FOR THE ACTIVE, EXPERIENCED CENTRAL OREGONIAN • HEALTH, LIFESTYLE, ENTERTAINMENT & ADVICE
Ageless SPRING 2013
A love of dogs and a passion for hunting.
WILL OF THE HEART HAPPY FEET, HEALTHY BODIES Sponsored By
In Partnership With
ADVER T I S ING SUPPLEMEN T
2 | Ageless | The Bulletin
Ageless Features Huntin’ Buddies ......................................................... 5 Bend’s Scott Linden has merged his love of dogs with his passion for hunting to become a multimedia personality and author.
Compassionate Canines ........................................... 11 Area group trains dogs specifically for therapy and companionship in order to help those most in need locally.
DASH to Better Health..............................................19 Reduce hypertension, cholesterol and manage your weight with DASH.
Rockin’ Enthusiasm ..................................................29 Mary Barackman offers passersby a level of happiness and energy that’s become an infectious part of many people’s day.
Information & Advice Contributors ................................................................................. 4
A magazine featuring health, entertainment, lifestyles and advice for the active, 50-plus Central Oregonian. Ageless is a product of The Bulletin’s Special Projects Division, 1777 SW Chandler Ave., Bend, OR 97702, and printed by Northwest Web Press, www.northwestwebpress.com. Ageless is produced in partnership with the Central Oregon Council on Aging.
Leaving a Legacy: Will of the Heart ............................................ 8
All content is the property of The Bulletin/Western Communications, Inc. and may not be reproduced without written permission.
Caring for the Caregiver / Resources........................................ 14
Ageless Staff Members
DASH-Inspired Recipe ............................................................... 21
Martha Tiller, Special Projects Manager Ben Montgomery, Special Projects Editor Stacie Oberson, Special Projects Coordinator Nicole Werner, Special Projects Image and New Media Christopher L. Ingersoll, Special Projects Assistant Clint Nye, Graphic Designer Jay Brandt, Advertising Director Steve Hawes, Advertising Sales Manager
To Your Health: Happy Feet, Healthy Body ............................... 23 Fast Friends ................................................................................ 26 Legal Advice: Ask an Estate Planning Attorney ....................... 32 Field of Expertise: Respecting the Journey................................ 38
COCOA News Message from the Director: Beautiful Faces Photo Contest ..... 35 COCOA Fundraising Events ....................................................... 36 Events Calendar ......................................................................... 37
Story ideas may be submitted for consideration to Ben Montgomery, editor. Contact him at 541-383-0379 or via e-mail at firstname.lastname@example.org. For advertising, call 541-382-1811. Published Saturday, May 18, 2013 To subscribe or learn more about all our publications, please call 541-385-5800 or visit us at www.bendbulletin.com. Cover photo of Scott Linden by Nancy Anisfield.
Ageless | Spring 2013 | 3
Ageless CONTRIBUTORS ANNISSA ANDERSON, a Bend freelance writer and public relations consultant, is also a culinary school grad and worked as a pastry chef. She writes regularly for The Bulletin and other local publications and was a contributing writer in a recent edition of Best Places Northwest. Though she’s lived in the Northwest for the past 20 years, she spent her childhood living and traveling abroad. An avid crocheter and origamist, JOHN CAL worked as a baker, head chef, ukuleleist and Snowcat driver before settling into writing. He enjoys filling his time with yoga, postcard writing and collecting bowties. John also collects candy from around the world — he has a 100-plus specimen collection (and counting) — and lives in Sisters with his dog, Hank. Enthusiastic and outgoing, BRIDGET MCGINN enjoys meeting new people and sharing their stories. She spends her days working as a marketing and advertising professional, making photos or documentary films and spending time with her family. She may also be seen being dragged along the end of the leash of her adopted beagle.
GREGG MORRIS is a local freelance writer and musician. You can find him around town finishing articles at the local tea shop, performing with his band Organic Music Farm or homeschooling his daughter. Supposed free time is spent in the woods with his wife and daughter or skillfully executing his duties as a member of the Deschutes County Search and Rescue team. Bend has been home to LINDA ORCELLETTO and her husband, Joe, since 1996. Their “fur child” golden retriever keeps them busy with outdoor activities. When not pounding the keyboard or volunteering, she enjoys exploring the back roads and history of Oregon.
KATHY OXBORROW is a writer and consultant who helps her clients tell their stories in a compelling way. Her avid curiosity and inquisitive mind bring a fresh perspective when conducting research or interviewing people. Kathy grew up on a Nevada cattle ranch and, after stints in San Francisco and Portland, returned to her rural roots. She enjoys riding her horse, Sara. NATE PEDERSEN is a Community Librarian with Deschutes Public Library. He also moonlights as a freelance journalist. He lives in Bend with his author wife, April Tucholke, and their, dog. His website is natepedersen.com.
4 | Ageless | The Bulletin
Buddies BEND’S SCOTT LINDEN HAS MERGED HIS LOVE OF DOGS WITH HIS PASSION FOR HUNTING TO BECOME A MULTIMEDIA PERSONALITY AND AUTHOR
by Kathy Oxborrow, for The Bulletin Special Projects | Photos by Christopher L. Ingersoll & Submitted Before discovering he could make a living pursuing his passion involving dogs and birds, Scott Linden’s career path had many offshoots. Linden, 57, is the creator and host of the “Wingshooting USA” television series about bird dogs and bird hunting. In June, Skyhorse Publishing releases Linden’s book, “What the Dogs Taught Me: Observations and Suggestions
that Will Make You a Better Hunter, Shooter and Dog Owner.” But hosting national radio and television programs and becoming a sought-after speaker on bird dogs and bird hunting was the last thing on Linden’s mind when he received a music scholarship after high school. Following college graduation, he became a high school and college
music teacher, then a public relations advisor, next a political consultant and, after that, a newspaper publisher — all before becoming a media interpreter of outdoor pursuits. His passion for the outdoors is complemented by has passion for working with dogs, an animal we can all learn from, he says. “For the most par t, [dogs are]
smarter than us when it comes to the important things in the field and probably in life, and [they teach us that] we are nowhere near as good at the things we think we’re good at,” Linden said.
Hooked on Dogs
This love for dogs and what they can teach us, Linden admits, is a passion Ageless | Spring 2013 | 5
that evolved later in life. Shortly after moving to Bend in 1987, Linden’s wife, Karen Bandy, said she wanted to get a dog. Linden wasn’t too keen on the idea, thinking a dog would be “just one more thing to take care of.” They struck a deal when Bandy ag reed he could pick the dog. Shortly after that, the couple was driving down Wall Street in Bend when Linden spotted “the strangest dog I’d ever seen” in the back of a pickup. T u r n s out it wa s a Ger ma n Wi reha i re d Poi nt er, a nd a f t er tracking down the truck’s owner, he learned that the dog was pregnant. That’s how Bill became the first canine member of the Linden-Bandy household. Bill has since passed, but the dog’s influence lives on. Linden now owns two German Wirehaired Pointers, Buddy and Manny. During his youth, Linden’s family owned dogs, but he wasn’t much interested in them. His family lived in an urban area of Southern California that he describes as “the home of Ritchie Valens, low riders and driveby shootings.” So w ith little foundation for hunting developed as a youth, Linden’s introduction to bird hunting came later in life, and completely by accident. He and Bill were out in the brush one day when Linden saw Bill stop and raise his tail and one of his front legs just before a pheasant ascended toward the sky. That moment was the catalyst that led to Linden’s quest to learn more about dogs and bird hunting. Linden says he and Bill were never very good at it. “I was a bad dog owner, and Bill was not the best bird dog in the world,” he said. But Linden was hooked. He and Bill kept at it, learning from each other and improving as the years passed. “I know what little I know about bird hunting thanks to Bill, ” he said.
