CNA-SS-4-26-2017

SUMMER ISSUE 2017

A Special Supplement to

living

Crest Ridge an opportune facility for those who are aging

By BAILEY POOLMAN

CNA staff reporter bpoolman@crestonnews.com

As people age, changes outside of the physical occur, such as housing. One option for some is to become a resident in a longterm residential care fa-

cility, such as Crest Ridge Estates in Creston.

“Crest Ridge is a senior housing, independent living apartment complex,” said Jordan Crawford, volunteer services coordinator and Crest Ridge Estates coordinator.

Amenities of Crest Ridge Estates, located at 1715 W. Prairie St., include

private one- or two-bedroom apartments, full kitchen and bath, attached garage at lower level, weekly light housekeeping, fully equipped laundry facilities and close proximity to Greater Regional Medical Center.

Why might someone RIDGE | 8c

CNA photo by BAILEY POOLMAN

Pictured is Crest Ridge Estates, an assisted living facility owned and staffed by Greater Regional Medical Center.

Special visitors:

CNA photo by SCOTT VICKER

ABOVE, Southwestern Community College freshman Brodric Thomas, the national tournament MVP of SWCC’s national championship men’s basketball team, signs autographs for residents of Creston Specialty Care Tuesday afternoon during the team’s visit to the facility. BELOW, SWCC men’s basketball coach Todd Lorensen passes out national championship posters to residents of Creston Specialty Care.

Page 2c— Creston News Advertiser — Wednesday, April 26, 2017

Proper nutrition is key to senior health (BPT) - Americans are now living longer than ever before. In fact, one of the fastest growing segments is people over the age of 85 who will represent 20 percent of the population by the year 2040. Because we are living longer, certain conditions specific to seniors are also on a steady rise. Dehydration, falls, fractures, cognition loss and attention deficits are now becoming more commonplace.

In a recent paper titled “Salt Appetite Across Generations” presented at a medical conference in Switzerland, Israeli researchers from the University of Haifa indicated that among seniors, a reduced sense of thirst could increase the increased risk of serious dehydration. They also noted that the appetite for salt

does not diminish with age, and suggested that this could be used to help sustain hydration and prevent the dangerous symptoms that result from dehydration.

Another study published in the American Journal of Hypertension identified significant risks to cardiovascular health and longevity from consuming any less than 1, or more than 3 teaspoons of salt per day. Fortunately, most Americans, including seniors, when left to their own choice consume right in the middle of this range.

Seniors in assisted living centers can be especially susceptible to the dangers of low salt diets. In 2013 a task force of 12 professional medical, nursing, and nutritional organizations assembled by the Pioneer Network

published the “New Dining Practice Standards.” Their report concluded that low salt diets were contributing to malnutrition and weight loss among a significant percentage of seniors in assisted living facilities.

Low salt diets can also cause seniors to suffer from mild hyponatremia, an electrolyte imbalance in the blood which may not sound bad but can lead directly to walking impairment, attention deficits and a much higher frequency of falls.

Several recent medical papers found a direct relationship between hyponatremia and unsteadiness, falls, bone fractures and attention deficits.

Falls are one of the most serious problems for the elderly and about a third of people over 65 fall at least

once every year. Fall-related injuries in the elderly are associated with numerous psychological and physical consequences and are a leading

cause of bone breakage and hip fractures, which can lead to complications and permanent disability or death.

Some seniors do need a low

salt diets but many do not, and it should not be assumed that they all do or benefit from when in fact the opposite may be the case.

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Creston News Advertiser — Wednesday, April 26, 2017 — Page 3c

5 simple steps to be your best at any age (BPT) - They say you’re only as young as you feel, and if you’re an older American, the ability to feel young a little while longer is always appealing. Having a youthful state of mind goes a long way toward accomplishing this goal, but you can’t ignore the importance of solid physical health.

To improve your physical and mental health and prove age is just a number, apply these five tips from Mayo Clinic today.

