The Wise Guide Spring 2017

SPRING 2017

AN INSIGHTFUL APPROACH TO WELLNESS • FREE

Take Charge of Chronic Pain

Are You an Inpatient or Outpatient?

Opioids…

Be Informed!

WE’RE MAKING IDAHO AN EVEN BETTER PLACE FOR PEOPLE OF ALL AGES. 2

Wise Guide | Spring 2017

We’re working hard to make Idaho a better place to live, work and play. When con artists try to separate you from your money, we’re there with the Idaho attorney general hosting statewide identity theft and fraud conferences. When family caregivers need resources to keep loved ones at home, we‘re ghting at the Idaho State Legislature to get them the help they need and deserve.

And when you want to stay sharp and engaged, we’re offering exceptional continuing education classes designed exclusively for people 50+.

See everything we’re doing and get to know us at aarp.org/id

Connect with us at facebook.com/AARPIdaho and twitter.com/AARPIdaho

N. Central Idaho & S.E. Washington • SPRING 2017

Features

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Take Charge of Chronic Pain Improve quality of life

18

Opioids—Be Informed!

About the Cover................................................................. 5 Take Charge of Chronic Pain............................................. 8 American Cancer Society Programs.................................. 9 Choosing a Rehabilitative Care Facility.......................... 10 Medication Therapy Management.................................. 12 10 Things to Know About Chronic Kidney Disease........... 14 Wound Prevention for Your Loved Ones........................ 16 Opioids—Be Informed!................................................... 18 LightForce Laser................................................................ 20 Urgent Care or the Emergency Room?............................ 22 Unsteady on Your Feet?................................................... 24 Are You An Inpatient or an Outpatient?......................... 26 Camp Lejeune.................................................................. 27 Stand Down? What’s a Stand Down?.............................. 29 Veterans Pages.............................................................28-33 Crossword and Sudoku...............................................34-35 Care, Cause and a Cure for Alzheimer’s.......................... 36 Alzheimer’s Association Support Groups....................... 38 Homemade Water Kefir................................................... 40 Elder Impact..................................................................... 41 Crossword & Sudoku Answers......................................... 41 Help Wanted!................................................................... 45

Directory Listings

....you never saw it coming

Aesthetics, Agencies, Free Referal Services & Volunteer Opportunities, Care Communities: Independent & Assisted Living, Respite Care, Entertainment & Recreation, Dental, Education & Recreation................................................... 42 Financial & Asset Management, Gifts & Shopping, Hearing & Vision, Hospice, Hospitals, Medical Care & Surgery Centers, In-Home Health & Personal Care....... 43

You An Inpatient or an 26 Are Outpatient?

Long Term, Skilled Nursing & Restorative/ Rehabilitative Care, Legal, Pharmacies, Medical Equipment, Safety & Supplies, Veterinary & Animal Care................................................ 44

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Helping you is energy well spent.

When budgeting for energy needs becomes challenging, Avista has options.

• Bill Payment Options such as Comfort Level Billing to even out your energy bill’s seasonal highs and lows; • Senior Outreach educational workshops to learn how to conserve and use energy efficiently; • Referrals to local agencies for assistance; • Dedicated customer service representatives to help with medical or family crisis situations; • Online Tools to help you with your home energy management.

For more information, please call 1-800-227-9187 or visit avistautilities.com/senior.

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Wise Guide | Spring 2017

About the Cover Cover Artwork:

becoming a “self-taught artist” and admits to learning something from

by Dan Carpenter almost every artist he meets.

While specializing in the About the Artist wildlife and landscapes of the

Dan Carpenter refers to his American West, Dan has also been work as “(fairly) Fine Art” and has able to study subjects all over the achieved widespread acclaim for his country. He has been fortunate beautiful and evocative paintings of enough to observe wildlife and Western subjects. His whales, eagles, and the acrylic paintings capture the humor brown bear, among other and essence of the animals as well wildlife, in Alaska and as the wonderful natural settings in Canada. which they are found. Dan paints Born in Cody, with fine detail and realism and Wyoming, Dan was raised in the mountains of Northwest Colorado.

His interest in art, wildlife and the outdoors began in the pristine environment. A football scholarship brought him

“Planning Something?”

Do Not Disturb with his ‘fairly fine’ sense of humor.

He is frequently commissioned to paint portraits of his patrons with their favorite animal.

Dan described himself as being in the continuing process of Quiet Time

Paseo del Luna

Canada Goose

Palaver to the University of New Mexico where he studied architecture, photography and engineering and began taking art classes.

Before becoming a fulltime artist, he worked as a sheepherder in Colorado, a game warden in Alaska, a design architect in New Mexico and a free-lance photographer.

In 2009, Dan and his wife, Judy, moved to the north shore of Lake Pend Oreille, near Sandpoint, ID. Dan’s work can be found at Artworks Gallery, Misty Mountain Furniture and at various Pend Oreille Arts Council (POAC) events in Sandpoint.

To see more of Dan’s work and purchase originals & prints go to www.dancarpenterart.com

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The Wise Guide Spring 2017

Addus Has All the Home Care Services You Need

Office: 208-263-5654 Email: info@thewiseguideonline.com www.TheWiseGuideOnline.com

Jonnie Bradley Editor The Wise Guide

Two locations serving all of Northern Idaho Lewiston Branch

Coeur d’Alene Branch

Latah, Clearwater, Nez Perce & Lewis Counties

Kootenai, Shoshone, Benewah, Bonner & Boundary Counties

208.746.8881

208.667.2309

www.addus.com

Patty Jo Carter Marketing Director 208-512-0912 wiseguidepjcart@gmail.com

FREE Publications Donna Brosh Designer The Wise Guide

Idaho Elder Directory Alzheimer’s Resource Directory Just call 800 584-9916

during normal business hours View/download from our Website retirementpublishing.com > Idaho Publications

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Wise Guide | Spring 2017

Copyright ©2017, All Rights Reserved.

Although every precaution has been taken in the publication of this guide, the publisher and authors assume no responsibility for errors or omissions. This guide is not intended to be legal or medical advice or to endorse any product or service. It is meant to serve as an information resource guide and not as a substitute for professional assistance. The Wise Guide, LLC is not responsible for the contents of any websites referenced within this directory, nor does it endorse any specific products or services referenced. No part of this directory may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage and retrieval system without the express written permission of the publisher, The Wise Guide, LLC.

Ponderay Garden Center

presents the

Garden of Artistry The Carousel of Smiles... a project to bring an antique carousel to Sandpoint will be the opening reception host for this summer’s Garden of Artistry at the Ponderay Gardens.

The Carousel, a circa 1920 Allan Herschell machine with 36 hand carved wooden horses is a true time capsule. It had been stored in its two trailers for 64 years, virtually untouched before being unloaded for the first time last December here in Sandpoint.

It is a fully intact, 40’ diameter Golden Age Carousel. In addition to the 36 horses, there are two chariots, 14 rounding board art panels, and 14 interior art panels. The plan is to restore this incredible machine using many volunteers and artisans from the Sandpoint area, then find a permanent home here in Sandpoint.

At the Garden of Artistry, several horses and other pieces of the carousel will be on display, and there will be discussions and information about the project and on how to get involved with this once in a lifetime project — The Carousel of Smiles — A CAROUSEL FOR SANDPOINT. Check out The Carousel of Smiles website

www.the carouselofsmiles.org

Invitational Fine Arts Show July 21, 22 & 23 Come meet over thirty artists and enjoy the work of some of the region’s finest painters, sculptors, photographers and jewelers. A rich variety of styles, media, and subject matter.

Art Show is open with Free Admission:

Fri. 1-5 pm • Sat.10 am-5 pm • Sun. 10 am-3 pm

Opening Benefit Reception Hosted by Carousel of Smiles Friday Evening 6-8 pm Please contact Gabe Gabel, Show Director at 208-265-9613 Ponderay Garden Center • Highway 95 (north of Walmart)

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Take Charge of Chronic Pain

by Lisa Casolari

Marketing Coordinator Tri-State Memorial Hospital & Medical Campus

Y

ou are too sore to get up today. That aching pain has kept you up all night again. You have tried everything, yet nothing seems to provide relief. You wish the pain would magically disappear, but to no avail, relief seems to be nowhere in sight. So, just like every other day for the last few months, you push through the pain hoping that one day you will be able to live your life to the fullest, pain-free.

If this scenario sounds familiar to you at all, you may be experiencing chronic pain.

Everyone has experienced some form of pain at one point or another in their life, whether it was breaking a bone, dealing with a headache, or simply bumping your elbow on the table. But, chronic pain is on a completely different level and can seriously interfere with your day-to-day activities.

Chronic pain is described as a persistent or recurring pain that does not go away, lasting longer than 3 to 6 months, and affects a person’s well-being. This type of pain can be a result of illness, injury, or may onset suddenly. Based on a National Institute of Health Statistics survey, low back pain is the most common form of chronic pain, followed by severe headache or migraine, neck pain, and facial pain.

If you suffer from chronic pain, you are not alone in this fight. According to the American Academy of Pain Medicine, pain affects more Americans than diabetes, heart disease, and cancer combined, with more than 25% of people aged 20 years and over reporting issues of pain lasting longer than 24 hours.

Living with chronic pain can hinder daily activities, making simple tasks seem daunting. Lost sleep, missed days at work, and personal relationships have the possibility of suffering as a result of pain. In 2010, the American Academy of Pain Medicine stated the total annual incremental cost of health care due to pain ranges from $560 billion to $635 billion in the U.S., which combines medical costs and lost wages and productivity.

Taking back control of your life starts with seeking help.

Chronic pain can be treated multiple ways so it is important to note that one treatment will not work best for everyone.

Pain is a personal and subjective experience and should be treated as such when looking for relief. As pain is also highly misunderstood, it is vital to find a provider who recognizes that pain affects everyone differently.

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Wise Guide | Spring 2017

The goal of managing and treating chronic pain is to improve quality of life and reduce suffering. Non-medical treatment options may include art therapy or yoga, which can help redirect thoughts away from pain. For those seeking medical treatment, pain specialists have advanced training and can help create a personalized treatment plan that will provide the most relief.

If you are looking for medical treatment options for chronic pain, consider contacting the Tri-State Interventional Pain Consultants. With over 75 years of collective experience, and specialized training in pain management, the expert providers at Tri-State Interventional Pain Consultants offer a comprehensive range of services and procedures for acute and chronic pain, including cancer and nerve pain. Using the most up-to-date information and state-of-the-art techniques, our board certified providers strive to help you regain quality of life.

So, whether you have a herniated disc, shingles, arthritis, sciatica pain, or any other type of chronic pain, treatment options are available. The caring providers at Tri-State Interventional Pain Consultants are here to help, among many other treatment options offered throughout the Lewis-Clark Valley.

Now is the time to take back your life and begin living pain-free. ____________________________________________

Lisa Casolari is the marketing coordinator for Tri-State Memorial Hospital & Medical Campus. Lisa recently moved to Lewiston from Chicago where she worked in several marketing management positions. With over 9 years of marketing experience, she boasts a vast set of skills, including marketing plan development, social/ digital media, advertising, promotions, graphic design, and event planning. Lisa earned her bachelor’s in marketing and entrepreneurship.

American Cancer Society Programs and Services Available for All Stages of Cancer Journey

T

he most comprehensive cancer organization in the world, the American Cancer Society, has programs and services to help people with cancer and their loved ones understand cancer, manage their lives through treatment and recovery, and find emotional support. Our help is free.

Often the best place to start when looking for support programs and services is to call our National Cancer Information Center at 1-800-227-2345 or visit cancer. org. NCIC provides information and support 24 hours a day, 365 days a year. Trained cancer information specialists take calls and participate in online chats, providing accurate information and connecting people with valuable services and resources in their communities.

Among the incredible programs and services available are: • Patient Lodging, a place to stay when the best hope for a cure is far from home; • Road To Recovery, volunteer drivers provide patients a ride to their potentially life-saving treatment; • Reach To Recovery, breast cancer support for people recently diagnosed; • Look Good Feel Better, help with the appearance related side effects of cancer treatment; and • Patient Navigation Services, assistance in navigating the health care system.

No other organization provides the scope of information, programs and services as the American Cancer Society – and Society programs are free for patients and their caregivers. Individuals interested in volunteering for these programs should contact the National Cancer Information Center.

Calls to action: •

Program 1-800-227-2345 into your phone and share it when you hear of a friend or loved one receiving a cancer diagnosis.

• Visit cancer.org to learn more about programs and services provided in your community.

• Join your local Relay For Life event to help fund these lifesaving programs. relayforlife.org American Cancer Society Spokane 920 N Washington Ste 200 Spokane WA 99201 509-455-3440

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Choosing a Rehabilitative Care Facility

by Stephen Chun, Marketing Coordinator Rehabilitation Hospital of the Northwest

W

hen recovering from a disabling injury or disease, rehabilitative care is significant to a patient’s healing process, helping to provide positive results in regaining or improving productivity and independence.

