The Wise Guide

www.TheWiseGuideOnline.com

Features

18

A Vision for Rural Healthcare

22

Stubborn Pride Risks Your Health

24

Keeping Faith with the Founders

30

A comprehensive approach to good health.

Doing without food is not an option.

Perpetuating the spirit of American Independence.

A Story Worth Telling Everything to gain and nothing to lose.

About the Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 People Helping People. . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Understanding and Managing Diabetes . . . . . . . . . . . 10 Senior Care Is a Family Issue . . . . . . . . . . . . . . . . . . . . . 12 When is Compounding Appropriate?. . . . . . . . . . . . . . 14 Discharge Planning and Self-Management. . . . . . . . . 16 A Vision for Rural Healthcare. . . . . . . . . . . . . . . . . . . . . 18 Are You Going to Die?. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Stubborn Pride Risks Your Health. . . . . . . . . . . . . . . . . 22 Daughters of the American Revolution . . . . . . . . . . . . 24 Crossword/Sodoku. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Signs, Symptoms and Treatment of Stroke . . . . . . . . . 28 A Story Worth Telling . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 “I’m fine!”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Returning Healthy Soldiers to their Families . . . . . . . 38 Child Care Essentials . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Children and Grief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 A Consumers Choice . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Giving the Gift of Roses? . . . . . . . . . . . . . . . . . . . . . . . . . 58 Therapy for a Full Recovery . . . . . . . . . . . . . . . . . . . . . . 60 Goodwill Industries of the Inland Northwest. . . . . . . 62

Activities and Events Regional Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Support Groups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Meals, Food Banks, Senior Centers. . . . . . . . . . . . . . . . . 8

Directory Agencies, Free Referral Services and Volunteer Opportunities. . . . . . . . . . . . . . . . . . . . .

Automotive, Care Facilities, Retirement Apartments, and Assisted Living. . . . . . . . . . . . . . . . . .

Counseling, Dental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Education, Financial and Asset Management . . . . . .

Gifts and Shopping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Health and Wellness, Home Improvement and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Hospice, Pre-Planning, Hospitals and Medical Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

In-Home Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Insurance, Legal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Museums and Events. . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pharmacies, Medical Equipment, Safety and Supplies, Veterinary . . . . . . . . . . . . . . . . . . . . . . . . .

40 42 43 44 45 46 47 49 50 50 51

Editorial

About the Cover Cover artwork: “Jack and Elmer”

by Bonnie Shields

About the Artist Bonnie Shields was born in Indiana, about 25 miles west of Louisville, Kentucky.

In her words: “There were lots of Thoroughbred and Standardbred horses, but no mules to speak of, and like so many young girls, I hit the ground ‘horse-crazy.’ Unfortunately for me, none of my family had this affliction. They were professional photographers and definitely ‘town-people.’

So, to handle this unfortunate situation, I drew horses constantly.

My first real horse came when I was 14 years old and was an unbroke filly of mixed heritage. She died of old age still in my possession so if she was to be my cure, it didn’t work!

I first became acquainted with the mule when I moved to middle Tennessee as a young adult and neither one of us have been the same since.

I wound up in Bonner County Idaho in the spring of 1980 and now you can’t get rid of me or my mules. I’m pretty well known in some circles and have been a Leanin’ Tree artist for 31 years now, plus illustrating many books and articles for national publication. I am a charter member of the Cowboy Cartoonists International.

I work in many mediums including sculpture, but pencil is my favorite. And, I love illustrating books and stories, especially those dealing with horses, mules and other critters. I was fortunate to be able to illustrate Marguerite Henry’s last book, Brown Sunshine of Sawdust Valley and now the series of Jasper the Mule books by Meredith Hodges. Currently I am illustrating a children’s Christmas story by a songwriter friend back

“Elk Stalkers” full color print, open edition.

12”x6” $15 comedy piece about guys in hunting camp.

4

www.TheWiseGuideOnline.com

in Tennessee (Patsy Trigg) about Santa’s reindeer getting stolen and he is left with eight pigs to teach how to fly before Christmas. So, stay tuned, folks, there’s always something going on.”

To obtain prints, contact Bonnie Shields directly at 208-263-6534.

Some of her work is available for viewing online at: www.bonnieshields.com.

“Desert Princess” pencil rendering of sweet donkey face with blues and reds in her bridle, open edition 11”x13” $30.

“Rooster” full color print, S/N edition of only 80.

12”x15” $40 Small pack mule in the Hillguard Basin in Montana.

People Helping People

Jonnie Bradley Editor, The Wise Guide CR Services

Networking and Resources Winter is just around the corner. Got your wood in?

How are you set for higher heating bills? Having any trouble making ends meet? Need to see a doctor? Get your flu shots? This issue is full of information from a variety of places that may help with your concerns.

Advertisers in The Wise Guide are community focused and exist to provide goods and services to you.

Many nonprofit organizations in our region can help with just about anything you need. All nonprofits are structured on the premise of providing assistance in some way to the community, and we are all members of the communities they serve. Additionally, many of those nonprofits do much more than you see at first impression. Some help with training and employment, energy assistance, food and meals, firewood, health care, and legal assistance, to name a few.

Don’t know where to go for answers? Contact them and start asking. You will quickly see that there is an extensive network between these organizations; if one can’t help, they can usually tell you who to contact that can. There are also a number of groups that are not as visible. Their members meet monthly and network with the sole purpose of staying informed.

The Panhandle SeniorNet members represent anyone and everyone involved in senior care in Bonner and Boundary Counties and into Coeur d’Alene. They can be reached at: panhandle.seniornet@gmail.com.

The Coalition of Families members in Bonners Ferry are the nuts and bolts of that community and can be reached at: penney111@frontier.com.

The Wise Guide Fall/Winter 2012 Editor: Jonnie Bradley

For advertising or questions:

Designer: Susan Daffron, LogicalExpressions.com

Email: CRServices@wildblue.net

Sales and Marketing Associate: Andria J. Wolf: 208-597-6862, momma_wolf1988@hotmail.com

Phone: 208-255-5950 Online: www.TheWiseGuideOnline.com.

The Wise Guide is published by CRServices, Sandpoint, ID Copyright © 2012/2013, 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. CRServices 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, CRServices

Fall/Winter 2012

5

Activities and Events Mystic Farm

Veterans Wall of Honor

The Mystic Farm Wildlife Rescue Second Annual Banquet and Auction is October 27th at the Stillwater Ranch, 6282 Dufort Road, Sagle, Idaho. Doors open at 5:00 p.m. Catering by Skyes The Limit. No-host bar.

Presentation, live and silent auction, door prizes! Tickets are $35.00 each and are limited! Please call Jan: 208-610- 6669 for availability.

Sunday, November 11, 2012 Second Annual Dedication, 6:00 p.m. at the VFW Post, 113 Larch Street, Priest River. Contact Joe English, 448-4426 or 755-1405 (cell).

Veteran’s Day Activities Sandpoint Pot Luck All Veterans are Welcome! Veterans Day potluck dinner at the VFW Post in Sandpoint on November 11 at 1300 hours.

Marine Corps Birthday Celebration

Transitions in Progress Fundraising Tea & Fashion Show - October 27th from 1-3 pm - call 255-9333 for tickets, $20

Daughters of the American Revolution October 31st through December 18th. Stop by the East Bonner County Library in Sandpoint (1407 Cedar St.) to see the Daughters of the American Revolution display for Veterans!

Life After Service Documentary November 10, 2012, 3:00 p.m. at the Panida Theater in Sandpoint. This documentary features local veterans.

Come see this educational and inspiring film.

Join the Marine Corps League in celebrating the Marine Corps Birthday (November 10, 1775) for a luncheon at the Tango Care on Saturday, November 10, 2012. Open to the public. The cost is $15/person and includes the buffet, beverage, tax, gratuity, and the traditional birthday cake; dress is casual.

RSVP to: 255-2650

Project Charlie Restoration of Charlie, the H-34 helicopter, being done in partnership with the VVA, Post 890 and the Marine Corps League, detachment 1110 in Sandpoint is ongoing. Tax-deductible donations to help with repairs can be sent to: Vietnam Veterans of America, P.O. Box 2014, Sandpoint, ID 83864. Please include a note: “For H-34 Charlie.” Want to volunteer to help? Call Bill at 5970622, email: capt-wilco@gmail.com. Go to the blog to read the continuing adventures of Charlie: http://dawgdriverforever.blogspot.com

Strong Women The U of I Extension office in Bonners Ferry is offering “The Strong Women Program, A National Fitness Program for Women.” The mission is to increase the number of women participating in safe and effective strength training programs.

Exercise dates run through November 16, 2012, with three morning times and one evening, five days a week. Call 267-3235 for details.

6

www.TheWiseGuideOnline.com

4-H Friday A great program of art, technology, science, nutrition, homework help, games, friends and fun. Held every Friday throughout the school year from 7:30 a.m. - 5:30 p.m. at Boundary County Middle School in Bonners Ferry. Call Nati Summerfield at 267-3235 or email: nsummerfield@ uidaho.edu for more information.

Community Cancer Center Support Groups Support groups bring cancer patients, their family members or caregivers together to discuss cancerrelated topics and offer emotional support. Separate support groups are offered: adult, women, men, children, caregivers, and metastatic. Each is designed to address the topics and concerns of the individual participant and are created and facilitated by a Licensed Clinical Social Worker.

Support Groups

Support Group Locations: 1215 Michigan Street, Suite B, Sandpoint and Panhandle Health Building, 7402 Caribou Street, Bonners Ferry. Call 208-255-2301 for all schedules.

Parent Grief Group

Hospice Grief Support

Sponsored by Bonner Community Hospice.

For any parent from young parents to seniors who have experienced the death of a child.

Meets the first and third Tuesday of each month, 7-8:30 p.m. at the Brown House by the Healing Gardens. Call 265-1185 for information.

Bonner Community Hospice Adult Grief Group. Free to residents of Bonner and Boundary Counties. The group provides an opportunity to share experiences, thoughts and feelings with others that have experienced the loss of someone significant through death.

First and third Thursday of each month, 6:00-7:30 p.m. at The Brown House (located next to Bonner General Hospital). For more information, contact Susan Benesh at 265-1179.

Diabetes Support Groups Priest River Diabetes Support Group. Meets the third Monday each month at the Priest River Senior Center 7:00 p.m. Free! Call 448-2899 or 448-1770 for more information.

National Alliance on Mental Illness Family Support Group

Bonner General Hospital Diabetes Support Group meets September through May, usually the first Monday of the month at 10 a.m. at the Brown House by the Healing Garden. We have a variety of speakers on different diabetes related topics and it’s free.

Bonners Ferry: Meets the fourth Monday each month at the Panhandle Health Classroom 7420 Caribou Bonners Ferry from 6-8 p.m. Call 267-5638.

Caregiver Support Groups Alzheimer’s, Dementia, and Medical Disorders Sandpoint: Luther Park, 510 Olive Ave., 208-265-3557.

First Thursday: 4:30 p.m. Facilitators: Wendy Traffie 265-3557, Kelly Hurt 266-1528. Valley Vista, 220 S. Division. For all caregivers of any medical disorder. Third Friday: 1 p.m. Facilitators: Brian Casey 265, 4514 and Kelly Hurt 266-1528.

Bonners Ferry: Panhandle Health District, 7402 Caribou, 208-267-5050. First Wednesdays: 2:00 p.m. Facilitators: Jolle Walle 267-2829 and Carol Lucero 267-5050

Open to anyone dealing with mental health issues, or interested in mental health issues.

Sandpoint: Meets the third Wednesday each month at the Bonner General Hospital Classroom, 520 N. Third Ave. from 7-8:30 p.m. Call 263-7928.

Bonners Ferry Relatives As Parents Support Group Meets the second Friday of the month from 5:00 to 7:00 p.m. at the University of Idaho Extension Office, 6447 Kootenai Street, Bonners Ferry. Bring a finger food to share. Dena Riffle 2678166, Vickie Spencer 267-7003

Fall/Winter 2012

7

Activities and Events Community Meals Sandpoint Community Meals Program Open to everyone! Monday: Assembly of God, 423 N. Lincoln, 4:00 - 6:00 p.m. Tuesday: Seventh Day Adventist Agape Cafe, Pine and Division - 11:30 a.m. - 1:00 p.m. Wednesday: Gardenia Center, Church and 4th 11:30 a.m. - 1:00 p.m. Thursday: United Methodist Church, 711 Main St. 5:00 - 6:00 p.m. Friday: St. Josephs Catholic Church, 601 S. Lincoln 4:00 - 6:00 p.m.

Priest River Community Soup Kitchen Priest River Senior Center - Monday, 11 a.m.-12:30 p.m.

assistance programs like privately owned subsidized housing, public housing, and housing choice vouchers. You may also be able to find help from your state housing authority or your local public housing agency.

Community and Senior Centers Community and senior centers are great places to meet, have a great meal and enjoy activities, travel opportunities, companionship and just have a fun time.

Give them a call and check it out!

Blanchard Senior/Community Center 32564 4th Ave., Spirit Lake, (208) 437-1037, email: blanchardnews@aol.com. Call to get on the mailing list for the quarterly newsletter.

