2024 Spring Vibrant Senior Options Resource Guide Magazine

THE RESOURCE GUIDE MAGAZINE

Photo courtesy: Karen Hicks, 2023

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Remember the song, “Fly Me to the Moon?” Recently, Christine and I had a fun and meaningful interview with Lieutenant Colonel Greg Anders, son of Major General William “Bill” Anders, an astronaut on that first amazing Apollo 8 Mission to orbit the Moon in 1968. Our Front Cover picture is Bill Anders with two of his sons, Greg Anders and Alan Anders. Believe it or not, the picture was taken on Bill’s 90th Birthday after returning with two of his sons from a Three-Ship Flight Formation. This was near their own flight and space museum in Skagit County – The Heritage Flight Museum.

Want to be a part of flight and space history? Consider volunteer opportunities at the Heritage Flight Museum. Read the rest of the story on Page 6.

See Table of Contents on Page 5 for a list of articles in this Edition that aim to inspire and educate on a variety of issues. You’ll read local author contributions on physical fitness, brain health, hearing, speech, diabetic footwear, robotic spine surgery advances, palliative care, and memory care tips. You’ll also gain some wisdom about remodeling to age in place, options to transfer a home to your heirs, and a humorous article about simpler days gone by.

Mark your Calendar for two summer events: Whatcom Senior Day in the Park, Hovander Park in Ferndale, Wed. August 7, 10 am to 2 pm. See Ad on Page 60

Skagit Senior Day in the Park, Maiben Park, Burlington, Thurs. August 15, 10 am - 1:30 pm

Having a fascination with the idea of space adventures to the Moon and beyond have been around for Millennia and by the looks of it, I

"Earthrise" photo by Major General Bill Anders, Christmas Eve, 1968

Image Credit: NASA

wouldn’t be surprised if we land on the Moon again soon. NASA is projecting a manned lunar flyby in 2025 and a manned lunar landing around 2026. Stay tuned. Once again, we just may hear an echo from 1969, “That’s one small step for man, one giant leap for mankind.”

Check out NASA’s website for up-to-date information on why and how they are planning on returning to the Moon in the years ahead: www.nasa.gov/specials/artemis

NASA answers the Why: “We’re going back to the Moon for scientific discovery, economic benefits, and inspiration for a new generation of explorers: the Artemis Generation. While maintaining American leadership in exploration, we will build a global alliance and explore deep space for the benefit of all.”

I conclude in thinking about the timeless song, Moon River. In some ways, the Apollo 8 Astronauts remind me of adventurous Huckleberry Friends and their wider-than-a-mile journey. Frank Borman, Jim Lovell, and Bill Anders have certainly crossed a river of space in style.

Kirk Blankenship, Publisher

Flight, Space, and The Apollo 8 Moonshot

Heritage Flight Museum presents Apollo 8 and Saving 1968

By Christine Blankenship, Publisher

Flight Museums are about flying and the history of airplanes. However, our own local Heritage Flight Museum in Burlington, Washington, is all that and more. It is “A Brush with History.” With a backdrop of family, political, and cultural events of the 1960’s, this Museum brings you into the narratives of flight, space, and the Apollo 8 Lunar Mission.

The Year Nineteen Sixty-Eight

The Heritage Flight Museum displays a thread of history, depicting the 1960’s, specifically 1968. This was a year of civil unrest, violence, rebellion, and political discord. The continuing Vietnam War ramped up, as did opposition and protests throughout many US cities, and even around the world. Nineteen sixty-eight also saw two assassinations: That of Reverend Martin Luther King Jr., and Senator Robert Francis Kennedy. These events triggered more waves of protests, including the struggle against racial discrimination. In the backdrop was a lurking sense of the long Cold War and a Space Race with Russia. Seemingly, Russia had constant advantage, including Sputnik, the first Satellite mission to orbit the earth. Could the heart of America possibly be more troubled?

There is a Santa Claus!

Breaking through such a dark year, on December 24, 1968, Jim Lovell famously announced, “Houston, please be informed there is a Santa Claus!" The Apollo 8 crew of Frank Borman, Jim Lovell, and Bill Anders became the first humans to leave Earth and journey to the

December 27, 1968, after returning to Earth: Frank Borman, Bill Anders, and Jim Lovell Image Credit: NASA

Moon! Apollo 8 reached the Moon and entered Lunar Orbit for ten orbits around the Moon. The men of Apollo 8 had traveled farther and faster than anyone in history. Borman, Lovell, and Anders were the first to see the far side of the Moon and to see the great blue and white earth from a vast, cosmic distance. For the record, Bill Anders took the famous picture of the “Earthrise” which became the most known photograph of the 20th Century.

The Astronauts’ December 24, 1968 message to Earth included a passage from Genesis: “In the beginning, God created the heaven and the Earth,” as Anders read. Borman ended the passage, adding “and from the crew of Apollo 8, we close with good night, good luck, Merry Christmas, and God bless all of you - all of you on the good Earth.” Amongst the many telegrams of congratulations, NASA relayed one that says it all: “Apollo 8, you saved 1968!”

