Happiness Hints

We all strive for happiness – something that has been valued for centuries. Maintaining a positive mood can sometimes be challenging – especially in a fast paced, must get everything done environment. So, some natural mood boosters that are known to work are the topic for this week’s article. 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. Exercise: Physical and psychological wellbeing are connected. When your body feels good, so does your mind. Physical exercise released the “happy hormones”. 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! 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. The weather forecast for the coming week will offer the perfect opportunity to get outside – take a walk and spend some time in the sun – take advantage of every sunny day. Socialization: Happiness is getting out and being with people, and that's why I recommend it. When it comes to managing our moods, we really do have the power to take control. Have a bright day.

Medicare Turns 50!

Medicare turns 50!! Prior to 1965 when then president Lyndon Johnson signed Medicare and Medicaid into law, many elderly Americans, as well as the nation’s poorest families, were forced to depend on charity for their healthcare needs – either that or go without treatment at all. The emergence of Medicare and Medicaid brought about rapid change – prompting dramatic drops in infant mortality rates and infectious diseases such as influenza and pneumonia. Since then, Medicare and Medicaid have: Filled gaps in healthcare for the elderly and for low income individuals. Transformed care for millions of seniors and people with disabilities. Produced positive, long lasting healthcare results. Now, 50 years later, Medicare and Medicaid are essential elements of the nation’s health care system. Today, Medicare covers more than 55 million Americans, most of whom are 65 years or older. Medicaid, a joint federal and state program, provides health coverage to more than 4.6 million low income older Americans; nearly all of whom are also enrolled in Medicare, according to the Centers for Medicare and Medicaid Services (CMS). At the time these programs were signed into law, about half of older adults had no health care coverage. Over the past five decades, Medicare and Medicaid have become essential to the care of older adults and ensuring they have the opportunity to live healthy lives. Medicare serves about 1.7 million older Americans and individuals with disabilities receiving skilled nursing and rehabilitative care. Medicaid is the largest payer of long term services and supports. About 63% of nursing center patients and 19% of assisted living residents rely on Medicaid on any given day for their care. CMS has just released undated Medicare enrollment numbers, showing that more than 55 million Americans are covered by Medicare. In 1966, approximately 19.1 million Americans were covered by Medicare. In 2012, there were nearly 52 million beneficiaries covered by Medicare. Today’ enrollment numbers represent a 3 million person increase during the last three years as the Baby Boom generation has started to retire, CMS says. Community meetings to learn more about Medicare Health Insurance have been planned. TOPIC: Understanding Medicare Plan Choices for 2016 Get updates and learn about the changes to Medicare, the Medicare Health Plans, Medicare Part D, NYS EPIC, and “Extra Help” Low Income Subsidy Program. The Medicare Open Enrollment Period is from October 15th to December 7th, 2015. Information is presented by representatives of the Niagara County Office for the Aging, NYS EPIC Program, and Medicare Advantage Plans Representatives. Medicare Advantage Plan Sales Reps will be present to provide enrollment assistance. DATE LOCATION TIME October 16, 2015 North Tonawanda Senior Center 110 Goundry St., N. Tonawanda 9:30 am October 28, 2015 Lewiston Senior Center 4361 Lower River Rd., Lewiston 9:30 am October 29, 2015 The Dale Association Senior Centre 33 Ontario St., Lockport 9:30 am

Caring for a Loved One

Feeling stretched caring for an older adult? 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 takes an enormous physical and emotional toll on caregivers. The Dale Association has received training to conduct a six part training program to enable caregivers to better care for themselves by improving their own self-confidence and problem solving skills. This program has been tested and evaluated through a grant from the U.S. Administration on Aging. Powerful Tools for Caregivers is an educational series designed to provide you with the tools you need to take care of yourself. This program will help family caregivers: reduce stress, improve self-confidence, better communicate your feelings, balance your life, increase ability to make tough decision and locate helpful resources. Current research is finding that taking care of tired caregivers could be as important as providing care for their care-recipients. The class is being offered on Thursdays beginning October 1st and running through November 5th, from 1:00 pm to 3:30 pm 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 Helpbook, 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.

