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2010 19th Annual

Older Americans C






FREE to the Public







time life of your

Spring 2010

Your guide to mature living, health, finances & lifestyle This publication is sponsored by: Peninsula Hearing, Inc.

Time of Your Life

“We encourage freedom, independence, activity and purpose.”

• Spring 2010



• Well-designed, private apartment homes with wall-to-wall carpeting • Kitchenette with microwave and refrigerator • Individually controlled heating • Private bathroom with walk-in shower • Utilities Provided • Free Basic Cable • Pets Welcome • Private family dining room

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(360) 779-5533 19360 Viking Avenue N.W. Poulsbo, WA 98370

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• Spring 2010

19th annual Older Americans Conference

Under one roof

Time of Your Life

19th annual Older Americans Conference 8 a.m. to 3:30 p.m. May 13 Kitsap Pavilion at the Kitsap County Fairgrounds

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Older Americans conference expected to draw a crowd If there’s one thing Margie Jenkins condones, it’s shopping ’til you drop. And by that, she means literally drops. Jenkins, an advocate for getting people to talk openly about endof-life issues, also thinks the conversation doesn’t have to be grim. Jenkins and her husband, Bob Jenkins, will be the featured speakers on May 13 at the19th annual Older Americans Conference, hosted by the Kitsap County Long Term Care Alliance. The conference brings various services directed at older Americans under one roof. Jenkins is a psychotherapist and author of “You Only Die Once.” “Instead of using the Lamaze method to help with birth, I use the Margie method to help people

with death,” she said. “People can lighten up about the subject.” Jenkins has been a social worker for more than 30 years and she operates a private psychotherapy practice in Houston, Texas. She’s also a college lecturer and newspaper columnist. The conference, “Living with grace and gusto,” will be from 8 a.m. to 3:30 p.m. in the Kitsap Pavilion at the Kitsap Fairgrounds in Bremerton. Both she and her husband are 87 and have made a name for themselves traveling the country and getting people to lighten up about what some consider to be the darkest point in life: saying goodbye to a loved one. It doesn’t have to be that way Co n t i n u e d o n pag e 17


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Margie and Bob Jenkins will be the featured speakers at May 13’s Older Americans Conference at the Kitsap Pavilion. CONTRIBUTED PHOTO

What’s Inside Older Americans Conference . . . . . . . . . . . . Page 3 Liberty Shores . . . . . . . . . . . . . . . . . . . . . . . . . . Page 5 Peninsula Hearing . . . . . . . . . . . . . . . . . . . . . . Page 6 Caregivers’ support . . . . . . . . . . . . . . . . . . . . . Page 7 Encore Communities . . . . . . . . . . . . . . . . . . . Page 8 Are you at risk for kidney failure? . . . . . . . Page 10 Harrison Medical Center . . . . . . . . . . . . . . . Page 11 The Acupuncture and Wellness Center . . Page 13 Cellphones and ICE . . . . . . . . . . . . . . . . . . . Page 19 Caffiene isn’t all bad . . . . . . . . . . . . . . . . . . . Page 21 Health screening recommendations . . . . . Page 22 Exercise does a body good . . . . . . . . . . . . . . Page 23 Dementia care . . . . . . . . . . . . . . . . . . . . . . . . . Page 26

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Time of Your Life

• Spring 2010

• Spring 2010

Liberty Shores/Harbor House

Just like home

Time of Your Life

LIBERTY SHORES ASSISTED LIVING COMMUNITY & HARBOR HOUSE MEMORY CARE COMMUNITY 19360 Viking Avenue NW, Poulsbo, WA 98370 Phone (360) 779-5533 l or info@ harborhouseatlibertyshores. com

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The comforts of home and more Liberty Shores Assisted Living Community and Harbor House Memory Care Community sits atop a prime piece of real estate, with captivating views just a stone’s throw from Liberty Bay, just off Viking Avenue. The facility offers all the comforts of home for its residents and the peace of mind for families that only comes when they know a loved one is well cared for each day. Liberty Shores, a smokefree facility, offers studio, one- and two-bedroom apartments. Each apartment is outfitted with a mini kitchen — including a refrigerator, microwave and a two burner stove. Each apartment also has a call-light system to alert staff when a resident needs assistance, and each unit has cable services available. Residents also are

provided three, restaurantstyle meals daily. The breakfast menu is just like going out to breakfast — the wait staff takes orders right at residents’ tables, and they can order their choice of ham, bacon, sausage, and eggs any way they like them. Also, waffles, pancakes, French toast, hot or cold cereal, coffee, tea and juice are available daily. The noon meal is the main meal and the 5 p.m. meal is the lighter meal served for the day. In addition to meeting the basic needs of its residents, Liberty Shores also offers concierge service including personal shopper services, shopping trips and transitions support services. Other services include weekly housekeeping and linen service. Transportation to Co n t i n u e d o n pag e 17

NOT everyone should be doing squats. ...and we’ll tell you why. Our program design is based on each person’s unique structure. We offer customized training for a lifetime of health.


Liberty Shores Assisted Living Community and Harbor House Memory Care Community sits on the shore of Poulsbo’s Liberty Bay. CONTRIBUTED PHOTO

The Time of Your Life A publication of The Kitsap News Group, a division of Sound Publishing

Publisher: Donna Etchey North Kitsap Herald Kitsap News Group Publishers: Bainbridge Island Review: Chris Allen Hoch Bremerton Patriot: Sean McDonald Central Kitsap Reporter: Sean McDonald North Kitsap Herald: Donna Etchey Port Orchard Independent: Rich Peterson Time of Your Life Editor: Celeste Cornish Page Designers: Celeste Cornish, Bryon Kempf Cover Design: Bryon Kempf, Dan McDougall Sales Representatives: Frank Portello, Ann Manning, Victoria McDonald, Mike Schiro, Sue Brashears, Rita Nicholson, Wayne Nelson, Kat Kailey, Lisa Saice, Tracy Keller, Robinette Holt

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Creative Consultants: Bill Asher, Bryon Kempf, Bruce Pritchard, Dan McDougall, Nicole Stump

Time of Your Life

Peninsula Hearing Inc.

Hear here

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PENINSULA HEARING INC 19319 7th Avenue Northeast Poulsbo (360) 697-3061

Do hearing aids work? Overall customer satisfaction with new hearing instruments nationally is 77 percent, placing hearing aids in the top third of products and services in the United States. Yes, hearing aids do work. If this is true, why do most people with hearing loss feel they hear fine and don’t need help? • Most hearing loss is gradual; • Many hearing losses appear to make communication difficult in some situations but not in others; and • The brain accommodates the hearing loss. Studies show that 69 percent of people with hearing loss do not use hearing aids because they say, “My hearing isn’t bad enough.” Sixty eight percent say, “I can get along without one.” A study conducted by the National Council on Aging explains that people who have a hearing loss and choose not to wear hearing aids are more likely to experience depression, anxiety, paranoia and emotional turmoil, compared to people who choose to wear hearing

aids. At Peninsula Hearing Inc., our patient satisfaction surveys — taken in 2006 and annually to present — indicate that 86 percent of our patients overall are satisfied with their hearing aids and say their hearing aids improve their quality of life. Eighty nine percent would recommend hearing aids to others and 96 percent say they are not embarrassed by wearing their hearing aids. Peninsula Hearing Inc. partners with manufacturers that are leading the industry in providing the most powerful processors available in hearing sevices. This, in turn, allows those devices to achieve sound amplification that is

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proven to increase speech understanding in noise and reduce the effort required to listen in a noisy environment. Extensive field testing has just been completed during in Europe and the United States with hearing aids using the newest processors. Comments from test subjects include: “These devices give me a quiet clarity, a gentle sound,” and “Not a lot of extra racket or clutter in the sound I hear.” Megan Nightingale, who is board certified in audiology and is a user of hearing aids, performed her own test by wearing them. Compared to my current hearing aids, which are three years old, the sound was so natural, at times I

• Spring 2010

could not tell whether they were on or not, except for the fact that I could hear and understand speech much better, even in a crowded and noisy meeting room.” Our patients give us a 99.5 percent satisfaction rating with our service including professionalism, knowledge, explanations of what to expect, training and quality of service. Ninety seven percent would recommend Peninsula Hearing Inc. to a friend or relative, as our customers appreciate the holistic approach we take to rehabilitating their hearing. Our customer satisfaction rating with the hearing devices we offer has always been great and has beaten the national averages. But now, the opportunity truly exists to improve our ratings even higher as we now, with this new technology, have the capability to allow those of us who have trouble hearing in noise, to hear and understand with much more ease than we could ever imagine. — Megan Nightingale AuD

• Spring 2010

Hel p for those who help others

Need help? Ask.