Heritage Flight Museum

Astronaut Bill Anders and his wife Valerie founded the Heritage Flight Museum in 1996. Family stories, the history of 1968, and the Apollo 8 Mission all contributed to this museum’s success.

Bill and Valerie’s sons, Greg Anders and Alan Anders, took active management roles in 2003, joining their parents to later expand and preserve the museum’s goal of honoring veterans and keeping history alive in a variety of ways. As you walk through the building, you will return to the cultural nuances of 1968. A wide mural gallery displays interesting reminders of the Apollo 8 Mission, such as Bill Anders uniform. On seeing technology, events, and people, we were reminded of how different things were. All these are a part of the story of family, work, and events of the time. On a tour with Greg Anders, we listened to stories from the perspective of Apollo 8 Astronaut families. The Heritage Flight Museum also displays

Valerie’s personal, monthly calendar of family events leading up to the December 21 launch. Speaking of launch, you will also watch a video of Walter Cronkite’s rendition of this event. The Heritage Flight Museum presents this moment in history well, from the Earth to the Moon!

Fly Day and the Airplane Hangar

Apollo 8 is not the only highlight of The Heritage Flight Museum. With a rewarding walk through their vintage hangar, your tour guide will bring back the stories behind those planes. Be sure to join the museum on a “Fly Day” for an air show and tour of this vintage airplane collection.

(Continued on Page 9)

Fitness Support at the Y

Ben Leschensky, Communications Manager

Skagit Valley Family YMCA

The physical, mental, and emotional challenges faced as you get older don’t have to be faced alone or without support. In fact, research by the American Society on Aging shows that older adults have a higher quality of life and sense of well-being when in a community and have systems of mutual support.

Enter the Skagit Valley Family YMCA. The Skagit Y welcomes people from all walks of life at every stage of life, including seniors, and its programs empower people to be healthier in mind, body, and spirit.

Read on for a glimpse at how the Y can impact your life.

Fitness: Functional and Fun

One of the best ways to impact your longevity and enjoyment of life is to live an active lifestyle. At the Y, seniors have access to a wide range of fitness equipment, a multi-purpose aquatics center, and can participate in fitness classes tailored to aging adults. Flexibility, range of motion, balance, and coordination are just a few aspects of your health that you can improve at the Y.

Need individualized fitness support? Work with a Personal Trainer, who can help you set and meet your health and wellness goals.

A Community of Support

When you join the Y, you don’t just join a gym–you join the Y family. Beyond the community and camaraderie found in fitness classes, seniors can meet and engage with peers through Lunch and Learn educational presentations, field trips, or at weekly coffee hour. The Y also has a variety of volunteer opportunities where you can meet and help those in the community.

Fitness Support: Accessible for All

Did you know your insurance may cover the cost of membership? That’s right, you may not have to pay the Y to get a membership and have access to all the benefits the Y has to offer. In 2024, the Y accepts Silver & Fit, Active & Fit, Renew Active, and FitOn Health programs. The Y also has a financial assistance program that can help reduce monthly membership fees.

The Y would love to welcome you into our community. We invite you to stop by our facility for a tour and to try the Y out for a free week. Visit us at 1901 Hoag Road, Mount Vernon.

Ben Leschensky, Communications Manager

Skagit Valley Family YMCA

1901 Hoag Rd., Mount Vernon, WA Phone: 360-336-9622 (Ext. 7021)

www.skagitymca.org

The Heritage Flight Museum

(Continued from Page 7)

See their website: www.heritageflight.org/hfmevents/fly-days for Fly Days and other tour dates. Visit the Heritage Flight Museum and be ready to enjoy some time well-spent!

Take note of the front cover of this current edition, as this is a picture of Bill Anders of Apollo 8, at center, with his two sons, Greg Anders on left and Alan Anders on right. This

cover image was taken right after the three flew in a Three-Ship Flight Formation on Bill Anders’ 90th birthday!”

By Kirk and Christine Blankenship, Publishers, with information and stories told by Lieutenant Colonel Greg Anders (who served 23 years in the US Air Force), son of Major General William “Bill” Anders, Astronaut and the photographer of Apollo 8, December 23, 1968. In addition to a personal tour of the Heritage Flight Museum, the information in this article comes from common history and from Robert Kurson’s book, Rocket Men.

Volunteer Job Opportunities

Help carry on the heritage of flight and space exploration. Call: 360-424-5151

www.heritageflight.org

Three-Ship Flight Formation: Bill Anders, Alan Anders, and Greg Anders - Photo by Deane Crilley V

Food: The Most Powerful Medicine

Nicole Vander Meullen Marketing and Outreach Director Skagit Valley Food Co-op

S, M, T, W, Th, F, Sa. If you’re like many others, those are familiar letters marking the days of our lives atop a plastic container on your countertop, full of your daily dose of XYZ – a very necessary reminder of what day it actually is, and to take your vitamins, supplements, and other medicines accordingly.