Choosing a rehabilitation facility for yourself or a loved one may be one of the most important and difficult decisions you have to make. When you talk about rehabilitation facilities, you may hear the terms skilled nursing, nursing homes, assisted living centers, and acute rehabilitation hospitals. These all may seem like equal choices for rehabilitative care, but they’re not.

Each of the aforementioned facilities has rehabilitation professionals on staff, but only one – the rehabilitation hospital -- specializes in rehabilitation, offering 24-hour rehabilitative nursing care, along with daily physician

management and intensive rehabilitation therapies.

A national study shows that patients treated in inpatient rehabilitation hospitals have better long-term results than those treated in skilled nursing facilities. The study, which was commissioned by the ARA Research Institute, shows that patients treated in rehabilitation hospitals live longer, have less hospital and ER visits, and remain longer in their homes without additional outpatient services. These patients returned home from their initial stay two weeks earlier and remained home nearly two months longer. In addition, patients who were treated in inpatient rehabilitation hospitals experienced an 8 percent lower mortality rate and 5 percent fewer emergency room visits per year.

In addition, last spring, The American Heart Association/ American Stroke Association released guidelines strongly

Choose a Nationally Recognized Hospital – It Matters!

Rehabilitation Hospital of the Northwest is ranked in the U.S. in the Top 10% for patient care. And, we’ve earned The Joint Commission’s Gold Seal of Approval.

3372 East Jenalan Ave • Post Falls ID 83854 • 208.262.8700

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Wise Guide | Spring 2017

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Follow Us

recommending that stroke patients be treated at inpatient rehabilitation facilities rather than skilled nursing facilities. The guidelines highlight the effective and important aspects of an inpatient rehabilitation facility, including: •

• • •

Patients typically participate in at least 3 hours of rehabilitation a day from physical therapists, occupational therapists, and speech pathologists Nurses are continuously available Doctors typically visit daily So, how do you select a rehabilitation hospital that’s right for you or a loved one?

A good starting place is to discuss your options with your physician or healthcare provider. He or she is intimately involved with your health care and knows what your specific needs are. Your physician will know what type of rehabilitation will be required for your injury or illness. Ask for recommendations on rehabilitation hospitals, and then do some research: •

Start with an online search. Compile information and form questions.

Review general information about rehabilitative care, and gather information from the hospital’s web site.

• Take a tour of the hospital. Observe the attitude of the staff, type of equipment, and the cleanliness of the facility. By visiting, you can get a sense of the care provided, compassion for patient dignity, and involvement of family members. You may want to ask about:

- healthcare specialists who will

be involved in

your care,

- nurse-to-patient ratio,

- longevity of the staff,

- certifications, and credentials

of the staff,

- how large the hospital is,

- what services are provided,

•

•

•

- hospital accreditations and recognitions, - patients’ results.

Note the location of the hospital.

While the location should be considered, getting the best care for you or a loved one is most important. If you have to leave your hometown for treatment, check the hospital’s policy for overnight visitors and on-site available food services. Also, you can check the hospital’s proximity to hotels, grocery stores, and restaurants.

Determine if family members are involved in the patient’s care.

Since family members help the patient transition back to his or her home and work life once they leave the hospital, it’s important that everyone – patient, family members, and hospital healthcare team – work together consistently to help the patient achieve the most independence possible.

Find out some “housekeeping” information, such as what language is spoken at the hospital, the types of insurance accepted, the hospital’s visitation hours, and anything else that can make your and your family’s stay more comfortable.

Don’t ever hesitate to research, observe, and ask questions to be sure you are treated at a facility that offers exemplary rehabilitative services in an environment that’s comfortable for you and your family.

In Post Falls, Idaho, Rehabilitation Hospital of the Northwest is a rehabilitation hospital that provides specialized rehabilitative services to patients throughout Idaho and surrounding states who are recovering from disabilities caused by injuries, illnesses, or chronic medical conditions.

This includes strokes, orthopedic, brain and spinal cord injuries, along with chronic illnesses such as cerebral palsy, ALS (Lou Gehrig’s Disease), multiple sclerosis and Parkinson’s disease.

The hospital is consistently ranked in the Top 10% of inpatient rehabilitation facilities in the nation for its patient care by the Uniform Data System for Medical Rehabilitation (UDSMR). The UDSMR maintains the world’s largest database for medical rehabilitation outcomes. This means that in the Inland Northwest, patients don’t have to leave the area to receive the latest in technology and clinical protocols; it’s being provided right in our own community. ____________________________________________

Stephen Chun is the Marketing Coordinator for Northern Idaho Advanced Care Hospital and Rehabilitation Hospital of the Northwest in Post Falls. He recently moved to the Inland Northwest area with his wife, Dr. Megan Sakamoto-Chun, a Family Physician Resident at Sacred Heart Medical Center and Children’s Hospital in Spokane. Stephen received his Masters in Communication from Hawaii Pacific University and is a graduate of Beloit College.

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Medication Therapy Management

by Brian Auer, Pharmacy Manager Owl Pharmacies

U

nder the Medicare Modernization Act of 2003 Part D legislation, Prescription Drug Plan sponsors must have an established Medication Therapy Management (MTM) program. MTM is a program developed in cooperation with pharmacists, to provide a high-quality way to build relationships with patients to improve medication compliance and therapeutic outcomes. Medication-related problems and non-compliance are a massive public health concern in the United States. Experts estimate that 1.5 million preventable adverse drug events occur each year that result in $177 billion in overall health care costs. 1

MTM services target beneficiaries who have multiple chronic conditions (such as asthma, Chronic Obstructive Pulmonary Disease (COPD), diabetes, hypertension, and hyperlipidemia), on complex medication regimens, or are likely to incur significant annual costs.

Pharmacists providing these services address medication adherence and safety concerns about high-risk medications as well as providing a thorough medication regimen review.

During a Comprehensive Medication Review (CMR), a pharmacist reviews and explains the value of a patient’s medications, screens for drug interactions or disease state contraindications, evaluates the appropriateness of dosages and answers questions about medication therapy, lab values, and side effects.

CMRs provide the opportunity for a pharmacist to address and resolve adherence issues, provide an updated medication list to the patient and patient’s primary care provider and identify high-risk medications while suggesting alternative therapies.

• Regarding medication adherence, many pharmacies have programs and technology to improve compliance. Some questions you may want to ask your pharmacy; • Does the pharmacy provide a medication adherence program?

• Does this include refill reminders for currently prescribed medications?

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Wise Guide | Spring 2017

• •

Does this include voice, text or email messages when your prescription is complete?

Does this include Medication synchronization?

Refill reminders can be a voice recorded message, text message or email that is sent when a currently prescribed maintenance medication is a few days past due. A 2012 study published in Clinical Therapeutics was the first large-scale U.S. study to link text message reminders and adherence rates. The study involved participants who were taking chronic antidiabetes medications. The group that received text message reminders saw adherence rates of 91 percent, while the control group saw 82 percent adherence. Patients can easily opt out of the service if desired.

Will Call Bin notifications allow patients to receive messages when prescriptions are ready to be picked up. This takes the guess work out of predicting when a prescription is ready which occurs when a prescriber needs to be contacted to authorize refills or an insurance carrier needs to be contacted to authorize coverage. It can save on wasted trips or phone calls to the pharmacy.

Medication synchronization programs can reduce your trips to the pharmacy and improve your ability to take medications. Med sync coordinates all of your ongoing prescription refills so there is one, possibly two days each month where you will pick up all of your prescriptions.

Regarding high risk medications, pharmacists refer to the “Beer’s Criteria for Potentially Inappropriate Medication Use in Older Adults” which has been an important resource for preventing adverse outcomes of medication use in the elderly

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1275 Highland, Clarkston, WA population. An article in the Summer/Fall 2016 Wise Guide “Medications and Aging” discussed this list of medications.

If you are contacted to participate in an MTM case, I would suggest you take the time to make an appointment to review your medications with your pharmacist. You’ll get a written summary of this discussion, including a medication action plan that explains what you need to do to get the best results from your medications. There will be space for you to take notes or write down any follow-up questions. You’ll also get a personal medication list that will include all the current medications, dosage, frequency, and why you take them. __________________________________________________________________________________________

Brian Auer completed a BS in Pharmacy at Washington State University Cum Laude in1984. His professional profile: Lewis-Clark Pharmacy Association Continuing Education Coordinator 1986-1991; Idaho State Pharmacy Association Board Member 1991-95 & President 1994-95. Brian was Washington State University Pharmacy School Alumni Board Member 1995-96. Brian has been a Long Term Care Consultant Pharmacist from 1990 to present and Pharmacy Manager of Owl Southway from 1987-2016. He is affiliated with the National Association of Community Pharmacists, American Society of Consultant Pharmacists, Idaho State Pharmacists Association & Lewis-Clark Pharmacists Association.

208-743-7766

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10 Things to Know About Chronic Kidney Disease

by Fresenius Kidney Care

C

hronic kidney disease (CKD) is a condition that occurs when your kidneys don’t work as well as they should to filter waste and toxins from your blood and keep your body chemically balanced. Getting diagnosed with CKD can understandably raise many questions, so learn everything you can about your kidneys and your condition.

The goal of treating CKD is to best manage your health at every stage. Getting informed can help you take charge of your kidney health and keep your kidneys functioning as long as possible.

10 Things to Know About CKD

1 2

About 13% of US adults have CKD - that’s around 26 million people.

The leading causes of CKD are diabetes and high blood pressure - together they account for 66% of new diagnoses.

3 4

Most people are born with two kidneys, but you only need one to live a healthy life.

CKD progresses in stages and can eventually lead to complete kidney failure. At this point, treatment options include dialysis or transplant.

5

The progression of CKD can often be slowed with early treatment, but many people do not show symptoms until late stages of CKD.

6 7

CKD affects people of all ages, but those 60 and over are the most likely to develop it.

Certain ethnic groups, including African American, Hispanics and Native Americans are at a higher risk of CKD.

8 9 10

About 430,000 Americans with kidney failure rely on blood-filtering dialysis treatments to survive.

A growing number of people are choosing to do at-home dialysis – nearly 40,000 people in 2013.

More than 90,000 people in the US are waiting for kidney transplants. Only 18,000 people a year will receive one.

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Wise Guide | Spring 2017

Are You at Risk?

One challenge in detecting CKD is that there are virtually no symptoms until later stages of the disease, when kidney damage has already occurred. Be proactive – early diagnosis is key! Get screened for CKD if you have any known risk factors, like diabetes or high blood pressure. Getting screened for CKD just means being tested. It’s an especially important step if you fall into one of the at-risk categories. You can be screened for CKD with two simple tests: a blood test and a urine sample test. Once you and your doctor know more about your current kidney health, you can make a plan to stay your healthiest— and keep an eye on your kidneys moving forward.

At Fresenius Kidney Care, we’re passionately committed to helping people with CKD and end stage renal disease (ESRD) lead fuller, more active and vibrant lives. As a division of Fresenius Medical Care North America (FMCNA), we’re part of a network of companies dedicated to one mission: providing superior care that improves the quality of life for every patient, every day. With access to the vast resources of our global parent company, Fresenius Medical Care AG & Co. KGaA, the world’s leading innovator in kidney care and the largest provider of dialysis products and services, we’re uniquely equipped to provide comprehensive quality care to all of our patients. From state-of-the-art dialysis equipment to the world’s most advanced dialysis treatment services and patient support services, FMCNA helps nearly 200,000 people with CKD and ESRD improve their lives every day.

At the end of each day, over 67,000 FMCNA employees share the same singular commitment of providing the best care to everyone we treat, wherever they may be—at home, in center, in the hospital or at the physician’s office. Find the location nearest to you: freseniuskidneycare.com

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15

Wound Prevention for Your Loved Ones

by Deanne Boyd RN, Director of Nursing Services Life Care Center of Sandpoint

W

e are seeing more and more families caring for their mothers, fathers, grandparents in the home setting and would like to provide them with some suggestions to help keep their loved ones’ skin healthy. There are a few simple techniques that we can add to our daily lives which can markedly reduce the risk for pressure sores (bed sores).

As we age, our skin becomes more fragile and prone to bruising, cuts, and areas of pressure-related sores. These pressure-related sore areas are mostly seen over boney prominences on the body, but can also be found in less common areas that we do not always think to check. A few examples of these are: the tops and tips of the toes, mid spine, elbows, and between the gluteal cheeks.

Now that we know where to look let’s talk about some simple quick daily tasks that can minimize the development of these pressure-related sores. Check your loved ones shoes for a proper fit. When removing their shoes after being out on the town did you notice any red areas on their feet? If so, this might be a good time to look into shoes made from a flexible cloth material or possibly a wide toe box. A good foot rub with lotion for approximately 5 minutes to each foot will not only win your loved one’s heart, but will also help improve the circulation to their feet and aid with early detection of areas beginning to develop sores.

