Publication of Pima Council on Aging, Helping Pima County Age Well Since 1967
Family Caregiving & The Season of Giving Never Too Late
November & December 2025
WHAT’S NEW · Aging in Our Community · Philanthropy · Medicare Corner · Dementia Capable Southern Arizona · Advocacy · Caregiving · Ending Life Well · Nosh & Know · Community Lunch Program · Healthy Living · Nunca Es Demasiado Tarde · PCOA Puzzle · Neighbors Care Alliance · PimaCare at Home
Para informaciòn en Español ver páginas 20-23
PUBLICATION OF PIMA COUNCIL ON AGING, HELPING PIMA COUNTY AGE WELL SINCE 1967
Independence. Vitality. Respect.
INSIDE
Aging in Our Community . . . . ..... 3 Philanthropy . . . . . . . . . ........... 4 Medicare Corner . . . . . . . ......... 6 Dementia Capable Southern Arizona . . . . . . . ......... 8 Advocacy . . . . . . . . . . ........... 10 Arizona Long Term Care System (ALTCS) . . . . . . . . ........ 11 Caregiving . . . . . . . . . . .......... 12 Ending Life Well . . . . . . . ........ 14
Nosh & Know . . . . . . . . ......... 16 Community Lunch Program . . ... 17 Healthy Living . . . . . . . . ......... 18 Nunca Es Demasiado Tarde . . ... 20 PCOA Puzzle . . . . . . . . . ......... 25 Neighbors Care Alliance . . . . .... 26 PimaCare at Home . . . . . . ....... 29 Featured Artist . . . . . . . . ........ 31
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 85710-4009 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 2025.
ON THE COVER Out of the Blue, by Ingrid McCarty, The Drawing Studio. Story and full image on page 31.
Editor Susan Stein Kregar (520) 790-7573 ext. 5060 skregar@pcoa.org Graphic Designer Rebecca Manchester rmanchester@pcoa.org
CONNECT WITH US The best way to access our services is by calling our Helpline between 8:30 am and 5:00 pm Monday through Friday at (520) 790-7262 or emailing help@pcoa.org . Our 600 S. Country Club Rd. building is open for those requiring in-person assistance. FIND US ON SOCIAL MEDIA
Advertising Jan Slonaker (520) 790-7573 ext. 5076 jslonaker@pcoa.org Editorial and Advertising Deadline for Next Bi-Monthly Issue NOVEMBER 25, 2025. 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.
FACEBOOK facebook.com/pimacouncilonaging INSTAGRAM instagram.com/pimacouncilonaging
LINKEDIN linkedin.com/company/pcoa
Read Never Too Late online at nevertoolate.pcoa.org
NEXTDOOR nextdoor.com/pages/ pima-council-on-aging-tucson-az-1
Page 2 | November & December 2025, Never Too Late
Pima Council on Aging
Aging in Our Community
A Message from Our President & CEO, Robert Ojeda, Ph.D. A Season of Gratitude and Renewal
A s the year draws to a close, come together in 2025. Each day at Pima Council on Aging, I see the impact of neighbors caring for neighbors, volunteers giving of their time, and donors sharing their generosity to make life better for older neighbors in Pima County. I find myself reflecting on the many ways our community has This is the season when we are reminded of the importance of connection. At our community lunch sites, friends gather around tables where meals nourish both body and spirit. Through our Medicare counseling program, families receive trusted guidance as they navigate important decisions. Across the county, older adults receive the support they need to remain safe, healthy, and independent in the place they call home.
Our work is made possible because of you. Every gift, every hour of service, and every partnership helps ensure that older adults and their families have the resources they deserve. It is this spirit of shared responsibility that has sustained PCOA for more than five decades and will guide us into the future. As we look toward the coming year, we are renewing our commitment to being both a reliable resource and a trusted advocate. We are listening carefully to the needs of our community, strengthening programs that matter most, and building new partnerships that will help us serve even more effectively. The needs of older adults continue to grow, and together we will meet them with compassion, with dedication, and with hope. In this season of gratitude, I want to offer my heartfelt thanks. Your support allows PCOA to continue a proud
Robert Ojeda, Ph.D.
tradition of service while embracing new opportunities ahead. I am confident that, with your trust and partnership, 2026 will be a year of growth and renewal for us all. With warm wishes,
Robert Ojeda, Ph.D. President and CEO Pima Council on Aging
November & December 2025, Never Too Late | Page 3
Pima Council on Aging
Philanthropy This holiday season, your year-end gift is urgently needed. Please give by December 31 and know that your generosity will be put to work right away to bring comfort, safety, and hope to older adults and families who need it most. With Gratitude This Holiday Season As 2025 draws to a close, all of us at Pima Council on Aging want to pause and thank you. Your generosity has carried older adults and families in Pima County through a year of real challenges, and because of you, they were not alone. This year, we accomplished so much together: • 24,000+ calls were answered through our Helpline, connecting families to vital resources. • 1,200+ home repairs and adaptations kept older neighbors safe and cool in their homes.
This Time of Year, Your Generosity Changes Everything Right now, older adults in Pima County are facing tough challenges including skipping meals to afford medicine, caring for loved ones with dementia with little to no support, or living in homes with unsafe conditions such as no A/C or heating system, poor lighting, or without grab bars. Our Helpline answered more than 24,000 calls this year from people desperate for guidance. Your gift makes an immediate difference. The moment we receive your support, it goes straight to work delivering meals, coaching family caregivers, strengthening dementia programs, and helping older adults stay safe at home.
