CNA-SS-12-28-2016

WINTER ISSUE 2016

A Special Supplement to

living

Clearview offers individualized Winter weather safety tips care to tenants

By Gloria Rink

By BAILEY POOLMAN

CNA staff reporter bpoolman@crestonnews.com

MOUNT AYR — To Matt Routh, Clearview Estates Assisted Living is a place similar to home, but with a nursing staff always available.

Routh, assistant administrator, and Shawn Cameron, nurse manager, both assist in the running of the assisted living facility in Mount Ayr, a place where people who need help in

certain aspects of life as they age can go and live.

The facility is attached to Clearview Estates, a nursing home, and utilizes the staff to provide roundthe-clock nursing care.

“It makes the move to a nursing home, the transition process, a lot easier,” Routh said.

Assisted living The nursing home has been around since the 1960s, when Routh’s grandparents began the business. Since then, they’ve expanded to

Clearfield and now have the assisted-living facility, the only one of its kind in the area when it opened in 2000. It’s currently owned and operated by Joe and Julie Routh and John and Patty Parrish.

The assisted-living facility is host to 12 apartments capable of housing 16 tenants. There are beauty and barber shops, activities and socializing available for residents.

“We provide some basic ASSISTED | 7c

Homestead of Creston Assisted Living & Memory Care

Winter weather is on its way. Are you prepared?

For seniors living at home, winter weather can pose a serious threat. Ice, snow and freezing winds can lead to power outages, hypothermia and dangerous driving conditions. If you are well prepared, you can ride out nearly any weather conditions comfortably and safely.

Stock up

CNA photo by BAILEY POOLMAN

The open dining room area at Clearview Estates Assisted Living in Mount Ayr allows tenants to socialize while having their meals. The assisted-living facility is one of several in the southwest Iowa area.

The key to senior preparedness is supplies. In addition to the standard staples of food and water, the Federal Emergency Management Agency (FEMA) recommends that seniors have two weeks of medications ready at all times. Also have a supply of hearing aid batteries, oxygen, and contact lenses on hand to get you through the storm. If you find yourself short on supplies in the middle of a storm, check with your local pharmacy or grocery store to see if they deliver before you brave the weather. They may

be able to save you a trip and ensure your safety.

Setup a safety network Talk with your loved ones to establish a safety network. Call to check in once a day and have an action plan in place to respond efficiently to missed check-ins. If you use the services of a caregiver, make a plan with them so you know what to expect if road conditions prevent them from keeping your scheduled appointment. Enlist a nearby neighbor. Ask them to be available to check in if the power goes out or you get snowed in. A quick thumbs up or down from a window can keep you safe. Your neighbor may also be willing to help keep walkways free of snow and ice or deliver emergency supplies if needed.

Make an emergency car kit In severe weather, the best bet is to avoid driving, but if you must leave, you can minimize your risk by preparing your vehicle with an emergency car kit. The kit should include food and water,

warm blankets, self-heating hand warmers, first aid supplies, flashlights and extra batteries, kitty litter for traction if you get stuck on ice and a mini shovel. Additionally, it’s a good idea to check your tire tread and pressure, antifreeze level and windshield wipers.

Don’t leave the house without your cell phone, lots of layers, and remember to let your safety network know where you are going and when you expect to be home.

Watch the weather Keep an eye on weather conditions for the coming week by watching your local news and tuning into weather radio. If a storm is coming, reach out to your safety network to determine your next steps. In some cases, simply staying in place is best. However, if prolonged severe weather is in the forecast, consider spending a few days in the company of a loved one. It’s also a good idea to brush up on your weather terminology and what each category means for you.

TIPS | 3c

Page 2c— Creston News Advertiser — Wednesday, December 28, 2016

5 easy ways to keep your family comfortable during a power outage

Rehab to Home

Care Initiatives offers friendly and professional rehab services to help patients recover quickly and safely.