P ut t i ng h i s pu bl ic relat ion s background to use, Linden started 6 | Ageless | The Bulletin
“For the most part, [dogs are] smarter than us when it comes to the important things in the field and probably in life...” − Scott Linden
producing a radio show, “Outdoor Life,” that eventually aired on 1,000 stations. That resulted in a second radio program in partnership with Field and Stream Magazine. Then the Outdoor Channel came courting with an offer to produce a
television program on fly-fishing, and soon after that Linden started a second program for the channel about bird dogs. His current series, “Wingshooting USA,” airs on seven telev ision networks including the NBC Sports Network. But throughout the years, Linden had it in the back of his mind to write a book about what he’d learned from Bill and the other dogs that followed. Linden has hunted with more than 200 dogs doing the television shows and says dogs keep us humble and make us look more honestly at ourselves. “ The bo ok i s not a bout dog training, but how to be a better dog owner, how to be a better hunter, not about hunting,” he said. “It’s not about shooting better, but how to be a better shooter.” The most gratify ing aspect of bird hunting for Linden is working with another critter and figuring out how to communicate with them in a
Photo by Christpher L. Ingersoll
number of ways — verbal, non verbal and emotional. The f irst few chapters of the book are about how dogs think and how to communicate with them. Although the book’s target audience is bird hunters, Linden believes his observations over the years, which
form the basis for the book, are applicable to all kinds of dogs and their owners. In fact, his next book may just be directed to a more general audience — to non-bird hunters whose lives are enriched daily because of interactions with their dogs.
Ageless | Spring 2013 | 7
Ageless LEAVING A LEGACY
Will OF THE HEART by Nate Pedersen, for The Bulletin Special Projects
An ethical will provides you the opportunity to share your values, beliefs and experiences to help guide future generations. An ethical will is a document intended to pass moral and spiritual guidance from one generation to the next. While it does not replace the need for the usual financial will, an ethical will is an opportunity to transmit life lessons and advice. There is not a set template for an ethical will, but its contents will typically include important values and beliefs, family and personal history, hopes for the next generation, and offerings of love and forgiveness. Ethical wills are at least as old as the Bible, 8 | Ageless | The Bulletin
with the first example cropping up in Genesis 49: 1-33 when Jacob, in his final hours, gathered together his sons, offered them his blessing and asked that they bury him in Canaan rather than Egypt. Ethical wills, for many centuries associated w it h t he Jew ish fait h, were trad itionally transmitted orally at the end of oneâ€™s life. The Bible contains other examples of ethical wills, such as Mosesâ€™ instructions to the Israelites in Deuteronomy 32: 46-49. For many centuries, the concept of the ethical
will was unique to the Jewish faith. The earliest surviving copies of written ethical wills date to the medieval era. These early examples were primarily written by well-educated Jewish men. Some, such as the will written by Judah ben Saul ibn Tibbon, are still remembered today for their moving, poetic prose: â€œAvoid bad society, make thy books thy companions, let thy book-cases and shelves be thy gardens and pleasure-grounds. Pluck the fruit that grows therein, gather the roses, the
HELPFUL TIPS: Writing an Ethical Will Interested in writing your own ethical will? Follow these guidelines: 1. Start sooner, rather than later.
Since death can arrive unexpectedly, it is best to be prepared. Start by simply jotting down a life lesson you would like your heirs to remember if you were suddenly gone. You can always edit or expand this later, but it all begins when you first put pen to paper.
2. Write from the heart
In simple and clear terms, write what you feel. You do not have to create beautiful prose; just write in
spices, and the myrrh. If thy soul be satiate and weary, change from garden to garden, from furrow to furrow, from sight to sight. Then will thy desire renew itself, and thy soul be satisfied with delight.” In more recent years, however, the concept of the ethical will has expanded beyond Judaism — and beyond religious faiths in general — to become a useful tool for anyone, regardless of religious beliefs, to pass along ethical and spir itual advice to the next generation. D r. A n d r e w We i l, au t h o r o f “Healthy Aging: A Lifelong Guide to Your Physical and Spiritual WellBeing,” writes that ethical wills are
your own voice, straight from the heart. Start with a few notes about your spiritual and ethical beliefs, then expand from there as you have more time to think about it.
3. Be honest, but be positive Remember that what you write will be read and treasured by your heirs, who in turn may pass it along to future generations. While you should strive for honesty, keep your focus positive and optimistic.
important gifts of “spiritual health,” but that their primary value lies in “what it gives the writer in the midst of life.” By writing an ethical will, you can clarify your life’s purpose and your ethical or spiritual values, while also communicating a legacy to the next generation. For reasons such as these, many people choose to write ethical wills before they know they are dying. A not her potential u se for a n ethical will is to convey memories of your life and to share ancestral infor mation. Some ethical w ills contain biographical details that would be difficult, if not impossible, to track down later. These wills
4. Make it a living document
You do not have to get it right the first time. Continue to modify the will, adding or subtracting parts as you continue to grow as a person and have new experiences.
5. Make the will easy to find
Ensure that your heirs are able to find the document after you have passed. Consider storing your ethical will with your financial will for safekeeping.
become important documents for future genealogists in your family. John Strassman, of Strassman & Ha n na We a lt h Ma nagement, said that he often advises clients to include an et hic al w ill w it h their regular will. He said that as a f inancial planner, he regularly obser ves new inheritors blowing through the money that took the estate many years to build. An ethical will, says Strassman, can serve to offer a sobering view to the new inheritor of the spirit in which the money was earned. It also offers an opportunity for the estate holders to discuss their hopes for what their heirs might do with the money — complete a college
education, for example, or finally travel to the ancestral homeland. While ethical wills are not legally binding, Strassman said that they are an excellent way to “pass on the wealth with the wisdom.”
An ethical will ... can serve to offer a sobering view to the new inheritor of the spirit in which the money was earned.
Roar Denture Center
Same-Day Relines Specializing in: • Implants • Dentures • Partials • Repairs • Relines Most Insurance Accepted Cynthia Rohrer - Licensed Denturist
Sisters Denture Specialties
Tues. - Thurs. 9-5pm
Mon. & Fri. 9-5pm
NMLS ID 98161
Ageless | Spring 2013 | 9
Pilot Butte Rehabilitation
Specializing In Short-Term Stays:
A licensed Medicare and Medicaid provider
Physical, Occupational and Speech therapies Skilled nursing care • Recovery from surgery Joint replacement • Strokes Accidents • Fractures
541-382-5531 1876 NE Highway 20, Bend, Oregon
Cascade View Nursing
Specializing In Long-Term Stays:
A licensed Medicaid services provider
Alzheimer’s Memory Care Unit Non-Medicare therapy services 24-hour nursing care Excellent annual survey history Adjacent to Summit Assisted Living
541-382-7161 119 SE Wilson, Bend, Oregon
The Summit Assisted Living
Three home-made meals daily & snacks All utilities except telephone & basic cable • Weekly housekeeping Complementary laundry facilities • 24-hour staffing Scheduled transportation • Emergency call system Planned recreational, social outings, & activities Use of community common areas, private dining room, & library Pets welcome upon approval
THE SUMMIT ASSISTED LIVING
A Regency Pacific Community
10 | Ageless | The Bulletin
541-317-3544 127 SE Wilson Ave Bend, Oregon
Canines Area group trains dogs specifically for therapy and companionship in order to help those most in need locally.
by Bridget McGinn, for The Bulletin Special Projects Photos by Nicole Werner, The Bulletin It’s a big day at Aspen Ridge Memory Care: pet visitation day. Each week, the residents and staff welcome volunteer dogs and their human partners to enjoy gentle canine companionship. “Pet visits are a really big deal, in a very calming way,” said Jeannie Sousa, life enrichment coordinator at Aspen Ridge. “I believe that because so many of our residents had pets before coming to live here that just being able to touch a pet sparks memories and conversation. When people see the dogs, they have big smiles on their faces.” Many of the pets that visit the facility have completed training and evaluation to become registered Pet Partners through Compassionate Canines of Central Oregon, the local affiliate of the Delta Society. The Delta Society promotes improving human health through service and therapy animals. “We have several different places that our teams visit regularly,” said Mare Shey Peters, coordinator of the program. “Depending on the dogs’ personalities and preferences, they might visit people in hospice care, memory care, the hospital, schools or library reading programs for young people.”
Ageless | Spring 2013 | 11
positive impact on their self-esteem,” said Shey Peters. “The students really look forward to the opportunity to read to their Pet Partners, and it is highly motivating.” The role of Pet Par tner teams can differ depending on the environment. Working with children can be lively and upbeat, but for teams volunteering in hospital, memory care and hospice environments, the experience can be more emotionally challenging though just as fulfilling.