Time of Your Life

REPRINTED BY PERMISSION Reprinted from ”Reaching out for Help” by permission of the National Family Caregivers Association, Kensington, M.D., the nation’s leading organization for all family caregivers. (800) 896-3650;

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Caregivers: Reaching out for help Why is it so hard to ask for help?

Where to find help

What’s a good response to the statement, “Call me if you need me?” Despite the fact that family caregivers are drowning in responsibility or are really confused about what the next step ought to be, they often respond “no, thanks” when help is offered. Asking for and accepting help is a complex issue. Obviously you first need to admit that having some help will make a real difference in your loved one’s quality of life, and therefore yours as well. Then you need to define what help you need. Which tasks or chores would be the easiest to ask others to do? Which do you really want to do yourself? And which, if any, can you afford to pay others to do? If this just sounds like more work, know that it doesn’t have to be an overwhelming task but rather just a way to organize the thoughts and information you already have. Ready to give it a try?

There are six steps to getting help…

Contact the Caregiver Support Center, a program of the Kitsap County Division of Aging and Long Term Care. Drop by the Silverdale Community Center at 9729 Silverdale Way NW between 11 a.m. and 2 p.m. Monday through Friday or by appointment. Or call (360) 337-5700 or (800) 562-6418 or email tweintra@co.kitsap. If you are a senior seeking information about retaining your independence, local programs, planning for your future, or any other aging related topics, please contact Senior Information & Assistance at (360) 337-5700 or (800) 562-6418 for help over the phone or to request an appointment. Information on both the Caregiver Support and Senior Information & Assistance programs, local community resources and other services of the Division of Aging and Long Term Care is also available online at

1. Recognize that caregiving, like any job, is made up of lots of individual tasks, not all of which are of the same importance. Some tasks take a few minutes; some may take many hours. Some tasks are easy; others actually reach out for help — a friend, therapist, or clergyman, perhaps. require some skill and fortitude. The challenge is to know the difference. The intent is to first get comfortable with the idea of talking about your 2. Recognize that asking for help is a sign of strength and not of weakneed for assistance and hopefully get some encouragement and good ness. It means you truly have a grasp on your situation and have come up ideas in the process. Then take a deep breath and actually ask someone with a proactive problem-solving approach to making things easier and to help with one of the tasks on your list, or ask for guidance in resolving better. your most persistent worry. Start with something small, especially if you 3. Create a list of the tasks that need to get done in any given week, are looking for hands-on assistance or something that requires someor at least those you are most concerned about, such as balancing your one doing you a favor. Don’t get discouraged if you get rejected at first. responsibilities at work with taking mom to the doctor and Susie to socIt sometimes takes perseverance. Just remember: The effort is worth it cer practice, bathing and dressing your husband, cooking, cleaning, etc. because the goal is better care for your loved one and yourself. When you see how long the list is you’ll quickly understand why you are so tired and don’t have time for yourself. 4. Group your tasks into categories such as personal care tasks for your loved one, transportation, household chores. You can group your tasks into only a few broad categories, or many specific ones. There’s no right or wrong way. It’s all a matter of personal preference. 5. Write down your caregiving worries. Where will Your Statewide Health Insurance Benefits Advisor is as we get the money to pay for John’s medications? Who close as your telephone! will care for Mary if I get sick? Where can I find an adult day facility that provides transportation? Seeing them If you need help understanding your current health care in black and white helps diffuse some of their emotion. coverage or you’re trying to find a new plan call: It also allows you to think more rationally about your concerns and understand how getting help with some 1-800-562-6900 of your tasks might lessen the stress. It can provide the basis for deciding which tasks you might ask a neighbor, SHIBA is a free service from the family member or the church to help out with, which Washington State Office of the Insurance Commissioner you are willing and able to pay someone else to do, and This program is sponsored by which there might be a public program for. Kitsap County Division of Aging and Long-Term Care 6. Share your lists with someone you trust before you

9729 Silverdale Way NW, Silverdale • Mon-Fri 11AM - 2PM or by Appointment

Need help understanding your health care coverage?

Time of Your Life

Enccore Communities

Senior living

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12169 Country Meadows Lane Northwest, Silverdale (360) 692-1228 or (360) 692-4480

• Spring 2010

Encore Communities offers new options to Kitsap seniors Encore Communities is a 13-acre comprehensive retirement living and health care community located in a rural, yet convenient, location in Silverdale. This community offers various levels of senior living from independent cottages at Country Meadows, assisted living apartments at Clearbrook Inn and a short-term rehabilitation center, Northwoods Lodge. Encore Communities was designed and developed by a local family of health care professionals who has been providing quality services to seniors for over two generations. New and exciting upgrades are happening at the Silverdale Encore Communities campus. Both Northwoods Lodge, Encore’s health care and

rehabilitation center, and the Country Meadows Retirement Cottages have seen recent renovations and changes to components of their structures and operations. Northwoods Lodge has incorporated a spacious new occupational therapy kitchen, complete with all of the appliances and features of a personal residential kitchen. This was done to better address the challenges an individual faces when his or her life has been compromised from illness or injury, making daily activities difficult and cumbersome. Often strength, endurance, and balance are key issues that must be conquered to overcome the obstacles of “just getting along” in one’s home.

Northwoods Lodge To enhance and maximize one’s recovery, the Northwoods Lodge occupational therapists work diligently to assist patients to maneuver safely and competently in this residential setting. They can practice those chores many of us take for granted: loading the dishwasher, meal preparation, moving clothing from the washer to the dryer and using numerous kitchen appliances. Reaching, bending, twisting and turning need practice with guidance from the therapists. Many times this also includes new aids such as walkers and canes, and trying to adapt to their use. The Northwoods Lodge therapy team works intensely with patients to practice these moves, with and without adaptive equipment. If you or a family member could benefit from this type of service, please contact Therapy Services at Northwoods Lodge, (360) 337-7422. And if you would like to come by to see the new kitchen in use, Northwoods Lodge is located at 2321 Schold Place NW in Silverdale. Patients at Northwoods Lodge are able to receive both inpatient and outpatient services and benefit from the heated therapy pool located at Country Meadows.

Country Meadows

Country Meadows, Kitsap County’s only retirement cottages, have added a lunch dining option and are also putting on a fresh new face. Built in 1995, these spacious one- and twobedroom country cottages have been home to many local seniors. This component of our community includes a Barn Clubhouse for entertainment, rec-

THE RED BARN is a hotspot for recreational activity at Encore Communities. CONTRIBUTED PHOTO reation, swimming, and dining. Previously residents have gathered to enjoy the evening meal in The Barn and now they are given the option to join one another for lunch at the Red Barn Café as well. The café is open seven days a week from 11 a.m. To 1 p.m. and is available to our residents, staff, family members and visiting guests. Our residents are also able to receive the meal of their choice delivered to their cottage at no extra cost. Additionally, the cottages themselves are undergoing beautifully updated transformations. New natural cherry wood cabinets, granite countertops, custom fireplace surrounds, stainless steel appliances, lighting fixtures, carpet and flooring incorporate a handsome and refined look. Bathrooms have new tile floors and showers, and the two-bedroom units now include a barrier-free ADA-accessible shower in

the second bathroom. With both luxury and safety in mind, these renovated cottages are a charming new addition to the residents’ options on the 13-acre Silverdale Campus. All units include personal carports and outdoor locked storage, and two of the newly renovated cottages include private garages with remote openers. The cottages are now available through either a monthly rental program or an entryfee program. An additional amenity offered at Country Meadows is a personal chauffeured service, at no charge via our own shuttle van. For a private tour and an opportunity to see the cottages, please call either (360) 692-1228 or (360) 692-4480. To view the entire spectrum of Encore Communities facilities and see the comprehensive services offered, go to

Time of Your Life

• Spring 2010

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Encore Communities ... offering comprehensive retirement living and health care services on one 13-acre campus in Silverdale

Assisted Living Apartments

Retirement Cottages • Independent one and two bedroom cottages • Community clubhouse for dining, swimming, social activities, recreation and lots of fun! • Come tour our newly renovated cottages: • Only Cometwo tour our newly renovated cottages: Only two available! available!

