Aging at Altitude Through the Generations: Fall 2019

Aging at Altitude Through the Generations

FALL 2019 HEALTHY AGING

SMART PLANNING MARKETING FEATURE

ACTIVE LIVING

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Features SMART PLANNING

Contributing Writers Linda Thorsen Bond Melanie Brown Judy Finman Adam Goldstein Sandy Hale Sarah Huber Julie Kailus Wendy McMillan Pam Moore Elise Oberliesen Darren Thornberry Amy Harris Van Vranken Shelley Widhalm Rhema Zlaten

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Senior Housing in Boulder County

11

The Cost of Long-Term Care

12

Reenergize Your Life by Refreshing Your Home

13

Tips for Seniors Buying a New Home

16

Reverse Mortgages

17

Resources for Caregivers

18

Local Resources for Aging in Place

Marketing Features Coordinator/Designer Greg Stone

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Tips to Aging Healthfully

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Innovative Treatments for Aging

25

Taking Care of Your Family Through Prearrangement

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Aging and the Senses

28

Taking Care of Your Brain

Marketing Consultants Julie Casper Pete Christiansen Jeanine Fritz Ruth Garfield Thais Hafer Barbara Hunter Kathy Johnson Jim Koppel Billy Magrini Dale Sekuler VP / Marketing & Advertising Jill Stravolemos Aging at Altitude is a marketing feature of the Daily Camera, Broomfield Enterprise and Colorado Hometown Weekly. ©2019 Prairie Mountain Media.

HEALTHY AGING

ACTIVE LIVING 30

Staying Active: Local Options for an Active, Healthy Lifestyle

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The Benefits of Owning a Pet for Seniors

33

Healthy Aging Programs

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SMART PLANNING

Senior Housing in Boulder County

MorningStar of Boulder. (Photo courtesy: MorningStar of Boulder).

By Julie Kailus for Aging at Altitude

T

he right housing can be a critical element in aging well. There is something so life-giving about senior communities,” says Ande Bernthal, marketing director at Academy, in the heart of Boulder. “It offers people another chapter, a different perspective, another opportunity for life in a season of new possibilities.”

While having a healthy selection of senior living choices in Boulder County is a boon for families, it can also be a little overwhelming. There are many things to consider when picking the right environment, such as safety, amenities, affordability, location, comfort, social activities, staffing and continuing care options, to name a few.

But arguably the most important is finding a place that feels most like home. Of course, that feeling of “home” will be different for every senior. So after narrowing your search based on non-negotiables, it’s important to schedule in-person visits to a variety of communities to get a sense of what it might be like 6

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to live there.

Like at Academy, senior living communities should be about “making this chapter of life as good as it gets,” Bernthal says. “Everyone wants a place to belong, a place to be a part of.” Read on to find just that.

AltaVita

Locally owned and family-oriented, Longmont’s AltaVita Senior Residences includes independent living, assisted living and secured memory care. An integrated campus is the realization of a dream by the Macy Family who wanted to provide their beloved community with three levels of senior care residences, all in one location. Starting in 2012 with a facility for seniors with memory needs, AltaVita added an assisted living community four years later. The final component is a brand-new independent living community, which opened its doors this spring. Each of the three buildings feature state-of-the-art interior design and predicated on a comfortable, service-oriented and healthy lifestyle for its residents.

AltaVita Senior Residences is

located in southwest Longmont between Dry Creek Drive and Fordham Road.

Frasier

As Colorado’s only CARFaccredited Life Plan Community, Frasier has been helping seniors enjoy independent and fulfilling lives in Boulder since 1960. This independent, not-for-profit, mission-driven senior living community operates a 20-acre campus featuring independent living apartments, as well as assisted living, memory support, long-term care, skilled nursing, rehabilitation services, a wellness center and services for over 350 residents.

Building on this legacy, Frasier is evolving to meet the needs of its older adult community. A $90 million investment in expansion is slated for completion at the end of this year. Following the recent opening of The Canyons Center, a multi-purpose arts and education building, Frasier is adding 98 independent-living apartments; an expanded wellness center with a lap pool; and new and revitalized and dining venues and common spaces.

Golden West

A not-for-profit senior community in the heart of Boulder, Golden West has been meeting the low-income housing needs of adults 62+ and their families for 54 years. Thanks to a stunning mountain backdrop, The Towers’ 255 income-restricted independent-living apartments remain a one-of-a-kind option. At 14 stories, the residence overlooks the University of Colorado campus, the city of Boulder and the stately Flatirons. The Mezzanine, an assisted-living community with 56 apartments, is specially designed to support residents’ independence while providing services and some assistance with daily activities from professional caregivers. About 75 percent of assisted-living apartments serve Medicaid-eligible residents.

And to continue the mission of giving hope to seniors who need affordable housing in Boulder, Golden West will be leveraging approximately $20 million of Low Income Housing Tax Credit Program funds for building renovations. The investment will ensure that Golden West is preserved for another 30 years to come.

Academy Boulder

More than 20 years ago Academy Boulder started in an abandoned but character-filled school in the middle of University Hill. It was a visionary solution to limited senior housing in downtown Boulder.

What has unfolded since then is an intentional elder community that encourages meaningful living in an environment of warmth and beauty. Framed by the Flatirons and just a walk from Chautauqua, Academy Boulder is home to 65 seniors and the more 80 employees that support them in living life at its fullest. Academy Boulder offers independent- and assisted-living options, as well as memory care.

Committed to carefully expanding its unique wellness-focused senior living concept, Academy Boulder anticipates the opening its next property, Academy Mapleton Hill, in summer 2022.

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Finding the

right place

We are here to assist your family through each step in the search for senior living. Whether you’re beginning your search or just have questions, we’re ready to share our knowledge and experience to help you make a thoughtful, well-informed decision.

We’re ready to listen, understand and partner to find the right options for you or your loved one.

Brookdale Boulder Creek

Brookdale Longmont

Brookdale Meridian Boulder

Independent Living 801 Gillaspie Drive Boulder, Colorado 80305

Independent Living 3350 30th Street Boulder, Colorado 80301

(303) 473-0333

(303) 682-1066

(303) 494-3900

(303) 444-0200

Assisted Living 3375 34th Street Boulder, Colorado 80301

Assisted Living 2240 Pratt Street Longmont, Colorado 80501

BROOKDALE SENIOR LIVING and BRINGING NEW LIFE TO SENIOR LIVING are the registered trademarks of Brookdale Senior Living Inc. ©2019 Brookdale Senior Living Inc. All rights reserved.

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brookdale.com AGING AT ALTITUDE

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SMART PLANNING

The Avenues Crofton Park

This award-winning 55+ “senior boutique living” community in Broomfield comprises 70 apartment homes and 20 cottages designed to foster independent living. The park-like setting includes 14 floor plan options with full kitchens, heated underground parking, a full calendar of monthly activities, and all-inclusive pricing for both modern housing and accompanying services. The private cottages give seniors the benefits of independent community living without the hassle of home maintenance. Another standout feature is The Avenues Crofton Park’s access to nearby trails, open space, community gardens and other features that foster active living for older adults.

Equally forward thinking in its footprint and efficiency standards, the community has earned a National Green Building Standard certification and a senior-living design award from the National Association of Home Builders.

The Avenues Crofton Park. (Photo courtesy: The Avenues Crofton Parkw).

Life Care Centers of America

A nationwide senior living conglomerate, LCCA runs two facilities in nearby Longmont, both conveniently located on Pratt Street. The Life Care Center handles inpatient and outpatient rehabilitation with 24-hour skilled nursing care and state-of-theart rehab equipment. An on-site physician speeds care to short-term rehabilitation and post-operative recovery patients, as well as skilled

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nursing residents. The Bridge at Longmont is an assisted living community with four studio and one-bedroom apartment floor plans, all with a view of the grounds or inner courtyard. LCCA encourages a variety of socialization and recreational opportunities to help residents stay as active and independent as possible.

Brookdale

With over 30 senior communities statewide, Brookdale is known for

a resort-style setting and laidback culture. As a continuing care retirement community (CCRC) model, the Brookdale network provides families and their loved ones peace of mind as physical and mental needs change. Brookdale includes living setups ranging from independent housing to skilled nursing home for those who need dedicated assistance. Highly skilled nurses, therapists, social workers and aides are available to offer extensive healthcare services right on site. It’s all part of Brookdale’s Optimum Life foundation for wellness, which encourages a balanced life through purposeful, emotional, physical, social, spiritual and intellectual support for seniors.

Boulder is home to three Brookdale communities — two independent and one assisted.

MorningStar With multiple senior living campuses around Colorado, MorningStar’s Boulder community

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opened its doors on the southeast side of town in 2015. That means amenities are fresh and modern in 48 assisted living suites.

MorningStar senior living options include spacious studios, as well as one- and two-bedroom floor plans, with some coming in over 700 square feet. Additionally, the Reflections Neighborhood houses 46 suites designed to support for aging adults with memory impairment. Here there’s a daily focus on balancing comfort, wellness and community.

Balfour

Louisville’s signature senior living community, Balfour is an elegant environment with all the amenities of a fine resort and an emphasis on enjoying a “life in motion,” according to the brand.

