Tuesday, February 27, 2018

Talking with the Doctor

There is much to be gained by improving communication with health care professionals, especially physicians. Positive outcomes include: better care for the patient, less stress and illness for the caregiver, more efficient use of doctors’ time, reduced cost for the health care system, and more satisfaction for all concerned. Here are some tips for improving communication with your doctor. Try them on your next visit. Write questions down so you won’t forget them. Think about the main reason for your visit and what you expect from the doctor as you prepare for your visit. Making a list in advance increases the likelihood your office visit will meet your needs. Be clear about what you want to say to the doctor. Try not to ramble. Discuss your main concerns first. This is important because if you wait until the end of your appointment there may not be time to properly deal with the main reasons for your visit. If you have lots of things to talk about, make a consultation appointment, so the doctor can allow enough time to meet with you in an unhurried way. Educate yourself about your disease or disability. With all the information on the Internet it is easier than ever before. Learn the routine at your doctor’s office and/or the hospital so you can make the system work for you not against you. Introduce yourself to the doctor’s office staff. Getting to know the staff often means better service. Recognize that not all questions have answers – especially those beginning with “why”. Separate your anger and sense of importance about not being able to help your loved one as much as you would like from your feelings about the doctor. Remember, you are both on the same side. Appreciate what the doctor is doing to help and say thank you from time to time. Every doctor visit and treatment presents you with choices; here are some common situations and tips for responses: The doctor has prescribed a specific treatment for your condition, but you aren’t feeling much better. Maybe it’s the wrong treatment for you, or maybe you’re taking the right treatment in the wrong way. Ask about alternatives for any treatment you find burdensome, such as a medication that must be taken in the middle of the night. Ask for clarification about the diagnosis and treatment plan and the reasons the doctor recommends it, what the treatment will accomplish, and restrictions on activities, food, or driving the and reasons for the restrictions. Find out about recovery and how long it will take to get back to normal, not just to feel better. The side effects seem worse than the cure. If you’re concerned about the side effects of medication on your health or well-being, let your doctor know. Perhaps there is a different treatment that is just as effective without the side effects. Don’t keep quiet about it – your health may suffer. A recommended treatment makes you uneasy. Don’t rush into important health decisions. Usually there will be time to carefully examine your alternatives. Ask, “Why do I need this surgery?” or “Are there any alternatives to this treatment?” or “What are the risks and benefits?” Get a second opinion if necessary. Remember, there is a better chance of getting a second opinion of you ask for it than if you don’t ask. Get your questions answered. Ask about tests and treatments and the reasons for them. What do you expect to learn from the test? When can I expect to hear the results of the tests? How will I feel afterward? Are there any other options to having this test? You want to build a partnership with the physician and other health care providers. I hope these tips help you improve your comfort when talking to your doctor.

Thursday, February 15, 2018

Calling all Caregivers!

Millions of Americans are providing care and support for a parent, spouse, friend, or neighbor – who need help because of a limitation in their physical, mental, or cognitive functioning. Not enough attention is given to family caregivers who provide 85% of all care to the frail and disabled. At least 17.7 million individuals in the United States are family caregivers of someone age 65 and older who has a significant impairment. Are you one of them? The circumstances of individual caregivers are extremely varied – they may live nearby or far away from their loved one; they may provide care occasionally, daily, or for a long duration; they may help with household tasks or self-care activities, or they may provide care for complex medical conditions; or they may be responsible for all of these activities. The impact of caregiving on families cannot be ignored. Current research is finding that taking care of tired caregivers could be as important as providing care for their loved ones. Caregivers often completely change their lifestyle to take care of those they love. It is well known that caring for a family member with a chronic illness such as Parkinson's disease, Alzheimer's disease, stroke, or other diseases is stressful and can take an enormous physical and emotional toll on caregivers. Are you feeling stretched caring for a loved one? Did you know that over a six week period you can take part in a training program designed with you, the caregiver in mind? Powerful Tools for Caregivers is an educational series designed to provide you with the tools you need to take care of yourself. You will learn to: Improve confidence as a caregiver Better communicate Reduce stress Increase your ability to make tough decisions Locate helpful resources Balance your life The classes are offered on Wednesdays beginning April 4th and running through May 9th from 1:00 pm – 3:30pm. Sessions will be held at The Dale Association, 33 Ontario Street, Lockport, NY 14094. Two experienced class leaders will conduct each session. Interactive lessons, discussions and brainstorming will help you take the “tools” you choose and put them into action for your life. The cost for the six-week program is $25 and includes a copy of The Caregiver Help book, but is covered in full for members of Blue Cross/Blue Shield of WNY and Independent Health. Pre-Registration is required - Call Erie County Senior Services at (716) 858-2177 or email caregiver@erie.gov for more information and to register. Additional classes are also being scheduled; additional classes can be found at www2.erie.gov/seniorservices. Powerful Tools for Caregivers is co-sponsored by The University at Buffalo School of Public Health and Health Professions and the Erie County Caregiver Coalition.

