Prescription Drug Abuse

Is it possible that you or someone you love is addicted to prescription drugs? Most of us take prescription drugs only for the reason the doctor intended. But the National Institute on Drug Abuse says about 48 million people have used prescription drugs for nonmedical reasons in their lifetime. That figure represents approximately 20% of the U.S. population. In recent years, there has been a dramatic rise in prescription drug misuse or abuse. This increase has led to more ER visits because of accidental overdoses and more admissions to treatment programs for drug addictions. An area of concern is older adults who are part of an “invisible epidemic” of alcohol, prescription, and over-the-counter drug abuse. Over two million older adults in the US have a chemical dependency problem. Drug and alcohol misuse, abuse, and addiction is of great concern no matter what the age of the user. These problems are unfortunately, and quite dangerously, all too prevalent within the elderly population. The Administration on Aging (AoA) states non-medical use of prescription drugs is increasing among older adults. This is especially frightening, when you consider the fact that substance abuse can create or compound physical and mental health concerns that may already be present, or that they may have a likelihood of developing at some point in the future. Any time a person uses any drug in an amount, manner, or combination other than intended, the risk of harmful side effects and addiction climb, as does the risk of overdose-related conditions and death.Per Persons aged 65 years and older comprise about 13 percent of the population, yet account for more than one-third of total spending on prescription medications in the United States. Though 65 is not considered elderly by most, it is an age that is included in many of the studies and statistics. This is relevant because the habits and behaviors that may plague an elderly person may often began at an earlier age. Some data suggest that patterns of prescription drug abuse may differ by gender in older adults. For example, older women have been found to be at greater risk for prescription drug abuse than older men or younger women. Over the counter drugs (OTC) may pose a threat as well. In addition to causing discomforting or even dangerous side-effects, especially when they interact with other OTC or prescription medications, some of these may garner behaviors that become compulsive and follow distinct patterns of abuse. And, alcohol use presents a host of problems as well. Using OTC medications in conjunction with alcohol or prescription drugs can further complicate the side effects and dangers, as these substances may already cause these side effects on their own. Treatment of the older population may need to be specialized, as adults over the age of 65 are likely to have unique circumstances and specific needs that are different than those experienced by younger generations. As people age, their bodies’ functions begin to change. A person’s body begins to take longer to clear or break down the components of substances. The Office of Alcoholism and Substance Abuse Services (OASAS) further elaborates on this, “Due to a reduction in blood flow to the liver and kidneys in the elderly, there can be a 50% decrease in the rate of metabolism of some medications.” Some individuals may also experience some measure of cognitive decline or dementia. Either of these things can make it difficult for a person to fully understand their drug use and behaviors, and in turn, the consequences. These factors may also impair a person’s memory in a manner that leads to unintentional misuse—increased frequency or amount of dosage, or taking things together that should not be used concurrently. Physical health issues put them more at risk as well – the older population consistently deals with more physical afflictions that require the aid of a medication (both prescription and over-the-counter), including increased joint paint, an increased risk of falls, and trouble sleeping. The medications that are commonly prescribed for these things are some of the most addictive. As a person ages, their support system often becomes smaller, whether it be from illness or death, or simply because their level of activity decreases. Due to this, individuals may not interact with people in a frequent enough manner for patterns and behaviors of drug misuse, abuse, and addiction to become apparent. Also, due to fear regarding health concerns or living arrangements (being afraid of being forced to leave their home), some may mask their condition. One thing that can make it difficult for a family member and even health providers, is that certain medications (even if used appropriately), certain health concerns or illnesses (such as cognitive decline), and even the natural progression of aging, may exhibit themselves in manner that mimics certain characteristics of abuse and addiction. If you’d like to learn more about prescription addiction, come listen to Tracy Hunt, Director of Chemical Dependency Treatment Program at Eastern Niagara Hospital to learn more about signs and symptoms, causes, and prevention of abusing prescription drugs in older adults. Tracy will be at The Dale Association, 33 Ontario St, Lockport on Tuesday, January 22nd at 10:00am. It is free to attend. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Understanding dementia, Alzheimer's disease and how the Dale can help

