Never Too Late - August 2023

Publication of Pima Council on Aging, Helping Pima County Age Well Since 1967

Never Too Late Para información en Español ver páginas 24 – 27

August 2023 What’s News • Aging in Our Community • Dementia Capable SoAZ • Healthy Minds for Life • Medicare & SMP Updates • Rights & Benefits • Caregiving • Community Lunch Program • Healthy Living: Classes Happening Now! • Ending Life Well • PCOA Puzzle • Visibility Matters • Advocacy • Senior Companion Program • Neighbors Care Alliance • CareGiver Training Institute • PimaCare at Home

National Immunization Awareness Month

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

Independence. Vitality. Respect.

Inside • Aging in Our Community & Standing Strong 3 - 4 • Dementia Capable Southern Arizona 5 • Healthy Minds for Life 6 • Medicare & SMP 9 - 10 • Rights & Benefits 11 - 12 • Caregiving 13 - 15 • Community Lunch Program 16 • Healthy Living 17 - 20 • Ending Life Well 21

• PCOA Puzzle 22 - 23 • Nunca Es Demasiado Tarde 24 - 27 • Visibility Matters 28 • Advocacy 29 • Senior Companion Program 30 • Neighbors Care Alliance 31 - 32 • Philanthropy 33 • 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 2023. Editor Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Editorial Assistant Jan Baker, (520) 790-7573 ext. 5076 jbaker@pcoa.org Advertising Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Design Consultant Lori Lieber, Lori Lieber Graphic Design lori@lorilieber.com

On the Cover: Detail from Try To Find Me, 19x14 Acrylic on paper by Lisa Mishler, The Drawing Studio. (Story, full image on inside back cover) Connect with us The best way to access our services is by calling our Helpline between 8:30 AM and 5 PM Monday through Friday at (520) 790-7262 or emailing help@pcoa.org • Our 8467 E. Broadway Blvd. building is open for those requiring in-person assistance. • Our 600 S. Country Club Rd. building is open for those requiring in-person assistance.

Editorial and Advertising Deadline for Next Issue AUGUST 1 2023

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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Page 2 | August 2023, Never Too Late

Pima Council on Aging

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

With August upon us, we join the nationwide observance of National Immunization Awareness Month, emphasizing the significance of vaccinations for our older Pima County residents. As Pima County’s Area Agency on Aging, we can’t stress enough the importance of immunizations in safeguarding older adults in our county and we celebrate the power of vaccines to promote a vibrant and healthy community. Vaccines are a powerful defense against infectious diseases, including influenza, pneumonia, shingles, certain cancers, and now, COVID-19. By ensuring our loved ones receive timely vaccinations, we provide them with a robust shield, preserving their health and enhancing their quality of life. For older adults in Pima County, several key vaccinations are highly recommended. With the ongoing COVID-19 pandemic, it is vital to mention the new enhanced COVID-19 vaccines that we anticipate will be available this fall. These vaccines are being developed to provide increased protection against emerging variants and to bolster immunity in older adults. They are designed to boost immune responses, extend protection, and reduce the severity of illness in case of breakthrough infections. Another important vaccine is the influenza (flu) vaccine, which should be received annually. Influenza can be particularly severe for older adults, and the vaccine significantly reduces the risk of flu-related complications and hospitalizations. We are hearing that a version of this year’s seasonal flu vaccine may be administered with the new COVID vaccine. The pneumococcal vaccine is another crucial immunization recommended

for older adults. It protects against pneumococcal diseases such as pneumonia and bloodstream infections. Since older adults are at higher risk of these infections, the pneumococcal vaccine can help prevent severe illness and potential complications. Additionally, the herpes zoster vaccine, commonly known as the shingles vaccine, is recommended for individuals aged 60 and above. Shingles is caused by the varicella-zoster virus, which remains dormant in the body after a person has had chickenpox. The vaccine can reduce the risk of developing shingles and decrease the severity of the illness if it does occur. Furthermore, older adults should consider the tetanus, diphtheria, and pertussis (Tdap) vaccine. Pertussis (whooping cough) can be severe in older adults and cause serious prolonged coughing, and the Tdap vaccine offers protection against this contagious respiratory disease. One final important vaccination for older adults is the hepatitis B vaccine. While most adults are immune to hepatitis B, older adults who are at risk due to certain medical conditions or behaviors should consider receiving this vaccine. It can provide protection against a potentially serious liver infection. During National Immunization Awareness Month, we encourage older adults aged 65 and above to contact the Pima County Health Department (contact information below) or their primary care physician for information on immunization services, including the enhanced COVID-19 vaccines. PCOA is committed to supporting older adults in accessing immunizations, and if you need help obtaining information, please call us on our Help Line.