With multiple levels of care — independent, assisted, memory/ Alzheimer’s care and skilled Academy Senior Living 970 Aurora Ave., Boulder, 303.938.1920, theacademyboulder.com

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AltaVita Senior Residences 800 S. Fordham Street, Longmont, 303.300.3700;1001 AltaVita Court, Longmont, 720.745.8250; 1002 AltaVita Court, Longmont, 303.834.8800, altavitaliving.com Balfour Senior Living 1331 Hecla Drive, Louisville, 844.354.8877, balfourcare.com Brookdale 3350 30th St., Boulder, 303.444.0200; 3375 34th St., Boulder, 303.473.0333; 801 Gillaspie Drive, Boulder, 303.494.3900; 2240 Pratt St., Longmont, 303.682.1066, brookdale.com

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nursing — in Boulder County, Balfour staffs professionals who are specially trained to support and assist each resident in living the most independent life possible later in life. With more than 200 social, creative and learning opportunities, Balfour emphasizes creating vibrant experiences where residents are inspired to make friends and lead spirited lives.

The Peaks at Old Laramie Trail Located in the heart of Lafayette, The Peaks at Old Laramie Trail Assisted Living and Memory Care is one of the finest assisted living and memory care communities in the state. The inspiration of its design is the luxurious rustic feel of an upscale mountain lodge with the warmth of a close-knit family atmosphere. The Peaks at Old Laramie Trail offers you or your loved ones a beautiful blend of privacy, safety, security and community to create a welcoming and familiar environment.

Golden West 1055 Adams Circle, Boulder, 303.444.3967, gwboulder.com Life Care Center of Longmont 2451 Pratt Street, Longmont, 303.776.5000, lifecarecenteroflongmont.com Morning Star Senior Living 575 Tantra Drive, Boulder, 720.730.2232, morningstarseniorliving.com The Avenues at Crofton Park 12431 King Court, Broomfield, 720.328.9548, livetheavenues.com The Bridge at Longmont 2444 Pratt Street, Longmont, 303.774.8255, centurypa.com/ senior-living/bridge-longmont

The Peaks at Old Laramie Trail 660 Old Laramie Trail, Frasier Lafayette, 855.809.4944, 350 Ponca Place, Boulder 303.499.4888, frasiermeadows.com thepeaksatoldlaramietrail.com DAILY CAMERA

SMART PLANNING

The Cost of Long-Term Care

By Linda Thorsen Bond for Aging at Altitude

O

ne month in a private room in a Boulder nursing home averages $10,275, according to the most recent national Genworth Financial study.

The same study shows the monthly cost in an assisted living facility averages $5,000. It’s a little less around the state, but that’s still the kind of money that warrants careful planning and study.

“Nobody wakes up and says I want to live in long-term care,” said Joleen McGee, director of admissions and marketing for Life Care Center in Longmont. “So many people feel lost if they’re not prepared. I can recommend a few things that can help.”

She explained the difference in assisted living and a nursing

Starting at

$4,295

facility: “A skilled or nursing facility, like Life Care Center, has registered nurses 24 hours a day who can handle medical needs. An assisted living facility, such as The Bridge, has personal care providers who can help with oversight and assistance, not certified nurses. Life Care Center takes Medicare and Medicaid and The Bridge is private pay.”

McGee recommended the website medicare.gov. It explains that federally funded Medicare doesn’t cover long-term custodial care to help with the activities of

daily living like bathing, dressing and eating. State-funded Medicaid, however, covers chronic care for two or more serious conditions expected to last at least a year.

Medicaid is based on financial and medical conditions that have to be certified.

McGee suggested that local senior centers have resource specialists that can help with planning for facilities and expenses.

For example, The Seniors Blue Book (seniorbluebook.com) is a resource guide for assisted living, home health, non-medical, hospice, skilled nursing, Alzheimer’s, events and activities.

“Families should come and visit, get the scenario of each facility, let us educate you and help you make a decision,” she said. “If you are able, always do a tour. In your heart you will know what is best for you or

Life Care Center of Longmont 2451 Pratt St., Longmont, 303.776.5000, lifecarecenteroflongmont.com The Bridge at Longmont 2444 Pratt St., 303.774.8255, centurypa.com/senior-living/ bridge-longmont

• 40 Assisted-Living residences to fit your style and your furnishings • 44 Memory Care Private and Semiprivate Suites • All day restaurant style dining - ask about our Memory Meals program • We take care of maintenance & utilities so you don’t have to!

• Weekly housekeeping and linen service so you can focus on the fun stuff!

• Vibrant Life Activities - full monthly calendar with a variety of classes & outings • A pet-friendly community because some of our best friends are furry

Reserve Your Space Today FALL 2019

your loved ones. We have a lot of people in their 80s who have hip and knee replacements and come to Life Care for short term care.

They know their room, they know where to go and they’re prepared before surgery. We have a two-year waiting list for long term, but if they have come here for short term they have gained priority for a place in long term when they need it. We’ve already said we will help them make the transition.”

(855) 809-4944

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SMART PLANNING

Reenergize Your Life

by Refreshing Your Home

By Wendy McMillan for Aging at Altitude

W

hen transitioning into “empty nest” years and beyond, attention naturally turns to moments left behind, and things we can no longer do or manage with the same ease.

This is perhaps most poignant when it comes to where we live. Pondering the decision of whether or not to downsize a home is bittersweet, but within all the mixed emotions there is liberating opportunity.

Taking time to pause and consider your home space has the potential to ultimately free up vast amounts of energy and time to get the most out of life. Perhaps you’ll discover you are ready to downsize; or you might determine that your existing space can work well with some updates. Either way, every homeowner can benefit by refreshing their space to meet current and future needs. Here are a few tips from local pros on getting started.

Start with the basics. We all know the adage, a cluttered house means a cluttered mind. But determining what actually counts as clutter isn’t always immediately clear.

Create space for yourself to get a better grasp on those decisions by starting with obvious. “Start with the low-hanging fruit,” says Brian Saeger, founder and CEO of Be Free Organizing. “Throw away the garbage, take out the recycling.

Return borrowed items. When things pile up, it really affects your psyche. Once you get going, it becomes easier, and easier to maintain.”

Bringing in someone who can offer objective insight can save countless hours. “People have a 12

AGING AT ALTITUDE

hard time making clear decisions because of attachment,” Saeger says.

“The feeling is universal, though the attachments themselves are individual. At Be Free Organizing, the mission is to be dependable and compassionate, offering objective insight in an empowering way.

Streamline for efficiency.

“Companies spend billions of dollars streamlining everything from marketing campaigns to efficiency, but we don’t really think about that within our houses,” says Saeger, who built custom homes for many years and often helps with installing helpful amenities such as extra shelving for his clients. “I love streamlining things for people in their houses, especially when it comes to challenges in senior years, when maybe it’s not so easy to get up and go in getting things done.”

When it comes to organizing for ease and efficiency, Saeger advises thinking about A, B, and C spaces and tools. “A kitchen is an A space, because you’re eating there every day,” he says. “Within that space, there are items you need access to all the time, so they get the most accessible places, and you work from there.”

Be realistic about the future.

No matter how capable we remain,

common household items and routines can present greater risk as we age. Flooring can have a large impact on ease of movement from room to room, for example.

“Carpeting, although it’s soft, can be difficult to walk on if mobility is impeded,” says Scott McDonald of McDonald Carpet One, Boulder.

“In that case, a luxury vinyl plank floor can be beneficial as it doesn’t create a tripping hazard, is very easy to clean and care for, but still has a fairly soft feel underfoot.”

Besides the added security against falls, simply changing the flooring in your house can have a dramatic, uplifting impact on the look of your home, McDonald says.

Like flooring, investing in new windows can both lift the overall look and feel of your home and provide greater day-to-day ease.

Renewal by Anderson experts note that aging windows could actually pose a safety hazard. A larger window opening not only upgrades the value of a home, it offers a safe, swift escape route in compliance with fire egress codes. Renewal

by Anderson windows are further engineered for easy cleaning and top energy efficiency.

If you love where you are and want to age in place, take time to go room-by-room and take stock of potential impediments and solutions. Often options such as grab bars in the bathroom or pull-down closet bars are fairly straightforward and inexpensive.

Investing in other modifications, such as ramps or custom appliances, can increase accessibility and independence long into the future.

As well as thinking about our capabilities, it’s worth considering what we might leave behind.

Where will accumulated possessions

go when we’re gone? Not knowing the answer is telling. “We spend our lives cleaning up after ourselves,” Saeger says. “We clean up the dishes, put away the laundry. We don’t like to think about it, but in our elder years, what we don’t make time to clean up will eventually get left for others to deal with when we are gone.”

Envision your future. Facing accumulated clutter alone can be wrought with emotion, evoking nostalgia, memories and even guilt over unfinished projects. But this is a time to focus on the future. By clearing up, we aren’t wiping away the past, but we are opening up new horizons for years to come. “When someone’s going through a transition, often moving from living with people in a bigger house to a smaller house with fewer occupants, we always encourage them to keep hold of what they envision for themselves for the future,” says Saeger. “This is a point to redefine yourself as yourself, versus in relation to other people in the household. Often there are passions we put off for years because of other important priorities, such as caring for children. This is a chance to really tap into the life you want to create.”