• Studio, one and two bedroom apartments • 24-hour on-site licensed nurses • Full range of services to meet your retirement and health care needs

The Nursing Home With a Difference • 24-hour sub-acute skilled nursing care • Physical, Occupational and Speech Therapies, both in-patient and out-patient services • Rated as “The Best Nursing Home In Washington State.” Exemplary AAA Rating!


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Country Meadows Retirement Cottages are putting on a fresh new face! At Country Meadows we are proud to showcase our newly renovated model cottages • New Flooring and Carpeting • Chery Wood Cabinets • Granite Countertops • Tile Showers • Custom Fireplaces • Slate Tile Entries • Accessible Custom Showers • Stainless Steel Appliances • Garages With Remotes • Private Location • Covered Walkway and Patios

Tours Available Daily

12169 Country Meadows Lane, Silverdale, WA 98383 (360) 692-1228 •

Time of Your Life

Olympic Peninsula Kidney Center

Kidney health

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OLYMPIC PENINSULA KIDNEY CENTER 2613 Wheaton Way, Bremerton; (360) 479-5908 19472 Powder Hill Place NE, Poulsbo (360) 598-9712; and 450 South Kitsap Boulevard, Port Orchard (360) 895-7795

• Spring 2010

Kidney failure – are you at risk? Approximately 26 million Americans have some level of kidney disease and millions more are at risk. Most people do not experience any symptoms until their kidney disease reaches an advanced level. It is important to understand if you are at risk as early as possible so you can receive appropriate medical care as needed.

ure. This is known as end stage renal disease.

How do I know if I am at risk?

What do kidneys do? Kidneys are amazing organs in your body that act as filters to clean your blood. Located near the middle of your back, below the rib cage, they are bean-shaped and each is about the size of your fist. When you eat, your body keeps what it needs and has to eliminate the waste products. Waste products are also created from normal breakdown of active body tissues. Kidneys have millions of tiny filtering units called nephrons that remove these waste products, as well as excess fluid, and excrete it from your body as urine.

What is kidney failure? When the nephrons in your kidneys are damaged, they cannot remove the wastes and excess fluid from your body, this results in kidney failure. Kidney failure usually devel-

Talk to your doctor about your risk for kidney disease. Some 26 million have some form of kidney disease and millions more are at risk. ARA PHOTO ops over a long period of time as a result of a chronic illness. This is known as chronic kidney disease. In CKD, the kidneys can continue to function for many years, but progressively lose their effectiveness. As this chronic condition persists, the damage becomes permanent and people with kidney failure may experience symptoms such as anemia, fatigue, poor appetite, edema, difficulty breathing, and heart fail-

The most common causes of kidney disease are diabetes and hypertension (high blood pressure). In some cases, there may be a hereditary disease that runs in a family, such as polycystic kidney disease. Kidneys can also be damaged due to infections, autoimmune disorders or a traumatic event. It is very important to know about any health condition that you have and keep it under control. If you have diabetes or hypertension you are at risk for developing kidney failure and you should ask your doctor about your kidney function. Good control of diabetes and hypertension can slow down the progression of kidney disease. Three simple tests can detect CKD: blood pressure, urine albumin and serum (blood) creatinine. You may also be at risk if any member of your family has had kidney failure, and you should ask your doctor about this during your regular checkups. — Submitted by the Olympic Peninsula Kidney Center

OLYMPIC PENINSULA KIDNEY CENTER Compassionate Quality Care Since 1980

A non-profit community based organization that provides all dialysis services: • Center Hemodialysis • Home Hemodialysis • Home Peritoneal Dialysis • Transplant Referrals

Dedicated, experienced and caring staff to help you with kidney failure and dialysis needs.

3 CONVENIENT LOCATIONS Olympic Peninsula Kidney Center - South 450 South Kitsap Blvd. Suite 178 Port Orchard, WA 98366 (360)895-7795 • (360)895-7835 Fax

Jefferson County Location OPENING IN 2010

Olympic Peninsula Kidney Center 2613 Wheaton Way Bremerton, WA 98310 (360)479-5908 • (360)479-5787 Fax

Olympic Peninsula Kidney Center - North 19472 Powder Hill Place, Suite 100 Poulsbo, WA 98368 (360)598-9712 • (360)598-9716 Fax

• Spring 2010

Harrison Medical Center

Know your risk for COPD

Time of Your Life

Get help for COPD To find a local pulmonologist, call Harrison Medical Center’s Referral and Information Center at 866-844WELL. Or, visit www.harrisonmedical. org and choose “Find a Doctor.”

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Women at risk for COPD There’s a troubling trend in women’s health today: Women in this country have a higher rate of hospitalization for chronic obstructive pulmonary disease than do men. Women also are being diagnosed with a more advanced stage of the disease than are men. Health experts want to change these facts — and raise awareness about COPD for everyone. “It’s important to seek diagnosis early and get appropriate medical care to halt the progression of COPD,” said Griffith Blackmon, M.D., MPH, a pulmonologist on staff at Harrison Medical Center.

Symptoms and signs

clined. So “what we are seeing now is the result of decades of women smoking,” says Norman Edelman, M.D., chief medical officer for the American Lung Association.

COPD is a term describing conditions that restrict airflow from the lungs and result in breathing problems. COPD includes emphysema and chronic bronchitis. Smoking causes almost 90 percent of COPD cases, but certain The main symptoms of COPD industrial pollutants, air pollution, secondhand smoke, and childhood respiratory infections increase risks, too. In addition to being hospitalized for COPD more often than men, women are at greater risk of dying of the disease. Researchers don’t know why this is, but they speculate women may be more vulnerable than men to the dangers of tobacco. But demographics may be at play, too. The number of women in the United States Poulsbo Branch Office who smoke (360) 930-3234 peaked about the time that the number of men who smoke de-

Testing and treating

are: • A chronic cough. • Shortness of breath. • Greater effort to breathe. • Increased mucus. • Frequent throat clearing. “It may be easy to attribute the signs of COPD to other health ailments,” said Blackmon, who is board certified in pulmonary disease, as well as critical care and internal, occupational, and sleep medicine. “However, it’s imperative for women to see their doctor if they experience a cluster of these symptoms.” To test for COPD, doctors may use a machine that measures how much air a person can blow out of his or her lungs. “While COPD cannot be cured, treatments begun in the disease’s early stages certainly can help protect the lung function that remains and improve the patient’s quality of life overall,” Blackmon said.

Doctors may recommend: • Bronchodilators to open air passages. • A pneumonia shot and an annual flu shot to help prevent lung infections. • Steroids to reduce inflammation in the lungs. • Pulmonary rehabilitation to help cope physically and mentally with COPD. Quitting smoking is the single most important step someone with COPD can take to slow progress of the disease. People must have a smoke-free house and stay away from secondhand smoke, too.

Bottom-line advice “Take a hard look at your symptoms,” Blackmon said. “It’s crucial to identify COPD early. The right care and treatments can help set patients on a path to feeling better.” — Griffith M. Blackmon, MD, MPH

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Time of Your Life

• Spring 2010

Imagine Your Life Free From... Back Pain Depression Weight Loss Insomnia


Please call to schedule a free consultation.

(360) 394-4357

Robert Doane L.Ac., Dipl. C.H.