Contributed photo

A standby generator, like this one from Kohler, automatically turns on when power is lost to your home. It connects to existing fuel lines (propane or natural gas) and can power anything that runs on electricity, including a furnace, water heater, refrigerator, lights, smartphones, computers and more.

(BPT) – Losing power at home is inconvenient.

When it happens, the worst part is not knowing if the outage will last for a couple hours, or if it will stretch on for days. But if you take a little time to get organized and round up a few items today, you will be ready to keep your family comfortable when the lights go out.

“This time of year, a variety of causes can lead to a power outage and affect the length of the outage, as well,” says Ed Del Grande, a home improvement TV host, author and syndicated columnist. “Ice storms, high winds and other winter weather can damage transmission equipment and cause an outage. A little preparation can help you get through it safely and comfortably.”

Experts like Del Grande recommend grabbing an oversized plastic bin and loading it with the essentials so you’re ready when

the lights go out.

Ready-to-eat foods Pull together some non-perishable, ready-toeat foods. A couple jars of peanut butter and some boxes of crackers can go a long way in keeping your family happy and fed.

Also, include some canned goods, like meat, fruits and veggies, along with instant hot cocoa and coffee. Include energy-dense foods like protein bars, dried fruit, peanuts and nuts.

Finally, don’t forget the goodies, like fun-size candy bars and chips and salsa. Keep your camp stove or grill in a place where you can easily pull it out, but remember, do your cooking outdoors.

Good lighting

Make sure you have the right supplies to get you through those long nights and brief days of winter, safely. Round up all the flashlights in your home, pull out that battery-operated camping lantern from the garage and get them into one convenient place.

Then, the next time you’re at the store, pick up extra batteries so you can keep those lights going throughout the duration of a power outage.

Warm things Keep a stack of quilts, old comforters, woolen blankets and even sleeping bags handy so you can all snuggle in. Along with these, gloves, scarves,

Here for you after any injury or illness Whether you or your loved one has incurred a life-altering health event such as a heart attack or stroke, need to recover from surgery, or a lengthy illness has temporarily deterred returning home, Care Initiatives can help. We help patients regain their prior level of function and return home if medically indicated.

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Creston News Advertiser — Wednesday, December 28, 2016 — Page 3c

POWER:

hits when your device has less than 20 percent battery power. Pick up a couple of rechargeable power banks to keep smartphones and other electronic devices powered up. And don’t get rid of older devices such as MP3 players and personal compact disc players.

Use them to play music or an audio book when the lights - and the Wi-Fi - are knocked out. Finally, have

A great way to ensure you have safe, reliable backup power in the event of an outage is to invest in an automatic standby generator like those from Kohler. These generators are installed right outside your home, much like a central air conditioner.

Once the power cuts out from your utility provider, a standby generator kicks in within seconds, even if

you’re not home. That’s because standby generators connect to your existing fuel lines, whether it’s natural gas or propane. So the next time the outage hits, your family won’t be without the furnace, water heater, refrigerator, stove, or anything that runs on electricity, including smartphones and computers.

If you’re interested in learning more about standby generators, KohlerGenerators.com has several resources to help you explore the many options, including videos and sizing calculators, so you can find one that’s right for your home.

For additional tips on how to prepare your home for a power outage, visit the Federal Alliance for Safe Homes at FLASH.org.

TIPS:

• Winter storm warning indicates that severe winter weather conditions have started or will start very soon. If you hear this, it’s time to evaluate your options. Start by reaching out to your safety network, and charging your mobile phone.

Now that you’re prepared, when winter weather does roll in, you can

curl up with a good book, knowing that you’re ready for anything.

Preparation can make a life-saving difference this winter. So don’t wait, get ready!

For more information about winter weather planning or our senior community contact: Gloria Rink, Homestead of Creston at grink@homesteadofcreston.com or 641-782-3131.

some low-tech entertainment at the ready. Books, board games and even a CONT. FROM | 2c deck of playing cards can sweaters, fleece and stock- help pass the time and maying caps can also ward off be even help with family the chill that will creep in. bonding.

