Living Well 60+ November–December 2016

A RESOURCE GUIDE FOR YOUR GENERATION

60 Plus NOV / DEC 2016 VOL. 12 ISSUE 5

In-home care service pairs providers with those in need

Seniors

Helping Seniors ALSO INSIDE Holiday Help for Caregivers

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NOVEMBER/DECEMBER 2016

Contents

Nov/Dec 2016

5

Holiday Help for Alzheimer’s Caregivers

7

The Search for Senior Living: The Starting Line

8

Do You Need a Caregiver Agreement?

10 Redefining Friendship 11 What’s the Buzz About Beekeeping?

12 Highgrove at Tates Creek: A Place Where You Will Love to Live

STAFF WRITERS Donald Hoffman

Charles Sebastian

Jean Jeffers

Martha Evans Sparks

Dr. Tom Miller

TaNiqua Ward, M.S.

Lisa M. Petsche

ROCK POINT PUBLISHING Brian Lord / Publisher Kim Blackburn / Sales Representative Jennifer Lord / Customer Relations Specialist Barry Lord / Sales Representative

14 Vision is Learned and it Can Be Relearned 15 Preventative Aging 16 EVENTS CALENDAR 18 SENIOR SERVICES DIRECTORY 21 Advance Planning for Healthcare and Financial Decisions if Mental Incapacity Occurs

24 Seniors Helping Seniors: In-home care service pairs providers with those in need

27 Age Allows:

Travel will have a lasting influence on your life

28 What You Need to Know About Psoriatic Arthritis

Anastassia Zikkos / Sales Representative Janet Roy / Graphic Designer

Living Well 60+ is a proud product of

ROCKPOINT Publishing

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29 Overeaters Anonymous:

Organization follows as 12-step approach

30 Saving for a Rainy Day

Clear debt quickly, then follow a plan

31 Your Estate Plan May Be Broken

FROM THE

EDITOR Dear Friends, Don Hoffman gets it.

You’ve read his columns, “Ask Don” and now “Age Allows,” in Living Well 60 Plus. Don says, “‘Age allows’ is my new motto, but so is ‘life extended, life enhanced, life explored, life imbued.’ I turn 80 in November, and the one life

Tanya J. Tyler, Editor | Share your story: tanyaj@twc.com

I cannot face is life suspended – a life for the old old, where they sit, do nothing and wait for God.” Don certainly lives his motto. He mentions going to Dubai in this month’s column. I was on that same trip. And I can attest he and his wife, Sandi, didn’t let any opportunity to learn and experience something new pass them up. They were the

e-mail brian@rockpointpublishing.com © Copyright LIVING WELL 60+ Magazine 2016.

All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Living Well 60+ Magazine. Living Well 60+ Magazine reserves the right to publish and edit, or not publish any material that is sent.

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.

perfect embodiment of what we encourage all our readers to do – “Live life like you mean it!” I hope you do, too! I’m sure Don won’t mind sharing his new mantra with you. Happy birthday, Don!

Tanya

NOVEMBER/DECEMBER 2016

Holiday Help for Alzheimer’s Caregivers Plan ahead to deal with the challenges of dementia

5

of clothes as needed.

• Recognize that your care receiver may not eat as well as she normally does because of anxiety or distractions.

• Attend an event without your care receiver, if it’s not feasible to take him with you.

More Tips

by Lisa M. Petsche, Staff Writer

Many people consider the holiday season a hectic time due to the preparations and festivities that typically take place. Staying sane – not to mention enjoying this special time of the year – is even more of a challenge when you’re caring for someone with dementia.

If your care receiver has changed significantly, you may be particularly uneasy about the approaching holidays. Follow these suggestions to help keep stress manageable for everyone in your household.

Gifts

• Shop by mail order or buy gift cards.

• Use decorative bags and boxes to streamline wrapping.

• Keep presents stored away until it’s time to exchange them.

• Be prepared to make suggestions when friends ask for suitable gift ideas for your care receiver. Gift suggestions should take into account cognitive and physical limitations.

Decorating

• Don’t decorate too far in advance.

• Keep decorations minimal and out of reach as much as possible. Forego anything valuable or fragile.

• Avoid lights that flash or play music and sound- or motionactivated items.

• Don’t keep food, such as a gingerbread house, out in the open.

• Don’t let extension cords dangle or run across walkways and don’t rearrange furniture.

• Avoid using decorations that could be harmful if ingested.

Entertaining

• Whenever possible, entertain at home rather than go out.

Familiarity provides comfort.

• Prepare guests for your care receiver’s cognitive and physical functioning and any uncharacteristic behaviors.

• Enlist a friend to supervise the care receiver while you’re engaged in hosting duties.

• Keep rooms well-lit, since shadows may cause confusion and fear. Avoid using candles.

• Keep music soft and familiar.

• Keep gatherings small.

Otherwise, situate your care receiver in a quiet spot and have guests visit one or two at a time. Instruct guests to introduce themselves to your care receiver by name and relationship – for example, “I’m Mary, your brother John’s wife.”

• Place guests’ coats and handbags in a secure area if your care receiver is prone to rummaging.

• Clean up immediately after entertaining, before your care receiver has a chance to consume anything that might make her ill.

• Before inviting overnight guests, consider how disruptive this might be to your care receiver’s routines.

enjoyed may cause distress if he doesn’t understand their significance or no longer recognizes loved ones.

• Last, but not least, find something relaxing you can do each day. And do treat yourself to a special gift.

ABOUT THE AUTHOR

• Let family and friends know your needs and limitations.

• Share plans with your care receiver on a need-to-know basis.

• Include your care receiver in simple preparations to make her feel valued.

• Share holiday memories. Bring out photo albums or home movies and play favorite seasonal music.

• Schedule holiday activities during your care receiver’s best time of the day. Space them out and try to stick to routines.

• Have a plan in place to deal with challenging behaviors.

• Don’t pressure your care receiver to participate in festivities. Events he previously

Lisa M. Petsche is a social worker and a freelance writer specializing in boomer and senior health matters. She has personal and professional experience with elder care.

Keep decorations minimal and out of reach as much as possible.

Outings

• If you accept an invitation, do so on the condition that you may back out if your care receiver is having a bad day.

• Limit the time away and ensure there’s a quiet place your care receiver can retreat to if he can’t handle the stimulation.

• Take along medications, adapted dishes and utensils, a bib, extra briefs and a change

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7

SENIOR LIVING

The Search for Senior Living: The Starting Line

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

Choosing a senior living community can be an overwhelming process. Whether you are looking for yourself or a loved one or whether you are planning for the immediate or distant future, these five steps will get you started on the right track.

other financial resources that may be available to you, such as longterm care insurance or the Veterans Aid & Attendance Pension which is available to veterans and their surviving spouses in need of assisted living. Fees and expenses are different at every senior living community so when collecting information be sure you get a clear picture of what the rent includes.

3. Niceties vs. necessities

Think about what you are looking for in regards to amenities 1. Determine the level of care and desires. Then make two lists Make a checklist of everything – first, your “must- haves” which you need from a community in should include whatever is nonterms of assisted services. This negotiable in making this move. list may include meal preparation, Perhaps it’s important for you to assistance with bathing, medicastay close to your current neightion management, housekeeping borhood or that the community is or transportation. Or perhaps you don’t need any services at this time, but are looking to downsize while removing the stress of home maintenance from your life. This step is important because it will help you narrow down the type of community and level of care you need. Keep in mind any current health issues as well as future concerns – it’s important to plan for today and tomorrow.

2. Set your budget

Take a careful look at your finances and know what you are comfortable spending each month. Remember that many of your current expenses, such as taxes, utilities and maintenance of your yard and home, may be included in the monthly rent at a community. Also keep in mind

pet friendly. Next, make a wish list of those things you hope to find in a community, such as a fitness center, gardening space or restaurant-style dining. These should be items that you’d like to have, but are willing to live without.