Most people with dementia remain undiagnosed by their primary care providers, and families often fail to recognize the significance of early cognitive symptoms. Early diagnosis of Alzheimer’s disease or other types of dementia is critical. It allows the individual and their family to learn and plan better for the future. There has been a growing interest in screenings for memory problems. A screening can check a person’s memory and other thinking skills. It can indicate if someone might benefit from a more complete medical visit. Early intervention means better quality of life. A person experiencing changes in memory can improve their ability to manage future affairs by seeking help as soon as possible. It is important to identify the disease or problem that is causing memory loss. Some memory problems can be readily treated, such as those caused by vitamin deficiencies or thyroid problems. Other memory problems might result from causes that are not currently reversible, such as Alzheimer’s disease. In general, the earlier the diagnosis, the easiest it is to treat one of these conditions. All individuals should be empowered to make informed decisions to better manage their own health, not discouraged from screening based. Memory screenings are a significant first step toward finding out if a person may have a memory problem. Memory problems could be caused by Alzheimer’s disease or other medical conditions. Who should be screened? Memory screenings make sense for anyone concerned about memory loss or experiencing warning signs of dementia; whose family and friends have noticed changes in them; or who believe they are at risk due to a family history of Alzheimer’s disease or a related illness. Questions to ask: Am I becoming for forgetful? Do I have trouble concentrating? Do I have trouble performing familiar tasks? Do I have trouble recalling words or names in conversation? Do I sometimes forget where I am or where I am going? Am I misplacing things more often? Have family or friends told me that I repeating questions or saying the same thing over and over again? Have I become lost when walking or driving? Have my family or friends noticed changes in my mood, behavior, personality or desire to do things? According to a recent survey by Alzheimer’s Foundation of America, 64% of individuals who responded to the study thought the behavioral symptoms (such as, irritability, anxiety) of the people they were caring for were a normal part of aging prior to their diagnosis of Alzheimer’s disease. 67% of these caregivers stated that these thoughts delayed the diagnosis of Alzheimer’s disease. Alzheimer’s disease is not a normal part of aging, but age is the greatest risk factor. The number of people with the disease doubles for every five-year age interval beyond 65. The memory screening test has 80 – 90% or higher probability of true or accurate screening results - similar to other established screening tests such as a mammography and Pap smear. And, a program for individuals in the early stages of memory impairment is available right here in Niagara County. The dementia-care program emphasizes memory enhancement through cognitive stimulation, education and socialization and is for people in the early stages of memory loss due to Alzheimer’s disease, stroke, Mild Cognitive Impairment, Parkinson’s disease, or any number of other diseases characterized by memory loss. Memory Minders a social program for individuals with mild memory loss is among The Dale Association’s community support services helping to improve the quality of life for adults. For more information about Memory Minders, The Dale Association, or its programs, please call Angie Blackly at 433-1886 extension 111 or via email at angie.blackley@daleassociation. Or, if you are looking for a fun way to keep the brain stimulated, maybe “Cranium Crunches” is something for you. Stomach crunches are a basic exercise for abdominal strength. Does that mean that cranium crunches will build strength in your cranium? You may have heard that the brain is plastic. As you know, the brain is not made of plastic….neuroplasticity (or brain plasticity) refers to the brain’s ability to change throughout life. The human brain has the amazing ability to reorganize itself by forming new connections between brain cells. For a long time it was believed that as we aged, the connections in the brain became fixed. Research has shown that in fact the brain never stops changing through learning. Plasticity is the capacity of the brain to change with learning. Changes associated with learning occur mostly at the level of the connections between neurons. New connections can form and the internal structure of the existing synapses can change. Cranium Crunches is one way to use brain plasticity to its capacity – to build your brain. Cranium Crunches is a program that uses brain games to stimulate new connections in the brain. It is a monthly program held on the third Tuesday of each month from 10:00 – 11:00am. The public is invited to participate at The Dale Association, 33 Ontario Street, Lockport. Please call 433-1886 to reserve your seat for January 15th and you will see that you want to mark your calendar for the third Tuesday of every month. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