Involvement in reading programs at schools has been a huge success for Pet Partners, some of whom have been spending time with the same children for years, following them from elementary school on to middle school. The reading program has been so popular that currently there are not enough Pet Partner teams to meet the need. “Children who are struggling with reading find that reading to and interacting with an animal that has absolutely no judgement can have a
While volunteering, the dogs generally gravitate to where the majority of people are gathered in common areas. But they often seem to have an extra special ability to sense and seek out individuals who may be in extra need of some canine compassion. “Today, I saw the dog go over to where a woman was watching television by herself. Her face just absolutely lit up when she saw him arriving,” said Sousa. “Somehow, the dogs just seem to know when someone is having a very hard day. Being able to reach out and hug the dog can make a big difference.” At Aspen Ridge Memory Care, the dogs and their human partners spend time with those who are interested in petting them and chatting. Sometimes the conversation is about pet s residents have known in the past, but just as often it is the sort of chatter that you would expect from good friends catching up with one another. “We have Pet Partners that have made great friends with some of our residents,” said Sousa. “Recently, we had a Pet Partner team pay a special visit to cheer on one of their resident friends who was giving a presentation. We’ve even been invited out to one of our Pet Partner’s farm for a picnic which everyone really enjoyed.” Like any true friendship, sometimes the bonds
Complete Health & Wellness • High Cholesterol
• Coag Clinic
• High Blood Pressure
• Adult & Child Wellness Physicals
• Heart Disease • Stress Testing • Diabetes
• Acute Illness Treatment
• Arthritis Dr. Celso Ganga
• School & Employment Physicals
• Lung Disease
• Women’s Health
Dr. Derek Palm
REDMOND MEDICAL CLINIC (541) 323-4545
Lori McMillian, FN
1 2 45 NW 4t h S t re e t • Su it e 201 • Red mo n d, OR 12 | Ageless | The Bulletin
“Somehow, the dogs just seem to know when someone is having a very hard day. Being able to reach out and hug the dog can make a big difference.” − Jeannie Sousa, Aspen Ridge Memory Care
formed between Pet Partners and those they visit calls for shoulder ing some sadness. “When someone passes, the Pet Partners will come to their services,” said Sousa. “It really means a lot to all of us.”
Becoming A Pet Partner
In addition to basic obedience skills, dogs who train to be Pet Partners must be very friendly and social. Just like humans, said Shey Peters, dogs are born with an inclination to either be extroverts or introverts. “Some dogs just really like being at home surrounded by their family,” said Shey Peters. “They don’t want to hang out with people they don’t know, while other dogs love to get out and meet new people. It is important to ask if being a Pet Partner is something the dog really wants to do.” The process to become a registered Pet Partner involves graduating from training classes and passing an evaluation. “The training work shops are really foc u sed on training t he hu man end of the leash,” said Selina Witt, a Pet Partner volunteer and instructor. “Part of becoming a Pet Partner is wanting to do
things that involve increased respect and communication with your dog. Learning how to pay at tent ion to you r dog’s communication is key to the program. It is really important to find the right job and environment for your dog to be successful.” Mingus, a yellow Labrador and Witt’s volunteer pet partner since 2007, is happiest in the hospital environment. According to Witt, Mingus enjoys the activity and the large number of patients, families, staff and visitors that he is able to make contact with and greet. On the other hand, her former pet partner, Prints (a whippet, now retired at age 14) showed a clear preference for the lower-key hospice environment. No matter which environment best suits the team, all have unique attributes that can create a very fulfilling volunteer experience. “I’ve met so many amazing people that have shared their stories and journeys with me,” said Witt. “It can be an incredibly enriching experience.” More information about Compassionate Canines of Central Oregon and the Pet Partners program can be found at www. dancinwoofs.com or call 541-312-3766. Ageless | Spring 2013 | 13
Ageless LENDING A HAND
FOR THE CAREGIVER by Linda Orcelletto, for The Bulletin Special Projects Depression. Anger. Frustration. Loneliness. Guilt. Sleeplessness. Weight gain or loss. Resentment. Feelings of isolation. Exhaustion. These emotions and body reactions are common for caregivers, says L esley Sr ikant aia h, case manager for Central Oregon On Aging (COCOA). According to www. caringforthecaregiver.com, in one of
14 | Ageless | The Bulletin
three households in the nation, at least one member is a caregiver. Whether car ing for someone in your own home or across the country, the combination of the physical and emotional demands of caregiving, stress and self-care can quickly become overwhelming. Those who care for loved ones in their homes have the responsibility
of day-to-day care, where those who offer care across miles of country have the task of organizing care remotely. Both have their own sets of challenges. R a n d i , 6 4 , i s a m o t h e r, grandmother, daughter, daughterin-law, friend, wife and caregiver. Along with her husband, Zak, she cared for her 89â€“year-old mother-in-
law, Helen, who lived in a cottage a few yards away from their Redmond home. Helen recently passed away. Randi also manages finances for her ill sister who lives in California and does what she can to care for her father, who lives in Pennsylvania. Randi represents the nation’s growing “sandwich generation” — a generation of adults caught in a caregiving dilemma. “I feel guilty wondering when we can live our own lives,” says Randi. “You can’t just leave without giving it some thought. Yet, I also feel guilty because I feel like I should be doing more, especially with my dad, even though he is far away.” According to Randi, a typical day caring for Helen, who was legally
blind and frequently in and out of the hospital due to falls, involved checking on her in the morning, helping her dress, preparing meals, setting out medications, bathing, visiting, walking the dog, setting or attending doctor appointments, taking care of finances, laundry, cleaning the cottage and checking on Helen before the end of the day. Two cameras strategically placed in the cottage allowed Randi and Zak to watch Helen while allowing her privacy and dignity. At the prompting of COCOA and Hospice, Randi attended the Power Tools for Caregivers class, offered by COCOA. The free class at St. Charles gave Randi the tools she needed to reduce stress, which gave her back a
sense of control. “Many caregivers feel guilty about taking a break or having a good time when they are away from the person they are caring for,” Srikantaiah says. “Perhaps they feel no one can take care of their loved one as well as they can. The constant ‘waiting for the phone call’ feeling doesn’t allow people to take time for themselves. But self-care is so important and ultimately leads to enhanced care for their loved one.” If you are a caretaker, Srikantaiah says to set the goal to care of yourself by taking a break, even if it’s only 15 minutes a day. Share your feelings with other caregivers, reconnect with friends, take a walk, walk the dog, read a book, journal, go for a
“You can’t just leave without giving it some thought. Yet, I also feel guilty because I feel like I should be doing more, especially with my dad, even though he is far away.” − Randi, 64, local caregiver
Often pretend to understand what people say. Even when my surroundings are quiet, it can be hard to
Responsible Care for 22 Years
HEAR My wife says that our relationship would be so much
BETTER if she didn’t have to repeat herself so often.
is our year. I’m doing it for us.
Certified Audiologists See Us in Our New Bend Building! Call Today to schedule your first consultation at no charge!
Bend - 541.647.2884 301 NE Franklin Ave.
FREE $300 Value
Redmond - 541.316.1133 527 NW Fir Ave.
On a two-device Hearing System • Year Repair Warranty* • Year Loss & Damage Coverage* • Programming & Followup Visits* *Some Restrictions Apply
NO RISK TRY IT FOR
Ageless | Spring 2013 | 15
scenic drive, meditate, take a bath, listen to music, focus on the positive, or organize one aspect your daily life. Do what you can to make self-care a daily routine. Randi now works out every morning and has coffee with friends afterward. Zak gardens, takes care of the home and cooks. The two also offer support for each other by sharing their frustrations and challenges. In addition to self-care, being able to communicate is one of the caregiver’s most important tools.
Listening is key; don’t guess what someone may want or need. Be an advocate while respecting the rights and feelings of the people you are caring for; speak directly to them, not for them. Use “I messages” instead of “you messages.” This allows you to express your feelings without blaming others, reducing stress for both involved. Many caregivers feel they are simply doing what they need to do. But remember, this decision will impact your life, too.
“Before you decide to care for someone, you must understand the entire picture, particularly the emotional severity of the situation,” Randi says. “Protect yourself and your loved one by knowing when to ask for help. “The bottom line is giving them the care they deserve.” Srikantaiah cautions people not to wait to ask for help until they are so overwhelmed and exhausted their own health fails. Check out the caregiver resources below for assistance and support.
CAREGIVER RESOURCES Central Oregon Council On Aging (COCOA)
Senior resource in Bend serving Crook, Deschutes and Jefferson counties; 541-678-5483. Find local resources, private care givers, commercial in-home care givers and resources for seniors: www.councilonaging.org.