Does your loved one have a favorite chair or recliner they like to sit in for long periods of time? It is always a good rule of thumb to “off load” or reposition off of your bottom approximately every 2 hours. This will help displace the

weight of the body off the tailbone and shift to another part of the buttocks. This can be as easy as using a small pillow to prop up one hip or the other, or encouraging your loved one to lay down on their side to rest. Making sure their entire body is supported with pillows for comfort will often help with their willingness to reposition.

As we get older we will often lean on our elbows to support our upper body especially towards the end of the day as we fatigue. Paying attention to how your loved one sits and what they are resting their arms on can be vital in preventing pressure-related sores to their elbows. This can include padded wheelchair arms, adding sheep skin covers to wheelchair arms, or opting for padded arm chairs rather than wooden arm chairs is always a good and inexpensive fix.

Again here is another area where massage is a great tool.

Adding into your evening routine a time to apply lotion and inspection their elbows is not only a great time to reminisce about the day’s events but helps promote circulation and prevention of sore elbows.

Unfortunately, as we age “accidents” will happen. This is the number one cause of pressure-related sores in most settings whether at home, in the hospital, or any care facility. Something to keep in mind to head this off is to assist your loved one to the restroom regularly. It is recommended that people be offered the restroom every 2-3 hours to help prevent accidents.

Have them wear a good absorbing undergarment, not only for their dignity, but also to keep the moisture from the skin as much as possible. A good barrier cream after each “accident” will help prevent the acidity from burning the skin making it more fragile and susceptible to pressure-related sores.

If your loved one starts to complain of discomfort in any one area this would be a good time to have a look. We know that this can be difficult for our loved ones, and we can offer alternatives or even make a doctor’s appointment if they feel uncomfortable having you check personal areas.

Overall, while assisting our loved ones with their daily activities, be vigilant about looking for those “red spots” and ask yourself, “How did that get there and how can I help relieve the pressure?” Things like off-loading, providing extra padding, creating barriers for moisture, and massage are all excellent ways that are not too time intensive or costly and can help your loved one have healthy skin and be comfortable. ___________________________________________________________________

Deanne Boyd is currently the Director of Nursing for Life Care Centers of America in Sandpoint. She began in geriatrics 20 years ago, starting as a Certified Nursing Assist while obtaining her nursing license. Deanne has experience in critical care as an ER Nurse and Surgical Services Nurse with Bonner General Health. She enjoys working with the aging population and building relationships with them and their families.

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Wise Guide | Spring 2017

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17

Opioids—Be Informed!

[Jesse – 23 years-old] “Twenty-two year-olds are NOT suppose to go to sleep and die! We drank some wine, in celebration of my boyfriend graduating college but he kept nodding off so we went to bed earlier than usual. About 3:00 am I woke up and could feel he was cold and not breathing. I tried waking him up. I tried CPR. I called 911. He had promised me that he wouldn’t take anymore of those pain meds….”

[Casey- 16 years-old] “I’ve been sneaking pills from my grandma since I was thirteen. She hardly ever notices. Even if she does, my parents just blame it on her being old and not remembering.

I also make the rounds to my friends’ bathroom cabinets. Just a few here and there but it adds up. Unless I read that the script was filled a long time ago, then I take the whole bottle cause I figure they won’t even notice its missing.”

[Michelle – 36 years-old] “Good grades, good athlete, good girl, that was me. At seventeen, a soccer injury resulted in knee surgery and a prescription for hydrocodone. I’ve lost jobs and my drivers license to DUIs. My husband is threatening to divorce me and I’m afraid I might lose my kids to CPS. The other day I put my fist through a glass window to get oxys. I lie a lot for the addiction but I’m not lying when I say I don’t want to lose my family and I don’t want to die… but I can’t stop.”

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Wise Guide | Spring 2017

by Annabelle Payne, Director Pend Oreille County Counseling Services

W

hen was the last time you lost something important?

Now, take a moment, and imagine the thing you lost was yourself—you never saw it coming. Addiction happens for many reasons and at any time in someone’s life. It happens every day and at an increasingly alarming rate across the United States. The price for many, is death.

The Center for Disease Control (CDC) reported opioids claimed more than 33,000 lives in the United States in 2015, with over 3.5 million reporting non-medical use of prescription opioids.

Opiate-based medications are prescribed for pain management. For many this treatment works very well but it is important to be informed. Even if a drug is prescribed, there is the risk of addiction and for many medical conditions, opioids do not have to be the first line of treatment. Nonopioid medications and non-pharmacologic treatments such as cognitive behavior therapy also have good evidence for pain management.

When opiate-based medications are used, strictly follow the prescription and be mindful for symptoms of abuse and/ or addiction behaviors, such as the following: • Taking medication in a dose or frequency other than prescribed by a medical provider, often resulting in running out of medications early • Taking the medications when no longer medically needed • Seeking additional medications thru “doctor shopping,” illicit buys or theft.

• Exaggerating pain, lying or inflicting self-injury to obtain more medications • Mood swings or anxiety attacks due to non-prescribed medication use • Problems at work, school, relationships due to nonprescribed medication use • Intense cravings with inability to stop use • Withdrawal symptoms – muscle aches, restlessness, runny nose, irritability, restlessness. Often mistaken as having the flu but may actually be indication of physical dependency.

• Overdose - constricted or small pupils, vomiting, slow, erratic or absence of breath or pulse Get immediate medical help by calling 911 or going to the ER!

Did you know that Washington State has “Good Samaritan” laws that provide certain legal protections for people who need or seek medical help, in the event of an overdose? For more information see: http://stopoverdose.org/section/good-samaritan-law/

National Prescription Drug Take-Back Day is April 29, 2017 although unused prescriptions may be dropped off anytime in a Prescription Drop Box, located at the Pend

Oreille County’s Sheriff’s Office or at the Kalispel Public Safety building. For more information on safe disposal methods and why it is important: http://www.takebackyourmeds.org/what-you-can-do/faqs/

Other Resources: Washington Recovery Help Line (24-hour) call 1.866.789.1511 https://www.warecoveryhelpline.org/ Washington State DSHS https://www.dshs.wa.gov/bha/substance-use-treatment-services Pend Oreille County Counseling Services provides outpatient substance use disorder and mental health treatment, to include case management supports for inpatient treatment.

Counseling Services also partners with Newport Hospital and Health Services for medication-assisted treatment. Call 509.447.5651 pendoreilleco.org/your-government/counseling-services

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LightForce Laser Photobiostimulation Relieves Pain & Enables Healing

by Dr. Daniel L. Moore, Moore Chiropractic

A

few years back I suffered nerve injury to my left leg and had terrible radiating pain. Class IV laser therapy was recommended to me by a neurologist after medication and treatment failed. I had to travel to Boise to find the nearest facility offering Class IV laser treatment. It worked so well that I wanted to share it with my patients. Since then I have treated hundreds of patients with such great results that I have many health care practitioners stop in to see what deep laser therapy can do for their patients.

For those suffering from chronic, nagging pain, inflammation and lack of mobility, Class IV laser therapy offers fast, healing relief. We encourage those who have tried other forms of treatment without success to try the technology. Class IV laser therapy allows my patients to return to the activities they love while maintaining their healthy lifestyle. Recovery from injuries is much faster, often avoiding surgery altogether, not to mention the time associated with post-op healing. One of the greatest benefits I’ve found is that Class IV laser therapy allows the body to heal without the use of prescription drugs.

LightForce lasers are FDA approved, highly sought-after and endorsed by professional organizations such as The American Physical Therapy Association, The World Health Organization, and The International Organization for the Study of Pain. Many professional sports teams including the Seattle Seahawks use the LightForce laser. Lesley Paterson, a

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Wise Guide | Spring 2017

three time world triathlon champion and Dale Richardson, a professional golfer are users of the Class IV laser. This cutting edge, professional grade treatment is available to the public and I am very pleased to provide it in a small town environment where our lifestyles and day-to-day activities demand so much from our bodies.

The Science Behind Laser Therapy’s Benefits

Peripheral neuropathy is a general term for diseases causing damage to the nerves outside of the brain and spinal cord. While diabetes is a frequent cause of neuropathy, it is not an exclusive cause. Nutrition deficiencies, chemical exposure, pressure on the nerves, injuries, and medications (such as those used in chemotherapy or to treat AIDS) can cause painful neuropathy.

In general, diabetic neuropathy is thought to be the result of chronic nerve damage caused by high blood sugars. Similar to how an electric wire is surrounded by insulation, our nerves are surrounded by a covering of cells called Schwann cells.

One theory suggests that excess sugar circulating throughout the body interacts with an enzyme in the Schwann cells (called aldose reductase), transforming the sugar into sorbitol.

This process draws water into the Schwann cells causing nerve swelling and damage resulting in pain. Unless the process is stopped and reversed, both the Schwann cells and the nerves they surround will die.

The application of photobiostimulation that the Class IV laser delivers to these cells prevents or reverses the biochemical processes that cause this damage. The increased circulation removes excess fluid from the Schwann cells removing any possible pressure necrosis (or death) to the rest of the nerve cell while providing a vehicle to remove cellular waste such as sorbitol.

Laser therapy applied to the affected nerve cells stimulates the mitochondria within the cell and increases the respiratory rate of these individual cells. When this happens

State of the art technology for acute and chronic pain relief doesn’t have to mean a trip to the big city! the intracellular metabolites do not have the opportunity to become depleted, and the production of any destructive protein kinases is halted.

Laser therapy generates a photochemical response in damaged tissue by a process called photobiomodulation. This process stimulates healing on a cellular level by enabling cells to more rapidly produce energy (ATP).

Deep tissue laser therapy is a non-invasive use of laser energy that promotes healing of damaged or dysfunctional tissue. This form of therapy helps your body use its own natural healing power by activating a positive cellular response, increasing microcirculation to reduce inflammation.

Laser therapy can alleviate pain and accelerate recovery from a wide variety of acute and chronic issues such as arthritis, tendonitis, neuropathy and plantar fasciitis. Knee, hip, neck and back pain have also been shown to respond extremely well to treatment with laser therapy.

Class IV lasers provide a deeper depth of tissue penetration unachievable with lower wattage lasers and are unrivaled by Class I, II, and III lasers. This is due to their ability to treat both superficial and deep tissue conditions.

The LightForce Class IV Laser was developed by leading laser scientists and engineers and we are proud to offer one of the

very few Class IV LightForce Lasers in North Idaho.

We have already seen many of our patients benefit from this treatment with as few as two treatments. We are so confident that this exciting new treatment can help you that your first treatment is on us. Contact our office at (208) 2672506 to schedule your complimentary first treatment and start your road to a pain-free life today.

Visit danmooredc.com to see a short video on how the Class IV Laser works. __________________________________________________________________

Daniel L. Moore D.C. has been in private practice for more than 30 years. His career began in Los Angeles, California in 1984. While working with Olympic athletes under Dr. John Thie, he mastered cutting-edge techniques like kinetic taping and Kinesiology.

A past board member of Boundary Community Hospital and Vice President of Boundary Community Ambulance, Dr. Moore currently works with several athletic teams at Bonners Ferry High School and is often seen on the sidelines during football, baseball and track events.

Dr. Moore’s advanced rehabilitation and athletic training has served Bonners Ferry and surrounding communities in North Idaho and Western Montana for over 20 years. He has continually led his field in the application of ground-breaking technologies including the LightForce Class IV Laser used in the treatment of nerve-related pain.

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21

Knowing where to go during times of emergency is key. To learn more and to save a spot in line, go to: kootenaiurgentcare.com In a life-threatening/ emergency situation - call 911!

Urgent Care or the Emergency Room?

How do you choose where to go?

B

elow are symptoms to help you decide where to go if you are in need of urgent attention.

Broken Bones: Symptoms often include limited or inability to move a limb, intense pain, numbness, tingling and a visibly misshapen limb or joint.

Urgent Care: -Extremity injury with pain, swelling or bruising.

-Minor broken bones and fractures (i.e. wrist, ankle, hand or foot).

Emergency Room: -Compound Fracture (bone protruding through skin).

-Major broken bones (hips, femur, or significant deformity of a limb).

Cold & Flu: Influenza The “Flu� is a highly contagious respiratory illness caused by different strains of the flu virus. Symptoms include sudden onset, fever, sore throat, cough, and muscle aches.

It is important to seek treatment to avoid more serious complications such as bronchitis, sinus infections and pneumonia.

Urgent Care: An urgent care provider can diagnose the flu based on your symptoms. If diagnosed, antiviral medication may

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Wise Guide | Spring 2017

be prescribed. Taken early on, these drugs may shorten the course of the flu and help prevent worsening and causing complications such as pneumonia, bronchitis etc.

