2023 Spring/Summer Vibrant Senior Options Resource Guide

SENIOROPTIONS V ibr a nt

Spring-Summer 2023

Featured Events | Page 5

Diabetes & The Health of Your Feet

Kevin Clarke | Page 10

Selling Home? Minimize Tax!

Carmen Andrew | Page 24

Is Your Deck Safe?

Susie Landsem | Page 36

The Evolution of Phones

Christine Blankenship | Page 50

Table of Contents

Page 3

WE’RE BUILDING A WHATEVER-YOU-WANT-IT-TO-BE KIND OF COMMUNITY

New independent living apartments for those 62 and better — coming in 2025

Be among the first to enjoy retirement at Cascade Village at Smokey Point, a new, modern independent living community that offers a true Life Care contract. Live among lush landscaping where pedestrian walkways connect to courtyards and shared amenity spaces — all in a convenient Marysville location near shopping, restaurants and outdoor adventures.

Amenities include:

• Gourmet dining, cafe & bar

• Fitness room, indoor pool & hot tub

• Arts & crafts studio

• Theater room

• Outdoor pavilion

To reserve your future home, visit josephinecascadevillage.com or contact John Rivera at 360-708-6118 or JohnR@Josephinecc.com

V Our Vision is to provide a Magazine with articles to inspire and a Resource Guide to inform.

V Our mission is to help seniors, families, and care professionals navigate the many options available and to provide inspirational articles to help the Boomer Generation, Silent Generation, and Greatest Generation live a more vibrant life!

Vibrant Senior Options Resource Guide is published semi-annually and can be picked up at approximately 400 locations throughout the region. The publishers of Vibrant Senior Options magazine and website make no claims as to the warranty, safety, availability or reliability of advertiser information and websites, nor do we necessarily endorse the contributing writers' articles. Vibrant Senior Options magazine and website remain as 3rd party non-interested entities with their only responsibility being the maintainers of information supplied in this magazine and on the website. Readers and Advertisers of this publication will not hold Vibrant Senior Options liable for any injury, damage or loss incurred from the use of advertiser information or services. It is the responsibility of readers to complete their own research and review of services offered. No reproduction of any part of this magazine may take place without prior consent of the publisher. Any inaccuracies or typographical errors within this magazine or web contents are unintentional.

Greetings to our readers throughout the beautiful Pacific Northwest! It’s our Spring/Summer Edition, so “Happy Spring and Summer to You!”

As I took to pen in writing this note, it was a rainy Saturday…and I was feeling a bit sleepy. I realized that I needed to get out and get some fresh air to wake up my brain. There is a senior couple that walk and bike daily by our country road on the edge of town. Every day I see them getting exercise and fresh air in all manners of weather year-round – rainy, sunny, cold, hot – they never seem to miss a step or cycle no matter the weather. They inspired me to get off my duff and get moving! So, I dressed warmly, grabbed my gloves and coat, put on my helmet, and jumped on my bike. That half-hour bike ride in the rain brought me fresh air for some clear thinking. Guess I need to make it a daily routine.

I enjoy venturing out with my wife, family, and friends to new and old destinations. Getting out of the house helps us feel more alive. Not that we can’t feel alive at home, but it’s good for the brain to mix things up a bit. Here are some outings we like, pending on our stamina for the day: drive to a local park, walk or bike on a park trail, take a hiking or biking adventure, or join an exercise or walking group. Later this year we hope to book an airplane flight. “The sky is the limit!”

Other ideas to get some vibrancy and social activity into our lives may include local entertainment outings, such as live theatre, music concerts, dance clubs, etc. If you have family, grandkids, or a friend in the area, invite them to join you on a special outing.

Mark Your Calendars:

Seniors and Care Professionals are invited to attend the following Whatcom and Skagit County events coming up in August and September! See the events posted on Page 5. They are also listed here:

• Whatcom Council on Aging’s Senior Day in the Park at Hovander Homestead Park in Ferndale: Date: Wednesday, August 2nd from 10 am to 2 pm

• Skagit Senior Day in the Park’s Annual Event at Maiben Park in Burlington. Date: Thursday, August 17th from 10 am to 2 pm

• Elder Service Providers 25th Annual Caregiver Conference, “A Silver Lining” at the Hotel Bellwether Ballroom. Date: Friday, September 15th from 7:30 am to 4 pm

Check out our Table of Contents on Page 3 and find directories of businesses that serve seniors and may be of help to you or a loved one you know. On the same page, you can view our Menu of Articles under The Senior Cafe, written by several local authors.

We’re approaching our 10th year in business and will be celebrating the decade marker in our upcoming Fall/Winter Edition. Christine and I enjoy being a local publisher in the area. It’s a work of love and we are very thankful for you, the senior reader, and for our advertisers that make Vibrant Senior Options possible.

Would you like to receive our semi-annual publication in your mailbox? To Subscribe, see Page 42. It's time for me to go get some more of that fresh air and go on an adventure!

Kirk Blankenship, Publisher Vibrant Senior Options

What is Your Core For? Just About Everything!

Anthony Hamilton, Owner - Ageless Fitness

We talk about “the core” a lot nowadays. Have you wondered what “the core” is and why it’s so important for fitness after 55? Regardless of age, we must keep our core strong with exercises that promote good posture AND protect the spine.

The core includes our abdominal muscles, obliques, lower back, hips and pelvis. It keeps us stable and erect, lets us rotate from side to side, and improves performance of daily activities and sports. A strong core alleviates lower back

pain, improves posture and mobility, and helps prevent falls.

