The Wise Guide Spring/Summer2016

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Coming of Age Are You In Pain?

Respiratory Care Recognizing Elder Abuse

Stroke Awareness Spot a Stroke

FACE Drooping

ARM Weakness

SPEECH Difficulty

TIME To Call 911

Stroke symptoms are SUDDEN: • Numbness or weakness in the face, arm, or leg (especially on one side of the body) • Confusion and/or difficulty in speaking or understanding • Problems with vision • Trouble in walking, dizziness, or loss of coordination • Severe headaches without cause Bonner General Health’s Telestroke program puts patients in front of experienced neurologists in minutes to evaluate the severity of the stroke, saving valuable treatment time and giving our patients the best chances for recovery.

520 N. Third Avenue • Sandpoint, ID 83864 • 208-263-1441 • BonnerGeneral.org

SPRING / SUMMER 2016

Features

16 Recognizing Elder Abuse There are many types of abuse...

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About the Cover............................................................... 4 Recognize Elder Abuse and Get Help........................... 16 Update Your Incapacity Plan........................................ 20 Advances in Personal Emergency Response Systems..... 24 BGH Introduces New Technology for Stroke Victims...... 26 Are You in Pain?.............................................................. 28 Considering Downsizing?............................................. 30 Coming of Age................................................................ 32 CELA, the Gold Standard for Elder Law....................... 34 Specialized Long-Term Acute Care.............................. 36 Myths About Massage................................................... 38 Long Term Care Planning Varies by State.................... 40 Evidence Wins the Claim!............................................. 42 Veterans Pages............................................................... 44 Veterans Stand Down Celebrates the Family.............. 48 Courage to Overcome Barriers..................................... 50 Achieve Your Highest Level of Independence............. 52 Are Your Ears Ringing?................................................... 54 Crossword/Sudoku........................................................ 56 Respiratory Care............................................................ 58 So, What About Abortion? ............................................ 60 Boosting Morale During WWII..................................... 61 Regional Community & Senior Centers....................... 62 Alzheimer’s Association Support Groups.................... 63 Not Just Another Squirrel.............................................. 76 Planning Your Doctor Visit............................................ 78 Run It By Tamara........................................................... 82

Regional Activities & Events......................8-14 Garden of Artistry, Draft Horse & Mule Show, AARP Scam Jam, Rural Conference on Aging, Festival at Sandpoint & more

Are You In Pain?

There are many ways to treat pain

Respiratory Care

Specialized respiratory therapies

Directory

Agencies, Free Referral Services & Volunteer Opportunities....................................... 64 Counseling..................................................................... 65 Dental............................................................................. 66 Education & Recreation................................................ 66 Financial & Asset Management.................................... 66 Gifts & Shopping............................................................ 67 Hearing & Vision............................................................ 67 Hospice, Hospitals & Medical Care.............................. 68 Independent & Assisted Living, Adult Day Care......... 70 In-Home Health & Personal Care................................. 72 Insurance....................................................................... 73 Legal............................................................................... 73 Massage & Health Maintenance................................... 73 Personal Emergency Systems....................................... 74 Pharmacies, Medical Equipment & Supplies.............. 74 Rehabilitation & Skilled Nursing.................................. 74 Veterinary & Animal Care............................................. 75

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About the Cover Cover Artwork: “Crane” by Maria Larson

About the Artist

Maria Finlay Larson was nine years old when she first laid eyes on Lake Pend Oreille during a family vacation. The next year they purchased property on the lake which remains in the family today.

A large map of the lake hung in the family home and Maria realized the lake was the heart of every activity the family enjoyed. She thought of the lake as the foundation of life in North Idaho and that it could also serve as a great background for her artwork. Thus, Maria painted scenes of wildlife, skiers, boaters, etc. on government maps. Later Maria and husband, Lars produced their own maps of Pend Oreille, Coeur d’Alene and Priest Lakes.

Maria built her artistic style on years of study, designing and creating sets and scenery for thea-ter productions and painting corporate and private murals with former painting partner, artist Nan Cooper.

She says working on a grand scale is a great teacher of form and perspective and she still loves working large.

Maria occasionally feels the need to create a “regular” non-map painting, allowing more freedom in color, composition, dimension and scope which cannot always be achieved in the map for-mat. “The

beauty of intense saturate colors and the interplay between like or disparate hues, their push and pull; it just hurts sometimes, I love it so much!” states Maria.

Maria paints mostly in acrylics using a watercolor technique on the maps creating transparency and details visible from underneath.

Subject matter is chosen by how it

Lake Coeur d’Alene, Idaho “speaks” to the artist and the viewer.

“Whether it’s the size of the work, or the play of light, or the colors or romance in the subject, I hope people will somehow be affected. I would rather someone hate the work than be able to just walk past it and ignore it,” says the artist.

Lake Pend Oreille

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Maria was the poster artist for the 2013 Festival at Sandpoint and in her spare time sings in a Jazz Combo with local musicians and with the Swing Street Big Band. Maria’s amazing array of original works are found in galleries, shops and restaurants throughout North Idaho.

Contact Maria directly for commissions or prints: artnjazz@gmail.com

Wise Guide | Spring / Summer 2016

Elk

Eagle

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The Wise Guide Spring/Summer 2016 Office: 208-263-5654 Email: info@thewiseguideonline.com www.TheWiseGuideOnline.com

Jonnie Bradley Editor

The Wise Guide

Come see why Sandpoint Assisted Living is unique.

• Medicaid welcome • Diverse age range & social activities

Patty Jo Carter Marketing Director

208-512-0912 wiseguidepjcart@gmail.com

• No up-front deposits (pets $200) • We embrace our residents as family

Call 208-265-2354 or drop by for a tour!

Donna Brosh Designer

The Wise Guide

Copyright ©2016, All Rights Reserved.

Although every precaution has been taken in the publication of this guide, the publisher and authors assume no responsibility for errors or omissions.

This guide is not intended to be legal or medical advice or to endorse any product or service. It is meant to serve as an information resource guide and not as a substitute for professional assistance. The Wise Guide, LLC is not responsible for the contents of any websites referenced within this directory, nor does it endorse any specific products or services referenced.

No part of this directory may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by an information storage and retrieval system without the express written permission of the publisher, The Wise Guide, LLC.

We are proud to be a 100% employee-owned and operated assisted living community

624 S. Division • Sandpoint • 208-265-2354 www.sandpointassistedliving.com

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Wise Guide | Spring / Summer 2016

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Liberty Dialysis Sandpoint ................................... 208-263-4488 Fresenius Medical Care Hayden Lake .................. 208-762-4411 Fresenius Medical Care Post Falls........................ 208-777-6054

Fresenius Medical Care North Idaho (CdA) ......... 208-664-3064 Gritman-Fresenius Medical Care Moscow ........... 208-882-1817 Fresenius Medical Care Panorama (Deer Park) .... 509-276-7338

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Activities and Events

Do Ya Wanna Dance?

Coeur d’Alene Eagles - 209 E. Sherman - 208-664-2218 Dance Lesson Schedule: Thursday Nights 5:30 - 6:30 PM (Upstairs Ballroom) Partners not required, but recommended so you have someone to practice with. After lessons, stick around and dance to our very own Desert Rose Band May - East Coast Swing June - Country Waltz July - Nite-Club 2-Step August - Cha Cha/Rhumba September - West Coast Swing October - Country 2-Step For more information on future classes or private lessons call: Bob Darcy, BS Dancing 208-262-9879 or 509-939-2862

Garden of Artistry

July 22, 23 & 24 - Annual Invitational Juried Fine Arts Show. Free Admission: Fri. 1-5, Sat. 10-5, Sun. 10-3 at the Ponderay Garden Center - Hwy 95 (north of Walmart) Painters, sculptors, photographers and jewelers. Wide variety of styles, media & subject matter.

Opening Benefit Reception - Friday Evening 6-8 pm.

Contact: Director Gabe Gabel, 208-265-9613.

Ponderay Garden Center

presents the

Garden of Artistry Invitational Fine Arts Show July 22, 23 & 24 Come meet over thirty artists and enjoy the work of some of the region’s finest painters, sculptors, photographers and jewelers. A rich variety of styles, media, and subject matter.

Art Show is open with Free Admission:

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

Opening Benefit Reception Friday Evening 6-8 pm

Please contact Gabe Gabel, Show Director at 208-265-9613 Ponderay Garden Center • Highway 95 (north of Walmart)

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5th Annual Wallace Blues Festival

July 8-10 — Voted Best Blues Event for the Inland Empire Blues Society. Held downtown in Wallace, Idaho. For more information and tickets: wallacebluesfestival.com

Rural Conference on Aging (See ad on page 13) July 23rd - 10:00 am - 2:30 pm - at the Priest River Event Center, Highway 2 Learn what you need to know in order to stay in your home (age in place) as long as you want to and are able. Caregiver resources, independent living services, in-home service providers, all the things you need to know to make aging in place a reality.

Festival at Sandpoint (See ad on page 14)

August 4-14 Join us for the 34th annual Festival at Sandpoint. Enjoy live music under the stars on the shores of Lake Pend Oreille. For tickets and information contact 888-265-4554, festivalatsandpoint.com

Accordion Festival - August 12-13 - Wallace Idaho National and Internationally famed accordion artists perform indoors and outdoors throughout the event.

For more info: wallaceidahochamber.com

Idaho State Draft Horse & Mule International Show - September 22-25, Bonner County Fairgrounds,

Sandpoint. Come see these gentle giants: log skidding, weight pulling, farm classes, driving classes, demonstrations, art & gear show. Call 208-699-0816, idahodrafthorseshow.com

Any Pie Contest! –September 28th 2:00 pm at Life Care of Sandpoint.

Prepare and bring your best pie and compete for great prizes!

Call 265-9299 for more information.

FeastivAll - October 9th - 11-4 at the Kootenai

County Fairgrounds (Jacklin Building). The Inland Northwest Food Network is sponsoring this familyfriendly celebration of our region’s bounty and will include local chefs preparing foods using organic ingredients from local farms. There will also be a children’s area, a DIY area (featuring demos on food preservation, fermenting, etc.) a main stage with entertainment, a Cheese Cottage with local farmers who will provide samples of their cheeses, and a mystery box cook-off between a local chef and someone from the general public. For more info visit inwfoodnetwork.org/feastivall or email info@inwfoodnetwork.org

American Heritage Wildlife Foundation (AHWF) invites you to join them at the events listed below. For more information: AHWF.org or call 208-266-1488.

Hot Dog and Ice Cream Fundraiser – May 29 American Heritage Wildlife Foundation will be at Monarch Market in Clark Fork. Show our support for local wildlife while you enjoy a hotdog and a scoop of ice cream. Stay posted on our social media pages for more details.

7B SUNDAY at Schweitzer –June 26 AHWF will have a booth set up so stop by and visit with us. Make a donation or purchase some or the great merchandise.

Comedy Night at Columbia Bank Building Saturday September 17th at 6 pm - Tickets will be $20 for one hour of side splitting comedy. Let the tears run down your face as you enjoy this fundraising event to support local wildlife.

Pints for a Cause at IPA – September 14 Enjoy a great brew at Idaho Pour Authority, Sandpoint and find out more about your local wildlife rehabilitation nonprofit facility. Enjoy the festivities and flavors all the while supporting local wildlife.

Independence Day Celebration in Clark Fork (7/4) AHWF will have a table so stop by, get your face painted and learn about this important wildlife rehabilitation group.

Scarecrow Contest – The month of October at Hickey Farms (Hwy 200, Sandpoint) the patrons will get to see an assortment of hand crafted scarecrows. AHWF is asking all businesses and community groups to enter the contest ($10) and create a unique scarecrow.

Proceeds go to the care of injured and orphaned wildlife. Scarecrows will be on display the entire month at Hickey Farms where hundreds of folks can see just how scary it really is. The best ones will be awarded prizes. Details and entry forms available by calling 208.266.1488 Sip n Shop at Pend Oreille Winery, Sandpoint October 5th at 4pm until 7pm. Enjoy a great glass of wine and shop without guilt. 10% of the proceeds will support local wildlife.

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Activities and Events

FREE Publications

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

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

Eyes of Freedom: The Lima Company Memorial — First Time in IDAHO! November 7-11, Red Lion Inn, Lewiston, ID Honoring ALL Who Answer Our Nation’s Call; Then, Now, and Tomorrow. This traveling memorial consists of 8 lifesize oil paintings by Anita Miller depicting the 22 Marines and 1 Navy Corpsman who were killed in action while deployed in Iraq.

The Combat Veterans Motorcycle Association will be escorting the truck transporting the oil paintings from Coeur d’Alene to Lewiston on November 6th. Want to know more? limacompanymemorial.org

Geezer Forum – Meets every 2nd & 4th Tuesday from 2:30 - 4:00 PM at Columbia Bank, 414 Church St., Sandpoint. Informal meeting to explore issues of aging. Speakers and open discussion. Sponsored

by ElderAdvocates, hosted by Paul Graves. Everyone is welcome!

You will never know how comfortable, relaxing, safe, enjoyable and addictive a Recumbent Cycle can be unless you try one. There are many different types and styles that will fit almost anyone’s wants or needs.

People ride recumbents who can’t walk a single step, have several joint replacements, only one arm or leg and a host of other issues that prevent riding a regular bike. Recumbents can offer people confidence, independence and freedom from canes, crutches, wheelchairs and psychological issues. We do many special needs and custom adaptations to fit most requirements. Or you could simply be more comfortable sitting back rather than balanced upright, and enjoy riding more often!

Give us a call and make an appointment to come ride a variety of recumbent cycles. You will have our full attention and understanding of your specific wants and needs in cycling.

208-818-5491

Gary@nwrecumbentcycles.com www.nwrecumbentcycles.com

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Activities and Events

Treasures A to Z

Antiques, Vintage & Collectibles Quality Handmade Items Local Artists — 150 Vendor Mall Mention this Ad for 15% Off! Open Everyday All Year!

10-6 March-December • 10-4 January & February

317 S. Union Ave., Newport WA 509.447.0418

We Do Estate Sales too!

Regionwide — ID & WA

208.946.0334

From Emerging, To Established.

New Events, Artists, And Openings Every Month.

Summer Hours: Mon-Sat 10-5

53 Wisconsin St. at the corner of High St.

Priest River, ID 208-304-4656 artisangallery.biz

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Newport Hospital and Health Services Foundation, in partnership with the Empire Health Foundation present

2016 Rural Conference on Aging

Sat. July 23, 10AM-2:30 PM Priest River Event Center (Priest River, ID)

FREE attendance...

PRICELESS information!

Schedule of Events 10 AM: Registration 10:30 AM: “What Are You Eating?”

(Mary Kaiser, RD, Bonner General Health) 11:30 AM: “Probate in ID vs. WA” (Denise Stewart, Attorney at Law) 12:30 AM: “Coping with Dementia” (Michele Page, RN, Newport Hospital and Health Services) 1:30 PM: “Are You Scamming Me?” (Chelsea Maguire, Better Business Bureau)

For complete conference details, please visit www.NewportHospitalAndHealth.org or call the Newport Hospital and Health Services Foundation office at (509)447-7928.

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Recognize Elder Abuse and Get Help

by Gary Liesner, RN, Executive Director, Ivy Court/Whispering Pines at Ivy Court

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buse can happen to anyone, no matter the person’s age, sex, race, religion, ethnicity or cultural background. Many older people are victims of elder abuse, some-times called elder mistreatment.

Abuse can happen in many places, including the older person’s home, a family member’s house, an assisted living facility, or a nursing home.

There are many types of abuse: • Physical Abuse happens when someone causes bodily harm by hitting, pushing or slapping.

• Emotional Abuse, sometimes called psychological abuse, can include a caregiver saying hurtful words, yelling, threatening, or repeatedly ignoring the older person. Keeping that person from seeing close friends and relatives is another form of emotional abuse.

• Neglect occurs when the caregiver does not try to respond to the older per-son’s needs.

• Abandonment is leaving a senior alone without planning for his or her care.

• Sexual Abuse involves a caregiver forcing an older adult to watch or be part of sexual acts.

• Financial Abuse happens when money or belongings are stolen. It can include forging checks, taking someone else’s retirement or Social Security benefits, or using another person’s credit cards or bank accounts. It also includes changing names on a will, bank account, life insurance policy, or title to a house without permission of the older person.

• Healthcare Fraud can be committed by doctors, hospital staff, and other healthcare workers. It includes overcharging, billing twice for the same service, falsifying Medicaid or Medicare claims, or charging for care that wasn’t provided.

Most victims of abuse are women, but some are men. Likely targets are older people who have no family or friends nearby and people with disabilities, memory problems, or dementia.

Abuse can happen to any older person, but often affects those who depend on others for help with activities of everyday life-including bathing, dressing and taking medicine. People who are frail may appear to be easy victims.

• Displays signs of trauma, like rocking back and forth • Acts agitated or violent • Becomes withdrawn • Stops taking part in activities he or she enjoys • Has unexplained bruises, burns or scars If you see signs of abuse, try talking with the older person to find out what’s going on. Most importantly, get help.

Who Can Help?

Elder abuse will not stop on its own. Someone else needs to step in and help. Many older people are too ashamed to report mistreatment. Or, they’re afraid if they make a report it will get back to the abuser and make the situation worse.

If you think someone you know is being abused, talk with him or her when the two of you are alone.

You could say you think something is wrong and you’re worried. Offer to contact the local adult protective services agency. If you think someone is in urgent danger, call 911 to get help right away.

Most physical wounds heal in time. But any type of mistreatment can leave the abused person feeling fearful and depressed. Sometimes, the victim thinks the abuse is his or her fault. Protective services agencies can suggest support groups and counseling that can help the abused person heal the emotional wounds.

Idaho Department of Health and Welfare Adult Crisis Line: 1-800-769-1405 _________________________________________________ Gary Liesner has been a Registered Nurse for greater than 3 decades with geriatrics being his primary area of practice. Gary has been a Licensed Nursing Home Ad-ministrator in Idaho for the past 10 years, and for the last 7 years he has been the Executive Director at Ivy Court/Whispering Pines at Ivy Court, 2200 Ironwood Place in Coeur d’ Alene, ID.

What are the Signs of Abuse?

You may see signs of abuse or neglect when you visit an older person at home or in an eldercare facility. You may notice the person: • Has trouble sleeping • Seems depressed or confused • Losing weight for no reason

Koot ai He th offers a positive part-time

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care environment for seniors who are receiving care at home. Open weekdays, the program provides a safe, caring environment where seniors can spend their day while their usual caregiver is away. Staff are specially trained in caring for the mental and medical needs of seniors while providing activities that engage their interest www.TheWiseGuideOnline.com and help reduce social isolation.

For more information, call (208) 625-5354 or visit KH.org/SeniorCare

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What our patients are saying…

“Stay at Whispering Pines because you get wonderful care!”

—Aimee Vindasius “My stay at Whispering Pines at Ivy Court made me very happy because of the sincere personal care from the employees.” —Florence Herby

“When you need a facility for yourself or a loved one, Whispering Pines at Ivy Court is a most pleasant stay. The staff are genuinely caring and kind, attentive to your every need. While there’s no place like home, it’s nice to know there is a great place like Whispering Pines at Ivy Court when a need arises. Thank you. My family and I wish you all the best!” —Beulah Reese

Our rooms… Warmly decorated private and semi-private rooms & private bath, in-room free cable service with 40” flat screen TV, private phones.

