PHILADELPHIA CORPORATION FOR AGING
November 2023
CAREGIVING IS A WORK OF HEART
IN THIS ISSUE
NAVIGATING THE CAREGIVING JOURNEY
P6
RESOURCES HELP LIVING WITH BLINDNESS
P7
BEWARE OF ARTIFICIAL INTELLIGENCE SCAMS
P14
Free
Milestones 2
November 2023
Thanks for your input on plans for older Philadelphians
PHILADELPHIA CORPORATION FOR AGING
WHAT IS PCA?
Philadelphia Corporation for Aging (PCA) is a nonprofit agency dedicated to serving Philadelphia’s older adults and adults with disabilities. PCA publishes Milestones and offers: • Care in the home • Home-delivered meals • Home repairs and modifications • Protective services • Senior centers • Caregiver support • Employment and For more information, call the PCA volunteer programs Helpline at 215-765-9040 or visit • Legal services pcaCares.org. • Transportation • Ombudsman services • Health education • Information and referral
Published by Philadelphia Corporation for Aging
Najja R. Orr, MBA, DBA President and CEO PCA Board of Directors 2023-24 Glenn D. Bryan, Chair Louis G. Colbert, Co-Chair Eloise Young, Treasurer Lynn Fields Harris, Secretary Satya B. Verma, O.D., Immediate Past Chair Denise Adamucci Louis A. Bove, Esq. Nora Dowd Eisenhower, Esq. Wilmarie Gonzalez Sandra McNally Paul Nathanson Norma D. Thomas, D.S.W. John Whitman Jacqueline S. Zinn, Ph.D. Emeritus: Arthur E. Helfand, D.P.M.
Call 24/7 to report suspected elder abuse. PCA Helpline: 215-765-9040 Outside Philadelphia toll-free: 888-215-765-9041 (TDD) pcaCares.org
Milestones is published monthly and distributed at more than 1,100 locations throughout Philadelphia. Check us out online: pcaCares.org/Milestones Editor: Alicia M. Colombo 215-765-9000, ext. 5081 PCA, 642 N. Broad St. Philadelphia, PA 19130 Email: MilestonesNews@pcaCares.org Advertising: Teresa Heavens 215-765-9000, ext. 5053 Email: Teresa.Heavens@pcaCares.org Subscriptions & Distributions: 215-765-9000, ext. 5081 Email: MilestonesNews@pcaCares.org Home delivery: $12/year
The views expressed in Milestones are not necessarily those of Philadelphia Corporation for Aging (PCA). Milestones will not knowingly accept or publish fraudulent or misleading advertising. Milestones reserves the right to edit, revise or reject ads. Milestones assumes no responsibility for errors, misprints, omissions or misinformation; for failure to publish an ad; or for any damages of any kind. Neither the publisher nor any other party is rendering expert advice in this publication. No part of this newspaper may be reproduced without the permission of PCA. ©2023 Philadelphia Corporation for Aging. All rights reserved.
By Najja R. Orr, MBA, DBA PCA President & CEO
During August and September, Philadelphia Corporation for Aging (PCA) held 18 listening sessions across the city and gathered feedback and suggestions from older adults and other stakeholders to help the Pennsylvania Department of Aging (PDA) develop its future Master Plan for Older Adults, a 10-year strategic plan designed to help transform the infrastructure and coordination of services for Pennsylvania’s older adults. We provided interpretation in Korean, Spanish and Mandarin, as well as conducted sessions specifically for the LGBTQ+ older adult community and professionals working in the aging services field. I am extremely grateful to the more than 450 participants who attended these important listening sessions and gave us valuable input about issues that affect Philadelphia’s aging community. PCA will prepare a report of those comments and suggestions to send PDA, with testimonials that demonstrate the complex issues and critical factors impacting older Pennsylvanians, for its future Master Plan for Older Adults. Participants’ collective needs and preferences were organized in themes to be addressed:
Transportation issues
Older adults expressed a need for more reliable transit service. Many transit users also need assistance from their home to the curb to board the transit vehicle, yet many transit companies do not offer that service. In addition, the lack of wheelchair-friendly/walkable streets and transit throughout Philadelphia was noted.
Affordable housing
Housing is expensive. The number of senior housing units in Philadelphia is inadequate to meet the demand, as is the availability of affordable housing in general. Therefore, long waiting lists exist for available senior housing units. In addition, older adult homeowners face challenges with people of higher means moving into their neighborhoods, typically displacing current residents in the process, and with finding resources to renovate or modify their homes for aging in place.
Technology access
There is a “digital divide” among Philadelphia’s older adults that contributes to social isolation. More technical support, assistance and inclusion is needed to bridge the gap. Many older adults do not have access to the resources, knowledge and skills to secure low-cost, at-home internet service. (Continued on Page 3)
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November 2023
Community safety
Many older adults feel unsafe in the city. They expressed being afraid to leave their homes and walk around their own neighborhood.
Respect and social inclusion
Older adult participants expressed feeling disrespected because of their age. They would like to see more intergenerational experiences offered and more resource access for people facing language barriers.