A Healthy Spine

Dr Stuart Mcgill author of the “Back Mechanic” is a leading expert in maintaining a healthy spine. His research shows that sit-ups and crunches hurt people. Dr Mcgill says, “The problem

(Continued on next page)

What is Your Core For?

occurs when you flex over and over again with load from higher muscle activation or external objects held in the hands.” Mcgill states that the spine was not designed to “create force.” Its primary function is to “resist force”. This is why the plank is most effective at building core strength and protecting the low back and spine.

Much like building a house, a strong foundation is critical. Regardless of how strong a house is, it will crumble without a foundation. This is how our core works. Having a strong core as we age enables independence, reduces fall risk, and promotes mobility without pain.

Implement Fitness Strategies

At Ageless Fitness our clients work with Certified Functional Aging Specialists that create and implement fitness strategies built around the aging process. For more useful tips and strategies, check us out at www. agelesswa.com.

Anthony Hamilton, Owner

Ageless Fitness

Bellingham: 360-986-5600

Mount Vernon: 360-873-8377

Sedro-Woolley: 360-873-8377

Leaving Your Legacy

Arecent bequest uncovered the life of a local woman who never had children but traveled the world, making a global impact and living a life of adventure. When planning her estate, she left much of it to non-profits throughout the area, leaving a legacy locally.

Legacy Giving is Planned Giving

Legacy giving, also known as planned giving, is an increasingly popular way to make a lasting impact on your favorite nonprofits. Legacy giving involves combining charitable giving with estate planning, ensuring that a portion of your assets are directed towards a nonprofit after your passing.

Different Forms of Legacy Giving

Legacy giving can take many forms, including a bequest in your will, charitable trusts, and other planned giving options. One of the most popular forms of legacy giving is the bequest,

a gift of money or other assets specified in your will. Bequests can be a fixed dollar amount or a percentage of an individual’s estate and can be directed toward a specific program or initiative within a nonprofit.

A Lasting Legacy

One of the primary benefits of legacy giving is the ability to leave a lasting legacy supporting an organization you are passionate about, such as the Helping Hands CHOW program. Legacy gifts can help ensure that a nonprofit has the resources to continue its important work long into the future, even after your passing. Your legacy gifts can support various programs and initiatives, from funding specific programs to supporting organizational growth and advocacy efforts.

(Continued on Page 12)

Käaren Flint, Engagement Manager - Helping Hands Food Bank

Diabetes and the Health of Your Feet

Kevin Clarke, President - Priority Footwear

Did you know that according to the American Diabetes Association, 29.2% of Americans age 65 and over have diabetes? Additionally, up to 10% of diabetics develop foot ulcers and up to 25% of foot ulcers lead to limb amputation within 6 to 18 months of initial evaluation. These numbers only increased during the COVID-19 pandemic due to diabetics deferring their health care, with many primary care physicians and podiatrists reporting their case load of toe amputations increasing by as much as 50% in 2020 and 2021. A study conducted at the US Department of Veterans Affairs in Seattle a few years ago found that 30 percent of amputations started as improperly fitting footwear, which can lead to ulcers and amputations.

The Therapeutic Shoe Bill

We don’t have a cure for diabetes. But fortunately, we know how to properly take care of diabetic feet which are subject to complications caused by diabetes. In 1993, the US Congress passed the Therapeutic Shoe

Bill, mandating Medicare to pay for therapeutic shoes and inserts for qualifying diabetics with foot conditions such as poor circulation, neuropathy, and callousing. Most private insurers have followed Medicare’s lead and cover therapeutic shoes and inserts with little or no coinsurance.

Even with this benefit, fewer than 20 percent of eligible beneficiaries use the Medicare benefit provided in the Therapeutic Shoe Bill to receive therapeutic shoes and inserts. There are two primary reasons for this: 1) lack of patient and doctor awareness, and 2) lack of providers with the expertise to properly fit the shoes, manufacture the accommodative inserts, and carry the patient through the necessary doctor and insurance paperwork.

Saving Diabetic Toes and Feet

Raising awareness of this benefit is the purpose of articles such as this. There are a number of providers who are able to fit and provide therapeutic footwear, including most podiatrists and companies like Priority Footwear, the only company in the Pacific Northwest that is exclusively dedicated to the mission of saving diabetic toes and feet.

If you are diabetic and think you may qualify for therapeutic footwear, talk to your doctor or call a company like Priority Footwear.

(Continued on next page)

For qualifying diabetics, Medicare and most insurance plans cover one pair of therapeutic shoes and three sets of custom-fitted inserts annually at little or no cost to you!

Priority Footwear’s certified specialists work with you to help prevent diabetes-related foot complications, including amputation. We fit you and work with your doctor and insurance provider to handle the paperwork.

Diabetes and the Health of Your Feet

Bring a copy of this article to your appointment and recognize that the health of your feet begins with you. Lastly, follow some simple foot care tips:

• Wash and check your feet every day

• Rub a thin coat of lotion over the tops and bottoms of your feet, but not between your toes

• Keep the blood flowing to your feet by being active every day

• Trim your toenails each week or when

needed

• Protect your feet from hot and cold

• Wear comfortable shoes that fit well and protect your feet

• Check in with your primary care physician regularly as part of taking care of your diabetes

(Continued from Page 8)

Tax Efficiency

Another impactful way to take part in legacy giving is by donating stocks. Legacy giving can be a tax-efficient way to make a charitable contribution. Legacy giving can provide significant tax benefits to you or your estate, depending on the structure you and your advisor set up. This can help you maximize the impact of your efforts and the ability to leave a larger legacy than you may have thought possible.

