Never Too Late - March 2023

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

Never Too Late Para información en Español ver páginas 23 – 25

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

National Nutrition Month

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

Independence. Vitality. Respect.

Inside • Aging in Our Community 3 • Dementia Capable Southern Arizona 4 - 5 • Medicare & SMP 6 - 8 • Rights & Benefits 9 - 12 • Caregiving 13 - 15 • Community Lunch Program 16 • Healthy Living 17 - 19 • Healthy Minds for Life 20 • PCOA Puzzle 21 - 22 • Nunca Es Demasiado Tarde 23 - 25

• Ending Life Well 27 • Visibility Matters 28 • Advocacy 29

• Senior Companion Program 30 • Neighbors Care Alliance 31 - 32 • Philanthropy: FreeWill & AZ Gives Day 33 • Wisdom Circles 33 • Featured Artist 34 • CareGiver Training Institute, Healthcare Education by PCOA 35 • PimaCare at Home, In-Home Care by PCOA 36

PCOA Helpline: (520) 790-7262 Administration: (520) 790-0504 Donate: givepcoa.org E-mail: help@pcoa.org Website: pcoa.org Mail: 8467 E. Broadway Blvd. Tucson, AZ 85710 Never Too Late is published by Pima Council on Aging, the Area Agency on Aging, Region II. Material from Never Too Late may be reprinted when permission is given and attribution is used along with ©PCOA 2023. Editor Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Editorial Assistant Jan Baker, (520) 790-7573 ext. 5076 jbaker@pcoa.org Advertising Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Design Consultant Lori Lieber, Lori Lieber Graphic Design lori@lorilieber.com

On the Cover: Detail from Muse, Acrylic study on paper by Ann Wellnitz, The Drawing Studio. (Story, full image on inside back cover)

Help from PCOA During the Pandemic

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

Editorial and Advertising Deadline for Next Issue MARCH 3 2023

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

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TWITTER@ PCOAging

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Read Never Too Late online at nevertoolate.pcoa.org

Page 2 | March 2023, Never Too Late

Pima Council on Aging

Aging in Our Community

A Message from W. Mark Clark, President and CEO

and what are called Congregate Lunch programs, which we refer to as our Community Lunch program, offered by the City of Tucson, Catholic Community Services, Posada Life Community Services, Sahuaro Christian Church and Pima County are some of the most significant services PCOA funds. And I would be remiss if I didn’t note that the Community Food Bank’s Caridad Kitchen prepares the vast majority of these meals. There is so much support in the community for these vital programs, not just from our governmental sources but also from various generous donors as well. In 2019, these two major programs served more than 215,000 meals. Last year, that number peaked at more than 425,000 meals. Unfortunately, the ending of some of COVID19 funding has meant that we have reduced our pandemic expansion, but we have worked to make assistance available to those who still need it. We are so grateful to all our funders, partners, and supporters because healthy nutrition truly is key to healthy aging. And without all of us working together there would be so many more hungry and unhealthy older adults. In gratitude,

Healthy Nutrition is as Important a Part of Your Health as Taking Your Medications or Exercising At PCOA we talk (and think and write) a lot about healthy aging. And we have lots of classes and workshops. The schedules for which can be found on pages 17 & 18. Heck, we even have the Katie Dusenberry Healthy Aging Center and the thekatie. org. But this month’s focus is on nutrition. Many of us are privileged to have access to healthy foods, whether because of our means or maybe as a result of where we live. But others of us may not. We may live in what is now called a “Food Desert”, somewhere without accessible markets selling healthy food like fresh fruits and vegetables and quality sources of protein. Just before the pandemic, I recall we were contacted by an elected official about a constituent who had reached out to their office because she lived in a very rural part of Pima County and had become unable to shop for herself due to a health condition. In learning more about her situation she shared the place she had been shopping was a gas station market at county crossroads several miles (of dirt roads) away from where she lived. Most of the food available there was relatively expensive prepared food with almost no fresh fruits or vegetables, but she was happy with it. And she knew the people that worked there. She didn’t think she lived in a food desert, but she did. And she was miles away from one of PCOA’s community lunch program locations or our home delivered routes.