Vital resources
Senior community centers offer many opportunities and resources for older adults and are important hubs for many of the city’s older adults. PCA was also cited as a vital resource for older adults.
Social participation
There is a lack of opportunities, or knowledge of those opportunities, for older adults to volunteer their time and skills toward a cause or organization.
Health access
As we prepare for Thanksgiving later this month, I want to express my thanks for the contributions of older adults to our community, for the work and support of PCA employees and aging network staff, and for the generosity of our donors to support our mission of enriching the lives of older adults for 50 years!
Older adult participants expressed needing assistance with navigating health care systems. Some have expressed feeling ignored by doctors and medical staff. Pennsylvania Gov. Josh Shapiro has set a deadline for completion of the Master Plan for Older Adults by Feb. 1, 2024, ahead of his next budget address. After the plan’s release, PCA will share it in Milestones and on its website (at pcaCares. org).
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November 2023
Recognizing, treating chronic lung disease
By Jay Nachman Walking. Climbing steps. Showering. Chores. Yard work. These are the activities of daily living that a healthy senior adult should be able to do without shortness of breath. “You shouldn’t be limited at all by shortness of breath. And if you are, then it means something is going on,” said Dr. Rachel N. Criner, assistant professor of thoracic medicine and surgery at the Lewis Katz School of Medicine at Temple University. “People might notice over time they’re not doing tasks as quickly as they used to do them or they might start modifying their daily life to accommodate their shortness of breath,” Dr. Criner said. For example, people may not realize that they’re cutting out their daily walk because they are short of breath. If someone has those symptoms, they should see a doctor right away, Dr. Criner said. Other symptoms of lung disease are a wet or dry cough, wheezing, fatigue and pain or dis-
comfort when breathing. There are four types of chronic lung disease and they fall into three categories. One category affects the airways, another affects lung tissue and the third affects the blood tissue. The most common lung disease is COPD, or chronic obstructive pulmonary disease. COPD affects both the airway and the lung tissue and it is the fourth leading cause of death in the United States. The other three diseases are pulmonary fibrosis, which affects the lung tissue; lung cancer, which also is a disease of the lung tissue; and asthma, which is a chronic lung disease. With the exception of asthma, lung diseases most often appear in the aging population. Dr. Criner said most of her patients with chronic lung diseases are 65 and older. The most obvious risk for lung disease is smoking, which is also a primary cause of COPD and lung cancer. The causes of pulmonary fibrosis are varied but could be
related to a person’s environment, such as occupational exposure to stone, glass, asbestos or dust. Pulmonary fibrosis can also be idiopathic, meaning the cause cannot be determined. The American Lung Association notes that air pollution poses a serious threat to our nation’s health by harming lungs and increasing the risk of lung disease, including COPD and asthma. The association works to protect public health from unhealthy air pollution by supporting the Clean Air Act and pushing the U.S. Environmental Protection Agency to ensure everyone in the nation has air that is safe and healthy to breathe. This includes encouraging more protective limits on ozone and particle pollution, reducing power plant carbon emissions, and cleaner gasoline and vehicle standards. Asthma can be caused by allergies or by a genetic disposition. As with pulmonary fibrosis, asthma can also be caused by exposure to items in the environment. Typically, asthma can be managed through medication and other treatments. But there are new treatments, called biologics, that target the inflammation that causes asthma and they have significantly decreased asthma attacks and lessened the shortness of breath that the disease produces. If lung cancer is diagnosed early enough, it often can be cured
with surgery, chemotherapy and radiation. Lung cancer can also be treated less invasively with specific medicines that target the genetic makeup of the cancer. There is no cure for COPD, which worsens over time, but it can be treated with medicine. A new minimally invasive treatment, Dr. Criner said, places a tiny one-way valve in the most diseased part of the lung “so the healthier lung can work better. Every patient with COPD at a certain stage should be screened to see if they’re eligible for bronchoscopic lung volume reduction. This surgical procedure has shown great benefit in lung function, in helping shortness of breath and quality of life. People who have had lung volume reduction can walk further and breathe easier through this surgical procedure.” Pulmonary fibrosis is a serious lung disease. Someone diagnosed with pulmonary fibrosis should immediately seek evaluation at a center that specializes in the disease. A lung transplant may have to be considered, Dr. Criner said. There are new medications available that slow the progression of lung dysfunction and other medicines currently in clinical trials that have shown promise in stopping the progression of the disease. Dr. Criner’s oldest patient with pulmonary fibrosis who received a lung transplant was in his early 80s. “We don’t have an age limit to get evaluated for a transplant,” she said. For lung disease treatment programs in Philadelphia, read the article on page 5. Jay Nachman is a freelance writer in Philadelphia who tells stories for a variety of clients.
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November 2023
Quality care for lung disease available in Philadelphia
By Jay Nachman November is Lung Cancer Awareness Month, a designation to bring attention to the disease. Fortunately, in Philadelphia there are many resources to help treat lung cancer and other lung diseases. Fox Chase Cancer Center Fox Chase Cancer Center develops a customized lung cancer treatment plan to care for each patient. Fox Chase’s medical team has expertise in a variety of areas. These team members include physicians, surgeons, researchers, nurses, patient navigators and a variety of specialized support staff. Whether a patient’s lung cancer is early-stage or more advanced, the treatment plan will be designed to control the cancer, preserve lung function and reduce the risk of recurrence. For information, call 1-855-8271695 or visit FoxChase.org.
