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The Beautiful Faces at Garden Court Retirement Come by to see what they are smiling about!
SEE OUR AD ON PAGE 1
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THE GOOD THINGS IN LIFE Keep active, stay connected. Regency Pacific communities place value on what our residents consider most important. Special events, fun activities, care-free living and a highly trained staff all contribute to a way of life that embraces the values you hold most dear. Peters Creek is a warm, homelike environment that offers personalized services with a supportive and compassionate staff. Our full service retirement and assisted living community is located minutes from downtown Redmond and Kirkland. To learn more, call us today.
Peters Creek â&#x20AC;˘ 425.869.2273 14431 Redmond Way â&#x20AC;˘ Redmond WA 98052 www.regencypeterscreek.com
Regency Pacific Inc. / www.regencypacificinc.com / Bringing independence to living and quality to life
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Come live at Garden Court
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 www.seniorguidebook.com
520 - 112th Street SW â&#x20AC;˘ Everett WA 98204 www.gardencourtretirement.com 1
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Q4 / 2012
Front Cover Back Cover Front Inside Cover Back Inside Cover Center 16 Center 17
Being Discharged Isn’t the End of the Story. Recovery Is. Kindred Healthcare
We Do! Marrying Late in Life Jane Meyers-Bowen
Look for the Helpers Kelley Smith
Flying Dragons in Taiwan Jared Curtis, Alice Goldberg, Beatrice Tung, Lee Bjorklund
Seeing is Believing...or Is It? Kate Fewel
Pets at Silverado
A Personalized Approach to Cancer Care Jacqui Henry
The Lotus House Ashley Rea
Culture Change is on the Horizon for Long Term Health Care Liz Taylor
Electronic Mental Health for Seniors Andrew Schorr
Know the 10 Warning Signs of Alzheimer’s Tierney Butler
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.
Mirabella – Seattle Peters Creek – Redmond Premier Graphics – Bellingham Rosewood Courte – Edmonds Edmonds Landing – Edmonds
Garden Court Retirement Community – 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
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
Care Partners: Everett Plaza – Everett Vineyard Park at Bothell Landing – Bothell The Cottages at Marysville The Cottages at Mill Creek
11 13 15 19 21 23 25 27
Foundation House – Bothell
For advertising information contact: DAVID KIERSKY, Publisher 213 V Avenue, Anacortes WA 98221 360.588.9181 email@example.com
Garden Court Retirement Community – Everett
Madison House – Kirkland Silverado Senior Living – Everett Warm Beach Senior Community – Stanwood Bastyr Center for Natural Health – Seattle Foundation House at Northgate – Seattle Josephine – Stanwood PatientPower.info
Scan the code at left to visit www.seniorguidebook.com
SENIOR guidebook – bridging generations
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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.
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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
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Kindredâ&#x20AC;&#x2122;s Greater Seattle and Tacoma Continuum Kindredâ&#x20AC;&#x2122;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.
Edmonds 522 3
Redmond 6 1 3
LONG-TERM ACUTE CARE HOSPITALS
1 Kindred Hospital Seattle â&#x20AC;&#x201C; First Hill
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2 Kindred Hospital Seattle â&#x20AC;&#x201C; Northgate TH !VENUE s 3EATTLE 7ASHINGTON s WWW KINDREDHOSPITALSEATTLE COM
Des Moines Kent
3 Kindred Seattle â&#x20AC;&#x201C; First Hill 4ERRY !VENUE s 3EATTLE 7ASHINGTON s WWW KHSEATTLElRSTHILL COM
4 Kindred Seattle â&#x20AC;&#x201C; Northgate TH !VENUE s 3EATTLE 7ASHINGTON s WWW KINDREDHOSPITALSEATTLE COM
NURSING AND REHABILITATION CENTERS
5 Kindred Transitional Care and Rehabilitation â&#x20AC;&#x201C; Lakewood "RIDGEPORT 7AY s ,AKEWOOD 7ASHINGTON s WWW KINDREDLAKEWOOD COM
CONTINUE THE CARE
6 Kindred Transitional Care and Rehabilitation â&#x20AC;&#x201C; Queen Anne $EXTER !VENUE .ORTH s 3EATTLE 7ASHINGTON s WWW KINDREDQUEENANNE COM 7 Kindred Transitional Care and Rehabilitation â&#x20AC;&#x201C; Rainier Vista TH !VENUE 3OUTHEAST s 0UYALLUP 7ASHINGTON s WWW KINDREDRAINIERVISTA COM 8 Kindred Nursing and Rehabilitation â&#x20AC;&#x201C; Arden !URORA !VENUE .ORTH s 3EATTLE 7ASHINGTON s WWW KINDREDARDEN COM
COPYRIGHT Â© 2012 Kindred Healthcare Operating, Inc. CSR 149816-01
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We Do! Marrying Late in Life by Jane Meyers-Bowen
“Even though my body is 80, my mind is still 25.” Being young at heart is still noticeable in thought, word and deed. Seniors are living longer than they did a generation ago. Evidence suggests that married persons tend to be happier in late adulthood, than single persons. Many people witness seniors, who are well into their 80’s, getting re-married. They are just as elated as young first marriage couples. With new social models emerging, including the acceptance of cohabitation, increasing divorce rates, and marrying across ethnic, racial, and religious groups, seniors too face new options in their life. However with new options, new issues are also sure to arise. If the issues aren’t addressed, they are certain to become barriers to living a full life that one desires. Families can experience some very powerful emotions when faced with a new spouse replacing a deceased parent. Strong loyalties come into play, and adult children grieve the loss of a sense of their family, as they knew it. Questions about where Dad/Mom will be buried, and beside whom, surface. When a new person enters the scene it signals an end to a chapter in ones life, which can be hard to accept. Families are also concerned with seemingly quick engagements, followed by a speedy marriage. Unless there is some obvious foul play, many second/third seniors’ marriages are based on companionship, respect and admiration. It has been noted that, “aging itself may lead to more harmony in marriage – there may be less focus on trying to get one’s partner to change!” Financial issues can come into play as well, with some seniors having more assets coming into the marriage than others. At the time of their death, the question of how the assets are split becomes an issue. How do families feel about the possible loss of their inheritances? Many seniors get their families blessings with a pre-nuptial agreement, and the protection of assets for each person’s children. Many people are surprised to learn that, well into their 70-80’s, their parents are still sexually active. For seniors of the present generation, they see that good sex only happens within a marriage. So, the need for physical intimacy is best served as a married person. Many seniors fear that they will end up being the caregiver of a spouse. Having less stamina, their own health problems, or having been a caregiver of a prior spouse, they hesitate getting married; because they may feel trapped and obligated to take on that role. Working with seniors for nearly a decade, I have found that many seniors are surprised to find love again. Most said they weren’t even looking to ever re-marry. They then run into former friends or find a new friend, and within that friendship they find the joy and love that fills them with new life again. 6