Bonners Ferry Senior Hospitality Center 6635 Lincoln, Bonners Ferry 267-5553 and 267-5554.

The Center (Clark Fork/Hope) Clark Fork/Hope Area Senior Services, 10th and Cedar, Clark Fork 208-264-5391.

Priest River Frank Chapin Senior Center Home of the Happy Agers - 339 Jackson St., Priest River 208-448-2352.

Food Banks

Sandpoint Senior Center

Bonner County

Sagle Senior Center

820 Main Street, Sandpoint 208-263-6860.

• 1707 Culvers Dr., Sandpoint - 263-3663 M-F 9:00 a.m. - 3:00 p.m.

• 700 Pine Street, Clark Fork - 266-1213 Wed. 10:00 a.m. - 2:00 p.m.

• 301 Montana, Oldtown - 437-0143 - M-F 10:00 a.m. - 2:00 p.m.

339 Jackson St., Priest River - 448-2352 -T and TH 9:00 a.m. - 12:00 p.m.

560 Monarch Rd., Sagle 208-265-2627.

Spirit Lake Community Senior Center 32564 4th Ave., Spirit Lake 208-623-6125.

Newport Senior Hospitality House 218 S. Washington, Newport 509-447-2119.

Boundary County Food Bank 7164 4th Street, Bonners Ferry - 267-3663

Struggling to make your rent payments?

Get help paying your rent and find additional resources if you are a veteran, senior citizen, person with a disability, or live in a rural area. You may be able to find assistance from your local Housing and Urban Development (HUD) office. These offices offer rental

8

www.TheWiseGuideOnline.com

Understanding and Managing Diabetes

by Audrey Buck, Registered Dietitian, Bonner General Hospital

has 15 grams of carbohydrates. A cookie has 15 grams of carbohydrates. A piece of bread or a cookie If your blood sugar is only a will raise your blood sugar an equal little bit high, you won’t feel differamount. Of course the bread has ently. If it’s very high, you may feel more nutrition, but sometimes thirsty, tired, and have blurry viyou want something sweet. The sion. You may visit your physician carbohydrates you eat take usually In the United States, there are 27 who may ask you to make some one to two hours to travel through million people over age 65 with dietary changes or refer you to a the stomach into the intestines diabetes. Thirty-five percent of US dietitian or diabetes educator. then into your blood. The sugar in adults have prediabetes, which What sort of changes can our blood is supposed to enter our means that unless changes are you make? cells with the help of a hormone made most will develop the most First, learn about carbohydrates in called insulin. If you have Type common form of diabetes, Type 2. food. All of the carbohydrates we 2 diabetes you either don’t make The elevated blood sugar is part of eat are digested and broken into enough insulin or it’s not working a group of features often called the sugar in our body. A piece of bread like it should. If you eat too many “metabolic syndrome” or “syncarbohydrates at one drome X.” People time, your blood sugar who are prone to Dietitians knowledgeable in diabetes can make a after eating could soar diabetes may have big impact on many lives. Bonner General Hospital around one to two hours a family history of later. Your insulin isn’t offers some free classes and serves patients with diabetes, elevated working well enough to blood pressure, a a referral from their physician. Most insurances push that much sugar waist circumference cover diabetes education and some cover nutrition from your blood into over 35” in women or counseling done by a registered dietitian. There your cells. If you eat the 40” in men, low HDL are three certified diabetes educators at BGH: two same amount of carbo(healthy cholesterol), hydrates, but split it up Registered Dietitians (Leah Erban and Audrey Buck) and high triglycerover two to three meals ides (blood fat). All and one nurse (Jody Thoreson RN CDE). or snacks, your blood of these factors can Contact the BGH Diabetes Education and Nutrition sugar won’t go as high cause damage to our team at 208-265-1116. and you’ll feel better. body in the form of and strokes and more nerve, kidney, and eye damage.

more heart disease

10

www.TheWiseGuideOnline.com

What foods have carbohydrates?

Fruits, milk, starches and sweets have carbohydrates.

Most vegetables have little carbohydrate, and meats and fats have none. Does that mean that you should eat a high protein, high fat diet? Probably not. You would be eliminating important nutrients found in fruit and milk. A June 2012 study in the British Medical Journal showed that long-term use of a high-protein, high-fat diet can increase the risk of heart disease.

Second, if you are overweight, especially in the middle, try to lose a little weight. If people who weighs 300 pounds lose even 15 pounds or 5% of their weight, they often find the weight loss helps their insulin work better to get the sugar out of the blood and into the cells. It also helps to cut back on fats (they are highest in calories). Doing that also helps improve your cholesterol, HDL, LDL, and triglycerides.

People with diabetes can lead full and active lives.

Keeping blood sugar, cholesterol and blood pressure under control are all important. If you have diabetes or prediabetes, ask your physician to refer you to a diabetes educator. Diabetes educators are trained to help people achieve the best control possible while living the lifestyle they choose.

Audrey Buck is a Registered, Licensed Dietitian, Certified Diabetes Educator and insulin pump trainer. She graduated from Arizona State University with a degree in Nutrition and Dietetics, completed Dietetic Internship at Indiana University Medical Center in Indianapolis and is Past President of the Idaho Dietetic Association. Audrey has worked at Bonner General Hospital since 1989.

Third, try to increase your activity, which can lower blood sugar and raise HDL. It also can help your blood pressure. Some people won’t start an activity plan because of the word “exercise” or because if they start, they are worried that their family will nag them every day to keep it up and they don’t want to disappoint or fail. So rephrase your exercise talk. Say, “I’m going to get a breath of fresh air” or “I think the dog needs to go for a walk.” Just keep moving.

Fall/Winter 2012

11

Senior Care Is a Family Issue

by Kat Vercruyssen, Certified Senior Advisor, Comfort Keepers It takes a family working together to choose the most appropriate options to provide the best care possible for our seniors. Our loved ones are entering a vulnerable stage in life, facing multiple concerns, loss of physical and cognitive function. They may be having difficulty expressing their wants and needs, desires and preferences. They need someone to be their advocates. Who knows them better than family?

Eighty percent of today’s older Americans prefer to stay at home as they age. Families need to be directly involved in planning for their loved ones’ care. No individual can adequately handle the responsibilities of care giving alone. Certainly not on top of their own family, work, and community responsibilities.

12

Parents need to be involved in every step of the decision-making process so they can exert as much control over their lives as possible. Typically there is one sibling who, by desire, default or proximity becomes the chief caregiver.

Deciding who that person will be is a good topic for that first conversation with aging parents.

The best outcomes often occur when all siblings share in the responsibility in some way. This could involve delegating responsibilities such as home maintenance, managing bill paying and finances, or taking care of insurance and medical claim issues. It may be decided that hiring a professional caregiver is needed to enable parents to live independently longer.

When choosing the most appropriate care for a parent, you need to ask a number of important questions: • How do I begin talking with my parent about their daily care needs?

www.TheWiseGuideOnline.com

• How will their care be funded?

• What is the safest, most comfortable, most appropriate care option available for my parent(s)?

• Is a family member nearby who can be of immediate assistance?

• What types of help do my parents need—for instance, bath-

• Would you be willing to have a caregiver from a qualified agency help you if you can’t manage cooking and housekeeping or other personal needs on your own anymore?

• Can we help you investigate quality assisted-living facilities and nursing homes now, so we know what you would prefer in case you need one in the future?

Although the questions may be difficult to answer, make sure they know they come from love and caring, regardless of the answers. Solutions are available to meet your loved one’s needs and wishes as long as you know what they are.

ing, eating, transportation, and medication reminders?

Kat Vercruyssen, CSA is co-owner of Comfort Keepers of North Idaho, a Home Care Pulse™ certified, locally owned and managed in-home care agency, serving seniors in all 5 North Idaho counties with quality care giving services. For additional online information about families and solutions for senior care, visit www. comfortkeepers.com and click on the “Family Education Center” link on the main page.

• What about religious affiliation and other personal preferences that are important to my parent(s) as they relate to choosing a care option?

• What types of senior care services are available?

How do they differ? And how does each one address my parents’ needs?

Consider options that match your parent’s unique traits and temperament. For instance, is your parent typically a thinker or a socializer? Thinkers desire space and privacy and prefer independence. On the other hand, socializers are energized by people, enjoy interactions with others and act lonely without regular interaction.

Also consider your parents past living experiences.

Are they accustomed to owning a home where they have acquired many valued items? If so, they may find it difficult to leave. Or, are they accustomed to an apartment or condo? This setting may make it easier to adjust to smaller living areas with others nearby.

What is the most important thing above all else?

Start the conversation! Ask open-ended questions such as: • Have either of you thought about whether you would want to stay in the house if you were alone?

Fall/Winter 2012

13

When is Compounding Appropriate?

by Shane and Aimee Stuermer, Medicine Man Pharmacy, Bonners Ferry Medication compounding is the unique design of a medication for a particular person or need. The pharmacist in a lab performs compounding.

Pharmacists focus on innovating patient care. The end goal is to provide a more therapeutic outcome for each patient.

The reason for making a compound can be as simple as adding flavor, changing the color, or removing all preservatives and fillers.

Other reasons include: making products that do not exist on the market, making gluten- or lactosefree products, making alcohol-free, dye-free, or sugar-free medications, combining several medications into one, or converting from one dosage form to another in order to make medication easier to administer.

Compounding expands the practitioner’s array and does not limit them to any certain strength, form or flavor. This allows your doctor to custom-fit your medications.

Compounding is applicable in:

• Oncology • Pediatrics • Neurology • Nutrition • Sports medicine One of the biggest areas of compounding is bio-identical hormone-replacement therapy, which involves administering the same hormones that are inside of the human body from a natural source.

It is individualized and customized to your body. Compounding avoids unwanted side effects and provides clinical benefits and patient compliance with therapy.

Compounding allows the creation of various dosage forms: • Capsules

• Hospice

• Liquids

• Pain management

• Transdermals

• Bio-identical hormone replacement

• Lollipops

• Veterinary applications • Dentistry • Dermatology • Podiatry

• Rapid-dissolve tablets • Sublingual drops and troches • Suppositories • Nasal and otic preparations • Topical creams, ointments, gels, powders, and sprays • Mouthwashes and rinses

14

www.TheWiseGuideOnline.com

• Custom flavors • Inhalations and injectables Talk to your compounding pharmacists at Medicine Man Pharmacy in Bonners Ferry and Sandpoint to learn more about how medication compounding may enhance your life or someone around you.

Shane and Aimee Stuermer are 2012 PharmD graduates from the University of Montana Skaggs School of Pharmacy in Missoula. Shane began working for Medicine Man Pharmacy in 2007. Aimee began working for CVS Pharmacy in 2005 as a pharmacy technician and continued working for them as a student pharmacist until shortly before graduating. She then joined Shane at Medicine Man Bonners Ferry Pharmacy.

Fall/Winter 2012

15

Discharge Planning and Self-Management

by Jennifer Giesbrecht, Community Services Manager, Area Agency on Aging Mr. Smith was transported for the second time in two months to the hospital and admitted when he had a critical flare up of a chronic condition. He complained, “I don’t want to be in the hospital. I want to go home!”

These statements are a common refrain heard by providers.

The question is not, “Do you want to go to the hospital?” The question is, “How can going back to the hospital be prevented?” Recurring episodes like this are often preventable through the involvement of a new program called “Care Transitions.”

The Care Transitions program is offered in partnership between the Area Agency on Aging and the hospitals. It has proven that by providing patients with self-management tools after discharge from the hospital, they are much less likely

16

to have an episode requiring a trip back to the hospital.

Here is how the program works when you sign up for it in the hospital.

Before you go home, you and your family or caregiver will meet your coach, who will help you get started with your transition home.

During the hospital visit, your coach will: • Give you information about the program.

• Discuss seeing your primary doctor.

• Introduce you to the personal health record.

• Schedule the home visit or arrange to call your within a day or two of your going home.

Once you are home, the coach will: • Help you review all of your medications, including the ones you received at the hospital and the ones you have at home. This review will help you to make sure you are taking the right medication in the right way after your hospital stay.

www.TheWiseGuideOnline.com

• Discuss your condition and help you learn when you need to call the doctor and when you need more help.

• Help you plan for your doctor’s visit by identifying questions or concerns that you may have.

• Give you the personal health record and answer questions about completing it.

• Identify any community services that might support you or your family as you start to get better.

After the home visit, the coach will call you three more times during the month to see how you are doing. Coaching help will end in about one month’s time, right after the third phone call. You are able to call the coach during the month if you have any questions or need additional help with communicating to your doctor about your condition.

During visits or calls, the coach may ask you questions or give you a short written survey to answer, to get your opinion on how prepared you were for leaving the hospital.

This survey will provide feedback for the people and organizations that were involved in your discharge. The questions will also help the coach know how much help you may need to manage your care after leaving the hospital.

The goal of the Care Transitions coach is to improve your transition from hospital to home and to help you avoid re-hospitalization. The program is voluntary.

Older adults and family caregivers are highly encouraged to be involved in the patient’s care as well.

Knowing how to manage your health, having a personal health record to take with you to every provider, understanding what your medications are prescribed for, knowing how to communicate with your doctor and saving money are benefits of participating in a 30day care transitions program.

