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Signs that long-term care is needed Cut the costs of your prescriptions Exercise and arthritis Home renovations for senior safety Common causes of poor eye vision

One of a kind Willowbrook provides adult day service for more than 30 years

Senior Lifestyles

Senior Lifestyles • Winter 2016 – Page 2

Aging matters – signs that long-term care is needed The task of searching for long-term care is chock full of need-to-know data — the person’s health condition, their strengths and weaknesses, and if they can be on their on and alone? Family members want what’s best for a relative especially when it comes to their safety, health, and well-being.

And moving a parent to an assisted living facility is their default. Whereas, the older parent may be headstrong on staying put and be free to go as they please.

When you buck heads, take a break and relax. Unless you’re in an emergency situation and a parent needs care right away, ease up and digest the following guide to help determine if longterm is necessary.

Remember each situation is different and what worked for one person may not be the best option for your parent.

Before deciding to seek help,

By Carol Marak the first step SeniorCare.com is to assess the Editor physical, mental, and medical frailty conditions of your loved one.

Is your parent slow to recover from an illness? The condition could compromise their general well-being, and getting outside care assistance to get back on their feet is sensible. As people get older, the risks of falling in-

creases. Do they have an ongoing chronic condition? Chronic illnesses can significantly affect one’s body’s strength and recovery time. What level is their self-care activity? Can they get dressed on their own, do house chores, manage medications, keep doctor appointments?

How frail is your parent physically? Are they losing or gaining weight? Do they have an appetite and are they eating well? Can they walk without holding on to furniture for balance? Is their gait steady? Do they slouch in the chair when sitting?

How resilient is your parent’s mental ability? Have they given up on social activities? Are they isolating because of the fear to fall? Do they show reluctance to

leaving the house? If so, these are significant red flags that point to potential depression and forgetfulness. Other signs of mental decline are hopelessness and despair, listlessness, a change in sleeping patterns and losing interest in hobbies. Remember — people who have trouble with walking, memory, and hearing will pull away and isolate.

Is your parent on track with their medical procedures? Do they forget to take medications? If they have multiple chronic conditions, they take several medicines. Are they on track with recommended dosage and timetables? Monitoring and managing meds can be very confusing and overwhelming.

The money signs of decline. Are they keeping up

with household bills? Are they checking the mail and responding to personal correspondence?

Do you see unopened bills and unread newspapers sitting on the table? If so, be sure to look for overdue invoices, overdrawn balances, or other concerning communications.

Timing is everything. It’s common for family members to feel uncomfortable when talking with a parent about longterm care needs, but you cannot dance around it. The conversation must happen and the sooner, the better. Don’t wait till they have an accident or significant illness. That’s when emotions run high. Don’t procrastinate and remember that timing is everything when it comes to family discussions on eldercare.

We’re not satisfied until your questions are answered.

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Senior Lifestyles • Winter 2016 – Page 3

Metro Creative The costs of filling prescriptions is simply too big to bear for many people, even now that the Affordable Care Act has greatly reduced the amount of people who are uninsured.

A survey from the Commonwealth Fund found that 35 million people in America failed to fill a prescription in 2014 because of the cost of the medication. That figure represents an improvement from 2010, when 48 million people did not fill their prescriptions due to the costs of those medications, but it still serves to highlight a need many people have to cut the costs of their medicine.

Though people who cannot afford to fill their prescriptions often feel helpless, there are a handful of ways they can cut the costs of their medications and start feeling better.

Cut the costs of your prescriptions

Discuss changes with your physician Perhaps the simplest way to cut prescription costs is to discuss medication options with your physician.

Brand-name drugs are typically more expensive than generic alternatives, so speak with your physician about generic drugs or less costly brand-name drugs that may treat your condition as well as expensive brand-name drugs do.

Consider Patient Assistance Programs Sometimes referred to as “Pharmaceutical Assistance Programs,” Patient Assistance Programs, or

Metro Creative Connection Thirty-five million people in America failed to fill a prescription in 2014 because of the cost of the medication, but there are ways to cut prescription costs so no person has to go without a medication. Discussing your concerns with your doctor is the first place to find alternative to name-brand medicines.