Caregiver Support Group St. Charles
Caregiver Support Group, Alzheimer’s Association
Options Counseling, COCOA
Caregiver Support Group, COCOA
ALS Support Group
497 SW Century Dr. #102; Bend, OR 97702; 541-330-6400
16 | Ageless | The Bulletin
Home Instead Senior Care
Ageless MEDICARE ADVICE
Medicare Standards for
Medicareâ€™s competitive bidding program saves costs, but you must know the rules. by Adrianne Schneider, SHIBA Intern Ma ny people have s een t he diabetic supplies commercials claiming that their company will prov ide your diabetic supplies for no cost. These companies might promise free samples and low costs, but will your Original Medic are in su rance cover t he costs or will you be responsible for paying the entire bill? In order to answer this question, it is important to understand the cost s associated w ith durable medical equipment, prosthetics, orthotics and supplies, which have been shortened to DMEPOS. In the past, the costs for the items were deter mined mainly on historical charges and were
adjusted for inflation. For some medical supplies, Medicare was paying an extreme amount which was about three times more than the retail prices and the amount that commercial insurers were paying. In order to reduce cost s a s wel l a s f r aud, t he C enter for Medicare and Medicaid Services (CMS) st ar ted the competitive bidding program in 2009. The first introduction of the program, Round 1, was successful at reducing the costs for the medical equipment by 42 percent in the first year. Since, the prog ram was successful; CMS is continuing to expand the program. Starting July 1, 2013, the Portland metro area will be a competitive bidding area. This means, that if
you visit or live in Portland and need medical equipment such as wheelchairs, walkers or oxygen and supplies, then you need to make sure that the company has a contract with Medicare. If you accidently go to a place without a contract, Medicare will not cover their part of the bill. Since Central Oregon is not a competitive bidding area, you can still receive your medical supplies without the new restrictions. The CMS is also introducing a new national program for mailorder diabetic supplies that will star t on July 1, 2013. Or ig inal Medicare beneficiaries will still have the option of picking up their diabetic testing supplies from retail pharmacy locations that are certified to bill for Part B supplies.
You can decide to continue to receive you r diabetic supplies through the mail, which will be del ivered to you r do or. Ma i lorder diabetic supplies need to be purchased from a company contracted through Medicare. The goal of t he competitive bidding program and the national mail-order for diabetic supplies is designed to reduce costs and re duc e f r aud. I n order to b e cont r ac ted t h rough Med ic a re, companies had to meet certain requirements. Under the new prog ram, Medicare and its beneficiaries will pay less for items covered under DMEPOS, saving 43 percent to as much as 72 percent on their supplies. Between 2013 and 2020, Med ic a re i s ex pec ted to s ave
Ageless | Spring 2013 | 17
$25.7 billion as an outcome of the program. At the same time, Medicare beneficiaries are expected to save $17.1 billion. If you are using or iginal Medicare as primary payer and are currently receiving your diabetic supplies through mail-in orders, you have to receive your supplies from a contracted supplier after July 1 for Medicare to cover the costs. To find out which suppliers are contracted, call 800-MEDICARE (800 - 633-4227), or v isit w w w. medicare.gov/supplierdirectory/ search.html. You can also call the Senior Health Insurance Benef its Assistance (SHIBA) program at 800-722-4134. SHIBA is funded by Medicare to assist Medicare benef iciar ies w ith unbiased
i n for mat ion, cou n s el i ng, a nd advocacy. If you are covered through a Medicare Advantage plan, you will need to check with your plan for their contracted suppliers.
Adrianne Schneider is an intern with Senior Health Insurance Benefits Assistance program (SHIBA). She is a junior, at Western Oregon University majoring in psychology with a minor in gerontology. Her hobbies include photography and playing ultimate Frisbee.
Ready to meet all your pharmacy needs. Bubble packing available. We deliver!
Great Gift Selections for Every Occasion! 727 NE Greenwood Avenue, Bend (Next to Ericksonâ€™s on Greenwood)
18 | Ageless | The Bulletin
For Better Health
by Annissa Anderson, for The Bulletin Special Projects
Reduced cholesterol. Weight loss. Blood sugar management. Doctors and nutritionists have formulated eating plans for many specific health problems. For those with high blood pressure, or hypertension, the recommended plan today is DASH. DASH stands for Dietary Approaches to Stop Hypertension, and focuses on foods that are naturally low in salt and sodium. High blood pressure – blood pressure 140/90 mmHg or above — is a dangerous health condition that needs to be managed. Hypertension can make your heart work too hard, harden the walls of your arteries and can lead to heart and kidney disease, stroke and blindness. A strategic eating plan like DASH, along with regular exercise, maintaining a healthy weight and moderation of alcohol consumption, can lower — and even prevent — hypertension and its complications. “The USDA 2010 Dietary Guidelines for Americans recommend that anyone 51 years and older and those with diabetes, chronic kidney disease or of African American descent should reduce daily s o d iu m i nt a ke to 1, 50 0
Reduce hypertension, cholesterol and manage your weight with DASH. Ageless | Spring 2013 | 19
Our team of professionals is dedicated to quality of life for our clients and their families. Working closely with your doctor, we offer: Registered Nurses Medical Social Workers Licensed Therapists Hospice Aides
Spiritual Counseling Grief Support Caregiver Support Trained Volunteers
Ask about our Transitions Program For more information, please call:
732 SW 23rd Street, Redmond, OR 97756 email@example.com www.redmondhospice.org 20 | Ageless | The Bulletin
mg or less — that is about half of all Americans. The rest of us should keep sodium intake below 2,300 mg/day,” said Lori Brizee, registered dietitian and owner of Central Oregon Nutrition Consultants. The DASH diet is helpf ul for reducing sodium in general, and gives guidelines for both 1,500 mg per day and 2,300 mg per day. “It’s really just a very healthy diet,” said Brizee. Staying under 2,300 mg sodium daily is very achievable, said Brizee, but only for those who abstain from highly processed, salted foods. Essential to the DASH eating plan — which is a heart-healthy diet — is keeping added sugars and fats to a minimum, said Brizee. Though she does not often recommend the DASH diet per se, she uses the principles of the diet for the vast majority of her clients. Eating a diet rich in whole foods like whole fruits and vegetables and whole grains, while avoiding saturated fats and specifically red meats, is a good idea for everyone, said Brizee. The DASH eating plan does not require any specific foods, but does call for a certain number of servings from various food groups. In addition to grains, vegetables, fruits, lean meats, poultry and fish, nuts, seeds and legumes, and fats and oils, DASH recommends two to three servings per day or fat-free or low-fat milk and milk products. “Meeting calcium needs,” said Brizee, “has been shown to be an important factor in controlling blood pressure.” Learning how to prepare meals without using packaged foods — often very high in sodium — can be challenging to anyone starting out on the DASH eating plan. But there are plenty of resources for learning how to do this successfully, said Brizee. Recipes, and even whole cookbooks, abound that can guide you in cooking with other seasonings instead of adding salt for flavor. The f irst step, said Br izee, is to learn to enjoy fresh fruits and veget ables. Then, ex pa nd you r cooking with spices. “Spices are key to having tasty
foods without much salt,” she said. Brizee recommends using fresh, salt-free blends, like those sold at the Savory Spice Shop in the Old Mill District in Bend. Onions, garlic, fresh herbs, vinegars and even wine are also great for seasoning foods without adding salt. “Wine is a fantastic way to season meat that really brings out its flavor,” said Brizee, who keeps small boxes of dry white, dry red and sherry wine on hand for cooking. “It’s even safe when cooking for kids, because the alcohol burns off in the cooking.” Some of the saltiest foods are the ones that are hardest to give up. Saltcured meats like ham and bacon can still be part of a DASH diet, but in a much more limited capacity. Brizee suggests using half-ounce of chopped ham or bacon in cooking for flavor, instead of eating a whole slice, or more. She also says to choose fresh or frozen fruits or vegetables in place of canned, as many canned vegetables contain added salt and fruits are usually canned in syrup with added sugar. To find out if a DASH eating plan is right for you, consult your doctor first. Specific diet information can be found on the National Heart, Lung, and Blood Institute website, at www. nhlbi.nih.gov/health/health-topics/ topics/dash.