Anne Doane L.Ac., Dipl. C.H.

Robert Doane holds a Fellowship in the American Academy of Pain Management.


Reclaim Your Health! The Acupuncture & Wellness Center, P.S. is the most sought after Chinese medical clinic in Washington State.

ACUPUNCTURE & WELLNESS CENTER, P.S. 360.394.4357 18870 8th Ave. NE, S-108, Poulsbo

We accept most major insurances & payment plans are available.

• Spring 2010

The Acupuncture & Wellness Center, P.S.

Go pain-free

Time of Your Life

THE ACUPUNCTURE & WELLNESS CENTER, P.S. 18870 8th Ave NE, Poulsbo. Open weekdays from 7:30 a.m. to 8 p.m and Saturday from 7:30 a.m. to 5:30 p.m. (360) 394-4357

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Aging without pain is possible As you get closer to your acupuncturist and owner golden years you begin to of the Acupuncture and look forward to retireWellness Center, P.S., in ment, enjoying Poulsbo. life and putting The most “Every day your investcommon people come into ment nest egg to symptoms that my clinic and it is bring baby work. But what not uncommon happens if you boomers into for them to are living with Doane’s clinic chronic back are back pain, be on six or pain, headaches, seven different arthritis pain arthritis or and headaches, prescriptions. ” something even Robert Doane, licensed as well as fatigue more severe? and depression. acupuncturist. How can you “It’s our treatenjoy the retirement of chronic ment you were pain and fatigue looking forward that sets the to if you are sufAcupuncture fering with pain on a daily and Wellness Center apart basis? from other medical clinUnfortunately, aches ics,” Doane said. and pains are commonly “Every day people come associated with aging and into my clinic and it is not can become a constant uncommon for them to nuisance in people’s daily be on six or seven differlives. The good news is ent prescriptions,” Doane that it doesn’t have to be said. “Yet here they are that way, according to and they still complain of Robert Doane, licensed pain, high blood pressure,

Great Things are Happening! Life Care Center of Port Orchard Rehabilitation Center

obesity, swollen joints and more productive life, tiredness. So, you have with less dependency on to ask yourself, what are pharmaceuticals or overthese drugs doing for their the-counter medications,” health? Doane said. “The The goal of Acuacupuncpuncture & ture Welland ness Chinese Center, herbal P.S., mediis the cine largest is to Chinese reduce, medical if not clinic in elimiWashnate, ington the State, amount treating of upRobert Doane, licensed acupuncturist pain a wards CONTRIBUTED PHOTO patient of 175 is in patients and to a day try to help them to live a for many common health drug-free life. It is decomplaints. signed to help them lead “The fact that this many a happier, healthier and people visit our clinic in





this little village of Poulsbo is a testament to one thing: Chinese medicine gets results,” Doane said. Doane’s clinic offers all new patients a complimentary consultation in his clinic, so they can talk to an acupuncturist about their health concerns and decide if they wish to pursue treatments. “We do this so a potential patient can make sure all their questions are answered and to make sure they understand what we may be able to do to help them,” he said. Bottom line, this time proven medicine may very well may increase the quality of one’s daily life while helping them to enjoy their retirement. You can take the pain out of aging. — J K Tracey, Acupuncture & Wellness Center, P.S.

Every Tuesday

Specializing in Inpatient/Outpatient Rehabilitation • Private Short-Term Rehabilitation Rooms • Rehabilitation Therapy offered 7 Days a Week 4-Star Rating with the Centers for Medicare & Medicaid Services State of the Art Rehabilitation Equipment and Programs Exceptional State Survey Outcomes

• Every Tuesday all 55 and older Club Members will qualify for an extra “fun pack” of coupons after they earn 100 base points in that day. • Fun Pack coupons are $5 FREE with $25 buy-in and 1 FREE entry into our $100 cash drawings, 50% off lunch or if they earn their 100 points by 11:00 AM we will buy them breakfast (up to $7.00), last seating at 10:30 AM. • Earn additional entries for every 100 points and drawings will be held randomly each hour 12:00 - 4:00 PM. • Plus win king and queen and receive 1 FREE MEAL FOR A WEEK. • All Club 55 Card Members may also show their club card with a valid 55 sticker and receive Sundays Champagne Brunch for buy one get one FREE.

360.876.8035 • 2031 Pottery Ave. • Port Orchard, WA 98366

7989 Salish LN N.E. • Kingston, WA 98346 • • 1-866-547-6468

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Time of Your Life

• Spring 2010

What’s Up With Those Cute, Little Hearing Aids?

New smaller, nearly invisible hearing aids have become the new trend. But what are they, how do they work and are they right for you? New hearing aid design and state of the art, technology has changed the way many adults feel about getting a little “boost” for their hearing. No longer do they fear that getting a hearing aid will make them look older or feel out of step with their active, busy life-style. The once large, unattractive beige hearing aid has been replaced by a small, almost invisible, stylish hearing aid with greater sound quality and clarity than ever before. These new smaller hearing aids are often referred to as Open-fit hearing aids because they leave the ear canal “open”. They are similar to traditional hearing aids that sit behind the ear, but much smaller in design. This new design places the speaker directly in the ear canal delivering sound undistorted into the ear canal, as opposed to traveling though a tube first, as is the case with traditional hearing aids. The new speaker in the canal design eliminates a traditional earmold or in-the-ear hearing aid casing, which also eliminated “the plugged up” or occluded feeling. With open-fit hearing aids, patients say that their voice sounds more natural. They quickly forget that they are wearing hearing aids, reports Dr. Raszler at Hearing Advantage, Inc. in Poulsbo.

Remarkably, these new, smaller hearing aids are able to pack in all the newest digital hearing technology as well. Their design allows for directional microphones to reduce background noise, feedback cancellation systems and enhanced frequency responses. All designed to improve speech understanding and sound clarity. The latest enhancement to the open-fit hearing aid is the additional of Bluetooth technology. Bluetooth technology allows the hearing aid to connect wirelessly to cell-phones, land-line telephones or televisions with the touch of a button. Ask any hearing aid user what it is like to talk on a cell phone or listen to music on an MP3 player and they will tell you that it is not the easiest thing in the world to do. Where cell phones are concerned, there can be so much interference that they often remove their hearing aid altogether. With Bluetooth transmission, the cell phone signal is captured by a small transmitter and sent directly to both hearings with a strong, clear connection. Communication can be greatly enhanced making it possible to have a normal conversation on the telephone. Even though sound quality and improved speech understanding is still the most important feature a hearing aid has to offer, overall cosmetic appeal cannot be ignored. The barely detectable sound processor tucks neatly behind the ear, delivering sound by way of an almost

invisible, tiny wire which enters the ear canal, making the hearing aid almost invisible. Many patients come into my office and tell me “I don’t care what it looks like, I just want to hear”! And I’m sure that that is true. But the vast majority wants it to look good too. Or better yet, not see it at all. The open-fit hearing aid can be a perfect solution for them, says Dr. Raszler. Who are these hearing aids best designed for? Almost anyone with a hearing loss. Initially designed for high frequency hearing losses, new advances in digital technology have expanded the performance range of these new hearing aids. Even those patients with severe hearing losses can benefit for open-fit technology. The best way to find out if the new technology is right for you is to contact your audiologist for a demonstration.

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Time of Your Life

• Spring 2010

Page 15

THE BALANCING ACT BETWEEN WORKING & CARE GIVING “There are only four kinds of people in this world. Those who have been caregivers, those who are caregivers, those who will be caregivers, and those who will need caregivers.”