(See page 15 for crossword)
least 20 pack-years, which is the number of years smoked multiplied by the number of packs smoked per day. For information, contact the Temple Lung Cancer Screening Program at 1-800836-7536 or TempleHealth.org (type “healthy chest” in the search feature). Jefferson Health Jefferson Health’s Jane & Leonard Korman Respiratory Institute screens and diagnoses lung cancer. The institute’s medical staff works closely with patients to create an individualized care plan based around lifestyle and goals. For information, call 1-800-JEFF-NOW or visit JeffersonHealth.org/clinical-specialties/respiratory-institute.
Penn Medicine Penn Medicine’s Harron Lung Center takes a collaborative, comprehensive and personalized approach to lung health. The center offers prevention resources, early detection to advanced diagnostics, innovative treatments, Temple University and cutting-edge research. For inforEligible Philadelphia area residents mation, call 1-800-789-7366 or go to between the ages of 50 and 80 who PennMedicine.org/lung. are or were long-term smokers can receive a low-dose CT scan at one of five Temple University locations. To be eligible, patients must currently smoke or have quit within the last 15 Nachman is a freelance writer in Philadelphia who years and have a smoking history of at Jay tells stories for a variety of clients.
WHEN A VESSEL THROWS YOU A CURVE
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Milestones 6
Navigating the caregiver’s journey: Resources and resilience
November 2023
“It’s crucial that caregivers are equipped with as many resources as possible to fulfill their responsibleness to their loved ones, while also taking care of themselves.”
By Bill Conallen Philadelphia Corporation for Aging (PCA) offers a comprehensive Caregiver Support Program designed to assist primary caregivers who provide unpaid care for older loved ones or for a child relative. This program provides an extensive range of resources, including education and training, financial assistance of up to $600 per month, caregiving support groups, and respite care services (temporary care that provides relief to an individual’s usual caregiver). Over the past five years, there has been a significant increase in the number of Americans who find themselves in the role of unpaid caregivers, as reported by the National Alliance for Caregiving. If you are one of the more than 50 million caregivers across the nation, it is crucial to access the valuable information and resources available to help you navigate the challenges of caregiving.
During the month of November, which is recognized as National Family Caregivers Month, special attention is given to caregivers. This time of reflection serves as an opportunity to celebrate and honor family caregivers while emphasizing the importance of raising awareness about caregiving issues, educating communities, and bolstering much-needed supports. Caregivers undertake the crucial responsibility of caring for individuals with injuries, illnesses, or disabilities. Their tasks can encompass a wide spectrum, from helping older adults with household chores like cleaning and laundry to assisting with personal hygiene, managing finances, administering medication, and much more. Cheryl Clark, the director of PCA’s Caregiver Support Program, emphasizes that caregiver stress is not a one-size-fits-all experience. It can manifest as a range of emotions, including frustration, anger, and helplessness. Caregivers may also feel unprepared or lacking in medical
knowledge. Given the uniqueness of each caregiving situation, it’s essential to recognize the signs of caregiver stress and address them promptly. The resources provided through the Caregiver Support Program are specifically designed to ensure that caregivers take care of themselves alongside their loved ones. The program offers education and training to enhance caregiving skills while reducing stress and creating a refreshed, informed environment. By identifying signs of caregiving stress, caregivers can maintain their own happiness and well-being while delivering the care their loved ones require. “Relief programs for caregivers are nothing short of a lifeline for those who take on the selfless and demanding role of caregiving. These programs offer a multifaceted approach to support, acknowledging the incredible dedication and sacrifice caregivers make for their loved ones,” said Clark. “At the heart of these programs is education and training, ensuring caregivers are
equipped with the knowledge and skills they need to provide the best possible care. This not only benefits the care recipients but also gives caregivers the confidence and competence to handle challenging situations.” Both personally and professionally, Clark has witnessed the extent to which these services can enhance the dignity and quality of life for both caregivers and care receivers. “Being a caregiver demands an immense investment of time and resources,” Clark emphasizes. “It’s crucial that caregivers are equipped with as many resources as possible to fulfill their responsibilities to their loved ones to the best of their ability while also taking care of themselves.” For caregivers in need of assistance, PCA’s Caregiver Support Program stands ready to provide emotional support, reimbursement for caregiving services and supplies, training, and benefits counseling. This program also extends its support to adults aged 60 and above who are raising grandchildren or other young relatives under the age of 18. For more information, please contact the PCA Helpline at 215-765-9040 or visit pcaCares.org/caregivers. Bill Conallen is the public relations specialist at Philadelphia Corporation for Aging.