Be Free Organizing Louisville, 303.817.3470 befreeorganizing.com McDonald Carpet One, 6367 Arapahoe Road, Boulder, 720.432.2916 mcdonaldcarpetoneboulder.com Renewal by Anderson Boulder, 303.558.2963 renewalbyandersen.com DAILY CAMERA

SMART PLANNING

Tips for Seniors Buying a New Home

By Judy Finman for Aging at Altitude

S

eniors who are thinking about leaving their multi-story homes for something newer and easier to maintain will find plenty of help and expertise among real estate professionals, some of whom even have specialized training.

Seniors Real Estate Specialists®

When buying a home, there are local real estate professionals to turn to that focus on the needs of seniors. (Photo: Shutterstock).

Seniors Real Estate Specialists® (SRES®) are Realtors® who have additional training to work with older clients.

SRES candidates must successfully complete additional

coursework to understand such topics as reverse mortgages and the federal Housing for Older Persons Act (HOPA) as well as how Medicaid, Medicare and Social Security impact real estate decisions.

They also are educated to create a customized approach to each situation: older homeowners planning life after retirement, transitioning from retirement with a companion to life alone or contemplating selling the family home. They are the center of a network of specialists like estate planners, elder-care attorneys and CPAs who can offer invaluable guidance to seniors. SRES is not just a Realtor; an SRES is a trusted adviser to older Americans.

When it comes to caring for seniors, Realtors who have earned the SRES designation are the real estate industry’s answer to the question, “Where do we start?”

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Three local real estate professionals are among many who focus on the needs of senior homebuyers:

Dale Pearson, RE/MAX of Boulder

Dale likes this definition of the SRES Designation: “The Seniors Real Estate Specialist (SRES) designation gives Realtors the knowledge and expertise to guide homebuyers and sellers over the age of 50 through the financial and lifestyle transitions related to real estate.” He is currently working on his SRES designation.

Dale is launching MLL– Main Level Living at the Aging at Altitude Expo in November. He says, “It’s basically ‘Real Estate Services With A Focus on Main Level Living.’

“I feel that Main Level Living is a trend or lifestyle choice that’s not just for those 55 and over but for homebuyers of all ages who are attracted to the convenience and

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simplicity of having their living space on one level.

“I have three decades of experience in Boulder County real estate, and some of my clients are moving toward the financial and lifestyle changes that come with age. I’m asked such questions as: Do I sell my family home and downsize? How do I find a ranch style home, patio home or condo with main level living? Can I qualify for financing? Do I want to consider a 55+ community, where are they located and what amenities are available in each community? Many may be surprised to know that there are a dozen or more designated 55+ communities in the area ranging in pricing from the $300s to 1 million.”

Many of Dale’s clients aren’t interested in the 55+ communities, but they’re still attracted to the convenience of main level living. “For those buyers there are many communities in the area, including new construction, that

have trended toward main level living or main floor master suites.

It’s best to contact an experienced Realtor who’s familiar with the communities to navigate you through the variety of options for main level living and find the location you prefer. It’s always important to contact a lender first to get pre-qualified and your Realtor can assist with a good recommendation.”

Marie Jacobs, LIV Sotheby’s International Realty Marie says, “The biggest issue we find is that many seniors don’t know where or when to start this process. And they don’t know what they don’t know or where to begin.

We take a turnkey approach to first understanding where they are and then bring in a team to support them in where they want to go.

Sometimes they don’t know where they want to go, so we educate them and provide options and resources.

Many of the resources are free and all of the early planning meetings are complimentary. And, for example, my services are free until we sell a house.

She points out, “There are two accreditations. SRES is specific to real estate and the other is a Certified Senior Advisor (through the Society of Certified Senior Advisors) which is multidisciplinary, including anyone in any industry supporting seniors.”

Marie is in the process of getting her CSA designation.

“Both the SRES and CSA designations help prepare the Realtor to do far more than dispose of real estate. I am connected to an entire network of people who support seniors with healthcare, home care, insurance, placement services, legal and financial. The community of people supporting seniors has to be far more involved in all aspects of the senior relocation process. And we have

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SMART PLANNING

to be interconnected to each other to make the machine work for the seniors.

“So much of working with seniors is about counseling them on what’s available to them and helping them to plan ahead. It’s also about meeting them where they are and being a trusted resource who will not take advantage of them.

“So, both SRES and CSA teach us to develop sensitivities to the senior’s transition process, thinking, concerns and learn how to counsel and refer to the proper professionals in finance, legal, mortgage, insurance, packing and moving.”

Trish Giassa, eXp Realty

Trish works with her husband, Jason Kay, also a licensed Colorado broker.

Together they comprise the Homes In Boulder Team at eXp Realty. She says, “We find most 50+ clients are looking for a first floor master. In addition they are likely looking for these features: new or updated, most

definitely in move-in condition; open floor plan, modern kitchens; little or no yard work; room (that is, guest rooms and bath) for the family to visit; convenient to public transportation, amenities and health care.

“Your broker should be asking you questions and providing you feedback on the availability of homes in your price range, location and within your needs…our job is to use our knowledge, expertise and resources to help you.”

To start, she says: “Meet with one or more real estate brokers, then choose one. Discuss what you want and need and together come up with a plan to get you there ... they can show you their marketing plan – for example, we have a written 80-point marketing and service plan. This is a partnership and the more we know the better we can help.”

She also cautions that if you are selling your home, “The process has changed. Selling a home in the open

s! e i r o m e m t ea r g , e r a c t Grea BalfourLife #

market is more difficult now. Buyers look for ‘perfect’ homes. Cleaning out years of belongings can be challenging. A good broker will help you prioritize how to best do that.

Consider selling as is; you may get a bit less money but it may be worth it to save the work and money you would have to invest in preparing your home for sale.

“Most seniors know what they want and they don’t want to be coddled, they want good service, excellent advice and an advocate.

They value a mutually rewarding relationship.

“The SRES is a designation course, which I took about 10 years ago. The course helps Realtors understand the distinct real estate goals, concerns and needs of seniors today, including teaching us to counsel vs. sell the 50+ market, and to understand the implications of probate, tax laws and estate planning.”

Dale Pearson, RE/MAX of Boulder 2425 Canyon Blvd., Suite 110, Boulder, 303.818.5640, bouldercountyhomebuyer.com Marie Jacobs, LIV Sotheby’s International Realty 1050 Walnut St., Suite 100, Boulder, 303.919.4122, mariejacobsrealty@Icloud.com Trish Giassa, eXp Realty P.O. Box 11193 Boulder, 720.722.3681, homes-in-boulder.com Bill Allen, RE/MAX of Boulder 2425 Canyon Blvd. #110, Boulder, 303.441.5690, billallenboulder.com

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AGING AT ALTITUDE

15

SMART PLANNING

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By Darren Thornberry for Aging at Altitude

S

ecurity in retirement age is front of mind for many these days. Will I have to work into my 80s? Is social security as unstable as it’s rumored to be? Will I have the monthly cash flow I need to enjoy my later years? Aging at Altitude doesn’t have trite answers to such important questions, but we do try to highlight real solutions.

To that end, our focus in this issue is reverse mortgages. We’ve asked Gabe Bodner, Reverse Mortgage Division Manager with Premier Mortgage Group, to separate fact from fiction for our readers.

What is a reverse mortgage?

Gabe Bodner: A reverse mortgage is a payment optional mortgage that allows a homeowner age 62 or older to access a portion of their home equity without needing to make monthly mortgage payments. The way in which equity can be accessed is very flexible and the borrower can make payments or pay the loan off if they choose without any penalty.

However, they are not required to pay the loan off until they sell the house or permanently move out of the home or they pass away.

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AGING AT ALTITUDE

Why is a reverse mortgage a good strategic choice for homeowners in their golden years?

GB: One of the largest challenges that seniors face in retirement is managing their monthly cash flow.

It is not about how much money you have saved, but about how

much money you have coming in each month. Typically in retirement, income is reduced and yet expenses are not reduced and in some cases expenses actually go up. Therefore, a reverse mortgage is a great way to help a homeowner improve their cash flow by either eliminating a mortgage payment or receiving a monthly payment by the lender or both. Ultimately, these strategies help seniors to age in place.

What's a common misconception about reverse mortgages?

GB: The most common misconception is that the homeowner no longer owns the house and the lender or the bank owns the house when you get a reverse mortgage, or that, in the end, the lender simply takes the house. This is simply not true. The homeowner still owns the house, still holds the title to the house, and can still sell the house in the future if they choose to or pass the house onto their heirs.

Are there hidden risks to reverse mortgages?

GB: There are no hidden risks with a reverse mortgage. All of the risks are outlined and discussed and there is nothing hidden. As a matter of fact, the homeowner must meet with a non-affiliated approved housing counselor who ensures that the homeowner is aware of their options and the risks.

Gabe Bodner, Premier Mortgage 1844 Folsom St., Boulder, 303.302.3920, pmglending.com DAILY CAMERA

Resources for Caregivers

By Melanie Brown for Aging at Altitude

O

ne inevitability in life is that we all are aging. According to the Boulder County Area Agency on Aging (AAA), by the year 2030, 20 percent of Boulder County residents will be 60 years of age or older.