At Garden Court we don’t advertise that seniors will make a “love connection,” but it does happen. In fact, two seniors who met at one of our residences a couple of years ago hid their relationship from their senior friends in the community. Others had no idea that they were even courting one another. They had a very private ceremony with only their family present. On the following Sunday at their church service, the minister introduced the “new couple” to the community. He prolonged the introduction – building the curiosity and the mystery of who had gotten married. When he finally presented the new Mr. and Mrs., the whole community cheered with excitement. Although seniors enjoy their families, the relationships they have with their peers is what makes life new again for them. These friendships and/or love connections bolster their feelings of independence. We are all social beings, even those that are more introverted. Our needs for connection, belonging, and a community are so core to being alive. Often, we think that being lonely is just something we have to endure. However, the truth is that the world is full of friendly people. For the most part, families want their parents to be happy with companionship, and for all of us, we don’t want to die alone. For more information please call 425-438-9080 or visit www.gardencourtretirement.com
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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&#x20AC;&#x2122;s daily details, allowing residents to focus on whatâ&#x20AC;&#x2122;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
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Look for the Helpers by Kelley Smith
Mr. Fred Rogers told a story about his mother. He said that one day he was watching the news, and there had been a terrible incident in another country that had devastating effects on the people there. He asked his mother why the world was so bad, and why terrible things like this happened. She said it was a lesson to “look for the helpers.” Mr. Rogers said he did, and sure enough there were people running to aid the victims. People came from everywhere, helping wherever they could. Every time after that when he would see devastating events, he always looked for the helpers, and he was never disappointed. Today, in senior care, it’s still a good lesson. We get hit with illness, dementia, broken bones and situations that make it hard for Mom or Dad to live in their homes. Where are the helpers? When you go into a senior community, you should see them; pushing carts, aiding residents, doing activities and being there when needed. They don’t look for glory or wealth. They truly want to help and that is what is in their hearts that motivates them to act. How many times have you seen something awful happen inside your own family, or to a good friend and thought,“what is this world coming to?” Look for the helpers. Did someone come to the hospital just to hold your hand? Did someone bring food to the home of the ill person? Did a stranger organize a fundraiser to help pay for expenses? Did someone offer to help you find the best place for Mom to live, and help you put a list of questions together? When you got to the community, was someone there to greet you? Someone who could help take some of the worries and stress off of your shoulders, while you tried to make the best decision for your loved one? Did someone come with you to help you remember all of the questions you wanted to ask? People aren’t always doing things because “it’s their job,” or they feel obligated. Most people REALLY want to be helpers. If you look for the helpers, you will never be disappointed, and don’t be afraid to ask. People will only strengthen your belief that there is still a lot of good in this world. Kelley Smith is the Regional Marketing Director for CarePartners Management Group, with four locations to serve our seniors: Vineyard Park, the Cottages of Mill Creek, Everett Plaza, and the Cottages at Marysville. For more information you can email Kelley@carepartnersliving.com or call 425-931-2951.
SENIOR guidebook – bridging generations
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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 9
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Flying Dragons in Taiwan Loving the Love River – Jared Curtis Dragon boating in the northwest is a popular water sport these days. Alice Goldberg has taken an active part in the sport since her arrival at Mirabella. Her team, the Seattle Flying Dragons, do their training on Lake Union all year and in all weathers. They recently joined three other northwest groups to participate in the annual Dragon Boat Festival in Kaohsiung, Taiwan. To take notice of this extraordinary international adventure, we share three stories below. The first is Alice’s account, followed by that of Lee Bjorklund, one of the Seattle-based organizers and leader of the Seattle Flying Dragons.The third article is by Mirabella resident Beatrice Tung. It is based on a story she originally wrote some years ago for her own children, and others of Chinese descent, to teach them about their culture. She tells the story of the origin of the Dragon Boat Festival. Super Alice in Kaohsiung – Alice Goldberg The only cost to the participants was a group airfare to Kaohsiung, Taiwan. Our hosts paid for our room and board at a five-star hotel (Howard Plaza Hotel Kaohsiung). Shopping was extra, but of course that was one of the best parts of the trip. We had a morning of sightseeing, and then a bus picked us up and took us to the racing venue along the Love River. It rained every day at some time or other, as it was monsoon season, and one day of practice was cut short because of the rain. Winners of the races received cash and a certificate. Our team did not win, but the ancient one among our group was recognized with a certificate and a trophy. Flying Dragons in Taiwan – Lee Bjorklund I guess the best summary of the “Seattle Dragons” 2012 trip to Kaohsiung, Taiwan is that we went, we raced, and we captured the hearts of many Taiwanese...and probably a few Israelis in the process. Thirty of us were in the group, representing the Civil Serpents from Portland, SAKE, TSNW, and the Seattle Flying Dragons – all under the banner of the Seattle/Kaohsiung Sister City Association. I understand there were 140+ teams in all, 11 of them being international. We placed 6th among the international group, with a best time of 2:55 and change. All racing was “up hill,” in a tidal river that dropped more than four feet during the day. So, there’s no clue as to how our times would relate to any other venue. The hospitality and accommodations were outstanding. Our every need was met, including some that we hadn’t even considered. The weather was a “bit different” from around these parts. The “low” was about 83, and always with 100% humidity.Then, there was the typhoon that shut the entire city down for two days. There were three particular highlights, among MANY. One was Alice Goldberg, our drummer, who was