On S and W, I take my vitamin D. I appreciate the reminder, and the support those little capsules give me, especially during the winter months. There is, no doubt, health and healing in these medicines, but let’s not forget the most powerful medicine of all: Food.

Food is our source of life, and there’s certainly truth to the saying “you are what you eat:” an unhealthy diet can lead to health issues, and a healthy one can help prevent issues and maintain a good balance of one’s health. Of course, there are outliers, exceptions, and genetic predispositions, and the definition of “healthy” varies from one person to another, but, generally speaking, eating a healthy diet can have numerous health benefits.

This idea is simple. However, there are thousands of people who have found themselves reliant on prescriptions and other medicines, who haven’t taken a closer look at what else they’re consuming. And sometimes, a change of diet is just what the doctor (should have) ordered.

There are vitamins, minerals, nutrients, and other surprising health benefits in some of the foods you already know and love! The mighty mushroom is one of few natural sources of vitamin D, so while I still supplement, I also

add mushrooms to many of my dishes. Mushrooms have also been gaining popularity in recent times for their immune-boosting, mindclearing, gut-soothing adaptogens. Mushroom coffee may sound weird, but it’s a delicious way to take advantage of these functional ingredients, especially if caffeine isn’t on the menu.

The appeal of the bright banana? It’s potassium-packed and great for an instant energy boost to start the day or before a neighborhood stroll. A shot of apple cider vinegar before or after consuming sugar can help maintain glucose levels. Yogurt, kefir, and sour cream offer your gut thousands of live active cultures called probiotics, which can help with digestion and other gastro issues. Bone broths, which can be bought or made on your own stove with leftover chicken and beef bones, are a natural source of collagen, and make for a great alternative to water when cooking things like rice, and even pancakes! Celery and cucumber are watery veggies that can help increase your body’s hydration. You don’t want to drink those 8 glasses a day for nothin’!

I think my favorite food superpower starts with our fuzzy friendly pollinator, the honey bee. Not only is local wildflower honey delicious, a drizzle here and there can alleviate allergies when the pollen count gets high. Who knew?

Food can be many things: friend or foe, healthy or harmful, delicious or disgusting, but what we do know, is that it can also be medicine, and high-quality nourishment is essential for well-being.

Nicole VanderMullen

360-336-9777, www.skagitfoodcoop.com

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.

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.

Contact us for more information or to set up an appointment.

Call: 206-957-7772 | www.priorityfootwear.com

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

Kevin Clarke, President Priority Footwear 503-524-9656

Why Better Hearing Means Better Living

Unfortunately, hearing loss is one common trait shared by many seniors. By some estimates, more than 50% of the over 60-year-old population has some level of age-related hearing loss. This could be due to changes in the nerve structure of the ear or long term exposure to loud noises. Also, drug side effects or other medical conditions can also bring about changes in hearing. Regardless of the cause, the results of hearing loss are often the same. These results include social isolation and increased stress. Perhaps surprisingly to you, hearing loss can also result in an increased risk of cognitive decline. The good news is that hearing loss can be treated, and the cost of doing so is decreasing. As a New York Times headline recently proclaimed, “Hearing Aids Are More Affordable, and Perhaps More Needed, than Ever.” (Span, Paula; 2023, October 30). www.nytimes.com/health/hearingaids-dementia

Improved Affordability for Better Hearing

The reason for the improved affordability of Hearing Aids is the passage of legislation permitting the sale of Over the Counter (“OTC”) Hearing Aids. These products are designed for those with “mild to moderate” hearing loss and are available in many retail locations. Because age related hearing loss can occur gradually over time, you may not realize how significant your loss is. The only way to know if OTC aids might be appropriate for you is to have your hearing tested. Testing can be conducted by an Audiologist or Hearing Aid Specialist. Medicare will generally cover this test if you have a referral from your doctor (and

sometimes without). That is the first step to better living with hearing loss. You probably have your eyes tested regularly – why not your ears?

The Importance of Treatment

Why is treating hearing loss so important? There are many reasons, but recent research indicates that the most critical may be the prevention of cognitive decline (aka, dementia), a condition none of us wants to experience. The Lancet Commission on Dementia reports that untreated hearing loss is the single largest “potentially modifiable” risk factor accounting for dementia. Perhaps another surprise to you, hearing loss ranks higher than traumatic brain injury as a cause for dementia! “Modifying” hearing loss is simple – consistently wear a hearing aid (they do not work in a dresser drawer).

Better Hearing and Better Living

Many of us have taken this step to wear hearing aids with good results. Because we can better comprehend what is being said, we are more likely to attend and enjoy social events. More importantly, our loved ones are less frustrated and less likely to feel ignored when they don’t have to frequently repeat themselves. If you won’t address the problem for yourself, do it for those that love you. Hearing aids don’t make you look old. However, not hearing well does that job for you when it causes you to miss participating in conversations and social outings such as coffee with friends or attending

Larry Wonnacott, President, Hearing Loss Association of America - Whatcom County Chapter

a symphony. Put simply, better hearing equals better living.