4. Do your research

Now that you’ve determined the level of care needed, created your checklists and set your budget, you are ready to start reaching out to communities! Make a list of communities that meet your criteria, prepare your questions and make preliminary contact by phone or email. This will help you narrow your list down and determine which communities you’d like to visit in person.

Take your time.

Remember that this is your decision.

5. Schedule a tour (or two)

In-person visits are extremely important when it comes to making an informed decision. Don’t be afraid to ask questions and take careful notes. Consider asking a friend or family member to join you. When you arrive, are you greeted promptly? Do the staff take time to get to know you so they can best meet your needs?

Does it feel like a place you could call home?

If your first tour isn’t what you expected, don’t be discouraged.

Every community is different and there is truly something for everyone. The search for senior living is a process - take your time, remember that this is your decision and feel empowered by the fact that you are in control of your future.

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.

8

NOVEMBER/DECEMBER 2016

Do You Need a Caregiver Agreement?

A caregiver committee can provide help for those with no family

by Martha Evans Sparks, Staff Writer

A friend and I were leaving a church meeting one Wednesday night when she said, “I have an awful headache.

It’s strange. I don’t usually have headaches.” I said I was sorry and hoped she would feel better.

We said goodbye in the parking lot and both of us drove home alone. The next day, I learned that later that night she suffered a brain hemorrhage. She does not remember the three months she spent in the hospital and now, no longer able to live alone, she has

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I wondered: What if that had been me? I not only have no children; I have no family. My only living relative is an elderly cousin who lives in a distant state and no longer travels. Who would have legal authority to make decisions

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and care for me, much less be willing to do all of that work for someone to whom they had no legal or blood ties?

My circumstance is not unusual. As both the marriage and birth rates decline in the United States, an increasing number of people are alone. Yet, like all human beings, we lonely ones will someday need the kind of care we see our friends giving their aging parents. What can we do now to provide care for ourselves if we are overcome by physical and perhaps mental incapacity at the end of life?

One answer is a caregiver agreement, sometimes called a caregiver committee. The purpose of a caregiver committee is to provide for the person who has no family the kind of services family members usually assume.

Generally the committee is made up of two or three carefully selected friends. They sign a legally binding agreement to form a committee to whom you, by executing a legal document, will give the right and responsibility to care for you if you become physically and/or mentally unable to care for yourself. It will spell out what things they need to do and how much you will pay them for doing them.

In order to help you, it will be necessary for you to give the members of your caregiver committee a power of attorney. It cannot be emphasized too strongly that you should ask only persons of the utmost honesty and integrity to serve on such a committee.

A power of attorney is a potent document. Using it, someone can sell your house or your car or empty your bank account without your knowledge or consent.

Caregiver committee members would be responsible for obtaining necessary medical services and treatment – not only making appointments but providing transportation for the care receiver to get to doctor’s office or other medical appointments. They may take the care receiver shopping for groceries, clothing, prescriptions and any

other goods and services the care receiver may require. People on a caregiver committee would make sure the care receiver’s bills are paid. They would be sure medical, dental or other health insurance remains in force, as well as other insurance that may be appropriate. Caregivers may sometimes need to obtain and supervise the use of assistive devices, including everything from wheelchairs to eyeglasses.

They may also need to supervise physical or other therapies.

If the care receiver is admitted to a nursing home, frequent visits are especially necessary. Visiting caregivers should watch for signs of abuse, such as bruises. It is well to monitor how often the care receiver is bathed, how often her teeth are brushed and her hair and nails cared for and whether she is fed adequately. Rather than risk angering nursing home attendants, it may be necessary for the outside caregiver to quietly take on chores such as daily tooth brushing and hair and nail care. It is usually best if the caregiver collects the care receiver’s laundry and takes it to his or her home to be laundered.

Be sure your caregiver committee agreement spells out the source of funds to pay your committee members and the amount to be paid. It is also best to have a formal policy set forth in case there is theft or loss of property.

Include in your caregiver agreement a plan for reimbursing caregivers for any expenses they may incur for the care receiver’s benefit. Be sure the agreement makes it clear the members of your caregiver committee are independent contractors and not employees. This relieves the care receiver of any obligation to pay Social Security or any other kinds of benefits or to be responsible for withholding any federal, state or local taxes.

Strokes and accidents can change your life in a moment. It is better to plan before you need help than to wait too long and wind up with no one to look out for you if you become helpless.

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NOVEMBER/DECEMBER 2016

Redefining Friendship Social media has changed what having friends means

by Charles Sebastian, Staff Writer

It’s easy to underestimate the value of friendships in today’s fast-paced environment. Taking time to think about your friends and being mindful of their lives and situations goes a long way toward maintaining high-quality relationships. People know if you’re being genuine when you talk to them and also they know if you’re partially tuned in to conversations. The message we send when we’re fractionally involved in relationships is: “I don’t care.”

The idea of having “friends” has drastically changed in the past 20 years, largely due to social media.

Many people with Facebook accounts know 5 percent or fewer

of the friends they have listed. We interface other people much differently through the Internet. Because we are not face to face with them, we are not as subject to the accountability and meaningfulness of what we say. Emailing and texting can get logistical and emotional meanings to others in a very rote, non-invasive way. This has become the norm.

It takes energy to have an emotional exchange with someone.

When you do it face to face, the content of the message reveals a great deal about you and there is no facade (or avatar) to hide behind.

When people are near the end of their lives, what do the majority say they want? They want to regain lost friendships, build better relation-

ships, restore their families and have a life lived more fully with friends.

When it’s down to the wire, what is left? Connections, love and compassion. Is the focus on social media friendships moving us away from these ultimate human needs?

The Pew Research Center created the Pew Internet and American Life Project to research and track the effects of the online environment on people’s daily lives and how people relate to each other. In Pew’s 2012 study, many indicators of increased bullying, sexting, minority slamming and heated arguments were found. This happened more among teens than adults, but it is showing a rise in both groups. The full report can be seen at www.pewinternet.org.

Conversely, many sites and chat rooms have helped bring people together in positive ways.

For some, the doorway of social media helps them find the friendships and connections they need to socially thrive. Blogger Dave Ursillo recently wrote a piece called

“Social Media’s Secret Truth: A Catalyst for Compassion.” In the blog post, he says, “Social media helped me tap into more of myself by remembering to tap into the hearts and minds of so many other beautiful people around the world.”

By purposely being compassionate online, Ursillo says he found more compassion in himself than he would have if he tried to reach out on his own. When bouts of depression left Ursillo unable to leave the house, he found his only connection – and his way back to compassion for himself – through online interactions.

Compassion is something we can develop by opening up lines of communication and action. With this in mind, we can live a full and satisfied life every day, even to the last.

Connections, love and compassion.

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• Assisted Living Apartments • Memory Care Apartments • Independent Living Garden Homes

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CALL TODAY TO SCHEDULE A COMPLIMENTARY LUNCH AND TOUR. LOCATED IN LEXINGTON NEAR HAMBURG PLACE | 701 Liberty Ridge Lane Lexington Ky 40509

NOVEMBER/DECEMBER 2016

What’s the Buzz About Beekeeping?

Check before building a beehive

by Dr. Tom Miller,, Staff Writer

Kentucky has its share of beekeepers. They range from very experienced to “just learning.” Dr. Lee Edgerton, a retired professor and Great Teacher Award recipient in animal sciences at the University of Kentucky, has been enjoying this hobby for a number of years.

“One of the advantages of bees is that they don’t require daily care

like cats and dogs,” Edgerton said.

Edgerton has many stories about his beekeeping experiences, but one stands out. When he and his wife drove to Alaska one summer, they arranged to have a neighbor mow the lawn. “I told our neighbor that he didn’t have to mow close to the beehive if he was uncomfortable around bees,” Edgerton said. “He assured me that he was not. On our first day in Alaska, my cell phone rang.”

It was the neighbor. He had gotten too close to the hive stand

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11

with the mower and had tipped it and the hive over. He was in a state of distress, not because of fear of the bees, but because he believed he had ruined the Edgertons’ vacation.