My very committed and smart colleagues spent a good bit of time talking with this woman, getting to know her and what she thought would be the best option for her. We talked with her about whether there might be a neighbor who could drive her to the store. We discussed distant grocery store delivery services. We even explored finding a staff person who lived in her direction who might be able to shop for her every couple of weeks. As I recall we did do one of those grocery drop offs as we worked on a more sustainable plan. Ultimately, we were able to work with a national meal delivery service which has the transportation resources to get nutritious meals pretty much anywhere. It was an option which she thought would work for her, and it did. We got healthy prepared meals to her until she was able to get back to shopping for herself. So, as I noted above, more people than any of us would like to live in those food desert areas. And not just people in rural areas. Over the last few decades, much work has been undertaken to ensure that people of all ages and abilities have access to quality healthy nutrition, but there is more work to be done. Back when the Older Americans Act became law in 1965, healthy nutrition was high of the list of services which needed to be supported, long before our health aging classes and workshops were on the map. Homes delivered meals programs, like PCOA’s Pima Meals on Wheels program, operated by our funded partners Catholic Community Services and Lutheran Social Services of the Southwest;

W.Mark Clark President & CEO

March 2023, Never Too Late | Page 3

Pima Council on Aging

Dementia Capable Southern Arizo na

Did You Know? Researchers from Harvard Chan School of Public Health have developed the “MIND” diet in 2015, which observational studies suggest can reduce the risk of developing Alzheimer’s Disease and Related Dementias by as much as 53% as well as slow cognitive decline and improve verbal memory. There are 15 guidelines total, including: • Red meat less than four times a week • Fish at least once a week • Beans more than three times a week • Fried or fast food less than once a week • Less than five pastries or sweets a week

Visibility Matters: Dementia Edition

Memory Cafés

LGBTQI+ people are uniquely impacted by dementia and people who care for them will benefit from this training. Visibility Matters: Dementia Edition training helps care providers gain the tools needed to create a safe place for LGBTQI+ people to be their authentic selves so that we can meet their unique needs. The training provides information about how to be more aware, sensitive, and responsive to LGBTQI+ older people living with dementia. April 11 | 9am–12pm Location: 600 S. Country Club Rd., Tucson To register at Eventbrite: https://www. eventbrite.com/e/visibility-matters- dementia-edition-tickets-532440863957 Dementia Care Partner

In partnership with Senior Pride 2nd and 4th Wednesday of each month March 8 and 22 | 10–11am Location: 600 S. Country Club Rd., Tucson Point of contact: Nicole Thomas at 520.790.7573 x1739 or nthomas@pcoa.org To register : https://cafeatthekatie. eventbrite.com

Support Group In partnership with Alzheimer’s Association

Being a care partner for a person with dementia can be challenging. Support groups help participants develop coping methods and encourage the maintenance of their personal, physical, and emotional health, as well as optimal care for the person living with Alzheimer's or other dementias.

Do you have room for improvement in your diet? No need to be perfect! Consider starting with just one or two of the habits above to make lifestyle changes and improve your brain health. MIND Diet | The Nutrition Source | Harvard T.H. Chan School of Public Health (https://www.hsph. harvard.edu/nutritionsource/healthy-weight/diet- reviews/mind-diet/)

In partnership with Posada Life Community Services 3rd Saturday of each month March 18 | 1–2pm Location: Posada Life Community Center 780 S. Park Centre Ave. Green Valley, AZ 85614 Point of contact: Ellen March at 520.393.6840 or EMarch@casagv.org

4th Tuesday of each month March 28 | 10:30–11:30am

Location:

600 S. Country Club Rd., Tucson

No registration is required. For information or questions, call : 800.272.3900

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Pima Council on Aging

Dementia Capable Southern Arizo na

Presents

Memory Care Support Series

This 6-week series is designed for caregivers who are caring for a loved one with memory loss. We will walk through many aspects of this journey with you, from learning the basics of memory loss and dementia, to end of life care planning. We will help you understand the changes that are occurring with your loved one without forgetting about your own self-care!

2023 Series Details

Where:

600 S. Country Club Rd.

Time: 10 – 11:30am

April 3

Dementia Friends, Brain Health and Early Detection

Self-Care & Relationships: Building Support and Connections Memory Loss: Progression, Behaviors and Interventions Part 1 Memory Loss: Progression, Behaviors and Interventions Part 2 Caregiving Assists: Clever & Practical Tips and Tools Transitions & Life Changes: Supports for the Journey

April 10 April 17 April 24

May 1 May 8

Class size is limited Register through Eventbrite at: https://www.eventbrite.com/cc/pcoa-memory-care-support-series-190859 For more information or to register, contact Nicole Thomas at 520.790.7573 x1739 or nthomas@pcoa.org

March 2023, Never Too Late | Page 5

Pima Council on Aging

Medicare Corner

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

In-Person Location

Date

Day/Time

Virtual (Zoom)