Balsamic Roast Chicken This recipe for roast chicken, formulated by Mayo Clinic staff, uses fresh herbs and balsamic vinegar for flavoring, eliminating the need for seasoning with salt.
Ingredients: 1 whole chicken, about 4 pounds 1 tablespoon fresh rosemary, minced 1 garlic clove, minced 1 tablespoon extra-virgin olive oil 1/8 teaspoon freshly ground black pepper 8 whole sprigs fresh rosemary 1/4 cup balsamic vinegar 1/2 teaspoon brown sugar
Directions: 1. Preheat the oven to 350° F. 2. Rinse the chicken inside and out with cold running water. Pat it dry with paper towels. 3. In a small bowl, combine the minced
rosemary and garlic. Loosen the chicken skin from the flesh, and rub the flesh with olive oil and then the herb mixture. Sprinkle with black pepper. Put 2 rosemary sprigs into the cavity of the chicken. Truss the chicken. 4. Place the chicken into a roasting pan and roast for 20 to 25 minutes per pound, about 1 hour and 20 minutes. Whole chicken should cook to an internal temperature of 180° F. Baste frequently with pan juices. When browned and juices run clear, transfer the chicken to a serving platter. 5. In a small saucepan, combine the balsamic vinegar and brown sugar. Heat until warmed but don’t boil. 6. Carve the chicken and remove the skin. Top the pieces with the vinegar mixture. Garnish with the remaining rosemary sprigs and serve immediately.
Ageless | Spring 2013 | 21
22 | Ageless | The Bulletin
Ageless TO YOUR HEALTH Our feet are vital systems of bones, muscles and ligaments that provide cushion and propulsion which directly affects the rest of our bodies.
HEALTHY BODY by Linda Orcelletto, for The Bulletin Special Projects
If your ankles, knees or back is hurting, it could be related to your feet, the foundation of our bodies. The 26 bones, 33 muscles and more than 100 ligaments in our feet support our entire bodies, providing cushion that protects and propels the muscles and joints throughout the rest of our musculoskeletal systems. “If you think of the body as a chain, and if your foot — the link in contact with the ground — is off, then the rest of the links have to compensate to keep the head upright,” said Dr. Dean Nakadate with Deschutes Foot and Ankle in Bend. Our joints are flexible and align everything above to create a cushion. Our knees, hips, back and neck line up and become rigid, propelling our body forward. When your feet are being overworked, it causes misalignment, which leads to pain and/or inflammation. Wearing proper footwear can alleviate some problems and discomfort. (See footwear tips on page 25.) “Our feet are designed to be shock absorbers,” said Barrett Ford, owner/physical therapist with Step & Spine Physical Therapy in Sisters and Redmond. “Offering a cushion is important, especially when you are active, since the pressure exerted on your feet can be up to four times your body weight.” Ford offers free foot pain consultations in his clinics, cautioning his clients that treating the pain only masks what could potentially be larger problems. “When there is a problem, the cause needs to be determined more than simply treating the symptom,” he said.
Ageless | Spring 2013 | 23
“Your foot type — shape and the way they compress and propel you forward — can really affect how things work throughout the body, from your knees and hips up through your back and spine.” − Barrett Ford, PT, Step & Spine Physical Therapy
If you have flat feet, your arch may collapse, causing the foot to roll inward. The muscles and supporting structures in your feet may overstretch and lengthen, and your ligaments running from the heel to the toes can become strained, leading to inflammation. The bone may also develop a heel spur. Flat feet can also cause knee pain, especially in runners. Yet underpronating — the insufficient inward roll of the foot while walking or running — can also result in too much shock traveling up your legs since your arch doesn’t collapse enough to absorb the pressure. In this case, wearing shoes with softer midsoles encourages more natural movement. K nee pain al so resu lt s f rom wearing high heels or shoes with limited toe boxes. The pressure from elevated heels and wedged toes adds stress on the knee, the main cause of arthritis. Your gait (how your feet and legs move) is often a major source of lower back issues. According to the Step & Spine Physical Therapy website, back pain is one of the most common and most costly ailments in our society. When your feet roll inward too much while you walk or run, the lower leg also rotates internally. This forces the pelvis to tilt forward, impacting the natural curve of your spine. In addition to proper foot gear, special insoles or orthotics (either over the counter or custom designed to fit the foot) can help you restore your foot’s natural alignment. Conversely, movement specialists such as physical therapists are trained to identify misalignments throughout the body’s kinetic chain above the feet. Such abnormalities can lead to foot
24 | Ageless | The Bulletin
issues and/or discomfort. Flexibility and stability throughout the chain is essential in keeping our feet happy. Though heredity plays a significant role in the shape of our feet, wearing shoes not suited for your foot can cause or exasperate a problem. There are three typical foot shapes — high arch, normal arch and flat feet — each with its own special requirements. “Your foot type — shape and the way they compress and propel you forward — can really affect how things work throughout the body, from your knees and hips up through your back and spine,” Ford said. “The good news is that some high-end shoe manufacturers offer footwear specifically designed to support the three main types of feet.” While properly fitting shoes are key to maintaining healthy feet, practicing daily care is just as important. Stretching, walking, foot massages and warm foot baths increase circulation. If you sit for long periods of time, stand up and take a brief walk. When time doesn’t allow, wiggle your toes and move your ankles up and down. It’s best not to cross your legs, but if this is a habit, reverse how you cross your legs, and uncross them often. Elevate your feet after standing for long periods to allow swelling to subside. As with any activity, the key to avoiding injury is to take steps to prevent it. Always warm up before any activity, build stamina, take breaks, buy quality shoes and, most importantly, listen to your body. If you have persistent pain, see a professional. Foot problems may be the first sign of more serious medical problem such as arthritis, diabetes, and nerve or circulation issues.
Tips for buying the right shoes to complement your active lifestyle. Our feet make up the foundation of our bodies, so the footwear we choose needs to be comfortable, flexible and offer support. As we age, shoe size may change, so always have your feet measured before buying shoes. Measure your feet at the end of the day when your feet are largest. Nakadate and Ford suggest getting assistance from a professional or a reputable footwear retailer (e.g., Fleet Feet or FootZone) to find the shoe that fits both your size and active lifestyle.
spreads out. A wide toe box helps the foot splay naturally for better stability and flexibility. Stand up when trying on shoes. Make sure there is about one-half inch between your toe and the end of the shoe.
Running shoes – Firmer is better. Shoes that feel a bit firm when walking are likely the best fit. You want a shoes that keep you connected with the ground, allowing you to feel the motion of your stride or gait.
Test drive – Never buy shoes without trying
Wider is better – When you stand, your foot
Comfort – Find a shoe that fits your foot shape. Also, most of us have one foot that is larger than the other; try on shoes to fit your larger foot. Don’t buy shoes that feel too tight and hope they will stretch. them on. Also, the few steps you take in the store don’t allow you to get the proper feel. Take a walk around the store or outside, if possible. The heel of the shoe shouldn’t slide up and down when you walk. The shoe shouldn’t force your
foot to do anything it wouldn’t normally do.
Shoe sizes are different – Shoe sizes vary depending on the kind, make and style. For example, the size you wear for running shoes or hiking boots may not be the same size you need for dress shoes. Replace shoes often – Retire your shoes after approximately 300 miles. If logging miles is tough, a good rule of thumb is to get new shoes every six months. Shoe materials break down whether or not you wear them. Variety – Even though you don’t need a different shoe for each activity, give your feet a rest by wearing different shoes for varying needs and terrain.
Ageless | Spring 2013 | 25
Ageless GETTING SOCIAL
Central Oregon Senior Singles takes advantage of social media opportunities, forming casual friendships of like-minded adults. by Gregg Morris, for The Bulletin Special Projects As we get older, it becomes increasingly difficult to meet people with similar interests. At a certain age, people typically get set in their ways, oftentimes with an established set of friends, and they’re busied with families, hobbies and careers. But adults looking for a hiking partner or someone to sit across from them at a card table have found the computer offers great resources for companionship. With that in mind, many seniors are taking to the Internet to search out likeminded seniors to experience new things in life.
26 | Ageless | The Bulletin
“We aren’t as active as we used to be,” says Marci Bryan, co-founder of a senior singles group on meetup.com. “A lot of our friends are married. This is an easy arena to meet other seniors who don’t have an attachment to a partner.” Four years ago, Bryan, along with friends Nora Miller, Suzanne Adams and Kathy Raycamp, started the group as a way to meet new people and organize activities. The Central Oregon Senior Singles (COSS) Meetup group became a social networking group for seniors 50 and older.
