aging answers october 2014

OCTOBER 2014

A Quarterly Supplement to

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Contents October 2014

A Quarterly Supplement to

10

74 Worth Noting

Do you need the flu shot? The Ohio

Department of Aging gives us the scoop.

6 Ask Kathy HirkoMedicare health plans made easy.

10 Feeling at Home for theHolidaysBy Anne Schleicher

Creating a “new normal” for your

aging loved ones during the holiday

season.

13 Book Clubs for SeniorsBy Sharon Schnall

14 Calendar

2 Aging Answers October 2014

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Immune systems weaken as we

grow older, so getting a flu shot

helps older adults stay healthier

throughout the flu season. A flu

shot especially helps those who

are managing chronic diseases

avoid compromising their wellness

efforts.

Three kinds of influenza viruses

commonly circulate among people

today: influenza A (H1N1) viruses,

influenza A (H3N2) viruses and in-

fluenza B viruses.

Adults 65 and older typically ac-

count for more than half (60 per-

cent) of flu-related hospitalizations

and almost all (90 percent) of flu-

related deaths.

The biggest reason people don’t

get flu shots is they think they

don’t need them. Seasonal flu

shots keep you healthy and safe

along with help prevent spreading

the flu to your loved ones.

You benefit anytime you get the

flu shot, but experience greater

protection when the shot is done

earlier in the season, such as

October.

Also, wash your hands regularly,

as this is the simplest way to pre-

vent spreading germs.

Adults 65 years of age and older

have flu vaccine options. They can

have a traditional, standard-dose

vaccine or a higher-dose vaccine

specifically designed to address

the age-related weakening of the

immune system. The vaccination

is a Medicare Part B benefit, which

means there is no

copay for eligible beneficiaries.

Older adults should speak with

their doctor or pharmacist to find

out more about simple steps they

can take to help prevent the flu for

themselves, the people they care

about and the best vaccine option.

The Ohio Department of Aging

promotes healthy, active and

engaged lifestyles for all of its

constituents, and sponsors

chronic disease management

programs to remain active and

healthier longer. Visit the depart-

ment at aging.ohio.gov, and the

Ohio Department of Health at

odh.ohio.gov.

Worth Noting

Reasons to Get a Flu Shot

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By John Kandare

We know from experience that as we age certain parts

of our bodies quit working the way they used to. This is

especially true with hearing. There are 48 million adults

with some form of hearing loss in the U.S., including

one out of three people between the ages of 65 and 75,

and almost 50 percent of seniors aged 75 and older.

As hearing declines, so do other parts of the body. As

an individual’s hearing loss progresses, so do the

chances of getting certain diseases and developing

debilitating conditions.Health Issues Rise Due to LossAudiologists use the term “auditory deprivation” to

describe such cases. A typical hearing evaluation

measures two main things: the softest

levels at which sounds are heard and

speech understanding.

Often, hearing loss goes undiag-

nosed or untreated for many years be-

fore it’s found.

Historically, the average time from

initial diagnosis to fitting of a hearing

aid is 10 years and only 20 percent of

people with a treatable hearing loss ac-

tually get fit with hearing aids.

While hearing loss has strong corre-

lations with other health issues, even

more concerning is that the loss can

also lead seniors to isolate themselves

from social interaction and eventually

develop cognitive decline and demen-

tia.

Falls can be very dangerous for older

adults and research shows that sen-

iors have increased risk of falling when

they have greater hearing loss.

There is a greater likelihood for

hearing loss when someone has a dis-

ease like high blood pressure or

diabetes as well. Research shows that

hearing loss is two times more com-

mon in people who have diabetes than

their peers.

Remembering Hearing AidsIf an individual has hearing loss and

does not wear hearing aids, their

speech understanding can get worse

and make successful rehabilitation

with hearing aids significantly more

challenging.

Often, a person will only wear their

hearing aids when they go to a restau-

rant or to church and complain about

how they do not work for them. A per-

son who only wears their hearing aids

in difficult listening environments will

Hearing Loss and Its Connections to Quality of Life


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October 2014 Aging Answers 7

not see the most benefit from them.