If you would like to know more about the Area Agency on Aging’s Care Transitions program, call 800786-5536 or 208-667-3179.

Jennifer Giesbrecht, Community Services Manager with the Area Agency on Aging, is a Licensed Professional Counselor. Her background in community mental health, multi-agency coordination and psychological critical incident response are crucial contributions to her work. Jennifer consistently advocates for services that enhance and protect the lives of seniors, promoting self-determination and a least restrictive approach to meeting the needs of older adults.

Fall/Winter 2012

17

A Vision for Rural Healthcare

by Ron Poplawski Jr., MBA, Camas Center Clinic Business Manager When the Camas Center Clinic was built in 2008 on the Kalispel Tribal Reservation in Usk, Washington, it was a shining moment in the tribe’s vision for community health and wellness.

The Kalispel Tribe invites everyone to the Camas Center Clinic. The clinic serves patients in northeast Washington and the Idaho panhandle as well as snowbirds from California, Arizona and Nevada. Located inside the 80,000 square foot Camas Cen-

18

ter for Community Wellness, the clinic has a wide array of offerings including; primary care medical services (including labs and x-ray), women’s health, comprehensive dental services, chiropractic, land and aquatic physical therapy, clinical massage therapy and an onsite pharmacy for clinic patients.

The clinic is the spawning of a vision by The Kalispel Tribe during a period of time when the tribe was impoverished and suffering from many diseases and illnesses.

Access to healthcare was more than 40 miles away and many tribal members had no means of travel to get their basic needs met.

In 2004, an outside consulting firm completed a feasibility study and recommended a small clinic with

www.TheWiseGuideOnline.com

limited services. Limited services had the potential to meet the immediate need; however it failed to address long-term needs of the tribe, growth and the ability to provide for comprehensive health care services. Knowing where they had been and where they wanted to go, the tribal government decided to move forward with a broader plan that would take a little longer to achieve. Through determination, dedication and hard work, the Kalispel Tribe has begun to meet this vision for its people and is proud to share with the native and nonnative people that live both on and around the reservation to whom they respectfully refer to as “community.”

Our mission serves as more than mere words as we work each and every day to meet the healthcare needs of the community: “The Kalispel Tribe of Indians’ Camas Center Clinic strives to achieve excellence in patient care by providing competent and dependable medical and dental services in a compassionate, friendly and confidential environment that exemplifies our rich culture and community values.”

The clinic’s providers are at the heart of the mission. Daniel Troupe, PAC provides primary care and Shirley Wagoner, ARNP specializing in women’s health with Kim Johnstone, MD and Robin Moyer, MD helping out on a part time basis. Joni Francisco, PT, DPT specializes in land and aquatic based physical therapy. Ryan Leisy, DC provides chiropractic care.

Marv Gottschall, DDS and Candy Jo Holford, RDH are part of our caring dental team. Dustin Person, PharmD assists with the pharmacy.

Lois Robertson, LMT is a licensed massage therapist with an interest in “Reiki” or “Universal Life Energy” massage therapy. The clinic accepts most major commercial and public insurances. Please call 509-447-7111 for appointments or inquiries.

revenues so our mission can be fulfilled for all of our patients.

Additionally, the Camas Center building also houses a wellness center which includes an exercise gym with athletic trainers, swimming pool, children’s play pool with slide, hot tub and sauna, locker rooms with showers, deli, meeting rooms, climbing wall, basketball gym, computer lab and daycare. Memberships for the wellness center start as low as $5 per month with no long-term contract. Membership services can be reached at 509-447-7122.

Ron Poplawski Jr., MBA is the Camas Center Clinic Business Manager.

Ron has worked for the Kalispel Tribe of Indians for three years in his current capacity and in leadership development. He has earned a BA in Human Resource Management and an MBA, both from Eastern Washington University, where he is still actively involved in the Alumni Association. Ron has been involved with the Spokane Training Consortium facilitating leadership development for healthcare, government and higher educational entities for the past ten years. Ron has also held leadership positions at Inland Imaging and the Spokane Eye Clinic.

Healthcare means providing a complete system for the physical and mental needs of people, and our model allows our providers more time with each patient to ensure they are heard and that their needs are met. Because healthcare at the Camas Center Clinic is designed to meet this need, the Kalispel Tribe’s business enterprises benevolently provide additional

Fall/Winter 2012

19

Are You Going to Die? What Choice Do You Have?

by D. Laree Shanda, General Manager, Auburn Crest Hospice-Post Falls People have been dying for years. Dying is a part of life.

But dying isn’t like it was just a few years ago. It used to be that when you died, you really died. Now, with changes in medical technology, sometimes you die, sometimes you don’t die, and many times you are left somewhere in between. It used to be black and white. Now there is so much gray that the patient, family, and medical personnel are uncertain what are the right choices to make.

Laree with Rylee, granddaughter extraordinaire

Many times, people just don’t want to talk about dying, even when they are actively dying. No matter how healthy you are or how old or young you are, you need to make your wishes known.

Few situations are as agonizing as

20

when a loved one is gravely ill and hasn’t provided guidance for what type of care he or she wants. The family members may disagree on what actions to take or the medical options are so confusing that no one can make an informed choice.

There’s so much mud and so little water.

The fear of losing control is a quintessential part of dying.

Choices are your opportunity to maintain control and to have your wishes carried out. Those choices reflect who you are as a person. At a time as significant as when you’re facing death or the death of a loved one, you want someone who will listen, offer compassion, empower you to be as independent as you can for as long as you can, and who, when you choose not to follow their advice, will respect your decision and advocate for your right to live and die exactly as you choose. Hospice can help you with this. A good hospice will educate you on what choices you have and the likely outcomes of the decisions you make.

www.TheWiseGuideOnline.com

1. Complete your advance directives. It’s really not as easy as “pull the plug” anymore. You need to indicate what types of support you want: nutrition, hydration, antibiotics, or mechanical ventilation. Doctors

and family need this or they’ll do what they choose and possibly not what you want.

2. Document your wishes. Do you want to be buried? (Where?) Cremated? Laminated? (Just making sure you’re paying attention!) Donated to science?

Organ donor? (Which organs?) If cremated, do you want your ashes interned? (Where?) Scattered?

(Where and by whom?) Set on a mantle? Made into pottery? Do you want a memorial service?

3. Determine the type of care you want if you are faced with a life-limiting condition. Do you want to die with the support of hospital staff or at home? If you wish to die at home, be aware that all hospice services are not the same. Compare the different services to determine the best fit.

4. Designate your power of attorney for health care and an alternate. Ask yourself, “Who do I trust to honor my wishes regarding medical interventions and support my values if I can no longer voice them myself?”

5. Be clear about your assets (a Will or Trust may be appropriate). Ask, “Who will get what when I’m gone? Who will have the legal right to disburse my assets as I desire?”

It is an act of personal empowerment to record your wishes to ensure your family and friends know what you want, if you are ever unable to speak for yourself.

You will also be giving a tremendous gift to your loved ones by making your wishes known and sparing them the agony of trying to decide for you while they are in crisis themselves at the thought of losing you.

D. Laree Shanda is the General Manager, Auburn Crest Hospice-Post Falls. Laree Shanda has 30 years of clinical, social service, and administrative experience. Her personal and professional experiences have instilled great respect for hospice and the value of personal choice. Shanda and the Auburn Crest Team are committed to providing direct, quality education on the necessity of completing Advance Directives.

Fall/Winter 2012

21

Stubborn Pride Risks Your Health

by Alice Wallace, Executive Director, Bonner Community Food Bank Most adults have worked hard their entire lives and have a strong sense of pride in being independent and self-supporting. However, with the rising costs of heating, health services, medication, and transportation, families often find themselves having to choose between paying for these necessities instead of buying food. Because of this, they are at risk of malnutrition and dwindling health resulting from it. For these reasons, the Bonner Community Food Bank works hard to reach nutritionally vulnerable people in this community.

Throughout the United States, older adults are one of the largest groups in need of food bank services. Malnutrition in the elderly leads to serious health risks, such as

22

weakened immune systems which lead to a higher risk of infections, wounds become slow to heal, muscle weakness increases the risk of falls and fractures, and seniors often experience a decline in the desire to eat, which continues to escalate the situation. Community food banks play a critical role in addressing these health risks for seniors.

Older adults are one of the largest groups in need of food bank services.

Bonner Community Food Bank is a local and private, non-profit charitable organization that collects and distributes donated foods from supermarkets, food companies, corporate giving, community donations and events to help feed the hungry families of this same community.

Reaching Out Unfortunately, many of our seniors are difficult to reach. They wish

www.TheWiseGuideOnline.com

to remain independent and often pride interferes with them coming forward until they are in dire straits. They may feel embarrassed that they are now in need of help, perhaps for the first time in their lives. They have always been the ones sought by family members when their children needed help, and are not comfortable asking for assistance for themselves.

Once a senior citizen is reached and gets to a food bank, they are provided with the same healthy foods and resources everyone in need can obtain through the food bank, thus ensuring they have enough to eat at no cost to them, along with information about other available local resources that could improve the quality of their lives. The food and services that they receive will substantially help the senior to remain independent and self-sufficient, and directly improve their health.

How Can You Help?

So how can you help out vulnerable families, seniors, neighbors and friends? Ask them how the rise in prices is affecting them and find out if they are cutting back on food. Watch for weight loss. If you feel there might be a need, offer to go with them to sign up for Food Bank Services. If transportation is an issue, offer to drive them on a regular basis to pick-up their food.

Help those in need to understand that the Food Bank is a service provided for them, at no cost, it is confidential with no shame or embarrassment. It is not the same as welfare and can be utilized as often or as little as needed, no strings attached.

We are very fortunate having the Bonner Community Food Bank in our community to serve the many

children, families and seniors with the foods that will fill their tummies, nourish them and help keep them healthy.

Everyone can donate to the food bank either as a cash donation, or food donation in a variety of ways.

The donations are used locally; they do not leave the community and our local food banks are 501(c)3 nonprofits, so donations are tax deductible. The cold winter months costs everyone more to maintain healthy living conditions and food should not be something to “just do without.” Give your local food bank a call and see how you can help.

Alice Wallace has lived in Sandpoint most of her life and Executive Director of the Bonner Community Food Bank 15+ years. She and her staff assist 4,500 individuals with food donated by the community or purchased with funds donated by the community. Alice says, “I am honored to be the one chosen to guide the Food Bank at this time, it is a great job and I have a very supportive board and staff.”

Fall/Winter 2012

23

Keeping Faith with the Founders Daughters of the American Revolution This article is provided by the Wild Horse Trail Chapter, Sandpoint, ID

recognized patriot of any colony or state.

My mother used to say, “You could become one of the Daughters of the American Revolution” which didn’t mean much to a 10-year-old girl. However, as I began to learn about the history of our country, I wondered about my own family history which lead me to the question, “Who are the Daughters of the American Revolution?”

The National Society of the Daughters of the American Revolution (NSDAR) was founded on October 11, 1890. The purpose was family genealogy, historic and patriotic education. Eligibility into NSDAR requires a women be over eighteen years of age and a proven direct descendent from a man or a women who showed continuous loyalty in the fight for independence, who served as a sailor, soldier or civil officer and was a

24

“God, Home and Country” to this organization are words that convey dedication and commitment for three objectives: 1. To perpetuate the memory and spirit of men and women who achieved American independence; by gaining and protecting these historic events through timeless monuments; by preservation of documents and relics attesting to peoples’ services before, during and after the Revolution; to encourage research regarding the Revolution and publication of the findings; to promote commemorative celebration of all patriotic anniversaries.

2. To fulfill the injunction of George Washington in his farewell address, “to promote, as an objective of primary

www.TheWiseGuideOnline.com

importance, institutions for the general diffusion of knowledge” thus developing an enlightened public opinion, and affording to young and old such advantages as shall develop in them the largest capacity for performing the duties of American citizens.

3. To cherish, maintain and foster true patriotism and love of country; to pursue future expressions of American freedom; to secure liberty for all mankind.

One membership service maintained by NSDAR is the DAR Patriot Index, which contains alphabetically listed names of proven patriots. Newly proven patriots are published in the NSDAR magazine, American Spirit. This magazine is located at the library in Bonners Ferry, Clark Fork, Priest River and Sandpoint. The DAR Patriot Index

is also available at the Sandpoint library for research.

for state: http://www.issdar.org; for national: http://www.dar.org.

In 1903, NSDAR introduced a Committee on Patriotic Education and began the challenge of educating children to become good citizens. To support tuition and housing for students attending DAR Schools, state societies and chapters throughout this nation contribute yearly to these schools, as well as scholarships for students in any school system.

Today, NSDAR members remain committed to keeping the faith that The Founders believed necessary to preserve the freedoms obtained; to educate citizens of their responsibilities to protect our values and principles of this Republic. We continue in our mission to give young people a sense of their heritage, roots to the past, and the future of the United States of America.

In 2009, the Idaho State Society of the Daughters of the American Revolution (ISSDAR) celebrated its 100th year anniversary. Our local Wild Horse Trail DAR Chapter, the youngest in this state, was founded on October 4, 2003 in Sandpoint.