If you want to set up a legacy gift for

Eating for a Healthier Heart: Tips from a Cardiologist

Aplant-based, healthy diet can “make a huge difference, not only in preventing heart disease, but also treating it and possibly even reversing it,” according to Cardiologist Jammie Menetrey, DO, MBA, FACC, who practices at Skagit Regional Health.

Whole Food Diet

Dr. Menetrey recommends a plant-based, whole food diet that includes more vegetables, fruits, whole grains and legumes, such as peas, beans and lentils.

“Eating this way goes beyond just helping to improve our heart health, it has positive implications for so many other organs from our skin to our brain health, to our gut and our microbiome,” Dr. Menetrey said.

Foods to Avoid

She also encourages avoidance of processed foods, refined sugars and packaged goods that can be high in salt.

“We really should try to avoid foods that are overly processed and things that don’t look like it was just picked off the tree or pulled out of the ground. Food that’s highly refined, such as refined grains that have been milled to the point where we removed all the good fiber and the iron and the vitamins, those are the types of grains that we want to avoid,” Dr. Menetrey said. “[Foods] that come in cans [or] are packaged in

bags and boxes, generally, those are preserved with salt. We really want to try to minimize that. We want to eat the foods that are provided freshly from the earth and have the least amount of processing to them.”

Benefits to Whole Food Diet

Benefits to the plant-based, whole food diet include a lower caloric intake while the nutritional value is higher.

“Because the plants themselves have so much fiber in them, we fill up much more quickly when we’re eating plants, as opposed to sweets, oil, dairy and meat,” she said. “The way I like to think about it is variety. The more variety that I can see on my plate, the types of food, the more color I can see on my plate, the more nutrients I know that I’m going to be consuming.”

Shopping and Food Preparation

Dr. Menetrey offers a few tips for grocery shopping and food preparation:

• At the grocery store, focus on the fresh produce aisle for the vast majority of your purchases.

• Make a big meal or two on the weekends to have ample healthy leftovers for lunches and dinners during the week.

• Plan ahead to avoid impulse purchases of fast food or refined snacks.

Jammie Menetrey, DO, MBA, FACC practices Cardiology at Skagit Regional Health. She sees patients at Skagit Regional Clinics - Mount Vernon and Anacortes. Skagit Regional Health Cardiology

Palliative Care at PeaceHealth: Treating the Whole Person

Eight billion miles. That’s how far home health care workers travel each year, according to national estimates.

Why are these specialists on the road so much? To make life easier for patients and families with long-term and serious illnesses.

At-Home Palliative Care

Palliative caregivers are among the medical professionals who serve patients in-home. At a high level, palliative care is designed to ease the symptoms and stresses of a long-lasting health issue. On a deeper level, it’s about improving your quality of life and supporting the people who care about you.

Palliative care can be given along with treatments aimed at curing your condition. It is appropriate at any age or stage of illness. Some people use it when recovering from surgery or during cancer treatment. Others want help planning for end-of-life care or managing the anxiety that comes with a long illness.

Access to Experts

No matter your motivation, palliative care gives you access to a team of experts, so you and your family don’t have to make treatment decisions on your own. In Northwest Washington, you also don’t have to go to the hospital to get support. PeaceHealth’s Home and Community Services offers community-based palliative care. That means our services can be done at home or nearby.

Our services include:

• Help managing symptoms: We share ways to make you more comfortable. This may be with medication or techniques to address pain, fatigue, depression, difficulty sleeping and more.

• Personalized care plans: No two palliative care patients are the same. Our providers will take the time to understand your needs and adjust your care as they change.

• Coordinated care: Serious illnesses often mean lots of appointments and instructions to follow. You don’t have to do it alone. Our specialists help you keep track of your visits, prescriptions and other health care services. This coordinated approach means you’re less likely to go to the hospital or emergency room for care.

• Whole-person health: Your health includes your body, mind and spirit. To address all these needs, our palliative care teams include a social worker, doctor, nurse, chaplain and other specialists.

• Family support: Caring for a sick family member has an impact on caregivers, too. Palliative care is also for them. Our team can help you consider changes in family roles and expectations. We can also connect your loved ones with help for mental health and financial concerns.

For more information on PeaceHealth’s palliative care services in Bellingham, call 360-543-4424. PeaceHealth Palliative Care V

Exceptional Care, Close to Home

We believe everyone on Whidbey Island deserves local access to progressive, innovative healthcare. That’s why we are continually expanding our services with state-of-the-art equipment, cutting edge procedures and highly skilled providers to meet the needs of our diverse community.

Surgery & Joint Replacements

When experience matters most our expert surgical teams bring the knowledge, skills, experience, and state of the art equipment needed to ensure exceptional care and quality outcomes. Both essential and elective surgical services including pre- and post-surgical consultation are available.

Total joint replacement has become one of the most popular surgeries available because of their high success rate and the huge impact on a patient’s overall quality of life. From early decision making through ‘Boot Camp’, to your procedure, post-surgical recovery and rehab, the WhidbeyHealth Joint team is focused on making sure you have the best possible experience and outcome.

To learn more about improving your quality of life with hip or knee replacement, call our Total Joint Replacement team at 360-240-4013 or email us at myhospital@whidbeyhealth.org.

At the Forefront of Cancer Care

At WhidbeyHealth, we’re committed to supporting prevention and early detection efforts in our community. It is estimated that

half of all men and a third of all women will develop cancer at some point in their lives.

If you or a loved one are facing a cancer diagnosis, knowing what to expect can be a huge first step. Our nationally accredited Cancer Care team provides compassionate, coordinated care to individuals who are battling cancer. From the initial diagnosis to treatment options and their impact, we’ll be with you every step of the way to ensure you have access to the support and resources you and your family need.