“Fortunately, beekeepers are a friendly and caring group,” Edgerton said. “I gave him the phone number of Phil Clark, my mentor. Phil came over right away and helped him put the hive back together. Figuratively speaking, he also put our neighbor back together. I could tell from the tone of his voice that he was much relieved after Phil helped him restore the hive.”

Most new beekeepers have a tale to tell about how they were rescued by an experienced beekeeper. Like any hobby, the benefits of beekeeping are not simply in learning something new, but in sharing experiences with others.

Melissa Caughey offers some suggestions for beginning beekeepers: • Check to be sure you are able to keep bees in your

neighborhood.

• Join the local beekeepers’ club and/or take a class.

• “Bee” a courteous neighbor – ask them their thoughts about your beekeeping.

SOURCES AND RESOURCES

Caughey, Melissa. 11 Considerations Before becoming a Beekeeper. www.keepingbackyardbees. com/11-considerations-beforebecoming-beekeeper/ Horn, T. Bees in America: How the Honey Bee Shaped a Nation.

Lexington, Kentucky: The University of Kentucky Press 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.

Family Services  Conflict Resolution/Mediation  Life & Crisis Coaching  Care Community Investigation  Parenting Classes Business Services  Workplace Investigation  Leadership Building  Team Building Family Classes  Are Your Kids Bullying You?  Case Management for Families: Making the Right Choices for Your Loved One  Thinking Beyond Retirement Industry Classes  Planning For The End of Retirement  Business Etiquette Workshops  All In The Family: Inspiring Families To Choose You!

HIGHGROVE AT TATES CREEK: A PLACE WHERE YOU WILL LOVE TO LIVE

home

THIS IS THEIR

an influx of curious seniors and their families.

“Between the construction of our property and meeting with With so many potential residents and families, new senior living HIGHGROVE CREEK we’re staying pretty busy,” said communities AT beingTATES ENTRANCE PERSPECTIVE 1 Lauren Ashley German, Commubuilt in and around Lexington nity Relations Director at Highthese days, it can be difficult grove at Tates Creek. “There’s a lot to decide which one to choose of excitement and interest. People for your after-retirement home. are really curious about what we’re Highgrove at Tates Creek hopes to make that choice a little easier. going to have here.”

Highgrove at Tates Creek is an Expected to open in early 2017 upscale senior living community at 4251 Saron Drive, Highgrove at Tates Creek is getting ready for that offers independent living,

by Tanya J. Tyler,

Editor, Living Well 60+

assisted living and memory care.

Residents will receive superior yet reasonably priced accommodations and services in a peaceful, relaxing, resort-like atmosphere.

Daily activities, meals, scheduled transportation and housekeeping are all provided in a maintenancefree, care-free environment.

Highgrove at Tates Creek is part of Traditions Management, which has multiple communities in Kentucky, Indiana and Ohio.

“We are seeing more and more seniors that want to take charge of their own futures and it’s great to see that change, that shift in mindset,” German said. “In the past, many people thought of the traditional nursing home as the last resort, but communities have changed so much over the years.

Now we’re seeing seniors who are choosing to live in communities because they want to, not necessarily because they have to.”

What makes Highgrove at Tates Creek stand out in the plethora of

communities aimed at seniors is the levels of care it will offer and a resident-focused mindset.

“It’s important for people to realize that every senior living community is not the same,” German said. “Every resident at Highgrove at Tates Creek will have access to certain services, such as three meals a day, housekeeping and emergency safety measures, while still living independently and on their own terms.” In addition, if a resident’s needs were to change down the road, he or she can add assisted services, such as bathing, grooming, dressing, transferring and medication reminders, without having to move.

“That’s really important to a lot of people because moving is overwhelming for all of us,” German said. “So it’s nice our residents can stay in their same apartment and simply increase the kind of care they’re receiving.” The 24-hour on-site professional staff coordinates care options for individual residents.

November/December 2016

a deluxe studio or a one- or twobedroom apartment. The memory care component will feature activities It’s important designed specifically for those expefor people riencing memory loss. Every resident will also have his or her own memory to realize box full of their favorite mementos that every to help calm and comfort them when senior living they are anxious or agitated.

“Our memory care staff will implecommunity is ment an award-winning behaviornot the same. based ergonomics therapy that is shown to decrease confusion, agitation, withdrawal and falls,” German said.

Every apartment is designed for senior safety, with pull cords, grab bars and walk-in showers, and each resident will also receive an emergency response pendant. The kitchenettes have a full-size refrigerator, a sink and a microwave. Other amenities include a theater, restaurant-style dining, a fitness center, a salon and spa, a library and a chapel. Highgrove at Tates Creek is also pet friendly.

When German meets a senior who is wrestling with the idea of moving into a community, she reassures the potential resident by telling him or her to view the change as gaining independence, not losing it.

“You don’t have to rely on your neighbors to bring your groceries For seniors still getting out and from your car. You don’t have to hire about, Highgrove at Tates Creek’s loca- the kid down the street to mow your tion is fantastic, German said. Shoplawn. You don’t have to wait for a ping, dining, physicians’ offices and ride to the doctor’s office. You have a pharmacies are nearby.

24-hour staff that is here to do those LEXINGTON, KY by a “Our property is surrounded things for you and the freedom to FEBRUARY 2016 wooded area that will 24, never be develmake your own decisions,” she said. oped, so you have nature all around Isolation – something many seniors you but you are still in the middle struggle with – is eliminated at a comof everything you want and close to munity like Highgrove at Tates Creek. everything you need,” German said.

“Isolation really affects one’s German says the seniors she talks health and well being, so having with are younger and more active your best friends and neighbors than ever before. And their proactivunder one roof is a huge asset, espeity about deciding where they want to cially for those who have been living spend their later years actually helps alone,” German said. extend their lives, increases their overThe staff at Highgrove at Tates all wellness and contributes to their Creek promises to be involved with quality of life. and attentive to every person who “It’s really exciting to see that lives there. munity living m o c w o h rn a change in mindset “Our community really focuses on le and are Stop inas seniors planning for their own futures instead developing personal relationships ntributes to ek co re C s te Ta t a e v of waitingafor to happen with our residents,” German said.

Highgro t something residents g talkerinand where they’re forced to make a deci“The people I’momeeting w p m e ile K h E w REess ing with now, these relationships will elln TEll SwC said. ra AT ovTeA VEGerman ROsion,” Highgrove at Tates Creek will have ncontinue wayl.past move in. This is cia t & soon, RSPECTIVE pebende their dewill 89 apartments, which home and this is their life and we to b30eofin memory care. Residents can choose want to be a part of that.”

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LIVING D E T IS S S A T LIVING 8 N E D N E P E D IN RE MEMORY CA

peaceful liv ing . t n e m n o r i v n e e e r in a c a re f e v o r g h g i h REEK at TATES C

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NOVEMBER/DECEMBER 2016

FAMILY FAMILYVISION VISION

Vision Is Learned And It Can Be Relearned

by Dr. Rick Graebe, Family Eyecare Associates and Vision Therapy

Vision involves over 70% of the neural pathways of the brain. Vision is more than eye sight. Vision is the only body system that continues to develop after birth. Vision involves the way the eyes and brain interact. It takes approximately three years for the eyes to learn how to work together.

When they do not, it can result in the eyes turning in (esotropia) or out (exotropia), crossed eyes (strabismus) or lazy eye (amblyopia). To correct these problems, the brain must learn how to use the eyes together – in essence, the patient must relearn how to see.

Fortunately, the brain is quite resilient and adaptable, and with vision therapy, problems can be effectively treated and the patient can achieve normal eyesight and healthy vision.

The period from birth to age 6 development is critical for vision.

Anything that interferes with clear vision in either eye during this period can result in amblyopia. If one eye sees clearly and the other eye sees a blur, the brain will suppress or ignore the eye with the blur. However, the child who has a problem with his or her vision does not know he or she is not seeing properly. The brain compensates for the problem and the child gets used to the way he or she sees, thinking it is “normal.” While parents and physicians can see some eye

problems, usually only a complete eye exam can reveal how the child is really seeing.