The more often a person wears a hearing aid, the

better the typical outcome.

Receiving Help Because hearing is tied to other health centers in the

body and can have devastating effects on quality of life,

it is vitally important to diagnose and treat it.

If you know an older adult who has been either

struggling to hear or has withdrawn from their normal

social circles, encourage them to get their hearing

tested. Doctors often test and find hearing loss with

people who do not self-report having hearing difficul-

ties, but the loved ones around them do. These individ-

uals usually benefit the most from a hearing test and

discussion of their concerns and key challenges.

Properly fit hearing aids can not only increase an in-

dividual’s quality of life, but also decrease his or her

chances of dementia and Alzheimer’s due to social

isolation. This gives their loved ones peace of mind and

ensures your time together will once again become

quality time together.

John Kandare, Au.D. is an audiologist at Zounds Hear-ing, which offers free, comprehensive hearing evaluationsin Brooklyn, North Canton and Mayfield Heights offices.

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A treatment offered at Eliza Jen-

nings is bringing hope to older

adults living with dementia and

their families. SAIDO Learning®

is a non-pharmacological treat-

ment that has been shown to im-

prove the symptoms of memory

loss and dementia among individ-

uals with cognitive impairment.

Older adults participating in

SAIDO Learning are more en-

gaged in daily activities, socializ-

ing more with family members

and caregivers, and eating better.

Many are enjoying a renewed opti-

mism for life and daily living.

In 2011, Eliza Jennings part-

nered with Kumon Institute for

Education to become the first site

in the U.S. to conduct an exciting

research trial to examine the re-

sults of SAIDO Learning when

provided to residents of one of

Eliza Jennings’ communities for

older adults. The results of the

trial indicated measurable im-

provement in cognitive function.

SAIDO Learning has been prac-

ticed for more than a decade in

more than 1,600 nursing facilities

across Japan, showing stunning

results in over 18,000 older adults.

The SAIDO Learning method in-

volves a caregiver (called a “Sup-

porter”) trained to work with two

older adults (called “Learners”) by

engaging them in a series of pre-

cise, yet simple, arithmetic, writ-

ing and reading exercises.

Learners progress through a

planned succession of scientifi-

cally developed worksheets suited

to their individual needs. The ses-

sions are conducted five times per

week and last 30 minutes, in order

to stimulate the prefrontal cortex

of the brain. Most notably, the

result is an improvement in

cognitive function.

Through SAIDO Learning, we

can do more than just care for

older adults with Alzheimer’s dis-

ease and other dementias — we

can now treat the symptoms with-

out the use of drugs and set goals

for improvement.

Eliza Jennings, the recognized

expert in innovative aging serv-

ices, offers SAIDO Learning at

each of its communities, including

the assisted living community at

its Retirement Campus at The

Renaissance in Olmsted Town-

ship, and Eliza Jennings Assisted

Living Community at Devon Oaks

in Westlake.

For more information about

SAIDO Learning at Eliza Jennings,

please call 216-325-1266.

Helping to Improve Memory Loss

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Aging can bring changes to many family traditions.

Your parent or grandparent might live in an assisted

living or skilled care facility, and can’t be part of holi-

day events like she or he once was. For many older

people, the holidays are bittersweet.

Don’t be afraid to adjust your traditions. Communi-

cation with family and those involved in your relative’s

care will help you avoid more holiday stress.

Loved Ones Away From HomeResidential facilities have busy activities depart-

ments whose job is to provide socialization each day

of the year, even during holidays for those who are

unable to go home.

“We have special holiday meals that we invite fami-

lies to,” explains Robin Hanna, director of life enrich-

ment at St. Mary’s of the Woods in Avon. “We bring in

entertainers and school kids to do crafts, sing carols

and decorate cookies.”

Hanna says families are welcome to decorate resi-

dents’ rooms. Many share events like school recitals

on devices like an iPad.

It’s a good idea to call ahead if more than one person

will be visiting at the same time. That way staff can

find a setting that will allow for a comfortable visit.

If you’re feeling overextended and unable to visit, find

others who can help.

Home for the HolidaysIn many instances, you can still in-

clude your relative in some part of your holidays at

home.