• 3,000+ people received guidance with Medicare benefits, protecting their health and finances. • 76 caregivers received one-on-one coaching, while hundreds more found encouragement through support groups and classes. Behind each number is a neighbor whose life looks brighter because of you: a caregiver who feels less overwhelmed, an older adult who can move safely around their home,
All donations to PCOA are eligible for the Arizona charitable tax credit. ■ Yes! I care and want to support older adults aging well:
This gift is from: Name:_ ______________________________________ Address:_ ____________________________________ _____________________________________________ Phone:_______________________________________
■ A one-time gift of: ■ $100 ■ $250 ■ $495 ■ $987 ■ $ ________________ ■ A recurring monthly gift of $_ ________ charged to my credit card ($10 minimum). ■ My check made payable to PCOA is enclosed. ■ Please charge my gift to my credit card ($10 minimum). Card #_ _______________________________________________ Exp. Date__________________ Sec. Code__________________
EOY NTL 25
Page 4 | November & December 2025, Never Too Late
Pima Council on Aging
We also thank Tucson Electric Power for once again sponsoring our 2025–2026 Nosh & Know series. This program offers expert-led discussions on topics that empower older adults to age with confidence, while fostering connection and learning, all while enjoying a light snack in a welcoming setting. TEP also helps strengthen our Emergency Fund that focuses on housing insecurity for older adults, ensuring that more older adults can remain safely in their homes and maintain their independence. We are deeply grateful for the continued support from Southwest Gas and Tucson Electric Power. Their generosity is the fuel that powers our ability to provide vital services and resources, ensuring more older adults and their caregivers in Pima County receive the help they need. Philanthropy
Make Your Gift Count Twice Your donation to PCOA qualifies for the Arizona Charitable Tax Credit (our QCO Code: 20313): • Up to $495 for individuals • Up to $987 for couples filing jointly • Dollar-for-dollar credit on your Arizona state taxes • No itemizing required When you give before December 31, you help older adults thrive in our community and reduce your Arizona tax bill. Give today at pcoa.org/donate
a family navigating dementia with support at their side. We are deeply grateful for your partnership. Your support ensures that older adults in our community are not only cared for, but truly valued. To Our Community Partners We extend our heartfelt thanks to Southwest Gas employees for selecting PCOA as one of the beneficiaries of their 2026–2028 Fuel for Life Tucson Employee Giving Campaign. Since 1931, Southwest Gas has demonstrated a strong commitment to the communities it serves. Through their Fuel for Life program, employees can support local nonprofits with one-time gifts or ongoing payroll deductions. Their generosity has made a meaningful difference in countless lives, and we are honored to be part of that legacy.
“The support groups rescued me. They affirmed that I was okay, that I wasn’t alone.” –Michael, Family Caregiver
“I feel stronger, healthier, and more independent thanks to the meals and support I received.” –Mina R.
“I cried so hard, just happy tears... I’ve never been happier.” –Sophia, Home Repair client
November & December 2025, Never Too Late | Page 5
Pima Council on Aging
Medicare Corner
2025 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 and 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 plan comparison spreadsheets for Pima County Medicare beneficia ries.
DATE
TIME
REGISTRATION LINK
LOCATION
Wednesdays, November 12 & December 10
PCOA at The Katie 600 S. Country Club Rd. Tucson, AZ 85716
PCOAMedicare.eventbrite.com
12:00–3:00 pm
SPECIAL 2026 MEDICARE UPDATES PLUS Q&A SESSIONS
Murphy-Wilmot Library 530 N. Wilmot Rd. Tucson, AZ 85711
Saturday, November 15 11:00 am–2:00 pm
MedicareAtMurphyWilmot.eventbrite.com
Thursday, November 6 1:00–3:00 pm
MedicareAtOroValley2.eventbrite.com
Oro Valley Public Library 1305 W. Naranja Dr. Oro Valley, AZ 85737
Thursday, December 4 1:00–3:00 pm
MedicareAtOroValley3.eventbrite.com
Page 6 | November & December 2025, Never Too Late
Pima Council on Aging
Medicare Corner
Preparing for Medicare Open Enrollment Period Medicare Open Enrollment Period began on October 15, and will end on December 7. For people with Medi- care Advantage, Open Enrollment will begin again on January 1 and end on March 31. Sometime in September, you may have received an Annual Notice of Change (ANOC) document from your current plan provider with information about any upcoming changes to your current plan.
• Office visits Understand what your co-pay amount for visits to primary care physicians and specialists will be. • Inpatient hospital stays Your plan might not have a co-pay for hospital stays, but if it does, that amount may change. • Benefits and costs for medical services: This section highlights any changes to co-pays and coverage for services including emergency care, outpatient surgery, or care in a skilled nursing facility. The Medicare Plan Finder tool at medicare.gov is a good resource for up-to-date plan information. For assistance, contact your local SHIP at 1-800-432-4040. PCOA is your local SHIP. You may reach our certified counselors at (520) 546-2011.
Plan coverage may change every year, so may your healthcare needs. The ANOC helps you decide whether your coverage will continue to meet your healthcare needs, or whether it is time to switch to a new plan. It is advisable to review your coverage every year during the Medicare Open Enrollment Period and compare your current plan to other available plans. The following items are what you need to review: • Monthly Premiums Premiums may increase each year. • Maximum Out of Pocket Costs This is the maximum amount you will pay per covered year. • Provider and Pharmacy Networks Your healthcare plan may notify you if any of your doctors, hospitals, or pharmacies are leaving their network. • Part D Prescription drug coverage There could be a few changes to your Medicare Part D plan. Check their formulary to make sure that your medications are still included.
