Never Too Late - September/October 2023

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

Never Too Late

Healthy Aging & Falls Prevention, Medicare Open Enrollment Para información en Español ver páginas 25 – 27

September/October 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


Independence. Vitality. Respect.

Inside • Aging in Our Community 3 & 26 • Philanthropy 4 • Dementia Capable Southern Arizona 5 - 6 • Healthy Minds for Life 7 • Medicare & Senior Medicare Patrol 8 - 9

• Ending Life Well 22 • PCOA Puzzle 23 - 24 • Nunca Es Demasiado Tarde 25 - 27 • Visibility Matters 28 • Advocacy 29 • Senior Companion Program 30 • Neighbors Care Alliance 31 - 32 • Green Valley Information 33 • Featured Artist 34 • CareGiver Training Institute 35 • PimaCare at Home 36

PCOA Helpline: (520) 790-7262 Administration: (520) 790-0504 Donate: E-mail: Website: 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 Editorial Assistant Jan Baker, (520) 790-7573 ext. 5076 Advertising Adina Wingate, (520) 790-7573 ext. 5067 Design Consultant Lori Lieber, Lori Lieber Graphic Design Editorial and Advertising Deadline for Next Bi-Monthly Issue OCTOBER 2 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.

• Rights & Benefits 10 • Caregiving 11 - 13

• Community Lunch Program 14 • Falls Prevention Events 15 - 18 • Healthy Living 19 - 21

On the Cover: Detail from Mexican Bird of Paradise, 8.7”x8.3”, Mezzotint/Aquatint by Jennifer Clarke,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 • 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.




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Pima Council on Aging

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

Celebrating Fifty Years of Area Agencies on Aging (AAA): A Look at the Past and a Glimpse into the Future This year we commemorate the golden anniversary of Area Agencies on Aging (AAA) through the Older Americans Act. The creation of AAAs laid the foundation for what is now known as the Administration for Community Living (ACL) and the network of State Units on Aging, which paved the way for establishing core direct services for older adults. Throughout these five decades, PCOA has been a torchbearer, modeling the tenets of an AAA and providing essential services to older adults in our community. However, did you know that PCOA was created before the advent of Area Agencies on Aging? The Community Council was greatly concerned about the welfare of older adults in Pima County and led the fight to create efforts to establish a formal system for their advocacy and created what is now PCOA in 1967. Marian Lupu was engaged to be the founding Executive Director in that year. Today, I stand humbled by our progress, and I am excited about the opportunities that lie ahead. As we celebrate this milestone as an Area Agency on Aging, it is essential to acknowledge the progress made and the changes that have shaped the landscape of services for older Americans. The world around us has transformed significantly in these last decades, with the population of older adults nearly doubling and becoming increasingly diverse. The expectations and aspirations of our older adults have evolved, and as a society, we

Falls Prevention Awareness and Medicare Open Enrollment September is here, marking "Falls Prevention Awareness Month," and October brings the beginning of Medicare Open Enrollment, a vital time for older adults. Both events hold significant importance for safeguarding the health and well-being of older adults. Falls can be devastating when we are older, leading to injuries and loss of independence, even death. This month, PCOA and other organizations raise awareness about falls prevention strategies, such as exercise and home safety improvements. Participating in falls prevention programs like our evidence- based Matter of Balance can be a great place to start. This eight-week program enables participants to reduce the fear of falling by learning to view falls as controllable, setting goals for increasing activity levels, making small changes to reduce fall risks at home, and exercising to increase strength and balance. On October 15th, Medicare Open Enrollment begins, running until December 7th. This period is crucial for older adults who rely on Medicare for essential healthcare services. However, navigating the complex enrollment process can be daunting. At PCOA, we understand the challenges faced by older adults during Medicare enrollment. We offer expert assistance in navigating the process, ensuring older adults make informed decisions tailored to their healthcare needs. Our highly