That statistic points to another inevitability, the need for a community of people to properly support this demographic.

Enter, the caregiver. Whether by choice or default, caregiving is a monumental task. Cindy Clark, AAA’s Manager of Community Living Programs, says, “(Caregiving) is a big commitment. You’re sharing someone’s life at a time when they’re most vulnerable, and you’re going to have to support both them and you.”

When you log on to AAA’s website via bouldercounty.org, you will see a long list of offerings from training and support groups, to an online library of relevant texts, to respite services and grant applications to help cover certain costs associated with caregiving. All of this is part of AAA’s Age Well Boulder County strategic planning initiative with the goal of creating a “healthier, more age-friendly environment.”

There’s no real barrier to entry for someone entering into the caregiving realm, according to Clark. People with little to no experience can be caregivers depending on the demands of the job. However, if necessary, there are plenty of certification programs that can better prepare those who are looking to be FALL 2019

FSaalvl ings

A Season of L Lu x u r y L i v i n g

Into

Residential

more marketable. One such certification is the Certified Nursing Assistant, or CNA, program. More information on this program can be obtained through the Colorado Board of Nursing’s website.

Many times other factors, such as memory impairments, physical disabilities or sociological disorders are present that create additional hardships for caregivers. For more information on and direct assistance for these items, Clark recommends contacting Family Care Alliance, the Alzheimer’s Association, and the AARP Caregiving Resource Center. Links to each of these agencies can be found on AAA’s website.

“The best caregivers are always the people who genuinely respect and care about you as a person,” says Clark. “Have conversations with each other as much as possible, and talk openly about what lies ahead. This is how to best support each other in making choices.”

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Alzheimer’s Association of Colorado – Boulder Region 245 Century Circle, Suite 105, Louisville, 303.813.1669, alz.org Boulder County Area Agency on Aging 3482 Broadway, Boulder, 303.441.3570, bouldercounty.org/ departments/communityservices/area-agency-aging

720.513.2860 575 Tantra Dr | MorningStarSeniorLiving.com AGING AT ALTITUDE

17

SMART PLANNING

Hearing on the Threatened Species List?

Is Your

Local Resources for Aging in Place

Hearing solutions are more effecttive than ever, but for optimal commu munication, old-fashioned listening is still the best foundation.

Visitt tthe Family Hearing booth to disco over the latest offerings in hearing instrruments and communication strategies for those with hearing losss and their communication partners. Preventing hearing ex extinction has never been easier.

C Come meet F Family Hearing at our booth at the JCC Health Fair!

Boulder County residents are lucky to have access to a variety of resources that make it easier to age in place and maintain independence without moving to a nursing home or assisted living facility. (Photo: Shutterstock).

By Elise Oberliesen for Aging at Altitude

Family HEARING Since 1963 BOULDER • 3059 Walnut St BROOMFIELD • 300 Nickel St, Ste 15 LAFAYETTE • 2770 Arapahoe Rd, Ste 126 Jennifer La Borde, B.A., BC-HIS Board-Certified in Hearing Instrument Science

Chelsea Walters, B.S., BC-HIS Board-Certified in Hearing Instrument Science

Hanna Page, Au.D. Doctor of Audiology

Valarie Mull, B.A., HIS Hearing Instrument Specialist

FamilyHearingCo.com 18

AGING AT ALTITUDE

W

ith every passing year, aging in place is becoming a more popular option for seniors. Boulder County residents are lucky to have access to a variety of resources that make it easier to age in place and maintain independence without moving to a nursing home or assisted living facility.

PowerBack Rehabilitation

PowerBack Rehabilitation provides seniors with a variety of services.

Post acute rehab is one such offering that helps seniors get back to living their lives after a hospital stay or surgical procedure. “Our therapy team does an excellent job at individualizing a plan of care and rehab goals that are designed to get patients back home as soon as possible,” said Dylan Spader,

executive director with PowerBack Rehabilitation.

For those who want to maintain their independence – and who doesn’t want that? They also offer assisted living for residents who want to be in a community of active seniors.

“For assisted living, we have four difference floor plans, 30 apartments, licensed for 60 beds, so technically we can put two people in one unit,” Spader said.

What people like most are the all inclusive monthly rates.

“We are relatively inexpensive, compared to others and we also provide transportation free of charge.”

Homewatch Caregivers of Boulder

When you or a loved one needs help with personal care, Homewatch Caregivers of Boulder has your back.

From helping with bathing and DAILY CAMERA

dressing, to one-person transfers into a wheelchair, they also help with reminders to eat, take meds, or doctor’s appointments, said Kristine Verstraete, outreach manager with Homewatch Caregivers of Boulder. “We also provide companionship, running errands, shopping, transportation, and light housekeeping.” Some clients only need a helping hand for just a few hours in the morning or evening – but they can also provide 24-hour non-medical care as well.

And if you have a scheduled medical procedure, they can also help with that too. They handle the details of transporting clients to and from the procedure. “We also make sure their plan of care is being followed,” Verstraete said.

“One of our missions is to provide superior home care services which preserves dignity, independence and safety for our clients so they stay in their home and have a higher quality of life.”

TRU Community Care

Even though plenty of people still refer to them as Boulder Hospice, TRU Community Care is much more than that says Jen Thomas, director of development. In addition to hospice, they provide palliative care, grief services and PACE, which stands for Program of All-inclusive Care for the Elderly. Essentially they specialize in helping families cope with advanced illness and loss.” We have about 200 people in our hospice program and also have an in-patient unit,” something she says sets them apart from other hospice groups. “We were the first hospice in Colorado, in 1976, and one of the few nonprofits in the state.” With four decades of service, TRU Community Care continues to expand their service offerings which helps them better serve the community. “We’re good at meeting and walking with our patients and families where ever they may be on their journey with illness and loss,” Thomas said.

You have questions.

We have answers.

Audio Information Network

For the past 29 years, Audio Information Network has provided people with vision loss a way to get their daily broadcast news fix — and much more. Executive Director Kim Wardlow said their volunteers read and record content from a wide variety of media, including weekly grocery ads, Medicare information, Daily Camera news stories and magazine articles, to name a few.

“You can call in and listen to the broadcast of the Daily Camera from 8 to 9 a.m., Monday through Friday, or you can call in the afternoon to listen on demand,” she said. Check their schedule to learn about 24/7 live stream.

What’s exciting is how much Audio Information Network continually expands their services.

Podcasts are a bit hit at the moment.

“More folks are listening to podcasts because they can listen to them on their phone or tablet,” she said.

www.BoulderCountyHelp.org FALL 2019

Homewatch Caregivers of Boulder 2945 Center Green Court, Suite D, Boulder 303.625.9365, homewatchcaregivers.com TRU Community Care (TRU PACE/Hospice) 2593 Park Lane, Lafayette, 303.604.5261, pace.trucare.org Audio Information Network 1700 55th Street, Suite A, Boulder, 303.786.7777, aincolorado.org

What is your brain age?

Wavi Brain scan assesses brain function and brain age. This is very helpful to assess the impact of toxic, traumatic, or metabolic trauma to the brain.

What is your arterial age?

Non-invasive cardiovascular testing (CIMT) delivers details about plaque formation and inflammation.

This, combined with advanced cardiovascular blood screening and home testing for sleep apnea, helps us to reverse the aging of the heart and blood vessels.

Information & Assistance for Aging Well

303-441-1617

PowerBack Rehabilitation 329 Exempla Circle, Lafayette, 720.639.2200, powerbackrehabilitation.com

350 Broadway Suite 100 Boulder CO. 80305 303-499-9224

Pierre Brunschwig, MD Deborah Breakell, NP AGING AT ALTITUDE

19

HEALTHY AGING

Aging Healthfully Maintain health, build resiliency and prevent disease with ‘gentle medicine,’ alternative health options

By Sarah Huber for Aging at Altitude

A

ging adults need “more gentle medicine,” believes Dr. Pierre Brunschwig of Helios Integrated Medicine in Boulder. While he prescribes conventional medicine, he does so only after examining “the whole patient, from biography to biology,” he said, and collaborating with alternative medicine practitioners at and beyond Helios to ensure that his patients endure minimum side effects and achieve maximum wellness.

Gina Terinoni, health practitioner and owner of the Dova Center in Louisville, likewise advocates a holistic approach to medicine, especially for seniors, and said, “I make a point to treat my patients

how I’d treat one of my parents.”

‘The five pillars of health’

To achieve wellness, healthy immune function and physical and mental resiliency, said Brunschwig, seniors and their health practitioners should focus on what he calls “the five pillars of health”: inner or emotional health, outward or social health, eating a balanced diet, exercise and quality sleep.

Brunschwig said, “Too often aging adults are told there’s nothing conventional medicine can do for you, or they are told ‘take this antidepressant’ and that’s it. We look at the whole person to see how the emotions and experiences are affecting health.” As for outward or social health, he said, “This can even be having a pet to talk to.” Terinoni encourages her patients to join a

recreation center or gym, which not only gets people active, but also boosts social interaction.