Early treatment of amblyopia is generally simple, involving eyeglasses, eye drops, eye patching and vision therapy. Vision therapy (neuro-visional perceptual therapy) can help stimulate the brain to relearn how to see. Visual therapy creates an environment where the brain receives more information and feedback about what the eyes and the visual system can do. This type of individualized, supervised treatment program is designed to correct visual-motor and/or perceptual-cognitive deficiencies.

Vision therapy helps individuals develop normal coordination and teamwork between the eyes.

Supervised therapy sessions include procedures designed to enhance the brain’s ability to control eye

alignment, eye tracking and eye teaming, eye focusing abilities, eye movements and/or visual processing. The vision therapist will use specialized computer and optical devices, including therapeutic lenses, prisms and filters. Visual skills are reinforced and made automatic through repetition and integration with motor and cognitive skills. The therapy rehabilitates the brain, creating new pathways, and helps it readjust the compensation techniques it has learned. Scientific research shows children respond quickly to this treatment protocol;

the average patient will show over a 3-year jump on their skill levels in just 30 weeks.

The American Optometric Association recommends preschool children receive a complete vision exam at the ages of six months, three years and five years. A comprehensive eye exam will test visual acuity at near, eyeteaming skills, eye-focusing skills, eye-movement skills and letter and word reversal frequency.

This is important because vision problems can lead to learning difficulties. Children who have visual perception disabilities have trouble making sense out of what they see because of the way their brains process visual information.

Early detection and correction of visual dysfunctions can have a tremendous impact on a child’s ability to see, read and learn.

ABOUT THE AUTHOR:

Dr. Graebe received both his B.S degree in Visual Science and Doctorate of Optometry from Indiana University. He is a Behavioral Optometrist and learning expert.

He has been in private practice here in the Bluegrass area for the past 32 years.

Family Eyecare Associates

Vision therapy (neuro-visional perceptual therapy) can help stimulate the brain to relearn how to see.

NOVEMBER/DECEMBER 2016

Preventative Aging There are ways to restore self-confidence and vigor

by Charles Sebastian, Staff Writer

“Preventative aging” is an oxymoron. There is no preventing aging. What it means is, “I really don’t like the way I feel about becoming my older self. What if people don’t like me because I don’t look as young as I once did, when everyone made sweet comments about my youth?” There is also the problem of infirmity, the aches and pains that come with aging and the feeling life is “half over” or you are “over the hill” or entering the golden years.

Modern society is built around youth and the elderly are shuffled aside more and more. There is little or no respect for many in the older generation, even though they have much wisdom

to offer and plenty of experiences to relate.

Although there is no prevention for aging, there are a few things that can do wonders for maintaining a healthy self-image as the decades spin by. For many years, anti-aging creams, moisturizers, folk and home remedies and oils have been used to keep skin healthy and vibrant. This sometimes leads to anti-aging medicine with doctor-prescribed and monitored treatments. The Academy of Anti-Aging Medicine (www.a4m.com) is one of the main proponents of this aspect of the medical industry, which has grown significantly in the past 20 years.

While creams and oils are not wholly invasive to the body, hor-

15

mone treatments, plastics and ingested medicines often have dangerous side-effects. Their risks must be fully assessed before utilizing them. Many companies offer anti-aging diets, exercises and remedies, all with the promise of making the skin more vibrant, giving you a more youthful appearance and making you more appealing. While it’s undoubtedly true many of these remedies, diets and medication do what they claim, the fact remains the person using them must adjust his or her self-image to make himself or herself happy.

There’s nothing wrong with getting a nip or a tuck or fuller lips, but you owe it to yourself to research and find a competent person to do the surgery, someone who understands your singular case and what aim you for with the surgery you’ve chosen. People are affected by their changed appearance for months and years post-op. Sometimes they remain happy with hav-

ing a different appearance and sometimes there are regrets.

It is even more interesting to note how the actions we take to prevent our physical aging are incidental to our figurative aging.

The stories and beliefs that develop as the years pass are what really create the feeling of “old” in the mind and body. We all know people who are advanced in age but still kept their youthful vigor and vitality, and we know people in their 20s who seem like they’re 80 years older.

You could be practical and say, “If people base whether or not they like me on my appearance, I don’t need those friends anyway.”

But we all know we often go to extreme lengths to be liked and to be part of the group.

So get the surgeries if you wish. Take the pills, buy the lotion if it helps you keep or restore a good feeling and increases your self-confidence. Getting older is not synonymous with acting old.

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NOVEMBER/DECEMBER 2016

Events Calendar NOVEMBER Sun Mon Tue Wed Thu

6 13 20 27

7 14 21 28

1 8 15 22 29

2 9 16 23 30

3 10 17 24

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.

DECEMBER Fri

Sat

4 11 18 25

5 12 19 26

Sun Mon Tue Wed Thu

4 11 18 25

5 12 19 26

6 13 20 27

7 14 21 28

1 8 15 22 29

Fri

Sat

2 9 16 23 30

3 10 17 24 31

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.

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.

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 nondrug approaches for managing chronic conditions. Cost deeply discounted for UK employees, spouses and retirees. Sliding scale for non-UK participants.

Facilitator: John A. Patterson MD, MSPH, FAAFP, Mind Body Studio 517A Southland Drive

NOVEMBER/DECEMBER 2016

Lexington KY 859-373-0033.

Full details at http://www. mindbodystudio.org/?page_ id=1262

November 15

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.

November 19

Craft and Vendor Show Public are welcome to tour the facilities and enjoy the craft/ vendor show from 10am-3pm.

Show includes Tastefully Simple, Coach Purses, bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items. Morning Pointe Senior Living Center: 150 Shoreside Drive, Lexington, KY.

Nov 8–Dec 31 23rd Annual Southern Lights

The 23rd Annual Southern Lights includes a self-guided four mile journey through a dreamland of fabulous light displays including never-before-seen displays and traditional favorites. Following the driving tour, families are encouraged to park and visit the holiday craft merchants, the KHP Gift Shop, seasonal entertainment and activities for children, petting zoo, pony and camel rides and so much more!

From: 5:30 PM to 10:00 PM at the Kentucky Horse Park Admission: Monday–Thursday $15 per car, Friday–Sunday $25 per car.

November 22 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 502-7773865 orjutley5122@bellsouth.net to register. More info at http:// joannutley.byregion.net

November 22 Health Chats About Diabetes

10 – 11 am, The Refuge Clinic, 2349 Richmond Road Suite 220, Lexington. Free. Join us to discuss tips to manage and control diabetes in practical ways. For more information, call 288-2446. Sponsored by the Lexington-Fayette Co. Health Dept.

November 29 Hospice of the Bluegrass Lunch & Learn

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.

December 1

17

December 2-4 Annual Lighting of the Trace

At Waveland State Historic Site, you can see what the holiday season was like on a Bluegrass plantation. This year, relive Christmas of the past with scenes from the Dicken’s classic, “A Christmas Carol”. Follow from room to room as the drama plays out right in front of you. Santa will be in the barn each performance an hour before the first scheduled performance, for story time and photos. Additional performances December 9 - 11. Reservations required. $10 adults, $5 children.

859.272.3611 for details.

December 3

Craft and Vendor Show Public are welcome to tour the facilities and enjoy the craft/ vendor show from 11am3pm. Show includes Tastefully Simple, Coach Purses, bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items.

Morning Pointe Senior Living Center: 150 Shoreside Drive, Lexington, KY.

December 10

Craft and Vendor Show Public are welcome to tour the facilities and enjoy the craft/ vendor show from 11am3pm. Show includes Tastefully Simple, Coach Purses, bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items.

The Lafayette Senior Living Center: 690 Mason Headley, Lexington, KY.

