/Time%20of%20your%20life%2011

2011 20th Annual

Older Americans C

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Thursday May 12th, 9am - 2:30pm FREE to the Public

the

time life of your Spring 2011

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

OPKC Olympic Peninsula Kidney Centers

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

Time of Your Life

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• Spring 2011

• Spring 2011

20th annual Older Americans Conference

Under one roof

Time of Your Life

20TH ANNUAL OLDER AMERICANS CONFERENCE 9 a.m. to 2:30 p.m.

May 12 Kitsap Pavilion at the Kitsap County Fairgrounds

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Theme of conference: Being involved and making a difference

BY ERIN JENNINGS Dr. Dan Diamond has a message for the Kitsap senior community: We need you.

Diamond, a physician at the Doctor’s Clinic, also specializes in empowering people to make a difference. He will rally the troops when he speaks at the 20th annual Older Americans Conference.

“We need [the seniors] to be engaged. It isn’t a time for them to coast,” Diamond said. “We need them to get involved … and to leave a legacy in our community.”

The conference is May 12, 9 a.m to 2:30 p.m., at the Kitsap County Fairgrounds pavilion. The event, including lunch and entertainment, is free, but

reservations are encouraged. Call (360) 337-7068.

Diamond is familiar with motivating people to action. He was the director of the medical triage unit at the New Orleans Convention Center following Hurricane Katrina. And after Haiti’s devastating earthquake, he led one of the first medical teams to arrive on the scene.

In our society, people strive for success during the first part of their lives, and strive for significance in the second half, Diamond said.

So how do you find significance? Diamond said there are plenty of opportunities in Kitsap for people to become involved.

He wouldn’t give away his secrets in advance. Instead, he said, “To find out,

Dr. Dan Diamond CONTRIBUTED PHOTO

come to my presentation.”

He said, “I want to talk to [seniors] about how they can make a difference and realize they can choose to be empowered.

It doesn’t take a lot of resources, instead it takes a lot of heart and passion.”

Gardening guru Ciscoe Morris will be on-hand in

Kitsap County’s experienced choice for exceptional in-home care at an affordable price.

Excellent Employment opportunities.

Make a difference in your life by making a difference for someone else.

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the afternoon to discuss “New Ideas in Gardening and Staying Active.”

Morris is known for his entertaining and informative presentations. His book “Ask Ciscoe” is among the top-selling garden books nationwide.

In addition to the keynote speakers, a full plate of businesses and various services will participate in the conference.

The expected crowd — attendance is an estimated 600 people — warrants the event be held at the pavilion. It started out at the Silverdale Senior Center with 20 attendees and has since taken on a life of its own, said Sigrid Howard, a director of the Long Term Care Alliance and administrator for Liberty Shores and Harbor House.

About 65 to 70 vendors

Ciscoe Morris CONTRIBUTED PHOTO

are expected. Seniors looking to find out what benefits and services they qualify for will find many answers at “Benefit Alley,” where various organizations will be on hand to answer questions.

“There will be a variety of vendors of valuable reSee CONFERENCE, Page 5

“Our clients come to us because we have over 30 years of experience in providing exceptional care and services at an affordable price within the comfort and privacy of their own home.”

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Page 4

Time of Your Life

• Spring 2011

Hear what

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• Spring 2011

Kitsap County Division of Aging & Long Term Care

At your service

Time of Your Life

KITSAP COUNTY DIVISION OF AGING & LONG TERM CARE 614 Division Street, MS-5 Port Orchard, WA 98366 (800) 562-6418 www.kitsapgov.com/altc

Conference Continued from page 3

resources,” Howard said.

“A lot of these services senior citizens may not need now, but they’ll need them in the future.”

Computing Seniors will introduce attendees to technology such as email and texting. With their hands-on and interactive booth, seniors can learn new ways to communicate.

With informative speakers, helpful vendors, a tasty lunch and music performed by the “No Inhibitions Jazz Band,” Vicky Hanson of Kitsap Aging and Long Term Care said.

“It’s no wonder that people come year after year.”

County department is a portal to plethora of services

BY KIPP ROBERTSON Charlotte Hynes is grateful for many things. Fresh produce and products to use in her daily life are two of those things.

When a Kitsap County Aging and Long-Term Care representative arrived at Hynes’ home to assess her living situation, she did not have much to her name.

Her income was so low that she could only pay for rent, bills and a few groceries.

Now covered by programs offered by the agency, Hynes receives food and other products that improve her diet and quality of life.

Berries and fresh fruit and vegetables come from local farmers’ markets.

She has difficulty attending the markets, so fresh food is delivered to her home. This is made possible through the agency’s Senior Farmers’ Market Nutrition Program, which contracts with Chuckwagon Senior Nutrition to deliver food from the 13 markets around Kitsap to qualifying homes.

“I am so excited when the food comes,” Hynes said.

“To have fresh produce is something I have never had before.”

Hynes began using the program last year. She said

nothing compares to the produce she receives from the markets, produce which she would not otherwise be able to afford.

“I have an absolute ball going through the sack they bring me,” she said.

Kitsap County Aging and Long-Term Care, or ALTC, is a division of Kitsap County government and is the state-designated Area Agency on Aging for the county.

According to ALTC, 483 people are expected to receive about $19,000 worth of food in 2011. Vouchers are available for those able to attend the markets. The vouchers, used just like regular money, can be used to purchase food from any of the farmers markets.

While working at the Bainbridge Island Farmers Market, Brian Simmons — who is now director of the Poulsbo market — said he saw a number of people consistently using the vouchers, which vary in amount, every week.

The Nutrition Program is one of 12 ALTC provides.

Seven of those programs are subcontracted with local providers, such as Chuckwagon. The other five are provided directly by ALTC staff and volunteers.

Along with the programs,

the

FARMERS MARKETS make healthy food available to participants in the Senior Farmers Market Nutrition program.

MOLLY NEELY-WALKER ALTC administrator Barrett Johnson said ALTC is always available to answer questions and help people to make decisions that will positively affect their lives. Johnson said it is all too common for people to make uneducated choices about senior living, which often costs more money than is necessary.

“We’re here as a way for folks to get the information they need,” he said.

ALTC is budgeted to assist more than 1,200 people in 2011. Other in-house programs include Family Caregiver Support Program, which offers help to individuals taking care of

time life Publisher: Donna Etchey 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

of your

Time of Your Life editor: Richard Walker Page designers: Bryon Kempf, Dan McDougall Cover design: Dan McDougall Sales representatives: Robinette Holt, Tracy Keller, Victoria McDonald, Wayne Nelson, Rita Nicholson, Chris Olson, Frank Portello, Mike Schiro Creative consultants: Bill Asher, Bryon Kempf, Dan McDougall, Bruce Pritchard, Kelsey Thomas

senior citizens on their own and is expected to serve 100 caregivers this year; Statewide Health Insurance Benefits Advisors, which provides free health insurance benefits advice; LongTerm Care Ombudsman, which expects to assist 2,500 people; and Medicaid Long-Term Care Case Management Services.

Johnson hopes more people begin using the Farmers’ Market Nutrition Program. The vouchers are distributed from the ALTC offices.

“It’s been popular,” Johnson said. “Nutrition is a very important thing.”

Call (360) 337-5700.

Page 5

Aging and Long-Term Care programs Numbers expected to be served in 2011 Facilitated or provided by division staff ■ Information and Assistance: 1,235 individuals served.

■ Family Caregiver Support Program: 100 caregivers served; 4,000+ hours of respite care provided.

■ Long-Term Care Ombudsman: 500 investigations or interventions; 2,500 individuals served.

■ Medicaid LongTerm Care Case Management Services: 900 individuals served.

■ Statewide Health Insurance Benefits Advisors (SHIBA): 200 calls for assistance.

Subcontracted with local providers ■ Congregate Meals: 38,524 meals for 963 individuals.

■ Home-Delivered Meals: 48,000 meals for 485 individuals.

■ Kinship Caregivers Support Program: Support for 60 caregivers raising other family members’ children.

■ Mental Health/ Substance Abuse Counseling: 385 hours of counseling for 85 individuals.

■ Senior Community Services Employment Program: Employment and training for 26 enrollees.

■ Senior Drug Education: Four to eight community events providing expert information regarding the safe use of prescribed medications for older adults and their caregivers.

■ Senior Farmers’ Market Nutrition Program: 483 individuals receiving approximately $19,000 worth of fresh food and produce.

Time of Your Life

Peninsula Hearing, Inc.