The Committee members address: DAR schools, historic preservation, patriotic education, public relations, and volunteer services.

The Sandpoint chapter meets the second Saturday, September through June, at the East Bonner County Public Library, 1407 Cedar Street, Sandpoint from 10:30 a.m. to 12:30 p.m.

Information is available online for the Wild Horse Trail chapter at: http://wildhorsetrail.weebly.com;

Fall/Winter 2012

25

Crossword Across 1 7 10 14 15 16 17 18 20 21 22 23 26 28 31 37 39 40 41 42 43 46 48 50 51 52 54 58

26

Not on the level?

Mag. staffers Eatery Hue and cry City on Guanabara Bay Sheltered, at sea Dawn goddess Santa Sofia locale Qom home Mal de ___ Salesman’s quest Arizona river Lead-in to boy or girl Yoga class need Changing places Anatomical ring Winter or summer athlete Getting warm “Exodus” hero Sicilian city Autograph Tricky pitch Menu starter Compass pt.

Riddle-me-___ Litmus reddener Dentist’s order Green, in a way

60 64 66

Four-star review Spirit Playing marbles

www.TheWiseGuideOnline.com

68 69 70

Indian buzzard Born Lament

71 72 73

Physical Spread, as hay Paper clip alternative

Down 1 2 3 4 5 6 7 8 9 10 11 12 13 19 21 24 25 27 28

Super berry Insult Zhivago’s love Honor ___ thieves Neither’s partner ___ la la Great Lakes city British P.M. before Gladstone Drunkard Chaplin prop Goya’s “Duchess of ___” Clash of clans They’re caught in pots Sleep spoiler Raincoat, for short Under the weather Hawaii’s Mauna ___ Sample Frenzied

29 30 32 33 34 35 36 38 41 44 45 46 47 49 53 54 55 56 57 59 61 62 63 65 66 67

Field of play Needle Divided land Unlock Sty sounds Flowing tresses Capture Tolkien creatures Type of ballot Less common Hot temper Small pouch Despot Amin Order’s partner Literary genre Evaluate Chinese holly Astronaut’s insignia Swindle Regarded Perched on Butcher’s offering Feudal worker Bank acct. entry Tummy muscles “___ lost!”

Sodoku

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 58.

Fall/Winter 2012

27

Signs, Symptoms and Treatment of Stroke

by Diane Leach, Registered and Licensed Occupational Therapist, Life Care Center of Sandpoint Did you know that ischemic stroke is the number one type of stroke and that hemorrhagic stroke is number two? Ischemic stroke occurs when a clot blocks a blood vessel supplying the brain. Hemorrhagic stroke occurs when a blood vessel within the brain becomes weak and bursts open causing blood to leak into the brain.

Stroke, also known as a cerebral vascular accident or CVA, is now the fourth leading cause of death in the United States and is third in the world. These statistics explain why there are Primary Stroke Centers of Excellence with emphasis on early intervention.

The core of the brain and the tissue surrounding it are affected when a person suffers from an ischemic stroke. The surrounding area is termed the ischemic penumbra, which outlines the

dysfunctional ischemic tissue with varying thresholds of electrical and membrane failure causing brain damage. The brain damage to this area can cause functional deficits such as, but not limited to, the inability to move a body part, loss of sensation, vision defects, cognitive impairment, speech and swallowing issues.

Warning Signs Most people deny they are having a stroke. The early warning signs are as follows: • Sudden numbness or weakness of the face, arm, leg, especially on one side of the body • Inability to swallow or increased drooling • Sudden confusion

• Trouble speaking or understanding words that they hear • Sudden trouble seeing in one or both eyes • Sudden trouble walking • Persistent dizziness • Loss of balance or coordination • Sudden severe headache with no known cause Most strokes occur between three and five in the morning. Be familiar with these signs/symptoms and seek medical attention immediately.

On preventing further damage to the brain, early intervention is imperative. Keep in mind the following steps to follow: • Get to the emergency room as soon as possible • Provide an accurate account of the episode and time of onset (most effective within one to two hours) • Make sure the acute stroke medical team is available for vitals, labs and scans (the acute stroke team consists of the attending neurologist, stroke coordinator and pharmacist)

28

www.TheWiseGuideOnline.com

• Receive clot-removing drugs or mechanical intervention Remember time is of the essence!

Reduce Your Risk You can take steps to reduce your risk of a stroke, including: • Stop smoking • Stop or reduce your alcohol use • Get moderate exercise • Control your weight • Follow medical interventions prescribed by your doctor for diseases such as diabetes, cardiac disease, A-Fib (rapid heartbeat), high cholesterol and high blood pressure.

Strokes are the leading cause of disability in the world. Education, early intervention and rehabilitation are the key factors in decreasing the level of the disability caused by strokes. You can play an important part in preventing and in recovery from a stroke.

Diane Leach graduated from the University of Milwaukee, Wisconsin in 1986. She has worked in acute care settings, home health, school based programs, outpatient and in-patient rehab and skilled nursing facilities.

She specializes in neurological disorders and is certified in neuro-development techniques.

Fall/Winter 2012

29

A Story Worth Telling

by Darryl L. Heisey, Idaho State Veteran Service Officer Reading this article could potentially change your life or someone you know. The Veteran Affairs has a little known benefit called the non-service connected pension. The non-service connected pension is probably one of the most underutilized VA benefits. It is a needsbased benefit that enables qualified veterans and their spouse to receive a monthly tax-free benefit.

To be eligible for this benefit the veteran must have: • An honorable discharge

• At least one day service during a wartime period • At least 90 days of active duty • Income and assets that don’t exceed the national threshold levels set by Congress. The benefit is based upon the claimant’s income and out-of-pocket medical expenses from the prior year for current year benefits.

It is strongly recommended that those who are seeking these benefits utilize an accredited service officer to assist with the application.

Each county has service officers who are ready to assist you with the needed paperwork to apply for this benefit and any other VA benefit you may qualify for at the time of your visit.

What follows is a “true story” worth sharing.

A WWII veteran and his wife came to my office; both of them were over 84 years old and very healthy for their ages. They were coming into the office to inquire about VA Healthcare benefits. After a few questions it was discovered that their combined monthly income was only $700.00. This particular veteran never was hurt during his time in the service so I asked them how they were getting by on such a small income?

They simply smiled and said they didn’t owe anyone any money; their house and car were all paid off. And in fact, the 1970s car was still as shiny as the day it was purchased. And they didn’t use credit cards. I told them about the VA’s non-service connected pension and with their permission I filed the appropriate paperwork. Within a six-month period they went from $700.00 a month to over $1338.00 per month—an increase of $638.00 a month. And the payments were retroactive to the date of the claim.

When they informed me about the VA decision to grant the benefit they shared with me that they would be able to buy Christmas presents for all of their grandchildren this year! Something they had not been able to do for many years.

30

www.TheWiseGuideOnline.com

What a great story! But the sad part about this story? This couple had been eligible to receive this benefit for more than 23 years. Add it up: $176,088 of potential benefit not claimed because they didn’t know about this VA benefit. You get the picture? You have everything to gain and nothing to lose. You could be the next recipient of these benefits. The process of filing for these benefits is free through your county Veteran Services Officer and your Idaho State Veteran Services Officer, “Serving America’s Heroes.”

Darryl Heisey is the State Veterans Service Officer, Idaho Division of Veteran Services, Post Falls. Darryl served in the United States Army as a 56M40H Chaplain Assistant Su-

pervisor from 1982-2002. Army duty assignments: Fort Polk, LA, 588th Engineer Battalion, 5th Infantry Division (Mechanized); Fort Rich-

ardson, AK, 1st Brigade, 6th Infantry Division (LIGHT); Fort Carson, CO, 4th Infantry Division, Mechanized; Fort Monmouth, NJ, United States Army Chaplain Center and School; Fort Jackson, SC, United States Army Chaplain Center and School; Schofield Barracks, Hawaii, 25th Infantry Division (LIGHT); Fort Huachuca, AZ, United States Army Signal Command. Darryl has a Bachelor of Science Degree in Human Resource Management from Madison University. He enjoys working with people and adheres to his favorite quote from Jim Rohn, “Help people with more than just their jobs, help them with their lives.”

Fall/Winter 2012

31

Top Priority DON’T WAIT! Even if you don’t need the services of the Veterans Hospital or Rural Clinics. Enroll for eligibility and registration now and it will make things so much easier if you need any services later. Veterans Service Officers can help sign you up. The clinics and medical centers can too. Avoid delays and do it now.

Bonner County Veterans Service Officer:

Boundary County Veterans Services Officer:

State Veterans Service Officer

Don Carr, 208-255-5291

Jim Wilson, 208-267-8611

Darryl Heisey, 208-446-1092/1094

1500 Hwy. 2, Sandpoint

6635 Lincoln St., Bonners Ferry

120 E. Railroad Ave., Post Falls

Hours: Tuesday, Wednesday and Thursday 9:00 a.m. - 3:00 p.m.

Hours: Thursdays 9:00 a.m. - 1:00 p.m.

Darryl.Heisey@veterans.idaho.gov

Idaho Division of Veteran Services

dcarr@co.bonner.id.us

The Veterans Service Officers (VSO) are advocates for veterans and the point of contact for all veterans and their dependents! The VSO’s are there to help you!

Call or email them with any question.

Need a ride?

Veteran’s Van to the VA Medical Center in Spokane 509-434-7019 or 208-265-2738 (the backup number if you can’t get through).

Veterans needing transportation to appointments at the VA Hospital in Spokane, call 72 hours in advance to get on the manifest. Must be ambulatory. If not, they will make other arrangements for you.

Routes and Schedules: Noxon Van: Mondays, Wednesdays and Fridays Noxon - Bull River Junction - Clark Fork - Hope - Sandpoint - LaClede Priest River - Newport - Diamond Lake - Chattaroy - Spokane VA. Libby Van: Tuesdays and Thursdays Libby - Bonners Ferry - Sandpoint - LaClede - Priest River - Newport Diamond Lake - Chattaroy - Spokane VA.

Drivers wanted!

Are you 18+ years old and in good health? Contact Ross - 265-2738 This page brought to you by:

“Where aging is all about living.”

www.TheWiseGuideOnline.com

Serving America’s Heroes Disabled Veterans

No matter what benefits you are seeking, you must first apply to the VA for determination.

Compensation If a veteran believes he or she has a service-connected disability, they must submit the proper forms and the VA will make a determination as to the percentage of disability. Spousal benefits are available if the veteran is determined to be100% disabled.

Pension is not the same as compensation. There are three conditions for receipt of pension: • Wartime service • Permanent and total non-service connected disability or age 65+ • Income, net worth and assets are considered on a dollar-per-dollar basis in determining the amount of pension.

Note: Upon the passing of a veteran, it is advisable for the surviving spouse to have on hand the details of any serviceconnected disabilities to assist the professional in the preparation of the death certificate.

Education Benefit A veteran who is receiving compensation may be eligible for an additional amount for dependents.

Dependents are a spouse and children to 18 years of age or up to 23 years of age if away at college. A child who is determined under VA guidelines as “helpless” receives a benefit for life.

Medical Insurance Spouses and dependents may be eligible and can apply for CHAMP VA health insurance if the veteran is 100% disabled. (There are no benefits for ex-wives/husbands and no benefits for grandchildren.)

Counseling Veterans can utilize the Spokane Veterans Outreach Center center as well as the Mobile Vet Center without being enrolled in the VA medical system.

A Veteran may also be eligible for the VA to pay a private counselor.

War-time veterans and their survivors may qualify for an income-based benefit from the Federal VA called Non-Service Connected Pension and Survivors Pension. An additional benefit called Aid and Attendance may also be provided to veterans or survivors needing additional help.

This page brought to you by:

Why struggle to understand any of this when the VSOs have the answers?

Call Don Carr, the Bonner County Veterans Service Officer at 255-5291 or email dcarr@co.bonner.id.us for an appointment!

ResCare is Respect and Care— Assisting people to reach their highest level of independence

You can also visit with Darryl Heisey, the State Veterans Service Officer at the VFW in Sandpoint on the corner of Division and Superior the first and third Wednesdays of every month. Call 208-446-1092/1094 or email: Darryl.Heisey@veterans.idaho.gov for an appointment.

Our Local Veterans These veterans organizations all have one common purpose: to Serve Veterans in Need and their dependents.

American Legion and Auxiliaries:

Disabled American Veterans: Bonners Ferry, Priest River, Sandpoint

Bonners Ferry, Clark Fork, Priest River, Sandpoint

Bonners Ferry, Clark Fork, Priest River, Sandpoint

Marine Corp League:

Daughters of the American Revolution:

Veterans of Foreign Wars and Auxiliaries:

Vietnam Veterans of America:

Sandpoint

Sandpoint

Sandpoint There is no such thing as a trivial need! You do not have to be a member, just a veteran, active military or a dependent with a need or question of any kind. CALL! Don Carr, Bonner County VSO - 208-255-5291.

Veterans of Foreign Wars, Post 10320, Clark Fork

Marine Corps League, Sandpoint

Alan Roach, Commander

Mission Statement: a) Helping veterans in need and their families such that “nobody ever gets left behind”; and b) fostering the noble history and honored traditions of the United States Marine Corps.

