forcing unfamiliar things.” Meal preparation is a multi-sensory experience, combining familiar,
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Alzheimer’s Support Group Guardian Angel Homes, an assisted living center in Lewiston, specializes in Alzheimer’s and dementia care and offers an Alzheimer’s support group at its “community barn” the second Wednesday of each month from 7 to 9 p.m. Those interested in more information about the support group can call Maggie at (208) 743-6500. routine tasks with comforting aromas, such as freshly baked bread. Many personal-care activities are dual-purpose as well: Hair brushing, nail care and massage can calm and soothe, helping residents look and feel better. The unit opens onto an enclosed courtyard where outdoor activities, such as raking leaves are possible. “And then we do a lot with music,” Senefsky said. “Something that touches the soul of all of them.” Though there’s a lot to do within the unit, residents aren’t limited to the secure area. Activities in other parts of the facility are a regular part of daily life, Senefsky explained. At Wedgewood Terrace, just under half of the 50 or so residents live in the facility’s secure Stepping Stones unit. Within the unit is a family room, television room, dining room, common area and outside courtyard. Activities director Ann Julias said the stages of the residents’ illnesses help determine what they like and are capable of doing. “Most of our people right now enjoy more one-to-one time,” she said. Julias and the Stepping Stones residents have started a garden in the courtyard, a project that provides fresh produce for the unit’s twice-daily snacks in the summer months — and the occasional unexpected lesson. “One year, one of the residents picked all the tomatoes, and they were all green,” she said. The harvest did not go to waste, though: A resident instructed her in making fried green tomatoes.
“A sense of humor is very, very important,” she said. “You have to be able to go with the flow.” As at Life Care Center, food preparation is a popular activity at Wedgewood Terrace. “They like to smell it, and then they like to eat it,” Julias said. “They’re all very good eaters.” Maintaining a calm atmosphere helps keep behaviors from escalating, and being able to think on one’s feet can do a lot to defuse the situation when a resident becomes frustrated. Julias gave an impromptu demonstration of these skills in the Stepping Stones common room: As other residents participated in a balloon toss, one woman moved away from the group, suddenly agitated. Taking the resident in her arms, Julias began swaying rhythmically
from side to side, leading her in a dance. Though their lives have been changed by their illness, the residents aren’t defined by their symptoms, she said. “Their personalities still shine through.” Julias, who has worked at Wedgewood Terrace for four years and in Alzheimer’s care for about 10, was a nurse in Scotland before moving to the United States. She said families starting down the path of seek-
Skilled Nursing vs. Assisted Living Life Care Center is a skilled nursing facility, meaning a registered nurse is on staff 24 hours a day, seven days a week and all the aides are certified nursing assistants. Wedgewood Terrace is an assisted living center, where an RN is on staff Monday through Friday, eight hours a day, with nurses on call the rest of the time. Residents who need medical interventions such as IVs or injections can get that care at a skilled nursing facility. Assisted living centers generally provide help with daily living. NOTE: A sidebar to this story on other care options can be found on page 13.
ing help for an Alzheimer’s or dementia patient sometimes think their loved one’s behavior will seem shocking to the care staff, but she reassures them that’s never the case. “I think sometimes we’re looking after their loved ones, but we’re also taking care of their families,” she said. Tatko can be reached at firstname.lastname@example.org or (208) 848-2244
ABOVE: Nurses and medical technicians care for the needs of Alzheimer’s patients at Lewiston’s Wedgewood Terrace. BELOW: Jerry Bowlin, executive director at Wedgewood Terrace consoles an Alzheimer’s patient.
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Another model for Alzheimer’s care Veterans home offers care for those with Alzheimer’s without a secure unit
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the next decade, according to the Treasury Department. “You think of that paper check ﬂoating out there in the delivery system, with personal information on it, it’s much more susceptible to fraud versus an electronic payment,” Henderson said. Advocates for seniors say they understand the government’s desire to cut costs and take advantage of technologies that most workers already use.