Hearing Loss Management and Support

The Hearing Loss Association of America

– Whatcom County Chapter is celebrating our 20th year of helping our neighbors that are living with hearing loss. We provide education and information, advocating for hearing access and support for each other as we deal with the impacts of hearing loss. We do not sell or endorse any products. Rather, we are a group that has learned how to manage our hearing loss, and we share our successes (and failures) with each other. We often have expert speakers share the latest research results. For example, these speakers discuss new approaches to managing hearing loss, tinnitus, and balance issues.

We invite you to join us on the 3rd Saturday of every month for our free meetings. Find information at the website below.

Larry Wonnacott, President

Hearing Loss Association of AmericaWhatcom County Chapter

360-656-6457

www.hearingloss-whatcom.org

In-Person Meetings

3rd Saturday/monthly

Christ the Servant Lutheran Church

2600 Lakeway Dr., Bellingham

Social Time: 9:30 AM

Meeting: 10 – 11:30 AM

Spine Surgery Advances With New Robot

Surgeons at Skagit Regional Health started using a new robot in August to assist with precise back procedures.

The Globus ExcelsiusGPS® Robotic Navigation system uses diagnostic images of the patient, that are displayed on a computer screen, to help guide surgeons in providing precise, minimally invasive procedures. The images help the surgeon create a surgical plan based on the patient’s individual anatomy and determine the size and placement of screws.

“The robot is a precision guide for hardware placement,” said spine surgeon David Mourning, MD. “It does not do nerve decompressions, such as discectomies or laminectomies, as those still require the steady hand of a surgeon combined with tactile feedback to safely operate.”

For patients, the main benefit is safety and efficiency, said spine surgeon Dylan Morris, DO. “The robot will allow us to perform complex spine surgeries in a safe and efficient manner,” Dr. Morris said. “This will allow us to continue to give the best care possible for our patients at Skagit Regional Health.”

Robotic Precision

Dr. Mourning also noted the efficiency of hardware placement with the precision of the robot.

“Using the robot can greatly decrease time in the operating room by 10 to 20 percent as the screws go in like clockwork, eliminating delays due to visualization, difficult anatomy and other issues,” Dr. Mourning said. “Less time under anesthesia and shorter time in the OR is better for the patient.”

The robotics and navigation reduce the length of procedures, improves accuracy and dramatically lowers the level of radiation exposure from fluoroscopy, which is good for the patient and the OR team. In addition, the smaller incisions mean less tissue damage and a shorter hospital stay.

Reliability and Efficacy of Procedures

“We won’t do any new surgeries, we’ll just do the procedures safer and faster,” Dr. Mourning said. “I’ve been looking forward to getting this for several years now. I’ve used several other systems for guidance (image guidance, artificial reality headsets) but nothing compares to the reliability and efficacy of this system.”

This is not the first surgical robot in use in the operating rooms at Skagit Valley Hospital. Skagit Regional Health’s general, colorectal and thoracic surgeons, OB/GYNs and urologists use the da Vinci® Xi™ Surgical System, brought to the hospital’s operating rooms in 2018.

To learn more about spine surgery, please contact one of our team members at Skagit Regional Health at 360-814-2663. We can help you make an appointment with a spine specialist. Also see: www.skagitregionalhealth.org/ programs-services/spine-surgery

V

Pictured above: Skagit Regional Health spine surgeons

Dylan Morris, DO (left) and David Mourning, MD (right) will use the Globus ExcelsiusGPS® Robotic Navigation system for hardware placement procedures using diagnostic images.

Compassionate Care

Asfriends, family or loved ones age, unexpected events can derail even the healthiest person. Often friends and family need to step in and support when they least expect it. When thinking about your life’s health journey, it is important to learn what Palliative Care and Hospice are. Let’s take a closer look at the Palliative Care and Hospice services available at WhidbeyHealth.

What is Palliative Care? Palliative care is an interdisciplinary medical approach to helping people living with any serious or debilitating illness like cancer, congestive heart failure, lung disease, kidney failure, liver disorder, Parkinson’s disease, Alzheimer’s disease or other forms of dementia.

Palliative care focuses on providing relief from the symptoms and stress with information, support, and resources to improve the overall quality of life for the patient and their family.

Facing a long-term serious illness is not only challenging for the patient but can be very stressful for their family and caregivers. Most people don’t understand the wide range of services available with Palliative care.

"Patients with terminal illness who engage our Palliative Care team, generally have an easier journey with better outcomes, especially when transitioning to Hospice." Carla Jolley, ARNP

What is Hospice? Hospice teams provide family-centered, holistic and compassionate end-of-life care for people with terminal illness. They help manage pain and symptoms, provide medication and supplies, as well as emotional support and respite for caregivers.