interviewed by three major newspapers and three TV stations. She was presented with a special plaque and framed porcelain dragon by the Mayor of Kaohsiung, and was photographed like the rock star she is wherever she went. They called her “Super Alice.” The second was the relationship building between our two cities, with respect to dragon boat racing in both. The third was certainly Valery and Clydia’s work, coaching the Israeli team from Haifa in the hotel pool. We quickly learned that only three of them had ever been in a dragon boat, and their “steersman” had yet to ever steer one. I can’t fail to mention the fourth one too...we learned a lot. Dragon Boat Festival – Beatrice Tung 端午節 (Duan wu jie) Long ago, during the Warring States period, (475BC-221BC) China was divided into seven small kingdoms. In one of these kingdoms there lived a man named Chu Yuan (屈原). He was a poet, as well as minister to the king, and he helped rule the land. He was selfless and kind. For many years, things went well and the people were happy under his guidance. The kingdom was peaceful, and the people prospered. Everyone loved Chu Yuan. Unfortunately, at the same time, there was another minister who was wicked and greedy. In order to gain the king’s favor, he flattered him and encouraged 10
him to do anything he desired, no matter what harm it might do to the people. Therefore, little by little, the evil minister turned him from a good king into an evildoer. The king raised taxes to get more money, and waged wars to grab more land.While they were having lavish parties in the palace with plentiful food and wine, people in the streets were dying of starvation. In his heart, Chu Yuan felt the misery of the people. He begged the king over and over again to give up his evil ways. The king wouldn’t listen to Chu Yuan, and in a fit of anger he banished him from the palace. Chu Yuan, sad and disgraced, wandered from place to place. In deep sorrow he wrote many poems about his love and concern for his country, and his king. He hoped against hope that the king might hear the poems, and be moved to amend his evil ways. Years passed however, and there was no sign of reform. Finally, in desperation, the good poet decided to throw himself into the river. “Perhaps then,” he thought, “the king will be shocked to his senses.” When the news of Chu Yuan’s drowning spread throughout the kingdom, people came from far and near to mourn their beloved poet. They wept and tossed food into the river, lest Chu Yuan should be hungry in the afterworld. Yet, a friend of the poet saw him in a dream.“I cannot get the food you sent,” Chu Yuan seemed to say.“It disappears into the water. Please wrap it up in bamboo leaves, so that it will keep together. Ever since that time on the date of his death, which is the fifth day of the fifth moon, the Chinese people have honored the memory of Chu Yuan. They prepare rice dumplings and wrap them up in bamboo leaves called zòng zi ( 棕子). The people also honor him by holding boat races in the river. The boat races are traditional customs to attempt to rescue the patriotic poet Chu Yuan. The boats are usually long and narrow in shape with carved dragonheads as decorations. The sides of the boats are carved in scaly patterns to resemble the body of a dragon. That is why that day is also called the Dragon Boat Festival. Competing teams row their boats forward to the rhythm of drumbeats, racing to the finish line. Today, people still eat zòng zi ( 棕子 ) and participate in dragon boat races. This is to commemorate Chu Yuan's sacrifice on Duanwu ( 端午節 ), the fifth day of the fifth month of the lunar calendar. Together with the Chinese New Year and Mid-Autumn Festival, Dragon Boat Festival forms one of the three major Chinese holidays. Written by Mirabella residents Jared Curtis, Alice Goldberg, and Beatrice Tung (www.mirabellaretirement.org/seattle) along with Lee Bjorklund of the Seattle Flying Dragons (www.seattleflyingdragons.org). Visit these websites to learn more!
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If living well is an art...then here is your canvas Discover the Finest in Independent Senior Living
• Month-to-month rent– no long term lease • Complimentary membership at the Northshore Senior Center – the largest senior center in the region • No move-in fees or large buy-in costs – just a refundable deposit to hold your apartment • Full sized washers & dryers in every apartment – no need to take your turn at a communal laundry room • Scrumptious food – breakfast, dinner and Sunday brunch is included • Spacious, light-filled apartments
At Foundation House at Bothell you’ll rediscover the YOU that you thought had been left behind. With no worries about cooking, cleaning and yard work, you’ll be free to do all the things you’d planned to do when you retired. That’s why we call it “Independent Living”. You’ll have so much independence that you can plan your day any way YOU like. You could even paint that masterpiece you’ve always wanted to do. Call us today to reserve your complimentary meal and personal tour. Mention that you saw our ad in the Senior Guidebook and receive $500 off your first month’s rent. Please call Mary Blakey or Mallory Fisher at 425.402.9606 or send an email to firstname.lastname@example.org A not-for-profit retirement community benefiting education
17502 102nd Avenue NE / Bothell WA 98011 425.402.9606 / www.fhbothell.com www.seniorguidebook.com
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Seeing Is Believing...or Is It? The Dilemmas of Vision Loss by Kate Fewel, MSW, LICSW
Vision loss is a tricky business. When our eyesight is compromised, it is no wonder that we may feel confused, fearful, exhausted, or frustrated. Coping with the unique aspects of vision impairment can be a challenging experience, as we explore new ways of relating to life around us. • Just as vision loss caused by Macular Degeneration, Glaucoma, Diabetic Retinopathy, or stroke can fluctuate day to day, so does our readiness to cope with its many repercussions. Adjusting to low vision can vary according to: ones age, the rate of onset, degree of severity, type of social support, past experiences of coping with change, the prevalence and awareness of community resources, and our own way of dealing with stressful situations. Also, among the senior population, vision loss often occurs against a backdrop of other lifestyle adaptations: retirement, moving, and coping with additional health issues and losses. • Diminishing eyesight does not always take a predictable or linear course, nor can its outcome be revealed with certainty. Therefore, one’s emotional adjustment has to constantly adapt to uncertainties. Unlike other health issues, there is often no immediate or long-term solution. Frequently, my clients will eagerly ask,“What’s the latest research?” or “What is the latest gadget?” Underlying these inquiries is another question:“Where can I find hope?” Every week I have at least one client who calls me with “a success story” they hear about on TV or the radio, depicting the seemingly astonishing accomplishments of totally blind persons. They say these inspirational stories provide them the needed hope and fortitude to live with the “unknown.”