December 17 7th Annual Christmas Event

Public are welcome to tour the facilities and enjoy the craft/ vendor show from 10am4pm. Show includes Tastefully Simple, Coach Purses, bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items. Rabbit Run Clubhouse Senior Living Center: 1920 Fort Harrods Drive, Lexington KY.

Home Care by Seniors for Seniors

The Ghosts of Christmas Eve

The Trans-Siberian Orchestra (TSO) will perform one of the group’s most beloved stories in its own renowned audio visual manner at Rupp Arena at 7:30pm. Admission is $41–$71.

Visit Rupp Arena’s website for details and to purchase tickets.

December 1 Annual Lighting of the Trace

Come out to the gardens of Buffalo Trace for their annual Lighting of the Trace. While you are there you can visit the George T. Stagg Gallery featuring historic photos and bourbon artifacts and listen to the Kentucky State University Choir. And, of course, the Gift Shop! Arrive at 5:30pm for a candlelight tour of the distillery. Santa will arrive at 6:30pm. Santa will stop by the Visitor Center on December 9, 10, 16, and 17 from 6pm – 8 p.m. in case you don’t get a chance to tell him what you want on December 1!

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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NOVEMBER/DECEMBER 2016

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

NOVEMBER/DECEMBER 2016

HEALTH CARE SYSTEMS & HOSPITALS

DISABILITY & REHABILITATION

Lexington Clinic

YMCA of Central Kentucky

1221 S. Broadway Lexington, KY 40504 859-258-4000

IN HOME CARE (NON-MEDICAL) Accessible Home Care 366 Waller Ave. Ste. 112 Lexington, KY 40504 859-313-5167 www.accessiblebluegrass.com

Assisting Hands 1795 Alysheba Way, Ste. 7105 Lexington, KY 40509 859-264-0646 www.assistinghands.com/lexington

Senior Helpers of the Bluegrass 3070 Harrodsburg Rd. Ste. 240 Lexington, KY 40503 859-296-2525 www.seniorhelpers.com/lexington

Seniors Helping Seniors Where seniors who want to help are matched w/ seniors looking for help

710 E. Main Street Lexington, KY 40502 859-408-1145 www.seniorshelpingseniors.com/ lexington

IN HOME MEDICAL CARE Medi-Calls 1055 Wellington Way #215 Lexington, KY 40513 859-422-4369

Saint Joseph Home Health 2464 Fortune Dr. Ste. 110 Lexington, KY 40509 859-277-5111 www.saintjosephanchomecare.com

239 E. High St. Lexington, KY 40502 859-254-9622 ymcaofcentralky.org

Drayer Physical Therapy Institute: Winchester Center 160 Pedro Way 859-745-2152 www.drayerpt.com

Drayer Physical Therapy Institute: Richmond Center 1054 Center Drive, Ste. 1 859-625-0600 www.drayerpt.com

Drayer Physical Therapy Institute: Lexington Perimeter Center 600 Perimeter Drive, Ste. 175 859-268-1201 www.drayerpt.com

Drayer Physical Therapy Institute: Lexington Beaumont Center 1010 Monarch Street, Ste. 150 859-219-0211 www.drayerpt.com

MEDICAL EQUIPMENT, SUPPLIES & MONITORING SYSTEMS Baptist Health Lifeline 859-260-6217 www.centralbap.com

FINANCES & ESTATE PLANNING, TRUSTS/ WILLS, REVERSE MORTGAGE Attorney Walter C. Cox, Jr & Assoc. LLC 2333 Alexandria Dr. 859-514-6033 www.waltercoxlaw.com info@waltercoxlaw.com

LEGAL SERVICES Bluegrass Elder Law 120 North Mill Street, Ste 300 859-281-0048 www.bgelderlaw.com

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Rose Mary C. Brooks Place 200 Rose Mary Dr. Winchester, KY 40391 859-745-4904 www.brooksplace.org

The Lafayette 690 Mason Headley Rd. 859-278-9080 www.lafayettelexington.com

Ashland Terrace 475 S. Ashland Ave. Lexington, KY 40502 859-266-2581 www.ashlandterrace.org

Hometown Manor Assisted Living Community

Mountain Waterfalls

Georgetown, Lawrenceburg, Shelbyville 859-229-5914 www.hometownmanor.com

Award-Winning Water Features 859-684-0642 www.mountainwaterfalls.net

St Andrews Retirement Community

HOME REPAIR & MAINTENANCE

SENIOR INDEPENDENT LIVING & RETIREMENT HOUSING Mayfair Village 3310 Tates Creek Rd. Lexington, KY 40502 859-266-2129 www.mayfairseniors.com

Windsor Gardens of Georgetown Assisted Living 100 Windsor Path Georgetown, KY 40324 502-570-0540 marsha@goodworksunlimited.com

ARE YOU DISABLED? HAVE YOU APPLIED FOR SOCIAL SECURITY DISABILITY? ARE YOU CAUGHT UP IN RED TAPE?

300 Stocker Dr. 859-625-1400 www.standrewsplace.org

Hometown Manor Assisted Living Communities 2141 Executive Drive, Lexington (859) 317-8439 www.hometownmanor.com

Morning Pointe Senior Living Residences 233 Ruccio Way, Lexington 40503 859-554-0060 Lexington East Facility 150 Shoreside Dr., Lexington 859-721-0350 The Lantern (Alzheimer’s Care) 225 Ruccio Way, Lexington 40503 859-309-4867 www.morningpointe.com

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SERVICE DIRECTORY, CONTINUED REAL ESTATE / RENT-SUBSIDIZED HOUSING FOR INDEPENDENT LIVING

Lexington Life Services 859-797-8157 lexingtonlifeservices.com

HEALTHCARE, MEDICARE HELP & INSURANCE

Turf Town Properties, Inc.

Hall’s Moving Service, Inc.

Kentucky Health Solutions

124 Kentucky Ave. Lexington, KY 40502 859-268-4663 www.turftown.com

SENIORS SAVE 5% 258 E. 2nd Street, Lexington 859-231-0428

2333 Alexandria Drive Lexington, KY 40504 Direct 859-312-9646 | Office 859-309-5033 www.kentuckyhealthsolutions.com

FITNESS, HEALTHY EATING & HEALTHY LIVING

Briarwood Apartments 1349 Centre Parkway Lexington, KY 40517 859-272-3421 glickco.com

Yoga Health & Therapy Center

MOVING, ESTATE SALES, DOWNSIZING SERVICES

322 West Second Street Lexington, KY 40507 859-254-9529 www.yogahealthcenter.org

Caring Transitions

Well Fed Meals

1411 Delaware Ave. 859-543-9848 www.CTLex.net

1301 Winchester Rd. #17 Lexington, KY 40505 859-539-5863 www.wellfedmeals.com

VISION CARE Medical Vision 3288 Eagle View Ln. Ste. 300 Lexington, KY 859-278-9486 www.medicalvision.com

TRANSPORTATION, PERSONAL SHOPPING, ERRANDS Superior Van & Mobility 4734 Rockford Plaza Louisville, KY 40216 1-800-458-8267 www.superiorvan.com

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FINANCIAL

Advance Planning for Healthcare and Financial Decisions if Mental Incapacity Occurs

by Bobby E. Reynolds, J.D.; LL.M (Taxation)

Very few people plan for how health care and/or financial decisions will be made if they develop a lack of mental capacity to make their own decisions at some future time.

Likewise, although more people have testamentary wills than have advance health care directives and/ or living wills, it would be wise to have an attorney prepare all necessary documents for you. Otherwise, the consequences of failing to engage in advance planning can be very expensive in terms of litigation costs, can result in courts appointing someone who is not familiar with the incapacitated person’s wishes concerning health care and/ or financial decisions, to make decisions for them or to place the person under a guardianship and/or conservatorship.

Some of the most well-known cases from the United States Supreme Court involve situations where family members engage in heated disputes regarding end-of-life decision-making for persons lacking capacity to choose their own treatment. These contentious cases leave family members alienated, in debt to attorneys for costly and protracted litigation, and otherwise dissatisfied.