The U.S. Department of Labor estimates that in the year 2010, 54% of workforce employees will provide eldercare for a parent or parents and that nearly two-thirds of caregivers will experience conflict between demands at home and demands from employers. Today’s employed Baby Boomers are the caregiver generation for their parents. They are finding themselves juggling care responsibilities around their employment obligations. Sometimes employees find they have no option but to take leave from work or use sick time to meet their care-giving demands. Employers also feel the toll it is taking on their employees. A report by the AARP describes the cost to employers: “Companies are also seeing the emotional and physical toll that care-giving takes on their workers. In one study, 75% of employees caring for adults reported negative health consequences, including depression, stress, panic attacks, headaches, loss of energy and sleep, weight loss, and physical pain. Businesses suffer, too, by having to pay high health insurance costs and in lost productivity. That doesn’t count the promotions or assignments workers turn down that requires travel or relocation away from aging relatives.” Businesses that don’t offer benefits or address eldercare

wind up paying for them. A recent study by the MetLife Market Mature Institute and the National Alliance for Caregiving states that U.S. companies pay between $17.1 billion and $33.6 billion annually, depending on the level of care-giving involved, on lost productivity. That equals $2,110 for every full-time worker who cares for an adult. Typically, human resource departments work with employees on many issues that may affect their work productivity. There are programs for drug and alcohol abuse, domestic violence, illness, absenteeism and child care; but, help with eldercare issues is not normally provided. However, a growing number of companies nationwide are directing their HR departments to provide resources, education and group help for care-giving issues by: • Providing materials from community resources such as phone numbers to their local Senior Centers or Area Agencies on Aging. • Making available brochures and booklets on specific programs and services by eldercare. • Providing speakers to educate employees on care-giving options. Allowing options to use paid sick leave, employee job sharing and flexible hours. • Allowing employee caregivers to use business computers

for care-giving research. • Contracting with companies who provide eldercare services to help employees. Eldercare service providers are also reaching out to help employee caregivers by providing informational presentations at the work place during lunch time or other times set up by employers. One such presentation provided information on reverse mortgages, a sometimes controversial instrument, but one which has helped many families cope with the costs of caregiver expenses. Along this line, our community is fortunate to have an organization, the Kitsap Alliance of Resources for Elders (KARE), that provides educational presentations on such subjects as: Home Care, Elder Law, Reverse Mortgages, Rehabilitation/Physical Therapy/Fall Prevention, Geriatric & Internal Medicine, Counseling, Financial Planning, Architecture, Senior Move Planning, and Acupuncture, just to name a few. For more information on this non-profit organization, you can go to their website at www.kare-wa. com. Employers, employees and eldercare service providers, working together, can make parent or senior care-giving a workable solution for everyone.

Kitsap Alliance of Resources for Elders KARE is a group of independent professionals experienced in serving seniors. Our group was founded on the values of integrity, commitment and service. You can rely on us to guide you toward making informed choices that help you remain independent and safe. Carl Johnson, CSA*

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Liberty Bay Internal Medicine Narinder Duggal MD, FRCPC

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Page 16

Time of Your Life

• Spring 2010


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Time of Your Life

• Spring 2010

Page 17

recreational activities. Harbor House has three floors, which sets it apart from most memory care faand from medical appointments are provided to aid in resident’s convenience and cilities and enables care givers to provide a small, home-like setting. improve their quality of life. On the first floor, residents can step A walking trail winds throughout the back in time as they visit an in-house property, encouraging residents to exerviewing room, complete with a cise and walk their pets, as pets big-screen television and the“A walking trail are allowed in residences. The Liberty Shores Assisted winds throughout atre-style seating. Adorning the walls are movie posters from the Living and Harbor House Mem- the property, “Casablanca” era of Hollywood. ory Care communities, assesses encouraging Activities such as board games, its residents on the level of care residents to Bible studies and group exercise needed to ensure a safe, secure exercise and walk environment with 24-hour nurs- their pets, as pets classes are scheduled alongside day trips and other special outing services so they can be as are allowed in ings seven days a week. independent or as dependent as residences.” Harbor House Memory Care need be. Periodic assessments community combines secure occur to ensure resident’s health housing and health care to aid needs are met. in residents’ comfort and ensure Liberty Shores has three activity rooms. The Bay Room offers a relaxing their health and safety. Its design is focused on comfort and familiarity to allow setting with views of Mount Rainier residents to maintain their independence and the Poulsbo Marina, here residents and privacy. Personal rooms are outfitted can participate in activities and get with photos of family and friends, while in-between meal snacks. The other two common areas and “memory stations” community gathering places are the Fire encourage individual and group activities. Side Room and the Multipurpose Room, where residents can go for socializing and


co n ti n u e d fro m pag e 5


co n t. fro m pag e 3

with proper planning, she said. Older Americans should plan their own funeral (and pay for them, as well) when they’re still alive to take the stress of those they leave behind, she said. “(Her husband and she) think people should write their own obituaries,” she said. “So often people forget about dates and people’s names. Sometimes the minister who will give the funeral service won’t even know the person.” In addition to Jenkins speaking, there’s a full plate of businesses and various services planing to partake in the conference. The expected crowd — attendance is an estimated 600 people — warranted the event be moved held in the Pavilion for the past eight years. It started out at the Silverdale Senior Center in 1991 with 20

attendees and has since taken on a life of its own, said Sigrid Howard, a director on the Long Term Care Alliance and administrator for Liberty Shores and Harbor House. About 75 vendors are expected to offer services ranging from health care information, senior living services, counseling and information on estate planning. “There will be a variety of vendors of valuable resources,” Howard said. “A lot of these services senior citizens may not need now, but they’ll need them in the future.” While the vendor booths field questions and share information presenters with expertise in specific areas will host workshops. Slated as topics are the body’s need for vitamin D, container and window box gardening, advanced directives, diabetes and how to navigate the Veterans’ Administration.

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Page 18

Time of Your Life

• Spring 2010


Retirees Must Make (At Least) Five Key Financial Decisions When you’re working, you have a financial strategy that is largely based on one goal: saving money for a comfortable retirement. You’ll likely have to make many adjustments over several decades to ensure that you stay on track saving and investing. But once you retire, a new goal arises — investing so you can remain retired. To help yourself achieve this goal, you will need to make a number of investment decisions. Which of these decisions are most important? Here are five to consider: • How much will you spend each year? Before you can pursue an appropriate investment strategy, you’ll need to know about how much you’ll spend each year. Estimate your costs for housing, food, travel, entertainment, insurance, gifts — everything. Keep in mind that your expenses will likely change annually, especially for items such as health care. Don’t forget about inflation, which will likely cause your expenses to increase over the years. • How should you balance your investment portfolio to provide sufficient income and growth opportunities? Clearly, you’ll need your investments to provide a source of income during your retirement years. At the

same time, you will need some growth potential to overcome the effects of inflation, which can erode your purchasing power. Consequently, you will need a mix of income- and growth-oriented investments, with the proportions depending on your risk tolerance and your lifestyle. • How much should you withdraw each year from your investment portfolio? The answer depends on several factors, including your retirement lifestyle, the size and performance of your investment portfolio, inflation, your estimated life expectancy and the size of the estate you’d like to leave. This decision is important, because the amount you withdraw each year will directly affect how long your money lasts. • From which accounts should you begin taking withdrawals? You may have built three different types of accounts: taxable, tax-deferred and tax-free. It may be a good idea to take withdrawals from your taxable accounts first, thereby allowing your taxdeferred accounts, such as your Traditional IRA and your 401(k), more time to compound and potentially increase in value. If you have a tax-free account, such as a Roth IRA, save it for last to maximize the

compounding on money on which you will never pay taxes. (Roth IRA earnings grow tax-free if you’ve had your account at least five years and you don’t begin taking withdrawals until you’re at least 59-1/2.) That said, this is just a rule of thumb. • When should you take Social Security? You can begin taking Social Security as early as age 62, but your monthly checks will be considerably larger if you wait until your “normal” retirement age, which is likely 65 or 66. But if you need the money, you may be better off by taking Social Security at 62 and giving your taxdeferred accounts more time to potentially grow. As you can see, you’ll need a lot of expertise to successfully manage your financial and investment situations during retirement. If you don’t already work with a financial advisor and a tax professional, now would be a good time to start. Once you’ve got your financial strategy in place, you’ll be better prepared to enjoy an active, fulfilling retirement. This article was written by Edward Jones for use by your local Edward Jones Financial Advisor.



