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where we celebrate your yesterday, spice up your today and make sure you look forward to tomorrow. Call today to schedule a lunch and tour.
425.438.9080 RETIREMENT COMMUNITY
520 - 112th Street SW â€˘ Everett WA 98204 www.gardencourtretirement.com
Q3 / 2012
Being Discharged Isn’t the End of the Story. Recovery Is. Kindred Healthcare
Changing Things Up Jane Meyers-Bowen
Front Cover Back Cover Front Inside Cover Back Inside Cover Center 16 Center 17
Simple Freedom? Kellie Moeller
Dealing With People Who Have Short-Term Memory Loss Sylvana Rinehart
Ten Steps for Managing a New Diagnosis Brian Giddens, LICSW, ACSW
All Of The Ages You Are Kelley Smith
Finding New Life and The Right Fit in a Retirement Community Luise Volta
5 Common Household Toxins to Avoid Seth McOmber
The Four C’s of Alzheimer’s Bob Le Roy
Progress for Seniors Fighting Cancer Andrew Schorr
What Real Faith Looks Like Donna Vande Kieft
For advertising information contact:
DAVID KIERSKY, Publisher 213 V Avenue, Anacortes WA 98221 360.588.9181 firstname.lastname@example.org
JENNIFER KIERSKY BLAIR Chief Editor/Production Copyright 2012 Kiersky Publishing, Inc. All rights reserved. Kiersky Publishing Senior Guidebook to Western Washington is published quarterly by Kiersky Publishing, Inc. The opinions, advice or statements expressed by contributing writers don’t reflect those of the editor, the publisher or of Kiersky Publishing Senior Guidebook to Western Washington. No part of this magazine may be reproduced without prior consent of the publisher. It is your responsibility to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content contained herein. Furthermore, Kiersky Publishing, Inc. makes no representations and, to the fullest extent allowed by law, disclaims all warranties, expressed or implied, including but not limited to, warranties of merchantability and fitness for particular purposes regarding the suitability of the information; the accuracy, reliability, completeness or timeliness of the content, services or products advertised herein. The content published herein may include inaccuracies or typographical errors.
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Mirabella – Seattle Premier Graphics – Bellingham Garden Court Retirement Community – Everett Evergreen Hospital Hospice – Kirkland Rosewood Courte – Edmonds Edmonds Landing – Edmonds
Mirabella – Seattle ERA Living: Aljoya Mercer Island Aljoya Thornton Place – Northgate/Seattle Ida Culver House – Broadview/Seattle Ida Culver House – Ravenna/Seattle The Gardens at Town Square – Bellevue The Lakeshore – Seattle University House – Issaquah University House – Wallingford/Seattle Kindred Healthcare: Long Term Acute Care Hospitals – First Hill and Northgate/Seattle Subacute Units – First Hill and Northgate/Seattle Nursing & Rehabilitation Centers – Lakewood, Queen Anne Arden/Seattle; Rainier Vista/Puyallup Holiday Retirement: Bridge Park – Seattle Capital Place – Olympia Cascadian Place – Everett Evergreen Place – Renton Fernwood at the Park – Normandy Park Parkway Chateau – Bellingham Peninsula – Gig Harbor Point Defiance Village – Tacoma The Garden Club – Bellevue Willow Gardens – Puyallup CRISTA Senior Living – Shoreline Crista Shores – Silverdale Radiant Senior Living: Ashley Pointe – Lake Stevens La Conner South Pointe – Everett ERA Living: Aljoya Mercer Island Aljoya Thornton Place – Northgate/Seattle Ida Culver House – Broadview/Seattle Ida Culver House – Ravenna/Seattle The Gardens at Town Square – Bellevue The Lakeshore – Seattle University House – Issaquah University House – Wallingford/Seattle Care Partners: Everett Plaza – Everett Vineyard Park at Bothell Landing – Bothell The Cottages at Marysville The Cottages at Mill Creek Warm Beach Senior Community – Stanwood Bastyr Center for Natural Health – Seattle Foundation House at Northgate – Seattle SeniorGuidebook.com PatientPower.info
SENIOR guidebook – bridging generations
Get closer to what matters most.
Whatever your passion, Era Living offers eight unique communities designed to bring you closer to everything you love. Aljoya Mercer Island (206) 230-0150
Aljoya Thornton Place (206) 306-7920
The Lakeshore South Seattle (206) 772-1200
The Gardens at Town Square Downtown Bellevue (425) 688-1900
Ida Culver House Broadview (206) 361-1989 *University
House Issaquah (425) 557-4200
Ida Culver House Ravenna (206) 523-7315 *University
House Wallingford (206) 545-8400
Call today for a personal visit, or view video testimonials and more at eraliving.com.
BEING DISCHARGED ISN’T THE END OF THE STORY. RECOVERY IS. Every year, more than 34 million patients are discharged from inpatient hospital care. For many of these patients a quick recovery is impossible. They require specialized medical and rehabilitative care after a short stay in a traditional hospital— they need post-acute care—in order to recover and regain independence. The goal of post-acute care is to provide recovery, help patients regain function and ensure an independent lifestyle. What types of services are included in post-acute care? Services can include long-term acute care (LTAC) hospitals, nursing and rehabilitation centers, transitional care centers and subacute units. Can you describe the different services? LTAC Hospitals offer expert interdisciplinary care and services tailored to the medically complex patient including 24-hour physician support, special care units, telemetry units with onsite laboratory and radiology services and operating rooms. As healthcare struggles to deliver quality care at a lower cost for the sickest patients, LTAC Hospitals play a vital role in caring for and stabilizing the most medically complex patients, and improving function so that they may go to a lower, less costly setting of care without being rehospitalized. A Nursing and Rehabilitation Center generally includes two types of residents—those who are receiving short-term rehabilitation to recover from an injury or illness, and those with multiple medical, cognitive or emotional problems or illnesses who are receiving long-term care.
care. Generally they are recuperating from joint surgery, strokes or other procedures and need an intensive, supervised rehabilitation regimen. A Subacute Unit generally includes two types of patients— those who are receiving short-term rehabilitation to recover from an injury or illness, and those with multiple medical problems or illnesses who are receiving care for a longer period of time. How can a patient decide the best option? One simple way to determine the best location for additional care is to ask what type of professional should be directing and monitoring the patient’s care on a daily basis. If a person’s needs can be met by nurses, then a skilled nursing facility makes sense. If oversight by physiatrists is needed then an inpatient rehabilitation facility is the best option. If the patient’s intensity and stability require daily review by physicians and onsite diagnostic capabilities, only an LTAC Hospital provides this level of care, intervention and monitoring. LTAC Hospitals are specialized acute care hospitals with the same license certification and accreditation as short-term acute care hospitals.
Kindred Healthcare, Inc., a top-125 private employer in the United States, is a healthcare services company. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for four years in a row, Kindred’s mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve.
Transitional Care Centers focus on patients who require aggressive short-term rehabilitative and medically complex
SENIOR guidebook – bridging generations
Kindredâ€™s Seattle and Puget Sound Continuum Kindredâ€™s expertise across the post-acute spectrum allows us to achieve our goal of helping patients recover to the fullest extent possible by providing care in the proper setting.