Idyllically, these problems could be avoided in most situations by advance planning.

It should be noted that the aforementioned documents constitute components of an individual’s “estate plan.” The nature of estate planning changed drastically on January 2, 2013, with the signing of the American Taxpayer Relief Act of 2012 (“the 2013 Tax Act”).

Prior to the enactment of the 2013 Tax Act, estate planning consisted of the preparation and execution of various documents and the use of certain planning transactions to avoid federal “transfer taxes,” including the: 1. estate tax; 2. gift tax; and/or 3. generation-skipping transfer tax.

These taxes were governed by a very complex set of rules, regulations, court decisions, and other legal authorities, and applied mainly to taxpayers with at least a moderate amount of wealth or much more. Failure to engage in pre-mortem estate planning for wealthy taxpayers could result in federal excise taxes of more than half the value of a decedent’s estate, greatly reducing their hard-earned wealth.

These convoluted laws still exist, but enactment of the 2013 Tax Act now means that only .28% of Americans (i.e., the wealthiest of the wealthiest) are now subject to transfer taxes. Instead, post-2013 Tax Act federal estate tax planning consists of the income taxation of estates, trusts, and beneficiaries.

However, a detailed discussion of these income tax savings mechanisms is beyond the scope of this Article.

Kentucky state taxes, such as, Kentucky Inheritance Taxes must also be considered in the new era of estate planning. The remainder of this Article focuses on the following five specific legal documents: 1. testamentary wills; 2. living wills; 3. advance health care directives for physical health; 4. advance health care directives for mental health; and 5. powers of attorney.

Most persons have knowledge of the nature and function of a testamentary will. However, fewer individuals are aware of the nature of living wills. Living wills allow individuals, while possessing the requisite capacity, to direct in a written document whether to withhold or withdraw life-extending treatment and/or artificially provided nutrition or hydration only if the patient is permanently unconscious, in a persistent vegetative state, or when death is inevitable per reasonable medical judgment within a few days. Since health care decisions and, more particularly, end-of-life decisions, must be made in numerous situations other than the three extremely narrow circumstances mentioned above, a person may appoint in a living will surrogate health care decision makers for them.

Health care surrogate decisionmakers may also be named in documents, known as advance health care directives, separate and distinct from a living will. While typically identified with health care decisions regarding the physical health of a patient, such directives may and should also cover psychiatric/mental/neurobiological decisions. For example, many patients do not want electroshock therapy and can communicate this desire in a psychiatric advance directive.

Powers of attorney generally are used to enable a designated person to make financial decisions for another person. Typically, a durable power of attorney is used, because such documents are not affected by a subsequent mental and/or physical disability of the principal. A “springing” power of attorney, i.e., one that comes “springs” into existence only if the principal becomes

incapacitated is also often used.

Properly drafted and executed powers of attorney prevent the need for naming a guardian and/or custodian to manage the principal’s property upon incapacity.

Each of the aforementioned documents provides security, peace of mind, and a measure of control over health care and financial decisions if someone subsequently loses the capacity to make those decisions. The documents also prevent lengthy court battles and allow a person to retain dignity even after they lose decision-making capacity, by providing them with “autonomous, anticipatory decision-making” concerning some of their most basic, fundamental, and in certain situations, constitutionally protected rights of self-determination.

ABOUT THE AUTHOR:

Bobby E. Reynolds has been an attorney in Kentucky for several years. He practices law in Nicholasville, Kentucky, having previously clerked for a Judge on the United States Court of Appeals and having obtained an LL.M in taxation from the University of Florida College of Law Graduate Tax Program. Mr. Reynolds also teaches continuing legal education to attorneys in Kentucky.

Email: bobby@summitcrt.com Phone: 859-270-6193

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NOVEMBER/DECEMBER 2016

Seniors Helping Seniors In-home care service pairs providers with those in need

by Martha Evans Sparks, Staff Writer

Seniors Helping Seniors (SHS) is an in-home senior-care service founded more than 10 years ago and headquartered in Pennsylvania. SHS now has almost 300 franchise locations coast to coast in the United States.

What sets SHS apart is that all the care providers are seniors

themselves. Lynn Phillips, who owns and operates the Lexington SHS franchise, says this is one of the most satisfying things about her business. Senior care providers, Phillips says, can recognize the problems of aging, identifying with and helping other older person in exceptional ways.

“I just think it’s a wonderful opportunity to connect the providers, who are all more than 50

years old, with senior receivers,” Phillips said. “Our providers are mature, able-bodied adults. They love and care so much about the care receivers. Most of them are retired or semi-retired and they simply want to do something they feel is meaningful and worthwhile and helps others.”

When a care receiver or a family member calls to inquire about SHS services, Phillips prefers to actually go into the home of the person who has requested help.

She says each home is unique and people have their own ways of doing things. Phillips likes to talk with the person who has been the primary caregiver, often

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an adult child, and find out what that person and the care receiver want from SHS. “I meet with the caregiver and have them explain to us exactly what they want out of us,” she said. She wants to be sure both the care receiver and the senior coming in to help are comfortable with what the caregiver is being asked to do.

The franchise offers training for caregivers. This includes not only state-required training about elder abuse but also communication and some of the skills taught in certified nursing assistant (CNA) training. Phillips does extra training if she sees a particular need. SHS does a drug

NOVEMBER/DECEMBER 2016

screening, a thorough criminal background check and a tuberculosis screening on all applicants.

Providers come from a wide range of backgrounds. Currently among Phillips’ providers are a nurse, a social worker, a woman who worked in a medical laboratory and a gentleman who is a retired engineer. Phillips says she has heard the horror stories about some people taking advantage of vulnerable seniors and understands the trust issues some seniors have about having paid caregivers in their homes. But she has never had any reports of theft from the homes where her providers work.

“That’s the kind of people I have,” she said. “They want to do everything they can to stay above board and separate themselves from the appearance of doing something wrong.”

When a senior applies to become an SHS helper, he or she is asked to fill out a form indicating how many hours a week they would like to work and whether they are available for weekend or night work. They also list how many of the services SHS offers they are comfortable performing, including personal services such as feeding, bathing and dressing. SHS helpers will also make companionship visits and do light housekeeping, cooking and gardening. They provide transportation to doctor’s appointments and other destinations, assist with daily errands, care for those with Alzheimer’s or other

dementias and help with many other activities from a twohour minimum through 24/7 care. Phillips says the two-hour minimum time works well. If the errand or task at hand does not take quite two hours, her helpers gladly add services. For example, if the trip to the doctor takes less than two hours, the helper may ask if the care receiver would like to stop at the grocery store and then helps put away the groceries when they arrive back at the care receiver’s home. Or there might be time to do laundry or other household chores.

Currently, Phillips’ franchise is the only location of SHS in Kentucky. Her providers now are located in Fayette, Madison and Jessamine counties. She hopes to expand in the future. SHS was founded by Kiran and Phillip Yocom. Kiran, a native of India, worked with Mother Teresa for 14 years. After coming to the United States, where she met and married Phillip, Kiran felt a great personal mission to care for those who were unable to care for themselves. From this ambition, she and her husband created SHS in 1998. Kiran is the organization’s chairwoman and Phillip is the president/CEO of the organization. They have worked with hundreds of helpers and clients and SHS continues to grow geographically. The Yocoms have expanded their training and added services in response to the needs of clients.

Phillips says SHS charges from $18 to $20 an hour. The helper is

paid about half of that. The other half helps Phillips pay the cost of liability insurance, workman’s comp, taxes, advertising and the other expenses necessary for maintaining an office.

For more information about becoming a helper, a care receiver or a franchise holder, call the Lexington SHS office at (859) 309-5535 or send an e-mail to lynn@seniorcarelexingtonky. com.

Seniors Helping Seniors 710 East Main St., Suite 48 Lexington, KY 40502

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Our providers are mature, ablebodied adults.