Bob Rutherford, Commandant Phone: 255-2650

Meetings are the second Thursday each month 6:00 p.m. at the Clark Fork VFW Hall, 115 W. 4th Avenue (Hwy 200) Clark Fork, Idaho. Any VFW member and anyone qualifying as a veteran of foreign wars (combat on ground, in territorial waters/airspace) wishing to join may attend!

Every September we sponsor the National VFW Voice of Democracy audio-essay (written and recorded for grades 9-12) and Patriot’s Pen essay (written grade 6-8) competitions at the Clark Fork Jr. Sr. High School and Hope Elementary.

These are theme-specific essays with three monetary prizes with the winners advancing to the Post and District level and more at the Department (state) and National competition. We also sponsor Citizenship Teacher of the year nominees from three categories K-5, 6-8 and 9-12. The VFW currently has annual raffles to finance prizes and travel for the winners. These tickets are currently on sale for the 2012 – 2013 fiscal year.

Meeting: The second Tuesday of each month at 9 a.m. at the Tango Cafe in Sandpoint; everyone is welcome to attend. The lone requirement for becoming a member is active duty service in the U.S.M.C., or prior active duty service and an Honorable Discharge. The League also openly welcomes anyone that has an interest in the U.S.M.C. to join as an Associate Member. The annual dues are $30.

The Marine Corps League’s signature event is the annual celebration of the Marine Corps’ birthday of November 10, 1775. This year the League will honor that birthday with a luncheon at the Tango Cafe on Saturday, November 10, 2012, beginning at noon. The public is invited and encouraged to attend; RSVPs (255-2650) are strongly recommended as seating is limited. The cost is $15 per person and includes the buffet, beverage, tax, gratuity, and the traditional birthday cake. Dress is casual.

Throughout each year the Marine Corps League is actively involved in a wide range of activities in support of veterans and their families when such need is not otherwise available or timely available. Most notably, the League regularly provides a military presence for veterans (regardless of prior service) at funerals and memorial services as the Color Guard and Rifle Detail. During 2012, the League was the lead organization for the Flag Giveaway Program at Sandpoint’s 4th of July Parade, provided food service at the June 16 Stand Down (for veterans) at the Bonner County Fairgrounds, and assisted This page brought to you by: those in need of firewood, he arine orps transportation, repair of eritage oundation frozen pipes, and yard care.

T M C H F Supporting the National Museum of the Marine Corps

www.TheWiseGuideOnline.com

Resources for veterans Where to go for services: Veterans’ Clinic in Sandpoint (Ponderay) 208-263-0450 Hwy 200, Ponderay (inside Kaniksu Health Services)

Veterans’ Clinic in Libby, MT - 406-293-8711 211 E. 2nd Street

VA Medical Center (VA Hospital)...800-325-7940 4815 N. Assembly St., Spokane, WA If you are already registered, call this number. If not, call Extension #7009 first to register your eligibility, then call this main number and ask to make an appointment

VA Outreach Center 509-444-VETS(8387) www.vetcenter.va.gov Fixed base: 13109 East Mirabeau Pkwy, Spokane Valley, WA

Spokane Mobile Vet Center - “Leave No Vet Behind!”

We provide free service benefits as well as bereavement, PTSD counseling and outreach counseling. (We come to you!) Serving N. Idaho, Washington, Northeast Oregon and Northwest Montana with our Mobile Vet Center.

Mission: To help combat veterans and their families readjust to life after war or sexual trauma. Services, such as individual, group, marital, and family counseling; alcohol/drugs assessment and referral; assistance with employment and education; Veteran and spouse/significant-other benefits assistance are available at no cost to the Veteran or family.

Schedule: Sandpoint VFW - second and fourth Thursdays Colville, Washington VFW - Every other Friday

Veterans Homes Available for veterans (wartime and peacetime). Spouses, widows and widowers are eligible for admission. A physician must certify that the applicant requires 24-hour skilled nursing care.

Idaho State Veterans Homes - www.veterans.idaho.gov Boise 208-334-5000 Pocatello 208-236-6340 Lewiston 208-799-3422

Spokane Veterans Home - 509-344-5770 www.dav.wa.gov/spokane_home.html This page brought to you by: We are deeply appreciative of the effort and sacrifices made by service members and their families to protect and serve our country.

Veteran’s page sponsors: • ResCare Home Care • Idaho Forest Group • Luther Park • The Marine Corps Heritage Foundation Please see the ad on the inside back cover!

Idaho Forest Group is proud of its efforts to promote veterans becoming successful team members within their organization. Overall 10% of the employees at Idaho Forest Group are veterans. In 2011, because of a dedicated commitment to hire more veterans,11.5% of new hires were veterans of the U.S. military. In recognition of this achievement, IFG received the 2012 American Legion’s Employer of Veterans Award (Large Category) for Idaho.

Thank you to our veteran’s pages sponsors!

36

www.TheWiseGuideOnline.com

“I’m fine!”

by Jonnie Bradley, Editor/ Publisher of The Wise Guide One of the hardest things we deal with as we age is the aging of our own parents. We see them having troubles physically and sometimes mentally. My mother used to tell me, “I’m fine until something breaks!” Well, duh! Isn’t that the nature of it all? If I had a dollar for every time I heard my mother use the word “fine,” I’d be very wealthy!

Don’t get me wrong, Mom was great; intellectually sharp, physically in fairly good shape, positive outlook on life and in pretty good spirits. But, her cheerful independence coupled with her desire not to worry me, made for some tense moments.

Here’s one example. Mom was living in an independent retirement community, still driving and “doing fine.” One day she calls and says, “I’m not feeling very well and was wondering if you would make an appointment and take me to the doctor tomorrow.”

After about 10 minutes of a subtly conducted interrogation, I very calmly said to her, “No Mom, I’m not taking you to the doctor, this is a little more serious. I’m going to call an ambulance. And, you will cooperate when they get there, won’t you! I’ll meet you at the hospital.” She had severe peritonitis because of a ruptured colon three days before she called me!

But, keep in mind, she was sure she would be “fine” given a couple of days!

(our parents’ aging) but we don’t know what that means, and when it happens, we have no idea what to do.” She was so right! Will one or both of your parents live to a ripe old age, the picture of health? Will they suffer a catastrophic illness?

Will they develop some form of dementia? Will they fall and injure themselves? Will they have a car accident when they can’t really drive safely anymore and hurt themselves or someone else? Can they take care of each other “until death do them part?”

Then there’s the other thing we aren’t thinking about when we consider our parents, and that is, how are we holding up ourselves?

Back problems? Bad knees or hips?

Arthritis? Losing strength and muscle tone? Financial and emotional stress? These things affect our abilities to handle our aging parents’ needs if and when they need us.

Be aware that you will face challenges of all kinds. Do what you can to anticipate predictable things

and you will have a much easier time dealing with the unpredictable ones. Have those family talks about topics that are not “easy.”

Find out who wants what and get it on paper. You may be comfortable with verbal agreements among each other, but there will inevitably be the times when some entity beyond the family needs to see it in writing.

Wills, advance directives, powers of attorney for health care, and even written family agreements, are a few things that deal with what is to happen when your aging parent (or yourself ) cannot speak for themselves. And, you cannot find out what they want when they are unconscious or if they develop dementia. It’s too late then!

Other things you can do are review the things your parents (or yourself ) have in place financially; life insurance, annuities, other forms of investment, trusts, long term care insurance, and veterans benefits. Knowing where these things stand, getting answers to questions relevant to them and/or establishing some of these things will go a long way to reducing your stress, as well as potentially catastrophic expenses down the line.

And, on a personal note, keep in touch regularly to make sure things really are “fine” and visit or have someone else visit to see. And be suspicious when you’re told, “You’re so busy, and I don’t want to bother you.”

An acquaintance put it very simply, “We all know it’s coming

Fall/Winter 2012

37

Returning Healthy Soldiers to their Families

by Krystle Shapiro LMT, MSHN, Touchstone Therapies Our current wars have brought to American hearts many confusing emotions, opposing opinions, broken and maimed minds and bodies, and broken hearts from losing loved ones. The rising incidence of veteran suicide has become the hottest topic in the military who now claim suicide as one of the biggest enemies facing our returning troops.

Theaters of war present extreme experiences of chronic stress, toxic exposures to aircraft and automotive fuels, ammunition residues, pesticides, herbicides, potential of extremes in climate temperatures, physical stress, constant noise, irregular hours for sleeping and eating, and highly processed foods prepared as MREs (meals-readyto-eat) soldiers carry with them on missions. MREs have long lasting shelf lives with many forms of preservatives, colorants, and flavor enhancers presently known to be

38

unhealthy, non-nourishing, and potentially carcinogenic. Understanding the long term impact of such extreme chronic exposures and the nutritional remediation required to replenish lost body stores becomes a primary focus in the prevention of suicide in returning veterans.

Chronic stress affects every system of the human body. Each system requires specific nutrients ingested regularly to manufacture the necessary hormone chemical messengers and enzymes required for proper cellular metabolism.

Whole foods supply these nutrients. When vital nutrients are deficient over a long period of time and body stores critically diminish, the organ systems of the body such as the brain, the immune system, the gastrointestinal system, the adrenal system, and the urinary tract system begin to weaken and break down. When this occurs, vital cellular communication that enables effective responses and clear thinking processes also begins to deteriorate.

The Department of Veterans Affairs notation that “a veteran takes

www.TheWiseGuideOnline.com

his or her own life every 80 minutes” was quoted by Kristina Wong in the November 2, 2011 report by CNAS (Center for a New American Security). This report indicates many factors as contributors to suicide such as “lack of [enough] mental health care and behavioral health care professionals,” lack of time between deployments, loss of support from one’s unit upon return [a sudden loss of belonging], lack of understanding of a soldier’s experience by new commanders when change occurs, and individuals returning with traumatic brain injuries. “Additional factors that heighten risk of suicide include chronic pain and post traumatic stress disorder symptoms such as depression, anxiety, sleep depri-

vation, substance abuse, and difficulties with anger management.” This report states “these factors are also widely associated with deployment experience in Afghanistan and Iraq” (Wong, 2011).

Recognition of the underlying symptomology leading to suicide also includes the following states: addiction, emotional dysfunctions such as anger and rage, withdrawal from family and friends, mood changes, and denial problems exist. Other factors include frequent deployments, exposure to extreme stress factors, and “physical or sexual assault while in the military” as a few examples (Menna, 2011). Wong (2011) further adds the more commonly identified risk factors as “work-related problems, financial pressure, legal concerns, alcoholism and substance abuse.”

Chronic stress uses up vital nutrients necessary for overall optimal body processes within all cells to detoxify toxic intake. Healthy brain function relies on optimal functioning of the amygdala, hippocampus, hypothalamus, pituitary gland, and adrenal glands, each requiring specific nutrients.

Soldiers must be granted time between deployments and/or upon their return to undergo a nourishment replenishing program of whole foods with living enzymes and chock full of essential fats, vitamins, minerals, trace minerals, and amino acids prior to their returning home. Families want healthy soldiers

returning to them, not sickly ones needing clean and proper food to rebalance their overtaxed systems.

References: Menna, Amy. (2011) Suicide and the military. Retrieved December 31, 2011, from http://psych.central.com/ lib/2011/suicide-and-the-military/3/ Reprinted in this publication with permission from Gift from within.

Wong, Kristina. (2011, November 2). New report: military losing the battle against suicide. Retrieved 12/31/2011 from http://abcnews.go.com/blogs/politics/2011/11/new-report-military-losing-the-battleagainst-suicide/ Krystle Shapiro is a licensed massage therapist specializing in medical and oncology massage, gentle massage for the elderly, sports rehabilitation massage, a unique four part program for people suffering from post traumatic stress syndrome, and general relaxation massage therapy. She received her Master’s of Science degree in Holistic Nutrition from Hawthorn University and owns Touchstone Integrated Health Therapies and Nutrition Plus! in Sandpoint.

Fall/Winter 2012

39

Directory Listings Agencies, Free Referral Services and Volunteer Opportunities Alzheimer’s Association Inland NW Chapter, N. Idaho Office....................................................208-651-8897

www.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 In-formation, Support Groups (2 in Bonner, 1 in Boundary Counties), State and Federal Advocacy, educational programs, workshops and lectures for caregivers, families and the general public.

Area Agency on Aging of North Idaho...............800-786-5536

2120 Lakewood Dr. Ste. B., Coeur d’Alene Coeur d’Alene office....................................208-667-3179 Do you have questions about senior services and resources available in your community? Are you eligible for extra help paying for prescription drugs or help paying the monthly Medicare Part B premium? For free information and to discuss your options. Call us!

Bonner County Board of Community Guardian.........................................208-255-3098

guardianboard@co.bonner.id.us 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 us.

City of Priest River............................................. 208 448-2123 552 High Street, Priest River http://priestriver-id.gov The City of Priest River is committed to keeping public drinking water safe for all our residents. We are proud of our small town and quality of life; let’s work as a community to keep the Priest River and Pend Oreille River clean.

