Never Too Late May/June 2025

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

Older Americans Month Never Too Late

May & June 2025

WHAT’S NEW · Aging in Our Community · Philanthropy · Dementia Capable Southern Arizona · We Want to Hear from You · Medicare Corner · Rights and Benefits · Caregiving · Advocacy · Ending Life Well · Nosh & Know · Community Lunch Program · Healthy Living · Nunca Es Demasiado Tarde · PCOA Puzzle · Neighbors Care Alliance · CareGiver Training Institute (CGTI) · PimaCare at Home (PCAH)

Para informaciòn en Español ver páginas 22-23

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

Independence. Vitality. Respect.

INSIDE

Aging in Our Community . . . . ..... 3 Philanthropy . . . . . . . . . ........... 4 Philanthropy . . . . . . . . . ........... 5 Dementia Capable Southern Arizona Classes . . . . ..... 6 We Want to Hear from You! . . . .... 8 Medicare Corner . . . . . . . ....... 10 Rights and Benefits . . . . . ....... 12 Caregiving . . . . . . . . . . .......... 14 Advocacy . . . . . . . . . . ........... 16 Ending Life Well . . . . . . . ........ 17

Nosh & Know . . . . . . . . ......... 18 Community Lunch Program . . ... 19 Healthy Living . . . . . . . . ......... 20 Nunca Es Demasiado Tarde . . ... 22 PCOA Puzzle . . . . . . . . . ......... 25 Neighbors Care Alliance . . . . .... 26 CareGiver Training Institute (CGTI) . . . . . . . . ........ 28 PimaCare at Home (PCAH) . . . ... 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 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. Editor Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Graphic Designer Rebecca Manchester rmanchester@pcoa.org Advertising Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Editorial and Advertising Deadline for Next Bi-Monthly Issue MAY 26, 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.

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 . Both our 8467 E. Broadway Blvd. and 600 S. Country Club Rd. buildings are open for those requiring in-person assistance. FIND US ON SOCIAL MEDIA ON THE COVER Ocotillo Sunset, acrylic on panel by Maria Arvayo, The Drawing Studio. (Story and full image on page 31.)

NEXTDOOR nextdoor.com/pages/ pima-council-on-aging-tucson-az-1 FACEBOOK facebook.com/pimacouncilonaging INSTAGRAM instagram.com/pimacouncilonaging

Read Never Too Late online at nevertoolate.pcoa.org

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Pima Council on Aging

Aging in Our Community

A Message from Our President & CEO, Robert Ojeda, Ph.D.

I t is with great honor and gratitude that I step into the role of President and CEO of Pima Council on Aging. For 58 years, PCOA has been a trusted source of support, advocacy, and essential services for older adults and their families. As we move forward, I am committed to building upon this strong foundation while ensuring we adapt to the evolving needs of our community. The demand for services that support older adults is growing, and PCOA remains steadfast in our mission to promote dignity, respect, and independence. We will continue to provide critical programs, including home-delivered meals, home repairs, respite care, healthcare counseling, and long-term care advocacy. At the same time, we must look ahead to ensure these programs remain sustainable, innovative, and responsive to the needs of those we serve. This means refining our business model, strengthening community

partnerships, and expanding our reach to support more individuals and families. Aging impacts all of us, and our strength lies in the collective efforts of our staff, volunteers, donors, and advocates who make this work possible. It is through collaboration that we can address the complex challenges older adults face—from affordable housing and healthcare access to social connection and caregiver support. By fostering a culture of partnership and inclusivity, we can create real, lasting change. Most importantly, we must listen to the voices of older adults. Their lived experiences and insights are invaluable as we shape policies and programs that truly reflect their needs. By ensuring their perspectives are at the center of our work, we honor the wisdom and contributions of those who have shaped our community.

Robert Ojeda, Ph.D.

I invite you to join us in this mission. Together, we can create a future where aging is met with resilience, connection, and opportunity. Thank you for your support and commitment to making PCOA a leader in aging services for generations to come. Warm regards,

Robert Ojeda, Ph.D. President and CEO Pima Council on Aging

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Pima Council on Aging

Philanthropy kindness reduce anxiety and depression while fostering gratitude and social connection. Think about a time when you gave—your time, money, or even a listening ear. Did it lift your spirits or give you purpose? Giving taps into something universal: the need to feel connected and valued. At Pima Council on Aging, we witness this daily. A volunteer cares for a neighbor and leaves feeling inspired. A donor funds a caregiver program, knowing their support strengthens families. These acts of generosity sustain our community. Challenges are inevitable, but generosity helps us rebuild, reimagine, and reconnect; with others and our own sense of purpose. So, when life feels heavy, consider the power of giving. Your generosity might be the first step toward resilience, for yourself and those around you.