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aromatherapy. WASHINGTON — Starting The smell of an next year, the check will no longer apple pie can take be in the mail for millions of people receiving Social Security and other them back to a government beneﬁts. solid memory. By MARY TATKO The federal government, which OF TARGET PUBLICATIONS Our social-services staff issues 73 million payments a focuses on staff and family month, is phasing out paper checks Secure units are not the education as well as makfor all beneﬁt programs, requiring only model for Alzheimer’s ing recommendations for people to get payments electroniand dementia care. Many behavioral interventions. The cally, either through direct deposit residents of the Idaho State nursing staff provides handsor a debit card for those without a Veterans Home in Lewiston on care to the individuals and bank account. receive care for Alzheimer’s ensures that the elements of The changes will affect people who get Social Security, veterans’ and dementia symptoms, the daily routine are consisbeneﬁts, railroad pensions and fedthough the home does not tent. Even our non-clinical have a separate, secure unit staff is involved in redirecting eral disability payments. Tax refunds are exempt, but the Internal at this time. Administraand listening to individuals Revenue Service encourages taxtor Sarah Yoder explained who may be perseverating payers to get refunds electronically via email how the veterans on an issue or looking for by processing those refunds faster home provides care for these something. than paper checks. residents: I can’t say enough that it About 90 percent of people who “Each resident in the build- takes a unified interdisciplin- receive federal beneﬁts already get ing has a plan of care that is ary team to make care giving their payments electronically, the Treasury Department says. New unique to his or her needs. successful. The staff here are beneﬁciaries were required to get Individuals with dementia patient, loving and compaspayments electronically starting last may have additional interven- sionate.” year, and with a few exceptions, the tions in place to assist with Tatko can be reached at rest will have to make the switch by managing where they are in email@example.com or March 2013. the disease process. “It’s just that natural progression (208) 848-2244 Dementia affects the individuals’ ability to cognitively and physically function. As the brain changes, each individual with this diagnosis progresses and functions in a different way. For many of 3ULYDWH the individuals, we need to Unfurnished focus more on things that “Bedroom” were comforting and familiar Units in their past. We incorporate )XUQLVKHG family recommendations Common Areas and activity programming to .LWFKHQ ensure that quality of life is Laundry maintained. 8WLOLWLHV Some individuals are exitSURYLGHG seeking or wander through(OHYDWRUV out the day for comfort. We do have an alarm system on the door that notifies staff if someone is going outside unattended. For these individuals, we seek activities that For more information or a tour of the residence, please call promote exercise and familiar routines. Some individuals thrive on sensory program611 Bryden Ave., Lewiston ming, such as participating email: firstname.lastname@example.org in food-based programs or
of moving to how people are used to receiving their funds,” said Walt Henderson, director of the Treasury Department’s electronic funds transfer division. Henderson said electronic payments are safer and more efﬁcient than paper checks; in 2010, more than 540,000 federal beneﬁt checks were reported lost or stolen. The switch will save the government about $120 million a year. Social Security will save $1 billion over
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Families of frail seniors call sensors a godsend
By WARREN WOLFE STAR TRIBUNE
ABOVE: An Alzheimer’s patient is seen here wearing a monitor that alerts his family of his whereabouts. RIGHT: A motion sensor sits on the wall of an assisted living facility, letting staff and family know patients’ movements.
