Senior Guidebook - Apr/May/Jun 2010

Experience A Better Way Of Life Somerset Memory Care Community See our ad on page 1

APR/MAY/JUN 2010 www.seniorguidebook.com

Come Join the Party at Garden Court!

Virtual Tour & more at www.gardencourtretirement.com

RETIREMENT COMMUNITY

520 - 112th Street SW • Everett WA 98204 425.438.9080 • FAX 425.438.1604

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FEATURES For advertising information contact: DAVID KIERSKY Publisher 213 V Avenue Anacortes WA 98221 PHONE 360.588.9181 FAX 360.588.9003 EMAIL d.kiersky@verizon.net JENNIFER KIERSKY BLAIR Chief Editor/Production Copyright 2010 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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What Is “Discharge Planning”? – Brian Giddens, University of Washington Medical Center

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The Wisdom of Time – Tracey Harvey

Residents and Team Members Come Together to Make A Difference – Bill Pettit, President, Merrill Gardens Twist Travel is a Trip – Leisure Care Nobody’s Burden – Dwayne Clark Caregiving in Tandem – Bob and Sylvana Rinehart Savvy Senior Travelers – Rick Steves What Are We Going To Do About Mom and Dad? – Jane Meyers-Bowen Ayurveda and Healthy Aging – Virender Sodhi, MD, ND Directory

ADVERTISERS Front Cover Somerset Memory Care Community – Everett Back Cover GenCare Lifestyle: Ballard Landmark – Seattle-Ballard; The Lodge – Renton; Scriber Gardens – Lynnwood; The Village – Granite Falls; Remington Place – Seattle-Lake City; Sun City-Arizona

Inside Front Cover Garden Court Retirement Community – Everett Inside Back Cover Gentiva – Bellevue, Bremerton, Everett, Kent, Puyallup, Seattle, Tacoma Centerfold 16 Edmonds Landing – Edmonds 17 Rosewood Courte – Edmonds

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Be Wary About the Business Side of Healthcare – Andrew Schorr

Somerset Memory Care Community – Everett Sunrise Senior Living – Edmonds, Lynnwood, Snohomish, Mercer Island, Bellevue, Brighton Gardens of Bellevue Madison House / Totem Lake – Kirkland The Bridge – Mount Vernon Merrill Gardens: The Creekside – Woodinville; Cordata – Bellingham; Kirkland; Marysville; Mill Creek; Monroe; At the University – Seattle; Mountlake Terrace Plaza – Mountlake Terrace; Northgate – Seattle; Northgate Plaza – Seattle; Queen Anne – Seattle; Stanwood

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Salem Village Communities: Highland Greens Townhomes, Salem Village II, Highland Greens Senior Apartments, Salem Village Apartments – Mount Vernon

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Leisure Care: Fairwinds-Brighton Court – Lynnwood; Fairwinds-Brittany Park – Woodinville

19 23 26 27 28

Aegis Living: Aegis at Totem Lake – Kirkland; Bothell; Bellevue; Callahan House – Shoreline; Edmonds; Issaquah; Kent; Kirkland; Lynnwood; Northgate – Seattle; Redmond; Shoreline Home Place – Oak Harbor Emeritus: Silver Lake – Everett; Seabrook – Everett; Kirkland Lodge – Kirkland PatientPower.info SeniorGuidebook.com Alzheimer’s Association – Seattle

Redefining Senior “HOME”

W

hether it’s our pets in residence, our flowering plants or our staff that acts more like family than caregivers, Sunrise Senior Living provides everyday experiences that make our communities simply, more livable.

At Sunrise, we understand that the transition to a senior community isn’t always easy. So, we focus on the details of living, from beautifully

appointed living spaces to delicious meals, engaging social activities, transportation, and personalized assistance and care.

Visit or call a Sunrise Senior Living residence today to see what we do to make our communities into places seniors can call home.

Call today about our Move-In Specials*

* Limited time offer, subject to change without notice and available at participating communities.

Certain restrictions may apply.

Brighton Gardens of Bellevue Sunrise of Bellevue Sunrise of Edmonds Sunrise of Lynnwood Sunrise of Mercer Island Sunrise of Snohomish

425-401-0300 425-401-5152 425-673-9700 425-771-7700 206-232-6565 360-568-1900

15241 NE 20th St, Bellevue, WA 98007 15928 NE 8th St, Bellevue, WA 98008 750 Edmonds Way, Edmonds, WA 98020 18625 60th Ave, West, Lynnwood, WA 98037 2959 76th Ave SE, Mercer Island, WA 98040 1124 Pine Ave, Snohomish, WA 98290

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What Is “Discharge Planning?”

by Brian Giddens

The term “discharge planning” is probably quite familiar for anyone who has had a family member stay in the hospital, or who has had the experience of being an “inpatient.” However, for those of you who don’t know, you may be wondering, “what is it, and why it is so important?”

A very basic explanation of discharge planning is, that it’s a plan for leaving the hospital. In most hospitals, the goal is to make the discharge as safe and patient-centered as possible. Hospitals do not want to have the patient returning due to the plan not working out, nor would a patient want to re-experience the stress of having to return for further inpatient care.

Discharge planning is a complex series of activities that, when done correctly, begins at or before admission. The earlier a patient starts to think about their care post-discharge, the better the plan.

At the University of Washington Medical Center (UWMC), many people are involved in discharge planning: physicians, nurses, therapists, pharmacists, nutritionists, and other professionals. The social worker coordinates any discharges necessitating a move to another level of care, such as a nursing home, or one that requires home health, hospice, or in-home services. UWMC utilizes Master’s prepared social workers, because of the many clinical, emotional, and organizational details involved in discharge planning.

Take the case of Ms. W., a 79 year-old woman needing knee surgery. As soon as the surgery is scheduled at UWMC, Tracy, our orthopedic social worker, receives the information and calls Ms. W. Tracy begins by asking about Ms. W’s living situation, so together, they can determine Ms. W’s needs after surgery. Practical questions are asked as well, such as whether Ms. W. has stairs to climb, the distance from the driveway to the house, and how close the bathroom is to the bedroom. Tracy will also ask Ms. W. if she has anyone available to care for her when she comes home from the hospital, and try to assess if in-home help will be needed. Most importantly, Tracy will want to discuss Ms. W’s expectations about the surgery, and what concerns or questions she might have about managing a safe recovery. After Ms. W. and Tracy agree on a tentative plan, Tracy will then set up any needed services. When Ms. W. comes to UWMC for her surgery, the plans will be confirmed, and any necessary changes can be made as needed. This process ensures that Ms. W. is fully prepared not only for the surgery, but for the necessary recovery period.

We understand that not every hospital admission can be planned in advance, but our goal at UWMC is to begin preparing our patients for a safe discharge as soon as possible. We don’t want there to be any surprises when the time comes to leave the hospital. In the event that an unexpected situation does arise, and the patient needs assistance, the social worker is immediately contacted. They meet with the patient and his or her family to offer assistance, and to inquire about any immediate or longer-term needs.

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In Mr. D’s case, he was a robust 65 year-old who collapsed on the tennis court from a major heart attack. An unplanned admission can be traumatic, so besides being ready to help with discharge planning, Karen, our Cardiac Surgery social worker, would help Mr. D. with the emotional toll that can come with an unexpected change in health. It would not be uncommon for a patient such as Mr. D. to feel overwhelmed, afraid, and saddened by his loss of health. Karen would listen, and provide support to Mr. D. and his family. She would help him adjust to any changes that may have to occur in the present, and for the long-term.

If a short-term stay in a rehabilitation facility were determined to be helpful for Mr. D., Karen would talk with him about his choices, and work to arrange a placement. If Mr. D’s wife wants to manage the care in-home, Karen could supplement the care with home care services and/or home health. Karen might also provide Mr. D. with information on support services for cardiac patients, so that Mr. D. could better manage the shock of a sudden health crisis. At UWMC, we feel that it makes common sense to anticipate any barriers to a safe discharge, and ongoing adherence to treatment. Listening, collaborating, and being responsive to what the patients say is the best recipe for recovery. We can help achieve this by creating a successful discharge plan, which could only lead to the best positive health outcome.

