Living Well 60+ July August 2016

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A RESOURCE GUIDE FOR YOUR GENERATION

60 Plus JULY / AUGUST 2016

VOL. 12 ISSUE 3

ENTERTAINMENT • HEALTH • BARGAINS • LIFESTYLE

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ALSO INSIDE Hobbies: Croquet

Food Dude: Turn to Spain

Traveling on Your Terms

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Contents

July/Aug 2016

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Hobbies: Croquet

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Keeping Your Cool: Summertime caregiving can be stressful

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COVER: Aquariums Could Improve Physical and Mental Well-Being

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Understanding the Neurological Impact of Stroke

10 Are the Kids Trying to Take Over Your Life?

How to handle multigenerational conflict

12 FOOD DUDE: Turn to Sunny Spain for Something Truly Different 13 Maintenance is the Key to Midsummer Gardening

STAFF WRITERS Harleena Singh

TaNiqua Ward, M.S.

Lisa M. Petsche

Martha Evans Sparks,

Dr. Tom Miller

Jean Jeffers

Frank Kourt

Charles Sebastian

ROCK POINT PUBLISHING Brian Lord / Publisher Kim Blackburn / Sales Representative Brandon Cartwright / Sales Representative Jennifer Lord / Customer Relations Specialist Barry Lord / Sales Representative Anastassia Zikkos / Sales Representative Janet Roy / Graphic Designer

14 Local Facilities Earn Deficiency-Free Survey Recognition 15 The Search for Senior Living: Levels of Care 16 EVENTS CALENDAR

21 Belly Dancing for Fun and Fitness 22 Lexington Community Seniors: Traveling on Your Terms 24 Grandparents Raising Grandchildren Have Rights 27 Five Reasons Why Living Trusts are NOT for Everyone 28 What You Need to Know About Hepatitis C 30 Advice for Withdrawing from Your IRA 31 Lexington Healing Arts Academy

FROM THE

Dear Friends, When we’re Living Well 60 Plus, it is the time to try something new and different – a time to try out our wonderful wise wings and soar to new places and spaces. I have a new mantra: “Take the adventure.” Do the quirky, unexpected, almost-outlandish thing. Take the new, unfamiliar road. Try the new, unfamiliar food. Don’t settle

ROCKPOINT Publishing

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EDITOR

Living Well 60+ is a proud product of

Tanya J. Tyler, Editor | Share your story: tanyaj@twc.com for the ordinary. Don’t take the easy way to your destination, wherever it may be. Take the chance that somewhere out there is something unique, something breathtaking, something life changing waiting just for you to discover it. Ride that roller coaster. Run that mini-marathon. Get that bike.

For once, when that practical little voice tries to tell you, “That won’t work” or “People will talk”

Living Well 60+ can be found in 19 central Kentucky counties and is distributed to over 900 locations, including senior centers, retirement homes, hospitals, clinics and specialty shops. You can also pick up your FREE copy of Living Well 60+ at most grocery and convenience stores as well as many restaurants throughout Central KY.

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Living Well 60+ Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers.

The information in Living Well 60+ Magazine should not be considered as a substitute for medical examination, diagnosis or treatment.

or even worse, “You’re too old,” shut it up by going out and doing exactly what it has cautioned you against doing. Take the adventure. Chances are, you will never regret it. It will only fuel your appetite for the next adventure – and the next – and the next.

Live life you mean it!

Tanya

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Hobbies:

Croquet Many people around the world enjoy popular game

wickets and two pegs or stakes. A simplified version of Association croquet is golf croquet, which is also played in many countries. National Croquet Day is celebrated June 5 in the United Kingdom.

Almost anyone can play croquet, including those in wheelchairs and those who use walkers. Croquet has therapeutic benefits for people with dementia.

It gives participants the benefits of social engagement, cognitive stimulation and physical exercise while having a good time.

James Creasey founded Jiminy Wicket, a Colorado-based nonprofit that introduces the game to Alzheimer’s patients in long-term care facilities and senior centers.

According to Creasey, croquet is the ideal sport for people suffering from dementia. The four balls are easy to identify because they are different colors. The grass on a croquet lawn is flat so the ball goes in a straight line and leaning on the mallet helps with balance.

Moreover, croquet is low cost and intergenerational.

“For me, the social factor is a huge part of my attraction to the game,” said Tom Teater, who regularly plays in the annual Henry Clay Croquet Tournament at Ashland, the Henry Clay Estate in Lexington. “The slower pace of croquet really allows players the opportunity to talk and enjoy the company of friends. I enjoy the competitive aspects of the game.

The size of your opponent doesn’t matter on the course; it is all about skill and commitment to practice time.”

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by Harleena Singh, Staff Writer

In croquet, players use a mallet to hit wooden or plastic balls through hoops or wickets embedded in a grass playing court. People of both genders and all ages play croquet. Many Americans, adults and children alike, play nine-wicket croquet in public parks and back yards across

the United States. Six-wicket croquet, a complex sport played at croquet clubs all over the world, requires only four balls and two to four adult players.

In the United States, three forms of croquet are played: International Association croquet; American six-wicket croquet; and American nine-wicket croquet.

All three forms use the same equipment and lawn, but ninewicket croquet has nine hoops or

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But even as he competes, Teater experiences a Zenlike calm. “I find croquet to be very relaxing,” he said. “It is one of the few times I find myself totally relaxed, playing with friends and being outdoors on a beautiful summer afternoon.”

If you’re new to the game, here are some tips for playing croquet: 1. Learn the right form for a particular shot before playing. A coach can teach you the correct grip, posture and other aspects of playing well.

2. Don’t swing the mallet from your wrists; instead, swing it from your shoulders in a pendulum motion.

3. Keep your head down while swinging; raise it once the ball is hit. Raising your head earlier causes your shoulder to move, and you may spoil the shot.

4. Practice unfamiliar moves.

5. Find a natural, comfortable grip on the mallet. It should not rotate when you tighten your grip.

6. Don’t lean too far forward.

Position your feet so the mallet can be drawn back without striking your ankle or foot.

ABOUT THE AUTHOR:

Harleena Singh is a professional freelance writer and blogger who has a keen interest in health and wellness. She can be approached through her blog (www.aha-now. com) and Web site, www.harleenasingh.com. Connect with her on Twitter, Facebook and Google+.

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• For gift-giving occasions, purchase gift cards.

• Take advantage of stores and other services that offer home delivery.

• Research mobile services in your area, such as hairdressing, dog grooming and automobile servicing.

• Coordinate errands and avoid peak use times of the day, week or month when visiting stores, banks, government offices and other establishments.

Care for Your Relative

Keeping Your Cool Summertime caregiving can be stressful

by Lisa M. Petsche , Staff Writer

The mild temperatures and increased daylight of summer can positively affect people’s moods and allow new opportunities for enjoyment. On the flip side, summer sun, heat and smog can be harmful to older adults, especially those whose health is already fragile. As a caregiver, you must therefore be extra vigilant as temperatures soar.

Perhaps, like the relative you care for, you have health conditions or take medications that increase your sensitivity to the sun or heat. In any case, if you’re not a fan of balmy weather, you may find yourself feeling not only physically uncomfortable but also irritable, especially during heat waves. To add to caregivers’ stress, some community supports may not operate in the summer. For example, caregiver support groups typically take a hiatus during July and August.

So how can you keep your cool emotionally during the dog days of summer? Here are some suggestions.

General Tips

• Establish and stick to priorities.

• Curb perfectionism. Not everything needs to be done to a high standard.

• Be flexible about plans and expectations. Take things one day at a time.

• Ask other family members to help out and be specific about what is needed.

• Pay for help if you can afford it.

For example, hire a dog walker or housecleaning service.

Meal Preparation

• Collect recipes for one-dish meals.

• Cook double batches of recipes and freeze half for later use.

• Keep a supply of heat-and-serve entrees in the freezer.

• Buy convenience foods that reduce preparation time, such as packaged salads.

• Order takeout once a week.

Housekeeping

• Concentrate cleaning and tidying efforts on the rooms that are used most.

• Do full loads of laundry whenever possible.

• Ensure everyone in the household has enough basic clothing to last for a week. Stick to easycare items.

Yard Maintenance

• For gardening, plant low-maintenance flowers and shrubs.

• Get a mulching lawn mower so you don’t have to bag grass. Or hire a neighborhood youth to cut the grass.

Financial Management

• Arrange with the bank for direct deposit of pension and other checks.

• If you have a computer, sign up for Internet banking so you can pay bills, transfer money and check balances from home.

Shopping and Errands

• Shop by mail order whenever possible.

• Find out about community support services, including respite care options, and take advantage of them. Information can be obtained from your local office on aging.

• If finances permit, hire a personal support worker or companion for your relative so you can get out more often.

Care for Yourself

• Look after your health: Eat nutritious meals, get adequate rest and exercise and schedule regular medical checkups.

• Do something you enjoy every day, such as listening to music.

• Cultivate a healthy sense of humor. Read the comics in the newspaper, watch a TV sitcom or rent funny movies.