If you’re recently retired or planning to retire, you’re probably concerned about making the right financial decisions. Together, we can find the answers. We’ll sit down, face to face, to develop a strategy designed to help your finances meet your needs over the long haul.

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• Spring 2010

In case of emergency

Cell phones save lives

Time of Your Life

Page 19

ICE: Who are they gonna call? (ARA) — It keeps you in touch with America, ICE App allows emergency refriends, family and business contacts. It’s a sponders to access information about you, source of entertainment, whether you play including your name, a photograph (to games on it or surf the Web. But did you match the phone to you), birth date, height know your cell phone can help save your and weight, medical conditions, blood life or the lives of others in an emergency type, allergies, medications, emergency situation, even if you’re in no condition to contacts and your organ donation wishes use it to call for help? — a feature that could help save the lives of When a debilitating crisis occurs like an people waiting for organ donations. accident or illness, emergency teams that Ninety percent of Americans think respond to the scene will want to have as organ donation is the right thing to do, yet much information as possible about your only 28 percent have taken the appropriate health — including contact information steps to register as an organ donor. If you for the person who can make decisions on don’t have an iPhone, you can register as a your behalf. donor at Your cell phone can often speak on your “Having emergency contact and medical behalf when you’re incapacitated. Emerhistory information immediately available gency personnel are trained to look in your in your cell or smart phone can help emerphone for phone numbers designated with Taking time to program contacts into your phone can prove useful gency responders make quicker decisions the acronym “ICE” — which stands for during those precious first minutes, a time in an emergency. ARA PHOTO “In Case of Emergency.” They’ll use that that could mean the difference between life information to get in touch with someone and death,” says Brian Liu, cofounder and who can make decisions for you. chairman of LegalZoom. Some cell phones already come pre-programmed with the ICE funcOnce you’ve downloaded the app to your iPhone, follow the ontion, so all you have to do is punch in the appropriate numbers. If you’re screen prompts to complete the contact and medical information. Once among the 50 million Americans who own an iPhone or iPod Touch, you’re done, place the ICE App icon in the top right corner of your you can place all your critical medical information in the hands of touch screen, where first responders will see it right away when they emergency personnel by using the free ICE App. To download ICE App check your phone. All information is stored on your phone, and not on for free, log on to the iPhone Apps Store and search “ICE-app” or visit the Web, ensuring your private information stays in your possession and that first responders can access it, even when the phone has a weak or Created by online legal service and Donate Life no cellular signal. — Courtesy of ARA content

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Time of Your Life

• Spring 2010

“ The Art & Science of Medicine & Pharmacology” Senior Care in Kitsap County is Our Expertise! Optimizing health is an essential part of caring for any patient but is especially import for seniors. Optimizing health includes the appropriate use of non-drug therapy and drug therapy and empowering the patients with information about their health. Over the past century the average life expectancy has increased from 30 to 78 years, with some patients living well past 100.

upwards of 22 percent for geriatrics. To prevent one fall, 15 geriatrics would need to take a vitamin D supplement. Research has also shown that vitamin D could lower the risk for developing cancer of any type by 60 percent and reduce the risk of hip fracture by 25 percent. Vitamin D decreases fatigue, enhances brain function and strengthens the immune system, which obviously reduces the risk of complications while maintaining functionality and quality of life. Supplementation with Synergy Therapeutics Rx D10 has shown clinically to increase 25-OH vitamin D to optimal levels.

Did you know that one in eight elderly patients are hospitalized due to adverse drug reactions, and that 10 percent of all emergency department visits are because of medication errors? The average senior fills nine to thirteen prescription medications each year and is taking two to four non-prescription medications each day. Without medication management, patients can be on unnecessary medications which can lead to drug interactions and harm to the patient. By having a complete medication therapy management service, medication errors can be greatly reduced and your health may be improved. Many times these medication errors occur because of: multiple medications, drug interactions, forgetting to take your medications or taking them twice and switching medications frequently.

Did you know that approximately 80 percent of patients older than 65 have an imbalance in their intestinal bacteria? Patients older than 65 are more often placed on antibiotics, which eliminate many of the good bacteria in the intestinal tract. The elimination of these good bacteria can result in super bacteria infections, heartburn, malabsorption of nutrients and minerals, diarrhea and constipation. Supplementing with Synergy Therapeutics Rx Bioflora Plus has shown clinically, the ability to replenish the normal bacteria and reduce the risk of adverse effects from bacteria imbalance.

Did you know that many elderly patients have a decrease in fat in their body and a decrease in fluid intake which can lead to changes in the way that drugs work? With increasing age, our body’s ability to process medications changes due to changes in our organs, hydration, nutrition and body fat composition. As we age, our organs become older too, which can lead to a change in the rate of metabolism of drugs in our bodies. What this means for a senior patient is that special attention must be paid to your medication regimen to achieve maximum functionality and optimal therapy. Did you know that eight out of ten patients older than 65 are deficient in vitamin D? Patients over the age of 65 often do not get the UVB sun ray exposure needed to produce adequate amounts of vitamin D. Those who do receive the appropriate amounts of UVB sun ray exposure still struggle to make enough vitamin D due to impaired skin synthesis of previtamin D. Why does vitamin D matter? Research has shown that by supplementing with vitamin D3 the risk of falling can be reduced in

Did you know more than 90 percent of patients older than 65 are deficient in Omega 3-Fatty Acid? It has been estimated that the ratio of omega-6 to omega-3 fatty acids in the diet of early humans was 1:1, but the ratio in the typical Western diet is now almost 10:1 because of increased use of vegetable oils rich in LA. This imbalance is thought to contribute to the inflammation that increases the risk of developing diseases like type 2 diabetes and heart disease. Omega-3 fatty acids help reduce inflammation, and most omega-6 fatty acids tend to promote inflammation. Research has shown that supplementation with one gram of omega-3 fatty acids can reduce risk of stroke or heart attack by approximately 20 percent. Supplementation with Synergy Therapeutics Rx Epacor, a micro-distilled, potent, enteric coated omega-3 fatty acid, has shown clinically to support cholesterol and cardiac health.

The health care providers, Narinder Duggal, M.D. and Nicholas Wyatt, Pharm D., of Liberty Bay Internal Medicine have teamed up with Synergy Therapeutics Rx to ensure appropriate non-drug and drug therapy, which ensures optimal health.

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• Spring 2010

Page 21

Back away from the caffeine

Caffeine’s not all bad

Beat the jitters

Time of Your Life

Drink up — in moderation. Coveters of caffeine reach for a pot of coffee in the morning or swill energy drinks in the break room. But caffeine — trimethylxanthine to fans of tongue twisters — sneaks its way into our daily diet in unexpected ways, in chocolate, soft drinks and even some pain medications. Coffee critics have long roasted caffeine for promoting ailments ranging from the jitters to high blood pressure. After all, a habit enjoyed by so many couldn’t possibly be healthy right? Well, maybe. Tens of thousands of studies have been conducted on caffeine but the results have muddied the case against coffee. There’s even debate over whether caffeine is addictive. High caffeine intake — four

to seven cups of coffee a day — can cause things like irritability, anxiety, headaches, nausea and irregular heartbeats, according to the Mayo Clinic. Sleeplessness, of course, also made the list. For people who want to kick caffeine, the clinic advises cutting back to avoid symptoms of withdrawal. Diehard coffee drinkers can also take heart. A glut of recent studies, including several by the Harvard School of Public Health, have linked coffee to some startling health benefits. A decadeslong Harvard study found that coffee drinkers were less likely to develop type two diabetes, Parkinsons disease, liver cancer and liver cirrhosis than non coffee drinkers. On a broader note, the Harvard study found that people who drink coffee are no more likely to die than coffee abstainers. So coffee won’t kill you, but you may still lose sleep over it.