To date, the group has more than 200 members sharing their likes and dislikes. “We switched it to a Meetup group and it has really grown over the last year,” Bryan said. “The format is very easy to use.” According to its website, Meetup is “the world’s largest network of local groups. Meetup makes it easy for anyone to organize a local group or find one of the thousands already meeting up face-to-face.” A quick visit to the website reveals a listing of Bend-area groups ranging from Moms Meetup
of Central Oregon to Bend Oregon Entrepreneurs, as well as Central Oregon Senior Singles. The Meetup home page lists the groups within five miles of Bend and their next meeting. Within COSS, there are many different sub-group activities focused on seniors over 50. Everyday activities are organized to encourage members to participate in groups such as bunco, cooking, movies, hiking, bowling and mountain biking. Most activities are well attended and usually require a wait list. “Our Euchre group became so popular they started another group,” Bryan said. “They now have over 80 members.” Br yan goes on to explain how s o me o f t h e g ro u p s a re mo re immersed in nature while others are based around travel. “In our cooking group, we cook
foods from different countries of the world,” she said. “Each group member picks a different entree, appetizer or dessert. It’s very fun. And, just recently, we went to Glass Butte for some rockhounding. Fifteen people made the 70-mile trip.” To make sure all members have a say in the group, COSS meets once a month to greet new members and plan some events. While you have join meetup.com to see the calendar and pictures of past events, there are no real requirements to be a member of COSS. The members who post group activities determine the parameters of the meetings, such as where, when, and how many people can attend. “The nice part is anything you want to do is your choice,” Bryan said. “We have just as much fun if one or two people show up.”
Great Places to
Meet Other Seniors Volunteer
Senior volunteers are always needed in hospitals, homeless shelters and other social services. This is a great way to give back to the community while meeting like-minded seniors.
Many local health clubs offer senior workout classes. By heading to the gym, you can get in shape physically, mentally and socially.
The Bend Senior Center offers classes and activities designed around the needs of seniors.
Book clubs and other clubs are great places to meet seniors and expand your mind through reading.
Host a Party
Don’t be afraid to invite neighbors you barely know or ask friends to bring other friends.
Age Beautifully, With a Long-Lasting Smile. It’s Better than Botox. We specialize in cosmetic dentistry including implants, veneers and bridges. NEW PATIENTS - Mention this ad to receive: $100 GIFT CERTIFICATE - OR - FREE WHITENING
($280 Exp. June 6, 2013 Implant &value) Comprehensive Dentistry Implant & Comprehensive Dentistry Implant Comprehensive 625&NW Colorado Ave.,Dentistry Bend 625 NW Colorado Ave., Bend 625 NW Colorado Ave., Bend Call 541-383-0754 or visit, www.awbreydental.com Call 541-383-0754 or visit, www.awbreydental.com Ageless | Spring 2013 | 27
While most members live in Central Oregon, there are some seniors from out of town who may be visiting or possibly moving here in the future who are interested in this organization, which Bryan describes as casual. While there is no membership fee, COSS will sometimes ask for a small donation to help cover the website cost and any supplies needed. The members of COSS come in all shapes and sizes. There are widows and widowers, divorcees,
28 | Ageless | The Bulletin
and those who have never been married. Their ages range from 50 to over 80 years old. Some members work, while others do not. They have activities in the day and night to accommodate everyone. COSS places an empha sis on t he social networking aspect. Bryan stresses that they are not a dating service; it is more about friendship than love. Even so, they have had a few members meet at a gathering and begin to date privately.
For those 50 years and older looking for friends with whom they can share new and old experiences, COSS is a great place to start. “I think that for many of us, we like to stay at home in our comfort zone, and we want to try new things,” Bryan said. “This is a fun and safe way to do both. We are very friendly.” For more information on the Central Oregon Senior Singles or any other local group, visit www. meetup.com.
‘Little Caesars Lady’ Mary Barackman offers passersby a level of happiness and energy that’s become an infectious part of many people’s day.
by John Cal, for The Bulletin Special Projects Photos by Nicole Werner In a typical Central Oregon community, where it sometimes seems everybody knows your name, it may come as a surprise that you probably don’t know hers — though I’m sure you know who she is. Like one of those completely engrossing middle school riddles, she’s pink all over and rarely blue. You see her when it’s red and sometimes miss her when it’s green, and she carries a guitar that never plays music even though she’s always dancing. Her name is Mary Barackman, and a few years ago she needed a job. “I was literally hitting the streets going door to door,” she said. “Some people sneered at me and looked down on my resume.” But persistence and a love for people led her to her local pizza joint and her now infamous cardboard guitar. “[Little Caesars Pizza] didn’t have a sign holder, and I said I’d be willing to do it,” Barackman said. Today, we still find her waving, dancing and having a good time. She smiles. We drive by. She waves. We honk. Ageless | Spring 2013 | 29
From her little corner on Bend’s Reed Market and Third Street, she has unwittingly captured the attention of an entire city. She walked in last year’s Bend Christmas Parade, and she has a Facebook fan page with more than 5,000 followers. “I don’t even have a computer,” Barackman laughs. “I’m lucky if I manage to hear my cell phone.” A mother of two (Amy, 39, and Christina, 21), Barackman is happy to have her daughters help when she needs it. “We need each other,” she said. “I hope people realize that life is better and easier when we help each other out.” This is a motto she lives by, demonstrated by the fact she’s still helping to take care of her own mother. “She still lives on her own in her own house, which she loves, but I want to do everything I can to help,” Barackman said. This love of community and family was passed to her daughters, who help their mom manage her Facebook page and create her infamous music mixes. “Christina helps me a lot with my music,” says Barackman, headphones at the ready. She keeps her MP3 player loaded with classics. “I love the rhythm and blues. I have everything from the 1940s. . . I love the blues. . . I love Chubby Checker, but you have to break up the tempo, too.” “I’m constantly playing with my music.” Mary added, saying that she loves dancing to “Born This Way” by Lady Gaga. Most of us just see her for a few fleeting moments in those in-between times — on our way to and from work, while we’re running errands, or when we’re picking up a cheese pizza — and so we only know a scarcity of what it takes to keep the party going. “Sometimes it’s cold,” Barackman says, but even then her attitude remains caring about those around her. “I don’t like the snow,” she said before shrugging off her personal inconvenience with a smile. “I’m happy for the skiers. I know they love it, so I just pack an extra pair of gloves.” To most of us, it may simply look like a wiggle and wave, but she’s thought and continues to think about what she does. She takes her responsibility of bringing joy to passersby seriously and with utmost reverence. “I have water and an extra headset and MP3 player,” she says, referring to the pink bag that carries the tools she uses to transform into the Queen of Reed Market. “I also have a windbreaker and a hat for when it’s cold. Sometimes I’m out in the rain and snow, and I’m not a whiner,” she added with wink a smirk. And though we all see her there, day to day, using her time to make ours just a little brighter, Mary 30 | Ageless | The Bulletin
descr ibes herself as a pr ivate person. Not many of us know that she used to waitress at Jake’s Diner, of her love of movies, or that she is starting to take up ballroom dancing. Few of us have considered her battle w ith tendinitis that sometimes makes it hard for her to walk or to stand. We just see the energy — that she is living with joy and vigor. A native Bendite, Mary, 57, has lived in Califor nia, Texas and Nevada before returning to Central Oregon. “I always come back,” she said. “I love it here. It’s my home. The people here are great, and being home always makes me happy.” Th ree ye a rs i nto her pi zz a journey, we are still mesmerized by her star quality, that thing, the “it factor,” not just what compels her to smile at us, but what moves us to smile back, to respond to the energy she manages to inject to passersby.