Better hearing

Page 6

PENINSULA HEARING INC. 19319 7th Ave., Suite 102 Poulsbo (360) 697-3061 1136 Water St., Suite 103 Port Townsend (360) 379-5458.

To demo the Agil Pros, call (360) 697-3061 or (800) 5408698.

• Spring 2011

New technology in hearing aids: A doctor’s personal story

Can any hearing aids offer the ability to hear in background noise? Will I ever be able to hear in a restaurant or at the ball game with all that excess noise?

“These are questions asked by most every patient I have had the pleasure to help hear better,” said Dr. Megan Nightingale of Peninsula Hearing Inc. “I have asked myself that question many times because I wear hearing aids too.

Then, last April, I tested out a pair of Oticon Agil Pros and the difference is astonishing.”

Nightingale had to adjust to using her Oticon Agil Pros. But she’s enthusiastic about the results.

“My first experiences in background noise with the new devices on were very disappointing, to say the least,” she said. “My perception was that I was not hearing as well because I was not hearing all the sharp high-frequency sounds that I heard with my existing hearing aids. Therefore, it seemed that something was missing.

“I related this to a colleague of

mine when I was at the Oticon wear her Agil Pros and after two presentation booth at the Amerimonths happened to be at one of can Academy Poulsbo’s noisiof Audiology est restaurants convention in with a group of April last year. seven, including He then told children. me that his wife “It was one had told him of those rare the same tale as nice days and she first started the place was to wear the Agil packed. We Pros. We were were seated in a very noisy smack dab in the area — the middle of the middle of a conplace with the vention center noisy kitchen with thousands to my right. We of other people had two tables Dr. Megan Nightingale around — and put together to I wasn’t missing CONTRIBUTED PHOTO seat all of us. I did a word of what not think of this he was saying. I until after we got was hearing much more naturally, out of the restaurant, but I realized without extra high-frequency then that I hadn’t thought about noise. It was then that I began to my hearing the whole time we understand how fundamentally were there! I talked and listened to different these devices are.” everyone with ease without having Nightingale continued to to ask for any repeats, even from

Our Family is Committed to Yours Visit today to learn about the many benefits of living at Montclair Park We offer a wide range of services from independent living, assisted living and memory care. Whether you are looking for a new place to call home without the hassles of daily living or you have a loved one who requires a little extra care such as dressing, bathing and medication management, Montclair Park Senior Living is committed to helping you and your family find the right fit.

Come in and choose a loving, independent companion for yourself or your family.

Veteren’s Benefits

If you are a wartime veteran or the surviving spouse of a veteran and are in need of assisted living, you may be entitled to a significant monthly income, ranging from $1,056-$1,949 per month from the Veterans Administration.

Call Today to schedule your tour! (360) 697-2223 Montclair Park 1250 NE Lincoln Rd Poulsbo, WA 98370 montclairpark-crd@emeritus.com

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9167 Dickey Rd NW, Silverdale, WA 98383 For further information call 360-692-6977 Lost pet line, press #4 • www.kitsap-humane.org Shelter Hours: Open 7 days a week Front Lobby: 11:00am-5:30pm Admissions: 11:00am-5:00pm Pet Viewing: 12:00pm-5:30pm (Adoptions close at 5:00pm)

the kids. A busboy dropped an entire tub of dishes and yes, it was loud and everybody turned their heads, but the noise did not send me to the ceiling.”

Her verdict on the Oticon Agil Pros? “I am quite impressed and excited about this new technology, but is it for everyone? No. My initial impressions of the fittings I have gone through is that most tell me that they had to use the devices for a full two months to really hear the benefits of this technology, especially in background noise.”

She added, “Can you catch my enthusiasm? I love what I do and am so happy to share this exciting new way of helping you hear (almost) normally again.”

— Megan Nightingale Au.D has been in practice since 1990. Peninsula Hearing, Inc. has two offices to serve you in Poulsbo and Port Townsend.

Project makes wishes come true for seniors Today, one in eight residents of Kitsap County is older than 65; in less than 10 years, that number will grow to one in five, according to Jennifer Allik of the Senior Wish Project.

“In our society, getting older is too often synonymous with ‘decline,’ ‘loss’ and ‘the end,’ ” Allik said. “Although significant government, community and personal resources are devoted to life maintenance, a void exists in the area of life enrichment.”

The Senior Wish Project, created by six volunteer members of the Leadership Kitsap Class of 2011, has been designed to fill this void — and inspire the community to celebrate life at all stages — by encouraging seniors to live life without limits.

The Senior Wish Project encourages any Kitsap County resident age 65 or older to apply. No wish is considered too big or too small. Examples of wishes include admission to a sporting event, flying in a plane, meeting a local community leader, rafting down a river, or riding a horse in the summer sun.

Leadership Kitsap is a non-profit, volunteer organization that promotes servant leadership and the development of community leaders in Kitsap County who will serve as catalysts for positive future change.

For more information about The Senior Wish Project, call (360) 473-2117.

• Spring 2011

Connections

Crisis Clinic of the Peninsula 2-1-1

Time of Your Life

crisis clinic of the peninsula 2-1-1 Monday through Friday 8 a.m. to 5 p.m.

Call 2-1-1 Online: www.win211.org

Page 7

Help is only three digits away

By Richard Walker At this writing, Kitsap County’s unemployment rate is about 8.3 percent. Gas prices are edging toward $4 a gallon. Household budgets are tight. Many people might feel they are a paycheck away from a crisis.

Help is just three digits away: Dial 2-1-1 and you’re keyed into a network of services that are available in this region.

2-1-1 is a toll-free number staffed by the Crisis Clinic of the Peninsulas, serving Kitsap, Clallam, Grays Harbor, Jefferson, Mason and Pacific counties. Peninsulas 2-1-1 is part of the Washington Information Network 2-1-1 system. It’s a network of seven call centers with a database of more than 5,180 health and human service providers and more than 16,390 local services available throughout Washington.

Peninsulas 2-1-1 is available Monday through Friday, 8 a.m. to 5 p.m. (An alternative number is 1-877-211-WASH. You can also access the 2-1-1 database online at www.win211.org.) It is staffed

by four professional information referral specialists who can connect callers to agencies and non-profits that provide the following services. n Basic Human Needs: clothing, food, shelter, and rental and utility assistance. n Employment Support: education, job training, job location, transportation. n Health: counseling, dental and medical care, mental health, substance abuse treatment. n Legal Help. n Senior Assistance: chore services, in-home assistance, respite. n Volunteering and Donations. n Youth & Family Support: child care, mentoring, domestic violence prevention.

Some 2-1-1 call centers connect people to services that can help them stave off a mortgage foreclosure.

“Studies have shown that people looking for a service can sometimes make seven or eight calls. Our goal is to reduce that to one or two calls,” said Kelly Schwab, program supervisor for the Crisis Clinic and Peninsulas 2-1-1. “Having to make a lot of calls can be discouraging for

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seniors. 2-1-1 is an easy number. If you’re trying to find a resource and having some difficulty, it’s a number they can remember. We may even make the referral call for them.”

Schwab said Peninsulas 2-1-1 has an annual budget of about $120,000, funded by local United Way chapters, Kitsap Mental Health, and state funding. Schwab said Peninsulas 2-1-1 handles about 70 calls a day.

North Kitsap Fishline distributes 90,000 pounds of food a month and about $400,000 in financial assistance a year, according to its executive director, Karen Timken.

Rae Rodriguez, Fishline’s director of community services, said the agency gets “tons” of referrals a week from 2-1-1.

“Sometimes, we get referrals for people who don’t live in our service area, but we can direct them to the appropriate source,” Rodriguez said. “We probably serve five or 10 referrals a week, people who need help paying their power bill or rent.

We’re also the satellite office for the Salvation Army for Poulsbo.”

United Way of Atlanta created the concept of using 2-1-1 as a

dialing code to access information and referral services in May 1997.

In 1998, a group of information and referral programs, local United Ways, human service providers and residents began meeting to discuss how to bring 2-1-1 to Washington state. After almost three years of active discussion, the group determined it needed a more formal structure to coordinate the development of a state 2-1-1 system.

Brian Gallagher, president and CEO of United Way of America, said 2-1-1’s reach stretches across income and geographic bounds: “It’s a parent who is looking for day care in a middle-income neighborhood, an upper-income family whose son or daughter has a drug problem and they don’t know where to turn, somebody who wants to volunteer, feeling strongly about helping kids or the elderly and finding an easy way to plug into a system that is sometimes complicated.”