A healthy diet “looks different for every adult,” Terinoni said. “I find that people often have digestive problems as they age, so I work with my patients to recommend foods that are easily digestible so that the food they’re eating provides the nutrition they need.”

Referring to exercise, Brunschwig said “getting the legs moving is especially important.” He explained, “Certain kinds of nerve growth factors are stimulated by walking, running and biking, while activity in general is important to physical and mental health.”

To boost cognitive health, lifelong learning is imperative. “The brain is a learning machine, and that function doesn’t go away,” Brunschwig said.

“We should always be learning.”

Terinoni uses acupuncture to help chemotherapy and other postsurgery patients struggling with brain fog, and both Brunschwig and Terinoni look to Chinese medicine to balance the body.

Brunschwig urges patients to “pay attention to health warning signs like loss of smell and loss of hearing.”

When struggling with aches and pains, Terinoni said, “Don’t just dismiss them as part of aging, as a small pain can be indicative of larger or chronic problems.” She treats inflammation, a common malady related to a host of health challenges in seniors, with herbal medicine, acupuncture and massage therapy.

CBD and THC products for pain, sleep

Another nontraditional option to

Affirming life at every step of your journey with illness and loss.

Programs include PACE: Program of All-Inclusive Care for the Elderly Palliative Care Hospice Inpatient Care Center Grief Services Community Outreach and Education

The sooner you call, the sooner we can help.

303.604.5272 • trucare.org 20

AGING AT ALTITUDE

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improve and maintain health is cannabinoid products, said Matt Rey Treece of Ajoya Life in Louisville and Lakewood.

Topicals and tinctures are ideal for aging active adults, he said.

Since topicals contain CBD, or non psychoactive cannabidiol, and tetrahydrocannabinol, or THC, at varying ratios, seniors can select what best suits their pain level and body chemistry, Treece said.

Tinctures with THC and CBD can “help fight inflammation and help improve circulation,” he said.

Treece added, “Every day we see and hear from adults who are more active, happy and have boosted energy and spirits” thanks to cannabinoid products. He recalled one customer with severe back pain who “found that using a combination of topicals and edibles allowed her to function normally with reduced levels of pain without the mental fog the pharmaceuticals put her in.”

Some CBD products containing green tea may support memory, along with reducing mental fog.

Finally, since sleep is crucial to healing and maintaining health, Treece suggested CBD products “specifically designed to help you relax and sleep through the night.”

He advised those interested in trying CBD or THC to start with a topical, “which doesn’t create a high feeling,” he said. “Using a combination of products for the daytime to boost energy can get you up and out the door when you otherwise would have stayed in.”

Helios Integrated Medicine 350 Broadway, Suite 100 Boulder, 303.499.9224, heliosintegratedmedicine.com Dova Center 972 W. Dillon Road, Suite 1, Louisville, 303.955.7226, dovacenter.com Ajoya 1100 W. Dillon Road, Suite 3, Louisville, 303.665.5596, ajoyalife.com

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THINKING ABOUT LEAVING YOUR HOME CAN BE EXHAUSTING. I CAN HELP YOU PLAN AHEAD.

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centura.org Centura Health does not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, and marital status in admission, treatment, or participation in its programs, services and activities, or in employment. For further information about this policy contact Centura Health’s Office of the General Counsel at 303-673-8166.

Copyright © Centura Health, 2019. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 303-673-1250. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 303-673-1250.

FALL 2019

Call today to schedule a complimentary visit, whether you are ready to move today or need to make a plan.

One stop solution for seniors downsizing including: • Declutter • Packing and Moving services • Real Estate • Placement services in new home or assisted or independent living

Marie Jacobs

M: 303-919-4122

Email: marie.jacobs@sothebysrealty.com AGING AT ALTITUDE

21

HEALTHY AGING

Innovative Treatments for Aging

By Rhema Zlaten for Aging at Altitude

I

n the pursuit of healthfully supporting active aging processes, innovative treatments and procedures stemming from cutting-edge medical research are growing in availability on the Front Range. Medical professionals are seeking to meet aging needs like never before, from providing better learning communities around needed lifestyle changes to implementing regenerative practices as a component of whole body healing. Explore how area professionals are using techniques such as endocrinology support groups, orthobiologics (regenerative therapies), thyroid healing and individualized endocrinology plans

to help revitalize aging.

Orthobiologics

The theory behind orthobiologics is that the body has the necessary mechanisms to repair itself.

However, sometimes injury or aging (or both) can keep the body from healing damages. The CentenoSchultz Clinic in Broomfield offers patented regenerative procedures called Regenexx® procedures, a process where bone marrow is drawn from a patient’s hip bone.

Next, the mesenchymal stem cells from the bone marrow is processed to derive a highly concentrated level of stem cells that are then injected into a precise area of an injury to help rebuild or mitigate the breakdown of tissue. Another option for clients is the use of

platelet-rich plasma, containing numerous growth factors, to jump start normal body healing processes.

Dr. Jason Markle, DO, is an interventional orthopedic physician with the Centeno-Schultz clinics in Broomfield. He specializes in treating neck and back, elbow, foot, ankle, hand, wrist, hip, knee, and shoulder injuries as well as degenerative diseases, such as osteoarthritis.

“We are able to evaluate, figure out damaged tissues and then precisely inject those damaged tissues with our orthobiologics,” Markle said. “If you have an ACL tear, I can inject directly into your ACL and encourage healing.”

The Regenexx procedures are implemented for patients after a 60 minute comprehensive evaluation,

and a holistic lifestyle evaluation.

Markle and his colleagues will look at a patient’s lifestyle, nutrition, conservative treatments options like physical therapy and considerations of surgery options to treat specifically injured areas.

To determine the best course of treatment, however, sometimes more information is needed. The injured area is evaluated with X-Ray, MRI and/or dynamic ultrasound techniques first.

“In the office we can evaluate your biomechanical integrity and see if the function of that ligament [or injured area] is doing its job,” Markle said.

If someone is determined by the practice to be a strong candidate for success with either plateletrich plasma or regenerative stem

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AGING AT ALTITUDE

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cell treatments, usually only one procedure is needed.

“We are able to concentrate the body’s own healing mechanism and put it directly into the tissue where it needs the healing,” Markle said.

Innovations in treating diabetes

When Boulder Endocrinology closed at the end of last year, Dr. Christopher Fox, MD, and his colleague Sarah Sato, Nurse Practitioner, CDE, decided to launch The Alpine Center For Diabetes, Endocrinology and Metabolism. Their dream was to shift how the medical community treats diabetes and offer a more individualized approach.

“I just watched changes in the healthcare system even in the 16 years that I have been in practice where it has gotten harder and harder for people to get the individualized care they need to control diabetes,” Fox said.

To do so, Fox focuses on taking

care of people with diabetes, thyroid issues and osteoperosis. Really, his focus is anything that has to do with hormones. He mainly wants to get people meaningful results by listening to individual wants (such as working to avoid medication if possible) and also helping patients actually make the changes they need to implement day in and day out for a healthier future. If that road does include interventions such as medications, Fox will work with patients to understand the nuances of the nearly one dozen medications out there, tailoring a plan to meet needs such as goals for losing weight or controlling blood sugar.

One of the major ways Fox helps clients create lasting changes is through online support groups. Patients can enroll for a membership and then get access to videos and other materials about medications, eating, sleeping and building a system for how to make consistent healthy choices. There’s also a life coaching component.

“I do a live coaching session on Facebook once a week and there’s a community people can engage with who are on the same journey of wanting to learn about diabetes management.”

Dr. John Jachimiak, DPM, FACFAS, the medical director of the Neuropathy Center of Boulder County, also works to treat complications from diabetes, but from a foot and ankle perspective. In his practice, he focuses on helping aging populations experience less pain from complications that can arise from diabetes, such as neuropathy.

One of these techniques is called the neoGEN system, which uses electric stimulation and local anesthetics to help regrow nerve fibers in the feet.

His practice has seen an 87 percent improvement in symptoms through these protocols, Jachimiak said in an e-mail.

Addressing the whole body A functional medicine approach

seeks to understand a person’s whole body and the root causes of symptoms. At Red Tail Wellness Centers, Dr. Ian Hollaman, D.C., MSc, IFMCP, combines chiropractic work with physical therapy, regenerative treatments and thyroid healing techniques to help individuals chart a course to healing in their own unique way. He and his wife, Dr. Karen B. Hollaman, D.C., have operated their office for 11 years with a goal for working out complicated health problems for clients.

If hormones and a wonky thyroid are the suspect of ailments, Ian Hollaman will look at root causes and triggers for why people develop thyroid related symptoms.

“Our perspective is that we are treating the whole person and looking at customizing lab tests, dietary protocols and supplementation as needed,” Ian Hollaman said. “A lot of those clients get fantastic results and those symptoms can go into submission.”

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Adoption Center Hours

M - F 11 AM– 6:30 PM SAT. & SUN. 10 AM – 4:30 PM AGING AT ALTITUDE

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HEALTHY AGING

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Ian Hollaman also works to heal muscular injuries, such as rotator cuff tears or knee and ankle issues, with an individualized comprehensive care plan. This healing process might involve a stem cell therapy injection, as well as neurologic techniques that assist and guide movements from a patient, or the stimulation of special muscles through breathing techniques.