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November 2023
Life with blindness: Living the life you want
By Mary Anna Rodabaugh Denice Brown, 65, of North Philadelphia, was diagnosed with Retinitis Pigmentosa (RP) at two years old. RP is a rare eye disease that makes cells in the retina break down over time, ultimately causing vision loss and blindness. This trajectory didn’t slow Brown down. She graduated from Overbrook High School and received her Bachelor of Science in Elementary Education and her master’s degree in special education from Temple University. Brown spent over twenty years as a schoolteacher in Philadelphia. “I am grateful for the School District of Philadelphia because I was given any type of accommodation [that] I needed to keep my job and be successful,” Brown said. Upon retirement from teaching, Brown kickstarted her next unexpected career. After making a phone call in search of additional adaptive software technology, Brown met with Ted Young of Young Opportunities. At the time, Young was serving as the state president of the National Federation of the Blind of Pennsylvania. “What is the National Federation?” Brown asked. After learning about the organization and its mission dedicated to serving individuals like herself, Brown felt inspired to explore the two chapters in Philadelphia. The Greater Philadelphia chapter felt like a fit. This connection took place back in 2000. Since 2003, Brown has served as the president of the Greater Philadelphia chapter of the National Federation of the Blind in Pennsylvania.
“It has been an eventful 20 years,” says Brown. “We’re trying to make sure we stay true to our motto ‘Life with blindness: Living the life you want’ and we’re trying to make sure blind people know about the resources available.” Brown lives this motto by example. When she is not completing her advocacy work, she enjoys listening to live music, especially jazz. Brown is passionate about live plays and travels to New York to Broadway. She also makes time to attend different productions in Philadelphia. “I also love to dance,” Brown says. “And I’m a member of Delta Sigma Theta Sorority Incorporated. We have different service-oriented projects we do with the community.” call 215-560-5700 or visit dli.pa.gov (type “Bureau of Blindness” in the Local resources for people who search box). “They’ll teach you different ways are blind to do things using adaptations and When asked what piece of advice Brown would offer someone who is accommodations,” Brown says. VisionLink seeks to inspire all new to visual impairment or blindness, she recommends they get in who are living with vision loss to contact with their local chapter of thrive. This Philadelphia organizathe National Federation of the Blind tion has been serving the low vision to learn about resources or litera- community since 1944. VisionLink ture that is available. Brown says offers educational and lifestyle proshe hopes they can find a mentor gramming to aid individuals with to assist them with any questions vision loss or blindness to live comthey may have. Visit nfbofpa.org for fortable lives and make meaningful connections. Many programs are more information. The Bureau of Blindness and virtual as well. For more informaVisual Services (BBVS) is another tion, call 215-627-0600 or visit Vigreat resource that assists Pennsyl- sionLink.org. The Blind Relief Fund of Philavanians who are blind or visually impaired to gain the skills necessary delphia offers five programs includto live and work independently in ing a telephone visitor for people their communities. The bureau can who are blind, a home visitor who connect individuals with a mobility can complete a lifestyle assessment, instructor to help them navigate us- financial assistance, transportation ing a white cane or with resources to assistance, and social activities. To learn Braille. For more information, learn more, call 215-487-1444 or
visit BlindReliefFund.org. The Library of Accessible Media for Pennsylvanians (LAMP) at 1500 Spring Garden St. is part of the National Library Service for the Blind and Physically Handicapped, Library of Congress (NLS), and serves Pennsylvania residents who have difficulty reading due to a physical impairment, a reading disability, or a vision challenge. Library offerings include books in Braille, large print books, screen magnifier tools, and screen-reading software.
Looking back
“One thing that I’m proud of is I have a really good group of people who work well together to get things done,” Brown says. “Membership is a key in our organization. We are run by people who are blind. We just try to show we can do it too; we learn how to do things in a different way, and we get the job done.” Mary Anna Rodabaugh is a writer, editor and writing coach.
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November 2023
Events
November 2023
Send your calendar items to MilestonesNews@pcaCares.org by the 25th of the month (for publication in two months) Questions? Call 215-765-9000, ext. 5081.
NOVEMBER 1-30 NATIONAL FAMILY CAREGIVERS MONTH
NOVEMBER 7 BUILDING YOUR FINANCIAL FUTURE
This is a time to recognize & honor family caregivers across the country. It offers an opportunity to raise awareness of caregiving issues.