How Generosity Builds Resilience: Finding Strength Through Giving Life throws unexpected challenges our way—loss, uncertainty, and hardship that test our strength. In those moments, it’s easy to feel overwhelmed. But what if giving could help us heal, grow, and bounce back stronger? Generosity is often seen as a gift to others, but research shows it profoundly benefits the giver. Giving—whether time, resources, or compassion—builds resilience by fostering purpose, hope, and perspective. Resilience is more than overcoming adversity; it’s thriving despite it. When we give, we shift our focus outward, creating connections that nurture emotional well-being. Studies from the Universities of Exeter and Oxford show that acts of

Together, we can create a community where strength and compassion go hand in hand. Sources: https://news-archive.exeter.ac.uk/ featurednews/title_703807_en.html https://kind.osu.edu/articles/the-today- show-performing-acts-of-kindness-is-a- powerful-tool-to-fight-depression-and- anxiety-study-finds/

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 ■ $30 ■ $50 ■ $75 ■ $_ ________ ■ 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__________________

NTL MAY/JUNE 25

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Pima Council on Aging

Philanthropy welcomes military personnel—active, retired, civilian, or separated—and their families, thanks to their founding at Davis-Monthan Air Force Base.

Bank with Purpose Vantage West Credit Union offers more than just financial services—they offer a way to give back. Because of their generosity, thousands of lives have been touched. Membership is open to individuals and businesses who live, work, worship, volunteer, or attend school in Pima, Pinal, Cochise, or Maricopa Counties, as well as the Gila River Indian Community Reservation and Arizona’s Copper Basin area. With deep roots in Southern Arizona, Vantage West Credit Union also

Immediate family members of current Vantage West Credit Union members and those affiliated with special partner groups are also eligible to join. It’s a simple act that makes a lasting impact. Learn more about becoming a member at vantagewest.org/ open-account or call 800-888-7882.

Building a Stronger Community TOGETHER At Pima Council on Aging, we are grateful for the unwavering partnership of Vantage West Credit Union. Through their membership program, Vantage West Credit Union has contributed contributed greatly to strengthen programs that support older adults in Pima County—providing meals, caregiver resources, home repairs and so much more. Because of their generosity, thousands of lives have been touched. When you bank with Vantage West Credit Union, you help PCOA support older adults.

To Vantage West Credit Union and its incredible members: THANK YOU for your kindness, your trust, and your commitment to a thriving community.

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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 Brain Health Tip June is Alzheimer’s & Brain Awareness Month, a time to DCSA in The Community

highlight the importance of brain health and strategies to reduce the risk of cognitive decline. With Alzheimer’s disease affecting millions worldwide, proactive brain care is essential for maintaining memory, focus, and overall mental well-being. Key Strategies for a Healthy Brain: • Stay Physically Active • Engage in Mental Stimulation • Eat a Brain-Boosting Diet • Prioritize Quality Sleep • Manage Stress and Stay Connected • Address Health Conditions Take proactive steps to protect your cognitive health today. Small, consistent lifestyle changes can make a significant difference!

provides a safe, supportive space to connect, enjoy activities, and connect with others in a relaxed environment. Cafés help promote social connectedness and foster community for those affected by memory loss.

May & June 2025 Memory Cafés For café specific information or to register please visit: bit.ly/3CNt36f

Fridays May 30 and June 27 10:00—11:30 am Wednesdays May 14 and June 11 3:00–4:00 pm Wednesdays May 14 & 28 and June 11 & 25 10:00–11:00 am Tuesdays May 20 and June 17 10:00–11:00 am Thursdays May 8 and June 12 2:00–3:00 pm Thursdays May 8 and June 12 10:30–11:30 am Fridays May 16 and June 20 1:00–2:00 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 Road Tucson, AZ 85704

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

Memory Café at The Lupu

Esperanza Memory Café

JFCS Tucson 4301 E 5th 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

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Pima Council on Aging

Dementia Capable Southern Arizona

May & June 2025 Presentations

600 S. COUNTRY CLUB Wednesday, June 11 3:00–4:00 pm

VIRTUAL

Dementia Friends Information Session Dementia Friends with Special Emphasis on the African-American Population Memory Loss: Progressions, Behaviors, and Interventions Part 1 Memory Loss: Progressions, Behaviors, and Interventions Part 2

