JUNE 2025
ASK THE EXPERT:
SUPPORTING OTHERS AND OURSELVES
A SEASON OF READING: SUMMER PICKS
RECIPES:
SUMMER PARTY TREATS
FEATURE:
UNDERSTANDING AND PREVENTING ELDER ABUSE: A COMPREHENSIVE GUIDE June is World Elder Abuse Awareness Month, a time dedicated to raising awareness about the mistreatment of older adults and promoting strategies to prevent it. World Elder Abuse Awareness Day (WEAAD) was launched by the International Network for the Prevention of Elder Abuse and the World Health Organization at the United Nations. Elder abuse is a serious issue affecting millions of seniors worldwide, often unnoticed and unreported. This article delves into the various forms of elder abuse, signs to watch for, current statistics, and ways we can prevent elder abuse, both personally and within our families. It’s up to all of us to recognize when abuse is happening and to take action to stop it.
continued on page 8 Publisher: Amy Natt AmyN@aosnc.com
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OCTOBER 2022 - 2
LETTER FROM THE EDITOR
Amy Phariss, Editor-in-Chief, OutreachNC | editor@outreachnc.com
LETTER FROM THE EDITOR Well, it’s official: fall is here. I had my first pumpkin-spiced latte just ture dipped low enough to merit a fleece. Amy Phariss, Editor-in-Chief, OutreachNC | editor@outreachnc.com June is here, with all its sunshine and afternoon thunderstorms. Summer in North Carolina is always an adventure – up one minute, down the other. As of now, we’re still hopeful and full of zest. We’re thinking of the beach trips, garden parties and evenings by the lake, not yet worn down from the mugginess, bug bites and heat fatigue. August will be here before we know it, so let’s enjoy these bearable days while we can. This month’s feature shines a light on elder abuse, an often neglected and overlooked subject. Many seniors endure abuse of various forms, which often goes unreported. We identify what elder abuse is, what it looks like in different forms, and what we can do to prevent abuse and protect ourselves and the seniors in our lives. In this month’s Ask the Expert, Amy Natt offers support and advice for a reader feeling guilty and fearful about a loved one’s diagnosis. Natt explores how the reader can address her own needs while still supporting her sister’s diagnosis.
In celebration of summer’s long afternoons and reading potential, we’ve put together a Summer Reading Guide with suggestions for good reads across the gamut. From nonfiction to poetry (and even a few short story suggestions), this guide will help you up your reading game and turn a solitary activity into a social event.
Don’t It wastodecaf. Asworry. an addition the aforementioned guide, we’ve provided recipes one might include in a luncheon menu October month. Thereorare constant reminders or forisana gentle afternoon tea (iced hot, your choice). The of change. we are lucky, toward each other. We have lingering conversations ov Pimento Cheese Tea sandwiches are top of our list and the aflames flicker. Smoke dances around us in a circle. We zip our ja stand-alone reason for hosting a reading group.
In this month’s an aimportant conversation Finally, we’vefeature, collectedwe’re a fewstarting poems for bit of summer carereflection. community for ourselves orisathe loved Fox Hollow Senior Sometimes, poetry bestone? mood-setter. Robin offers inside making this decision. As Hutchings my teenagers would say,perspective “Poetry is afor vibe. ”
In Ask Expert, Amy answers a reader’s regarding For the all the father’s outNatt there, and for all of us question who away withoutthe anyfathers estate in planning. willreminds or access celebrate our lives,Without Harper aLee usto impor of the power of a father’s presence: Physical therapist Dr. Sara Morrison of Total Body Therapy and We potential diagnostic tools used in physical therapy to help diagnose “She did from not what stand but may what these tools differ otheralone, doctor’s offices offer.
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I cannot endure to waste anything so precious as autumnal sunsh spent all the daylight hours in the open air. ofalmost her father.”