Brian Giddens, LICSW, ACSW is the Associate Director in the Social Work and Care Coordination Department at the University of Washington Medical Center.

SENIOR guidebook – bridging generations

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Be Wary About the Business Side of Healthcare

by Andrew Schorr It’s been coming to our attention more and more, that healthcare decisions are often propelled by business decisions, and sometimes even by greed. Therefore, each of us better pay attention so that our personal health is not put at risk.

The other night I was watching an episode of House M.D., one of my favorite television shows.This episode showed one “pressure cooker” day in the life of Dr. Lisa Cuddy, the CEO of the hospital featured each week. Part of the plot showed the negotiation with a huge health plan. It took Dr. Cuddy playing hardball to finally pressure them into paying 12% more for care provided to the patients at her hospital. The TV scriptwriters managed to illustrate how the management of the health plan was making boatloads of money. For them, it wasn’t about supporting quality care, it was about maximizing profit.

An article I read in today’s paper focused in on this growing problem. Federal officials were exposing the multi-billion dollar profits of real-life health plans, including how much they make in Medicare Advantage plans. In this case, Anthem, in California, was the company of focus. All of this, during our down economy, and while millions of people have no health insurance at all.

One more thing I’d like to add is in regards to a company called Select Medical.

They are a for-profit-company that has 40 “hospitals within hospitals,” to provide long-term care for seriously ill patients. They may well be taking the taxpayers to the cleaners, while providing very poor quality care. These care lapses, in some cases; have sadly led to the death of patients. In a New York Times expose, Select has been shown to be making many millions on a loophole in Medicare payment rules. The rule allows general hospitals to transfer a patient when the Medicare reimbursement is running out. The transfer is often to a Select facility, which may simply be on another floor of the same building.

Medicare rules, as they stand now, allow Select to start billing again and 6

Medicare will pay for up to 25 days more of long-term care. Crazy! And guess what? Curiously, Select most often discharges people on day 25, what they call “magic day.” Up to day 25 they make $3,000 a day per patient, but after that, they don’t get paid. Therefore, they resist family and physician’s requests to discharge someone before that time. One more item about Select, the father and son who run it reportedly each got paid $200 million last year.

Okay, so what does all of this information mean for you or your loved one? First, you have to know that someone else’s money interests may be what is driving which tests and treatments are done, where you’ll be hospitalized, and the length of your stay. You must speak up and question things, if you want to make sure that you’re getting the safest and best care. What is offered to you, or even forcefully “suggested,” may not be what’s best for you; nor may it be best for our dwindling Medicare funds. If you “smell a rat” or have questions, you have to squawk.

Most providers and hospitals truly want to make you well, or help you stay healthy as they navigate tough economic times, low reimbursements, and uncertainty about “health care reform.” However, that doesn’t mean you should trust them, or anyone providing care blindly. It is extremely important to be a smart shopper; whether you are dealing with a non-profit or for-profit healthcare organization. Either way, deep down, it’s to a greater or lesser degree, about the money. Be wary, and make sure you are getting what is best for you!

Wishing you and your family the best of health!

Andrew For more information, please visit www.patientpower.info

SENIOR guidebook

What is Assisted Living?

AN ASSISTED LIVING COMMUNITY

Assisted Living is designed to meet the needs of individuals who are unable to live alone yet do not require skilled nursing care. The Bridge at Mount Vernon offers a unique combination of residential housing, personalized services and health care while promoting the maximum independence and dignity of each of our residents by providing compassionate, professional care.

Benefits of Assisted Living at The Bridge at Mount Vernon: s Three well-balanced meals SERVED IN OUR COMMUNITY DINING ROOM

At The Bridge at Mount Vernon, it isn’t just about the quality of our Assisted Living services.

It’s also about the quality of life that you want for yourself or your loved one.

s Medication monitoring TO ENSURE THEY ARE TAKEN AS PRESCRIBED

To learn how The Bridge at Mount Vernon can benefit you or a loved one, call now to schedule a tour and ask about our move-in specials!

s Daily activities DESIGNED TO HELP MAINTAIN A HEALTHY AND INDEPENDENT LIFESTYLE

(360) 416-0400

s Peace of mind KNOWING THAT RESIDENTS ARE TREATED WITH RESPECT

DIGNITY AND COMPASSION BY A LICENSED PROFESSIONAL STAFF s Socialization THROUGH PLANNED EVENTS THAT ALLOW RESIDENTS TO ENJOY ONE ANOTHER S COMPANY

AN ASSISTED LIVING COMMUNITY

301 South LaVenture Road Mount Vernon, WA 98273 www.centurypa.com 9/09

www.seniorguidebook.com

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Residents and Team Members Come Together To Make A Difference

by Bill Pettit, President, Merrill Gardens When a tragedy strikes a community, it often brings out the best in people. That was what we recently found, when the residents and team members at Merrill Gardens retirement communities came together to raise money for the families of the fallen police officers in Western Washington.

Over the span of less than three weeks, five officers were killed in the line of duty in the Puget Sound region. One officer from Seattle was shot while sitting in his patrol car, and in a separate incident four officers from Lakewood were shot while filling out paperwork in a coffee shop. These unprovoked acts of violence stunned people in Western Washington, and made everyone ask what can I do to help?

We were asking the same thing at Merrill Gardens, as were our residents and team members. We quickly decided that we wanted to find a way to raise funds, to support the nine children who were left behind when the officers were killed.

Our communities decided to host a pasta dinner, and ask people for a $10 donation to attend. We did not charge Merrill Gardens residents to attend the dinner of course, but our residents were critical in making the event successful.

They invited their friends and family members, while helping us get the word out about the fundraiser. Merrill Gardens donated all the food for the dinners, and all of the money collected was given to the Lakewood Police Officers Guild.

Everyone enthusiastically embraced the idea, and jumped in to help. One community decided to work with other area businesses, by including an 8

auction for people to participate in, while attending the dinner. Many of the communities reached out to local police and fire departments, and invited them to join us for the event. Each of the 22 communities in Washington participated in the pasta dinner fundraiser. As a nice surprise, the results far exceeded our expectations. In just one night, our communities raised close to $20,000. The company donated an additional $5,000, so that our total donation was $25,000. The Lakewood Officer’s Guild tells us that the funds raised for the children of the fallen officers will be used to support their education, and other needs as they continue to grow.

Our residents and team members told us they were pleased to be part of something that was helping the officer’s families, and it meant a lot to them to know that we were all working together. The Lakewood Police Officer’s Guild was overwhelmed by the support, and thanked residents and team members at a ceremony held to formally present the check for $25,000.

Being part of a Merrill Gardens community means being part of our larger community too, and we are very proud of the exceptional work done by our team members and residents in this fundraiser.

Merrill Gardens is a family owned company based in Seattle. Parent R.D. Merrill is a timber company with roots that go back over 100 years. The Merrill family started Merrill Gardens 17 years ago and it’s now the largest senior housing company in Washington with 22 communities. Pettit has been with the company since its inception.

SENIOR guidebook – bridging generations

Bellingham* (360) 715-8822 The Creekside* (425) 483-7953

'BNJMFZTT #VTJO

+B[[ *U 6Q

Kirkland (425) 828-2570 Marysville (360) 659-1279 Mill Creek (425) 338-1580 Monroe* (360) 794-4284 Mountlake Terrace (425) 672-4673 Northgate (206) 362-7250 Northgate Plaza (206) 363-6740

At Merrill Gardens, our residents really know how to shake things up.

They can enjoy life without worrying about cooking, cleaning, or planning. With Anytime Dining, weekly housekeeping and a jam-packed activity program they can unwind and relax.

SM

Queen Anne (206) 284-0055

So put a little zest in your step, and call us today for a personal tour!

Stanwood* (360) 629-3445

Now Open: At the University (206) 523-8400

A one of a kind retirement community

(800) 889-5510 www.merrillgardens.com *The Creekside offers Independent Living only. Alzheimer’s Care available at Bellingham, Monroe and Stanwood.

Retirement, Assisted Living & Alzheimer’s Care www.seniorguidebook.com

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The Wisdom of Time Mastering Adversity

by Tracey Harvey

There are a lot of products that cater to the aging adult in order to capture the essence of youth: creams that promise to reduce wrinkles, technology that can trim away body fat, and even pills that can enhance your mood and sex appeal.