Broadway Office Location: https://lupumedicareip.eventbrite.com Country Club Office Location: https://katiemedicareip.eventbrite.com Murphy-Wilmot Library Location: https://murphywilmotmedicare.eventbrite.com

Registration:

https://umvirtual22.eventbrite.com

March 8

Wednesday 12 – 3pm Wednesday 2 – 5pm Wednesday 12 – 3pm Wednesday 2 – 5pm

600 S. Country Club Rd. Tucson, AZ 85716 530 N. Wilmot Library Tucson, AZ 85711 8467 E. Broadway Blvd. Tucson, AZ 85710 530 N. Wilmot Library Tucson, AZ 85711

Virtual (Zoom)

March 22

In-Person Only

April 12

Virtual (Zoom)

April 26

In-Person Only

For additional presentation dates, go to www.pcoa.org/calendar or call PCOA SHIP at 520.546.2011

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Pima Council on Aging

Medicare Corner

What new Special Enrollment Periods (SEPs) can I use to enroll in Medicare as of 2023? Changes in the law have allowed the Secretary of the U.S. Department of Health and Human Services to establish new SEPs for Part B and premium Part A that can be used starting in 2023. SEPs are periods of time outside normal enrollment periods when you can enroll in Medicare or change your coverage. Beginning in 2023, you can use an SEP to enroll in Medicare if: on March 1, 2023, and the emergency ends on June 25, 2023, the SEP begins on March 1, 2023, and ends on December 31, 2023. • Coverage begins the first day of the following month that you enroll. 3.You are released from incarceration:

1.You lose Medicaid : You can use this SEP if you lose Medicaid eligibility on or after January 1, 2023. • The SEP begins when you receive notice of upcoming termination of Medicaid eligibility. • The SEP ends 6 months after the termination of eligibility. • You can choose to have your coverage begin on the first day of the following month, or you can choose that coverage is retroactive back to when your Medicaid ended (but no earlier than January 1, 2023). To use this SEP, contact Social Security and show that your Medicaid eligibility ended on or after January 1, 2023. 2.You are in an area affected by a disaster or emergency: You can use this SEP if you missed your IEP, GEP, or SEP, and you live in area where the federal, state, or local government declared an emergency. • The SEP begins the date that the emergency or disaster is declared (as long as it is after January 1, 2023) and ends at the end of the month 6 months after the end date in the emergency declaration. If the emergency declaration is extended, the SEP ends at the end of the month 6 months after the end-date of the extension. For example, if an emergency is declared

enrollment period. You must receive this misinformation on or after January 1, 2023, to qualify. Note that you do not qualify to use this SEP if you did not receive any information about Medicare enrollment. • The SEP begins the day you notify Social Security of the misinformation (as long as it was on or after 1/1/23). • The SEP ends 6 months after you notify Social Security. • Coverage begins on the first day of the following month. 5.You experience other exceptional circumstances: Social Security will decide if you can use this SEP on a case-by-case basis. You can request to enroll through this SEP if you missed other enrollment periods because of situations you could not control, and Social Security finds your situation to be exceptional. Exceptional means very unusual or not typical. Forgetting to enroll or not knowing that you were supposed to enroll do not count as exceptional circumstances. • Social Security decides the timing of this SEP on a case-by-case basis. To use these SEPs, contact Social Security with evidence of qualifying circumstance. You may also call PCOA Medicare at (520) 546-2011 or email us at medicare@pcoa. org for further information.

You can use this SEP if you are released from incarceration on or after January 1, 2023. • The SEP begins the day you are released from the custody of a penal authority. • The SEP ends the last day of the 12th month after you are released. • You can choose to have your coverage begin on the first day of the following month after you sign up, or you can choose to have your coverage begin up to 6 months retroactively. If you choose the latter, it cannot begin before January 1, 2023, or before you were released. 4.You make an enrollment mistake based on misinformation from your employer or health plan: You can use this SEP if your employer, employer group health plan, or someone acting on behalf of your employer gave you incorrect information that caused you to miss a Medicare