Emergency Room: -Severe difficulty breathing -Confusion -Severe vomiting -Signs of dehydration

Bee Stings: While reactions to stings vary, it is important to recognize the signs and symptoms when medical care is needed. If you are stung, remove the stinger as soon as possible. Do not squeeze, which may result in more venom being injected into the body.

Wash the area thoroughly and apply ice. If pain persists for more than a few hours, seek medical care.

Urgent Care: -If you are unsure of how to treat a bee sting, do not hesitate to come into Kootenai Urgent Care to have the sting evaluated/treated.

Emergency Room: -Difficulty breathing -Anxiety or dizziness -Tightness in the throat -Tongue swelling

Cuts & Lacerations: A laceration is a cut usually caused by a sharp object or blunt force.

-Seizures or convulsions -Confusion

Sore Throat:

Urgent Care: -Most lacerations can be treated in an urgent care facility.

Emergency Room: -Blood loss is significant.

-If urgent care provider feels the laceration needs further evaluation.

Stomach Pain: There are many causes ranging from food poisoning, infection, inflammation, appendicitis and many other conditions and may often be accompanied by nausea, vomiting, cramping or aching in the abdomen and overall restlessness.

Urgent Care: If your abdominal pain is mild, or you have diarrhea and vomiting for more than 24 to 48 hours, a visit to urgent care can often help diagnose the root cause. However, if the pain does not subside within 30 minutes, it is best to seek emergency care.

Emergency Room: Severe or persistent localized pain in the abdomen can be an emergency.

High Fever: A fever generally occurs when you are sick, to activate the body’s immune system to fight off bacteria and viruses.

Fevers can also occur with heat exhaustion, sun-burns, some immunizations and some medications.

Urgent Care:

Inflammation caused by infections such as a cold or the flu. Typical symptoms are scratchiness, difficult or painful swallowing and swollen tonsils.

Urgent Care: If your sore throat doesn’t start to feel better within 2-5 days, an urgent care center can swab your throat, diagnose and prescribe antibiotics if necessary.

Emergency Room: -Restricted breathing.

Ear Infection: Occurs when one or both Eustachian tubes (small tubes connecting the ear to the back of the throat), become swollen or blocked and fluid builds up in the inner ear causing pain or discomfort, persistent feeling of pressure, hearing loss, ringing in the ear or discharge.

Urgent Care: Ear pain that persists longer than 1-3 days can often be treated with an antibiotic. The provider may also prescribe a decongestant to help relieve the pressure in the middle ear.

Ear infections being treated with an antibiotic should start feeling better within 2-3 days. If symptoms persist, a different antibiotic may be prescribed.

Emergency Room: -Stiff neck with inability to touch your chin to your neck.

-Confusion associated with ear complaints.

Treatment depends on the cause, (i.e. medication, heat exhaustion, etc.). If you have recently been in high temperatures and are not sweating, (heat exhaustion), your fever lasts for more than a couple of days, or cannot be treated effectively with over the counter cold medicine. It is important with any fever to drink plenty of fluids to avoid dehydration.

Sprains & Strains:

Emergency Room:

If you are experiencing numbness on or around the injured area or you are unable to walk without significant pain. Most do not require a trip to the Emergency Room.

-Stiff neck -Trouble breathing

A sprain occurs when a ligament, (the fibrous tissue that connects bones together), is torn. A strain occurs when a muscle or a tendon is torn. Most sprains and strains can be treated at home with rest, ice and elevation.

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W W W. K O O T E N A I U R G E N T C A R E . C O M Wise Guide | www.TheWiseGuideOnline.com

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Unsteady on Your Feet?

S

urveys conducted nationwide tell us that the #1 priority of older adults is availability to services, and #2 is aging in place in their own homes. The main reason people leave their homes is from the most common household accident — a fall. If you have fallen, more than once, there could be a number of reasons. Find out what is going on!

Why did you fall? Were you trying to step in or out of the tub? Trip over an upturned carpet or linoleum? Slip on a wet spot on the floor? Woke up in the night and tripped over the dog?

Leaned over to put on your shoes and lost your balance? Lost your footing on the steps? All these things can be addressed.

If the house has “dangerous” features or ones difficult to manage such as door knobs that you can’t turn, light bulbs you can’t reach to replace, cleaning you just can’t do any longer like crawling around the kitchen floor, wringing out a mop, carrying the vacuum up or down the stairs, emptying the vacuum. These things really are fairly easy fixes, but somebody has to help you with them and/or change things in such a way as to eliminate the problem. Face it, you are probably beyond fixing it yourself. You need some help. We all get older and as we age there are simply things in our world that fight back.

Things we just can’t do any longer, or don’t want to do.

Are you feeling unsteady on your feet? Balance issues are huge. They come from a variety of causes, and the primary one is lack of strength. Fit & Fall classes are WONDERFUL for this. They are free and held all over the region by the Health District. Find one and sign up. There’s also a Sit & Be Fit program on TV mid-day on public television.

Could your balance be inner ear related? Something as simple as wax build up can mess up your equilibrium. There are several options for free ear exams, or you could go to your doctor.

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Wise Guide | Spring 2017

A look into the ear is a normal part of any wellness exam.

Are you vitamin deficient through inadequate diet? As you age, your metabolism changes and you may need more of some things and less of others. How do you find out about these things? The doctor is a good place to start. A doctor and/ or dietician can run a few simple tests and figure it out.

Eating better and staying active while making sure the house isn’t a hostile place can allow you to remain in your home. If you don’t do those things, recognize that you are headed in a direction of dependence on others, possibly moving somewhere “safer,” or moving in with family, putting others at ease, while eventually risking loss of your independence altogether.

Or consider that there is absolutely nothing wrong with choosing to sell your home and move into an independent living situation where meals are prepared and cleaning done. You could be spending your golden years enjoying the company of others, going on excursions, dancing, volunteering, playing cards on a rainy day, sharing growing a garden, going shopping, having a good time.

You can do both. It’s your choice. But if you lose the ability to be mobile through a slow decline from not asking for help, not maintaining your health and your home, and not being a part of the vibrant life going on around you, you’ve only yourself to blame.

Weren’t you a responsible adult at a younger age? Why does that have to change? Be responsible now, take action and live a long HEALTHY and HAPPY life.

By the way, you don’t have to make these decisions alone.

Start by contacting the various agencies listed in this magazine.

They exist solely to help at no cost.

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25

Medicare Beneficiaries – Would You Be Considered an Inpatient or an Outpatient?

by Karen Clark, SHIBA Volunteer Services Coordinator

T

he financial difference between “observation” status and “inpatient” status to the Medicare beneficiary can be significant. Costs for observation status (which is outpatient) fall under Medicare Part B, and inpatient costs fall under Medicare Part A. Observation status costs are even greater for patients without Part B. Additionally, there are implications after hospitalization. Observation status does not count toward the three inpatient days required for skilled nursing facility coverage.

Patients are often unaware that they are classified under observation status vs. inpatient and are unaware of the implications. Efforts by the Centers for Medicare & Medicaid Services (CMS) to address these issues include the “TwoMidnight” rule and the implementation of the Medicare Outpatient Observation Notice (MOON), which went into effect on March 8, 2017.

Implemented in FY2014 by CMS, the “Two-Midnight” rule addresses vulnerabilities in hospitals’ use of inpatient status and observation status. The rule establishes that inpatient status is generally appropriate if physicians anticipate care is expected to last at least two midnights. The goal of the rule was to decrease the use of short inpatient stays (less than two midnights), decrease the use of long outpatient stays (two midnights or longer), and promote the consistent use of inpatient and outpatient status in hospitals.

In December 2016, the Office of the Inspector General (OIG) reported that short inpatient stays decreased by almost 10 percent in the year after the rule implementation, while long outpatient stays decreased only by three percent.

Despite this decrease, the OIG found that there were still vulnerabilities in this area. Of the short inpatient stays, the report found that 39 percent, or $2.9 billion in payments, may be inappropriate under the rule’s definition of what qualifies for an appropriate short inpatient stay. This was a decrease of almost one-third from the previous year.

Starting March 8, 2017, a new notice informing Medicare beneficiaries and Medicare Advantage Plan enrollees that they are outpatients, rather than inpatients, in a hospital or Critical Access Hospital must be given to beneficiaries receiving outpatient observation services for more than 24 hours, but no later than 36 hours after receiving outpatient observation services. It can be a written notice or a verbal explanation

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Wise Guide | Spring 2017

to beneficiaries and is intended to reduce confusion as to whether they are considered inpatients or outpatients. The notice must include the reason for outpatient vs. inpatient status, the financial implications of Part B outpatient costsharing and self-administered drugs, and must be written in plain language. In addition, the notice must make clear that outpatient observation days will not count toward the threeday minimum inpatient stay required for Medicare-covered skilled nursing care.

If you have questions about Medicare benefits or plan choices, Senior Health Insurance Benefits Advisors (SHIBA) has trained counselors offering free, unbiased Medicare information in communities across Idaho and by phone.

Information is available through its Medicare Helpline at 800247-4422. SHIBA, the State of Idaho’s program for the federal State Health Insurance Assistance Program (SHIP) network is a service of the Idaho Department of Insurance.

The Idaho Department of Insurance has been regulating the business of insurance in Idaho since 1901. The mission of the Department is to equitably, effectively and efficiently administer the Idaho Insurance Code and the International Fire Code. For more information, visit doi.idaho.gov

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3110 _A17

Camp Lejeune: A Famous Landmark with Infamous Water

by Scott A. Thorsness, Director, Kootenai County Veteran Services

C

amp Lejeune in North Carolina began its mark on history in 1941 when the 1st Marine Division was set up there in the middle of a sandy pine forest. The installation was named after Major General John A. Lejeune, who was the 13th Commandant and Commanding General of the 2nd Army Division in World War I. Over the years, Camp Lejeune has grown to be a pivotal installation in the operation of the United States Marine Corps.

Then it happened! In the early 1980s, volatile organic compounds, trichloroethylene (TCE), a metal degreaser, and perchloroethylene (PCE), a dry cleaning agent, as well as benzene and vinyl chloride, were discovered in two on-base water supply systems at Camp Lejeune. The contaminated wells supplying the water systems were shut down in February 1985.

Since then, there has been a firestorm of debate. After much deliberation, research, changes to rules and laws, there is now a VA Rule establishing a Presumption of Service Connection for Diseases Associated with Exposure to Contamination in the Water Supply at Camp Lejeune.

The Veterans Administration (VA) has established eight diseases associated with exposure to the water supply at Camp Lejeune.

The listed diseases are as follows: 1. Adult leukemia 2. Aplastic anemia and other myelodysplastic syndromes 3. Bladder cancer 4. Kidney cancer 5. Liver cancer 6. Multiple myeloma 7. Non-Hodgkin’s lymphoma 8. Parkinson’s disease

It is critical to note that to pursue a claim for one of the above conditions, the active duty, reserve and National Guard member must have served at Camp Lejeune for a minimum of 30 days (cumulative) between August 1, 1953 and December 31, 1987.

If you choose to submit a disability claim, it is paramount that you collect the necessary information to support the disability application. A definitive diagnosis from a medical care provider of one or more of the conditions listed above and validation that the military member was “on-station” for the necessary amount of time and during the affected periods.

To assist with this process, there are County Veteran Service Officers ready and able to help you through this process. We also have a State Veteran Service Officer who is also available to provide the same assistance. They are listed in the pages of this magazine.

To get more information on this subject, the VA has posted some helpful information and also provides information on additional resources and benefits due to the Camp Lejeune Water Contamination. That information can be obtained by visiting the following internet link.

http://www.publichealth.va.gov/exposures/camp-lejeune/ __________________________________________________________________

Scott served in the Unites States Air Force as a 2P071 Precision Measurement Equipment Laboratory Craftsman from 1988 to 2012. His duty assignments include Hickam AFB, HI,15th Component Aircraft Maintenance Squadron; Bitburg AB, Germany, 36th Maintenance Squadron; Ramstein AB, Germany, 86th Maintenance Squadron; Mountain Home AFB, ID, 366th Maintenance Squadron; Osan AB, Republic of Korea, 51st Maintenance Squadron; McChord AFB, WA, 62nd Maintenance Squadron; and Aviano AB, Italy, 31st Maintenance Squadron.

Scott was born and raised in Coeur d’Alene, graduating from CDA High School in 1988. He has an Associate of Applied Science Degree in Electronic Systems Technology. After completing his military service, he returned to his home town in April of 2012. He has been working with Kootenai County since June of 2012.

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VETERANS EVENTS Women Warriors & the Cowgirls Retreat May 19, 20 & 21 Held annually at the Back of the Bluff Ranch, Green Bluff, WA www.cowgirlsandwomenwarriors.org For info: Mary DeLateur 509-893-4737 or email mary.