• Sometimes our brains need to be reminded that our sense of vision is no longer as acute as it used to be. One gentleman with Glaucoma shares, “there is a fleeting moment upon waking each morning that it hits me all over again, that I’m facing another day of getting through in a world that caters to functional vision.” Clients often share that their minds live in a world of what they “used to be able to do.” They become discouraged if past independent accomplishments set the standard. Rather than slowly exploring a “new normal” way of living in harmony with vision loss, they have an adversarial relationship with it.
• Vision loss has no visible component. Unless someone is using a white cane, there is often no discernible way to depict vision loss to the outside world. This often presents a real challenge. A client who has Macular Degeneration recently shared with me, “Although this disease is invisible, I’m not! Not being able to see clearly anymore does not mean that I cannot speak on my own behalf, nor does it mean that my hearing is also impaired or that I am helpless.” Much of the stress and unease that accompanies vision loss comes from this dilemma: I want to fit in, to compensate, to not be a “burden,” yet at the same time I simply cannot do some tasks without help or devices.
• Seeing is believing...but is it really? A person with vision loss often finds that they have to depend on their other senses to give them cues about the environment. Remember that yellow page slogan “let your fingers do the walking?” As vision declines, our sense of touch becomes one of our primary conduits of information: from using tactile bump dots on appliance settings, to feeling fabric when choosing clothing, to feeling the edges of coins or the backs of chairs. Our sense of hearing enables one to listen to helpful talking devices, ranging from clocks and watches, to scales, calculators and glucometers. Touching and hearing now help us “believe” in the here and now.
• The saying “walk a mile in my shoes” does not pertain to vision loss. Even if persons with good eyesight were to put on blinders or close their eyes, these are only temporary simulations. Persons with eyesight issues often say, “If only others could really understand what it’s like not to be able to simply read a book anymore, drive, see faces, my watch, or dial a phone.” While family and friends may try to understand, they might not know when or how to assist. They may not grasp the nuances of vision loss that occur along a spectrum, and can perhaps function better with correct lighting and contrast.
In order to navigate the often times confusing world of vision loss, seek out support and resources to help along the way.
Sightconnection offers a Low Vision Clinic, in-home rehabilitation services, retail store specializing in low vision aids and assistive technology assistance. For information contact Sightconnection: 1-800-458-4888 or www.sightconnection.org
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Youâ&#x20AC;&#x2122;ve got a lot of living to do Discover true warmth and vitality in retirement and assisted living. Experience a distinctive, family-owned community where individual care and attention make life more fun. Featuring the best in active living programs and personalized services. Madison House Retirement & Assisted Living Come see us or visit online at www.mhretirement.com
Madison House Madison House Retirement & Assisted Living 12215 NE 128th Street â&#x20AC;˘ Kirkland WA 98034 425.821.8210 www.seniorguidebook.com
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PETS AT SILVERADO People who walk into a Silverado community for the first time may be surprised to find a myriad of community and resident-owned pets living within our home-like environment, however, families and guests soon find out that pets at Silverado are a purposeful part of our nurturing environment.
Silverado’s pet engagement has always been a staple of our unique philosophy of care. At an early age, Silverado Co-Founder Loren Shook witnessed the transformational power of pet interaction firsthand. W Wo orking orkin at a family-run psychiatric care facilityy,, he met a woman who had been catatonic for years. After conversations with her family, the staffff learned of her lifelong love for horses. They brought out one of the facility’s gentle horses to greet her as she arrived. To the amazement of ever yone obser ving, the woman moved her arm and began petting the horse. As a result of the staffff ’s kindness, and her renewed interest in life, she was gradually able to regain the ability to walk and speak again. Over the years, our Silverado communities have seen literally hundreds of similar resident transformations—most recently with Audrey Hannah, a resident at our community in Everett, ett Wa Washington. ash Audrey has been an avid animal lover all her life, and continues to be to this day. However due to her progressive memor y loss she ultimately became unable to care for a pet of her own. Initiallyy, when Audrey moved into Silverado, she experienced frequent bouts of agitation and anxiety, sometimes lasting the duration of the day and into the night. To help Audrey’s agitation Silverado introduced her to one of the community’s new residents, a retired ser vice dog named Dolly. Dolly immediately began bonding with Audrey. In no time at all, Audrey was introducing Silverado guests to “Her Dog.” Now w,, it’s a familiar sight to see Audrey tossing the ball to Dolly in the backyard or sitting next to the fire with Dolly at her feet. As a result of this new found friendship, Audrey’s demeanor has had a significant improvement and has enhanced her quality of life. “I totally notice a difffference in my mom,” explains Audrey’s daughter. “Getting Dolly was the best thing ever. [Now], ever y time she calls, she gives me an update on Dolly. It has given us something positive to talk about.” Pet interactions allows individuals to enjoy life to the fullest potential by not just being cared for, but being cared about. 14
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Your Mom is Our Mom A Community Where Everyone Is Family
Silverado Offers Premiere Memory Care Assisted Living Services Including: s Specialized care for those with Alzheimer’s and dementia s Around-the-clock visiting hours for family members of every age
s Licensed nursing onsite 24/7 s Personalized engagement programs that promote purposeful stimulation, choice and fun
Schedule a tour and experience the Silverado difference
– EVERETT – (425) 348-8800 www.seniorguidebook.com
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Caring for the Memory Impaired for Over 12 Years See our Freshly Renovated Apartments!
425-673-2875 728 Edmonds Way • Edmonds WA 98020 • www.rosewoodcourte.com
CALL US WE CAN HELP 16
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Life Lives Better at Edmonds Landing! Can it really be different? More than just maintenance free, at Edmonds Landing… Retirement and Assisted Living comes to life! Our emphasis on exceptional well-being is evident in the options available to you and it’s easy to live life to the fullest with our dedicated and talented staff ready to serve you. It can be different...let Edmonds Landing show you how.
Schedule Your Personal Visit Today!