PAPs, can greatly reduce the burden of prescription drug costs. Sponsored by pharmaceutical companies, PAPs distribute billions of dollars to patients who otherwise could not afford their medications. Eligibility criteria varies depending on the program, but men and women struggling to pay for their prescriptions

can speak with their physicians about PAPs.

Consult your member organizations If you are a member of the AAA automotive group or the American Association of Retired Persons, you might be eligible for medication discount cards free of

charge. These cards provide discounts on your medications, but some come with expensive fees upfront.

Look for no-fee cards, such as those offered to AAA and AARP members or others offered by nonprofit organizations, before considering options offered by pharmaceutical companies or other for-profit businesses.

Contact charitable organizations Some charitable organizations, such as the National Organization for Rare Disorders and maybe even some local nonprofits, offer prescription assistance to people in need.

Visit NORD online at www.rarediseases.org.

Senior Lifestyles • Winter 2016 – Page 4

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Senior Lifestyles • Winter 2016 – Page 5

Exercise and arthritis — how to manage pain Metro Creative Across the country, more than 50 million people are living with doctor-diagnosed arthritis. So says the Arthritis Foundation, which projects that figure will rise to 67 million by the year 2030.

Simply put, arthritis is a significant problem, one that can not only affect a person’s quality of life, but also his or her pocketbook, as the Arthritis Foundation notes that woking-age men and women (those between the ages of 18 and 64) who contend with arthritis are less likely to be employed than people of the same age who do not have arthritis.

Arthritis is not only bad for employees, but also for employers, as it accounts for $156 billion annually in lost wages and medical expenses.

Exercise may be the last thing on many arthritis sufferers’ minds, but exercise can play a vital role in reducing the often painful symptoms associated with arthritis.

Among its other benefits, exercise can strengthen the muscles around arthritic joints and help men and women maintain bone strength. In addition, the Mayo Clinic notes that lack of exercise can make joints feel more painful and stiff, as a sedentary lifestyle will ultimately contribute to putting more stress on joints.

Upon being diagnosed with arthritis, patients should speak with their physicians about the best way to use exercise to combat and relieve their symptoms. Some patients may require physical therapy, while others might be able to work with their physicians to develop an exercise regimen that can help reduce the severity of their symptoms and any pain that accompanies those symptoms.

The following are some types of exercises that figure to play a strong Submitted Photo role in managing arthritis and im- Low-impact exercises such as walking and swimming can help arthritis sufferers alleviproving quality of life. ate their symptoms and improve their overall health.

Aerobic exercises

Low-impact aerobic exercises, such as walking and swimming, can help arthritis sufferers alleviate their symptoms and improve their overall health. Arthritis sufferers who have not exercised in awhile because of their pain may have gained weight as a result, and aerobic exercise is a great way to shed extra pounds.

Losing excess weight is a great way to make physical activity less taxing on your joints as well.

Range-of-motion

Range-of-motion exercises are typically simple and don’t take much time, but when done correctly, such exercises can be very effective at relieving the stiffness associated with arthritis.

A physician or physical therapist might advise you to do rangeof-motion exercises each day, and you may even need to do them a few times each day. Adhere to this advice, continuing to perform the exercises as long as your doctor or physical therapists deems them necessary.

Strength training

As previously noted, arthritis sufferers may feel as though lifting weights will only exacerbate their existing symptoms. But strength training will strengthen the muscles around the joints, providing more support for those joints and ultimately reducing symptoms of pain.

Speak with your physician or physical therapist about appropriate strength-training activities and the importance of rest. If you experience any pain during strengthtraining sessions, stop immediately and report the pain to your physician.

More information about managing arthritis can be found at www. arthritis.org.

Senior Lifestyles • Winter 2016 – Page 6

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Senior Lifestyles • Winter 2016 – Page 7

Home renovations for senior safety Metro Creative As adults approach their golden years, the homes they once thought of as sanctuaries can become unsafe.