Consider investing in It’s the immutable law of a standby the power outage: It always generator Electronics and entertainment

CONT. FROM | 1c

• Winter weather advisory signals that you should expect cold, icy and snowy conditions.

This term means you should check your supplies and continue to watch the weather.

• Winter storm watch means that heavy snow or ice is possible in the coming few days. When you hear this, it’s time to get to the store or pharmacy to stock up on anything you might need.

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Page 4c— Creston News Advertiser — Wednesday, December 28, 2016

Before you cruise, embark on a fun-finding mission in your port city (BPT) – When booking a sea cruise vacation, it may seem like a good idea to schedule your flight to the port of departure for the same morning your ship sets sail.

A same-day flight might appear to save you time and money, but travel experts warn this could turn into an expensive mistake.

Should airline delays keep you from getting to the port on time, you could end up shelling out hundreds more dollars to book another flight, just so you can catch up to your ship at the next port of call.

In addition, the panic and worry that set in from even the smallest hiccup in your tight travel schedule can defeat the idea of a vacation. To start your relaxing ocean getaway in the

right frame of mind, give yourself and your family an extra pre-cruise day in your cruise line’s port city. If everything goes as planned and you arrive the day before your ship casts off, your vacation can start early, too. Use the extra time to explore and kick back. You’ll find the home ports for these cruise ships are set up to accommodate and welcome cruise travelers.

For example, if your ship happens to launch from Florida’s Port Canaveral, the world’s second-busiest cruise port, you’ll discover many area hotels have cruise package deals that include free parking, special nightly rates and even free shuttle transportation to and from the port and to and from the airport.

You’ll also find plenty to see and do locally. Cape Canaveral, near the Kennedy Space Center, is part of the east-central section of Florida popularly known as the Space Coast.

Here, there are numerous attractions and other entertaining diversions that can help create the perfect countdown to your cruise to paradise.

Kennedy Space Center Visitor Complex

one of NASA’s powerful space telescopes, inspect the Space Shuttle Atlantis up close, and “experience” life on Mars through an interactive display. Of course, there are plenty of space memorabilia to examine and fascinating astronaut stories to absorb, all of which will round out your appreciation of what NASA has accomplished so far - and what is yet to come.

Rocket watching

For visitors, the eye-opening facility that has propelled countless rockets and scores of shuttles out of our atmosphere also provides a full day’s worth of exhibits and hands-on learning about space exploration. Eyeball a 3-D image produced by

While planning your overnight along the Space Coast, be sure to check Spacecoastlaunches.com for schedules of rocket launches, public viewing sites, and special hotel packages. If you’re lucky, you might have an opportunity to witness the sights,

sounds and ground-shaking vibrations of a rocket launch. Cape Canaveral and the greater Space Coast area have numerous parks and observation points that make it easy to sit back and watch these rockets streak into the sky.

Shopping, arts and entertainment The Space Coast features many historic shopping districts to help you leisurely pass the time morning, afternoon and evening. You can dine al fresco at one of the trendy independent restaurants or pick out a catchy new cruise outfit at a local boutique. The area also has a lively arts scene to help inspire you for your trip.

Take in a pre-cruise musical performance or theater

production at the Historic Cocoa Village Playhouse, or wander the assorted art galleries that dot the Eau Gallie Arts District.

Westgate Cocoa Beach Pier A historic landmark along a beautiful stretch of beachfront, the Westgate Cocoa Beach Pier was established in 1962.

Its festival-like setting is the perfect backdrop for any traveler’s early escape from reality: beachside restaurants and bars with live entertainment, an 800foot fishing pier, spectacular views of the majestic cruise ships coming and going, rolling waves breaking and beautiful bodies surfing, the sparkling beach and the glorious sunshine.