must respond to these changing needs with empathy and innovation. With our society constantly evolving, it is imperative to create PCOA strategies that reflect the needs of today's older adults. One way that we excel at this is through our Area Agency Plan that is created every four years. The Area Plan is an official record of the needs, concerns, and challenges faced by older adults in our community, and it is developed based on a wide swath of answers and comments from hundreds of surveys completed by older adults themselves throughout Pima County. This plan helps guide PCOA in providing services that adequately address the needs of our older adult community. However, the plan's impact goes beyond our agency. The current Area Plan will be submitted by PCOA to the public later this year. Looking back at the journey of AAAs and PCOA, I cannot help but be inspired by the resilience and determination of the aging community, just like the older adults we serve. It is a privilege to serve alongside you all and champion the cause of our older adults. As we celebrate fifty years of AAA progress, let us embrace the spirit of collaboration and innovation to pave the way for a brighter future for our community’s older adults. I extend my heartfelt gratitude and appreciation to the staff, volunteers, and supporters of PCOA for their unwavering dedication to the well-being of Pima County’s older adults. Let us move forward with a renewed commitment to our mission, knowing that every step we take today will shape a better tomorrow for future generations.

((continued on page 26)

September/October 2023, Never Too Late | Page 3

Pima Council on Aging

Philanthropy Expressing our gratitude to donors for lifesaving contributions amidst rising challenges PCOA extends our deepest gratitude to the donors who responded to our appeal with unwavering generosity, helping older adults in crisis during these difficult times. In 2022, we found ourselves in a precarious situation as CARES act funding ran dry while inflation soared, and housing became increasingly unaffordable. To address these challenges, PCOA dedicated the 2022 Giving Tuesday campaign towards the creation of an emergency fund and you showed up in a massive way. The campaign was our most successful day of giving yet! In reflecting on the situation, Elizabeth Reeves who leads our Case Management teams, shared “people do this work to help, but saying no in the face of really desperate needs takes a toll on staff. Having this emergency fund to draw upon when clients call us for help has been a major burden lifted.” The needs are staggering, but PCOA remains steadfast in our commitment to serving the needs of older adults in crisis and advocating for increased services, but we can’t do this work without you. If you would like to make a life-saving donation to the emergency fund, visit donate and select “Emergency Fund” in the drop-down menu. Or call our office at (520) 790-0504 to make a credit card donation over the phone.

TMC Foundation donates $50,000 to address healthcare workforce shortage TMC Foundation has partnered with PCOA in addressing the shortage of healthcare workers in our community by donating $50,000 to the Caregiver Training Institute (CGTI). This grant allows CGTI to offer steeply discounted tuition to students with the aim of increasing the pool of workers available for frontline healthcare positions. CGTI, a local non-profit leader in healthcare education, joined the PCOA family of nonprofit companies in 2020. CGTI has been in operation for over 20 years, providing high quality training and certification for thousands of Certified Nursing Assistants and Certified Caregivers while also providing a dual certification, CNA Bridge, and Assisted Living Manager training options.

Tucson Electric Power steps up as lead sponsor for Café at The Katie , a welcoming gathering for those facing memory loss After a longstanding partnership with PCOA, Tucson Electric Power (TEP) recently stepped up in a big way by becoming the lead sponsor for the memory café, Café at The Katie . Memory Cafés are innovative gatherings that aim to address the pressing needs of individuals in our community living with Alzheimer’s Disease and related dementias, as well as their caregivers, families, and friends.

Living with any form of dementia can be isolating and challenging, both for individuals and their caregivers. Café at The Katie is held twice a month and provides a warm and welcoming environment that’s fosters a sense of engagement, community, and emotional support through activities including music, art, and games. By sponsoring Café at The Katie , TEP is helping meet the critical need for socialization and connection among individuals with dementia in our community. To register for an upcoming cafe, visit, or contact Nicole Thomas at (520) 790-7573 x1739 or

As we look to the future, one of the most pressing issues affecting our aging population is the healthcare workforce shortage. This partnership marks a significant step forward in bridging the caregiver shortage and ensuring older adults receive high quality care both in their homes and the community. To learn more about our certification programs and opportunities for tuition assistance, visit, or call (520) 325-4870 to schedule a visit.