Delateur@va.gov Can’t participate? You can sponsor someone else’s attendance and donations are welcome.

Vietnam Traveling Wall, known as The Wall That Heals is a 250-foot replica of the Vietnam Veterans Memorial with a mobile Education Center. The exhibit will be open 24 hours a day with full security and is free to the public. The Wall That Heals honors the more than three million Americans who served in the U.S. Armed forces in the Vietnam War and it bears the names of the more than 58,000 men and women who made the ultimate sacrifice in Vietnam. 2017 marks the 35th year of the Vietnam War Memorial in Washington, D.C. The Traveling Wall replica will be on display in 3 areas within our region: May 24-30 at City View Cemetery, 1300 N. Oregon Ave., Pasco, WA August 24-27 at Mirabeau Point Park in

Spokane Valley, WA September 7-10 at 2000 Hwy 93 in South Kalispell, MT (north of Rosauer’s) The Wall that Heals will arrive in Kalispell on Sept 5th with Patriot Guard Motorcycle escort from Washington.

Every Morning Sept 7th thru 10th at 10:00 AM will be a Flag Ceremony and Speakers, Wreath Laying Ceremonies will be on the morning of the 7th.

To learn more: thewallthatheals.org FREE Heavy Equipment Operator Training Course being offered June 9th - June 30th,in Coeur d’Alene.

For more info contact: Russ rivera@ITD.idaho.gov 208-334-8152 or Connie haggerty@ITD.idaho.gov 509-868-7588

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Wise Guide | Spring 2017

3rd Annual Thomas A. Biddle Foundation SOAR Fundraiser & Motorcycle Ride for the support of veteran’s families left behind due to PTSD Suicide and to increase awareness of PTSD. Held at and Hosted by the American Legion Riders & American Legion Post 10, 208 N. Wenatchee Ave. Wenatchee, WA July 15th - Dinner & Fundraiser: Registration 4 pm, Social Hour & View Auction Items 5 pm, 6 pm Dinner, Auction, Games & Music July 16th - Breakfast & Motorcycle Ride - 8:00 am Registration for Riders and Vehicles & Breakfast, 10 am Ride to Lake Wenatchee.

For more info: tabfoundation@hotmail.com & Thomas A Biddle Foundation on Facebook Peaceful Warriors - a FREE Ranch Retreat for Women Veterans September 28-October 1, 2017 - Wolf Springs Ranch, St. Maries, ID Women veterans, active duty, reservist or retired connecting and working with horses, yoga, traditional crafts, massage, campfire circles, journaling, preparing and eating fresh, farm-style food, communing with nature and fellow women veterans. www.lifeskillsranchprogram.org Deadline to sign up Sept. 1st.

Salty Flak: Combat and Readjustment & Adjust Fire: Tools for Readjustment are a dual program for War Zone Veterans: Gulf War to Present Day. Designed to help with the adjustments of returning to civilian life.

Held over 12 weeks every Tuesday 5-7 pm at the Spokane Vet Center. Blaine P. Bart, MS is facilitating 509-444-8387, blaine.bart@va.gov

Stand Down?

What’s a Stand Down?

M

y neighbor asked this question. I thought for a moment, ‘How do I explain a Stand Down to someone who hasn’t been in the military?’ According to Veterans Affairs: “Stand Downs are typically one- to three-day events providing supplies and services to homeless veterans…” That is undeniably true. But anyone who has been to a Stand Down will tell you, Stand Downs are so much more than that.

Stand Downs are an opportunity for all veterans to share an aspect of military culture that most vets miss, and have difficulty defining to those who haven’t served in the military.

Stand Downs are filled with brothers and sisters in arms caring for brothers and sisters in arms. Stand Downs are steeped in camaraderie, that special bond of trust, friendship, and kinship that is developed during long hours in tough conditions, best understood by someone who has “been there and done that.”

Stand Downs are centered around the needs of homeless veterans, and frequently the needs of homeless vets are met by those who haven’t served but care greatly about veterans.

The resource providers at Stand Downs are a mix of veterans and civilians who unite to meet the needs of the underserved homeless veterans. They might provide haircuts, health care for service animals, dental screenings, opportunities for housing, the very long list goes on. One intangible and incredibly valuable experience they provide for the veterans attending the Stand Down is acknowledgment of their service and sacrifice. And, the understanding that frequently, the veteran continues to pay for his or her service to the nation long after they’ve rendered their last salute, or put away their uniform for the last time.

Stand Downs serve homeless veterans - and all veterans - by uniting us. We may be Soldiers, Sailors, Airmen and Marines but at the Stand Down we’re vets first. We’re united across eras, conflicts, service, state lines and party lines. In fact, at the Stand Down, we’re united across all lines of division as veterans and those that support veterans.

Stand Downs are more than “free stuff.” Stand Downs are a family friendly event that provide resources to homeless veterans. Those working or providing services at the Stand Downs treat veterans with dignity, respect and honor while acknowledging the service the veteran has provided the nation. Also, Stand Downs are fun! There’s great food and entertainment provided by locals who give their all to put a smile on a vet’s face. An unexpected benefit many experience at a Stand Down is meeting another vet as strangers and leaving as friends.

Instead of explaining all this to my neighbor, I encouraged him to volunteer at the Stand Down, just as I encourage all vets, but especially homeless vets, to attend the Stand Down. In fact, I’d like to see homeless vets escorted to the front of the line. To the vets facing the challenge of homelessness, know that the Stand Down team, resource providers, volunteers and all the other vets are there with you — and for you — and “We’ve got your back!”

By the Dawn’s Early Light (see cover artist page 6)

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29

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VA Outreach Centers

Spokane Vet Center 509-444-8387 Kalispell Vet Center 406-257-7308 or 877-927-8387 Missoula Vet Center 406-721-4918 Walla Walla Vet Center - 509-526-8387 Spokane Mobile Vet Center - they come to your area!

Call your local VFW for schedule.

Veterans Transportation Services - for FREE transportation to VA Medical Centers, Outpatient Clinics (CBOC’s) & authorized VA appointments 509-434-7527

CBOC’s and Rural Health Clinics Colville Rural Health Clinic 509-684-3701 1200 E. Columbia, Colville, WA Coeur d’Alene CBOC 208-665-1700 915 W. Emma Ave., Coeur d’Alene Grangeville Outpatient Clinic 208-983-4671 711 EW. North Street., Grangeville Kalispell CBOC 406-758-2700 Three Mile Professional Bldg.

31 Three Mile Dr., Ste. 102, Kalispell, MT Lewiston CBOC 208-746-7784 1630 23rd Ave., Bldg. 2, Lewiston Libby Veterans Clinic 406-293-8711 211 E. 2nd Street, Libby, MT Missoula CBOC 406-493-3700 2687 Palmer St., Ste. C, Missoula, MT Sandpoint Veterans’ Clinic 208-263-0450 420 N. 2nd Ave., Ste. 200, Sandpoint

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Online Resources va.gov/homeless Each VA medical center has a homeless coordinator and programs that help veterans establish or maintain safe, stable housing. Call VA’s National Call Center for Homeless Veterans 1-877-424-3838, 24/7. oefoif.va.gov Toll-free line and website that provide information about health care, dental care, education and other benefits for OEF/OIF/OND veterans. 1-877-222-8387 ptsd.va.gov VA’s center of excellence for research and education on the prevention, understanding and treatment of PTSD. 1-802-296-6300 caregiver.va.gov Provides support for caregivers of veterans and information about services that may be available to them. 1-855-260-3274 Art of Redirection Counseling “Counselors Who Ride” offering non-traditional counseling. Army One Source & TRICARE provider, 208-267-9228 artofredirection.com In commemoration of the 75th anniversary of the beginning of World War II, the Museum of North Idaho (115 Northwest Blvd., Coeur d’Alene) is featuring an exhibit The Military and Community which explores the influence of the military in our region. Since North Idaho was the home of Fort Sherman (18781898) and Farragut Naval Training Station (1942 to 1945), the military had a direct impact on the social and economic development of the area. The exhibit will run April 1 through October 31st. Visit museumni.org for more information.

This page brought to you by:

“For their valiant courage in defending the cause of freedom, we honor our Veterans.”

Veterans Stand Downs Coeur d’Alene, ID - May 16th Kootenai County Fairgrounds, 8-2

VA MEDICAL CENTERS & TRANSPORTATION

Kalipell, MT - June 10th, Evergreen Fire Hall, 9-3

Walla Walla VA Medical Center 888-687-8863 77 Wainwright Dr., Walla Walla, WA DAV Van Schedule: Thursdays: 6:00AM departs State Veterans Home 821 21st Ave., Lewiston Picks up: Clarkston, Pomeroy, Dayton,Waitsburg & Dixie, WA APPOINTMENTS FOR RIDES MUST BE MADE 72 HRS. IN ADVANCE Call DAV Transportation Office Walla Walla VA Med. Ctr.: 888-687-8863 x22529

Wenatchee, WA - August 11th at the Armory on 5th St., 8-3

Spokane VA Medical Center 800-325-7940 4815 N. Assembly St., Spokane, WA DAV Van Schedules: Wednesdays & Fridays: 6:00 AM departs State Veterans Home, 821 21st Ave., Lewiston Wednesdays - Picks up: Genesee, Moscow, Viola, Potlatch, Tensed, Plummer & Worley Fridays - Picks up: Uniontown, Colton, Pullman, Colfax, Steptoe, Rosalia & Spangle, WA Noxon & Libby DAV Van Schedules: Mondays, Wednesdays and Fridays - (Noxon Van) Picks up: Noxon, Bull River Junction, Clark Fork, Hope, Sandpoint, LaClede, Priest River, Newport, Diamond Lake, Chattaroy, Spokane VA. Tuesdays and Thursdays - (Libby Van) Picks up: Libby, Bonners Ferry, Sandpoint, LaClede, Priest River, Newport, Diamond Lake, Chattaroy, Spokane VA. APPOINTMENTS FOR RIDES MUST BE MADE 72 HRS. IN ADVANCE. Call DAV Transportation Office at the Spokane VA Med. Ctr. 800-325-7940

Moses Lake, WA - September 16th Grant County Fairgrounds, 9-2 Libby, MT - October 7-8th in the Armory, 9-3 Kennewick, WA - November 9th City of Kennewick Event Center, 9-3

North Idaho

A DAY OF APPRECIATION FOR ALL VETERANS HOUSING EMPLOYMENT PANCAKE BREAKFAST TEXAS ROADHOUSE LUNCH VETERINARY (limited) MEDICAL/DENTAL HAIRCUTS MILITARY SURPLUS

0800 to 1400hrs

ADMISSION: Military or V.A. ID or DD214

Kootenai County Fairgrounds 4056 N. Government Way • Coeur d’Alene, ID 83815 For more information contact: Eric Swanbeck 208.664.3095 To Volunteer visit: www.KootenaiUnitedWay.org

VAMC Mobile Health Clinic

Days & Locations: Moscow - Fairgrounds - Last Monday Pullman - WSU Alumni Center - Last Tuesday Osburn - VFW Post - Last Wednesday & Thursday To be seen by the mobile health clinic, a veteran must call the Mann-Grandstaff (Spokane) VAMC and ask for an appointment. 1-800-325-7940 or 1-509-434-7000 The VAMC tries to schedule all of these appointments for the last week of each month.

May 13, 2017

Thank You to our Proud Sponsors!

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This page brought to you by:

These Veterans Service Officers are here for you: “Heroes never die. They live in our hearts forever. Thank you for your service and sacrifice.”

NORTH IDAHO Idaho State VSO

Darryl Heisey 208-446-1092/1094 120 E. Railroad Ave., Post Falls M-F 8:30 AM - 5:00 PM email: Darryl.Heisey@veterans.idaho.gov

Bonner County

Bryan Hult 208-255-5291 1500 Hwy 2, Ste. 122, Sandpoint M-TH 8-5 (call/email for appointment) email: bhult@bonnercountyid.gov

Boundary County

John Tucker 208-267-8611 6635 Lincoln St., Bonners Ferry Thursdays 9:00 AM - 1:00 PM email: jtucker@bonnercountyid.gov

MONTANA Montana State VSOs

National Guard Armory • 406-755-3795 2989 Hwy. 93 North, Kalispell Appts. M & F, walk-ins welcome Wed., Tues. is outreach, Thurs. closed.

Carolyn Collins email: carolcollins@mt.gov

Ryan Keeler, 406-755-3795 email: rkeeler@mt.gov

Bryan T. Zipp email: bzipp@mt.gov

Kootenai County

Scott A. Thorsness, Director 208-446-1090/1092 120 E. Railroad Ave., Post Falls M-F 8:30 AM - 5:00 PM email: sthorsness@kcgov.us

Shoshone County

Susan Hendrixson • 208-752-3331 700 Bank St., Suite 120, Wallace M-Thurs. 9:00 AM - 5:00 PM email: commsec@co.shoshone.id.us

Idaho Department of Labor - Veterans Reps.

