“Bee” yourself at
OCT/NOV/DEC 2010 www.seniorguidebook.com
Life is a 3-D Adventure at Garden Court!
Virtual Tour & more at www.gardencourtretirement.com
RETIREMENT COMMUNITY www.seniorguidebook.com
520 - 112th Street SW • Everett WA 98204 425.438.9080 • FAX 425.438.1604 1
For advertising information contact: DAVID KIERSKY, Publisher 213 V Avenue / Anacortes WA 98221 PHONE 360.588.9181 / FAX 360.588.9003 EMAIL firstname.lastname@example.org
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.
CARING FACES Garden Court Retirement Community – Everett Cheri Therriault Marketing Director 425-438-9080
Aegis of Bellevue Mary Miller, Marketing Director Molly Wolniewicz, Marketing Director 425-453-8100
4 6 8 10 12 14 18 21 22 23 29
Age Is Just A Number – Marvon Pierce and Tracey Harvey Answers About Memory Care and Alzheimer’s Disease – Michael Hickey Active Living – Bill Pettit, President, Merrill Gardens Could Elective Surgery Improve Your Life? – Andrew Schorr Little Known Veterans’ Assisted Living Benefit – Don Smith Alzheimer’s Disease and the Importance of Aging In Place – Ashley Clark Rea Do I Like This? Alzheimer’s and the Dining Experience – Linda Emerson Recovering From Loss of A Loved One – Jeanne Wallin The Death Tax is Dead...ERR, Long Live the Death Tax! – Dennis Brislawn Cautionary Tales from Travelers – Rick Steves Directory
ADVERTISERS Front Cover Garden Court Retirement Community – Everett Back Cover Gentiva: Bellevue, Bremerton, Everett, Kent, Puyallup, Seattle, Tacoma Inside Front Cover Mirabella – Seattle Inside Back Cover Somerset Memory Care Community – Everett Centerfold 16 Edmonds Landing – Edmonds 17 Rosewood Courte – Edmonds
Garden Court Retirement Community – Everett
GenCare Lifestyle: Ballard Landmark – Seattle; The Lodge – Renton; Scriber Gardens – Lynnwood; The Village – Granite Falls; Remington Place – Seattle-Lake City; Sun City-Arizona
The Bridge – Mount Vernon
Sunrise Senior Living: Edmonds, Lynnwood, Snohomish, Mercer Island, Bellevue, Brighton Gardens of Bellevue
Merrill Gardens: Bellingham, Gig Harbor, Kennewick, Kirkland, Marysville, Mercer Island, Mill Creek, Monroe, Mountlake Terrace, Northgate, Northgate Plaza, Olympia, Puyallup, Queen Anne, Renton, Spokane, Stanwood, Tacoma, University Village, West Seattle-Admiral Heights, West Seattle, Woodinville, Vancouver
Salem Village Communities: Highland Greens Cottages, Salem Village II, Highland Greens Senior Apartments, Salem Village Apartments – Mount Vernon
Leisure Care: Fairwinds-Brighton Court – Lynnwood; Fairwinds-Brittany Park – Woodinville
19 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 PatientPower.info SeniorGuidebook.com Alzheimer’s Association – Seattle
SENIOR guidebook – bridging generations
Redefining Senior “HOME”
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
AL, ALZ AL, ALZ AL, ALZ AL, ALZ AL, ALZ AL, ALZ
Age Is Just A Number by Marvon Pierce / Tracey Harvey
As the saying goes, “you are what you eat,” so the reality is you are as young (or as old) as you feel. Years have nothing whatsoever to do with a person’s age, except how it records the passage of time. One can be old at 30, and yet be young at 70. Given that advancing age is often associated with a ody is the direct result of the mental and physical care over a lifetime.The goal to live younger requires you to practice, and continually challenges your senses to live a healthy and energetic life full of vitality. We all know we must eat and drink to be healthy. However, the focus should be on understanding the difference between food and nourishment. I’m sure many of you have, at one time or another, felt the effects of being tired, stressed, or fatigued. To live younger means: KNOWING and UNDERSTANDING OUR BODIES, in the same way an expert mechanic knows and understands his automobile. For example, in order for an automobile to function at top performance, it needs to follow the manufacturer’s scheduled maintenance checks. Regular maintenance includes the appropriate oil and grade, gasoline to make the engine run, and antifreeze in order to keep the engine cool. Imagine what would happen if you didn’t change your oil, put sugar in your gas tank instead of gasoline, or placed syrup in the radiator instead of antifreeze. Without a doubt, the engine would malfunction because of a host of problems, eventually shutting down the whole vehicle. Our bodies, in the same way, were designed to meet certain requirements. Filling our bodies with unhealthy food and beverages is the same as putting sugar into our gas tank. It can result in health problems such as: heart disease, cancer, diabetes, kidney stones, bloating, enlarged colon, constipation, allergies, and a list that goes on for days. The body, in which we live, is the only physical manifestation we have in order to function. If we are to live healthier, younger lives, many of our eating and drinking habits must be changed. As the saying goes, “If you want something you’ve never had, you must do something you’ve never done.” 4
Just as it is important to forecast and stimulate your retirement needs, do not under estimate that the link to youth is through the foods you eat. If you want to live young, the principle that we are what we eat, certainly holds true. We must begin to practice using the discipline it takes to enrich our culinary tastes. Eating whole, fresh, organic foods and beverages, which will ignite and fuel the body with youth juice can do it. Eat well and live young.
Marvon Pierce is the Corporate Culinary Director & co-contributor 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
Remove laundry from your to-do list.