Thursday, June 5 3:00–4:00 pm

Monday, June 16 3:00–4:30 pm

Monday, June 23 3:00–4:30 pm

Options Counseling Caring for a loved one with memory loss? You are not alone. DCSA offers Options Counseling to help connect you with memory loss screenings, resources, referrals, and support. Call (520) 790-7262 or fill out a request online at pcoa.org/DementiaReferral For more information on the trainings or to schedule an additional training, please contact Nicole Thomas at (520) 790-7573 ext. 1739 or nthomas@pcoa.org

Monday, June 30 3:00–4:30 pm

Memory Concerns? We provide FREE memory screenings!

Dementia Capable Southern Arizona offers walk-in hours at both PCOA offices. Schedule a screening, gather information, resources and more! To schedule an appointment outside of these hours, visit pcoa.org or call (520) 790-7262.

WALK-IN HOURS

The Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd. Mondays, 9:00—11:00 am

Marian Lupu Building 8467 E. Broadway Blvd. Thursdays, 2:00–4:00 pm

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Pima Council on Aging

We Want to Hear from You! Your voice matters—and we are listening.

Your Story (or Your Loved One’s) Can Help Protect Vital Services

At PCOA, we know that stories— your stories —have the power to shape how our community and our leaders understand the needs of older adults. Together, we can lift up the voices of older adults and caregivers and remind policymakers what’s at stake. As critical services funded by the Older Americans Act and Medicaid face possible funding cuts, we are collecting personal stories from older adults, caregivers, and families to help illustrate just how essential these programs truly are. Have you or someone you care for benefited from: • Meals on Wheels or community lunches? • In-home caregiving or respite support? • Medicare or Medicaid guidance? • Healthy Living or caregiver support programs? Whether you’re sharing your own experience or telling the story of a loved one, we would be honored to hear from you. Share your story in the way that works best for you: ONLINE Fill out our story form at pcoa.org/shareyourstory BY PHONE Call us at (520) 355-5530. BY MAIL

PCOA – Story Collection 8467 E. Broadway Blvd. Tucson, AZ 85710

When you submit a story via phone or mail, please provide: • Your name, phone number, and email (if you have one) • Permission for us to share your story in our advocacy and outreach efforts • Let us know if we may contact you to take a photo to accompany your story.

Everyone who submits a story by July 15, 2025 will be entered to win a $50 Fry’s gift card as a thank-you.

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Pima Council on Aging

We Want to Hear from You!

■ Health and wellness articles ■ Community resources ■ Advocacy and policy news ■ Letters from leadership ■ Volunteer opportunities ■ Advertisements

Help Shape the Future of Never Too Late At PCOA, we’re always looking for ways to make Never Too Late more engaging, relevant, and valuable for you—our readers. As we plan updates to the format, content, and design, we want your input. What topics matter most to you? What features do you find most useful? Your feedback will help us ensure Never Too Late continues to be a trusted resource for older adults and caregivers in Pima County. Two ways to complete the survey: MAIL: Fill out, clip and mail this to 8467 E. Broadway Blvd. Tucson, AZ 85710 ONLINE: NTLsurvey.pcoa.org As a thank-you for completing the survey by July 15, 2025, you’ll be entered to win a $50 gift card to Fry’s! Reader Survey 1. How do you usually read Never Too Late ? (Check all that apply) ■ I receive the print edition by mail ■ I pick up a prined copy at: _ ______________________________ ■ I read it online on the PCOA website ■ I receive the email link when a new edition is available ■ I don’t regularly read Never Too Late 2. How often do you read Never Too Late ?