Monday, January 29, 2018

No Age Limits for Fun & Good Health

DID YOU KNOW The Dale Association started in 1951? Yes, we were founded when the social workers and clergy in this area knew the benefits of being around others. Our agency was born and has been a community gathering place ever since. DID YOU KNOW The Dale Association is for adults of all ages? Not a week goes by that people are surprised to learn this. The agency started out exclusively for adults 50 and over, but no longer has an age requirement. It’s true - adults of all ages are welcome. If you like to think of yourself as ageless, a senior in training or among the mature portion of the population –all are welcome at The Dale. DID YOU KNOW individuals who maintain an active and fun lifestyle are healthier than those who don’t? (That’s proven by a Harvard study). The Dale Association encourages a healthy lifestyle through nutrition and wellness education; health screenings; exercise; wellness activities; cooking classes and so much more. With the new-year, why not challenge yourself to try something new and make some new friends at The Dale Association? Upcoming cooking classes may be a good place to start – we all have to eat after all. The monthly cooking classes are fun, interactive, and participatory. Bring your own containers and an appetite, we’ll supply the ingredients and supplies. Sign up with a friend or by yourself and make new friends – the classes will be fun for people of all ages. Wednesday, February 21st at 5:00pm, come learn to cook quick scrumptious weeknight recipes with Quick Weeknight Meals. This will be great for people who have limited time during the week. These recipes are easy and will satisfy even the pickiest person at the table. If you are crafty, or want to learn how to be more crafty, you may prefer hand-on craft night. Each month you will have the opportunity to create a trendy new craft. Again, you can sign up with your friends or sign up alone and make some new friends. Along with bringing your creativity, bring a snack to share and pass. All supplies will be included. Tuesday, February 27th at 6pm, you will learn how to make a Bless You Jar. These are cute tissue holders that are unique and trendy. Made in one evening, you will take home your finished product. Pre-registration is required for classes. For more information or to register, call 433-1886 or go on-line to www.daleassociation.com and register safely through PayPal. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 66 years. I hope you will consider joining us for one of the Enrichment activities.

Chronic Disease Self-Management

A growing number of persons suffering from major chronic illnesses face many obstacles in coping with their conditions. Chronic diseases are conditions that are usually not immediately life threatening, however they place substantial burdens on the health, economic status and quality of life of individuals, families and community. People with chronic conditions must deal not only with the disease(s), but also with the impact on their lives and emotions. According to a recent study, 79% of non-institutionalized older adults report having at least one of the most chronic conditions affecting this age group. Those conditions include: Arthritis Hypertension Heart Disease Diabetes Respiratory Disease Stroke Pain Evidence suggests that a program to help individuals, family members, friends, and care-givers through a self-management program can help improve health. Locally, an educational program is being offered – with an aim to increase the knowledge of people living with chronic conditions and teach them the skills to better manage those conditions. The program provides information and teaches practical skills. All individuals, who participate in a chronic diseases self management program, will learn about the following subjects: Discussing problems common to individuals suffering from chronic diseases Coping strategies Problem solving techniques Treatment decision making Cognitive management of pain, stress, anger, depression and other negative emotions Communication with family, friends and physicians Nutrition and development of a long-term exercise program A study of past program participants found that hospital stays were reduced; communication with physicians was improved; and participant energy and confidence in their ability to manage conditions improved. This program will not conflict with existing programs or treatments. It is designed to enhance regular treatment and disease specific instruction. Enthusiasm is growing for the role of a self management program in controlling and preventing chronic diseases. If you are dealing with pain, arthritis, lung conditions or anything that affects how you live your daily life or are caring for someone with the above conditions, I encourage you to please register for the free workshop. It is a 6 week workshop series for adults with ongoing health conditions and/or their caregivers. Along with great information, participants receive a free “Living a Healthy Life with Chronic Conditions” book, a free relaxation CD, and other free giveaways throughout the workshop. The six week workshop begins Wednesday, January 31, 2018 from 1:00 to 3:30pm at The Dale Association, 33 Ontario Street, Lockport, NY 14094. For more information or to register, call Niagara County Department of Health Public Health Nursing at 278-1900 or Niagara County NY Connects at 438-3030 or https://compass.qtacny.org/find-a-workshop.