PCOA is your local State Health Insurance Assistance Program (SHIP) , and Senior Medicare Patrol (SMP) for Pima County. For assistance with your Medicare questions, email SHIP@pcoa.org or contact us 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.
November & December 2025, Never Too Late | Page 7
Pima Council on Aging
Dementia Capable Southern Arizona A Memory Café is a welcoming social gathering for individuals living with dementia and their caregivers. It Make It a Stress-Free Holiday for You and Your Loved One The holiday season brings joy and connection, but it can also be DCSA in The Community
provides a safe, supportive space to enjoy activities and connect with others in a relaxed environment. Cafés help promote social connectedness and foster community for those affected by memory loss.
overwhelming for individuals living with dementia and their caregivers. With a few thoughtful adjustments, the season can remain meaningful, safe, and filled with cherished traditions. Tips for a dementia-friendly holiday: • Set realistic expectations and avoid overbooking. • Plan for brunch or lunch if evenings tend to bring confusion. • Keep gatherings small or stagger visitors to reduce stress. • Use simple, safe decorations such as flameless candles. • Turn decorating into an activity with DIY crafts such as popcorn garlands or paper chains. • Incorporate familiar comforts such as music, classic films, and favorite stories. • Ask for practical “gift coupons” for meals, errands, or chores instead of physical presents. • Maintain routines and prioritize caregiver self-care, including support groups and social activities including Memory Cafés. With planning, flexibility, and compassion, the holidays can continue to be a season of joy, love, and togetherness for everyone.
November & December 2025 Memory Cafés Please visit bit.ly/memory-cafes for café-specific information or to register.
Fridays November 21 & December 19 10:00—11:30 am Wednesdays November 12 & December 10 3:00–4:00 pm
AARP Tucson Office 6700 N. Oracle Rd., Suite 331 Tucson, AZ 85704
AARP Memory Café Alzheimer’s Association Memory Café
Beyond Bread 421 W. Ina Rd. Tucson, AZ 85704
Wednesdays November 12 & December 10 10:00–11:00 am
The Katie (PCOA) 600 S. Country Club Rd. Tucson, AZ 85716 The Lupu (PCOA) 8467 E. Broadway Blvd. Tucson, AZ 85710 United Methodist Church of Green Valley 300 W. Esperanza Blvd. Green Valley, AZ 85614
Memory Café at The Katie
Tuesdays November 18 & December 16 10:00–11:00 am
Memory Café at The Lupu
Thursdays November 13 & December 11 2:00–3:00 pm
Esperanza Memory Café
Thursdays November 13 & December 11 10:30–11:30 am Friday November 21 1:00–2:00 pm
JFCS Tucson 4301 E. 5 th St. Tucson, AZ 85711
Midtown Memory Café at JFCS
La Posada Community Center 780 S. Park Centre Ave. Green Valley, AZ 85614
Posada Life Memory Café
Page 8 | November & December 2025, Never Too Late
Pima Council on Aging
Dementia Capable Southern Arizona
November 2025 Presentations
Dementia Friends Information Session
Memory Loss: Progressions, Behaviors, and Interventions Part 2 Take a deeper dive looking at caregiver strategies, common challenges, and approaches to caring for someone with dementia. This presentation is designed for family members and other caregivers. Thursday, November 20 9:00–10:30 am Green Valley Recreation, East Hall 7 Abrego Dr., Green Valley Thursday, November 20 1:00–2:30 pm Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd., Tucson Monday, November 24 5:00–6:30 pm Woods Memorial Library 3455 N. 1st Ave., Tucson End of Life Care Planning: What You Need to Know When Living with a Dementia Diagnosis Understand end of life care decisions, decision-making authority, and advance directives. VIRTUAL Wednesday, November 12 3:00–4:30 pm
Gain a general understanding of dementia with a focus on creating a dementia-friendly community. Friday, November 14
Register online at bit.ly/DCSAevents or by scanning the QR code.
10:00–11:00 am Tohono Oʼodham Mgmt. of Health Bldg. Mile Post 113, Sells Dementia 101
For more information on the presentations, please contact Nicole Thomas at nthomas@pcoa.org or (520) 790-7573 ext. 1739. NEW LOCATION! EnhanceFitness®: Strong and Capable Mondays, Wednesdays & Fridays 1:00–2:00 pm Randolph Recreation Center 200 S. Alvernon Way, Bldg. 1 Tucson, AZ 85711 An interactive fitness program for both those living with memory loss and mobility challenges and their caregivers! EnhanceFitness® is an evidence-based falls prevention and physical activity program specifically designed for older adults. For more information and to register please email DCSA@pcoa.org or call (520) 790-7573 ext.1748 .