They love and care so much about the care receivers.”

—Laura Phillips, SENIORS HELPING SENIORS

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Age Allows What is a Creative Life?

Age Allows is a column dedicated to the development of a creative lifestyle for older adults. It is designed to provide new ways of thinking about retirement, to develop creative alternatives to living during advanced age and to enrich the life experience for those living in independent living, assisted living and nursing homes. It seeks to help older adults reexamine and enhance their lifestyles and increase their contributions to society.

by Donald Hoffman, Staff Writer Question: I know travel can be interesting and fun, but what lasting influences will remain?

Reply: It has been three years since Sandi, my wife, and I traveled to Dubai. Yet the experiences we encountered there – the art, architecture, landscape, culture and, most of all, the memories of the people and their hospitality – remain strong. We use travel for motivation, to gather memories that will further our curiosity and increase our thought processes and to document what we see and use creatively after our arrival home. We’ve taken several trips since our Dubai experience. Each one increased our self-motivation, expanding our will to explore new and unfamiliar experiences and people and, above all, to re-invent ourselves.

Travel offers a simple but unique way for senior adults to regenerate their creative ability.

After all, Age Allows. It allows us the luxury to explore anything in any way we wish. Sure, we’d like to have fun, to let our hair down and relax and that is certainly an important aspect for any travel

experience. But we can take so much more home with us. Why not plan to have experiences with longer-lasting effects, activities that can be continued on your return home? Travel offers opportunities to be creative and observe unique lifestyles and activities. It is a simple way to activate your curiosity and learn, learn, learn.

Learn about food, crafts, painting, people and all aspects of life that might provide motivation to explore and experiment when you arrive home. Travel is a way to reshape a sedentary lifestyle.

Getting the most from a travel experience requires self-discipline and preparation. Sandi and I organize our pre-trip exploration as a general would prepare for a major military campaign. We immerse ourselves totally in the culture of the area or country/countries we will be visiting. We read about the locales we will go to. We watch DVDs and use the Internet to learn more and to identify major areas of interest to explore. We listen to the country’s music. We find out about the culture, political history and traditions of the area and we study the language.

We focus our energy, identifying

experiences that spur creative thinking and that will expand the scope of our life experiences to continue an active lifestyle in new and unique ways.

Our success has increased with succeeding trips, but it depends on the strength of our powers of observation and the way we interpret what we encounter. For example, an artist views what he sees differently than an auto mechanic would, an athlete differently than a teacher and a musician differently than a homemaker, each focusing on their interests but ignoring other areas they might encounter.

Rather than isolate one particular area of a culture, Sandi and I try to be more inclusive, observing the countries we visit from every possible viewpoint. Refocusing attention on other aspects of what you see, hear, feel and smell expands individual experience to motivate unique thoughts and feelings, and that is where the creative process originates.

I spent years teaching art, so I view the world visually. I notice textures, patterns, the relationships of one object in nature to another and, of course, color. My other senses are also involved. I can hear the leaves moving in the wind, the rhythm of rain drops or hail as it hits the earth or my car.

I can smell new-mown hay, freshcut dill, dinner on the table. I can feel these things as well. When we travel, all these environmental clues emit an emotional response that can motivate and lead us to activities we can continue after our arrival home.

The more experiences encountered, the greater the chance your impulse to be creative will develop. Perhaps you will notice something about a person’s situation that may suggest a solution to a long-standing problem. Or maybe you will write a poem or an autobiography or update a meal by creatively altering ingredients or complete a painting. Such is creativity. We never know what will motivate the thought process or how it explodes in our minds.

It may take some time for these ideas to generate creatively. Some

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ideas take years to fully develop.

Others are defined more quickly, but the urge to create in some way is generated almost immediately after a trip where strong motivational experiences are often encountered.

We never know which of these thoughts will lead to a successful exploration. That is how the experimental, creative process works. Those who are creative expect to flirt with failure but remain undeterred, continuing to explore until their curiosity is fully satisfied.

Many of us have stopped fully experiencing the day-by-day world we encounter. We become immune to many nuances we explored as children and pay attention only to the unusual. The smaller details within our environment are ignored as we focus on those more necessary to our immediate needs. I see this every day as I visit older adults isolated from society or living in a facility with limited activities. I wonder what power could be unleashed in older adults if their potential to think creatively could be re-engaged or enlarged without the pressure to perform.

A recent technological program has been designed that equals the “playing field” for individuals who cannot easily travel. The use of virtual reality has been adapted for use with assisted living, adult day care programs and the isolated elderly person. Through the program, people will virtually “travel,” viewing foreign and domestic locations from the comfort of their own chairs. A large variety of programs will eventually become available to assist with exploration in the many areas we have mentioned. Travel if you can, use technology if you must – but get out there and experience life and begin thinking creatively.

ABOUT THE AUTHOR:

Don Hoffman is the former director of the Donovan Scholars/ Council on Aging at the University of Kentucky and author of Arts for Older Adults: An Enhancement of Life.

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NOVEMBER/DECEMBER 2016

What You Need to Know About Psoriatic Arthritis Immune system in overdrive attacks skin and joints

by Jean Jeffers, Staff Writer

Psoriatic arthritis is a form of arthritis (joint inflammation) that occurs mainly in those who have the skin condition psoriasis. It can occur in people without psoriasis if they have relatives with the condition.

According to the American College of Rheumatology (ACR), psoriasis is a disease in which scaly red and white patches develop on the skin. It is caused by the body’s immune system going into overdrive to attack the skin. Sometimes the immune system attacks the joints as well as well as the skin, causing psoriatic arthritis. Psoriatic arthritis occurs in about 15 percent of patients with psoriasis. It develops in people between the ages of 30 and 50 years but can also begin

in childhood. It affects any joint in the body. Some people have mild symptoms with just occasional flare-ups, while for others it is a continuous disease, often causing joint damage, especially if it is not treated promptly. For this reason, treatment generally begins at once after diagnosis.

The symptoms flare and subside, even changing locations in the same person over time. About 40 percent of those with this condition have affected family members, so heredity may play a part in the causation of psoriatic arthritis.

Symptoms of psoriatic arthritis include:

• joint pain and swelling that may come and go, accompanied by redness and warmth; • tenderness at ligament and tendon attachment points in

the bones, particularly the heel and bottom of the foot; • inflammation of the spinal column (spondylitis), which can cause stiffness and pain in the neck and lower back; • morning stiffness; • difficulty with the range of motion of joints; • painful swelling of the digits (they may appear “sausage-like”); • thickness of skin with silverwhite patches of scaly material and pitting of nails; • fatigue and malaise; • conjunctivitis (pink eye); and • mood changes.

Psoriatic arthritis is diagnosed by physical exam and usually presents as swollen painful joints, finger and toe involvement and certain patterns of arthritis. X-rays, MRIs, ultra-

sounds and CT scans look into these joints for more detailed descriptions.

Treatment of the disease depends on the severity of symptoms. For example, a mild case will be treated primarily with nonsteroidal anti-inflammatory drugs (NSAIDs), which may be needed only during flare-ups.

For those with acutely inflamed joints, corticosteroid injections may be comforting. For people with more advanced, crippling psoriatic arthritis that affects multiple joints, stronger diseasemodifying anti-rheumatic drugs may be prescribed. According to the ACR, these include sulfasalazine (Azulfidine), Rheumatrex, Trexall, Otrexup, Rasuvo and others. Sometimes combinations of these drugs are used.

Imuran may be used for severe forms of psoriatic arthritis. The anti-tumor necrosis factor (antiTNF) drugs now available, such as Humira and Enbrel, can also help the arthritis in addition to the skin psoriasis.

Researchers throughout the world are coming up with promising new treatments. One such new treatment is the biologic therapies that block the inflammatory cytokine TNF. It may be among the most effective therapies to date.

ABOUT THE AUTHOR:

Jean is an RN with an MSN from the University of Cincinnati. She is a staff writer for Living Well 60 Plus and Health &Wellness magazines. She has an article in the Fall 2016 issue of Today’s Christian in the Mature Years.