— FYI: The Area Agency on Aging can help connect you to senior-specific services. Call (360) 337-5700 or (800) 562-6418.

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Time of Your Life

Anderson Dental and Denture Center

Healthy teeth

Page 8

ANDERSON DENTAL AND DENTURE CENTER

19410 8th Ave. NE, Suite 102, Poulsbo (360) 779-1566 (800) 990-9116 www.andersondenturedental.com

• Spring 2011

Quality work, professionalism and lots of big smiles Bruce and Wanda Anderson are all smiles when they talk about their business, Anderson Dental and Denture Center.

“You’d think it would get tiring setting up teeth,” Bruce said. “But it’s an exciting challenge and different every time.”

Each patient’s situation is unique and requires a different touch.

Dentures have come a long way since George Washington’s time (although it’s false that Washington’s teeth were wooden. They were actually made from gold, ivory, lead, and human and animal teeth.) Today’s dentures are made from acrylic, with translucent shades to match natural tooth color. Even a hint of root color is used to further enhance the look of

the tooth and fool the eye.

It’s often impossible to tell natural teeth from denture teeth. And that’s the way the Andersons like it.

“It’s like a work of art,” Wanda said.

For more than 40 years, Bruce has helped people smile with confidence.

When patients are fitted properly with a good set of teeth, it changes their whole demeanor. Bruce told of a young lady whose natural teeth were either already gone or beyond repair. She covered her mouth when she talked, rarely smiled and lacked self-confidence.

“Once she got her new teeth, her confidence soared, she went back to school and is now a school teacher,” he said.

Along with helping patients gain confidence,

Bruce loves to hear their stories.

“I should write a book,” he said. “Many of my older patients are little vignettes out of history. My daily highlight is when patients share their experiences.

One patient told about his great-grandmother; while coming west her covered wagon train was raided.

He has her frying pan that was hanging on the side of the wagon and it now displays a bullet hole as a result of the raid. World War II veterans share their account of the war. They are my heroes.”

Journey to Poulsbo More than 16 years ago, when Wanda retired from her job as a school psychologist, the Andersons came to the Seattle area to visit friends.

During their weeklong visit, they drove 3,000 miles, exploring the state.

When they drove through Poulbso, the Andersons immediately fell in love with the area. Bruce, who is of Norwegian descent, was especially enthralled.

The Andersons decided to uproot and move from the East; Bruce is originally from Boston, Mass., and Wanda is from Louisville, Ky. Together, the Andersons have worked out of their comfortable office in Poulsbo. Bruce oversees the prosthetic side of the business while Wanda manages the office.

“We hit the ground running and haven’t stopped,” Wanda said.

Along the way, they’ve acquired a very dedicated staff that the Andersons call “the best staff in the whole world,” and a loyal patient base they refer to as their “dental family.”

Their office is comfortable and feels more like you are visiting a friend,

BRUCE AND WANDA ANDERSON want to help you maintain a bright CONTRIBUTED PHOTO — and healthy — smile. not a dental office. With warm lighting and cozy nooks, it’s easy to forget you’re in a dental office.

Bruce said the waiting room often sounds more like a cocktail party than a reception area, with friends laughing and sharing stories.

The truth about dentures Life expectancy for dentures ranges from eight to 10 years with regular adjustments and or relines which are important. Some of the Andersons’ first patients, are now returning for new dentures because the oral ridge bones atrophy overtime and dentures lose their fit. Properly fitting dentures are key to good health, comfort and a natural look.

Even if someone has a full set of dentures, the Andersons emphasize it is important to have yearly oral exams.

It is critically important to educate denture patients because there is a learning curve on how to use them, Bruce said.

“It’s totally different.

However, many people successfully manipulate dentures and we have

“Our goal is to bring confidence, comfort and good health to our patients.”

— Dr. Bruce Anderson, Anderson Dental and Denture Center

patients whose spouse or family members have no idea they wear dentures.”

There are two schools of thought on denture care, Bruce said. Some professionals say you should take them out and let your gums rest at night. Others say, if they don’t hurt, wear them at all times.

In Bruce’s opinion, a patient should do what makes them most comfortable. It is imperative, however, to keep denture teeth, as well as gums and natural teeth, immaculately clean by brushing after every meal and bedtime.

“I’ve been doing this for so long, there aren’t surprises any more,” he said.

“Our success rate is very high, and we make the best set of teeth we know how.

Our goal is to bring confidence, comfort and good health to our patients.”

Time of Your Life

• Spring 2011

Page 9

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Time of Your Life

• Spring 2011

“I have worn dentures for 27 years and have never had such attentive care.

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Anderson Denture Patient

Anderson Dental and Denture has been helping people smile since 1995

If time, quality & gentle care are important to you. . . then we are here to serve L-R (Back Row) Elaine Bowen, Christopher Anderson, Vickie Thacker, Wanda Anderson, Maria Hannawacker, Minjee Fitzpatrick and Bruce Anderson.

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Time of Your Life

• Spring 2011

Page 11

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Time of Your Life

OPKC

• Spring 2011

Olympic Peninsula Kidney Centers What Everyone Should Know About Kidneys and Kidney Diseases!

The Kidneys are 2 of Your Most Important Organs

Glomerulonephritis - inflammation of the blood vessels in the kidneys. This is usually caused by strep infections of the skin or throat.

Kidneys perform many vital functions they help remove waste, and excess fluid, they filter the blood, removing others, and they help regulate blood pressure, red blood cells, and the amount of certain nutrients in the body, such as calcium and potassium.

Kidney Stones - Are deposits formed in the kidneys, which can block drainage.

They may be caused by excess calcium in the urine. Risk factors include.

Dehydration, urinary tract infections, excess vitamin D, family history of kidney stones.

How They Work

Nephrotic Syndrome - Is the result of excess protein in the urine, causing tissue to swell. This is most common in children. In adults, it may be a complication of diabetes, lupus or other illnesses.

1. Blood enters the kidneys through an artery from the heart.

2. Blood is cleaned by passing through about a million tiny filters.

3. Waste material passes through the ureter and is stored in the bladder as urine 4. Newly cleaned blood returns to the bloodstream via veins.

5. After bladder becomes full, urine passes out of the body through the urethra.

Why Learn About Kidney Diseases? Kidney Disease can effect anyone at any age!

Kidney diseases are common and serious, they can even be fatal. Kidneys can become so damaged from disease or injury that they can no longer clean waste products from the blood. This can lead to Acute kidney failure - a sudden, usually short term loss of kidney function Chronic kidney failure - a gradual, long-term loss of kidney function that may become irrepressible.

End-stage renel disease - permanent, damage to both kidneys Fortunately if one kidney is lost, or both are partly damaged, the remaining tissue is usually strong enough to do the job.

Types and Causes of Kidney Diseases Pyelonephritis - Occurs when infections in other parts of the body can spread to the kidneys. Risk Factors include, Diabetes, obstructions of the urinary tract and long term use of catheters.

Cysts - are fluid filled sacs. Having some cysts is harmless. But, having many cysts (polycystic kidney disease) may replace the matter within the organ and cause the kidney to fail. This condition is inherited.

High Blood Pressure - can damage small arteries in the kidneys. A vicious cycle begins - damage to kidneys causes more serious high blood pressure, which damages the kidneys.

Diabetes - can also damage the blood vessels in the kidneys. one of the leading causes of kidney problems.

Diabetes is

Early Detection is The Key Many kidney diseases can be treated in the early stages.

Specific Signs of Kidney Disease high blood pressure • swelling or puffiness in the body shortness of breath • a need to urinate more or less often blood and/or protein in the urine • difficult, painful or burning urination • increased levels of waste in your blood.

Non-Specific Signs of Kidney Disease fatigue or weakness • a lack of memory problems sleeping • cramps or itchiness See your health care provider right away if you have one or more of the above symptoms.Your health care provider may order tests to find out what’s causing your symptoms.

Olympic Peninsula Kidney Center - Bremerton Kenneth A. Cogen Facility

Olympic Peninsula Kidney Center South

Olympic Peninsula Kidney Center North

Olympic Peninsula Kidney Center Northwest

2613 Wheaton Way Bremerton, WA 98310 360.479.5908

450 S. Kitsap Blvd. Ste. 178 Port Orchard, WA 98366 360.895.7795

19472 Powder Pl. Ste. 100 Poulsbo, WA 98370 360.598.9712

2500 Sims Way, Ste. 102 Port Townsend, WA 98368 360.379.9605

Time of Your Life

• Spring 2011

Page 13

Commemorating the Past �

Celebrating the Present �

Embracing the Future Some Kidney Conditions Can be Cured In other cases, treatment can relieve pain, slow the disease, and prolong life.