Take charge of your investments. A finance expert will discuss assets, why they are beneficial & how they can help build your financial future. 3 p.m. Parkway Central Library. 215-686-5394 | Free
NOVEMBER 2 MEDICARE PRESENTATION
NOVEMBER 7 ELECTION DAY
Learn the dos & don’ts of open enrollment from Center for Advocacy for the Rights & Interests of Elders (CARIE). 12:30 p.m. Philadelphia Senior Center – Avenue of the Arts. 215-546-5879 | Free
NOVEMBER 8 BENEFITS APPLICATION HELP
One-on-one help applying for public benefits, including Medicaid, SNAP, LIHEAP & property tax/rent. South Philadelphia Bring your computer, tablet, smartphone or Library. 10 a.m. 215-685-1866 | Free other electronic device for troubleshooting. 9 a.m. Parkway Central Library. 215-686NOVEMBER 9 8665 | Free
NOVEMBER 3 DEVICE HELP
NOVEMBER 5 MAKERS’ MARKET
The nation’s oldest continuously inhabited residential street hosts artists, makers & vintage vendors from the region. 11 a.m. to 3 p.m. Elfreth’s Alley. 215-574-0560 | Free
NOVEMBER 6 YIDDISH GROUP
Light snacks & conversation. 11 a.m. Congregations of Shaare Shamayim. 215677-1600 | Free
CROCHET CLASS
Create beautiful creations with friends. 11 a.m. to 12:30 p.m. Star Harbor Senior Community Center. 215-727-0100 | Free
NOVEMBER 10 LEARN ENGLISH BY COOKING
NOVEMBER 11 VETERANS DAY
NOVEMBER 13 ONLINE SAFETY WORKSHOP
Representatives from AARP will discuss strategies to prevent financial scams. 12:30 p.m. Philadelphia Senior Center – Avenue of the Arts. 215-546-5879 | Free
NOVEMBER 14 BLADDER HEALTH CLASS
A Penn Medicine nurse practitioner will discuss bladder fitness after 60, as well as share information & tools to improve bladder health. 12:30 p.m. KleinLife: Northeast Philadelphia. 215-698-7300 | Free
NOVEMBER 14
Older adults will learn to read, write & speak LINE DANCING CLASS in English – while cooking together.10:30 Step into the rhythm of fun. Whether a a.m. Lillian Marrero Library. 215-685-9794 | beginner or seasoned dancer, everyone is Free welcome to kick up their heels. 9:30 a.m. Martin Luther King Older Adult Center. 215 685-2715 | Free
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NOVEMBER 15 ALZHEIMER’S & CAREGIVING CONFERENCE
Participants will learn from experts in the field of Alzheimer’s disease, brain health & caregiving. Open to everyone. 10 a.m. to 1 p.m. DoubleTree by Hilton Philadelphia Center City. Presented by the Alzheimer’s Foundation of America. Register: alzfdn. org/tour | 1-866-232-8484 | Free
NOVEMBER 15 PUZZLE CLUB
If you like a challenge, come solve some perplexing puzzles! 4 p.m. Wynnefield Library. 215-685-0298 | Free
NOVEMBER 16 CERAMICS CLASS
November 2023
NOVEMBER 17 TAKING CARE OF BONE HEALTH
Learn the importance of understanding bone density tests, why you must have a bone health plan, & evidence-based ways to strengthen your skeleton safely & effectively. 11 a.m. Falls of Schuylkill Library. 215-685-2093 | Free
NOVEMBER 20 THANKSGIVING HOLIDAY LUNCHEON
NOVEMBER 22 THANKSGIVING CELEBRATION
Be thankful among friends & share a feast with all the trimmings. After lunch, songs by vocalist Pam Jorgensen. 11:30 a.m. KleinLife: Northeast Philadelphia. 215-6987300 | $3
NOVEMBER 23 THANKSGIVING
Live entertainment, great food & even better company. 10 a.m. to 1 p.m. Philadelphia Senior Center – Avenue of the Arts. 215546-5879 | Free
NOVEMBER 21 GOLDEN VOICES FALL FESTIVAL
Listen to five choirs from senior community centers across the city. 10 a.m. to 12 p.m. Learn how to make ceramics from an expert instructor. 10-11:15 a.m. Star Harbor KleinLife: Northeast Philadelphia. 215-698Senior Community Center. 215-727-0100 | 7300 | Free Free
NOVEMBER 28 STRENGTH & CONDITIONING
Class for older adults, combines hand weights, chair exercises & cardio to improve fitness, strength & balance. All equipment is provided. 3 p.m. Whitman Library. 215-685-1754 | Free
NOVEMBER 29 CHESS CLUB
Take part in this fun & engaging class to learn the basics of chess. 4:30 p.m. Northeast Regional Library. 215-685-0522 | Free
NOVEMBER 16 CAREGIVER WORKSHOP
Learn about advanced decision making, how to talk about wishes & what is important to talk about regarding care. 9:45 a.m. to 1:30 p.m. Philadelphia Corporation for Aging. Register: 215-7659000, ext. 4391 | Free
NOVEMBER 21 COMMUNITY CRAFTING
Join library staff for a crafting circle. Bring your own project, or learn the basics of crochet or knitting. 4 p.m. Philadelphia City Institute Free Library. 215-685-6621 | Free
NOVEMBER 30 SEWING CLASS
Get together with crafters who crochet, knit, sew, embroider, quilt, felt & more. 5 p.m. Parkway Central Library. 215-6868665 | Free
Please help older Philadelphians in need this winter by donating to the Emergency Fund today
Donate Today! Many older Philadelphians are often forced to choose between paying for medicine, food, or heat. With your help, they won’t have to make that difficult choice. The Emergency Fund for Older Philadelphians seeks to reduce suffering by providing small grants to individuals in dire situations. This year the Emergency Fund Coalition increased the amount available to anyone 60 years or over on a fixed income who is facing a crisis. The annual amount is now 100 gallons of heating oil or $150 for an immediate need. Funds can be used for food, clothing to stay warm, urgent repairs to keep their home safe, vital medications, funds to avoid a utility shut-off, or other essential expenses. Your donation can make a meaningful difference to their lives. Please give to the Emergency Fund today. Yes, I want to help older adults to stay nourished and warm this winter. Please return this coupon with your check or make your donation online at pcacares.org/emergency fund $1,000 will provide seasonal clothing for 10 older Philadelphians Gift amount: $500 provides $50 worth of food to 10 older adults o $1,000 o $500 $300 provides 60 gallons of home heating oil o $300 o $100 $100 helps prevent a utility shutoff o $50 o Other: $__________ Payment: o Enclosed is my check payable to: The Emergency Fund, PCA, Planning Dept., 642 N. Broad St., Philadelphia PA 19130 o Charge my o VISA o MC o AMEX o DISCOVER Card Number ____________________________________________________________________________________________ Security code _________________________ Exp. Date ___________________________________________________________ Signature ________________________________________________________________________________________________ Email _____________________________________________________________________________________________________________