The office also offers adjunct therapies such as cold laser and PeMF, additional avenues for helping bodies heal and get back to a better functioning level.

“We have an over 90 percent success rate by putting all of these elements together,” Ian Hollaman said. “We have had many patients able to avoid surgery by using this program … The majority of people we are working with are geriatric, so it is all about helping people regain mobility. We are trying to get people back to doing what they want to do.”

The Alpine Center For Diabetes, Endocrinology and Metabolism 500 Discovery Parkway, Suite 150, Superior 720.923.7209, thealpinecenter.com Red Tail Wellness Centers 4840 Riverbend Road, Suite 100, Boulder 720.669.6886, redtailhealth.com Neuropathy Center for Boulder County 864 W. South Boulder Road, Suite 100, Louisville, 720.496.0400, neuropathybc.com Centeno-Schultz Clinic 403 Summit Blvd., Suite 201, Broomfield, 303.429.6448, centenoschultz.com

Learn more by attending Dr. Chaz Fausel’s talk at 1:00 p.m.

Call: 303-747-6665 Or visit: www.centenoschultz.com

24

AGING AT ALTITUDE

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HEALTHY AGING

YOUR LIFE. Taking Care of Your Family Through YOUR Prearrangement

legacy.

By Amy Harris Van Vranken for Aging at Altitude

Plan to make it right.

N

o one likes to think about it, much less talk about it, but at some point every one of us will pass on. Why not make things easier on your family and ensure your memorial will be just as you envision by planning your funeral in advance? Preplanning funeral arrangements can give yourself and your loved ones peace of mind. Planning in advance also gives you the chance to make smart decisions by thoughtfully comparing services and costs.

Crist Mortuary in Boulder has provided funeral services for residents since 1902. Amanda Morte, a funeral director at Crist Mortuary, emphasizes how preplanning allows you to make decisions for your family so they don’t have to. “It really minimizes decision-making at a time of crisis and grief,” she says.

Crist Mortuary emphasizes the importance of ceremony and can help you plan a memorial that’s just as unique as the person it honors.

While it’s possible to preplan without prepayment, prepayment is an option that could help ease the financial burden of those closest to you. According to Morte, funeral costs can double every 8 to 10 years, and prepayment can lock in your cost at today’s prices. Don’t count on that life insurance policy: the idea that life insurance will pay for funeral costs is a misconception.

“Life insurance isn’t designed to pay for funeral costs,” says Morte. “It’s intended to leave family members

FALL 2019

Preplanning arrangements can give yourself and your loved ones peace of mind. (Photo: Shutterstock).

comfortable after the death of the insured person.” Crist Mortuary offers a wide variety of payment plans to help families with different budgets considering prepayment.

Doing your research on prepayment will help you make the decision that’s best for you and your family.

At the very least, Amanda Morte recommends that everyone has a plan in place and has their wishes written down. Crist Mortuary can keep these plans on file. When you’ve finished the preplanning process, it’s important to let your loved ones know. Go over your wishes and any prearrangement contracts with them personally and give them copies. With a little preplanning, you can give yourself peace of mind now and ease the burden on your loved ones later.

Crist Mortuary 3395 Penrose Place, Boulder, 303.442.4411, dignitymemorial.com/ funeral-homes/boulder-co/ crist-mortuary/2558

Matt Fox, General Manager Crist Mortuary & Mount View Memorial Park Boulder, CO O 303-442-4411 • Fax 303-442-4552 AGING AT ALTITUDE

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HEALTHY AGING

Aging and the Senses

By Adam Goldstein for Aging at Altitude

A

ging is the great unifier.

No matter your commitment to exercise, a good diet and a healthy lifestyle, aging will claim its dues from all, and the process affects every one of our senses. Our sight, hearing, smell, taste and touch are all susceptible to the effects of time, and they all change as the years pass and the body ages.

That’s not to say we’re completely powerless to make the effects of aging more comfortable.

Preparation and preventive care can make the aging process much more palatable and approachable.

While modern medical science has yet to uncover a cure for traveling through the mortal coil,

it’s uncovered ways to keep all of our senses sharp through the decades. Boulder County is home to dedicated, experienced professionals who can make the process much less daunting and much more approachable.

Hearing

Modern life poses plenty of noise, from the buzz of a lawnmower to the blat of a car horn to the

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feedback of a loud rock concert.

Depending on the volume and the exposure, these sounds can have an impact on an individual’s long-term hearing health. Indeed, combined with the natural aging process and its impact on our ears, exposure to loud noises over time can speed along hearing loss, which can have further impact on a whole host of senses.

That’s why a combined approach of sound moderation and regular hearing screenings is so critical, according to Dr. Annie Swanberg, an audiologist at the Hearing HealthCare Centers.

“You can’t stop yourself from aging, but you can prevent unnecessary noise exposure,” Swanberg said. “Protect your hearing in noisy places. That’s the one and only thing you can do. If

you’re mowing your lawn, if you’re going to loud rock concerts, wear earplugs.”

Of course, none of us exist in a vacuum. Loud noises are often an unexpected and daily part of life in an urban environment. What’s more, even a careful approach to filtering out loud noises cannot always prevent all hearing loss, which is why regular screenings are so important. It’s also why modern hearing aid technology can play such a critical role in maintaining good hearing.

Local care centers like Hearing Health Care and Family Hearing offer a wide range of technologies and a talented team of physicians who are dedicated not only to maintaining hearing health, but also to keeping communication a central part of patients’ lives.

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AGING AT ALTITUDE

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Family Hearing Hearing Instrument Specialist Jennifer LaBorde, for example, sees the facility’s work as “helping people reconnect with their lives.”

As it turns out, link between hearing and the impact of aging on the other senses is pretty strong.

Hearing loss impact on dementia and other senses

According to Swanberg, the ties between hearing loss and mental acuity are tight. Loss of hearing can impact one’s connections with the larger world, which can influence everything from sense of touch to the risk of dementia.

“Hearing loss and dementia are tied together. Hearing loss is a common thing; it’s a progressive, degenerative thing,” she said. “We hear all the time that the key to maintaining brain health is to keep your brain active. That means that the part of the brain that makes the connection between sound and

meaning has to be kept active.”

Making sure that the communication centers of the brain remain in use can influence every other sense, even as it can fundamentally impact how someone connects to the world.

“You can imagine someone who’s got hearing loss is no longer able to participate in conversations as fully as they ought to,” Swanberg said. “The treatment is hearing aids, sometimes cochlear implants. We recommend that anyone over 50 start getting their hearing screened as part of their regular checkups.”

For similar reasons, keeping up regular checkups in terms of vision is just as important.

Vision

Our sight is one of our key links to the world around us. Just as keeping a steady track of hearing is critical to remaining engaged, making regular vision checkups can be critical in staying connected to our

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everyday lives.

The Eye Care Center of Northern Colorado offers routine screenings for common vision issues ranging from cataracts to glaucoma and also offers LASIK vision correction.

The facility also offers top-notch facilities and technology designed to address more serious issues, including complex maladies that demand precision surgery.

“In retinal care, we do quite a few procedures,” said Dr. William Benedict, surgical and medical retinal specialist at the Eye Care Center. “This has been an area that’s revolutionized what we do for a lot of the (eye) diseases that we deal with,” he added, referring to treatments ranging from injection to laser surgery.

Whether it’s preventive screening procedures or full-fledged surgery, the value of regular checkups and precision care is inestimable for dealing with the impact of aging that’s a part of the human condition.

Hearing HealthCare Centers 4800 Baseline Road, Suite E108, Boulder, 303.499.3900; 1515 N. Main Street, Suite 15, Longmont, 303.963.9637; 320 E. 1st Ave., Suite 102, Broomfield, 303.731.4540, hearinghealthcarecenters.com Eye Care Center of Northern Colorado 3000 Center Green Drive, Suite 250, Boulder; 1400 Dry Creek Drive, Longmont; 300 Exempla Circle, Suite 120, Lafayette, 303.772.3300, eyecaresite.com Family Hearing 3059 Walnut St., Boulder, 303.872.9757; 300 Nickel St., Suite 15, Broomfield, 303.857.5838; 2770 Arapahoe Road, Suite 126, Lafayette, 303.872.6467, familyhearingco.com

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AGING AT ALTITUDE

27

HEALTHY AGING

Taking Care of Your Brain

By Pam Moore for Aging at Altitude

T

he Brain and Behavior Clinic helps patients delay, prevent, and slow the progression of Mild Cognitive Impairment and Early Alzheimer's Disease. Drawing on the work of Dale Bresden, they use a personalized, interdisciplinary approach to create a functional medicine plan tailored to each patient. Where traditional medicine focuses on symptoms, functional medicine address underlying root causes of disease. It’s a “whole person approach” said the program’s Co-Director Dr. Ilene Rusk.

While Dr. Rusk feels every senior can benefit from an evaluation to establish a baseline level of cognitive function, there are steps you can take to optimize your brain health at home.

Diet

Dr. Rusk recommends avoiding processed sugar, eating a variety of fruits and vegetables, and emphasizing whole foods. She also stressed the importance of hydration. For those seeking more detailed guidance, she recommends the Whole30 diet.