• Stay connected to the important people in your life.

• Set aside some quiet time each day.

• Find an outlet for expressing your thoughts and feelings, such as talking with a friend or keeping a journal.

• Seek help from your primary care physician or a counselor if you continually feel sad, angry or overwhelmed.

• Never forget you can only take good care of your relative if you take good care of yourself.

ABOUT THE AUTHOR:

Lisa M. Petsche is a social worker and freelance writer specializing in boomer and senior health matters.

She has personal and professional experience with elder care.

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Aquariums Could Improve Physical and Mental Well-Being

The Newport Aquarium is listed among the most beautiful aquariums in the world.

Day trip proves to be a great stress buster

by Dr. Tom Miller, Staff Writer

How do you seek tranquility and relieve the stresses of everyday life? A friend and I recently took a trip to the Newport Aquarium and found it to be a fun and relaxing day trip.

Most memorable were the colorful fish, waddling penguins, smooth swimming sharks and beautiful coral. I began to realize there were benefits to a day with a friend and the peacefulness and beauty found within an aquarium. And if you are a lifelong learner, you will benefit from the stimulation of the educational information and unique experiences.

The Newport Aquarium is listed among the most beautiful aquariums in the world. This “treasure of the seas” is a short drive from Lexington and boasts more than 70 exhibits. One of its highlights is its shark ray breeding program. Shark ray pups born at the aquarium continue to enhance efforts to save the vulnerable species. Nearly seven years after the Newport Aquarium established its breeding program, Sweet Pea became the first shark

ray to have multiple documented pregnancies. In October 2015, the aquarium announced both its female shark rays were pregnant.

What makes a visit to the aquarium a great stress reducer is there is so much to see and learn.

There are more than 32,000 known species of fish in the world today and you will find many of them at the aquarium, including extremely rare schools of fish.

One of the most fascinating and popular exhibits is the penguin exhibit. There are 17 species of penguins on earth and they all live south of the equator. The largest of these unique creatures is the Emperor penguin, which stands almost 4 feet tall. Although penguins are flightless and waddle when they walk, they are very graceful swimmers. The black back and white front pattern on a penguin’s body is known as “countershading” and is critical to the penguin’s survival.

When a penguin swims underwater, its black back helps it blend into the dark water, and the white underside allows it to blend into the light background when viewed from below.

The aquarium staff provide many helpful and informative facts to

educate visitors about different aspects of penguin life. Penguins feed entirely on aquatic animals, specifically crustaceans, fish and squid. The types of food consumed will vary among penguin species and will also change over the year as the availability of certain foods changes. Penguins chase their food underwater and upon catching it, they swallow it whole.

Equally fascinating are the sharks. Sharks display the ultimate blend of power, efficiency and predation that has been refined over time. Newport Aquarium offers a unique exhibit and experience with the sharks. The recently introduced “Shark Bridge” is a rope suspension bridge visitors can cross, walking just inches above nearly two dozen sharks. You can also see sting rays, which are closely related to sharks; unlike sharks, the bodies of these fish tend to be flat and disclike.

If you can’t get enough of these aquarium denizens, the Newport Aquarium features a breakfast with the penguins and sharks. The packages are perfect for anyone who wants to get up close and personal with penguins and sharks and learn details about their lives in the wild.

When that daily routine feels as

though it needs a change of scenery and a stress break, consider taking a relaxing day trip to Newport Aquarium and reap the benefits of an exciting and educational day off.

For more information about the Newport Aquarium, visit its Web site at www.newportaquarium. com.

SOURCES & RESOURCES:

• BBC News (2015). Aquariums deliver significant health benefits. www.bbc.com • Cracknell, D. et al. (2015).

Marine Biota and Psychological Well-Being: Dose–Response Effects in an Aquarium Setting.

Environment and Behavior, July 28, 2015.

ABOUT THE AUTHOR:

Thomas W. Miller, Ph.D., ABPP, is a professor emeritus and senior research scientist, Center for Health, Intervention and Prevention, University of Connecticut; retired service chief from the VA Medical Center; and tenured professor in the Department of Psychiatry, College of Medicine, University of Kentucky.

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Understanding the Neurological Impact of Stroke

stroke and news articles.

• MedicineNet (www.medicinenet.com) offers general information for patients and caregivers about stroke and associated disorders.

• The Mayo Clinic’s Stroke Education for the public (www. mayoclinic.org) provides a well-organized and easily understood set of information about stroke, its causes, effects, diagnosis and treatment.

SOURCES AND RESOURCES

• Centers for Disease Control and Prevention. www.cdc.gov/ stroke • National Aphasia Association (2016). What is Aphasia? www. aphasia.org • The Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You (2012). www.niams.nih.gov

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Approximately 130,000 Americans experience some form of stroke each year.

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Cerebral vascular accidents – more commonly known as strokes – are a leading cause of serious long-term disability. The National Institute on Neurological Disorders and Stroke estimates approximately 130,000 Americans experience some form of stroke each year — that’s one out of every 20 deaths. About 610,000 of these are first-time or new strokes and nearly one in four or 185,000 strokes) occur in people who have had a previous stroke. Nearly 87 percent of all strokes are ischemic strokes. An ischemic stroke occurs when blood flow to the brain is blocked.

Aphasia is often a major result of a stroke. Aphasia is a communication disorder that results from damage to those regions of the brain that control language function. Individuals who experience a stroke, as well as those who have had a traumatic brain injury or some neurological disorder, often develop difficulties in speaking, listening, reading and writing. Individuals with aphasia may also have other problems, including swallowing difficulties, apraxia (an inability to perform complex movements) and dysarthria (difficulty in speech articulation).

One of the complications of stroke is that it affects the strength of the muscles that control the tongue and lips. Dyspraxia is a disruption of the motor patterns sent by the brain to the tongue and lips. It impacts one’s ability to

perform the basic movements that allow us to speak. Thus aphasia is a loss of language function that can impact one’s ability to understand what others are saying, as well as interfere with a person’s ability to express himself or herself.

After a stroke, the person often struggles to find the words he wants to use to form sentences for conversation. Since people communicate in many different ways, people with aphasia may have difficulty reading, writing or using numbers, too. Individuals with aphasia are often frustrated because they cannot speak as well or understand and process what others are saying as they did before the stroke.

These conditions are treatable and can be markedly improved through speech, language and swallowing rehabilitation.

Evaluation and treatment for aphasia and dysphagia (difficulty swallowing) are provided by a licensed speech/language pathologist. Speech/language pathologists are professionals on the healthcare team who treat speech and language disorders and work with individuals of all ages who experience them. They diagnose and evaluate other speech disorders, such as fluency (stuttering), articulation and voice disorders as well as language problems.

They also design and carry out comprehensive treatment plans to achieve rehabilitation for stroke patients. Recovery from a stroke may require working harder to compensate for the loss of normal functioning.

Individuals who experience stroke may also develop emotional and psychological issues. Emotional changes can affect one’s personality. Coping with the transitions stroke brings may include frustration, anxiety, anger, sadness and despair. The person can often experience a loss of energy, interest or enthusiasm, and this may result in a serious depression. Signs of clinical depression may include a significant lack of energy and motivation and problems concentrating or finding quality-of-life experiences.

One’s primary care physician, along with specialists in health psychology, can evaluate and treat patients who have experienced stroke that includes symptoms of clinical depression.

For those who have experienced a stroke and for their caregivers, concerned family and friends, there are several useful resources. Among these are: • The WebMD Stroke Health Center, available at WebMD (www.webmd.com). It includes a comprehensive overview of

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by Dr. Tom Miller, Staff Writer

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CONFLICT RESOLUTION

Are the Kids Trying to Take Over Your Life?

How to handle multigenerational conflict

by Chris Vandiviere, Summit Conflict Resolution & Training

Multigenerational conflict is inevitable to some degree in all families. Prospects for conflict become greater as life expectancy continues to increase, sometimes including four living generations within the same family. Parents and children are often unsure of what roles they should play in this dynamic. In a healthy, ideal parentchild relationship, the roles never actually reverse. The parent will always be the one who brought the child into the world, taught them right from wrong, loved them and watched as they traversed the many phases of their lives.

However, with longevity comes the inevitable changes in cognitive and physical abilities. Herein lies the potential for uncertainty of roles and conflict. Children in their zeal to step in and offer assistance sometimes tend to overstep boundaries and even become domineering. Parents might perceive such enthusiasm as the kids trying to take over their lives and react with anger and resentment. Thus they might refuse help to assert their independence.

Many issues that will cause conflicts with adult children can be addressed before they arise. Just as you had talks with your children years ago about important issues to prepare them to survive and thrive in life, there should be serious discussions about changes to expect in the future and how to handle them.

Some thought should be given to planning for contingencies and for end-of-life issues as well. Just as retirement planning should be part of life, discussions with family and sharing concerns should be considered just as important. With open communication and discussion, it is much more likely parental wishes will be respected as they face later changes in circumstances.