On site… Salon services, religious services, pet therapy, WiFi accessibility, enhanced dining with gourmet chef & menu, inviting family & resident lounge areas, outdoor courtyard, Bistro Café with espresso services.

How do you know who provides quality care?

Awards tell you...Whispering Pines at Ivy Court is the proud recipient of the 2014 Silver Achievement in

Quality Award from the American Health Care Association (HCA) and National Centers for Assisted Living (NCAL).

This award recognizes our achievement in demonstrating enhanced customer satisfaction and well-being, as well as high quality care and clinical outcomes. We were also recognized by US News & World Report magazine as one of the nation’s best nursing homes for 2014!

Whispering Pines at Ivy Court is a unique kind of rehabilitation retreat providing services for high acuity patients of all ages with all the comforts of home and those little “extras” to enhance your experience.

Customizing your service plan and your amenities is what makes your stay at Whispering Pines so memorable.

2200 Ironwood Place - Coeur d’Alene, ID 83814 - 208.667.6486 - www.ivycourtskillednursing.com

Our customized nursing & restorative care services...

We understand that finding a center that meets your personal needs is extremely important and feeling comfortable and safe in a healing environment is the best way to recover. At our center, we believe in helping people live better by providing quality care with dignity and respect while enhancing the lives of each individual.

Our dedicated team offers a continuum of care from the time each individual is admitted, through the day they are discharged. We provide training during the patients’ stay for continuing the rehabilitation and strengthening processes at home. Specially trained nurses give instruction on how to manage ongoing medical needs and our staff educates patients on community resources available to them as well as safety considerations after returning home. The staff of our Extend to Home Program follow up regularly to see if additional assistance is needed or if there are further treatment needs after discharge.

Ivy Court is pleased to be ranked as one of U.S. News and World Report’s Best Nursing Homes of 2014. We are a leading provider of long-term skilled nursing care and short-term rehabilitation solutions.

• Palliative Care Services • Cancer Recovery Services • Digestive Disease Support • Comprehensive Rehabilitative Therapies Program

• Short-Term Care • Traditional/Long-Term Care • Post-operative care • Respiratory Services • Infusion Therapies • Comprehensive Wound Care Therapies

And, we offer a variety of social and cultural activities as well as clinical & financial resource assistance.

VA contracted facility for both long-term and short-term care needs.

Update Your Incapacity Plan— It Will Save You Time and Money

What Happens to Your Finances During Incapacity?

by Jeffery J. Crandall, Attorney at Law, Crandall Law Group

C

omprehensive estate planning is about more than leaving a legacy after death, avoiding probate, and saving on taxes. It is also about having a plan in place to manage your affairs if you become mentally incapacitated during your life.

What Happens Without an Incapacity Plan?

Without a comprehensive incapacity plan in place, a judge can appoint a guardian or conservator to take control of your assets and health care decisions. This guardian or conservator will make all personal and medical decisions on your behalf as part of a courtsupervised guardianship and conservatorship. Until you regain capacity or die, you and your loved ones will be faced with an expensive and time-consuming guardianship and conservatorship proceeding.

How expensive and time consuming? A normal guardianship and conservatorship proceeding will cost upwards to $6,000 in fees and costs, and much more if contested by family members, and will take at least 4-5 months to complete.

If you are legally incapacitated, you are legally unable to make financial, investment, or tax decisions for yourself. Of course, bills still need to be paid, tax returns still need to be filed, and an investment strategy still needs to be managed.

So, when it comes to your finances, you should have these two essential legal documents in place prior to becoming incapacitated: 1. Financial Power of Attorney. This legal document gives your agent the authority to pay bills, make financial decisions, manage investments, file tax returns, mortgage and sell real estate, and address other financial matters that are described in the document.

Financial Powers of Attorney come in two forms: “Durable” and “Springing.” A Durable Power of Attorney goes into effect as soon as it is signed and survives incapacity, while a Springing Power of Attorney only goes into effect after you have been declared mentally incapacitated. The “Springing” power protects you by permitting the agent you name to act only when you are no longer able to manage affairs on your own.

Continued on Page 22

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• Estate Planning (Wills and Trusts) • Asset Protection • Medicaid and VA Benefits Planning • Probate and Estate Administration • Gun Trusts

• Business Entities (Corporations, LLCs) • Purchase, Merger, or Sale of a Business • Business Succession Planning • General Business Counsel • Real Estate and Business Transactions

NEED A SPEAKER FOR YOUR GROUP OR ORGANIZATION?

Give us a call!

Jeff Crandall

Ryan Crandall

We offer complimentary consultations for Estate Planning and most other matters.

So don’t sit through a seminar with a bunch of strangers ... get personalized information from an experienced estate planning attorney in your own, private consultation.

To learn about protecting your wealth and loved ones with a Will or Trust....

Call Today to Schedule your No-Obligation, Complimentary Consultation!

8596 Wayne Drive, Suite B, Hayden, ID | 208.772.7111 Wise Guide | www.TheWiseGuideOnline.com crandalllawgroup.com

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Update Your Incapacity Plan Continued from Page 20 ______________________________________________________

2. Revocable Living Trust. This legal document has three parties to it: The person who creates the trust (you might see this written as “Grantor” or “Settlor” or “Trustmaker” - they all mean the same thing); the person who manages the assets transferred into the trust (the “Trustee”); and the person who benefits from the assets transferred into the trust (the “Beneficiary”). In the typical situation you (and your spouse, if married) will be the Grantor, the Trustee, and the Beneficiary of your own revocable living trust, but if you ever become incapacitated, then your designated Successor Trustee will step in to manage the trust assets for your benefit.

Health Care Decisions Must Be Made Too If you become legally incapacitated, you won’t be able to make health care decisions for yourself. Because of patient privacy laws, your loved ones may even be denied access to medical information during a crisis situation or end up in court fighting over what medical treatment you should, or should not, receive (like Terri Schiavo’s husband and parents did for 15 years).

should meet with an attorney to discuss appropriate revisions to your plan. If you keep your incapacity plan up to date, it should work the way you expect it to and save you precious time and money.

Do You Have a Comprehensive Estate Plan?

At the Crandall Law Group, we offer a complimentary review of your existing estate plan with an experienced attorney to determine if it includes updated incapacity planning, probate avoidance (with the use of Revocable Living Trusts), retirement asset planning, asset protection planning for family members, tax planning and other important considerations to make sure every base is covered.

Contact us today to schedule a complimentary review of your plan or to discuss how estate planning can save your family valuable time and money. _________________________________________________ Jeff Crandall is a business and estate planning attorney with over 29 years of experience in business, tax, estate planning, elder law and business succession planning. He is licensed in Idaho, Washington and California and has been practicing in the Coeur d’Alene area for over 20 years.

Jeff loves helping people solve problems and, whenever possible, helping them to avoid problems in the first place.

So, when it comes to your health care, you should have these three essential legal documents in place prior to becoming incapacitated: 1. Medical Power of Attorney. This legal document, also called an Advance Directive or Medical or Health Care Proxy, gives your agent the authority to make health care decisions if you become incapacitated.

2. Living Will. This legal document gives your agent the authority to make life sustaining or life ending decisions if you become incapacitated.

3. HIPAA Authorization. Federal and state laws dictate who can receive medical information without the written consent of the patient. This legal document gives your doctor authority to disclose medical information to an agent selected by you.

Is Your Incapacity Plan Up to Date?

Once you get all of these legal documents for your incapacity plan in place, you should not simply stick them in a drawer and forget about them. Instead, your incapacity plan must be reviewed and updated periodically, and if certain life events occur - such as moving to a new state or going through a divorce – you

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Crandall Law Group frequently

provides presentations throughout the communities of North Idaho. Topics are tailored to the interests of the audience on subjects such as Estate Planning, Elder Law, Probate, VA Benefits, and many more.

They also address individual companies to educate staff on the differences between wills and trusts, and they hold occasional lunch & learn seminars for professionals informing them of changes in the law to help them better serve their clients. Check the website: crandalllawgroup.com or call 208-772-7111 to arrange for a presentation and/or learn of upcoming topics being presented in your area.

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Advances in Personal Emergency Response Systems

By Alex Stanton, Owner/Partner Exbabylon & Newport Alarm

I

f you’re wondering, “What is a Personal Emergency Response System (PERS)?” you might be surprised to find out that you probably already know someone who uses, or has benefited from, a PERS. While not familiar with the PERS acronym, you may be familiar with Philips Lifeline, Newport Alarm safe@home or similar systems which allow an elderly or disabled person to easily call for help from anywhere in their residence with the push of a button.

These simple systems use a basic, waterproof button on a pendant, worn around the neck or on a wrist band. The device wirelessly communicates to a base station, which can call out to a central monitoring

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station where a human answers, can talk back through the base station and then alert emergency family/friend contacts or EMS. This simple technology saves lives every day, and over the last few years we have seen huge advancements from PERS technology manufacturers, offering more freedom to the users, more reliable communications and additional benefits.

We get a lot of questions about some of these new advances, let’s cover the big ones:

Cellular Communication

Years ago the landline was the only way a PERS could call the central monitoring station in the event of an emergency. In today’s world many people are cutting landlines in favor of cell phones and VOIP service. Thankfully, PERS systems now come with an option for built-in cellular— offering more reliable communications. One question we hear often is “Does it use my cell phone?” and the statement, “I don’t have a cell phone plan so I can’t have a cellular PERS.”

To be clear, no responsible PERS provider requires the end user to provide any cell phone device or plan— the cell module should be built-in to the PERS device and the provider should pay for all cell tower fees as part of your service.

While many PERS providers are installing cellular systems as a standard, before you go helping your parents or grandparents cut the cord, be sure to check with their PERS provider to make sure they are using cellular communications for their device.

Fall Pendants

These fantastic new pendants are designed to detect a fall, provide reasonable time for someone to get up then call out with an emergency if the user is immobile.

A life saver in the right situation, they are not perfect— read up on the details of your specific PERS fall pendant (they are not all created equal). Above all else, if you do have a fall pendant and are in a situation where you do fall but still have the ability to press the button, don’t trust it knows you fell, press the button anyway!

GPS (Mobile) PERS

One of the best new additions to the market, GPS PERS gives you freedom from your home. These are best used as supplements to a standard in-home PERS, not a replacement for them.

• The battery life of a GPS PERS will be very short (1-7 days) between charges. (Typical non-GPS PERS pendants are 18-24 months).

• Most GPS PERS are not water-proof. They cannot be worn in bathtub or shower.

• GPS PERS rely on cell towers, not satellites for communications, so test your unit in areas where you might need help because they will have dead zones, just like your cell phone.

Medication Dispensers

While not exactly a PERS device, new Medication Dispensers can tie in with PERS systems to provide automated medication dispensing, reminders and alerts. A wide range of products exist, with capacities from 20 to 60 doses, and a great solution for those that tend to forget to take their medication. Alerts can go to neighbors, friends or family members in the event a dose is missed. Usually an easy add-on to an existing PERS system.

Closing Thoughts •

Watch out for PERS providers who do not have any local install techs, support staff or who require long

term contracts— no standard PERS system should cost more than $30-$50/mo. (I often see people paying nearly double that.)

• PERS systems can be paid for privately, but are often covered through programs like Medicaid— ask your case worker if you might qualify.

• Even if your elderly or disabled loved one lives with you and you’re around all the time, consider a PERS for the peace of mind that at night, or if you’re away even for a short time, help is just a button push away.

• Money saving idea: If you have a home alarm system ask your alarm company if they have an emergency pendant for it!

• Test your PERS system on a regular basis and talk to your PERS provider to make sure your information, call list and medical conditions are all updated! _________________________________________________ Alex is a partner at Newport Alarm and Exbabylon, a provider of the safe@home PERS systems to North Idaho and Eastern Washington residents, and a longtime advocate of Telehealth and Aging in Place Technologies.

As a member of the Northwest Regional Telehealth Resource Center he works with healthcare providers from across the region to advance technologies that provide better care and freedom for our rural residents.

Areas of Practice:

• Elder Law • Probate • Wills & Trusts • Guardianships • Medicaid Eligibility • Estate Planning

Call to schedule a FREE consultation

350 E. Kathleen Ave., Ste. 300 Coeur d’Alene, Idaho 208.765.6555

KootenaiLaw.com Wise Guide | www.TheWiseGuideOnline.com

25

BGH Introduces New Technology for Stroke Victims

By Kathy Hubbard

M

y father had a stroke seven years before he died. It severely affected his left side. It was as if a line was drawn right down the center of his body and half of it worked and half didn’t. That included his eyesight. He was blind in the left side of both eyes. He was unable to walk. Swallowing and speaking was difficult. He needed 24-hour care.

The strides of medicine for stroke treatment have improved greatly since the late ‘80s when my dad was stricken.

Today, the key to success is to diagnose a stroke quickly and to start medications even faster.

Now, through the miracle of modern technology, Bonner General Health is connected every hour of every day to stroke specialists at Providence Sacred Heart Medical Center who can evaluate patient symptoms and advise treatment in real time. Yes, that’s like right now.

Called Telestroke Network, medical professionals communicate using a wheeled teleconference pod equipped with two-way audio and video. BGH’s emergency personnel can take the patient’s vitals and then, through the technology in the “robot,” neurologists can actually observe the patient. They can watch the patient’s eyes, monitor their motor skills and hear the patient speak.

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Remotely, neurologists can be involved not only in the initial assessment, but can also be involved with continued consultations during the patient’s recovery period saving the patient from having to travel to see a specialist in another city.

These hub and spoke centers are successful all over the country. The Mayo Clinic states, “Having a prompt neurological evaluation increases the possibility that the patient may receive clot-dissolving therapies (thrombolytics) or other clot-retrieving procedures in time to reduce disability and death resulting from stroke.”

The American Stroke Association’s website says that, on average, a stroke occurs in the U.S. every 40 seconds. It’s number five in the top causes of death killing more than 137,000 people each year. They say

A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts or ruptures.

, a Super e r to s a n a th e r o M

If you suffer sudden numbness or weakness of the face, arm or leg, especially on one side of the body; sudden confusion, trouble speaking or understanding; sudden trouble seeing in one or both eyes; sudden trouble walking, dizziness, loss of balance or coordination; sudden severe headache with no known cause please call 911. Do not drive.

If you witness someone having any of these symptoms remember the acronym FAST for face, arms, speech and time. Look at their face and ask them to smile. Does the face droop on one side? Have them stick out their tongue and to wiggle it side to side. A stroke victim can’t do this.

Ask them to raise their arms over their heads. Is one arm lower than the other? Ask them to repeat a simple sentence, like “today is Wednesday.” Is their speech slurred or strange? Then if you think, even if you’re not sure that they are having a stroke call 911.

It’s critical to get to the hospital as quickly as possible. That’s where the top-notch, stroke-trained team of specialists, thanks to the Telestroke Network, will make every effort to minimize the effects of the stroke. Just another example of how Bonner General Health is working to provide you with the highest level of medical care. _________________________________________________ Kathy Hubbard is a member of Bonner General Health Foundation Advisory Committee. She can be reached at 264-4029 or kathyleehubbard@yahoo.com.

Serving Sandpoint for 43 years

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4542700-0731

that 795,000 people will have a stroke, which means that 658,000 people will live. That’s only good news if their quality of life is better than my father’s was and if he was given anti-clotting drugs within the recommended three or at most four hours who knows how well he may have recovered?

“A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts (or ruptures),” explains ASA. “When that happens, part of the brain cannot get the blood (and oxygen) it needs, so it and the brain cells die.”

27

Are You in Pain?

By J. Sorin Ispirescu, MD Idaho Pain Clinic & Pain Clinic of Spokane

P

ain Management is a branch of medicine employing an interdisciplinary approach to ease the suffering and improve the quality of life of those living with pain. Since there are numerous causes of pain, an approach using multiple modalities is necessary. A pain management specialist is a physician who has completed specialty training in evaluation, diagnosis, and treatment of all different types of pain. This includes a wide spectrum of disorders including acute pain (pain that occurs immediately after an injury), chronic pain (pain that lasts several months), cancer pain, as well as any combination of these.

As knowledge in the field of medicine grows, it has become increasingly more important to have physicians with specialized skills to treat these conditions. This requires detailed knowledge of the causes of pain, understanding of specialized tests for diagnosing painful conditions. Pain management doctors are skilled at prescribing appropriate medications for varying pain problems, as well as performing advanced procedures including nerve blocks, spinal injections, and other interventional techniques to treat pain. As an increasing number of new and complex medications, procedures, and technologies become available every year, pain management specialist have unique training to utilize these advancements to safely and effectively help their patients. Physicians specializing in pain management also play a key role in coordinating additional care with modalities such as physical therapy, massage therapy, chiropractic therapy, psychological therapy, and surgical specialists as part of the multi-disciplinary approach.

In searching for a pain management specialist, it is important to look for someone who has appropriate training and experience to treat the pain condition you or your loved one may be suffering from. The two

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factors that are crucial in identifying an appropriately trained pain management physician are fellowship training and board certification. Most fellowship programs are associated with anesthesiology residency programs, but there are also programs associated with physical medicine and rehabilitation as well as neurology. These programs consist of at least one year of training in all aspects of pain management after the completion of the residency pro-gram. After a physician becomes board certified in their primary specialty, and after completing a fellowship, they then become eligible for subspecialty certification in pain management.

If you or your loved one suffer from a pain condition you should know that there is help out there. Your pain management physician will work closely with you to develop a plan that is unique to your condition. Be sure to share information such as the cause of your pain (if you know it), how intense it is, how long it has lasted, and what makes it worse or better. Your plan will probably include a combination of modalities on which you will report back in order to make adjustments and find the best treatment for alleviating your pain.

Undertreatment of pain is common. There is a cause for the pain, and if not addressed, it can become more difficult to manage over time and lead to a chronic condition. If you experience pain that doesn’t seem to go away, speak with your primary care provider about being referred to a pain management physician. Pain physicians work closely with primary care providers to effectively treat pain conditions.

Spine surgeons, neurologists, chiropractors, cancer doctors, as well as other specialists frequently work with pain physicians and can also help coordinate a referral. Patients can also call our office directly at 208-263-9757 to make an appointment. _________________________________________________ DR. ISPIRESCU is double board certified in Pain Management and Anesthesiology, trained with top experts in the field at UC San Diego. As founder of Idaho Pain Clinic and co-founder of Pain Clinic of Spokane, Dr. Ispirescu and his team have developed one of the region’s only true multi-disciplinary programs, incorporating minimally-invasive pain management treatments, along with medication management, nutrition counseling, physical therapy, chiropractic care, massage therapy, and psychological services. Dr. Ispirescu is passionate about looking at the whole person when treating pain, utilizing the latest and most advanced therapies with a holistic, integrative approach.

Tired of Suffering?

We can help.

Our physicians are Board Certified and Fellowship Trained in pain management. Your procedures will be done in our newly accredited AAAHC surgery center where you will receive the highest standard of care. Our clinic offers a multidisciplinary approach to pain where our doctors work directly with our physical therapists to ensure you get the best results.