Movement

Dr. Rusk acknowledges many are “allergic to” the word “exercise.”

Though she mentioned walking a great way to stay active, she also said, “Walking is not enough.”

Incorporating a variety of types of movement, like light weight lifting, swimming, yoga or dancing, is key.

Sleep

“During the nighttime waste gets cleared from your brain,” explained Dr. Rusk. “So sleep can enhance memory consolidation.” She recommends seven to eight hours of sleep per night. To enhance sleep quality, try rising and going to sleep at the same time each day, avoiding caffeine in the afternoon, and avoiding exercise and blue light (e.g. computer screens) several hours before bed. Rusk encourages patients who snore to ask their doctor for a sleep apnea test.

Stress Management

“Reducing stress is very important for your brain health,” said Dr. Rusk. Chronic stress increases cortisol levels, a hormone that can be toxic to your brain. “Put down your device if you’re on one.

Sometimes we self-soothe with our device. Pause and ask yourself, ‘How am I feeling?’ Then take five

The Brain and Behavior Clinic helps patients delay, prevent, and slow the progression of Mild Cognitive Impairment and Early Alzheimer’s Disease. (Photo: Shutterstock).

to ten wonderful breaths and focus on the exhale.”

Talk to Your Doctor

Dr. Rusk encourages seniors to be empowered to ask their physicians questions. She recommends getting your vision checked, addressing any hearing impairment and asking your doctor to take care of any

blood pressure and/or heart disease issues. Seniors should also ask their doctors to check their inflammatory markers.

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ACTIVE LIVING

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Ensight Skills provides accredited, professional, low-vision services to enhance the lives of you and your loved ones who are struggling with vision loss.

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Staying Active Seniors have many options for an active, healthy lifestyle.

By Shelley Widhalm for Aging at Altitude

S

eniors used to exercise by walking, cycling and engaging in light weight lifting, but today, they have multiple options to stay healthy and active from going to the gym to participating in a music jam.

“It used to be when you aged you focused on low-impact activities,” said Andra Coberly Webster, communications director of the YMCA of Northern Colorado, which has three locations in Longmont, Boulder and Lafayette.

“Now, there is wide range of opportunities for older adults to stay active and do as fun and intense of activities as they are able to do.”

Seniors wanting to improve their heart health, strength, balance and mobility can engage in traditional exercises or try something new that goes beyond the gym, long walks and bike rides. They can take classes at YMCA of Northern Colorado, participate in an open jam at Dog House Music in Boulder or join a photography class, workshop or photo walk at Mike’s Camera.

Visit the local YMCA

It is the process of optimizing opportunities for better health, continuing growth of knowledge, and increasing security in order to maximize your quality of life.

Proactively treating hearing loss can improve relationships with family and friends, increase self-esteem, and improve overall quality of life. If you or a loved one show signs of hearing loss, come in to see us to begin your journey to better hearing!

Be sure to stop by our Expo Booth to pick up your FREE COPY of our book Isolation is Optional, co-authored by Dr. Whitney Swander, Au.D, CCC-A, FAAA and Owner of Hearing Healthcare Centers.

(303) 720-7516 www.HearingHealthCareCenters.com Located in Boulder

30

AGING AT ALTITUDE

Seniors can take regular fitness classes at YMCA of Northern Colorado in strength and conditioning, water exercises, martial arts and cardio, or they can go to use the gym, play ping pong or work with a trainer.

“These days, older adults don’t limit themselves to older classic workouts, chair workouts and walking on the treadmill,” Coberly Webster said. “People in their 60s and 70s are pushing themselves and challenging themselves with higher intensity classes.”

Seniors can take classes geared to them through the

Photography is a great way to keep engaged. (Photo: Shutterstock).

SilverSneakers Fitness Program for ages 65 and older that are designed to improve strength, flexibility and balance. They include CardioFit with weights and elastic tubing, the Cardio Circuit standing circuit workout and Classic with exercises focused on daily living, plus Boom, Yoga and Fundamentals.

Additional classes are offered through the Y’s active older adult programming, such as senior cycling, which is less intense than regular cycling, and better balance focused on fall prevention with stretching and breathing exercises.

A new class, Move Together, is targeted at joint issues and works on balance and mobility with gentle weight training. Other classes include aqua fit, Tai chi, gentle yoga and senior pilates reformer.

In each of the classes, the instructors focus on skill development, breaking skills down for better understanding, said Peggy Merrill, senior health and wellness director for the YMCA of Northern Colorado. There also are more opportunities for practice and modifications to the exercises, she said.

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“There generally is a longer warm-up and cool-down session and more rest periods,” Merrill said.

“In many cases, they are a bit more social, so we spend time building communities, helping people get to know each other’s names.”

Head to the Dog House

Seniors can get active and social in other ways, such as attending a jam session at Dog House Music, a music rehearsal studio complex in Lafayette. The jam, open to all ages, is offered the last Sunday of the month and provides the instruments (such as drum sets, keyboards and bass, electric and acoustic guitars), or participants can bring their own.

“It’s definitely physical activity standing up, moving around and rocking out,” said John Remington, studio manager at Dog House Music. “Everybody is standing for a few hours moving around, dancing and moving along with the music.”

Dog House Music launched the jam in August, starting with a presentation on a music-related topic before the playing begins.

“The fun part is when everybody feels comfortable, and we start to have a good time. We open up and talk about music,” Remington said. “By the end of it, everybody is friends, and we’re just playing music.”

There are several health benefits involved with music according to recent research, Remington said.

Dancing helps with dementia; listening to specific frequencies helps the brain recreate neurons; and playing an instrument helps with muscle memory, he said.

“Music is good for any age,” Remington said. “It’s never too late to start playing. Age doesn’t matter when it comes to learning music or playing music.”

Try out photography

Another way for seniors to become active is to take a class or go on a photography field trip offered at Mike’s Camera in Boulder, which FALL 2019

provides cameras, equipment and processing services.

Core photography classes typically are two hours and are offered at the introductory and advanced levels for a general overview. Seminars are two to four hours on camera operation or photographic styles and often are taught off site. Workshops are more intensely focused and are on one style, such as wildlife or portrait photography. They typically are held in three sessions that include classroom instruction, a photo outing with guided instruction, and a gallery opening and critique of one photograph.

‘It depends on the learning level, if they are looking to learn or put into practice what they are learning,” said Mike Dobson, sales manager at Mike’s Camera.

Photo walks are a specific type of workshop in small-group format with instructors giving a guided walking tour and photo shoot at a downtown site, local zoo or other location. Instructors provide individual instruction on camera settings, setting up the shot, and angles and lighting.

Photography requires physical activity from walking or hiking to more remote locations for better subjects, as well as patience, waiting for the right lighting or time of day for the optimal shot, Dobson said.

“You can take thousands of pictures and hopefully get one right,” Dobson said, but good photography “takes planning and it takes patience.” “It’s a great way to keep people engaged.”

YMCA of Northern Colorado Multiple Locations; 2800 Dagny Way, Lafayette, 303.664.5455, ymcanoco.org Dog House Music 525 Courtney Way, Lafayette, 303.664.1600, doghousemusic.com Mike’s Camera 2500 Pearl St., Boulder, 303.443.1715, mikescamera.com AGING AT ALTITUDE

31

ACTIVE LIVING

The Benefits of Owning A Pet For Seniors

Ed Harris and his dog, Oliver. Ed was a dedicated volunteer and strong supporter of the Humane Society of Boulder Valley. (Photo courtesy: Humane Society of Boulder Valley).

By Sandy Hale for Aging at Altitude

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AGING AT ALTITUDE

S

eniors love their pets and their pets love their seniors.

Poodie, my cat, tells me that she likes having a senior as her guardian because I am usually home and not working all day. She likes having early supper and taking afternoon naps with me.

Dr. Mike Josephs, a retired veterinarian from Connecticut, says “having a pet affords a person a bonding relationship to a living being. It allows one to know the personality and mannerisms of your pet.” Josephs had a successful animal hospital and veterinary practice in Connecticut before moving to Boulder. Now he has Lily, a rambunctious standard poodle.

“For many people, loving a pet helps fulfill a person’s need for emotional and physical connection.

When you go for a walk together you meet your neighbors and you have the opportunity to be one with nature,” says Dr. Josephs.

Carol and John Dow have five cats – two boys and three girls.

Carol says “the cats bring a loving energy into the house.”

Maggie McSchaefer, director of strategic initiative for the Humane Society of Boulder Valley, welcomes seniors to adopt pets. “It is especially beneficial for seniors to choose an older animal who is calmer and easier to be with. The pet, in turn, appreciates that seniors sometimes have a relaxed rhythm.”

For more information on the benefits of pets for seniors visit the Humane Society of Boulder Valley.

They also welcome volunteers to help play and exercise with the animals. This is a great thing to do for seniors who are not ready to adopt but love animals.

Humane Society of Boulder Valley 2323 55th St., Boulder 303.442.4030, boulderhumane.org For volunteer information, call 303.442.4030 ext. 654.

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ACTIVE LIVING

Healthy Aging Programs Boulder County Area Agency on Aging Healthy Aging Programs offer a comprehensive suite of lifestyle management programs to enhance and support aging in community.

