Never Too Late - November 2022

Never Too Late Para información en Español ver páginas 19 - 22

November 2022 What’s News • Aging in Our Community • Community Needs Survey + • Dementia Capable SoAZ • Medicare Open Enrollment • Rights & Benefits • Caregiving • Healthy Living: Classes Happening Now! • PCOA Puzzle • Ending Life Well • Neighbors Care Alliance • Visibility Matters • Advocacy • Senior Companion Program • CareGiver Training Institute • PimaCare at Home

National Family Caregiver Month

PUBLICATION OF PIMA COUNCIL ON AGING, HELPING PIMA COUNTY AGE WELL SINCE 1967

Independence. Vitality. Respect.

Inside • Aging in Our Community 3 • Dementia Capable Southern Arizona 4 • Medicare & SMP 5 - 7 • Rights & Benefits 8 • Caregiving 9 - 11 • Community Lunch Program 12 • Healthy Living 13 - 16 • PCOA Puzzle 17 - 18 • Nunca Es Demasiado Tarde 19 - 22

• Ending Life Well 23 • Visibility Matters 24 • Advocacy 25

• Senior Companion Program 26 • Neighbors Care Alliance 27 - 28 • Featured Artist 34 • CareGiver Training Institute, Healthcare Education by PCOA 35 • PimaCare at Home, In-Home Care by PCOA 36

PCOA Helpline: (520) 790-7262 Administration: (520) 790-0504 Donate: givepcoa.org E-mail: help@pcoa.org Website: pcoa.org Mail: 8467 E. Broadway Blvd. Tucson, AZ 85710 Never Too Late is published by Pima Council on Aging, the Area Agency on Aging, Region II. Material from Never Too Late may be reprinted when permission is given and attribution is used along with ©PCOA 2022. Editor Adina Wingate, (520) 790-0504 awingate@pcoa.org Editorial Assistant Jan Baker, (520) 790-0504 jbaker@pcoa.org Advertising Adina Wingate, (520) 790-0504 awingate@pcoa.org Design Consultant Lori Lieber, Lori Lieber Graphic Design lori@lorilieber.com

On the Cover: Detail from Working For Pink Nectar , 10”x8”, acrylic by Sandra F. Montgomery, The Drawing Studio. (Story, full image on inside back cover)

Help from PCOA During the Pandemic

Due to the declining rate of COVID -19 transmission in Pima County and updated guidance from the CDC and Pima County Health Department, PCOA revised its guidance to staff and volunteers, and when interacting with members of the public, effective October 1, 2022. We encourage the public to access our services by phone or email whenever possible. Please remember that although masking in PCOA facilities continues to be option, the following guidelines are still in effect: All staff are expected to offer to wear masks and wear them when requested. PCOA will continue to supply surgical masks and KN95s to staff, volunteers and members of the public entering our facilities as requested. Our building at 8467 E. Broadway Blvd. is open for those requiring in-person assistance. We encourage you to call and make an appointment to ensure the right staff are available to assist you. Our building at 600 S. Country Club Rd. is open for those requiring in-person assistance. We encourage you to call and make an appointment to ensure the right staff are available to assist you. The best way to access our services, including making an appointment for in – person assistance, is by calling our Helpline between 8:30 AM and 5 PM Monday through Friday at (520) 790-7262 or emailing help@pcoa.org

Editorial and Advertising Deadline for Next Issue OCTOBER 31 2022

Please include a contact person name and phone number with all submitted material. All articles are subject to editing in accordance with technical and policy guidelines but will not be altered in content without permission of the author. Publication of submissions is not guaranteed. Ads are not to be considered as PCOA endorsements of products, services, or individuals.

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TWITTER@ PCOAging

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Read Never Too Late online at nevertoolate.pcoa.org

Page 2 | November 2022, Never Too Late

Pima Council on Aging

Aging in Our Community A Message from W. Mark Clark, President and CEO

Family Caregiver Month November is just about my favorite month. We are finally in the midst of what passes for Fall here in Arizona. Elsewhere, it is getting downright chilly. And this is the month I grew up celebrating Thanksgiving. I was raised in the church that traces its American roots to the Mayflower Pilgrims. It wasn’t until a few years ago I discovered I actually have a Mayflower ancestor. I know well that the 1620 landing in Plymouth and the subsequent mistreatment of indigenous peoples have understandably changed the way many of us view the Thanksgiving holiday. But a key message of those many Thanksgiving Day church services over the years was about the importance of taking care of each other. And certainly, my ancestors would not have survived without the assistance of those indigenous people who chose, for a number of reasons, to support them - caretaking and caregiving for sure. I mention all this because, as you will note, November is National Family Caregiver month. Caregiving is life extending and lifesaving. You will read in this edition much more about the many ways in which PCOA supports caregivers, both paid and those caring for family and friends. One key way we can help is by offering our education and training services to new caregivers. And another is our support groups, which are now offered both virtually and in-person.