• Find the perfect interval. If you’ve never participated in high-intensity interval training before, here’s a compelling reason to start. Researchers at the Mayo Clinic found high-intensity aerobic exercise actually reversed some cellular aspects of aging. The research also found that the exercise improved muscle proteins, enlarged muscles and increased energy levels.

• The benefit of brain games. A sharp mind is every bit as important as a healthy body, and exercising your brain can be a lot of fun. Spend time learning new things on the internet, enroll in a class for that craft you’ve always wanted to master, go out with friends or sit down and play a board game. All of these activities can greatly improve your mental health.

For example, a Mayo Clinic study found playing games decreased a person’s risk of mild cognitive impairment by 22 percent making this enjoyable activity healthy as well.

• Supplementing your health. Health supplements should never completely replace whole food offerings, but they may offer you real health value as well.

According to the Dietary Guidelines for Americans, supplements may be ideal

for vegans and vegetarians or those who consume less than 1,600 calories per day.

People with a condition affecting the way their body absorbs nutrients and those who have had surgery on their digestive tract should also speak with their doctor about supplements that may improve their overall health.

• The importance of sleep. A good night’s sleep offers health benefits at any age, but getting enough rest can be more difficult as you get older. To get a better night’s sleep, review your medications with your doctor to see if anything is impacting your rest. You should also try to limit your daytime napping (just 10 to 20 minutes per day is best) and avoid alcohol, caffeine or even water within a couple hours before bedtime.

• Focus on your sexual health. This topic may not be as widely discussed as your physical or mental health, but it is no less important. Men should talk to their doctors about their lessening testosterone levels, which drop about 1 percent per year after age 30. Women may experience a similar drop in estrogen levels as well and should consult their doctor for treatment options. Don’t be shy about discussing sexual health issues with your doctor, from STDs to

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With aging comes new challenges and the need to be more vigilant in maintaining your overall well-being. By incorporat-

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

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ing some of the tips above from the experts at Mayo Clinic, you’ll make sure the best years of your life are still to come. You can learn more about improving your health at any age through the advice offered in Mayo Clinic on Healthy Aging, or visit http://www.mayoclinic.org/healthy-lifestyle for more healthy lifestyle ideas.

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Page 4c— Creston News Advertiser — Wednesday, April 26, 2017

3 steps to reach 100 feeling youthful and healthy (BPT) - What will your life be like when you turn 100? A century ago the question seemed almost flippant, a needless consideration for most people, but today it’s very real. The percentage of people living to 100 has grown almost 66 percent in the last 30 years, according to U.S. News and World Report.

The MDVIP Health and Longevity Survey reveals that more than half of Baby Boomers and Generation Xers want to live past the age of 90. More than a quarter want to live beyond 100. The majority from both generations also believe advances in science and technology are going to keep more people alive past the age of 100.

However, these findings come at a time when the life expectancy of Americans has declined for the first time in two decades and one in two adults is living with at least one chronic disease.

“To reach their longevity goals, Americans can no longer afford to put their health on the back burner,” says Dr. Andrea Klemes, chief medical officer at MDVIP. “Most people don’t wait until they’re 60 to start saving for retirement. The same should go for their health, where making small investments today can pay big dividends many years down the road.”

Many chronic conditions, such as high blood pressure, heart disease and Type 2 diabetes, are preventable through simple lifestyle changes. Still, nearly two out of three Boomers and Gen Xers admit they could be doing a better job of exercising regularly, eating well and maintaining a healthy weight.

The key to greater longevity is prioritizing your health now - when you’re well - to prevent problems later on. Whether you’re HEALTHY | 6c

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Aging brings many joys – more time with family and freedom in retirement – but our older years can also bring difficult life transitions including the loss of loved ones and stresses of age-related health concerns.

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Creston News Advertiser — Wednesday, April 26, 2017 — Page 5c

8 simple steps to help seniors, caregivers better manage medications (BPT) - Modern medicine can work wonders.

However, in order to be effective, medicine needs to be taken safely, according to prescribing guidelines, and patients and health care providers need to be vigilant about the dangers of drug interactions.