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Pima Council on Aging

Dementia Capable Southern Arizo na

Dementia Capable Southern Arizona Classes


In Person

Online (Zoom)

Dementia Friends Information Session Gain a general understanding of dementia with a focus on adopting a mindset of creating a dementia- friendly community. Dementia 101 Learn what dementia is, how it effects individuals, families, and communities. Understand common signs of dementia and how to approach memory concerns. Memory Loss: Progressions, Behaviors, and Interventions part 1 Dive into the progression of dementia, the brain changes that occur and behavior and care tips. Memory Loss: Progressions, Behaviors, and Interventions part 2 Take a deeper dive looking at caregiver strategies, common challenges, how to approach them, and non-pharmacological approaches to caring for someone with dementia. Dementia Champions: Train the Trainer Event Become a Dementia Friends trainer.

(English) Monday, September 11 10 – 11am (Spanish) Monday, October 16 10 – 11:00am

(English w/ special emphasis on faith communities)

Monday, October 2 3 – 4:30pm

(English w/special emphasis on preparing for holidays)

Thursday, October 19 2 – 3:30pm Wednesday, September 13 12 – 1:30pm

Monday, September 18 10 – 11:30am

Monday, September 25 10 – 11:30am

Wednesday, November 1 2 – 3:30pm

Monday, October 2 10 – 11:30am

Wednesday, November 15 2 – 3:30pm

Monday, October 23 10am – 12pm


Class size is limited. Register today: through Eventbrite at dcsa-1070149, or follow the QR code to see upcoming sessions and to register.

For more information or to register , contact Nicole Thomas at (520) 790-7573 x 1739 or

September/October 2023, Never Too Late | Page 5

Pima Council on Aging

Dementia Capable Southern Arizo na

Dementia Care Partner Support Group – An ongoing program partnership between Alzheimer’s Association and Dementia Capable Southern Arizona This group can help provide social connection, encourage development of coping methods and maintenance of personal, physical and emotional health as well as optimal care for the person living with dementia.

Concerned about your memory or your loved ones?

4th Tuesday of each month | 10:30 – 11:30am 600 S. Country Club Rd. | Tucson, AZ 85716

Call the PCOA Helpline at (520) 790-7262 or visit our website to request a free memory screening! Dementia Capable Southern Arizona Referral – Pima Council on Aging (

No registration required, for information or questions, please contact Nicole Thomas at (520) 790-7573 x1739 or

In partnership with Posada Life Community Services 3rd Saturday of each month 1–2pm September 16, October 21 Posada Life Community Center 780 S. Park Centre Ave. Green Valley, AZ 85614 Point of contact – Ellen March at (520) 393-6840 or

In partnership with AARP Arizona 4th Friday of each month 10–11:30am September 22, October 27 AARP Tucson Office 6700 N. Oracle Rd. Suite 331 Tucson, AZ 85704 Point of contact – Aaron Wodka at (520) 730-1170 or

Sponsored by TEP & In partnership with Senior Pride 2nd & 4th Wednesday of each month 10–11am September 13 & 27, October 11 & 25 600 S. Country Club Rd. Tucson, AZ 85716 Point of contact – Nicole Thomas at (520) 790-7573 x1739 or nthomas@ To register , visit https://cafeatthekatie.

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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 Take a walk in the park…. for your brain

A growing body of research suggests that spending time outdoors and experiencing nature provides health benefits, particularly for emotional health and an improved sense of well-being. If physical activity is good for you, being active and being outdoors is even better. Being outdoors increases the positive impact of exercise on physical and emotional functioning, leading to fewer depressive symptoms, decreased stress, and enhancing our sense of well-being and happiness. In one study, older adults who spent time walking outdoors even reported a decreased fear of falling and less pain. The benefits of being in nature don’t apply only to walking or hiking. Gardening has also been shown to promote overall health and quality of life, increasing physical strength, fitness and flexibility. It may even benefit cognitive abilities. A recent study published in Nature Scientific Reports had a group of adults in their 70’s engaged in gardening activities—learning about plants, sprouting seeds, setting up planters, and growing vegetables, as well as nature-art activities such as leaf sketching. After a month, these individuals reported more positive emotion, reduced stressed, and their cognitive functioning improved on various tests of memory, attention, and problem solving. This was a small study, and clearly more research is needed. However, the study adds to our growing awareness of the importance of connecting with nature. Whether it’s walking or gardening, it doesn’t take much to see benefits. Studies have shown that even 30 minutes spent in nature has a restorative effect on us.