Additionally, in late September PCOA’s Dementia Capable Southern Arizona program launched its workplace caregiver support pilot program, “Empowering Caregivers.” Staff at Interfaith Community Services and Jewish Family and Children’s Services are participating in this employer sponsored, lunch-and-learn program offering tools to empower caregivers. This pilot program was built using curriculum from the evidence-based Powerful Tools for Caregivers program. PCOA continues to develop partnerships with other businesses and community groups in Pima County to offer this important program on a broader scale. I’ve been wanting to offer an employer sponsored program like this for a number of years and am looking forward to its wide expansion. As I noted above, paid Direct Care Workers are also caregivers who are extremely important to our mission at PCOA. We are playing a very active role through our Direct Care Workforce recruitment and training efforts, including asking prospective workers to sign up for caregiver training resources and opportunities with the United Way of Tucson and Southern Arizona at directcarejobsaz.org. This demonstration program covers all the costs of becoming an employment-ready direct care worker. While there continues to be a shortage of qualified Direct Care Workers, PCOA’s Friends and Neighbors program allows older adults opportunities for self-directed care by paying for a family member

or a close friend to provide care. This innovative solution helps cut back on waiting list times for the limited pool of professional caregivers. I want to close by reminding everyone of the importance of participating in the PCOA Community Needs Assessment. This is an extensive effort to listen to the community, both older adults themselves and others who are concerned for them. You may know we normally do this assessment every four years, but because of the pandemic, it’s been six years since we undertook the last one. By now we are in the final stages of collecting data and hearing from folks, but there is still time to participate. See pages 21 and 29 to get more information on how you can give your input. It is so very important, and we widely share the information we gather with policymakers both locally and nationally. And, finally, speaking of important, don’t forget to vote. There is nearly nothing more important right now than exercising this most fundamental right. It’s probably too late to mail those early ballots but you can always vote the old school way (as they say) by going to the polls, or dropping your early ballot off by election day, November 8th.

W.Mark Clark President & CEO

November 2022, Never Too Late | Page 3

Pima Council on Aging

Dementia Capable Southern Arizo na

A Talk: Healthy Brain Aging Dementia Capable Southern Arizona in partnership with the Department of Psychology at UArizona

The brain changes as we age. Learn about modifiable lifestyle factors that can promote brain health and wellbeing later in life. Dr. Paul Hill is a research scientist in the Human Spatial Cognition Laboratory located in the Department of Psychology at the University of Arizona. His research is dedicated to understanding how changes in the aging brain affect specific cognitive abilities, behaviors, and well-being.

Did You Know? Dr. Paul Hill with the Human Spatial Cognition lab at The University of Arizona is looking for volunteers to participate in a study. The Human Spatial Cognition Laboratory is currently recruiting healthy young (18-35 years) and older (65-80 years) adults to participate in a study using virtual reality to study spatial navigation and memory. The study uses immersive virtual reality techniques to test your ability to remember the locations of hidden objects in a virtual environment. Time Commitment & Compensation: The study will take approximately 4-5 hours. You will be reimbursed $18/hour for your time. Contact: For additional information or to sign up, please email. In the subject line, please specify "Immersive VR Study". You may send to the lab directly: HSCLab@email.arizona.edu or Dr. Paul Hill: paulhill@email.arizona.edu

Where:

600 S. Country Club Rd | Tucson, AZ 85716

Space is limited Register through Eventbrite at: https://brain-aging.eventbrite.com For more information or to register , contact Nicole Thomas at 520.790.7573 x1739 or nthomas@pcoa.org November 9 | 3–4:30pm When:

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Pima Council on Aging

Medicare Corner 2022 Medicare Open Enrollment Events

New to Medicare or already on Medicare? Come learn about:

 How and when to to enroll - avoid late enrollment penalties!  How to make changes  Medicare Savings Programs for low-income beneficiaries – Get help paying your Part B premium and/or Part D drug costs

 Medicare updates for 2023  Medicare basics – difference between Original Medicare & Medicare Advantage  Medigap Policies (Supplementary coverage)  Coordination of Benefits (Medicare and VA coverage, COBRA, Retiree Plans, AHCCCS, etc.)

Date

Day/Time

PCOA In-Person Location

Virtual (Zoom)

Broadway Office Location: https://lupumedicareip.eventbrite.com Country Club Office Location: https://katiemedicareip.eventbrite.com

Registration:

https://umvirtual22.eventbrite.com

Thursday 10am – 1pm

600 S. Country Club Rd. Tucson, AZ 85716

November 10, 2022

Virtual (Zoom)

Plans may change both their prices and the medications that they cover every year. To check whether your plan has the lowest prescription costs call: Pima Council on Aging at 520.790.7262 or email SHIP@pcoa.org

November 2022, Never Too Late | Page 5

Pima Council on Aging

Medicare Corner 2022 Medicare Open Enrollment Events

PUBLIC LIBRARY VENUES - NO REGISTRATION REQUIRED – SPACE IS LIMITED!!!

Woods Memorial Library 3455 N 1st Ave, Tucson, AZ 85719 Joyner – Green Valley Library 601 N La Cañada Dr, Green Valley, AZ 85614 Oro Valley Library 1305 W Naranja Dr, Oro Valley, AZ 85737