Forever. Forget everything you knew about senior living, GenCare Lifestyle has made it all obsolete. We’re talking organic foods, vitality and
Whole Life Living. Ballard Granite Falls Lake City Lynnwood Renton Sun City (Arizona)
stay sharp centers, and wellness programs that focus on balance, flexibility and strength. Plus, you’ll enjoy giving back and staying connected to your local community through a wide range of opportunities. It’s a whole new approach we call Whole Life Living, and we’d love to tell you more about it. Give us a call today.
gencarelifestyle.com 206.782.4000 www.seniorguidebook.com
Answers About Memory Care & Alzheimer’s Disease by Michael Hickey
I Feel So Guilty... When asked to describe the emotions associated with caring for a loved one with memory loss, the most common response is, “I feel so guilty.” Typically, caregivers feel this guilt about things that happened in the past, the unusual behavior of their loved one, losing their temper, resenting the responsibility of care giving, and so much more. Some of these guilty feelings are passing, while others are more lasting and center around critical issues. The trouble with guilt feelings is that, if left unaddressed, they can interfere with healthy, effective decision making. Recognizing the guilt that surrounds caring for a loved one with memory loss can help keep it in perspective. This allows the caregiver to be more objective in their daily interactions with their loved one. Here are some things you can do to help keep your guilt in perspective: • Recognize the feelings for what they are. When the source of guilt feelings is recognized, they become manageable. • Identify how the feelings of guilt are affecting your decision-making. • Don’t second-guess the decisions that you make. • Don’t expect to be perfect. It is common to feel resentful, angry, and lonely at times. Accept these feelings as normal, and don’t allow yourself to feel guilty. • Seek help from professionals and support groups. You need outside support and guidance to keep perspective. • Above all, remember, you are doing the very best job that you can. You are a Hero! Give yourself credit for all that you do, just as your loved one does. 6
Caregiver Support Research published in the Journal of the American Medical Association indicates that caregivers, who receive education and emotional support, are better able to cope with the challenges and decisions that they face. The study concluded that, “care giving has high emotional and physical costs for caregivers. It is important that they have the information needed to cope with the disease, as well as information regarding the care and assistance options available to them.” The study stated that caregivers who received useful information were more likely to feel in control, and felt a sense of hope as a result of their alternatives and choices. There are many opportunities in our area for caregivers to obtain support, and many resources to receive support. You can contact us for complete details on resources within the community. If you’d like more information on our programs for caregivers, available resources, or Residential Care for your loved one, please contact us at Rosewood Courte at 425-673-2875, or stop by at 728 Edmonds Way, Edmonds. Michael Hickey is the administrator with Northwest Care Management, for Rosewood Courte Memory Care Community.
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
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 ANOTHERS COMPANY
AN ASSISTED LIVING COMMUNITY
301 South LaVenture Road Mount Vernon, WA 98273 www.centurypa.com 9/09
Active Living by Bill Pettit, President At Merrill Gardens communities, residents are learning new skills, improving their quality of life and having fun while participating in our innovative wellness program. Merrill Gardens Active Living is designed to show seniors how to increase muscle strength, flexibility and endurance through a variety of physical activity programs that are specifically designed for seniors. Active Living is individualized for each resident, regardless of age or medical condition and offers segments that build upon each other. Residents track their results based on ability and personal goals. The Active Living program was developed exclusively for Merrill Gardens by a physician who is a well known leader in healthy aging. Dr. Chris Fordyce, the Medicare Medical Director for Group Health Cooperative in Seattle, Washington, has testified before Congress on ways to increase senior health and has worked on a national care bill to improve quality of care. She developed the Merrill Gardens Active Living program in partnership with the National Blueprint to Increase Physical Activity in the 50+ population, sponsored by the Centers for Disease Control and the Robert Wood Johnson Foundation. â€œWe designed Active Living to weave the best of clinical research around aging into the fabric of everyday life at Merrill Gardens at each community. Seniors who are physically active and socially connected are the most likely to be able to obtain a healthy outcome and now they can have both of those things living 8
at Merrill Gardens. With Active Living, I believe that Merrill Gardens is redefining retirement community living,â€? said Dr. Fordyce. Residents at Merrill Gardens learn about the positive impact that increased physical activity can make in their lives. They are encouraged to participate in some form of physical activity at least 30 minutes per day. They can choose from a variety of planned activities or classes that are designed to build muscle strength, increase flexibility and improve balance. Participants can use pedometers to count their steps and the Active Living Director also helps them to track their progress on a daily log. Seniors who participate are seeing a dramatic increase in their overall health and mental attitude, regardless of medical problems or disability. We believe that Active Living is much more than an exercise program for our residents. It is a lifestyle that gives them an opportunity to learn new skills, improve their quality of life and have a great time with their friends. Active Living is the culmination of our commitment to provide a unique living experience for everyone who calls Merrill Gardens home.
For more information about Merrill Gardens, visit our website at www.merrillgardens.com or check out our facebook page. Or give us a call at 1-800-379-883.
SENIOR guidebook â€“ bridging generations
Bellingham* (360) 715-8822
Gig Harbor (253) 858-5300
Kennewick (509) 586-5633
Jazz It Up!
Marysville (360) 659-1279
Mercer Island (206) 236-0502
Mill Creek (425) 338-1580
Monroe* (360) 794-4284
Mountlake Terrace (425) 672-4673
Northgate (206) 362-7250
Northgate Plaza (206) 363-6740
Olympia (360) 456-0601
Vancouver (360) 896-6081
Puyallup (253) 848-1234
Queen Anne (206) 284-0055
Renton (425) 235-6400
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
So put a little zest in your step, and call us today for a personal tour!
West Seattle Admiral Heights (206) 938-3964
West Seattle (206) 932-5480
Woodinville* (425) 483-7953
A one of a kind retirement community
Kirkland (425) 828-2570
University Village (206) 523-8400 www.seniorguidebook.com
*Woodinville offers Independent Living only. Alzheimerâ€™s Care available at Bellingham, Monroe and Stanwood.
Retirement, Assisted Living & Alzheimerâ€™s Care 9
Could Elective Surgery Improve Your Life? by Andrew Schorr
I am not a big proponent for having surgery, as there are always risks, and as we get older there is always the concern that those risks may increase. However, times have changed and elective surgery is becoming more common, and in many peoples minds the benefits are outweighing the risks. The thinking used to be that if you were 65+, and certainly if you were 80+, you were getting too old for surgery. If you had diabetes or took a lot of medications, it was too risky. Sure, heart surgery or vascular surgery might be a necessity in some cases, but other than that, one should avoid “going under the knife.” Today’s thinking is much more liberal, in the respect that we are now in the age of minimally invasive surgery. It’s incredible what surgeons have learned to do with laparoscopes, small incisions, tiny cameras, and lately, robots. The surgeries go more quickly, there is less anesthesia, less blood lost, less trauma, and quicker recovery. Now, it is not uncommon for some surgeons to regularly operate on people 90 years of age. The question remains, if it isn’t a medical necessity for you to have surgery, should you? I have been thinking that there are more and more reasons to proceed. I’ll start with my dear mother-in-law. Like so many people in her 70’s, she had developed an arthritic hip. It was becoming painful to walk, and the handicapped parking pass was essential equipment for any trip. When getting on and off planes, a wheelchair was always required. My mother-in-law was unhappy, and uncomfortable, as it seemed her body was wearing out. She opted for a total hip replacement, and I’m pleased to say that It has given her back her life. 10
She has now been on many trips to exotic places, walked along the Great Wall of China, and rolled around with grandchildren. That was not possible before the surgery. She did, however, hold onto the parking pass – just in case. Let’s contrast her story with that of the man from whom I recently rented my vacation house. He was painfully limping around with a bum knee. Could knee surgery repair his problem, and take away his pain? Certainly it would, but some physical therapy and a bit of recovery time would be involved too. Was it worth it? I would say definitely. He was hesitating because he’s older. I thought to myself that this was “hogwash.” Yes, there are risks. Today I read about a new super bug that’s making its way from India into U.S. hospitals. At risk would be anyone who has surgery, or even a small cut or wound. There is no drug at the present time to beat it. That’s scary and gives one pause as to even visiting a hospital (that’s where the bugs are!). However, I do believe the risk is low and the benefit of getting moving again is very high. You deserve active senior years. Do not let fear of surgery make you sedentary for the rest of your life. None of this is meant to push you toward any surgery, any time, or with any doctor or hospital. Absolutely not! Do your research, get second opinions, check out a hospital’s success rates, and infection rate. Don’t feel that elective surgery is only for the young. It could be your key to a new lease on life.