The discussions may revolve around many issues: • Financial. This can be one of the most difficult discussions because it requires a great deal of thought and consideration of various scenarios and agreement on how money will be handled and by whom. A great deal of stress can be avoided by planning ahead.

• Medical and end-of-life wishes.

Living wills, powers of attorney, funeral plans, long-term care issues, etc. should not be put off until it’s too late.

• Safety. These include future driving issues, aging-in-place modifications in an existing home or a move to a more accessible home in the future. Living arrangements and caregiving decisions must be proposed and discussed.

• Inheritance and possessions.

What will be done with your property? Serious conflicts can be avoided if these issues are dealt with now.

Additional issues may include geographic concerns, various expectations of family members, role reversals should parents become

frail or lose some cognitive functioning and personal commitments.

Each family situation and dynamic is different and issues to discuss will vary, but beginning this process can go a long way to preventing trouble later.

In some cases, families will reach an impasse or be unable or unwilling to discuss many of these and other issues. Many parents are hesitant to address some issues for fear of inciting sibling rivalry.

Adult children may refuse to even consider discussing some issues.

Old wounds and bad memories can exist to deter progress during discussions. Anger and resentment can emerge, leading to unforeseen adversarial situations. There are innumerable ways in which this process can be derailed. It can become a wrenching, unpleasant experience.

While many families can come together and work cooperatively to plan for the future of aging parents, others cannot do so without outside help. Situations develop in families without any planning and help is needed to address changing situations and roles. As unpleasant as the possibility is, the reality is that family members can sometimes become confrontational, controlling, manipulative and exploitive and fight among themselves. Others may attempt to take over the lives of aging parents “for their own good.”

Such situations may be best addressed by a growing industry of neutral professionals who special-

ize in family conflict resolution.

As people age 85-plus years have become the largest growing demographic in the United States, multigenerational families are common with all the relationship intricacies possible, and elder mediation has become more popular. The mediator is a neutral party whose job it is to focus on the best outcome for the parent, to defuse family conflicts that have arisen and ultimately to bring the family together.

Elder mediators might meet with each member of the family separately first. Issues and concerns that may have never been raised or voiced may surface; these would have been avoided in a family meeting. Other situations may call for inclusion of other concerned parties or professionals such as an elder law attorney, financial planner, caregiver, minister or care manager.

The conflict-resolution mediator can best determine who should be included. For the mediator to succeed, it is important that all voices be heard prior to the family decision making.

Scenarios for the actual mediation vary. Some members may decide not to participate. Parents may decide not to attend the meeting or to state their views and wishes at the beginning of mediation, then leave. Parents may not care to see the conflicts and rivalries between siblings that may develop.

Mediation is always preferable to going to court where a judge determines outcomes. It is non-binding and confidential and attendance is voluntary. Decisions are arrived at by consensus. The process is also far less expensive than ending up in litigation and court.

The other option is doing nothing and letting issues continue to degenerate, relationships continue to erode and family conflicts to increase and become worse.

ABOUT THE AUTHOR:

Chris Vandiviere is an Aging in Place Professional with Summit Conflict Resolution and Trainings. www.summitcrt.com (859) 305-1900

J U LY / A U G U S T 2 0 1 6

11

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J U LY / A U G U S T 2 0 1 6

rice is tender and clams and mussels are open. Remove casserole from oven and let it set up for about 10 minutes before serving.

SANGRIA

k Fran rt u Ko

fdou od the

de

Turn to Sunny Spain for Something Truly Different EXOTIC & FLAVORFUL COMIDA POR TODOS If you’re looking for a differenttasting and unique cuisine, a trip to sunny Spain is definitely recommended.

Real Spanish food is outstanding in its ability to take commonplace ingredients and combine them in a way that makes them as exotic as they are flavorful.

The following recipes include a classic paella, a refreshing sangria and a chicken and rice dish, all of which incorporate classic Spanish style.

Be forewarned: Unlike the majority of recipes you find in this column, the paella requires a considerable expenditure of time and effort to concoct, and with the use of lobster and other seafood, it is somewhat expensive. But sometimes you don’t mind spending a little more money at the store or some extra time in the kitchen to come up with something extraordinary, and this paella is worth it!

Chorizo sausage is available in most area supermarkets and is easily found in small Hispanic groceries.

PAELLA

• 1/2 lb. cooked lobster meat • 12 medium shrimp • 6 hard-shelled clams • 12 mussels • 1/2 lb. chorizo sausage • 12 pieces of chicken • 1/2 lb. ham • 2 tsp. salt

• 1 tsp. oregano • 1 tsp. coarse ground pepper • 1 clove garlic, chopped • 1 T olive oil • 1 tsp. vinegar • 1 cup onions, finely chopped • 3 cloves garlic, finely chopped • 1 green pepper, thinly sliced • 2 large tomatoes, finely chopped • 3 cups rice • 1/4 tsp. saffron • 6 cups boiling chicken broth • 1/2 cup frozen peas Mash the oregano, pepper, 1 clove chopped garlic, olive oil and vinegar together and coat the chicken with it. Sauté the chicken in olive oil until golden; set aside. Shell and devein the shrimp. Scrub the clams and mussels and set aside. Place the sausages in enough water to cover; prick them and simmer uncovered for five minutes. Cut them into 4-inch rounds and set aside. In a fry pan, sauté the ham, onion, garlic, pepper and tomatoes, stirring constantly until limp. Preheat oven to 400 degrees.

In a large casserole, combine the vegetables, rice and saffron and pour in the boiling chicken stock. Arrange chicken, lobster, sausage, shrimp, clams and mussels on top of the rice, scattering peas over all. Bake for about 45 minutes, uncovered, until all the liquid has been absorbed by the rice.

Add more liquid if needed. Bake until

• 1 lemon, sliced • 1 orange, sliced • 1/2 cup sugar • 1 bottle dry red wine • 1/4 cup cognac • Club soda • Ice cubes Combine all ingredients in a pitcher and chill. Serve icy cold in tall glasses.

Here’s a dish that goes arroz con pollo a step better. It combines a classic Spanish flair with a sweet and sour accent that makes it both exotic and delicious!

CHORIZO POLLO

• 2 T olive oil • 1/2 cup chicken broth • 6 minced garlic cloves • 1/3 cup packed brown sugar • 4 lbs. chicken pieces • 1/3 red wine vinegar • 1 lb. chorizo, cut into 1-inch pieces • 1 cup cooked ham • 1 tsp. salt • 1 tsp. pepper • 1 1/2 tsp. corn starch • 2 T water Cook the garlic and chicken in hot oil until chicken is golden. Set aside. In remaining oil, cook chorizo and ham until browned. Set aside. Remove oil from pan and add chicken broth, wine vinegar and brown sugar; deglaze pan.

Add chicken and chorizo, salt and pepper. Over high heat, bring to a boil.

Reduce heat; simmer 30 minutes until chicken is tender. Remove to a warm platter. Gradually stir in a mixture of the cornstarch and water to pan juices and cook, stirring until thickened.

Pour over the chicken and serve immediately.

Paella requires a considerable expenditure of time and effort to concoct.

J U LY / A U G U S T 2 0 1 6

Maintenance is the Key to Midsummer Gardening Keep mildew, diseases and pests at bay

by Frank Kourt, Staff Writer

By this time of year, you should be seeing some returns on your efforts at vegetable gardening. Now is the time to be vigilant and keep diseases and pests at bay.

One of my big bugaboos, especially for my vegetable plants such as cucumber, squash and melon, is powdery mildew. This is a fungus that infects many plants, from different types of roses to the aforementioned vegetables. It looks exactly as it sounds – the leaves of your plants become covered with a powdery fungus that eventually kills off the plant if left unattended.

If you’re fortunate enough to have dodged this killer thus far, you may want to take some precautions.

There are some fungicides on the market you can apply to your plants, but one thing that has worked best for me is mixing a tablespoon of baking soda with a gallon of water, adding a couple of drops of dishwashing liquid and applying the mixture to the vulnerable plants once a week.

If you go the fungicide route, be sure to read the label first to make sure the product is safe to use on your plants. Follow directions carefully. If your plants are already infected, cut off the infected leaves and dispose of them far from your garden.

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Another way to avoid powdery mildew is to water in the morning so the moisture has a chance to evaporate and lessen the opportunity for the disease to take hold.

If animal pests are eating your plants, another good home remedy to try is mixing a tablespoon of hot sauce with a gallon of water, adding a couple of drops of dishwashing liquid and applying it to your plants weekly.

Insects are a whole other problem. I find insecticidal soap sprayed regularly on my plants fights a host of bug problems and is far more gentle than using insecticides.

Companion plantings can also help keep insects at bay. For instance, planting basil around your tomatoes helps keep bugs away, and marigolds are known to repel many insects in the garden. An online search will help you find the companion plants to keep bugs away from the specific vegetables you’re trying to grow.

When it comes to weeds, I’m a great believer in mulch. Placed around your vegetable plants, mulch will not only keep the weeds down

but it also helps keep moisture in the soil so you don’t have to water as often.