When it comes to medication use, seniors take more prescription and over-thecounter drugs than any other age group, and they are most likely to experience problems because of their medications.

The average American senior takes five or more prescription medications daily, and many of them can’t read the prescription label or understand the prescribing instructions, according to the National Council on Patient Information and Education.

“Unless they reside in a senior living community or have another form of assistance, it can be very difficult for seniors to manage their own medications,” says Kim Estes, senior vice president of clinical services for Brookdale Senior Living. “A lot of factors make medication management a challenge

for seniors, including the sheer number of prescriptions many of them take in a day.”

Management challenges While doctors prescribe medication to treat a range of chronic conditions from arthritis to diabetes and high blood pressure, seniors may find managing their medications difficult for multiple reasons: • Many meds and many prescribers - Seniors who are on multiple medications are often prescribed to them by multiple doctors, who may or may not be aware of other medications the senior is already taking. Taking a large number of medications can increase the risk of a drug interaction that harms seniors’ health, rather than helps them.

• Adverse side effects If a medication makes a senior feel ill, he or she may stop taking it.

• Lack of knowledge - If they don’t understand exactly what the medicine is supposed to do for them, seniors may feel they don’t need it and discontinue use.

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• Physical challenges Age-related physical challenges such as hearing or vision loss, dexterity issues or trouble swallowing can make it difficult for seniors to take their medications as prescribed.

• Cognitive challenges Seniors with memory loss or dementia may forget to take their medications as prescribed.

• Cost - Even with Medicare and supplemental

health insurance, many medications can come with a hefty price tag. Seniors may not be able to afford a medication their doctor prescribed.

Medication management made easier “Fortunately, seniors and their caregivers can take some fairly easy steps to help them better manage their medications,” Es-

tes says. “These steps take a little time and effort, but they can go a long way toward helping seniors use their medicines more effectively.”

• Most seniors take five or more medications a day, and those with severe health issues or who are in the hospital may take significantly more than that.

Make a list of every medication you take, what it’s for, and what the pill actu-

ally looks like.

• Make a checklist of all your medications. Every time you take a prescription, note the date, time and dosage on your checklist.

• If you have trouble reading the labels on your prescriptions or can’t open the bottle, ask your pharmacist to provide your medicine in easy-to-open MEDICINE | 7c

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Page 6c— Creston News Advertiser — Wednesday, April 26, 2017 your diet and increasing your physical activiHEALTHY: modifying ty. These data points serve as CONT. FROM | 4c

an important guide in managage 38 or 68, arm yourself ing your health and can be the with the right knowledge and difference between preventtools to set realistic health ing an issue and treating it. goals and help you stay on What’s up, doc? track to achieving them.

Going to the doctor is You can start today by ask- an essential component of ing three questions: maintaining good health but What’s your choosing the right doctor directly affects the benefit of number?

When’s the last time you each visit. Surprisingly, the had your blood pressure or survey revealed that one out cholesterol levels checked? of three Gen Xers avoid goMaintain a current record ing to the doctor out of fear of of your vitals and lab results finding something wrong.

It’s important to find a prialong with your family history. Make sure you discuss mary care doctor you trust, these details with your doctor, who makes you feel at ease who can help identify your and takes the time to know risk for certain conditions you and your medical history.

“Having Dr. Gassner on and suggest lifestyle changes my side has been the best based on the results. medicine,” says Rose DemiFor example, if you know you have pre-diabetes or are track, a 101-year-old patient at a moderate risk for devel- of MDVIP-affiliated physioping heart disease, you can cian Dr. Lawrence Gassner work with your doctor on in Phoenix, Arizona. “He

spends time with me and makes sure I’m doing the right things. Plus he always makes me laugh, which is one secret to staying young. I may be older than most, but I still feel young on the inside.”

In the current healthcare environment, an appointment with a doctor is usually scheduled weeks in advance, and after a long wait in the waiting room, patients often feel rushed through the visit.

Patients deserve better and you should shop around for a doctor whose goal is to build a relationship and keep you well.