As we celebrate National Immunization Awareness Month in August, we highlight the profound importance of immunizations for the health and well- being of older adults in Pima County. During this special month, let's celebrate the power of immunizations and honor the resilience and vitality of our older adults in Pima County. Immunizations are not just a protective measure; they are an expression of our deep care and respect for our older neighbors, friends, and family. Together, let's make National Immunization Awareness Month a stronger commitment to the health of our community.

W.Mark Clark President & CEO

Pima County Clinics (closed the 1st Thursday of the month) Closed daily noon to 1 p.m. Theresa Lee Public Health Clinic (520) 724-7900 | https://www.pima. gov/2351/Theresa-Lee-Public-Health- Center | 1493 W Commerce Ct | Tucson, 85746-6016 | Immunizations Hours: Mon., Tues., Fri.: 8 a.m. – 5 p.m. Wed.: 1 – 5 p.m. | North Office | (520) 724- 2880 | https://www.pima.gov/2349/North- Office-Clinic | 3550 N 1st Ave | Tucson, 85719-1770 | Immunizations Hours: Mon.: 8 a.m. – noon, Wed., Thur., Fri.: 8 a.m. – 5 p.m. | East Office | (520) 724-9650 | https://www.pima.gov/2347/East-Office- Clinic | 6920 E Broadway Blvd | Tucson, 85710-2839 | Immunizations Hours: Mon., Wed., Thur.: 8 a.m. – 5 p.m., Tues.: 8 a.m. – noon, Fri.: 1 – 5 p.m.

August 2023, Never Too Late | Page 3

Pima Council on Aging

Standing Strong A Message from W. Mark Clark, President and CEO

Standing Strong: PCOA’s Unwavering Support for the LGBTQI+ Community in the Face of Recent Discrimination and Hostility

In light of the current state of our country, where the rights of the LGBTQI+ community, particularly trans and nonbinary people, are facing an onslaught of organized opposition not seen for over 70 years, we at PCOA

Aging with Pride

feel compelled to reiterate our unwavering stance against the widespread discrimination and the alarming number of legislative bills – over 75 this year alone – that have been enacted against this marginalized community. PCOA is committed to standing in solidarity with the LGBTQI+ community, strongly denouncing all forms of intolerance, degradation, hurt or abuse. We firmly oppose the unjust treatment faced by any individual based on their sexual orientation or gender identity. As an organization, we hold diversity as a core value and are steadfast in our dedication to fostering an inclusive environment. Our pledge to support the older adult LGBTQI+ community transcends beyond just our words – it is an action-driven commitment. So together let’s embark on a renewed journey of compassion, understanding, and acceptance. By championing the rights of the older adult LGBTQI+ community, we take a significant stride towards building a society that cherishes diversity and inclusion and stands united against all forms of prejudice and hate.

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Pima Council on Aging

Dementia Capable Southern Arizo na

Imagine you are caring for an LGBTQI+ person who came out in 2017. Due to their dementia diagnosis, they believe it is 1994 and do not remember coming out or receiving gender-affirming surgery. How does one support the unique needs of LGBTQI+ people living with dementia?

A memory screening is a simple and safe “healthy brain check-up” that should be done annually as we age. DCSA offers free memory screenings to the community. These screenings can be done in person or over the phone. They are not a diagnostic test; however, they do provide insight into memory changes over time and can help determine if you may need further evaluation from a physician or other clinician. Call the PCOA Helpline at (520) 790-7262 or visit our website to request a free memory screening today! https://www. pcoa.org/dementiareferral/

As a care provider, join us to learn about responsive care for LGBTQI+ people living with dementia through Visibility Matters: Dementia Edition.

When: Wednesday August 30, 2023 | 10am–12pm Where:

| 600 S. Country Club Rd.