Hospice services are appropriate when a patient, their family, and their physician determine the goals are comfort and quality of life with no further tests, procedures or treatments. WhidbeyHealth Hospice team works with each patient to determine their goals. Is the patient looking for quality of life or length of life?

Ideally a patient would be in Hospice for 3-6 months. During this time the WhidbeyHealth team will work with each patient to develop a plan based on individual choices and circumstances. Hospice services are typically provided at the patient’s home, allowing them to spend their final months surrounded by loved ones.

"Often patients or their families wait until the very end before introducing hospice and miss the opportunity to have the benefits, resources and support available." Dr. Shana Fogarty

Planning Ahead: End-of-life does not have to be a crisis. WhidbeyHealth Hospice services help patients and their families feel more prepared and comfortable, providing a dignified end-of-life journey. We offer informational visits for those looking to learn more and better understand the benefits of each service.

Insurance: Medicare, Medicaid, and private insurers typically cover palliative and hospice services. It is similar to seeing other specialists such as a cardiologist. Your primary care physician or specialist can refer you to Palliative Care and Hospice services, or you can contact us directly. Whether you or your loved one needs help with recovery, ongoing support with a serious illness, or compassionate end-of-life care, our interdisciplinary team offers an individualized approach to meet your specific needs.

Learn more:

www.whidbeyhealth.org/services/hospice

www.whidbeyhealth.org/services/palliative-care

Speech Therapy - Not Just for Speech

Libby Lewis, Speech-Language Pathologist Breakthrough Speech

"My speech is fine. Why am I seeing a Speech Therapist?” A referral to Speech Therapy sometimes prompts this question. Yes, Speech-Language Pathologists (SLPs) do help people speak better… and so much more!

Speech Therapy addresses challenges in speech, communication, cognition, voice, and swallow safety. Changes may happen suddenly, for example from a stroke, traumatic brain injury, or surgery. Other times, change is gradual, such as from a disease process or long-term misuse of the voice.

SLP assessments identify areas of both strength and impairment. Treatment may include physical or cognitive exercise, external tools to support function, or strategies to improve safety or compensate for loss. Patient/family education and care team collaboration are also critical components of therapy.

Areas of Speech Therapy

Speech Articulation: Improving Speech Clarity

Difficulty articulating words can happen when the muscles used for speech lose strength or coordination, or if nerve damage prevents the brain and mouth from working together. Impaired speech may sound slurred, halting, or mumbled. If someone is no longer able to speak, SLPs can recommend alternative forms of communication.

Language: Reduce Miscommunications and Frustration

At the core of communication, language skills allow us to access words and put them into meaningful spoken or written messages, and to understand speech and text. Speech Therapy can reduce miscommunications and frustration caused by language impairments.

Voice: Vocal Strengthening and Rehabilitation

Voice treatment may improve vocal quality, volume, and stamina. It targets improving performance for public speakers and singers and preventing or recovering from vocal cord damage.

Cognitive Communication: Sharpening Thinking Skills

Speech-Language Pathologists help treat cognitive changes in memory, attention, orientation, and executive functions (the ability to problem-solve, organize, and fulfill plans, etc.). In addition to dementia, cognition can change from sudden injury to the brain, effects from disease, medication effects, age, and limited brain stimulation (think “use it or lose it”).

Swallow Safety: Increasing Safety for Hydration and Nutrition

Like with speech, swallow muscles can lose strength and coordination, and nerves can be damaged, making swallowing difficult and unsafe. Structures may change from effects of cancer or radiation. When things “go down the wrong pipe," SLPs offer guidance

to maintain safe hydration and nutrition.

Client Care and Training for Family Caregivers

At Breakthrough Speech, our SLPs provide evidence based, high quality care to adults in each of these areas to promote safety, independence, and quality of life. We not only treat individuals, but provide family and caregiver training for how best to support their loved ones.

In-Person and Tele-Therapy Options

In-person assessment and treatment is available at our Anacortes office. For those

Speech Therapy for Adults

libby@breakthrough-speech.com

Phone:

in remote locations, we offer treatment via tele-therapy. We accept Medicare and some commercial insurances. We welcome the opportunity to serve you.

Libby Lewis, Speech Language Pathologist

Breakthrough Speech

1809 Commercial Ave. #206, Anacortes, WA

Phone: 360-230-8010

Email: libby@breakthrough-speech.com

Website: www.breakthrough-speech.com

Need Transportation? CARE-E-ME can help!

Monday - Friday: 6 am - 6 pm

Saturday: 8 am - 4 pm

www.careeme.com

360-755-3239

Conditions and/or disabilities prevent you from traveling?

» For residents with qualified conditions and disabilities *

» Wheelchair or walker welcome

» Make reservations from point to point

» In-person Travel Training for riding the Skagit Transit system.

*You must apply to qualify for this system.

*Qualified riders may use an internet scheduling platform to book rides

*Paratransit fare is $2 per ride.