March 2023, Never Too Late | Page 7

Pima Council on Aging

Medicare Corner

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 NOTE: Medicare Advantage plans (Medicare Part C) serve as a replacement for Parts A and B. As Part B fully covers nutrition therapy for those who qualify, Medicare Advantage must provide this same coverage. To get a referral for nutrition therapy, it makes the most financial sense to visit a doctor within your Advantage plan’s network or contact your plan directly. • Help managing the lifestyle factors that affect your diabetes. • Follow-up visits to check on your progress in managing your diet. Things to know: • Only a Registered Dietitian (or nutrition professional who meets certain requirements) can provide medical nutrition therapy services. • If you get dialysis in a dialysis facility, Medicare covers medical nutrition therapy as part of your overall dialysis care. • If you’re in a rural area, you may be able to get medical nutrition therapy via telehealth from a Registered Dietitian or other nutritional professional in a different location. • If you have diabetes, you may also be eligible for diabetes self-management training. Source: https://www.medicare.gov/coverage/nutrition-therapy-services Medicare and Nutrition Therapy Services Medicare Part B (Medical Insurance) covers medical nutrition therapy services if you have diabetes or kidney disease, or you’ve had a kidney transplant in the last 36 months, and your doctor refers you for services. Your costs in Original Medicare: You pay nothing for these preventive services if you qualify to get them. Your doctor may recommend that you get services more often than Medicare covers. Or they may recommend services that Medicare doesn't cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them. (See Section 2 of the ‘2023 Medicare & You’ book for a list of services covered by Medicare. Contact PCOA Medicare at (520) 546-2011 if you need a copy.) What services are considered Nutrition Therapy? Services may include: • An initial nutrition and lifestyle assessment • Individual and/or group nutritional therapy services

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Pima Council on Aging

Rights & Benefits Information

Tax breaks for older adults 2023 There are three types of tax programs for which you may be eligible:

• Income limitations **

o $36,077 for applicant, including spouse’s income and/or income of children over the age of 18 who reside in the home o $43,733 for applicant with dependent children under the age of 18 residing in the home o $43,733 for applicant with a disabled son or daughter over the age of 18 residing in the home (must be certified by a licensed Arizona medical authority as totally and permanently disabled) *These amounts are taxable income (non-taxable Social Security and Railroad Retirement are not included as taxable income) • The Assessed Value limitation is $29,418 Residential Property for each owner. • Applicants must have owned the subject property as of January 1 of the year you are filing for exemptions. • Applications made after October 1st, 2023, may only be eligible for a reduction to the second half of 2023 property taxes. • Additional restrictions may apply. Additional Qualifications for widows/widowers: • Spouse must have been an Arizona resident. • Spouse must not be separated or divorced at the time of death. • If remarried, the applicant cannot claim an exemption. Applicants must file in person at the Pima County Assessor’s Office between the first Monday in January through March 1st. Applications submitted after March 1st must be accompanied by a request for Waiver redemption. (continued on next page)

The Arizona Property Tax Refund Credit, also known as the 140PTC, may be filed if you meet the following criteria:

• Arizona resident for the entire year of 2022. • Age 65 by January 1, 2023 or a recipient of SSI. • Limited taxable household income (non-taxable Social Security and Railroad Retirement are not included as taxable income) • You paid property taxes and/or rent in 2022. Call PCOA Intake at (520) 790-7262 in Tucson for 140PTC forms, or to make an appointment for assistance in completing this form. THIS CREDIT IS PROVIDED BY THE ARIZONA STATE DEPARTMENT OF REVENUE. This program is open from January until the tax filing deadline in April 2023. PCOA will be providing telephone appointments for assistance beginning February 1, 2023.

Qualifications for widow/widower and disability exemption applicants:

• The applicant must be a widow, widower, or 100% disabled. Veterans who are partially disabled can receive the percentage of the exemption for which they are determined to be disabled by the VA. • The applicant must be a permanent Arizona Resident. • The applicant must be over the age of 17.

March 2023, Never Too Late | Page 9

Pima Council on Aging

Rights & Benefits Information ALTCS Workshop

Tax breaks for older adults (continued from previous page) The Pima County Assessor Valuation Relief office is located at 240 N Stone Ave in the Pima County Public Service Building. You can call (520) 724-7500 for information on other locations that will be available during the filing period, or you can visit the website at www.asr.pima.gov. The Senior Property Valuation Freeze Option may be filed if you meet the following criteria: • At least one of the owners must be 65 years of age by September 1 of the current application year. • The property must be the primary residence of the taxpayer (primary residence is defined as “that residence which is occupied by the taxpayer for an aggregate of nine months of the calendar year”). A taxpayer can only have one primary residence. Rentals, mixed use properties, and properties over 10 acres do not qualify. • The owner must have lived and owned the home for at least two (2) years prior to applying for the option. • The household’s (owner/s and residents) total income from ALL sources, including non-taxable income, cannot exceed $43,872. The total income from ALL sources for two or more property owners cannot exceed $54,840 per the Arizona Department of Revenue. • The deadline for submitting the application is September 1, 2023. You will be notified by December 1, 2023 on the decision of your application. For further information, please visit our website at www.asr.pima. gov, or contact us at (520) 724-8630. 3

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

Please join the ALTCS Presentation on Zoom from your computer, tablet, or phone. Topic: ALTCS Workshop Time: March 9, 2:30 p.m. MST

To register , go to: https://altcsmar23.eventbrite.com, or call Donna DeLeon at 520.305.3450. Participants who would prefer in-person you are invited to register for our April training held on Thursday, April 13, 2023. The ALTCS workshop is held every month on the Second Thursday.