“How wonderful it is that nobody need wait a single moment before starting to improve the world.” ~ Anne Frank Opportunities to serve at www.interlinkvolunteers.org
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MINNEAPOLIS — When 80year-old Paul Marrs arises each morning, nine sensors in his Belle Plaine, Minn., senior apartment begin tracking his activity and dispatching an array of data to a computer in Mendota Heights, Minn. Did he go back to bed, use the toilet, open the refrigerator? It’s a high-tech solution that is transforming services to frail seniors in Minnesota and across the country by spotting problems while they’re small. For some seniors and their families, it’s raised some privacy concerns, but for others, such as Marrs, it’s a godsend. For two years, it has helped keep him in his lower-cost apartment at the Kingsway Senior Living complex and out of the adjacent assisted-living unit. That $900 annual service saves him $22,000 a year. Thousands of elders are able to stay healthier, and delay or avoid
institutional care, under the 24-hour-a-day attention of pressure sensors, motion detectors, pill dispensers, personal-alert pendants and other devices. “We’re really at the edge of major change,” said Majd Alwan, who heads the Center for Aging Services Technologies, a coalition of companies, care providers and universities that develop and use new systems. “There are barriers, but we are demonstrating that this works,” he said. “We can improve lives for the elderly and their families.” Several major chains of care providers in Minnesota are among national leaders in the change, including Ecumen, Presbyterian Homes, Good Samaritan Society and Volunteers of America. The array of sensing devices at Kingsway in Belle Plaine was developed by Healthsense of Mendota Heights, which is working with 50 other senior housing providers in Minnesota and an equal number in other states. At Kingsway, each of the 22 assisted-living units have the full array of sensors included in its monthly fee. Like Marrs, about half of those in the 45 independent apartments buy the service at a reduced rate of $75 a month. Its home health agency also is taking the devices into the community, sometimes just for a few weeks after surgery, or longer term to help
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people with chronic illnesses stay in their homes. They pay the full cost: one-time fees of $1,500 to rent and $550 to install and program the system, and a monthly monitoring fee of $150. “That sounds expensive, but it’s about the same as two weeks in a nursing home,” said Sharon Blume, director of family services and technology at Kingsway. “The savings start pretty quick.” Government agencies are beginning to pay providers for using the technology with low-income people and are offering grants to help. Some preliminary ﬁndings are promising, say leaders of Volunteers of America, which is coordinating a project from its Eden Prairie, Minn., ofﬁce to install equipment in a range of facilities nationwide: Assisted-living care costs averaged $828 in a speciﬁc period, compared with $3,236 in a control group, by early detection of urinary tract infections and other health problems. Sleep monitors in nursing homes found that a third of residents were being wakened unnecessarily. Assisted-living nurses made 40 percent fewer phone consultations because the data from sensors allowed quicker diagnosis and treatment. Now the focus is less on new gadgets and more on better ways to interpret and act on the information they generate, said Bryan Fuhr, Healthsense vice president of business development. “This is not just an exercise,” he said. “Innovation ... is coming from nonproﬁt providers whose mission is to improve lives. That’s what this technology has to do.” The Healthsense Wi-Fi system also can check a resident’s blood pressure, blood sugar and other vital signs, track a resident moving through the building, and send out a cellphone alert to staff if there are signs of trouble. And for families who want it, such as Marrs’ son and daughter, the system sends out daily all-is-well emails. “I didn’t realize how worried I’d been about Dad until I started getting the emails,” Dianne Cutter said on a recent Friday from the airport in Scranton, Pa. Traveling weekly for business, she’s more apt to get the message in Thailand or France than at her home in Chaska, Minn. “I feel like I can relax. I can go online to look at the details,” she said.
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Senior Volunteer of the
Jacquelyn Haight Jacquelyn Haight of Lewiston is the June Senior Volunteer of the Month for the WA-ID Volunteer Center. Volunteer work: She volunteers at the Lewiston Civic Theatre 30 to 40 hours a week. She has been volunteering since she was a student at Lewis-Clark State College in 1972. She currently keeps track of the vast array of costumes the theater owns. For the last 24 years she has also been volunteering with the Children’s Studio Workshop. Her work at the theater has also included time spent on the board of directors where she served as president for three years. She was the first person to be awarded the Fred Scheibe Volunteer Appreciation Award. Other volunteer work includes time with the Lewiston Historic Preservation Commission, the Beautiful Downtown Lewiston Design Committee and Modie Park. Career: Haight retired from teaching full time at Culdesac High School but does still substitute teach now and then for Clarkston High School, where she began her teaching career. She also worked as a drama coach at Potlatch and Lewiston high schools, Nez Perce Tribal School, YWCA summer program and Clearwater Valley High School through the years. Hobbies: Haight loves to cook gourmet dishes, sailing, and all things theater-related; she is the official Civic Theatre historian, having put together more than 75 volumes of clippings and photos from shows. She told the Tribune she enjoys the theater because she gets to see stories develop. “Watching the story grow from down here to put costumes on a person, they go upstairs into this make-believe set and it becomes a story. It’s just really interesting.” When asked her favorite part of volunteering, Haight replied: “I guess being around the kids, the young people. A lot of people in the show have been in my workshop. I’ve had kids come to my workshop for 10 years, every year, every summer.”