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Creston News Advertiser — Wednesday, December 28, 2016 — Page 5c

Managing osteoarthritis: What you don’t know is hurting you (BPT) – Twenty-seven million Americans suffer every day from chronic discomfort and stiffness caused by osteoarthritis (OA), the most common form of arthritis, according to the Centers for Disease Control and Prevention (CDC). There have been limited advancements in osteoarthritis therapies, leaving patients with fewer options and worsening symptoms.

Because daily activities can be such a struggle, doctors and patients have increasingly turned to synthetic pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids (narcotics).

What many people may not know is that long-term use of NSAIDs and opioids can have dangerous side effects. NSAIDs come with serious warning labels and carry even greater risk for people with kidney, stomach or heart conditions. Prescription opioid use - and resulting deaths - have quadrupled over the last 20 years, according to the CDC. People using opioids

are also at risk for heart issues, addiction, falls and other accidents due to extreme drowsiness.

“Osteoarthritis patients just want to be able to get through their day, but opioids (narcotics) and NSAIDs should not be a first choice for chronic disease management; we need to explore other options,” says Dr. Dean Mariano, director of the Spine and Pain Institute at MidState Medical Center in Connecticut and chairman of the Connecticut State Medical Society’s Task Force on Opioids.

There are safer options to manage OA symptoms, but many are underutilized due to lack of knowledge and insurance coverage issues. One of these options is prescription medical foods, a class of medicines recognized by the FDA and developed from powerful, natural molecules. What makes a medical food? * The ingredients in medical foods have been designated “Generally Recognized as Safe” (G.R.A.S.) by the U.S. Food and Drug Administra-

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CONT. FROM | 4c

tion. * Medical foods must be intended for the distinctive nutritional requirements of a chronic disease or condition. * Medical foods require physician supervision.

“In our practice, many patients are surprised to learn about the role natural prescription medical foods can play in managing osteoarthritis,” Dr. Mariano says. “We create individualized plans that include positive lifestyle changes, medical foods such as Limbrel, and a common-sense approach to using traditional pain relievers where necessary and appropriate.”

Limbrel is a prescription medical food proven safe and effective for long-term osteoarthritis management. It contains two highly concentrated and purified flavonoids that work by balancing multiple inflammatory pathways in the body, which causes significantly fewer side effects. Flavonoids are natural molecules found in foods like green tea, dark chocolate, and certain fruits and vegetables.

What could be better?

The Staff at Mercy Corning and CHI Health Corning, Lenox & Bedford Clinics encourage you to have a healthy 2017! Here are some hints to help you out: » Utilize your health insurance benefits which are ‘no deductible needed’ when you use a network provider: (this is not a comprehensive list but some common ones to use!)

- Well Child appointments through age 21: these are more thorough than school physicals & covered by insurance; scheduled at your convenience - Well Woman: annual physical, pap smears and cervical screening

- Blood pressure screening - Cholesterol Screening - Mammogram for over age 40 - Diabetes Screening for at risk individuals - Health Counseling for weight, diabetes or alcohol

- Colorectal cancer screening » Maintain a Healthy Weight - Take a Healthy Cooking Class

- Get Nutritional Counseling

- Come to pre-diabetes workshops » Develop Healthy Habits - Join our Wellness Center

- Stretch daily

- Take a Group Fitness Class

- Set Goals for yourself

- Hire a personal trainer to get on track

- Take personal time to rest and rejuvenate

- Start Walking more

Coastal escapades You also can elude the crowds and pilot your own escapade along the area’s beautiful waterways. It’s easy to rent a boat and navigate the rivers and canals. You can look for dolphins and manatees or drop anchor at an island for a family barbecue and swim.

Cast your line into the Banana River, pull into Sebastian Inlet State Park for snorkeling and scuba diving, or simply enjoy the journey and tie up at a waterside restaurant when hunger sets in.

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Have a Healthy 2017!

» Get Support

STAY FIT TO STAY YOUNG Regular exercise helps you feel well and be able to do everything you want to do.