How to avoid the winter blues

Ever have the winter blahs? The weather is cold and the days are darker – conditions like this drive us indoors. And, let’s face it, the holiday season can be overwhelming and as we enter January, this can also be a time where people reach an emotional low. Winter causes a mild case of the blues in about 25% of the people in the United States. If you are feeling down in January, you are not alone. Many people feel their mood shrinking this time of year – for lots of different reasons. Some suggestions to avoid the winter blues include: Eating healthy and exercise – make sure you get a variety of fruits and vegetables, eat healthy portions, and exercise. Physical and psychological wellbeing are connected. When your body feels good, so does your mind. Physical exercise releases the “happy hormones”. Sunshine and Vitamin D: new research shows that sufficient amounts of vitamin D reduce the chances of developing depression. Our bodies need sunlight to generate vitamin D. Take a walk and spend some time in the sun – take advantage of every sunny day. Laugh – this sounds simple and it is. Laughter is good for you. Watch a funny movie, be with people who make you laugh, and find the humor in things. Gratitude - Genuinely try to feel grateful – it can bring more meaning and purpose to your life. Looking at the bright side of life and feeling appreciation for the little things in life are great ways to feel better. Remember to say “thank you” for all the little things in your life today. Smile - Research shows that if we force ourselves to smile, after a while we do start feeling better. And, it will work both ways. Smiling at somebody may just brighten their day – and receiving a smile may brighten your day. So – smile today! Wear bright colors – you’ll be surprised how it can lift your mood. Music – listening to upbeat music can be uplifting as well. Socialization –The benefits of being with other people are well documented and I often write about why socialization is so important. Those that interact with others tend to be healthier, both physically and mentally, than those who become socially isolated. Happiness is getting out and being with people, and that's why I recommend it. The Dale Association is a great place to start; if you are reading this, please make The Dale a part of your 2019. We understand the importance of overall health and well being to the strength of our community. Activity is beneficial for health of people of all ages, including the older population. It can increase longevity, lower the risk of developing chronic diseases, helps to maintain individual living and enhances the overall quality of life. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Holiday Eating

The holiday season is upon us. For many, the holidays are a time of travel, parties, big meals, snack foods and drinking - all can create a challenging environment for eating healthy. Also, during the holiday season, so many people fail to prepare for the onslaught of junk food, chocolates, candy, and other snacks and unhealthy meals that will assault them while they are gift shopping. Because you’re going to run into massive temptation during the holiday season, here are some tips: If you’re starving while shopping and you have to get something to eat, choose one of the healthier restaurants instead of the fast food options inside the food court. Believe it or not, loud and chaotic environments actually cause people to eat more. So, choose a low-key, healthy restaurant instead, and you can order a sensible meal instead of indulging in the high-calorie, high-fat, high sugar meals that you’d typically get in a fast food setting. It’s really tough avoiding junk food and other unhealthy snacks during the holiday season no matter where you are, but surprisingly enough, this is especially true at the office. People are always bringing in holiday cakes, cookies, cupcakes, candy, chocolates, and all kinds of other delicious yet calorie laden snacks. The attraction is incredibly difficult for many people, but mostly because they haven’t prepared for the inevitable onslaught of holiday temptations. To combat these temptations, we highly recommend leaving healthy snacks on hand at the office. If you have something else to munch on while everyone else is stuffing their face with holiday treats, you’ll be able to stick to your healthy eating plan and not feel deprived or left out. Don’t deprive yourself completely. You’ll get frustrated, feel unhappy, and ultimately give up and go overboard if you completely deprive yourself of amazing holiday treats. So, indulge a little during the holidays and then immediately go back to your healthy meal plan when you’re through. While attending holiday parties, you should avoid eating high-calorie foods by not putting too many of them on your plate when you do decide to eat. When we have a variety of different foods on our plates, we tend to eat more no matter how hungry we are, so put less food on your plate and you’ll find it easier to avoid. Eat a small, balanced meal or snack before you leave home. If you arrive to the party hungry, you’ll be more likely to overindulge (another great reason to NOT skip breakfast and lunch). Study ALL of the food options, and think about what you are going to have before you put anything on your plate. Decide which foods are worth eating and which can be ignored, and then stick to that decision. Hosting? Make sure the menu includes healthy food choices such as fruits, vegetables and lean meats. Baking, broiling and barbecuing are good methods for cooking meats such as turkey. Avoid frying or adding extra fat during cooking. When you’re cooking, avoid sampling the foods more than necessary. If you’re the host of the dinner, clear the table and put unused food away to help guests avoid grazing. Are you a guest at a family member’s or friends home? Offer to bring along a healthy dish that you know you will enjoy and can substitute for a not so healthy options. After your meal, take a walk with family and friends. Exercise will also get you moving, keep you focused on your goals, and give you a welcome break from being surrounded by treats. If you plan to travel to enjoy the holidays with loved ones, you will likely be spending time away from home in cars or on airplanes. The eating on-the-go that comes along with travel makes it hard to maintain control of food choices. Plus, exhausting travel days pose other challenges to healthy eating by throwing off meal times and limiting good food options. Bring along snacks that are both satisfying and convenient like protein-packed beef jerky, single pouches of tuna and string cheese and high-fiber plant-based foods like fresh fruit, banana chips, nuts, seeds, and roasted chickpea snacks. There are always endless reasons to not make changes. Whether it’s the difficulty of limiting holiday indulgences or not wanting to disappoint your host by saying no to second portions, excuses abound. It might seem like there couldn’t be a worse time than the start of the holiday season to commit to a healthy lifestyle, but in fact there’s no better time than now. Considering that holiday eating often results in excess weight gain that only leads to New Year’s resolutions and dieting, starting now can help reframe old thinking patterns and stop procrastination. During this holiday season make a promise to put yourself at the top of your list. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Smell and Taste Sensory Changes