For more information , please visit www.patientpower.info
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 COTTAGES 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
Highland Greens Cottages 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
Simplified Condo-style living “purchase” and “resale” • “We buy it back” • No closing cost • Yard care provided • Easy
Universal design for aging in place stairs or steps • Wide doorways • Tub and walk-in shower • No
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
Little Known Veterans’ Assisted Living Benefit by Don Smith, ChFC
In my financial planning practice, I frequently meet seniors who have health issues that make it difficult to live independently. If medically appropriate, most seniors, when given the choice, prefer to live at home or in an assisted living community. However, many seniors cannot afford home health care or the monthly cost of an assisted living community. Medicare provides little or no financial help in this area, and if you are single Medicaid requires you to spend-down your assets to the poverty level. There is however, a little known resource available for wartime veterans, that is not used nearly enough. The benefit is called, “The Aid and Attendance Pension.“ This veterans benefit has nothing to do with a service-connected disability. Wartime veterans can receive a check from the VA to help pay for in-home health care, assisted living facility fees, and other unreimbursed medical expenses. Under this program, a married veteran may receive up to a maximum of $1,949 per month, and a single veteran may receive up to $1,644 per month. In addition, an unmarried, surviving spouse can receive up to $1,056 per month. The surviving spouse would have to be married to the veteran when he/she passed away, and not divorced. In general, to qualify, a veteran must have 90 days or more of active duty and an honorable discharge. At least one day of service must have been served during wartime. It is not a requirement that the veteran served in battle. Another area of qualification is the medical needs test.The VA will want to know what type of assistance is needed by the veteran, or surviving spouse. Typically you would need assistance with some activities of daily living, or have a cognitive impairment such as Dementia or Alzheimer’s. There are income and assets tests to meet, as well. Therefore, an experienced counselor is a benefit when navigating these waters. If you or a loved one would like more information on this valuable program for our veterans and their spouses, please contact our office at 800-548-4934. Or visit our web site at www.vetassistedliving.com For information about retirement or assisted living, please contact the Sales Advisors at Fairwinds Brighton Court 425-775-4440 and Brittany Park 425-402-7100 12
Don Smith, ChFC, is a registered representative with and securities and advisory services offered through: PlanMember Securities Corporation, a Registered broker/dealer investment advisor and Member FINRA/SIPC 6187 Carpinteria Ave Carpinteria, CA 93013 800-874-6910.Emerald Capital Preservation, Inc. and PlanMember Securities Corporation are independently owned and operated. Ancillary services mentioned are not available through PlanMember Securities Corporation, Inc. (PSEC) but are available exclusively through Emerald Capital Preservation, Inc. PSEC disclaims all responsibility and liability for such services.
SENIOR guidebook – bridging generations
How can I afford a senior living community?
We Can Help You Understand Your Financial Choices and Resources So you, or a loved one, are ready to make a move to a senior community lifestyle. What’s the next step? In these difficult economic times, the financing choices can seem tough to navigate. We can help you discover the many resources you may not realize you have available to you! Whether it’s using traditional funding sources such as retirement accounts, real estate, and insurance, or less known sources such as government benefits, the options can be confusing. So, rely on our expertise to put your mind at ease. Call us today, or visit www.leisurecare.com to learn more. We’re here to help.