Our infusion services are available to anyone, regardless of where your cancer care team is located. Facing cancer can be overwhelming, but you don’t have to face it alone. To learn more, visit: www.whidbeyhealth.org/cancercenter.

EXCEPTIONAL CARE, RIGHT HERE - RIGHT

Walk-In Clinics: Close to home. No appointment needed.

When life’s minor illness and injuries need medical attention, our Walk-in Clinics in Clinton and Oak Harbor are open daily. Diagnostic and Lab services also available.

Don’t put your health on hold

Glossary: Legal and Care Specialists

Elder Law: A specialized area of legal practice, covering estate planning, wills, trusts, arrangements for care, social security and retirement benefits, protection against elder abuse (physical, emotional and financial), and other issues that involve older people. (www.uslegal.com)

Geriatric Care Manager/Elder Care Consultant: This professional is usually a licensed nurse or social worker who specializes in geriatrics. They are sort of “professional relative” who can help you and your family to identify needs and find ways to meet your needs. They will work with you to form a long-term care plan and find the services you need. (National Institute on Aging, www.nia.nih.gov)

Selecting the right law firm may be one of the most important decisions you make. Walton Law represents Western Washington seniors and their loved ones with compassion, and we work tirelessly to achieve fair compensation for their injury claims. Call 360-503-0231 for a free consultation.

•

“Chris, I wish to express my deepest gratitude for the man who changed my opinion of lawyers, forever. Your hard work, your knowledge & expertise, your guidance and your compassionate kindness helped us through the toughest of times and those aspects didn’t go unnoticed.”

– Dave

Take the Stress Out of Medicare

With multiple plan types & many coverage options available, how do you know which is right for you?

A licensed insurance agent can make looking for answers stress-free:

• What does Medicare cover and cost?

• Can I be on Medicare if I am still working?

• Can I travel with my plan?

• Which doctors and specialists can I visit?

Glossary: Medicare and Medicaid/COPES

Medicare: A federal program that provides health insurance coverage for seniors in the U.S. who have paid into the benefit for a certain number of periods. There are different parts of Medicare that individuals can purchase and individuals must choose which plan type they would like. Typically, individuals become eligible at the age of 65, but individuals under the age of 65 with certain disabilities may be eligible.

Medicaid/COPES: A state program that provides comprehensive care management and helps pay for personal care, home delivered meals, home health care, adult day services, respite, transportation and other services for older adults in their homes. COPES may also help pay for care in senior housing and care options. The care homes that do accept Medicaid/COPES require two years of private pay before allowing Medicaid/COPES funding.

Selling Your Home? Minimize Your Tax!

Carmen Andrew, The Weitzel Home Team

Most clients we meet with have a loose idea of what Capital Gains taxes are and how it might affect them. You likely know that to AVOID capital gains tax, you need to have lived in the home you are selling a minimum of two out of the past five years. You might also know that if you are single, you get up to $250,000 free capital gains or if married, $500,000 free capital gains on your primary residence which means you don’t pay capital gain tax up to that amount.

But do you know how your capital gains are calculated? What if your gain is more than the free amounts and what rate would you pay? What happens when a spouse passes away, what can you do to minimize the capital gains? So many questions and we have some great answers!

Please note: we always recommend that you speak to your accountant/tax professional for specific advice for your situation. Here are some basic rules to follow though that will help you when you go to sell your home.

Keep Receipts

First, Keep ALL your receipts from any improvements you have put into your home over the years as you can subtract them from

your gain. Your gain is calculated the following way: NET SALE PRICE –BASIS = GAIN

NET SALE PRICE

= Final sales price – all fees to sell (commissions, excise tax, title & escrow fees, etc.). Note: if you have a current mortgage on the property, the remaining balance is NOT considered a fee and is not to be calculated anywhere in regard to your gain.

BASIS = Initial purchase price of the home + all home improvements

For example: Let’s say you are now single and you purchased your home for $200,000 and over the years you put another $100,000 into it with new roof, deck, siding, kitchen, etc. Your BASIS would be $300,000. You sell the home for $600,000 with $50,000 in fees to sell. Your Net Sales Price would be $550,000 in which your gain would be $250,000 and you are in the clear – no capital gains tax.

Set Some Money Aside for Taxes

What if you sell that home for $900,000 instead? Your GAIN would be $550,000. You would get $250,000 of that gain FREE and would owe capital gains tax on the remaining $300,000. You tax rate on that gain would be approximately 15-20% depending on your tax bracket and income (talk to your accountant).

Those taxes would be due the year AFTER you sell, when you file for your taxes, so make sure to set it aside!

(Continued on Page 26)

Glossary: Seniors Real Estate Specialist

Seniors Real Estate Specialist (SRES): A REALTOR® who is uniquely qualified to assist seniors in housing sales and purchases. The SRES® designation is awarded only to REALTORS® who have successfully completed a series of educational courses on how to help seniors and their families with later-in-life real estate transactions. They also draw upon the expertise of a network of senior specialists, such as estate planners, CPAs, and eldercare lawyers, and are familiar with local community resources and services. Their mission is to help seniors and their families navigate the maze of financial, legal, and emotional issues that accompany the sale of the home. (www.sres.org)

 Other popular notary services include: healthcare directives, quick claim deeds, and mortgages

Selling Your Home?

(Continued from Page 24)

If a Spouse Passes Away, Hire an Appraiser

Lastly, it is extremely important that if a spouse passes away, you should hire an appraiser to do a private appraisal as soon as possible. Why? As the surviving spouse, you will “inherit” the property at the value it was worth on the day your spouse passed away. Which means that your NEW BASIS is at today’s market value and not when you purchased it and almost guaranteeing that you won’t pay any capital gains tax if you sell in the somewhat near future.