Don’t let pain slow you down! common conditions we treat:

• Back Pain • Neck Pain • Hip Pain

• Knee Pain • Elbow Pain • Arthritis

• Cancer Pain • Tension Headaches • Motor Vehicle Accidents

For more information about our providers & conditions we treat, please visit our website at

www.IdahoPainClinic.com

Our PrOviders: J. sorin ispirescu, Md regina Kendra, ArNP A. Cipriana Niculaescu, PA-C Cheryl Crandall-Williams, dPT

Locations: sandpoint, iD: 1327 superior street, suite 101 Deer Park, Wa: 11 E H street, suite F newport, Wa: 714 W Pine street

208.263.9757

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29

Considering Downsizing?

By Anne & Alan Becker, Caring Transitions

W

hen you need to downsize or sell a home, one of the most daunting tasks is figuring out what to do with all the “stuff.”

Why do you need to sell some or all of the possessions in a home?

If you are an executor managing an estate, the answer is simple: You must liquidate the possessions, and do so in a timely manner, both to satisfy the Probate courts and to minimize expenses. If you are moving to a smaller home, Independent or Assisted Living, you can take a limited amount of personal possessions with you, the rest must go. The distribution of the stuff that makes you YOU is one of the most stressful activities we will ever do. Getting rid of stuff is like ripping off pieces of yourself.

Where do you put stuff?

Or to whom do you give it? It may be easy to put off the process of getting rid of stuff, but it’s also expensive. You could put some in a self-storage unit for “a month or two….” But the months and the payments will stack up. Or you could ask your children and grandchildren to take some items to keep in the family. Or you could donate to an IRSapproved charity for the tax deduction. At some point, what is left must be sold.

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How do you sell the stuff?

There are a number of outlets to sell possessions: eBay, Craigslist, Etsy, Estate Sale, Auction, Classified Ad, and variations of these. Which of these you use depends on your goal and your available time.

Goal #1: If you want the “best” price for your stuff, you may want to sell it yourself through one of the means above. Pricing requires that the person setting the price is 100% correct for every item.

Regardless of your knowledge, this is not going to happen. Stuff that is priced too low will sell quickly and stuff that is priced too high won’t sell at all. At the end, about one-quarter of everything will be left, to be disposed of otherwise. In order to get the home ready for market, you will then need to pack up what is left and take it to the dump or donate it. Meanwhile,

you will continue to pay utilities and mortgage. Time elapsed can be up to six months or more.

Goal #2: If your goal is to move and have the home ready for market in less time than six months, consider having a professional organization handle the sale for you.

Questions You Should Ask an Estate Sale Provider 1. How long will it take to set up the sale in my home? Obviously the amount of time needed to set up a sale depends on the quantity and condition of your possessions, but it is important to get an accurate written estimate. If you are having a physical estate sale, what are the weather conditions and local activities for the actual sale time? Will the house be broom-clean and ready for market at the end?

2.

What is your commission structure and what does it cover?

Generally, in the U.S., Estate Sale companies base their fees on a percentage of the sales, usually anywhere from 30% to 60%, depending on the services provided and the estimated value of the sale. A lower percentage does not necessarily mean more profit. Services that go into the determination include pricing your stuff, research, organizing, categorizing, staging inventory, placing signs, promoting the sale, advertising, staffing the sale, providing tables and display fixtures, securing permits, managing the transactions, cleaning out the house and providing a final accounting.

3. Have you and your staff been trained and certified, and what is your field of expertise? The

Estate Sale industry is unregulated and can be a haven for scam artists and unethical companies.

It is important to understand how a provider is qualified to serve you. Unfortunately, many companies do not have regular qualified staff, but hire contract workers or friends to help with a sale.

4. Do you have a legal contract and do you carry insurance? You should not engage an estate sales representative without a contract and should receive a copy of the signed contract.

Any qualified organization should be prepared to protect your possessions, as well as their own business and employees, through insurance.

Representatives should show you a copy of a business license and insurance papers. ________________________________________________ Anne Beckley • B.S., MBA, Purdue University • Professional: Director, Corporate Human Resources; Director, Religious Education • Volunteer Work: Alzheimer’s, Kids on the Block, Prevention of Child Abuse, Facilitator of Virtus program working with volunteers to recognize signs of child sexual abuse • Certifications: SPHR (Senior Professional Human Resources); SHRM-SCP (Senior Certified Professional) Alan Beckley • B.A., J.D., Indiana University • Professional: Business and Legal services for Financial Services company • Volunteer Work: CASA, pro bona work for seniors navigating the waters of VA, Medicare/Medicaid and Will/Estate Preparation We are members of NASMM (National Association of Senior Move Managers) and have earned the CRTS designation (Certified Relocation and Transition Specialist).

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

31

Coming of Age

By Peggy Rothschild, Owner Westwood Pines, Certified Family Home

W

ho’s going to take care of Mom and Dad when they can no longer live independently or care for themselves? I turned 66 this past December yet only “came of age” five years ago when my three sisters and I determined that Mom could no longer live safely in her home or by herself, and ultimately, that Mom would be living with me. Dad had passed away three years earlier and Mom had done her best living on her own for as long as she could. At the time, I was divorced, working full-time and dedicated to my work. I quickly discovered all that I was not aware of when assuming responsibility for the care of my elderly mother.

Trying to maintain my career, commuting an hour each way to work, hiring a daytime companion just wasn’t working. I found myself doing way too much and none of it very well. As things progressed with Mom’s increasing needs over time, I realized that the best care for Mom and the best situation for my peace of mind was to either be with her full-time myself or place her where she would receive the type of care she

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needed. I researched homes, assisted living facilities and nursing homes, and found that none of them were able to give her the specific type of care she required and deserved.

The staffing was well trained and professional, they genuinely cared for their residents and the ratings were wonderful. However, the numbers of residents being served at these types of facilities precluded the staff from being able to go off schedule.

In order to attend to the many residents, regimens and protocols are adhered to in order to serve everyone.

Mom needed someone being able to give her their full attention, prepare food cooked the way she likes it, in a more relaxed and flexible atmosphere, a style of living much needed by many of our elderly parents.

Then I discovered Certified Family Homes.

Certified Family Homes (CFH) are a welcome alternative to the larger assisted living facilities.

Certified Family Homes are certified by the State of Idaho, as are the Caregivers (trained, certified, background checks performed), and are approved to care for two to four residents. A CFH may be the answer for many families struggling with the decisions of where should Mom or Dad (or couples) go to live that would be most like a true home environment.

Just like in your own home, in a CFH, few activities are rigidly set; the schedule is solely dependent on the

Together we can help you find solutions to issues facing aging adults! family of residents. The care is uniquely tailored to the needs of only an immediate family unit of a maximum of four individuals. Residents move into the CFH and become an integral member of a loving family and join other residents in living a full life.

Families of residents are welcomed and encouraged to visit and spend time with their loved one, join in activities or share a meal. The CFH provides each resident a private room, 24/7 care, nutritious meals and snacks, stimulating activities both in and outside the home that are specific to the unique interests of the individual residents, take care of laundry, cleaning, basic toiletries, etc. More importantly, Certified Family Homes provide a home away from home for our parents and lift the burdens of daily life from our elderly parents’ shoulders. _________________________________________________ Peggy Rothschild, originally from Cincinnati, spent many years in California raising two sons (grandmother of six!) and working as a Commercial Property Manager there, and later in Florida. Over the years she has volunteered assisting the elderly through church and personal connections. In 2015, Peggy relocated to Post Falls where she is the owner and State certified operator of Westwood Pines, Certified Family Home, specifically established to provide a comfortable and loving environment for elderly residents.

F Providing Information & Referrals F Identifying Needs F Medicare Fraud Prevention & Assistance F Hospital to Home Transition Assistance F In-Home Support Programs F Community Support Services F Options Counseling F Volunteer Opportunities

Call us to learn about available resources in your community!

800-786-5536 www.aaani.org /aaanorthidaho

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33

CELA, the Gold Standard for Elder Law

By Katherine Monroe Coyle, CELA, Attorney at Law

A

s the senior population of North Idaho grows, so too do the options that seniors have in choosing professionals to assist them with all aspects of their lives. Our community is certainly fortunate to have so many services for the needs of older adults; financial planning, physicians, long term care facilities, in home care providers, and attorneys, to mention a few.

However, as the choices expand, it can become more difficult selecting the professional who can best serve your needs.

In the legal field, there are different attorneys for

Wytychak Elder Law, PLLC “Providing North Idaho with time sensitive, quality legal assistance at affordable rates.”

Our professional staff specializes in: • • • • •

Estate Planning Powers of Attorney Guardianships Medicaid Applications Long Term Care Planning

• • • •

Wills & Trusts Probate Conservatorships Estate Administration

Contact our office today for a quote: 314 E Garden Avenue Coeur d’ Alene, Idaho (208) 765-3595

http://www.wytychakelderlaw.com

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different types of law such as criminal defense, family law, bankruptcy, personal injury, etc. In the 1980s and 1990s, to meet the needs of the aging population, “Elder Law” grew from estate planning and disability law into its own legal field in order to address the varied and constantly changing legal challenges that senior citizens face. Elder Law does not apply only to those of a specific age, but more to the issues commonly of concern to older adults and their families.

Elder law is defined by the National Elder Law Foundation as the legal practice of counseling and representing older persons and their representatives about the legal aspects of health and long term care planning, public benefits (Medicaid/Medicare/ Veteran’s administration), surrogate decision-making (Powers of Attorney/Guardianship/Conservatorship), legal capacity, disposition and administration of estates (Trusts/Wills/Probates). With the implementation of decisions in these matters, consideration to applicable tax consequences of the action, or the need for more sophisticated tax expertise are explored.

In 1994, due to the diversity within the practice of Elder Law, the National Elder Law Foundation began certifying attorneys as experts in Elder Law, known as “CELAs.”

In order to become a CELA, an applicant must have practiced law for at least five years. Specifically, the attorney has to have shown “substantial involvement” in Elder Law, proving the amount of time devoted

to Elder Law issues, such as health and personal care planning, pre-mortem legal planning, fiduciary representation, legal capacity counseling, public benefits advice, special needs counseling, insurance, residence rights advocacy, housing counseling, employment and retirement advice, counseling with regard to age or disability discrimination, litigation and administrative advocacy, and other senior-related legal areas.

Additionally, the applicant must prove that he or she participated in at least forty-five hours of continuing legal education in Elder-Law related courses. The applicant is also subject to a peer review by his or her colleagues, and must provide at least five attorney references. Finally, the applicant sits for a day-long essay examination which is proctored twice per year.

The CELA examination is notoriously difficult, with recent pass rates as low as 14 to 33 percent.

Currently, only five attorneys practicing in Idaho are certified as CELAs, including this writer. I was honored to become certified in 2015. In order to maintain my status as a CELA, I will have to continue to show substantial involvement in Elder Law, and I must take additional Continuing Education Credits in Elder Law.

What does having a Certified Elder Law Attorney mean for you? The National Elder Law Foundation states on its website that the CELA certification has frequently been referred to as “the gold standard” for Elder Law and special needs practitioners. This

reflects the hard work and proof required before an attorney can proudly proclaim that he or she holds the valued designation. There are only a little more than 400 CELAs in the country, so not every community has even one person who has been certified. Having a CELA as your attorney for these very complicated issues is your surest method of independently confirming that she (or he) is more than just qualified.

After all, you and your family deserve the best legal representation available. ________________________________________________ Katherine (Kate) Monroe Coyle is a Certified Elder Law Attorney (CELA) at Wytychak Elder Law, PLLC. She has been practicing Elder Law in North Idaho since 2008 and a graduate of the University of Montana and Gonzaga University School of Law. Kate is one of 5 CELA certifications in the State of Idaho. She is active on the Kootenai Health Ethics Advisory Committee, serves as counsel for the Kootenai County Board of Community Guardians, and is a member of the local CareNet chapter, the National Academy of Elder Law Attorneys, and Idaho Women Lawyers. Kate is an active educational speaker for the Alzheimer’s Association. She is on the Coeur d’ Alene Estate Planning Council and is a Coeur d’ Alene High School Community Mentor.

Get Medicare Ready!

Call your local licensed Humana sales agent for a free consultation.

Chris Murphy 1-208-215-5817 (TTY: 711) 8 a.m. - 5 p.m., Monday - Friday, Licensed Sales Agent

Humana is a Medicare Advantage HMO organization with a Medicare contract.

Enrollment in any Humana plan depends on contract renewal.

This information is available for free in other languages. Please contact a licensed Humana sales agent at 1-208-215-5817 (TTY: 711). Esta información está disponible gratuitamente en otros idiomas. Póngase en contacto con un agente de ventas certificado de Humana al 1-208-215-5817 (TTY: 711).

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35

Specialized Long-Term Acute Care

by Heidi Frazier, Director of Marketing and Business Development Northern Idaho Advanced Care Hospital

M

ost people who need inpatient hospital services are admitted to an “acute care” hospital for a relatively short amount of time. But patients with medically complex conditions may be referred to a long-term acute care hospital for continued care beyond their original hospital stay. Often these individuals require more intensive services than what is provided in a normal acute hospital setting for medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation, and ventilator weaning.

This type of patient can be transferred from an acute care hospital to a long-term acute care hospital,

We understand that YOU HAVE A CHOICE when it comes to your post-acute care.

At Northern Idaho Advanced Care Hospital (NIACH) we are connected at our core by the treatment needs of our patients. At our state-of-the-art facility, we offer long-term acute care and critical care services for patients recovering from serious illnesses or injuries. We treat patients requiring intensive care, medically complex care, modified rehabilitation, ventilator/pulmonary care, wound care and more.

Our 40-bed, long-term acute care hospital complements existing hospitals in all of the Northern Idaho area. Our passionate and supportive staff helps patients recover quickly and return home safely with a renewed sense of self-sufficiency.

Learn more at NIACH.ernesthealth.com.

like our Northern Idaho Advanced Care Hospital, to receive additional long-term or critical care services.

We specialize in treating patients who may have more than one serious condition, but who may improve with time and care and then return home.

Northern Idaho Advanced Care Hospital (NIACH), located in Post Falls, Idaho, offer patients the highest level of specialized medical and rehabilitative care available. The hospital features all private rooms and a well-equipped therapy area, along with ventilator weaning, amputation, and a wound care program.

The 40-bed hospital will complete its 10th year of service in February 2016, having treated more than 3,700 patients thus far. NIACH is the only freestanding, long-term acute care hospital serving patients throughout the Inland Northwest.

Our long-term acute care team, led by a full-time medical director that specializes in pulmonary and intensive care, consists of specially trained physicians, nurses, therapists, pharmacists, and other highly trained medical professionals.

Patients receive 24-hour nursing and respiratory care services with daily physician management.

Medical services are tailored to the complex needs of each patient, creating a personalized plan of care that is guided by the patient’s attending physician and coordinated with consulting specialists when necessary. Other services we provide include: • • • • • • • •

Speech, memory and cognitive therapy Physical therapy Occupational therapy Aquatic therapy water-based treatments Pain management Dysphagia management Ventilator weaning Wound Care

Northern Idaho Advanced Care Hospital is especially proud to be recognized as the 5th hospital in the nation to earn The Joint Commission’s Gold Seal of Approval for Respiratory Failure.

“Respiratory failure occurs when there isn’t enough oxygen passing from the lungs into the body’s bloodstream,” explains

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Dr. Kevin Strait, Medical Director of Northern Idaho Advanced Care Hospital. “Oxygen-rich blood is needed to help the body’s organs such as the heart and brain to function properly. Respiratory failure also can occur if a patient’s lungs can’t remove carbon dioxide from the blood. Carbon dioxide is a waste gas that also can harm a body’s organs.”

Different types of diseases can cause respiratory failure. Included among these are lung diseases such as chronic obstructive pulmonary disease (COPD), pneumonia, or cystic fibrosis. Respiratory failure also can be caused by conditions that affect the nerves and muscles that control breathing such as stroke, spinal cord injuries and muscular dystrophy.

In addition to The Joint Commission’s respiratory failure certification, Northern Idaho Advanced Care Hospital also is one of 700 nationwide – or 15 percent – that has earned the National Quality Respiratory Care Recognition from the American Association for Respiratory Care. This designation is given to facilities that meet strict safety and quality standards related to providing respiratory care. To achieve the best possible results for our patients, we have utilized best practices and a patient-centered, rehabilitative approach.

This includes progressive ventilator management and weaning, pneumonia prevention, recovery from complex medical, surgical, or traumatic conditions, and home ventilator teaching.

“We’re committed to providing the highest level of care available, and never take our responsibility to our patients for granted,” says Sandra Yule, Chief Executive Officer of Northern Idaho Advanced Care Hospital.

“We’re honored to be a vital part of Post Falls and the Inland Northwest communities that we serve.”

For more information please visit NIACH. ernesthealth.com or call 208-262-2800.

Boundary County Community Restorium Assisted Living with 24 houR CARe Join us for coffee and help us plan the spring garden!

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37

Myths About Massage Myth: They thought they had to be naked. Much of

By Jeane Plastino-Wood, Owner Highlands Day Spas & North Idaho Massage Academy

M

any years ago when I owned the American Institute of Clinical Massage, we conducted a survey to learn why seniors rarely came in for a massage, even when we offered them for free! Back in the day, we guessed older adults considered it synonymous with prostitution. Many had served in the military and received massage when stationed in the Pacific; they knew the difference between legitimate therapeutic massage and prostitution. The reasons given in the survey were quite surprising.

There were four areas in which those surveyed seemed to be in agreement when it came to reasons why massage was not on their list of “things to do.�

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the advertising for massage showed an individual with nothing more than a washcloth across their bum. This is a modest generation and while they may be proud of their wrinkles and scars, they also maintain a sense of dignity about their bodies.

Fact: The client needs to feel comfortable enough to relax and allow the therapist to work on the muscles without resistance. Massage can be done fully clothed if desired, however, most sessions are done with the client dressing down to their comfort level. The therapist, when draping correctly, would not know either way. It is suggested women remove their bras to allow for the long gliding stroke down the back, but it is not mandatory. (Breast massage is not the norm.

There are specialists in lymphatics, but that is beyond the scope of fundamental massage.)

During a massage you are always covered with a full sheet and blanket. When your arm is being worked on, your arm is the only limb uncovered, same with each leg. We expose the back to the top of your hip, we access your gluteal muscles (butt) from on top of the sheet, and

if we see a need to incorporate stretches, we will ask that the next time you wear swimming trunks, shorts, etc.

Myth: They were afraid that they were going to be hurt during the massage as in “no pain, no gain.” Again the advertisements show some Helga-type of person pushing her elbow through the back of some poor soul. Most of us know that just by virtue of being around for a few years, we have aches and pains anyway and those surveyed thought statements of pain tolerance would be ignored.

Surprisingly many had been jostled around in hospital beds without concern or care during that process, so they believed massage would be the same way.

Fact: The therapist asks during the massage if the pressure is fine, or if you would like more or less. If a massage therapist adheres to the belief that without deep painful massage there is no gain, you would do well to look for a different therapist!

Myth: Many were on limited incomes and believed they could not afford what they assumed were extravagant prices.

Fact: The cost of a full body massage for 55 minutes can range, in our area, from $45.00 to $65.00. You do not have to get a full body massage; there are 30 minute neck and back massage, 30 minute foot massage, 30 minute manicure, 30 minute facial, 30 minute mud wrap, herbal wrap, or body exfoliation.

The last reason given in our survey is the one that touched our hearts; we learned of something we were completely unaware and made us ashamed of our indifference toward older adults, both as therapists and

human beings. Many were widowers and said, “It has been so long since I had a gentle, friendly and caring touch, that I just prefer not to be reminded of what it was like because I know that it will not be a regular part of my life again.” This was heartbreaking to hear. We take for granted that a kind word or gentle touch on the shoulder that we give to others may be the only physical contact they may have received in a very long time.