Learn more about what dementia is and how it impacts individuals, families, and communities. Understand common signs of dementia and how to approach memory concerns. Thursday, November 6 1:00–2:30 pm Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd., Tucson Memory Loss: Progressions, Behaviors, and Interventions Part 1 Dive into the progression of dementia, the brain changes that occur, and care tips. This presentation is designed for family members and other caregivers. Monday, November 10 5:00–6:30 pm Woods Memorial Library 3455 N. 1st Ave., Tucson Thursday, November 13 9:00–10:30 am Green Valley Recreation, East Hall 7 Abrego Dr., Green Valley Thursday, November 13 1:00–2:30 pm Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd., Tucson
November & December 2025, Never Too Late | Page 9
Pima Council on Aging
Advocacy
Advocacy Spotlight: Protecting Access to Care for Older Adults In July, Congress passed H.R. 1, the Budget Reconciliation Act of 2025. The name may sound complicated, but the effects of this law are simple and serious. It makes large cuts to Medicaid and adds new rules that will also affect Medicare and other important programs. More than 12 million Americans are “dually eligible,” meaning they depend on both Medicare and Medicaid. In Arizona, nearly 250,000 people fall into this group. Many are older adults or people with disabilities living on less than $20,000 a year. Most manage more than one health condition. Cuts to Medicaid and extra paperwork could put them at risk of losing services that help them live safely and with dignity. One major concern is the reduction in funding for in-home and community services. These programs include home care, adult day centers, and personal help to make it possible for older adults to stay at home instead of moving into a nursing facility. When states lose funding, these services are often the first to be cut. In the past, this has meant longer waitlists, fewer people served, and big cuts in support. Other changes in the law will shorten the time older adults can receive retroactive Medicaid coverage, add new steps to eligibility reviews, and create work requirements for some
At PCOA, we remain committed to protecting access to care for older adults in Pima County. We encourage you to stay informed, share your story, and reach out to decision makers. Your voice matters. Together, we can help make sure that programs including Medicare, Medicaid, and the Older Americans Act continue to support older adults today and in the future. What You Can Do • Stay Informed: Sign up for updates from Justice in Aging, USAging, and Kaiser Family Foundation to get reliable information about policy changes. • Reach Out to Your Representatives: Visit usa.gov/elected-officials to find your lawmakers. Tell them how Medicare, Medicaid, and the Older Americans Act services support you or your loved ones. • Share Local Impact: Talk about the value of meals, caregiver support, and in-home services in Pima County. Personal stories make a difference. • Invite and Engage: Encourage lawmakers to visit local programs and ask family, friends, and providers to add their voices too. Want to learn more about advocacy opportunities through PCOA? Visit pcoa.org/advocate or contact us at advocacy@pcoa.org to get involved.
adults. While older adults are exempt from the work rules, the extra paperwork for states can affect everyone. Even small changes such as more frequent eligibility checks can lead to mistakes or delays that interrupt coverage. Not all these changes will happen right away. Some are already in place, while others will roll out over the next few years. This timeline gives community members time to learn, prepare, and speak up. States still have choices in
how they apply certain rules, and national groups are working to keep older adults informed and protected. Justice in Aging (justiceinaging.org), USAging (usaging.org), and Kaiser Family Foundation (KFF) (kff.org) provide resources to help older adults, caregivers, and advocates understand what these changes mean and how to respond.
Page 10 | November & December 2025, Never Too Late
Pima Council on Aging
Information
ALTCS Workshops Join us for a workshop to learn about the Arizona Long Term Care System (ALTCS). Discover what ALTCS is, the eligibility requirements, and the range of services available once enrolled. This workshop is an excellent starting point for anyone considering ALTCS for themselves or a loved one.
Writing for Impact Letters to the Editor, Contacting Elected Officials, Social Media, and Op-Eds Gain tools to advocate effectively for organizations and causes. Bring a pen and paper or laptop. There will be time to compose drafts and receive feedback. Thursday, November 13 9:00–11:00 am
Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd. Tucson, AZ 85716 $ 5 per person RSVP at bit.ly/4h2NSuh
FOURTH WEDNESDAY OF EACH MONTH Location may be subject to change. Eventbrite registration will reflect the most up-to-date location information. Please join us in person Date: November 26, 2025 Time: 2:00–4:00 pm Location: The Katie, 600 S. Country Club Rd. Please join us on Zoom from your computer, tablet, or phone Date: December 17, 2025 Time: 2:00–4:00 pm Registration is required for both the in person workshop and online webinar. TO REGISTER , go to bit.ly/ALTCSWorkshop or call Donna DeLeon at (520) 305-3450.
Training can help save the life of a family member, colleague, or neighbor! FIRST AID CPR TRAINING Learn how to save a life! View locations, dates and register at pcahfacpr.eventbrite.com or call (520) 305-3445 to sign up! USE DISCOUNT CODE CARE15
November & December 2025, Never Too Late | Page 11
Pima Council on Aging
Caregiving Mental and Emotional Self-Care for the Caregiver Wednesday, November 6 1:00-2:30 pm Learn strategies to maintain emotional wellness while caring for someone with dementia or serious illness. For more information or to RSVP, contact Brenda Mayorquin, Aging and Caregiving Specialist at bmayorquin@pcoa.org or (520) 790-7573, ext. 3429. REGISTER TODAY bit.ly/4884QVM Movement and Comfort for the Caregiver Thursday, November 13 1:30–3:00 pm Discover simple techniques to reduce burnout and find physical relief through nervous system “hacks.” For more information or to RSVP, contact Deb Seng, Caregiving and Community Initiatives Director at dseng@pcoa.org or (520) 305-3405, ext. 5069. REGISTER TODAY bit.ly/489aMxO Social and Spiritual Nourishment for the Caregiver Wednesday, November 20 1:30–3:00 pm Explore what social and spiritual nourishment means for caregivers, learn to assess social and spiritual needs, plan social and spiritual care, and connect to community resources.
Honoring Caregivers: November Workshops from PCOA By Tonetta Clay, Family Caregiver Support Group Specialist Every November, Pima Council on Aging celebrates National Family Caregivers Month, a time to honor those who selflessly care for loved ones facing illness or decline. Caregivers often juggle physical demands, emotional stress, and quiet grief, yet their compassion uplifts others in immeasurable ways. We want every caregiver to know that you matter, and you are deeply appreciated. Caring for yourself while caring for another isn’t selfish, it's essential. When you recharge, you're better equipped to offer loving support. Simple self-care practices include: • Taking short breaks to rest and breathe. • Staying connected with friends, family, or support groups. • Nourishing your body with healthy food, movement, and sleep. • Asking for help, because you don't have to do it all alone. To support caregivers, PCOA's Family Caregiving Support team is offering four virtual self-care workshops this November. These weekly sessions provide encouragement, practical tools, and connection with others who understand the caregiving journey. Attendees will be entered to win amazing raffle prizes!