We all know that walking has many health benefits. Life expectancy, obesity, type 2 diabetes, cardiovascular disease, brain health, mental health, and even quality of sleep have all been shown to improve with increased physical activity. For example, a study published in 2021 in the Journal of the Americal Medical Association reported that the more steps participants over age 40 took, the lower their mortality risk from all causes. People who took 8,000 steps a day, compared with those who took 4,000, had a 51 percent lower mortality risk. Even better, high-intensity vigorous walking wasn’t required to see these benefits; low- intensity strolls appeared to be just as effective. Numerous studies have reported that regular walking, especially when it is paired with a healthy diet, may have positive benefits for memory and attention abilities among older adults. In fact, several studies have found that aerobic exercise appears to increase the size of the hippocampus, the region of the brain responsible for memory. Other studies have found that regular exercise has benefits for sleep. In one study, older adults who walked regularly were 50 percent less likely to have trouble falling asleep and staying asleep. There’s even some evidence from a large study conducted in Sweden that brisk walking may help keep your eyes healthy too, decreasing the risk for cataracts. So walking is clearly good for us. But did you know that where you walk makes a difference?

Even looking out a window into a garden or forest or viewing pictures of nature can reduce stress and improve cognitive health. These benefits may be especially significant for older individuals who live with chronic illness or experience stressful events such as the loss of a loved one. It is important to remember that outdoor activities benefit people of all ages, not just children and teenagers. As our population ages, it is important that we provide easy access to nature for all members of our communities. In addition to playgrounds, soccer fields, and bike paths, we need to think about easily accessible walking paths with benches for resting, and other accommodations that will ensure that everyone can enjoy nature, at any age. You can find more information about the Precision Aging Network at our website: To hear about ways that you can participate in our research studies, email us at 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.

September/October 2023, Never Too Late | Page 7

Pima Council on Aging

Medicare Corner

Pima Council on Aging September & October 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.


Wednesday 12 – 3pm Day/Time

In-Person Location

Virtual (Zoom)

PCOA Lupu 8467 E. Broadway Blvd. Tucson, AZ 85710 PCOA The Katie 600 S. Country Club Rd. Tucson, AZ 85716 Wheeler Taft Abbett Sr. Library 7800 N. Schisler Dr. Tucson, AZ 85743 Murphy-Wilmot Library 530 N. Wilmot Dr. Tucson, AZ 85711

Sept. 13

Virtual (Zoom)

Oct. 11

Wednesday 12 – 3pm

Virtual (Zoom)

Sept. 20 & Oct. 18

Wednesday 10am – 1pm

In-Person Only

Sept. 27 & Oct. 25

Wednesday 2 – 5pm

In-Person Only

For additional presentation dates, go to 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

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Pima Council on Aging

Medicare Corner

Medicare Open Enrollment

Replacing Your Medicare Card

 Switch from one Medicare drug plan to another Medicare drug plan.  Drop your Medicare drug coverage completely. (Changes will take effect on January 1.) General Enrollment Period/MA Open Enrollment – January 1 to March 31 You can only make one change during this period. Changes will take effect on the first of the month after the plan gets your request.  If you joined a Medicare Advantage Plan during your I nitial Enrollment Period , change to another Medicare Advantage Plan (with or without drug coverage), or go back to Original Medicare (with or without a Medicare drug plan) within the first 3 months you have Medicare.  If you’re in a Medicare Advantage Plan (with or without drug coverage), switch to another Medicare Advantage Plan (with or without drug coverage).  Disenroll from your Medicare Advantage Plan and return to Original Medicare. If you choose to do so, you’ll be able to join a Medicare drug plan. You can’t...  Switch from Original Medicare to a Medicare Advantage Plan.  Join a Medicare drug plan if you’re in Original Medicare.  Switch from one Medicare drug plan to another if you’re in Original Medicare.