This week, my column discusses sensory changes that accompany aging – specifically the changes to taste and smell that come with aging. In a recent study, the foods most often identified by taste and smell were: salt 89%, coffee 71%, tomato 69%, fish 59% and sugar 57%. There is an indication that the senses of taste and smell decline significantly with age. If an individual is also having difficulty with their vision, they may be quite limited in their ability to identify foods, causing foods to have little appeal. Distinctive textures and temperatures, such as in ice cream or popcorn, can be important for the enjoyment of foods. Poor nutrition can have serious consequences for elderly people, so it is important that they eat properly. Tasteless foods make eating less enjoyable and bland, low salt or other diet restrictions can contribute to the undesirability of food. A pleasant mealtime atmosphere and foods that are enjoyed in a social setting can make people feel more like eating. Talking about food, the good taste and smell can make the food appear to taste better. Condiments and foods with strong flavors may also help to maintain interest in eating. Poor sense of smell and taste may make it difficult to recognize spoiled foods or the smell of danger such as gas. This is a potential hazard for the person who lives alone. Older people with diminished smell and taste are encouraged to keep track of the age of foods in their refrigerators and check the pilot lights of gas stoves regularly. Also, family members and friends can also check these things whenever they visit. I hope this bit of information has been helpful. If you are looking after a parent, grandparent, friend, or elderly family member, please remember these tips that can help you compensate for the effects of diminished taste and smell on your loved one. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Senior Citizens Exemption for STAR program

This week, my column is about the Senior Citizens Exemption for the STAR program. A special thank you to Jill Lederhouse from the Town of Lockport for asking me to help spread the word about some of the changes for 2019. She wants residents to know that to renew your 2019 exemption will require a few extra steps – but don’t worry, your Assessor’s office is there to help you. First, a few of the basics. Local governments and school districts in New York State can opt to grant a reduction on the amount of property taxes paid by qualifying senior citizens. This is accomplished by reducing the taxable assessment of the senior's home. To qualify, seniors generally must be 65 years of age or older and meet certain income limitations and other requirements. You must own the property for at least 12 consecutive months prior to the date of filing for the senior citizens exemption, unless you received the exemption for your previous residence. Please check with your local assessor or city/town clerk to determine what is in effect for your municipality. To apply or reapply for the senior citizens exemption, you will need to file the applicable form with your assessor. There are three simple forms that will need to be signed and returned: Step 1: You will sign for RP-425 Rnw to apply for the Enhanced STAR portion of your exemption. Step 2: You will have to sign RP-425-IVP, providing your Social Security. Step 3: Renew your Senior Citizens Exemption. Providing current (2018) income or a filed 2017 Tax Return. Steps 1 & 2 should not have to be repeated in the future. If the State has any issues in determining your eligibility for the Enhanced STAR portion of your exemption, they will contact you, either by mail or phone. What is considered income for the Senior Citizens Exemption? The exemption requires the Assessors follow Real Property Tax Law, and not the IRS Tax Law. Therefore, the Assessors will be looking for items such as: - Annual Earnings Statement on IRA accounts, non-taxable, however invested (Interest, Dividends or Capital Gains) - Annuity Payments, including IRAs (Form 1099) - Income from Estates or Trusts - Interest or Dividends bearing Savings and/or Checking Accounts - Investment Interest or Dividends, including non-taxable bonds and IRAs - Capital Gains from sale or exchange of investments - Self-Employment NET income (must show both income and expenses) - Rental Income and Expenses (including room & board or other funds from other residents or family members sharing expenses of the dwelling) - Alimony or Support Payments - Unemployment Insurance Payments - Disability Payments (including VA Benefits and/or Railroad Benefits) - Worker’s Compensation - Lottery / Gambling winnings - Pensions (including VA or NYS Pension (ex: teacher or state employee) - December’s month-end statements may be required to show interest Lederhouse says, “I want to help get the word out that coming into 2019, renewing your exemptions requires a few extra steps. But, please don’t let this concern you, we are here to help you. Please contact your assessor’s office if you have questions.” The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Join us for SMILE