It’s More Than Retirement. It’s Five-Star Fun. Fairwinds - Brighton Court • 6520 - 196th St SW • Lynnwood • 425.775.4440 Fairwinds - Brittany Park • 17143 - 133rd Ave NE • Woodinville • 425.402.7100 www.leisurecare.com
Alzheimer’s Disease and the Importance of Aging in Place by Ashley Clark Rea
If you or a loved one is currently living with Alzheimer’s, you are not alone. More than 5 million Americans suffer from this degenerative disease, and it is currently the 7th leading cause of death in America. Although there is no cure for Alzheimer’s, there are steps you can take to ensure the years ahead are lived with dignity. The Alzheimer’s Association website offers good advice for people living with this disease.“One of the best things you can do for you and your family is to get legal, financial, and care plans in to place. Doing so allows you to participate in making decisions, and ensures your family won’t be forced to make them for you in a crisis situation.” One of the most difficult decisions of the above mentioned, is that of where you will live. Is a small intimate setting where you will be the happiest, or a large retirement community with all the bells and whistles? Do you prefer to live in the town where you have always lived, or relocate to be closer to family? There are different types of retirement living communities from which to choose. Senior communities may offer only Independent Living, Assisted Living, Memory Care, or Skilled Nursing. One of the issues for people living with Alzheimer’s disease, when choosing where to live, is managing the various stages of the disease. You may be independent, but quickly progress to need memory care. On the other hand, you may have a spouse who needs a different level of care, and you are faced with making the decision to live in different communities. As a marketing director for Aegis of Edmonds, I hear this story every day. Mom is healthy and happy at home, but Dad needs more care. Separating two people who have spent the last 60 years together would be heartbreaking, but not getting Dad the care he needs would be worse. That’s when I tell them,“Aegis of Edmonds is a community where they can both age in place.” An “age in place community” offers an environment where residents can continue to live, regardless of the various stages of care needed. It is somewhere they can be comfortable with familiar surroundings and set routines. Some age in place communities are considered continuing care retirement communities, and offer independent living, assisted living, memory care, and hospice care all in one setting. These communities include accommodations and health care service based on the level of care needed. 14
At Aegis of Edmonds, we offer four levels of care. Residents may begin with assisted living care, where our residents are cognitively healthy and mostly able to care for themselves. They choose Aegis of Edmonds as their home because of the wonderful programming, amazing activities, new friends, great food, perks of having a full staff to cater to their every whim, and assistance with care when needed. Our next level of care caters to residents with early to mild dementia or Alzheimer’s. Residents at this stage of the disease have two choices: stay in Assisted Living or move into a memory care unit. Studies have shown that when residents with certain forms of dementia are placed with those in later stages, they may decline faster. However, when they are around other residents with higher cognitive abilities, they become embarrassed and socially isolated. The gradual change we offer with our different levels of care allows residents to be with others who have similar needs. Our next two levels of care deal specifically with residents who have severe dementia or Alzheimer’s, as well as those needing end of life hospice care. We call this level, Life’s Neighborhood. These communities are designed specifically for people with memory loss. Our apartments are easy to navigate, we have licensed nurses on staff, and our activities provide cognitive and physical stimulation to help soothe and relieve the effects of Alzheimer's and dementia. We continually focus on socialization, which is paramount to health and well-being. Communities with multiple levels of care offer people living with Alzheimer’s, and their families, great benefits. The disruption of a move, combined with a new home, routine, and unfamiliar faces can be detrimental for someone living with Alzheimer’s. The individual may regress, temporarily or permanently, and the move can cause anxiety. Age in place communities provide piece of mind for our residents and their loved ones. People suffering from Alzheimer’s disease maintain their independence by choosing their home and care plan, while family members can relax with the confidence that they are fulfilling their loved ones wishes. There is nothing more rewarding then helping a couple complete the circle of life together. For more information, contact Ashley Clark Rea at Aegis of Edmonds 425-776-3600
SENIOR guidebook – bridging generations
Life’s calling. So answer. There are too many things to see and do, not to take advantage of every second. And we can help. Let us give you a hand. Consider us your second family—we’ll certainly treat you like you are. Call the community nearest you or go to aegisliving.com for more information. Totem Lake (Kirkland) 425-814-2841
Callahan House (Shoreline) 206-417-9747
EDMONDS LANDING Gracious Retirement & Assisted Living Catered Living ~ Boutique Lifestyle
• Olympic Mountains Views • No Buy In - No Lease • Free Health Club Membership Included • Free Transportation to Doctor’s Appointments • Walk to Shops & Downtown Edmonds
425.744.1181 180 Second Avenue South • Edmonds • www.edmondslanding.com 16
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
Do I Like This? Alzheimer’s and the Dining Experience by Linda Emerson
Being a sucker for a pair of blue eyes, I couldn’t help but stare at the stunning azure ones emitting a sparkle, to rival my young son when he’s up to no good. Then, the lovely lady behind those beautiful baby blues smiled at me, and I was instantly smitten. Am I thinking about Alzheimer’s, nutrition, and the dining experience? No, not unless handing over the entire cookie jar to her counts! I am not a caregiver, not in the official sense. I am the Business Office Manager for HomePlace Special Care Oak Harbor. I am more accustomed to collecting rent and chatting with families, than being called into service for caregiving. Fortunately, HomePlace requires all staff to be trained and prepared whenever needed. This gives me the occasional opportunity to leave my office kingdom and step into another realm, the realm of Alzheimer’s. A realm where nothing is as it should be: Alice can’t even find the rabbit hole anymore, Dorothy is never going back to Kansas, and the train station is in the back alley, unless the ferry docks first. I open the door and cross the threshold. The sharing of meals goes back as far as time. In our perpetually rushed society, filled with fast food and a host of media activities, much of the enjoyment in shared meals has been lost. Families used to sit down to the dinner table and talk to each other. It was a great time to connect, to plan, to solve world
problems. Having grown up in such a family, it was a natural thing to converse during mealtime. In the area where resident’s need the highest care, however, many of our residents no longer speak or even carry on a conversation. I have found I’m horribly inept at one-sided conversation, delivering silly statements about the weather and little else. Cream of Wheat was my savior. Yes, hot cereal. It started with the memory of my mother, singing the Cream of Wheat advertisement song. “Do you know the Cream of Wheat song?” I ask one of our residents. “My mom used to sing it to us every time we had it for breakfast. It’s my all time favorite, especially with brown sugar and milk. It sure looks good today...”Once the self conscious embarrassment is over, it’s easy to come up with subjects. Perhaps the antics of the cat or dog, something the children have accomplished, weddings, umbrellas, sledding, apples, the list is endless, but best of all, they love me for it. Not being able to articulate well enough for conversation does not mean that communication is nonexistent. Take Mr. D for instance. He kept staring at his plate as though he was unsure what to do with its contents. I explained my actions, as I placed the fork in his hand. I made sure his food was manageable, and that nothing needed to be cut up. I placed my hand over his, and lifted the continued on page 20
SENIOR guidebook – bridging generations
I want only the best for Mom...and I’ve found it at
Special Memory Care Center
171 SW 6th Avenue Oak Harbor WA on beautiful
WHIDBEY ISLAND Homeplace provides a nurturing, familiar and uplifting environment where the needs of individuals matter. • Caring staff onsite 24 hrs/7 days a week • Familiar daily routine • Medication assistance • Daily activities • Special events & outings
360.279.2555 email@example.com • www.homeplaceoakharbor.com www.seniorguidebook.com
Do I Like This? Alzheimer’s and the Dining Experience continued from page 18 fork to his mouth. He allowed this for a few bites, then looked directly at me and said in an unmistakably annoyed tone, “I can do this myself.”“You most certainly can. Thank you for reminding me.” While the rebuff brought a bit of blush to my cheeks, I had assumed he was confused without really finding out. Turns out he hates green vegetables, and those green beans were not appealing. He was probably trying to figure out how to get rid of them! Mr. K had not touched his cereal. He is not always able to feed himself, so I mixed in the milk and asked if he’d like to try some. Receptive for a moment, he suddenly dropped both hands onto the table and shouted, “NO!” I was a bit taken back by this unexpected response, but I had to admit, the eggs and sausage looked really good in spite of my hot cereal worship. The hot cereal disappeared, and the “real” food was front and center. Mr. K didn’t hesitate, and definitely did not need any assistance. He paused, mid sausage, and stared at me. He then threw back his head, and gave a boisterous belly laugh. Looks like the joke is on me. Every resident has his or her favorite and not so favorite foods. Some don’t like spinach, while others aren’t so fond of peaches. Personally, unless it’s in the form of a chip, I don’t like blue potatoes on my plate. I think it looks like something that I lost in my refrigerator. Residents often won’t eat wild rice, or potatoes with parsley. To them, it looks like bugs in the food! My Dad used to own a restaurant, and we were taught that the customer was always right. I’ve discovered the same holds true for our residents. If I remember I have my own preferences, I’m much better at remembering theirs. Constant conversation is not always necessary or appreciated. Mr. B, for instance, had a wonderful family. They loved him and doted on him. Every day they came in to help him during lunch. Unfortunately, they expected him to respond and act as he had prior to the onset of Alzheimer’s. Not only was this a source of frustration for his family, it also brought on much undo stress to Mr. B. His solution? He shut his eyes and pretended to sleep. This solution was used in a variety of settings, but was most effective at mealtimes. The wife would stay a few moments, then leave, stopping by the office to say he was “sleepy again.” Mr. B, on the opposite side of the door, was now merrily consuming his meal.The moral of the story is, sometimes we just need a little space. At HomePlace, we encourage families to take an active part in their loved ones lives, including mealtimes. In doing so, we take on the responsibility of education, helping families to assist in the best way possible for both themselves and the residents. Not surprising, families become extended and friendships thrive. Mr. L sat fingering his food. Many of our residents find finger foods easier to manipulate and eat, than foods requiring utensils. Mr. L didn’t appear to be eating though. “How are you today, Mr. L? Would you like some help?” “Oh yes, yes.” After cutting his meat, he took a few bites and then began to pick it up with his fingers. He was making better progress than he was with my assistance.