Weekday service hours - 6 a.m. to 9 p.m.

Weekend service hours - 8 a.m. to 6 p.m.

Paratransit Service

360-757-4433 ~ www.skagittransit. org

Glossary: Legal and Care Specialists

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

Glossary: Medicare

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.

As

Seniors Real Estate Specialists®

We have the knowledge and expertise to guide you to your next adventure!

WE PROUDLY SERVE SENIORS AND THEIR REAL ESTATE NEEDS NORTH OF SEATTLE TO THE CANADIAN BORDER!

Your Home to Your Heirs - To Deed or To Will?

Carmen

Many people assume that it’s best to put at least one of their heirs on their home title/deed well in advance of their passing to make selling the home easier. And that may be the case, BUT it will cost your heirs thousands of dollars when they go to sell the home. Why you ask….?

Heir on the Title - Capital Gains Tax

When you add your heir to the title, it is the same as gifting the house to them. And for gifting purposes in the tax world, the recipient (the one added to the title)

gets the home at the ORIGINAL COST that you paid for it when you bought it, not the current fair market value. And, because it is also not their primary home, they will have to pay capital gains tax of 15-20% on however much the home has appreciated since the day YOU purchased it. Let’s take an example. You add your son to your title in Jan of 2024 and you bought your home for $200,000 back in 1994.. You pass away five years later in 2029 and your home is now worth $700,000. If your son chose to sell the home immediately, he would have to pay up to $100,000 in Capital Gains Tax.

What should you do?

There are a few options to consider:

1. Get your will and/or trust completed, outlying who is to inherit the home and leave them OFF of the title. This way, they won’t have to pay any capital gains as they will inherit your home at the fair

Andrew, Managing Broker Weitzel & Andrew Home Team

market value of the day you pass away –therefore erasing all capital gains.

2. You can get a special ‘Transfer on Death Deed,’ which shows your intention to transfer the property to your heir immediately after you pass away. They don’t own the property until you pass – again, erasing all capital gains - AND it often allows them to avoid probate.

Either option will save your heirs a tremendous amount of money and be relatively simple as long as you have all the

proper paperwork in order (Will and/or Special Deed).

Carmen Andrew, Managing Broker

Office: 360-312-5151

Mobile: 360-393-0767

www.weitzelhometeam.com

Disclaimer: I am not an attorney and the information in this article is not legal advice. Please reach out to your trusted estate attorney for the best advice for your specific situation. V

Brain Health is Everybody’s Business

Kelsey Lovik, Dementia Program Specialist Northwest Regional Council

We all know somebody who struggles with their memory. They may or may not have an official diagnosis of some kind. Perhaps you are wondering about your own brain health. There are hundreds of conditions known as “neurodegenerative diseases.” While some come down to genetics, or luck, there are steps that we can take to improve our brain health and lower the likelihood of developing disease.

Healthy Diet

A general rule of thumb is that “what is good for the heart is good for the brain.” Maintaining a healthy diet and avoiding a sedentary lifestyle are important factors for cardiovascular health which, in turn, benefits the brain. There has been a lot of attention in recent media about specific diets or supplements that claim to prevent or reverse memory loss. Proceed with caution. For most people, keeping a balanced diet rich in fruit, vegetables, and lean proteins is sufficient for maintaining overall health. Talk to your health care provider before changing your diet or starting a new exercise program.

Maintain Fitness and Balance

Exercise should be something you can enjoy on a regular basis.

Incorporating more movement into your day can help reduce the risk of falling. Falling puts us at a higher risk of brain injury, which can contribute to likelihood of developing long-term thinking or behavior problems. Simple modifications to home environments, such as installing grab bars in the shower, will prevent the risk of falls. Check with your local community center to see if there is a group fitness class that you may be able to participate in, such as Tai-Chi, that can keep you moving and improve overall balance.

Regular check-ups

Other factors that improve brain function include things like staying up to date with regular preventative health care visits, vision and hearing screenings, and making sure you are getting enough sleep.

Determine a Cognitive Baseline

Finally, know your baseline. Many people notice a slowing down of brain function as they age, maybe taking longer to recall a word or occasionally misplacing objects. However, dementia is NOT a part of typical aging. You can learn what is typical for you by completing a simple cognitive screening as part of your annual wellness exam. Then if there is a deviation it can be addressed right away. There are many factors that can impact memory and some of them are easily reversible.

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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 34.

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 38.

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 41.

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over 100 years, the Josephine Caring Community has been a respected award-winning regional partner in caring for all generations & nurturing fullness

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Brain Health is Everybody's Business

(Continued from Page 30)

Talk About Brain Health

Talking openly and honestly about brain health will help to reduce the stigma around neurodegenerative diseases such as dementia. Timely intervention can make all the difference in getting an early and accurate diagnosis and getting connected with relevant supports and services. Routine cognitive screenings should

be viewed no differently than blood pressure readings or colonoscopies.