When somebody smiles at you, it feels good and we want to smile back. When you think about “smile”, it denotes positivity, joy, happiness and sociability. At The Dale, SMILE also means a program that offers: Socialization Meaningful Stimulation Inspiring Lunch Exercise SMILE is a new program and will be offered on Wednesdays beginning January 9, 2019 and run from 9:00am – 12:00pm at The Dale Association, 33 Ontario Street, Lockport. Each session will include: games and interactive media, cooking and/or crafts, fellowship, chair exercise, lunch, and of course laughter and so much more. Please call 433-1886 for member/non-member cost and to sign up. I often write about the benefits of socialization and keeping active. Research continues to show that social activity has a positive benefit on health and well-being, and studies show that more socially active older adults have better cognitive outcomes and are less vulnerable to progressive decline. For example, a study shows that over a five-year period, individuals with the largest social networks had 39% less cognitive decline and half the memory decline compared to people with the lowest social interaction. Social activity can take many forms, from one-on-one conversations to group activities. The recent study explored which types of social activity might have the greatest cognitive benefit for older adults. Research suggests that, although individual engagement does provide benefits as well, group engagement may offer unique cognitive benefits to older adults, and that this impact increases as people grow older. Beyond cognitive performance, studies have also suggested that quality of life has additional pay-offs in terms of well-being, and mental and physical health. That’s what The Dale Association is all about and what a great opportunity for you or somebody you know to participate in SMILE. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Winter Safety

As I am writing this, it is snowing and sleeting and we are to expect the first winter like weather of the season locally and much of the nation is under weather warnings or advisories. So, I offer some winter safety tips for people of all ages. Avoid Slipping on Ice: Make sure to wear shoes with good traction and non-skid soles, and stay inside until the roads are clear. Replace a worn cane tip to make walking easier. Take off shoes as soon as you return indoors because often snow and ice attach to the soles and, once melted, can lead to slippery conditions inside. Dress for Warmth: Cold temperatures can lead to frostbite and hypothermia. Don’t let indoor temperatures go too low and dress in layers. Going outside? Wear warm socks, a heavy coat, a warm hat, gloves and a scarf. Cover all exposed skill in very cold temperatures. Use a scarf to cover your mouth and protect your lungs. Check the Car: Get your car serviced before wintertime hits, or ask a family member to bring it to the garage for you. Checking oil, tires, brakes, battery and wipers can make a big difference on winter roads. Make sure wiper fluid is filled and there is a proper mixture of antifreeze in the cooling system. Also, make sure your road emergency membership is up to date. Parking Lot Safety: When walking in a parking lot, stay to the sides of the aisle and watch for cars. Make eye contact with an approaching driver; stop walking if you don’t think the driver has seen you. Use all your senses and do not talk on the phone or use headphones while walking in a parking lot. Snow can muffle sound of an approaching vehicle. Before you exit a parking space, adjust seat, mirrors, etc. and do not cut across parking space lines or park near drifts. Prepare for Power Outages: Winter storms can lead to power outages. Make sure you have easy access to flashlights and battery powered radio in case the power goes out. Stockpile warm blankets. Keep a supply of non-perishable foods that can be eaten cold on hand. If the power goes out, wear several layers of clothing, including a hat. Keep moving to raise your body temperature. Fight Wintertime Depression: To help avoid depression having less contact with others during cold months, arrange a check-in system with family members or neighbors and friends (or The Dale Association’s Telephone Reassurance Program). Prevent Carbon Monoxide Poisoning: Using a fireplace, gas heater or lanterns can lead to carbon monoxide poisoning. Ensure your safety by checking the batteries on your carbon monoxide detector and buying an updated one if you need to. Walk like a penguin on slippery surfaces: Here is a fun little poem to help you be safe and remember to walk like a penguin when walking on slippery surfaces. When things get cold and icy, and your path looks kind of dicey – waddle On. Keep your toes all pointed out-y, keep your knees all loosey-goosey – waddle on. Keep your hands outside your pockets, take short steps so you won’t rocket – waddle on. Take it slowly, holy-moly, so you don’t fall down and roll-y – waddle on. Walking like a penguin with short steps is the way to walk safely on slippery surfaces. I hope you find these winter safety tips helpful. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 67 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.