What’s the plan?

Whether your goal is to lose 10 pounds or to lower your blood pressure, you need a plan to get you there.

“I tell my patients to think of it as a business plan for their health,” says Dr. Steven Wilson, an MDVIP-affiliated family practitioner in Redlands, California. “First de-

termine your health goals and make them the focus of your attention. Discuss your goals with your doctor who can help you formulate a health plan for the next year and beyond.”

Once you have your plan established, it’s up to you to execute it. Many people don’t stick with a plan because it’s hard to stay disciplined and easy to fall back into old habits. So don’t be afraid to consult your doctor along the way. Your doctor is your partner in your health journey, and working together could give you a better chance at seeing exactly what your life will be like when you reach 100.

To learn more about MDVIP’s national network of more than 900 primary care physicians who deliver personalized care with an emphasis on prevention and a close doctor-patient relationship, visit MDVIP.com.

4 things you can do today to support your heart health (BPT) - On the path to good health, it pays to follow your heart - literally. A healthy heart is essential to supporting good overall health, yet many people ignore the warning signs that their heart is not as healthy as it could be.

A 2016 survey from the American Academy of Family Physicians, conducted by Harris Poll, found that nearly three in 10 men and women reported they had been diagnosed with high blood pressure. This result mirrors the findings of research from the Centers for Disease Control and Prevention. The findings translate to an estimated 75 million people with high blood pressure, and just slightly more than half have the condition under control.

“This finding is concerning because we know that high

blood pressure and heart attacks or chronic heart failure are so closely related,” said John Meigs, Jr., MD, president of the AAFP. “According to the CDC, seven out of 10 people who have a first heart attack have high blood pressure. Seven out of 10 people who develop chronic heart failure have high blood pressure. So it’s important that people know what their blood pressure is.”

To lower your blood pressure and improve your heart health, the American Academy of Family Physicians offers these recommendations.

• Be deliberate with your diet. Fruits and vegetables are essential, but pay special attention to their color too. Vegetables and fruits of HEART | 7c

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MEDICINE: CONT. FROM | 5c

containers with large-print labels.

• Make a plan for getting your prescriptions. You may decide to schedule a drive to the pharmacy every month on a certain day or have someone drive you there. You may also find an online pharmacy that can deliver your prescriptions to your home.

• When you go to the doctor, take your list of prescriptions with you, especially if you’re seeing him or her for the first time. Your list will help the doctor know what medications you’re already taking.

• Work with your doctors to see if you can reduce the number of pills you take by consolidating medicines.

For example, if you take a pill to reduce water retention and a medication for high blood pressure, some prescription drugs combine both types of medicine into a single pill.

• A study by the University of Arizona found that having a pharmacist on a senior’s care team helped keep seniors safer and improved their ability to take medications as prescribed.

Keep all your prescriptions with one pharmacy and get to know the pharma-

cists who work there. Your pharmacist may be able to help you spot potential drug interactions.

• Technology can help you remember to take medications on time. Set an alarm on your cellphone or download an event reminder app on your smartphone to help you remember when it’s time to take your medicine.

“With a little planning and help, seniors and their caregivers can better manage their medications to ensure seniors get the most benefit out of their prescription treatments,” Estes says.

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HEART: CONT. FROM | 6c

different colors offer different nutrients, so mix them up. At the same time, avoid heavily processed foods and those high in sodium. You should also make sure you’re drinking plenty of water rather than soda or energy drinks. Aim for at least eight 8-ounce glasses every single day.

• Balance your BMI. If you don’t know your BMI, a quick Internet search can lead you to several easy-to-use BMI

calculators. And once you do know your BMI, you can start taking steps to reduce it, if necessary. According to the American Heart Association, losing just 5-10 percent of your body weight can dramatically reduce your risk of suffering a heart attack or stroke. And that leads us to ...

• Jump start your heart with aerobic exercise. Your heart is a muscle, and like other muscles in your body, exercise strengthens it. So put your heart through a workout with activities like walking, biking or hiking to increase your heart rate. Exercise can also

lower your risk of developing plaque in your arteries, allowing your heart to be more efficient in delivering blood and nutrients to other parts of your body.