An Important Note for Your Heirs

One more thing…if you hold onto your home and your heirs inherit when you pass, they will

also inherit at the current market value, also eliminating the capital gains tax if they sell right away.

What about non-primary homes you ask?

Capital Gains taxes are always paid on 2nd/ vacation homes and investment properties. You can defer them on an investment property by taking all your proceeds and purchasing a new investment property. That’s a different topic for a different day with a set of it’s own rules.

For more info on this or any other real estate related topics, please give us a call! 360-312-5151

» For residents with Mobility Issues*

» Wheelchair or walker welcome

» Make reservations from point to point

»

*You

*Paratransit

Experience a higher standard of care every step of the way.

1. Receive a plan of care tailored to your loved one’s needs.

2. Meet the caregiver we recommend based on personalities and compatibility.

3. Rest assured knowing that a BrightStar Care Registered Nurse conducts regular supervisory visits and that someone is always here for you 24/7.

We follow the nation’s highest standards for patient safety as outlined by The Joint Commission — a widely recognized organization that evaluates the quality of hospitals and other health care systems.

Discover a higher standard of care.

With BrightStar Care®, your loved one’s care from day one is supervised by a Registered Nurse. He or she can explain what’s normal and what isn’t, answer your questions and ensure that your loved one of any age gets the care that’s right for them.

We offer services to meet a range of needs.

From round-the-clock care to just a few hours a week, we create a plan of care that works for you and your budget. Our services include long-term care for special needs children, temporary help after surgery and much more.

Examples of skilled nursing care:

• Medication administration

• Intravenous drug therapies

• Catheter and wound care

Examples of personal care:

• Bathing, dressing, feeding, toileting

• Medication reminders

• Help with mobility in and outside the home

Examples of companion care:

• Light housekeeping, laundry, grocery and meal prep

• Transportation to and from appointments or activities

• Time off for family caregiver

Call to schedule a free in-home assessment with a BrightStar Care nurse today.

BrightStar Care of Bellingham/Mount Vernon 360-922-0975

IHS.FS.61231235

brightstarcare.com/bellingham-mount-vernon

Glossary: Home Support Agencies

Home Care: Supportive care provided in the home by a professional agency. Certified Caregivers provide assistance with daily care needs and companionship. Services: Home Care agencies provide non-medical services to people with functional limitations, enabling them to maintain their highest level of independence and to age in place in their own homes. Care may include assistance with dressing, bathing, medication administration, meal preparation, household chores, errands, and more. Hours/Days: Scheduled help 2 to 24 hours per day, up to 7 days per week, or as respite care. See Home Care Directory on Page 32.

Home Health: In-home services provided include Skilled Nursing Care and various therapies prescribed by a physician. This includes physical, occupational, respiratory and speech therapies, often used for seniors who are recovering after a hospital and/or nursing home stay. See Home Health Directory on Page 34.

Home Modifications - Safety & Accessibility: Regular attention to Home Safety and Accessibility is known to decrease fall risks and increase the chances of aging in your own home. Home Analysis for potential improvements should be done by a Home Contractor who is a Certified Aging-In-Place Specialist (CAPS Certified). This person will look at many factors, including: rugs, electrical cords, placement of furniture, and functional supports around the home. See Home Modifications Directory on Page 37.

Experience a higher standard of care every step of the way.

1. Receive a plan of care tailored to your loved one’s needs.

HOME CARE: SKILLED | PERSONAL | COMPANION

Discover a higher standard of care.

With BrightStar Care®, your loved one’s care from day one is supervised by a Registered Nurse. He or she can explain what’s normal and what isn’t, answer your questions and ensure that your loved one of any age gets the care that’s right for them.

With BrightStar Care®, your loved one’s care from day one is supervised by a Registered Nurse. He or she can explain what’s normal and what isn’t, answer your questions and ensure that your loved one of any age gets the care that’s right for them.

We offer services to meet a range of needs.

We offer services to meet a range of needs.

From round-the-clock care to just a few hours a week, we create a plan of care that works for you and your budget. Our services include long-term care for special needs children, temporary help after surgery and much more.

From round-the-clock care to just a few hours a week, we create a plan of care that works for you and your budget. Our services include long-term care for special needs children, temporary help after surgery and much more.

Examples of skilled nursing care:

Examples of skilled nursing care:

Medication administration

• Medication administration

Intravenous drug therapies

• Intravenous drug therapies

Catheter and wound care

• Catheter and wound care

Examples of personal care:

Examples of personal care:

• Bathing, dressing, feeding, toileting

• Bathing, dressing, feeding, toileting

• Medication reminders

• Medication reminders

• Help with mobility in and outside the home

• Help with mobility in and outside the home

Examples of companion care:

Examples of companion care:

• Light housekeeping, laundry, grocery and meal prep

• Light housekeeping, laundry, grocery and meal prep

• Transportation to and from appointments or activities

• Transportation to and from appointments or activities

• Time off for family caregiver

1. Receive a plan of care tailored to your loved one’s needs.

2. Meet the caregiver we recommend based on personalities and compatibility.

2. Meet the caregiver we recommend based on personalities and compatibility.

3. Rest assured knowing that a BrightStar Care Registered Nurse conducts regular supervisory visits and that someone is always here for you 24/7.

• Time off for family caregiver

Call to schedule a free in-home assessment with a BrightStar Care nurse today.

Call to schedule a free in-home assessment with a BrightStar Care nurse today.