Seating is limited, please register at: https://vmdementiaaug23.event- brite.com or contact Sarah Bahnson at sbahnson@pcoa.org

In partnership with Posada Life Community Services 3rd Saturday of each month 1–2pm August 19 Posada Life Community Center 780 S. Park Centre Ave. Green Valley, AZ 85614 Point of contact – Ellen March at (520) 393-6840 or EMarch@casagv.org

In partnership with Senior Pride 2nd & 4th Wednesday of each month 10–11am

In partnership with AARP Arizona 4th Friday of each month 10–11:30am August 25 AARP Tucson Office 6700 N. Oracle Rd. Suite 331 Tucson, AZ 85704 Point of contact – Aaron Wodka at (520) 730-1170 or AWodka@aarp.org

August 9 & August 23 600 S. Country Club Rd. Tucson, AZ 85716

Point of contact – Nicole Thomas at (520) 790-7573 x1739 or nthomas@ pcoa.org To register , visit https://cafeatthekatie. eventbrite.com

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Pima Council on Aging

Healthy Minds for Life A Message from Lee Ryan, Professor and Head of the Psychology Department at the University of Arizona COVID and the brain

our study of brain functioning among older adults. We’re asking thousands of people across the country about their experiences with COVID and assessing the cognitive problems that may have continued over time. We’re just beginning to find answers. We’ve learned that COVID can lead to difficulties with memory, concentration, and problem solving, often referred to in the popular press as brain fog. For most people, brain fog clears between three and six months after COVID illness. For some people, however, these brain changes may be long lasting, increasing the risk for cognitive impairment or even dementia in later life, perhaps years after the infection. These brain changes probably occur for multiple reasons. We now know that the virus can actually enter the brain and damage neurons. That doesn’t appear to happen very commonly, but it can certainly play a role in the long-term problems with memory and concentration that we see in some individuals. The virus can also damage the heart and lungs, leading to a lack of adequate blood supply and oxygen to the brain. COVID may also impact the brain through social isolation. People of all ages – young children, teenagers, and adults – were isolated in the effort to stop the spread of the disease. Social isolation has a negative impact on brain health and cognitive functioning. But we don’t yet understand the long-term impact of isolation, especially when it is experienced over an extended period of time, and who is most vulnerable.

I try to keep a positive outlook on brain health. Healthy diet, exercise, life-long learning, and managing stress are positive steps that we can all take to help us maintain our physical, mental, and cognitive health as we get older. Sometimes, however, challenges come along in life over which we don’t have much control. One of those was the emergence of the SARS-CoV2 virus that caused COVID. The pandemic upended all our lives, and many people are still struggling to get back to some semblance of normality. The toll taken by COVID was staggering – the illnesses and hospitalizations, the tragic loss of family and friends to the virus, the social isolation, the loss of jobs – and the list goes on. Now we’re trying to understand the long- term consequences of exposure to the virus. We know that, at least for some people, there are lingering health effects of SARS-CoV2, something we refer to as ‘long COVID’. Even many months after the viral infection is over, some individuals continue to experience problems with their lungs, heart, immune system, and brain. The University of Arizona is part of a large national study called Researching COVID to Enhance Recovery , or RECOVER. Funded by the National Institutes of Health (NIH), UofA is one of more than 30 research teams across the country working together to understand, treat and prevent long COVID. The Precision Aging Network at UofA is also focusing on COVID through

Finally, it’s important for all of us to remember that COVID hasn’t gone away. We need to continue to take steps to protect ourselves as best we can. Social isolation isn’t sustainable or healthy. The best way to protect ourselves is by keeping our vaccinations up to date. Masks are still a good idea, especially in crowded places or if you are vulnerable to infection. To read more about the RECOVER study, here’s a link: https://recovercovidstudy. com/arizona/ . You can also find more information about the Precision Aging Network at our website: https:// precisionagingnetwork.org/. To hear about ways that you can participate in our research studies, email us at healthymindsforlife@email.arizona.edu. Lee Ryan is a Professor and Head of the Psychology Department at the University of Arizona. She is a researcher studying aging and Alzheimer’s disease, and is a member of the Precision Aging Network.

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Pima Council on Aging

Information Grief can increase risk of heart problems, study finds By Niranjana Rajalakshmi , University Communications

Study participants were interviewed and asked to focus on feelings of separation and attachment through a process researchers call "grief recall." The researchers talked to each participant for 10 minutes and asked them to share a moment when they felt very alone after the death of their loved one. The researchers then measured the study participants' blood pressure.

mercury – the unit used to measure blood pressure. That is approximately as much of an increase as would be expected during moderate exercise. Among the 59 participants, those who showed the highest level of grief symptoms experienced the greatest increase in blood pressure during the grief recall. "This means that it isn't just the death of a loved one that impacts the heart, but our emotional response to loss that is affecting our heart," O'Connor said. The study's findings are helpful for clinicians, as they show that people who are experiencing bereavement are at higher risk for hypertension and other heart-related problems, O'Connor said. "It's important for psychologists and therapists to encourage grieving clients to get their regular medical checkups. Often, when we've been caring for a loved one who's dying, we neglect our own health care," she said. In her Grief, Loss, and Social Stress Lab in the Department of Psychology, O'Connor studies an intervention called "progressive muscle relaxation." It teaches grieving people to tighten and then fully relax the major muscle groups in their body. This kind of body-based intervention can be helpful for people in terms of their grief and curbing their stress levels, O'Connor said. "I continue to look for interventions that will help address the physical and medical side of grieving, in addition to the emotional side," she said.