In the spirit of jump-starting your health and well being, consider the following tip as a critical tool that will help to enhance your inner self.

Marines have a saying “what does not kill you makes you stronger,” these could be words to live by for those that are entering their senior years at age 50+.

Fear, disappointment, and bitterness creep within our minds, and cripple our whole body and spirit. We set out in high school and college, ready to conquer the world. We have idealistic plans of getting married to high school sweethearts, having the picture perfect family, traveling the world, and advancing careers, never questioning that the sky is truly the limit.

As we age, some dreams unfortunately must be moved aside. At times, you may think, “I’ve finally arrived.” However, an untimely death of a family member takes place, economic hardships present themselves, and life must continue to move forward despite the adverse situations that arise. In reality, these negative experiences are not pleasant, but one constant that remains is that you cannot put a price tag on the wisdom and character that you begin to build within the aging process.

Wouldn’t it be fabulous if we could all view aging as a memorable time in our lives, rather than focusing on the negatives, such as the lines on our face? Think about how the quality of your judgment would improve, how much more enjoyment you would get from the people that surround you, and how your choices might begin to define you, rather than defy you. Now is the time to enjoy the luxury of living a life full of informed decisions, from all of the years of experience that have shaped your life.

No matter how seemingly perfect you may think other families are, trust that hardships and challenges indeed face the lives of all individuals. Instead of looking everyday at problems that present themselves big, small and trivial, consider how you choose to view them. Instead of seeing them as challenges and anxieties you experience, you could view them as opportunities to learn from and enrich your life. By thinking of a life full of advantages, due to your experiences, you can become an Age Master. The hand that blisters from tragedy and trying circumstances can be painful. Try to think in terms of developing calluses with these painful experiences. Over time you will begin to develop a tolerance for adversity, which builds and lays the gateway to the blocks that shape our character. Embrace your life, and gain strength in knowing that those calluses of time will pay off when you begin exploring retirement options for yourself, embarking on the transition of parenting your loved ones, and most importantly, initiating the dreams you have yet to accomplish.

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Take just a moment to reflect how now can be the time to embrace your life with gusto and passion. As I reflect on the words in a letter my Father wrote, I now appreciate why I have made the choices I have in my life: 1. Health is something you guard with your life.

2. Loyalty to siblings, friends and family members should never be taken for granted.

3. Obligations are not to be delayed so use diligence and desire to prepare for whatever may be required.

4. Dare to dream and share your desires with those closest to you.

Challenge yourself today to focus on your attitude, and you will be amazed how you will begin to turn adversities into blocks of wisdom, that you will come to welcome as you enter into your retirement years. What have the years taught you? Be well and enjoy your journey.

“Youth is wasted on the young” – George Bernard Shaw (author) Tracey Harvey is the Corporate Director of Vitality for GenCare Lifestyle, creating WHOLE LIFE Living™ connections for seniors. For more information, you can call 206-467-2620, or visit www.gencarelifestyle.com

SENIOR guidebook – bridging generations

V S C

alem illage ommunities

A Non-profit Corporation...Providing Senior Adults with Quality Housing in a Caring Community

Carefree Single Level SENIOR RESIDENCES Highland Greens Townhomes Village Court @ 3200 N 30th Street Mount Vernon WA 98273 360.540.1438 Salem Village II 2601-2617 N LaVenture Road Mount Vernon WA 98273 360.540.1438 Carefree independent living • Units 930-1200 square feet • Two bedroom, or one bedroom with den • Dishwasher and disposal • Laundry hook-ups • Deck or patio • Single car garage Simplified Condo-style living • Easy “purchase” and “resale” • “We buy it back” • No closing cost • Yard care provided Universal design for aging in place • No stairs or steps • Wide doorways • Tub and walk-in shower

Affordable Senior APARTMENTS • City living with country atmosphere • Spacious one and two bedroom units • Private deck or patio • Social areas and library

Highland Greens Senior Apartments 3100 N 30th Street Mount Vernon WA 98273 360.848.8422 Salem Village Apartments 2619 N LaVenture Road Mount Vernon WA 98273 360.428.5662

www.salemvillage.org www.seniorguidebook.com

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When it comes to seniors, Twist Travel is a trip.

Did you know there’s a travel agency that specializes in Senior Travel? Well, there is and they’re called Twist Travel. They make travel for seniors convenient and fun. And oh boy, do they add peace of mind. Twist Travel specializes in reasonably priced tour packages hosted by a travel concierge. Their programs have a higher ratio of staff to participants than most tours and

the travel staff is chosen from folks that work in the senior industry. They understand seniors’ specific needs and anticipate and handle all the details. If you need to book an exotic vacation, a cruise, a trip to see the grandkids, or a spur-of-the moment Vegas fling, Twist Travel is also ready to help. Call them at 888.644.4002 or 559.434.0123 for more information.

H E R E ’ S A S A M P L E O F S O M E F U T U R E T W I S T T R AV E L T R I P S Shades of Ireland s May 12 - May 20, 2010 Join the festivities as a guest at a traditional Irish House Party. Travel the Ring of Kerry. Visit world famous Waterford Crystal Factory. Behold the spectacular beauty of the Cliffs of Moher.

Paris to Normandy’s Landing Beaches s May 24 - June 1, 2010 Combine time in France’s splendid capital with discoveries of quaint villages along the Seine, in the picturesque Normandy region and the poignant WWII landing beaches. Experience Vincent van Gogh’s Auvers-sur-Oise, Claude Monet’s stunning Gardens at Giverny, and Joan of Arc’s historic Rouen.

Canadian Rockies by Rail s June 5 - June 13, 2010 Begin your tour in Vancouver with a short trip to Victoria to see Butchart Gardens. Spend two days on the Rocky Mountaineer, traveling through Kamloops on your way to Jasper. After visiting the Ice Fields, you will overnight at the Fairmont Chateau Lake Louise. You’ll also spend a night at the Banff Springs Hotel before concluding your trip in Calgary.

Alaska Inside Passage s June 6 - June 13, 2010 Partake in abundant activities on board or simply take pleasure in the spectacular scenery of Juneau, Sitka and Ketchikan.

Enjoy diverse dining venues, try your luck in the casino, take in a dazzling Las Vegas-style show or indulge yourself with a massage or facial.

Call your local Leisure Care community for more information and to learn about special Twist Travel promotions.

Fairwinds - Brighton Court Lynnwood s 425.775.4440

Fairwinds - Brittany Park Woodinville s 425.402.7100

www.leisurecare.com

www.twisttravel.com CST#2075032-40

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SENIOR guidebook – bridging generations

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Nobody’s Burden Options for retirement living provide a lifestyle not replicated in the home environment

by Dwayne Clark Freedom of choice, independence, and individuality are traits that characterize our national psyche and values shared by generations of Americans. As we age, new challenges may arise that defy one’s notion of how they wish to spend their senior years. Aging brings challenges that require some help, but it does not erase a person's desire to control his or her own environment, activity, and care. Past generations folded the elderly into the households of grown children, where they offered valuable experience and wisdom, in exchange for family support. A more mobile society, fewer children per family, and dependence on two incomes for financial solvency have made that age-old arrangement between parents and children harder to maintain.

When another person enters an already overworked or financially stretched household, resentment, guilt, and fatigue can build on both sides. This damages the parent-child relationship, and jeopardizes the well being of everyone concerned. Similarly, if one partner in a marriage needs greater assistance than the other, the same feelings can develop.

• A study from the National Association of Caregivers found that the costs of home care average more than $5,500 a year – $400 more than the average household spends on health care and entertainment combined.

The above mentioned proves that grown children and loved ones want their aging parents and partners to enjoy the highest possible quality of life. To achieve this, it’s better to explore care options earlier; when you’re loved ones health is good, rather than later. The healthier they are, the more options they will enjoy; as health declines so do the options for care. It may feel somehow callus or ungrateful to share the caregiving responsibility with outsiders, but story after story and statistics tell otherwise.

• According to the National Association of Caregivers, an estimated 34 million Americans provide some care for an older family member. Additionally, 90 percent of individuals who receive home care get most of their help from family and friends.