180 Second Ave. South, Edmonds, WA 98020 • 425-744-1181
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Culture Change is on the Horizon for Long Term Health Care by Liz Taylor
A gust of fresh air is blowing across the long-term-care landscape. Although it’s made landfall in only a few spots, it’s already raised the bar in eldercare. Begun quietly by a few pioneers over a decade or so ago, it’s growing and attracting believers, foundations, families, elder advocates, care giving staff, and even the federal government. Nothing I’ve seen in my 30 years in the aging field has such potential for dramatically transforming the care of frail adults. This new movement goes by many names, but calling it “culture change” or “person-directed care” quickly identifies it. The culture being changed is mainly nursing homes, though my bet is it’ll soon sweep into all parts of the long-term-care continuum. It is a radical movement, being that the person who directs the care is the person who needs the care. Early pioneers of this culture change were driven by instinct, and charted their own course. The federal government funded an expansion of their ideas into as many nursing homes as possible. In our state alone, 33 nursing homes – from Centralia to Seattle, to Colville in Stevens County – embarked on a three-year initiative. The ability to steam ahead with the movement in WA was facilitated by Qualis Health, a regional nonprofit that specializes in improving health-care quality. I visited one of the participants, located in Stanwood. It is a 70-bed nursing home at Warm Beach Senior Community, and I was completely blown away. “When you care for very impaired people, you sometimes forget to ask their opinion,” says Jeff West, a nurse and clinical consultant with Qualis Health. So, the first thing Warm Beach did was to hold a meeting with the residents and staff. The question we asked them was, “What would you like changed?” The answers were clear – and made amazing sense: The bathing routine The old schedule was rigid, and the environment was institutional and cold. It was set up to move as many people through the bath process, as quickly as possible. Soon, the walls came down, and sinks and mirrors were lowered to allow people in wheelchairs to groom themselves. Grab bars were lowered, and aromatherapy and music were added for a relaxing effect. The residents were allowed to decide which bath day, and shift they preferred. As a result, some residents now bathe themselves. Turn off the call lights! Before culture change, when a resident needed help and pulled her call cord, a loud ring would echo repeatedly throughout the building. Overhead pagers to reach the staff were loud and obnoxious. Today, signals for assistance go quietly to a nurses’ station, and the staff uses walky-talkies.
These may seem like small changes. But when you live in an institution with dozens of other people, having a say in what happens to you, and when, is a major milestone. There are bigger improvements as well. Most importantly: Residents are allowed to have the same staff It’s called “permanent assignment” (something Warm Beach did before Qualis Health intervened). In most nursing homes, the staff rotates among residents based on where shortages exist. Under culture change, nursing assistants, housekeepers, bath aides, and nurses all care for the same residents consistently. This allows them to get to know and care about each other. It’s a hallmark of excellence – establishing relationships between care-receivers and caregivers – that’s long overdue. The benefits go even further. “Consistent assignments – creating relationships with residents – retains employees,” says West. Nursing home staff turnover is disastrous throughout the nation – about 70 percent a year. Says Laura Hofmann, director of nursing services at Warm Beach, “Ours was 45 percent before these changes, but improved to 34 percent.” Neighborhoods Most nursing homes were built in the 1960s, with long sterile halls that mimicked a hospital. Since Warm Beach was unable to change this layout, they have formed “neighborhoods.” This brought together the residents, who live near each other, to socialize and address problems. “One neighborhood had a baby shower for a resident’s daughter who had adopted a baby,” Hofmann says. Two neighborhoods got together and had a potluck of sorts, while one had Chinese food delivered and another pizza. One neighborhood decided to learn Spanish together, and a second computers. There are also initiatives to improve clinical care. With Qualis Health, Warm Beach figured out how to reduce common problems in nursing homes: resident pain, pressure ulcers (bed sores), depression symptoms, and the use of physical restraints. Mentoring programs pair new staff members with more seasoned ones, creating ongoing training and leadership skills. This allows caregivers to rise in the ranks, so they have a career ladder to climb, and no longer feel like they’re in a dead-end job. Since Warm Beach’s Care has always been better than most, one of my first questions to Qualis Health was, “why didn’t you pick one of the poorer nursing homes to work with?” The answer was simple, “It’s all voluntary.” Speak up, and start demanding better care. It’s up to us to make this revolution spread.
For further information you can contact Alisa Sands or Sheila Bartlett at 360-652-4593, or visit www.warmbeach.org. To reach the author, please contact Liz Taylor at AgingDeliberately.com. 18
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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
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A Personalized Approach to Cancer Care by Jacqui Henry
In a world where visits with conventional doctors can sometimes feel hurried or impersonal, interest is growing in integrative care doctors who spend more time getting to know their patients’ whole-body health. That relationship can be even more important for patients who are receiving conventional cancer treatment, but are seeking complementary approaches to the treatment. “You’re seeing more and more that patients are moving toward the alternative and complementary therapies,” says Barbara Osborne, RN, research nurse manager at the Bastyr Integrative Oncology Research Center (BIORC). “I think times are changing.” The way hospitals care for patients is changing, too. In a recent roundup of “America’s Best Hospitals,” in U.S. News & World Report, all 18 hospitals listed provided complementary, integrative, and alternative medical (CAM) approaches of some type. However, cancer patients are still taking their own steps to seek out conventional allopathic doctors, who are receptive to integrative oncology care. Understandably, patients feel more comfortable when all members of their care team are on board with the approach and are willing to work together. Research centers such as BIORC, located at Bastyr University in Kenmore, apply CAM approaches that work together with conventional care for cancer patients participating in its research studies. BIORC uses multiple modalities in its CAM treatments, including naturopathic and homeopathic medicines, mind-body counseling, energy medicine, acupuncture, exercise, and nutrition. Whole-Person Health at Heart of Integrative Care The basis of integrative oncology is to personalize the care for the patient, by treating the whole person and not only the disease they’re fighting. Part of this personalization is to identify whether CAM approaches interfere with the effectiveness of any conventional treatment the patient is receiving. To ensure this, BIORC maintains constant communication with the research participants’ allopathic doctors. Some of these doctors are more receptive than others when it comes to integrative oncology care. Others may be more open to these approaches when provided with research about products that would be used, such as supplements that integrative patients are taking. Research participants at BIORC do not receive patient care based on any specific research trial. Instead, they receive care that is tailored to the needs specific to their case (i.e. taking supplements such as mushroom therapy, used to improve the immune system’s response). BIORC doesn’t investigate any specific therapy, but rather the overall outcomes of integrative care and whether it improves survival rates and quality of life.