To learn more about brain health visit: www.nia.nih.gov/health/brain-health

Kelsey Lovik, Dementia Program Specialist

Email: nwrcdementia@dshs.wa.gov

Website: www.nwrcwa.org

Remodeling for Aging in Place

Robert Burns, Owner Envision Remodels

Envision Homes has been remodeling in the Puget Sound area for over 20 years. However, a personal experience with my 90-year-old mom unveiled an aspect to remodeling I had not yet recognized. She went from active and independent to almost unable to function in her condo within a month. Upon visiting her, I was overcome with how poorly suited her residence was for aging-in-place living. Faced with the alternative of an assisted

living community, I spent the next month retrofitting my mom’s condo. Goals included facilitating her limited mobility and accessibility and her need for independent control. Most importantly, these plans merged with another goal to create life safety and security. This experience illuminated my focus on agingin-place remodeling and led me to receive certification in the field.

The Key to Remodeling for Aging-in-Place

I learned the key to a successful aging-inplace remodel is that the design process must (Continued on Page 40)

Learn How To Stay Living In Your Own Home

Remodeling for Aging in Place

(Continued from Page 38)

give careful consideration to each individual’s personal challenges and needs. Understanding that each of us are faced with our own unique challenges as we age, the design and remodeling process must prioritize the owners personal health journey without compromising aesthetics.

Enhanced Accessibility

One key aspect of remodeling for agingin-place is enhancing accessibility. This often involves making structural changes such as mindful placement of critical cabinetry and storage. Other enhancements for accessibility include widening doorways, reconfiguring for simplicity, and creating barrier-free entrances.

The Kitchen Remodel for Independence

The kitchen is a critical area for enhancing access and independence. Task-oriented countertop heights, relocating storage, installing pull-out shelves, and choosing appliances with userfriendly controls contribute to a more accessible kitchen environment. These modifications allow seniors to continue their culinary pursuits with ease.

Bathroom Safety and Functionality

Bathrooms pose a common challenge, and remodeling efforts often concentrate on making this space safer and more accessible. The installation of grab bars, non-slip flooring, and walk-in showers can significantly reduce the

risk of accidents. Lever-style faucets and door hardware, and easy-to-reach storage enhance functionality.

Lighting and Home Monitoring

Effective lighting is crucial for aging eyes, and proper illumination can be achieved through thoughtful remodeling. Installing brighter lights, incorporating task lighting in key areas, and minimizing glare contribute to a safer and more comfortable living environment. Smart home technology, including occupancy-sensors and voice-activated controls, can further enhance convenience. This also goes beyond lighting to include home monitoring solutions and voiceactivated assistants, which contribute to the safety and well-being of seniors.

In conclusion, remodeling for aging-in-place creates homes that evolve with individuals as they age. From structural adjustments to embracing technological advancements, these modifications empower seniors to maintain their independence, dignity, and connection to their cherished homes. As the trend towards aging in place continues to grow, thoughtful remodeling practices will become increasingly essential in fostering a society that values and supports its aging population.

Robert Burns, Owner Envision Remodels

206-356-7853

robert@envisionremodels.com

www.envisionremodels.com

Everything Used to be Simpler

Linda Jinkens, Freelance Writer Arlington, Washington

As I roll through my seventh decade of life, I long for how simple life used to be. I could turn a knob, and the TV would come on. I could hand cash to the clerk to pay for items. I could pay for tickets at counters behind which real people stood. Getting a new radio did not involve reading pages of minuscule print. Lids on jars were easy to twist off and had no plastic or foil underneath to remove. And appliances were simple to operate.

You’d think a shopping cart would still be simple to maneuver.

The Dollar Store

I had driven to a dollar store to pick up items for my grandkids. I wanted some small dolls, stuffed animals, and coloring books. When I walked in, I noticed a plethora of strange-

looking shopping carts. A tall yellow sponge tube stuck up in each cart. Each tube may have been six or seven feet. (My son told me later, a bit surprised, “They were pool noodles, Mom. Haven’t you heard of pool noodles?” I guess he didn’t realize I hadn’t been near a pool in 40 years.) I figured the strange objects had something to do with surveillance. I wasn’t sure, but maybe management could see the carts throughout the store by noticing the yellow tubes in the air, possibly.

Looking for Dolls

I quickly filled up my cart, but could not find any small dolls.

At the checkout, I asked the young greenhaired clerk, “I’m just wondering if I missed small dolls in here. I’d like some for my granddaughters.”

The clerk looked at me and said, “Oh, girls don’t want dolls. They want doll heads. But we are out of them.”

My mouth must have dropped open. And I know my hearing is very bad. (Hearing aides are on my list.) I said, “Heads? They want heads?”

She repeated loudly, acting like I was deaf as a doorpost,“YES, HEADS! They like to comb their hair and do their makeup. They are LARGE DOLL HEADS.”