Wednesday, December 13, 2017

Eating Healthy through the Holidays

Is it even possible to eat healthy during the holidays? Yes! You are invited to “Healthy Sweets and Treats” to learn how to enjoy the holidays without some of the traditional holiday indulgences. The program will take place on Wednesday, December 13th at 12 noon at The Dale Association, 33 Ontario Street, Lockport. Marla Guarino, RDN, CDN, SNAP-Ed Nutritionist from Cornell Cooperative Extension will present the program and take a look at holiday recipes and ways to use delicious alternatives in each food group. There will be ideas for healthy sweets followed by sweet treat samples. The cost is free and the public is invited. Also, On Monday, December 18th at 10:30am, Jennifer Johnson, Health Promotion Coordinator from Blue Cross Blue Shield of Western New York will present “Nutrition Jeopardy”. It is a fun competition based on everyone’s favorite game show that will put your knowledge to the test. This fun activity is also free and will take place at The Dale Association, 33 Ontario Street, Lockport. I hope these workshops will help you stay healthy and mindful as you celebrate the holidays with friends and family. You can eat well and be well this holiday season!

Cribbage for fun, stimulation and fellowship

Playing cards can be a pastime that offers pleasure and social enjoyment. A game of cards is a way of entertaining yourself in a group and it is one of the most popular indoor activities adults play. Have you ever played cribbage or need a refresher? Cribbage is played each Tuesday from 9:15am to 11:30am at The Dale Association, 33 Ontario Street, Lockport. It is a fun game with a friendly and congenial group and new players are always welcome. The cost of $5 is distributed as prizes. Cribbage evolved from an earlier English game called "Noddy," and the man credited with inventing it is Sir John Suckling, a wealthy English poet. Cribbage affords players both the anticipation of the luck of the deal as well as ample opportunity to exercise their skills in discarding and play. One of the novel features of Cribbage is that a Cribbage board is used for scoring rather than the usual pencil and paper. The rectangular wooden board is equipped with holes that accommodate pegs. The board speeds up scoring, and in this fast-moving game, pegging greatly reduces the chances for errors in computing scores. In our hectic, modern lives, many of us focus so heavily on our commitments that we never seem to have time for fun. Somewhere between childhood and adulthood, we’ve stopped playing. Play is not just essential for kids; it can be an important source of relaxation and stimulation for adults as well. Playing cards can be relaxing and stimulating at the same time. And, playing cards or pursuing other fun activities that challenge the brain can improve brain function and the social interaction can also help ward off stress and depression. In the words of George Bernard Shaw, “We don’t stop playing because we grow old; we grow old because we stop playing.” If you’ve ever thought that you’d enjoy playing cribbage I hope you will consider joining this friendly group on Tuesdays.