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LONG-TERM ACUTE CARE HOSPITALS
1 Kindred Hospital Seattle â€“ First Hill
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2 Kindred Hospital Seattle â€“ Northgate TH !VENUE s 3EATTLE 7ASHINGTON s WWWKINDREDHOSPITALSEATTLECOM
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3 Kindred Seattle â€“ First Hill 4ERRY !VENUE s 3EATTLE 7ASHINGTON s WWWKHSEATTLElRSTHILLCOM
4 Kindred Seattle â€“ Northgate TH !VENUE s 3EATTLE 7ASHINGTON s WWWKINDREDHOSPITALSEATTLECOM
NURSING AND REHABILITATION CENTERS
5 Kindred Transitional Care and Rehabilitation â€“ Lakewood "RIDGEPORT 7AY s ,AKEWOOD 7ASHINGTON s WWWKINDREDLAKEWOODCOM
CONTINUE THE CARE
6 Kindred Transitional Care and Rehabilitation â€“ Queen Anne $EXTER !VENUE .ORTH s 3EATTLE 7ASHINGTON s WWWKINDREDQUEENANNECOM 7 Kindred Transitional Care and Rehabilitation â€“ Rainier Vista TH !VENUE 3OUTHEAST s 0UYALLUP 7ASHINGTON s WWWKINDREDRAINIERVISTACOM 8 Kindred Nursing and Rehabilitation â€“ Arden !URORA !VENUE .ORTH s 3EATTLE 7ASHINGTON s WWWKINDREDARDENCOM
COPYRIGHT Â© 2012 Kindred Healthcare Operating, Inc. CSR 149816-01
Changing Things Up by Jane Meyers-Bowen Denial is a beautiful thing! It serves an important function, as it allows us to assume all is fine at the OK Corral. At some level though, we know that things may really not be ok. It is difficult to watch our parents age, as they become more vulnerable and frail. Although they may put up a good front, we begin to realize that it’s necessary to view our role in a different light; we become the parent/protector. Seniors last cry of defiance is for their freedom. A generation that went through the Great Depression, and 2 World Wars does not give up the reins easily. As adult children, we want to honor the dignity of our parents. So, we listen to their words, but we don’t hear their silent cry for help. Being able to recognize the signals provides family members the insight needed to truly care for their parents. Children stepping in to help in a respectful way, with firm guidance, serve to preserve seniors’ quality of life. First, it is important to know the triggers that are the leading indicators, suggesting that changes of condition may be on the way. Next, is recognizing the warning signals, it’s an affirmation that it’s time for change. Your senior needs some nutritional support, a safer environment, some mental stimulation, and the joy of socializing with people they can relate to. There are three major triggers that can deeply affect seniors: • The death of a spouse is usually devastating. Imagine spending every day for 60 years with someone, and then suddenly they are gone. They need to learn to make decisions in a new way. Without that hand to hold, they may find it hard to fall asleep or reassure themself when frightened. Everything they know has changed. They are no longer a couple with future plans; the silence, the fear, and the loneliness, can be immobilizing. • Another major life changer is the loss of ones health. This includes diminished eyesight or hearing, or a diagnosis of a devastating illness (cancer, Parkinson’s, dementia, etc.). If we aren’t sure we can walk without falling, we stop walking. If we stop driving, we are marooned in our home where we stop eating healthily, stop taking our meds properly, and stop enjoying time with friends. • Family or friends moving away leave us in a vacuum. Who do we go to for support to cope with everyday stressors? Where do we get financial advice? Who can we count on if we are in a bind? Every person shows different patterns. The best way to think about this is,“what is their baseline?” Variance from their norm helps you to recognize a change of condition. So if a loved one has always had a messy home, always been clumsy, or chronically suffers from bed head, seeing those behaviors may not tell you much. However, if those are new behaviors they may indicate a trend downward. So what are the warning signals? • Weight loss • Multiple falls • Unexplained injuries • Fear of being alone • Unkempt appearance • Unpaid bills 6
• • • • • • • • • • • •
Mountains of unopened mail Mountains of mail from solicitors or get rich quick campaigns Loss of money or questionable financial decisions Friendships with people that seem to be unusual people to share time with Home and yard in a state of disrepair Change of habit – they stop calling, participating in things they enjoyed, i.e. going to church, coming to family dinners, going to the senior center Pets are not properly cared for Increased number of traffic tickets Their vehicle is accumulating dents regularly Food and meds beyond their pull dates Wearing pajamas and slippers all day long Finding your 93 year old parent on the roof cleaning the gutters
So what do you do now? 1. Don’t let something tragic happen to justify change. Examples of that include: broken hips, injuring someone in a traffic accident, substantial loss of financial resources in unsavory business transactions, etc. 2. Recognize that helping your senior move from their home to a safer environment, like a retirement home, will take time. 3. Figure out where your senior stands money wise. What resources do they have? What funds are available to help them with paying for this time of their life? Do they have long term care insurance? Do they have veterans benefits they can tap into? Do they have a life insurance policy that may have a secondary market valve that they can access before their death? 4. Get your seniors involved in the process. 5. Know there are always trade-offs. Although they are giving up one lifestyle that they loved, there are new lifestyles that will ironically give them back more freedom, peace of mind, and a sense of belonging. For more information please call 425-438-9080 or visit www.gardencourtretirement.com
Bridge Park West Seattle | 206-938-6394
Capital Place Olympia | 360-357-9922
Fun, stress-free, and all-inclusive. The way retirement living should be.
Everett | 425-339-2225
Evergreen Place Renton | 425-226-3312
Holiday Retirement communities make retirement living simple and enjoyable by taking care of lifeâ€™s daily details, allowing residents to focus on whatâ€™s most important to them.
Fernwood at the Park Normandy Park | 206-242-1455
The Garden Club From three chef-prepared meals served daily to live-in managers available 24/7, we provide everything seniors need to live healthy, safe and stress-free lives.
Bellevue | 425-643-7111
Parkway Chateau Bellingham | 360.671.6060
And with all of the many benefits included in one monthly fee, retirement living at a Holiday Retirement community is an incredible value. Call today to schedule your complimentary meal and personal tour! Welcome to Holiday. Welcome home.
Peninsula Gig Harbor | 253-858-4800
Point Defiance Village Tacoma | 253-759-8908
Willow Gardens Puyallup | 253-848-4430
Simple Freedom? by Kellie Moeller
Winston Churchill once said, “All great things are simple, and many can be expressed in a single word: freedom, justice, honor, duty, mercy, hope.” Although a beautiful expression and worthy of contemplation, if you asked any of our brave veterans about the ‘simplicity’ of freedom, they might just smile and say, “really?” The cost of freedom is an intrinsic part of what defines it. Let us never forget that freedom comes with a high price and is never given voluntarily. It only arrives as a result of a struggle, and always on the back of much sacrifice. • To Sacrifice: Sacrifice family, marriage, time, and life itself. • To Forsake: Forsake all others, one’s comfort, lifestyle, space, and control. To forsake the ability to choose. • To Submit: Submission to leadership, to other warriors, authority, and our country. • To Abandon: Abandon all wants, desires, family roles, and lifestyles. Churchill aptly followed the word freedom with “justice, honor, duty, mercy, hope.” Justice for the oppressed, honor for the defended, duty to serve others, mercy for loss, and the hope for a stronger nation; the promise of a future and blessing to the next generation. As Ronald Reagan once said, “Freedom is never more than one generation away from extinction. We didn't pass it to our children in the bloodstream. It must be fought for, protected, and handed on for them to do the same.” When 75-year-old Douglas Miller, a Cristwood Park resident, was asked about the simplicity of freedom he said,“Yes, it was simple because it was prescribed. You did what you were told.” But for his personal life it was a different story. “I was newly married and went for 13 months to Korea in the combat zone, which was very complicated for both of us. I see it now in two ways: being drafted and forced to serve was a huge interruption in our lives, but looking back on it I am proud that I was called and able to serve. It was very special.” 8
For Al Bartlett, a 90 year-old who was wounded during the Okinawa battle, “Freedom is worth fighting for.” “Freedom is complicated,” says Bartlett. “To me freedom means protection from all aggressors. It is not simple because it is not static, and requires continuous commitment of blood and treasure.” James Moeller, a 27 year-old fresh out of the Navy after 6 years as a nuclear machinist mate says, “Freedom is a simple concept. It is the ability to act without restraint. The difficulty lies in deciding how to limit freedom. It must be done in a way that allows the maximum number of people to enjoy it as fully as possible, since the unrestrained actions of one can limit the freedom of everyone. It is in choosing who we allow to control our freedom, and to what extent, that the complications arise.” One of Moeller’s favorite quotes is from Milton Friedman’s series Free to Choose: “A society that puts equality before freedom will get neither. A society that puts freedom before equality will get a high degree of both.” Through many generations there is a common thread that weaves the stories of our soldiers together. As Winston Churchill said, “Freedom is a great thing” simply stated, but not simply accomplished. It requires a great sacrifice that unless we have experienced, we cannot begin to understand. John 15:13 says, “Greater love has no one than this, that one lay down his life for his friends.” To the great men and women who have sacrificed and have served, and who still represent our nation as they fight for freedom, we thank you. Thank you for everything you have done to take the simplicity out of freedom. Our Veterans Douglas Miller and Al Bartlett (right) love living at CRISTA Senior Living! If you or a loved one would like to find out more, go to www.cristaseniors.com or call us direct at 206-546-7565. Point your QR code reader on the image at right for more information on CRISTA Senior Living
SENIOR guidebook – bridging generations
Dealing With People Who Have Short-Term Memory Loss by Sylvana Rinehart
Many of us have jobs that place us in direct contact with people afflicted with short-term memory loss. For those who have not had the advantage of extensive training, a frequent challenge is to know how to best communicate without offending and belittling someone several decades older. At first blush we might not even know that this person has a memory disorder. He or she is courteous, but we may notice the tendency to talk in short sentences that make sense during the “small talk phase.” We may begin to see a pattern of turning to a spouse, relative, or close friend for answers, and that person then feels compelled to complete the sentence or the thought. At that point you start noticing the individual becomes a little anxious and restless, and does not quite understand what is happening. You may likely see the person is ready to leave, and says, “let’s go...we have a lot to do!” You get uneasy and wonder how this is going to work for you, for this person, and for the spouse or friend. This is when you take a deep breath and smile; try to think of the following tips which I consistently use with all persons afflicted with Dementia related diseases. They can be applied to all levels of the disease: ✓ Smile; speak in a clear, low, modulated voice, so as to put them at ease. ✓ Call them by name, and introduce yourself. ✓ Check your body language. If you are anxious, chances are they will be too. ✓ Face the person while speaking to them. If they become agitated, ask them to look at you. ✓ Keep statements short and simple, because they cannot track what is not in their long-term memory.