Exiting the Dollar Store

I envisioned large heads that looked like they had been guillotined, all in a row. What on earth? What happened to just normal heads attached to bodies? And makeup? Puzzled, I paid for my

(Continued on Page 46)

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Glossary: Housing & Care

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)

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)

Continuing Care Community: 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.

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.

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.

Everything Used to be Simpler

(Continued from Page 42)

items and put the bag into the cart. I headed out the door to my car, as I usually unloaded the cart and then pushed it back into the store.

I didn’t get too far.

I pushed the cart out the door, but it went maybe one foot forward and stopped. Hmm. I pulled the cart back in. I tried again. I pushed harder. This time the cart went sideways, but was still stuck. Was it the wheels? Maybe not working correctly? I peered down at the wheels. Nope, they looked OK. I tried again. The cart went a foot the other direction. Puffing hard, I thought to myself, I have sure lost strength in my arms when I can’t get the cart through the door! I determinedly pulled it back, grit my teeth, and gave the cart a magnificent shove. Nope. It only went a short distance again.

The Cart With a Tube

I looked up at the tube for the first time, then, and noticed it was stuck to the door frame. Peering up through my reading glasses (not

prescription glasses which I really need), I saw there was a piece of metal at the top of the tube, and it was stuck to the frame. It hit me like a two by four! The tube was magnetized to keep the cart in the store! Who would have thunk?

Standing with one foot outside the door, I looked back inside, chagrined. There was a dead silence. The clerk was frowning at me, looking like a statue, one hand frozen in the air above the cash register. The other customers in line were all staring, too, unfriendly. Did they think I was trying to steal the cart? Did I look homeless?

Outsmarted by a Shopping Cart

I felt my life slowly roll by in front of me like an old VHS tape. I yanked my cart back into the store and stared back hard at all of the folks, holding my head high, to show everyone I was not humiliated in the least at being a spectacle! I grabbed my bag. Everyone slowly looked away as I marched out the door.

Will I go back there? Not in a million years. Someone may recognize me as that older woman trying to abscond with a shopping cart in broad daylight.

One good thing. I didn’t see anyone pull out a cell phone to make a video. It might have been titled “Grandma Outsmarted by Shopping Cart.” I’m sure it would have gone viral.

Linda Jinkens is a freelance writer who enjoys bicycling, baking, and her five grandchildren. She has been freelancing for the last six years and has been published in many publications. She is also a former high school teacher.)

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Social Connections and Dementia

Teepa Snow, Positive Approach to Care

Theneed and desire for social connection is different for each individual. Some get their energy from being in the presence of other humans Some individuals require frequent periods of solitude to recharge their energy, and being around others without those solo moments can really be draining. Regardless, we all need relationships with other individuals in our lives. Unfortunately, when our brains are changing, maintaining and nurturing those relationships can often present a challenge.

Many of us have experienced the phenomenon of a friend falling off the face of the earth. This can happen all too frequently for people who are living with dementia, who often feel that their friends seem to disappear once they are diagnosed. Any idea why this might be?

Here are just a few of the possibilities:

• The friend invites the person living with dementia to an outing or offers to visit them, but the person forgets to respond or declines the invitation.

• The person living with dementia begins saying or doing things that cause their friend to be uncomfortable, so the friend starts to avoid contact.

• The friend thinks the connection no longer matters to the person living with dementia.

• The family of the person living with dementia purposely or inadvertently isolates them from their friend.

Whatever the reason, the result is a loss –whether it is one friendship or many – at a time when connections are critically important.

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Social Connections and Dementia

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What can be done to facilitate a different outcome?

As a Friend:

• Be pleasantly persistent with your invitations. Rather than offer yes/no invitations (Would you like to go for a walk with me?), rephrase your request with a more persuasive ask (I walk every day after lunch, and I’d love it if you’d join me on Tuesdays. It would mean a lot.)

• If your friend’s abilities have changed in such a way that you don’t know what to do, consider building your knowledge base and developing skills for interacting with those living with brain change.

As a Care Partner for a person living with dementia:

• Offer to help arrange social connections and, if the situation warrants, attend with them. Perhaps it means making a few phone calls and setting up a lunch event, or a walk in the park, as examples.

• Offer to help by partnering with the person you care about to send greeting cards, notes, and pictures to friends on a regular basis.

• Accompany your person to volunteer activities or other events where he or she may be able to make new connections.

• If friends express hesitancy due to the person living with dementia’s condition, provide information and ideas for engagement and interaction. Offer to be there for the visit or to help facilitate a phone call.

• Keep track of social engagement activities to find that match between what creates joy for the person you care about, and, alternatively, what causes distress.

At the end of the day, we all need social connections. During a dementia experience, many individuals will need guidance and support to maintain these essential connections. As you think about the person you support, what are you willing to do to set the stage for success when it comes to social engagement?

Teepa Snow, MS, OTR/L, FAOTA Positive Approach, LLC

877-877-1671, www.TeepaSnow.com

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

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Sapphire at Woodway IL/AL

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Avista Sr. Living AL

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Skagit County

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