Community Cancer Center.................................208-255-2301 1215 Michigan Street, Sandpoint We are here to help with education, information and direct support services to cancer patients and their families. Services include gas vouchers, financial assistance, grief counseling, wigs, hats, post-mastectomy products, Ensure, lending library, transportation, loaned medical equipment and more.

Goodwill Industries

204 Larkspur St., Ponderay......................... 208.265.1980 1212 N. 4th St., Coeur d’Alene...................208-765-4520 www.goodwill.org (see article page, 62)

40

www.TheWiseGuideOnline.com

Idaho Commission for the Blind and Visually Impaired..............................................................208-769-1411 2005 Ironwood Pkwy, Suite 222, Coeur d’Alene mgrandstaff@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.

Lake Pend Oreille School District Volunteer Program........................................ 263-2184 x1017

901 Triangle Drive, Ponderay www.bit.ly/lposdvolunteers A desire to share is all you need! Volunteers are matched with students of all grade levels and teachers at schools district wide, sharing talents, skills and interests for a meaningful educational experience.

Make a difference and become part of our school family.

Panhandle Health District Senior Companion Program

www.phd1.idaho.gov Bonner County:............................................208-263-5159 1020 Michigan, Sandpoint

Boundary County:.......................................208-267-5558 7402 Caribou, Bonners Ferry Our free program assists those who are homebound, isolated and lonely. Volunteers are trained to offer companionship, transportation, and respite care. Volunteers are 55 years or older and are passionate about serving. Qualified volunteers earn an hourly stipend and all volunteers receive mileage reimbursement.

University of Idaho Extension Boundary County................................................208-267-3235 6447 Kootenai Street, Bonners Ferry www.extension.uidaho.edu/boundary UI Extension brings research information to the local community to meet identified needs. We provide Medicare education, health and wellness programs, food safety/preservation; 4-H Youth Development and home horticulture, agricultural, nursery and forestry related programs.

Automotive Steve’s Import Auto Service..................................... 263-4911 1111 Michigan St., Sandpoint jfisher533@hotmail.com

Fall/Winter 2012

41

Directory Listings Is your car ready for winter? Your hometown repair experts for 32 years specializing in Subaru, Honda, Toyota, Nissan, BMW, Lexus, Audi, VW, Volvo and other import cars, as well as many domestic models.

We guarantee our work and parts.

Care Facilities, Retirement Apartments, and Assisted Living Boundary Community Restorium......................208-267-2453

6619 Kaniksu St., Bonners Ferry boundaryccr@verizon.net Our facility accommodates 52 residents with homecooked meals and snacks. We help with shopping, medications, and bathing. We offer an array of activities, especially in summertime when residents enjoy our vegetable garden, beautiful flowers and entertainment in our gazebo.

Daybreak Center.................................................208-265-1827 820 Main Street, Sandpoint www.sandpointseniorcenter.org/ Daybreak_Center.html The DayBreak Center, a program of Sandpoint Area Seniors, Inc., provides family support through dementia respite care for your loved one while adding more freedom and flexibility to your days. We understand

42

that even the most dedicated caregiver requires a little down time.

Life Care Center of Sandpoint............................208-290-8726

1125 N Division, Sandpoint www.LCCA.com Life Care Center of Sandpoint specializes in long term care, special needs and dementia care, post-operative and acute illness restorative nursing and therapy, 24/7 admissions. Respite stay is also available. Semiprivate and private rooms. Schedule your tour, today!

Luther Park at Sandpoint...................................208-265-3557 Assisted Living and Memory Care 510 Olive Ave., Sandpoint www.luther-park.org Do what you want to do and leave the rest to us! We offer every level of care from unassisted independent living to full memory care. It’s all available at Luther Park. We are the best deal in town!

Mountain View Village Apartments..................208-304-3558 550 Larkspur, Ponderay http://mntnviewapts.com Mt View Village Community living is not just another apartment complex! Located just off Kootenai Cut-off and within walking distance of Yokes, Bonner Mall,

www.TheWiseGuideOnline.com

McDonalds, Wal-Mart, and much more. Come see our new clean and spacious units today!

Sandpoint Assisted Living.................................208-265-2354 624 S. Division, Sandpoint www.EvergreenHealthcare.com Our community is unique because we are small and affordable, providing residents close and easy access to staff 24 hours a day. Rents are the lowest in the area and we also accept Medicaid.

Rose Terrace Country Homes.............................208-623-6154

Counseling Rawlings Community Counseling.....................208-267-0900 6658 Comanche St. (behind the hospital) Bonners Ferry www.rawlingscommunitycounseling.com Mental health counseling for children, adolescents, adults, couples and families. Offering addiction treatment, case management, and EMDR Therapy for trauma treatment. We accept most insurance, Medicaid and a sliding fee scale is available.

5672 W. Rhode Island, Spirit Lake

Rose Terrace Cottages........................................208-665-0580

632 N. 21st St., Coeur d’Alene www.roseterrace.org Our quaint, home-style facilities offer a compassionate, caring environment with well trained staff 24/7.

Nurses available 7 days a week, wonderful meals and fun activities. Private and semi-private rooms. Medicaid accepted.

The Bridge Assisted Living................................208-263-1524 1123 N. Division Ave., Sandpoint www.CenturyPA.com Adjusting to the transition of a new home is made easier with the intimate and compassionate environment at The Bridge. Assisted care is developed on an individualized basis. It’s the right place for home!

Dental Marshall A. Arbo, DDS.......................................208-267-5187

5246 Westside Rd., Bonners Ferry Dr. Arbo, a General Dentist for over 40 years, provides complete denture service including full and partial dentures, denture repairs, adjustments and relines.

Full dentures are fabricated in-office. The office is open by scheduled appointment only. Please call for an appointment.

Michael G. Durnin, DDS.....................................208-263-1412 1323 Hwy 2, Suite 301, Sandpoint www.drdurnindentalsandpoint.com

Valley Vista Care.................................................208-265-4514

220 S. Division, Sandpoint www.valleyvista.org Enjoy a comfortable, home-like setting with 24/7 skilled nursing for long and short-term care. We offer physical, speech, occupational and aquatic therapy for in-patient and out-patient rehab. Specializing in an innovative activities program and two unique behavior care units.

Fall/Winter 2012

43

Directory Listings We are committed to creating a positive dental experience for you and your family. The comprehensive services we offer include implants, extractions, dentures, root canals, crowns, cleanings, and more. Your comfort and dental care are paramount at our office!

and non-credit classes, testing and tutoring services, and a welcoming and supportive staff.

Mt. Baldy Dental................................................208-263-6806

687 Canfield Ave., Suite 100, Coeur d’Alene www.idahoforestgroup.com Do you have a plan for growing your forest? Are you aware if your timberlands have any insect or disease issues you should know about? Idaho Forest Group works with you to keep your forests healthy.

1305 Highway 2 West, Sandpoint www.mtbaldydental.com Welcome to the caring environment of Mt. Baldy Dental! Two doctors and two hygienists with 50 years combined experience in dentures, extractions, implants and all disciplines of dentistry. Your dental health is our top priority! Financing available and discounts for seniors.

Education North Idaho College, Sandpoint.........................208-263-4594 or...................................................... (877) 404-4536 Ext. 1705 102 South Euclid Sandpoint

North Idaho College, Bonners Ferry..................208-267-3878 791 Main Street Bonners Ferry North Idaho College is committed to bringing educational opportunities to the communities we serve.

Our outreach locations offer admissions and advising assistance, financial aid and career counseling, credit

44

Financial and Asset Management Idaho Forest Group.............................................208-255-3200

James Hutchens, P.A..........................................208-265-2500

1211 Michigan St., Suite B, Sandpoint www.hutchenscpa.com We have provided accounting services including business and individual tax preparation, financial statements, bookkeeping and payroll services for Sandpoint and the surrounding communities for over 13 years and have been in the accounting business for over 30 years.

Loan Star Mortgage...........................................208-265-5070 201 E. Superior St, Ste. B www.loanstarmrtg.com

www.TheWiseGuideOnline.com

Matching our clients with a wide variety of loan programs (USDA, FHA, Fixed Rate, ARM, private money financing, and construction loans) to best suit their borrowing needs. Providing fast, friendly, supportive service in Bonner and Boundary counties for over 10 years. NMLS 14812.

Panhandle State Bank........................................208-265-3742

414 Church St., Sandpoint Branch Offices: Sandpoint.....................................................208-263-0505 Ponderay......................................................208-263-2348 Bonners Ferry...............................................208-267-7027 Priest River...................................................208-448-0604 At Panhandle State Bank, we know your financial needs are exactly like no other. That’s why we’re committed to creating unique solutions with our oneon-one personal service. We’ll tailor our products and services to help you meet your financial goals.

Panhandle Escrow Company.............................800-577-4231

113 N. Second Ave., Sandpoint www.PanhandleEscrow.com Your local contract collections agent providing protection in buyer/seller transactions since 1992

Bizarre Bazaar is owned and run exclusively by Community Action League volunteers. Gently used household items, books, furniture and select quality clothing. Items not retained are donated elsewhere to churches, missions, school and charity fundraisers, and special-need situations. All profits stay in Bonner County.

Goodwill Industries

204 Larkspur St., Ponderay.........................208-265-1980 1212 N. 4th St., Coeur d’Alene...................208-765-4520 www.goodwill.org Goodwill Industries operates modern stores in Coeur d’Alene and Ponderay. The stores are filled with unique bargains that change daily. Sales support Goodwill’s programs that help people obtain jobs and assist adults and children with special needs.

Grünberg Schloss Collectors’ Cabinet................208-263-7871 210 C Triangle Drive, Ponderay gruner@televar.com We buy, sell and trade coins, gold, silver, tokens and paper money. With 40 years experience, there isn’t much we haven’t seen. We offer prospecting and food grade storage supplies, collectors’ necessities and wide range of books.

Tomlinson Sotheby’s International Realty.......208-263-5101

200 Main St., Sandpoint Louise Boomer REALTOR® e-PRO® SFR www.idahonorthrealestate.com Representing real estate buyers and sellers in North Idaho. We take pride in going the extra mile to exceed your expectations and make your real estate experience as smooth as possible.

Gifts and Shopping Bizarre Bazaar....................................................208-263-3400 502 Church St., Sandpoint www.calsandpoint.org

Fall/Winter 2012

45

Directory Listings Huckleberry Variety...........................................208-267-3286

Rob McKenney, Custom Cartoonist....................208-597-6358

Life’s Stuff......................................msnedden67@gmail.com

Health and Wellness

7214 Main St., Bonners Ferry www.huckleberryvariety.com Our goal is to provide a service to the community by not being just another gift store but rather a store that carries a wide variety of products with lower prices to serve our friends, neighbors, local residents and visitors.

Bonners Ferry www.robertoons.com Cartoons can be custom designed for almost any occasion or purpose, only limited by your imagination.

Call to discuss your needs. Pricing is very reasonable, after all, it’s all in fun!

P.O. Box 762, Sandpoint www.LifesStuff.com Be prepared for life’s emergencies with this practical, user-friendly workbook. Life’s Stuff enables individuals and families to simplify and easily organize all those necessary details for friends and family members who may need to step in during an emergency.

Audiology Research Associates.........................208-255-4389

Mischievous Moose General Store....................208-627-9558

Eye Care For You!................................................208-263-9000

334 N. 1st. Avenue Sandpoint Mischievous Moose is a unique General Store showcasing handcrafted local and international products.

Featuring organic soaps, moisturizers, natural deodorants, jewelry, candy, gourmet hot sauce and much more—plus even a mining camp to boot!

123 S. Third Ave., Suite 9, Sandpoint Serving Sandpoint for over 20 years. We help you hear better! Hearing evaluations for adults and children.

We sell the most advanced digital hearing aids available and each hearing aid comes with 3 to 5 years free batteries.

710 W. Superior St., Suite A, Sandpoint Monday - Thursday 8-5, Friday by Appointment.

Dr. Julie Gagnon and Dr. Kenneth Cameron provide professional eye care in a friendly environment. We diagnose and co-manage eye diseases such as cataracts, glaucoma and macular degeneration. We also offer quality frames and lenses at all price levels.

Touchstone Therapies........................................208-290-6760

803 W. Pine St., Sandpoint email: krystle.touchstone@gmail.com Specializing in medical and oncology massage, gentle massage for the elderly, sports re-habilitation massage, a unique four part program for people suffering from Post Traumatic Stress Syndrome, and general relaxation massage therapy.

Home Improvement and Maintenance All About Chimneys and Sagle Stove Shop.......208-265-2226 469058 S. Hwy. 95, Sagle

46

www.TheWiseGuideOnline.com

Dryer vents and chimneys cleaned, health care home and commercial inspections. Installations, repairs and relines done by our family of Journeyman, HVAC licensed, bonded and insured installers. A local family business since 1982. (Almost 30 years!) Check out our Sagle Stove Shop too!

Hospice and Pre-Planning Auburn Crest Hospice.........................................208-773-7731

1596 E Seltice Way, Post Falls www.auburncrest.com At Auburn Crest Hospice, we listen to our patients, their loved ones, and committed caregivers to develop a care plan that puts the wishes of the patient first, which enables patients to live out their lives with comfort, dignity, and control.