There are many kinds of mulch you can apply, from newspaper to straw to grass clippings. Each has advantages and disadvantages, so you may want to experiment. Through the years, I’ve found a combination of newspaper and cypress mulch has worked well for me. Just cover the ground around the plants with sheets of newspaper, then cover the papers with the mulch. The weeds that do manage to come through are easy to spot and pull up. Again, you may want to do some online research about mulching your vegetable garden to find what might be best for you.

Whatever you do, don’t take your vegetable garden for granted. Ideally, you should walk it every day and check for problems, be it disease, a need for water, pests or weeds, and remedy the situation quickly. After all, you’ve very likely put quite a bit of work into your garden, so why not make sure it’s the best it can be throughout the growing season?

Join us at Movie Tavern for complimentary breakfast & movie!

Prior to the film, learn about our Legacy Patron advantages and how to reserve a remaining prime apartment home (availability limited).

August 23

9:00am

Seating is limited RSVP by calling 859.537.1123

Movie Tavern

150 Langley Drive, Nicholasville

T he best season of your life awaits you.

L E G A C Y R E S E R V E K Y. C O M

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J U LY / A U G U S T 2 0 1 6

Local Facilities Earn DeficiencyFree Survey Recognition It’s wise to check out nursing homes before you need them

by Staff Writers

Richmond Place Brookdale and Northpoint Lexington Healthcare Center have both received the State 2016 Deficiency-Free Survey recognition.

“As a retired social worker and former caregiver to both of my parents who ultimately wound up in a nursing home, I am concerned about the public perception and lack of knowledge about our local facilities,” said Margaret McCoskey, MSSW. McCoskey is a retired geriatric social worker, an AARP volunteer, member of the Mayor’s Senior Services Commission and community relations manager for the annual I Know Expo.

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anyone can hear from their doctor is that a nursing home is now required for them due to a health issue,” she said. “Most of us fear nursing homes, but do we really fully understand the services and programs they provide and why they are not all alike?”

Earning the Deficiency-Free recognition is quite an achievement because of the high acuity level of patients and the amount of state regulation and oversight care facility staff undergo every day.

Richmond Place administrator Wayne Karczewski says the community’s success was due to several factors, including staff retention, meal quality (all meals are planned and prepared on site by a culinary expert), a triple-check process for patient care and a partnership with the University of Kentucky and KentuckyOne Health.

“We are a solutions-based facility,” said Karczewski. “We focus on customer care and service.

The Memory Care staff have been trained in the world-renowned Best Friends approach to care for persons with dementia, and they feature a monthly support group for family members with loved ones under this care.”

Richmond Place, a continuous care community, strives to increase positive outcomes for patients and residents. It offers independent living apartments, a separate personal care building with 60 apartments, a separate memory care unit with 21 apartments and a 120-bed skilledcare building.

The therapy department is also a source of pride at Richmond Place.

Therapists are on staff along with a fully equipped gym, providing residents and patients with high-quality care as needed. The personalized living program provides privateduty in-home care for people in the community on an as-needed basis.

Healthcare administrator Benita Diskenson says Richmond Place plans to expand its capability to care for higher acute-care patients, such as those with a tracheotomy.

Exemplary of the staff’s devotion was the recent act of kindness and appreciation the management paid to student workers when they hosted the group at a formal meal prior to the teenagers’ prom. Someone overheard the teenagers saying they couldn’t afford an expensive restaurant dinner for prom but didn’t want to disappoint their dates, so they and their dates were invited to Richmond Place for a free pre-prom meal in a private dining room.

Northpoint Lexington Healthcare Center has also received the State 2016 Deficiency- Free Survey recognition. Admissions and marketing director Arielle Austin says staff longevity makes Northpoint an outstanding community. The director of nursing and the assistant director of nursing have been serving Northpoint patients for approximately 17 years. The nursing staff averages 10 years of service.

The front-desk receptionist has been with Northpoint for 35 years and has held many different positions throughout her tenure there, which makes her a valuable asset to the entire community. Austin said the certified nursing assistants care for specific groups of patients, thus creating familiarity and trust among patient, caregiver and family members.

Another positive aspect of Northpoint that Austin noted is its ability to clinically care for the very acutely ill, such as tracheotomy patients and those with feeding and nose tubes.

Many of these patients come to Northpoint from the select division of Saint Joseph Hospital, which handles these kinds of patients.

In addition to the therapy department, Northpoint has a respiratory therapist on staff. To meet the needs of psychiatric and neurologically challenged patients, the community partners with a regional psychiatric and neurology company to provide medication and behavior management, working alongside the local nursing and social services staff.

Northpoint is the only local skilled provider that has a secure dementia-care unit. Austin says most of the 50 beds in the memory care (MC) unit are filled by inhouse patients who move into the unit when an opening becomes available. The MC staff has a passion for this population and their goal is to treat everyone with respect, regardless of mental capacity. All staff are cross-trained so, if needed, they can work any division of the community.

Austin says Northpoint hopes to expand the rehab unit and grow its respiratory and wound-care capabilities. The community will strive to continue to offer deficiency-free care. Both Northpoint and Richmond Place welcome calls and visits from people who are interested in learning more.

“I encourage a visit to these two facilities if a skilled-care community has been recommended for you or your loved one,” McCoskey said.

“It is best to be familiar with your options prior to any onset of a crisis so a well-informed decision can be made.”

Most of us fear nursing homes, but do we really fully understand the services and programs they provide?

J U LY / A U G U S T 2 0 1 6

SENIOR LIVING OPTIONS

The Search for Senior Living: Levels of Care

by Lauren Ashley German, Community Relations Director, Highgrove at Tates Creek

2.5 million baby boomers across America will turn 70 this year.

And thanks to medical advances, improvements in health care and modern medicine, the new 70-yearolds can expect to live up to 15 years longer than their ancestors.

That means more people than ever are considering their retirement options, which for many includes senior living communities. Senior living communities have come a long way since the nursing homes of the past. Today, senior living communities boast resort-like amenities including spas, yoga instructors and all-inclusive pricing and exist for all stages of life – starting with the independent and active 60+. But with so many options for services, amenities and levels of care, selecting a senior care community for yourself or a loved one can be overwhelming. This causes some to delay their search, sometimes until they are in a crisis situation and must make a decision quickly. Taking the time to research the options near you and making informed decisions in advance will make the move much easier for you and your family when the time is right.

The most important step in selecting a senior care community is to determine the level of care needed for you or the senior in your life. Keep in mind any current health issues as well as future

concerns – it’s important to plan for today and tomorrow.

Independent Living – Active seniors that are looking to downsize or get away from the stress of home repairs may be interested in the care-free lifestyle that independent living communities offer. Housing options range from apartments to garden homes and offer seniors the opportunity to socialize and participate in life-enrichment activities. Many communities offer meals and housekeeping services plus scheduled transportation. On-site amenities such as fitness centers, beauty salons, libraries and chapels create an all-inclusive environment that fosters the independence of each resident.

Assisted Living – Assisted living communities are intended for seniors looking for comfort, convenience and a peace of mind. Residents enjoy the privacy of their own apartment specifically designed for senior safety, including grab bars and an emergency call system. Assisted living residents are encouraged to maintain an active social life with a full calendar of events, including daily activities and special outings. Professional caregivers are available 24-hours a day to assist with activities of daily living, sometimes referred to as “ADLs”, which include bathing, dressing, grooming, eating, transferring, and toileting. Medication reminders and personal laundry services may also be available.

Personal Care – In the commonwealth of Kentucky, you will also find personal care communities. Personal care communities are

licensed, clinical facilities providing health-related services that must include 24-hour supervision, medication management, housekeeping, transportation and laundry services.

Residents receive three meals a day which are regulated by a dietician or nutritionist. Nurses are available onsite to administer injections, provide diabetic management and maintain medical records. Personal care communities also provide social and recreational activities in a safe, secure environment.

Skilled Nursing Care – Skilled nursing facilities, sometimes referred to as healthcare centers, provide medical and nursing services to their residents. Some residents may need skilled nursing care on a short-term basis following an illness or injury with an end goal of returning home or to a lower level of care. Others who need ongoing nursing support are considered long-term residents. In addition to 24-hour skilled nursing care, both short-term and long-term residents have access to rehabilitative services such as physical, occupational and speech therapies. Additional services may include cardiac or stroke recovery, wound management, laboratory services, radiology services and discharge planning.

Memory Care – Specialty care for seniors living with Alzheimer’s disease or related dementias is often called memory care. These are often secured units staffed by caregivers who have training and experience working with residents living with memory impairment.

In addition to all the benefits that come with living in a senior living community, memory care programs offer unique activities that are specifically designed to engage their residents which increases selfesteem. Memory care is available at multiple levels of care, including assisted living, personal care and skilled nursing care.