“You don’t really need my help, do you? You’re managing just fine.” “Yes,” he turned his head and cocked an eyebrow, grinning, “but it’s not nearly as much fun.” Now I had a belly laugh! Most of us, especially the elderly, do not drink enough fluid throughout the day. Getting enough fluid in our systems can prevent a host of ailments, especially urinary tract infections. For those with swallowing difficulties, drinking anything can be a frightening experience. Thickened fluids can make intake much easier and still be satisfying. Straws and ‘sippy’ cups can be used to give the person more control. It’s much less frustrating to sip, than to end up with juice down your front. One of my favorites is a cut away cup that allows residents to drink the last drop without having it stick to the end of their nose. Dignity in dining, that’s the key. If it dribbles down a chin or corner of the mouth, dab it away gently with a napkin and offer a smile. It’s the least we can do for each other. Bite size and portions can make a huge difference in dining enjoyment. Mrs. B is a dainty lady with deep brown eyes. She cannot feed herself and rarely speaks. She will not open her mouth if the bite on the fork is too large. She will refuse to look at you if she does not like the food offered. She has body language honed to a fine science. However, when offered tiny bites from a plate with small portions, she is much more receptive. The amount of food on a plate can look overwhelming to some. Most of our residents were raised in a time where waste was not acceptable and you “cleaned your plate.” Too much food can cause despair, as residents feel they will never be able to finish. On the flip side, sometimes there needs to be more. Many men often need larger portions to feel satisfied. Family members can become alarmed at visible weight gain, especially if their loved one was “always thin.” Alzheimer’s will eventually make it harder and harder for residents to take in the amounts needed to maintain weight, so having a bit of padding is not always detrimental. continued on page 24
SENIOR guidebook – bridging generations
Recovering From Loss Of A Loved One Attending To Our Sorrow by Jeanne Wallin
When we love someone, they become a mirror for our hearts. They reflect back to us the place within us that is love, the divine principle. When that mirror is shattered through death, we may feel as though love itself has died. – Stephen Levine, Unattended Sorrow We are deeply connected to those we love, and when we lose someone we deeply love our life changes. We miss their presence in our lives, and undergo a grieving process to heal our loss. Often, learning to live without them can be challenging. Getting support from family, friends, and helping professionals can help to ease sorrow and support us to move on in life. After a long marriage, Pam, an eighty-year old lovely and gracious woman lost her husband due to complications from adult onset diabetes. For ten years before he passed away, she served as his primary caregiver. She often set aside taking care of her own needs, to give him the best care she could. Without him, she felt “as if love had died.” Becoming a single woman, and living without the loving support of her husband was very stressful for her. As someone who loves to care for others, it did not feel natural reaching out to friends and family for support. Attending to her sorrow, she spent most of her time alone in the home she shared with her husband. She felt vulnerable, and worried about her future. To get the support she needed to heal, she decided to work with an energy-based therapy practitioner. Energy-based therapy is a type of Body/Mind therapy that works with the human bio-energy system. Energy-based therapies are based on the premise that we are more than our physical bodies, and each have a unique bio-energetic system that absorbs and radiates life energy. As seen from an energy-based therapy framework, it was determined a few years after the loss of her husband that Pam’s bio-energy system was depleted. Pam had no time to nourish herself, or plan for her future. The long years of caring for her husband and the sorrow she felt for his loss, depleted her energetically. When we are depleted energetically, like Pam, we are bio-energetically imbalanced. We feel tired, lack enthusiasm for life, and find life’s transitions challenging. Our bio-energetic system is complexly made up of the bio-physiological, bio-chemical, and neurobiological aspects of our selves and the integrated intelligence that manages these complex processes. Feelings of sorrow, worry, and anxiety release stress chemicals throughout the body, through a multitude of bio-physiological and bio-chemical processes. Periods of prolonged stress can affect the immune system, and our overall health. www.seniorguidebook.com
To begin feeling better, Pam had to build her resilience and renew her joy in living. Pam chose to see a Certified Brennan Healing Science Practitioner. A friend told her about Brennan Healing Science, and how it works directly with the bio-energetic system to support the natural healing ability of the Body/Mind. It is based on the principle that health and well-being include the “whole person” – the body, feelings, thoughts, relationships, and spirit. Certified Practitioners are taught specialized and advanced techniques, which are taught in a comprehensive four-year professional training program. Pam had a series of monthly Brennan Healing Science sessions, over a period of one year. During that time, she healed her sorrow and reawakened her joy. Getting support to heal sorrow and manage life’s challenges can help to transform sorrow into joy. Energy-based therapies, like Brennan Healing Science, help people feel better, reduce stress, build resilience, and live in balance. As Pam’s bio-energetic system was cleared, balanced, and re-energized, love for herself, family, friends, and the world around her gradually re-awakened. Her stepchildren and their children came to visit, and told her how much she meant to them. They asked her to be their mother and grandmother, and began to visit her frequently. She too, began to visit them where they lived in Colorado. She became re-acquainted with old friends, formed new friendships, began to travel to Hawaii and other fun places, and attended the theater and opera. Most importantly, Pam found pleasure in living a rich, full life. In her words, “I am more of a whole person with a life now.” Jeanne Wallin MS LMP is a Brennan Healing Science Practitioner and Personal Coach practicing at the Seattle Healing Arts Center in north Seattle and at Madrona Wellness LLC in Anacortes. For more information about Brennan Healing Science please visit http://www.madronawellness.com or call 360-927-5021. 21