We have to slow down, listen, and speak clearly, while smiling and being present.
✓ Ask close-ended questions (yes/no), for example:“do you feel sick?” as opposed to “how are you?” or “does this hurt?” as opposed to “where does it hurt?” ✓ Use gestures to help them understand your intent. For example:“Have a seat here next to me,” pointing to the seat or tapping on the seat. ✓ Give the person time to respond, by pausing briefly after each statement. ✓ When in a group, make sure that those with dementia know you are addressing another person in the meeting, so that they don’t feel left out. Avoid talking “through” them as if they were not there. ✓ Refrain from having more than one person speaking at a time, so as to diminish agitation and confusion. I believe that learning to communicate with people who have a dementia related illness could make you a better person. It can help you to gain patience and understanding that you may not have previously possessed. We have to slow down, listen, and speak clearly, while smiling and being present. As chaotic and busy as ones life might be, taking the time to be present with someone who has regressed mentally, can be a very humbling moment.
Sylvana Rinehart Executive Director at Rosewood Courte – Memory Care Edmonds, WA – Tel: 425-673-2875 –www.rosewoodcourte.com 10
SENIOR guidebook – bridging generations
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La Conner Retirement Inn 204 N. First Street • La Conner WA 98257 360.466.5700 • www.laconnerretirementinn.com
South Pointe 10330 4th Avenue West • Everett WA 98204 425.513.5645 • www.southpointe-al.com
Come by for a free lunch and tour. Featuring independent retirement apartments and cottages with licensed assisted living A complete range of personal support and care services • Cozy, home-like environments Proudly managed by Radiant Senior Living www.seniorguidebook.com
Ten Steps for Managing a New Diagnosis by Brian Giddens, LICSW, ACSW Recently a good friend of mine (I’ll call him Roger) started having significant health problems that were affecting him on a constant basis. Roger initially rationalized his constellation of symptoms, perhaps as his body fighting off a bad flu. Then he associated them with an especially hard exercise session. Many of us tend to “wait and see,” rather than rushing off to the doctor when symptoms first appear. We make our own guesses as to what might be happening to our bodies, hope for a quick resolution, and carry on with our lives. In Roger’s case, the expected recovery did not occur, and instead, other symptoms surfaced. While some days were better than others, the problems continued. In the past month, after helping to coach Roger through several visits to physicians, lots of research, and consulting with others, it appears that Roger is finally getting some answers on his health issues. As I watch him face a new and unknown health crisis, it made me realize just how alarming and difficult the process can be. Based on Roger’s recent experiences, here are some thoughts on managing a new health crisis: 1. As soon as it seems that the symptoms are not going away as hoped, take notes. Once you get to the doctor, it can be difficult to recreate what led up to the illness. Did you do something unusual with exercise? Work too long in the garden? Change something in your diet, or start a new medication? Sometimes just running through the list will provide you with an answer to what may be causing your symptoms. Also, if you do end up seeking professional help, the medical provider will appreciate a review of the information. 2. If you decide you need to see a medical provider, start with your primary care physician (PCP) first. While some insurance providers require a referral from your PCP, others allow you to go directly to a specialist. Unfortunately, going directly to a specialist when you are not sure what you are experiencing is like going to graduate school before getting your bachelor’s degree. The PCP can do a general review, based on your history, and do a preliminary “ruling out” of conditions that will lead to a more accurate referral. Think of your PCP as your “home base.” It is important that the PCP knows you are having a problem, as eventually you will be returning to the PCP for ongoing care, and the PCP and the specialist will need to communicate. 3. Do research, but be careful. Once Roger was given some possible diagnoses, it was easy to start an internet search to find out more about the conditions. Unfortunately for Roger, because the exact diagnosis was not determined, the information on the internet was sometimes not applicable to his situation. With so much online information, it is easy to get overwhelmed. Even worse, the information is unfiltered, which means you are looking at everything from the latest medical research to someone’s blog post. While some sources of information are obvious, others are harder to find. With enough review, certain themes may emerge that will hold some truth, but take the information as one source, not the only source. 4. Talk with others. Roger was hesitant to share what was happening to him, but an acquaintance noticed that he was having some difficulty and asked what was wrong. It turned out that the acquaintance had experienced the same symptoms years before, and was able to talk about her treatment and recovery. This “small world” encounter, from someone Roger felt he could trust, made such a difference and gave him hope for eventually feeling better. 5. Prepare for your meeting with your provider, especially if it is a new relationship. When Roger was first referred to a specialist, he was surprised 12
at how different the manner of the specialist was from that of his PCP. The communication was not as easy, and there were a lot of unanswered questions at the end of the appointment, causing Roger to question whether to continue with the specialist. So, Roger put together a list of questions for the next meeting, with the most important ones first. He was able to get through his questions, and felt that he had helped to guide the meeting to allow for a better experience. 6. Reset your expectations. For someone who has been healthy, a new set of symptoms can significantly change the rhythm and pace of one’s life. Even for folks who have other health conditions, a new issue can add complications to ongoing health management. Roger went from doing a couple of runs a week, to barely being able to walk the dog. Rather than taking the perspective of what cannot be done, focus on what you are able to do, and don’t waste precious efforts trying to keep up with everything that was done in the past. What would have constituted a good day before may need to be redefined. As you figure out what is going on with your health, and get the symptoms under control, you can always “ramp up” again to pre-diagnosis levels. 7. Once you know your diagnosis, talk with others who are also experiencing the condition. This is where the internet may again be helpful. There are many associations formed for specific conditions and informal discussion groups online as well. Just being able to hear how someone else managed side effects of a new medication, or learned how to cope with new restrictions, can be extremely helpful. 8. If you are feeling frustrated with the care you are receiving, consider a second opinion. While there are many complications with bringing a new provider into an already confusing situation, there are times when it is necessary. The fit between the patient and the provider may not be quite right, or it may be that your provider is not meeting your needs. Before seeking a second opinion, be sure to follow some of the earlier suggestions. Write down your questions and providing a complete history, so that your provider has a chance to help you. Patients have a responsibility to participate in their care, just as providers are responsible for figuring out what is wrong and creating a reasonable treatment plan. Don’t blame the provider if you have not done your part. 9. Give the treatment a fair chance. By the time the diagnosis is confirmed, the body may take some time to bounce back. If you trust the provider’s judgment, then follow his or her plan of treatment completely. Let the provider know if something does not feel right or unanticipated issues occur with the treatment. Whatever you do, do not stop the treatment until you have had a chance to review any concerns with the provider. Patients may either start feeling better and stop taking a medication, or not feel better soon enough and do their own adjustments. Either option can be risky and requires medical consultation. 10. Throughout the initial diagnostic and treatment process do all you can to take care of yourself, and surround yourself with your favorite things and people. Think about what makes you feel good, and allow yourself to indulge. This doesn’t mean gorging on ice cream, if you think you may be diabetic! Rather, go easy on yourself and take a break. You are dealing with a new health crisis, and this can help to balance the fear, the worries, and the losses that can accompany a new health condition, especially in the early stages. Brian Giddens is associate director social work & care coordination University of Washington Medical Center.
SENIOR guidebook – bridging generations
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G Get et your your FREE uide aatt Downsizing Downs n izing G Guide eraliving.com/d /dow ownsizi i ng. eraliving.com/downsizing.
For upcoming seminar dates, please For eraliving.com/downsizing or ca ll: visit eraliving.com/downsizing call: Aljo Aljoya ya Mercer Island at (206) 230-0150 Aljo Aljoya ya Thornton Place at (206) 306-7920
Whatever Whatever your your passion, Era Era Living offers offers eight unique communities designed to bring you you closer to everything everything you you love. love. www.seniorguidebook.com
All Of The Ages You Are by Kelley Smith
Not too long ago I was having “a day,” being silly and full of mischief. My better half looked at me and said, “It’s okay to be 5, if that is how old you are right now.” 5? I’m older than that, a lot older! How many times does a past age sneak up on you when you least expect it? Growing up I was always the “funny one,” Lisa was the “pretty one,” and Tracy was the “smart one.” Even now, when I’m feeling a little awkward and shy, I am instantly 17 again. It’s easy to be reminded that if I feel that way...how many other people must feel the same. What about our residents? When they get sick, are they 3? Do they just want the comfort of being small and having someone take care of them? What if Mr. Jones is being a flirt? Is he back to that young man of 21?