The advantages of belonging to a senior living community are too important to ignore. In all levels of care, residents are exposed to a community of like-minded individuals while receiving care and attention in a safe and secure environment. Still, many seniors

15

and their families view senior living communities as a last resort. Some people believe that moving to a senior living community represents a loss of independence, when in reality it’s quite the opposite. For others, it’s a lack of understanding of the advantages that come from living in community specifically designed for them. But as seniors and their families begin to see the benefits of senior living communities, they are turning to senior living communities earlier in life. The seniors of today are making their own plans for the future and why shouldn’t they? These should be the best years of their lives.

SOURCES & RESOURCES:

• Boomers Turn 70: http:// www.aarp.org/politics-society/ history/info-2016/babyboomers-turning-70.html • The Senior Care Continuum: A quick guide to the options: http://www. whereyoulivematters.org/wpcontent/uploads/2016/01/ WhereYouLiveMattersSeniorCareContinuumGuide.pdf • Make an Informed Choice: http://www. whereyoulivematters.org/ informed-choice-what-suits-aseniors-lifestyle-best/ • Tips on How to Start Your Senior Living Search: http://www. whereyoulivematters.org/seniorliving-basics-12-tips-for-gettingstarted/ • Compendium of Residential Care and Assisted Living Regulations and Policy https://aspe.hhs.gov/ sites/default/files/ pdf/110481/15alcom-KY.pdf ABOUT THE AUTHOR:

Lauren Ashley German is the Community Relations Director at Highgrove at Tates Creek, a premier senior living community coming to Lexington. Highgrove at Tates Creek offers independent living, assisted living and memory care. Lauren Ashley can be reached at 859-245-0100 or lagerman@traditionsmgmt.net.

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Events Calendar JULY

AUGUST

Sun Mon Tue Wed Thu

3 10 17 24 31

4 11 18 25

Ric’s Garden, the public cutting garden at Ashland Terrace, 475 S. Ashland Avenue, is open for business

5 12 19 26

6 13 20 27

7 14 21 28

Fri

1 8 15 22 29

Sat

2 9 16 23 30

Sun Mon Tue Wed Thu

7 14 21 28

1 8 15 22 29

2 9 16 23 30

3 10 17 24 31

4 11 18 25

Fri

Sat

5 12 19 26

6 13 20 27

Send us your event listings

List your event for FREE if it’s free to the public*.

E-mail your event information to brian@rockpointpublishing.com (*$35 fee for events that are not free to the public)

Ongoing

Yoga Health & Therapy Center Classes Our Yoga Classes feature slow stretch with gentle breathing, and relaxation techniques.

Class size is small, to provide careful instruction. Yoga classes are offered Mon through Thurs (daytime and evening), and Sat mornings. Our Meditation Starter Course teaches simple ways to focus and quiet the mind; 5-week sessions are offered on Sundays at 5:30 pm. A nonprofit organization operating since 1981, The Yoga Health & Therapy Center is located at 322 W. 2nd St. Free private parking is provided for most classes. For more information on fees and scheduled dates and times, call us at 859-254-9529, or email us at info@yogahealthcenter.org

Sit and Get Fit Mondays and Fridays, 9:30am10:30am. FREE! This event is a seated controlled exercise/ movement class to improve strength, flexibility, balance and coordination. It is taught

by Anne Graff, MS, OTR/L, Occupational Therapist certified by the American Senior Fitness Association as a Senior Fitness Instructor and trained in Body Recall. Also included are: Fall Prevention and Recovery, Fun Movements to Strengthen Body and Mind, Improve Posture and Core Conditioning, Wellness Education, Relaxation Techniques, and Music.

The Charles Young Center is located at 540 E. Third Street.

Parking is available on Shropshire Avenue or Lewis Street, Lexington, KY. Ages 60 and older.

For more information, please contact Alexis Edge at 859-2460281 or aedge@lexingtonky.gov.

This year Lexington’s oldest retirement community offers alstroemeria, iris, ageratum, gooseneck loosestrife, goldenrod, purple coneflowers, Joe Pye weed, lisianthus, snapdragons, zinnias, salvia, black-eyed susans and marigolds. The following varieties of herbs are available: oregano, nasturtium, rosemary, lemon grass, sweet marjoram, lemon thyme, basil, parsley, fennel, Italian parsley, sorrel, garlic chives, mint, winter savory, lemon verbena, dill, French tarragon and sage. Large blooms are .50, small blooms are .25. Herbs are .25 a small bunch. Roses and vegetables are reserved for residents only. The donation box and scissors are located at the start of the main garden walkway; water and containers are available near the shed. Don’t miss the smaller cutting garden behind the shed. All proceeds are used to maintain the garden and feed the critters. Call Kelly or Michelle at 266-2581 for additional information.

Swing Lessons Every Tuesday: 8pm–10pm at Tates Creek Recreation Center, 1400 Gainesway Dr. $5.00 per person per lesson. Call for more information: Glenn and Rosalee Kelley 859-233-9947; OR Peter and Robin Young 859-224-3388.

Community Yoga Class with Lauren Higdon Every Tuesday 10:30am– 11:30am at Centered Studio,

309 n Ashland ave suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition.

Classes may include chair yoga, restorative, yin yoga, tai chi, and more. Perfect for beginners as well as experienced yogis!

Donations-based class.

Community Flow This weekly (Tuesdays) restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition.

10:30am–11:30am. Donation only (great portion of all donations go to the Backpack Food Program at Ashland Elementary.) Inspiring, Educating & Supporting our World through the Moving, Visual & Healing Arts! Daily classes, therapies, workshops & a great spot to host your next event! 309 N Ashland Ave Ste.180, Lexington, KY 40502. 859-721-1841. www.centeredlex.com.

Lupus Support Group Living & Coping with Lupus: meets 1st Tuesday of every month at Imani Baptist Church, 1555 Georgetown Road, Lexington from 7:00pm–8:30pm.

The Lupus Foundation of America support groups are intended to provide a warm and caring environment where people with lupus, their family members, caregivers and loved ones can share experiences, methods of coping and insights into living with chronic illness. www.lupusmidsouth.org 877-865-8787.

J U LY / A U G U S T 2 0 1 6

MELT Method Hand, Foot and Body Healing Class by Shayne Wigglesworth.

Mondays and Wednesdays at 12pm - Discover painfree living at any age! Enjoy a gentle foam roller class to reduce pain, inflammation, stress, anxiety and more! MELT Method certified instructor Shayne Wigglesworth will teach you healing techniques you can use for self care at home.

All materials and rollers are provided. Perfect for all ages, body types and experience levels. Learn more – call/online: www.centeredlex.com 859-721-1841

Mindfulness-Based Stress Reduction Full 8 week program (Thursdays) the gold standard in mindfulness. Orientation January 14th @ 6:00PM. Study and practice with a supportive group and learn to: relax your body, quiet your mind, open your heart, manage stress and prevent burnout , learn non-drug approaches for managing chronic conditions.

Cost deeply discounted for UK employees, spouses and retirees. Sliding scale for nonUK participants. Facilitator: John A. Patterson MD, MSPH, FAAFP, Mind Body Studio 517A Southland Drive Lexington KY 859-373-0033. Full details at http://www.mindbodystudio. org/?page_id=1262

July 12

Senior Resource Roundtable presented

by Highgrove at Tates Creek Join us for a senior resource roundtable and learn how you can plan for the present!

During this free event, local experts will cover a variety of topics, including senior living communities, long-term care insurance, downsizing and elder law. Enjoy a light breakfast and enter to win a $100 gift card!

10am–11pm at the Lexington Public Library, Eastside Branch, 3000 Blake James Dr., Lexington.

For more info. or to register, call 859-245-0100. Registration is required as space is limited.

July 12

Fayette Co. Diabetes Coalition Meeting 8:30 – 10:30 am, Lexington-

Fayette Co. Health Department PH Clinic South, 2433 Regency Road, Lexington. Monthly meeting open to anyone interested in enhancing diabetes awareness and education in the community. For more information, or to attend, call 859-288-2347.

July 12 Yoga class

6:15-7:15 pm, William Wells Brown Community Center, 548 East Sixth Street. Weight room also open 5 – 9 pm. Free and for adults age 18 and above.

Sponsored by Lexington Parks and Recreation. For more information, contact Jill ChenaultWilson at 389-6678.

July 14

AARP Smart Driver safety course This driver safety course discusses the changes that occur with aging and how that can affect driving. Held the second Thursday of every month from 11:30am to 4:00pm at Don and Cathy Jacobs Health Education Center, UK HealthCare’s Chandler Hospital Pavilion A, 1000 S. Limestone Street, Lexington, KY. Call for reservation (859) 323-1890, $15 AARP members, $20 non-members.

Those who complete the course should be eligible for automobile premium discount through their car insurance providers for at least three years.

17

3865 or jutley5122@bellsouth.net to register. More info at http:// joannutley.byregion.net

July 26/Aug 30 Hospice of the Bluegrass Lunch & Learn Series

Are you interested in learning more about end-of-life care?

Are you curious about the vast array of services Hospice of the Bluegrass offers? Join us for our monthly Lunch & Learn series on the last Tuesday of each month at noon for an informative conversation about our work. Lunch will be provided and each session will be led by a knowledgeable Hospice of the Bluegrass administrator.