For more information or to RSVP, contact Kelley Hansen, Aging and Caregiving Specialist at khansen@pcoa.org or (520) 790-7573, ext. 3413. REGISTER TODAY bit.ly/4718sYv Affirmations and Gratitude: Creative Self-Care for This reflective and crafty virtual workshop is designed to help caregivers build their own affirmation and gratitude container. For more information or to RSVP, contact Tonetta Clay, Family Caregiver Support Group Specialist at tclay@pcoa.org or (520) 305-3405. REGISTER TODAY bit.ly/3Il42m0 Thank you to all caregivers in our community. Your strength and compassion make a lasting impact. We hope you'll join us this November as we give back to you in a small, but heartfelt way. For more information about caregiver tools and support, contact us at (520) 790-7262. Everyday Positivity Monday, November 24 11:30 am–12:30 pm
Page 12 | November & December 2025, Never Too Late
Pima Council on Aging
Caregiving
Monday, November 17 · 1:00–2:30 pm (Midtown) The Katie In-Person Meeting Tuesday, November 18 · 10:00–11:30 am (North) AARP Arizona In-Person Meeting Thursday, September 18 · 1:30–3:00 pm Virtual Meeting on Zoom Thursday, November 20 · 1:30–3:00 pm Virtual Workshop on Zoom: Social and Spiritual Nourishment for the Caregiver Monday, November 24 11:00 am–12:30 pm Virtual Workshop on Zoom Affirmations and Gratitude: Creative Self-Care for Everyday Positivity Tuesday, November 25 · 9:00–10:30 am (Southwest) Tucson Estates In-Person Meeting DECEMBER Monday, December 1 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Tuesday, December 2 · 12:00–1:30 pm (Oro Valley) Impact of S. Arizona In-Person Meeting Thursday, December 4 · 1:00–2:30 pm Virtual Workshop on Zoom: How Older Adults Can be Aware of Scams Monday, December 8 · 1:00–2:30 pm (Green Valley) Friends Indeed In-Person Meeting Tuesday, December 9 · 10:30 am–12:00 pm (Marana) Wheeler Taft Abbett, Sr. Library In-Person Meeting Caregiver Support Groups
NOVEMBER Monday, November 3 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Tuesday, November 4 · 12:00–1:30 pm (Oro Valley) Impact of S. Arizona In-Person Meeting Thursday, November 6 · 1:00–2:30 pm Virtual Workshop on Zoom: Mental and Emotional Self-Care for the Caregiver Monday, November 10 · 1:00–2:30 pm (Green Valley) Friends Indeed In-Person Meeting Wednesday, November 12 10:30 am–12:00 pm (Marana) Wheeler Taft Abbett, Sr. Library In-Person Meeting Thursday, November 13 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Thursday, November 13 · 1:30–3:00 pm Virtual Workshop on Zoom: Movement and Comfort for the Caregiver
Thursday, December 11 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Monday, December 15 · 1:00–2:30 pm (Midtown) The Katie In-Person Meeting Tuesday, December 16 · 10:00–11:30 am (North) AARP Arizona In-Person Meeting Thursday, December 18 · 1:30–3:00 pm Virtual Meeting on Zoom Monday, December 22 11:00 am–12:30 pm Virtual Meeting on Zoom Tuesday, December 23 · 9:00–10:30 am (Southwest) Tucson Estates In-Person Meeting RSVP required. To RSVP or if you have any questions, please contact Tonetta Clay at tclay@pcoa.org or (520) 305-3405.
November & December 2025, Never Too Late | Page 13
Pima Council on Aging
Ending Life Well
Understanding Palliative and Hospice Care What They Mean, Who They Help, and How to Choose the Right Care When serious illness touches our lives, knowing the right kind of care can make all the difference. Many people hear the terms palliative care and hospice care and wonder what they
• Team: Doctors, nurses, social workers, nutritionists, chaplains, and more, all working together to support the patient and their family. Palliative care does not mean giving up. It can begin at diagnosis and continue alongside treatment aimed at curing the illness. Adriana's Story Adriana developed anemia while she was being treated for breast cancer. A palliative care specialist suggested she get a blood transfusion to manage the anemia and relieve her fatigue. Controlling her symptoms helped Adriana to continue her curative chemotherapy treatment. Treating her anemia is part of palliative care.
mean and how they might apply to themselves or a loved one. Both forms of care focus on quality of life, dignity, and comfort, but they differ in timing, approach, and goals. This guide offers a clear overview of what each type of care provides, who benefits, and how to start important conversations about end-of-life and advance care planning. Palliative Care • Focus: Improving quality of life for people with serious illnesses. • When: Available at any stage of illness, even alongside curative treatment. • How: Manages pain and symptoms, coordinates care and supports families. • Who: Anyone with conditions including cancer, heart failure, COPD, Parkinson’s, dementia, or other serious health issues.
QUESTION
PALLIATIVE CARE
HOSPICE CARE
Who is eligible?
Anyone with a serious illness, any age. People with serious illness expected to live 6 months or less.
Can I continue treatment to cure my illness?
Yes, if you choose.
No, only comfort care is provided.
Home, hospital, assisted living or skilled nursing facility, clinic. Medicare, Medicaid, or private insur- ance (varies with plan).
Home, hospital, assisted living or skilled nursing facility, hospice center. Medicare, Medicaid, and many private insurers. As long as the person meets hospice criteria.