November 12, 2022

Saturday

10:30am – 12:30pm

December 1, 2022

Thursday

10:30am – 12:30pm

December 3, 2022

Saturday

10am – 12:30pm

This project was supported in part by grant number 90MPPG0022, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy 3. Are my pharmacies preferred and in-network? You will pay less at preferred in-network pharmacies. 4. What is the plan’s star rating? Medicare uses a star rating system to measure how well plans perform in different categories, like quality of care and customer service. Plan Finder includes plans’ star ratings. While comparing plans, it may be helpful to know that starting in 2023 all Part D plans will cover vaccines with zero cost-sharing and will cap monthly insulin cost-sharing at $35, due to the Inflation Reduction Act. Changing Part D Plans Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs. Part D is offered through private companies either as a stand-alone prescription drug plan for those enrolled in Original Medicare, or as a set of benefits included with your Medicare Advantage Plan. Sometimes a Part D plan’s premium increases or the plan does not cover your new medication. Today we’ll discuss how you can choose and enroll in a new Part D plan. Choose a Part D plan that meets your health care needs. Before you start looking at plans, make sure you know the prescriptions you take, the dosages of each, and the pharmacies you usually use. To compare different plans available to you, you can use Medicare’s Plan Finder tool at www.medicare.gov/plan- compare . For assistance comparing plans, you can call 1-800-MEDICARE or your local State Health Insurance Assistance Program, also called SHIP. When choosing a Part D plan, make sure to ask the following questions: 1. Does this plan cover my drugs? You should also find out if there are any restrictions on your covered drugs, such as prior authorization, step therapy, or quantity limits. 2. What are the costs associated with this plan? Plan Finder provides an estimated out-of-pocket cost for the year for each plan, based on your medications and dosages.

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Pima Council on Aging

Medicare Corner

Medicare’s Open Enrollment Period Review your coverage for 2023

Medicare’s Open Enrollment runs October 15 through December 7 and is the time of year when you can make certain changes to your Medicare coverage. You can make as many changes as you need to your Medicare coverage during Open Enrollment. The last change you make will take effect on January 1. Take action during Open Enrollment to ensure your coverage will meet your needs in 2023. Know the changes you can make during Medicare’s Open Enrollment The changes you can make include: • Joining a new Medicare Advantage Plan or Part D prescription drug plan • Switching from Original Medicare to a Medicare Advantage Plan • Switching from a Medicare Advantage Plan to Original Medicare (with or without a Part D plan) Call 1-800-MEDICARE (800-633-4227) to make changes by phone or visit Medicare.gov to compare options and enroll in some plans online. Note: If you leave a Medicare Advantage Plan to join Original Medicare, you may also be able to purchase a Medigap policy. Medigap policies help with out-of- pocket costs and only work with Original Medicare. Contact PCOA, your State Health Insurance Assistance Program (SHIP), to learn about your state-specific Medigap rights and options.

o Medicare Advantage Plans have significant flexibility in the supplemental benefits they are allowed to offer their members, including whether some benefits are offered to all members or just some members. This includes the ability to offer benefits to some members that are not directly considered medical care, like nutrition services. This means that there are many factors to consider when comparing Medicare Advantage Plan options.

Medicare Advantage and Part D plans usually change each year. Make sure that your drugs will still be covered, and your providers and pharmacies will still be in network. • If you have a Medicare Advantage Plan or a stand-alone Part D plan , read your plan’s Annual Notice of Change (ANOC) and Evidence of Coverage (EOC). o Explore other plans in your area.

You may find a cheaper plan that meets your healthcare and prescription drug needs. Research shows you can lower your costs by shopping around.

Who to contact for more information:

November 2022, Never Too Late | Page 7

Pima Council on Aging

Rights & Benefits Information ALTCS Workshop

Financial Exploitation, Scams Have Skyrocketed Since Pandemic Began By Christina Ianzito , AARP The financial exploitation of older adults was a serious problem before the pandemic, but it’s ballooned in the years since COVID-19 began its rapid spread in March 2020. A new report from AARP finds that the rate of such exploitation between then and now has more than doubled. That includes a huge uptick in losses from romance scams, with perpetrators stealing more than $547 million in 2021, five times greater than the amount stolen in 2019. And these figures probably understate the number of financial fraud incidents, which are woefully underreported: Only 1 in 44 older adult victims tell the authorities when they’ve been financially exploited, according to the report. And they’re least likely to notify authorities when they’ve been victimized by someone they know and trust — something that happens more commonly than many people may realize. “We need more consumers to report these crimes so we can better quantify how large and impactful they are, but equally important is that we help the industry spot and stop financial exploitation before the money leaves the account,” says Jilenne Gunther, national director of AARP’s BankSafe Initiative™ and lead author on the report. Some data suggests that family members and trusted others steal more money than strangers do, with the Consumer Financial Protection Bureau estimating that family members steal more than twice as much money as strangers. How to stop the criminals Financial institutions are on the front lines in the fight against exploitation, in many cases using fraud detection software, artificial intelligence and machine learning to monitor accounts. And AARP’s BankSafe™ initiative offers tools to help the banking industry curb these crimes — including an online training program that teaches employees how to spot instances of exploitation. Gunther says continued consumer education and increased industry efforts are crucial for protecting people from financial exploitation: “It’s time for all of us to double down on keeping ourselves and our older adults safe.” AARP’s Fraud Watch Network can help you spot and avoid scams. Call the toll-free fraud helpline at 877-908-3360 if you or a loved one suspect you’ve been a victim.

Learn about the Arizona Long Term Care System, including what it is, what it takes to be eligible for the program, and what kinds of services are available once a person becomes eligible. A great place to start when you are considering ALTCS for yourself, or for a loved one.

Join us by computer, tablet or phone. Topic: ALTCS Workshop Time: November 10, 2:30 p.m. MST. Please join the ALTCS Presentation on Zoom from your computer, tablet, or phone. Join Zoom Meeting

https://bit.ly/PCOAALTCS22 Or call +1 669 900 9128 US Meeting ID: 897 2167 3847 Passcode: 700090

To register , go to: https://altcsnov22.eventbrite.com , or call Donna DeLeon at 520-305-3450.