Losing loved ones can take a major toll not just on psychological well-being but also on physical health. Researchers at the University of Arizona studied the impact of grief on heart function and found that severe grief can cause a marked rise in blood pressure. The findings suggest that grief could be a risk factor for cardiac events. The study, published in the journal Psychosomatic Medicine, demonstrates an association between grief severity and elevated systolic blood pressure response. The idea of "dying of a broken heart," which can happen following the loss of a loved one, was the motivation for the research, said Mary-Frances O'Connor, senior author of the study and a UArizona associate professor of psychology who specializes in grief. Increased risk of mortality after the death of a loved one has long been documented in epidemiological studies. The study by O'Connor and her colleagues looked at blood pressure as a possible contributing factor. The study included 59 participants that had lost a close loved one in the past year. "We were looking for a way to test the cardiovascular effects of grief during that vulnerable time in the first year after the loss," said lead study author Roman Palitsky, who was a doctoral student at UArizona when the study was conducted and is now the director of research projects in spiritual health at Emory University Woodruff Health Sciences Center.

Mary-Frances O'Connor Photo credit: Chris Richards/University Communications

"When you go to a cardiologist, they don't just measure your blood pressure. They also sometimes do a stress test, like a treadmill, and measure your blood pressure. This is sort of like an emotional stress test," O'Connor said. After grief recall, participants' systolic blood pressure – which is the pressure that the heart exerts on the arteries while beating – increased. From the baseline level, systolic blood pressure climbed by an average of 21.1 millimeters of

August 2023, Never Too Late | Page 7

Pima Council on Aging

Information

SUMMER 2023 VITA EXTENDED SEASON TAX FILING SERVICES

The Volunteer Income Tax Assistance (VITA) program offers free tax preparation to families and individuals with income under $73,000. You did not file a 2023 tax return by the April due date, or you filed an extension and still need to complete your 2023 return. You need to file prior year tax returns. You received a letter from the IRS or AZDOR. You might need our free service if:

Summer VITA In-person Tax Preparation Services

Missed the 2023 tax filing deadline? Don’t worry, we’ve got you covered! Join us at our Summer Tax Filing sessions for FREE tax preparation and e-filing services! *Walk-ins only, no appointments. Please arrive at least 30 minutes before end of session to be served. For more information, visit www.UnitedWayTucson.org/vita

CLICK HERE for more information

Where: United Way of Tucson 330 N. Commerce Park Loop, Suite 200

When: June – September, Every 2nd Tuesday | 3pm – 7pm *Dates: June 13th, July 11th, August 8th, September 12th June – September, Every 3rd Wednesday | 10am – 2pm *Dates: June 21st, July 19th, August 16th, September 20th

*Park and make your way to the east side of the complex. Head up the elevator or stairs to reach the main office. Click Here to see on Google Maps.

Picture ID for each person listed on the tax return (typically a driver’s license), for taxpayer (& spouse, if filing jointly). Social Security Card for each person listed on the return. A document issued by the Social Security Administration containing at least the last four digits of the social security number will also suffice. This includes the SSA-1099 provided at year end to individuals receiving social security benefits. Proof of income, like W2s and 1099s Documentation of expenses Form 1095-A If anyone in the household is insured through the marketplace & dependent’s proof of income AZ Form 201 completed by landlord If filing for the AZ Property Tax Credit, and a renter The IRS requires that Form 13614-C be prepared for every return we complete. To save time, please consider downloading the form and completing it ahead of visiting our sites! NOTE: some tax situations are out of scope for our VITA program including: returns with a Married Filing Separate filing status, rental income, certain virtual currency transactions, and business losses. Additional VITA Tax Assistance Options United Way of Tucson’s VITA program also offers FREE tax filing options from the comfort of your home! 1. Virtual VITA Tax Preparation through GetYourRefund. All you need is a smartphone, an email address, and access to the internet! Learn more or get started TODAY at www.GetYourRefund.org/uwtsa . **You must create your account by September 20th to be served by the late filing deadline.** 2. Learn more and gain FREE access to TaxSlayer Pro at www.UnitedWayTucson.org/vita . Documents You Must Provide