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Too much coffee Can lead to irratibility and restlessness, but a couple cups a day may be beneficial. ARA PHOTO

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PSNS BANGOR Occupational Hearing Loss PSNS BANGOR KEYPORT PSNS BANGOR PSNS BANGOR PSNS BANGOR Occupational Hearing Loss KEYPORT KEYPORT Hearing Loss caused KEYPORT PSNS BANGOR KEYPORT KEYPORT by exposure to loud Hearing Loss caused Hearing Loss caused PSNS


noise iscaused anto injury. by exposure loudLet Hearing Loss Hearing Loss Hearing Loss caused by exposure tocaused loud noise is an Let the usexposure help you navigate by exposure toinjury. loud by to to loud by exposure loud noise is an injury. Let Hearing Loss caused us help you navigate the noise is an injury. Let paperwork and receive noise is an injury. Let noise is an injury. Let Loss caused us help you navigate the by exposure to loud and receive Hearing uspaperwork help you navigate the the benefits you deserve. us help you navigate the helpand you navigate the the us benefits you deserve. noise is an injury. Let paperwork and receive paperwork receive by exposure to loud and receive paperwork and receive us help you navigate theis an injury. Let thepaperwork benefits you deserve. noise the benefits you deserve. No Cost to the No Cost to the thethe benefits you deserve. benefits you deserve. paperwork and receive us help you navigate the Injured Worker Injured No Cost toWorker the paperwork and receive the benefits you deserve. No Cost to the Injured Worker NoConvenient Cost toLocations the No Cost to the the benefits you deserve. Convenient Locations Injured Worker Noand Cost toOrchard the Bremerton Port Injured Worker Injured Worker Bremerton and Port Orchard Convenient Locations No Cost to the CallInjured 1-800-422-8942 Worker Bremerton and Port Orchard Call 1-800-422-8942 Convenient Locations Convenient Locations Convenient Locations Injured Worker Call 1-800-422-8942 Bremerton and Port Orchard Convenient Locations Bremerton andand Port Orchard Bremerton Port Orchard USE YOUR BENEFITS Convenient Locations Call Bremerton and Port Orchard Call1-800-422-8942 1-800-422-8942 Call 1-800-422-8942 USE YOUR BENEFITS Bremerton and Port Orchard Providing Services for Existing Claims. Call 1-800-422-8942 Call 1-800-422-8942 Providing Services for Existing Today Upgrade YourClaims. Hearing! ProvidingCall Services forto Existing Claims.



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Time of Your Life

Health screenings

Doctor’s orders

Page 22

• Spring 2010

Screenings necessary for health Physicianrecommended, age-appropriate screenings can reap benefits. Preventative care goes a long way in protecting and preserving your health. This means maintaining a physician-patient relationship, making sure your physician is familiar with your background and history and complying with current health screenings and guidelines. William Bauer, M.D., an internal medicine physician affiliated with Harrison Medical Center, said the health risks prevalent in people older than 50 are heart attack, stroke, lung cancer, colon cancer, breast

cancer and prostate cancer. Other health problems that can develop include osteoporosis, dementia, depression, glaucoma, decreased vision and skin cancer. “Contributing to these risks are most importantly physical inactivity, followed by obesity, diabetes mellitis, hypertension and smoking,” he said. “Also there are risks associated with alcohol and drug abuse. Later in life, infectious disease becomes more problematic with the flu outbreaks showing contaminant high spikes in mortality in the elderly.” As with many things, the needs of men and women differ. Some screenings remain key for early detection in both genders: a colonoscopy — at age 50 and every 10 years following, routine blood pressure and lipid measurements, visual

Health screenings take a little time, but can detect and prevent health issues. CONTRIBUTED PHOTO

screenings and tobacco use screenings. Women should have mammograms every one to two years between the ages of 50 to 69, pap smears every three years up to age 65 (unless they have had a hysterectomy or abnormal pap smears), routine dexa scan screening for osteoporosis is suggested at age 65 and above (for thin Caucasian and Asian women and women who go through early menopause should start at age 60). For men, prostate cancer screenings are heavily stressed. The blood test performed for prostate cancer, though highly effective, is not a very specific test.

“I personally recommend it, however,” Bauer said. “I have yet to have a patient complain that I found prostate cancer in them and almost none have complained about false positives.” Bauer outlined what a typical screening physical entails. The patient’s family history and risk factors are reviewed then screenings are performed for conditions that may be genetic and appear in the family history. Bauer also checks vital signs and performs a quick physical – looking for especially for hypertension, readily visible skin lesions,

heart and lung abnormalities and general mental health. He also discusses the importance of regular cardiovascular exercise and recommends age-appropriate screenings. All patients leave with an exercise prescription and are instructed to return in one or two years. A main focus is to stay active, he said. Studies have shown that regular cardiovascular exercise decreases overall mortality by 50 to 70 percent, as compared to 0 to 2 percent with cholesterol lowering medications, Bauer said.

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• Spring 2010

Page 23

Keep that heart pumping Aching joints are no excuse for avoiding exercise. With low-impact workouts involving swimming, water aerobics, tai chi and elliptical machines, you can stay in shape without risking injury. Public pools throughout Kitsap County offer open swims and water aerobics every week of the year. Many gyms and health clubs also have pool facilities. Swimming laps is great for people who have the strength and stamina to go from one end of the pool to the other. But for a less strenuous workout, water aerobics will suffice. Walking, swinging your arms or treading water in the pool provide resistance in ways that stimulate muscles without impacting the joints. Even though you’re not sweating in the water, you’re burning calories. Walking in the pool gets

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the heart pumping, but doesn’t leave you with sore knees like a run through the park would. “You can spend an hour doing physical activity without doing more harm than good,” said Kasey Olson, a personal trainer in Port Orchard. Tai chi and yoga both help develop flexibility and range of motion, to keep you moving. Several health clubs and gyms offer classes in these ancient arts. “Tai chi is wonderful as far as balance, mobility and breathing,” Olson said. You can find elliptical machines and stationary bikes at just about any gym or health club. Recumbent bikes allow the user to sit in a comfortable, upright position while exercising the legs and getting a hearty cardiovascular workout. Elliptical machines require the user to be standing, but

Staying active in your golden years keeps your heart healthy and improves your outlook. CONTRIBUTED PHOTO

often include handles so the user can work out the upper body at the same time as the legs. They also

demand very little impact on the joints compared to running. Remember to always

check with your doctor before starting a new workout regimen, just to be safe.


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• Spring 2010

Money tips for baby boomers (ARA) - If you are one of America’s 78.2 million baby boomers, you are likely considering what ideal retirement will look like, and the steps required achieving it. With the current economic downturn, many boomers are finding it necessary to revisit their initial retirement goals.

According to the Social Security Administration, today’s retirees count on corporate pensions and Social Security for 56 percent of their retirement income. With a few minor adjustments, some careful planning and a positive attitude, the other 44 percent is attainable.

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of elderly parents.

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• Calculate your potential monthly retirement budget based on your estimated income weighed against your expenses. At minimum, you need enough retirement income to cover basic living expenses for your lifetime.

• Determine the amount of guaranteed retirement income you already have. • Are you married? If so, how will that affect your retirement budget? • Pay attention to how your retirement funds are earning money. Are they structured for maximum returns? It’s crucial that you continually assess these funds.

• If your initial assessment requires additional income, consider part-time work during retirement, or perhaps selling your larger home for a more comfortable, carefree condo. 2. Consider life insurance the foundation of a solid retirement plan.