The ALTCS workshop is held every month on the Second Thursday. Participants who would prefer in-person you are invited to register for our December training held on Thursday, December 8, 2022.

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Pima Council on Aging

Caregiving

Do You Care? By Selina Linn , Mayra Burgos , Tonetta Clay , and Kelley Hansen —Your Friendly Caregiver Support Team I bet you do! Caring about and caring for others is common to human beings. If you invest even a little time, energy, or money into meeting another person’s physical, mental, emotional, or social needs, you are a caregiver! And November is National Caregiver Appreciation Month—so thank you! PCOA’s Caregiver Support Team daily works with caregivers, many of whom have similar experiences. Caregivers often feel as if they are alone, constantly caring, and without their own identity. And the end is often grief. This article looks at those commonalities and offers hope. You are not alone. Caring for a loved one—a spouse/partner, parent, sibling, or child/grandchild often requires constant attention beyond that which you believe yourself capable. This is overwhelming! Overwhelmed Caregivers get “stuck” in being “too busy,” feeling afraid, or being ashamed to openly describe courageous! When you ask for help, you— and your loved ones—grow and connect. Even those who live far away may offer support like a listening ear, or financial assistance to meet your care recipient’s needs. Schedule honest discussions with friends and family to explore the “what if” situations and possible responses to them. Create a community of trusted people within your faith circle or civic organization. And schedule time with daily challenges or ask for help. Seeking assistance is strong and

a Caregiver Specialist to map out a personalized care plan for your loved one and yourself! You Need a Break. As a Caregiver, you may think that your brain will never stop. Planning. Preparing. Worrying! This can be stifling, even suffocating. And in this space, it is difficult to know which needs— whose needs—to meet next. Creating time for breaks is an imperative skill! Taking two minutes to simply breathe and stretch your neck is a great start— and it gets stronger with practice. Taking breaks increases your clarity and problem solving, refreshes your compassion, and strengthens your hope—and makes you a better Caregiver! PCOA’s Caregiving Team offers instruction in relaxation and self-care techniques, caregiver support groups, and formal resources for breaks (known as respite). Rediscover Yourself. “Who am I, now?” many Caregivers wonder. Caring for a loved one takes a toll mentally, physically and emotionally. You know everything about your loved one…their illness, medications, sleep schedule, favorite activities, doctor’s appointments, and every inch of their bodies…while you have pushed yourself, your friends, and your passions aside. Caregiving may have become your new identity, but you get to define yourself and the rest of your life! The time is now to create your dash—the dash between your birth day and death day. Perhaps you can schedule coffee with a friend, cook your favorite meal, listen to beautiful music, create something beautiful, go for a drive, journal, or take a

“The simple act of caring is heroic.” --Edward Albert nap! Use your imagination and creativity— you got this! You are important too, so no more excuses, and no regrets. It is time to take back your life and make your dash count! Find Peace and Hope Again. Caregiving is full of emotional challenges and disappointments including frustration, discouragement, grief and loss because your loved one is no longer the person you once knew. Perhaps he was fit and active, but now faces limitations. Perhaps she was sharp and witty, but now thinks in childlike ways. Or maybe you fear your future will be days—or years—without your loved one. These feelings are both real and normal, yet they are not the end. Finding peace and hope in your caregiving journey comes by intentionally cherishing the moments with your loved one as they are now . Love him without regret or expectation. Invest in her legacy no matter how large or how small it may be. And take comfort in knowing that your love is enough, even when it seems like it is not. PCOA’s compassionate Caregiver Support Team offers supports, resources, and opportunities tailored to your caregiving needs. Call (520) 790-7262, and allow us to thank you for caring!

November 2022, Never Too Late | Page 9

Pima Council on Aging

Caregiving

PCOA CAREGIVER SUPPORT GROUPS – NOVEMBER Five are currently being held by Zoom plus six in person.

Participation in the groups can be in person (6 groups), by telephone or by computer/tablet/smartphone w/ video. Support groups are a way to connect with others who are walking the journey of caregiving like you are. You get to SEE (if you use the video option) that you are not alone. You get to hear other’s challenges and successes, learn about helpful resources, know that your story matters and that you have been heard. Support groups are facilitated by a professional and are a safe place for you to express your concerns, frustrations, etc. and learn that others feel this way too. 11/15, 3rd Tuesday , 9–10:30am Virtual ON ZOOM 11/17, 3rd Thursday, 1:30–3pm Virtual ON ZOOM 11/21, 3rd Monday, 1–2:30pm (Midtown) In Person 11/22, 4th Tuesday , 9–10:30am (Southwest) In Person 11/28, 4th Monday, 11am–12:30pm Virtual ON ZOOM

To protect the confidentiality of the group sessions, access information will only be given to registered participants. Emails are sent out on Fridays with updated schedules and additional information. If you participated in the groups before COVID, and have not been receiving the emails, please check your junk or spam folder. To RSVP or if you have any questions, please contact: Tonetta Clay, Support Group Facilitator 520-305-3405, tclay@pcoa.org 11/1, 1st Tuesday , 12–1:30pm (Oro Valley) In Person 11/3, 1st Thursday, 1–2:30pm Virtual ON ZOOM 11/7, 1st Monday , 1–2:30pm (East) In Person 11/8, 2nd Tuesday, 5:30–7pm Virtual ON ZOOM 11/10, 2nd Thursday , 1–2:30pm (East) In Person 11/14, 2nd Monday , 1–2:30pm (Green Valley) In Person

NOVEMBER

“Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.”