Page 8 | August 2023, Never Too Late

Pima Council on Aging

Medicare Corner

Pima Council on Aging

August 2023 Medicare Presentations:  Understand the difference between Original Medicare and Medicare Advantage.  Learn about Medigap and Prescription Drug Plans.  Questions to ask before you enroll.  How and when to enroll.  Learn about Medicare Savings Programs which may help with paying Part B premium and/or Part D drug costs for those who qualify.  How to find plans that offer the lowest costs for prescriptions you take. Pick up Medicare Advantage plan comparison spreadsheets for Pima County Medicare beneficiaries.

In-Person Location

Day/Time

Date

Virtual (Zoom)

PCOA The Katie 600 S. Country Club Rd. Tucson, AZ 85716 https://katiemedicareip.eventbrite.com Wheeler Taft Abbett Sr. Library 7800 N. Schisler Dr. Tucson, AZ 85743 https://wheelertaftabbetsrmedicare.eventbrite.com Murphy-Wilmot Library 530 N. Wilmot Dr. Tucson, AZ 85711 https://murphywilmotmedicare.eventbrite.com

August 9

Wednesday 12 – 3pm

Virtual (Zoom) https://umvirtual22.eventbrite.com

August 16

Wednesday 10am – 1pm

In-Person Only

August 23

Wednesday 2 – 5pm

In-Person Only

For additional presentation dates, go to www.pcoa.org/calendar or call PCOA SHIP at (520) 546-2011

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

August 2023, Never Too Late | Page 9

Pima Council on Aging

Medicare Corner

Vaccines and Immunizations

If your provider recommends that you get a vaccine, in most cases it will be covered by your Part D plan. Part D plans must include most commercially available vaccines on their formularies, including the vaccine for shingles (herpes zoster). The only exceptions are flu, pneumonia, hepatitis B, and COVID-19 vaccinations, which are covered by Part B. As of January 2023, all Medicare- covered vaccines should be free to you. This means you should not owe any cost-sharing, such as a copayment, coinsurance, or deductible for your covered vaccines.

To avoid billing issues, it is usually best to make sure that your health care provider or pharmacy administering the vaccine will bill your Part D plan. When you get a vaccine at your doctor’s office, ask the provider to call your Part D plan first to find out if your provider can bill your Part D plan directly. Medicare Part D covers most vaccines and immunizations. However, there are certain vaccinations that are always covered by Part B: • Influenza (flu) shots, including both the seasonal flu vaccine and the H1NI (swine flu) vaccine

• Pneumococcal (pneumonia) shots • Hepatitis B shots • COVID-19 vaccine Part B also covers vaccines after you have been exposed to a dangerous virus or disease. For example, Part B will cover a tetanus shot if you step on a rusty nail, or a rabies shot if you are bitten by a dog. Contact PCOA Medicare at (520) 546-2011 for more information.

Read Your Medicare Statements

Medicare statements outline payments made on a beneficiary’s behalf for Medicare covered services. There are two primary types of statements received by Medicare beneficiaries: Medicare Summary Notices (MSNs) and Explanations of Benefits (EOBs). • Beneficiaries enrolled in Original Medicare receive MSNs. • Beneficiaries enrolled in Medicare Advantage (Part C) plans receive EOBs. • Beneficiaries enrolled in Medicare prescription drug (Part D) plans receive EOBs. MSNs and EOBs explain: • What the health care provider billed for • The amount approved by Medicare for payment

• How much Medicare paid • What the beneficiary may be billed for Detect Potential Fraud, Errors, or Abuse • Review yours or your loved ones' Medicare statements as soon as they arrive to ensure all of the services listed were actually received. • Keep a record of medical visits, tests, receipts for services, and equipment received. A My Health Care Tracker, available from your local SMP, can help you keep a record of these services. • Compare your statements to your receipts, records, and My Health Care Tracker. If you notice any mistakes, or have questions, call your provider or plan with your questions. If you still

These projects are 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. secure Medicare account to view their most recent MSNs, track claims made on their behalf, and check payment status. Creating a free, secure account with Medicare allows you to review all bills processed within the past 36 months. have questions or need further help, contact your local SMP. • Medicare’s Medicare.gov website allows beneficiaries in Original Medicare to log into (or create) a