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Pima Council on Aging

Rights & Benefits Information

Don’t Get Caught Without These Documents Do you have a certified copy of your birth certificate? How about a copy of your

handle, even if it was as simple as opening an account with a new bank, is on hold until you can produce a valid Arizona ID from the MVD because you finally got your birth certificate and could prove who you are. In another circumstance, a man just lost his spouse who was the higher wage earner of the two. He now needs to go to Social Security to claim his spouse’s Social Security benefits but to do that he must prove that they were legally married for more than ten years. In this case he needs to have a copy of his marriage license and his spouse’s death certificate. Having those documents available when he first speaks to Social Security can expedite the receipt of that most important Social Security check. A couple has been living in the same home for 40 years. They’ve always lived modestly and though their Social Security benefits together are just under $1800 per month they’ve worked hard to tuck a small amount of money into savings in the case of an emergency. Recently their air conditioner broke and they had to use everything in their savings plus almost an entire months’ worth of their monthly Social Security benefits to cover the cost of a new unit. Several months later they are significantly behind on their electric bill and they worry that it will get turned off. They contact PCOA and learn that they are eligible to receive LIHEAP (Low Income Home Energy Assistance Program) benefits but are dismayed to learn that they need several documents in order to complete their application. This could delay the processing of their application by weeks. (LIHEAP eligibility requires a picture ID; the applicant’s social security number; a copy of the mortgage payment

or property tax statement to verify property ownership, or rental agreement if a renter; copy of utility bill/s; income verification documents; documentation of impending utility shut-off; and in a life- threatening crisis a document about how the resident’s health could be impacted by loss of utilities.) A single 62-year-old woman is also seeking help with public benefits. She was injured on the job and is now no longer able to work. She was forced to take her Social Security earlier than she would have liked because the benefit is much smaller than if she’d been able to wait. She now struggles every month to pay her bills. She has learned that she’s eligible for LIHEAP, LIHWAP (Low Income Home Water Assistance Program), SNAP (food stamps), and Medicaid for her health insurance. Ten years ago, she changed her name on a whim and learned that she needs to present the documentation of that name change (as well as the same documents listed in the previous scenario) in order to pursue these benefits. She can’t find the papers anywhere and now must order a copy and is unsure how long that will take. Will they come in time for her to pay her bills and become eligible for the programs she truly needs? If you don’t have a certified copy of your birth certificate, please consider requesting a copy now. Each state has a Vital Records Department that can guide you through the best way to purchase a copy. It is easy now to order a certificate online (Arizona uses https://www. vitalchek.com/vital-records/arizona) and provided you’re not in a hurry can also do

marriage license, or even divorce decree? Have you formally changed your name through the courts and if so, do you have a copy of that documentation? Do you have your Social Security card or an award letter verifying your benefit status? (By the way, it’s not a good idea to keep your Social Security card in your purse or wallet in the event it’s stolen.) These are all documents we might not think much about on a day to day basis. But if you don’t have them handy these are the documents that could stall a much-needed bank transaction or application for public benefits. The following are just a couple of scenarios that could result in your need to have some of these documents. You moved to Arizona several years ago and your out-of-state driver’s license expired quite a while back. You don’t drive any longer, so you didn’t think twice about it. You go to your bank to handle a big transaction; they ask for ID and won’t accept your expired license from Nebraska. You must have a current Arizona Driver’s License or ID. You then go to the Arizona Motor Vehicle Division (MVD) to get your new ID but are told they can’t give you an ID because your license is expired. And down the rabbit hole you go. To get the ID that is standing between you and your important bank transaction, you now need to obtain a certified copy of your birth certificate. This can take anywhere from a week to more than a month to receive. In the meantime whatever transaction you needed to

(continued on next page)