Treatment may include: • A Special Diet • Medication • Surgery • Shock waves Artificial Kidney Treatment ( dialysis) It is used for people whose kidneys have failed.

There are 2 types of Dialysis HEMODIALYSIS - The persons blood is pumped through a tube to an artificial kidney machine. This machine removes excess fluid, waste, and returns the clean blood through a second tube. During treatment, the person can read, watch TV or sleep. Treatment is usually done 3 times a week for 3 or more hours at a time.

PERITONEAL DIALYSIS - A Solution called dialysate flows from a bag through a tube into the preitoneum (the membrane that lines the abdominal cavity). Waste products and excessive fluids pass from the blood into the dialysate. The used solution is then removed from the body through a tube- by gravity or a machine. If done by a machine, peritoneal dialysis is performed each night. The person connects the tube to the machine before going to be, and disconnects in the morning. If done by gravity, the person usually changes the bag of solution 4 times a day. Each exchange takes about ½ an hour.

A Kidney Transplant May be Needed in Some Cases The donated kidney may come from a close relative or unrelated donor.

Finding a Match - The donated kidney must match the recipient’s blood and tissue type. There are 2 sources for kidney transplants – living donors and people who have agreed to donate their organs after death. Close relatives are best. Tissue typing centers help match donors, and recipients The Threat of Rejection - The main reason risk of kidney transplant is the body may attack the new kidney, treating it like a foreign substance. When donors and recipients are well matched, the chances of rejection are lower. Drugs are used to help kidney rejection.

Take Steps to Prevent Kidney Disease Drink Plenty of water this is especially important for preventing kidney stones.

Prevent or Treat Diabetes, and High blood Pressure, Eat a healthy Balanced Diet, Treat Wounds and infections, Limit exposure to Heavy Metals, and Toxic Chemicals

OLYMPIC PENINSULA KIDNEY CENTERS:

Saving lives for 30 years.

In 1986 The Kidney Center built a facility at 2740 Clare Avenue near Harrison Medical Center. In April 2001 it opened a satellite office in Port Orchard and another in 2006 in Poulsbo. Most recently the Bremerton facility relocated to it’s current location at 2613 Wheaton Way, and in June of last year the fourth facility was opened in Port Townsend. Currently OPKC serves approximately 200 patients at the four locations, and also provides inpatient dialysis services at Harrison Medical Center under a contractual agreement.

Dialysis is a life – saving and life – extending measure for patients who undergo the process. It becomes necessary when the kidneys, which removes waste, salt and extra water from the body and keep a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate, no longer function properly. The most common causes of kidney failure are diabetes, & high blood pressure.

In hemodialysis, the most frequently used form of dialysis., the patient’s blood is pumped through the blood compartment of an external dialyzer, or artificial kidney. The cleansed blood is then returned to the patient’s body. Two needles must be inserted into the

patients body, usually in a vascular access located in the arm.

In the early years, it was more common for kidney patients to receive their treatment at home. Later, treatment in a dialysis facility became more common, but there is now a trend back to more home treatment for greater patient convenience. Some newer technology allows two – to three hour dialysis sessions at home which are given four to six times a week, which more closely mimicking actual kidney functioning.

Current estimates see more than 26 million people in the U.S. With some form of chronic kidney disease, which can be very mild or progress to the point where dialysis is needed. There are presently nearly 500,000 patients receiving dialysis in the United States. Kidney disease has a mortality rate from 18 to 25 percent.

Olympic Peninsula Kidney Centers strive to make the dialysis experience as comfortable as possible by providing recliners, individual televisions,a nd internet access for patients to use while receiving dialysis treatments.

Time of Your Life

Help for those who help others

Need help? Ask.

Page 14

Reprinted by permission Reprinted from “reaching out for Help” by permission of National Family Caregivers Association, Kensington, M.D., the nation’s leading organization for all family caregivers. (800) 896-3650; www.thefamilycaregiver.org

• Spring 2011

Caregivers: Reaching out for help Why is it so hard to ask for 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 & 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, & 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 & information you already have. Ready to give it a try?

There are six steps to getting help…

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 require some skill and fortitude. The challenge is to know the difference.

2. Recognize that asking for help is a sign of strength and not of weakness.

It means you truly have a grasp on your situation and have come up with a proactive problem-solving approach to making things easier and better.

3. Create a list of the tasks that need to get done in any given week, or at least those you are most concerned about, such as balancing your responsibilities at work with taking mom to the doctor and Susie to soccer practice, bathing and dressing your husband, cooking, cleaning, etc. 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 we get the money to pay for John’s medications? Who will care for Mary if I get sick? Where can I find an adult day facility that provides transportation? Seeing them in black and white helps diffuse some of their emotion. It also allows you to think more rationally about your concerns and understand how getting help with some of your tasks might lessen the stress. It can provide the basis for deciding which tasks you might ask a neighbor, family member or the church to help out with, which you are willing and able to pay someone else to do, and which there might be a public program for.

Need help understanding your health care coverage?

Your Statewide Health Insurance Benefits Advisor is as close as your telephone!

If you need help understanding your current health care coverage or you’re trying to find a new plan call:

1-800-562-6900 SHIBA is a free unbiased service from the Washington State Office of the Insurance Commissioner This program is sponsored by Kitsap County Division of Aging and Long-Term Care

Where to find help Contact the Caregiver Support center, a program of the Kitsap County Division of Aging & Long Term Care. Drop by the Silverdale Community Center at 9729 Silverdale Way NW between 11am and 2pm. Monday through Friday or by appointment. Or call (360)337-5700 or (800)5626418 or email tweintra@co.kitsap.wa.us 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 & long Term care is also available online at www.agingkitsap.com 6. Share your lists with someone you trust before you actually reach out for help — a friend, therapist, or clergyman, perhaps. The intent is to first get comfortable with the idea of talking about your need for assistance and hopefully get some encouragement good ideas in the process. Then take Kitsapand Businesses a deep breath and actually ask someone to help with one of the tasks on your to most Partner list, or ask for guidance Invited in resolving your persistentIn worry. Start with something small, especially if you are Free looking Holidays” for hands-on assistance or “Waste something that requires someone doing you a favor. Don’t get discouraged if you get rejected at first. It sometimes takes perseverance. Just remember: The effort is worth it because the goal is better care for your loved one and yourself.

“Give Experiences Instead of Stuff”

Are you caring

Participating businesses offer discounts of 15-50% on tickets or gift certificates for: for or helping a loved one?

• Music • Plays • Museums • Sporting Events • Restaurants • Would you like more information?

• Spa or Salon Services • To explore options for help?

• Lodging • Tanning • Auto Services • To find out more about what to expect? and more

Kitsap Businesses Invited to Partner In “Waste Free Holidays”

Gift services may only be purchased from Nov. 16 - Dec. 31 • Information & Education • Caregiver Lending Library • Caregiver Respite Options • Support Group Information • Specialized Services • Counseling

“Give Experiences Instead of Stuff”

Visit www.wastefreeholidays.com to register your business.

Participating businesses offer

or contact Colleen Minion - Pierce 360 337-4568

Your business can recognized on tickets or gift discounts of be 15-50% on Take carethe of Waste yourself while taking careas of your loved one Free Holidays website Brought to you by certificates for:a brochure. well as print ads and Kitsap County Solid Waste Division Call 360-337-5700 or 1-800-562-6418 There is no cost to join. • Museums as a way to reduce holiday waste.

• Music • Plays

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

• Sporting Events • Restaurants • Spa or Salon Services Senior Information & Assistance • Lodging • Tanning • Auto Services A FREE service for seniors ages 60 and over and more

360-337-5700 or 1-800-562-6418

services to turn inGift Kitsap Countymay for: only be purchased WhereAnswers Nov.about 16 - service Dec. 31 tofrom questions & opportunities

Assessment of needs & referral to local services Assistance finding & applying for programs & services Visit www.wastefreeholidays.com Advocacy on important issues to senior register your business. or contact Colleen Minion - Pierce 360 337-4568

“Promoting the well being of older people and assisting them in maintaining their Your independence.” business can be recognized on Brought to you by County Aging Kitsap Kitsap County Solid Waste Division LongtoTerm Care Services as & a way reduce holiday waste.

the Waste Free Holidays website as well as print adsKitsap and County’s a brochure.