This overview will touch on how hospice services work and the services provided. This is a free event. Register by emailing or calling (859) 296-6895.

Times: Last Tuesday of the Month from noon – 1 p.m. (July 26, August 30, September 27, October 25 & November 29.)

August 13

Run 5k Register online now for the 5K Race through downtown Lexington at 8pm on August 13: amidsummer5k.com. Fastest Kid in Town (ages 3–12) at 4:30pm; One-Mile Fun Run/Walk 6:30pm; 5K Race at 8:00pm. For more information: 859.260.6945.

BaptistHealthLexington.com or e-mail race@bhsi.com.

August 27

2016 Lexington Walk to End Alzheimer’s® The Greater Kentucky and Southern Indiana Chapter of the Alzheimer’s Association’s largest local fundraiser will take place on August 27 at the Fayette County Courthouse in downtown Lexington. Registration begins at 9 AM with the walk kicking off at 10 AM. Our goal is $270,000 this year, so we are encouraging participants to register early so that they have ample time to raise funds for the August event.

Participants can register online at act.alz.org/Lexington or by phone at 859-266-5283.

Baptist Health: A Midsummer Night’s

Home Care by Seniors for Seniors

July 19

Eat, Move, Lose Weight Support Group 12 – 1 pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road.

Free weight-loss support group appropriate for anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information or to pre-register, call 288-2446.

July 26

Reiki Practice & Introduction to Reiki 6:30pm- 8:30pm. 2508 Wallace Avenue, Louisville, KY 40205. Free. Those with Reiki come to practice & receive the Reiki energy. Those who do have not Reiki training—come for an introduction/question & answer.

Contact JoAnn Utley at 502-777-

There’s a huge difference in the kind of home care you can receive from someone who really understands what your life is like as a senior. Your concerns and need for independence.

Someone who like you, has a little living under his or her belt. Our caring, compassionate seniors are there to help. We offer the services you need to stay in your own home, living independently.

• Companionship • Light Housekeeping

• Meal Preparation • Transportation . . . and more!

KY 500239

Like getting a little help from your friends® Call us today!

If you are interested in becoming a service Provider we would like to hear from you too.

(859) 408-1145

www.seniorshelpingseniors.com/lexington ©2016 Seniors Helping Seniors. Each office is independently owned and operated. All trademarks are registered trademarks of Corporate Mutual Resources Inc. Not all services are available in all areas.

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J U LY / A U G U S T 2 0 1 6

Senior Services DIRECTORY

Category Key

Does your business provide excellent senior services?

call us for a spot County Offices & Meal Programs in the directory 859.368.0778 Health Care Systems & Hospitals Transportation, Personal Shopping, Errands Senior Day Centers, Adult Day Centers & Respite Care In Home Care (Non-Medical) In Home Medical Care Mental Health, Family & Caregiver Support, Advice Disability & Rehabilitation Medical Equipment, Supplies & Monitoring Systems

Finances & Estate Planning, Trusts/Wills, Reverse Mortgage

About the Directory Living Well 60+ is striving to make your search for local senior services a bit easier. We know there are many companies available to assist seniors in central Kentucky – so many that beginning a search to fit your need can seem like a daunting task.

That’s why our directory features a collection of local companies and organizations who have a solid track record of providing exceptional assistance. We hope it becomes a useful starting point in your search for quality senior services.

Funeral Arrangement & Pre-Planning Legal Services Home Repair & Maintenance Skilled Nursing Facilities, Personal Care Homes, Long-Term Care Senior Independent Living & Retirement Housing Real Estate / Rent- Subsidized Housing For Independent Living Moving, Estate Sales, Downsizing Services Fitness, Healthy Eating & Healthy Living Healthcare, Medicare Help and Insurance Vision Care

J U LY / A U G U S T 2 0 1 6

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Belly Dancing for Fun and Fitness Ancient art form provides many health benefits

by TaNiqua Ward, M.S., Staff Writer

Many people think fitness involves going to the gym, getting involved in vigorous physical activity and breaking a sweat. However, fitness can be anything you want it to be, as long as the body is moving and the activity is beneficial to your health. Belly dancing is not just about shaking your hips and moving to the music. It is also considered to be a fun form of fitness.

Jenann Self teaches a class called Belly Dancing for Fun and Fitness at Roots & Wings Yoga and Healing Arts in Natick, MA. “It is truly a fun way to get fit,” she said.

Originally, belly dancing was a social dance. It was important to various cultures. The term “belly dancing” came from the French phrase danse de ventre, which means “dancing of the stomach.”

This practice descended from many different cultures in the Middle East. Men and women both participated in belly dancing at festive events because they were not allowed to dance with each other during ancient times.

Belly dancing engages many different muscle groups. There is movement in the stomach, hips and thighs, as well as the flowing of the arms throughout the rhythmic dance.

“Belly dancing is about isolation and muscle control,” Self said.

“It works almost every part of the body.”

Most people think doing hundreds of crunches and holding planks for a long time will help them attain a flat stomach or toned abs. Belly dancing can help you achieve the stomach you desire by swiveling your hips and engaging the upper and lower abdominal muscles. Incorporated with regular cardiovascular exercise, the practice can very well help you reach some of your fitness and weightloss goals.

There are many benefits of belly dancing. These include: Building and toning muscles.

The circular motion of the hips and stomach help maintain a toned core. Belly dancing both engages and controls certain parts of the body through muscle isolation. It moderately tones all major muscle groups.

Weight loss. Belly dancing burns calories and can help contribute to weight loss when paired with other cardiovascular activities.

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Stress reduction and confidence building. Belly dancing incorporates swaying the hips and repetitive movement of the stomach, both of which can reduce the buildup of daily stress. This rhythmic dance helps build selfconfidence by encouraging you to appreciate your body and show self-love.

If you are looking for a unique way to be physically active, give belly dancing a try. “It allows you to be creative and spontaneous,” said Self. Let yourself experience something new. Move your hips, be creative and gain the confidence to go out and express yourself.

Belly dancing is not just about shaking your hips and moving to the music.

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LEXINGTON COMMUNITY SENIORS:

Traveling on Your Terms Leisure tours take travelers on different types of trips

by Martha Evans Sparks, Staff Writer

If you like to travel but have reached a stage in life where you don’t wish to go alone, Lexington Community Seniors (LCS) has good news for you. The organization does all the planning, makes all the arrangements and provides the safety and security of traveling with a group. You pay one fee up front that includes the entire cost of the trip.

LCS offers everything from day trips to nearby attractions to twoweek trips to Hawaii. LCS travelers have been to the Mediterranean and the Greek islands. LCS plans a cruise about once a year and a trip to Branson, Mo., about every two years. The group also travels to the Sight and Sound Theater in Lancaster, Pa. LCS began about 20 years ago when David Dale, who at the time was minister of music at Gardenside Baptist Church in Lexington, got a call from a staff member at

nearby Beaumont Presbyterian Church. He was looking for a bus big enough to take a group from his church on a trip. The two invited several other churches to join their seniors on trips. One thing led to another and now 18 different churches are full-time participants.

The LCS Leadership Team, which includes a member from each participating church, meets once a month to plan activities. Dale is LCS’ director. He is also associate pastor of worship and senior adults at Broadway Baptist Church in Lexington.

“It is a ministry with much good fellowship,” Dale said.

Once a quarter, LCS has a luncheon. Speakers for these occasions have included a Miss America, a working jockey and Mitch Barnhart, director of University of Kentucky Athletics. As many as 125 people attend the luncheons.

The group has “seniors” in its name, but Dale said, “Age is not an issue at all.” Couples, singles and anyone who wishes may go on a trip. Sometimes three generations of one family travel together.

Dale makes it clear LCS is faith-based. Trips are usually planned so travelers will not be gone on a Sunday since most people prefer to be at their home churches that day. If the trip lasts over a weekend, Dale finds a place for the group to have their own worship service on Sunday morning. Occasionally the group will worship at a local church. There is no requirement that travelers be members of a participating church or have any church membership at all. But all participants

must understand Christian standards will be upheld.

The trips are often termed “leisure tours.” Optional group activities are planned for any who want to participate, but if you want to rent a car and do some independent sightseeing, you are free to do so.

“It is a fellowship thing and a security thing for people who are older,” said Dale. “I plan the trip, but I also plan flexibility for those who want to do things on their own.”

Faye Boggs, a widow and longtime member of Broadway Baptist Church, takes trips with LCS frequently. In these senior years of her life, she does not want to go anywhere by herself. That’s why she appreciates LCS. “Everything is planned out for you,” Boggs said. “I like something like that.”

LCS has a set of procedures in place to deal with medical emergencies that may occur during a trip. Dale says he feels very fortunate that they have never had any member of a group break a bone or get so sick that they had to be left behind in a hospital while the group returned to Lexington. He recalled one trip when a woman traveler fell ill. Trip directors took her to a local hospital where she was treated but not admitted.

Group members accompanied her home by airplane, rather than having her ride the bus back. She recovered and it all ended happily.