The Death Tax is Dead... Err, Long Live the Death Tax! by Dennis Brislawn It seems like only yesterday that President George W. Bush signed into law the “Economic Growth and Tax Relief Reconciliation Act of 2001,” on June 7, 2001. At that time many thought that this was the phase out of the “death tax.” Well, it’s BAAACK. EGTRRA 2002 – 2009 (the phase out period) The estate tax “exclusion” was $675,000 in 2001. It increased to $3.5 million in 2009. There were limits on making lifetime gifts despite the increases, and the tax rate decreased from 55% in 2001 (60% for some) to 45% in 2007. Finally, there were changes in how state estate tax interacted with the federal estate tax. THEN CAME REPEAL (EGTRRA 2010) The federal estate tax and generation-skipping transfer tax were repealed in 2010. The gift tax was NOT, however the rate was reduced to 35% and the lifetime gift tax exclusion remained at $1 million. Just to keep things interesting we got new complicated “carry-over basis” provisions to replace prior “step-up in basis” provisions, i.e. a new capital gains tax. Little IRS guidance is available on how to apply this for people dying this year. BUT THERE WILL BE RESURRECTION (Sunset of EGTRRA in 2011) On January 1, 2011 we will revert to what the law would have been if EGTRRA had never been passed. Attempts to “fix” things failed in the Senate primarily for lack of bipartisan support. Current budgetary restrictions of PAYGO require that reductions in revenue be offset by corresponding reductions in expenditures. So, it appears that in all probability, 2011 will bring the return of a $1 million unified estate and gift tax credit, a $1.34 million GST exemption, a maximum estate tax, and GSTT rates of 55%. Remember, Washington also has a state estate tax with an exemption currently set at $2 million...so you may pay federal tax, no state tax...or BOTH. What a mess. WHAT SHOULD I DO – HOPE FOR CLARITY IN 2012? The better answer is almost always to plan now! There are lots of things you can do to fix things. First, update your estate plan since even modest sized estates will now have to plan for the possibility of a significant estate tax hit at the time of death. Married couples can often avoid estate tax by creating an estate “split,” with a
trust inside their Wills or Living Trust. Some couples and singles may also need to consider more advanced planning strategies to eliminate or reduce the tax hit. Remember too, that you need liquid assets to pay a tax or you may have to sell assets at fire sale prices. So, now is the right time to create options through planning. DON’T LET THE TAIL WAG THE DOG Be careful not to let the estate tax “tail” wag the estate planning “dog.” When estate-tax-motivated reasons for estate planning decreased over the last few years, successful estate planning attorneys learned that non-tax motivated reasons for planning were just as strong. In many cases, they were in fact more rewarding than the purely tax-motivated reasons. Taxes come and go, but the people and causes we love are constant companions in our lives. EXPECT CONTINUED UNCERTAINTY - FOR NOW The estate tax will continue to be a hot political issue beyond 2010. There are just too many winners and not enough losers if EGTRRA is allowed to sunset: Winners Democrats – Increased revenues will help offset continued increasing budget deficits. Republicans – Campaigning for a repeal of the estate tax continues to be an effective fundraising issue. A permanent resolution of the estate tax issue would “kill the Golden Goose.” Insurance Companies – Use of ILITs funded by life insurance policies will again become a popular estate-planning tool to pay for the estate tax and preserve the estate. Charities – estate tax motivated charitable planning will again become popular. States – a return of the state death tax credit will provide many states with much needed revenue. Losers Heirs – of everyone who fails to plan. One thing is clear. The political posturing of the estate tax issue has changed from the early Bush years of calls to “repeal the unfair and unjust death tax,” to “not giving a tax break to the very wealthy.” It is unlikely that we will see bipartisan political agreement on any meaningful, long-term “estate tax reform” in the near future. So, get thee hence to thy attorney, dust off that old estate plan, and take care of yourself and your loved ones, while putting in place some tax avoidance strategies. Plan to prevail. Don’t pay a tax premium that you can avoid.
Dennis Brislawn, J.D. (with Lew Dymond, J.D.) is a partner at BRISLAWN LOFTON, PLLC & the Private Client Law Group. They are located at 5555 Lakeview Drive, Suite 201, Kirkland, WA 98033. For more information you can contact them at (425) 803-9500 / (425) 827-7154 FAX. You can also email him at firstname.lastname@example.org, or visit them on the web at www.brislawnlofton.com 22
SENIOR guidebook – bridging generations
Cautionary Tales from Travelers by Rick Steves
Open-minded, trusting travelers have happier experiences in Europe...but hey, don't act like you've just fallen off the turnip truck! Watch for these scams, harvested from hundreds of tips that travelers have posted (for you to learn from!) Craftiness of Strangers Expect the unexpected: pickpockets come in all shapes and sizes. My husband and I arrived at Parisâ€™ Gare du Nord in the early evening and proceeded to read the map to find out how to get to our hotel via the Metro. One guy came up and advised us to buy tickets from the ticket machine. While we were at the machine trying to read the French, another guy came out and "helped" us buy tickets. The 3-day tickets we thought we were buying were, in fact, 1-way single-use tickets. We paid him the 48 euros which was displayed on the ticket machine, but he must have cancelled that transaction and bought us the single trip ticket instead. My advice is to buy Metro tickets ONLY through the ticket counter at the Metro station (a 2-day ticket is only about 13 euros). Pirates of the Tronchetto Be careful if you are parking at the Tronchetto and want to ride the public vaporetto boat into Venice. Men surrounded us, told us where to walk and directed us to private taxi boats. They refused to allow us to go to the vaporetto dock. They raised their voices at us, insisted that we take their private taxis. I pulled out my Rick Steves book, showed them that I wanted the vaporetto, but they yelled "NO MA'AM" at me and made us walk to the taxi boats. When we got in the boat, the man asked for more money than we'd been told it would cost. When I questioned him, he yelled "GET OUT!" My husband and I and our two children (and luggage) got out of the boat.
intention was only to watch. Of course, it all looked so easy. We lost about $70, no big deal. That $70 made me much more vigilant, so perhaps it was a cheap lesson. If you see someone playing the shell game or 3 card monty, be careful. No matter how easy it looks, only the "plants" in the crowd will win (if any native is playing then he/she is a plant). If you want to pick out thieves in the Metro and elsewhere, simply observe who's looking at what (the thieves are the ones who are looking at what other people are carrying). On the Metro, thieves love to walk up and down the aisles until just before the doors close. They time their grab with the closing of the door, and quickly jump through as it shuts.