Bonner Community Hospice..............................208-265-1179 a service of Bonner General Hospital 520 N. Third Ave., Sandpoint www.BonnerGeneral.org Caring for terminally ill patients and their families in Bonner and Boundary counties. Services include pain management, specialized nursing care, bathing and personal care, chaplaincy, supportive counseling, medical supplies and equipment. Covered by Medicare, Medicaid and most private insurance.

Bonner General Immediate Care........................208-265-3751 400 Schweitzer Plaza Rd.,Ponderay www.bonnergeneral.org Your community hospital providing quality, compassionate care in a comfortable, healing environment.

We provide a full range of healthcare services, including home health, hospice, physical, occupational and speech therapy, radiology, laboratory, surgery, and emergency services. Also visit our Immediate Care Clinic in Ponderay.

Boundary Community Hospital and Nursing Home...............................208-267-3141 6640 Kaniksu St., Bonners Ferry

Camas Center Clinic...........................................509-447-7111 1821 W. LeClerc Rd. #1, Cusick, WA www.kalispeltribe.com/camas-center-clinic The Camas Center Clinic offers comprehensive healthcare including: medical, dental, chiropractic, physical therapy and massage therapy. The clinic is open to the general public and accepts most major commercial and public insurance carriers.

Clark Fork Valley Hospital.................................406-826-4800 10 Kruger Rd., Plains, MT www.cfvh.org

Lakeview Funeral Home and Cremation Service..............................................208-263-3180

301 S. Olive Ave., Sandpoint www.lakeviewfuneral.com Providing burial, cremation, headstone, funeral preplanning and pre-funding services in an honest, dignified and fair manner at affordable prices. We achieve professional, personal and meaningful relationships with the families that we serve within Sandpoint and surrounding communities.

River City Hospice

205 N. 1st Ave., Sandpoint.........................208-265-8612 or............................................................... 1-866-907-4387 3726 E. Mullan Ave., Post Falls..................208-777-2489 www.RiverCityHospice.com At River City Hospice, we believe each patient’s situation is unique and many of the coping strategies and emotions are not. At the center of hospice care is the belief that patients have the right to live pain-free and with dignity.

Hospitals and Medical Care Bonner General Hospital....................................208-263-1441 520 N. 3rd, Sandpoint

Fall/Winter 2012

47

Directory Listings Clark Fork Valley Hospital in Plains, Montana serves the residents of Sanders County and surrounding areas. Our Family Medicine Network operates three clinics in the areas of Thompson Falls, Plains and Hot Springs. Additional services include a nationally recognized home health agency and hospice program.

Kaniksu Health Services

6635 Comanche St. Bonners Ferry.............208-267-1718 1325 Superior St., Sandpoint......................208-263-7101 6509 Hwy 2, Suite 101, Priest River...........208-448-2321 www.KaniksuHealthServices.org Providing comprehensive health care and services for all patients, regardless of income. Accepting Medicaid, Medicare, private insurance, and uninsured people who need medical care. We now have a veteran’s clinic at our Superior Street location! Call 208263-0450 for an appointment.

Life Flight Network............................................800-982-9299 22285 Yellow Gate, Aurora, OR www.lifeflight.org Life Flight Network is a nationally recognized, air medical service. Our Sandpoint base serves Northern Idaho and a $60 annual membership means your

48

family will have no out-of-pocket costs for medically necessary flights.

Mountain View Family Medicine......................208-263-9545 Timothy R. Bonine, M.D. 1309 Ponderosa Drive, Suite 103, Sandpoint A multi-generational family medical practice. We serve newborns all the way to the elderly with quality, personalized medical care. Same day appointments, on time and a fun staff. We are your best choice for medical care.

Newport Community Hospital...........................509-447-2441 714 W. Pine St., Newport, WA

North Idaho Medical Care..................................208-263-9110 30544 Hwy 200 Suite 101 Ponderay

In-Home Services Addus Health Care..............................................208-762-9835 233 E. Locust Ave., Coeur d’Alene We have been providing quality in-home health care since 1979. From companionship to specialized home health care, our cost-effective services are designed to improve health and well being and make your choice easier to remain independent at home.

www.TheWiseGuideOnline.com

Alliance Family Services - Home Health

608 S. Division, Sandpoint..........................208-265-5049 6334 Main St., Bonners Ferry......................208-267-0780 1221 Albeni Hwy, Ste. 2, Priest River........208-448-1216 www.alliancefamilyservices.com We are committed to providing quality outpatient healthcare services to children, adolescents and adults struggling with mental health, developmental and substance abuse disorders, and home health needs. We are dedicated to promoting independence and quality of life to all those we serve.

Bonner General Hospital Home Health Services........................................208-265-1007

520 N. Third Ave., Sandpoint www.BonnerGeneral.org Providing skilled, intermittent care in the home setting. Services include skilled nursing care; physical, occupational and speech-language therapies; medical social services and certified home health aid services.

Covered by Medicare, Medicaid and most private insurance.

Panhandle Health District..................................208-415-5160

Our unique brand of care giving engages individuals physically and socially, while helping them maintain independent living in the comfort of their own homes.

Mobile Hearing Care...........................................208-946-7827

dana@mobilehearingcare.com Serving the Idaho Panhandle and Northwest Montana. On-site services include: hearing evaluations (selection and fitting of hearing aids with the latest technology) and follow-up care taking into consideration a patient’s eyesight, arthritis, dexterity, mental status and overall hearing needs. We’re mobile so you can avoid having to transport your family member to a local office for testing, fitting and adjustments.

Res Care Home Care............................................888-390-6730

1015 W. Ironwood Dr., Ste. 101, Coeur d’Alene www.ResCareHomeCare.com www.RestAssuredSystems.com ResCare is all about providing you with skilled caregivers, when and where you need them! At home, in a long-term care facility, or assisted living. We also offer Rest Assured®, a web-based telecare system for inhome, non-intrusive care and security monitoring.

Home Health Services 8500 N. Atlas Road, Hayden www.phd1.idaho.gov We believe firmly in educating the community about their choices in selecting a home health agency.

Reaching remote homebound patients in Idaho’s 5 northern counties providing physical, occupational and speech therapy, CNAs, dietitian services, and RN case management throughout patient’s care.

Comfort Keepers of North Idaho........................208-265-9522

820 E. Best Ave., Coeur d’Alene www.comfortkeepers.com/office-125 Comfort Keepers provides in-home care for seniors and the disabled in all five northern counties of Idaho.

Fall/Winter 2012

49

Directory Listings Insurance Carey Spears Insurance......................................208-610-8096

102 S. Euclid, Suite 203, Sandpoint Sandpoint Event Center cspears4insurance@gmail.com October 15th - December 7th is the time frame allowed to make changes to your Part D drug and Medicare Advantage coverage. Call me today and we will review all of your options together.

Pend Oreille Insurance & Financial Services....208-263-2169 476394 Hwy 95, Ponderay www.pendoreilleinsurance.com All lines of insurance, personal, business, health and life.

guardianship, conservatorship and probate. We strive to provide quality legal services in a timely manner at a reasonable cost.

Museums and Events Bird Aviation Museum and Invention Center.................................................208-255-4321

325 Bird Ranch Rd., Sagle www.birdaviationmuseum.com The Bird Aviation Museum and Invention Center strives to educate visitors about the historic contributions of aviators and innovators who have helped create modern technology and to celebrate these individuals who have forever changed the way we live. It only takes one person to change the world

Life After Service Documentary - Special Showing

Legal Wytychak Elder Law..........................................208-765-3595 314 E. Garden Ave., Coeur d’Alene www.wytychakelderlaw.com Our practice provides legal services related to the issues facing seniors and their families. Common areas of practice include estate planning, public benefits,

Panida Theater - Tickets at the Door November 10, 2012 www.mylegacyvideos.com Support our veterans! A documentary honoring North Idaho Veterans. Learn about your veteran neighbors, readjustment after service, local veteran resources, and how veterans give back to the community.

November 10th, 3:00 p.m., Panida Theatre, Sandpoint, $5 admission.

National Museum of the Marine Corps.............877-635-1775

18900 Jefferson Davis Hwy, Quantico, VA Virtual Tour - www.marineheritage.org www.usmcmuseum.org The National Museum of the Marine Corps, a lasting tribute to all Marines, is located near Marine Corps Base Quantico, VA. Experience the World-class exhibits using the most innovative technology to surround visitors with artifacts, sights and sounds of Marines in action.

50

www.TheWiseGuideOnline.com

Pharmacies, Medical Equipment, Safety and Supplies Medicine Man Pharmacies

and services unique to our community, with the comfort and independence of our customers in mind.

Medicare approved!

624 Larch, Sandpoint..................................208-597-7466 (Inside Super 1 Foods) 6452 Main St., Bonners Ferry.....................208-267-4021 (Inside Super 1 Foods) www.medmanpharmacy.com Transfer your prescriptions to us. It’s easy! We have pharmaceutical grade neutraceuticals and compounding services. Price matching on most medications and mail or in-town delivery. Veterans: we can fill your prescription vouchers! We care about you and your health.

White Cross Pharmacy.......................................208-263-9080

Newport Alarm........................... 800-938-4184/509-447-4903

Bonners Ferry Veterinary Clinic........................208-267-7502

962 Stohr Rd., Newport newportalarm@hotmail.com Providing home and commercial security in Idaho and Washington since 1966 and Medical Alert Systems nationwide. Medical Alert is a pendant or bracelet with emergency services at the push of a button. Licensed/bonded contractor with 47 years of combined experience.

1319 Hwy 2, Suite A, Sandpoint 5453 Hwy 2, Priest River.............................208-448-1633 whitecross@nctv.com Are you getting the personal attention you deserve from your pharmacy? Our focus is exclusively on your prescriptions and your health. Our business is locally owned and run by our pharmacists since 1922. Discount pricing and many custom services available.

Veterinary Emergency Phone: 208-444-1024 6657 Main, Bonners Ferry Let us help you care for your favorite four-legged friends! Our clinic provides complete veterinary services for healthy pets and for sick or injured animals, including horses and livestock. We provide an on-call emergency service in addition to our regular hours.

Sandcreek Medical.............................................208-263-3713 306 1/2 N. First Ave. (behind Panida Theater) www.sandcreekmedical.com We are your local hometown medical equipment and respiratory company. Customer care and honest service are the mainstay of our business. Owned and operated by Gary and Tammi Rench, our family has been local business owners since 1967.

Sandpoint Super Drug........................................208-263-1408 604 N. 5th Avenue, Sandpoint superdrug@sandpoint.net We strive to provide the highest quality home health care equipment, supplies and services, while being competitive on product and pricing. We offer goods

Fall/Winter 2012

51

Child Care Essentials

by Andria J. Wolf Through the years grandparents, parents, and guardians have been faced with some tough decisions when considering who will be responsible for our most precious achievements: our children. Today, most households require that both parents work to make ends meet.

Grandparents are often not nearby, and if they are, lead active lives themselves, or if quite elderly, aren’t up to the task of full-time child care. As a working mom, half the people I see taking their children to the daycare I use are grandparents.

Possible child care options include an in-home child care provider, a daycare center, a nanny, or a family member. As a parent or grandparent, thoughts run through our minds about the type of care

provided. What laws protect our children from harm? How much will be paid toward the care of our children, and what will our children be taught through a locally operated facility?

Some concerns with a child care facility are commonly how many children attend, and how many adults are available. Many would say child care providers are overwhelmed. According to state laws, a child care provider and all employees must pass a criminal history and background check, through the state. In most cases a formal education is not commonly required, however some states do require the owner of a child care facility to receive a Child Development Associate (CDA) in college, participate in director’s training courses and attend a certain number of continuing education classes annually. Having safe outdoor environments for children to play is also required. Special precautionary measurements are required

for providers that are located in a “down town” setting. Any highways or streets that have extreme foot and vehicle traffic are considered “down town” facilities.

On a more relaxed note, always ask as many questions possible, such as: • Do you have children of your own?

• How do you handle disciplining children?

• What does a typical daily schedule look like?

By asking these questions you can determine which daycare is right for you.

When preparing to budget for child care costs you may consider some facts, do some financial rearranging, and try calculating your expenses in whole. For instance; annual child care costs are typically higher than the average amount a family will spend on groceries each year according to the National Association of Child Care Resource and Referral Agencies.

Many people are unable to afford what is considered a high-end care provider. Look into different state and government programs like, I Pay Childcare, an online resource.

By using competitive, interest rated loans and lines of credit that are strictly for child care necessities, this program helps with monthly child care costs. Other options include government help. In Idaho, Idaho Child Care Program (ICCP) is available. Through this program the government checks

52

www.TheWiseGuideOnline.com

eligibility through income, monthly expenses, and various other elements. Upon approval a set amount is paid to child care as well as a co pay that is required from the parent/guardian.

People usually want daycare to provide a balanced approach to learning, giving you the peace of mind that your child will have fun as he/ she develops socially, emotionally, physically and intellectually. People want their children to become confident and self-aware in a caring and stimulating atmosphere. Some may turn to a classroom setting, religious learning, or less formal setting, depending on personal preference. Many look into daycare as a means to keep children occupied while away, others want their children to prepare for schooling. In the Northern Panhandle of Idaho daycare comes from all

aspects of life including, biblical, environmental, and even social structures, a person is able to find exactly what they need. When looking into daycare always remember, to ask yourself, “What do I want my child/dependent exposed to?�

Knowing a little more about child care essentials such as care, cost, and curriculum can leave families feeling comfortable with child care.