*NOTE: There will be no meetings on days where holidays are observed PLEASE RSVP for all groups. At all in person meetings we continue to social distance and mask wearing is optional. To RSVP or if you have any questions, please contact: Tonetta Clay, Support Group Facilitator 520-305-3405, tclay@pcoa.org

— Leo Buscaglia

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Pima Council on Aging

Caregiving

Free training for informal, nonpaid family caregivers Caregiving Essentials: First Steps Training Schedule 2022

The Katie 600 S. Country Club, 85716 If staying for both, bring your own lunch. Coffee and water available.

Monday, November 7

Workshop 1: Steps to Resilience (9 am – 12:30pm)

Workshop 2: Physical Care and Safety (1:00 – 3:30pm)

• Stress Management & Grief • Communication • Dementia Behaviors & Issues • Finances & Legal Resources • Lifelines for Support: Respite & Support Groups • Nutrition Support • Phone and Technology Use • Grief & End of Life Resources

• Activity Planning, Outings and Car Etiquette • Infection control and providing Personal Care

• Proper Body Mechanics • Home Environment Safety & Fall Prevention • Planning for an Emergency • Understanding Assistive Devices • Proper Walking /Transferring techniques • Re-positioning with reassessment

Register on Eventbrite: https://caregivingessentials22.eventbrite.com or call Pima Council on Aging, 520.790.7573 ext. 1750; ddeleon@pcoa.org

For questions, call Kelley Hansen 520-790-7573 ext. 3413; khansen@pcoa.org For possible respite during training, call Arizona Caregiver Coalition 888.737.7494 or our Helpline 520-790-7262. This training does not provide certification or CEU’s for employment. *Classes are subject to change due to health precautions. See page 30 for details.

November 2022, Never Too Late | Page 11

Pima Council on Aging

PCOA Community Lunch Program

Do You Know... • Someone who could benefit from a lunch program that also provides an opportunity to make new friends. Let’s face it, eating alone, at home, is no fun. • These programs are typically open from Monday – Friday (except as noted and holidays) from 9:00 a.m. to approximately 1pm. • There are fun activities available during these hours. Depending on the site, activities include games, movies, crafts and even field trips. • A transportation subsidy may be available to get someone to these lunch programs. Transportation is provided via Sun Van, to individuals with disabilities with a current ADA Eligibility Card issued by the City of Tucson. • That these lunch programs are open to all individuals 60 and older and their spouse regardless of age. Once you register at a meal site, you will be required to reserve your meals each week. That way, we know you’re coming and your lunch is waiting for you. A suggested donation of $2–$3 is requested. Community Center Lunches are a program of the Pima Council on Aging in collaboration with sub-contracted agencies: Catholic Community Services, and the City of Tucson Parks & Recreation Department. Have Lunch and Make a Friend

Check it out here: https://pcoa.org/ways-we-help/ meals-nutrition.html/ Click on “View Monthly Menu” This Month’s Menu

COMMUNITY LUNCH CENTERS NEAR YOU

Ajo Community

290 W. Fifth St., Ajo 85321

520-387-5040 520-791-4353 520-791-4070 520-889-0928 520-837-8210 520-887-9786 520-791-4969 520-791-3247 520-791-2509 520-485-7413 520-791-5787

Archer Neighborhood Armory Park Senior *

1665 S. La Cholla Blvd., Tucson 85713 220 S. 5th Ave., Tucson 85701 101 W. Irvington Rd., Tucson 85714 1390 W. Speedway Blvd., Tucson 85705 1660 W. Ruthrauff Rd., Tucson 85705

El Pueblo Neighborhood Center El Rio Neighborhood Center

Ellie Towne/Flowing Wells Community Center **

Freedom Recreation Center

5000 E. 29th St., Tucson 85711 2160 N. 6th Ave., Tucson 85705

Donna Liggins Center

780 S. Park Centre Ave., Green Valley 85614 520-393-6814

Posada Life Community Center Quincie Douglas Senior Center

1575 E. 36th St., Tucson 85713

Saguaro Christian Church William Clements Center

8302 E. Broadway Blvd., Tucson 85710 8155 E. Poinciana Dr., Tucson 85730

Please call in advance to reserve a meal and for days and hours of operation. Funded by: Federal Older Americans Act through AZ DES/DAAS, United Way of Tucson and Southern Arizona, City of Tucson, and Individual Contributions * Dinner meal only ** Open Mon., Wed., Fri.

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Pima Council on Aging

Healthy Living

EnhanceFitness®

Are you looking for ways to live and age well? Practice with purpose

Our current schedule for EnhanceFitness® classes (1 hour class) is: Mondays, Wednesdays, & Fridays • Randolph Recreation Center, 200 S. Alvernon Way, Bldg. 1 , 9–10 am • El Rio Center, 1390 W. Speedway Blvd. , 11am–12 pm • Clements Regional Ctr., Fitness Center , 8155 E. Poinciana Dr. , 8:30–9:30 am • Udall Park, Carol West Senior Center, 7222 E Tanque Verde Rd. , 11 am–12 pm • Tucson Estates (TENHN), 5900 W Western Way Circle , 10:30–11:30 am Mondays – Recreation Hall, Wednesdays & Fridays Multi-Purpose Hall

EnhanceFitness®

A Matter of Balance®

Contribution Fee: $36 (per month & participant) (covers your book & supplies)

Pre-registration is required through Eventbrite (located on the PCOA homepage), https://www.eventbrite.com/cc/enhancefitness-classes-176939 . Class size is limited. For assistance, call us at (520) 305-3410.