Milestones 12
November 2023
Paul Nathanson: A Gray Panther and an advocate for elder justice
By Jay Nachman There was a series of moments and more that led to Paul Nathanson’s celebrated career as a leading advocate for the aging. His parents were German Jewish refugees and he grew up without grandparents, which left a void in his life. While working for a law firm in Los Angeles, his first job after graduating from the law schools of Duke University and the University of Chicago, the latter with a master’s degree in comparative law, he’d see the “poor elderly pushing around their worldly possessions in a shopping cart.” Earlier, while visiting Greece during his junior year in college, he met an older couple who didn’t have the ability to walk up the steps to the Acropolis. It left him with a feeling of not wanting to wait until he was too old to enjoy life and the realization that “I really didn’t care about keeping rich people rich,” Nathanson said. As luck would have it, he learned of a new federal government funded program for the elderly poor based in Los Angeles. Nathanson left his prestigious law firm where he did pension and tax work to be-
come a staff attorney for the National Senior Citizens Law Center. In 1972, at age 29, he became the first national executive director of the agency, now called Justice in Aging, and celebrating its 50th anniversary. One of Nathanson’s major accomplishments, working with Senator Ted Kennedy and others, was to get the 1965 Older Americans Act amended in 1978. The amendment mandated that every area agency on aging, such as the Philadelphia Corporation for Aging, had to fund legal aid. “Now, there are hundreds of millions of dollars spent on that program and there’s probably seven or eight hundred elderly law programs funded around the country. So that was a big deal,” Nathanson said. Another accomplishment of Nathanson’s and the NSCLC was a class action suit that secured Social Security’s Survivors Benefits, which provide a one-time payment of $255 and ongoing Social Security payments to the surviving spouse. In 1980, Nathanson became the director of the University of New Mexico Institute of Public Law. With his then-wife, he ran a law clinic for the rural elderly in northern New Mexico. “What I liked about the New Mexico situation, I’d been doing all of this national stuff, and here, all of sudden, I’m in the mountains of rural New Mexico dealing with people with no money. You were able to see the contrast between doing all this highfalutin’ stuff in Congress and then seeing real people at the grassroots level who benefited from the work in Congress,” he said.
Nathanson left New Mexico to return to head Justice in Aging, now located in Washington, D.C., for five years before retiring. Over the course of his career, in addition to receiving and administering several million dollars in grants and awards primarily in the field of legal services for the elderly, Nathanson pioneered the field of legal assistance for the elderly. He is a past president of the American Society on Aging, a founder of the American Bar Association Commission on Law and Aging and a former chair of the board of the National Committee to Preserve Social Security and Medicare. Nathanson is also a former national secretary of the Gray Panthers, which works on issues of concern to older adults, such as pension rights and age discrimination. He became friends with one of the Gray Panthers’ founders, Philadelphian Maggie Kuhn, who was forced to retire from her career with the Presbyterian Church at age 65. The National Senior Citizens Law Center became the legal counsel for the Gray Panthers and filed lawsuits on their behalf. Now retired and living in Miami Beach where he was raised, Na-
thanson, a father of three and grandfather of three under three, likes to kayak and travel and listen to the blues. He also serves on various boards, including the board of Philadelphia Corporation for Aging. While life is better for older adults and there are more resources available to them than when Nathanson began his career, he recognizes the needs are still great. “The big issue is for people of color,” he said. “For many single African American woman, Social Security is their only source of income and they’re maybe getting $1,000 a month if they’re lucky. Everything is exacerbated as it was during the pandemic for people of color who worked in jobs that didn’t have social security benefits or got very low benefits. Now they retire and all of a sudden, they’ve got nothing. “People are still poor,” Nathanson said, and then quoted his friend Kuhn, who called the war on poverty a skirmish on poverty. “Obviously, we still have poverty. We didn’t win the war on poverty. There’s a lot still to be done.” Nathanson plans to keep working on being an advocate for the aging. Jay Nachman is a freelance writer in Philadelphia who tells stories for a variety of clients.