Where is care provided?
Who pays?
How long does care last?
As long as needed.
Page 14 | November & December 2025, Never Too Late
Pima Council on Aging
Ending Life Well
Advance Care Planning It’s never too early to talk with loved ones and doctors about wishes for care. One helpful resource is PREPARE for Your Care, an interactive program that walks you through advance care planning in plain language. It even provides forms and videos in English and Spanish to help you share your wishes clearly. Learn more at prepareforyourcare.org
Hospice Care • Focus: Comfort and dignity for people nearing the end of life, and information and support for their loved ones. • When: Typically begins when a doctor believes a person has six months or less to live if the illness runs its usual course. • How: Provides pain management, emotional and spiritual support, and guidance for families. Curative treatment is stopped, but comfort care continues. • Where: At home, in assisted living or a skilled nursing facility, hospital, or rarely, a hospice center. • Team: Nurses, doctors, social workers, spiritual advisors, and trained volunteers who support both patient and family. Dolores’ Choice Dolores, 82, learned her kidneys were failing. She chose hospice care rather than dialysis, wanting to focus on time with family. Later, when she discovered her granddaughter was expecting a baby, she decided to pursue dialysis, then re-enrolled in hospice when her health declined again. Hospice can be flexible: people may enter, leave, or re-enter as their needs change.
Although hospice provides a lot of support, the day-to-day care of a person dying at home is provided by family and friends. The hospice team coaches family members on how to care for the dying person and even provides respite care when caregivers need a break. Respite care can be for as short as a few hours or for as long as several weeks. Additional Resources National Institute on Aging: nia.nih.gov CaringInfo (National Hospice and Palliative Care Organization): caringinfo.org | 800-658-8898 Hospice Foundation of America: hospicefoundation.org This article was adapted from resources provided by the National Institute on Aging (nia.nih.gov). Content has been summarized and re-written for clarity for our readers. Visit the NIA website at bit.ly/NIHInfo for additional details, stories, and resources.
For more information or assistance regarding end-of-life planning, call the
PCOA Helpline at (520) 790-7262.
We are grateful for the generous support provided by the Shaaron Kent Endowment held at the Community Foundation for Southern Arizona.
November & December 2025, Never Too Late | Page 15
Pima Council on Aging
Nosh & Know
Join PCOA for Each session offers expert insights, engaging discussions, and snacks! NOSH& KNOW A series of insightful events designed to help you age well and stay connected.
Nosh & Know: Aging with Confidence This November, our popular Nosh & Know series explores preparing for and navigating aging. On November 21, Aging with Confidence: Exploring Care Options and Resources at Every Stage will offer guidance toward understanding and planning for different stages of aging, from independent living to long-term care. What to Expect: • Expert Insights: Receive guidance on understanding and accessing different care options and services throughout the aging process. • Interactive Discussion: Participate in a Q&A session to explore your specific needs and concerns related to aging care. • Socialize and Snack: Enjoy a light snack while engaging with others interested in navigating aging with confidence. We’re grateful to Tucson Electric Power for once again sponsoring this series, helping us keep registration affordable at just $5 per session. Light snacks and meaningful conversation await. Visit pcoa.org/noshandknow for details and join us as we continue learning together. This popular series sells out quickly! Regsiter today to reserve your space.
SPONSORED BY
AGING WITH CONFIDENCE: Exploring Care Options and Resources at Every Stage Learn more about the care options available as you age and how to make informed decisions. Gain insight into the various care options available. This session will help you understand the resources and services you may need at different stages of aging, from independent living to long-term care. Friday, November 21 10:00–11:30 am
Pima Council on Aging 8467 E. Broadway Blvd. Tucson, AZ 85710
$ 5 per person (includes snacks) REGISTER TODAY at pcoa.org/NoshandKnow or call (520) 7573 ext 5060 to reserve your space.
Page 16 | November & December 2025, Never Too Late
Pima Council on Aging
Community Lunch Program
NO MORE PARTY OF ONE
REGISTRATION REQUIRED Please call for mealtimes, to reserve a meal, and for days and hours of operations.
Armory Park Center* 220 S. 5 th Ave., Tucson (520) 791-4070 Casa De Encanto 250 N. Silverbell Rd., Tucson
(520) 310-6716 Casa De Pueblo 4975 S. Liberty Ave., Tucson (520) 310-2915 Freedom Recreation Center 5000 E. 29th St., Tucson (520) 791-4969 La Posada Community Center 780 S. Park Centre Ave., Green Valley (520) 393-6814
FOR MORE INFORMATION Please visit bit.ly/PCOAmeals or call the PCOA Helpline at (520) 790-7262. William M. Clements Center** 8155 E. Poinciana Dr., Tucson (520) 791-5787 *Dinner Meal Only **Open Until 2:00 pm
60 years or older? Tired of dining alone?