3. Rest assured knowing that a BrightStar Care Registered Nurse conducts regular supervisory visits and that someone is always here for you 24/7.

We follow the nation’s highest standards for patient safety as outlined by The Joint Commission — a widely recognized organization that evaluates the quality of hospitals and other health care systems.

BrightStar Care of Bellingham/Mount Vernon

360-922-0975

BrightStar Care of Bellingham/Mount Vernon 360-922-0975

IHS.FS.61231235

IHS.FS.61231235

brightstarcare.com/bellingham-mount-vernon

We follow the nation’s highest standards for patient safety as outlined by The Joint Commission — a widely recognized organization that evaluates the quality of hospitals and other health care systems.

brightstarcare.com/bellingham-mount-vernon

See full page ad on Center Page 28

Is Your Deck Safe?

Susie Landsem, Owner - Aging in Place by Design

According to the Consumer Product Safety Commission, an average of 33,000 people are injured per year because of structural failure of a deck, porch, railing, or staircase. Now is the time to ensure your deck is safe to enjoy the sun. A little maintenance will go a long way toward your summer enjoyment and safety. Following are some steps towards outdoor safety.

Clutter Is the Enemy of Safety

Most decks and porches don’t have built-in storage. Chairs, cushions, barbeque tools, planters and hoses are some of the items that may end up on your deck, causing tripping hazards. Attractive weather-resistant storage boxes provide a way to stow the stuff and provide additional seating.

Clean and Check the Deck

A winter’s worth of weather will add debris and dirt to the deck. In some cases, mold and mildew can develop, making the deck slippery. Sweep the deck first, getting rid of leaves and dirt.

Once the surface is clear, it’s time to use a deck cleaner for the wash cycle. The cleaning agents TSP and bleach have been used for years, but they are toxic to the user and the environment. Consider using a homemade mixture of vinegar and water or baking soda and water, or an environmentally approved cleaner like Simple Green. Look for the Green Seal to know a product has been certified for environmental and health. Some people like to pressure wash at this point. Before starting, read the warning labels about the recommended pressure to use on wood or composite deck.

Winter weather can damage decks with snow and rain, causing cracks and loosening connections. Look around your deck, including underneath

if possible, checking for loose or rotting boards, rusty connections and screws in the structure. These things need to be fixed right away.

If you don’t have the skill or experience to do this kind of work, find a handyman. The BIAWC website and Angie’s List are great referral sites for qualified contractors.

Test the Railings and Stair Treads

Just like the deck, stairs and handrails can get cracked or loosened over the winter. Make sure that treads are sturdy, with no wiggles. Handrails should be tightly fastened. Harsh weather can make paint blister, causing cracks and splinters on the handrail. Sand these down until they’re smooth and repaint as necessary. Also, add handrails to stairs that don’t have any, even short sections of stairs. They’re good for everyone using the stairs.

Add the Finishing Touch

After cleaning and repairing, consider using a paint that has non-slip texture additive in it for increased safety. Anti-slip stair tread tape is easy to install. A thick adhesive handrail and guardrail protection product make handrails safe. Add lighting to avoid tripping accidents and a nice glow in the evening. Solar-powered sensor lights are great for this purpose.

Enjoy spending time with friends and family on your safe and refreshed deck!

Susie Landsem; 360-220-4980

contact@aginginplacebydesign.com

Susie Landsem provides design solutions for people who want to stay in their homes safely and independently.

Glossary: Housing - Independent

Active 62 & Better: Life Plan community for independent folks. Features vary, but may include spacious Flats & Villas, Club House, Fitness Room, Café & Bar, Gourmet Dining, Theater, Indoor Pool & Hot Tub, Outdoor Pavilion, Walking Trails, Security, and Maintenance. Some have entry fees, which allow you to enjoy all the luxurious amenities, and when you eventually need it, you may have the option of a full Continuum of Care. (See Ad on Inside Front Cover)

Affordable Housing: A subsidized apartment rental program for people who are disabled or elderly, including Section 8, HUD, public housing, and tax credit buildings.

Independent/Retirement: Private apartments rented to seniors. Some offer three meals per day. Activity programs and housekeeping may be provided, but residents are capable of independent living. Private pay only. Retirement Communities are maintenance free to seniors.

Salem Village Apts 2619 N LaVenture Rd 360-428-5662

Glossary: Housing & Care

Assisted Living: Community apartments for seniors with physical and/or cognitive impairments who may need assistance from trained caregivers. Meals, housecleaning, and activities to help seniors stay physically active and socially engaged are provided. Trained caregivers 24 hrs/day and Licensed Nursing up to 24 hrs/day. (Non-secured memory care may be available)

Adult Family Home (Adult Care Home): A residence owned or rented by a licensed provider. Room and board, trained caregivers 24 hours a day, and assisted care services for 2 to 6 adults are provided in a home environment. Licensed Nurses on staff are not required, but may be available. (Non-secured memory care may be available)

Memory Care Community: This is special care in a secured community for people who have Alzheimer’s disease or other forms of dementia. Some are stand-alone Memory Care communities, while others are located within Assisted Living or Skilled Nursing facilities. Trained Caregivers 24 hrs/day and Licensed Nursing up to 24 hrs/day.

Skilled Nursing & Rehabilitation: A qualified facility that has the staff and equipment to provide round-the-clock skilled nursing care (RN’s and LPN’s) and rehabilitation services such as physical, occupational, respiratory, and speech therapies. Also included are Social Work services, Medical Director oversight, and care giving staff to assist with personal care needs.