Plans change from year to year just as our medical needs may change. It is important that you review your plan each year to make sure that you are getting the best possible coverage for your health needs. You can make changes to your Medicare plan or Medicare drug coverage for the following year. Open Enrollment and General Enrollment/Medicare Advantage (MA) Open Enrollment are the best times for reviewing your current plan. Open Enrollment Period – October 15 to December 7 During this period, you can make as many changes as you need to. Your final changes, made by December 7, will take effect on January 1. Here are the changes that you can make during this period:  Change from Original Medicare (with or without a Medicare drug plan) to a Medicare Advantage Plan (with or without drug coverage).  Change from a Medicare Advantage Plan back to Original Medicare (with or without a Medicare drug plan).  Switch from one Medicare Advantage Plan to another Medicare Advantage Plan.  Switch from a Medicare Advantage Plan that doesn’t offer drug coverage to a Medicare Advantage Plan that offers drug coverage.  Switch from a Medicare Advantage Plan that offers drug coverage to a Medicare Advantage Plan that doesn’t offer drug coverage.  Join a Medicare drug plan.

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. decision-making and/or reviewing your current plan, contact the PCOA Medicare department at (520) 546-2011 . If you need to replace a damaged or lost Medicare card, log into (or create) your secure Medicare account at www. to print or order an official copy of your Medicare card. You can also call 1(800) MEDICARE (1(800) 633-4227) and ask for a replacement card to be sent in the mail. TTY users can call 1(877) 486- 2048. If you get Railroad Retirement Board (RRB) benefits, you can call 1(877) 772- 5772 to get a replacement card. TTY users can call 1(312) 751-4701. Pima Council on Aging offers free and unbiased one-on-one Medicare counseling. We do not sell nor endorse insurance plans. For assistance with

September/October 2023, Never Too Late | Page 9

Pima Council on Aging

Rights & Benefits Information ALTCS Workshops

Would you like to help an older person get their finances back on track? The Personal Budgeting Assistance program prolongs independent living in the community for older adults who have difficulty managing their financial affairs. They may suddenly be in charge of the household finances, or due to a vision or physical disability be unable to manage check writing and have no one else to assist them.

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. This workshop is a great place to start when you are considering ALTCS for yourself or for a loved one.

Please join us in person Date: October 12 Location: The Katie | 600 S Country Club Rd Please join us on Zoom from your computer, tablet, or phone Date: September 14 Second Thursday of each month 2:30 – 4 p.m. Location may be subject to change. Eventbrite registration will reflect the most up-to- date location information. The webinar is available by telephone or via Zoom on a computer or smart device.

 September 20, 2023 | 2 pm | PCOA Dusenberry Center | 600 S Country Club Rd  October 12, 2023 | 11 am | PCOA Dusenberry Center | 600 S Country Club Rd If you’re interested in becoming a Personal Budgeting Assistance Volunteer please register to attend one of our information sessions:

 | Register here to attend: | 

Registration is required for both the in person workshop and online webinar. To register , go to: , or call Donna DeLeon at (520) 305-3450.

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Pima Council on Aging


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

Thur., Sept. 28 Wed., Oct. 18 Fri., Nov. 17

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: or call Pima Council on Aging, (520) 790-7573 ext. 1750;

For questions, call Kelley Hansen (520) 790-7573 ext. 3413; 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.

September/October 2023, Never Too Late | Page 11

Pima Council on Aging



Four are currently held by Zoom and seven are held in-person

SEPTEMBER/OCTOBER 9/14 & 10/12, 2nd Thursday , 1–2:30pm (East) In-Person 9/18 & 10/16, 3rd Monday , 1–2:30 pm (Midtown) In-Person 9/19 & 10/17, 3rd Tuesday , 10–11:30am (North) In-Person 9/21 & 10/19, 3rd Thursday , 1:30–3pm Virtual ON ZOOM 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.