8. Would you be interested in the following additions? (Check all that apply) ■ Monthly theme or special section (e.g., brain health, caregiving) ■ Interviews with local older adults ■ Personal stories and reader submissions ■ Advice column (e.g., caregiving tips, legal Q&A) ■ Photo section from community events ■ Spotlight on volunteers or staff ■ Other:_________________________ 9. How important is it for you to receive Never Too Late in print? ■ Very important ■ Somewhat important ■ Not important–I read it online ■ I don’t read it either way 10. Do you have any suggestions for improving Never Too Late ? _ _________________________________ _ _________________________________ _ _________________________________ 11. Your age group (optional): ■ Under 60 ■ 60–69 ■ 70–79 ■ 80+ ■ Prefer not to answer 12. Would you like to be entered into the drawing for a $50 Fry’s gift card? ■ Yes If yes, please provide your name and contact information: Name:___________________________ Phone or Email: _ _________________________________ _ _________________________________

■ Crossword puzzle or brain games ■ Other:_________________________ 4. What topics are most important to you? (Check up to 5) ■ Healthy aging and fitness ■ Caregiving and caregiver support ■ Brain health and memory ■ Nutrition and recipes ■ Social connection and loneliness ■ Aging in place and home safety ■ Legal or financial planning ■ Local events and classes ■ Medicare and health benefits ■ Transportation and mobility ■ Stories from older adults in the community ■ Ageism and changing perceptions of aging ■ Other:_________________________ 5. Are there any topics you wish we covered more often?______________ _________________________________ _________________________________ 6. How easy is Never Too Late to read and navigate in its current format? ■ Very easy to read and navigate ■ Mostly easy to read ■ Sometimes difficult to read due to font size, layout, or organization ■ Often hard to read or navigate ■ No opinion 7. How do you feel about the length of the newspaper?

■ Every issue ■ Most issues ■ Occasionally ■ Rarely

■ Just right ■ Too long ■ Too short ■ No opinion

3. What sections or features do you usually read? (Check all that apply) ■ Upcoming events calendar ■ PCOA program and service updates

May & June 2025, Never Too Late | Page 9

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 May 14 & June 11 Wednesdays May 28 & June 25

PCOA at The Katie 600 S. Country Club Rd. Tucson, AZ 85716 Murphy-Wilmot Library 530 N. Wilmot Rd. Tucson, AZ 85711

PCOAMedicare.eventbrite.com

12:00–3:00 pm

MurphyWilmotLibraryMedicare.eventbrite.com

2:00–5:00 pm

PCOA is your local State Health Insurance Assistance Program (SHIP) , and Senior Medicare Patrol (SMP) for Pima County. For assistance with your Medicare questions, contact us at (520) 546-2011 or email SHIP@pcoa.org . This project was supported in part by grant number 90MPPG0022, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

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Pima Council on Aging

Medicare Corner

Understanding Special Needs Plans (SNP) What's a SNP? A Special Needs Plan (SNP) provides benefits and services to people with specific severe and chronic diseases, certain health care needs, or also have Medicaid. They include care coordination services and tailor their benefits, provider choices, and list of covered drugs (formularies) to best meet the specific needs of the groups they serve. SNPs are either HMO or PPO plan types and cover the same Medicare Part A and Part B benefits that all Medicare Advantage Plans cover. However, SNPs might also cover extra services for the special groups they serve. For example, if you have a severe condition such as congestive heart failure and you need a hospital stay, a SNP may cover extra days in the hospital. You can only stay enrolled in a SNP if you continue to meet the special conditions of the plan. Who can join a SNP? You can join a SNP if you meet these requirements: • You have Medicare Part A and Medicare Part B • You live in the plan's service area • You meet the eligibility requirements for one of the 3 types of SNPs: 1. Dual Eligible SNP (D-SNP) 2. Chronic Condition SNP (C-SNP) 3. Institutional SNP (I-SNP)

What else do I need to know? • D-SNPs can help coordinate your benefits between Medicare and Medicaid. • If you’re interested in an I-SNP, and live in a facility, check that the plan has providers that serve people where you live. • C-SNPs can limit membership to a single chronic condition or a group of related chronic conditions. • All SNPs use a care coordinator to help you stay healthy and develop a care plan with you. • You can stay enrolled in a Medicare SNP only if you continue to meet the condition served by the plan. If you're losing your plan because you no longer meet the plan's conditions, you may be eligible for a Special Enrollment Period to join another plan. • Your plan can’t charge more than Original Medicare for certain services like chemotherapy, dialysis, and skilled nursing facility care. • If your plan gives you prior approval for a treatment, the approval must be valid for as long as the treatment is medically necessary. Also, your plan can’t ask you to get additional approvals for that treatment. If you’re currently getting treatment and you switch to a new plan, you’ll have at least 90 days before the new plan can ask you to get a new prior approval for your ongoing treatment. • Check with the plan you’re interested in for specific information.