The symptoms of psoriatic arthritis flare and subside, even changing locations in the same person over time.

NOVEMBER/DECEMBER 2016

Overeaters Anonymous Organization follows a 12-step approach

by Charles Sebastian, Staff Writer

The Journal of the American Medical Association ( JAMA) estimated in 2010 that American men and women were obese by 32.2 percent and 35.5 percent, respectively. It’s no surprise these numbers tend to be higher here than in most countries, given the American way of life and the easy access to plenty of food. Having the ability to live in excess gives one the feeling of affluence and having more than enough, but if the excess is used to satisfy your self-image or offset stress, it can become harmful.

Based in Rio Rancho, New Mexico, Overeaters Anonymous (OA) was founded by Rozanne S.

and two of her friends in 1960. It was modeled after the 12-step program made famous by Alcoholics Anonymous (AA), whose founder was Bill W. OA boasts roughly 60,000 members in 75 countries.

Its Website (www.oa.org) offers membership to any and all compulsive eaters, with info for support groups in every city.

One major difference between OA and AA is that OA has people on either side of the spectrum.

While AA and Narcotics Anonymous (NA) deal with people totally refraining from alcohol and drugs, OA helps those who are not getting enough sustenance from food. Anorexics, bulimics and people suffering from other eating disorders are OA members as well.

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Like other anonymous groups working from a 12-step model, OA relies on aspects that fly in the face of traditional psychotherapy.

“Yielding to a higher power” and focusing on the spiritual as well as the opinions of others in the group setting would not regularly happen in a psychotherapy group session, though it could. Psychotherapy generally relies on the power differential in the doctor-patient relationship that hopefully moves towards healing.

Twelve-step groups regards every attendee as equal, with everyone giving testimony and realizing they will always need some kind of support to fight their addiction.

Thanks to the Internet, OA offers podcasts, virtual workshops and other recordings to help members. But the bottom line, as usual, is ownership

of the addiction. OA also encourages members to stay aware and present enough not to fall back into unhealthy cycles of behavior and help others battle their demons as well. The longer addictions of any kind run on, the more hold they have on your life. It’s important to get the help you need and move on.

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Saving for a Rainy Day

• Put what you think you might spend for the month on transportation, food, entertainment, etc., into envelopes.

This will help you avoid buying things you don’t need, and what’s left over can go into savings.

• Aim for short-term savings goals, such as setting aside $20 a week or month.

• Use only the ATMs of your bank or credit union.

• Refinance your mortgage to lower interest charges.

While all these methods mentioned are wonderful, the essential ingredient is you have to be willing to do them. Discipline is necessary. It requires strength of character and fortitude when temptation knocks. This is the real financial issue: becoming a stronger person and making good decisions. Money is meant to be spent and saved appropriately, but past that, it has no value. The last time I checked, you can’t take it with you.

Clear debt quickly, then follow a plan

by Charles Sebastian, Staff Writer

It is often difficult to practice the art of saving money in the United States. With roughly 5 percent of the world’s population and 30 percent of its global waste, our country seems to have lost the “save for a rainy day” mentality. Tapping into and exploiting the consumer mindset, the emotional shoppers and the less frugal among us are companies that charge exorbitant rates for goods, services and loans.

Your choices as a consumer dictate saving and spending, abundance and servitude. Dave Ramsey, perhaps the world’s most recognizable financial maven, constantly recommends his callers cut up their credit cards.

This flies in the face of the general misinformation that has been put out there by the credit card companies, who claim debt is good and you need it to become wealthy. But many people who have developed small and large fortunes did not use personal debt to build it. If they had to go into debt to buy a house or car, they quickly got out of it so they were not subjected to high interest rates over long periods of time. How can you save for anything if your money and cash flow are tied up in debt?

Debt must be cleared as quickly as possible before optimal saving can begin. You must put a saving plan in place and stick to it so you will not be subject

to buying whims. America Saves has a terrific Web site (www. americasaves.org) that offers tips on ways to save. Here are a few: • Keep track of your spending.

• Think over each potential expensive purchase for at least 24 hours.

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Your Estate Plan May Be

by Mary Ellis Patton Edited by Carolyn L. Kenton

At our firm, we recommend clients personally review their estate plan every two or three years and have an attorney review them every five years or whenever they experience a major life-event.

There are two reasons for this.

First, major life events can affect your existing estate plan. Secondly, laws change and generally citizens are unaware of these changes and how they will personally affect their estate plan.

1. Major Life Events

Any major life event should trigger a review of your estate plan by an attorney. These events may include deaths, births, marriages, remarriages, divorce, inheritance, a new business interest or a change in health.

Death of a loved one. Unfortunately, the death of a loved one not only causes you to experience grief, but it can break your estate plan. If a beneficiary of your estate predeceases you, there may be unintended consequences. Depending on how your will is worded, your bequest could lapse or go to another unintended person or that beneficiary’s children. If there is no named person remaining in your estate plan, your estate will go to your legal next-of-kin under Kentucky’s rules of intestate succession. This may or may not be the

person(s) you wanted to inherit your estate.

A greater problem may occur when the deceased beneficiary’s children inherit. If these children are minors, steps will need to be taken to properly manage the inheritance. This may mean a guardianship, conservatorship or a trust.

Planning in advance can simplify these difficulties.

Divorce. Likewise, when you go through a divorce, your estate plan needs a major revision. A divorce causes your ex-spouse to be treated as if they predeceased you for purposes of distribution of your estate. Post-divorce, you will also need to update your beneficiary designations on non-probate assets. In some states, designations of the ex-spouse as a beneficiary on your insurance policies and retirement accounts will be void unless you re-designate that person after the divorce.

Marriage or Remarriage. When you marry, it is important to consider how your estate plan will affect your new spouse and any children you may have from a previous relationship. If you made your will before your marriage and did not update it to include your spouse, he or she will not benefit from your estate unless they go through a process called “electing against the will.” Through this process, your spouse can receive a portion of your estate. In the case of a blended family, planning is especially important in order to make sure all your loved ones are provided for in the way

you desire. Early planning and discussions can help keep family squabbles at bay.

Additions to your assets. If you acquire significant assets such as a large inheritance or a business after your estate plan was first drawn up, you may need to use some additional planning methods. For business owners, business succession planning is part of your estate plan.

Changes in health. Changes in your health or the health of your spouse or child may necessitate revising your plan. If you or your spouse will need long-term care, it may be wise to realign ownership of your assets. Additionally, if you have a disabled spouse or child, there are proper ways to make sure they are cared for without disrupting any government benefits to which they are entitled. Further, powers-of-attorney should be created for adults who are ill or disabled if they have not yet created them. This gives your family the ability to care for your loved one without having to seek a guardianship through the courts.

2. Changes in the Law

Changes to the law are made every year, but you may not hear about them. For estate plans drafted before 2012, the American Taxpayer Relief Act of 2012 (ACTRA) drastically changed how you should view estate planning. The act unified the estate gift and generationskipping transfer tax exclusions amounts. In 2016, the exempt amount was $5.45 million (or $10.9

31

million for a couple). The exemption amount is adjusted annually for inflation. This is a huge difference from the exemption amounts in previous decades.

Due to the large estate tax exclusions, the focus of estate planning for most clients has shifted from minimizing estate taxes to planning how to increase the step-up in basis for estate beneficiaries. Today’s risk of wealth loss is the imposition of capital gains tax on the sale of assets after death.

Finally, Kentucky enacted the Uniform Trust Code in 2014. These provisions create new ways for Kentucky trusts to be modified and terminated. The provisions further specify the responsibilities and duties of the Trustees. These provisions apply to most trusts currently in existence.

Everyone needs to be aware of life changes and remain flexible in addressing them. An estate plan is not one-size-fits-all. Your attorney is uniquely qualified to tell you what estate planning techniques are right for you, your family and your specific situation.

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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