Benewah/Kootenai/Shoshone Counties

Robert Shoeman 208-457-8789 Ext. 3993 600 N. Thornton St., Post Falls email: robert.shoeman@labor.idaho.gov

Bonner/Boundary Counties

Tyler Anderson 208-265-0193 Ext. 4079 613 Ridley Village Road, Ste. C, Sandpoint email: tyler.anderson@labor.idaho.gov

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Wise Guide | Spring 2017

This page brought to you by:

READ THIS!

Veteran Service Officers (VSO’s) are trained, certified and accredited ADVOCATES FOR YOU! They are NOT VA employees. Assistance is FREE. Contact them BEFORE you call the VA. It will save you a lot of grief.

“If you are a Veteran....Thank you!

If you are not a Veteran...Thank one!

NORTH CENTRAL IDAHO Idaho State VSO

Bob Cooper 208-750-3690 821 21st Ave., Lewiston M-F 8:00 AM - 5:00 PM email: bob.cooper@veterans.idaho.gov

Idaho State VSO

Joseph Riener 208-750-3690 821 21st Ave., Lewiston M-F 8:00 AM - 4:30 PM email: joseph.riener@veterans.idaho.gov

Nez Perce County

Please call the Idaho State VSO offices in Lewiston: 208-750-3690

Nez Perce Tribe Veteran Benefit Specialist Mary S. Taylor 208-621-4738 271 B Street, Lapwai M-F 8:00 AM - 4:30 PM email: mtaylor@nezperce.org

Idaho Department of Labor - Veterans Reps.

Clearwater County

Janet Boyer 208-476-7378 330 Michigan Ave., Orofino M-TH 9:00 AM - 2:00 PM email: vsoclearwater@gmail.com

Moscow

Dave Darrow 208-882-7571 Ext. 3743 Veteran Services Representative 530 S. Asbury St., Ste 1, Moscow email: dave.darrow@labor.idaho.gov

Idaho County

Camden Schacher 208-983-0239 320 W. Main Rm 29 M-F 8:30 AM - 5:00 PM (appointments) Grangeville (Courthouse) email: cschacher@idahocounty.org

Latah County

June Beyer 208-883-7209 220 E. 5th St., Moscow M-F 8:30 AM -12 noon, 1:00 - 4:30 PM email: jbeyer@latah.id.org

Lewis County

Michelle A. Lyons 208-937-9248 510 Oak St. Room #1, Nezperce M-F 9:00 AM -12 noon, 1:00 - 5 PM Wednesdays & Fridays Drop-ins email: mlyons@lewiscountyid.org

Lewiston

Don Erickson Disabled Veterans Outreach Program (DVOP) Phone: (208) 799-5000 Ext. 3526 1158 Idaho St., Lewiston email: donald.erickson@labor.idaho.gov

NOTE: The Department of Motor Vehicles now offers a Veteran Designator on Idaho State Drivers Licenses. The veteran must provide proof of an Honorable discharge from the Armed Forces.

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33

Crossword Going to the Dogs Across 1 Moo ___ pork (Chinese dish) 4 In addition 8 Dog star?

13 Wordplays 15 Norse god of discord 16 Little green man 17 Hammett pooch 18 Gardener’s purchase 19 Blind parts 20 Burlesque bit 21 Pacify 23 Brewer’s need 25 Food additive 26 Scottish cap 29 Film genre 31 Odorless gas 33 G.I.’s address 36 Impertinent 39 Chipping choice 40 Sheep dogs 44 Kind of admiral 45 Skin problem 46 Nay’s opposite 47 Sign up 50 Lose traction 52 Slalom curve 53 Canon camera model 55 With 48 Down, long-haired gun dog 58 Cowboy hat 61 Type of tide 63 Steakhouse selection 66 Roof overhang 67 Fish part 68 Love to pieces 69 Ripens 70 “I’m ___ your tricks!�

71 Stocky short-haired dog with a

brindled coat 72 Plain and simple 73 Medium claim

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Wise Guide | Spring 2017

Down 1 Luxurious resorts 2 Eskimo dog 3 Loosen, as laces 4 Large dog used as a guide for the blind 5 Roller coaster feature 6 Bypass 7 Snockered 8 Hound with short legs and long ears 9 Model Macpherson 10 Actress Vardalos 11 Fast plane 12 Ft. parts 14 “Paradise Lost� figure 22 Sailor’s assent 24 Slugger Sammy 26 Dawdle 27 Positive pole 28 The brainy bunch 30 Pipe problem 32 Make haste

33 Concur 34 Hammer parts 35 Tough tests 37 Vital force of Chinese medicine 38 Hankerings 41 Hosp. picture 42 Toy dog 43 It grows on you 48 See 55 Across 49 Little piggy 51 Wild dog of Australia 54 Fulton’s power 56 Paris divider 57 Puts a stop to 58 Moistureless 59 Wise guy 60 Walkie-talkie word 62 Alka-Seltzer sound 63 Groovy 64 Chapel vow 65 Bagel topper

Nez Perce Recovery Center

714 Main Street Lewiston, Idaho

Every Monday Every Tuesday & Friday Every Wednesday Every Thursday

Never Alone NA @ Noon All Recovery Meeting @ 11:00 am Addicts’ 5:30 - 6:30 PM Tobacco Cessation 12:15 - 1:15 pm Employment & Education Support 2:30 - 3:30 pm Yoga 5:00 - 6:00 pm

Every Friday

Challenging Anxious Thoughts 2:30 - 3:30 pm Downtown AA @ 7:00 pm

Every Saturday

Doughnuts AA 8:00 am Never Alone NA 4:00 - 6:00 pm

We’re open Monday thru Friday 10:00 AM to 6:30 PM. During all hours of operation someone will be available for peer support. You can make an appointment to meet with a recovery coach. Saturdays we’re only open for the two meetings listed above. Call 208-595-1467 to make an appointment or just to talk to someone.

Sudoku

How to Play Sudoku To solve the Sudoku puzzle, each row, column and box must contain the numbers 1 to 9.

Crossword and Sodoku answers on page 41.

Choose a Nationally Recognized Hospital – It Matters!

Northern Idaho Advanced Care hospital is the first hospital in Idaho to earn The Joint Commission’s Gold Seal of Approval for Respiratory Failure. We also are among 700 nationwide – or 15% – recognized for our respiratory care services.

600 North Cecil • Post Falls, Idaho 83854 • 208.262.2800

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35

Care, Cause and a Cure for Alzheimer’s

by Bob Le Roy Executive Director of the Alzheimer’s Association Washington State Chapter

A

lzheimer’s disease is complicated. It is often said that no two cases are alike. We often do not know who has it or what causes it. We cannot prevent it, and we cannot cure it.

At the Washington State Chapter, however, our work is really quite simple. Its essence can be found in the three “c”s: Care, Cause, and Cure.

For us, Care is manifest in the programs and services we provide to those we serve, including our toll-free, 24/7 Helpline, assistance to family and caregiver support groups, customized and ongoing care consultation for individuals and families, and continuing education and training for family and professional caregivers.

Our commitment to the Cause of Alzheimer’s is reflected in the passion and persistence of thousands of volunteer advocates—our faces and voices to their elected officials at all levels of government.

We are bringing the world together in search of a Cure for Alzheimer’s disease. The Alzheimer’s Association is the largest non-profit funder of Alzheimer’s research in the world. Since we began funding research in 1982, we have provided over $350 million to more than 2,300 best-of-field investigators. Our International Research Grant Program funds investigations that advance understanding of Alzheimer’s disease, help identify new treatment strategies, provide

36

Wise Guide | Spring 2017

information to improve care for people with dementia, and further knowledge of brain health and disease prevention. The grant program is structured to emphasize and nurture new ideas and innovative approaches.

As host of the annual Alzheimer’s Association International Conference (AAIC), we convene the world’s largest gathering of Alzheimer’s and dementia researchers to create an international discussion of the latest findings in the field. This dialogue fuels new ideas that may one day result in treatments to change the course of the disease. This year’s AAIC will be held July 16-20 in London, England. I look forward to attending and sharing my experience with you.

We lead the World Wide Alzheimer’s Disease Neuroimaging Initiative (WW-ADNI), a consortium of international investigators working to establish globally recognized standards for identifying and diagnosing the disease. Working with the National Institute on Aging, we engaged groups of scientists to examine the diagnostic criteria for Alzheimer’s disease—which were established more than 25 years ago—and proposed new criteria, including the use of the latest advances in biomarker research.

Our Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association is a bi-monthly, peer-reviewed journal covering all aspects of Alzheimer’s research, from basic science to clinical care.

The Journal is recognized by researchers and scholars around the world as a premier source of information on the disease.

The greatest obstacle, other than funding, to advancing research is the lack of participation in clinical trials.

Today, at least 50,000 volunteers—both with and without Alzheimer’s disease—are urgently needed to participate in more than 130 actively-enrolling trials about Alzheimer’s and other dementias. In 2010, we launched TrialMatch, a free, confidential, interactive, online service to connect eligible volunteers with clinical trials. TrialMatch accelerates the enrollment process and allows people with Alzheimer’s to play a more active role in their own treatment while contributing to scientific discovery.

I believe there is a fourth “c”—in which you play an integral role—Collaboration. We have the best chance to realize our vision of a world without Alzheimer’s when we work together. If you would like to learn more about Alzheimer’s research, please visit alz.org/research. If you would like to support our Care, Cause, and Cure, please let us hear from you. _____________________________________________________ Bob Le Roy has been the Executive Director of the Alzheimer’s Association Washington State Chapter Serving Washington & Northern Idaho since July, 2011. He joined the Association as President & Chief Executive Officer of the Greater Pennsylvania Chapter in 2008, bringing with him more than 35 years experience as a development professional and change agent in the not-for-profit sector and financial services industry.

JOIN THE FIGHT FOR ALZHEIMER’S FIRST SURVIVOR

G et more out of life.

To learn more about our assisted living community, call (208) 882-6560.

All faiths or beliefs are welcome.

shadow.indd 1

5/1/1

START A TEAM

COEUR D’ALENE, ID - 9/30 PULLMAN , WA - 9/23 SPOKANE, WA - 10/7

Register today at alz.org/walk 800.272.3900 | waevents@alz.org

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37

Alzheimer’s Association Support Groups Why struggle alone? Attendees share their knowledge and experience of what works and what doesn’t in caring for themselves and loved ones. Groups are facilitated by professionals and are confidential. Come — learn — and get solutions.

IDAHO PANHANDLE

NORTHWEST MONTANA

Benewah Community Hospital, St. Maries 229 S. 7th Street (Tamarack Room, near the ER) 3rd Fridays @ 3:00 PM Facilitators: Aline Rohde, MSW 208-659-6719 Dawn Cook, LPN 208-651-2165

Immanuel Lutheran Church, Kalispell Buffalo Hill Terrace, 40 Claremont Street 3rd Monday @ 3:00 PM Call 406-849-6207 for information

The Inn at Guardian Angel Homes, Post Falls 1136 E. Mullan Avenue 2nd Thursdays @ 5:30 - 7:00 PM Facilitator: Anita Grimm, RN 208-777-7797 (Dinner Free & Provided by Guardian Angels) Kootenai Health Medical Center, Coeur d’Alene Main Building - Main Floor Classrooms 3rd Saturday @ 1:30 - 3:30 PM Facilitators: Arlene Sleigh 208-772-2542, Connie Clark, CSA 208-769-9560 Sandpoint Senior Center, Sandpoint 820 Main Street 1st & 3rd Thursdays @ 1:00 - 2:00 PM Facilitator: Jan Griffitts 208-290-1973 (Free respite care at DayBreak Center next door with advanced reservation - 208-265-8127) Orofino & Cottonwood Areas: Sister Barbara will help form a group in Cottonwood or Orofino - call her at: 208-962-3251

EARLY STAGE SOCIAL ENGAGEMENT for people with dementia & their family.

Please contact Coeur d’Alene branch office to register 208-666-2996 x8314

YOUNGER ONSET

(younger than 65 yrs. old) Bakery By The Lake, Coeur d’Alene N.W. Corner of 7th & Front Streets across from public library 3rd Tuesdays @ 3:30 - 5:00 PM Facilitator: Ene Gaines 208-415-0366

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Wise Guide | Spring 2017

Presbyterian Church of Polson 301 4th Ave. East 2nd Wednesday @ 1:30 PM Facilitator: Arlene 406-849-6207

TELEPHONE

24/7 Caregiver Support: 800-272-3900

ONLINE

ALZConnected.or An online social networking community for people with Alzheimer’s, their caregivers and others affected by the disease.

ALZ.org for more valuable resources!

MEMORY CAFÉ Living with memory issues…You are not alone!