Breast Cancer Study Compares Conventional, Complementary Approaches Currently, BIORC is conducting a breast cancer study with the Fred Hutchinson Cancer Research Center. It is funded by the National Institutes of Health’s National Center for Complementary and Alternative Medicine. The study compares breast cancer patients who are receiving both integrative oncology care and conventional cancer therapy, to other breast cancer patients who are only receiving conventional care as their form of treatment. Clinical investigators at the Bastyr University Research Institute, of which BIORC is a part, and the Hutchinson Center will follow participants’ medical records for five years. They will survey the participants about changes in their quality of life over that time. Some things considered are: whether a patient’s disease has worsened, if a new one has emerged, any therapies or medications being used, and any side effects experienced. “In the control group, there are several subcategories of different women,” Osborne says. “Some don’t use any natural therapies. Others use complementary and alternative medicine, but are not seen by a naturopathic doctor.” The purpose of the five-year study is to conclude whether integrative oncology care can improve the breast cancer patients’ quality of life, cancer recurrence, and survival rates. BIORC hopes to one day receive funding to have a matched controlled-outcomes study for other cancers types, such as lung, prostate, and colon cancers. In the meantime, BIORC is actively recruiting research participants for an observational study on CAM therapies in colon cancer. Any new studies, as well as outcomes of ongoing studies, will be announced online at Bastyr.edu/Research/Studies. For more information contact BIORC at 425.602.3311.
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The Lotus House by Ashley Rea
The employees of Áegis Living, a national leader in assisted living and memory care communities, have partnered with the Somaly Mam Foundation. Its mission is to provide a new housing facility, The Lotus House, for children rescued from sex slavery. As a young girl, Somaly Mam was sold into sex slavery and raped daily. Somaly heroically escaped her captors, but vowed never to forget those left behind. She has since dedicated her life to saving victims, and empowering survivors by creating the Somaly Mam Foundation. With over two million women and children sold into sexual slavery each year, human trafficking is a global crisis that must be stopped. More resources are critically needed to support the rescue and rehabilitation of these young victims. The Foundation works to eradicate human trafficking, liberate its victims, and empower survivors so they can create and sustain lives of dignity. The Foundation supports survivor rescue, shelter, and rehabilitation programs globally. There is a special focus on Southeast Asia where the trafficking of women and girls, some as young as five, is a widespread practice. Áegis Living employees were first made aware of the Somaly Mam Foundation in January 2012. It was at that time that Ms. Susan Sarandon paid a visit to the company’s annual EPIC meeting, and shared her knowledge of the sex slavery crisis and the need for an additional housing facility in Cambodia. Somaly Mam’s story had a profound effect on the audience. “Many of our employees approached me after the conversation with Susan, and asked how they could get involved,” stated Dwayne Clark, founder and CEO of Aegis Living.“I knew that we had to do something to make a difference, which is how we became involved in the Lotus House Project.” At Áegis Living, we care for the most frail and vulnerable in our society – the elderly. Each of our residents is treated with dignity and respect.We celebrate not only who they are now, but their full lives too. Similarly, Aegis has partnered with Somaly Mam Foundation to protect another one of our most vulnerable – the young girls and women in Cambodia who are forced into sex slavery. We believe that everyone deserves a chance to live a full life, in a safe and nurturing home. Our goal is to build a new house for survivors with 24-hour security, emotional resources, and a supportive staff and peers to help heal their wounded memories. The young survivors of the Somaly Mam Foundation have named the new house “Lotus House,” because from the muddy and dark waters a beautiful flower blooms. This mirrors their own lives, and their strength to rise above the sadness, hurt, and cruelty. It allows them to build courage and heal their pain, so they may blossom into strong, confident women, filled with hope. To find out more about The Lotus House, or to donate, please visit us at www.aegisliving.com/lotus-house 22
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Rosewood Courte – Edmonds Patrick Shepard, Executive Director 425.673.2875
Ballard Landmark – Seattle L-R: Ernie, Ambassador Dog; Elizabeth Shier, Community Relations Director; Leslie Elvebak, Director of Vitality; Victoria Moors, Community Relations Director / 206.782.4000
The Everett Plaza – Everett Aleta Springer, Marketing Director 425.258.6408
Silverado Senior Living – Everett Jamie Jones, Family Ambassador 425.348.8800
The Cottages at Marysville L-R: Kim Johnson, Executive Director; Karen Steward, RN 360.322.7561 24
Vineyard Park – Bothell Cheri Neill, Executive Director 425.485.8900
Foundation House – Bothell Mallory Fisher, Community Outreach / Marketing 425.402.9606
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Come Home to our Family Our unique intergenerational, multifaceted campus offers spontaneous interaction between Residents, Children and Staff that is both Heartwarming and Joyful • Assisted Living Community • Post Hospital Rehabilitation • Inpatient & Outpatient Therapy Services • Long Term Care • Memory Care Residence • Care Team Ministry Stop by for a tour and see why we are ranked as “One of the Best Nursing Homes” in the Country by US News & World Report Josephine 9901 272nd Place NW Stanwood, WA 98292 360.629.2126 www.josephinenet.com Serving the Community since 1908
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Electronic Mental Health for Seniors by Andrew Schorr
By now, you’ve probably savored the memories of spending time with family and friends over the summer. Now you can start looking forward to other “high touch” events like Thanksgiving, the holidays, and New Year’s. At least I hope that’s your situation, and for many, it is. Let’s face it though, that occasional connection just isn’t enough. So, is there a modern antidote for the longing to stay in touch with family and friends more often? My answer is yes, and I say this with experience. I am now living in Barcelona, Spain where my wife and I have chosen to relocate for two to three years while our son finishes high school. Our hope is that we may become more “international citizens.” It was a big move from Seattle, and it has left us with a nine-hour time difference from our friends and family; putting us several time zones away from my dear 81-year-old in-laws who live in Los Angeles. When we left we promised we’d see them at least twice a year, making pilgrimages to connect our son with his grandparents. You are already shaking your head, knowing that is not enough. We know that too, but what fills the gap? What can alleviate the longing to be together, until we actually can get together?