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, 9/5 & 10/3, 1st Tuesday , 12–1:30pm (Oro Valley) In-Person 9/6, Wednesday , 1–2:30pm (East) In-Person (RESCHEDULED FROM LABOR DAY) 9/7 & 10/5, 1st Thursday, 1–2:30pm Virtual ON ZOOM 9/11, 2nd Monday , 1–2:30pm (Green Valley) In-Person 9/12 & 10/10, 2nd Tuesday , 5:30–7pm Virtual ON ZOOM

9/25 & 10/23, 4th Monday , 11am–12:30pm Virtual ON ZOOM 9/26 & 10/24, 4th Tuesday , 9–10:30am (Southwest) In-Person 10/2, 1st Monday , 1–2:30pm (East) In-Person 10/11, 2nd Wednesday , 1–2:30pm (Green Valley) In-Person RESCHEDULED FROM COLUMBUS DAY

*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,

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Pima Council on Aging


By Kelley Hansen, Aging and Caregiving Specialist Healthy Aging Informal caregivers (people who support and assist their loved ones) ages 66-96 have a 63% higher risk of dying than the general population because caregivers tend to disregard their own health and well-being. Ignoring stress levels and health can cause a weaker immune system, nutritional problems, depression, anxiety, and cognitive decline. One of the most important things a caregiver can do is take time for themselves, even if it is just ten minutes a day. When you feel well, you can take better care of your loved one. Here are a few things you can do to manage your health and well- being: 1. Exercise: A small amount of physical activity each day can boost your energy levels and reduce tension. Pick an activity that you will enjoy, so you are more likely to do it.

2. Healthy Eating: Eating nutritionally will help give you more energy and can help prevent health problems. If you must eat on the go, then pick healthy snack options. 3. Make time for yourself: It is good to ask for help or take a break. Consider involving family or friends, use respite services, talk with professionals, and participate in a support group. Add an hour each day or one afternoon a week to your calendar. You are worth it! 4. Keep Medical and Dental Appointments: Invest in your physical health. If you are not well enough to take care of your loved one, then who will it be? 5. Mental Health: Acknowledge your feelings. It is “normal” to experience many emotions, if you feel stuck or burned out then find a healthy way to express your feelings or talk with a professional. 6. Take Care of your Business: Manage your finances and plan for the future/ end of life. Keep living, this way it will be easier to re-integrate into life later on. 7. Stay Connected: Connect with your friends and talk about things other than your role as a caregiver. Continue participating in your favorite activities or hobbies. 8. Investigate Local Services: Learn about resources that are available in your community that lend support, provide option planning, and training.

9. Sleep: Rest as much as you can, so things that are manageable will not become unbearable. 10. Avoid Alcohol and Other Drugs: You may feel like they help with the stress, but overall, they do not support your health. They wear your body down. As we age, our health and well-being do not bounce back as well as they once did. Remember that you are not alone on this journey! PCOA is here to help with information, ideas, support, and resources for healthy caregiving/healthy living. Please reach out to PCOA’s Helpline (520) 790-7262.

September/October 2023, Never Too Late | Page 13

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: meals-nutrition.html/ Click on “View Monthly Menu” This Month’s Menu


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

Falls Prevention Awareness Month

Save the Dates! September is National Falls Prevention Awareness Month. For 2023, the theme is From Awareness to Action. More that 45 states have active fall prevention coalitions. In Arizona, the Southern Chapter of the Arizona Falls Prevention Coalition (SCAFPC) joins these coalitions in their efforts to increase public awareness and educate consumers and professionals about the risks of falls and how to prevent falls. Top 4 Things YOU CAN do to Prevent Falls 1. Speak up. Talk openly with your healthcare provider about fall risks and prevention. Ask your doctor or pharmacist to review your medications. 2. Keep moving. Begin an exercise program to improve your leg strength and balance.

3. Get an annual eye exam. Replace eyeglasses as needed. 4. Make your home safer. Remove clutter and tripping hazards.




Event Name


Wed., Sept. 13

TMC for Seniors 2695 N. Craycroft Rd. TMC for Seniors 2695 N. Craycroft Rd. Encompass Health Rehabilitation Hospital of Northwest Tucson 1921 W. Hospital Dr. TMC for Seniors 2695 N. Craycroft Rd. TMC for Seniors 2695 N. Craycroft Rd. University of Arizona Health Sciences Innovation Bldg. 1670 E. Drachman St. TMC for Seniors 2695 N. Craycroft Rd. TMC for Seniors 2695 N. Craycroft Rd. The Katie , PCOA Healthy Aging Center, 600 S. Country Club Rd.