This is a new offering by volunteers and the Alzheimer’s Association. People with the memory loss are welcome to come and feel comfortable in a casual gathering to provide socialization, interaction and fellowship.

Socialization creates confidence and a sense of belonging and well-being. Open to ALL stages of the disease. If the person can physically go out and drink coffee, then they are welcome, but of course, they should be accompanied by their family member/ friend. It is designed to provide a lovely afternoon in the company of others with whom they can identify.

This is not a support group, it is purely an opportunity for those with dementia and their caregiver to enjoy companionship.

EASTERN WASHINGTON: SPOKANE NORTH Church of the Nazarene 9004 N. Country Homes Blvd.

Last Thursdays of each month @ 6:30 - 8:00 PM Facilitators: Gene Engelbrecht 509-842-6034, Dawn Keig, PhD 509-808-4076 Whitworth Presbyterian Church 312 N. Hawthorne Road 2nd Mondays @ 1:00 - 2:30 PM Facilitator: Christine Ambrose, RN 509-456-0456 x8313 Providence Adult Day Health 6018 N. Astor St. (not affiliated with Alzheimer’s Assn.)

1:00 - 2:30 PM 2nd Mondays - Designed for All Caregivers 3rd Mondays - Male Caregivers Only 4th Mondays - Female Caregivers Only Facilitators: Oscar Haunt, MSW & Hannah Teachman Adult daycare available at no charge if pre-arranged 509-590-3965

SPOKANE SOUTH

POWERFUL TOOLS FOR CAREGIVERS CLASSES

Classes provide a practical approach to dealing with caregiver stress, prioritization, challenging family communication and planning. In the six weekly classes, caregivers develop a wealth of self-care tools to: reduce personal stress; change negative selftalk; communicate their needs to family members and healthcare or service providers; communicate more effectively in challenging situations; recognize the messages in their emotions, deal with difficult feelings; and make tough caregiving decisions. Class participants also received a copy the The Caregiver Helpbook, developed specifically for the class.

Classes are offered in Coeur d’Alene & Regionally. If you are interested, please call 208-666-2996 x8314 for the schedule.

Longboard Coffee Company 5417 Government Way, Coeur d’Alene 2nd & 4th Mondays at 1:00 PM Kokanee Coffee Company 509 N. 5th Avenue, Sandpoint 2nd & 4th Tuesdays from 2:00 - 3:30 PM

First Presbyterian Church 318 S. Cedar Street 3rd Tuesdays @1:30 - 3:00 PM Facilitator: Beth Priest 509-590-3965

SPOKANE VALLEY Good Samaritan Village 17121 E. 8th Avnue 1st & 3rd Tuesdays @ 1:00 - 2:30 PM Facilitators: Kathleen Burzynski 509-924-6161, Patricia Garcia 509-789-4377

EARLY STAGE SUPPORT GROUP

Meets monthly at the Spokane Alzheimer’s Association office in the afternoons. This group is for people with dementia and their care partners. This is a closed group and there is a screening process for admission. For more information, please call the chapter office at 509-4560456 x8314

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39

Homemade Water Kefir: Real Easy, Real Healthy, Really Tasty!

by Kelsey Steffen, Full of Days

H

ave you been seeing beverages like Kombucha, Kevita or drinks made with Apple Cider Vinegar lining the grocery store shelves lately? Do you ever wonder what the hype is all about with these new fermented drinks? You’re not alone, and I was surprised to find out that these drinks aren’t “new” at all...they’ve been around for centuries, but are only now making their way into mainstream stores.

So what’s the big deal with all these new drinks? Well, probiotics! These naturally fermented drinks are loaded with beneficial bacteria that can help give our immune system a boost, keeping us healthy and happy. Not to mention, they taste delicious!

Kombucha is made with sweet tea, and can have a stronger flavor than some like, and drinks made with apple cider vinegar have a similar “bite.” This is why it’s our recommendation to start with water kefir. Often found in stores under the name “Kevita”, water kefir is made with sugar, water and “grains.” It has a mildly sweet flavor, but takes on the taste of whatever is added to it. A small splash of lemonade makes it taste like...well, lemonade! Drop in a few frozen raspberries and some pineapple and you’ll have a sangria (probiotic) mocktail.

Water Kefir

We often serve water kefir to dinner guests without telling them exactly what they’re drinking. Once they’ve fallen in love with the taste, we let them know how good it is for them!

It’s usually not long after these visits, we learn our guests are making it themselves.

Fermented beverages are full of benefits. Beyond the probiotics, they’re also more beneficial to our bodies than plain water. Because water is devoid of electrolytes, too much can put unnecessary strain on our kidneys. Furthermore, too much water consumed just before, or during meals can upset proper pH balance in our stomach and interfere with the digestive process. But sipping on a probiotic drink like water kefir during meals can aid digestion because it provides lactic acid and digestive enzymes. __________________________________________________________________

After Kelsey and her husband became parents, they began looking at food differently. Studying the teachings of Weston A. Price, they do their best to maintain a traditional diet. There are many “ingredients” to a life Full of Days: nutrition, traditional diet, DIY recipes, essential oils, homemaking, reviews, tips and tricks, moneysaving strategies and everyday life. Kelsey is a regular contributor to Mother Earth News (Web & Print), and Delicious Obsessions.

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Wise Guide | Spring 2017

How to Make Water Kefir

Making water kefir at home is a breeze. And unlike buying it at the store, you can make it for mere pennies per serving. Once you’ve procured yourself some kefir grains (a living culture of bacteria and yeast), you simply mix together some sugar and water, add the grains and within 24-48 hours the grains have consumed the sugar, producing a delicious, probiotic beverage.

Ingredients

1/4 cup water kefir grains 8 cups filtered water (divided) 1/2 cup organic sugar

Directions 1. Boil one cup of water and add ½ cup sugar to a half gallon mason jar.

2. Add boiled water to sugar and stir until dissolved.

3. Add remaining 7 cups of cold water and stir in water kefir grains.

4. Cover loosely with tight knit cheesecloth or a coffee filter and secure with a rubber band.

5. Let sit at room temperature (68-76 degrees F is ideal) for 24-48 hours.

6. Once kefir has finished fermenting you should see tiny bubbles that float to the top when the jar is moved.

7. Using a non-metallic strainer, strain kefir grains out and start a new batch beginning with step one.

8. Refrigerate finished water kefir and flavor as you like (we enjoy a squeeze of fresh lemon or lime juice, or a drop or two of lemon or lime essential oil).

If you desire a fizzy, carbonated drink, you can second ferment your water kefir.

Bottom’s up!

ElderImpact

by Marie Villeza, Founder ElderImpact.org

W

ould you believe that more than 40% of American seniors don’t use the internet at all? When surveyed, many said it’s too difficult or that they don’t believe it’s relevant to their lives. It got me wondering about those who are online; do they miss out on important information because they don’t know how to find it, or don’t even realize it’s out there?

All too often, aging means doing less – from the things seniors “used� to do through new developments that must be “beyond their time� – but we don’t believe in that. We’re dedicated to identifying resources to keep seniors healthy, connected, and up on today’s news and developments.

I’m Marie, and I’m behind the ElderImpact helm. I was inspired to start this site after I watched my son teach my father how to play Angry Birds (TM) on his smartphone, and it dawned on me, “We need to bring the generations together so they can usher each other into the future, breaking down the walls of fear and time.�

Our mission is to empower seniors against ageism by making handy the information they need to keep controlling their own lives. Our team works to incorporate market research with senior needs. We want technology to be accessible, we want social calendars to be bustling, and we want everyone to have access to the medical attention and other resources they need. We want younger generations to see that they can help dismantle ageism.

We don’t want there to be any victims. We want to impact the elderly so that they can keep impacting the world.

Since your site has already done an excellent job providing online information for seniors — thewiseguideonline.com — and for that, I thank you! I thought you might share my concerns.

I’ve been gathering some of the most valuable and unique senior resources that I think could really benefit your audience.

Senior-Friendly Remodeling http://www.homeadvisor.com/r/senior-friendly-remodeling/#.

WNlTPxiZNEI

11 Exercise Ideas for Seniors http://www.everydayhealth.com/senior-health-photos/exercise-ideas-forseniors.aspx

The Guide to Buying Used Accessible Vehicles http://www.lagrangecountrydodge.com/blog/2016/october/12/guidebuying-used-accessible-vehicles.htm

Never Too Old to Find New Friends: Socializing Tips for Seniors http://www.aarp.org/relationships/friends/info-04-2011/never-too-old-forfriends.html

Safe Sex for Seniors: 7 Essential Tips https://seniorplanet.org/safe-sex-for-seniors-the-facts-no-ones-giving-you/

Staying Sharp As You Age: Maintaining Cognitive Health https://www.ucdmc.ucdavis.edu/medicalcenter/ healthtips/2010-2011/09/20100909_staying-sharp.html The more we connect the generations, the greater benefit to all.

Go online and check out the resources there, designed with older adults in mind.

Crossword and Sudoku Answers 6 3 $ 6

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Puzzles on pages 34-35

Wise Guide | www.TheWiseGuideOnline.com

41

Directory Listings

Aesthetics ClearView Aesthetics.................................................... 208-882-4662 2500 West A St., Ste. 202, Moscow, ID CVeyes.com With advanced training in Botox, dermal fillers, laser treatment, and Blepharoplasty (Eyelid Lifts) we are able to offer patients the most sophisticated and refined medical aesthetic services. ClearView Aesthetics is dedicated to delivering medically proven, visible results with exceptional patient care.

Agencies, Free Referral Services & Volunteer Opportunities AARP Idaho.................................................................. 208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian, ID facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over.

Aging and Disability Resource Center/ N. Central Idaho Area Agency on Aging.......................208-746-3351 124 New 6th St., Lewiston, ID cap4action.org/PSAgencyOnAging Providing information and assistance for people of all ages, incomes and disabilities enabling them to plan for present and future longterm care needs. Assisting older Americans and their families in making informed decisions and choices about life.

Alzheimer’s Association, Washington State Chapter Serving Washington & North Idaho................... 208-666-2996x8314 alz.org/inlandnorthwest P.J.Christo, RN; email: pj.christo@alz.org 24-Hour Help line........................................................ 800-272-3900 We connect families to needed programs, products and services, provide Dementia Information, Local Support Groups, State and Federal Advocacy, educational programs, workshops and lectures for caregivers, families and the general public.

Board of Community Guardian...................................208-750-2080 Nez Perce County, Lewiston, ID We are a last resort for anyone (often with dementia or debilitation) without family or friends to care for them. If you know of anyone like this, or would care to serve as a guardian or conservator, please call Stephanie at 208-750-2080.

Disability Action Center NW 330 5th St., Lewiston, ID..............................................208-746-9033 505 N. Main St., Moscow, ID....................................... 208-883-0523 dacnw.org DAC NW is the local Center for Independent Living which offers a variety of services from peer-to-peer independent living support, medical equipment exchange, help with self-advocacy, and access to assistive technology.

Retirement Publishing..................................................800-584-9916 retirementpublishing.com Keeping Idaho seniors informed of their options with our FREE publications: Idaho Elder Directory, North Idaho Retirement, Assisted Living in Idaho, Alzheimer’s Resource Directory. Call toll free during regular business hours for your FREE copy or visit our Web site.

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Care Communities: Independent & Assisted Living, Respite Care Bishop Place Senior Living.......................................... 509-334-9488 815 SE Klemgard, Pullman, WA bishopplace.net At Bishop Place we offer Independent Living Apartments and Cottages, Assisted Living, and Memory Care. We tailor care plans to fit the needs of each individual to keep them living as independently as possible, and within their schedule.

Brookdale..................................................................... 208-746-8676 2975 Juniper Dr., Lewiston, ID brookdale.com Offering seniors the independence of a private home plus the type of supportive aid they need with daily tasks. Residents live as members of a family of friends in resort-style comfort with personalized care.

Good Samaritan, Fairview Village Estates................... 208-882-6560 403 Samaritan Lane, Moscow good-sam.com/moscow Independent Living, part of the Good Samaritan Society Moscow, offers modern one & two bedroom apartments and duplexes for independent seniors. You can be part of the Good Samaritan network and transition to our Moscow Village Campus as needs change.

Good Samaritan, Moscow Village............................... 208-882-6560 640 N. Eisenhower, Moscow, ID good-sam.com/moscow A continuum of care community that provides post-acute rehabilitative and long-term skilled nursing care including a memory care unit. Also offers assisted living apartments and independent living apartments & duplexes, all located on 22 beautifully landscaped acres in northern Idaho, nestled between Moscow Mountain and the rolling hills of the Palouse.

Guardian Angel Homes .............................................. 208-743-6500 2421 Vineyard Ave., Lewiston, ID guardianangelhomes.com Providing Independent & Assisted Living, Alzheimer’s & Dementia special care and Respite Services. Assistance with all aspects of daily living and a full-time nurse on duty. Pets are welcome. Family, dignity, independence, and choice are not simply words; they are a way of life.