Healthy Living with Chronic Pain®

Picture Rocks Community Center** 5615 North Sanders Rd. Mon., Wed., Fri., 11:45 am –12:45 pm Drexel Heights Community Center** 5220 South San Joaquin Ave. Mon., Wed., Fri., 12–1 pm Ellie Towne/Flowing Wells** Community Center, 1660 W Ruthrauff Rd. Mon., Wed., Fri., 10:30–11:30 am

Register Now! Search for Senior Fitness , at https://webcms.pima.gov/government/ natural_resources_parks_and_recreation/ Chose the center of your choice from the list and go their class listing, look for EnhanceFitness to register. **There are no classes in Nov.

The Healthy Living suite of classes covers things like the cause of falls and how to prevent them, strategies to bolster physical fitness and balance, as well as other ways to empower older adults to keep themselves safe and healthy.

(520) 305-3410 healthyliving.pcoa.org Small steps. Positive changes. Healthier living.

Healthy Living with Chronic Pain, Diabetes & Ongoing Conditions These workshops are being scheduled in various areas of Pima Co. If interested, call Jennie in the Healthy Living Department at (520) 305-3410. We will include you on our Interest List for notification when locations and times are set.

November 2022, Never Too Late | Page 13

Pima Council on Aging

Healthy Living

Looking for Volunteer Coaches! Looking for Volunteer Coaches !

A Matter of Balance® offered in person

Jan. 23, 27, 30, Feb. 3, 6, 10, 13, 17 Mondays & Fridays 10 am – 12 pm Golder Ranch Fire District 1741 W. Magee Rd.

Jan. 31, Feb. 2, 7, 9, 14, 16, 21, 23 Tuesdays & Thursdays 1 – 3 pm Tucson Estates (Multi-Purpose Hall) 5900 W. Western Way Cir.

A Matter of Balance® Chances are you know someone who has fallen or has a fear of A Matter of Balance Chances are you know someone who has fallen or who is afraid of falling. A Matter of Balance is a proven program designed to help people manage concerns about falls and increase physical activity. Union County Older Adult Falls Coalition is looking for volunteers to help provide this program. Free training provided. Coaches help participants become more confident about managing falls, help to identify ways to reduce falls, and lead exercises to help increase strength and balance. What do you need to be a coach? · good communication and interpersonal skills · enthusiasm, dependability and a willingness to lead small groups of older adults · ability to lead low to moderate level exercise. For more information call 937-642-2053 or email rebecca . honaker @ uchd . net . falling. A Matter of Balance is a proven program designed to help people manage concerns about falls and increase physical activity. PCOA is looking for volunteers to help offer this program. Training is provided. Coaches help participants become more confident about managing falls, help to identify ways to reduce falls, and lead exercises to help increase strength and balance. What do you need to be a coach? • good communication and interpersonal skills • enthusiasm, dependability and a willingness to lead small groups of older adults • ability to lead low to moderate level exercise. A Matter of Balance: Managing Concerns About Falls Volunteer Lay Leader Model ©2006 This program is based on Fear of Falling: A Matter of Balance. Copyright ©1995 Trustees of Boston University. All rights reserved. Used and adapted by permission of Boston University. A Matter of Balance Lay Leader Model Recognized for Innovation and Quality in Healthcare and Aging, 2006, American Society on Aging. A Matter of Balance Lay Leader Model was developed by a grant from the Administration on Aging (#90AM2780). This work is funded either in whole or in part by a grant awarded by the Ohio Department of Health, Bureau of Healthy Ohio, Violence and Injury Prevention Program and as a sub-award of a grant issued by the Centers for Disease Control and Prevention (CDC), Preventive Health and Health Services Block Grant under the grant award number 3B01DP009042-13S1 and CFDA number 93.991. This program emphasizes practical strategies to manage falls. Classes are held twice a week for 2 hours each, for 4 weeks. Participants learn to: • view falls as controllable • set goals for increasing activity • make changes to reduce fall risks at home • exercise to increase strength and balance This program emphasizes practical strategies to manage falls. Classes are free and held twice a week for 4 weeks for 2 hours each. Participants learn to: · view falls as controllable · set goals for increasing activity · make changes to reduce fall risks at home · exercise to increase strength and balance For more information and to register for an upcoming training, contact Mary O’Donoghue at mo’donoghue@pcoa.org or call 520.258.5062

Contribution Fee: $30.00 (covers your book and supplies) More locations will become available and are being scheduled.

A Matter of Balance® is a program designed to reduce the fear of falling and increase activity levels among older adults. It includes 8 two-hour sessions for a small group 8-15 participants led by a trained facilitator.

For more information and to register, contact Jennie at (520) 305-3410.

Page 14 | November 2022, Never Too Late

Pima Council on Aging

Healthy Living

The Aging Mastery Program (AMP) classes in person Tuesdays, February 14 – April 18, 2023, 1:30 – 3:00 pm* • Navigating Longer Lives • Exercise and You • Sleep The Aging Mastery Program (AMP) classes will explore: ® • Financial Fitness • Healthy Relationships • Advance Planning ®

• Healthy Eating and Hydration • Medication Management • Fall Prevention • Community Engagement

A comprehensive approach to aging well. The program combines classes with expert speakers, group discussion and goal setting to help you gain new skills to make small meaningful changes in your life. Registration is payable in advance for all 10 weeks of the program. Limited spots available: Sign up now! Fee: $89/person if registered and paid by Tues., January 31. After Jan. 31, fee is $99/person Registration and Fee (payable in advance) by Tuesday, January 31, 2023 (No refunds after Tues., January, 2023 ) Location: Offered in person at The Katie PCOA Healthy Aging Center (TEP Room), 600 S Country Club

*Classes are subject to change due to health precautions.