AreatoAgency There is no cost join. on Aging

Time of Your Life

• Spring 2011

Page 15

One-Stop Shopping for Senior Care Services In case you hadn’t noticed, a fast-growing generation of seniors, needing care, is starting to put a great deal of pressure on caregiving family members. More and more we are seeing articles and books about the burden of long term care on families.

According to research by the National Care Planning Council (NCPC), only about 16% of long-term care services are covered by the government. The other 84% are provided by family caregivers, or provided by services paid out-ofpocket by families, or from those receiving care. And the bulk of government care services are provided only after a care recipient has depleted all of his or her savings. The NCPC also estimates that at any given time approximately 22% of the population over age 65 is receiving some form of long term care support. About 44.4 million adult caregivers provide 21 hours a week of care with 4.3 years average time spent providing care.

The problem is that the need for care usually occurs without warning, when a stroke, heart failure or other medical condition or illness suddenly happens to an aging senior. Family members end up in panic mode trying to understand and educate themselves on what needs to be done and what resources are available. If they need to take time from work to handle the crisis then it becomes urgent to find answers and solve caregiving needs. The need to balance work with urgent caregiving responsibilities creates untold stress on employed family caregivers.

Unfortunately, most family caregivers simply don’t know where to turn for help and advice. For the majority of Americans, eldercare becomes a frustrating do-it-yourself process. How do you find out what government services are available and what they will pay for? What legal documents are necessary and how do you protect assets? What type of home care or facility care is needed? Should you quit your job to become the caregiver? Will the government or insurance pay you for caregiving to help replace your lost income?

The question often arises as to whether to use long term care professionals or go it alone in arranging care and

services. Well … according to a publication from the NCPC, entitled: The 4 Steps of Long Term Care Planning … “Using care professionals is the most cost effective and efficient way to provide help for a loved one. Hiring professional advisers or providers to help with long term care is no different than using professionals to help with other complex issues such as car repairs, dealing with taxes, dealing with legal problems, or needing trained employees to help run a business. With their education and training, long term care professionals also bring experience that only comes from dealing with countless ‘hands-on’ caregiving challenges”.

So where do you find this professional help?

In addition to the Kitsap County Division of Aging and Long Term Care, which “provides a network of services responsive to the needs of all older persons (age 60+)”, there is the Kitsap Alliance of Resources for Elders (KARE), a non-profit organization that provides education and resources pertaining to Home Care, Assisted Living, Elder Law, Reverse Mortgages, Physical Therapy, Geriatric & Internal Medicine, Counseling, Architectural Design for Seniors, Financial Planning, and even a Senior Real Estate Specialist.

For more information on this non-profit organization you can go to their website at www.kare-wa.com, or call (360) 394-KARE (5273)

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.

Theresa Korpela, CSA** Reverse Mortgage Specialist 3212 NW Byron Street, #106 Silverdale, WA 98383 360.509.2221/866.779.6431 theresa.korpela@comcast.net

Carl Johnson, CSA** KARE Director of Community Relations 360.908.1124 www.kare-wa.com

Richard Tizzano, P.S., CSA** Attorney at Law Estate Planning & Elder Law 19717 Front Street NE Poulsbo, WA 98370 360.779.5551 www.legalpeaceofmind.com

Randy Hardin, CSA** Martha & Mary AT HOMESM In-Home Care Services 19160 Front Street NE Poulsbo, WA 98370 360.871.4425 www.marthaandmary.org

Karen Klein, CEO Silver Planet® Silver Concierge Services #203, 321 High School Rd. Ste D3 Bainbridge Island, WA 98110 (800) 447-7143 www.silverplanet.com

Narinder Duggal MD, FRCPC Liberty Bay Internal Medicine Geriatric/Internal Medicine and Diabetes Specialist 20696 Bond Rd NE, #205 Poulsbo, WA 98370 360.779.9911 www.strxonline.com

Jason Parker, CSA,** CRFA,*** Parker Financial Registered Investment Advisor 9057 Washington Ave. NW, #104 Silverdale, WA 98383 360.337.2701 www.parker-financial.net

Jeff Day, PT Kitsap Physical Therapy & Sports Clinics Custom Rehabilitation Services in Bainbridge Island, Bremerton, Kingston, Poulsbo, Port Orchard and Silverdale 360.598.3764 www.kitsappt.com

KJ Lange, SRES Windermere RE Westsound Managing Broker/Realtor 9939 Mickelberry Road NW Silverdale WA 98383 (360) 649-5413 www.LifeisGoodinKitsap.com

Lou-Ann Lauborough, MSW, LICSW, CSW-G* *Certified Clinical Social Worker in Gerontology Offices: Port Orchard & Poulsbo 360.876.1496/ 888.281.3578 www.lauborough-counseling.com

Debra Jamerson, RN, BSN Haven in Allyn Assisted Living 180 E. Wheelwright Street Allyn, WA 98524 360.227.0636 www.haveninallyn.com

Aaron Murphy, AIA, CAPS* ADM Architecture/ Architect/ *Certified Aging-in-Place Specialist 18820 Front Street, #210 Poulsbo, WA 98370 360.440.8475 www.ADM-architecture.com

**Certified Senior Advisor (CSA)® ***Certified Retirement Financial Advisor

A trusted resource for elders and families

Contact KARE at 360.394.KARE (5273) • info@KARE-WA.com • www.KARE-WA.com

Page 16

Time of Your Life

• Spring 2011

Hearing Advantage moves to Cascade View Medical Center Hearing Advantage, Inc. in Poulsbo began a new adventure with the relocation of their office to the new Cascade View Medical Center earlier this month. After months of planning and preparation, Hearing Advantage made the move to their new location. Also joining them at Cascade View Medical Center is Dr. Michael Jungkeit of North Kitsap ENT, Olympic Radiology, and Harrison HealthPartners Primary Care, among others.

Hearing Advantage first opened its doors in Sequim, WA in 1980 followed by their second location in Poulsbo in 1997.

Founded by Scott and Diane Raszler, both Audiologists, Hearing Advantage has been serving the hearing healthcare needs of the entire Olympic Peninsula. “It’s not unusual to see a patient from Belfair, followed by another from as far away as Forks,” explains Scott Raszler.

Our new state-of-the art facility has the latest in hearing care technology. Because our Audiologists have extensive training and

Diane W. Raszler, AuD, CCC-A

experience in medical audiology, each patient will undergo a complete diagnostic hearing evaluation. Both Scott and Diane Raszler hold advanced Audiology degrees. They are both fellows of the American Academy of Audiology and American Speech and Hearing Association. Our Audiologists believe in the importance of staying current with their ever expanding field. Scott and Diane complete many hours of continuing education each year. Diane recently earned her doctor of Audiology degree from Arizona Health Sciences University, to further expand her level of expertise.

Hearing loss is medical in nature. All of the testing that our Audiologists perform is to help determine the underlying reason that you are having difficulty hearing. Your primary care physician may refer you to us based on complaints you’ve expressed. You may also to come to us on your own if you notice a change in your hearing. Whatever the circumstance, you can be assured of a

complete and accurate assessment of your hearing and clear communication of those results to you and your physician. Our goal is to help identify the cause and provide a solution.

Many times the solution to hearing loss includes hearing aids. Along with a complete hearing evaluation, our Audiologists will assess your listening lifestyle and hearing goals. Together, we will decide on a solution that is best for you. When fitting your hearing aids, our professionals will use their expertise and the latest technology to precisely program the hearing aids to your unique hearing needs.

Your hearing is a source of pleasure, information and communication. At Hearing Advantage, we know how important that is to you. Dr. Diane Raszler invites you to come experience our new office, not just for the modern, new surroundings but for the excellent hearing health care that you will receive.

Scott John Raszler, M.A., CCC-A

Cascade View Medical Building

Premier Audiology and Hearing Aid Services

New Location

Call for an Appointment

360-697-1300

www.hearingadvantage.com INTEGRITY

Cascade View Medical Center 22180 Olympic College Way, Suite 205 Poulsbo, WA EXPERIENCE

EXCELLENCE

Time of Your Life

• Spring 2011

Page 17

Medication Management

Elders and Medication

People age 65 and older consume more prescription and over-the-counter (OTC) medicines than any other age group.