Ageism and Longevity

“Ageism”- a word I was not familiar with before the Dale Association. Perhaps the meaning is unheard of by others, too. What is ageism? Ageism is defined as prejudice against older people. It’s pretty widespread in its various forms. Ageism implies that as soon as a person can be described as old they are automatically considered of little value, or a burden on society, or slow to accept change, or unable to look up at themselves, or a whole myriad of negative images. Not so, couldn’t be further from the truth. We are in the midst of a longevity revolution – with the average life expectancy increasing. Instead of the rare individual reaching age 85 and older, most of us have an excellent chance of making it to this age. Today’s active adult is more vital, remains mentally stimulated and physically active as a result of participating in various recreational, educational and social activities. The sooner we combat the negative societal perceptions of older people as non-valuable and non-productive the sooner the off-putting label called ageism will be minimized. Older people are part of the cycle of life and positive perceptions should replace the traditional pessimistic stereotype of the aging. This is a time to acknowledge the significant contributions of older adults and renew our commitment to the well being of older adults and the living of their golden years in good health. Not only are people living longer, a greater percentage of the population is older, and that trend will continue - with the emergence of the national “Elder Boom” that we are in the midst of and will continue in the coming years. By 2020, the over 65 population in the U.S. is projected to double and the number of Americans over 85 is expected to be more than quadruple in the same time period. There will soon be more older people in the U.S. than younger people. Older adults are a growing and increasingly vital part of our country. The contributions they make to our communities are varied, deeply rooted, and include influential roles in the nation’s economy, politics, and the arts. I have the pleasure of spending my days with many, many older adults who have made a real difference and a distinct positive contribution to this community.

Canes and Walkers

The feeling of freedom to walk safely to your kitchen, make yourself a cup of coffee and independently manage around the house is priceless. When your cane or walker is fitted properly, you’ll feel safer and more stable. The correct cane length is the key to safe use and better mobility. Many models of canes are adjustable, but it is still helpful to know what the proper length should be. 1. Obtain measurements while wearing regular walking shoes. 2. Standing upright, allow arms to relax (with normal bend at the elbow) at your sides. 3. Have a second person measure the distance from your wrist joint down to the floor. This number is the right length of cane for you. An estimate of the proper cane length can be made by dividing an individual’s height by two. For most persons, the right sized cane is within one inch of half their height. This guideline can be applied if the user is not available for an actual measurement. To walk safely with a cane on level surfaces: 1. Hold the cane in the hand on your “good” side so that it provides support to the opposite lower limb 2. Take a step with the “bad” leg and bring the cane forward at the same time. Move the cane and affected leg forward together. 3. Lean your weight through the arm holding the cane as needed 4. Always have the bad leg assume the first full weight-bearing step on level surfaces 5. The cane should be moved the distance of one average step forward with each move. You should not feel that you are stretching to catch up to the cane or stepping ahead of it. If you are using the cane for general mobility rather than an injury, hold the cane using your dominant hand and bear weight on this side of your body. If you are working with a physical therapist due to an injury, he or she may have a specific cane-walking plan different from this one. To properly ascend stairs, it is “up with the good.” While holding onto the rail with one hand, advance the stronger leg first placing it on the step above where you are standing. After this good leg is appropriately placed on the step, advance the weaker leg up to the same step that the stronger leg is on. If there is no rail to hold on to, the cane is placed on the upper step at the same time or after placement of the weaker leg. To properly descend stairs, it is “down with the bad.” While holding onto the rail with one hand, advance the weaker leg first placing it on the step below where you are standing. After this affected leg is appropriately placed on the step, advance the stronger leg down to the same step that the weaker leg is on. If there is no rail to hold on to, the cane is placed on the lower step at the same time or after placement of the stronger leg.