Assisted Living The impulse to care for our own is worthy of respect. Of course we want to show our love and respect for our families, but for some people, home care is the best choice. A loving option for others is assisted living. The Assisted Living Federation of America, the nation’s leading assisted living association, recently noted that the fastest growing long-term care option in the U.S. is assisted

living, because it puts the individual first. Why? The philosophy of assisted living embraces independence, choice, and the opportunity for seniors to live enriching lives.

In assisted living, family members are welcome to visit and participate in community life. They also benefit from support services, and knowing that their loved one is receiving the best care possible, and partaking in an active, stimulating lifestyle. This increased quality of life is free of the necessary limits that can come from living with extended family. It does not create work for family or friends, which eases the burden, allowing for a better relationship.

In fact it is well documented that older adults who need some assistance with daily living tasks, such as dining, cleaning or medication management, often benefit and thrive from better nutrition, more social interaction, and higher activity levels in assisted living communities.

Senior Living For those seniors who still enjoy better health and greater affluency, freedom and lifestyle can be as important as health care, in choosing a senior living community. After decades of cooking and cleaning for their families, and maintaining their homes, these active seniors may welcome dining, housekeeping, and landscaping services. Senior living communities can offer respite from such chores, and increase free time for fitness, local travel, shopping, and other interests.

In senior living communities, active older adults continue enjoying private dwellings, control over their own schedules, and freedom to come and go as they choose. Social networking, optional events and clubs, and conveniently located services, such as beauty salons, and banks and technology centers, increase convenience and personal freedom of choice rather than limiting it.

Yet, medical, dietary, and other help is available when needed. Grown children can find reassurance that community managers, on-site health care providers, support staff, and friends will help their parents manage the challenges of aging.

It is important in today’s guilt ridden society to better understand the many options that make up the new face of senior living in the 21st century. Making changes for the better are the standard for better care, and a more vibrant lifestyle. Now, more than ever, loved ones can feel confident that the new choices available are the right choices for everyone in the family.

For more information, please contact Jennifer Hall at Aegis Living, 425-861-9993 or visit www.AegisLiving.com

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SENIOR guidebook – bridging generations

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SENIOR guidebook – bridging generations

She’s always been there for you.

Now it’s your turn. www.seniorguidebook.com

Caring for the Memory Impaired

Call us, we can help.

425.673.2875 www.rosewoodcourte.com 17

Caregiving in Tandem

by Sylvana and Bob Rinehart

Although it was ten years ago that my mother passed away, I still find myself reflecting back on those final years. She lived with my older sister in a small town in northeastern Ohio. So, we would only occasionally see her when we traveled back, or she would come to the west coast for visits. She began experiencing memory loss, which gradually became an increasing concern for my sister who was witness to all of the symptoms. She understandably wanted to be the force that addressed, and dealt with the many challenges. This situation was further complicated by the fact that my niece was living there at the time too. She and my sister felt a strong sense of obligation, and moral responsibility to take care of mother on their own. They wanted no training or guidance on dementia. Surely, this is an all too familiar story. As it played itself out, I began to recognize that the stars were in good alignment for us, because my sister and I played complementary caregiving roles. In other words, my sister continued to be the primary caregiver for my mother, as I slowly moved into the caregiving role for my sister.

In our early telephone conversations about the challenging behavioral changes that were taking place, it became evident that my sister needed a little nudging to take that essential step to seek out a community for mother. Somewhere she would receive professional care on a 24-hour basis. I regretted not being on hand to help my sister; however I was able to be helpful in another way. The time gaps in my visits allowed me to more clearly see the changes in mother’s behavior. I would share these observations with my sister, gently and gradually, because she was focused on taking each day as it came. She never had the advantage of being able to step back, and see the bigger picture.

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I have to confess to the additional advantage of being able to listen to my wife, Sylvana. She has a lengthy experience in long-term care, and has heard many stories about the challenges faced by caregivers, near and far. This insight was very helpful to me, because it enabled me to better articulate where mother was at any given point. This perspective also gave my sister the comfort level she needed to make what were clearly a series of difficult decisions, and better adapt to mother’s behavior.

One example that comes to mind took place at an early visit, when I was a little taken aback listening to my sister correct mother about dates of specific experiences they had shared. On the way home, I spoke to my sister about the importance of “living in the moment,” and accepting mother’s version of reality.

She said she really hadn’t even realized she was doing that to mom. After this was brought to her attention, she noticed that their conversations were beginning to have less tension and more flow. I’m very thankful my sister was on the scene as the primary caregiver. She has made the same point, about the value of the input Sylvana and I provided from a distance. This joint effort gave us the needed strength, balance, and perspective to do what we wanted most – be the best caregivers we could for someone we loved.

Bob Rinehart is a retired Foreign Service Officer who has been associated with the Eldercare field over the years. Sylvana works at Rosewood Courte pursuing her passion in working with people with dementia and helping families through difficult life-altering decisions of transitioning a loved one from home to Rosewood Courte. For more information please contact Sylvana at 425-673-2875 or sylvana@rosewoodcourte.com, or visit www.rosewoodcourte.com.

SENIOR guidebook – bridging generations

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Savvy Senior Travelers

by Rick Steves More than ever, people are hocking their rockers and buying plane tickets. Many senior adventurers are proclaiming,“Age matters only if you’re a cheese.” Travel is their fountain of youth.

These days, many “seniors” are more energetic than their backpacker grandkids.

Even for these folks, the topics covered below could be of particular interest to them too. I’m not a senior, – yet – so I asked seniors to share their advice on “The Graffiti Wall” at www.ricksteves.com.Thanks to the many who responded, here’s a summary of top tips from seniors who believe it’s never too late to have a happy childhood.

When To Go Since most seniors are retired and can travel whenever they want, it’s smart to aim for shoulder season (April, May, Sept, Oct). This allows you to avoid the most exhausting things about European travel: crowds and the heat of summer.

Planning The Internet is an invaluable resource for booking flights, checking train schedules, researching and reserving hotels, and lots more. If you’re not already an Internet whiz, enlist someone to help you. Local travel classes (often offered by travel stores or libraries) are a good way to inspire you and help kick-start your planning.

Travel Insurance Seniors pay more for travel insurance – but are also more likely to need it. Find out exactly whether, and how, your medical insurance works overseas.

(Medicare is not valid outside the US; check your supplemental insurance coverage for exclusions.) Pre-existing conditions are a problem, especially if you are over 70, but there are plans that will waive those exclusions. When considering additional travel insurance, pay close attention to evacuation insurance, which covers the substantial expense of getting you to adequate medical care in case of an emergency – especially if you are too ill to fly commercially.

Medications and Health Be certain to take a full supply of any medications with you. It can be difficult and time-consuming to fill a prescription in Europe, and even non-prescription medications (such as vitamins or supplements) may not be available abroad in the same form you’re used to. Pharmacists overseas are often unfamiliar with American brand names, so you may have to use the generic name instead (for example, atorvastatin instead of Lipitor). Ask your doctor before you leave for a list of the precise generic names of your medications, and names of equivalent medications in case of unavailability. If you wear hearing aids, be sure to bring spare batteries – it can be difficult to find a specific size in Europe.

Flying If you’re not flying direct, check your bag – because if you have to transfer to a connecting flight at a huge, busy airport, your carry-on bag will become a lug-around drag. If you’re a slow walker, ask the airline or flight attendant to arrange transportation so you can easily make your next flight. Since cramped leg room can be a concern for seniors, book early to reserve aisle seats (or splurge on roomier “economy plus” or first class). Be careful to stay hydrated during long flights, and take short walks hourly to avoid the slight chance of getting a blood clot.

Accommodations If stairs are a problem, request a ground-floor room. Think about the pros and cons of where you sleep: If you stay near the train station at the edge of town, you’ll minimize carrying your bag on arrival; on the other hand, staying in the city center gives you a convenient place to take a break between sights (and you can take a taxi on arrival to reduce lugging your bags). To save money, try hostels, which offer the bonus of ready-made friends (and you’ll really impress

Packing Hauling a big bag is a major concern for seniors.