Families wrestle with the decision to keep parents and grandparents in their homes or move them into assisted living facilities or other senior residences.

Modifying seniors’ homes to make them safer is another option. The National Institute on Aging says that families may be able to have a senior stay at home by helping older relatives remain independent but safe. The following are a few ways to do just that.

• Remove fall hazards. The NIA reports that six out of 10 falls happen at home, where people spend the most time and fail to think about their safety. Seniors who want to be independent may overestimate their physi-

cal abilities. Because falls can be so dangerous, leading to cuts, abrasions, broken bones, and more, seniors and their families must take steps to prevent falls in homes. Improve lighting, especially at night when sight may become diminished. Install hand rails and grab bars where possible. Pick up clutter and remove tripping hazards, such as slippery rugs or electric cords.

Install an electric stair climbing seat to make traversing stairs less risky.

• Improve visibility and ability to communicate. Vision loss may accompany aging, but technology can help mitigate such losses. Use bigbutton phones, remote controls and even keyboards so seniors can keep in touch. Voice-activated thermostats or smart home technology also can make it easier for seniors to voice their needs.

• Modify fixtures and other features. Dexterity may wane with age, and arthritis can make grasping or turning doorknobs and faucets more challenging. Take inventory of areas of the home that present the biggest obstacles to seniors. Replace knobs in the shower or on faucets with lever handles, which are easier to maneuver.

Install new cabinets and doors that freely glide open and self-close. Replace toggle light switches with easier paddle-type switches that can be pushed with a hand or even arm. Motion-sensor lights also can be handy.

Push-button oven controls may make cooking easier.

• Prepare for medical emergencies.

Invest in medical alert systems, such as necklaces or bracelets, that can be used to contact police or emergency medical personnel directly. Make phones

available in commonly used rooms in the home, such as bedrooms, the living room, bathrooms, and the kitchen.

• Install ramps and nonslip flooring. Ramps can make it easier to reach the front door or cross over elevated doorway thresholds. Nonslip flooring also can prevent falls around the house, offering more traction for feet, walkers or canes.

• Repair cracks in walkways and driveways. Safety should also extend to the outdoors. Be sure to repair cracks or uneven pavement. Replace loose patio blocks or bricks with a more stable design or with concrete or asphalt. While outdoors, trim back bushes and make sure there are no tripping hazards outside as well.

A few modifications can make it possible for seniors to live comfortably in their homes for many years.

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Senior Lifestyles • Winter 2016 – Page 8

Common causes of poor vision Metro Creative Vision loss is a common condition, as the World Health Organization notes that more than 285 million people across the globe suffer some type of visual impairment. Many people can effectively counter their vision problems with prescription lenses, but others may have a more significant issue, such as low vision.

The Kellogg Eye Center defines low vision as a reduced level of vision that cannot be fully corrected with conventional glasses. Those with low vision have some useful sight and are not considered completely blind. However, low vision can interfere with performance of daily activities, and some people with this condition are classified as “legally blind.”

Symptoms of low vision include difficulty recognizing objects at a distance or problems with differentiating colors. Yet, not everyone dealing with these symptoms has low vision. Specialized testing can determine if a person has low vision or another condition.

Many conditions can impact sight and contribute

to vision loss. Here’s a look at some of the more common ones.

• Glaucoma: A person with glaucoma may gradually lose peripheral vision. Early symptoms, such as a subtle loss of contrast, may be unnoticeable. Eventually, glaucoma may cause tunnel vision, which occurs when a person can only see through a small window.

• Macular degeneration: Macular degeneration is the leading cause of vision loss, affecting more than 10 million people in the United States alone, according to the American Macular Degeneration Foundation. The AMDF offers that macular degeneration is caused by the deterioration of the retina’s central portion, known as the macula. The macula is responsible for focusing central vision in the eye, and it contributes to one’s ability to read, drive a car, recognize faces or colors and see objects in fine detail.

• Retinal detachment: An increase of floaters or sudden flashes of light in vision may be indicative of retinal detachment or a tear in the retina. When caught promptly, a detached retina may be repaired.