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Pima Council on Aging

Rights & Benefits Information

By Jack Burns, Social Security Public Affairs Specialist in AZ Fraudsters Never Go On Vacation

Social Security Celebrates The Americans With Disabilities Act

This year, we celebrate 33 years of the Americans with Disabilities Act (ADA) and its importance to many beneficiaries. We’re committed to the principles and spirit of the ADA, and the way it improves the lives of millions. Matt’s story is an example of how the ADA and our Ticket to Work (Ticket) Program can help beneficiaries achieve their career goals. As a job seeker who is deaf and needs accommodations, Matt was reluctant to tell prospective employers about his disability. He worried that employers would not hire him if they knew about his disability. That’s when Matt connected with our Ticket Program. This program supports career development for people ages 18 to 64 who receive Social Security disability benefits and want to work. Through this free and voluntary program, approved service providers offer supports and services as participants move toward financial independence through work. Matt learned how his employment might affect his benefits. He also learned that our Medicare-related work By Jack Burns, Social Security Public Affairs Specialist in AZ

Fraudsters will never take a break. While you are out enjoying fun and sun this summer, they are working hard to find new ways to scam you. Seniors and younger people are particularly vulnerable to scammers who claim to represent Social Security. To protect you and your loved ones, you can: • Visit our Protect Yourself from Social Security Scams webpage at www.ssa.gov/ scam for information on what tactics scammers use and how to report them. • Check out the Federal Trade Commission’s page at consumer.ftc.gov/ scams for additional scam-related information. Here are some tips to follow when you identify a potential scammer: • Hang up right away or ignore the message. • Never give personal information or money. • Report the scam immediately to our Office of the Inspector General at https://oig.ssa.gov/report/. If you owe money to Social Security, we’ll mail you a letter with payment options

incentive allows him to pursue a career without worrying about health care coverage. If Matt’s disability interfered with work, he could return to receiving benefits without having to file a new application through the expedited reinstatement process. Matt now works full-time as a human resource analyst. Thanks to the ADA, he received accommodations for the interview process and on the job. He also found that the Ticket Program helped him find a path to a better future. You can learn more about the Ticket Program at www.choosework.ssa.gov. Our online booklet, Your Ticket to Work: What You Need to Know to Keep it Working for You found at www.ssa. gov/pubs/EN-05-10062.pdf, provides detailed information about the program. You can learn more about Matt’s story at www. choosework.ssa.gov/library/ matt-success-story. Please share these resources with your loved ones.

and appeal rights. We only accept payments electronically through Pay.gov or Online Bill Pay, or physically by check or money order through our offices. We will never do the following: • Threaten you with arrest or legal action because you don’t agree to pay us money immediately. • Promise a benefit increase in exchange for money. • Ask you to send us gift cards, prepaid debit cards, wire transfers, internet currency, cryptocurrency, or cash through the U.S. mail. There are no vacations for fraudsters, so you need to stay informed of the latest Social Security-related scams. For more information, please visit our blog at blog.ssa.gov. Please share these useful resources with your loved ones.

August 2023, Never Too Late | Page 11

Pima Council on Aging

Rights & Benefits Information ALTCS Workshop

Are You Age 70 or Older and Not Yet Getting Your Social Security Retirement Benefits?

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.

By Stephen McGraw, Acting Deputy Associate Commissioner, Office of Strategic and Digital Communications

Retirement is not one-size-fits- all. It can mean different things to different people. Perhaps you have not applied for Social Security retirement benefits because you’re still working or are delaying applying so you can get the higher benefit. If you’re age 70 or older, you should apply now for the benefits you’re owed. Your benefits will not increase if you continue to delay applying for them because you are 70 or older. Did you know that you can receive benefits even if you still work? Your earnings can increase your monthly benefit amount – even after you start receiving benefits. Each year that you work, we check your earnings record. It’s possible your latest year of earnings is one of your highest in 35 years. If so, we will automatically recalculate your benefit amount and pay you any increase due. You can claim your retirement benefits now. The best and easiest way to apply is with a personal my Social Security account. You can create your free account on our

website (https://www.ssa. gov/myaccount/). Once you create your account, you can get an estimate of how much you might receive each month based on when you want to start receiving benefits and then apply. In your account, (https://www. ssa.gov/myaccount/) you can also: • Access our publications – like the fact sheet for workers ages 70 and up. • Find your Full Retirement Age. • Learn about benefits for your spouse and family members. • Apply for benefits. • Manage your benefits once you start receiving them. We’re here to help you secure today and tomorrow and we invite you to learn more about applying for retirement benefits on our website (https://www.ssa.gov/apply). Please share this blog with your friends and family – and post it on social media.