10 am

Eat to Stay on Your Feet: Nutrition & Fall Prevention Class Falls & Fractures in Older Adults: Causes and Prevention Presentation – “Tools and Tips to Prevent Falls”

Wed., Sept. 13

4 pm

Mon., Sept. 18

3 pm

Wed., Sept. 20

10 am

Medications & Fall Safety

Wed., Sept. 20

4 pm

Foot & Ankle Issues – One Step at a Time

Mon., Sept. 25

10 am – 2 pm

Presentations, community programs and resources. No registration required.

UA Falls Prevention Fair, hosted by Banner University Medicine and the University of AZ Health Sciences - From Awareness to Action Home Safety Check: Fall and Fire Prevention Stay Steady, Stay Strong: Exercises for Fall Prevention Fall Prevention Resource Fair – “From Awareness to Action”

Tues., Sept. 26

10 am

Thurs., Sept. 28

10 am

Fri., Sept. 29

9:30 am – 12:30 pm

Presentations, Screenings, Resources Space is limited. Call 520-305-3410 to register.

Fri., Sept. 29

TMC for Seniors 2695 N. Craycroft Rd.

1 – 3 pm

“No Falls” Mini Assessment Clinic, Tai Chi, Meditation/Yoga

September/October 2023, Never Too Late | Page 15

Pima Council on Aging

Falls Prevention Awareness

For information on exercise, falls prevention programs, or options for improving home safety contact: • Pima Council on Aging, Area Agency on Aging for Pima County (520) 790-7262, • Southeastern Arizona of Governments Organization, Area Agency on Aging for Santa Cruz, Cochise, Graham & Greenlee Counties (520) 432-2528 ext. 306, For additional information visit: • Southern Chapter of the Arizona Falls Prevention Coalition, • Arizona Falls Prevention Coalition • Centers for Disease Control and Prevention CDC – Falls Prevention for Older Adults https:// prevention • STEADI - Medications Linked to Falls medslinkedtofalls-508.pdf Injury Center, • National Council on Aging Learn More about falls prevention For more information, visit This brochure was produced in collaboration with the following organizations: VA Greater Los Angeles Healthcare System, Geriatric Research Education & Clinical Center (GRECC), and the Fall Prevention Center of Excellence

Centers for Disease Control and Prevention National Center for Injury Prevention and Control

Page 16 | September/October 2023, Never Too Late

Pima Council on Aging

Falls Prevention Awareness

Checklist to find and fix hazards in your home.

(continued on next page)


FLOORS When you walk through a room, do you have to walk around furniture? Ask someone to move the furniture so your path is clear. Do you have throw rugs on the floor? Remove the rugs, or use double- sided tape or a non-slip backing so the rugs won’t slip. Pick up things that are on the floor. Always keep objects off the floor. Are there papers, shoes, books, or other objects on the floor? Do you have to walk over or around wires or cords (like lamp, telephone, or extension cords)? Coil or tape cords and wires next to the wall so you can’t trip over them. If needed, have an electrician put in another outlet. KITCHEN Are the things you use often on high shelves?

BEDROOMS Is the light near the bed hard to reach? Place a lamp close to the bed where it’s easy to reach. Is the path from your bed to the bathroom dark? Put in a nightlight so you can see where you’re walking. Some nightlights go on by themselves after dark. BATHROOMS

Always keep objects off the stairs. Are there papers, shoes, books, or other objects on the stairs? Are some steps broken or uneven? Fix loose or uneven steps. Is there a light and light switch at the top and bottom of the stairs?

Have an electrician put in an overhead light and light switch at the top and bottom of the stairs. You can get light switches that glow.

Is the tub or shower floor slippery?

Put a non-slip rubber mat or self-stick strips on the floor of the tub or shower.