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Milestones 13
Recipe Box
November 2023
Pastrami Turkey Breast
Do you like white meat turkey? Consider cooking a turkey breast, instead of the entire bird. This recipe makes juicy, deeply seasoned slices of turkey for the perfect turkey sandwiches. Ingredients: 3-4-lb. boneless turkey breast roast (untied) 4 tsp. freshly ground black pepper 1¾ tsp. kosher salt 1 tbsp. light or dark brown sugar 2 tsp. garlic powder 2 tsp. smoked paprika 2 tbsp. extra-virgin olive oil 8 soft rolls or buns For serving: Mayonnaise, cranberry sauce, lettuce, and pickled red onion
iron skillet over medium-high. Add turkey to pan and cook, turning every minute or so, until browned on all sides and very fragrant, for 6 to 8 minutes total. Transfer skillet to oven. Roast turkey, turning halfway through, until an instant-read thermometer inserted into the thickest part registers 155°, for 60 to 90 minutes, depending on size. Transfer turkey to a wire rack. If you plan to serve it the same day it’s baked, let cool at least 30 minutes, then slice very thinly (as with deli meat) on a cutting board.
Directions: Pat turkey breast dry. If breast has skin, you can leave it on. (If skinless, you To serve, spread cut sides of buns with mayonnaise and build sandwiches won’t miss it.) Place the breast in a medium bowl. Mix together pepper, salt, with turkey, cranberry sauce, lettuce, and pickled red onion. brown sugar, garlic powder and paprika in a small bowl, then sprinkle the Note: The turkey can be roasted 4 days ahead. Let cool completely, then wrap spice mixture all over the turkey breast. Cover and chill 8-12 hours. tightly and chill. Slice just before serving. Reheating the leftover turkey will Preheat oven to 300°. Remove turkey from bowl and discard any liquid but dry it out. keep all the spice rub in place. Heat oil in a large ovenproof nonstick or castSource: Epicurious.com
Milestones 14
November 2023
Senior Scams: Beware of artificial intelligence
By Jeremy Rodriguez Imagine receiving a call from your grandson, who you have not heard from in six months. You instantly recognize his familiar voice, and you are thrilled that he is calling. But then he delivers some bad news. He is in jail and needs money to pay his bail. You are willing to help. He gives you information for the police station, and you wire the funds over immediately. Later, you learn that the person you talked to on the phone was not your grandson, despite sounding just like him. The call was a scam, and money that you wired went to an unknown recipient and cannot be recovered. This scenario describes a new type of scam that uses artificial intelligence (AI) technology to defraud victims.
What is AI?
AI technology uses computers to simulate human thinking to accomplish basic tasks. This can include things like voice-recognition software, such as a voice assistant on smartphones. Even when you shop online, AI is working behind the scenes to recommend products you may want to buy. If you purchased silverware on Amazon, the website’s algorithm (software or programming) may automatically send you emails encouraging you to purchase other
utensils or similar items. While the concept of AI is not inherently fraudulent, scammers can use this technology for devious purposes. This can range from voice cloning, such as the example of the fake call from a grandkid; falsified videos; and numerous other schemes. The Federal Trade Commission (FTC) issued a warning earlier this year about scammers using AI technology in “family emergency schemes.” According to an FTC report, “Artificial intelligence is no longer a far-fetched idea out of a sci-fi movie. We’re living with it, here and now.” Here are some examples of AI scams, adapted from a recent AARP article titled “Chatbots and Voice-Cloning Fuel Rise in AI-Powered Scams”: Imposter schemes – According to FTC data, imposter scams are the second-highest category of fraud with 2.5 million incidents, representing $9 billion in reported losses last year. All a scammer needs is a short audio clip of your family member’s voice, which they can get from videos posted on social media, and a voice-cloning program to make their own voice sound like your family member’s. Scammers can also use this for identity theft by accessing your voice assistant to acquire credit card information and other private details.
Text message and email scams – AI can be used to mimic the writing styles of marketing emails or celebrities to try to con older adults into spending money. Sometimes, the messages can pretend to be your employer texting from a private number. Deepfake videos – Criminals can download a photo of someone you know from social media, then use AI to falsify their own appearance on a video call, so it looks like you are speaking with someone you know. Customer service chatbots – Scammers can use automated, online chat functions to pose as customer service representatives from well-known retailers to conduct phishing schemes to steal personal information, such as a credit card, bank account or your Social Security number, user IDs, and passwords. Robocalls – These automated phone calls may claim they need to collect personal financial information to lower credit card interest rates. Scammers will often frame it as a limited time offer to try to make you act quickly. Once they get hold of the information they need, they will then use it to apply for unauthorized credit cards in your name.