Volunteer opportunities The WA-ID Volunteer Center located inside the Lewiston Community Center at 1424 Main St. provides individualized volunteer opportunities for those wishing to serve in Lewiston, Clarkston, Asotin, Pomeroy, Moscow and the Orofino area. The phone number is (208) 746-7787 or toll free at (888) 546-7787. The center can also be found online at www. waidvolunteercenter.org. The following are a few of the volunteer opportunities available in June.
ing for an additional host for Monday afternoons, and Tuesday and Thursday mornings, as well as people to fill in for other hosts when needed. Host duties include answering the phone, making coffee, washing coffee cups, and just being available at the center. For more information on this opportunity call the Moscow Senior Center at (208) 882-1562.
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Community Action Partnership Food offers volunteer opportunities providing transporBank: The food bank is in need of volunteers to
tation in Nez Perce and Asotin counties. Care-receivers are picked up at their homes by volunteers using their personal vehicles and given rides to appointments and back home. Mileage is reimbursed. Other opportunities exist for one-time yard work, small in-home electrical or plumbing repairs, moving assistance, and the construction of wheelchair ramps are available. All volunteer opportunities are offered each week on “The Monday List” at www.interlinkvolunteers.org. Volunteer applications are also available on the website. More information is available by calling (509) 751-9143 or emailing interlink@clearwire. net.
pick up donations from local grocery stores, on an established route, using a CAP vehicle. The shift begins at 8 a.m. and lasts between one and three hours Mondays and Tuesdays, and serve as backup on Fridays.
Second Chance Animal Inc.: Energetic animal lovers are needed to help in the thrift store. Must be able to lift 40 pounds. Volunteer orientation is the first and third Saturday each month. For more information about this opportunity call the Pullman Thrift Store at (509) 334-7966. Moscow Senior Center: The center is look-
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Peggy J. Hayden
Getting in tune for lunch
PULLMAN â€” Things are lively at the Pullman Senior Center, situated on the first floor of Pullman City Hall. It was a sunny Friday morning when I made the drive from Lewiston to Pullman, but not nearly as sunny as the dispositions of the seniors at the center that morning. Arriving at 11 a.m. I figured I would get settled in and meet a few of the seniors before lunch was to be served, but, much to my surprise, this group of seniors was already getting musical. The Kitchen Band was playing tunes while audience members sang along and some even bounced to the tune through the aisle. Now this isnâ€™t any typical band â€” theyâ€™re much more fun â€” and they happen to make music with some unusual â€œinstruments.â€? Playing the tin can was Tania Dreyer, on the metal bowl with a clanging metal spoon was Delores Heidenreich, Eileen Ankerson was playing a rattle on this day but told me later she usually plays a washboard, and Beverly Cook played a pie pan with a wooden spoon. Also in the band is â€œSlinky the Clownâ€?