It is my hope that I have dispelled some misconceptions about massage, and you learned that massage is an affordable, enjoyable, relaxing and healthy* experience for yourself, a friend, and anyone you care about. It can, and should be, a regular part of your health care.

Want to know more? Go to: morganmassage.com and learn of the *Scientifically Proven Health Benefits of Massage. And come see us! We are in Post Falls, and now in Sandpoint too! _________________________________________________ Jeane Plastino-Wood owns Highlands Day Spa in Post Falls, Highlands North Day Spa in Sandpoint and the North Idaho Massage Academy (NIMA), in the same building in Sandpoint. NIMA is one of the most comprehensive therapist certification programs in the region where future therapists are being trained.

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39

Long Term Care Planning Varies by State

By Denise Stewart, Attorney At Law

W

e are living longer. As we progress in age, more often than not, it seems that we will need longterm care (LTC) at some point or for a period of time.

For some people it is relatively simple to determine where they will get their care. However, for those who live near a State border, careful consideration should be taken in determining where to receive LTC and how to protect their assets.

Depending on where you receive care, the cost of that care ranges widely. The cost of LTC can range from a couple hundred a month, to $10,000 or more per month. Currently, the average cost of care in a nursing home is approximately $8,500 per month.

Care costs can easily wipe out a $500,000 estate in as little as five years.

In a marital setting, care costs can eliminate an entire estate and leave the surviving spouse without a financial cushion. In a single person’s estate or in a marriage where both spouses need care, LTC cost can eliminate their cushion and any planned inheritance.

Law Office of Denise Stewart We care about you and your family!

• Trusts • Probate • Wills • Medicaid • Guardianship • Long Term Care • Powers of Attorney • Asset Preservation Serving Idaho & Washington 414 W. 3rd Street, Newport, WA 509-447-3242

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Wise Guide | Spring / Summer 2016

There are a few ways to pay for LTC. One is to private pay and spend your personal money. Given the high costs of care, entire estates can be spent down to nothing.

Another is to purchase a LTC insurance policy. These policies can work well in a number of situations, but may run out depending on the length of time we need care and the amount of coverage offered. Once the policy benefits have been spent, we are back to privately paying.

There are also government programs that you can access. One program is through the Veterans Administration, such as Aid and Attendance benefits.

Another program through the State is a needs based programs, such as LTC Medicaid. Medicaid is one of the most popular plans.

LTC Medicaid is not Medicare. Medicare is a basic health plan you may obtain at 65. It works much like a private health plan. In contrast, LTC Medicaid is a program that can be used to cover LTC needs that are not covered by Medicare.

In order to qualify for LTC Medicaid, you must meet three tests. You must: (1) have a need, (2) meet monthly income requirements, and (3) keep assets

within certain limits.

Regarding assets, the State categorizes assets as either allowed or not allowed. With this in mind, good LTC pre-planning can help to move assets you are not allowed to have into allowed assets. Specific steps must be taken to protect these assets.

Living very near the Idaho and Washington borders has highlighted a number of potential differences between the States’ income and asset tests.

For instance, a revocable living trust in Idaho may work really well, not only to transfer assets at death, but if done properly, to protect assets after the death of a spouse. This is not the same in Washington. Additionally, certain assets are exempt in Idaho, but counted in Washington. Also, income limits vary, as does how each State handles excess income. Washington and Idaho’s Medicaid Application procedures and payment rates also differ from each other. Further, some of the options, which are allowed in Idaho, are available in Washington, but not allowed when applying for Medicaid.

Due to the complexities of LTC, planning is best if started prior to a LTC need arising. Elder Law Attorneys help you navigate through these issues to create opportunities for quality LTC and to have something to pass on to your loved ones. _______________________________________________ Denise Stewart graduated cum laude from Western Washington University with degrees in Anthropology and French. She graduated from Seattle University School of Law and was admitted to practice law in Washington State in 1999. Since being admitted to practice, she is located in Newport Washington and has a thriving practice in estate planning, business and elder law. Denise serves both Idaho and Washington clients.

Coeur d’Alene’s Only Comprehensive Pain Management Center.

Providing comprehensive assessments and coordinating traditional therapies with state-of-the-art treatments.

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41

Evidence Wins the Claim!

By Bryan Hult, Bonner County Veterans Service Officer

R

egardless of how real an injury or condition is, without proper evidence the VA CANNOT make an award for the veteran. For example, a veteran may file for knee pain, because he hurt his knee when he fell off a deuce and a half truck during his Army service. He may or may not receive an award depending on the evidence he presents.

The VA’s system of claims adjudication (decision-making) is supposed to be non-adversarial and the VA is responsible to develop all evidence to render an informed decision based on objective evidence.

What is the claims review process?

Claims are reviewed by a Rating Veterans Service Representative (RVSR), familiar with the laws, regulations, schedules for rating disabilities, policy statements, procedures, administrators’ decisions, Branch Secretaries’ decisions, Court of Appeals for Veterans Claims (CAVC) and other legal precedents governing the Department of Veterans Affairs.

He or she will keep these in mind while looking at the claim, medical records, lay evidence from friends and others who have knowledge of the condition, as well as medical opinions from physicians and medical treatises.

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The RVSR evaluates credible and probative evidence. Credible evidence refers to what is inherently believable from a competent source. For example Sergeant John Smith, who was boots on ground in Viet Nam, was already rated for Coronary Artery Disease (CAD) as a presumptive condition to Agent Orange. His cardiologist diagnosed Deep Vein Thrombosis (DVT) as secondary to his Coronary Artery Disease (CAD). As an expert in Cardiology, the doctor’s statement is considered credible evidence.

If John’s wife submits a statement that John is very stiff and says his leg hurts when they travel, because she is not a medical expert, she is considered incapable of establishing causation or diagnosis. Her statement, if sworn and certified as true, could be included and considered as a lay person’s observation. If John’s wife was a medical professional, her statement would likely be weighed during the decisionmaking process. If a VA cardiologist stated the condition was not due to the CAD, and noted that John’s military entrance physical stated that both parents had had Deep Vein Thrombosis conditions, then more weight would be given to the VA examiner due to his expertise (even if the cause was not correct).

The RVSR must make a decision based on criterion of the physician’s specialty, reasoning and the extent

Wise Guide | Spring / Summer 2016

to which the physician reviewed prior medical records and evidence.

If the veteran’s private physician made a statement based on “the veteran’s claims,” the RVSR will have to decide how much weight to give the physician’s statement based on the length of time the veteran was a patient, the reason for the veteran’s contact, and the degree of specificity or certainty of the physician’s opinion. The RVSR cannot reject the physician’s opinion, but will compare it to the VA’s physician’s opinion as provided.

The RVSR is not a medical doctor and cannot rely upon his or her own medical conclusions to reject the evidence provided by the claimant.

The other kind of evidence is probative evidence which must be relevant and have sufficient weight to persuade. For example, a veteran served in the Army Infantry between 1967 and 1970. His DD

214 (Report of Separation) indicates 13 months foreign service, a Viet Nam Service Medal, Purple Heart medal, Combat Infantry Badge and military occupation specialty of 11B (Infantry). That DD 214 is probative evidence that he served in combat in Viet Nam.

Where can you acquire good evidence?

Your medical records, especially service treatment records (STRs) are extremely important.

Information regarding the condition should support dates of events, records from medical facilities and private physicians making the diagnosis, laboratory tests, hospitalizations, etc.

Remember the VA makes decisions based on chronic - not acute - conditions. You may have had an acute knee injury in the service, but if you do not have evidence, like medical statements claiming knee pain or treatment records that note complaints of knee pain over a long period, then it is not chronic and not sufficient for a claim. The diagnosis from the VA or private physician is essential for the claim to be considered credible. The physician must make a statement like, “After reviewing the service member’s medical records and treating him for the last five years, the knee pain is “at least as likely as not due to the injury he sustained when he fell off a truck while serving in the military.” The physician must establish a link even though there may not have been treatment completed during military service.

A Reservist or National Guardsman must have a Line of Duty (LOD) investigation to establish the condition as service connected, meaning the injury or condition must have been noted in his records and either occurred when on duty or traveling to or from the Drill Assembly.

There are other interesting ways to obtain good evidence. A photograph of the veteran standing in front of a sign that says, “Welcome to Saigon” would be considered proof of having been boots on ground in Viet Nam. If you didn’t have any photographs, but had a couple “buddy letters” who substantiated the claim, giving dates, actions, unit, etc. that would be considered probative evidence. A buddy letter, that states what the veteran said, not what the writer of the buddy letter observed himself, would not be considered probative evidence.

When there is reasonable doubt, the RVSR has instruction to rule in favor of the claimant. The evidence must be in equal balance for or against the claim in order for the RVSR to make the decision for the claim.

Considering filing for a claim?

See your local Veterans Service Officer first! He or she will save you a lot of grief and be happy to assist you in finding good evidence and help com-plete the paperwork to submit your claim. ________________________________________________ Bryan Hult is the Bonner County Veterans Services Officer. He enlisted in the infantry, graduated from Officer Candidate School and Jump School from Fort Benning, Georgia and Flight School from Fort Rucker, Alabama. He then flew helicopters at Fort Hood, Texas.

His military education included the Army War College in Carlisle, PA. After seminary, he served at every level of the Army chaplaincy in the Indiana National Guard and retired in 2010 as the Assistant Chief of Chaplains.

Senior Living Community

208.665.1600 www.bestlandcda.com

606 E. Best Ave. • Coeur d’Alene, Idaho Wise Guide | www.TheWiseGuideOnline.com

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This page brought to you by:

We Salute Our Veterans . . .

Memorial Day Ceremony (May 30th) at the Washington State Veterans Cemetery, 21702 W. Espanola Rd., Medical Lake, WA. Musical Prelude 10:15 AM, Ceremony 11:00 AM. For more information and ADA arrangements, call 509-299-6280 by May 23rd please. cemetery@dva.wa.gov

March For The Fallen (honoring Washington & Idaho Veterans) Annual event held each September in the Centennial Trail. 1/10th of a mile for each of the fallen from Washington since 9/11. It will be close to 10 miles this year. marchforthefallen.com

FREE Legal Help for Military Military Legal Alliance Group Post 143 in Post Falls - 208-773-9054 Meets to assist veterans and others on the last Wednesday of each month.

This is a great opportunity for our veterans and local families to get free legal advice from lawyers who help with wills, trusts, advanced directives, powers of attorney, legal information and issues.

Time: 3:00 pm – 5:00 pm • Dates: 5/25/2016 • 6/29/2016 • 7/27/2016 • 8/31/2016 9/28/2016 • 10/26/2016 • 11/30/2016 • 12/28/2016

1st Annual Fallen Heroes Benefit Ride June 18th - hosted by Curley’s, Hauser Junction, ID $15 early registration/$20 at the door.

208-773-5816 Kick Stand up from Curley’s at 10:00 AM Auction, Prizes, Games and MORE

Project Healing Waters is still tying flies and coordinating with Spokane Fly Fishers for outings in our region.

Give them a call - tie some flies - go fish! Call Mike Ainsworth 509-701-7115 for more info.

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Wise Guide | Spring / Summer 2016

“If you are a Veteran....Thank you!

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

Salmon for Soldiers September 17th - First time attendees get priority! (If you signed up for 2015 when it was cancelled, you get on the list first.) $15 gets you round trip transportation from Spokane Valley to Everett, a one night hotel stay in Everett (Food and incidentals not included) and a day of salmon fishing. Go to salmonforsoldiers.com or call 509-263-6934 to donate, or get more information.

Motorcycle Group - Rides one day a month from May through October - you provide the bike, we provide the fun. Open to all Veterans of all eras and their family members. Contact: Stu Sturtevant 509-444-8387, Spokane Vet Center.

Lions Project New Hope Northwest 5 FREE Retreats scheduled at a new retreat site, Gwinwood Conference Grounds and Westwood Retreat Center in Lacey, WA. The retreat dates and Partners are: June 10-12 - Men’s Retreat, Federal Way Vet Center July 15-17 - Family Retreat, Give An Hour Aug. 26-28 - Family Retreat, The Soldier’s Project Sept. 16-18 - Women’s Retreat, Federal Way Vet Center Sept. 23-25 - Family Retreat, Give An Hour Check out the upgraded LPNH NW website for retreat details – lionsprojectnewhopenw.org

Are you 60+ years old? You can get a great discount on a massage at Highlands Day Spas in Post Falls & Sandpoint. See the ad on page 38!

This page brought to you by:

NOTE: The Department of Motor Vehicles now offers a Veteran Designator on Idaho State Drivers Licenses. The veteran must JERRY TAYLOR VETERANS PLAZA provide proof of an Honorable discharge LOCATION: 9th Street & Edison in Sunnyside, WA Forces. from the Armed Jerry Taylor Veterans Plaza “For their valiant courage in defending the cause of freedom, we honor our Veterans.”

9th Street & Edison, in Sunnyside, WA. Greg Schlieve, Memorial Chairman, invites you to order a plaque with name and military unit/ship to be engraved upon the granite walls of the Veterans Memorial. Groundwork for the Memorial was completed in 2014 and by this Fall 2016, 10 granite walls will have been installed at the Memorial that are 8-ft tall or taller. This Memorial will eventually have 42 granite walls, making it one of the largest Veterans Memorials in the Northwest.

75% of the funds to build this Memorial come from veterans/families ordering plaques. Consider ordering additional plaques for family members, and have them all engraved right beside each other. Anybody, living or not, who has served in the military since the U.S. Independence is eligible to have their name on a plaque. That includes all Reserves, National Guard members and Merchant Marines from the United States or any Allied nation.

Help build the memorial and honor our veterans.

For more information, visit the American Legion Post 73 Facebook page or email schlieve@charter.net. Or call Post Commander Greg Schlieve at 509-882-4498 or 509-781-0799.

‘You know that your landing gear is up and locked when it takes full power to taxi to the terminal.’

—Lead-in Fighter Training Manual

Dear fellow Veteran,

My name is Greg Schlieve and I’m the Memorial Chairman for the Jerry Taylor Veterans Plaza in Sunnyside. I’m writing to tell you about an exciting opportunity to have your name & military unit/ship engraved on a plaque at our Veterans Memorial.

Guide | www.TheWiseGuideOnline.com Our next gray granite wall (that’s engraved with plaques Wise honoring individual veterans) will be installed in just a45 few short months. Order your plaque now and you’ll see your plaque before Memorial Day.

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With respect, dignity, pride, integrity and compassion, we honor Veterans.

Resources

Veterans’ Caregivers Support Group - Post Falls American Legion Post 143, for caregivers of veterans with dementia, Alzheimer’s and any related disorder.

208-666-2996

If you are a veteran or partner of a veteran, these organizations are here to help with free assistance.

Call any of them and they can connect you with the services you are seeking.

Real Life Veterans Ministry, Post Falls - All Veterans, active or non-active, past & present, family members, friends of veterans and all who have a heart for our service men and women. 208-772-4043

Need to talk to someone NOW? Combat Call Center: 1-877-927-8987 (WAR-VETS) Veterans Crisis Line: 1-800-273-8255 Press 1 Confidential Online Chat: VeteransCrisisLine.net

CBOC’s and Rural Health Clinics

VA Outreach Centers

(Activities, Support Groups, Excursions, General Assistance): Spokane Vet Center 509-444-8387 Kalispell Vet Center 406-257-7308 or 877-927-8387 Missoula Vet Center 406-721-4918 Spokane Mobile Vet Center - they come to your area!

Call 509-444-8387 for schedule.

Combat Call Center/Crisis Line - 1-877-927-8987 Veterans Transportation Services - for FREE transportation to VA Medical Centers, Outpatient Clinics (CBOC’s) & authorized VA appointments 509-434-7527 You have no excuse for not going, they will get you there!

VA Hospital/Medical Center - 800-325-7940 4815 N. Assembly St., Spokane, WA Mobile Medical Clinic & Homeless Outreach Program - contact St. Vincent de Paul for schedule of days and locations - 208-704-0548 Newby-Ginnings of N. Idaho, Inc. Free clothing, household items, & gear.

Post Falls. Call 208-610-6996 Blue Star Mothers of America, Inc. 208-661-9808

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Wise Guide | Spring / Summer 2016

Sandpoint Veterans’ Clinic 208-263-0450 420 N. 2nd Ave., Ste. 200, Sandpoint Coeur d’Alene CBOC 208-665-1700 915 W. Emma Ave., Coeur d’Alene Libby Veterans Clinic 406-293-8711 211 E. 2nd Street, Libby, MT Kalispell CBOC 406-758-2700 Three Mile Professional Bldg.

31 Three Mile Dr., Ste. 102, Kalispell, MT Missoula CBOC 406-493-3700 2687 Palmer St., Ste. C, Missoula, MT Colville Rural Health Clinic 509-684-3701 1200 E. Columbia, Colville, WA

Online Resources va.gov/homeless Each VA medical center has a homeless coordinator and programs that help veterans establish or maintain safe, stable housing. Call VA’s National Call Center for Homeless Veterans 1-877-424-3838, 24/7. oefoif.va.gov Toll-free line and website that provide information about health care, dental care, education and other benefits for OEF/OIF/OND veterans. 1-877-222-8387 ptsd.va.gov VA’s center of excellence for research and education on the prevention, understanding and treatment of PTSD. 1-802-296-6300 caregiver.va.gov Provides support for caregivers of veterans and information about services that may be available to them. 1-855-260-3274

This page brought to you by:

READ THIS!

“Heroes never die. They live in our hearts forever. Thank you for your service and sacrifice.”

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

These VSOs are here for you: IDAHO Idaho State VSO

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

Benewah County

MONTANA

Montana State VSOs

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

Tribal Veteran Service Officer Steven Moffitt 208-686-1800 x2085 850 North A Street, Plummer email: smoffitt@cdatribe-nsn.gov

Carolyn Collins email: carolcollins@mt.gov

Bonner County

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

Boundary County

Bryan T. Zipp email: bzipp@mt.gov

Bryan Hult 208-255-5291 1500 Hwy 2, Ste. 122, Sandpoint M-TH 8-5 (call/email for appointment) email: bhult@bonnercountyid.gov Jim Wilson 208-267-8611 6635 Lincoln St., Bonners Ferry Thursdays 9:00 AM - 1:00 PM

Kootenai County

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

Shoshone County

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

Disabled Veterans Outreach Program (DVOP) Idaho Dept. of Labor - Veterans Reps.

Benewah/Kootenai/Shoshone Counties

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

Bonner/Boundary Counties

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

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47

Veterans Stand Down Celebrates the Family

By Eric Swanbeck, Stand Down Chair St. Vincent de Paul

O

ur local Veterans Stand Down has been assisting veterans with housing, services, food and clothing for 23 years. The tradition continues with the 2016 North Idaho Stand Down which is set for May 7th from 8:00 am - 2:00 pm. It will again be held at the Kootenai County Fairgrounds in Coeur d’Alene, Idaho and is open to all veterans and their families.

The primary mission of the Stand Down is to help homeless veterans connect with services needed to improve their present living situation. Since every veteran needing assistance is not always homeless, the event strives to help those with specific needs, which sometimes means providing assistance to the family as well. The rationale behind this effort is that if you help even one family member you are still helping the veteran.