What exactly does “act your age” mean? When we are young, we can’t wait to grow up and start our lives in the world...as we get older we long for the days of our youth.
What exactly does “act your age” mean? When we are young, we can’t wait to grow up and start our lives in the world...as we get older we long for the days of our youth. Immaturity can be “annoying,” but can you be too mature? When exactly were you a spring chicken? We refer to some children as being “old souls,” and compliment them for being old for their age...is that saying that the 7 year old that really behaves like a 7 year old has something wrong with them? I don’t believe so, but when we know the goal is to grow up and become a productive member of society, we encourage it. Just because you turn 40 doesn’t mean that age 4, 17, 21, and 30 don’t still live inside of you. All of the life experiences that got you this far are still in there somewhere, and sometimes they need to come out to get you through certain situations and moments in life. Maybe those ages protect us, make us feel safe, or in my case, a little silly. There is nothing wrong with embracing your past ages, which are just as much a part of you as your current one. After all, it’s just a number. Kelley Smith is the North Region Director of Marketing for CarePartners, serving 4 communities in Snohomish County, Everett and Bothell. (Vineyard Park, Everett Plaza, The Cottages at Mill Creek and The Cottages at Marysville).
For more information you can email Kelley@carepartnersliving.com You can also call 425-931-2951 or 425-485-8900.
SENIOR guidebook – bridging generations
Behind Every Great Company Is A Great Group of People Our communities are filled with well-trained and big-hearted individuals who truly want to help your loved ones. The Cottages at Marysville & The Cottages at Mill Creek are intimate memory care communities. Vineyard Park & Everett Plaza provide personalized care in independent & assisted living communities. Stop by for a personal tour.
1216 Grove Street / Marysville WA 98270 www.cottagesatmarysville.com
10519 E. Riverside Dr / Bothell WA 98011 www.vineyardpark.net
425.341.4356 132oo 10th Dr. SE / Mill Creek WA 98012 www.thecottagesassistedliving.com www.seniorguidebook.com
Everett Plaza 425.374.0170
2204 12th Street / Everett WA 98201 www.everettplazaassistedliving.com 15
She’s always been there for you. Now it’s your turn. www.seniorguidebook.com 16
Caring for the Memory Impaired
Call us, we can help. 425.673.2875 www.rosewoodcourte.com 17 SENIOR guidebook – bridging generations
EDMONDS LANDING Gracious Retirement & Assisted Living Catered Living ~ Boutique Lifestyle
• Olympic Mountains Views • No Buy In - No Lease • Free Health Club Membership Included • Free Transportation to Doctor’s Appointments • Walk to Shops & Downtown Edmonds
425.744.1181 180 Second Avenue South • Edmonds • www.edmondslanding.com
Finding New Life and the Right Fit in a Retirement Community by Luise Volta
I’ve had to make many decisions in my lifetime, but one of the largest I had to face was the time when my husband and I decided to make a move to a retirement setting.
Why did you choose this retirement community? What are the best things about living here? The less desirable things? What might you change if you could?
Our current home was roomy, and the view across Port Susan Bay was breathtaking. Yet, in 1990 a thought kept surfacing, one that I’d discussed at length with my new husband:“Was this really the perfect retirement home?”
Some of our friends spent a weekend in an empty apartment or guest house, sampling retirement living. Others attended special events, or joined a waiting list. We even went as far as to move into two retirement communities, which I wouldn’t recommend to everyone.
I was 62 and Val was a youthful, dapper 78. Just months earlier we’d married and settled comfortably into a beautiful three-bedroom home which Val and his first wife, Caroline, had built. Val, a man ahead of his time, had custom-designed the home to be totally wheelchair accessible. There was even a mother-in-law apartment for caregivers, should health needs arise.
We spent a year at the first community. Located in a small town, the brand-new facility offered meals, housekeeping, and assisted living. Val served as Resident Council President. I put out the weekly newsletter, and assisted the activities director.
This seemed to be the perfect retirement hideaway. Something inside me said otherwise, though. Later that year, we flew the coup, spending the next four years wandering all over the country. We basked in the sunshine in Hawaii. We drank in the beauty of the Grand Canyon.
We took a more relaxing approach at the second retirement community. After awhile, though, the days dragged. Without the normal tasks of housekeeping and meal preparation, we waited. We didn’t know what for, but that’s how it felt, like we were waiting. It was back to the drawing board for a better fit.
As glorious as that time was, my homing instincts kept buzzing. The questions, “What is a perfect retirement home?” nipped at the edges of my mind. So, in 1994 while winding down our travels, Val and I started in earnest to find that special place.
Jump right in. Just about everyone entering a retirement community feels like it’s the first day of junior high. There’s that crazy fear of the unknown. How should I dress? Will people like me? What if they don’t? As we spent early December of 2000 sorting and packing for our third move to a retirement community, that fear welled up again.
Here are the steps we took: Look around. Stanwood and Stillaguamish Senior Centers gave us lots of help. We mastered the nuances of senior housing lingo: HUD affordable housing (for people with limited incomes), assisted living (for those needing personal care), adult family homes (for frail elderly), and continuing care retirement communities (many levels of services and care on one campus). We found a Catholic retirement community in Chattanooga, Tennessee. Lovely concept, lousy location. We toured a gated community in Seattle. Beautiful location, too pricey for us. Each visit expanded our horizons, broadened our knowledge base, and honed our wish list. We wanted fellowship, activities and volunteer opportunities. Since our Catholic faith is such a part of us, we sought a place where people openly spoke about God and desired to follow Him. The availability of assisted living and nursing care was essential. If possible, we wanted to see cedars and Douglas firs, and maybe a view of the water. I wondered if we were asking for too much, but our list was our own, and as unique as our individual lives. Test the waters. Like many seniors, we talked to our peers. We visited a friend who lived in a Seattle retirement community, and grilled her with questions: 18
We were headed to Warm Beach Senior Community, a Christian retirement community sponsored by the Free Methodist Church. Would we, as practicing Catholics, feel comfortable there? Would we be able to use our specific gifts and talents without burning out? Would we find a sense of community Our fears, though real, turned out to be unfounded. Days after moving in, a fellow neighbor approached me in the resident dining room. She gently touched my shoulder.“Do you enjoy swimming? We’d like you to try our water aerobics class, if you’re interested.” Later that week another invitation came. The novelty has worn off, but the comfort and peace in our decision grows. We find joy and happiness in the incredible people here. My husband and I are met by smiles and hugs, and I get the joy of giving as I volunteer. Whatever I do, I aim to have fun. Now, I look across at Camano Island, where our married life began. Instead of glorious sunrises, I now see rich sunsets. Gold and orange splashing the sky. This is home. For further information you can contact Alisa Sands or Sheila Bartlett at 360-652-4593, or visit www.warmbeach.org. Warm Beach Senior Community is unique in offering an array of settings and accommodations to suit every income and lifestyle.
SENIOR guidebook – bridging generations
When the wind whispers through the trees, some say it sounds like a hymn...
...and nourishes the mind, body and soul.