Want to get out of the house and enjoy a satisfying lunch while making friends? COMMUNITY LUNCHES
$2 TO $3 A MEAL! 6 Community Lunch sites in metro Tucson and Green Valley
November & December 2025, Never Too Late | Page 17
Pima Council on Aging
Healthy Living conditions older adults experience as they age. Cortisol and adrenaline, released when we are under stress, raise heart rates and blood pressure. Already suppressed due to age, stress can further dampen our immune system’s ability to protect us. It can create digestive problems and affect sleep. It can worsen chronic conditions including Type 2 diabetes, cardiovascular disease, arthritis, dementia, and cancer. How Do We Recognize Stress That May Be Causing Us Issues? The signs of stress can be difficult to recognize, especially for older adults who may already experience age-related symptoms. Here are a few of the ways stress may manifest itself: • Feeling tired, sleeplessness, or poor concentration. • Worry, irritability, or negative feelings or attitude. • Headaches or increases in pain, constipation or diarrhea, or shortness of breath. A little planning can do a lot to offset these effects. Diet and nutrition are very important. Freeze nutritious meals so that on days when things are hectic, it’s easy to pull them from the freezer, rather than eating out or snacking. Focus on getting enough sleep and implement good sleep hygiene, including limiting screen time (including television) well before bedtime, reducing caffeine intake, and using room-darkening curtains. Build in time for exercise; it will alleviate stress, help manage the extra calories
Easing Holiday Stress for Older Adults By Karen Fogas Healthy Living Program Director The holidays will quickly be upon us, and while they can be joyous, for many older adults, this time of year can also be fraught with sadness and stress. Holidays can intensify feelings of loneliness and isolation, and can be a reminder of happier times spent with people who are no longer in our lives. Even at their best, they can tax emotional and physical stamina. By understanding how they may impact us and developing a plan for managing emotions around the holidays, we can enjoy this time without depleting our reserves or experiencing unnecessary stress.
that pop up around the holidays, and help with sleep. A walk in nature soothes the mind and provides exercise, too. Take a mental inventory of your support system and build a visit or two into the season. If your support system is a little lean, try meditation, talk with a counselor, or faith leader. With a little forethought and planning, the holidays can be less stressful and more joyful. Make Meaningful Impact Become a Healthy Living Workshop Volunteer! Every day, countless adults face the challenges of chronic health conditions, including chronic pain. But with the right support, they can lead vibrant, fulfilling lives. At PCOA, we believe in the power of community and education. Our Healthy Living workshops empower participants with practical tools to manage their conditions and improve their quality of life. These small-group sessions, offered in-person and virtually, are interactive, supportive, and transformative. Over six weeks, participants build confidence, share successes, and discover new ways to thrive. We’re looking for compassionate volunteers who want to make a differ- ence. If you’re passionate about help- ing others live well despite chronic conditions, we invite you to join us. Ready to inspire meaningful change? Contact Karen Fogas at kfogas@pcoa.org or (520) 305-3409 to learn more about becoming a Healthy Living Workshop volunteer.
Does Stress Affect Older Adults More?
The answer is yes. Unfortunately, stress also aggravates inflammation which is at the core of many chronic
Page 18 | November & December 2025, Never Too Late
Pima Council on Aging
Healthy Living
Upcoming Classes NEW LOCATION for classes formerly held at The Katie Dusenberry Healthy Aging Center
Oro Valley Recreation Center 10555 N. La Canada Dr., Oro Valley Monday, Wednesday, Friday 9:00–10:00 am Call (520) 544-1900 to register. Pima County Parks & Recreation Ellie Towne/Flowing Wells Community Center 1660 W. Ruthrauff Rd. Monday, Wednesday, Friday 10:00–11:00 am Drexel Heights Community Center 5220 S. San Joaquin Ave. Monday, Wednesday, Friday 10:00–11:00 am Picture Rocks Community Center 5615 N. Sanders Rd. Monday, Wednesday, Friday 9:00–10:00 am
EnhanceFitness® is developed specifically for older adults, with exercises focusing on four key areas important to your health and fitness: stretching and flexibility, low impact aerobics, strength training, and balance. You can join us no matter what your current level of fitness is because we offer seated, standing and virtual exercise options. This is no average fitness class! EnhanceFitness® is an evidence-based program backed by years of research, which means it is scientifically proven to: • Improve strength and balance
Randolph Recreation Center 200 S. Alvernon Way, Bldg. 1 Monday, Wednesday, Friday In-Person (IP) 10:30–11:30 am Remote (R) 10:30–11:30 am Tucson Estates (TENHN) 5900 W. Western Way Circle Monday (Recreation Hall) Wednesday, Friday (Multi-Purpose Hall) 10:30–11:30 am
Randolph Recreation Center 200 S. Alvernon Way, Bldg. 1 Monday, Wednesday, Friday 9:00–10:00 am
• Increase flexibility • Boost activity levels • Improve mood • Help prevent falls
El Rio Recreation Center 1390 W. Speedway Blvd. Monday, Wednesday, Friday 11:00 am–12:00 pm Udall Park, Carol West Senior Center 7200 E. Tanque Verde Rd. Monday, Wednesday, Friday 11:00 am–12:00 pm Clements Regional Center, Fitness Ctr. 8155 E. Poinciana Dr. Monday, Wednesday, Friday 8:30–9:30 am REGISTER ONLINE AT: bit.ly/PCOAEnhanceFitness
REGISTER ONLINE AT: bit.ly/PCenhancedfitness
Don't wait to register. These popular classes sell out quickly!