As we walked back toward the parking garage, we found signs pointing to the vaporetto, and got there easily. We then realized that the men kept positioning us so that we could not see those signs earlier.
Creative Cabbie Cabbie creativity knows no bounds. At the very least, make sure the meter (required by the law) is up and running. My wife and I were ready to leave Rome after a great ten-day visit. We got into a cab outside our hotel, and asked the driver to take us to the train station (where we'd take a cheaper ride to the airport). The cab driver asked if we were leaving to fly home. We said yes. He then proceeded to tell us that there were major problems with the train to Fiumicino Airport, the line was down, etc ...but he would be glad to drive us directly to the airport for 80 euros!
Food Flight I had just been served pizza with some friends in Paris when a woman came up to our table and tried to take our food. Thinking she was a waitress, I said in French, "We are not finished, thank you." She ignored me and kept trying to take our food, when a real waitress appeared and shooed the woman out rather forcefully. Shell Shocked While visiting Sacre Coeur in Paris, a friend and I fell victim to the shell game in one of the alleys leading up to the church. Yeah, we were stupid, but our initial
Thank God I'd built enough time into our schedule so that I could investigate the train situation myself. I told him no thanks, take us to the train station anyway. There was no problem whatsoever with the train and we made it home sans difficulty. The lesson: try not to be in a rush. continued on page 25 23
Do I Like This? Alzheimer’s and the Dining Experience continued from page 20 Health shakes are a good nutritional supplement during times when residents are unable, or unwilling to eat conventional fare. As with other food items that can be perceived as “treats”, they do need to be a supplement, not a substitute for meals. They can be particularly effective when a resident has been ill and is unable to consume their normal dietary intake, giving them a boost until they are on the mend. They can also be useful at end of life stages, when swallowing more textured substances is no longer possible. Texture and looks are paramount. Ms. M, who has a pureed diet, takes one look at Ms. T’s plate and says, “ want what she has.” Of course, she is eating the same thing, but aside from the color, it has no resemblance. The texture is definitely different. Puree is necessary at times, and challenging to present attractively. Only recently did I read of innovative companies trying to recreate their pureed plates to actually look like the “real thing.” Round peas, carrot slices complete with ridges, and meat shaped like a chicken leg or steak. It may not be possible or cost effective to create masterpiece plates, but the idea is brilliant and well worth considering. If a person does not need puree, but cannot manage food presented in its regular state, it can be cut up or chopped into smaller pieces, then arranged attractively. Dessert can often bring about the “I want what he has” statement, especially if on a restricted diet. It can work both ways! Ms. F looked at Mr. O’s diabetic dessert, and decided his looked better than hers. At HomePlace Oak Harbor, our Food Services Director decided to create desserts compatible with most dietary restrictions. As a result, no one feels left out or different and dessert stealing is a thing of the past. Quirks of the brain fascinate me. They seem to pop up out of nowhere. A resident eats exactly half their plate of food, as though an invisible line was drawn down the middle. Hmm... A turn of the plate and they finish their meal. They can only see one side. Ms. L has difficulty getting her food from her plate to her mouth. While she is using her fork, the food is falling off the plate. Perhaps a scoop plate is in order, so she can scoop her food into the sides and not lose it off the plate. Not only does this guarantee she is getting what she needs, but also gives her a sense of accomplishment as well. Monitoring intake, appropriate texture, appearance, attention to resident needs, preferences, and abilities, will assure proper nutrition and dining success. Then, of course, there are ice cream sundaes, blueberry tarts, salsa and chips, and beer. Did I say beer? Why not? HomePlace Oak Harbor recognizes the 24
importance of food as a social activity. Our Activities Director often provides fun activities like making your own snow cones on a hot, sunny day, frosting cookies, celebrations of Father’s Day, Mother’s Day, Oktoberfest, and more, create a sense of anticipation and community. Not only do our residents enjoy the food and drink, they are also actively involved in preparing table decorations and place cards. Strawberries, blueberries, and raspberries grown in the courtyard provide sweet snacks, and opportunities for the residents to make tarts and pies. Lucky for us, they usually make enough so we can sample some too! The activity of making food, the smells while baking, and the triumph of the finished product are rewarding for everyone involved. Our Food Services Director tempts us all with warm cookies straight from the oven. Residents are quick to spot her carrying the cookie tray, and she fast becomes the Pied Piper of cookiedom. Is it as simple as it sounds? No, not at all, and I give our caregivers kudos for the hard work and patience they exhibit each and every day. Ms. B is a diminutive woman. As tiny as she is, she is a voice to be reckoned with. She cannot remember from moment to moment if she has asked for help. Consequently, she asks constantly, “Can you help me? Who can help me? Will you help me? How do I know you can help me?” Assured that any one of us can help her with whatever she may need, she looks down at her plate and asks, “Do I like this?” “Yes, that question can be challenging. One day spaghetti is a favorite, the next time it's shoved aside. Day after day, meal after meal, it's easy to forget that it's a chance for an intimate exchange, a smile, a pat on the hand, a back rub. See those blue eyes? Aren’t they beautiful? Some days they can make my brown eyes blue, and a little teary. I ache for all the lovely, dear people entrusted to our care, and I wish it were different for them. It is every day though, that they make my heart sing, delighting in the honor I’m given to share in their lives. Mealtime is over, and everyone is full, clean, and satisfied. It is time to return to the realm of the office kingdom, where trees have been manufactured into paper and the constant hum of the computer is ever before me. I pause at the door.“Do I like this?” I wouldn't trade it for the world.