Please join us in person. Topic: ALTCS Workshop Time: August 10, 2:30 — 4 p.m. Location: The Katie , 600 S Country Club Rd

Participants are asked to socially distance themselves; masks are optional. Space is limited; please register soon.

The ALTCS workshop is held every month on the second Thursday.

To register , go to: https://altcsaug23.eventbrite.com, or call Donna DeLeon at (520) 305-3450. Participants who would prefer a virtual training are invited to register for our September training held on Thursday, September 14, 2023.

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Pima Council on Aging

Caregiving

Free training for informal, nonpaid family caregivers Caregiving Essentials: First Steps Training Schedule 2023

Wed., Oct. 18 Fri., Nov. 17

Tue., Aug. 15 Thur., Sept. 28

600 S. Country Club Rd., Tucson, AZ If staying for both, bring your own lunch. Coffee and water available.

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

Workshop 2: Physical Care and Safety (1 – 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://caregivingessentials23.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.

August 2023, Never Too Late | Page 13

Pima Council on Aging

Caregiving

PCOA CAREGIVER SUPPORT GROUPS – AUGUST Four are currently held by Zoom and seven are held in-person

Participation in the groups can be in person (7 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. 8/16, 3rd Wednesday , 1–2:30pm (East) In-Person 8/17, 3rd Thursday , 1:30–3pm Virtual ON ZOOM 8/21, 3rd Monday , 1–2:30 pm (Midtown) In-Person 8/22, 4th Tuesday , 9–10:30am (Southwest) In-Person 8/28, 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 8/1, 1st Tuesday , 12–1:30pm (Oro Valley) In-Person 8/3, 1st Thursday, 1–2:30pm Virtual ON ZOOM 8/7, 1st Monday , 1–2:30pm (East) In-Person 8/8, 2nd Tuesday , 5:30–7pm Virtual ON ZOOM 8/14, 2nd Monday , 1–2:30pm (Green Valley) In-Person 8/15, 3rd Tuesday , 10–11:30am (North) In-Person

AUGUST

“Remember to be gentle with yourself and others. We are all children of chance, and none can say why some fields will blossom while others lay brown beneath the August sun.” — Kent Nerburn

*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

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Pima Council on Aging

Caregiving

Respite By Elizabeth Reeves, MSW, Case Management Program Director

participate in activities and get a break from the routine at home. Overnight at a care facility —For a longer break, caregivers can choose to bring their loved one to an adult care home or skilled nursing facility for a short term stay of several days or weeks. How do I find respite care? Sometimes, all it takes to arrange for some respite is to ask. Friends and family often want to help but don’t know what they can do to be useful. Or, they may think the caregiver has everything handled and need to hear that help is needed. In other situations, it’s necessary to hire a caregiver from a home health agency or arrange placement in a care facility. When looking for a provider, it can be helpful to ask friends or medical professionals if they have recommendations. There are also listings for home care agencies or residential care facilities in the PCOA on-line resource directory at pcoa.org. Sometimes the challenge of finding a care provider or arranging a placement can be overwhelming, or a family may not have the financial resources to pay for this type of assistance. If that is the case, call the PCOA Helpline at (520) 790-7262 and a Caregiver Specialist at PCOA can talk with you about resources and choices.

and can make plans to visit with friends, go to a movie, attend religious services, or have private time at home to do a craft or take an un-interrupted nap. Sometimes a caregiver may want (or need) to take a longer break to visit loved ones out of town or attend an event. In that case, overnight respite can be arranged, either at home or in a facility. For a primary caregiver, it can feel difficult or worrisome to entrust the care of a loved one to someone else, but the time away to re-energize can help maintain the strength needed to continue providing loving care. Types of respite There are a variety of ways that respite service can be arranged. Here are the most common: Informal —A friend or family member can be a wonderful respite provider. This could take the form of a friend coming over to socialize with the person receiving care so the caregiver can get out of the house, or it could be a family member from out of town coming to stay for a week so the primary caregiver can have a break. In-home support —A home care agency can provide respite in the home, often in blocks of time from 4-8 hours, usually on a weekly schedule or sometimes as needed. Adult Day Center —Some people like to socialize with a larger group and enjoy going to an adult day center to