Q: Do these plans charge a monthly premium? A: Varies by plan. Some plans may charge a premium, in addition to the monthly Part B (Medical Insurance) premium. However, if you have Medicare and Medicaid, most of the costs will be covered for you. Q: Do these plans offer Medicare drug coverage (Part D)? A: Yes. All SNPs must provide Medicare drug coverage (Part D). Q: Can I use any doctor or hospital that accepts Medicare for covered services? A: Varies by plan: • Some SNPs require that you receive your care and services from providers and facilities in the plan’s network (except for emergency care, out-of-area urgent care, or out-of-area dialysis). • Some SNPs offer out-of-network coverage, so you can get services from any qualified provider or facility, but you’ll usually pay more. Q: Do I need to choose a primary care doctor? A: Varies by plan. If you have a primary care doctor or provider you like, ask the plan if you can keep them. Q: Do I have to get a referral to see a specialist? A: Varies by plan. Referrals may be required for certain services but not others.

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Pima Council on Aging

Rights and Benefits

$ 12.5 Billion Reported Lost to Scams and Fraud in 2024, Older Adults Hit Hard The FTC announces record losses as the scam epidemic shows no sign of abating.

Age of Victims Among people who reported losing money to fraud, older adults reported losing the most: Victims in their 60s claimed a jaw-dropping total of $1.18 billion stolen through fraud. In comparison, those in their 30s reported losing $810 million—even though about the same number of fraud reports were submitted by each group. Again, investment scams were the most financially damaging to victims of all ages, but particularly for older people. Those in their 70s reported losing a median of $20,000 to investment scams, compared to the median of $1,551 stolen from victims in their 20s. Unfortunately, these numbers may only reveal a fraction of actual losses to fraud, which is notoriously underreported because victims may feel ashamed or doubt that authorities can help them. However, experts say reporting scams is crucial, allowing law enforcement to target its efforts and help reveal the full scope of the problem. (See below for information on where to report these crimes.) Other Report Highlights • The FTC received about the same number of fraud reports in 2024 as in 2023—2.6 million—but with far higher losses per victim. • There were around 1.14 million reports of identity theft last year; about 450,000 were related to credit card fraud.

AARP’s director of fraud prevention programs. “The impact on older adults is often catastrophic.” Stokes points to “emotional and health harms, fraught family dynamics and, in many cases, the reality that despite having saved for a secure retirement, they are left to survive on local, state and federal safety nets.” Common Scams The most commonly reported scams were imposter scams, in which criminals pretend to be government officials, police, businesses like Amazon or Paypal, a relative in trouble, celebrity, bank or tech support professional. Their goal is to steal money or personal data (or both). Government imposter scams, in particular, grew significantly—from $171 million in 2023 to $789 million in 2024. Following impostor scams were online shopping scams, business and job opportunity scams; investment scams; and internet services-related scams. Although investment scams were the fourth-most-reported kind of scam, they also were the most lucrative kind of scheme for criminals in 2024, with $5.7 billion in reported losses, up from $4.6 billion last year. These scams often involve bogus cryptocurrency investments.

By Christina Ianzito, AARPComments Published March 12, 2025 Among the millions of Americans who lost money to scammers in 2024, older adults lost the most, according to newly released numbers from the Federal Trade Commission (FTC). And the losses are astronomical: a record $12.5 billion was reported stolen through scams and fraud last year, up 25 percent from $10 billion in 2023. The overall cost of these crimes continues to skyrocket: Just four years ago, in 2020, Americans lost far less, $3.5 billion, to fraud, including identity theft. The amount of money victims lose through fraud increases with age, partly because older people tend to have more to lose. The FTC found that among the victims who included their ages in their complaints, adults in their 70s reported losing a median of $1,000, compared with a median of about $417 reported by those in their 20s. The median reported losses for all ages in 2024 was $497. (The numbers are based on reports sub- mitted to the FTC’s Consumer Sentinel Network directly by consumers or through law enforcement and other organizations.) “The seismic growth of reported fraud continues unabated,” says Kathy Stokes,