The Veterans Stand Down now provides games and activities all geared for families and children of all ages. This new emphasis of helping the family continues even after the Stand Down. One exciting addition for this year is Equine Therapy provided by Blue Moon Therapy, which will give kids and their parents a chance to ride and interact with horses.

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Wise Guide | Spring / Summer 2016

Funds donated from the event are used to assist families throughout the year. Veterans Stand Down Chair, Eric Swanbeck, recalls the circumstances of a family that was able to get assistance from the Stand Down this past year which made a big impact on their lives: The husband was out of work and struggling with mental health issues related to his deployment. The wife works for a local health care provider, but due to her husband’s loss of work her income alone couldn’t quite support them and their three children. Their only need was assistance with the utility bill. With the help of the Veterans Stand Down and other veteran organizations their utility bill was paid, he found full-time work and was enrolled in the new wellness program through WITH Performance. The Stand Down sees many veterans throughout the year with similar needs and strives to help each and every one.

Community partners are always needed to help with the event each year. If you wish to participate as a service provider, volunteer or make a donation, please call Eric Swanbeck, Stand Down Chair, at 208664-3095, extension 314.

North Idaho

A Day of Appreciation for All Veterans Military Surplus (Homeless Vets Only)

Housing Employment Family Activites Brunch Medical/Dental Hair Cuts Estate & Will Clinic Veterinary (limited)

May 7, 2016

0800 to 1400hrs

ADMISSION: Military or V.A. ID or DD214

Kootenai County Fairgrounds

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

4056 N. Government Way • Coeur d’Alene, ID 83815 For more information contact: Eric Swanbeck 208.704.0548 To Volunteer visit: www.KootenaiUnitedWay.org

Wise Guide | www.TheWiseGuideOnline.com

49

Courage to Overcome Barriers

By Heather Alexander, Director of Marketing and Strategic Communication Goodwill Industries of the Inland Northwest

L

ook up the root words for encourage [en-courage], and you will find that the word literally means “to cause to be in, or to fill, with courage.”

In the years I have worked for Goodwill, I have watched our staff step alongside the people we serve, filling them with courage, and hope, to accomplish their goals. For many, it has been the courage to apply for a job. For others, it has been the courage to walk through a job interview, and strive on towards the next one when the first door closes. And for still others, it has been the courage to do more things for

Goodwill

®

taught me

I can

provide for my family inwgoodwill discovergoodwill.org

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Donate. Shop. Change a life.

Wise Guide | Spring / Summer 2016

themselves and move into more independent living, rather than relying on others to help them in their daily tasks.

In 2015, Goodwill Industries of the Inland Northwest served more than 6200 men, women and teens in eastern Washington and northern Idaho.

Our mission is to help people overcome barriers to independence in the communities we serve.

Recently, we selected one of the individuals we served in 2015 at our Graduate of the Year.

Goodwill’s Graduate of the Year Award recognizes the accomplishments of a participant who has been employed by a company/organization outside of Goodwill. Last fall, I had the opportunity to meet Alex for the first time. His case manager recommended Alex as the success story for our employee newsletter.

Alex’s story has been an inspiration to me, and to so many who have watched his story unfold.

Alex didn’t grow up with some of the “luxuries” and security that many of us take for granted. His family struggled. Often, as a young teen, he was taking care of his siblings, creating meals out of whatever he could find in the kitchen. A big kid, Alex was a good athlete, intimidating on the field and off the field. By the time he was 13, Alex became involved in drugs and alcohol. By the time he was 20, jail was a familiar place.

Eventually, Alex realized he had become someone he didn’t like. He missed his family and friends. He wanted to be loved and needed, but he was sitting in a jail cell facing a long sentence. He wanted to change his life. When he was released on parole, Alex was sent to Goodwill to attend job classes. At first, he thought it all a waste of time. But, he soon discovered that the caring staff really could make a difference, and help him find the resources he needed to become independent. Soon, Alex secured a full time job he loved that would support his family.

After several months, Alex received a promotion he never thought possible because of his felony record. His kids now look at him with pride, and his fiancé is looking forward to marrying her friend who has overcome his demons to live the life he has long

desired. He has become a mentor for other men who have felt trapped by their choices, an encourager to youth who are tempted by the same choices he faced, and coworkers who feel like they are stuck. You can learn more about Alex’s story on Goodwill’s YouTube channel at http://bit.ly/1o2JSgO.

Goodwill is able to help people like Alex because of the support of our donors and shoppers. Out of every dollar earned in our stores, 85 cents funds our mission programs.

When you donate and shop at Goodwill, you are truly helping us change lives every day. You are helping men and women discover the pride and joy of work, being part of a team, accomplishing tasks they did not know they could tackle, and finding the courage to reach their goals, and then reach higher. ________________________________ Heather Alexander joined Goodwill Industries of the Inland Northwest in 2013 as Director of Marketing and Strategic Communications for the region. She brings over 20 years experience in Public Relations and Marketing to her role at Goodwill.

She is an alumnus of Pacific Lutheran University and Leadership Spokane, and a member of Sunrise Rotary Club of Coeur d’ Alene.

“We honor our veterans.”

Stay At Home, Stay Independent At Addus, we understand the importance of remaining at home and independent. We provide quality in-home care services including, but not limited to: • Medication reminders • Personal care • Shopping and errands • Companionship • Light housekeeping

208-667-2309

We service all of Northern Idaho.

Call today to learn about in-home services for you or your loved one.

Serving Families at Home Since 1979

FULL SERVICE MEdICaL EqUIpMEnt & SUppLIES For all your medical supply needs.

Serving and active in our community since 1989.

208-263-3713 306 1/2 N. First Avenue (behind the Panida Theater) www.sandcreekmedical.com

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Coeur d’Alene office:

1221 West Ironwood Drive Coeur d’Alene, Idaho 208-665-8111

Bonners Ferry office: 6371 Kootenai Street Bonners Ferry, Idaho 208-267-0579

www.auburncrest.com Wise Guide | www.TheWiseGuideOnline.com

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Achieve Your Highest Level of Independence

by Heidi Frazier, Director of Marketing and Business Development Rehabilitation Hospital of the Northwest

I

We specialize in rehabilitative services for patients with functional deficits, such as stroke, trauma, spinal cord injury, brain injuries, cardiac, orthopedic, complex medical conditions and other disabling impairments.

Our passionate and supportive staff helps patients recover quickly and return home safely with a renewed sense of self-sufficiency. Each of our patients benefit from a unique plan of care that is led daily by a specially-trained rehabilitative physician.

As the only freestanding acute rehabilitation hospital serving all of central and northern Idaho, we provide world-class care in a beautiful, healing environment.

Learn more at RHN.ernesthealth.com.

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ndividuals disabled by an illness or injury often face difficult challenges and major lifestyle changes requiring intensive rehabilitation to regain function and independence.

Residents of the Inland Northwest looking for care for themselves or loved ones need look no further than their own backyard to find nationally recognized care. Rehabilitation Hospital of the Northwest (RHN), located in Post Falls Idaho, offers patients the highest level of specialized medical and rehabilitative care available.

We provide intensive physical rehabilitation services to patients recovering from strokes, brain, spinal cord and orthopedic injuries, and other impairments as a result of injuries or illnesses.

Individuals are also treated for chronic illnesses such as cerebral palsy, ALS (Lou Gehrig’s Disease), multiple sclerosis, or Parkinson’s disease. The goal for patient care is to regain their physical or cognitive abilities so they can return home at their highest level of independence.

Patients who receive rehabilitative services experience more positive results in regaining or improving productivity and independence. For example, a recent national study shows that patients

treated in inpatient rehabilitation facilities have better long-term results than those treated in skilled nursing facilities. The study, commissioned by the ARA Research Institute, shows that patients treated in rehabilitation hospitals live longer, have fewer hospital and ER visits, and remain longer in their homes without additional outpatient services.

These patients returned home from their initial stay two weeks earlier and remained home nearly two months longer. In addition, patients experienced an 8 percent lower mortality rate and 5 percent fewer emergency room visits per year.

Rehabilitation Hospital of the Northwest is ranked in the top 10% of inpatient rehabilitation facilities in the United States for care that is patient-centered, effective, efficient and timely. The ranking is by the Uniform Data System for Medical Rehabilitation (UDSMR), a not-for-profit corporation that was developed with support from the National Institute on Disability and Rehabilitation research, a component of the U.S. Department of Education.

Patients that come to Rehabilitation Hospital of the Northwest must: • Require active intervention of two therapeutic regimens (physical therapy, occupational therapy, speech-language pathology, or prosthetics/ orthotics training); one of which must be physical or occupational therapy • At the time of admission, require an intensive therapy program consisting of 3 hours of therapy per day at least five days per week • Require daily physician supervision • Require an interdisciplinary team approach, including nursing care and therapeutic care.

• Specially trained physicians, nurses, case managers, and occupational, speech and physical therapists, among other medical professionals, work as a team with their patients and their family members to create individualized treatment plans so our patients can progress at their own ability levels. Our rehabilitation team is led by our fulltime medical director who is board certified in physical medicine and rehabilitation.

The healthcare team provides our patients with 24-hour rehabilitation nursing care and daily physician management. Our patients have access to all private patient rooms and well-equipped therapy areas which include a 2,360-square foot therapy gym with private treatment rooms, a heated aquatic therapy pool with an electric lift, and a therapeutic

courtyard to allow practice on different terrains such as ramps, stairs, gravel, dirt, curb, curb cut-outs, and wood decking.

Services provided include: • Rehabilitation nursing care • Respiratory care to treat, manage, control and provide diagnostic evaluation of the cardiopulmonary system • Speech, memory and cognitive therapy • Physical therapy to help with balance and mobility • Occupational therapy to help perform daily activities, including guided community outings and home evaluations • Aquatic therapy water-based treatments • Wound care to help in the healing, prevention, and management of wounds • Neuropsychology that focuses on how the brain and rest of the nervous system influence a person’s cognitive skills and behaviors • Prosthetic consults, fittings, and equipment assistance • Pain management

RHN offers treatment in their multiple day rooms, which include a daily living suite and a transitional suite. These areas allow patients to practice normal, daily, at-home activities while still under the supervision of a healthcare professional. Some of these activities may include get-ting in and out of bed, showering, cooking, or doing laundry. In addition, home evaluations can be done in order to identify any necessary modifications that may need to be made to a patient’s home before leaving the hospital. This helps ensure a safer return to home.

To learn more about Rehabilitation Hospital of the Northwest please visit RHN.ernesthealth.com or call 208-262-8700.

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53

Are Your Ears Ringing?

by Kevin W. Hague, M.A., CCC-A Certified Audiologist Hearing Healthcare Associates

T

innitus is an abnormal perception of a sound not caused by external noise, and typically heard only by the patient. It may be a ringing, buzzing, cricketlike, ocean, or other type of sound in the ear or head.

It may be intermittent, constant or fluctuating, mild or severe and varying in nature from a low roaring

Tinnitus may occur with hearing loss, vertigo, or pressure symptoms in the ear or it may occur alone. sensation to a high-pitched sound. While it may be associated with hearing loss, it will not cause you to go deaf, and statistically, tinnitus decreases or is hardly perceptible over time in 50 percent of patients.

Tinnitus may occur with hearing loss, vertigo, or

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pressure symptoms in the ear or it may occur alone.

This condition is a neurological symptom and not a disease, just as pain in the arm or leg is a symptom and not a disease. Because the function of the auditory (hearing) nerve is to carry sound, when it is irritated from any cause, it produces head noise.

Tinnitus may originate from various lesions at different locations in the auditory system. A lesion may be located on the auditory nerve or cochlea and does not reach the brainstem, or it may begin at the brainstem and involve other portions of the central nervous system. The auditory system involves highly complicated inner ear structures, many nerve pathways, and a great amount of nuclei that form a complex neural network. Pinpointing the cause of tinnitus to a certain structure can be difficult.

There are many other causes related to the ear which would result in tinnitus:

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• Abnormal neural activity in the auditory nerve fibers, which may occur if there is a partial breakdown of the myelin covering of individual fibers. A defect in the hair cell would trigger the discharge of connected nerve fibers.

• Chronic cochlear disorders - There are two different kinds of afferent fibers in the auditory nerve: inner hair cell fibers with large diameters and outer hair cells fibers with small diameters.

Loss of signals from the cochlea between the two sets of fibers or other abnormal changes of the cochlear fluids may result in tinnitus.

• Medications - If you have tinnitus and are on medication, you should discuss the symptoms with your physician.

• Ear wax (Cerumen) in the ear canal.

• Fixation of the stapes bone in the middle ear (Otosclerosis).

• Meniere’s disease - a complex syndrome involving hearing loss and vertigo.

• Sudden trauma from a direct blow to the ear or head.

• Damage to the inner ear such as exposure to excessively loud sounds.

• Tumors on the hearing nerve or other problems in the brainstem or central nervous system.

• Other vascular abnormalities that can occur in the skull or base of the skull.

Generally, most patients will not need any medical treatment for their tinnitus. For patients who are greatly bothered by tinnitus, they may use masking techniques and other treatments, such as: • Listening to a fan or radio. This generally is more advantageous if one is attempting to go to sleep.

• A tinnitus masker - a small electronic instrument built into a hearing aid case. It generates a noise which prevents the wearer from hearing his own head noise. The masker is based on the principle that most individuals with tinnitus can better tolerate outside noise than they can their own inner head noise.

• Biofeedback training is effective in reducing tinnitus in some patients. It consists of exercises the patient learns in order to control various parts of the body and relax the muscles. When a patient is able to accomplish this type of relaxation, tinnitus generally subsides. Most patients have expressed that the biofeedback offers them better coping skills.

• Avoidance - This includes making every attempt to avoid anxiety, as anxiety increases tinnitus. A person with tinnitus should avoid losing sleep and becoming fatigued, because, generally, patients who are tired seem to notice their tinnitus more.

Also, the use of nerve stimulants is to be avoided, as excessive amounts of coffee and smoking contribute to the head noise.

• Medications - There are some medications utilized to suppress tinnitus. Some patients benefit with these drugs, and others do not. Each patient has an individual response to medication, and what works for one patient will not always work for others. Some of these medications have been proven, however, to decrease the intensity of the tinnitus and make it much less noticeable to the patient. There is, however, no drug anywhere which will eliminate tinnitus completely and forever.

If you are experiencing severe, disabling tinnitus, have a complete cochleovestibular evaluation done to attempt to establish the site of lesion and to rule out any significant pathology which may require further treatment.

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55

Crossword It’s a Horse, of Course Across

1 Pie___: a horse of a different color?

5 Deluge refuge 8 Walt Kelly comic strip character 12 Sign after Pisces 14 Tavern 15 Finished 16 Saddle horse with a spotted rump 18 Like some eclipses 20 Blueprint 21 Trigger was one 23 Snob 26 Chop off 27 In the past 28 Show ___ 29 Student of Seneca 31 Like some oats 33 Harem rooms 35 Wool weight, in the UK 36 Bambi’s aunt 37 Fair-sized musical group 39 Hither’s partner 41 New Mexico’s state flower 45 Grand ___, Nova Scotia 47 Burgle 49 Movie VIPs, briefly 50 Mortgage holder 53 Filly’s father 55 Diaper wearer 56 Colorado native 57 Personal quirk 59 The daily grind 61 Dark reddish-brown horse 64 Horse’s trot or canter 65 Home on the range 66 Racehorses, to some 70 In the vicinity 71 Cousin of an ostrich 72 Brown ermine 73 Sea eagles 74 D.C. bigwig 75 Capp of the comics

Down 1

56

Call to Bo-peep

2 Dadaism founder 3 Saddle horse bred in Vienna 4 Passed out, as cards 5 Blood-typing letters 6 Farrier’s tool 7 African village of huts 8 Small agile sporting horse 9 Egg cell 10 Cordial 11 Florida fruit 13 Assassinated 17 Beginning 19 Crucifix 22 Elders’ teachings 23 Black, in poetry 24 Italian resort 25 “Iliad� city 30 Smells 32 Extol 34 Fall mo.

Wise Guide | Spring / Summer 2016

38 Harness racing horses 40 Film genre 42 Triple crown winner in 1948 43 Swamp critter 44 Village in the south of France 46 Leprechaun land 48 North Carolina fort 50 Water carrier 51 Flammable colorless

gaseous alkene 52 Pager 54 States (Fr.) 58 Sugar portions 60 Rodeo rope 62 Actor Connery 63 Broken 67 Convent dweller 68 Young fellow 69 Hog haven

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57

Respiratory Care

By Bonnie Lambert, RN, BSN Manager of Market Development LaCrosse Health and Rehab

H

istory has greatly impacted the views of what skilled nursing facilities represent, including the level of care they provide and the variety of population they serve. What people often fail to recognized is that skilled nursing facilities are a very important piece in the continuum of care for many who are either sick or injured. The patient care continuum starts when a person enters the hospital system.

The hospital stabilizes the individual, but once that is accomplished they are not always ready to go home, due to extreme weakness, IV medications, or complexity of care required. Skilled nursing facilities fill this gap and provide a place for patients to receive their medical care and rehabilitation.

There are many skilled nursing facilities in North Idaho yet LaCrosse Health and Rehab in Coeur d’Alene is quite distinct. At first glance, LaCrosse looks like any other skilled nursing facility in the area. A more

in-depth look reveals that LaCrosse Health and Rehab provides a very important and distinct skill set in our communities’ patient care continuum. Of the 97 beds at LaCrosse, 23 of those beds are dedicated to patients requiring tracheostomy care and/or longterm ventilator support. This is the only skilled nursing facility providing care for tracheostomy and ventilatordependent patients within North Idaho. This unit allows patients to leave the hospital setting and receive the skilled care they require, along with the time to heal.

At LaCrosse, an interdisciplinary team, consisting of a critical care pulmonologist, a hospitalist, nurses, respiratory therapists, and rehabilitation therapists, oversee the daily needs of the ventilator-dependent patients. Additional to the respiratory and nursing needs, the patient also receives daily therapy, consisting of Physical, Occupational, and Speech Therapies. This all allows the patients to have the time

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210 West LaCrosse Avenue • Coeur d’Alene, ID • 208-664-2185 • LaCrosseSkilledNursing.com 58

Wise Guide | Spring / Summer 2016

and assistance to reach the highest level of recovery possible. The clinical team’s goals are to decannulate (removal of a tracheostomy tube once it is no longer needed) and use individualized aggressive weaning protocols, while maintaining strength and endurance.

There are instances in which an individual is not able to wean from the ventilator but is otherwise ready and able to go home. The interdisciplinary team will provide training for these individuals and their families, along with providing a support network in order to assist them in their transition to home.

LaCrosse Health and Rehab takes pride in being able to serve and accommodate our communities’ needs. Our specialized respiratory unit allows ventilator-dependent patients to be close to home and still receive the high level of skilled care required for their needs. In addition to respiratory care services, we also provide traditional long-term care, post-operative care, infusion therapies, comprehensive wound care, palliative care, renal & digestive disease support, and cancer recovery services.

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So, What About Abortion?

By Susan Sweatman, “Mourning Hope” Coordinator Life Choices Pregnancy Center

W

e all have grieved the loss of someone at some point in our lives. Nothing could be more painful than the death of a child. But those who have lost a child because they had an abortion, or were part of an abortion decision, often do not allow themselves to grieve or don’t know how to grieve.