Older people tend to have more longterm, chronic illnesses – such as arthritis, diabetes, high blood pressure and heart disease – than do younger people. Because they may have a number of diseases or disabilities at the same time, it is common for older people to take many different drugs. This may be riskier for older adults, especially when several medicines are used at one time. Taking different medicines is not always easy to do right. It may be hard to remember what each medicine is for, how you should take it and when you should take it. Working with your pharmacist and healthcare provider in addition to taking charge of your own understanding or ensuring a caregiver assists you as needed can help provide a safe and effective means to ensure compliance with a medicine routine and avoid many of the complications from taking multiple medications.

• Develop a medication management form to keep track of both prescription and over the counter (OTC) medicines. Be sure to include the physicians name, dosage and times of day to take it. A copy is also given to the family caregiver.

• Check labels and all written information to make sure it is for the correct person and the correct directions.

• Check expiration dates and properly dispose of expired medications.

• Notify physician immediately if any problems occur.

• Watch for any interaction and notify physician if any occur.

• Ensure physicians and your phamacist reviews medication and the medication management form regularly.

• Establish reminders to ensure all dosages are taken appropriately and in compliance with physicians’ orders.

When patients, caregivers, doctors and pharmacists function as a team, medication-related problems can be avoided, contributing to better outcomes and improved daily functioning. Here are some tips for managing medication use:

Understand the medication

Find out as much as possible about every medication: the name, dosage, frequency and side effects. Understand why it has been prescribed, and ask the doctor to write down instructions for its use.

Follow the directions

Following the directions of the medication is imperative to ensure safety.

Read all instructions carefully. Dispense only the recommended dosage at one time and finish the entire prescription if instructed. There may be foods or drinks to avoid while taking the medicine. Or the medicine may have to be taken with food or a whole glass of water.

Have complete medical records

Make sure to provide complete medical records to your loved one’s health care providers. Medical history records should contain surgeries, immunizations, allergies and family health history (i.e. diabetes, colon cancer).

Records can be sent by a previous provider if needed.

Did you know?

Your local Area Agency on Aging, Division of Aging & Long Term Care sponsors Medication Management Senior Drug Education events throughout the year in different locations in Kitsap County. Please contact us if you want to be on a list of individuals interested in attending upcoming free workshops. Call (360) 337-5700 or 1-800-562-6418.

Visit us online!

Click the medication management link at www.agingkitsap.com for information. Featuring topics such as Getting the Most from Your Medications, Medication Do's and Don'ts, Medication Safety Tips, Adult Vaccines - Who Needs Them? And more!

Check back often for event updates and Division of Aging & Long Term Care activities.

You’re invited!

Come see us at the Division of Aging & Long Term Care booth at the Older Americans conference Thursday, May 12! We’re featuring our Senior Information and Assistance, Caregiver Support and local Statewide Health Insurance Benefits Advisors programs and will be available to provide materials, answer questions and help to schedule one to one assistance appointments.

Come by to pick up your FREE medication management pill box organizer and FREE medication management materials including informational brochures, medication management charts and information about programs and local resources that help with the cost of medications. Assistance services or online supports include: BenefitsCheckUp RX screening help! www.benefitscheckup.org Information about and screening for support for family caregivers managing medications and care for their loved ones! www.aasa.dshs.wa.gov/caregiving/survey Insurance coverage options and information from your local Statewide Health Insurance Benefits Advisors Program! www.insurance.wa.gov Research and compare Medicare plans and options and Medicare Part D information! www.medicare.gov Kitsap County Division of Brought to Long you byTerm the Kitsap County Division of Aging & Long Term Care, your local Area Agency on Aging.

Aging & Care

Page 18

Time of Your Life

Get to the point!

USE YOUR BENEFITS

• Spring 2011

Hearing loss caused by exposure to loud noise is an injury. We can guide you through the paperwork for the benefits you deserve.

OWPC Hearing Loss Claims

In Club 55, you deserve it!

All Wildcard members age 55 and older – earn 100 base points on Sundays and receive a Free Fun Pack of coupons, plus your name entered into the $100 Cash Drawings! See Wildcard Club for details.

Visit our website and FOLLOW US ON FACEBOOK! www.the-point-casino.com

1.866.547.6468 7989 Salish Lane N.E. Kingston, WA 98346

See Wildcard Club for complete details. Must be a member of The Point Casino Wildcard Club to participate in some programs. Some restrictions may apply. The Point Casino promotions, offers, coupons and/or specials may not be combined without marketing management approval. Management reserves all rights to alter or cancel without prior notice. Must be at least 18 years old to participate in gaming activities and at least 21 years old to enter the lounge area. Knowing your limit is your best bet—get help at (800) 547-6133.

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4/21/11 4:54:33 PM

Rest Assured That Help Is Always There.

Even When They Are Alone.

Helping seniors maintain independent lives means providing the reliable in-home care and safety they need every day. At Comfort Keepers®, for over a decade we’ve been bringing trusted senior care services home, whether companion care such as cooking or light housekeeping, to personal care like help with bathing or grooming.

And for around-the-clock safety, our SafetyChoice™ Personal Emergency Response Systems and medicine dispensers give seniors and families peace-of-mind that help is always available. Learn more by calling your local office, or visiting www.comfortkeepers.com.

Comfort Keepers of Kitsap County

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Over 550 independently owned and operated offices | © 2008 CK Franchising, Inc.

Time of Your Life

• Spring 2011

Page 19

Emeritus at Silverdale

Celebrate Mother’s Day

Only our name is different.

by having your hearing checked as a gift to your family.

Nationally owned, locally operated.

Emeritus at Silverdale,

Assisted living specializing in Altzheimer’s & Memory Care Since 1999, Emeritus Oaks has been honored to serve the needs of seniors throughout Silverdale. And now, we are honored to serve you under the new name of Emeritus at Silverdale.

• Hearing is a Youthful Adventure • Visit our Booth at the Conference

• Meet our Staff and Ask Questions • Find out What is New and Exciting

“The Ear is the Road to the Heart” -Voltaire

We continue to be owned and operated by Emeritus Senior Living, which is headquartered in Seattle, WA and one of the most nationally respected providers of assisted living, retirement living and memory care services.

Hear all (360) 697-4488those precious Emeritus at Silverdale moments!

1501 Tower View Circle

WE’RE BETTER...

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TOGETHER! In Bremerton Since 1979

“The Ear is the Road to the Heart”

–Voltaire 1411 Wheaton Way Celebrate Mother’s Day by having your

360.362.4500

Lynn E. Byrne MSPA, FAAA

Hearing Checked as a Gift to your Family. www.help2hear.com Call today for an appointment

1411 Wheaton Way

575396

360.479.4065

Some of our specialties: • Senior Classes • Aquatic Therapy • Balance/Vestibular • FitForeGolf • Foot/Ankle • Hand Therapy • Lymphedema Management

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• McKenzie Method • Myofascial Release • Neurological Rehab • TMJ/TMD • Women’s Health • Work Conditioning

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Lynn E. Byrne MSPA, FAAA

Silverdale Fitness

2400 NW Myhre Rd. • 360-698-2264

Kingston Fitness

26001 Barber-Cut Off • 360-297-3336

Page 20

Time of Your Life

• Spring 2011

Preventing Falls is Important to Senior Health When you think of your aging loved ones, what do you worry about most? Is it a heart attack or stroke cutting short their life, or perhaps cancer? While these illnesses are very real worries for everyone as they age, it may surprise you to discover that falls are the second leading cause of accidental death in the United States, and 75 percent of these falls occur in the older adult population.

Falls are the single largest cause of injury among seniors. According to the Centers for Disease Control and Prevention’s (CDC) National Center for Injury Prevention & Control, older adults are hospitalized for fall-related injuries five times more often than they are for injuries from other causes. One-third of older adults who fall, sustain a hip fracture & are hospitalized, die within a year.

Even if a fall does not result in hospitalization, fear of falling can become a major factor in seniors’ quality of life. Fear leads to inactivity and loss of confidence which in turn produces a cycle of fear, loss of self-confidence and inactivity.

Dr. Roberta A. Newton, Ph.D., Temple University College of Health Professions in Philadelphia has spearheaded efforts to study and research why falls occur and how they can be prevented. Recognizing the importance of preventing falls, Visiting Angels, a national network of franchised non-medical senior homecare agencies, has partnered with Dr. Newton to increase the public awareness and importance of this sometimes overlooked issue.