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Pima Council on Aging

Rights and Benefits

• Scammers stole a reported total of $584 million from people in the military community in 2024, up from $477 million in 2023. • Email was the most common way scammers approached their victims, followed by phone calls and texts. Criminals also favored social media platforms. • Among those who reported losing money to a scam, the most significant losses were through bank transfers (more than $2 billion) and cryptocurrency ($1.42 billion). Where to Report Fraud If you spot a scam or have been victim of one, report it to the Federal Trade Commission (FTC) at reportfraud.ftc.gov and the Federal Bureau of Investigation’s Internet Crime Complaint Center at IC3.gov . The more information they have, the better they can identify patterns, link cases and ultimately catch the criminals. The AARP Fraud Watch Network Helpline, (877) 908- 3360, is a free resource; call to speak with trained fraud specialists who provide support and guidance on what to do next and how to avoid scams in the future. The AARP Fraud Watch Network also offers free online group support sessions. Christina Ianzito covers scams and fraud and is the books editor for aarp.org and AARP The Magazine. Also, a longtime travel writer and editor, she received a 2020 Lowell Thomas Award for travel writing from the Society of American Travel Writers Foundation. Protect Yourself from Scammers

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.

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: May 28, 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: June 25, 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.

DON’T answer unknown calls. DON’T share personal or financial information. DON’T be pressured into paying. DO call family to determine if call is legitimate. DO report to local law enforcement. DO tell others to help others. Report phone scams to the Federal Trade Commission (FTC): 877-382-4357 · ReportFraud.ftc.gov

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Pima Council on Aging

Caregiving Engaging them in activities that they enjoy or that stimulate their cognitive functions can enhance their quality of life. Activities such as listening to music or looking through old photo albums can evoke memories and provide moments of joy. However, caregivers often neglect their own well-being. It is essential to prioritize self-care and seek support. Caregiver burnout is a common risk that arises from the constant demands of caregiving. Taking time for yourself through hobbies, exercise, or simply downtime can recharge your spirit and improve your effectiveness as a caregiver. Connecting with others who understand the journey can also provide relief. Joining a support group, whether in person or online, can offer valuable insights and encouragement. Sharing experiences and hearing from others can reduce feelings of isolation and empower you to manage challenges with a more resilient perspective.

Alzheimer's and the Effects on a Caregiver By Kelley Hansen, Aging and Caregiver Specialist Caring for a family member with Alzheimer’s disease can be a challenging journey that often encompasses a wide range of emotions and responsibilities. As a family caregiver, understanding the nature of the disease, its effects on your loved one, and how it impacts your daily life is crucial for everyone’s well-being. Alzheimer’s is a progressive neurological disorder that affects memory, thinking, and behavior. It can begin subtly, with small memory lapses, but as the disease progresses, it leads to significant cognitive decline. For family caregivers, this decline can bring about feelings of grief, confusion, and helplessness. Being a caregiver involves meeting physical and emotional needs. Caregivers often need to practice patience and understanding, as communication can become challenging. Simple conversations may turn into sources of frustration, making it essential to adapt your approach. Using simple language, maintaining eye contact, and allowing extra time for responses can make communication smoother. Moreover, it is crucial to recognize that the role of a caregiver is not merely about providing daily care but also about fostering a sense of dignity and agency for your loved one.

your loved one is in caring and capable hands.

Caring for a family member with Alzheimer’s is a complex, often exhausting journey. While it brings challenges, it can also foster connections and moments of love. Embracing your feelings, seeking help when needed, and focusing on the small, meaningful moments can make all the difference in this difficult but rewarding role. An Aging and Caregiver Specialist can be a support for the caregiver by providing a personalized approach with planning, opportunities to connect in the community, and ongoing support. Please call our Helpline at (520) 790-7262 to connect with an Aging and Caregiver Specialist.

Seeking professional help is not a sign of weakness, but rather taking the initiative in providing the best care possible. Various in-home care services, adult day programs, and respite care options exist to help lighten the load. These resources can give you the necessary breaks to recharge while ensuring

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Caregiving

Tuesday, May 20 · 10:00–11:30 am (North) AARP Arizona In-Person Meeting Tuesday, May 27 · 9:00–10:30 am (Southwest) Tucson Estates In-Person Meeting Thursday, May 29 · 11:00 am–12:30 pm Virtual Meeting on Zoom JUNE Monday, June 2 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Tuesday, June 3 · 12:00–1:30 pm (Oro Valley) Impact of S. Arizona In-Person Meeting Thursday, June 5 · 1:00–2:30 pm Virtual Meeting on Zoom Caregiver Support Groups Monday, June 9 · 1:00–2:30 pm (Green Valley) Friends Indeed In-Person Meeting Tuesday, June 10 · 10:30 am–2:00 pm (Marana) Wheeler Taft Abbett, Sr. Library In-Person Meeting