Here’s to enjoying the October sunshine, falling leaves and daylight Until next month,
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JUNE 2025 - 3
ASK THE EXPERT: SUPPORTING OTHERS AND OURSELVES
Amy Natt, MS, CMC, CSA - Aging Outreach Services | amyn@agingoutreachservices.com Question: My sister was recently diagnosed with risk, prevention, and emotional impact. You might Alzheimer’s disease, and I feel overwhelmed and unsure find peace in speaking with a counselor, joining a of what to expect. I want to be supportive and learn as caregiver support group, or simply journaling your much as I can, but I am also scared for the changes this thoughts without judgment. might bring in my life. I feel guilty that I’m not thinking 3. Focus on what you can control: While there is a more about my sister and less about myself right now. genetic component to Alzheimer’s, lifestyle factors— How can I learn more about this for myself without like regular physical activity, heart health, sleep, and ignoring my sister’s needs? mental stimulation—also play a large role. Focusing Answer: First, thank you for your honesty and courage on brain-healthy habits is something you can do for in sharing what you’re feeling. What you’re experiencing yourself right now, not out of fear, but out of hope. is not selfish—it’s human. When someone we love receives 4. Stay present with her: Supporting your sister doesn’t a life-changing diagnosis like Alzheimer’s, it’s natural to have to mean fixing everything or hiding your feelings. feel a mix of emotions: fear, grief, confusion, guilt, and Sometimes, just being present, listening, or sharing a even worry about what it might mean for us personally. cup of tea is the most meaningful thing you can do. You are not alone in this. 5. Work on a plan: If you are the primary support for Your concern for your sister is clear—you want to support your sister, it may help to meet with a care manager her, and that desire is already an act of care. At the same to help develop both short- and long-term goals for time, it’s completely valid to have questions about the her care. You, as well as any involved family members impact and changes it may bring in your own life. Loving or friends, can help create a road map for what care someone doesn’t mean you stop being a person with your may look like. This might include support that will be own fears and needs. Both can be true at the same time. needed, the setting she may want to be in and other Here are a few suggestions: preferences in the care she will need. This might include estate planning so that her wishes can be 1. Learn together, if you can: Consider reading books or documented for how she wants to live and who will watching short educational videos on Alzheimer’s that help make decisions for her if she becomes unable to are designed for families. The Alzheimer’s Association do so. (alz.org) is a great starting point. You might even share these resources with your sister, if she’s open to 6. Create a safety net: You all are not on this journey it, so you can both feel less alone. If you live in North alone. Learn from those who have had similar Carolina, the Dementia Alliance of NC is a great experiences. Create a team of both formal and informal resource https://dementianc.org/ and offers local support that can be accessed as needs increase. This support and programs you can both benefit from. might include friends, spiritual support, medical and social components. Some great book options are: You don’t have to choose between • Living Your Best with Early-State Alzheimer’s by being there for her and taking Lisa Snyder care of yourself. Doing both • The Alzheimers Action Plan by P. Murali is a form of strength and Doraiswamy love. Now is the perfect time to start having • The Other Side of Alzheimer’s by Martha-Lee B. conversations and Ellis learning together • A Dignified Life: The Best Friends ™ Approach to about the journey Alzheimer’s Care: A Guide for Care Partners ahead and steps • The Emotional Journey of the Alzheimer’s Family you can put in place by Robert B. Santulli to honor her dignity 2. Make time for your own processing: It’s okay to while maintaining some make space to explore your own questions—about autonomy in your own life. 4 - JUNE 2025
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JUNE 2025 - 5
A Season of Reading: Summer Picks SUMMER READING GUIDE FOR SENIORS
There’s nothing like a good book and a cool breeze to make summer feel just right. Whether you love heartfelt stories, intriguing history, or practical inspiration, this reading list has something for everyone. All picks are gentle on the eyes (available in large print and audiobook), rich in meaning, and light enough to enjoy with your favorite glass of iced tea. Fiction to Lift the Heart • The Thursday Murder Club by Richard Osman A witty and delightful mystery starring four retirees who solve cold cases in their retirement community. It’s clever, heartwarming, and full of British charm. • Still Life by Louise Penny This cozy mystery series introduces Chief Inspector Armand Gamache of the Sûreté du Québec. It’s perfect for lovers of character-driven fiction and picturesque village life. • A Man Called Ove by Fredrik Backman A grumpy yet lovable man finds his world turned upside down by unexpected friendships. A beautiful tale about second chances and community.
• The Gentle Art of Swedish Death Cleaning by Margareta Magnusson Humorous and practical advice on organizing your home and your life—at any age—for peace of mind.
Easygoing Beach Reads • The Summer Guests by Mary Alice Monroe When a hurricane prompts a group of friends and their animals to shelter at a horse farm in North Carolina, relationships are tested and strengthened. Heartfelt, Southern, and full of second chances. • The Bookshop on the Corner by Jenny Colgan A librarian starts a new life in a charming Scottish village by opening a bookmobile—and finds love, purpose, and community along the way. Warm, witty, and uplifting. • Outbound Train by Renea Winchester (North Carolina Author) Set in the small Southern town of Bryson City, NC, this moving story of three generations of Appalachian women facing poverty, pride, and perseverance is written by Renea Winchester. A heartfelt, place-rooted novel that resonates with local readers. Memoirs to Inspire
Nonfiction for Curious Minds • Being Mortal by Atul Gawande An honest, compassionate look at aging, caregiving, and what matters most in the final chapters of life. • The Blue Zones by Dan Buettner Explore lifestyles from the world’s longest-living people. A fascinating, hopeful read full of tips for well-being and longevity.