March 2023, Never Too Late | Page 11

Pima Council on Aging

Rights & Benefits Information

Don’t Get Caught Without These Documents (continued from previous page) so with the appropriate form through the postal service. Marriage licenses and divorce decrees can be obtained through the Clerk of the Superior Court’s Office. Arizona issued State IDs are obtained at the Motor Vehicle Division and persons 65 or older can obtain the card free of charge. In addition, those receiving Federal Supplemental Security Income disability checks may qualify for a free card based on eligibility. It is PCOA’s hope that if you don’t already have these important documents that you’ll take the steps to obtain them now, even if you aren’t in need of them currently. This way if you ever do encounter a situation where you need them quickly you won’t have to experience the stress and delay of important resources because you don’t have them. And as always, if you’re not sure where to go to start this process, please call PCOA’s Helpline at 790-7262 or email help@pcoa.org.

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Pima Council on Aging

Caregiving

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

Mon., Mar. 6 Wed., Apr. 19 Tue., May 16

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

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

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

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

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

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

Register on Eventbrite: https://caregivingessentials23.eventbrite.com or call Pima Council on Aging, (520) 790-7573 ext. 1750; ddeleon@pcoa.org

For questions, call Kelley Hansen (520) 790-7573 ext. 3413; khansen@pcoa.org For possible respite during training, call Arizona Caregiver Coalition (888) 737-7494 or our Helpline (520) 790-7262. This training does not provide certification or CEU’s for employment. *Classes are subject to change due to health precautions. See page 22 for details.

March 2023, Never Too Late | Page 13

Pima Council on Aging

Caregiving

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

Participation in the groups can be in person (6 groups), by telephone or by computer/tablet/smartphone w/ video. Support groups are a way to connect with others who are walking the journey of caregiving like you are. You get to SEE (if you use the video option) that you are not alone. You get to hear other’s challenges and successes, learn about helpful resources, know that your story matters and that you have been heard. Support groups are facilitated by a professional and are a safe place for you to express your concerns, frustrations, etc. and learn that others feel this way too. 3/16, 3rd Thursday, 1:30–3pm Virtual ON ZOOM 3/20, 3rd Monday, 1–2:30pm (Midtown) In Person 3/21, 3rd Tuesday , 9–10:30am Virtual ON ZOOM 3/27, 4th Monday, 11am–12:30pm Virtual ON ZOOM 3/28, 4th Tuesday , 9–10:30am (Southwest) In Person

To protect the confidentiality of the group sessions, access information will only be given to registered participants. Emails are sent out on Fridays with updated schedules and additional information. If you participated in the groups before COVID, and have not been receiving the emails, please check your junk or spam folder. To RSVP or if you have any questions, please contact: Tonetta Clay, Support Group Facilitator (520) 305-3405, tclay@pcoa.org 3/2, 1st Thursday, 1–2:30pm Virtual ON ZOOM 3/6, 1st Monday , 1–2:30pm (East) In Person 3/7, 1st Tuesday , 12–1:30pm (Oro Valley) In Person 3/9, 2nd Thursday , 1–2:30pm (East) In Person 3/13, 2nd Monday , 1–2:30pm (Green Valley) In Person 3/14, 2nd Tuesday, 5:30–7pm Virtual ON ZOOM

MARCH

“Spring is coming… Time for some cleaning. Remove all the self-doubt, worry, jealousy, regret, anger, guilt, or any other negative emotions that are holding you back from your happy, fulfilled life.”

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

— Nanette Mathews

Page 14 | March 2023, Never Too Late

Pima Council on Aging

Caregiving

Providing Healthy Choices for those with Prediabetes and Diabetes

By Ann Gile , Aging and Caregiving Support Specialist

First, let us describe what an A1C is. It is known as the hemoglobin blood test that measures your average blood sugars over the past 3-months. A normal A1C is below 5.7%. You are considered to have pre- diabetes when your numbers are between 5.7 to 6.4%. Foods to eat: • Eggs and dairy products like low-fat milk, yogurt, and cheese • Lean proteins, like chicken without the skin, fish, turkey, and soybean products • Low glycemic foods like stone-ground whole wheat bread, raw carrots, and green vegetables • Eating foods that are low in fat and calories, and high in fiber like fortified cereals, beans, and fruit including pears and berries Foods to avoid: • Frozen desserts which include that big ol’ bowl of Ben and Jerry’s ice cream! • Beverages like sugary soda and alcohol • Processed meats like hot dogs, bacon, and deli meat • Trans-fat containing foods like frozen pizza, and deep-fried foods like french fries