However, if left untreated and the detachment reaches the macula in the center of the retina, vision loss may be irreparable. The National Eye Institute says those with extreme nearsightedness, those who have had cataract surgery or those with a family history of retinal detachment are at a high risk.

• Diabetic retinopathy: Blurring or patchy vision loss can be a side effect of high blood glucose levels. Not all people with diabetes will develop vision problems, but it is common enough to warrant attention.

• Cataracts: According to The Mayo Clinic, a cataract is a clouding of the normally clear lens of the eye. Cataracts develop when aging or injury changes the tissue that makes up the eyes’ lenses.

Clouded vision can make it more difficult to read or drive. Over time, cataracts may obscure vision so much that they require surgical repair.

Routine eye examinations can bring potential vision disturbances to light and facilitate faster treatment. Eye doctors also can make suggestions about lifestyle changes, including the use optical devices to improve sight.

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Senior Lifestyles • Winter 2016 – Page 9

Willowbrook provides service for more than 30 years Only senior adult day center in Jasper County

By Kate Malott Newton Daily News As many independent adults grow older, there’s an increased need for socialization and activity. For dependent adults who live with a loved one, there’s an increased need for care during the day when a caretaker might be working.

Willowbrook Adult Day Center in Newton provides a unique service to local residents. It’s the only adult day service program for seniors in the county, and it’s been in existence for more than 30 years.

Willowbrook was inspired by a 1985 Jasper County League of Women Voters study which found a need for adult day services for Newton residents.

Mercy Hospital, of Des Moines, and its business branch Willis Adult Care approved a satellite location in Newton that same year, and by fall, Willis had an office, its first director, Marge Denniston, and its first client, Alice Whetstine.

The business became an independent operation and changed its name from Willis to Willowbrook in 1989.

Soon a building fund drive was launched with Wesley Life and supporter Marvin Hoeksema, and by 1992, Willowbrook and Park Cen-

Kate Malott/Daily News Thomas Hllad, right, fitness coordinator at the Newton YMCA hosts a Silver Sneakers exercise course at Willowbrook. Exercise is just one of many activities planned at Willowbrook.

tre opened its new and current location, becoming the first day center in the state to maintain a separate program for clients with Alzheimer’s and dementia.

In 2010, Willowbrook expanded services to all Jasper County residents which has made an impact to residents in other communities.

Participants come from Baxter, Kellogg, Prairie City, Colfax, Monroe and even Marshalltown and New Sharon, and many are able to attend with the help of HIRTA Public Transit. As a partner agency of United Way of Jasper County, Willowbrook can help relieve participants and their families of the worries of daily transportation.

“We get grant funding

from United Way to cover the costs of transportation so that isn’t put back on our participants,” Willowbrook Director Kelsey Terpstra said.

Participants at Willowbrook range from those who have high-level needs to those who simply want more activity and engagement in their day. The age of participants range as well but a majority are seniors.

Staff members build close partnering relationships with participants in hopes for them to have a renewed sense of purpose and happier, healthier lives.

“Families, participants and staff create a partnership where everyone is involved,” Wesley Life Director Margot

“They have good service, nice girls, and to be around new people, you know, they’ve all been nice,” — Maragret Bailey, of Newton, WIllowbrook participant

Voshell said. “Willowbrook is more than a place to go during the day, it is a place where people are given the opportunity to make a difference and feel a real sense of purpose, whether they are mentoring a new participant, helping make blankets for victims of the Haiti disaster, or making gifts for loved ones.”

A typical day includes breakfast, a morning activity, lunch, an afternoon activity and a snack. Activities include exercise, arts, manicures, board games, horse shoes, balloon ball, Bible study, field trips and visits from organization leaders and business owners from around the community.

Around 35 participants currently attend Willowbrook two to five times per week, Monday through Friday. Margaret Bailey, 93, of Newton, is one of them.

Bailey was encouraged by her son to attend Willowbrook as a way to increase socialization. She said at first she didn’t like the idea of going somewhere new, but after she started going to Willowbrook she was happy she did.