It’s a special person who can make waiting at a red light an enjoyable experience, whose aura is strong enough to overcome t r a f f ic a nd ex h au s t . B u t h e r humility is perhaps her strongest asset, possibly what makes those ot her t hings so power f ul and magnanimous. “I don’t like people to think I’m more special than them or that I’m better than them,” she said, not with self-deprecation or disdain, but for a reverence of the special qualities that are in us all. “Nobody’s better than the next person. Everyone deserves respect.” It’s t he appl ic at ion of t h i s belief that brightens her odd little intersection in Bend — the outlook and the attitude that is able to treat not just every person, but every moment w ith respect. It’s the belief that we can find happiness everywhere if we look for it, and we do look for it, now more than ever on the corner of Reed Market and Third Street. Ageless | Spring 2013 | 31
Ageless LEGAL ADVICE
ESTATE PLANNING ATTORNEY:
Top 10 Questions to Ask Make sure your estate plan is complete and well-protected. by Melissa P. Lande, Attorney
5. What is a guardianship and conservatorship?
I am often asked what people should ask their estate planning attorney to make sure that their estate plan is complete and well prepared. These questions should assist you with preparation of your estate plan.
1. I do not have a large estate, why do I need an estate plan?
Even if you do not have a large estate, most people should have a will or a trust, power of attorney, advance directive and medical authorization. These documents allow you to designate a person to make medical and financial decisions for you during your lifetime and allow you to plan for distribution of your assets after your death.
2. What happens if I die without a will or a trust?
If you die without a will or trust, your assets will pass to the joint owner or to your beneficiaries. If an asset does not have a joint owner or a beneficiary, the asset will be subject to probate. The law prov ides t hat if you probate assets without a will, your assets be transferred to your closest family members or other relatives. However, this can be problematic if your spouse or your heirs should not receive funds outright.
32 | Ageless | The Bulletin
Also if you are married and have children from a previous marriage, the children are entitled to one-half of your assets.
3. Who should I appoint to make decisions for me if I can no longer make them for myself?
You should appoint the person that is most trustworthy. The person should have some financial sense if they are making financial decisions for you and should not have any significant financial problems of their own. A person appointed under a power of attorney will have unsupervised
access to your funds. Also, the person appointed to make medical decisions for you should be willing to carry out your wishes regarding your end of life decisions.
4. Is it important to have an Advance Directive or Power of Attorney?
Yes, these are some of the most important documents that you can execute. The advance eirective appoints a primary and alternate health care representative to make medical decisions for you when you cannot make them for yourself. The agent under your power of attorney manages your finances for you.
I f y o u d o n o t h ave a ny o n e designated to make medical and financial decisions for you, you may need a guardian or conser vator appointed. The conser vator handles your finances and your guardian handles the rest of your affairs such as care, placement and medical. In order to be appointed as a personâ€™s guardian or conservator, you mu s t f i le a Pe t it ion w it h the court, obtain of funds for the conservatorship assets, serve notice on the relevant parties and attend a hearing if anyone objects to your appointment.
6. Is there an Oregon Estate Tax and a Federal Estate Tax?
Oregon estate tax is currently on estates greater than $1 million and federal estate tax is on estates greater than $5.25 million. Wit h proper est ate pla n n i ng, mar ried couples can each claim there exemption amount, and avoid estate tax on $2 million in Oregon and $10.5 million for Federal.
You should review your documents every three to five years, or sooner if you have a major event in your life such as marriage, divorce or the birth of children or grandchildren. 7. Can I just get forms online for my estate planning?
You c a n f ind for m s online however they are often generic and do not consider the specific issues that face your planning decisions.
8. What should I do with my original documents?
Your original documents should be kept in a safe place. Typically either in a fireproof safe in your home or a safety deposit box. It is important to make sure that your personal representative knows where your documents are kept and how to access them.
9. How often should I review my documents?
Yo u s h o u l d r e v i e w y o u r documents ever y three to five years, or sooner if you have a major event in your life such as marriage, divorce or the birth of children or grandchildren.
10. Should I put my child on my bank account?
Although this can work in certain situations, placing your childâ€™s name on your bank accounts is generally not a good idea. My clients often do so for ease of transaction. However, if that child has a judgment against them, that
creditor could garnish your account. If they are involved in a divorce, their spouse can claim a right to your assets. Additionally, when you die, if only one child is a co-owner of your account, they would receive all the funds in that account, and that child is not required to share the funds with their siblings. There are many other questions that you should discuss your attorney, depending on the value of your estate, nature of your family and beneficiaries. However, these questions should give you a start on your planning.
Melissa P. Lande is a partner at Bryant, Lovlien and Jarvis in Bend. She focuses her practice on assisting her clients with estate planning, elder law, wills, trusts, probate, asset protection, guardianships and conservatorships. Melissa is a graduate of New York University and Washington and Lee University School of Law in Virginia. She is a member of the Oregon State Bar Estate Planning and Elder Law Sections. She and her husband, Mark, have a son, Griffin, and a daughter, Lila. Contact Melissa at 541 382-4331 or firstname.lastname@example.org.
Dr. Anne Killingbeck Welcome back to you town and your new p here in Redmond. Now you have another option for your healthcare: our newest internist,
Dr. Anne Killingbeck, MD Make your care count. Call us today.
236 NW Kingwood Ave www.imredmond.com
Ageless | Spring 2013 | 33
34 | Ageless | The Bulletin
CENTRAL OREGON COUNCIL ON AGING:
50+ Beautiful Faces Photo Contest It’s that time again! Central Oregon Council On Aging (COCOA) is holding the popular photo contest called “50+ Beautiful Faces of Central Oregon Seniors.” Launching today, the contest will run until Monday, July 15, 2013. Area residents may submit photos of any community seniors (age 50+). Top prizes will be awarded in both an amateur and professional category. Photos can be in any setting as long as it includes a senior from Central Oregon. Prizes to be determined, but winners will be included in the popu la r 2014-16 Di rec t ion s Publication, the Central Oregon Council On Aging community and senior resource directory distributed throughout the tricounty area, and highlighted in Ageless magazine! We at COCOA are excited about this contest as it always helps showcase the beautiful faces of some of our area seniors. Not only
do seniors have a story to tell, but they are often the most beautiful people in the world. Our hope is to give these wonderful faces a bit of airtime in our community through some exciting partnerships. You will definitely see the photos as COCOA works to support the needs, tell
activities, enjoy pets and family and even portraits. Following submissions, we’ll assemble a committee to pick the winners. They will likely find narrowing down the winners very difficult. In the past, all of the photos were amazing and the beauty in the faces of the seniors
“We at COCOA are excited about this contest as it always helps showcase the beautiful faces of some of our area seniors.” the stories and promote the dignity and well-being of area seniors. Photos c a n be submit ted by individuals or on behalf of organizations. As long as there is a Central Oregon senior in the photo, it counts. In the previous contests, photos included seniors traveling the world, enjoying the great Central Oregon outdoors, participating in
absolutely incredible. Photographers grant COCOA and its sponsored partners the rights to freely use the images for educational, promotional and other purposes. Even though pr izes w ill be awarded, no payment or royalty will be given for any use of the photos. Both subject and photographer must grant permission for use.
Photos should be submitted electronically to admin@ councilonaging.org by July 15, 2013. The name/age of subjects, name and contact info (including email) of photographer must be included. Questions should also be directed to the same email. Winners will be notified via email by late August of this year. Good luck!
Pamela Norr, Executive Officer Central Oregon Council On Aging
Ageless | Spring 2013 | 35
Special Events for a Cause SUPPORT SENIORS AND CENTRAL OREGON COUNCIL ON AGING BY HAVING FUN! Two upcoming events will focus on fun and support a good cause: Seniors in Central Oregon. Central Oregon Council On Aging (COCOA) is a nonprofit organization serving more than 25,000 seniors in the tr i-count y region by providing Meals On Wheels/Home Delivered Meals, congregate dining, case management, information and referral, education, Medicare counseling, and volunteer opportunities. Two exciting events this summer will provide an opportunity for community support to this local nonprofit.
Come Fly With Me
Visiting Angels In Home Care will host an event benefitting COCOA called “Come Fly With
36 | Ageless | The Bulletin
Me,” a post war era, aviator-themed Casino Night in an airport hangar at the Bend Airport. Imagine a hot summer evening, lovely breeze, big band music and a ton of fun supporting a good cause. Sponsored by Visiting Angels and PacificSource, the event will be held on Friday, Aug. 23. For more information, including ticket prices and specifics, call 541-678-5483 or email admin@ councilonaging.org.
Mystery Night at the Library
COCOA, partnering with the Downtown Bend Library, is hosting a Mystery Night at the library, complete with a literary scavenger hunt and possible faux murders of some notable people.