As caregivers, we have so many things to think about as we provide the best possible options for the ones we love and care for. It is important that we educate ourselves about the needed dietary changes we should be assisting our loved ones with. As all of us age, our nutritional and dietary needs change. I know I love food, especially a big ole bowl of Ben and Jerry’s chocolate chip cookie dough ice cream at a whopping 380 calories per serving of just 2/3 cup—or you can eat the whole darn pint with 1140 calories. For many, a treat is ok, but for a growing number of older adults, monitoring our A1C and other food intake is a must in order to age well and to prevent diseases like diabetes. The Centers for Disease Control and Prevention (CDC) has recently released the 2022 National Diabetes Statistics Report. It estimates that more than 130 million people in the United States have diabetes or prediabetes. Around 25 percent of those 65 and older have diabetes, the CDC says, meaning about 12 million seniors have the condition. These are incredibly high numbers! The World Health Organization expects diabetes to be the seventh leading cause of death worldwide by 2030. So, what do you do when our loved ones have prediabetes or diabetes? There are many dietary changes we can make that are easy and affordable to aid in bringing down that A1C number.

What are the worst carbohydrates for people who have pre-diabetes and diabetes? • The potato is full of starch and high in carbs as is the sweet potato. • Pasta is also a high starch and carbohydrate food. Alternatives such as whole wheat pasta are healthier on occasion. Of course, helping our loved ones make other changes is as important! Talk with them about how to stop smoking and how to increase their physical activity to at least 30-minutes a day. For personalized assistance, reach out to our Family Caregiver Support Team by calling (520) 790-7262.

March 2023, Never Too Late | Page 15

Pima Council on Aging

PCOA Community Lunch Program

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

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

COMMUNITY LUNCH CENTERS NEAR YOU

Ajo Community

290 W. Fifth St., Ajo 85321

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

Archer Neighborhood Armory Park Senior *

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

El Pueblo Neighborhood Center El Rio Neighborhood Center

Ellie Towne/Flowing Wells Community Center **

Freedom Recreation Center

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

Donna Liggins Center

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

Posada Life Community Center Quincie Douglas Senior Center

1575 E. 36th St., Tucson 85713

Saguaro Christian Church William Clements Center

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

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

Page 16 | March 2023, Never Too Late

Pima Council on Aging

Healthy Living

Healthy Living with Chronic Pain, offered in person February 27, March 6, 13, 20, 27, April 3 Mondays, 1:30 – 3:30 pm The Katie , 600 S. Country Club Rd. Contribution Fee: $30 (covers your book & supplies)

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

EnhanceFitness®

Our current schedule for EnhanceFitness® classes (1 hour class) is: Mondays, Wednesdays, & Fridays • Randolph Recreation Center, 200 S. Alvernon Way, Bldg. 1 , 9–10 am • El Rio Center, 1390 W. Speedway Blvd. , 11am–12 pm • Clements Regional Ctr., Fitness Center , 8155 E. Poinciana Dr. , 8:30–9:30 am • Udall Park, Carol West Senior Center, 7222 E Tanque Verde Rd. , 11 am–12 pm • The Katie , 600 S. Country Club, and Remote , 10:30–11:30 Pre-registration is required through Eventbrite (located on the PCOA homepage), https://www.eventbrite.com/cc/enhancefitness-classes-176939 . Class size is limited. For assistance, call us at (520) 305-3410. • Tucson Estates (TENHN), 5900 W Western Way Circle , 10:30–11:30 am Mondays – Recreation Hall, Wednesdays & Fridays Multi-Purpose Hall Contribution: $36 per person/per month

A Matter of Balance®

Healthy Living with Chronic Pain®

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

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

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

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

March 2023, Never Too Late | Page 17

Pima Council on Aging

Looking for Volun

Healthy Living

A Matter of Balance® offered in person

Golder Ranch Fire District 1175W. Magee Rd. Feb 27, March 3, 6, 10, 13, 17, 20, 24 Mondays & Fridays 10 am – 12 pm

The Katie, PCOA Healthy Aging Center 600 S. Country Club Rd., Fitness Rm. March 7, 9, 14, 16, 21, 23, 28, 30 Tuesdays & Thursdays 1 – 3 pm

Contribution: $30.00 (covers your book and supplies)

Looking for Volunteer Coaches! AMatter of Chances are you know someone who h A Matter of Balance is a proven program concerns about falls and increase physi Adult Falls Coalition is looking for vo program. Free training provided.

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.

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 · make changes to reduce fall risks at home · exercise to increase strength and balance 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. For more information and to register for an upcoming training, contact Jennifer Cain, jcain@pcoa.org or call 520.790-7573, ext. 3411.