up do have cameras. My in-laws, Marty and Ettie, weren’t thrilled we were moving, but we set them up with cameras and Skype on their desktop computers. Now we communicate with them almost daily. We connect with them from our laptop as we travel. They love to video chat now, and just the other day Ettie said, “You know, we see you more now than we ever did when you were in Seattle!” As a result, the anxiety about our move is slipping away. If your computer doesn’t have a built in camera, they are inexpensive to purchase at any electronics store. Additionally, Skype isn’t the only video service out there. Google and Facebook also have video chat applications. If you need to get some help, maybe a grandchild or neighbor’s teenager could help you set it up. There is no excuse not to take advantage of it, because it’s FREE! No pills, no potions, just the medicine of happiness from connecting – even electronically – with the people you care about.
It’s a revelation like when the businessman shares his wisdom with a young Dustin Hoffman in “The Graduate.” Remember? “He said, “Plastics!” Dustin looked bewildered. I hope my two-word answer will be clearer to you!
I will leave you with two images, a sad and a happy one. Let’s start with the sad one first. I was chatting at a hotel with Nicola, a British woman who now lives far from home. Her cousin died, and she felt very down about being so far from the funeral. Her father, back in Britain, brought a laptop to the wake and connected with Nicola as family and friends reminisced about their dear, departed cousin. Nicola was on screen, and shared her thoughts. She felt better, even at a sad time.
My two words: “Video calls.” Are you scratching your head? That’s right, telephone calls on your computer where you are on camera, and the loved ones who call you or who you call are on camera too. These days it is simple to do, and it is FREE.
On a happier note, I attended a Christmas dinner in central Spain where my host’s parents, far away in Columbia, sat at the end of the table on a computer screen. Sounds weird, but it was actually fun. They ate on screen, and we ate in Spain.
The other day we taught my 83-year-old cousin, Jeanie, how to sign up with Skype (www.skype.com), download free software, and then connect with us from Charlotte, North Carolina, to Barcelona, Spain. We gave her a video tour of our apartment. She was amazed! Jeannie has an iPad1, so it doesn’t have a built in camera. She could see us, but we couldn’t see her. Just an FYI, the iPad 2’s and
Although I know a computer visit is of course second best to a real hug and hello, I urge you to give it a try. I am calling this, electronic mental health for seniors. Let me know what you think.
Maybe you have stories to tell. You can write me at email@example.com
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Interviews with Leading Medical Experts and Inspiring Patients Online podcasts and video interviews available on-demand, 24/7
Andrew Schorrâ&#x20AC;&#x2122;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:
www.PATIENT POWER.info Facebook.com/PatientPower.info YouTube.com/PatientPower Twitter.com/PatientPower
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Know the 10 Warning Signs of Alzheimer’s: Early Detection Matters by Tierney Butler, Alzheimer’s Association Helpline Coordinator Memory loss that disrupts everyday life is not a normal part of aging. It may be a sign of Alzheimer’s disease, which causes changes in thinking, reasoning, and behavior. Although the disease is more common in people 65 and older, it can also strike those in their 30s, 40s, and 50s. This list of 10 warning signs of Alzheimer’s can help you understand if your memory loss is a serious health concern. If you notice any of these signs in yourself, or someone you know, don’t ignore them. See your doctor for a check-up. There are other conditions, some that are treatable, that could be causing the signs. Early diagnosis gives you a chance to seek treatment and plan for the future. If you have questions, call the Alzheimer’s Association anytime at 800.272.3900. 1 Memory changes that disrupt daily life One of the most common signs of Alzheimer’s is memory loss; especially forgetting recently learned information. Others include: forgetting important dates or events, asking for the same information over and over, relying on memory aides (e.g., reminder notes or electronic devices) or family members for things they used to handle on their own. What’s a typical age-related change? When you occasionally forget names or appointments, but remember them later. 2 Challenges in planning or solving problems Some people may experience changes in their ability to develop and follow a plan, or working with numbers. They may have trouble following a familiar recipe, or keeping track of monthly bills. They may have difficulty concentrating, and take much longer to do things than they did before. What’s a typical age-related change? Making occasional errors when balancing a checkbook. 3 Difficulty completing familiar tasks at home, work, or leisure People with Alzheimer’s often find it hard to complete daily tasks. Sometimes, people may have trouble driving to a familiar location, managing a budget at work, or remembering the rules of a favorite game. What’s a typical age-related change? Occasionally needing help to use the settings on a microwave or to record a television show. 5 Confusion with time or place People with Alzheimer’s can lose track of dates, seasons, and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes they may forget where they are, or how they got there. What’s a typical age-related change? Getting confused about the day of the week, but figuring it out later. 5 Trouble understanding visual images and spatial relationships For some people, having vision problems is a sign of Alzheimer’s. They may have difficulty reading, judging distance, and determining color or contrast. In terms 28
of perception, they may pass a mirror and think someone else is in the room. They may not realize they are the person in the mirror. What’s a typical age-related change? Vision changes related to cataracts. 6 New problems with words in speaking or writing People with Alzheimer’s may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue, or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word, or call things by the wrong name (e.g., calling a "watch" a "hand-clock"). What’s a typical age-related change? Sometimes having trouble finding the right word. 7 Misplacing things and losing the ability to retrace steps A person with Alzheimer’s disease may put things in unusual places. They may lose things, and be unable to go back over their steps to find them again. Sometimes, they may accuse others of stealing. This may occur more frequently over time. What’s a typical age-related change? Misplacing things from time to time, such as a pair of glasses or the remote control. 8 Decreased or poor judgment People with Alzheimer’s may experience changes in judgment, or decision-making. For example, they may use poor judgment when dealing with money, giving large amounts to telemarketers. They may pay less attention to grooming, or keeping themselves clean. What’s a typical age-related change? Making a bad decision once in a while. 9 Withdrawal from work or social activities A person with Alzheimer’s may start to remove themselves from hobbies, social activities, work projects, or sports. They may have trouble keeping up with a favorite sports team, or remembering how to complete a favorite hobby. They may also avoid being social because of the changes they have experienced. What’s a typical age-related change? Sometimes feeling weary of work, family, and social obligations. 10 Changes in mood and personality The mood and personalities of people with Alzheimer’s can change. They can become confused, suspicious, depressed, fearful, or anxious. They may be easily upset at home, at work, with friends, or in places where they are out of their comfort zone. What’s a typical age-related change? Developing very specific ways of doing things, and becoming irritable when a routine is disrupted.