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• Things I Overheard While Talking to Myself by Alan Alda Beloved actor Alan Alda shares reflections on life, purpose, and meaning in this thoughtful, humorous, and deeply personal collection. • My Life in France by Julia Child A charming memoir about discovering passion and purpose later in life. Bonus: it’ll inspire your next summer recipe!
Poetry for Reflection and Joy: • Devotions: The Selected Poems of Mary Oliver This beautifully curated collection from one of America’s most beloved poets explores nature, aging, faith, and everyday wonder. Perfect for quiet mornings or reflective evenings.
Tips for Making Summer Reading Social: •
• Sailing Alone Around the Room by Billy Collins Witty, warm, and accessible, Collins captures everyday moments with humor and grace. A favorite among readers new to poetry. • How to Love the World: Poems of Gratitude and Hope, edited by James Crews This modern anthology features a wide range of contemporary voices celebrating everyday beauty, resilience, and peace—perfect for group reading or personal reflection.
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5 Short Stories for Depth and Exploration: • “A Good Man Is Hard to Find” by Flannery O’Connor Southern Gothic at its best—darkly humorous, morally rich, and powerfully written. A conversation starter for any book club. • “The Open Window by Saki” (H.H. Munro) This short, slyly humorous story with a twist ending showcases the wit and charm of classic British storytelling.
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• “Miss Brill” by Katherine Mansfield A quietly moving portrait of loneliness and aging, written with great sensitivity and depth. •
“The Bet” by Anton Chekhov A thought-provoking story that explores the value of life, freedom, and human nature. • “Fish Fry” by Clyde Edgerton (North Carolina native) While primarily a novelist, Edgerton has contributed short fiction in his signature warm, quirky Southern style. Check out his short works in collections like Walking Across Egypt or Southern Cultures journal.
Bonus: Brain-Boosting Book • Keep Sharp: Build a Better Brain at Any Age by Dr. Sanjay Gupta Learn how lifestyle habits, nutrition, and lifelong learning can protect cognitive health.
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Start a book club— virtually or in person. You can use Facebook, Zoom or any other virtual option to expand your group and make it accessible for people of all ages and places. Share your favorite reads with grandkids for intergenerational bonding. Or ask your grandkids for recommendations of their own. Reading is a great way to connect and bond. Try audiobooks while gardening or walking. Host a themed reading luncheon. Pick a book with a culinary or cultural theme and gather friends to share a potluck inspired by the story. The Julia Child’s memoir would be perfect for this! Organize a storysharing circle. Invite friends to read aloud favorite passages, short stories, or poems and share personal reflections related to the themes.
JUNE 2025 - 7
Understanding and Preventing Elder Abuse:
A COMPREHENSIVE GUIDE by Amy Phariss
What Is Elder Abuse? The first step in identifying elder abuse is to know what it is. According to the Centers for Disease Control and Prevention, “Elder abuse is an intentional act or failure to act that causes or creates a risk of harm to an older adult. An older adult is someone age 60 or older. The abuse often occurs at the hands of a caregiver or a person the elder trusts.”
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Elder abuse refers to any intentional act or failure to act that causes or creates a risk of harm to an older adult. This abuse can occur in various settings, including the older person’s home, nursing homes, or other care facilities. The abuse can take place at the hands of family members, caregivers, or others in positions of trust. The National Institute on Aging notes, “Each year hundreds of thousands of adults over the age of 60 are abused, neglected or are financially exploited.”
Recognizing the Signs of Elder Abuse Identifying elder abuse can be challenging, especially when victims are reluctant or unable to report it. Key indicators include: •
Physical Abuse: Unexplained bruises, fractures, or injuries.
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Emotional Abuse: Withdrawal from normal activities, sudden changes in alertness, or unusual depression.
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Sexual Abuse: Bruises around breasts or genital areas, unexplained sexually transmitted infections.
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Financial Exploitation: Sudden changes in financial situations, missing belongings, or unexplained withdrawals.
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Neglect: Poor hygiene, malnutrition, untreated medical issues, or unsafe living conditions.
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Abandonment: Desertion at a hospital, nursing facility, or public location.