Continuing Care Communities: These offer three or more types of senior housing in one community location, reducing the need for a senior to move as they age. Senior housing options may include: Retirement, Assisted Living, Memory Care, Skilled Nursing & Rehabilitation.

Can Exercise Help with Brain Health?

Scientific evidence is showing that getting regular exercise not only helps keep your brain stay healthier as you age, but can possibly slow the progression of Alzheimer’s and other dementias!

Physical activity is an important part of the daily activities at Silverado, particularly in the exercise pillar of our Nexus® brain health program.

Teepa’s Suggestions for Successful Visits

Teepa Snow, MS, OTR/L, FAOTA

When we invite people into our lives with an in-person visit, it can be a bit overwhelming, intimidating, uncomfortable, and exciting all at the same time. Sharing space with someone that we do not usually share space with can present unique opportunities and challenges. The person being visited may believe they should plan to do something special for the visitor. It is also possible that the visitor has a similar sense of obligation or feels the need to offer something more than just their presence. Here are six engagement options to consider for more successful visits:

Offer to show the visitor around your place

This could be a small walk around a room, around the house, around the yard, around the neighborhood, or even around town. It provides both parties with things to see and talk about.

Play games together

Consider what you and your visitor might enjoy having fun doing, and pull together the necessary resources prior to meeting. It may be a tabletop game, a sports activity, or maybe a brain game. If you both agree, consider a group gathering first to take the pressure off of a more intimate one-on-one interaction. If you enjoy a one-on-one connection, then consider what you can do so that each of you is experiencing moments of pleasure and satisfaction. Keeping it friendly should feel right, not overly complicated. If there is too much effort on either person’s part, then it may be time to switch gears and transition to another option.

Provide an interactive gift

The gift can be something to look at, talk about, or do together. For instance, select a construction or craft kit that is within your scope

of comfort. Or, create a photo album that contains images of interest that offer possibilities for connections, enjoyment, shared memories, or conversation. It can be as simple as a sheet of images, a small booklet, or a tabletop book or magazine. Other ideas might include flowers in a bundle that can be cut and arranged, potting items that can be placed on a windowsill, or seeds and containers for planting. Consider the interests and abilities of all involved, so that the gift is enjoyed as much as possible by all parties.

Connect around food and drink

Gather together to share sustenance and fellowship. Whether it’s a full meal or simply a cup of tea or coffee, it allows us the comfort of doing many things with our eyes, our mouths, our senses, our interactions, and our bodies. It doesn’t have to be about consumption. It could involve the preparation of the space, the items to eat or drink, or it might simply involve the actual sharing of the meal. Maybe serving others or cleaning up provides a sense of purpose in connecting.

Look around and enjoy the scenery

Pick a spot and sit. Watch kids at play, a sporting event, dogs in a park, or flowers in bloom. Consider taking pictures or videos to review when you are in your home space – an additional opportunity for pleasure and connection.

Get out and move

Take a hike, walk, a stroll, or even a drive. Explore what you see, hear, feel, or smell. Get an energy boost by getting active, based on your (Continued on next page)

ability. Blood flow helps brain flow, and it also helps connections and communication. Moving physically can lead to movement in other ways. Consider trying one of these six possibilities for successful visiting. Also, when engaging with others, consider the P.I.P.E.S. acronym: Preparation, Initiation, Participation, Evaluation, and Sustain or Switch Skills. A little preparation and knowledge can often go a long way in

Teepa Snow, MS, OTR/L, FAOTA, is a worldrenowned dementia educator and founder of Teepa Snow’s Positive Approach to Care®. This organization provides education and resources for those living with brain change, caregivers, and the general public. Visit www.teepasnow.com to learn more.

The Evolution of Phones

Christine Blankenship, Publisher - Vibrant Senior Options

It all started out with poles and lines along the road and rotary phones on the kitchen counter. Yes, the Party Lines. If an older sister or a neighbor wasn’t already on the phone, I could call my friends in the next town. This was the day of one phone per household and one line per neighborhood. To dial the next county we had to call a phone operator, who was an actual human being! To dial another country the process was the same, except for a lower sound and a higher bill.

Technology for the Neighborhood Gossip

As great as it was to “Reach Out and Touch Someone,” these early phone lines had issues. My mother found it disturbing when the neighbor - we’ll call her Mrs. B. - was asking Mom about how one of her kid’s doctor appointment went that morning. Whoa! Outside the immediate household, only the doctor’s office knew about that appointment. Of course, this had been arranged over the phone. Mrs. B. mysteriously seemed to know about it.

There was another neighbor who was eavesdropping from farther down the road. This nosey and noisy kid seemed to think that no one could hear his breathing and humming. We'll call this teenager Kid M. One day Mrs. B. complained to my mother that the Kid M. “always listened in on everyone’s phone calls.” What comes around, goes around.

Now We are Private

Then the “private” lines came in, and Mother thought nothing of the cost! The long-distance fees went up. Alas, neighborhood gossip eased down. No more strange sounds from the Kid M. Finally, we could have a private conversation on the phone.

Remember the "private" Phone Booths? Just put a dime in the coin slot, to call for help anytime.

This worked when we could find a booth and a dime. Would we have had Superman without the old phone booth?

Technology Goes Remote

As noted by the Washington Post, “1973 saw the first cellular telephone call - made from a giant brick of a thing that weighed more than two pounds and provided just 30 minutes of talking time after a 10-hour charging cycle.” (www. washingtonpost.com, September 9, 2014) These were mostly used for military communications.

Sometime in the 1980’s, phones did not stay tied to a wall. Eventually, we could walk away from the wall and keep talking. No more phone cord tangles! This remote freedom was great, until you stepped outside only to lose the phone signal. Bummer.