Instead, bring a rolling suitcase. Figure out ways to smoothly carry your luggage, so you’re not wrestling with several bulky items. For example, if you bring a second bag, make it a small one that stacks neatly (or even attaches) on top of your wheeled bag. Packing light is even more important for seniors – when you pack light, you’re younger. To lighten your load, take fewer clothing items and do laundry more often. Bring along a magnifying glass to help you read detailed maps and small-print schedules, and a small notebook to jot down facts and reminders.

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SENIOR guidebook – bridging generations

all the youngsters bunking with you). No matter where you stay, ask about your accommodations’ accessibility quirks – whether there’s an elevator, if it’s at the top of a steep hill, and so on – before you book.

Getting Around Subways involve a lot of walking and stairs, and are a pain with luggage.

Consider using city buses or taxis instead. With lots of luggage, definitely take a taxi (better yet, pack light). If you’re renting a car, be warned that some countries, and some car-rental companies, have an upper age limit.

Senior Discounts Just showing your gray hair or passport can snag you a discount on many sights, and even some events such as concerts. (The British calls a senior discount “concessions” or “pensioner’s rate.”) Always ask about discounts, even if you don’t see posted information about one – you may be surprised. However, note that at some sights, US citizens aren’t eligible for the senior discount (because the US is notorious for not reciprocating). Seniors can get deals on point-to-point rail tickets in Scandinavia, Austria, France, Belgium, and more (including the Eurostar Chunnel crossing between Britain and France). To get rail discounts in some countries, such as Britain, you can purchase a senior card at a local train station (valid for a year, but still worthwhile on a short trip if you take several train rides during your stay). Railpasses for Britain and France give seniors a discount in first class. It’s rare, but a few airlines do offer discounts to seniors. Always ask.

Sightseeing Many museums have elevators, and even if these are freight elevators not open to the public, the staff might bend the rules for older travelers. Take advantage of the benches in museums; sit down frequently to enjoy the art and rest your feet. Go late in the day for fewer crowds and cooler temperatures. Many museums offer loaner wheelchairs. Take bus tours (usually 2 hours long) for a painless overview of the highlights. Boat tours – of the harbor, river, lake, or fjord – are a pleasure. Hire an English-speaking cabbie to take you on a tour of a city or region (if it’s hot, spring for an air-conditioned taxi). If you’re traveling

with others but need a rest break, set up a rendezvous point. For easy sightseeing, grab a table at a sidewalk café for a drink and people watching.

Educational and Volunteer Opportunities For a more meaningful cross-cultural experience, consider going on an educational tour like those run by Elderhostel, which offers study programs around the world for those over 55 (one to four weeks, call or check online for a free catalog, tel. 800-454-5768).

Long-Term Trips Becoming a temporary part of the community can be particularly rewarding.

Settle down and stay a while, doing side-trips if you choose. You can rent a house or apartment, or go a more affordable route, and “swap” houses for a few weeks with someone in an area you’re interested in visiting.You can visit various websites (including www.transitionsabroad.com and www.escapeartist.com), books (such as the “Living Abroad in...” series, www.livingabroadin.com), and magazines (such as International Living), which offer tips about retiring to a foreign land, for either long-term or short-term.

Resources for Seniors • Ed Perkins writes an excellent “Seniors on the Go” column at www.smartertravel.com/senior-travel.

• AARP’s website has a good section on travel.

• Senior-travel books include Unbelievably Good Deals and Great Adventures That You Absolutely Can’t Get Unless You’re Over 50, by Joan Rattner Heilman (McGraw-Hill); Travel Unlimited: Uncommon Adventures for the Mature Traveler, by Alison Gardner (Avalon); and The Grown-Up’s Guide to Running Away from Home, The Grown-Up’s Guide to Retiring Abroad, and The Grown-Up’s Guide to Living in France, all by Roseanne Knorr (Ten Speed Press).

Rick Steves (www.ricksteves.com) writes European travel guidebooks and hosts travel shows on public television and public radio. Email him at rick@ricksteves.com, or write to him c/o P.O. Box 2009, Edmonds, WA 98020.

Rick Steves grew up in Edmonds, Washington and studied at the University of Washington where he received degrees in Business Administration and European History. But his real education came in Europe – since 1973 he’s spent 120 days a year in Europe. Spending one third of his adult life living out of a suitcase in Europe has shaped his thinking. Today he employs 80 people at his Europe Through the Back Door headquarters in Edmonds where he produces 30 guidebooks on European travel, the most popular travel series in America on public television, a weekly hour-long national public radio show, and a weekly column syndicated by the Chicago Tribune. Rick and his wife Anne have traveled each of the last 22 years with their two kids, Andy and Jackie.

www.seniorguidebook.com

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What Are We Going To Do About Mom and Dad?

by Jane E. Meyers-Bowen

Families find themselves searching their hearts and souls to find the right answer about the realities of aging parents. It requires adult children to shift their viewpoint not only of their parents, but also of themselves.

Fragility and cognitive changes, even at minimal levels, can be disconcerting.

Forgetting appointments, bills piling up, mobility changes, and a reduction in reaction time while driving, are all signs that important changes are happening. When these or similar behaviors are observed, it requires families to stop and wonder what we can do to protect our parents.

In a world that resists, ignores, and even loathes aging, we often find ourselves unprepared to deal with this change. Often, families are amazed by the impact it makes on them emotionally, financially, and socially. It almost leaves us searching for a book called, “Parent Care for Dummies.” Making good decisions often requires a new set of skills, language, technical knowledge, and even a new picture of ourselves.

Learning about the spectrum of senior living, and care options, is a good first step. From senior apartments with no services, to 24-hour assistance, or even skilled nursing, families have so many more options than they did 25 years ago.

With so many choices available, it’s easy to wonder where each parent would flourish.

• Another common mistake families make, is to decide placement based on a parent’s “Best Day” vs. their “Worst Day.” As long as the worst day conditions are addressed, then safety most likely has been incorporated into the plan.

• Don’t believe that making only one move would be the least traumatic strategy. In someone with a normal aging process, one move would serve the need to be stimulating, and yet safe. However, if your senior has a progressive illness, looking forward too far, and making a placement decision on that basis, can be contrary to a senior’s best interest.

For example, a senior with an early dementia diagnosis benefits from socialization and stimulation, rather than being at a memory care environment, in the company of others, with end stage dementia.

• Making a decision on one’s own preferences can be frustrating for the senior. Many family members may enjoy a quiet top floor apartment, where their senior would prefer a first floor apartment close to the dining room.

• Many families wonder, how are we going to pay for care? As a family plans for long term care needs, it also makes sense that a long term financial plan is established as well. There may be options that are available, that many seniors do not know exist, i.e. Veterans Benefits for the Vet and the Spouse, Life Insurance Policies that have more cash value than the surrender value, and Medicaid Programs.

Here are some things to keep in mind while working through this process: • Challenge the myth that home is the safest place for a senior. Many homes can be riddled with safety risks. Whether it’s stairs down to the laundry room, throw rugs, phone cords, or burned out light bulbs, seniors are often put in unsafe situations, that can threaten one’s health and independence.

• Many families fear they will be taking away a parent’s dignity, if they move them to a community. Therefore, many families put the whole decision in the hands of the senior. However, pushing seniors too hard, or moving too fast, can be very stressful for them. Yet, there are some times when it’s just too big of a decision to make, to move out of ones home. By getting their doctor involved, it can reduce the family friction, and bring to light the imminent decision that living alone is no longer safe. It is not necessary to leave your senior out of the decision completely. Offer them choices that will keep them safe and well.

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• Seniors’ greatest fear is to lose their independence. If one’s life is burdened with maintenance duties of cleaning, shopping, and cooking, there is little time and energy left for socializing, singing, and telling jokes. Seniors find new independence when freed from mundane tasks, and are able to choose much more satisfying activities.

• Many seniors’ health indexes improve within a couple of months with regular healthy meals, exercise, socializing, and a consistent medication schedule.

Change is hard for all of us. Yet, most seniors adjust fairly quickly and often admit they should have made the change long ago. So, when families feel guilty and confused during the process, stay confident that better days are ahead.

You can contact Jane at 425-338-3227 or silverlake-crd@emeritus.com, or visit www.emeritus.com.