“Nursing home residents have the right to leave the

facility for holidays, overnight stays and other ‘leaves’

without creating any disruption in their care or serv-

ices,” says Sam McCoy, vice president of elder rights

for the Akron/Canton Area Agency on Aging.

When you make this decision, “You have to make

sure it’s your loved one’s needs being met, not just

yours,” explains Dr. Lori Stevic-Rust, a clinical psy-

chologist who is director of senior services at Lake

Health and president of the Lake County Council on

Aging. “Don’t do it just because that’s the way it’s al-

ways been done.”

Planning ahead is best for all involved. “Give the staff

at least a few days’ notice, especially if it’s going to be

overnight,” McCoy says. “This gives them time to or-

ganize medications, clothing and personal care items.”

Pam Turos, a social worker with the Greater Cleve-

land chapter of the Alzheimer’s Association, suggests

asking the staff to pick out a nice outfit for your relative

and get her hair done.

“She’ll receive a lot compliments and will feel spe-

cial,” she says.

When bringing a person with dementia to a holiday

event at your home, adult children can brief other fam-

ily members on the older person’s limitations and be-

havior, says Stevic-Rust.

“You might have to say, ‘Don’t be offended if

Grandma gets upset because it’s too noisy,” she says.

This is particularly important now that many families

have four generations.

Creating a ‘New Normal’


HolidaysBeing flexible and communicating your relative’s(and your own) needs can makethe season brighter for everyone.

for the

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Smaller gatherings are better for people

with dementia. Have only immediate family at

an event if your loved one is likely to become

confused or agitated.

Before Holiday Festivities “There are several ways to involve them in holiday

traditions, like cooking and gift wrapping,” says Turos,

who has cared for two family members with

Alzheimer’s disease.

This can be done days or weeks before an actual

holiday, with just you and your relative.

“I even took my grandmother shopping, but to

smaller stores,” Turos says.

Playing holiday music can reconnect those with

memory loss to fond memories.

Keep gifts simple, sentimental and practical. Write

your loved one a letter on special paper about how

much he or she means to you. Have a new print made

of a favorite photo or put together a photo album.

With Alzheimer’s patients, try to meet them where

they are mentally; even a toy might have a lot of

meaning. Ask staff for suggestions,

including what not to get.

Planning for the holidays will set your

compass for self-care as well.

“The number-one rule, you have

to take care of yourself, before you

can take care of anyone else,”

Turos adds.

s


By Anne Schleicher

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As many of you know, pets can be a

very important part of keeping an

aging loved one engaged in a happy

life. There are many benefits of

having a pet.

However, pets are an added

responsibility that involves making

sure they are fed and have water,

and have an opportunity to go out for

walks or use the kitty litter pan.

An unhealthy pet may lead to

health problems for older adults

(and other higher risk individuals).

Does this mean you need to get

rid of the household pet? No. It just

means you need to know the three

simple ways you can support your

aging loved one so they can live

safely at home with their pet.

Vet Up: Make sure your loved

one’s pet is seen at least once a year

by a primary care veterinarian to

keep current on parasite control and

essential vaccinations. This is the

best defense for preventing diseases

that can accidentally be spread from

the pet to the owner or young chil-

dren, pregnant women or people

with certain medical conditions. This

also helps the pet live a long and

healthy life with the least amount of

pain and distress.

Pick Up: Pick up pet waste

promptly. Even if a pet is allowed

outdoors, waste needs to be cleaned

up from the yard (best if cleaned up

immediately) and discarded prop-

erly. Many tools out there can help

pick up pet waste without the need

to bend down and get close to the

waste. It’s recommend double bag-

ging the waste before placing it in

the garbage can for proper disposal.

Keeping the home clean and tidy is

also necessary.

Wash Up: Wash hands after han-

dling pet waste (and before handling

food or eating). For example, my

grandmother had dementia, and I

saw that she did not remember that

she needed to wash her hands after

disposing of her dog’s waste. The

benefits of her having the dog far

outweighed any potential drawback,

she just needed extra support to live

safely with her pet.