The friendships you form with others in class will sustain you for the long haul.

Join our community of health today! Pick up a fitness class schedule and try one!

- Consider joining our cancer support group - Get a personal trainer » Have access to MyChart - Make Appointments

Classes for our Active Older Adults: * Tai Chi * Arthritis Aqua * Silver Sneakers * Aqua Interval * Funky Bunch * Yoga * Parkinson’s & Limited Mobility * Power Walking *Wet-n-Fit

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- See messages from your provider

- Review Test Results » Have option of 24/7 Care with Virtual Care at http://www.chihealth.com/virtual-care

Where can get you get all of these services & options for Your Health?

You can team up with CHI Health Mercy Corning & CHI Health Clinics in Corning, Lenox & Bedford! Team up with us for a Healthy 2017!

Page 6c— Creston News Advertiser — Wednesday, December 28, 2016

4 reasons why you should fill your shopping cart with store brands (BPT) – Price isn’t the only reason 97 percent of millennials say they buy store brands. Shoppers age 18-36 say store brand products are also more innovative than brand name ones, deliver better value and are higher quality than ever, according to a report

by Mintel.

What’s more, millennials aren’t the only group driving the growing demand for store brands. Private label brands now account for nearly 18 percent of all sales - $115.3 billion, according to the Private Label Manufacturer’s Association. In supermarkets, store brands make up 23 percent of all products sold and more than 17 percent of all products sold in drug stores, the PLMA says.

Performance and innovation Early store brands had a reputation for mimicking the winning qualities of national brands, but many of today’s private labels are leading the way. In today’s market, it’s not unusual to find store brands launching their own innovations and bringing a new standard of performance to both national and competitive private label brands.

For example, some store brand incontinence and feminine care products now incorporate Dri-Fit innovations - the same absorbency technology found in the Prevail national brand of adult incontinence products. With a unique blend of natural and synthetic fibers, Dri-Fit innovations provide

the comfort of cotton and the protection of synthetics in protective underwear, bladder control pads/liners, ultrathin maxi pads, thick maxi pads and panty liners.

Independent lab testing found that products incorporating Dri-Fit innovations lock in 20 percent more wetness than other leading bladder control brands, based on retention capacity.

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as an extremely good value, it’s clear that cost is no longer the only benefit of private label products.

For food items in particular, one major consumer study found most taste-testers felt store brands tasted as good as, and in some cases better than, national brands, Time magazine and Money Manifesto both reported.

Quality and value

Today’s store brands are available in virtually every product category. From prepared foods and dry goods, to fresh and deli meats, dairy and eggs, as well as health and beauty items and even baby formula, it’s possible to find alternative options for many popular name-brand products.

Innovation by store brands could explain why, globally, 71 percent of store brand buyers say the quality of private label brands has improved, according to one Nielsen study. And while this study also found that a quarter of American shoppers describe store brands

Choice and convenience

What’s more, nearly every major department, grocery and pharmacy chain now has its own store brand, meaning you can find innovative and value-oriented alternatives no matter where you prefer to shop.

Same sources and standards Food and beverage and consumer products are regulated in the U.S., and store brands are held to the same regulatory standards of quality, safety and source as national brands. What’s more, some store brands not only offer the same quality as national brands, they come from the same place.

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Others are made by specialized producers that concentrate their business on providing products for store brands. Still others, such as retailers and wholesalers, may own their own manufacturing facilities that supply product exclusively to their stores.

In a report on private labels, Nielsen noted that “Long gone are the days of no-frills packaging intended only for those on a tight budget - private label, also known as store brands, are no longer viewed simply as low-cost alternatives to name brands; they’re increasingly high-quality products that fulfill consumer needs across a variety of price points.”

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Creston News Advertiser — Wednesday, December 28, 2016 — Page 7c

ASSISTED:

and going from there.”