Caregiving Good

This week I am sharing the results of a survey that is the first one I’ve seen that contradicts previous survey results about the detrimental side of caregiving, for some people. Previously, several reports have stated that the stress of caring for a loved one can be bad for your health, if you are a caregiver. The latest findings indicate that caregivers may actually benefit from providing care under some circumstances. This latest report from the University of Michigan shows a positive outcome of helping someone you love – and I’m glad to share it with you. According to the study from the University of Michigan, older adults who care for an ill spouse for at least 14 hours each week have a longer lifespan. Researchers used data from the University of Michigan Health and Retirement study. They analyzed seven years worth of information on 1,688 Americans over the age of 70, who live independently. "Previous studies have documented negative effects of caregiving," said an assistant professor of internal medicine at the University of Michigan Medical School and faculty associate at the University of Michigan’s Institute for Social Research. "But the current results show that it is time to disentangle the presumed stress of providing help from the stress of witnessing a loved one suffer," she said. In the study, which began in 1993, the participants were asked how much help they were given by their spouses in activities of daily living. Eighty-one percent of the participants reported that they did not receive any help from their spouse, 9 percent received less than 14 hours of care, and 10 percent received more than that, according to the study. By the end of the study, 27 percent of the population had died and the researchers found that the spouses who provided at least 14 hours of care were less likely to have died during the study than those who did not spend time caring for their spouses. It is believed that the findings correspond with the theory that evolutionary forces guide humans to altruism in these cases. "We don’t know yet exactly how caregiving motivation and behavior might influence health, but it could be that helping another person — especially someone you love — relieves some of the harmful stress effects of seeing that person suffer," according the researchers. Research continues on this subject. I hope you find joy in helping somebody you love and beat the (previous) statistics. If you are a caregiver, be sure to attend an upcoming Caregiver Resource Fair on May 22nd at The Dale Association from 12:30 – 3:30 pm, 33 Ontario St., Lockport, NY 14094

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.

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.

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.

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.

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

Powerful Tools for Caregivers

Millions of Americans are providing care and support to 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: Reduce stress Improve self-confidence Better communicate your feelings Balance your life Increase your ability to make tough decisions Locate helpful resources. The classes are offered on Wednesdays beginning October 4th and running through November 8th 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.

Suicide Awareness and Prevention

September is Suicide Prevention Month. Every 15 minutes someone in the United States takes his or her own life. And for every one suicide, there are 25 attempts. Suicide takes life without regard to age, income, education, social standing, race, or gender. Overall, suicide is the 10th leading cause of death for all Americans. The legacy of suicide continues long after the death, impacting bereaved loved ones and communities. Fortunately, there is strong evidence that a comprehensive public health approach is effective in reducing suicide rates. In fact, suicide rates have been declining among both American youth and elders for well over a decade, two groups on which the nation has focused most. It’s important to know the warning signs that help identify an individual who may be at immediate risk of taking their own life. For example, an individual may reveal the following information: • Talk of wanting to hurt or kill oneself • Unusual contemplation of death, dying, or suicide • Feelings of being trapped—like there’s no way out • Feelings of hopelessness or that there is no purpose in life • Withdrawal from friends, family, and society People at risk of suicide may also present with: • Increased alcohol or substance use • Anxiety/agitation • Rage/uncontrolled anger • Trouble sleeping or sleeping all the time • Dramatic mood changes, including sudden elevation in mood Half the population reports they have been touched by suicide. And, one out of three people say it has had a high impact on their lives. The National Suicide Prevention Lifeline provides 24/7 free confidential support for people in distress, prevention and crisis resources for you or your loved one, and resources for professionals. The National Suicide Prevention Lifeline # is 1-