Women seem to suffer the most as the final decision to terminate a pregnancy rests with them. That is not to say that men don’t suffer; many of them do. However it’s in the woman’s womb that the baby is carried and nurtured. She will be left with the memory of the trauma of abortion, as well as what could have been for her and her child, as she struggles to “get on with her life.” In abortion there are at least two casualties; the baby and the mother.

A woman faced with an unplanned pregnancy experiences tremendous fear and anxiety about her situation, and seeks a fast solution to her dilemma.

Since abortion is legally and socially sanctioned, it is a likely choice, even though she may be violating her own moral code. Immediately after the procedure, she will usually feel great relief that the crisis is over. However, any moral struggle she felt prior to the abortion will typically resurface at some point in her life.

The following symptoms may occur, sometimes delayed for many years: preoccupation with becoming pregnant again, depression/crying, difficulty concentrating, guilt, intense grief/sadness, anger, emotional numbness, sexual problems, lowered self-

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esteem, nightmares, eating disorders, or drug/alcohol abuse.

To cope with her decision, she may “busy” herself with finishing school, getting back to work or becoming an over-achiever. Emotional paralysis may set in, disabling her from any of life’s pleasures. Every client I have worked with, to date, has either entertained suicidal thoughts or attempted suicide.

Statistics show that one in three women will have at least one abortion by age 45. There have been more casualties to abortion than the death toll of all the world wars combined.Women from every walk of life choose abortion. Even women who grow up in a Christian environment or life-affirming home participate; it is not a culturally-based decision.

As a Christian woman, who had an abortion back before the 1973 Supreme Court ruling to legalize abortion was made, I wasn’t able to say, like so many do, “If abortion is legal, what harm can it do me?” Abortion made legal has impacted our society more than we realize. It often takes years before a woman overcomes the denial that it’s her abortion that has affected her life so adversely. Events like baby showers, sounds, smells and quite possibly the evening news can be triggers for them.

One of my clients was not able to attend a baby shower after she’d had an abortion. She had become detached and unable to share in the joy. The sound of the vacuum cleaner triggers her abortion memory. Another client was reminded of her abortion every time the dental hygienist hung the suction tube from her lip. Some postaborted women freeze at the news of violence outside an abortion clinic. One young client said she didn’t realize until she saw the ultrasound of a friend’s baby that what she had done was take her child’s life. One of these triggers may be what it takes for someone you or I know to get the help they so desperately need.

The “Mourning Hope” team at Life Choices is a team of women like me who have experienced abortion themselves and have walked their own journey toward healing. They will listen without judging and empathize with the abortion pain. All of our services are free and confidential. Call today 208-263-7621. _________________________________________________ Susan Sweatman has been a volunteer at Life Choices for two years; first as a client advocate and most recently as coordinator of “Mourning Hope” our post abortive healing team. She also serves as Montana’s Director of Word of Hope Post-Abortion Healing Ministry. Susan lives with her husband on 80 acres near the small town of Trout Creek, MT. Susan’s abortion story lifechoicespc.org.

Boosting Morale During WWII

F

arragut Naval Training Station, located on the southern end of Lake Pend Oreille, opened its doors to naval recruits in September of 1942. Almost overnight it became the largest city in Idaho, with a rotating population of about 50,000 people. To support the sailors, and to keep morale up among the trainees, the Sandpoint USO organized a variety of dances, parties, and excursions; some of which made a lasting impression on those who attended. One of the most popular day trips for a sailor on leave was a trip up to the Canadian Border. Sponsored by the USO and other civic organizations, for many it was the first time their feet had left American soil. These trips also usually included the chance to visit one of the ranger stations in Kaniksu National Forest, and to enjoy the natural beauty of Northern Idaho.

Of the many excursions planned by the Sandpoint USO, only one suffered a major mishap. In June of 1945, on a boating trip to Whiskey Rock Resort on the Lake, a boat carrying 35 sailors and USO hostesses exploded on its return trip. Fortunately, no one was killed, although 21 of the passengers required medical attention, including six of the Junior Hostesses.

One of them was apparently sitting on the motor hatch and “took a ride up and over like a cannon shot!�

Other than this one dramatic boat trip, the fun provided by the USO in Sandpoint was wholesome and without life-threatening danger.

The women of the area hosted over 300,000 visitors during the three years they operated; providing a home away from home for sailors and their families. Many veterans remembered both the area and good times they were shown here with deep fondness all their lives.

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Regional Community & Active Senior Centers Bayview Community Center 20298 E. Perimeter Rd. 208-683-3552

Noxon Senior Center 207 2nd Street, 406-847-6000

Blanchard Area Seniors, Inc. 685 Rusho Rd., 208-437-2788

Osburn Senior Meal Site VFW Hall 4th & Mullan, 208-752-1194

Bonners Ferry Senior Hospitality Center 6635 Lincoln 208-267-5553

Pinehurst Community Bible Church 310 Main Ave., 208-752-1194

Clark Fork/Hope Area Seniors 10th & Cedar Sts., Clark Fork, 208-266-1653

Plummer Senior Center 888 C St., 208-686-1863

Coeur d’Alene Tribe Senior Center 125 10th St., Hwy 95, Plummer 208-686-3013

Post Falls Senior Center 1215 E. Third Ave., 208-773-9582

East Benewah Council for Aging 711 Jefferson, St. Maries, 208-245-3546 Fernwood Senior Center Highway 3, 208-245-3392 Frank Chapin Senior Center 339 W. Jackson, Priest River 208-448-2352 Harrison Senior Citizens Center 103 W. Pine, 208-689-3557

Rathdrum Senior Citizens, Inc. 8037 Montana St., 208-687-2028 Rose Lake Senior Meal Site Old Rose Lake School House, Hwy 3208-752-1194 Sagle Seniors, Inc. 70 Walker Way, 208-255-7409 Sandpoint Area Seniors, Inc. 820 Main St., 208-263-6860

Hayden Senior Gems 9428 N. Government Way, 208-762-7052

Silver Valley Seniors, Inc. 726 E. Mullan Ave., Osburn, 208-752-1194

Heron Community/Senior Center 155/170 Railroad Ave., 406-847-2520

Spirit Lake Seniors 218 N. 4th Ave., 208-623-6125

Kellogg Senior Center 107 McKinley Ave., 208-783-4581

St. Maries Senior Center 605 Main St., 208-245-3032

Kellogg Senior Meal Site Shoshone Apts. 411 Bunker, 208-752-1194

Tensed Community Center 250 Third. 208-247-2851

Kootenai Senior Center 304 N. 3rd St., Troy, MT, 406-295-4140

Thompson Falls Senior Center 1191 Mt. Silcox Rd.. 406-827-3457

Lake City Center 1916 Lakewood Dr., Coeur d’Alene 208-667-4628

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Priest Lake Senior Center 26506 Hwy 57, 208-443-0153

Trout Creek Senior Center 10 Larch St., 406-827-4461 Troy Senior Center 304 3rd St., 406-295-4140

Mullan Senior Meal Site The Morning Club 117 Hunter Ave. 208-752-1194

Wallace Senior Center 621 Cedar St., 208-752-1194

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

Worley Senior & Community Center 9936 W. E St., 208-686-1258

Wise Guide | Spring / Summer 2016

Alzheimer’s Association Support Groups for Caregivers of Those with Dementia, Alzheimer’s & any Related Disorder are held throughout the entire North Idaho & Inland Northwest region! They are facilitated by professionals and volunteers. Don’t see one near you? Call: 208-666-2996 to find one. feelings; and make tough caregiving decisions.

Class participants also receive a copy of The Caregiver Helpbook, developed specifically for the class. Classes are offered in Coeur d’Alene. If you are interested, please call 208-666-2996 for the schedule.

Sandpoint Senior Center 820 Main St. 1st & 3rd Thursday @ 1 - 2 pm Facilitator: Jan Griffiths 208-290-1973 Free respite care available at DayBreak Center next door during group session with advanced reservation. 208-265-8127

Kootenai County Area: EARLY STAGE SUPPORT GROUP for people with dementia & their family

Benewah Community Hospital, St. Maries 229 S. 7th Street (Tamarack Room, near the ER) 3rd Friday @ 3 p.m.

Facilitators: Aline Rohde, MSW 208-659-6719 & Dawn Cook, LPN 208-651-2165 Brookdale at Coeur d’ Alene 205 E. Anton Ave. (off of Government Way near Les Schwab) 1st Wednesday @12 Noon (lunch free & provided by Brookdale) Facilitators: Ann Thomas, MEd. 503-490-1143 & Rena Bradymire, MEd. 208-704-5045 Kootenai Health Medical Center, Coeur d’Alene Main Building – Main Floor Classrooms 3rd Saturday @ 1:30 – 3:30 pm Facilitators: Arlene Sleigh 772-2542 & Connie Clark, CSA 769-9560 The Inn at Guardian Angel Homes 1136 E. Mullan Avenue, Post Falls 2nd Thursday @ 5:30–7 pm (dinner free & provided by Guardian Angels) Facilitators: Anita Grimm, RN 208-777-7797 Powerful Tools for Caregivers Classes Powerful Tools for Caregivers provides a practical approach to dealing with caregiver stress, prioritization, challenging family communication and planning. In the six weekly classes, caregivers develop a wealth of self-care tools to: reduce personal stress; change negative self-talk; communicate their needs to family members and healthcare or service providers; communicate more effectively in challenging situations; recognize the messages in their emotions, deal with difficult

EARLY STAGE SOCIAL ENGAGEMENT PROGRAM for people with dementia & their family Please contact the Alzheimer’s Association branch office in Coeur d’Alene to register for these groups or for further information: 208-666-2996

YOUNGER ONSET (Younger than 65 yrs. old) Coeur d’Alene - Bakery By The Lake conference room, N.W. Corner of 7th & Front Sts. (across from public library) 3rd Tuesday @ 3:30 - 5 pm Facilitator: Ene Gaines 415-0366

VETERANS’ CAREGIVERS Post Falls American Legion Post 143 1138 E. Poleline Ave., Post Falls 1st Thursday @ 2 – 3:30 pm Facilitators: Connie Clark, CSA 208-769-9560 & Mary Thomas 208-964-9357

TELEPHONE CAREGIVER SUPPORT GROUP

Group sessions by phone, call the 24/7 Helpline at 800-272-3900 for schedules.

ONLINE: ALZConnected (alzconnected.org) an online social networking community for people with Alzheimer’s, their caregivers and others affected by the disease.

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Directory Listings

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

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

It’s time to take steps to a better life…

DRUG, ALCOHOL & DUI EVALUATIONS COURT ACCEPTED TREATMENT GROUP OUTPATIENT SERVICES • Full Outpatient Psychiatric and Mental Health Services • Outpatient Treatment & Medication for Opioid Addiction • Comprehensive Employer Assistance Services also available • Medicaid, Most Insurances, BPA, Private Pay w/Sliding Scale Fees

Rathdrum Counseling Center, LLC 208-687-0538 14954 Coeur d’Alene St. Rathdrum, ID

www.rathdrumcounseling.com

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Area Agency on Aging of North Idaho... 208-667-3179 Toll Free.................................................. 800-786-5536 2120 Lakewood Dr., Ste. B, CdA • aaani.org 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!

Compassionate Care Referral Service... 208-660-9982 compassionatecarereferral.com I can refer you to the best fit for your Assisted Living, Senior, and Disabled Care Services needed. Through mutual discussion and needs assessment, I will create for you a customized short list of possible solutions.

Disability Action Center NW.................. 208-664-9896 Toll Free.................................................. 800-854-9500 3726 E. Mullan Ave., PostFalls dacnw.org DAC NW is a local Center for Independent Living which offers a variety of services from peer-to-peer independent living support, medical equipment exchange, help with self-advocacy, and access to assistive technology.

Goodwill Industries - Workforce & Family Services 204 Larkspur St., Ponderay.................... 208-265-1984 1221 W. Ironwood Dr., Ste. 101, Coeur d’Alene......................................... 208-667-6463 130 E. Third Ave., Spokane, WA.............. 509-462-0513 www.discovergoodwill.org Goodwill has been helping people in the Inland Northwest overcome barriers to independence since 1939. Goodwill provides employment programs, independent living services, supportive services for veterans who are homeless, youth mentoring and more.

Programs are funded by our retail thrift stores.

Idaho Legal Aid....................................... 208-667-9559 610 W. Hubbard St., Ste 219 Coeur d’Alene idaholegalaid.org A non-profit law firm providing free civil legal assistance to eligible low-income Idahoans helping with critical legal problems such as escaping domestic violence and sexual assault, protecting abused and neglected children, preserving housing, helping vulnerable seniors and stopping discrimination.

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

SHIBA (Senior Health Insurance Benefits Advisors) ................................................................ 800-247-4422 2005 Ironwood Pkwy, Ste. 143, Coeur d’Alene SHIBA.idaho.gov SHIBA is a division of the Department of Insurance.

SHIBA counselors offer free education and assistance about Medicare benefits, plan choices and billing.

SHIBA counseling is done by phone, email, or at community partner locations throughout Idaho.

Counseling Heritage Health Mental Health............. 208-769-4222 2025 W. Park Pl., Ste B, Coeur d’Alene Family Support Services........................ 208-620-5210 2201 Ironwood Pl., Ste.100, Coeur d’Alene myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Life Choices Pregnancy Center............. 208-263-7621 502 N. 2nd Ave., Sandpoint lifechoicespc.org Offering free & confidential pregnancy testing, ultrasound imaging, options education and parenting/ life skills for women and men facing unplanned pregnancy, assistance for women struggling with past abortion or miscarriage, and guidance for young ladies who are wrestling with sexual integrity.

Rathdrum Counseling Center, LLC....... 208-687-0538 14954 Coeur d’Alene St., Rathdrum rathdrumcounseling.com Rathdrum Counseling Center is a full outpatient substance use disorder and mental health treatment clinic. We focus on client strengths, needs, abilities, and strive to encourage least restrictive interventions that are culturally sensitive, cost effective and within your own community.

Kid’s Grief Camps

Helping Children Cope with Grief June 17-19th. FREE Weekend Camp Experience for ages 8-17 in Clark Fork from 2:00 pm Friday - 12:00 noon Sunday. Contact: Lissa DeFreitas 208-265-1185

Camp Kaniksu – July 8-10th. FREE Camping

Experience for ages 7-15 at Camp Lutherhaven on Lake Coeur d’Alene Contact: 208-772-7994, honi.org

“I may be disabled, but I can try to do anything” Multiple Sclerosis Advocate Meeting Monthly Call or email for more details: beth@mswobbles.com

208-818-2150

Adult Day Care for those with Alzheimer’s & other types of Dementia • Personalized Activities • Lunch and Snacks • Caregiver Resources • Flexible Hours Providing a much needed break and support for caregivers 820 Main Street • Sandpoint Please call to schedule a visit:

208-265-8127

www.daybreakhouse.org a service of Sandpoint Area Seniors, Inc. • www.sandpointareaseniors.org

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Directory Listings Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Mental HealtH & addictions treatMent, trauMa specialist, cHildren, adolescents, adults, couples and FaMilies Idaho & Montana Medicaid, BPA Funding, Veteran’s Services, Private Insurance, Sliding Fee Scale and Private Pay

6807 Cody Street • Bonners Ferry 208-267-0900 • rawlingscommunitycounseling.com Rawlings Community Counseling........ 208-267-0900 6807 Cody St., Bonners Ferry 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.

Dental Benjamin D. Hull, DDS.......................... 208-263-1412 Michael G. Durnin, DDS 1323 Hwy 2, Ste. 301, Sandpoint ivorydds.com 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!

Heritage Health Dental Care Appointments in both locations.......….208-620-5250 1090 W. Park Pl., Coeur d’Alene 413 Pine Street, Wallace myheritagehealth.org

Marshall A. Arbo, DDS............................ 208-267-5187 5246 Westside Road, 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.

Education & Recreation NorthWest Recumbent Cycles............... 208-818-5491 Gary@NWrecumbentcycles.com We specialize in getting anyone riding cycles, especially those with special needs. We build custom bikes and trikes for those with almost any disability.

Come on out to Post Falls and play on many models of the most stable and comfortable bikes and trikes in the world. Call for appointments.

North Idaho Massage Academy............. 208-265-1933 1315 W. Hwy 2, Suite 4, Sandpoint nimassageacademy.com One of the Most Comprehensive Massage Therapy Certification Programs in the Region. Low Enrollment Costs, Creative Financing Options to Help You Graduate Debt Free!

Hands-on Curriculum, Training Labs & Clinics. Earn Your Massage Therapy Certificate in 14 Months, Job Placement Assistance upon Graduation.

“The Adventures of a Helicopter Pilot Flying the H-34 Helicopter in Vietnam for the United States Marine Corps” by Bill Collier, USMCR The true, spellbinding account of Sandpoint resident Bill Collier’s experiences piloting a Marine Corps H-34 helicopter in combat during the Vietnam War. Available online at Amazon.com

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

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Caring Transitions Inland Northwest... 208-443-7101 1869 E. Seltice Way, #289 Post Falls caringtransitionsinlandnw.com We understand that any downsizing or de-cluttering project can be overwhelming. As the nation’s largest professional resource for downsizing, de-cluttering and household liquidation, your Caring Transitions team provides a total solution for sorting, organizing, donations, shipments, packing, Estate Sale and Online Auction.

Treasures A to Z..................................... 509-447-0418 Store: 317 S. Union Ave., Newport, WA Estate Sales ........................................... 208-946-0334 facebook.com/Treasures/AtoZ Featuring consignment antiques & vintage collectibles, handmade goods, local artists’ work. We have something for everyone! We also consult, provide pricing assistance, plan and hold Estate Sales at homes throughout the region. Open 10-6 Every Day!

Gifts & Shopping

Audiology Research Associates 700 Ironwood Dr., Ste. 220, Cd’A............ 208-765-4961 123 S. 3rd Ave., Ste. 9, Sandpoint........... 208-255-4389 hearingtricities.com Serving North Idaho for over 20 years. We help you hear better! Hearing evaluations for adults and children. We sell the most advanced digital hearing aids available and each hearing aid comes with 3 to 5 years free batteries.

The Artisan Gallery 53 Wisconsin St., Priest River................ 208-304-4656 artisangallery.biz facebook.com/theartisangalleryPR A true destination for the public that showcases local artists; an eclectic mix of mediums and styles, from FOLK ART to FINE ART. Enjoy art demonstrations and meet the artists throughout the summer season.

Check the website or Facebook page for event schedule. Summer hours – Monday thru Saturday.

Goodwill Industries Retail Stores 204 Larkspur St., Ponderay.................. 208-265-1980 1212 N. 4th St., Coeur d’Alene............... 208-664-2552 317 Seltice Way, Ste. A, Post Falls.......... 208-773-6181 202 E. Third Ave., Spokane ................... 509-444-2396 9832 N. Nevada, Spokane ...................... 509-466-2012 13721 E. Sprague Ave., Spokane........... 509-928-4032 2927 E. 27th Ave., Spokane ................... 509-321-0478 168 N. Main, Colville............................. 509-684-6162 Goodwill Outlet Store 1406 E. Front St., Spokane .................... 509-279-2916 Online Shopping with Goodwill shopgoodwill.com stores.ebay.com/gwspokane etsy.com/shop/GoodwillSpokane Goodwill has been helping people in the Inland Northwest overcome barriers to independence since 1939. Goodwill provides employment programs, independent living services, supportive services for veterans who are homeless, youth mentoring and more. Programs are funded by our retail thrift stores.