Join the adventure!

For more information and to REGISTER, call Pima Council on Aging, 520-305-3409

November 2022, Never Too Late | Page 15

Pima Council on Aging

Healthy Living Just 10 minutes per day of walking could help older adults live longer study finds • Physical activity can slow the aging process and is associated with a reduced risk of all-cause mortality in older adults. • Conversely, chronic illness and age- related changes in exercise 65 in the United States do not meet the physical activity recommendations.

to being completely inactive. The take- home message is to keep walking throughout life.” The research will be presented at the European Society of Cardiology Congress 2022 in late August. Aging and physical activity Aging is associated with an increased risk of chronic health conditions and a decline in physical and cognitive abilities. The number of individuals ages 65 years and older across the globe was around 1 billionTrusted Source in 2019, which is expected to more than double by 2050. This increase in the aging population reflects an increase in life expectancy but raises concerns about healthy aging. Physical activity can reduce the risk of chronic illness, such as cardiovascular diseases and diabetes, and can slow down the impact of aging on physical and cognitive decline. Moreover, physical activity can help preserve flexibility and balance in older individuals and enable them to function independently. Consistent with these effects, a recent observational study including older adults shows that physical activity levels are negatively correlated with the risk of all-cause mortality. However, chronic illness and age-related decline in muscle strength can, in turn, limit the ability of older adults to engage in physical activity. Moreover, sedentary behavior also increases with aging. Current recommendations for physical activity Research from 2016 suggests that a majority of older adults over the age of

The current physical activity guidelines Trusted Source for all adults in the U.S. recommend at least 150 minutes of moderate-intensity aerobic activity such as brisk walking or 75 minutes of vigorous- intensity aerobic activity such as running per week. The guidelines also recommend 2 days of muscle-strengthening exercises, such as lifting weights or body-weight exercises. Recommendations for older adults emphasize the incorporation of a mixed regime involving aerobic exercise, resistance training, and balance training to avoid falls. The physical activity guidelines also recommend that older adults who are unable to engage in moderate-intensity physical exercise should engage in physical activity according to their abilities after consulting a healthcare professional. How walking benefits health and longevity The authors of the present study examined whether walking could reduce the risk of all-cause mortality and mortality due to cardiovascular disease in individuals ages 85 years and older. The study included data from 7,047 individuals ages 85 years or older residing in South Korea. The researchers used a questionnaire to assess the amount of time spent per week by the participants engaging in slow walking, moderate- intensity, or vigorous-intensity physical activity. By Dr. Maria Fiatarone Singh, geriatrician at the University of Sydney

capacity can hinder the ability of older individuals to achieve the recommended physical activity levels. • A new study involving individuals ages 85 years and older shows that walking at least 1 hour per week could reduce the risk of all-cause and cardiovascular mortality. • The results are consistent with current physical activity guidelines that recommend that older individuals unable to engage in moderate- intensity physical exercise should engage in physical activity as permitted by their abilities. Physical activity can promote healthy aging, but chronic conditions and age- related decline in exercise capacity often prevent older adults from engaging in moderate or vigorous physical activity as recommended by health guidelines. A new study shows that individuals ages 85 and older who walked for at least 1 hour a week had a lower risk of all-cause mortality and cardiovascular disease than their peers who did not engage in physical activity. The study’s co-author, Dr. Moo-Nyun Jin of Inje University, South Korea, said in a press release: “Identifying the minimum amount of exercise that can benefit the oldest old is an important goal since recommended activity levels can be difficult to achieve. Our study indicates that walking even just one hour every week is advantageous to those [ages] 85 years and older compared

Page 16 | November 2022, Never Too Late

Pima Council on Aging

PCOA Puzzle

November Puzzle

62 Thespian 64 Line about which rotation occurs 66 M --- mouse 67 Formerly the Gold Coast 68 Model and actress --- Suvari 69 Liquor measure

70 Adhere to 71 Toboggan 72 A T M ID Down

1 E.g. Schwinns 2 Arm of the sea 3 Target 4 Gamble

5 Breathe out 6 Incantation 7 Cleaner 8 Aviation safety grp. 9 Fittingly 10 "Licence to Kill" Bond girl Talisa ---

11 Labor strenuously 12 Campus housing 15 --- Building, now the Comcast Building, N Y C 20 Graceful waterbird 22 Lasting mark 26 Logical operator 28 Viral genetic material 29 Mary Jane 30 Flee 31 Court statement 32 Heavenly instrument

33 Fabric colors 34 Hill dwellers 35 Emblem of Wales

36 Large number 37 2,000 to a ton 40 Arabic "son of" 41 Slugger's stat. 43 Common measure of pollutants 44 Turning point 45 Health club 46 Edge of a street 49 Singer --- Dion 50 Ring 51 Screen dot 52 Osaka fish dish 53 Aromatic bulbous vegetable 54 Habit 55 Journal