The biggest trip on the horizon will be to Hawaii Oct. 5-14, 2016.

The group will stay at the Royal Lahaina Resort on Maui. Optional sightseeing tours include everything from a trip to Volcano National Park to a whalewatching cruise, all discounted and planned exclusively for those traveling with LCS. The cost is $1,799 plus air fare. Dale says he has reserved 24 seats on a flight to Hawaii. For more information, call Dale at (859) 312-6295 or call the Broadway Baptist Church office at (859) 276-2592 and leave a message for him.

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Grandparents Raising Grandchildren Have Rights Tap in to various resources to learn about claiming custody

by Martha Evans Sparks, Staff Writer

Jimmy, 8, standing in his grandparents’ front yard, waves his arm toward the house. “This is my home now,” he says.

What Jimmy does not say is that he has trouble sleeping and sometimes has panic attacks. His grandmother, Sandy, thinks it is because of the child’s conflicted state of mind.

“He misses his parents – my daughter, Carolyn, and her boyfriend, Johnny, yet thinking of them makes him nervous,” his grandmother says. “He keeps asking me, ‘Granny, are they going to come and get me?’ and I say, ‘No, baby, nobody’s going to take you away from your Granny.’”

Sandy worries even as she tries to reassure Jimmy. “Am I telling him the truth? What if Carolyn and Johnny show up someday? They’re Jimmy’s natural parents. Can I stop them from taking their own child?

Carolyn is my daughter and I still love her. But let her try to raise this child? No way.”

Jimmy has lived with his grandparents for as long as he can remember. Carolyn and Johnny were both 16 years old when he was born. Both are heroin addicts.

Jimmy was about 2 years old when his parents’ lifestyle and their abuse and neglect came to the attention of the local social services agency.

Someone in that office called Sandy and said the government was removing the toddler from his parents’ care that day. Would she

take the child or should they just send him to foster care with strangers? That was all the notice Sandy and her husband, Wallace, got that they had another child to raise.

What else could they do?

This true story is not unusual. In Kentucky, about 59,000 children are being raised by grandparents and other relatives. Almost all of these cases – perhaps as many as 90 percent – involve drug and/or alcohol abuse.

What rights do grandparents have? What can they do to help both themselves and the child (or children) avoid being blindsided by the kind of pitfall Jimmy fears? His fear is well founded. If his grandparents do not take action, Jimmy’s biological parents may indeed be able to take him away from the only

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home he has ever known and his only shred of stability. Each move is traumatic to the child.

What should Jimmy’s grandparents have done immediately when social services first brought him to their home? They should have gone to family court to get some kind of formal custody. Then, if the biological parent showed up and said, “He’s my kid, I’m taking him now,” the grandparents would not have to comply, at least until after there was a court hearing.

Custody has two components.

Legal custody means being able to make decisions for the child. This includes issues such as where he goes to school and other educational decisions, as well medical decisions and living arrangements.

Without legal custody, a grandparent might bring the child to the neighborhood public school only to find school officials will not admit him or her because they do not know whether the child is a legal resident of the geographic area that school serves. Also, without such legal authority, if the child gets sick, the grandparents may have no authority to take him or her to the doctor of their choice, much less agree to give the child a drug that may cure his or her illness. The same is true if a grandparent must grant permission for a child to play a sport that involves risk of physical injury.

Physical custody refers to where the child lives, eats and sleeps. It does not grant legal rights. Sole custody is sometimes known as full custody. If a court has given you sole custody of your relative child, you have both legal and physical

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custody. You can make all decisions concerning the child and have the final say on everything.

Usually getting legal custody of a child not your own involves going to court and proving to the judge it is in the child’s best interests for someone other than the birth parents to have custody. If you as a grandparent have legal custody, the birth parents will have to go to court to get the child or children back. They can’t just knock on the door and demand them. Grandparents in Kentucky who end up

raising children without contacting the Cabinet for Health and Family Services can be declared de facto custodians if they meet the requirements of various state laws.

Lexington lawyer Anna Dominick says this can get complicated.

Grandparents who wish to go this route should see a lawyer for help.

Family court may also help you find whether you are eligible for public financial aid, such as Medicaid. Having legal custody also clears the way for the grandparent or other caregiver to name

someone to take over formal, legal parenting in case the grandparent or other caregiver dies or becomes incapacitated.

Most important of all: It’s smartest to assume you’re in this for the long haul, maybe until the child becomes an adult.

For fuller treatment of these issues, see the author’s book, Raising Your Children’s Children: Help for Grandparents Raising Grandkids, available on Amazon or wherever books are sold.

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In Kentucky, about 59,000 children are being raised by grandparents and other relatives.

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LIVING TRUSTS

5

Reasons Why Living Trusts are NOT for Everyone

by Mary Ellis Patton

One of the most common things I hear from my estate planning clients is that they want a Living Trust so that they can “avoid probate.” So, I’ve started asking them “why?” They tell me one of two things: first, they have heard that probate is expensive, or secondly, they need to save on estate taxes.

In 1965, Norman F. Dacey published his well-known book How to Avoid Probate! Norman F. Dacey, while not an attorney himself, instructs the public to transfer everything they own into a Living Trust using one of the forms in the back of his book. A review of the book, at the time of its initial publishing, in the Valparaiso University Law Review stated, “The inter-vivos trust is a valuable tool in estate planning. Its use is often effective in the minimization of costs and taxes. The indiscriminate use of this vehicle by laymen without professional advice will lead ultimately to heartbreak and additional costs for many families.”1 1. Laws Have Changed

In the years since the publication of Dacey’s book, the laws have changed. When he published his book, the federal estate tax exemption amount was $60,000.2 Today in 2016, it is $5.45 million (or $10.9 million for a married couple). (The exclusion will change yearly.)

In Kentucky, the out-of-pocket court costs and filing fees are generally less than $300 and vary depending on the required cost of a published announcement to creditors. (If the personal representative hires an attorney or takes fiduciary fees, the cost will be higher.) This cost is much less than the cost of a Living Trust.

So, When Might you Need a Revocable Living Trust?

In contrast, setting up a Revocable Living Trust may cost significantly more. Costs for drafting vary from attorney-to-attorney. (Generally, it will cost several thousand dollars.) And you should use an attorney to set up a living trust; pitfalls abound and DIY trusts can cost you more in the long run.3 In addition, to actually avoid probate, you must be sure to that the trust holds all of your assets overtime until death. Any asset not titled in the name of the trust is not subject to the terms of the trust and could possibly pass through probate. This means that your home, checking account, savings accounts, CDs, and automobile, should be titled in the name of the trust. This goes beyond just adding the items to “Schedule A” on the last page of the trust.

You must take the steps of actually retitling these assets.

The process of retitling all of your assets may also be have costs associated with it. There may be fees for changing ownership or even income tax consequences.

Further, if any of your trust assets are managed by a financial professional, you will be charged a management fee. Trustees are also entitled to a trustee fee.

What If You Already Have A Living Trust?

4. The Cost of a Living Trust

Tax-planning used to be the main issue addressed by estate plans; this in turn gave rise to the popularity of Living Trusts. But that is no longer the case. My clients, who are typically middle-class individuals, simply will not accumulate enough assets to make using a Living Trust worthwhile.

2. Some Assets Already Transfer Outside of Probate

Without even knowing it, many individuals have assets that already avoid probate. Generally, most retirement accounts and life insurance policies are payable to an individual beneficiary. Payable-upon-death accounts, including those on your bank accounts, similarly are payable to a named beneficiary. These do not pass through the probate process. If you own real estate or accounts “jointly with right of survivorship” with your spouse (or another person), this will likewise pass outside of probate. Thus, in many instances a Living Trust will not be needed to avoid probate.

3. The Real Expense of Probate

Assets subject to probate include only those things you own in your own name alone at the time of your death and without a beneficiary designation. Probate assets generally include real estate, financial accounts, and personal property. The expense of probate largely depends upon the State in which the decedent resides and the size of their estate. Court costs vary from state-to-state.

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5. Revocable Trusts Do Not Preserve Your Assets In Regards To Medicaid

Lastly and most importantly, from an Elder Law perspective, Living Trusts do not protect assets from Medicaid’s spenddown requirement. Medicaid’s policy is that because the trust is revocable, the funds are an available resource to the Grantors (the people who funded the trust). Thus, all assets owned by the trust will be considered to belong to the Grantor of the trust and must be spent down to qualify for Medicaid programs.

Revocable Living Trusts are right in certain situations. Individuals with privacy concerns, management needs, high asset values, or supplemental needs may benefit from a revocable trust. However, you must get advice from an attorney in order to determine if one of these is right for you.

If you already have a Living Trust, there is nothing wrong with that.

You should determine what the trust actually owns. Further, a Living Trust should be reviewed with your attorney along with your estate plans every 2 years or after any major life event. Your attorney may suggest ways to make the trust more beneficial to you.