Thursday, October 19, 2017

Mastering the art of aging

Interested in feeling better today and staying healthy for the future? Today, we are living longer – so it is good to be thinking about ways to engage in ongoing and positive ways to make the most of longevity. In 1950, the average American who was 65 could expect to live another 14 years in retirement, with roughly half of that time in good health. Today, once people reach age 65, they can expect to live another 19 years with roughly 66% of that time in good health. As a result, we can expect to have the greatest amount of free time in history. It is exciting for me to share with you a wonderful program being implemented by The Dale Association, in partnership with National Council on Aging, New York State Office for Aging, Niagara County Office for Aging, and SUNY Albany’s Center for Excellence in Aging and Community Wellness – called “Aging Mastery Program”. It is an opportunity for you to participate in a program that provides new pathways that encourages your ongoing and positive engagement in life. It is an incentive based program designed to inform, encourage, and support aging adults as they take steps to improve their lives and stay engaged in their communities. The Aging Mastery Program is about feeling better today and staying healthy for the future. National Council on Aging (NCOA) is the nation’s leading non-profit service and advocacy organization representing older adults and the community organizations that serve them. NCOA works with national and local partners to give older adults tools and information to stay healthy and secure, and advocates for programs and policies to improve the lives of older adults. First piloted nationally, the Aging Mastery Program incorporates evidence-based materials, expert speakers, group discussion, and peer support to give participants the skills and tools they need to achieve measureable improvements in managing their health and remaining economically secure. The program aims to empower adults to make and maintain small, effective changes to their behaviors to live a healthier, happier, and more secure life. Small steps can make a big difference in your health and well-being, and even modest improvements can make life fun and meaningful. Participants set individual goals and a key element of the program is the reward system, designed to both motivate and encourage ongoing participation. Incentives are an essential feature of the program and help turn learning into doing. The incentives are tied directly to the action steps in each class. Participants earn points for each action step they accomplish. At the end of the 10 week session, participants receive rewards based on the number of total points they achieved. The following testimonials highlight the impact of the program on past participants: “I was reminded that it was important to feel and express gratitude each day, and I have tried to make this part of my morning routine.” “I developed a more positive acceptance of both my past and future.” “This program was very uplifting. I learned that the aging process can be done gracefully. I am working on a plan for the future to share with my family.” Additional information about what topics participants can expect to be covered follows: Navigating longer lives - A special emphasis on the new realities of aging and making the most of the gift of longevity. Overview of how sleep patterns change as we age and simple strategies to improve sleep. Review of nutrition as it relates to aging with a focus on strategies to incorporating healthy eating and hydration into daily routines. How to take medications as directed, how to store medications safely, and how to keep track of multiple medications. Overview of the importance of falls prevention among older adults and strategies to prevent falling. The benefits of being socially active, as well as exploring the risks of isolation. Focuses on continuing to build and strengthen healthy relationships and family connections as we age. Introduction to the value of identifying meaningful volunteer and community engagement opportunities. Discussion of the importance of aerobics, strengthening, flexibility, and balance as they relate to aging with a focus on strategies for incorporating physical activity into daily routines. Strategies for remaining economically secure in an era of longevity. Guidance around key steps needed to manage health care, financial, and housing/care decisions. A graduation ceremony for participants will also take place. Aging Mastery Program is a FREE class and will be offered beginning Thursday, November 2, 2017 from 10:00 – 11:30am and will run for 10 weeks. The classes will take place at The Dale Association, 33 Ontario Street, Lockport. Advance reservations are needed; to reserve your seat, please call 433-1886, visit our website at www.daleassociation.com or stop in at our Centre, 33 Ontario Street, Lockport, NY. Thanks to the generosity of the Office for Aging, participation in the session is free. We hope to recruit a wide range of participants and the class is appropriate for adults of all ages. If this program piques your interest and you want to learn more, please call 433-1886 and ask for Jennifer Burt at extension 104. Jennifer Burt, Program Coordinator and Aging Mastery Lead at The Dale Association, says, “I’m very excited about the Aging Mastery Program being available to Niagara County residents. I encourage people to enroll; it will be fun, educational, and rewarding. The comprehensive approach to your overall well-being is great” The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 66 years. It has been said many times that our services help make lives better and we are proud to be able to do this for people with so many different needs. The Dale Association’s mission is to provide comprehensive services and coordinate connections for adults in Niagara and neighboring counties which enhance their health and wellness and empower them to build bridges into their communities. This important mission is the focal point of each program – including our Senior Services, Mental Health Services, Enrichment Activities, and Caregiver Support Services. Our Senior Services offer activities that enhance health, encourages community involvement, utilizes years of experience and allows for the development of friendships, as well as a sole local resource for the visually and hearing impaired. Memory Minders a social program for individuals with mild memory loss is also among The Dale Association’s community support services helping to improve the quality of life for adults. Our Mental Health Services have the clearly stated goal of assisting people to remain emotionally stable and living independently in the community. The Enrichment Activities are geared to developing and enhancing skills with the objective of adding to the quality of life. The goal of Caregiver Support Services is to help informal caregivers’ ability to manage and coordinate care. For more information about The Dale Association or its programs, please visit www.daleassociation.com or our blog at http://www.ExceptionalYouAtTheDale.blogspot. Side Bar: WHAT: Aging Mastery Program - FREE WHEN: Starting November 2, 2017 For 10 weeks TIME: 10:00 – 11:30am PLACE: The Dale Association 33 Ontario Street, Lockport Please RSVP to 433-1886