Celebrating 45 Years of Providing Care & Services Independent Living Neighborhoods Assisted Living • Skilled Nursing Rehabilitation Services We welcome you to come for a visit 20420 Marine Dr • Stanwood WA 98292 360.652.4593 • www.warmbeach.org www.seniorguidebook.com
5 Common Household Toxins to Avoid by Seth McOmber
Mainstream medical literature generally agrees that many of the chemicals we have put into our environment are linked to a myriad of illnesses. These toxic effects occur at very low exposure levels, so it’s important to learn how to reduce our exposure to the chemicals that are already a part of our daily lives. John Hibbs, ND, senior faculty supervisor at Bastyr Center for Natural Health points out that reducing exposure to household toxins need not be expensive or time-consuming, especially considering that household dust is a major culprit in spreading many chemicals.“Take your shoes off at the door when you come in from outside, and vacuum more often,” says Dr. Hibbs. “You’ll see real gain in removing toxic exposure from the home.” As you go about your spring-cleaning this year, consider these five sources of toxicity. While this isn’t a comprehensive list of common household toxins, these are some of the most dangerous and surprising offenders: 1. Mercury Chronic exposure to mercury can lead to brain problems such as Parkinson’s disease, lowered immunity, and hormonal disruptions. Common sources of mercury exposure include fish and florescent light bulbs. Dr. Hibbs advises following the EPA fish advisory, and explains that eating fiber with fish can reduce exposure. “If you eat an apple, whole grains, or beans, it binds with the mercury that was in the intestines of the fish, and takes it out with the stool. This keeps most of the mercury from being absorbed in the first place,” he says. 2. Aluminum Aluminum is a neurotoxin that has been proven to contribute to the development of Alzheimer’s disease, as well as other issues with cognition and memory. Aluminum is extremely common, and is frequently found in beverage containers and cooking pots and pans. “My advice is to stop using aluminum cookware – pots, pans, baking dishes and so forth – especially at high heat and especially when cooking acidic materials,” Dr. Hibbs says. He also recommends against using aluminum foil in high-heat cooking, as the aluminum can vaporize into the air and into the food. 3. Benzene, Toluene and Xylene These volatile organic compounds (VOCs) are associated with many health issues including: nervous system problems and especially with bone marrow toxicity, leading to injury and leukemia. “When I have a patient with chronic leukemia in my practice, one of the first things I do is check their body load of benzene, toluene, etc., and talk to them about an effective cleansing regimen – and it usually helps,” Dr. Hibbs says. These compounds are commonly found in outside dirt, so the best way to reduce exposure is to remove shoes when entering the home and vacuum carpets often. 20
4. Diethanolamine (DEA), Triethanolamine (TEA), Alklyphenol ethoxylates (APEs) and Propylene Glycol These chemicals are found in many household cleaners. Also known as VOCs, they are associated with many of the same health issues listed above. These include reduced function in the nervous system, immune system, the liver and kidneys. In addition to household cleaners, these chemicals may be found in degreasers, mothballs, cosmetics, and at commercial dry cleaners. To reduce exposure, Dr. Hibbs recommends cleaning with simple ingredients like soap, water, baking soda, vinegar, lemon juice, and elbow grease. 5. Phalates (plastic) and PVC (polyvinyl chloride) “These chemicals are measurable in all of our bodies, all over the world,” says Dr. Hibbs. Phalates and PVC are toxic to the liver, kidney, lungs, and may cause birth defects and fertility issues. They are extremely common in household items including food containers, flooring, vinyl, and adhesives. One method to reduce exposure to plastic toxicity is, to cook and store foods and beverages in glass containers as much as possible.“Less toxic plastic containers, if you do use them, are the No. 1, No. 4 and No. 5,” says Dr. Hibbs. “They’re not perfect but they’re a whole lot better. I still wouldn’t heat them, as it will increase their volatilization.” Watch Dr. Hibbs’ lecture for an extensive breakdown of common household toxins, and steps to reduce your exposure to them. Avoiding Toxins in the Home can be seen at youtube.com/user/BastyrUniversity, on the Bastyr YouTube channel. Improve your wellness with counseling or naturopathic medicine services at Bastyr Center for Natural Health, the teaching clinic of Bastyr University. Appointments and information at www.BastyrCenter.org or by calling 206.834.4100.
SENIOR guidebook – bridging generations
The Four C’s of Alzheimer’s by Bob Le Roy
Alzheimer’s is a complicated and puzzling disease. It is frequently said that no two cases are alike, and often times is difficult knowing who has it or what causes it. We cannot prevent it, and we cannot cure it. Our work at the Alzheimer’s Association Western and Central Washington State Chapter, however, is really quite simple. Its essence can be found in three Cs: care, cause, and cure. Care For us, care is manifested in the programs and services that we provide to the individuals and families affected by Alzheimer’s, and other dementias. This includes our toll-free, 24/7 Helpline, assistance to family and caregiver support groups, customized and ongoing care consultation through our Connections program, and continuing education and training for family and professional caregivers. Cause Our commitment to the cause of Alzheimer’s is reflected in the passion and persistence of the thousands of elected officials, at all levels of government. With the strong support of the Alzheimer’s Association and hundreds of thousands of volunteer advocates, Congress unanimously passed the National Alzheimer’s Project Act (NAPA) in 2010. NAPA mandates the creation and implementation of a National Alzheimer’s Plan. They are responsible for coordinating the federal government’s response to the public health epidemic, that Alzheimer’s disease and related dementias represent. Under the auspices of the Department of Health and Human Services, the final draft of the National Alzheimer’s Plan was released on May 15, 2012. Cure We are bringing the world together in search of a cure for Alzheimer’s disease. The Alzheimer’s Association is the largest non-profit funder of Alzheimer’s research in the world. Since we began funding research in 1982, we have provided over $292 million to more than 2,000 best-of-field investigations. As host of the annual Alzheimer’s Association International Conference on Alzheimer’s disease (AAIC), we convene the world’s largest gathering of Alzheimer’s and dementia researchers to create an international discussion of the latest findings in the field. This dialogue fuels new ideas, that may one day result in treatments to change the course of the disease. In 2011, AAIC drew nearly 5,600 researchers from 84 countries. The 2012 AAIC will be held July 14-19 in Vancouver, BC. 22
We lead the World-Wide Alzheimer’s Disease Neuroimaging Initiative (WW-ADNI). This is a consortium of international investigators working to establish globally recognized standards for identifying and diagnosing the disease. Working with the National Institute on Aging, we engaged groups of scientists to examine the diagnostic criteria for Alzheimer’s disease which were established more than 25 years ago – and propose new criteria including the use of the latest advances in biomarker research. Our International Society to Advance Alzheimer’s Research and Treatment (ISTAART) is a professional society for individuals interested in Alzheimer's and dementia science. This includes scientists, physicians, and other professionals involved in the causes and treatments of Alzheimer's disease and related disorders. One of the greatest obstacles to advancing research is the lack of participation in clinical trials. We estimate that there are currently 127 active trials. It takes, on average, 4.6 months to complete enrollment in a trial. At that rate, the enrollment process delays the discovery of new treatments by 587 months! In 2010, as part of the “Alzheimer’s Association Clinical Studies Initiative”, we launched TrialMatch, a free, confidential, interactive, online service to connect eligible volunteers with clinical trials. TrialMatch accelerates the enrollment process and allows people with Alzheimer’s to play a more active role in their own treatment, while contributing to scientific discovery. Collaboration I believe there is a fourth “C” – in which you play an integral role – collaboration.We have the best chance to realize our vision of a world without Alzheimer’s when we work together. If you would like to access our programs and services, add your face and voice to our advocacy efforts. Learn more about Alzheimer’s research by calling our toll-free 24-hour Helpline at 1-800-272-3900 or visit our website at www.alzwa.org. If you would like to support our care, cause, and cure, please let us hear from you. The end of Alzheimer’s begins with us.
Bob Le Roy is the President and Chief Executive Officer of The Alzheimer’s Association, Western and Central Washington State Chapter.