Avoiding AI scams
It is important to remain vigilant against technology-based scam attempts. AARP offers the following tips to help you avoid AI scams: Do not trust your caller ID – If you receive an unsolicited call from what appears to be your bank or credit card company, err on the side of caution. Tell the caller you will have to call them back. Then hang up, look up
the number from your statement and call your bank or credit card company back to verify if the call was legitimate. Similarly, if the caller pretends to be a family member in distress, politely end the call, find their number and call that person back. The call you received may not have been your actual family member. When in doubt, call another family member to be sure. You may want to also establish a family code word to help verify calls in emergency situations. Pause before you click – Take an extra look before clicking on any links online to ensure you do not accidentally click on anything suspicious. You may see ads for an offer that seems too good to be true. It is not worth the risk. When in doubt, do not click. Create a code word – Share your code word only with your closest family and friends. If you receive a suspicious-sounding call from one of those people, ask for the code word. If the caller does not know it, double check with someone else. Guard your information – Never share your Social Security number, credit card/banking information or other personal details with someone you only know from email or text messages. Report scams – If you spot a scam, report it to the police and the Federal Trade Commission (FTC) at 1- 877382-4357 or ReportFraud.ftc.gov. To read the complete AARP article, go to aarp.org/money/scams-fraud. For more information and assistance contact the National Elder Fraud Hotline at 1-833-FRAUD-11. Jeremy Rodriguez is a freelance journalist, blogger, editor and podcaster.
Health Brief
Crossword
The Arts
Preventing falls and other accidents that might cause injury is vitally important to aging in place as you grow older. Home Instead, which provides in-home care services for older adults, offers this room-by-room Home Safety Checklist to assure that you or your loved one is safe at home.
Bedroom
Beds should be at a safe height for older adults to avoid fall risks. The bed is too low if the knees are above the hips when sitting on the bed. Consider placing bed risers under the bed legs to add height. On the other hand, the bed is too high if a person’s legs are not touching the floor when sitting on the edge of the bed. You can remove the bed frame or use a lower-profile mattress to lower the bed’s height.
Bathroom
Adding grab bars near showers, bathtubs and toilets is a simple way to prevent falls and other accidents. You can browse online or at a medical supply store for various options to reduce any accessibility risks. Installing a toilet seat riser can also make getting on and off the commode easier.
Regulating body temperature can be more difficult for aging adults. Make sure the home is properly heated during the winter months and check the home’s thermostat(s). Wear multiple layers, especially those made from wool, down, and fleece in the winter and t-shirts in summer. Have a caregiver or professional install lock-in switches on thermostats to control the temperature and help prevent furnace fires. Additional solutions include heat-controlled window film, thermal curtains or solar shades.
Kitchen
It’s important that older adults have proper lighting when cooking or baking. The lightbulb wattage should be increased to the highest allowable levels for each kitchen light fixture. There are many available options for under-counter lighting, such as battery-operated circle lights. An electrician can help with questions about under-counter or overhead lighting. Creating easy access to frequently used items is also vital to avoid heavy lifting or the use of step stools. Consider storing heavy items on the counter or hanging pots and pans on the wall.
Dining room
Every few years, it’s important to check that furniture is still sturdy and safe. Chairs should not have wobbly arms or legs. Chairs should also be the proper height for older loved ones at the table. If repairs are needed, locate a furniture repair service, or consider replacing your furniture. Source: Home Instead
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CREATORS NEWS SERVICE
(See page 5 for crossword answers) By Neil R. Manausa
ACROSS 1 Marvel Comics sorceress 5 Mexican indigenous 10 Obi 14 Goals 15 “Oliver Twist” villain 16 Beethoven’s “Archduke” 17 Multi-generation photos 20 Politician, Rahm ___ and others 21 Degrade 22 Skater Midori 23 Camera necessity 25 Visits 29 Held tight 31 Govt. entitlements agency 34 Mil. no-no 35 Felipe of baseball 36 Gambling initials 37 St. Francis, frequently 42 Sea eagle 43 Ridicule 44 Part of QED 45 Rachel Carson subject 46 Impetuous
48 Astonished reactions 49 London apartment 50 King topper 52 Bridal path 55 Always 60 Big work by Rivera 63 Monogram pt. 64 Bestow 65 Stuffing herb 66 Fill to repletion 67 Festive fundraisers 68 Joint
DOWN 1 Bistro’s relative 2 Actor Neeson 3 Role for Gwyneth 4 B ___ boy (2 wds.) 5 Until now (2 wds.) 6 Food storage bag brand 7 Ring decisions 8 Musket add-on 9 OK winter time: abbr. 10 Attempts 11 “Nessun dorma” is one 12 Perches 13 Firefighter’s need 18 “The Bridge of San
___ Rey” 19 Telephoned 23 Berg opera 24 Organic compound 25 Zoo enclosures 26 Conscious 27 Doone of Exmoor 28 Leg. degree 30 Wants 31 Certain cocktails 32 Black___ molasses 33 Aids nefariously 38 Symbol 39 One of the Ephrons 40 Shoo! 41 Oolong, for example 47 Cuban cigar 48 Microbe 49 Champagne glass 51 Natives of 53 Down 52 “Night Train” novelist 53 Island near Mull 54 Agitated state 55 And others: abbr. 56 Perfume ingredient 57 “The Plague” setting 58 Fury 59 S. Grant’s opposite 61 Hen product 62 Lobbyists’ org.
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THE ARTS
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Age-in-place safely at home