AGING MASTERY PROGRAM The goal of this innovative 10-week program is to change societal expectations about the roles and responsibilities of baby boomers and older adults and to create fun and easy to follow pathways for getting more out of life. Topics include exercise, nutrition, finances, advance care planning, community engagement and healthy relationships. A caregiver version of this program is available as well. Call 303.441.3599.

DIABETES EDUCATION AND SUPPORT GROUP Meets the third Monday of the month at the Lafayette Senior Center, 103 S. Iowa Ave., 11:00 a.m. Facilitated by a Registered Dietitian Nutritionist. Call 303.441.4995.

DIABETES PREVENTION PROGRAM Have you been diagnosed with pre-diabetes?

Get the support you need to make healthy lifestyle changes with this year-long program developed by the Centers for Disease Control.

New classes forming throughout the year at various locations. Call 303.441.4583.

HEALTHIER LIVING – CHRONIC DISEASE SELF-MANAGEMENT Healthier Living is a chronic disease selfmanagement program developed with research done at Stanford University. In this six-week workshop, you will learn the skills to manage chronic health problems and get back to enjoying your life. Learn techniques to help change your perspective and manage your chronic condition. Classes meet two and a half hours weekly for six weeks. Call 303.441.3599.

HEALTHIER LIVING – CHRONIC PAIN SELF-MANAGEMENT Learn the skills needed to manage living with chronic pain. The Boulder County Area Agency on Aging offers a six-week course that includes techniques to deal with pain, frustration, isolation and poor sleep; tips for managing activity and rest levels; goal setting and problem solving; and gentle exercises to improve overall fitness. Call 303.441.3599.

HEALTHIER LIVING – DIABETES Living with diabetes presents a number of daily and ongoing concerns. The Healthier Living Program was developed by Stanford University to address these challenges and improve your ability to cope with pain, fatigue, stress and frustration.

Topics include goal setting, making healthy food choices, meal planning, working with your health care team, developing an exercise program and foot care. Call 303.441.3599.

Is it time for a lifestyle change?

A MATTER OF BALANCE Learn to manage your risk of falling, reduce your fear and strengthen your body. Classes meet weekly for two hours for eight weeks.

Sessions include group discussions and gentle exercises. Call 303.441.3599.

MEDICARE COUNSELING Education and assistance regarding health benefits and preventive screenings. Medicare Basics classes offered throughout the county.

Appointments available: 303.441.1546.

NUTRITION COUNSELING FOR 60+ AND CAREGIVERS Nutrition counseling by a Registered Dietitian is offered without charge to Boulder County residents 60 and over.

For information in English call 303.678.6115.

En espanol 720.296.3656.

NUTRITION EDUCATION Annual Conference and community presentations. Call 303.441.4995.

For more information and schedules: For AAA services: BoulderCountyAging.org.

Wellness and Nutrition: BoulderCountyHealthyAging.org.

Medicare education and counseling: BoulderCountyMedicareHelp.org.

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AGING AT ALTITUDE

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FREE!

Aging at Altitude THROUGH THE

We’re hosting a robust lineup of speakers and topics for you to choose. Sessions held in Levin Hall accommodate up to 300 attendees and the L130 sessions accommodate up to 65. First come, first seated.

LOBBY, ROOM L130 9:30 to 10 a.m. / The Evolution of Telemedicine to Evaluate, Diagnose and Treat Patients Presented by: TRU Community Care

GENERATIONS

10 to 10:30 a.m. / Taking Care of Your Family through Prearrangement Presented by: Matt Fox, Crist Mortuary and Mountain View Memorial Park 10:30 to 11 a.m. / Strategies to Prevent Hearing Extinction Presented by: Chelsea Walters, B.S., BC-HIS, owner, Family Hearing

SATURDAY, NOVEMBER 2 – 9:30 A.M. TO 2 P.M. BOULDER JCC, 6007 OREG AVE., BOULDER

The AGING AT ALTITUDE EXPO will offer an abundance of free tips, advice and the latest trends in health and nutrition, financial and retirement planning, reverse mortgages, real estate from active adult communities to assisted living facilities, home care, leisure, lifestyle, fitness and much more.

eXp Realty

AltaVita Senior Residences

Eye Care Center of Northern Colorado

Audio Information Network Balfour Senior Living

Family Hearing Frasier

Be Free Organizing Bill Allen, RE/MAX of Boulder Brookdale Senior Living Boulder County Area Agency on Aging Centeno-Schultz Clinic Centura Health Crist Mortuary and Mountain View Memorial Park Dale Pearson, RE/MAX of Boulder

Genesis Senior Living/ PowerBack Rehabilitation Golden West Manor Hearing HealthCare Centers Helios Inergrated Medicine Homewatch CareGivers of Boulder Life Care Center of Longmont The Bridge at Longmont Marie Jacobs, LIV Sotheby’s

Neuropathy Center of Boulder County Premier Mortgage, Gabe Bodner Red Tail Wellness

1:30 to 2 p.m. / How Exercise Benefits Successful Aging Presented by: Kevin Terry, YMCA of Northern Colorado

Renewal by Anderson Spine West The Academy The Alpine Center for Diabetes, Endocinology, and Metabolism The Avenues at Crofton Park The Brain and Behavior Clinic The Peaks at Old Laramie Trail

Mike’s Camera

TRU Community Care

Dova Center for Health & Healing

Morning Star Senior Living

YMCA of Northern Colorado

Free Parking! Free Shuttle! Food Trucks!

Two free shuttles will run 9 a.m. to 2:30 p.m. from the Boulder JCC to a nearby parking lot. The shuttle is made possible through a partnership with Via Mobility Services.

VISIT DAILYCAMERA.COM/AGING 34

AGING AT ALTITUDE

Noon to 12:30 p.m. / Mastering Your Life with Type 2 Diabetes Presented by: Christopher R. Fox MD, The Alpine Center for Diabetes, Endocrinology, and Metabolism

1 to 1:30 p.m. / Learn How Regenexx® Stem Cell & PRP Procedures Can Help Common Orthopedic Injuries, Arthritis and Conditions Presented by Chaz Fausel MD, Centeno Schultz Clinic

Dog House Music

To purchase a booth, email jill@dailycamera.com or call 303.473.1420

11:30 a.m. to noon / Decluttering, Organizing & Life Transitions Presented by: Brian Sager, Founder, Be Free Organizing

12:30 to 1 p.m. / Navigating Resources for Aging Well Presented by: Guio Bravo, Case Manager Supervisor, Boulder County Area Agency on Aging

EXHIBITORS INCLUDE: Ajoya Life

11 a.m. to 11:30 a.m. / Aging Gracefully with Natural Medicine Presented by: Gina Rosella Terinoni, LAc, MTCM, MA, Doctoral Candidate, Licensed Acupuncturist and Herbalist, Clinical Director at the Dova Center for Health and Healing

PRESENTED BY:

LEVIN HALL 9:30 to 10 a.m. / Avoiding Joint Replacement Surgery Presented by: Dr. Ian Hollaman, DC, MSc, IFMCP, Red Tail Wellness Center 10 a.m. to 11 a.m. / Reverse Mortgages: Utilize Your Equity Strategically to Live a More Fruitful Life During Your Golden Years Presented by: Gabe Bodner, Reverse Mortgage Division Manager, Premier Mortgage; Bill Allen, RE/MAX of Boulder 11 a.m to noon / Taking Care of Your Brain with Functional Lifestyle and Functional Medicine Presented by: Dr. Ilene Naomi Rusk and Dr. Patricia Henry, The Brain and Behavior Clinic Noon to 12:30 p.m. / Exercise As Medicine: Keeping You Feeling Young!

Presented by: Cliff Gronseth, M.D., Spine West Physiatry & Sports Physicians 12:30 to 1 p.m. / Endurance Training as You Age Presented by: Dr. Judd Dawson DO, Centura Health 1 to 2 p.m. / What You Need to Know about Senior Living • How Insurance Benefits Can Cover Nursing Home Placement Presented by: Joleen McGee, Admissions Director, Life Care Center of Longmont • Helping Seniors Remain Safely in Their Communities Presented by Samantha Black LCSW, Executive Director TRU PACE • What Senior Care Will Baby Boomers Demand?

Presented by: Gary Berg, owner, The Academy • What is “Continuum of Care” and Why Is It Important?

Presented by: Jeanette Allen RN, Vice President, Health & Wellness, Balfour Senior Living DAILY CAMERA

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Real Estate News, Open Home Listings, Homes for Sale, Rentals

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At Home Colorado presents engaging content about homes, from buying and selling to improvement, landscaping and design. It also features homes for sale, open house listings and local real estate news.

There’s No Place Like This Home Anthem’s newest neighborhood showcases the very best of Colorado.

Quick Guide and Featured Open Homes Looking for a home? View comprehensive listings of local open houses taking place this weekend from all across the area.

Aug. 9-10, 2019

Photography Matters: List Your Home With a Pro

Making the investment in professional photography is a far wiser choice than throwing it together yourself. Photographer Tim Seibert of Flatirons Pro Media explains why.

Look for it Fridays in the Daily Camera and Saturdays in the Times-Call or visit AtHomeColorado.com.

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