SENIOR guidebook – bridging generations
Vineyard Park – Bothell Karen Bender-Ward Executive Director 425.485.8900
Riverside East – Bothell Jennifer Bolton Executive Director 425.481.1976
Edmonds Landing – Edmonds Victoria VandeGriend Marketing Director 425.744.1181
Garden Court – Everett Abbey VanBerg Life Enrichment Coordinator 425.438.9080
Silverado Senior Living – Everett Left: Barbara Brotherton, Family Ambassador Right: Jodi Johnson, Director of Health Services 425.348.8800
SENIOR guidebook – bridging generations
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Progress for Seniors Fighting Cancer by Andrew Schorr
Fighting cancer is hard physically and emotionally for the patient, and most often for their close family members and friends, as well. As a 16-year leukemia survivor, I’ve experienced this firsthand. I was diagnosed at 45, however, whereas most people are diagnosed with cancer in their 60’s or 70’s. Does that make their “journey” different, and with the real progress being made today, should it be? Traditionally, cancer has been fought with major surgery and/or chemotherapy, and/or radiation. People who might have required surgery, had to be healthy enough to withstand it. When it comes to chemotherapy – drugs that often kill healthy cells as well as cancerous ones – a patient has to be ready to deal with the significant side effects and emotional toll of losing one’s hair, and/or a lot of weight. Radiation has its side effects too, for example, causing fatigue. In the past, doctors would take a more aggressive approach for a younger person, and a more benign approach for the senior. They did this even though they knew the more benign approach would be less effective against the cancer. This was often a unilateral decision, and not discussed with the patient. The full range of options was not put forward. Doctors took it upon themselves to judge who could withstand the treatment, and whether the toxic effects of the treatment would rob the senior of a higher quality of life with family and friends. Their thinking was, life might be shorter but it would certainly be more livable. Fortunately, today’s cancer care has come a long way in offering the most state-of-the-art options to older people. You’ve probably heard of “minimally invasive” surgery where they use catheters and small scopes that do not require big incisions. It’s far less traumatic to the body. When it comes to radiation, the name of the game now is “targeted.” This approach hits only the cancer cells and avoids affecting the healthy ones, reducing side effects. Some types of radiation can even be implanted as small seeds. The greatest progress may be in the medicines that are now approved, or in later stages of clinical trials. These so called “targeted therapies” home in on the cancer cells, kill them, and leave others alone. Taking it a step further, these don’t just kill breast cancer cells; for example, they are bio-engineered to treat your specific subtype of breast cancer. The same is becoming true in lung cancer and melanoma. Another exciting development is the availability of drugs that can activate your own immune system to recognize and fight the cancer cells it missed the first time around. There’s a great example in advanced prostate cancer and more is in research. So, there has been a total turnaround in what is available for seniors with cancer. You don’t have to settle for cancer care that will keep you “comfortable” while not giving you more time with your family. You can ask, even demand, that you get state-of-the-art care. If it is still in late stage clinical trials, please consider participating because it could give you “tomorrow’s medicine today,” and be that “kindler and gentler” - but still powerful therapy you deserve. I always welcome your comments. You can send them to me via email at email@example.com 26
SENIOR guidebook – bridging generations
Interviews with Leading Medical Experts and Inspiring Patients Online podcasts and video interviews available on-demand, 24/7
Andrew Schorrâ€™s Patient Power is a unique resource geared to bring expert perspectives to individuals with serious illnesses and the people who care for them. Designed to empower patients, help them regain health, and take control of their lives, Patient Power is home to hours of audio and video programming with leading medical experts, hosted by medical journalist and leukemia survivor, Andrew Schorr. For more information about Patient Power, please visit us on the web at:
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What Real Faith Looks Like by Donna Vande Kieft
I introduced my friend, Faith, to my new husband last October at a wedding reception in Iowa. I said, “This is my friend Faith, and her name says it all. She embodies real faith.” Faith was the youngest of four in a farm family, who lived about a mile southeast of our farm in rural Iowa. Faith, my two sisters and I were in the same 4-H club. Their family attended a different country church than ours, but invited us to participate in their Vacation Bible School program each summer. My sisters and I always enjoyed that experience. Henrietta, Faith’s mom, was an excellent cake decorator. She made all of the cakes for special occasions in our family, including the wedding cakes for my sisters and me when we were married in the 70’s. Faith became a nurse, and worked at the local hospital for a number of years. She married Dick, a friend of my first husband. Faith and Dick had four beautiful daughters: Hope, Becky, Sarah and Dana. Faith eventually picked up the cake decorating talent from her mom and continued the tradition of baking cakes for lots of weddings, showers, and other special events in the community. Unfortunately, Faith started experiencing symptoms of Multiple Sclerosis (MS) in 1986. With help from her daughters and her husband, she managed to stay active. She continued to run her household, and her joy of baking cakes. Tragically, in 2003, Dick was in a bad motorcycle accident that left him permanently disabled and eventually in a vegetative state. Faith and her daughters had to make a lot of hard decisions over the years, including navigating the VA and other long-term care services for Dick. Another of Faith’s decisions included selling their home and acreage, and building a handicapped accessible home in town. Faith’s stress only exacerbated her MS symptoms. To add insult to injury, a few years after Dick’s accident, Faith received a cancer diagnosis. With surgery and treatment she went into remission, but a few years later the cancer returned. Her family also experienced the death of her parents, and the untimely deaths of Faith’s nephew and a niece. 28
Dick died in a nursing home at the end of 2010. At that time, Faith was still living in the home she had built across the street from the nursing home where Dick lived. Faith started to receive daily homecare services as her MS symptoms continued to worsen. A year after Dick’s death Faith was admitted to the nursing home, as she continued to recover from a bout with pneumonia. She had hoped to return to her home again. However, she was unable to meet the therapy requirements to live independently, even with the assistance of homecare. She and her daughters realized it was safer for her to receive round-the-clock care at the care center. She continues to go to the local hospital three Tuesday’s of each month for chemo treatments that she will receive for the rest of her life, or until she decides to stop. Faith’s story sounds much like the story of Job. In the Hebrew Scriptures, God allows Job to lose everything, including his health, his material possessions, and his family. It is something of a test of Job’s faith, and in the end he gets everything he lost back again. Faith is realistic, and knows that it is unlikely that her health will be restored to her in this life. Her four wonderful daughters continue to give her joy, and care for her wellbeing. She still has her home that she can visit in her motorized scooter, when the walls of the nursing home start closing in on her. She is waiting for a private room to become available, and in the meantime shares half of a double room with another resident. Managing a large motorized scooter in a small space, and sharing a bathroom is fraught with challenges. I continue to be amazed when I visit Faith, or talk to her on the phone. In spite of all she faces and has experienced, she is still more interested to hear about how I am doing than to talk about her hardships. She keeps smiling, and has a great sense of humor. She maintains true hope, unfailing belief in God, and a determined spirit to keep making the best of difficult life circumstances. Now, that’s what I would define as real FAITH! Submitted by Chaplain Donna Vande Kieft, Providence Hospice of Snohomish County