Call Waiting

Remember the days when our phones let callers hear a busy signal when we were already busy with another call? Now we have Call Waiting, which lets incoming callers hear the “ring” signal, and you hear an incoming clicking sound while you're already talking to someone else. A great way to never miss a call again! Simply push the “hold” button to put the first caller on hold, then push the “answer” button to talk to the next, incoming caller. Is it just me or has anyone else frequently lost both callers this way? Another bummer.

Remote Reaches Beyond the Horizon

The remote phones finally traveled beyond the house, office, neighborhood, and even beyond the horizon. As noted above, first there were the large, expensive cell phones. But it wasn’t many years

(Continued on next page)

The Evolution of Phones

before the prices and size came down. Access and usage of today’s cell phones have grown to almost one per adult with constant and instant phone capacity. With this technology comes the ability to send short “texts” to each other. We now can send and call from the middle of anywhere and nowhere. Then there is the Video Chat function…

Phone technologies have significantly expanded our electronic communication options! But what are the results of this personal and social

expansion? I say “social” tongue-in-cheek, because, as a society, our ability to really talk face to face seems to have diminished. At the same time, something out there, called “Google” or “Alexa” or “Cortana” makes me wonder who might be eavesdropping on my electronic conversation. Our modern means of constant communication is littered with advertising hum and social media distractions galore!

Maybe the old Party Lines weren’t so bad after all.

Directories - Housing & Care

Whatcom County

Bellingham

Brookdale Fairhaven IL/AL

Cordata Court Sr. Living AL

Highgate Senior Living AL

Orchard Park IL/AL

Solstice Senior Living IL

Rosewood Villa AL

Spring Creek IL/AL

Summit Place AL

The Willows IL

Sapphire at Woodway IL/AL

Ferndale

Louisa Place IL/AL

Lynden

Lynden Manor IL/AL

Meadow Greens IL/AL

Skagit County

Anacortes

Cap Sante Court IL

Chandler’s Square IL/ AL

Rosario AL

San Juan Assisted Living AL

Burlington

Creekside IL/AL

Where The Heart Is AL

La Conner

La Conner Retirement IL/AL

Mount Vernon

The Bridge IL/AL

Heather Village IL

Highland Greens IL

Mountain Glen IL/AL

Salem Village IL

Memory Care Communities

Whatcom County

Bellingham

Bellingham at Orchard

Cordata Court MC

Highgate Sr. Living

Silverado Memory Care

Spring Creek MC

Lynden

Christian Health Care

Lynden Manor Memory Care

Skagit County

Anacortes

Lighthouse Memory Care

Rosario Assisted Living

Burlington

Creekside

HomePlace Memory Care

Where The Heart Is

Sedro-Woolley

Country Meadow

Village IL/AL

Island County

Freeland

Maple Ridge IL/AL

Oak Harbor Harbor Tower Village IL/AL

Regency on Whidbey IL/AL

Summer Hill AL

Welcome Home Oak Harbor AL

San Juan County

Friday Harbor Village at the Harbor IL/AL

North Snohomish

Mount Vernon

Ashley Gardens

Sedro-Woolley

Birchview MC

Island County

Oak Harbor

Regency on Whidbey

HomePlace Memory Care

Welcome Home Oak Harbor

Arlington

Cascade Valley Senior Living AL

Olympic Place by Bonaventure IL/AL

Marysville

Cascade Village at Smokey Point (IL)

The Gardens at Marysville IL/AL

Grandview Village IL/ AL

Smokey Point

Fields Senior Living IL/ AL

Stanwood

Brookdale Stanwood IL/AL

The Suites at Josephine AL

Warm Beach Senior Community IL/AL

North Snohomish

Arlington Cascade Valley Senior Living

Marysville

Fieldstone MC

The Cottages at Marysville

Smokey Point

Fields Senior Living

Stanwood

Brookdale Stanwood

The Meadows at Josephine

Skilled Nursing & Short Term Rehabilitation

Whatcom County

Bellingham

Alderwood Health & Rehabilitation

Highland Health & Rehabilitation

Mt. Baker Care Center

North Cascades Health & Rehabilitation

Shuksan Health Care

St. Francis of Bellingham

Blaine

Stafholt Good Samaritan Care

Lynden

Christian Health Care Skagit County

Anacortes

Soundview Rehabilitation

Mount Vernon

Life Care Center of Mount Vernon

Mira Vista Care Center

Sedro-Woolley

Life Care Center of

Skagit Valley

Island County

Coupeville

Regency Coupeville

Rehabilitation and Nursing Center

North Snohomish

Arlington

Arlington Health & Rehabilitation

Marysville

Marysville Care Center

Mountain View Skilled Nursing

Stanwood

Saratoga

Transitional Rehab - Josephine

Independent/Retirement (IL) and/or Assisted Living (AL)

Senior Activity Centers & Lunch Schedules

Nutrition Program: Meals on Wheels

Human services with you at the center

Providing Seniors with a Vibrant, Missional and Purposeful Lifestyle Through Every Phase of their Golden Years.

Independent Living - The common thread that connects our residents is the overwhelming joy they experience by living and thriving in a vibrant purposeful Christcentered community. Our residents have found the freedom to actively engage and pursue the things in life that matter most. Spending quality time with family, getting out and traveling the world and giving back to the community through volunteering are just a few of the many things enjoyed by our Warm Beach Senior Community residents.

Assisted Living - Designed for seniors who may not need the full array of services provided by a skilled nursing center, but do need help and support with the activities of daily living, our caring and dedicated staff members provide round-the-clock assistance while encouraging residents to maintain a high level of independence.