Has a stairway light bulb burned out? Have a friend or family member change the light bulb. Is the carpet on the steps loose or torn? Make sure the carpet is firmly attached to every step, or remove the carpet and attach non-slip rubber treads to the stairs. Are the handrails loose or broken? Is there a handrail on only one side of the stairs?

Do you need some support when you get in and out of the tub, or up from the toilet?

Have grab bars put in next to and inside the tub, and next to the toilet.

Keep things you use often on the lower shelves (about waist high).

Fix loose handrails, or put in new ones. Make sure handrails are on both sides of the stairs, and are as long as the stairs.

Is your step stool sturdy?

If you must use a step stool, get one with a bar to hold on to. Never use a chair as a step stool.

September/October 2023, Never Too Late | Page 17

Pima Council on Aging

Falls Prevention Awareness

Check Your Risk for Falling

Circle “Yes” or “No” for each statement below

Why it matters

Yes (2)

No (0)

I have fallen in the past year.

People who have fallen once are likely to fall again.

Yes (2)

No (0)

I use or have been advised to use a cane or walker to get around safely.

People who have been advised to use a cane or walker may already be more likely to fall.

Yes (1)

No (0)

Sometimes I feel unsteady when I am walking.

Unsteadiness or needing support while walking are signs of poor balance.

Yes (1)

No (0)

I steady myself by holding onto furniture when walking at home.

This is also a sign of poor balance.

Yes (1)

No (0)

I am worried about falling.

People who are worried about falling are more likely to fall.

Yes (1)

No (0)

I need to push with my hands to stand up from a chair.

This is a sign of weak leg muscles, a major reason for falling.

Yes (1)

No (0)

I have some trouble stepping up onto a curb.

This is also a sign of weak leg muscles.

Yes (1)

No (0)

I often have to rush to the toilet.

Rushing to the bathroom, especially at night, increases your chance of falling. Numbness in your feet can cause stumbles and lead to falls. Side effects from medicines can sometimes increase your chance of falling.

Yes (1)

No (0)

I have lost some feeling in my feet.

Yes (1)

No (0)

I take medicine that sometimes makes me feel light-headed or more tired than usual.

Yes (1)

No (0)

I take medicine to help me sleep or improve my mood.

These medicines can sometimes increase your chance of falling.

Yes (1)

No (0)

I often feel sad or depressed.

Symptoms of depression, such as not feeling well or feeling slowed down, are linked to falls.

Add up the number of points for each “yes” answer. If you scored 4 points or more, you may be at risk for falling. Discuss this brochure with your doctor.


This checklist was developed by the Greater Los Angeles VA Geriatric Research Education Clinical Center and affiliates and is a validated fall risk self-assessment tool (Rubenstein et al. J Safety Res; 2011: 42(6)493-499). Adapted with permission of the authors.

Page 18 | September/October 2023, Never Too Late

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. Healthy Living with Chronic Pain Offered in-person – Community Class The Katie PCOA Healthy Aging Center – Fitness Room, 600 S. Country Club Rd. Oct. 16, 23, 30, Nov. 6, 13, 20 Mondays | 1:30 - 3:30 pm Contribution: $30 per person (covers your book and supplies)

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



A Matter of Balance®

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 am Pre-registration is required through Eventbrite (located on the PCOA homepage), 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

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.

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

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! 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.

September/October 2023, Never Too Late | Page 19

Pima Council on Aging

Healthy Living Looking for Volun

A Matter of Balance® Offered in person – Community Class

Tucson Estates 5900 W. Western Way Circle, Tucson, AZ September 5, 8, 12, 15, 19, 22, 26, 29 Tuesdays & Fridays 1 – 3 pm

Posada Life Community Services 780 S. Park Centre, Green Valley, AZ Sept. 20, 22, 27, 29, Oct. 4, 6, 11, 13 Wednesdays & Fridays 1:30 – 3:30 pm

Contribution: $30.00 (covers your book and supplies) Udall Park 7222 E. Tanque Verde Rd., Tucson, AZ Oct. 17, 19, 24, 26, 31, Nov. 2, 7, 9 Tuesdays & Thursdays 1:30 – 3:30 pm

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. A Matter 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, or call (520) 305-3409.

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 20 | September/October 2023, Never Too Late

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