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Self-Neglect: Lack of basic hygiene, untreated medical conditions, or unsafe living environments.
Elder Abuse Statistics Exploring the statistics of elder abuse helps us understand how prevalent and important this issue is throughout society. •
•
•
According to the National Council on Aging, approximately 1 in 10 Americans aged 60 and older have experienced some form of elder abuse. In nursing homes, nearly 16% of residents report being abused. Research published in 2019 reports, “A recent study has shown that close to one in six older adults have experienced elder abuse in a community setting in the past year” (Yon et al.) Only 1 in 24 cases of elder abuse is reported to authorities, indicating significant underreporting. Some seniors may not feel safe reporting abuse, and others may not be physically or mentally capable of reports. Others may feel ashamed of being victims of abuse, and many seniors fear unwanted consequences.
Types of Elder Abuse Elder abuse isn’t only physical neglect or abuse. Elder abuse comes in several forms, each with unique characteristics: 1. Physical Abuse: Inflicting physical pain or injury through actions like hitting, pushing, or inappropriate use of restraints. 2. Emotional or Psychological Abuse: Verbal assaults, threats, harassment, or isolation that cause mental anguish. 3. Sexual Abuse: Nonconsensual sexual contact of any kind with an older adult. 4. Financial Exploitation: Unauthorized use of an elder’s funds or property, including scams or coercion to alter legal documents. 5. Neglect: Failure to provide necessary care, leading to harm or distress. 6. Abandonment: Desertion of an older person by someone responsible for their care. 7. Self-Neglect: When an older adult fails to meet their own basic needs, posing a risk to their health or safety.
JUNE 2025 - 9
Resources: If you suspect elder abuse or need support, contact your local Adult Protective Services or the North Carolina Department of Justice. National and state organizations offer education, reporting tools, and protective services to ensure older adults remain safe and respected. Don’t wait—speak up (for yourself or a loved one) and help protect those who may not be able to protect themselves. •
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Financial exploitation of older adults results in estimated annual losses of $28.3 billion in the U.S.
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Older adults with dementia are particularly vulnerable, with up to 50% experiencing abuse. Seniors living with dementia may have limited exposure and interactions with those besides caregivers, making them isolated and increasing vulnerability. These seniors may also struggle to communicate abuse or reach out for help (American Bar Association, 2023).
North Carolina Adult Protective Services (APS)
The North Carolina Department of Health and Human Services oversees Adult Protective Services, which investigates reports of abuse, neglect, or exploitation of disabled adults aged 18 and older. County departments of social services receive and evaluate these reports to determine the need for protective services. If you suspect that an elderly or disabled adult is being mistreated, you can contact your local Department of Social Services or call the CARELINE at 1-800-662-7030 for assistance. •
For example, a senior may fear being put into an institution or having to move if they report abuse.
North Carolina Department of Justice – Protecting Seniors
The North Carolina Department of Justice provides resources and support to protect seniors from abuse, neglect, and exploitation. Their Consumer Protection Division addresses scams and frauds targeting older adults, and the Medicaid Investigations Division prosecutes abuse and neglect in Medicaid-funded facilities. If you or someone you know is a victim of elder abuse or fraud, you can report it by calling 1-877-5-NO-SCAM (1-877-566-7226). References: https://www.americanbar.org/groups/senior_lawyers/ r e s o u r c e s / v o i c e - o f - e x p e r i e n c e / 2 0 2 3 - m a y/e l d e r abuse/#:~:text=Elder%20abuse%20can%20occur%20 anywhere,advantage%20of%20their%20cognitive%20 impairment. https://www.cdc.gov/elder-abuse/about/index.html https://www.ncoa.org/article/get-the-facts-on-elder-abuse/ Yon Y, Ramiro-Gonzalez M, Mikton CR, Huber M, Sethi D. The prevalence of elder abuse in institutional settings: a systematic review and meta-analysis. Eur J Public Health. 2019 Feb 1;29(1):58-67. doi: 10.1093/eurpub/cky093. PMID: 29878101; PMCID: PMC6359898.
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Preventing Elder Abuse Preventing elder abuse requires a collective effort from individuals, families, and communities: •
Stay Connected: Regular communication with older adults can help detect changes in behavior or circumstances that may indicate abuse.
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Educate and Empower: Inform older adults about common scams and encourage them to speak up about any concerns.
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Support Caregivers: Providing resources and respite care can alleviate caregiver stress, reducing the risk of abuse.
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Monitor Finances: Assist older adults in managing their finances and be vigilant for signs of exploitation.