SENIOR guidebook – bridging generations

Closest to home.

Emeritus Senior Living There is no “right time” to seek another living environment. It is a decision usually based on the individual’s needs and available outside support. If you are observing an alarming decline in the safety, social, or emotional needs of your parent or loved one, it’s time to see how assisted living can help!

Choosing assisted living at an Emeritus Senior Living community will actually give your loved one greater independence. You will gain peace of mind knowing that they are nearby in a safe and comfortable senior living community.

Call us today to learn more about the benefits of assisted living for your loved one. We will be glad to arrange a private tour experience for you.

Our Family is Committed to Yours.

(888) 355-0384 Emeritus at Seabrook 11333 - 3rd Place West, Everett

(888) 389-3566 Emeritus at Silver Lake 12806 Bothell-Everett Highway, Everett

(888) 652-8022 www.Emeritus.com

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Kirkland Lodge 6505 Lakeview Drive Northeast, Kirkland

23

Ayurveda and Healthy Aging

by Dr. Virender Sodhi In Ayurvedic tradition, aging is not something to be feared. Ayurveda embraces the concept of rejuvenation, and teaches that the healthy practices of rasayana, or rejuvenation therapy, may be integrated into a person’s daily life to optimize health and prevent disease as age increases. Rasayana is one of the eight clinical specialties of Ayurveda, and herbal rasayana formulations occupy an esteemed place in the Ayurvedic pharmacopiea.

Rasayana herbs act as a general tonic, improving overall well-being. Used as part of a regular regimen, these powerful natural substances can enhance longevity, strengthen the body’s immune response, and improve mental function. Rasayana treatment imparts luster, vitality, and renewed virility.

Increased age does not have to mean increased disease. Common conditions such as heart disease, diabetes, cancer, obesity, and autoimmune disorders may be averted altogether when a habitual, holistic rasayana regime is incorporated into one’s daily life.

The Ayurvedic practitioner customizes rasayana therapy for each individual patient, based on their unique health profile, taking into consideration factors such as age, vitality, constitution, and digestion. Rasayana herbs are known especially for their adaptogenic qualities. These herbs are extremely versatile, and have the power to adapt according to the body’s unique needs. In addition to herbs, detoxification (pancha karma vigyan) and behavior modification (achar rasayana) are often recommended.

My first advice to my patients of any age is to implement a health routine into their daily life. As a general rule, I recommend the following: Early Rising Waking up early in the morning, preferably before sunrise, allows maximum exposure to sunlight. The sun stimulates the body’s adrenal glands and increases the production of cortisol, bringing us out of deep sleep and increasing overall well-being.

Healthy Diet and Exercise Beginning the day with one to three glasses of warm water encourages peristalsis and assists bowel evacuation. A healthy breakfast is also important, emphasizing foods that are appropriate to one’s constitution. Fried, processed, and artificially sweetened foods should be avoided at all times. Moderate exercise is essential to healthy aging. I always recommend 30-45 minutes of walking on most days, depending on your schedule.

Healthy Hygiene Oral and physical hygiene are both extremely important to health and vitality as we age. A daily shower encourages digestive health. and enhances the health of your heart. The health of teeth and gums should be maintained by daily brushing and flossing.

Massage oils tailored to your body type (dosha) can help you develop sensitivity toward your body. A few drops of massage oil in the nose will stimulate your sense of smell. To make an eye wash, use the Ayurvedic preparation Trifala.

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Place the contents of one Triphala capsule in one cup of distilled water, and boil for ten minutes. Strains through a coffee filter, then, using an eye cup, (available at most drug stores) gently rinse both eyes. Care for your ears by putting a few drops of olive oil in each ear.

Sexual Health The Hindu religion considers sexual activity to be sacred. It is an aspect of the pursuit of pleasure (kama), one of the legitimate goals of life. In Ayurveda, frequent sexual activity is recommended in winter, with slightly less frequency in other seasons.

Seasonal Health The body’s needs change according to the seasonal cycle. To avoid the impact of seasonal change on your body as it ages, follow a common sense approach. In Ayurveda, these seasonal adjustments are known as ritu charya.

In the summer, dress lightly, eat fruits and vegetables, and consume plenty of fluids to prevent dehydration. In winter, dress warmly, being careful to keep your vital organs, such as your heart and lungs, warm. Consuming nuts and seeds will supply your body with oils and extra energy. In cold weather, lubricate your skin with nourishing oils and creams. During the spring and fall allergy seasons, avoid mucous-producing foods such as excess sugar, dairy products, rich foods and fried foods. Fasting with vegetables, fruits and rice protein may help to stave off allergies.

Detoxification As the years pass, toxic substances accumulate in our bodies, which can cause systemic disease. I recommend regular detoxifying cleansing, known as pancha karma, to all my patients. This dietary regimen mimics the body’s own natural cleansing process. Three phases are involved – a preparatory phase, known as poorva karma, the pancha karma process itself, which includes five methods of cleansing, and a restoration phase, known as pashchtya karma, which restores the body to its natural state using rasayana herbs.

Rasayana Herbs While these practices, followed on a regular basis, are indispensable for maintaining the body’s total health over time, the basis of Ayurvedic rejeuvenation therapy remains herbal treatment with rasayana herbs and preparations. What follows is a summary of herbal treatments for healthy aging: Ashwagandha (Withania somnifera) Ashwagandha is a shrubby plant, which offers tremendous potential as an energizing medicinal herb. Ayurvedic practitioners have used the roots of this plant for centuries with success as a tonic to increase vitality and longevity, as well as to treat health conditions as diverse as tumors and arthritis. Recent laboratory studies have begun to confirm what Ayurvedic practitioners have known for years – that Ashwagandha deserves attention as an herbal therapy to ease or even eliminate many of today’s common health problems.

SENIOR guidebook – bridging generations

Research on Ashwagandha has shown it to be a stress adaptogen, to promote healing and to have diuretic and anti-cancer properties. I have used Ashwagandha extensively in my practice for insomnia, fatigue, stress, depression, anxiety and cancer. My son uses it for bodybuilding. It can also be used as an adjuvant in chemotherapy and radiation treatment.

Ashwagandha was tested for its anti-aging properties in a double-blind clinical trial. A group of 101 healthy males, 50-59 years old, were given the herb at a dosage of 3 grams daily for one year. The subjects experienced significant improvement in hemoglobin, red blood cell count, hair melanin, and seated stature. Serum cholesterol decreased and nail calcium was preserved. Seventy percent of the research subjects reported improvement in sexual performance.1 Amla (Emblica officinalis) Amla is an excellent rejuvenator. It has powerful antioxidant properties and counters the toxicity of heavy metals such as nickel, cobalt, arsenic and mercury.

It also provides protective properties after one has been exposed to toxic or carcinogenic chemicals. It has powerful anti-cancerous properties and, like Ashwagandha, has been used in cancer therapy to cut down the side effects of chemotherapy and radiation. According to ancient Ayurvedic texts, one who consumes a rasayana with Amla as the main ingredient, one will “live for a hundred years without any sign of decrepitude.”

My experience with Amla bears out this claim. The father of one of my co-workers in India lived to be 107 years of age. He walked 3-5 miles a day, he had all his own teeth, his eyes were only slightly refracted, he had never had surgery, and he recognized people right up until just before his death. His secret? He ate Amla every day! Among other things, Amla is one of the richest sources of natural vitamin C available and is well-known as a powerful immune support.2 Sitawari (Asparagus racemosus) Shatavari has tonic, adaptogenic, alterative (curative) and aphrodisiac activities.

It is used to treat debility and chronic diseases like infertility, impotence, menopause, lung abscesses and chronic fevers.

Shatavari has a number of indications in traditional Ayurveda. It is used to treat stomach ulcers, hyperacidity, and hormonal imbalance and diarrhea.

Decoctions of the herb have a soothing effect on dry and irritated membranes, making it useful in treating bronchitis and other respiratory ailments. As a rasayana, and is believed to bring into balance all of the body’s fluids.3 Ancient Ayurvedic texts recommend Sitawari as a remedy for nervous disorders, inflammation, liver disease and certain infectious diseases.