“I’ve been very happy since.

They have good service, nice girls, and to be around new people, you know, they’ve all been nice,” Bailey said.

Bailey said her favorite activity at Willowbrook is playing dominoes but she enjoys the variety of entertainment lined up as well.

“I like the entertainment.

They have very nice entertainment, and I’m not too hip on the exercise, but I WILLOWBROOK | 11

Senior Lifestyles • Winter 2016 – Page 10

Understanding life insurance Metro Creative

Life insurance is a product few people want to think about. That’s perfectly understandable, as life insurance forces men and women to consider their own mortality. But life insurance is not something adults should avoid, especially if they have dependents.

Many people should consider life insurance when estate planning so they can provide security for their loved ones. But life insurance is a purchase unlike any other, and people may be confused or intimidated when attempting to purchase life insurance policies.

Deciding if you need coverage

While life insurance seems like the kind of thing every person should have, that’s not necessarily the case. For example, single men and women with no dependents and no tax or debt concerns generally do not need life insurance. If you are single but have tax issues or a considerable amount of debt, then a life insurance policy can be used to pay those debts upon your death. Adults with dependents, such as a spouse

and/or children, should consider purchasing life insurance, which can help your surviving dependents maintain their quality of life and pay their bills in the wake of your death.

Buying life insurance

Much like various other types of insurance, life insurance can be purchased from an insurance agent or via an insurance company’s website. When choosing a company from which to buy a life insurance policy, look for a company with a strong rating, as no one wants to end up being burned by a life insurance provider who goes out of business. Some people prefer to work with independent brokers who can share information about products from various providers rather than just the ones offered by the firm company-affiliated agents work for.

Choosing coverage

When choosing coverage, you will no doubt be asked if you prefer term insurance or permanent insurance. Term insurance is the least expensive life insurance, and such policies only last for a predetermined

number of years. Men and women may purchase life insurance policies if they only want life insurance until they retire or until their children reach adulthood.

Permanent insurance is more expensive and will last from the moment you purchase the policy until your death. Many people choose permanent life insurance policies so the money their beneficiaries receive upon their death can be used to pay estate taxes. In addition, there is an investment component to permanent insurance policies, as a portion of the premiums on such policies is invested (policies will spell out how the money is invested) and allowed to grow tax-free so long as the policy is open. Term insurance only provides protection with no investments.

When choosing how much coverage to purchase, it’s easy to go overboard and aim for as much as possible. However, many financial advisors suggest purchasing enough coverage to pay for funeral costs and a level of income replacement you can comfortably afford. If your spouse does not work, you should consider purchasing enough coverage so he or she can afford to pay the family’s day-to-day cost of living expenses.

Life insurance merits serious consideration, and adults should do their homework and fully understand a policy before signing any contracts.

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Senior Lifestyles • Winter 2016 – Page 11

Willowbrook Continued from Page 9

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know its good for me,” she joked.

Besides daytime care and respite for caregivers, Willowbrook Adult Day offers recreational, activities, nutritional meals, medication monitoring, specialized dementia training for all staff members and family support and referral services.

The center also offers bathing and grooming services, physical therapy

and transportation to doctor appointments.

“This is different than the hospital or a nursing home too. For the most part, these people are happy to be here. I love older adults, and I feel like we’re giving them purpose and meaning and keeping them home as long as they can,” Terpstra said.

For more information about Willowbrook, call 641-791-4500.

Contact Kate Malott at 641-792-3121 ext.

6533 or kmalott@newtondailynews.com

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A GENERAL PRACTICE IOWA LAW OFFICE Kate Malott/Daily News Maragret Bailey, left, and other Willowbrook participants exercise during Silver Sneakers exercise class on Jan. 7 at Willowbrook. Silver Sneakers is one of many classes put on by local business and organizations for Willowbrook participants.

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Senior Lifestyles • Winter 2016 – Page 12

How did it get so late so soon?

It’s night before it’s afternoon.

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My goodness how the time has flewn.

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