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who was busy playing the â€œgut bucket,â€? which is an old-fashioned metal wash bucket turned upside down with one end of a rope attached to the bottom. The other end of the rope is attached to a long stick that Slinky holds on the edge of the bucket while plucking the rope. Carole Johnson had a bag of musical goodies that she switched between; my favorite being the two plastic cups she banged together. Sandy Rice takes a more conventional route, accompanying the band on piano. They played one song after another as seniors shuffled in to the lunch area and across the hall other seniors exercised in the social room before sitting down to eat. Lunches are served at the senior center at 11:45 a.m. on Mondays and Fridays, and are often preceded by some entertainment. Whether it be the Kitchen Band or the Old Time Fiddlers, this group likes starting their afternoon with a little music. The Kitchen Band concluded its performance with the Washington State University fight song in true Cougar fashion. The entertainment was followed by the Pledge of Allegiance, a prayer, welcoming of new members and guests, and any announcements for the center. Then tables were called
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to get in line for the lunch. Following the meal the center celebrated mothers â€” this being the Friday before Motherâ€™s Day. Steve Bell, the senior program coordinator at the center, asked for all the mothers to pay attention as he read out six categories one at a time, having mothers that fit into each category stand and then the winner was given a flower arrangement. The categories and winners were as follows: who traveled the farthest to be there that day was given to me; Ruth Westbrook, 95, was the oldest mother; Loraine Bell, 62, was the youngest mother; Tania Dreyer raised the most children, having had 10; Eileen Ankerson had the most grandchildren with a total of 17; and Annabelle Syms, who was having a birthday on this particular day, had the most great-grandchildren with 14. This active bunch made me smile from the moment I arrived and it reminded me of something my dad always told me: â€œYouâ€™re only as old as you feel on any given day.â€? By this logic I would say there were no seniors in attendance at the center that day and perhaps not on any other day either! ď ˇ Hayden can be contacted at phayden@ lmtribune.com or (208) 848-2243.
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The initial treatment is to try graduated remaining veins can be treated with incompression stockings to counteract jections (sclerotherapy) or by removal the pressure in the veins. If the symp- through tiny punctures (phlebectomy). toms continue, it is important to treat the underlying problem before treating ď ˇ Hoffmann practices at Valley Medical the visible veins. If there is reflux in Center, 2315 Eighth St., Lewiston, (208) one of the main superficial veins, it can 746-1383. be treated by feeding a laser ,I<RXÂśYH%HHQ7KLQNLQJ fiber into the vein and burnDERXW3UH3ODQQLQJ ing the inside ,&DQ+HOS of the vein. This causes the vein to close. The procedure is done in the office and people can return to their 'RQ%URZQ normal activity the next day. By treating the underlying problem, the visible veins will often shrink and disappear. Any
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blood from the body back to the heart. There are superficial veins under the skin and deep veins within the muscle. Valves in the veins prevent blood from flowing backwards or refluxing. When the valves become damaged, the blood can flow backwards toward the feet. This causes high pressure in the veins. Since veins do not have any muscle in their wall like arteries do, the high pressure causes them to enlarge. Deep veins normally have higher pressure than superficial veins so connections between the deep and superficial veins can also increase the pressure in the superficial veins. Varicose veins are enlarged superficial veins. Spider veins are the small clusters of threadlike red veins. Treatment of spider veins is considered cosmetic. They can usually be treated by injecting them with a chemical to damage the inside of the vein wall. The vein will then close and eventually disappear. The treatment of varicose veins varies with the location, number and severity.