• Stop the stress. Aside from a poor diet, there may be no larger culprit for high blood pressure than stress. Successful stress management has been proven to reduce your risk of heart attack or stroke.

So relax, exercise, meditate, breathe deep or just have some fun. Whatever you do to burn off stress, make it an essential part of your day. You and your heart will be better for it.

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Page 8c— Creston News Advertiser — Wednesday, April 26, 2017

RIDGE: CONT. FROM | 1c

want to live in an assisted-living facility?

“They want to downsize their living and house. There are less responsibilities and stress. And there is the freedom to pursue an active social life and entertain family and friends in a safe, comfortable atmosphere,” Crawford said.

According to the United States Centers for Disease Control and Prevention, the national average residents for daily assisted living facility use is 15 residents. In Iowa, the average is significantly lower at two residents taking advantage of assisted living facilities daily. These statistics, reported in December 2013, are based on residential care residents per 1,000 aged 65 years and older.

“It’s designed for active senior citizens. It provides a

secure, private environment where independence and socialization is both key to our residents’ quality of life,” Crawford said.

There are 34 apartments for residents at Crest Ridge Estates, which is owned and staffed by Greater Regional Medical Center. There is a monthly calendar as a guide for residents interested in socializing via bingo, music and other social gatherings.

“It allows them to continue their life in the way they would like to live without all the added stress,” Crawford said.

As a person ages, the body changes. Humans become more susceptible to chronic diseases and health issues thanks to diminishing immune systems and bone density. Falls come much easier to those older than 65 years, and chronic illnesses such as stroke, heart disease and Alzheimer’s disease have become more prevalent in recent years.

The availability of assisted living facilities allows the older population to remain socially and physically active, things a person may not be able to accomplish if he or she needs assistance at home and is unable to get it.

Also, as people age, they need less calories per day because the body’s metabolism slows. It’s important for people to maintain proper nutritional intake, specifically protein and calcium, which will help the body maintain muscle and bone mass. Crest Ridge Estates, like other assisted living facilities, offer a noon meal for residents, helping them get their daily nutrients.

Essentially, there are many reasons to look into the various options available as a person ages. These options, though, still offer the independence and accommodation people relish in, allowing them to maintain their sense of self and quality of life.

Security in an insecure world (BPT) - The year 2016 was devastating for some safe deposit box holders. In New York, thieves cut holes in the roofs of three banks and brazenly emptied hundreds of safe deposit boxes, leaving the victims’ pillaged boxes on the roof and strewn around the vault.

A stealthier thief in Florida picked safe deposit boxes in several banks, emptying the contents without damaging the box or leaving any visible sign of the theft.

These are not isolated incidents. On average, there are between 15-18 robberies or burglaries involving bank vaults every year according to the FBI. Millions of dollars of jewelry, cash, gold and family heirlooms are stolen, leaving devastated box holders dealing with unrecoverable losses.

Still the safest Despite these occurrences, law enforcement agencies, FEMA, the American Red Cross and AARP all recommend safe deposit boxes to store valuable items, heirlooms and documents. A safe deposit box in a vault is superior to home storage even with a safe.

Why? Because a residence is almost 20 times more likely to be robbed than a safe deposit box in a bank. And with rental costs starting at around $30 a year, safe deposit boxes remain one of the best values offered by a financial institution.

Required step Today, most people who rent a safe deposit box assume the bank or a federal agency insures the contents.

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A standard homeowners policy provides limited coverage for some items in a box, but excludes losses from flood and other risks.

They may also have a high deductible.

Specialty insurance designed to cover and protect everything inside of a safe deposit box - including cash, gold and important papers such as wills, titles, deeds, photos and digital backups, is now available. There is no deductible, and risks such as terrorist attacks, hurricanes and earthquakes are covered.

And because you do not need to identify what is stored inside the box to obtain coverage, you can maintain your privacy.