MAY Monday, May 5 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Tuesday, May 6 · 12:00–1:30 pm (Oro Valley) Impact of S. Arizona In-Person Meeting Monday, May 12 · 1:00–2:30 pm (Green Valley) Friends Indeed In-Person Meeting Tuesday, May 13 · 10:30 am–12:00 pm (Marana) Wheeler Taft Abbett, Sr. Library In-Person Meeting Wednesday, May 14 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Thursday, May 15 · 1:30–3:00 pm Virtual Meeting on Zoom Monday, May 19 · 1:00–2:30 pm

Thursday, June 12 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Monday, June 16 · 1:00–2:30 pm (Midtown) The Katie In-Person Meeting Tuesday, June 17 · 10:00–11:30 am (North) AARP Arizona In-Person Meeting Wednesday, June 18 · 1:30–3:00 pm Virtual Meeting on Zoom Monday, June 23 · 11:00 am–12:30 pm Virtual Meeting on Zoom Tuesday, June 24 · 9:00–10:30 am (Southwest) Tucson Estates In-Person Meeting

RSVP Required for all groups.

To RSVP or if you have any questions, please contact: Tonetta Clay at (520) 305-3405 or email tclay@pcoa.org

(Midtown) The Katie In-Person Meeting

My grandpa is in the early stages of dementia... It’s a lot to manage with my school, work, and other responsibilities, but I have to make sure he’s getting the care and medication he needs…

Connect to trusted caregiver resources today. Visit pcoa.org or call the Helpline at (520) 790-7262.

May & June 2025, Never Too Late | Page 15

Pima Council on Aging

Advocacy

Medicaid Needs You! Did you know that over 60% of older adults rely on Medicaid for long-term care? Medicaid is the only government program that covers long-term care for older adults. While Medicare may help with short-term recovery after surgery, Medicaid is the only option for long-term support. Medicaid is funded by both the federal and state governments. In Arizona, Medicaid is called AHCCCS (Arizona Health Care Cost Containment System). Long-term care services are provided through ALTCS (Arizona Long-Term Care System). These programs help thousands of older adults stay in their homes, receive medical care, and get the support they need. What’s Happening in Washington, D.C.? In February, Congress approved a plan to cut $880 billion from programs such as Medicaid. Lawmakers are now

considering major changes that could reduce funding and limit who qualifies for care. Some of these proposals include: • Work requirements Some proposals would require Medicaid recipients to prove they work a certain number of hours. But many older adults and people with disabilities cannot work, and those who do often have low-wage jobs without benefits. In fact, 92% of working-age adults on Medicaid are employed, either full-time or part-time, many of whom are also caregivers for family members. • Changing federal funding formulas If the federal government reduces its share of Medicaid funding, Arizona will have to cover more costs, leading to severe program cuts. • Ending Medicaid Expansion Medicaid expansion was introduced as part of the Affordable Care Act and allowed many low-income adults who didn’t previously qualify for Medicaid to receive coverage.

If federal funding for Medicaid expansion is cut, Arizona could lose billions of dollars, and many people who gained coverage through the expansion could lose their health benefits. What This Means for Arizona If these changes happen, AHCCCS and ALTCS could face major budget cuts. This could mean: • Less coverage for older adults and caregivers • Longer wait times for services • Fewer home- and community-based care options Your Voice Matters! We must act now to protect Medicaid in Arizona. Call or email your Members of Congress today and tell them to protect Medicaid for older adults and caregivers. Visit advocate.pcoa.org to take action today!

Pima Council on Aging will be hosting a series of Where We Are Today Town Halls across Pima County beginning in June 2025. These events will offer an honest look at the current landscape for older adults in our community—and what may lie ahead. With potential changes at the federal level, it’s more important than ever to stay informed. Join us for insightful panel discussions featuring experts from PCOA and our trusted community partners. We invite you to be part of the conversation. Visit pcoa.org and watch for upcoming dates, locations, and details. COMING THIS JUNE: Where We Are Today Town Halls