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The symptoms of varicose veins include heaviness, swelling, aching, burning, throbbing, itching and restless legs. Spider veins usually do not cause symptoms, but may be a sign of underlying problems with the veins. If left untreated, high pressure in the veins can cause thickening of the skin, increased pigmentation and ulcers of the skin around the ankle. Arteries carry blood from the heart to the body and veins carry
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When Alzheimer’s isn’t the real problem DETROIT — His loved ones dreaded what might be next: a diagnosis of Alzheimer’s. Martin Rosenfeld had called too many times — confused and frustrated — from a parking lot outside his synagogue, after driving there in the middle of the night for services that wouldn’t begin for hours. Once a meticulous pattern-maker in the clothing industry, he now nodded off mid-conversation. Spilled things. Mumbled. “We’d be getting calls all night long. He’d say, ‘What time is it? Can I get up now?’ ” said his daughter, Shelley Rosenberg, whose husband, Don Rosenberg, chairs the Alzheimer’s Association’s Greater Michigan Chapter. Rosenfeld’s confusion, which turned out to be caused partly by sleep apnea, reﬂects what the head of Wayne State University’s Institute of Gerontology worries is a growing trend in the number of Americans being wrongfully assumed — even medically misdiagnosed — with Alzheimer’s, the most common form of dementia and perhaps the most feared disease of old age. “It’s a real problem. If you’re older and you get a label of Alzheimer’s — even a hint that you have Alzheimer’s — there’s no more critical thinking about it. You’re written off by a lot of people,” said Peter Lichtenberg, head of the institute and a clinical psychologist who has testiﬁed in several probate cases in which a person’s mental capacity was at issue. Lichtenberg, in a December paper for the journal Clinical Gerontology, highlighted two case studies: in one, a man’s bouts of confusion and agitation in his late 70s were caused by illness and painful cellulitis, not Alzheimer’s; in the other, an 87-year-old woman, who seemed suddenly confused, was suffering from depression. Lichtenberg’s paper builds on research elsewhere that suggests that the difﬁculty in pinning down Alzheimer’s makes misdiagnosis too easy. The research is based mostly on small studies but also on an ongoing, longterm study supported by the National Institute on Aging, which is part of the National Institutes of Health. In cases reviewed so far, about one-third of Alzheimer’s diagnoses were incorrect, according to the lead researcher, Lon White. “The diagnosis was dead wrong one-third of the time, and it was partially wrong a third of the time, and it was right one-third of the time,” White said. The project, called the HonoluluAsia Aging Study, has been under way
since 1991 and focused on the precise brain changes linked to Alzheimer’s disease and other types of dementia. Pathologists examined the brains of 852 men born between 1900 and 1919, about 20 percent of whom were diagnosed with Alzheimer’s. In the cases carrying an Alzheimer’s diagnosis, two-thirds of the brains exhibited the types of lesions closely linked to Alzheimer’s. Half of those featured other problems, as well, such as scarring on the hippocampus, the part of the brain responsible for memory, White said. That didn’t mean that those without the Alzheimer’s lesions were otherwise healthy, “but what we’re calling Alzheimer’s is very often a mixture of different disease processes,” White said. Lichtenberg said his concerns about misdiagnosis in no way lessen the enormity of Alzheimer’s impact.
The Alzheimer’s Association estimates that 5.4 million Americans are living with Alzheimer’s. Lichtenberg’s grandmother had the disease. A picture of her, dancing, sits in his ofﬁce at Wayne State. But understanding how often Alzheimer’s and other dementia are misdiagnosed is hard to quantify. Sometimes, that’s because loved ones have not yet noticed a decline; sometimes, they don’t want to face the possibility, Lichtenberg said. Rosenfeld’s most pressing problem was severe sleep apnea that had aggravated the more manageable symptoms of undiagnosed Lewy-body dementia. Lewy-body dementia causes a visual processing disorder, disrupts the ability to organize, plan and focus and can causes sleep problems and hallucinations. A breathing machine at night made a dramatic difference, said Shelley
Rosenberg: “I’m thrilled. He is what he used to be. I have my father back.” It’s a difﬁcult balance for the Alzheimer’s Association: trying to raise awareness and boost early intervention efforts for Alzheimer’s and other dementias, while also cautioning families and clinicians not to jump to con-
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clusions. Diagnosing Alzheimer’s is tricky and is done, in part, by ruling out other health problems, such as an undetected stroke or brain tumor. Even well-meaning doctors can be too quick to judge, especially when confronted by worried loved ones listing Mom’s memory lapses, said Jennifer Howard, executive director of the Alzheimer’s Association — Michigan Great Lakes Chapter.
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Goldent Times June 2012