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Report Suspected Abuse: If you suspect elder abuse, contact local adult protective services or law enforcement.
Conclusion Elder abuse is a serious issue requiring attention and action. By understanding its forms, recognizing the signs, and taking proactive steps, we can protect our older population and ensure they live with dignity and respect. During World Elder Abuse Awareness Month, let’s commit to advocating for the well-being of our elders. We each have a role to play—whether it’s checking in regularly on aging loved ones, supporting overburdened caregivers, or speaking up when something doesn’t feel right. Promoting a culture of respect, inclusion, and safety for older adults not only prevents abuse but enriches our communities as a whole. Aging is a natural and valuable part of life. Let us honor that journey by safeguarding those who have come before us.
“Answer to a Child’s Question” (excerpt) by Samuel Taylor Coleridge (1772–1834) “Do you ask what the birds say? The sparrow, the dove, The linnet and thrush say, ‘I love and I love!’ In the winter they’re silent—the wind is so strong; What it says, I don’t know, but it sings a loud song. But green leaves and blossoms, and sunny warm weather, And singing and loving—all come back together.” “Summer Days” by Wathen Marks Wilks Call (1817–1890) Summer days are sultry days, Made for slumber, not for praise; Even poets take a rest, Lying with their vests unpressed, Basking in the sleepy heat, With no shoes upon their feet. “A Summer Day” by Lucy Maud Montgomery (1874–1942) The dawn laughs out on orient hills And dances with the daffodils; The morning clover-honey spills Over the meadows green. The noonday lies in amber dreams Beside the flashing meadow streams— The soul forgets all thoughts and schemes In the warm, drowsy sheen. And when the twilight, cool and gray, Draws round us like a cloak of day, The silver stars come out to play— Summer has touched the soul. JUNE 2025 - 11
Easy Recipes for Summer Gatherings Lemon Lavender Scones Ingredients:
2 cups all-purpose flour
1/4 cup sugar
1 tbsp baking powder
1/2 tsp salt
6 tbsp cold butter, cubed
2 tsp dried culinary lavender
Zest of 1 lemon
3/4 cup cream or half & half
Instructions: 1. Combine dry ingredients, then cut in butter until crumbly. 2. Stir in lavender, zest, and cream. Form into a round and cut into wedges. 3. Bake at 400°F for 15–18 minutes. Serve with clotted cream or lemon curd.
Iced Herbal Tea Punch Ingredients:
4 herbal tea bags (like hibiscus, mint, or chamomile)
4 cups boiling water
2 tbsp honey or sweetener of choice
2 cups cold sparkling water
Sliced lemons, mint sprigs, or berries for garnish
Instructions: 1. Brew tea and steep 10 minutes. Stir in honey and chill. 12 - JUNE 2025
2. Add sparkling water before serving. Serve over ice with garnishes.
SANDWICH SELECTIONS:
Radish & Herbed Butter Sandwiches
Crisp, fresh, and slightly peppery—very French and very pretty. Ingredients: Softened butter mixed with fresh herbs (parsley, dill, chives), thinly sliced radishes Serve on: Pumpernickel or rye cocktail bread Optional: Sprinkle with flaky sea salt before serving
Pimento Cheese Tea Sandwiches
A Southern classic with a creamy, tangy kick. Ingredients: Shredded sharp cheddar, cream cheese, diced pimentos, a dash of hot sauce Serve on: White or wheat sandwich bread, crusts trimmed and cut into triangles
Roast Beef & Horseradish Cream Sandwiches A savory, elegant option for those who prefer a heartier bite. Ingredients: Thinly sliced roast beef, horseradish mayo (mix horseradish with sour cream or mayo), arugula or spinach Serve on: Soft white rolls or crusty baguette slices
JUNE 2025 - 13
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41) Frozen waffle brand 42) Bird on a Canadian dollar 43) Helping hands 44) Hand-wringer's word 45) Grows, as a romance 47) Active sort 48) _ up (enlivened) 52) "Aja" band _ Dan 55) Intimate apparel 57) Gardner of "On the Beach" 58) Cowardly partier in a stadium parking lot? 62) Canaveral org. 63) Belt-makers' tools 64) Sharpener's creation 65) Modeler's medium 66) Farm team's harness 67) Symbol of laziness
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VA TE R 0 I N T 0 TH
Jeffrey White, M.D.
Oculoplastic & Cosmetic Eye Specialist
910.295.2100 carolinaeye.com
JUNE 2025 - 15
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24-hour care
16 - JUNE 2025