31 Higher degree 34 Marzipan base 37 Tomb Raider --- Croft 38 Not ordained

Across 1 Sizable 4 First Lady before Mamie 8 Speedy 12 Flintstone pet 13 Large international show 14 "I am just --- boy, though my story's seldom told ..." (Simon and Garfunkel, "The Boxer") 16 North of Tex. 17 Take --- Train (Duke Ellington song) 18 Upper story 19 Totters 21 European mountain system 23 "Copacabana" showgirl 24 Tucson time

39 Undiluted 40 Big Blue 41 This place 42 Sawbuck 43 Chemical pollutants banned in 1975 45 Leftovers 47 Space viewed from below 48 Play on words 49 Computer brains 50 Some foreign Government heads 51 Tree with a partridge at Christmas 52 Adult female pig 55 Interlock 58 --- Silvers or Collins 60 Singer/songwriter --- Mars

56 Reverberation 57 Dagger thrust 59 Overactors 61 Coarse file 63 Flat fish 65 Down

25 Barrier 27 Holler 29 Sheet of glass 30 Computer interconnection system

Answers: following page November 2022, Never Too Late | Page 17

Pima Council on Aging

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Page 18 | November 2022, Never Too Late

Pima Council on Aging

Nunca Es Demasiado Tarde

Mes nacional de los cuidadores familiares Noviembre es mi mes favorito. Estamos por fin a mediados de lo

cuidado directos, el programa de amigos y vecinos de PCOA les da a los adultos mayores la oportunidad de contratar a un familiar o a un amigo cercano para que esté a cargo de los cuidados. Esta innovadora solución ayuda a reducir los tiempos de espera en la oferta limitada de cuidadores profesionales. Quiero terminar recordando a todos la importancia de participar en la evaluación de las necesidades de la comunidad de PCOA. Es parte de un gran esfuerzo por escuchar a la comunidad, incluyendo a adultos mayores y a personas interesadas en el tema. Tal vez sepan que normalmente hacemos esta evaluación cada cuatro años, pero debido a la pandemia, la última evaluación se llevó a cabo hacer seis años. Estamos ya en las últimas etapas del proceso de recopilación de datos y de escuchar a las personas, pero aún hay oportunidad para participar. En la página 21 podrán encontrar más información sobre cómo participar. Esto es sumamente importante. Toda la información que obtengamos la compartiremos con funcionarios a nivel local y federal. Por último, y hablando de temas importantes, no se olviden de acudir a votar. Hoy no hay nada más importante que ejercer este gran derecho fundamental. Tal vez ya sea muy tarde para enviar su boleta por correo, sin embargo, pueden acudir presencialmente a las urnas y dejar su boleta anticipada el día de la elección, el 8 de noviembre.

nuestros grupos de apoyo, que ahora se ofrecen de manera virtual y presencial. Asimismo, a finales de septiembre, el programa Dementia Capable Southern Arizona de PCOA lanzó su programa piloto para cuidadores en el lugar de trabajo, denominado Empowering Caregivers (empoderando a cuidadores). El personal del Interfaith Community Services y Jewish Family and Children’s Services participa en este programa de aprendizaje, auspiciado por empleadores, que ofrece las herramientas para empoderar a cuidadores. Este programa piloto fue desarrollando con el plan de estudios basado en evidencias del programa Powerful Tools for Caregivers. PCOA sigue creando vínculos con otros negocios y grupos comunitarios en el condado Pima a fin de ofrecer este importante programa a mayor escala. Desde hace muchos años he querido ofrecer un programa como este, auspiciado por empleadores, y espero que se logre extender ampliamente. Como menciono anteriormente, los cuidadores remunerados también son de gran importancia en la misión de PCOA, ya que desempeñamos un rol activo por medio del reclutamiento y la contratación de cuidadores directos y de actividades de capacitación. Ofrecemos a los trabajadores prospectos la posibilidad de que se inscriban en programas de capacitación y en oportunidades que ofrece United Way of Tucson and Southern Arizona en el sitio directcarejobsaz.org. Este programa cubre todos los costos para ser empleado de cuidados directos. Aunque aún tenemos escasez de trabajadores de

que más se parece al otoño en Arizona. En otros lugares ya hace frío. Es también el mes en el que crecí celebrando el Día de Acción de Gracias. Crecí en una iglesia cuyas raíces estadounidenses se remontan a los peregrinos que se embarcaron el Mayflower. Fue hasta hace poco que me enteré de que tengo ancestros que descendieron del Mayflower. Sé bien que el desembarque en Plymouth en 1620 y los posteriores malos tratos hacia los indígenas han justificado la forma distinta en la que muchos hoy vemos el Día de Acción de Gracias. Sin embargo, uno de los mensajes más importantes de los servicios religiosos de este día festivo a lo largo de los años fue la importancia de cuidarnos unos a otros. Y lo cierto es que mis ancestros no hubieran sobrevivido sin la ayuda de los indígenas que optaron, por muchas razones, por atenderlos brindándoles atención y cuidado. Menciono todo esto, ya que, como habrán de ver, noviembre es el mes nacional de los cuidadores familiares. Cuidar a los demás ayuda a prolongar y a salvar vidas. En esta edición encontrarán más información sobre las distintas formas en las que PCOA apoya a los cuidadores que desempeñan el servicio como parte de un empleo, y a quienes lo hacen por cuidar a sus familiares y amigos. Una manera importante de ayudar es ofreciendo información y servicios de capacitación a los nuevos cuidadores; otra es mediante

W.Mark Clark Presidente y Director General

November 2022, Never Too Late | Page 19

Pima Council on Aging

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