C c i

e b W · s · w a · e

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

Page 18 | March 2023, Never Too Late

Healthy Living Healthy Meal Planning: Tips for Older Adults

Eating healthfully and having an active lifestyle can support healthy aging. Use the resources below to learn about different patterns of healthy eating and ways to create a nutritious meal plan. Older adults' unique nutrition needs Simple adjustments can go a long way toward building a healthier eating pattern. Follow these tips to get the most out of foods and beverages while meeting your nutrient needs and reducing the risk of disease: • Enjoy a variety of foods from each food group to help reduce the risk of developing diseases such as high blood pressure, diabetes, and heart disease. Choose foods with little to no added sugar, saturated fats, and sodium. • To get enough protein throughout the day and maintain muscle, try adding seafood, dairy, or fortified soy products along with beans, peas, and lentils to your meals. Learn more about protein and other important nutrients. • Add sliced or chopped fruits and vegetables to meals and snacks. Look for pre-cut varieties if slicing and chopping are a challenge for you. • Try foods fortified with vitamin B12, such as some cereals, or talk to your doctor about taking a B12 supplement. Learn more about key vitamins and minerals. • Reduce sodium intake by seasoning foods with herbs and citrus such as lemon juice. • Drink plenty of water throughout the day to help stay hydrated and aid in the digestion of food and absorption of nutrients. Avoid sugary drinks. It can be hard for some people to follow through on smart food choices. Read about common roadblocks and how to overcome them and check out the USDA’s tips for older adults.

USDA Food Patterns Eating habits can change as we grow older. The USDA has developed Food Patterns to help people understand different ways they can eat healthy. The food patterns include: • Healthy U.S.-Style Eating Pattern: This is based on the types of foods Americans typically consume. The main types of food in this eating pattern include a variety of vegetables, fruits, whole grains, fat-free or low-fat dairy, seafood, poultry, and meat, as well as eggs, nuts, seeds, and soy products. • Healthy Mediterranean-Style Eating Pattern: This one contains more fruits and seafood and less dairy than the Healthy U.S.-Style Eating Pattern. • Healthy Vegetarian Eating Pattern: This pattern contains no meat, poultry, or seafood, but does contain fat-free or low-fat dairy. Compared with the Healthy U.S.-Style Eating Pattern, it contains more soy products, eggs, beans and peas, nuts and seeds, and whole grains. Visit the USDA Food Patterns webpage for more information on each eating pattern and recommended daily intake amounts for each food group. Meal planning Check out this sample menu to get started. Answering the question “what should I eat?” doesn’t need to leave you feeling baffled and frustrated. In fact, when you have the right information and motivation, you can feel good about making healthy choices. Use these tips to plan healthy and delicious meals: • Plan in advance. Meal planning takes the guesswork out of eating and can help ensure you eat a variety of nutritious foods throughout the day. • Find budget-friendly foods. Create a shopping list in advance to help stick to a budget and follow these SNAP-

friendly recipes. • Consider preparation time. Some meals can be made in as little as five minutes. If you love cooking, or if you’re preparing a meal with or for friends or family, you may want to try something a little more challenging. • Keep calories in mind. The number of calories people need each day varies by individual. Always discuss your weight and fitness goals with your health care provider before making big changes. Read about calorie goals and healthy food swaps. Find recipes When planning meals, looking for recipes that sound delicious to you can be a good place to start. The USDA features the MyPlate Kitchen, a resource that helps you find healthy recipes that fit your nutrition needs and create a shopping list. The MyPlate Plan tool will create a customized food plan for you based on your age, height, weight, and physical activity level. Some of the recipes available at MyPlate Kitchen include: • 20-Minute Chicken Creole: This Creole-inspired dish uses chili sauce and cayenne pepper. It can be cooked on the stovetop or with an electric skillet in just 20 minutes. • Five A Day Salad: This nutrient-packed salad uses 10 different vegetables, and each serving is equal to five cups of vegetables. • Apple Carrot Soup: Ginger and orange peel are the secret ingredients to this pork, apple, and carrot soup. When you create your shopping list, don’t forget nutritious basics such as fresh fruits and vegetables and whole-grain bread. This sample shopping list (PDF, 108 KB) includes a variety of healthy foods you may want to have in your kitchen. This content is provided by the NIH National Institute on Aging (NIA). NIA scientists and other experts review this content to ensure it is accurate and up to date. https://www.nia.nih.gov/ health/healthy-meal-planning-tips-older-adults

March 2023, Never Too Late | Page 19

Pima Council on Aging

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