Responsible pet care is essential

for healthy living. The day-to-day

needs of a pet to stay happy and

healthy may require special consid-

erations. If you or your loved one

needs extra support in caring for a

pet, many people can help. While

you may be inclined to consider a

typical pet owner, it might not be the

best choice. There are people who

have the credentials as a profes-

sional pet sitter, pet groomer,

animal behaviorist, veterinary tech-

nician, pet waste manager or others

who can support the specific needs

of any pet.

Understanding what each of these

professionals do can help preserve

the special bond your aging loved

one has with their pet and gives you

peace of mind that you don’t have to

have the added extra worry of what

to do with their pet in times of crisis.

For more guidance than is given

here, please see the accompanying

One Health Organization ad at left.

Keeping Pets and Older AdultsSafe In Their HomeHere are some simple tips to minimize health riskswhen caring for a pet. By Dr. Anna M. Van Heeckeren at

One Health Organization

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The monthly drive from her job in

Akron to the Regina Health Center

in Richfield is one that Mary Popio

welcomes. For five years, Popio

has led a book discussion with a

group of center residents, repre-

senting ages 60s through 90s,

held at the center’s assisted living

and nursing home campus.

“These people are readers. They

have incredible perspective to

bring,” says Popio, a librarian with

Library Express Delivery Service

(LEDS) with the Akron-Summit

County Public Library.

Continuing Learning ExperienceCertainly, book clubs are engag-

ing, bringing together a diverse

group of people, ready to talk

about likes and dislikes concern-

ing the selection. However, the

value and benefits go beyond the

book review.

“It’s a continuing learning expe-

rience. You meet people. You meet

new people. It gets you out of the

house,” says Barbara Terrano, 81,

a member of a book club run by

Solon branch staff of the Cuya-

hoga County Public Library.

“Sometimes after book group, two

or three of us stop for lunch in the

snack shop (of the center) and sit

and talk,” she says. “The socializ-

ing is very important.”

Terrano joined the Solon book

club two years ago, and was previ-

ously a member of three book

clubs in Massachusetts where she

lived before returning to Northeast

Ohio. She joined these clubs in

2008 following the deaths a year

prior of her husband, mother and

aunt. Before joining those clubs,

she was devoted extensively to

caregiving duties and later with

settling family affairs.

Moderating the Best DiscussionsThe materials are important.

Barbara Wilson, a public service

assistant with the Brook Park

branch of the Cuyahoga County

Public Library, routinely orders 10

large-print books, 10 regular-print

books and three CD format or

audio books for the Brook Park

branch club, recognizing there are

some who can only read large-

print and others who prefer audio

listening.

However, member participation

is a hallmark of book clubs.

Skilled moderators strike a bal-

ance among discussions about the

book itself; participant reminisc-

ing, particularly with a member-

ship that brings collective living

history and life experience; and

quite simply, general asides and

digressions.

After reading “A Secret Gift,”’ by

Ted Gup, about his family’s De-

pression-era life in Canton, “They

commented on what their par-

ents did to save money or how

they did not have fruit at Christ-

mas,” Wilson says. “They got

emotional. The book was per-

sonal. It wasn’t just facts.”

With some personal timelines

dating back to the 1920s and

1930s, senior members of book

clubs bring history to life.

While club members enjoy

memoirs and historical fiction,

contemporary works are among

the notable selections. For exam-

ple, “The Girl with the Dragon Tat-

too,” “Orange is the New Black:

My Year in a Woman’s Prison” and

“The Hunger Games” were past

discussion generators of the

Regina Health Center’s book club

in Richfield.

“There’s always someone who

will come up with some insight

that the rest of us did not pick up

on,” Wilson says.

Sharon Schnall is based in

Northeast Ohio.

Book Clubs for SeniorsGo Beyond Review and Discussion

By Sharon Schnall

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MonthlyThe Mended Hearts GreaterAkron Chapter #59 (Heart Dis-ease Support Group), 1-2 p.m.Second Tuesday of every monthChapters invite healthcare pro-fessionals to present valuableinformation and answer ques-tions. Summa Rehab Hospital,29 N. Adams St., Akron. ContactGlenn Reeder, 330-688-4418 orJim Patterson, 330-334-1236,MendedHearts.org.