Andria Wolf has been a resident and employed in Sandpoint since 2007. She recently joined The Wise Guide magazine as a Sales and Marketing Associate and is learning the details about publishing as well. Andria is enrolled in online college courses toward obtaining an Associates degree in Business. Married with two children, full-time employment and her studies keep her very busy.

Fall/Winter 2012

53

Children and Grief

by Bart Casey, Licensed Funeral Director and Pre-planning Specialist, Lakeview Funeral Home and Cremation Service, Sandpoint, Idaho In my practice, I see adults make efforts to shelter children from grief by not including them in the funeral process. Our immediate instinct may be to remove young children from the home if a family member has died. Sometimes young children are kept from their parents for several hours or days and tended to by adults they are not familiar with or may not even know. This separation can cause a great deal of anxiety and confusion for a child. Try to include them because most children take their emotional signals from their parents and adults close to them. They model their behaviors by watching how others act or react.

We cannot shelter children from death or grief. Nearly every child will experience the death of a pet, friend or relative. Children do

54

grieve, often more so than adults.

Age and maturity play a role in the depth a child can understand or process grief.

Include children in the funeral process; they are naturally curious, but never force them. Talk as a family about the loss, especially if the person who died is a close family member. Sharing memories is a healthy part of healing. If they don’t know what to expect, you can explain your experiences to them, or have someone else talk to them.

Most children want to be included in the funeral arrangements. Allow the child to decide what parts they are comfortable participating in; for example, viewing the deceased, attending the funeral or attending the arrangement conference. Some children may even want to participate in the funeral by reading a poem, saying a few words, singing or playing a song.

If they are not comfortable with any part, don’t force them.

For instance, during the viewing, allow them to wait in an adjoining room until they are ready to join the family in the visitation room.

www.TheWiseGuideOnline.com

Perhaps invite them to color a picture or write a letter and place it in the casket. Children need to feel safe and will observe what the others are doing. They take their cues from them, and when they are comfortable the child will join the viewing. If you are unsure what to do, invoke the funeral director’s experience. Funeral directors have many practical suggestions that can make the process easier for everyone.

Generally speaking, it is easier for a child who has seen or been close to death to cope with it as opposed to a death that has taken place in another town or state.

Viewing the body of the deceased is usually important for both adults and children to give them a sense of finality. Ask questions, arrange for the child to visit the funeral home the day before the funeral.

Children need to say their goodbyes. If adults are able to show their emotions the children will feel more able to grieve openly also.

Excellent resources are available to assist children and families with grief. Our website, www.lakeview funeral.com, has an online library called “grief words” with excellent information to help you. We also have a lending library at Lakeview Funeral Home, if computers are not your friends. Our local hospice can help; they hold a summer camp each year to help children that have experienced a death. The funeral process is one of the best ways our society acknowledges and expresses grief; embrace it. You

may receive a free Planning Guide, “Let the Choice Be Mine,� by calling the Lakeview Funeral Home at (208) 263-3180.

Bart Casey brings 17 years of experience to funeral service, and represents the third generation of his family to work as a funeral director. Lakeview Funeral Home and Cremation Service is committed to providing a wide variety of services, at affordable prices, without sacrificing the quality of care you receive.

Fall/Winter 2012

55

A Consumers Choice Nonprofit or For-Profit Business?

by Joyce Drush, North Idaho Business Development Advisor As a consumer, we have a choice of where we go for products, goods and services. From hospitals to thrift stores, our choice is often between a for-profit business and a nonprofit organization. Besides the tax-exempt status of a nonprofit, there may be little difference between them. Reputation, quality and customer service cannot be predicted simply based on a business structure.

Nonprofit vs. For Profit Nonprofits exist specifically to address a community or social need.

Their funds are often grant-based or from donations and fundraisers.

The use of their funds is governed by a board of directors that cannot personally receive any income from the organization. For-profit businesses generate income for their owners who in turn, choose what they do with that income.

When you purchase from a for-profit business, you enable the business to remain in business and

56

pay into the appropriate state and federal agencies from which much of the grant funds come that are available to nonprofits. Additionally, a profitable for-profit business may donate to nonprofits directly as well as indirectly. Its employees can volunteer, purchase goods from nonprofit thrift stores, or participate in fundraising events.

When you purchase from, or donate to a nonprofit, you are helping it accomplish its mission, allowing it to contribute to the community in which you live. In some instances, the nonprofit may partner with the for-profit business to enable a fundraiser to be held, with the majority of the funds raised going to directly benefit the nonprofit.

What They Do Both entities provide goods and services that consumer’s need However, in some instances, a nonprofit will serve you regardless of your ability to pay, for example, a nonprofit clinic or a meals-onwheels program for the elderly and disabled.

www.TheWiseGuideOnline.com

Where nonprofits may have a sliding fee scale based on income, many for-profit businesses give a discount for cash or quantity purchases. Like for-profit businesses, nonprofits do make a profit, but the nonprofit is mandated to use the funds to accomplish the mission of the organization.

Both for-profit businesses and nonprofits employ individuals in some capacity. A nonprofit has a certain number of paid employees, although in most nonprofits the lion’s share of the workers are volunteers. It takes both types of businesses to make a community strong, and it is the passion of the individuals involved that determine the quality and reputation of their services. So whichever you choose, you will be sure to contribute to the well being of your community.

Joyce Drush, North Idaho Business Development Advisor, professional grant writer and trainer. Joyce has worked with many nonprofit agencies developing them into stable, exciting and meaningful organizations. Joyce has a Bachelor’s degree in Business Economics, is a graduate of the prestigious Grantsmanship Center in Los Angeles, and has extensive post-graduate level training. She loves to help others reach their goals! If you have questions, call her at 208-267-7634.

Giving the Gift of Roses?

The rose as a symbol of love dates back to ancient times. It was said Cleopatra had the floor of her palace covered in roses before her lover Mark Anthony. Roses are given to bring a simple smile or to carry a much deeper message.

Have you ever wondered if a certain color rose would be appropriate to say the right thing?

One basic guideline is the paler the rose, the lighter the sentiment.

The deeper the color, the more intense the emotion they represent.

A simple guide to color and meaning:

• Green* - good wishes for health, luck

• Two roses entwined together communicate “Marry me”

• Blue* - unattainable goal

• Six Roses signify a need to be loved or cherished

• Black* - farewell * Note: these roses do not actually exist in nature. They are created artificially.

Did you know that the numbers of roses given also carries significance? A dozen red roses is generally accepted to be an expression of love. More specific are: • A single rose of any color depicts utmost devotion

• Red - love, respect • Deep Pink - gratitude, appreciation • Light Pink - admiration, apology • White - innocence (weddings) or reverence, humility, sympathy • Yellow- joy, gladness, friendship with no romantic implications • Orange - enthusiasm, desire, passion • Purple - splendor and adoration • Lavender - enchantment, love at first sight

Crossword and Soduku Answers 58

www.TheWiseGuideOnline.com

• Eleven roses assure the recipient they are truly and deeply loved • Thirteen roses indicate a secret admirer How many people do you know who would actually count to see if there are 11, 12 or 13 roses? It might matter!

Therapy for a Full Recovery

by Lana Galbraith, Activities Director, Valley Vista Care Center Mention physical rehabilitation and most people think of pain.

Physical therapy (PT) and occupational therapy (OT) are integral parts of a comprehensive healthcare delivery system and utilize treatment strategies aimed at restoring and maintaining functions lost due to injury, chronic illness or disease.

Physical therapy is important for people suffering from catastrophic disabilities due to strokes or traumatic brain injuries, arthritis, accident or sports injuries and both pre and post-operative patients.

PT and OT’s desired outcome is twofold: assisting a patient in regaining most if not all of his or her function and that patient’s reintegration back home and into the community. Physical therapy enhances coordination, mobility, greater flexibility and helps patients develop skills to cope and function within their physical limitations if their diagnosis is permanent.

The first step is a comprehensive evaluation done either in a doctor’s office or hospital setting.

This evaluation identifies the diagnoses and defines the goals for recovery, including the necessity for any human or material resources, such as assistive or adaptive equipment such as prosthetics, walkers or wheelchairs. This evaluation is achieved through a multidisciplinary effort and may involve a physiotherapist, occupational

therapist, speech/language therapist, audiologist, nutritionist and a rehabilitation nurse, among other professionals.

This team develops an individualized plan of treatment with goals specific for the patient that includes treatment strategies, purpose and anticipated outcome.

This plan also recommends whether a patient should return home or be admitted to a rehabilitation facility. A patient returning home may need assistance with activities of daily living (ADLs) such as eating, bathing, dressing, walking or shopping and in order to achieve complete or partial independence will need physical and/or occupational therapy.

Early intervention may minimize potential long-term affects and aid in restoration of function as well as teach coping skills for

60

www.TheWiseGuideOnline.com

re-entry into home and community. Physical and occupational therapists help their clients reach maximal benefit in restoring as much normalcy into their lives as possible. Without therapy, the chances of regaining independence may be limited

can also be beneficial for reducing anxiety and depression, decreasing morbidity, reducing the risk of falls or injuries from falls (especially with older individuals) and prevent or at least lessen functional limitations in older adults.

Oftentimes, people believe that after a few sessions they know the routine well enough to continue on their own without the guidance of a therapist. This approach is exceedingly unwise as it can promote more damage, thus eliminating any benefits or progress gained.

Physical rehabilitation enables people of all ages and from all walks of life to live life to their greatest potential by encouraging a patient to be a participant in their recovery, not someone relegated to the sidelines.

An injury, no matter its cause, needs time to heal and therapy makes this possible. A patient compliant with their plan of treatment under the tutelage of a skilled professional can promote a more complete, if not complete recovery through compliance and dedication as a team with his or her therapist.

Lana Galbraith is a certified Activities Director and CNA for Valley Vista Care in Sandpoint. Lana is finishing a Bachelor’s degree and will complete her Master’s in Psychology in two years. Lana recognizes the importance of physical rehabilitation and therapy due to experiencing a car accident herself as well as through her work with residents undergoing various therapies and the planning of activities programs.

Physical therapy can also be utilized to manage pain as through the course of treatment healing and prevention of further injury can occur. Therapy may involve either active or passive approaches to promote the restoration of function, balance, movement and mobility. Passive therapeutic approaches include heat and ice packs, deep tissue massages, ultrasound and electrical stimulation with a TENS unit. I have used a TENS unit for years and find it very beneficial.

Active physical therapy involves stretching, strengthening, proper postural alignment and even pain relief exercises. To address cardiopulmonary issues, low-impact aerobic conditioning may be implemented as part of treatment. Physical therapy

Fall/Winter 2012

61

Goodwill Industries of the Inland Northwest Not Just a Thrift Store

by Michele Harris, Director, Workforce and Family Services Established in 1939, Goodwill Industries of the Inland Northwest is one of 165 members of Goodwill Industries International, founded in 1902 to give “people a hand up, not a hand out.” At that time many immigrants from Europe and others struggled to survive during a time of very high unemployment.

Goodwill’s founder, Dr. Edgar J. Helms, had the idea of collecting gently used items from Boston’s wealthier neighborhoods then hiring jobless men and women to refurbish them for re-sale. The program was a success and Goodwill spread westward.

Many people think, “Goodwill Industries is just a big, nationwide thrift store chain” when it is much more than that. We are very proud of the fact that out of every $1.00 we take in, 85 cents of those funds are used by

62

our Workforce and Family Services each year helping more than 6000 individuals in the North Idaho and Central Idaho/Washington region.

The people we assist may have physical, mental or developmental disabilities, may be moving from welfare to becoming self-supporting, participating in job training, or seeking help finding employment.

of funds in our operation as a non-profit organization. In this age of environmental awareness, we’re also proud that Goodwill is often referred to as “the original recycler.” When you find bargain treasures in our stores, or online at shopgoodwill.com, you can feel good knowing the money goes back into your community.

We have Workforce and Family Services offices in Bonners Ferry, Ponderay, Coeur d’Alene and the Lewis Clark Valley. Altogether we employ more than 500 people in the region, from entry-level to more senior staff. Our President/ CEO and members of the senior team travel regularly to each of our 22 locations ensuring that everything from the assistance services we provide to our retail operations are running consistently. We also spend much time studying what needs are emerging in the communities we serve and how we can partner with other agencies, all with the goal of serving more people every year.

On behalf of those we serve, thanks for your support.

Goodwill Industries is regularly praised for the efficient use

www.TheWiseGuideOnline.com

And don’t forget: Senior discounts (age 55+) apply every Monday in our retail stores.

Michele Harris, Director, Workforce and Family Services, Goodwill Industries of the Inland Northwest, joined Goodwill industries in 1996.

From her base at Goodwill’s Inland Northwest regional headquarters in Spokane, she travels to all other Goodwill service offices in her Idaho and Washington region. In addition to overseeing about 80 staff, Michele is responsible for the national accreditation of Goodwill programs and the implementation of new services as they are developed.