• Decide when to begin Social Security benefits. According to AARP, for each year you put off collecting your benefits between ages 62 and 70,

• If you don’t have a life insurance policy, get one. — Courtesy of ARAcontent

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• Spring 2010

The Senior Snowball Effect

A better, healthier life

Time of Your Life

Page 25

Defending your immune system (ARA)— An emerging health trend where a relatively simple illness leads to a number of physical and lifestyle changes is impacting seniors around the country, say immune system researchers from Embria Health Sciences, co-founders of the Nourish America Senior Health Project. They’ve dubbed this trend the Senior Sickness Snowball Effect, which impacts the overall quality of a person’s daily life and follows this recurring cycle: • Loss of appetite • Inadequate nutrition • Decreased energy • Reduction in social activities • Decreased independence • Limited social interaction • Increased potential for depression, stress • Weakened immune system • Continued illness

• Loss of appetite “Today’s older Americans are active and often have major responsibilities that require them to be in good health,” explains Stuart Reeves, Ph.D., director of research and development for Embria Health Sciences. “Unfortunately, as a person ages, their immune system becomes weaker and there is greater need for support, not just during cold weather seasons, but also throughout the year.” Embria Health Sciences established this Senior Health Project, alongside non-profit organizations Nourish America and the National Foundation of Women Legislators, to address the increased need for senior health support. In addition to his participation in the Nourish America Senior Health Project, Reeves offers these easy lifestyle tips that will keep seniors’ immune sys-

improve their overall wellbeing. Fill in the gaps: “Since seniors are at a higher risk of falling ill, getting the right amount of daily vitamins and nutrients is essential to their well-being, which is why taking a multi-vitamin supplement is often recommended,” Dr. Reeves explains. Hit the mall: The mall is great place to kill three birds with one stone. You can run a shopping errand, participate in social dialogue, and get some exercise by walking a couple of laps around the perimeter. “Staying active, both physically and socially, is a key element to a healthy lifestyle,” says Dr. Reeves. To learn more about immune health, visit www. BalancedImmuneHealth. com.

One simple health issue can sometimes become a series of issues if it’s not properly dealt with. ARA PHOTO

tems going strong: Get your grain: According to a 2008 report from the Centers for Disease Control and Prevention, it is estimated that a mere 18 percent of Americans 60 and older meet the dietary recommendations for daily

grain intake. Adopt a pet: Studies show that when seniors establish an owner-pet relationship, their feelings of loneliness dissolve and the pet-related activities such as walking, feeding, grooming and playing

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Time of Your Life

Orchard Pointe

Dementia care

Page 26

Orchard Pointe Memory Care Community 300 South Kitsap Boulevard Port Orchard,Washington 98366 (360) 874-7400

• Spring 2010

When to call the dementia experts As America’s population grows in size and age, we are becoming increasingly aware of the effects of aging on our minds and bodies. Those of us in the “sandwich generation,” the first of the Baby Boomers — who are old enough to be grandparents, yet young enough to still have living parents — know all too well the effect of aging and its impact on the family. In many cases, the demands of caring for a loved one with progressive dementia or Alzheimer’s disease become overwhelming. Caregivers can become physically and emotionally drained and may feel very much alone. These symptoms often lead to high stress and eventual burnout or other serious health issues. A caregiver entrenched in the strain of providing daily care 24 hours a day does not always realize that day-to-day

pressures may affect their own health and well being as well as impact the lives of those around them.

Caregiver Stress In many cases, the demands of caring for a loved one with progressive dementia or Alzheimer’s disease become overwhelming. Caregivers can become physically and emotionally drained and may feel very much alone. These symptoms often lead to high stress and eventual burnout or other serious health issues. A caregiver entrenched in the strain of providing daily care 24 hours a day does not always realize that day-to-day pressures may affect their own health and wellbeing as well as impact the lives of those around them. Coping mechanisms

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among caregivers are individual. However, there are common traits among caregivers that may indicate burnout. These include: • Denial • Exhaustion • Anger • Sleeplessness • Social Withdrawal • Irritability • Anxiety • Lack of Concentration • Depression • Health Problems

When it’s time to seek help A caregiver’s individual coping skills and the overall safety of a person with Alzheimer’s disease or other dementia is paramount in determining how well and how long a caregiver can continue to provide 24hour care without additional help. Although families and friends may pitch in from time to time as the disease progresses, professional help is frequently required. Here are a few questions caregivers should honestly ask themselves. • Are my expectations unrealistic? • Would help relieve any of the above symptoms I’m feeling? • Are there potential health or safety consequences if I continue alone? If the answer is yes to any one question above, now is the right time to reach out and connect with someone well experienced in demen-

tia care. There are a number of qualified senior living communities dedicated to Alzheimer’s and dementia care. These professional facilities can provide needed resources and support to those inquiring about the disease and various options for the caregiver. Caregivers seeking new care solutions for their loved one will find solace in well-trained and experienced staff members who are able to respond to the myriad of issues often experienced by family members with dementiarelated concerns.

Innovative Care Caregivers will find a variety of local care options for loved ones. Typically good dementia care incorporates an assessment of a person’s abilities, strategies for addressing behavioral and communication changes, appropriate staffing patterns, care planning and provision and an assisted living or nursing home environment that cultivates community. When evaluating the range of existing offerings, ask about new care models that may combine a therapeutically designed living environment with a person-centered approach. This innovative model may appeal to those whose family member or friend values individuality and autonomy within secure and struc-

tured surroundings. Additionally, it’s important to look for trained and caring staff who provide physical care and clinical services with an emphasis on social and emotional support for their residents and families at all stages, including end of life care. A number of qualified communities have created home-like environments which offer the positive attributes often associated with home while allowing for a diverse set of daily activities and life celebrations that families and residents may enjoy together. From educational fireside chats to Alzheimer’s Support Groups, a host of senior living communities today have embraced the community at large in providing expanded opportunities for residents, families and neighbors. While weighing lifestyle alternatives for loved ones, it may be helpful for caregivers to find a local support group. Coping tips, a list of community resources and a confidential forum for discussion may be enormously encouraging to the caregiver. Identifying the best care possible for your loved one as quickly as possible will ensure that the entire family remains whole, healthy and happy. — By Deborah Cavallo, Director of Dementia Services, LaVida Communities/Orchard PointeMemory Care Community

Ridgemont Terrace Senior Living Community offers complete services for seniors creating a continuum of care for every need. Ridgemont Terrace Offers: • 24-Hour Licensed Nursing and Rehabilitative Care • Full-Service Assisted Living Suites • Apartment Living for Independent Seniors Whether it’s independent apartment living, skilled therapy, or anything in between, Ridgemont Terrace has it all. “Comprehensive Healthcare with a Personal Touch”

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• Spring 2010

Diabetes and medication

Managing meds

Time of Your Life

Quick facts about diabetes Total: 23.6 million children and adults in the United States—7.8 percent of the population—have diabetes. * 12.2 million, or 23.1 percent of people 60 or older have diabetes —

Page 27

The importance of medication management and diabetes (ARA) — Nearly 24 million Americans have diabetes, and as most people with diabetes know, fluctuating levels of sugar in the bloodstream can be dangerous. Because many people with diabetes also have other conditions, like high blood pressure and high cholesterol, they often need to manage multiple medications. CVS Pharmacist Paul Magno answers questions about diabetes treatment and how managing medications can lead to a healthier life. Q: What medications are commonly used to treat diabetes? A: Medications used to treat diabetes include insulin and glucose-lowering pills. People with type 1 diabetes, which typically begins in childhood, cannot

make their own insulin, so daily insulin injections are needed. Type 2 diabetes, which

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typically begins in adulthood and is the most common form of diabetes, may

respond to treatment with diet and exercise, as well as glucose-lowering pills and insulin. Different groups of oral medications are often combined or used along with insulin. No single type of medication works for all patients, so you should work with your doctor and pharmacist to find a diabetes medication regimen that fits your needs. Q: Why is managing medications especially important for people with diabetes? A: Diabetes is a leading cause of death in the United States. Keeping your blood glucose in the recommended target range can prevent or delay the long-term health problems caused by the disease. Maintaining your medication, whether it

is insulin injections or oral medications, along with exercise and a healthy diet, is critical to treating diabetes effectively and living well with the disease. Q: Is there any danger of interactions when taking diabetes medications? A: Most people with type 2 diabetes take oral medications or a combination of oral medications and insulin injections. In general, diabetes treatments are safe and effective. But like other drugs, they must be used with care, and you should always talk to your pharmacist about all the medications you are taking before you begin any new medication or over-thecounter treatment. — Courtesy of ARAcontent


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Page 28

Time of Your Life

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• Spring 2010

Time of Your Life Spring 2010  

Spring lifestyles and resource guide for older residents of North Kitsap County, Washington

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