SENIOR guidebook – bridging generations
DIRECTORY SNOHOMISH ARLINGTON Olympic Place Retirement & Assisted Living Community 20909 Olympic Place Arlington WA 98223 360-435-8440 EDMONDS Aegis of Edmonds Assisted Living/ Alzheimer’s Memory Care 21500 - 72nd Ave West Edmonds WA 98026 425-776-3600 Edmonds Landing Assisted Living 180 Second Ave South Edmonds WA 98020 425-744-1181
Emeritus at Silver Lake Assisted Living 12806 Bothell-Everett Highway Everett WA 98208 425-338-3227
Chateau Pacific Assisted Living / Memory Care 3333 - 148th Street SW Lynnwood WA 98037 425-787-9693
Everett Plaza Assisted Living 2204 12th Street Everett WA 98201 425-374-0170
Emeritus of Lynnwood Assisted Living/Alzheimer’s Care 18625 - 60th Ave W Lynnwood WA 98037 425-771-7700
Garden Court Retirement Community Independent and Assisted Living 520 - 112th Street SW Everett WA 98204 425-438-9080
Fairwinds – Brighton Court Retirement/Assisted Living 6520 - 196th Street SW Lynnwood WA 98036 425-775-4440
Silverado Senior Living Everett Dementia Care Community 524 - 75th Street SE Everett WA 98203 425-348-8800
Rosewood Courte Assisted Living/Alzheimer’s memory impaired only 728 Edmonds Way Edmonds WA 98020 425-673-2875
South Pointe Independent, Assisted Living 10330 4th Avenue West Everett WA 98204 425-513-5645
Sunrise of Edmonds Assisted Living/Alzheimer’s Care 750 Edmonds Way Edmonds WA 98020 425-673-9700
Washington Oakes Retirement and Assisted Living 1717 Rockefeller Ave Everett WA 98201 425-339-3300
EVERETT Bethany at Silver Crest Assisted Living/ Nursing Home Adjacent 2131 Lake Heights Drive Everett WA 98208 425-385-2335
GRANITE FALLS The Village Independent Living 302 North Alder Avenue Granite Falls WA 98252 360-691-1777
Cascadian Place Retirement / Independent Living 3915 Colby Avenue North Everett WA 98201 425-339-2225 Clare Bridge Silver Lake Alzheimer’s & Dementia Care 2015 Lake Heights Drive Everett WA 98208 425-337-6336 Emeritus at Seabrook Independent and Assisted Living 11333 3rd Place W Everett WA 98204 425-347-0372
LAKE STEVENS Ashley Pointe Independent and Assisted Living 11117 - 20th Street NE Lake Stevens WA 98258 425-397-7500
Scriber Gardens Independent & Assisted Living/Wellness Services 6024 200th Street SW Lynnwood WA 98036 425-673-7111 MARYSVILLE Grandview Village Retirement & Assisted Living 5800 - 64th Street NE Marysville WA 98270 360-653-2223 Merrill Gardens at Marysville Independent & Assisted Living 9802 - 48th Dr NE Marysville WA 98270 360-312-1968 The Cottages at Marysville Memory Care Community 1216 Grove Street Marysville WA 98270 360-436-6028 MILL CREEK Mill Creek Gardens Assisted Living/ Alzheimer’s memory impaired only 13200 - 10th Dr SE Mill Creek WA 98012 425-379-8276
LYNNWOOD Aegis of Lynnwood Assisted Living 18700 44th Avenue West Lynnwood WA 98037 425-712-9999
Merrill Gardens at Mill Creek Independent and Assisted Living 14905 Bothell Everett Hwy Mill Creek WA 98012 425-341-4057
Clare Bridge Lynnwood Alzheimer’s & Dementia Care 18706 - 36th Ave W Lynnwood WA 98037 425-774-3300
The Cottages at Mill Creek Memory Care Community 13200 10th Drive SE Mill Creek WA 98012 425-341-4356
MONROE Merrill Gardens at Monroe Independent and Assisted Living/ Alzheimer’s Memory Impaired 15465 - 179th Ave SE Monroe WA 98272 360-243-0036 MOUNTLAKE TERRACE Mountlake Terrace Plaza A Merrill Gardens Community Independent and Assisted Living 23303 - 58th Ave W Mountlake Terrace WA 98043 425-954-3850 MUKILTEO Harbour Pointe Independent and Assisted Living 10200 Harbour Place Mukilteo WA 98275 425-493-8555 SNOHOMISH Emeritus at Snohomish Assisted Living/Alzheimer’s Care 1124 Pine Ave Snohomish WA 98290 360-568-1900 STANWOOD Josephine Sunset Home Assisted Living/Nursing Home Adjacent 9901 - 272nd Place NW Stanwood WA 98292 360-629-2126 Merrill Gardens at Stanwood Independent & Assisted Living/ Alzheimer’s and Dementia Care 7212 - 265th Street NW Stanwood WA 98292 425-312-1972 Stanwood Community & Senior Center Independent Living 7430 - 276th Street NW Stanwood WA 98292 360-629-7403 Warm Beach Senior Community Independent & Assisted Living/ Skilled Nursing 20420 Marine Drive Stanwood WA 98292 360-652-7585 SKILLED NURSING CARE Bethany at Pacific - Everett 425-259-5508 Bethany at Silver Lake - Everett 425-338-3000
Delta Rehab Center - Snohomish 360-568-2168 Josephine Sunset Home Stanwood 360-629-2126 Lynnwood Manor Health Center Lynnwood 425-776-5512 Madeleine Villa Health Care Marysville 360-659-1259 HCR Manor Care - Lynnwood 425-775-9222 Marysville Care Center Marysville 360-659-3926 Merry Haven Health Care Center Snohomish 360-568-3161 Regency Care Center at Arlington - Arlington 360-403-8247 Regency Care Center of Monroe Monroe 360-794-4011
SKAGIT ANACORTES Fidalgo Care Center & Rosario Assisted Living Assisted Living/Skilled Nursing/ Secured Dementia Care/Rehab 1105 27th Street Anacortes WA 98221 360-293-3174 Cap Sante Court Retirement 1111 32nd Street Anacortes,WA 98221 360-293-8088 Chandler’s Square Retirement / Assisted Living 1300 “O” Ave. Anacortes WA 98221 360-293-1300 BURLINGTON Creekside Retirement Community Retirement / Assisted Living 400 Gilkey Road Burlington WA 98233 360-755-5550 LA CONNER La Conner Retirement Inn Independent, Assisted Living 204 North First Street La Conner WA 98257 360-466-5700 MOUNT VERNON The Bridge Assisted Living/Hospice 301 S LaVenture Mount Vernon WA 98274 360-416-0400
Highland Greens Senior Apartments Affordable Senior Apartments 3100 N 30th St Mount Vernon WA 98273 360-848-8422 Highland Greens Cottages Senior Residences Village Court @ 3200 N 30th St Mount Vernon WA 98273 360-540-1438 Salem Village II Senior Residences 2601-2617 N LaVenture Rd Mount Vernon WA 98273 360-540-1438 Salem Village Apartments Affordable Senior Apartments 2619 N. LaVenture Rd Mount Vernon WA 98273 360-428-5662 Life Care Center of Mount Vernon Assisted Living/ Skilled Nursing/ Rehab/Alzheimer’s 2120 E Division Mount Vernon WA 98274 360-424-4258 Logan Creek Retirement/Independent Living 2311 E Division Mount Vernon WA 98274 360-428-0222 Mountain Glen Retirement/Assisted Living 1810 East Division Mount Vernon WA 98274 360-424-7900 SEDRO-WOOLLEY Birchview - A Memory Care Community Assisted Living/ Enhanced Adult Residential Care 925 Dunlop Ave Sedro-Woolley WA 98284 360-856-1911 Country Meadow Village Retirement & Assisted Living 1501 Collins Rd Sedro-Woolley WA 98284 360-856-0404 Life Care Center of Skagit Valley Skilled Nursing 1462 West SR 20 Sedro-Woolley WA 98284 360-856-6867
WHATCOM BELLINGHAM Alderwood Park Licensed Skilled Nursing 2726 Alderwood Bellingham WA 98225 360-733-2322 Bellingham Health Care & Rehab Licensed Skilled Nursing/ Specialized Care 1200 Birchwood Bellingham WA 98225 360-734-9295 Cordata Health Care & Rehab Center Licensed Skilled Nursing 4680 Cordata Parkway Bellingham WA 98226 360-398-1966 Emeritus at Fairhaven Assisted Living 2600 Old Fairhaven Parkway Bellingham WA 98225 360-647-1254 Highgate House Assisted Living/Specialized Care 151 & 155 East Kellogg Bellingham WA 98226 360-671-1459 Highland Care Center Licensed Skilled Nursing 2400 Samish Way Bellingham WA 98226 360-734-4800
Rosewood Villa Retirement/Assisted Living 702 32nd Street Bellingham WA 98225 360-676-9193 Shuksan Health Care Center Licensed Skilled Nursing 1530 James Street Bellingham WA 98225 360-733-9161 Silverado Senior Living Bellingham Dementia Care Community 848 W Orchard Dr Bellingham WA 98225 360-715-1338 Spring Creek Retirement & Assisted Living 223 E Bakerview Road Bellingham WA 98226 360-756-2301 St. Francis Extended Health Care Licensed Skilled Nursing 3121 Squalicum Pkwy Bellingham WA 98225 360-734-6760 Summit Place at Mt. Baker Assisted Living 2901 Connelly Ave Bellingham WA 98225 360-738-8447
The Leopold Retirement & Assisted Living 1224 Cornwall Ave Bellingham WA 98225 360-733-3500 Merrill Gardens at Cordata Retirement/Assisted Living/ Alzheimer’s 4415 Columbine Dr Bellingham WA 98226 360-312-3542
FREELAND Maple Ridge Assisted Living Community 1767 Alliance Avenue Freeland WA 98249 360-331-1303 OAK HARBOR Harbor Tower Village Retirement & Assisted Living 100 E Whidbey Ave Oak Harbor WA 98277 360-675-2569 Home Place Alzheimer’s & Dementia Care 171 SW 6th Ave Oak Harbor WA 98277 360-279-2555
Mt. Baker Care Center Licensed Skilled Nursing 2905 Connelly Ave Bellingham WA 98225 360-734-4181 Parkway Chateau Retirement / Independent Living 2818 Old Fairhaven Parkway Bellingham WA 98225 360-671-6060
Regency on Whidbey Assisted Living, Independent Cottages, Harbor Care 1040 & 1045 SW Kimball Dr Oak Harbor WA 98277 360-279-0933 & 360-279-2224
SENIOR guidebook – bridging generations
Summer Hill Retirement and Assisted Living 165 SW 6th Ave. Oak Harbor WA 98277 360-679-1400