Page 16 | May & June 2025, Never Too Late

Pima Council on Aging

Ending Life Well

Before Memories Fade: End of Life Care Planning with for Older Adults with Alzheimer’s By Alex Trevino, Caregiving and End of Life Specialist Alzheimer’s, like other dementias, is a progressive condition that affects memory, decision-making, and communication. As it progresses, individuals gradually lose the ability to make decisions and express their wishes. This makes end of life care planning early in the disease progression essential for ensuring that the person’s preferences are known and understood by their loved ones. Why Early Planning is Critical Dementias, like Alzheimer’s disease, progress through stages. During the early stages, individuals often retain enough cognitive ability to make informed decisions. This is the ideal time to complete Advance Directives. In Arizona, Advance Directives typically include a Healthcare Power of Attorney (HPOA), Mental Health Care Power of Attorney (MHPOA), Living Will, and a Pre-hospital Medical Care Directive (known as a Do Not Resuscitate (DNR) Order). Advance Directives provide the “who” and the “what” around desired medical interventions. By making these decisions early, the person with Alzheimer’s asserts their voice and provides clear guidance to their caregivers.

Alzheimer’s-Specific Considerations When completing Advance Directives, it’s important to address decisions that may become critical as the disease progresses. Key considerations include: • Pain Management and Comfort Care: As communication abilities diminish, individuals may be unable to express pain or discomfort. It’s essential to plan for pain assessment methods that don’t rely on verbal cues and ensure caregivers can recognize and respond to nonverbal pain indicators. • Behavior Management and Care Options: Advanced Alzheimer’s can cause mood changes, aggression, paranoia, and confusion. Consider preferences for comfort and soothing strategies, and whether the individual would prefer to remain at home or transition to a specialized care facility. • Tying Up Loose Ends and Leaving a Legacy: Early in Alzheimer’s, when individuals can still recognize and engage with loved ones, it’s a good time to organize documents, share final wishes, and pass down family stories. These steps provide peace of mind and help preserve their legacy. The Risk of Waiting Too Long If Advance Directives are not completed while the person still has decision-making capacity, their loved ones may face additional challenges later. Once Alzheimer’s reaches moderate or to severe stages, the

individual may no longer be legally capable of completing these documents. At that point, family members may need to pursue Guardianship through the court system. This may be a time-consuming and somewhat complicated process that gives the court-appointed legal guardian authority to make decisions on behalf of the individual.

Protecting Dignity and Autonomy Completing an End of Life Care Plan early after a dementia diagnosis not only protects the individual’s autonomy, but also eases the emotional and legal burden on caregivers. By ensuring that wishes are documented while the person can still participate in the decision-making process, families can approach the future with greater clarity and peace of mind. If you or your loved one needs assistance with Advance Directives or have questions about End of Life Care Planning, PCOA is here to help. For assistance completing Advance Directives, contact the PCOA Helpline at (520) 790-7262.

May & June 2025, Never Too Late | Page 17

Pima Council on Aging

Nosh & Know

Join PCOA for Each session offers expert insights, engaging discussions, and snacks! WHEN: 1:00–2:00 pm WHERE: Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd., Tucson, AZ NOSH& KNOW A series of insightful events designed to help you age well and stay connected.

Aging with Confidence: Exploring Care Options and Resources Navigating the aging process can feel overwhelming, but the right information empowers you to make proactive decisions about your future. Join us for our next Nosh & Know event on Friday, May 9 from 1:00–2:00 pm , where we’ll explore care options from independent living to long-term residential and memory care. This session will guide you through typical aging challenges and introduce strategies for staying informed and prepared. You’ll gain insights into different levels of care—including in-home assistance, assisted living, skilled nursing, and memory care—while learning about your rights in long-term care facilities and how PCOA’s Ombudsman Program can provide support and advocacy. Whether you’re planning for yourself or helping a loved one, this event offers valuable guidance to ensure your wishes are protected and your needs met. The session includes an interactive Q&A, giving you expert answers to pressing questions. Plus, you’ll connect with others preparing for their future, fostering shared learning and community. As always, light snacks will be provided, creating a welcoming space to learn and discuss these important topics. Reserve your spot today and take a step toward aging with confidence and clarity!

MAY 9, 2025 AGING WITH CONFIDENCE: Exploring Care Options and Resources Learn about resources available to age proactively and protect your rights, from independent aging to long-term care options. JULY 10, 2025 REINVENTING RETIREMENT: Thriving in a Healthcare Career Explore rewarding opportunities in the healthcare field and discover how caregiving roles can supplement your retirement income while making a difference.

$ 5 per person (includes snacks) REGISTER TODAY at www.pcoa.org/NoshandKnow or call (520) 790-0504 to reserve your space.