Routh also said marks with state inspections have been CONT. FROM | 1c good and deficiency free for services with anybody who the past 17 years, especially lives in the building,” Camer- when it comes to the relationships the staff makes with the on said.

Any and all tenants have tenants. access to an emergency call Care button in case of an emergenCare within the home is cy, laundry pickup, various guaranteed, so even if an activities, shopping days in apartment is unavailable yet, Creston and Mount Ayr and a tenant can live in a room lunch and supper provided. in the nursing home until the “Most of the people come apartment is available. On because of a reason,” Cam- that same note, the transition eron said. “Nutrition is a big is easier from assisted livthing. ... When you’re home ing to nursing home because and you’re alone, they don’t the staff is the same, as is the eat as well. So, I think the building and daily routines. nutrition side of it, the social “All our staff is great,” side of it, and then, of course, Routh said. “We’re fortunate physical, it gets harder.” to have our staff in Ringgold The home provides tenants County and rural Iowa.” with “a more comfortable The assisted living facility lifestyle,” Cameron iterated. uses staff from the nursing “Our care approach is res- home side between 10 p.m. ident centered. That’s our and 6 a.m., as well as any mentality,” Routh said. “Our other time another nurse is staff is great about it. Same needed. This allows access to with us, we treat all our res- a nurse for all residents at the idents like they are family. two facilities any time of day. ... Being family owned and Nursing is individualized operated, we’re looking at among the tenants based on what’s best for our residents their needs: some may need

physical therapy regularly, while others may need regular medication checks. Every tenant has vitals and weight taken regularly to monitor health, and any assessments needed are done individually.

“They’re not just here a couple hours a day doing nursing stuff. They’re also helping with meals, helping with activities, running errands, helping clean, doing all kinds of things,” Cameron said.

Another main point Routh mentioned was the food services available to both homes.

While their food-service provider offers a menu regularly, and some homes use that menu, Clearview Estates does not. The staff orders the food based on what the residents want, usually following the idea of a home-cooked meal.

Staff and residents “We provide the social aspect for the residents, the adequate nutrition, and then care can really vary, they’re very individual,” Cameron said.

Some residents require ASSISTED | 8c

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Page 8c— Creston News Advertiser — Wednesday, December 28, 2016

ASSISTED: CONT. FROM | 7c

assistance taking medication, while others may require assistance dressing or cleaning. The facility offers weekly housekeeping for every resident, including cleaning and laundry.

“It’s nice to see the changes sometimes, just the social aspect and getting their meds on time have improved people’s quality of life once they move into the assisted-living side,” Cameron said.

Cameron and Routh both repeated the tightknit feel of working in the home alongside their staff and tenants, making it seem like a family.

“We’re small enough that we’re a family. I mean, we really are a family,” Cameron said. “It’s funny, I can be here at night and I

feel like sometimes I’m in a college dorm because they (the tenants) visit each other, they check on each other if somebody isn’t out for a meal. I think it’s because we’re a small community that makes it that way.”

Some staff have been at the facility since its inception nearly 17 years ago, while others are fairly new.

The residents come from a variety of places including towns in Ringgold, Adams, Clarke, Decatur, Taylor and Union counties, as well as into Missouri.

“What’s unique is, right now, 95 percent of the time over 17 years, we don’t have anyone that locks their door. Maybe late at night some do for a safe and secure factor. But, during the day, I mean, and I’m touching that family connection, it is like a unique, tight-knit family,” Routh said.

CNA photo by BAILEY POOLMAN

This Christmas tree decorates a living room area at Clearview Estates Assisted Living in Mount Ayr. The facility allows tenants to have full access to nurses for assessments and other needs on an individual basis.

“IT’S FUNNY, I can be here at night and I feel like sometimes I’m in a college dorm because they (the tenants) visit each other, they check on each other if somebody isn’t out for a meal. I think it’s because we’re a small community that makes it that way.”

__

SHAWN CAMERON

Nurse manager at Clearview Estates

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