KING AUBURN Auburn Meadows Assisted Living/Memory Care 945 22nd Street NE Auburn WA 98002 253-333-0171 BELLEVUE Aegis of Bellevue Assisted Living / Memory Care 148 102nd Ave SE Bellevue WA 98004 425-453-8100 The Bellettini Luxury Apartment Homes in the Heart of Bellevue / 62+ 1115 108th Avenue NE Bellevue WA 98004 425-450-0800 Emeritus of Bellevue Assisted Living & Alzheimer’s Care 15241 NE 20th Street Bellevue WA 98007 425-401-0300 The Garden Club Retirement / Independent Living 13350 SE 26th Street Bellevue WA 98005 425-643-7111 The Gardens at Town Square Independent, Assisted Living, Alzheimer’s & Dementia Care 933 111th Avenue NE Bellevue WA 98004 425-688-1900 Sunrise of Bellevue Assisted Living & Alzheimer’s Care 15928 NE 8th Street Bellevue WA 98008 425-401-5152 Wynwood Bellevue Assisted Living Alzheimer’s & Dementia Care 1640 148th Ave SE Bellevue WA 98007 425-373-1161 BOTHELL Aegis of Bothell Assisted Living / Memory Care 10605 NE 185th Street Bothell WA 98011 425-487-3245
Chateau at Bothell Landing Independent & Assisted Living 17543 102nd Ave. NE Bothell WA 98011 425-485-1155 Life Care Center of Bothell Assisted Living/Skilled Nursing 707 228th Street SW Bothell WA 98021 425-481-8500 North Creek Retirement & Assisted Living 907 201st Place SE Bothell WA 98012 425-483-8927 Riverside East Retirement & Assisted Living 10315 East Riverside Drive Bothell WA 98011 425-481-1976 Vineyard Park at Bothell Landing Independent & Assisted Living Community 10519 East Riverside Drive Bothell WA 98011 425-354-3914 BURIEN El Dorado West Retirement & Assisted Living 1010 SW 134th Street Burien WA 98146 206-248-1975 COVINGTON Covington Place Retirement Apartments 26906 169th Place SE Covington WA 98042 888-548-6609 FEDERAL WAY Foundation House Independent Living Personalized Assisted Living 32290 1st Avenue S Federal Way WA 98003 253-838-8823 ISSAQUAH Aegis of Issaquah Assisted Living / Memory Care / Hospice 780 NW Juniper Street Issaquah WA 98027 425-526-6037 University House - Issaquah Independent &Assisted Living 22975 SE Black Nugget Road Issaquah WA 98029 425-557-4200
KENMORE Spring Estates - Kenmore Assisted Living / Memory Care 7221 NE 182nd Street Kenmore WA 98028 425-481-4200 KENT Aegis of Kent Alzheimer’s / Memory Care 10421 SE 248th Street Kent WA 98030 253-479-1768 Farrington Court Retirement / Assisted Living 516 Kenosia Avenue Kent WA 98030 253-852-2737 KIRKLAND Aegis of Kirkland Assisted Living / Memory Care 13000 Totem Lake Boulevard Kirkland WA 98034 425-823-7272 Aegis at Totem Lake Retirement / Assisted Living / Memory Care 12629 116th Avenue NE Kirkland WA 98034 425-814-2841 Kirkland Lodge Assisted Living 6505 Lakeview Drive NE Kirkland WA 98033 425-803-6911 Madison House / Totem Lake Retirement / Assisted Living 12215 NE 128th Street Kirkland WA 98034 425-821-8210 Merrill Gardens at Kirkland Independent & Assisted Living 201 Kirkland Avenue Kirkland WA 98033 425-285-7743 MERCER ISLAND Aljoya Mercer Island Continuing Care Retirement Community 2430 76th Avenue SE Mercer Island WA 98040 206-230-0150 Merrill Gardens at Island House Independent & Assisted Living 7810 SE 30th St Mercer Island WA 98040 206-204-5421
Sunrise of Mercer Island Assisted Living & Alzheimer’s Care 2959 76th Avenue SE Mercer Island WA 98040 206-232-6565 NORMANDY PARK Fernwood at the Park Retirement / Independent Living 17623 First Avenue S Normandy Park WA 98148 206-242-1455 REDMOND Aegis of Redmond Assisted Living / Memory Care 7480 West Lake Sammamish Parkway NE Redmond WA 98052 425-883-4000 Fairwinds – Redmond Retirement / Assisted Living 9988 Avondale Rd NE Redmond WA 98052 425-558-4700 Peters Creek Retirement & Assisted Living 14431 Redmond Way Redmond WA 98052 425-869-2273 The Marymoor Retirement & Assisted Living 4585 W. Lake Sammamish Parkway NE Redmond WA 98052 425-556-9398 RENTON Evergreen Place Retirement / Independent Living 1414 Monroe Avenue NE Renton WA 98056 425-226-3312 The Lodge Retirement / Assisted Living 1600 South Eagle Ridge Drive Renton WA 98055 425-793-8080 Merrill Gardens at Renton Centre Independent and Assisted Living 104 Burnett Ave S Renton WA 98057 425-243-2941 SEATTLE Aegis at Northgate Memory Care 11039 17th Avenue NE Seattle WA 98125 206-440-1700
Aljoya Thornton Place North Seattle Continuing Care Retirement Community 450 NE 100th Street Seattle WA 98125 206-306-7920 Ballard Landmark Retirement/Assisted Living 5433 Leary Ave NW Seattle WA 98107 206-782-4000
Kindred Nursing & Rehabilitation – Arden Nursing & Rehabilitation Center 16357 Aurora Ave North Seattle WA 98133 206-542-3103
the Stratford at Maple Leaf Independent, Assisted Living and Memory Care 9001 Lake City Way NE Seattle WA 98115 206-729-1200
Kindred Transitional Care & Rehabilitation – Queen Anne Nursing & Rehabilitation Center 2717 Dexter Ave North Seattle WA 98109 206-284-7012
University House, Wallingford Independent & Assisted Living 4400 Stone Way N Seattle WA 98103 206-545-8400
Bridge Park Retirement/Independent Living 3204 SW Morgan Street Seattle WA 98126 206-938-6394
The Lakeshore Independent & Assisted Living 11448 Rainier Avenue S Seattle WA 98178 206-772-1200
CRISTA Senior Living Independent / Assisted Living / Skilled Nursing / Rehabilitation / Memory Care 19303 Fremont Avenue North Shoreline WA 98133 1-877-639-3292
Merrill Gardens at Northgate Independent and Assisted Living 11501 15th Avenue NE Seattle WA 98125 206-388-2989
Faerland Terrace Assisted Living / Alzheimer’s Care 1421 Minor Avenue Seattle WA 98101 206-624-7637 Foundation House at Northgate Retirement Community 11301 3rd Ave NE Seattle WA 98125 206-361-2758 Ida Culver House, Broadview Independent, Assistsed Living, Skilled Nursing, Alzheimer’s and Dementia Care 12505 Greenwood Avenue N Seattle WA 98133 206-361-1989 Ida Culver House, Ravenna Independent & Assisted Living 2315 NE 65th Street Seattle WA 98115 206-523-7315 Kindred Long-Term Acute Care Hospital & Subacute Units – First Hill 1334 Terry Avenue Seattle WA 98101 206-682-2661 Kindred Long-Term Acute Care Hospital & Subacute Units – Northgate 10631 8th Avenue Seattle WA 98125 206-364-2050
Merrill Gardens at Queen Anne Independent and Assisted Living 805 4th Ave N Seattle WA 98109 206-438-9270 Merrill Gardens at West Seattle Independent / Assisted Living 4611 35th Ave SW Seattle (West) WA 98126 206-701-6093 Merrill Gardens West Seattle Admiral Heights Independent and Assisted Living 2326 California Ave. S.W. Seattle (West) WA 98116 206-204-5400 Merrill Gardens University Village Independent & Assisted Living 5115 25th Ave NE Seattle WA 98105 206-452-3170 Mirabella Independent, Assisted Living, Skilled Nursing & Memory Care 116 Fairview Ave N Seattle WA 98109 206-254-1447 Northgate Plaza A Merrill Gardens Community Independent & Assisted Living 11030 5th Ave NE Seattle WA 98125 206-388-5061 Remington Place Retirement 3025 NE 137th Street Seattle WA 98125 206-367-0369
SHORELINE Aegis of Shoreline and Callahan House Independent, Assisted Living and Memory Care 14900 & 15100 First Avenue NE Shoreline WA 98155 206-367-6700 and 206-417-9747 WOODINVILLE Fairwinds – Brittany Park Retirement / Assisted Living 17143 - 133rd Ave NE Woodinville WA 98072 425-402-7100 The Creekside A Merrill Gardens Community Independent Retirement Community 18200 Woodinville-Snohomish Road NE Woodinville WA 98072 425-286-8974
KITSAP BREMERTON Bay Pointe Assisted Living 966 Oyster Bay Court Bremerton WA 98312 360-373-9904
Peninsula Retirement / Independent Living 3445 50th Street Court NW Gig Harbor WA 98335 253-858-4800 Sound Vista Village Retirement & Assisted Living 6633 McDonald Avenue Gig Harbor WA 98335 253-851-9929 LAKEWOOD Kindred Transitional Care & Rehabilitation – Lakewood Nursing & Rehabilitation Center 11411 Bridgeport Way Lakewood WA 98499 253-581-9002 PUYALLUP Clare Bridge Puyallup Alzheimer’s & Dementia Care 8811 176th Street E Puyallup WA 98375 253-445-1300 Kindred Transitional Care & Rehabilitation – Rainier Vista Nursing & Rehabilitation Center 920 12th Avenue Southeast Puyallup WA 98372 253-841-3422 Merrill Gardens at Puyallup Independent and Assisted Living 123 4th Avenue NW Puyallup WA 98371 253-200-9783 Willow Gardens Retirement / Independent Living 4502 6th Street SE Puyallup WA 98374 253-848-4430 TACOMA Merrill Gardens at Tacoma Independent & Assisted Living 7290 Rosemount Circle Tacoma WA 98465 253-617-0100
Marine Courte Memory Care 966 Oyster Bay Court Bremerton WA 98312 360-373-9904 SILVERDALE Crista Shores Independent, Assisted Living 1600 NW Crista Shores Lane Silverdale WA 98383 1-800-722-4135
Point Defiance Village Retirement / Independent Living 6414 N Park Way Tacoma WA 98407 253-759-8908
PIERCE GIG HARBOR Merrill Gardens at Gig Harbor Independent and Assisted Living 3213 45th Street Court N.W. Gig Harbor WA 98335 253-590-4972
OLYMPIA Capital Place Retirement / Independent Living 700 Black Lake Boulevard Olympia WA 98502 360-357-9922
SENIOR guidebook – bridging generations
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