For more information about the 10 warning signs and early detection and diagnosis, contact the Alzheimer’s Association, Western and Central Washington State Chapter at 800.272.3900 or visit www.alzwa.org.
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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 360-322-7561 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 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
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Delta Rehab Center - Snohomish 360-568-2168 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 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
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
Bellingham Health Care & Rehab Licensed Skilled Nursing/ Specialized Care 1200 Birchwood Bellingham WA 98225 360-734-9295
Silverado Senior Living Bellingham Dementia Care Community 848 W Orchard Dr Bellingham WA 98225 360-715-1338
Cordata Health Care & Rehab Center Licensed Skilled Nursing 4680 Cordata Parkway Bellingham WA 98226 360-398-1966
Spring Creek Retirement & Assisted Living 223 E Bakerview Road Bellingham WA 98226 360-756-2301
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
The Leopold Retirement & Assisted Living 1224 Cornwall Ave Bellingham WA 98225 360-733-3500
SEDRO-WOOLLEY Birchview - A Memory Care Community Assisted Living/ Enhanced Adult Residential Care 925 Dunlop Ave Sedro-Woolley WA 98284 360-856-1911
Merrill Gardens at Cordata Retirement/Assisted Living/ Alzheimer’s 4415 Columbine Dr Bellingham WA 98226 360-312-3542
LA CONNER La Conner Retirement Inn Independent, Assisted Living 204 North First Street La Conner WA 98257 360-466-5700
Country Meadow Village Retirement & Assisted Living 1501 Collins Rd Sedro-Woolley WA 98284 360-856-0404
Mt. Baker Care Center Licensed Skilled Nursing 2905 Connelly Ave Bellingham WA 98225 360-734-4181
Life Care Center of Skagit Valley Skilled Nursing 1462 West SR 20 Sedro-Woolley WA 98284 360-856-6867
Parkway Chateau Retirement / Independent Living 2818 Old Fairhaven Parkway Bellingham WA 98225 360-671-6060
Highland Greens Senior Apartments Affordable Senior Apartments 3100 N 30th St Mount Vernon WA 98273 360-848-8422
WHATCOM BELLINGHAM Alderwood Park Licensed Skilled Nursing 2726 Alderwood Bellingham WA 98225 360-733-2322
Summit Place at Mt. Baker Assisted Living 2901 Connelly Ave Bellingham WA 98225 360-738-8447
Highland Care Center Licensed Skilled Nursing 2400 Samish Way Bellingham WA 98226 360-734-4800
BURLINGTON Creekside Retirement Community Retirement / Assisted Living 400 Gilkey Road Burlington WA 98233 360-755-5550
MOUNT VERNON The Bridge Assisted Living/Hospice 301 S LaVenture Mount Vernon WA 98274 360-416-0400
St. Francis Extended Health Care Licensed Skilled Nursing 3121 Squalicum Pkwy Bellingham WA 98225 360-734-6760
Rosewood Villa Retirement/Assisted Living 702 32nd Street Bellingham WA 98225 360-676-9193
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 Regency on Whidbey Assisted Living, Independent Cottages, Harbor Care 1040 & 1045 SW Kimball Dr Oak Harbor WA 98277 360-279-0933 & 360-279-2224 Summer Hill Retirement and Assisted Living 165 SW 6th Ave. Oak Harbor WA 98277 360-679-1400
Shuksan Health Care Center Licensed Skilled Nursing 1530 James Street Bellingham WA 98225 360-733-9161
AUBURN Auburn Meadows Assisted Living/Memory Care 945 22nd Street NE Auburn WA 98002 253-333-0171
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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 Foundation House at Bothell Retirement / Independent Living 17502 102nd Ave NE Bothell WA 98011 425-402-9606
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
NORMANDY PARK Fernwood at the Park Retirement / Independent Living 17623 First Avenue S Normandy Park WA 98148 206-242-1455
Farrington Court Retirement / Assisted Living 516 Kenosia Avenue Kent WA 98030 253-852-2737
REDMOND Aegis of Redmond Assisted Living / Memory Care 7480 West Lake Sammamish Parkway NE Redmond WA 98052 425-883-4000
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
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
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Ballard Landmark Retirement/Assisted Living 5433 Leary Ave NW Seattle WA 98107 206-782-4000 Bridge Park Retirement/Independent Living 3204 SW Morgan Street Seattle WA 98126 206-938-6394 CRISTA Senior Living Independent / Assisted Living / Skilled Nursing / Rehabilitation / Memory Care 19303 Fremont Avenue North Shoreline WA 98133 1-877-639-3292 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 Kindred Nursing & Rehabilitation – Arden Nursing & Rehabilitation Center 16357 Aurora Ave North Seattle WA 98133 206-542-3103
Kindred Transitional Care & Rehabilitation – Queen Anne Nursing & Rehabilitation Center 2717 Dexter Ave North Seattle WA 98109 206-284-7012
the Stratford at Maple Leaf Independent, Assisted Living and Memory Care 9001 Lake City Way NE Seattle WA 98115 206-729-1200
The Lakeshore Independent & Assisted Living 11448 Rainier Avenue S Seattle WA 98178 206-772-1200
University House, Wallingford Independent & Assisted Living 4400 Stone Way N Seattle WA 98103 206-545-8400
Merrill Gardens at Northgate Independent and Assisted Living 11501 15th Avenue NE Seattle WA 98125 206-388-2989
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
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
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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