Entertainment & Recreation International Idaho State Draft Horse & Mule Show.....208-819-9452 September 22-25th - Bonner County Fairgrounds, Sandpoint, ID idahodrafthorseshow.com Come see these gentle giants: log skidding, weight pulling, farm classes, driving classes, demonstrations, raffle, food, art & gear. $10 all day admission (Friday 2 for 1 for Seniors) Great fun for all!

Discounted (25% off) Hotel Stays Available.

NorthWest Recumbent Cycles....................................... 208-818-5491 Gary@NWrecumbentcycles.com We specialize in getting anyone riding cycles, especially those with special needs. We build custom bikes and trikes for those with almost any disability. Come on out to Post Falls, ID and play on many models of the most stable and comfortable bikes and trikes in the world. Call for appointments.

Financial & Asset Management

Hospice

AARP Idaho........................................................................208-855-4004 3080 E. Gentry Way, Ste. 100, Meridian, ID facebook.com/AARPIdaho AARP Idaho is a nonprofit, nonpartisan organization, with a membership of more than 175,000 in Idaho that serves as a voice and an advocate to protect consumers and improve the lives of Idahoans age 50 and over.

Friends of Hospice........................................................509-332-4414 Gladish Community Center 115 NW State St., Ste. 117, Pullman, WA friendsofhospice.net Offering a wide range of services to ease suffering at the end of life.

Gifts & Shopping Owl Pharmacies/Hallmark Gold Crown Stores 720 16th Ave., Lewiston, ID......................................... 208-743-5528 1275 Highland, Clarkston, WA.................................... 509-758-5533 owlpharmacies.com We carry Hallmark Gold Crown Cards and Keepsake Ornaments at both locations. Offering a wide array of hard to find Fine Gifts and Fashion Accessories. Stop in today and see what we have to offer.

Hearing & Vision ClearView Eye Clinic, Surgery Center & Audiology 2840 Juniper Dr., Lewiston, ID..................................... 208-746-5100 2500 West A St., Ste. 202, Moscow, ID ........................ 208-882-4662 CVeyes.com Hearing is a precious sense for many reasons. Good hearing helps us connect with people and adds to our favorite experiences. Research suggests that hearing even helps us stay cognitively fit as we age. If you or someone you love experiences frustration with hearing, we can help. Hearing Aid Demonstrations are available.

Hearing Aid Source.......................................................509-751-9440 721 6th St., Clarkston, WA hearingtricities.com Serving North Idaho for over 20 years. We help you hear better!

Hearing evaluations for adults and children. We sell the most advanced digital hearing aids available. Each new digital hearing aid comes with a 30-day trial program, 3 year warranties and 3 years free batteries.

Appointments on Tuesdays - call to schedule today!

Idaho Commission for the Blind & Visually Impaired......................................................208-799-5009 1118 F St., Lewiston, ID gworthington@icbvi.idaho.gov ICBVI is a state agency that provides free independent living training and offers adaptive aids, such as magnifiers and talking devices, to help individuals who are struggling with vision loss to be more independent in their homes and the community.

Lilac Blind..................................................................... 509-328-9116 1212 N. Howard St., Spokane, WA lilacblind.org Lilac Services for the Blind provides individualized training in alternative techniques and strategies, adaptive aids and optical devices, and continuing support to help individuals maintain independence and safety at home and in their communities. Serving Eastern and North Central Washington.

Willow Center Lewiston/Clarkston ...................................................... 208-791-7192 Moscow/Pullman..........................................................208-669-0730 willow-center.org Making a profound difference in the lives of grieving children by helping assist them with hope and healing. Offering a unique program of peer support to assist children, teens & families after the death of someone close.

Hospitals, Medical Care & Surgery Centers ClearView Eye Clinic, Surgery Center & Audiology 2840 Juniper Dr., Lewiston, ID .................................... 208-746-5100 2500 West A St., Ste. 202, Moscow, ID 208-882-4662 CVeyes.com With cataract & bladeless Lasik surgery and advanced vision treatments at ClearView Eye Clinic, you can be free to find your Clear View. ClearView continues to lead the way in laser vision correction.

They are committed to bringing patients the best technology available for vision care, providing you with more options than ever to achieve clear vision and live freely.

Gritman-Fresenius Kidney Care...................................208-882-1817 723 S. Main St., Moscow, ID ultracare-dialysis.com The nationâ&#x20AC;&#x2122;s largest network of dialysis clinics. Our expertise, experience and commitment all combine to provide you with comprehensive services and technologically-advanced care. Weâ&#x20AC;&#x2122;re proud to have helped improve the health of thousands of people living with kidney disease.

Tri-State Memorial Hospital & Medical Campus ...................................................... 509-758-5511 1221 Highland Ave., Clarkston, WA tristatehospital.org Tri-State Memorial Hospital & Medical Campus is committed to caring for you with the latest in medical technology and techniques, yet true healing takes place when expert medical care is combined with a smile, a caring touch, a kind word.

In-Home Health & Personal Care Addus Health Care........................................................208-746-8881 1037-A 21st St., Lewiston addus.com Since 1979 we have been providing quality in-home care; companionship, light housekeeping, meal preparation; transportation to appointments, bathing assistance, medication reminders. Our costeffective services are designed to improve health and well-being and make your choice easier to remain independent at home.

Wise Guide | www.TheWiseGuideOnline.com

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Directory Listings

Long-Term, Skilled Nursing & Restorative/ Rehabilitative Care Good Samaritan, Moscow Village............................... 208-882-6560 640 N. Eisenhower, Moscow, ID good-sam.com/moscow A continuum of care community that provides post-acute rehabilitative and long-term skilled nursing care including a memory care unit. Also offers assisted living apartments and independent living apartments & duplexes, all located on 22 beautifully landscaped acres in northern Idaho, nestled between Moscow Mountain and the rolling hills of the Palouse.

Kindred Transitional Care & Rehab, Lewiston ........... 208-743-9543 3315 8th St., Lewiston, ID kindredhealthcare.com Our clinical capabilities allow us to accept patients with medically complex needs. Our wide array of services provides patients and residents the medical care and support they and their families deserve, from short-term restorative therapy to traditional long-term care.

Life Care Center of Lewiston....................................... 208-798-8500 325 Warner Dr., Lewiston, ID LCCA.com Life Care Centers of North Idaho specialize in long term care, special needs and dementia care, post-operative and acute illness restorative nursing and therapy, 24/7 admissions. Full-time on-site physician.

Respite stay is also available. Semi-private and private rooms. Schedule your tour today!

North Idaho Advanced Care Hospital......................... 208-262-2800 600 N. Cecil, Post Falls, ID NIACH.ernesthealth.com We hold a Joint Commission “Gold Seal of Approval” and 5th in the nation rating for care of diseases associated with respiratory failure (COPD, pneumonia, cystic fibrosis, etc.). Our 40-bed facility provides long-term acute care and critical care services for patients recovering from serious illnesses or injuries.

Rehabilitation Hospital of the Northwest ...................208-262-8700 3372 E. Jenalan Ave., Post Falls, ID rhn.ernesthealth.com We provide intensive physical rehabilitation services to patients recovering from strokes, brain, spinal cord and orthopedic injuries and other impairments as a result of injuries or illness. Also treated are cerebral palsy, ALS (Lou Gehrig’s Disease) multiple sclerosis & Parkinson’s disease.

Legal Idaho Legal Aid Services ............................................. 208-743-1556 633 Main St., Ste 103, Lewiston, ID Idaho Legal Aid has attorneys available to assist you at NO COST if you qualify. Call us to determine if you are eligible and schedule an appointment with an attorney in person, or by phone.

Pharmacies, Medical Equipment, Safety & Supplies Owl Pharmacies: Owl Southway & Owl Uniforms.................................. 208-743-5528 720 16th Ave., Lewiston, ID owlpharmacies.com Full Service Pharmacy, over-the-counter medications, and Hallmark Gold Crown cards and keepsake ornaments, fine gifts & fashion accessories. Our lower level offers medical uniforms, scrubs, nursing shoes, accessories with brands such as Dickies, Cherokee, Koi, Dansko and much more.

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Owl Tri-State................................................................ 509-758-5533 1275 Highland, Clarkston, WA owlpharmacies.com Full Service and Compounding Pharmacy. We are also a Hallmark Gold Crown store with cards and keepsake ornaments to a wide array of hard to find fine gifts and fashion accessories. Stop in today and see what we have to offer!

Owl Home Medical...................................................... 208-743-7766 312 St. John’s Way, Lewiston, ID owlpharmacies.com Carrying a full line of home medical products. Rentals &/or sales of scooters, power chairs, walkers, lift chairs, etc. We also carry Amoena post-mastectomy products. Major insurance billing is available.

Veterinary & Animal Care American Heritage Wildlife Foundation.................. 208-266-1488 AHWF.org The only 501c3 non-profit in the entire Idaho Panhandle working with all native wildlife species, through rehabilitation of injured or orphaned wildlife. Member of the National Wildlife Rehabilitators Association and International Wildlife Rehabilitation Council, licensed with US Fish and Wildlife Service Migratory Bird Department and Idaho Department of Fish and Game. If you find an animal in need - Don’t wait! Call Us First! - you risk their survival with any delay in seeking proper care - WE KNOW WHAT TO DO!

I am ClearView At ClearView Eye Clinic, we are honored to serve the communities surrounded by the natural beauty of the Lewis & Clark Valley.

With locations in Moscow and Lewiston, you will see our commitment to your vision from the moment you enter our doors.

Whether your ClearView is a night in or a day trip through the Palouse, we’re here to support your vision, and we appreciate the trust that’s been placed in us as the region’s leading eye care team.

David Leach, MD FACS

Shawn Richards, MD

Katherine Gleason, OD, FAAO

Julie Cheng, MA, CCC-A

Rhonda Comstock, RN CLT

David Wood, AuD, F-AAA

C Ve y e s . c o m

LO CAT I O N S

SERVICES

LEWISTON 2840 Juniper Drive 208.746.5100

• Complete Family Eye Care

• Glaucoma Care & iStent

• Laser-Assisted Cataract Surgery

• Advanced Facial Aesthetics & Eyelid Lifts

MOSCOW 2500 West A St 208.882.4662

• Bladeless LASIK

• Hearing Aids & Audiology

• Consults & Second Opinions

• Optical Gallery & Designer Sunglasses • Macular Degeneration Care Wise Guide | www.TheWiseGuideOnline.com 45

HELP WANTED!

Employment Opportunities Abound in Health Care

H

ome care agencies and facilities are struggling to provide care to people throughout our entire region.

As residents are choosing to age in place in their own homes, they may find themselves in need of assistance.

Some may need help with simple activities of daily living (laundry, cleaning, meal preparation) while others may be recovering from illness, injury or surgery.

And, not everyone who needs some assistance in the home are elderly. According to the 2010 census, 65% of our residents throughout the N. Idaho, E. Washington & W. Montana communities are over 40 years old! And, 75% of all residents are considered “rural.”

With this substantial aging population in our rural neighborhoods, it is a challenge for local companies and agencies to provide basic home care to all the folks that certainly need it. Now, compound that with the scarcity of caregivers, and many people are unable to receive the support they need to stay healthy and safe at home. Families are having to make difficult decisions to ensure their loved ones are safe and sound.

Local skilled nursing and assisted living facilities often have a waiting list, and yet some are not able to fill all of their available space as they do not have enough caregivers, certified nursing assistants and registered nurses to attend to the residents. Now, if a family’s medical crisis does occurs, their loved one may have to complete their recovery and rehabilitation at a facility 60+ miles away due to the shortage of caregivers within facilities in the local area.

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More and more the local companies supporting the population needing assistance are having to become creative in their ways of attracting, hiring and retaining caregivers and nurses. Health insurance, flexibility in hours and signon bonuses are some of the incentives companies offer to new employees. But sadly, that is not enough to find, let alone retain, quality, caring people to take care of our friends and families.

For those seeking employment, they should ask, “Where else can you find a job with only a genuine desire to help others and absolutely no experience?” Many companies will hire (with background screening) and train on the job! Many agencies and facilities hire people with little to no experience and provide the trainings to give a new employee enough skills, proper certification and confidence to be a successful caregiver. And, many offer benefits within just a few months of employment.

Entry-level positions also give new employees the opportunity to find out if health care is a good fit for them.

Many go on to obtain degrees in areas of specialization (various therapies, nursing, radiology, dietician, social work, etc.) simply from being on the job and learning what therapies and services are being offered to patients.

Have you or someone you know considered employment in health care? Now is an excellent time to enter the field. Review the Wise Guide’s Directory and contact an agency, company or other organization and make a difference for members of our community, and see if the rapidly growing healthcare industry is for you.

Wise Guide | www.TheWiseGuideOnline.com

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