November & December 2025, Never Too Late | Page 19
Pima Council on Aging
Nunca Es Demasiado Tarde
Un mensaje del Dr. Robert Ojeda, nuestro presidente y director ejecutivo Una temporada de gratitud y renovación A que nuestra comunidad se ha unido en todo este 2025. En Pima Council on Aging, diariamente veo el impacto de los vecinos que se cuidan unos a otros, de vecinos que ofrecen su tiempo y de los donantes que comparten su generosidad para mejorar la vida de los adultos mayores en el condado Pima. En esta temporada recordamos la medida que el año llega a su fin, me encuentro reflexionando sobre las muchas formas en importancia de los vínculos. En nuestros sitios de almuerzos comunitarios, los amigos se reúnen a la mesa y los alimentos nutren el cuerpo y el espíritu. Por medio de programas de asesoría de Medicare, las familias reciben orientación confiable a medida que toman decisiones importantes. En todo el condado, los adultos mayores reciben el apoyo que necesitan
para permanecer seguros, sanos e independientes en el lugar al que llaman hogar. Nuestra labor es posible gracias a usted. Cada obsequio, cada hora de servicio y cada colaboración ayuda a asegurar que los adultos mayores y sus familiares cuenten con los recursos que merecen. Ha sido el espíritu de responsabilidad compartida el que ha sostenido a PCOA durante más de cinco décadas y el que nos seguirá guiando hacia el futuro. A medida que nos acercamos al próximo año, estamos renovando nuestro compromiso de ser una fuente confiable y un defensor en quien se pueda confiar. Estamos escuchando cuidadosamente las necesidades de nuestra comunidad, fortaleciendo los programas más importantes y desarrollando lazos que nos ayuden a servir con mayor eficacia. Las necesidades de los adultos mayores siguen en aumento, y juntos seguiremos atendiéndolas con compasión, dedicación y esperanza. En esta temporada de gratitud, deseo ofrecer mi más sincero agradecimiento. Su apoyo permite a PCOA continuar con una orgullosa tradición de
Robert Ojeda, Ph.D.
servicio abrazamos las oportunidades que están por venir. Confío en que, con su confianza y colaboración, el 2026 será un año de crecimiento y renovación para todos nosotros. Reciban un cálido abrazo.
Dr. Robert Ojeda Presidente y director ejecutivo Pima Council on Aging
Page 20 | November & December 2025, Never Too Late
Pima Council on Aging
Nunca Es Demasiado Tarde
Defensa en acción: Protección al cuidado médico para adultos mayores En julio, el Congreso aprobó el proyecto H.R.1, la Ley de Reconciliación Presupuestal (Budget Reconciliation Act) de 2025. El nombre pudiera parecer complicado, pero los efectos de esta ley son sencillos y delicados. Incluye grandes recortes a Medicaid y agrega nuevas reglas que también afectarán a Medicare y a otros importantes programas. Más de 12 millones de estadounidenses son “doblemente beneficiarios”, lo cual significa que dependen de Medicare y Medicaid. En Arizona, cerca de 250,000 personas están en este grupo. Muchos adultos mayores o personas con discapacidades viven con menos de 20,000 dólares al año. Muchos sufren más de una complicación médica. Los recortes a Medicaid y el papeleo adicional pudieran ponerlos en riesgo de perder los servicios que los ayudan a vivir de manera sana y digna. Una de las principales inquietudes es la reducción en los fondos para los servicios comunitarios y domiciliarios. Estos programas incluyen cuidados en casa, centros de día para adultos, así como ayuda personal que hace posible que los adultos mayores permanezcan en casa en vez de mudarse a un asilo. Cuando los estados dejan de recibir recursos, estos servicios generalmente son los primeros en recortarse. Tradicionalmente esto ha significado amplias listas de espera,
informado y comunicarse con quienes toman decisiones. Su voz importa. Juntos podemos asegurarnos de que los programas, incluyendo Medicare, Medicaid y la Ley de Estadounidenses de Edad Avanzada (Older Americans Act) sigan apoyando a los adultos mayores hoy y a futuro. ¿Qué puede hacer usted? • Manténgase informado: Inscríbase para recibir noticias de Justice in Aging, USAging y Kaiser Family Foundation. • Comuníquese con sus representantes: Visite usa.gov/es/ funcionarios-electos para encontrar a sus legisladores. Coménteles sobre cómo usted y sus seres queridos reciben apoyos mediante los servicios de Medicare, Medicaid y la Ley de Estadounidenses de Edad Avanzada. • Comparta el impacto local: Hable sobre el valor de las comidas, el apoyo para cuidadores y los servicios domiciliarios en el condado Pima. Las historias personales marcan la diferencia. • Invite y participe: Anime a los legisladores a visitar programas locales y pida a familiares, amigos y proveedores que también alcen la voz. ¿Desea conocer más oportunidades de defensa por medio de PCOA? Visite pcoa.org/advocate o comuníquese con nosotros por medio de advocacy@pcoa.org para participar.
atención para menos personas y grandes recortes en apoyos. Otros cambios en la ley acortarán el tiempo en el que los adultos mayores pueden recibir cobertura retroactiva de Medicaid, se agregan nuevos pasos para evaluar los requisitos de participación y se crean requisitos laborales para algunos adultos. Mientras los adultos mayores están exentos de los requisitos laborales, el papeleo adicional para los estados puede afectar a todos. Incluso los pequeños cambios, como las verificaciones más frecuentes para evaluar la participación pueden llevar a errores o retrasos que interrumpan la cobertura. No todos los cambios sucederán de inmediato. Algunos ya están en vigor y otros surtirán efectos en los próximos años. Esta línea de tiempo les da oportunidad a los miembros de la comunidad para aprender, prepararse y expresarse. Los estados aún tienen opciones sobre cómo aplicar ciertas reglas, mientras que los grupos nacionales trabajan para mantener a los adultos mayores informados y protegidos. Justice in Aging (justiceinaging.org), USAging (usaging.org) y Kaiser Family Foundation (KFF) (kff.org) ofrecen recursos para ayudar a adultos mayores, cuidadores y defensores a entender el significado de estos cambios y a responder ante ellos. En PCOA seguimos comprometidos con proteger el acceso al cuidado para los adultos mayores en el condado Pima. Le animamos a permanecer
November & December 2025, Never Too Late | Page 21
Pima Council on Aging
Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32Made with FlippingBook - Share PDF online