Trifal (Terminalia chebula, Terminalia bellerica and Emblica officinalis) Trifal is another prized adaptogen. The combined herbs are synergistic and have digestive and eliminative actions. It has anti-parasitic, anti-yeast, anti-bacterial and antihistaminic properties. It improves the flow of bile, lowers cholesterol and can be used as adjuvant in chemotherapy and radiation treatments.

Trifal, or “three fruits,” is an ancient blend of three highly-valued Ayurvedic herbs – Terminalia chebula (Haritaki), Terminalia bellerica (Bahera), and Phyllanthus emblica (Amla). Traditionally, Trifala is highly valued as a rasayana, or rejuvenating formula. Rasayanas are usedto balance all body types. www.seniorguidebook.com

Although Trifala has many health benefits, it has primarily been used as a digestive aid and intestinal cleanser. Unlike many products of its kind, Trifala acts gently, promoting regularity without irritating the bowels. Regular users of Trifala report a natural regularity, in contrast to the forced bowel evacuation experienced with other laxatives. This combination of fruits is also frequently used to relieve indigestion.

Shilajeet-mumiyo (Mineral pitch) Shilajeet is a rich source of naturally occurring minerals. Russian athletes used it as non-steroidal body builder and a stamina enhancer. Ayurvedic medicine considers it as an aphrodisiac, a tonic for the kidneys and prostate. It helps with benign prostate enhancement and is an immune enhancer.

In Ayurveda, Shilajit is considered a rasayana herb and an adaptogen.4 The substance has been found to contain at least 85 minerals in ionic form, as well as humic acid and fulvic acid. Clinical research has been conducted to determine Shilajit’s pharmacological activity, and the results have confirmed its traditional uses in treating impotence, sterility, mental diseases, and for improving memory and learning.

Pippli (Piper longum) Pippli helps in digestion, enhances acid and enzyme secretions. It significantly enhances the absorption of nutrients, herbs and drugs and has shown anti-allergic, anti-asthmatic and powerful anti-parasitic actions.

Ancient Ayurvedic texts list Pippli as one of the most powerful rasayana herbs, which means that it is a valuable longevity enhancer. It is also considered a purifying herb, with soothing qualities that help improve the quality of sleep.

Ancient texts and contemporary studies point to the wide-ranging effectiveness of Pippli in respiratory, liver, digestive, metabolic, parasitic, and malignant conditions.5 In conclusion, by eating well, following good daily and seasonal routines, occasionally undergoing a cleansing regime and following up with the right rejuvenative herbs, longevity may be increased, and health can be optimized as you age.

References 1. Bone K. Clinical Applications of Ayurvedic and Chinese Herbs. Queensland, Australia: Phytotherapy Press, 1996, 137-41.

2. Selected medicinal plants of India. Chemexcil, Mumbai Ministry of Health and Family Welfare 1989 3. Chopra RN, Chopra IC, Handa KL, Kapur LD.Indigenous drugs of India. Calcutta: Academic Publishers; 1994. pp. 496.

4. David Winston & Steven Maimes. Adaptogens: Herbs for Strength, Stamina, and Stress Relief, Healing Arts Press, 2007.

5. Rege NN, Thatte UM, Dhanukar SA 1999 Adaptogenic properties of six rasayana herbs used in Ayurvedic medicines. Phytotherapy Research 13(4):275 Dr. Virender Sodhi is an internationally respected Ayurvedic and Naturopathic physician, and one of the first to practice Ayurvedic medicine in the US. Dr. Sodhi received his MD (Ayurveda) after completing six years of medical training in India. He came to the US in 1986 to share Ayurveda as part of a cultural exchange program. In 1988, Dr. Sodhihe graduated from Bastyr College of Naturopathic Medicine. Dr. Sodhi treats patients from all over the world at the Ayurvedic and Naturopathic Medical Clinic in Bellevue, Washington. He also lectures extensively throughout both the U.S. and other countries, and is the founder of the Sri Chinmoy Institute of Ayurvedic Sciences adjacent to the Clinic. He is also available for lectures and workshops to individuals and groups. For more information about Dr. Virender Sodhi and the Ayurvedic Clinic, please visit www.ayurvedicscience.com. For herbal products, please visit www.ayush.com Please note: This article is purely informative and should not replace the guidance of your physician. If you suffer from an illness, you should consult a physician before taking any herbs, vitamins, minerals or enzymes. Even at the peak of health, it is best to consult a qualified practitioner before taking any dietary supplement.

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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 Rosewood Courte Assisted Living/Alzheimer’s memory impaired only 728 Edmonds Way Edmonds WA 98020 425-673-2875 Sunrise of Edmonds Assisted Living/Alzheimer’s Care 750 Edmonds Way Edmonds WA 98020 425-673-9700 EVERETT Bethany at Silver Crest Assisted Living/ Nursing Home Adjacent 2131 Lake Heights Drive Everett WA 98208 425-385-2335 Cascadian Place Retirement Retirement 3915 Colby Avenue 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 Silver Lake Assisted Living 12806 Bothell-Everett Highway Everett WA 98208 425-338-3227

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Garden Court Retirement Community Independent and Assisted Living 520 - 112th Street SW Everett WA 98204 425-438-9080 Emeritus at Seabrook Independent and Assisted Living 11333 3rd Place W Everett WA 98204 425-347-0372 Somerset Memory Care Community Assisted Living / Alzheimer’s memory impaired only 524 - 75th Street SE Everett WA 98203 425-348-8800 Washington Oakes Retirement and Assisted Living 1717 Rockefeller Ave Everett WA 98201 425-339-3300 GRANITE FALLS The Village Independent Living 302 North Alder Avenue Granite Falls WA 98252 360-691-1777 LAKE STEVENS Ashley Pointe Independent and Assisted Living 11117 - 20th Street NE Lake Stevens WA 98258 425-397-7500 LYNNWOOD Aegis of Lynnwood Assisted Living 18700 44th Avenue West Lynnwood WA 98037 425-712-9999 Clare Bridge Lynnwood Alzheimer’s & Dementia Care 18706 - 36th Ave W Lynnwood WA 98037 425-774-3300 Chateau Pacific Independent & Assisted Living 3333 - 148th Street SW Lynnwood WA 98037 425-787-9693

Fairwinds – Brighton Court Retirement/Assisted Living 6520 - 196th Street SW Lynnwood WA 98036 425-775-4440 Scriber Gardens Independent & Assisted Living/Wellness Services 6024 200th Street SW Lynnwood WA 98036 425-673-7111 Sunrise of Lynnwood Assisted Living/Alzheimer’s Care 18625 - 60th Ave W Lynnwood WA 98037 425-771-7700 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 360-659-1279 MILL CREEK Mill Creek Gardens Assisted Living/ Alzheimer’s memory impaired only 13200 - 10th Dr SE Mill Creek WA 98012 425-379-8276 Merrill Gardens at Mill Creek Independent and Assisted Living 14905 Bothell Everett Hwy Mill Creek WA 98012 425-338-1580 MONROE Merrill Gardens at Monroe Independent and Assisted Living/Alzheimer’s Memory Impaired 15465 - 179th Ave SE Monroe WA 98272 360-794-4284 MOUNTLAKE TERRACE Mountlake Terrace Plaza A Merrill Gardens Community Independent and Assisted Living 23303 - 58th Ave W Mountlake Terrace WA 98043 425-672-4673

MUKILTEO Harbour Pointe Independent and Assisted Living 10200 Harbour Place Mukilteo WA 98275 425-493-8555 SNOHOMISH Sunrise of 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 360-629-3445 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 Aldercrest - Edmonds 425-775-1961 Bethany at Pacific - Everett 425-259-5508 Bethany at Silver Lake - Everett 425-338-3000 Delta Rehab Center - Snohomish 360-568-2168 Edmonds Rehab and Healthcare –Edmonds 425-778-0107 Everett Rehab and Care Center Everett 425-513-1600 Everett Trans. Care - Everett 425-258-7552

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Forest View Trans. Health Center –Everett 425-258-4474 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 Parkway Nursing Center Snohomish 360-568-8566 Regency Care Center at Arlington - Arlington 360-403-8247 Regency Care Center of Monroe Monroe 360-794-4011 Sunrise View Convalescent Center - Everett 425-353-4040