Driving Wellness at Every Age

As people get older, their driving patterns change. Most older adults drive safely because they have a lot of experience behind the wheel. Age-related declines in vision, hearing, and other abilities, as well as certain health conditions and medications, can affect driving skills. Retirement, different schedules, and new activities can also affect when and where they drive. When people retire, they no longer drive to work. With more leisure time, they may start new activities, visit friends and family more often, or take more vacations. Like drivers of any age, they use their vehicles to go shopping, do errands, and visit the doctor. Driving is an important part of staying independent. Most older people have drivers’ licenses. They tend to drive fewer miles than younger drivers. But, they are also keeping their licenses longer and driving more miles than in the past, often favoring local roads over highways. As the overall population ages, there will be more older drivers on the road. Driving is a complicated task. It requires people to see and hear clearly; pay close attention to other cars, traffic signs and signals, and pedestrians; and react quickly to events. Drivers must be able to accurately judge distances and speeds and monitor movement on both sides as well in front of them. It’s common for people to have declines in visual, thinking, or physical abilities as they get older. As a result, older drivers are more likely than younger ones to have trouble in certain situations, including making left turns, changing lanes, and navigating through intersections. Driving errors can lead to traffic accidents, injuries, and death. The risk of crashes rises with age, especially after age 75. Studies show that older drivers are more, and less, likely to be involved in certain types of crashes than other drivers. Older drivers are less likely to be involved in crashes related to alcohol use, speeding, and driving at night. But they are more likely to get into crashes: • at intersections (usually in the vehicle that is struck) • in which the front of one vehicle hits the side of another vehicle • where the older driver is merging and the other vehicle is traveling faster or is in the older driver’s blind spot Fortunately, the rate of crashes among adults 65 and over has decreased in recent years. Research suggests that this decline is due to a number of factors, including older adults’ better health, safer cars, and safer roads. In addition, older drivers’ ability to “police” themselves — like not driving at night – and stricter state laws for renewal of driver’s licenses may help. Do you wonder about your driving fitness? A free workshop designed to help older drivers reach and maintain the highest level of safe driving is being offered on September 22nd from 12:30 – 1:30 pm at The Dale Association, 33 Ontario St., Lockport. Information will include natural age related changes and their possible impact on driving performance, strategies to maintain driving fitness, and the driver screening/ evaluation process. Lisa Thorpe, Occupational Therapist and Driver Rehabilitation Specialist, ECMC will be presenter. Please register for this free workshop by calling 433-1886. The Dale Association is a unique non profit organization which has been responding to needs of adults in our Niagara community for 64 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: A Road Map to Driving Wellness – FREE Workshop WHEN: September 22, 2015 TIME: 12:30 – 1:30 pm PLACE: The Dale Association 33 Ontario St, Lockport, NY RSVP: 433-1886

Adversity to Well Being

A recent study lends a fresh perspective to the famous quote, “That which does not kill us, makes us stronger.” The authors of this study examined the relationship between cumulative lifetime adversity and human resilience. By analyzing a nationally representative sample of the population, the authors found that individuals who experienced a moderate amount of adversity during their lifetimes had higher levels of mental health and wellbeing than (a) people with an extensive history of adversity and (b) people without any history of adversity. Taken at face value, these results seem to contradict prior research which has consistently found the experience of adversity to be positively correlated with poor mental and physical health. That said, the authors of the current article emphasize that this is the first study to examine cumulative life adversity—compared to prior research which has historically analyzed individual events or singular categories of events. In other words, in the past, researchers have either studied the occurrence of a single event in a person’s life (e.g., asking a person to describe one adverse event that occurred during their lifetime), or a single category of adverse events that can be experienced by many people (e.g., rape). This study took a novel approach by to the topic of adversity by combining both of these methodological techniques to assess the cumulative effects of multiple events affecting the same individual across multiple categories of adverse events that tend to affect different individuals. If both the prior findings and the current study are valid, this would suggest that the experience of adversity, can produce both a debilitating effect in the immediate time-frame in which the event occurs, and a toughening (i.e., overall strengthening) affect over one’s entire life time. Consequently, this accrual of lifetime toughness would continue to bring new perspective to one’s future appraisals by placing them in a position of greater wisdom via the confidence stemming from the knowledge that they have successfully dealt with past experiences of adversity. In short, if aging is defined by the wisdom and strength that comes from it, then what doesn’t kill us may actually make us stronger—in moderation.