Cleveland Clinic’s SupperClub at Euclid Hospital. SupperClub features bingo and dinneron the second Thursday of eachmonth. Reservations required,call 216-448-1210. $5 payableat the door.

Life Goes On (Amputee SupportGroup), 7-8 p.m. Last Thursdayof every month, free. Healthprofessional staff facilitates themeeting with communityspeakers lending their expert-ise. Summa Rehab Hospital, 29N. Adams St., Akron. ContactHerbert Neal, 330-572-7300.

Life After Stroke (Stroke Sup-port Group), 10 a.m.-noon, sec-ond Friday of every month.Provides a forum for stroke sur-vivors and their families toshare ideas and solve problems.Summa Rehab Hospital, 29 N.Adams St., Akron. Contact Dr.Cathy Torcasio, 330-686-4455or 330-572-7300.

Caregiver Support Group, free,last Saturday of every month.This gathering provides a time

for caregivers of parents/grand-parents/children to connect andtalk about their experiences andWestbay Rehab and Care Cen-ter, 27601 Westchester Park-way, Westlake, 866-824-8174

Mondays andTuesdaysOpen Gym, Mondays, 6-7 p.m.,Tuesdays, noon-1 p.m. All ages,physical abilities or experiencelevels are welcome. Passesmust be purchased in advance— no drop-ins please. Lynd-hurst Campus, 1950 RichmondRoad. Call 877-331-9355 oremail [email protected] my.clevelandclinic.org.

ThursdaysParkinson’s Group ExerciseProgram, 11:30 a.m.-12:30p.m., free. Exercise program tohelp ease the daily struggles ofParkinson’s. Summa RehabHospital, 29 N. Adams St.,Akron. Contact Kelly Rutan,330-572-7300.

October 1Fall Wellness Expo, 9-11:30a.m. UH Bedford Medical CenterSenior Network. Solon SeniorCommunity Center, 35000 PortzParkway, Solon

October 2Parma Senior Wellness Expo,9 a.m.-1 p.m. This expo provides resources from West-ern Reserve Area Agency onAging. UAW Local 1005, 5615Chevrolet Blvd., Parma

October 2Medina Hospital Health Fair,10 a.m.-2 p.m. Sponsored byCleveland Clinic’s HealthwiseConnection and PNG (Profes-sional Networking Group) spe-cializing in senior services.1000E. Washington St., Entrance A,Medina, 330-725-1000my.clevelandclinic.org

October 3Summit Senior Expo at Summit Mall, 8 a.m.-2:30 p.m.Exhibits, health screenings, fluvaccinations, music, dancing,bingo, the Price is Right gameshow, food and a lot of fun.3265 W. Market St., Akron

October 9Amputee Support Group, 2-3:30 p.m. TriPoint Medical Cen-ter, 7590 Auburn Road, ConcordTownship. To register, call 800-454-9800 or visit lakehealth.org.

October 11Lake County’s Annual Walkfor White Cane Safety Aware-ness Day, 10 a.m.-1 p.m. Learnwhat it’s like to walk withoutsight. Meet and learn aboutservice dogs. Proceeds benefitthe visually impaired childrenand adults of Lake County.Willoughby Municipal Pool,36900 Euclid Ave., 440-479-2163

October 14Wellness Free Speaker Series:This is Your Brain on Peaceand Calm, 7-8 p.m. Join

speaker JaneEhrman, M.Ed., CHES,to learn effective andeasy ways to enter a state ofpeace to benefit your health andwell-being. Cleveland Clinic’s Lyndhurst Campus - First FloorWest Auditorium, 1950 Richmond Road.

October 15Healthy Cooking Series:Soups, 6-8 p.m. Join Center forLifestyle Medicine’s Chef Perkoas he teaches how easy it is tomake some fall favorites. Regis-tration required, $35 for classand dinner. Cleveland ClinicLyndhurst Campus – Kitchen,First Floor East, 1950 RichmondRoad, Lyndhurst, 216-448-8500

October 16Community Health Lecture:Facts Concerning ProstateCancer, 6-7 pm., ongoing freelecture series. Presented byLake Health Urologist ZurabDavili, MD. To register, call theWest Medical Center, 36000 Euclid Ave., Willoughby, at 800-454-9800 or visit lakehealth.org.