Hearing & Vision

Idaho Commission for the Blind & Visually Impaired................................... 208-769-1419 229 E. Locust Ave., Coeur d’Alene • 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.

&

Hospice of North Idaho Thrift Stores 1823 N. 4th St, Coeur d’Alene................ 208-667-5128 503 E. Seltice Way #5, Post Falls............ 208-773-5076 honi.org Shop our huge selection of high quality, gently used items from furniture, books, electronics, craft supplies, kitchenware, linens, clothing, shoes, accessories, and much more. All proceeds go to Hospice of North Idaho, the community’s non-profit hospice.

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Directory Listings

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

Hospice of North Idaho.......................... 208-772-7994 9493 N. Government Way, Hayden honi.org We provide end-of-life care to anyone in our community regardless of their ability to pay. We are a non-profit hospice serving the seriously ill and those touched by loss since 1981.

Hospice

Hospitals & Medical Care

Auburn Crest Hospice 1221 W. Ironwood Dr., Coeur d’Alene... 208-665-8111 6371 Kootenai St., Bonners Ferry.......... 208-267-0579 auburncrest.com We admit quickly upon doctor’s orders, equipment delivered within 4 hours.

We listen to our patients, loved ones and caregivers to develop a care plan with the wishes of the patient first, allowing patients to live out their lives with trust, dignity, comfort and compassion.

Bonner General Health.......................... 208-263-1441 520 N. 3rd Ave., Sandpoint Bonner General Immediate Care.......... 208-265-3751 400 Schweitzer Plaza Rd., Ponderay 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.

Bonner Community Hospice................. 208-265-1179 A service of Bonner General Health 520 N. 3rd. Ave., Sandpoint • 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.

Crest Home Health and Hospice........... 208-765-4343 700 Ironwood Dr., Ste. 210, Coeur d’Alene rmcare.com/crest-home-health As members of our communities, our mission is to provide accurate information on services available, deliver compassionate health care and to improve the quality of life to all those entrusted in our care.

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Heritage Health Medical Centers 1090 N. Park Pl.,Coeur d’Alene.............. 208-292-0292 117 Terrill Loop, Mullan......................... 208-783-1267 925 E. Poston Ave., Post Falls................. 208-618-0787 14775 N. Kimo Ct., Ste.B, Rathdrum..... 208-687-5627 Mountain Health Care 740 McKinley, Kellogg............................ 208-783-1267 myheritagehealth.org Heritage Health is North Idaho’s premier provider of integrated medical, dental, behavioral health and physical therapy. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community focused approach. Providing high quality, affordable healthcare from the heart is our passion.

Camas Center Clinic.............................. 509-447-7111 1821 W. LeClerc Rd. #1, Cusick, WA 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. Ride Monday-Thursday round-trip from Newport to Clinic.

Suggested donation $1. Call 800-776-9026 for more info.

Fresenius Medical Care.......................... 888-864-4203 Cd’A 2100 Ironwood Ct., Ste. A,............. 208-664-3064 Deer Park, WA 822 S. Main Street.......... 509-276-7338 Hayden Lake........................................... 208-762-4411 7600 N. Mineral Dr., Ste.850, Moscow, 723 S. Main Street.................... 208-882-1817 Post Falls, 1300 E. Mullan, Ste. 1200...... 208-777-6054 Liberty Dialysis, Sandpoint................... 208-643-4488 1210 Washington Street ultracare-dialysis.com The nation’s largest network of dialysis clinics. Our expertise, experience and commitment all combine to provide you with comprehensive services and technologically-advanced care. We’re proud to have helped improve the health of thousands of people living with kidney disease.

Idaho Pain Clinic.................................... 208-263-9757 1327 Superior St., Ste. 101 Sandpoint, ID 11 E. H St., Ste. F, Deer Park, WA 714 W. Pine Street, Newport ,WA idahopainclinic.com Idaho Pain Clinic is a leader in non-operative orthopedics, pain management research, diagnostic procedures and techniques, and effective treatment.

Our physicians are board certified and fellowship trained in pain management and offer the most advanced treatment options available in the U.S.

Kaniksu Health Services 6615 Comanche St., Bonners Ferry....... 208-267-1718 30410 Hwy 200, Ponderay...................... 208-263-7101 6509 Hwy 2, Ste. 101, Priest River......... 208-448-2321 VA Clinic................................................. 208-263-0450 420 N. 2nd Ave., Ste. 200, Sandpoint kaniksuhealthservices.org Kaniksu Health Services is a nonprofit community health center which plays a vital role in Idaho’s safety net by providing medical, dental, behavioral health and VA services to the residents of Bonner & Boundary Counties.

Kootenai Urgent Care Coeur d’Alene......................................... 208-667-9110 700 Ironwood Drive, Ste 170E Hayden, 566 W. Prairie Avenue.................208-772-9110 Post Falls................................................. 208-777-9110 1300 E. Mullan Ave., Ste 600 www.kootenaiurgentcare.com Kootenai Urgent Care of Coeur d’Alene, Post Falls and Hayden specializes in cost effective medical care for minor accidents, injuries or illnesses, including: sprains, minor fractures, sports injuries, infections, burns, and illnesses. Save your spot in line at kootenaiurgentcare.com.

Newport Hospital & Health Services..... 509-447-2441 714 W. Pine St., Newport, WA • phd1.org We provide 24-hour care when you need it! Two primary care clinics offer same day/walk-in appointments.

Other services: Emergency; General Surgery; Obstetrics; Anesthesia; Diagnostic Imaging; Laboratory; Physical, Speech, & Occupational Therapy; Acute Care; Swing Bed; Long Term Care; Assisted Living.

Yo u r H e a l t h c a r e H o m e ♦ ∙ Dental ∙ Behavioral Health ∙ Pediatrics www.kaniksuhealthservices.org ♦

Medical

Sliding fee for uninsured.

We also take Medicaid, Medicare & all insurances

Accepting New Patients Same Day Appointments Medical, Dental, Behavioral Health, Pediatrics 6615 Comanche Street Bonners Ferry, ID 83805 (208) 263-7101

∙ Veterans Clinic

Medical, Dental, Behavioral Health, Pediatrics, VA 30410 Hwy. 200 Ponderay, ID 83852 (208) 263-7101 (208) 263-0405 VA Clinic

Medical, Behavioral Health, Pediatrics 6509 Hwy. 2, Suite 101 Priest River, ID 83856 (208) 263-7101

Pediatrics, Behavioral Health 420 N. 2nd Ave., Suite 100 Sandpoint, ID 83864 (208) 265-2242

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Directory Listings

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

Pain Management of North Idaho......... 208-765-4807 1686 W. Riverstone Dr., Coeur d’Alene • cdapain.com Pain Management of North Idaho is Coeur d’Alene’s only comprehensive Pain Management Center where patients have access to two fellowship-trained interventional pain physicians and a multidisciplinary team.

Stem Cell Centers................................... 208-667-7246 223 W. Ironwood Dr. ,Coeur d’Alene stemcellcenters.com Our mission at Stem Cell Centers is to help our patients live pain free and do so naturally without the use of narcotics, pills, steroids or surgery. We use stem cells in your own body to heal damaged tissue and treat joint pain and neuropathy.

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

Rockwood Clinics Heart & Vascular Center........................ 208-765-2610 980 W. Ironwood Dr., Ste. 205 Coeur d’Alene Kidney & Hypertension Center............. 208-666-9541 700 W. Ironwood Dr., Ste. 375 Coeur d’Alene Post Falls Specialty Center..................... 208-457-1850 Northwest Medical Office Bldg 750 N. Syringa St., Ste. 204 Post Falls Liberty Lake Clinic & Urgent Care......... 509-755-6760 1326 N. Stanford Ln., Liberty Lake, WA Deer Park Clinic..................................... 509-755-5424 20 E. J St., Deer Park, WA rockwoodclinic.com Rockwood offers patients primary care, urgent care and multi-specialty care from over 75 locations throughout the Greater Spokane and North Idaho region. Rockwood is the largest freestanding outpatient diagnostic and treatment center between Central Washington and Minneapolis with the most comprehensive and skilled medical and health care experts.

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Independent & Assisted Living, Adult Day Care Bestland Senior Living Community...... 208-665-1600 606 E. Best Ave., Coeur d’Alene • bestlandcda.com Bestland Senior Living offers 3 home-cooked meals per day, weekly housekeeping with linens, transportation, all utilities, wi-fi, and cable TV at one low rate. We are a smaller community offering residents a warm and loving atmosphere where they truly feel at home!

Boundary Community Restorium........ 208-267-2453 6619 Kaniksu St., Bonners Ferry boundarycountyid.us Our facility accommodates 52 residents with 24hour care, home-cooked meals, help with shopping, medications, and bathing, rides to appointments. All inclusive rates. Medicaid accepted. We offer an array of activities for our residents and adult daycare is available.

Brookdale at Coeur d’Alene................... 208-667-6490 205 E. Anton Ave., Coeur d’Alene • brookdale.com We offer newly remodeled, all inclusive, independent and assisted living; studios, deluxe studios, one and two bedroom apartment and stand-alone cottages.

We pride ourselves on a full, active, life enrichment program, delicious meals presented restaurant style, housekeeping, transportation to appointments, shopping and other excursions.

DayBreak Center.................................... 208-265-8127 820 Main Street, Sandpoint • daybreakhouse.org DayBreak provides quality daytime care for individuals with memory impairments allowing caregivers a much needed break. In addition to offering a safe, responsive, and homey environment for your loved ones, the professionals at DayBreak provide activities that stimulate memory, health and socialization.

Garden Plaza of Post Falls...................... 208-773-3701 545 N. Garden Plaza Ct., Post Falls gardenplazapostfalls.com The finest in Independent and Assisted Living with stunning surroundings, unparalleled service and lavish amenities, our residents are proud to call Garden Plaza home. We are committed to our residents enjoying a carefree lifestyle. You will love it here, and we welcome the opportunity to meet you!

The Lodge Assisted Living...................... 208-457-3403 52 N. Cedar St., Post Falls 58 N. Cedar St., Post Falls 3989 N. Player Dr., Coeur d’Alene • lodgeliving.net We provide the most dignified environment for aging members of our community. Our highly trained staff and loving environment is perfect for you or your loved one with additional care needs. Our communities are custom built and locally owned offering comfort, security, convenience to our family of residents.

National Church Residences Senior Housing....................................... 208-762-9809 Hayden Crossing 88 W. Sargent, Hayden Coeur d’Alene Senior Apartments 7712 N. Heartland Dr., Coeur d’Alene Heartland Crossing 7745 N. Heartland Dr., Coeur d’Alene Prairie Run 7760 N. Heartland Dr., Coeur d’Alene nationalchurchresidences.org National Church Residences offers affordability, and a commitment to excellence and offers our residents the quality of life they desire and deserve.

Thoughtfully designed and well built in an affordable caring community. Our residents include seniors of all income levels.

River Mountain Village Assisted Living.509-447-2903 608 W. Second Ave., Newport, WA • phd1.org A beautiful 42 unit studio & one-bedroom apartment community for an active, independent lifestyle. Enjoy the cozy fireplace, a stroll along a lovely landscaped walking path, and a variety of daily activities to meet the individual needs of our residents.

• Comfort THE • Security PERFECT • Convenience CHOICE FOR THE HIGHEST Call us STANDARD today: IN ASSISTED LIVING

208-457-3403 www.LodgeLiving.net

Rose Terrace Country Homes................ 208-623-6154 5672 W. Rhode Island, Spirit Lake Rose Terrace Cottages............................ 208-665-0580 632 N. 21st St., Coeur d’Alene • 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.

Sandpoint Assisted Living..................... 208-265-2354 624 S. Division St., Sandpoint sandpointassistedliving.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.

Westwood Pines..................................... 208-457-3743 123 S. Westwood Dr., Post Falls westwoodpines.com A well-appointed and comfortable Certified Family Home offering full time (24/7) care for Seniors who require more attention and a small family environment. Full service assisted living arrangement providing healthy meals, activities and lots of loving care. Call Peggy for more information.

Locally owned and operated

Three Convenient Communities: • The Lodge at Riverside Harbor I: 52 N. Cedar St., Post Falls, ID • The Lodge at Riverside Harbor II: 58 N. Cedar St., Post Falls, ID • The Lodge at Fairway Forest: 3989 N. Player Dr., Coeur d’Alene, ID

Welcome to a place you’ll truly love to call home.

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Directory Listings

In-Home Health & Personal Care Access Care at Home 610 W. Hubbard St., STE 133, Cd’A......... 208-665-9473 120 W. Cameron Ave., STE 5, Kellogg .... 208-783-0100 519 High St., Priest River ....................... 208-448-4084 info@accesscareathome.com We are accepting new clients. Customized individualized plans for personal care, home care and companion care to help you stay living in your home.

Plans are tailored to YOUR needs. Highly trained employees with complete background screening. Call us today for your free consultation!

Addus Health Care................................. 208-667-2309 850 W. Ironwood Dr., Ste. 101, Coeur d’Alene addus.com Since 1979 we have been providing quality inhome care; companionship, light housekeeping, meal preparation; transportation to appointments, bathing assistance, medication reminders. Our costeffective services are designed to improve health and well-being and make your choice easier to remain independent at home.

Advanced Care Northwest, LLC ............ 208-263-3225 Serving All of North Idaho advancedcarenorthwest.com Promoting safe and independent living, we are committed to providing compassionate and enjoyable personal care services to Seniors, Children, and Individuals with intellectual and developmental disABILITIES. Accepting BlueCross/TrueBlue, Medicaid/Medicare, Veteran, and most Private Insurance carriers. Call today for a FREE in-home consultation!

August

Home Health • Bath Aide • Meal Prep • Housekeeping • Transportation • Med Reminders

Customize your own plan today!

Let the Sun Shine!

Medicaid Accepted

www.AugustHH.com

208-664-0858 72

Serving North Idaho since 1994

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August Home Health, Inc ...................... 208-664-0858 Toll free................................................ 1-800-664-0838 2005 Ironwood Pkwy #227, Coeur d’Alene augusthh.com New clients call Lynn our Supervising Nurse to schedule a visit! A Medicaid and Veteran approved Agency we hire and screen local caregivers (even family members) to provide assistance for Seniors struggling with tasks or the disabled of any age. If you are selecting an Agency to provide care, or know someone who needs help give us a ring. There is no obligation.

We simply love what we do!

Bonner General Health Home Health Services ........................... 208-265-1007 520 N. 3rd Ave., Sandpoint • bonnergeneral.org Providing skilled, intermittent care in the home. 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.

Boundary Personal Care........................ 208-267-5070 6821 Main Street, Bonners Ferry Dawn Pownall is all about her hometown. A Medicaid and Veteran approved Agency we hire and screen local caregivers (even family members) to provide assistance for Seniors struggling with tasks or the disabled of any age. If you are selecting an Agency to provide care, or know someone who needs help give us a ring. There is no obligation. We simply love what we do!

Cabinet Mountain Home Care.............. 406-293-4600 Serving Lincoln & Sanders Counties, Montana gperkins@cmhcmt.com We provide personal care and homemaking services throughout Lincoln and Sanders Counties in Montana.

Our caregivers are highly trained and have complete background screening. Stay living in your home with customized individualized plans providing the services YOU want. Call today for your free consultation!

Crest Home Health and Hospice........... 208-765-4343 700 Ironwood Dr., Ste. 210, Coeur d’Alene rmcare.com/crest-home-health As members of our communities, our mission is to provide accurate information on services available, deliver compassionate health care and to improve the quality of life to all those entrusted in our care.

Legal

1st Choice Personal Assistant Services. 208-664-9896 Toll Free.................................................. 800-854-9500 3726 E. Mullan Ave., Post Falls dacnw.org/PAS With 1st Choice you continue to make your own decisions and live the way you choose. Select personal assistants you enjoy having in your home, assisting you the way you want. We take care of payroll, workers comp, insurance, taxes and ongoing training. 1st Choice is a program of Disability Action Center NW. Idaho Partners In Care, LLC.................. 800-576-1825 820 Elm Dr., St. Maries........................... 208-245-5920 Serving all of Idaho’s 10 northern counties.

Providing services that reduce the difficult and stressful aspects of living at home. With a list of caregivers or if you have a relative or friend you would prefer, it is possible they could become a member of IPIC and provide you with your services.

Omnia Health Services.......................... 208-907-1790 305 N. Lincoln. St. Ste. B, Post Falls • omniahs.com “Loving care from our family to yours” is our company motto, our mission statement and it’s how we work every day here at Omnia. We are a locally-owned small agency dedicated to treating our patients, clients and employees like family.

Insurance Humana MarketPoint............................ 208-215-5817 Christopher “Chris” Murphy, Sales Associate 1300 N. Washington St., STE 3500, Spokane cmurphy16@humana.com Humana is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people Humana serves across the country.

Spears Insurance, Inc............................. 208-610-8096 102 S. Euclid Ave., Ste. 103, Sandpoint 1121 Mullan Ave., Ste.208, Coeur d’Alene cspears4insurance.com There are many types of benefit plans. Which one is right for you? Let’s first understand the basics of Medicare in plain simple language, and then discuss other factors to finding the right coverage for you. Call me today to schedule your appointment.

Crandall Law Group............................... 208-772-7111 8596 Wayne Dr., Ste. B, Hayden crandalllawgroup.com The Crandall Law Group is a boutique law firm offering highly specialized, top quality legal services to clients in the Inland Northwest region in the areas of estate planning, business, elder law, probates, guardianships, tax and business succession planning. We offer free initial consultations during which we will review your estate, discuss your needs, and explain your planning options.

Kootenai Law Group, PLLC.................... 208-765-6555 350 E. Kathleen, Ste. 300, Coeur d’Alene kootenailaw.com We guide people through the complexities of elder law issues, estate planning, Medicaid eligibility, wills and trusts, special needs trusts, powers of attorney, guardianships and probate. We offer flat fee billing for most services. Call to schedule a FREE consultation or review of your estate plan.

Law Office of Denise Stewart................. 509-447-3242 414 W. 3rd St., Newport WA Elder Estate Planning including Trusts, Wills, Long Term Care Calculations, Health Care Powers of Attorney, Living Wills, Advance Directives, Asset Preservation, Medicaid Planning, Probate and Trust Administration. Serving Idaho and Washington.

Wytychak Elder Law............................... 208-765-3595 314 E. Garden Ave., Coeur d’Alene wytychakelderlaw.com Since 1987, Wytychak Elder Law, PLLC has provided the senior and disabled population of North Idaho and their families with individualized service to help them through difficult issues related to Estate Planning, Probates, Trusts, Guardianship, and planning for Long Term Care and public benefits.

Massage & Health Maintenance Highlands Day Spa ................................ 208-773-0773 4365 Inverness Drive, Post Falls highlandsdayspa.com Highlands North Day Spa...................... 208-263-3211 1315 W. Hwy 2, Suite 5, Sandpoint highlandsnorthdayspa.com From head to toe, our professional massage therapists, skin and nail technicians will pamper you with a full range of spa and beauty treatments, including massage and reflexology, facial and body treatments, and manicures and pedicures. Make us part of your health regimen.

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Directory Listings

Personal Emergency Systems Kootenai Health Lifeline ....................... 208-625-5020 2003 Kootenai Health Way, Coeur d’Alene pfairfield@kh.org Leader of personal emergency response services the only non-profit provider in North Idaho. Lifeline provides peace of mind and access to emergency help at the touch of a button.