1. Delmar R. Hoeppner, Norman F. Dacey: How to Avoid Probate, 1 Val. U. L. Rev. 197 (1966). Available at: http://scholar.valp. edu/vulr/vol1/26 2. Jacobson, Darrin B. Estate Tax: Ninety Years and Counting Available: https:// www.irs.gov/pub/irs-soi/ninetyestate.pdf 3. Jacobs, Deborah L., What Could Happen if You Write Your Own Living Trust?

Forbes (August 16, 2012), Available: http://www.forbes.com/sites/deborahljacobs/2012/08/16/what-could-happen-ifyou-write-your-own-living-trust/

ABOUT THE AUTHOR:

Mary Ellis Patton is an associate at Bluegrass Elderlaw, PLLC in Lexington, Kentucky. In her practice, Mary uses customized Powers-ofAttorney, Wills, and Trusts to help clients to achieve their financial, legal, and health care goals. Mary is licensed to practice law in both Kentucky and Ohio. She is the author of Chapter 13, Age Discrimination, of the Kentucky Practice Series, Elder Law Volume. She serves as the Secretary to the Elder Law Section of the Kentucky Bar. She is also a member of the Fayette County Bar Association and the National Academy of Elder Law Attorneys. Mary earned her B.A. in Communication magna cum laude from the University of Kentucky in 2004. In 2007, she graduated with her J.D. from the University of Dayton School of Law.

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What You Need to Know About Hepatitis C Chronic disease is reason for most U.S. liver transplants

by Jean Jeffers, Staff Writer

Hepatitis C is a virus, an inflammation of the liver, which could be acute but most often is chronic in nature. It is the leading cause of cirrhosis and the most common reason for liver transplants in United States.

The National Institute of Health (NIH) reports there were 19,659 hepatitis-related deaths in 2014; this was a record high. This disease now kills more Americans than

any other infectious disease. The Centers for Disease Control and Prevention (CDC) estimates 3.5 million people in the United States have chronic hepatitis C. Nearly 85 percent of all cases of hepatitis C are chronic. Hepatitis C is not treated until it becomes chronic in nature. There are today a number of new drugs that slow or stop the virus.

Some people with hepatitis C may not have any symptoms until the disease causes liver damage,

often 10 years or so after they contact it. Others may have symptoms such as tiredness, muscle soreness, nausea, stomach pain, fever, loss of appetite, diarrhea, dark yellow urine, light-colored stools and yellowish eyes and skin, which indicates jaundice.

The National Institute of Diabetic, Digestive, and Kidney Diseases (NIDDK) says anyone can get hepatitis C, but some individuals are more likely to acquire the illness. These include babies born to a mother with hepatitis C; hospital workers who come in contact with blood or infected needles; people who have had more than one sex partner in the past six months or who have a history of sexually transmitted disease; people undergoing dialysis; people infected with HIV; people who have injected illegal drugs; people who work in a prison or

who are incarcerated. People who had a blood transfusion or organ transplant before July 1992 and people who have hemophilia and received clotting factor before 1987 are also vulnerable to hepatitis C. The NIDDK says you cannot get hepatitis C from shaking hands with, hugging, sitting close to or sharing tableware, water and food with someone who has hepatitis. Nor will you become infected if that person coughs or sneezes on you.

To avoid getting hepatitis C or infecting others, the NIDDK suggests the following tips: • Do not share needles or other drug materials.

• Wear gloves if you have to touch another person’s blood or open sores.

• Do not share toothbrushes, razors or nail clippers.

• Use a condom when you have sex.

• Tell your doctor and dentist if you have the disease.

If you have hepatitis C, the NIDDK suggests you take care of yourself by following a good diet and exercise program. Avoid alcohol and keep regular appointments with your primary care physician. Use good hygiene to avoid transmission of the virus to others.

ABOUT THE AUTHOR:

Jean is an RN with an MSN from the University of Cincinnati.

She is a freelance writer and staff writer for Living Well 60 Plus and Health & Wellness magazines.

People with hepatitis C may not have any symptoms until the disease causes liver damage.

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Advice for Withdrawing from Your IRA Should you? And when?

by Jamie Lober, Staff Writer

The Charles Schwab Corp. defines an individual retirement account (IRA) as one that allows you to save for your retirement and take advantage of tax benefits.

There are different types of IRAs, so it is essential to figure out which is appropriate for you. When you understand how withdrawing from your IRA works and know the laws, you can use some tips and tricks to your advantage. You want to plan ahead to be certain your assets will give you the income you need during your retirement years.

Traditional IRAs automatically give you a tax break that can help begin to reduce your annual taxes.

Every state has its own rules. People in Kentucky are lucky because IRA withdrawals usually qualify for an exemption from state income tax, even if you are not retired. The laws regarding IRA distributions cater strongly to retirement investors, so being able to exclude most

or all of their retirement income from state income tax motivates many people to move to the Bluegrass State.

Other types of IRAs may not be as well known, such as custodial IRAs, which are for kids under age 18 who have earned income.

These funds can be used to pay for college.

Anyone looking for extra cash may consider taking a distribution from their IRA regardless of whether or not they are retired. Fidelity Investments says withdrawals made before age 59½ are subject to a 10-percent penalty as well as state and federal taxes that apply. Kentucky Planning Partners in Louisville named some circumstances in which people can withdraw from an IRA before they reach age 59½ without penalty. These include death, disability, home purchase, unreimbursed medical expenses, medical insurance, higher education expenses, an IRS levy and active duty call-up.

It is a good idea to consult a tax advisor or financial planner about your specific situation to discern the best decision to make. For example, if you have inherited an IRA, there may be a requirement that you begin distributions by a certain date. The IRS notes qualified charitable distributions may satisfy all or part of the required minimum distribution for the IRA. People must report charitable distributions on Form 1099-R for the calendar year the distribution is made.

As you look into the retirement phase of your life, Charles Schwab recommends comparing Roth and traditional IRAs. Each has different features. What is best for one person may not be the most beneficial choice for another. Remember age matters for withdrawals so you can

avoid penalties. You also have the option of rolling over an old 401K to an IRA. There are pros and cons here you will want to weigh. For instance, administrative IRA fees may be lower than 401K fees.

Starting at age 70½, owners of traditional IRAs have to make withdrawals from their accounts, according to Fidelity. These are called minimum required distributions. There is no choice about this and not doing so will result in penalties. The exception is Roth IRAs, where there is no minimum required distribution.

Regardless of your age, it is crucial to work with a financial expert and continually review your stock portfolio, bank accounts, investments and assets so you can modify your plans to meet your various financial goals.

You want to plan ahead to be certain your assets will give you the income you need during your retirement years.

J U LY / A U G U S T 2 0 1 6

Lexington Healing Arts Academy Students pursue dreams, provide valuable health service

by Charles Sebastian, Staff Writer

It was 1999 when the Lexington Healing Arts Academy was first established here in Lexington. Up till that time, people who practiced massage therapy had only community education classes, word of mouth and one-on-one mentorships to develop their craft and business. In those days, the legitimacy of massage therapy was still very much in question as the lines between true healers with good intentions and the late-night parlors that once adorned Winchester Road were as yet blurred in the public eye. It was the task of a handful of people to change this primitive view of mas-

sage and the unfounded comparison and bring these ancient arts into their proper place.

Bill Booker and his wife, Debra, had just moved to Lexington when they purchased the academy in 2003. It has been under their watchful eye ever since. As executive director, Bill Booker said, “We wanted to do something new and different at the time. We had just moved here from Boulder, Colo., and we were very much immersed in the culture there, which had a lot to do with healing, health, exercise, etc.”

Twenty years ago, Lexington had only a handful of massage therapists, most of whom had gone elsewhere to a massage program or

31

just started practicing, as there was no state licensure at the time.

“We’ve graduated close to a thousand therapists since that time,” Booker said. With the school’s growth and the increase in therapists came the need for regulation, which the state provided a little over 10 years ago. “Along with the obvious state licensure, we jumped through a lot of hoops to get accreditation from the Accrediting Bureau of Health Education Schools,” Booker said.

Many graduates of the academy go into business for themselves.

Some get into doctor’s practices, physical therapy groups and chiropractic offices or go to work for bigger massage organizations such as Massage Envy. The academy allows people to pursue their dreams and provide a valuable service, all under the umbrella of legitimate health services.

As the massage program grew, the Bookers decided to add yoga and personal training to their offerings. “We have one of the finest yoga certification programs in the

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country,” Bill Booker said. “The personal training program is great as well and can set people up to work in a variety of situations.”

The academy offers not only the training required for these certifications; it also offers massage and the other disciplines the Bookers teach to the public. Patrons can get a variety of massages, depending on their needs and goals. As massage licensure is now mandated by the state and the level and expertise of therapists have climbed, there has been across the board a greater respect for and interest in massage.

The Bookers have certainly been instrumental in lifting massage therapy from its stained past.

“Massage is so wonderful for the mind and body,” Bill Booker said.

“Everyone should have the opportunity to experience it to its fullest.”

You can check out the programs at the Lexington Healing Arts Academy on its Web site (www.lexingtonhealingarts.com) or call (859) 252-5656 for more information.

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