October 17Celebration of Life Gala, 6-11p.m. The Village at Marymountwill host its fifth annual gala atExecutive Caterers at Lander-haven, 6111 Landerhaven Dr.,Mayfield Heights. Ticket info,call 216-332-1751 or thecelebrationoflifegala.org.


Event ListingsOctober, November & December

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Send your event listings to: [email protected]

October 17Medicare Check-Up Day, 10 a.m. Unbiasedinformation about Medicare and the Plan Dprescription drug benefit from the LakeCounty Council on Aging. Bring a list of yourprescriptions. Register by calling 440-944-6010. Wickliffe Public Library, 1713 LincolnRoad, Wickliffe, wickliffe.lib.oh.us.

Sweet & Savvy Presentation: Medicare Ato Z, 1 p.m. Medicare Updates and 2015changes. RSVP by Oct. 10. The Gables ofHudson, 5400 Darrow Road, Hudson, 330-653-9170

October 22Center for Functional Medicine: Dr. MarkHyman and screening of film “Fed Up,”5:30-7:30 p.m. Concerned about heart dis-ease, diabetes, cancer or Alzheimer’s? Dr.Hyman will share his thoughts, answer ques-tions and invite you to join the Fed Up Chal-lenge. Free, registration required. Richard E.Jacobs Health Center, 33100 Cleveland ClinicBlvd., Avon, 216-448-8500

Stroke Survivor Support Group, 6-7 p.m.TriPoint Medical Center, 7590 Auburn Road,Concord Township. To register, call 800-454-9800 or visit lakehealth.org.

October 23Knowing the 10 Signs, 6:30 p.m., presented by the Alzheimer’s Association.Refreshments will be served. RSVP by Oct.19. The Gables of Hudson, 5400 DarrowRoad, Hudson, 330-653-9170

October 24Know Your Numbers Heart Event, 8 a.m.-noon. Get heart screenings and learn moreabout heart rhythm disorders and peripheralvascular disease. TriPoint Medical Center,7590 Auburn Road, Concord Township. Toregister, call 800-454-9800.

November 6-16Women’s Wellness Week Retreat in Captiva Island, Fla. Join experts fromCleveland Clinic’s Center for IntegrativeMedicine at Women’s Wellness Week. Visit

my.clevelandclinic.org/Documents/Wellness/CIM/womens-wellness-retreat-booklet.pdf.

November 13 Annual Caregiving Conference & Lunch-eon, What Works: Effective Methods forImproving Caregivers’ Quality of Life.Featured speaker: Laura N. Gitlin, PhD. Ses-sions in evidence-based programs, awards,lunch and a caregiver panel. Benjamin RoseInstitute, 11890 Fairhill Road, Cleveland,216-791-8000, benrose.org/education.

Senior Craft Night, 10 a.m.-noon. Make amini album. $5 donation. Pre-registration isrequired as space is limited. Medina CountyRecreation Center, 855 Weymouth Road,Medina, 330-721-6932, medinarec.org

December 2Grandparenting Today, 7-9 p.m., free. Designed to help prepare grandparents for

their new role before and after the birth of agrandchild. Topics include: childbirth and infant care today, and a safe home environ-ment. To register, call 216-844-4000. University Hospital Landerbrook Health Center, 5850 Landerbrook Dr., Cleveland.

December 4-6 Christmas Extravaganza, 11a.m.- 4 p.m.,Lavish holiday decorations, over 55 Christ-mas trees, wreaths, ribbons, garlands andmore. Lake County History Center, 415Riverside Dr., Painesville Township, Lakehistory.org.

December 8Caregiver Support Group, 6-7:30 p.m. Thisgroup provides education and emotionalsupport for those who are helping someonewith cancer. Stewart’s Caring Place: A Can-cer Wellness Center; free for those touchedby cancer. 2955 W. Market St., Akron, 330-836-1772, stewartscaringplace.org

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aging answers october 2014

Documents

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