Newport Alarm & Medical..................... 509-447-4903 Toll free................................................... 800-938-4184 320 S .Washington Ave., Newport, WA 8160 N Cornerstone Dr., Ste. D, Hayden (inside Exbabylon) • newportalarm.net Offering monitored wireless personal emergency response systems with free personalized setup, training and easy to wear pendants— help you need when you need it. GPS, Fall Sensors and Medication Dispensers available! Serving North Idaho and Eastern Washington. Washington Medicaid approved.

Pharmacies, Medical Equipment & Supplies Medicine Man Pharmacy Bonners Ferry 6452 Main St. (in Super-1) ................................................................ 208-267-4021 Sandpoint 624 Larch St. (in Super-1).... 208-597-7466 Rathdrum 15837 Westwood Dr. (in Super-1) ................................................................ 208-687-5717 Hayden 8093 N. Cornerstone Drive....... 208-762-9355 Hayden 240 W. Hayden Ave (in Super-1).208-772-3311 Coeur d’Alene 305 W. Kathleen (in Super-1) ................................................................ 208-765-2268 Coeur d’Alene 1114 Ironwood Drive..... 208-666-2502 Post Falls 802 E. Medical Court.............. 208-773-3566 Post Falls 805 E. Polston Ave. (in Super-1) ................................................................ 208-777-7732 medmanpharmacy.com At Medicine Man Pharmacy we work to improve your health and the health of our community. You’ll find more than a place to fill your prescriptions: You’ll receive personalized care, answers to your questions and exceptional customer service. Visit our website to find a Medicine Man near you.

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Sandcreek Medical................................. 208-263-3713 306 1/2 N. 1st Ave., Sandpoint (behind Panida Theater) 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 Ave., Sandpoint superdrugsandpoint.com We strive to provide the highest quality home health care equipment, supplies and services, while being competitive on product and pricing. We offer goods and services unique to our community, with the comfort and independence of our customers in mind.

Medicare approved!

Rehabilitation & Skilled Nursing Kindred Mountain Valley Care & Rehabilitation........................................ 208-784-1283 601 W. Cameron, Kellogg • mountainvalleycare.com Our staff of medical specialists, nurses, nutritionists, therapists, dietitians and social workers establish a comprehensive treatment plan from short-term rehabilitation to long-term care. Patients and residents receive the care they need, the restorative therapy they require, and the support they and their families deserve.

LaCrosse Health & Rehabilitation......... 208-664-2185 210 W. LaCrosse Ave, Coeur d’Alene lacrosseskillednursing.com A leading provider of long-term skilled nursing care and short-term rehabilitation solutions. Our 109 bed center offers a full continuum of services and care focused around each individual in today’s everchanging health care environment. Medicare and Medicaid certified.

Life Care Centers of North Idaho 500 W. Aqua Ave., Coeur d’Alene............ 208-762-1122 460 N. Garden Plaza Ct., Post Falls........ 208-777-0318 1125 N. Division St., Sandpoint............. 208-265-9299 LCCA.com Life Care Centers of North Idaho specialize in long term care, special needs and dementia care, post-operative and acute illness restorative nursing and therapy, 24/7 admissions. Respite stay is also available. Semi-private and private rooms. Schedule your tour today!

Newport Hospital Long Term Care & Skilled Nursing.................................... 509-447-2464 714 W. Pine St., Newport, WA • phd1.org Our Long Term Care offers both long and short term skilled nursing and restorative care. We provide skilled nursing 24 hours a day, coordinating care with local physicians.

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

Whispering Pines at Ivy Court............... 208-667-6486 2200 Ironwood Pl., Coeur d’Alene ivycourtskillednursing.com A leading provider of long-term skilled nursing care and short-term rehabilitation solutions. Our 80 bed facility offers a full continuum of services and care focused around each individual in today’s ever-changing healthcare environment.

Now IN PrINt!

The true, spellbinding account of Sandpoint resident Bill Collier’s experiences piloting a Marine Corps H-34 helicopter in combat during the Vietnam War.

“The journal of an honest, down-to-earth and courageous American in some of the most difficult circumstances in this nation’s history.”

-Ben Stein, former speechwriter for President Richard Nixon

AVAILABLE At LoCAL BooKStorES oNLINE At AMAZoN.CoM or KEoKEEBooKS.CoM

Veterinary & Animal Care American Heritage Wildlife Foundation 208-266-1488 AHWF.org The only 501c3 non-profit in the Panhandle working with all native wildlife species, through rehabilitation of injured or orphaned wildlife. The primary wildlife care specialist is a member of the National Wildlife Rehabilitators Association and International Wildlife Rehabilitation Council and holds rehabilitation permits with the US Fish and Wildlife Service Migratory Bird Department and Idaho Department of Fish and Game.

If you find an animal in need - Don’t wait! Call Us First!

- you risk their survival with any delay in seeking proper care - WE KNOW WHAT TO DO! Bonners Ferry Veterinary Clinic............ 208-267-7502 Emergency Phone.................................. 208-444-1024 6657 Main St., 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.

Complete Veterinary Services for Small & Large Animals

24-HOUR EMERGENCY 208-444-1024

Roland H. Hall, DVM Chad A. Burt, DVM 8:30 - 5:00 M-F 8:30 - 1:00 Sat.

6657 MAIN BONNERS FERRY 208-267-7502

Bonners Ferry Veterinary Clinic

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Not Just Another Squirrel

by Kathleen St. Clair – McGee American Heritage Wildlife Foundation Inc. Founder and Board of Directors President

Y

ou may think ‘just another robin’ (or squirrel) but each individual animal plays a role in the survival of all the animals. All species are vital to maintaining our healthy and complex ecosystem. Once a key piece of the ecosystem is gone it cannot be replaced.

Consider the metaphor of removing nuts and bolts from an airplane, how many can be removed without losing the integrity of the plane?

Some of our wildlife patients at the American Heritage Wildlife Foundation (AHWF) are abundant today, but wildlife biologists are reporting a startling decline in many of these native wildlife species.

Each year we receive an average of 250 phone calls reporting a wild animal in need. Our volunteer staff and summer interns contribute between 2,500 and 3,500 hours annually, responding to these calls, caring for the animals. In 2015, our three interns tallied

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almost 800 hours in just 4 months.

The American Heritage Wildlife Foundation began with two zoo keepers discussing their mutual desire to work with native wildlife. In 2001, they formed the first non-profit 501(c)3 in the Panhandle of North Idaho with the mission to provide rehabilitative care for all species of native wildlife and provide community education.

The vision of the founders is to create the first Inland Northwest Nature Center. The presence of Nature Centers in any community not only preserves the integrity of the wildlife population but also provides positive economic impacts. AHWF exists to keep North Idaho wild; we are supportive of activities such as hunting, fishing, hiking, & birding.

Our annual budget for wildlife care and educational expenses alone is near $10,000. We are not county, state or federally funded; our funding is exclusively from community support, grants and fundraising events. We seek business sponsorship and encourage citizens to become members. The flurry of activity that takes place behind the scenes is due to the efforts of our board of directors. We currently have a few seats open and encourage those interested to sit in on a monthly meeting and consider joining. The applications and questionnaire are available on the www.ahwf.org website.

In addition, you can find information about our group, animals in care, upcoming events, general wildlife information and much more on Facebook, Twitter, Blogger, Pinterest, LinkedIn, Vimeo, You Tube, Referral Key, Guidestar & Great Nonprofits.

You can help us with our mission to support local wildlife in many ways online. Donation buttons are available and fundraising campaigns are detailed on our www.ahwf.org website. Other ways to help are programs like iGive, GoodShop, eBay, Amazon, FredMeyers community partners, Escrip Yokes Market.

Many magazines including Bird Watchers Digest will contribute a percentage to our cause when you subscribe. CafePress has our merchandise and Lulu has our five illustrated books for young readers.

Horned Grebe

AHWF wants everyone to

Aware of their surroundings, Hesitate before approaching any wild animal, Watch for signs of distress; and Follow through with contacting proper authorities be

if an animal is in need. Do not consult the internet to ‘find out how to provide care on your own.’ Knowledge may take minutes to learn but professional experience takes years to earn. If you truly want to help an injured or orphaned animal, contact us at 208-266-1488.

She was brought to us by a rescuer who found her on the roadway one late summer evening. It is not uncommon for Grebes to mistake a roadway for a waterway once the sun has begun to set.

These birds have a unique physiology that renders them basically helpless once on land. The bird was carefully examined for injury and provided specialty rehabilitative care. As it was late in the season, we contacted a facility on the coast that could provide care. We then located a volunteer able to drive this migrating waterfowl to its final destination for release.

Striped Skunk This guy was brought to us by a family that had seen the mother in their yard and allowed her to remain through the spring (they breed in winter).

She began showing her two youngsters around, but then the mother was not seen for a few days leaving the two, 3-week old babies alone. They brought them into the house and consulted the internet to find out how to care for these youngsters. After a week of ‘care’ the skunks’ health was declining.

They contacted AHWF and delivered them to our facility. The female died overnight but the male was treated for external and internal parasites, dehydration and malnourishment. He thrived and was released after a few months of care, giving him the chance to consume the underground wasp nests and all the lawn destroying grubs in an undisclosed neighborhood.

North American Porcupine This young male was found lying beside his mother who had been hit by a car a few days prior.

The rescuer took him home that night, tried to feed him and called AHWF in the morning.

(She meant well but you cannot feed a starving animal.) At the AHWF facility every effort was made to stabilize him, but due to the delays in treatment, the little one just did not have the strength to survive without its mother. He was just over 1.5 pounds.

An average adult weighs between 15 and 25 pounds.

Saw-Whet Owl A logger fell a tree and began limbing it. He noticed an opening and found five saw-whet owl chicks inside. He carefully removed them and placed them in his jacket.

He brought them to our facility and after a few months of care, they were successfully released.

Long Tail Weasel This little male was out on probably one of his first outing adventures with his family one spring morning. A hiker discovered him and thought he was in distress. He picked him up and took him to the nearby vet clinic. They contacted AHWF who sent a volunteer to retrieve the youngster. He was provided rehabilitative care and successfully released. There is a short video listed on Facebook and YouTube.

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Planning Your Doctor Visit

By Jonnie Bradley, Editor

It was requested that a guide to planning for a doctor visit be included in this edition of The Wise Guide.

Rather than re-inventing the wheel, I located this wellorganized information, freely available for reproduction.

You can go online to this link and read it there (and watch a video) or read it here! Online there are also forms to print out to make it easier and those links are included below as well. The only thing not addressed is that someone you trust should go with you, and it would be a good idea to have them take notes so you both can refer back to it later if questions arise. http://nihseniorhealth.gov/talkingwithyourdoctor/ planningyourdoctorvisit/01.html

A Partnership

How well you and your doctor talk to each other is one of the most important parts of getting good health care. Unfortunately, talking with your doctor isn’t always easy. In the past, the doctor typically took the lead and the patient followed. Today, a good patientdoctor relationship is a partnership. You and your doctor can work as a team.

Creating a basic plan before you go to the doctor can help you make the most of your visit.

The following tips will make it easier for you and your doctor to cover everything you need to talk about.

Make a List of Your Symptoms

Talking about your health means sharing information about how you feel. Sometimes it can be hard to remember everything that is bothering you during your doctor visit. Making a list of your symptoms before your visit will help you not forget to tell the doctor anything.

Symptoms can be physical, such as pain, fever, a lump or bump, unexplained weight gain or loss, change in energy level, or having a hard time sleeping.

Symptoms can also involve your thoughts and your feelings. For example, you would want to tell your doctor if you are often confused, or if you feel sad a lot.

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Wise Guide | Spring / Summer 2016

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What to Include

Note Dosages, Frequency, Side Effects

When you list your symptoms, be specific. Your list should include: • what the symptom is • when it started • what time of day it happens and how long it lasts • how often it happens • anything that makes it worse or better • anything it prevents you from doing.

• http://nihseniorhealth.gov/talkingwithyourdoctor/ planningyourdoctorvisit/concerns_to_discuss.pdf

If you do make a list of the medications you take, do not forget to write down how much you take and how often you take it. Make sure to tell the doctor if a dose has changed or if you are taking a new medicine since your last visit.

Write down or bring all your medications even if you think that one or some of them are not important.

The doctor needs to know everything you take because sometimes medicines cause problems when taken together. Also, sometimes a medicine you take for one health problem, like a headache, can cause another health problem to get worse. Write down any medication allergies you have and any bad side effects you have had with the medicines you take. Also, write down which medications work best for you. http://nihseniorhealth.gov/talkingwithyourdoctor/ planningyourdoctorvisit/keeping_track_your_ medicines.pdf

List Your Medications

Your doctor needs to know about ALL the medications you take. Medications include • prescription drugs • over-the-counter (non-prescription) drugs • vitamins, herbal remedies or supplements • laxatives • eye drops •

Sometimes doctors may ask you to bring all your medications in a bag to your visit. Other doctors suggest making a list of all your medications to bring to your visit.

Planning Your Doctor Visit Continued on page 80

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Planning Your Doctor Visit

Any Life Changes?

Continued from page 79

Sometimes things happen in life that are sad or stressful. Your doctor needs to know about any life changes that have occurred since your last visit because they can affect your health. Examples of life changes are divorce, death of a loved one, or changing where you live.

Your list should include all your life changes but does not need to go into detail. It can be short like “had to sell home and move in with daughter.”

To provide the best care, your doctor must understand you as a person and know what your life is like.

Do You Use Assistive Devices?

Be sure to let your doctor know if you use any assistive devices to help you in your daily activities.

Assistive devices can help you see, hear, stand, reach, balance, grasp items, go up or down stairs, and move around. Devices used by older adults may include canes, walkers, scooters, hearing aids, reachers, grab bars, and stair lifts.

What Are Your Everyday Habits?

Be prepared to tell your doctor about where you live, if you drive or how you get around, what you eat, how you sleep, what you do each day, what activities you enjoy, what your sex life is like, and if you smoke or drink alcohol.

Be open and honest. It will help your doctor to better understand your medical conditions and figure out the best treatment choices for you.

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Any Other Medical Encounters?

Also, write down and tell your doctor if you had to go to the emergency room, stay in the hospital or see a different doctor, such as a specialist, since your last visit. It may be helpful to bring that doctor’s contact information.

What Else to Bring

Bring your insurance cards, names and phone numbers of your other doctors, and the phone number of the pharmacy you use. Also, bring your medical records if your doctor does not have them.

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Run It By Tamara

Round Town Rides

by Tamara Jacobson, Compassionate Care Referral Services, Inc.

Q

Tamara, I have been taking care of my husband for years and promised I would keep him in our home. His dementia has gotten to the point of him being incontinent and I am having a difficult time keeping up with his care. How do I honor his wishes?

A

First, know you are not alone and I would suggest finding a local support group through the Alzheimer’s Association. Having some in-home care assistance will help in the short run, but as your husband’s care level continues to increase, you will find yourself to be in a crisis. It is always better to make decisions when there is time to explore options. One that has surprised some folks is the Certified Family Home which is certified with the State and can care for 1-4 residents. It has been a fit for some couples that want to stay together.

Is it time to make a change?

Tamara can help you learn about and understand options to find what works best for your current and future needs.

If you would like to submit a questions and ‘Run It By Tamara’ regarding senior care issues, please email to: RunItByTamara@outlook.com or call 208-660-9982.

There is something so encouraging and comforting just sharing our concerns with one another. I look forward to hearing from you! _______________________________ Tamara Jacobson, a Senior Care Consultant and founder of Compassionate Care Referral Services, Inc., CompassionateCareReferral.com Tamara formed the company as a way to connect area seniors and services in a personal but professional manner. Straight forward comparisons are discussed to fit the individuality of her client.

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A personal approach to evaluating senior care choices to fit your needs and budget.

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(208) 660-9982

www.CompassionateCareReferral.com

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Round Town Rides Will pick you up in Spirit Lake, Athol, Bayview, Rathdrum, Blanchard, Twin Lakes And take you to appointments in Coeur d’Alene, Spokane, etc.

Cost is by donation

208-421-1821

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Discover the right Medicare Advantage or Medigap health plan for you!

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Crossword and Sudoku Answers

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6 / $ , 1 7 5 2 7 7 ( 5 6

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Puzzles on pages 56-57

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83

Greetings from PublicHealthCorps!

‘Aging in Place’ is a term heard more and more frequently as the aging population continues to grow. Here at PublicHealthCorps, we are particularly interested in the health of the aging population, and how we might inspire seniors to take care of themselves so that the dream of ‘aging in place’ can become reality.

These are 10 of the top most helpful and educational resources that I, along with three others on my team, came across. Once you’ve had a chance to review the collection, I invite you to share it with others as you see fit:

Aging in Place - ageinplace.com Aging in Place Home Loan Modification Programs - homeadvisor.com/r/homemodifications-programs-aging-in-place The Aging in Place Initiative - livable.org/program-areas/livable-communities-forall-ages-a-aging-in-place/the-aging-in-place-initiative Technology Innovations That Could Help the Elderly - wsj.com/articles/ technology-innovations-that-could-help-the-elderly-14352245122 Health for Seniors - usa.gov/health 10 Early Signs & Symptoms of Alzheimer’s - alz.org/alzheimers_disease_know_ the_10_signs.asp A Caregiver’s Guide to the Benefits of Cooking with Alzheimer’s culinaryschools.org/blog/cooking-with-alzheimers/ Older Adults & Anxiety - adaa.org/living-with-anxiety-older-adults Seniors & Drugs - NCADD - ncadd.org/learn-about-drugs/seniors-vets-andwomen/241-older-adults Ultimate Guide to Rehab & Medicare - discoveryplace.info/rehab-medicareultimate-guide There is so much we can do to take care of ourselves - and each other - in an effort to promote a long, healthy and enjoyable life!

In health, Patricia Sarmiento Putting the Public Back in Public Health • publichealthcorps

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Call today to schedule a lunch tour.

Sunnyside Queen, Coming Home This work by Maria Larson Finlay (see About the Cover Artist, pg. 4) is of a steam driven craft built by her father. It was donated to the Bonner General Health’s Art for the Soul art program, inspired by Maria’s mother, Marianne Finlay. Prints are available for sale at BGH, 208-2631441. All proceeds go to maintaining the Art for the Soul program at the hospital.

Go see the over 500 works in the amazing collection anytime during regular business hours.

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At Life Care Center of Sandpoint, we offer personalized care programs designed to turn your wellness goals into achievements.

• 24-hour Skilled Care • Inpatient and Outpatient Rehabilitation • On-Site Physician • Respite Services • Wound Management

Joint Commission accredited

208-265-9299

1125 North Division Street Sandpoint, ID 83864 www.LCCA.com

“The Bridge at Sandpoint was there when Mom needed more than I could give.”

“Moving Mom to The Bridge at Sandpoint was the best decision I could have made. She needed attention and monitoring that I wasn’t capable of providing. The Bridge has revitalized my Mom’s health and put my mind at ease.”

Call 208-263-1524 to learn how The Bridge enriches the lives of seniors.

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1123 North Division Street Sandpoint, ID 83864 Guide | Spring / Summer 2016 www.thebridgeatsandpoint.com

Resident Resident Lorna Lorna and and Granddaughter Granddaughter Demarie Demarie