To help seniors & their families find out more about falls and how to prevent them, Visiting Angels conducts free seminars throughout Kitsap County. “As our loved ones age, it is important to recognize that things like throw rugs that once did not warrant a second thought, now become household hazards. Mobility & agility limitations require a fresh look at the everyday contents of the home,” says Marilyn Oswald, Director of Visiting Angels.

Here are some easy tips to help minimize the risk of life-altering falls for your loved ones.

• Throw rugs can be a tripping hazard. Either remove them or make sure they are securely tacked down.

• Add hand rails to all stairs.

• Clear clutter from walking paths, and make sure hallways and stairways are well-lit.

• Eliminate long extension cords that snake across a room. Plug lamps into outlets near the wall so cords are tucked away.

• Add grab bars next to the toilet, tub and shower.

• Getting in and out of the tub can be hazardous. In addition to grab bars, make sure the tub has non-skid mats. A tub seat may make showering easier, too.

• Trade in floppy slippers for well-fitting slippers with non-skid soles. Also, avoid night clothing that drags on the ground.

Visiting Angels can help you check for hazards in your loved one’s home. Attend a free fall prevention seminar near you, or call Visiting Angels for a free consultation to help you assess your situation and address the issues that are important to you and your family. Visit www.visitingangels.com/westsound for more information or call 360-602-0609 or 206-408-7433.

www.visitingangels.com/westsound 360-602-0609 or 206-408-7433.

• Spring 2011

Kitsap Humane Society Seniors for Seniors

Animal Adoption

Time of Your Life

Kitsap Humane Society Senior for Seniors 9167 Dickey Road NW Silverdale, WA 98383 (360) 692-6977 www.kitsap-humane.org/allpet-adoption-specials

Page 21

Pet companionship is good for you

By Kipp Robertson A year after moving from Florida to Silverdale, Mark Wilder’s social life was not what it could be.

In the past month that has changed with the help of Oscar Mayer, a 7-year-old red-haired dachshund.

With his new canine companion, Wilder substitutes time in front of the TV for outdoor recreation and had found his social life to be on the rise.

Oscar Mayer’s energy has proven beneficial. Wilder lost about 10 pounds since he adopted the dachshund.

“I have been discovering all sorts of new things about Central Kitsap,” Wilder said.

Wilder adopted Oscar Mayer from the Kitsap Humane Society’s Seniors for Seniors program. The program, which began a few years ago, allows people 60 and older to adopt a pet 5 years of age or older for half the price of a regular pet adoption.

Between 60 and 100 people per year adopt pets through the program, said Stacey Price, animal welfare director at the Kitsap Humane Society.

Along with companionship, pets have been known to help people live

longer by keeping them active, Price said. Simply petting an animal can help reduce stress and lower blood pressure, she said.

“There is evidence that if seniors own pets, it gives people a routine,” Price said. “It gives them something to focus on.”

Eventually, the Humane Society would like to expand the program, including home delivery of pet food for people who have difficulty getting to the store, Price said.

Because Wilder lives on a limited income, he said the program was perfect for him; the Humane Society provided a cage, food and toys, he said.

However, Oscar’s adoption was a careful process. While housesitting for a friend, Wilder said he would often stop by the Humane Society to scan the animals. After about a month of visiting, Wilder said he finally found the perfect dog — dachshunds were a common breed when Wilder was growing up.

Now that the two are acquainted, staying active is not a problem for Wilder and Oscar.

Wilder is constantly looking for

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new dog parks to take Oscar to. The Kitsap County Fairgrounds has also become a common roaming place for Oscar, Wilder said.

As the weather warms up, Wilder will begin venturing north, searching for new trails. This summer, he said he will take Oscar camping in the Olympic National Park to camp.

“I’m always eyeballing new places in Kitsap to take the dog,” he said.

“There are definitely advantages to having an animal around.”

Kitsap Humane Society pet adoption specials: n Seniors for Seniors: People 60 and older can adopt a pet 5 years or older for 50 percent off. n Great 8 Dogs: The eight dogs who have resided at the Humane Society the longest are 50 percent off. n 9 Lives Cats: Cats who have been at the Humane Society the longest are 50 percent off. n The Kitsap Humane Society offers monthly specials. Check the website for more information, www. kitsap-humane.org/all-pet-adoptionspecials.

At a Glance Kitsap Humane Society pet adoption programs Seniors for Seniors: People 60 and older can adopt a pet 5 years or older for 50 percent off. n Great 8 Dogs: The eight dogs who have resided at the Humane Society the longest are 50 percent off. n 9 Lives Cats: Cats who have been at the Humane Society the longest are 50 percent off. n The Kitsap Humane Society offers monthly specials. Check the website for more information, www. kitsap-humane.org/ all-pet-adoptionspecials. n

Time of Your Life

Long Term Care Alliance

Local partners

Page 22

• Spring 2011

Alliance partners work to improve long-term care in Kitsap County

By Tad Sooter In the West Sound health care market, Harrison Medical Center and St. Anthony Hospital are rivals.

But at least 10 times a year they’re also allies, working with health care providers from across the county to solve systemic issues in long-term care.

Both hospitals are members of the Long Term Care Alliance of Kitsap County, a non-profit group with about 40 members representing every facet of long-term care, from surgeries to pharmacies to in-home care.

In its 20 years, the alliance has worked to streamline services and improve the quality of care.

“By working together, hopefully it benefits everyone in the community,” said Linda Batway, who serves as director of social work for Harrison. She has worked with the Alliance for 17 years.

Long-term care involves services for people with disabilities or chronic ailments who need care, whether at home or in a facility. Often people requiring long-term care are elderly, but they can be of any age.

When the Long Term Care Alliance began 20 years ago it was primarily to smooth communication between hospitals and nursing homes. As Kitsap’s health care market grew and expanded, so did the Alliance. Non-profits and small companies have emerged to provide a

broader range of longterm care options.

“When you look around the table now, it’s mostly companies that are community-based,” said Chad Solvie, CEO of Martha & Mary and president of the Alliance.

Being on a peninsula has helped the group remain unified.

“Because we have defined borders, it’s probably a little easier to get your arms around the county and say ‘These are the people in our community,’” Solvie said.

Most of the Alliance’s work is done behind the scenes, using the shared resources of its members.

The Alliance discusses best practices and shares training. Much of its energy is focused on smoothing transitions for patients

who rely on multiple providers.

For example, an elderly person might have surgery, then move from the operating room to the hospital, the hospital to a nursing home and finally home for in-home nursing and longterm care. They might need four or five providers in the process, including pharmacies.

“The group is working to make those handoffs smoother,” Solvie said.

Since its inception, the Alliance has organized a long-term care conference each year. The conferences help the Alliance broaden the conversation on longterm care and educate the public on what resources are available.

Recent conferences have drawn hundreds of people from around the region.

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Some come to learn how the Alliance has made competitors into collaborators, Solvie said.

“There will be people from King County coming out because they heard about (the Alliance) and they can’t believe it works,” he said.

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• Spring 2011

Liberty Shores and Harbor House

Assisted Living

Time of Your Life

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Page 23

The comforts of home, and more Liberty Shores Assisted Living Community and Harbor House Memory Care Community sit atop a prime spot just off Viking Avenue in Poulsbo, with captivating views of Liberty Bay. The communities offer all the comforts of home for their 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 is smokefree and offers studio, one- and two-bedroom apartments. Each apartment is outfitted with a mini-kitchen with refrigerator, microwave and two-burner stove. Each apartment has a call-light system to alert staff when a resident needs assistance, and each unit has cable service available.

Residents are provided three restaurant-style meals daily, with wait staff

who take your order at your table. 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 offers concierge service, including personal shopper services, shopping trips, and transitions support services. Other services include weekly housekeeping and linen service, and transportation to and from medical appointments.

A walking trail winds through the property, and residents are encouraged to exercise and walk their pets, as pets are allowed in residences.

Liberty Shores and Harbor House communities assess each resident on level of care needed to ensure a safe, secure environment, and 24-hour nursing services are provided … so you can be as independent

or as dependent as need be. Periodic assessments occur to ensure resident’s health needs are met.

Liberty Shores has three activity rooms. The Bay Room offers a relaxing setting with views of Mount Rainier and the Poulsbo Marina; residents can participate in activities here and get a snack inbetween meals. Residents can socialize and enjoy recreational activities in the Fireside Room and the Multipurpose Room.

Harbor House has three floors, which sets it apart from most memory care facilities and enables it to provide a small home-like setting.