Caring for a loved one at home can bring up conflicting feelings. At times, caregiving can create a sense of satisfaction, gratitude, and love. It can also be exhausting and stressful. If you are a live-in family caregiver, your health and well-being are important, and giving yourself a break from caregiving responsibilities can be critical. This is where respite care can help. What is respite care? Respite is a break for people who care for loved ones in their home. It is temporary relief for the caregiver, enabling them to take a much needed pause from the demands of caring for a family member. Respite is often provided in a block of time for several hours each week, but sometimes it can be longer—a few weeks or even a month. When is respite care helpful? All live-in family caregivers might benefit from respite assistance. Respite is an opportunity for the person who is managing the 24/7 demands of caregiving to recharge and take a break. It can also be a chance to give the person receiving care a change of pace and someone new to interact with. Often, people find it is helpful to have respite care scheduled on a weekly basis so they know when they will be free from caregiving responsibilities

August 2023, Never Too Late | Page 15

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

Healthy Living Workshops We offer six-week self-management workshops for those with ongoing health conditions, type 2 diabetes, pre-diabetes, as well as chronic pain. If you’re interested in any of these workshops, please call our Healthy Living Department at (520) 305-3410 to add your name and contact information to our workshop interest lists.

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

EnhanceFitness®

EnhanceFitness®

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 • The Katie , 600 S. Country Club, and Remote , 10:30–11:30 Pre-registration is required through Eventbrite (located on the PCOA homepage), https://bit.ly/PCOAEnhanceFitness Class size is limited. For assistance, call us at (520) 305-3410. • Tucson Estates (TENHN), 5900 W. Western Way Circle , 10:30–11:30 am Mondays – Recreation Hall, Wednesdays & Fridays – Multi-Purpose Hall Contribution: $36 per person/per month

A Matter of Balance®

Healthy Living with Chronic Pain®

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.

Picture Rocks Community Center 5615 N. Sanders Rd. Mon., Wed., Fri., 11:45 am–12:45 pm Drexel Heights Community Center 5220 S. San Joaquin Ave. Mon., Wed., Fri., 12–1 pm Ellie Towne/Flowing Wells Community Center, 1660 W. Ruthrauff Rd. Mon., Wed., Fri., 9:30–10:30 am

Register Now! www.pima.gov/nrpr and look for Community Center Programs. Choose the center of your choice from the list and go to their class listing and look for Senior Fitness for information on EnhanceFitness. If you need help with registration, call the individual centers.

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

August 2023, Never Too Late | Page 17

Pima Council on Aging

Healthy Living Looking for Volun

A Matter of Balance® offered in person

Tucson Estates 5900 W. Western Way Circle, Tucson, AZ September 5, 8, 12, 15, 19, 22, 26, 29 Tuesdays & Fridays 1 – 3 pm The Katie PCOA Healthy Aging Center - Fitness Rm 600 S. Country Club Rd., Tucson, AZ August 8, 10, 15, 17, 22, 24, 29, 31 Tuesdays & Thursdays 10 am – 12 pm Posada Life Community Services

Pima Council on Aging 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 A Matter of Balance® Chances are you know someone who has fallen or has a fear of 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. AMatter of Chances are you know someone who h A Matter of Balance is a proven program concerns about falls and increase phys Adult Falls Coalition is looking for vo program. Free training provided. Looking for Volunteer Coaches! For more information and to register for an upcoming training, contact Karen Ring, kring@pcoa.org or call (520) 305-3409.

Contribution: $30.00 (covers your book and supplies) 780 S. Park Centre, Green Valley, AZ Sept. 20, 22, 27, 29, Oct. 4, 6, 11, 13 Wednesdays & Fridays 1:30 – 3:30 pm

A Matter of Balance® is a a workshop designed to reduce the fear of falling and help participants learn to view falls as controllable, set goals for increasing activity and make changes to reduce fall risks at home. It includes 8 two-hour sessions for 10-15 participants and is led by trained coaches.

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

Page 18 | August 2023, Never Too Late

Healthy Living

The Aging Mastery Program ® (AMP) classes in person Tuesdays, September 12 – November 14, 2023, 1:30 – 3:00 pm

The Aging Mastery Program ® (AMP) classes will explore: • Navigating Longer Lives • Exercise and You • Sleep • 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 and Fee 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., August 29. After Aug. 29, fee is $99/person (No refunds after Tues., August 29, 2023) Location: Offered in person at The Katie PCOA Healthy Aging Center (TEP Room), 600 S. Country Club Rd., Tucson, AZ

For more information and to REGISTER, call Pima Council on Aging, (520) 305-3409 Join the adventure!

August 2023, Never Too Late | Page 19

Pima Council on Aging

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