A reception, silent auction and fun event is in store for Saturday, Oct. 26. For more information, please call 541- 678-5483 or email admin@ councilonaging.org. “By suppor ting special events of COCOA, our community rallies together to help seniors directly and provide support to the seniors in our area,” said Pamela Norr, executive officer of Central Oregon Council on Aging. “They are fun, and a great opportunity to do things with friends while supporting a great cause.” Sponsorship, single tickets and silent auction donations welcome for either of these events in support of seniors in Central Oregon.
Ageless EVENTS & ENTERTAINMENT CALENDAR BEND Saturdays CENTRAL OREGON SATURDAY MARKET: Across from the Downtown Library, 10 a.m., 541-420-9015, Every Saturday - Memorial day - Labor Day Saturday, May 18 U.S. BANK POLE PEDAL PADDLE: Mt. Bachelor to Bend, 7:30 a.m. Saturdays, Starting May 25 BACKYARD FARMER’S MARKET: 61515 American Lp, 11 a.m., Every Saturday Saturday, June 1 LARKSPUR FESTIVAL: 1700 SE Reed Market Road, 10 a.m., 541-388-1133 ALL AGES COMEDY IMPROV WITH TRIAGE: Cascades Theatrical Greenwood Playhouse, 7:30 p.m., $5, 541-389-0803 Sunday, June 2 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Redwood Son, Les Schwab Amphitheater - Old Mill District, 2:30 p.m. Wednesdays, Starting June 5 BEND FARMERS MARKET: Wednesdays@ Drake Park, Fridays @ St. Charles Hospital, 3 p.m. Thursday, June 6 “NIGHT OF ELEGANCE”: Summit High School Auditorium, 7 p.m., $15 adults, 541-383-0642 Friday, June 7 FIRST FRIDAY ART WALK: Throughout Downtown Bend, 1st Friday of each month starting at 5 p.m. Saturday, June 8 HIGH DESERT CHAMBER MUSIC SERIES: Featuring the Central4 Piano Quartet at Oxford Hotel, 7:30 p.m., $35, 541-382-8436
Friday, June 28 STEVE MILLER BAND: Les Schwab Amphitheater - Old Mill District, 6:30 p.m., $39, 541-322-9383
Thursday-Saturday, July 4-6 LA PINE RODEO: La Pine Rodeo Grounds, 7 p.m., $12, 541-536-7500
Saturdays, Starting June 29 NORTHWEST CROSSING SATURDAY FARMERS MARKET: Northwest Crossing Drive, 10 a.m.
FRONTIER DAYS: Throughout La Pine, www.lapinefrontierdays.com
Saturday-Sunday, June 29-30 BITE OF BEND: Downtown Bend, free, www.thebiteofbend.com Sunday, June 30 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Marley’s Ghost, Les Schwab Amphitheater - Old Mill District, 2:30 p.m. Thursday, July 4 PET PARADE & OLD FASHIONED 4TH OF JULY FESTIVAL: Downtown, Drake Park, 10 a.m.-4 p.m., free Friday, July 5 FIRST FRIDAY ART WALK: Throughout Downtown Bend, 1st Friday of each month starting at 5 p.m. Thursday, July 11 “MUNCH & MUSIC” FREE MUSIC SERIES: Drake Park, 5:30 p.m. Friday-Sunday, July 12-14 BEND SUMMER FESTIVAL: Downtown Bend, 11 a.m. Sunday, July 14 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Tumbleweed Wanderers, Les Schwab Amphitheater - Old Mill District, 2:30 p.m. Friday-Saturday, July 19-20 BALLOONS OVER BEND AND CHILDREN’S FESTIVAL: Riverbend Park, 6 a.m., 541-323-0964 Saturday, July 20 CASCADE CYCLING CLASSIC: Downtown Twilight Criterium, downtown Bend, 5:45 p.m.
Sunday, June 9 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Tremoloco, Les Schwab Amphitheater Old Mill District, 2:30 p.m.
Sunday, July 21 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Sassparilla, Les Schwab Amphitheater Old Mill District, 2:30 p.m.
Sunday, June 23 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Sallie Ford & The Sound Outside, Les Schwab Amphitheater - Old Mill District, 2:30 p.m.
Sunday, July 28 ST. CHARLES FREE SUMMER SUNDAY CONCERT SERIES: Cedric Watson & Bijou Creole, Les Schwab Amphitheater - Old Mill District, 2:30 p.m.
Tuesdays, Starting June 25
BROOKSWOOD PLAZA FARMERS MARKET: Brookswood Meadow Plaza - Tuesdays June August, 3 p.m.
Saturday, June 8 I LOVE RHUBARB FESTIVAL: L&S Gardening, 9 a.m.-4 p.m., www.lsgardens.com
REDMOND Saturday, June 15 REDMOND STREET FESTIVAL: 6th Street between Forest & Deschutes, 10 a.m. Wednesdays, June 19; July 3, 4, 17, 31 MUSIC IN THE CANYON: American Legion Park, 5:30-8 p.m. Friday, June 21 THIRD FRIDAY ART STROLL: Downtown, 4:30-8 p.m. Wednesdays, June 26; July 10, 24 MUSIC ON THE GREEN: Sam Johnson Park, Redmond, 6-7:30 p.m., 541-923-5191 Thursday, July 4 FOURTH OF JULY PARADE: Downtown, 10 a.m. REDMOND’S OLD FASHIONED 4TH OF JULY CELEBRATION: Deschutes County Fair & Expo, 11 a.m.-4 p.m. Wed-Sun, July 31-Aug. 4 DESCHUTES COUNTY FAIR & RODEO: Deschutes Co. Fair & Expo, Redmond, www.expo.deschutes.org
SISTERS Saturday, May 18 STARRY NIGHTS CONCERT: Keb’ Mo’; Sisters High School, 7 p.m., www.sistersstarrynights.com Friday-Sunday, June 7-9 SISTERS RODEO: Sisters Rodeo Grounds, 6:30 p.m./8 a.m., 541-549-0121 Saturday-Sunday, June 8-9 SISTERS ART IN THE PARK: Sisters City Creekside Park, 10 a.m., 541-549-8905 July 1-31 SISTERS QUILT WALK: Downtown, Stitchen Post Thursday, July 4 FOURTH OF JULY PICNIC IN THE PARK: Creekside Park, 11:30 a.m., Saturday, July 13 SISTERS OUTDOOR QUILT SHOW: Downtown Sisters, Stitchen Post, 541-549-6061 Saturday, July 20 GLORY DAZE CAR SHOW: Downtown, 10 a.m.-3 p.m.
Ageless | Spring 2013 | 37
Ageless FIELD OF EXCELLENCE
Hospice of Redmond nurse, Karen Decker, honored with Award of Excellence by the Oregon Hospice Association. by Christopher L. Ingersoll, for The Bulletin Special Projects K a ren D ecker, a nu rs e w it h t he Hospice of Redmond, recently received t he 2012 Awa rd of E xcel lence for Hospice Dream Team Nurse by the Oregon Hospice Association. According to Rebecc a Br y an, E xe c u t ive D i re c t o r at H o s pic e o f Redmond, Karen ear ned the award because she sets the tone for hospice care w ith her team by putting the pat ient s need s a nd wa nt s a s t he highest priority. “What shines out to me about Karen is that her motto is, ‘It’s the patient’s journey,’” Bryan said. “She recognizes that it is our role to suppor t the patient’s journey so that their needs and desires are elevated.” Decker said that she was shocked and honored to receive an award for something that she has been passionate about since the earliest part of her career as a nurse. “I was totally shocked and overwhelmed,” she said. “It feels good and it validated me personally and the work I do with Hospice.” Decker went on to explain that she has seen hospice care come a long way in her 33 year career. “My interest in hospice care started j u s t o u t o f nu r s i n g s c h o o l,” s h e said. “I worked at a rural hospital in Washington, but I remember that there was no system of support for families experiencing a death. I finally got my 38 | Ageless | The Bulletin
opportunity to start working in this f ield 16 years ago when I moved to Central Oregon.” After 13 years emotionally grueling work at Hospice of Redmond, Karen is showing no signs of slowing because of her support system. “The team I work with is so supportive when times get rough,” Karen said. “I also have my belief system and faith that brings me comfort. I don’t think that anyone should have to die alone or in pain so we all find our ways of dealing with the stress.”
Ageless | Spring 2013 | 39
A magazine for the active, 50-plus Central Oregonian.