On the first floor, residents can step back in time in the viewing room, complete with a big-screen television and theater-style seating. Adorning the walls are movie posters from Hollywood’s “Casa-

THIS APARTMENT LIVING ROOM at Liberty Shores features views of Liberty Bay. CONTRIBUTED PHOTO blanca” era. Activities —including board games, Bible studies, group exercise classes, day trips and other special outings — are scheduled seven days a week.

Harbor House Memory Care combines secure housing and health care to aid in residents’ comfort and ensure their health

and safety. Its design is focused on comfort and familiarity to allow residents to maintain their independence and privacy. Personal rooms are outfitted with photos of family and friends, while common areas and “memory stations” encourage individual and group activities.

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Time of Your Life

Enccore Communities

Senior living

Page 24

ENCORE COMMUNITIES

12169 Country Meadows Lane NW, Silverdale (360) 692-1228 or (360) 692-4480 www.encorecommunities.com. and on Facebook

• Spring 2011

Encore Communities offers numerous options to Kitsap seniors Encore Communities is a 13-acre comprehensive retirement living and health care community located on a rural yet convenient country setting in Silverdale.

This community offers various levels of senior living: 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 have been providing quality services to seniors for more than two generations.

Upgrades are continually happening at the Silverdale Encore Communities campus. North-

woods Lodge, Encore’s health care and rehabilitation center, has seen recent renovations and changes to components of its structures and operations.

Northwoods Lodge 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 by illness or injury, making daily activities difficult and cumbersome. Often strength, endurance and balance are key issues that must be conquered

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to overcome the obstacles of “just getting along” in one’s home. To enhance and maximize 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.

The warm water therapy program, staffed by physical therapists, has proven beneficial to participants.

After orthopedic surgeries, the water environment allows for a reduction in weight bearing and stress in joints. This helps speed the recovery process. The water also provides buoyancy to challenge higherlevel balance skills in a safe environment. Studies have shown that senior adults who complete exercise programs in an aquatic environment have a reduction in falls when compared to land-based exercisers.

The warmth of the pool at 92 degrees aids in muscle relaxation, and is often used to address low back pain and other pain syndromes, to improve functional mobility with greater comfort for the patient.

For more information about these inpatient or outpatient therapy services, call (360) 337-7422 or visit Northwoods Lodge, 2321 Schold Place NW in Silverdale.

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Clearbrook offers its residents comfort and safety combined with a variety of events and entertainment, all within a warm and congenial atmosphere. In addition to long-term care services, Clearbrook offers

THE RED BARN is a hotspot for recreational activity at Encore Communities. CONTRIBUTED PHOTO

short-stay apartments.

These apartments give an individual the options to continue to recover, or stay on a trial basis, in a furnished apartment. Cable TV and telephone services, as well as personal laundry service, is included.

Clearbrook is staffed with nurses 24 hours a day, seven days a week, and can provide a full range of health care services.

Apartment doors may remain open via a magnetic system, per resident request.

Transportation services to medical appointments are also included during a short stay.

Country Meadows Country Meadows, Kitsap County’s only retirement cottages, have added a lunch dining option at the Red Barn Café.

Lunch is served daily, from 11 a.m. to 1 p.m., and is open to the public.

Spacious one- and two-bedroom cottages ave been home to many local

seniors. Several of the cottages have undergone transformative updates, including new natural cherry wood cabinets, granite countertops, custom fireplace surrounds, stainless steel appliances, and tile bathroom floors and showers. Two-bedroom units have a barrier-free ADA-accessible shower in the second bathroom.

Country Meadows also offers a home care program, At Home with Country Meadows. Home care assistants provide a host of non-medical tasks such as bathing, domestic chores, dressing, meal preparation, mobility assistance, overnight care, pet care and shopping. Encore has found that these services extend residents’ independence in their own cottages.

An additional service offered: Free personal chauffeur service in the Country Meadows shuttle van.

For a private tour and an opportunity to see the cottages, call (360) 692-1228 or (360) 692-4480.

• Spring 2011

Harrison Medical Center

Time saves lives

Time of Your Life

HARRISON MEDICAL CENTER EMERGENCY DEPARTMENTS 2520 Cherry Ave., Bremerton 1800 NY Myhre Road, Silverdale www.harrisonmedical.org

Page 25

Recognize signs of an emergency

BY DARCY L. HIMES Harrison Medical Center

Heart attack

There are countless types of medical emergencies, but they all have one thing in common: You need to get help right away. Your recovery — and even your life — can depend on how quickly you receive emergency medical treatment.

“Time is not on your side when it comes to medical emergencies,” says Michael Armstrong, MD, a physician at Harrison Medical Center’s Emergency Department. “Don’t secondguess yourself; get to the closest emergency room as fast as you can, or call 911.”

The first 60 minutes after a severe injury or accident occurs can be the most crucial. Quick action is vital in the case of emergencies — such as heart attack and stroke — when starting treatment as soon as possible is essential.

Not every heart attack is fatal. Heart attacks can be treated, and you can make a successful recovery.

But the sooner you get medical care, the better your chances of recovering, according to the American Heart Association.

Most heart attacks start slowly with mild pain or discomfort. The most common signs include: ■ Chest discomfort that lasts more than a few minutes or goes away and comes back.

■ Pain or discomfort in one or both arms or the back, neck, jaw, or stomach.

■ Shortness of breath, with or without chest discomfort.

■ Cold sweat, nausea, and

light-headedness.

Call 911 immediately if you suspect you or someone you’re with is having a heart attack.

“When a heart attack happens, people incorrectly assume that they’ll save time by driving themselves or a family member to the hospital,” Dr. Armstrong says.

“Let the emergency response crews manage the person having a heart attack. They are specifically trained and equipped to do so. In Kitsap County, we can initiate treatment and activate key personnel prior to ER arrival to expedite the proper care.”

Stroke A stroke is like a heart attack to the brain. When

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a blood vessel to the brain bursts or is blocked by a clot, the blood and oxygen feeding that part of the brain are shut off.

Starved for nutrients, the affected brain cells begin dying.

“Give Me 5 for Stroke” is an educational campaign of the American Academy of Neurology, the American College of Emergency Physicians, and the American Heart Association. This campaign helps people recognize the symptoms of stroke—in themselves or others—and get help fast.

If you think someone is having a stroke, ask the person to give you five, which means testing the following five body functions. Any of these symptoms—even one and even if it goes away— may signal a stroke, so call 911 right away.

1. Walk. Can the person stand straight? Is his or her balance off ? Is one foot

dragging?

2. Talk. Is his or her face droopy or speech slurred?

Can the person speak clearly and make sense?

3. Reach. Is one side weak or numb? Can he or she raise both arms together, or does one arm fall? Test each hand’s grasp by asking the person to squeeze your fingers.

4. See. Is the person’s vision all or partially lost?

Can he or she see clearly? Is any part of the visual field blocked or blurred?

5. Feel. Does the person have a severe headache?

Is that unusual, or is this headache different from normal?

— ONLINE: To learn more about the warning signs of stroke, view Dr. Armstrong’s DOCtalk video at www.harrisonmedical. org.

Page 26

Time of Your Life

• Spring 2011

iReMeNT Your WAy AT THe LOD T e R e Ge” “Liv ReTiReM “Live

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“At the heart of it all…the healthy lifestyle “At the heart of it all…the healthy lifestyle you’ve you’ve been been searching searching for!” for!”

From the moment you walk through the front door you will know From the moment you walk through the front door you will know why many consider The Lodge at Mallard’s Landing the premier why manyand consider The Lodge at Mallard’sinLanding theSound premier Retirement Assisted Living community the Puget area.

Y ou are drawn to the stone fireplace in the Village View Bistro where Retirement and Assisted Living community in the Puget Sound area. the aroma of fresh brewed coffee and the morning paper await you. Of You are drawn to the stone fireplace in the Village View Bistro where course that is our intention…The Lodge is designed with you in mind!

the aroma of fresh brewed coffee and the morning paper await you. Of Should for supportive services, course thata isneed our develop intention…The Lodge ishealth designed with temporary you in mind! or permanent, The Lodge provides a licensed nurse, on site, 24 hours a day. Our Assisted Living services come to you in any of our Should ahomes need develop for supportive services, temporary apartment so no need to relocate.health Add to that interesting and engaging physical,The social, cultural, and aeducational activities and24you or permanent, Lodge provides licensed nurse, on site, will find a truly wonderful place to call home.

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Time of Your Life

• Spring 2011

Page 27

Page 28

Time of Your Life

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• Spring 2011