SUMMER SAFETY

The pleasures of summer include longer, warmer and sunnier days, celebrations with family and friends, and backyard BBQs. Summer can also bring with it additional safety challenges. Summer Safety – something we should all be thinking about. Limit your exposure to the sun. Place comfortable lawn chairs in shaded areas. Stay indoors between 10:00 a.m. and 2:00 p.m. when the sun’s rays are the strongest. During the summer heat it is especially important to drink lots of fluids. Drink a glass of water hourly, or keep a cool glass of water within arm’s reach as a reminder to drink. Provide non-alcoholic beer or lemonade for backyard BBQs. Gardening can be a pleasurable and relaxing activity but can also pose risks. Keep an eye on sharp gardening shears or tools and closely monitor their use. Use fertilizers that are not harmful if swallowed accidentally and ensure that the plants in the garden are not poisonous. As our bodies age, skin and fat tissue, the body's insulators, tend to thin. Because of that change, seniors regulate temperature less efficiently, putting them at greater risk than others from heat-related health problems. Signs of dehydration or heat exhaustion are less pronounced in seniors, who: • Tend to perspire less than younger people—so their bodies don’t shed heat as easily as they once did. • May lose some of their sense of thirst and not feel thirsty until severe dehydration has set in. • May take high blood pressure and heart disease medications that remove salt and fluids from the body. These medications, coupled with heat, can cause a senior to become dehydrated—leading to confusion, organ damage and even death. The following tips can help seniors beat the heat. • Slow down. Strenuous activity in extremely hot weather adds strain to the heart. If you must be active, choose the coolest part of the day. • Take regular breaks when engaging in physical activity on warm days. If you think that you, or someone else, show signs of heat-related illness, stop your activity, find a cool place, drink fluids and apply cool compresses. • Stay cool. If you don’t have air conditioning, spend time at an air-conditioned shopping center, senior center, library, movie theater, restaurant or place of worship. • Plan outdoor activities in the cooler early morning or evening hours • Stay in the shade. A covered porch or under a tree are good choices. • Wear a wide-brimmed hat and umbrella to protected yourself from sun overexposure • Use U/V skin protection • Stay cool in your home. If you must be at home without air conditioning: • Stay in the coolest part of the house—usually the lowest floor. • Close curtains or shades on sunny windows to keep out heat and light. • Use portable and ceiling fans, and/or battery-operated hand-held fans and misters. • Install outdoor awnings or sun screens. • Use wet washcloths or ice cubes wrapped in a washcloth to pat your wrists, face and back of the neck. • Take cool baths or showers. • Stay hydrated. Carry water or juice with you and drink continuously even if you do not feel thirsty. Avoid alcohol and caffeine, which dehydrate the body. • Eat small meals and eat more often. Avoid foods that are high in protein, which increase metabolic heat. Sandwiches, salads, fresh fruit and vegetables are good choices. • Avoid using salt tablets unless directed to do so by a physician. • Dress for the heat. Wear lightweight, light-colored clothing. Light colors will reflect away some of the sun's energy. Wear a hat or use an umbrella as well. • Discuss with your doctor how medications and/or chronic conditions may affect your body's ability to manage heat. • Take the heat seriously. Rapid heartbeat, dizziness, diarrhea, nausea, headache, chest pain, fatigue, clammy skin, mental changes or breathing problems are warning signs that you should seek immediate medical attention. Heat related illnesses can get serious quickly. For more information, a lively discussion of important summer safety tips, and learning how to avoid common health problems associated with the warmer weather the public is invited to a free presentation on Monday, June 8th at 12:30pm at The Dale Association, 33 Ontario Street, Lockport. Denise DiPaola, RN, BSN/ Community Outreach Worker with GuildCare will present tips and discuss: • Heat Related Illnesses • Medication Travel Tips • Avoiding Summer Related Injuries • Special Considerations for diabetes and other chronic conditions

ELDER JUSTICE

As Americans live longer and technology becomes increasingly more sophisticated, older Americans can be vulnerable to scam artists and others seeking to exploit them for financial gain. They also can be vulnerable to abuse and neglect. The negative effects of abuse, neglect, and exploitation on the independence, well-being, and health of seniors are extensive. Elder abuse increases the risk of premature death and causes unnecessary illness, injury, and suffering and can threaten the economic security of older Americans. And it impacts elders across all economic, racial and ethnic lines, regardless of where they live—at home, with families, in assisted living, and nursing homes. People living with dementia are at higher risk for abuse, neglect, and exploitation. Cognitive impairment reduces financial capacity, increasing the risk of financial exploitation. Elder abuse carries both a human cost and an economic cost. It undermines our public investments in long-term services and supports. The costs of elder abuse are borne by public programs of the federal government and the states, private businesses and most importantly, by families and individuals. The Elder Justice Act, enacted as part of the Affordable Care Act, recognizes the nation’s need to address this issue. Since 2012, the federal Elder Justice Coordinating Council, authorized by the Elder Justice Act, has brought together federal agencies to build the federal capacity to address elder abuse. Elder abuse includes physical, emotional and sexual abuse; financial exploitation; and neglect (including self-neglect). It is found in all communities and is not limited to individuals of any particular race, ethnic or cultural background or socio-economic status. Because it often is hidden and unrecognized, and because the definition of elder abuse varies from state to state, both the incidence and prevalence of elder abuse have been difficult to articulate with great confidence on the national level. In 1995, New York State legislation established the Elder Abuse Education and Outreach Program to provide education and outreach to the general public, including older persons and their families and caregivers in order to identify and prevent elder abuse, neglect, and exploitation. The program includes elder abuse education and outreach programs designed to support a statewide effort to increase awareness and prevention of elder abuse. To protect residents of skilled facilities, the New York State Long Term Care Ombudsman Program services are provided through a network of local ombudsman programs hosted by county based profit organizations. Each local ombudsman program has a paid coordinator who recruits, trains and supervises a corps of trained volunteers that provide a regular presence in nursing homes and adult care facilities. The Long Term Care Ombudsman Program serves as an advocate and resource for the more than 160,000 older adults and persons with disabilities who reside in New York’s long-term care facilities. Ombudsmen help residents and their families understand and exercise their rights to quality of care and quality of life. The program advocates for residents at both the individual and systems levels by receiving, investigating and resolving complaints made by or on behalf of residents, promoting the development of resident and family councils, and informing governmental agencies, providers and the general public about issues and concerns impacting residents of long-term care facilities. As the population of older Americans grows, so does the hidden problem of elder abuse, exploitation and neglect. We should continue to develop public-private partnerships, as well as partnerships with state and local-level entities, to stem the tide of elder abuse, neglect and exploitation.