For more information please contact Linda Emerson HomePlace Special Care of Oak Harbor (360) 279-2555 or visit them on the web at www.homeplaceoakharbor.com.
SENIOR guidebook – bridging generations
Cautionary Tales from Travelers continued from page 23 Drink (Way) Up A drink in a suddenly private bar can cost you dearly – but you'll have an entertaining story for the folks back home. Anywhere in Europe, friendly locals can invite a tourist into a bar where you end up buying a drink for a girl, you notice a burly bouncer at the door, and your bill comes to $80. This happened to me in Istanbul. I met a wonderfully friendly young man who suggested we stop by this bar close to my hotel. Once inside, we were having a beer, when a girl sat next to me, and my friend ordered her a drink. At that point it just clicked in my head...this is that scam I'd read about. Sure enough, there is no one in the bar other than the big guy standing by the door and the mean looking bartender. The bill was $80 for my beer and the girl's drink. I had no choice but to pay. Never go anywhere with someone who approaches you on the street, regardless of how "tough" you are or how "nice" they seem. It's almost always a scam and can lead to real trouble. Eiffel Something in My Pocket While in Paris the only problem with pickpockets we encountered was during a very crowded elevator ride to the top of the Eiffel Tower. A group of young men were horsing around a bit; one of them pushed another, causing him to bump into my husband (giving him the opportunity to get his hand in the pocket where he expected the wallet to be). Fortunately for us, the "day wallet" was deep in the front pocket, and most of our money and credit cards were in our money belts. I Scream, You Scram They may look a little spooky, but these cops are on your side. It’s the “plainclothes” guys you need to watch out for. On my last trip to Italy, two men claimed they were police and flashed ID's (quickly putting them away), then asked for my identification with the casual afterthought,“Passport is okay.” Suspicious, I said,“Hold up your ID so I can read it carefully.” The men looked shocked, and then became abusive. I said, “I am
now going to scream at the top of my lungs for a real policeman. Would you like to wait and talk to him?” They ran away. This type of scam always takes place away from crowds and not within sight of a uniformed policeman. Never be afraid to scream loudly for assistance. I did that once on a bus (yes, #64 in Roma). I screamed, “Auito, ladro!” (help, thief!) and the Italians on the bus almost killed the poor thief while shoving her off the bus. Sleight of Hand I got into a taxi at the Spanish Steps in Rome, only to have the cab driver turn around begin talking loudly in broken English asking for “yellow euro” while he began patting the bags my purchases were in, waving frantically and generally being distracting. This proved to be effective, as I pulled out the remainder of my cash for the day in frustration to prove that I had money for the cab ride. He reached over for the 50-euro bill (which is yellow) and reassured me that that was what he needed to see and handed it back to me (or so I thought). He then said that his cab was not allowed to go to the church that was my destination (later I realized it was only two blocks away). He advised me to take a “radio taxi.” After I got out, he drove off at a high rate of speed, and only then did I realize that he had replaced my 50-euro note with a blank piece of paper in a fast, sleight-of-hand move. Beware of fast-talking, fast moving taxi drivers! Security Camera The last time I went to Europe I took my small, handheld video camera. I used it to copy any important documents (passport, receipts, etc) as a means of additional backup. Very important for car rentals: I took photos before and after drop-off. It only takes up a few seconds of tape and lets the rental guy know that you are on the ball. For more helpful travel tips from fellow travelers, check out Rick's Graffiti Wall Message Board.
Rick Steves (www.ricksteves.com) writes European travel guidebooks and hosts travel shows on public television and public radio. Email him at email@example.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
SENIOR guidebook â€“ bridging generations
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Currently, more than 5 million Americans have Alzheimerâ€™s. This disease is so cruel and devastating, it could cripple Medicare and impact every one of us. Think of all the special moments that could be taken from you. Now is the time to
Take action at alzwa.org or call 800.848.7097
SENIOR guidebook â€“ bridging generations
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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
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
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
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/ Alzheimer’s 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
SEDRO-WOOLLEY Birchview - A Memory Care Community Assisted Living/ Enhanced Adult Residential Care 925 Dunlop Ave Sedro-Woolley WA 98284 360-856-1911
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
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 Estates - 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 Farrington Court Retirement / Assisted Living 516 Kenosia Avenue Kent WA 98030 253-852-2737 KIRKLAND Aegis of Kirkland Assisted Living / Memory Care 13000 Totem Lake Boulevard Kirkland WA 98034 425-823-7272 Aegis at Totem Lake Retirement / Assisted Living / Memory Care 12629 116th Avenue NE Kirkland WA 98034 425-814-2841 Kirkland Lodge Assisted Living 6505 Lakeview Drive NE Kirkland WA 98033 425-803-6911 Madison House / Totem Lake Retirement / Assisted Living 12215 NE 128th Street Kirkland WA 98034 425-821-8210 Merrill Gardens at Kirkland Independent & Assisted Living 201 Kirkland Avenue Kirkland WA 98033 425-828-2570 MERCER ISLAND Merrill Gardens at Island House Independent & Assisted Living 7810 SE 30th St Mercer Island WA 98040 206-236-0502 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 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 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 425-235-6400 SEATTLE Aegis at Northgate Memory Care 11039 17th Avenue NE Seattle WA 98125 206-440-1700 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 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 West Seattle Independent 4611 35th Ave SW Seattle (West) WA 98126 206-932-5480
Merrill Gardens West Seattle Admiral Heights Independent and Assisted Living 2326 California Ave. S.W. Seattle (West) WA 98116 206-938-3964 Merrill Gardens University Village Independent & Assisted Living 5115 25th Ave NE Seattle WA 98105 206-523-8400 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 206-363-6740 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 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
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
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
Merrill Gardens at Tacoma Independent & Assisted Living 7290 Rosemount Circle Tacoma WA 98465 253-460-5851
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
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 The Manor at Canyon Lakes Independent & Assisted Living 2802 West 35th Avenue Kennewick WA 99337 509-586-5633 Merrill Gardens at The Academy Independent & Assisted Living 1216 N Superior Street Spokane WA 99202 509-484-4099 Merrill Gardens at Orchards Village Independent & Assisted Living 10011 NE 118th Avenue Vancouver WA 98682 360-896-6081
SENIOR guidebook – bridging generations
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Providing a reliable resource of information for seniors and their families, and supporting good decisions surrounding health and quality of...
Published on Oct 1, 2010
Providing a reliable resource of information for seniors and their families, and supporting good decisions surrounding health and quality of...