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 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

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Highland Greens Townhomes Senior Residences Village Court @ 3200 N 30th St Mount Vernon WA 98273 360-540-1438 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 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

Bellingham Health Care & Rehab Licensed Skilled Nursing/ Specialized Care 1200 Birchwood Bellingham WA 98225 360-734-9295

St. Francis Extended Health Care Licensed Skilled Nursing 3121 Squalicum Pkwy Bellingham WA 98225 360-734-6760

Cordata Health Care & Rehab Center Licensed Skilled Nursing 4680 Cordata Parkway Bellingham WA 98226 360-398-1966 Fairhaven Estates 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 The Leopold Retirement & Assisted Living 1224 Cornwall Ave Bellingham WA 98225 360-733-3500 Merrill Gardens at Cordata Retirement/Assisted Living/ Specialized Care 4415 Columbine Dr Bellingham WA 98226 360-715-8822

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

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 The Courtyard Dementia Care Community Assisted Living/Enhanced Specialized Care 848 W Orchard Dr Bellingham WA 98225 360-715-1338

ISLAND

SEDRO-WOOLLEY Birchview - A Memory Care Community Assisted Living/ Enhanced Adult Residential Care 925 Dunlop Ave Sedro-Woolley WA 98284 360-856-1911

WHATCOM

Spring Creek Retirement & Assisted Living 223 E Bakerview Road Bellingham WA 98226 360-756-2301

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

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

SENIOR guidebook – bridging generations

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 Brighton Gardens of Bellevue Assisted Living & Alzheimer’s Care 15241 NE 20th Street Bellevue WA 98007 425-401-0300 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

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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 425-485-8900 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 ENUMCLAW High Point Village Retirement & Assisted Living 1777 High Point Street Enumclaw WA 98022 360-825-7780 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 KENMORE Spring Hill of Kenmore Assisted Living 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

Peters Creek Retirement & Assisted Living 14431 Redmond Way Redmond WA 98052 425-869-2273

Farrington Court Retirement / Assisted Living 516 Kenosia Avenue Kent WA 98030 253-852-2737

The Marymoor Retirement & Assisted Living 4585 W. Lake Sammamish Parkway NE Redmond WA 98052 425-556-9398

KIRKLAND Aegis of Kirkland Assisted Living / Memory Care 13000 Totem Lake Boulevard Kirkland WA 98034 425-823-7272

RENTON The Lodge Retirement / Assisted Living 1600 South Eagle Ridge Drive Renton WA 98055 425-793-8080

Aegis at Totem Lake Retirement / Assisted Living / Memory Care 12629 116th Avenue NE Kirkland WA 98034 425-814-2841

SEATTLE Aegis at Northgate Memory Care 11039 17th Avenue NE Seattle WA 98125 206-440-1700

Kirkland Lodge Assisted Living 6505 Lakeview Drive NE Kirkland WA 98033 425-803-6911

CRISTWOOD Retirement Community Residential/Assisted Living Skilled Nursing/Onsite Home Health 19303 Fremont Avenue North Seattle (Shoreline) WA 98133 1-877-639-3292 / 206-546-7565

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 425-828-2570 MERCER ISLAND Sunrise of Mercer Island Assisted Living & Alzheimer’s Care 2959 76th Avenue SE Mercer Island WA 98040 206-232-6565 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

Merrill Gardens at Northgate Independent and Assisted Living 11501 15th Avenue NE Seattle WA 98125 206-362-7250 Merrill Gardens at Queen Anne Independent and Assisted Living 805 4th Ave N Seattle WA 98109 206-284-0055 Merrill Gardens at Renton Centre Independent and Assisted Living 104 Burnett Ave S Renton WA 98057 425-235-6400 Merrill Gardens at West Seattle Independent 4611 35th Ave SW Seattle (West) WA 98126 206-932-5480 Merrill Gardens Admiral Heights Independent and Assisted Living 2326 California Ave. S.W. Seattle (West) WA 98116 206-938-3964

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Merrill Gardens at the University Independent & Assisted Living 5115 25th Ave NE Seattle WA 98105 206-523-8400 Northgate Plaza A Merrill Gardens Community Independent & Assisted Living 11030 5th Ave NE Seattle WA 98125 206-363-6740 Remington Place Retirement 3025 NE 137th Street Seattle WA 98125 206-367-0369 Ballard Landmark Retirement/Assisted Living 5433 Leary Ave NW Seattle WA 98107 206-782-4000 the Stratford at Maple Leaf Independent, Assisted Living and Memory Care 9001 Lake City Way NE Seattle WA 98115 206-729-1200 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 425-483-7953

KITSAP PORT ORCHARD Park Vista Retirement & Assisted Living 2944 SE Lund Avenue Port Orchard WA 98366 360-871-2323

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SILVERDALE CRISTA Shores Retirement Community Residential, Assisted Living 1600 NW Crista Shores Lane Silverdale WA 98383 1-800-722-4135 / 360-613-3502

PIERCE BONNEY LAKE Cedar Ridge Retirement & Assisted Living 9515 198th Avenue E Bonney Lake WA 98391 253-299-6461 GIG HARBOR Clare Bridge Shoreline View Alzheimer’s & Dementia Care 9324 N Harborview Drive Gig Harbor WA 98332 253-858-7790 Merrill Gardens at Gig Harbor Independent and Assisted Living 3213 45th Street Court N.W. Gig Harbor WA 98335 253-858-5300 Sound Vista Village Retirement & Assisted Living 6633 McDonald Avenue Gig Harbor WA 98335 253-851-9929

TACOMA Life Manor Independent Senior Living 1601 S.Union Avenue Tacoma WA 98405 253-383-3363

CLALLAM PORT ANGELES Park View Villas Retirement & Assisted Living 1430 Park View Lane Port Angeles WA 98363 360-452-7222

Life Manor Assisted Living Community 1609 S.Union Avenue Tacoma WA 98405 253-779-3800

JEFFERSON PORT TOWNSEND Discovery View Retirement Apartments 1051 Hancock Street Port Townsend WA 360-385-9500

Villas Union Park Independent Living 2010 S Union Avenue Tacoma WA 98405 253-752-6870

Seaport Landing Retirement & Assisted Living 1201 Hancock Street Port Townsend WA 98368 360-379-9376

Wynwood Allenmore Personalized Assisted Living 3615 S 23rd Street Tacoma WA 98405 253-759-7770

GRAYS HARBOR HOQUIAM Channel Point Village Retirement & Assisted Living 907 K Street Hoquiam WA 98550 360-532-9000

THURSTON

MILTON Mill Ridge Village Retirement & Assisted Living 607 28th Avenue Milton WA 98354 253-925-9200

LACEY Woodland Retirement & Assisted Living 4532 Intelco Loop SE Lacey WA 98503 360-528-3253

PUYALLUP Clare Bridge Puyallup Alzheimer’s & Dementia Care 8811 176th Street E Puyallup WA 98375 253-445-1300

OLYMPIA Clare Bridge Olympia Alzheimer’s & Dementia Care 420 Yauger Way SW Olympia WA 98502 360-236-1400

Merrill Gardens at Puyallup Independent and Assisted Living 123 4th Avenue NW Puyallup WA 98371 253-848-1234

Merrill Gardens at Olympia Independent and Assisted Living 616 Lilly Road N.E. Olympia WA 98506 360-456-0601

Silver Creek Retirement & Assisted Living 17607 91st Avenue E Puyallup WA 98375 253-875-8644

YELM Rosemont Retirement & Assisted Living 215 Killion Road NW Yelm WA 98597 360-458-1800

CLARK VANCOUVER Bridgewood Retirement & Assisted Living 11700 NE Angelo Drive Vancouver WA 98684 360-254-4666

COWLITZ LONGVIEW Monticello Park Retirement & Assisted Living 605 Broadway Longview WA 98632 360-575-1778

CHELAN WENATCHEE Columbia Heights Retirement & Assisted Living 1550 Cherry Street Wenatchee WA 98801 509-662-8646

GRANT MOSES LAKE Pioneer Village Affordable Independent Retirement Apartments 816 E. Sharon Avenue Moses Lake WA 98837 888-548-6609

SENIOR guidebook – bridging generations

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