The Momentum April-June 2020

Rocky Mountain Aging

National Financial Literacy Month Page 3

Help for Families Caring for Older Adults Page 9

Audiobook Appreciation Month Page 16

What you Need to Know About Coronavirus Page 22

In This Edition National Financial Literacy Month....... . .... .... . 3 National Volunteer Month........................ ..... 4 Caregiving from a Distance...... .............. . . .... . 8 Help for Families Caring for an Older Adult... 9 My Stress Management Plan .......................1 0 National Blood Pressure Month ................ . ..1 1 Everything you Need to Know about Strokes 1 2 Audiobook Appreciation Month ................ .. .16 Alzheimer’s & Brain Health Awareness ... . ....17 2020 Census....... ................................ ..... ...20 What you need to know about Coronavirus..22 Long-Term Care Ombudsman Program .......2 3 Mosquito-borne diseases .. .......................... 2 5 Protect your Family from Skin Cancer .... .... .2 7 Medicare Enrollment Options ................... . ..2 9 AAAA Voucher Programs ....................... .. .. 30 Curried Chicken Pita Recipe ................ ...... . 3 1 Handmade Senior Crafts ........... ...... ...........3 2 Free Events for Veterans in Eagle . ...............33 Garfield County Senior Programs .... ... ......... 3 4 May is Older Americans’ Month! ........ ..... . ...3 8 12th Annual Caregiver Conference .......... . . . .3 9 Senior Awards Ceremony ........................ . . . . 40 Volunteer Management Workshop ...... .. ... .. . . 41 Positive Approach To Care Training ...... . ..... 42 Senior Law Day..... ................................ .... .. 43 Caregiving Strategies in Times of Change ...4 4 Regional Resources.................................. . ..45

April-June 2020 Original content in this edition provided by Leah Rybak, LMR Consulting LLC Magazine edited by Amanda Rens-Moon & Ceci Peterson, Alpine AAA

National Financial Literacy Month

For April, we are thinking about Financial Literacy and aging. More specifically, financial literacy refers to the set of skills and knowledge that allows an individual to make informed and effective decisions with all of their financial resources. How financially fit do you feel? Here are some financial common myths to identify.

Medicare Pays for Long Term Care Medicare covers medically necessary care such as doctor visits, prescriptions, and hospital stays. Medicare for the most part does not pay for most ongoing, long-term care services or personal care— such as help with bathing or for supervision (often referred to as custodial care). DEBUNK THESE FINANCIAL MYTHS Long Term Care is Cheap The average cost of Long Term Care is between $7-$10K per month. In Colorado, the average cost for 3 years of long term care is $339,450 ($113,150 per year) at 2019 rates. That cost is projected to be $613,083 ($204,361 per year) in 2039. Medicaid Only Looks at Your Current Financial Situation When you apply for long-term care Medicaid, whether that is for services in one’s home, an assisted living residence, or a nursing home, there is an asset (resource) limit. In order to be eligible for Medicaid, you cannot have assets greater than the limit. Medicaid also looks back 5 years at any assets you give away. Taxes Disappear When You're Older Some states exempt pension and Social Security payments as taxable income, but they’re still largely subject to federal taxes. You still have to do taxes, and they may be a little more complicated as you age.

National Volunteer Month Find out ways to become a volunteer, right in your own backyard!

The Benefits of Being a Volunteer

People choose to volunteer for a variety of reasons. For some, it offers the chance to give something back to the community or make a difference in the lives of the people around them. For others, it provides an opportunity to develop new skills or build on existing experience and knowledge. Regardless of the motivation, what unites us all is that we find value in giving back. Benefits of Volunteering Although the benefits of volunteering are endless here are 4 good reasons to volunteer: 1. Volunteering connects you to others 2. Volunteering is good for your mind and body 3. Volunteering can help you advance your career 4. Volunteering brings fun and fulfillment to your life

Older adults makes up almost 25 percent of the volunteer population 25%

Americans age 65 or older devoted a median of 96 hours annually, to volunteer activities in 2010 96

We are here to help

The Alpine Area Agency on Aging offers a variety of volunteer opportunities for you right here in Colorado.

Give us a call at 970-468-0295 or e-mail Tina Strang at tstrang@nwccog.org

Where Can I Volunteer?

Volunteer with us!

Companion/Respite As a companion/respite volunteer, you would be a companion for older adults and support for family caregivers. In this position, you are not a hands-on caregiver but provide companionship like a friendly conversation, arts and crafts, outings for the older adult, watch television, play games, listen to music, and share memories. You also support the caregiver by giving them peace of mind that their loved one is being watched over while they get respite from their caregiving responsibilities. Medicare Counselors As a volunteer Medicare Counselor, you would be trained in one-on-one counseling of Medicare options and fraud prevention. You may also provide information at health fairs and public information gatherings.

The Alpine Area Agency on Aging Volunteer Program welcomes volunteers 18 years old or older in Eagle, Grand, Jackson, Pitkin, and Summit counties. Eagle County Volunteer Opportunities Our RSVP program is always seeking volunteers who are 55+ in Eagle County. Opportunities include Companionship, Respite, Transportation, Food Support, and Medicare Counseling. The Regional Advisory Council (RAC) RAC advocates for older adults and helps address issues of concern. They also encourage the development of a comprehensive system of services in the region. If you are interested in being on RAC, fill out the application below and send it back to us.

Give us a call at 970-468-0295 or e-mail Tina Strang at tstrang@nwccog.org for more information

Caregiving from a Distance If you live more than an hour away from the person you are caring for, you are said to be “ caring from a distance. ” Being a long-distance caregiver can be difficult, but it is not an impossible task. There are still a number of ways you can help and stay informed .

Be a part of the health care team

Because you will not be able to go to every appointment or treatment session, introduce yourself to the health care team when you are in town. Give them your contact information in case they need to reach you.

Get organized Collect medical, financial, and legal information. Make sure the correct legal documents, such as advance directives, are completed and on file anywhere your loved one receives care.

Recruit local volunteers and explore professional services

Family, neighbors, friends, and members of religious, civic, and social organizations who live nearby may want to help with caregiving tasks. Contact Alpine Area Agency on Aging for information, services and referrals.

Find emotional support Long-distance caregivers may feel guilty about living far away from the care recipient , or they may feel overwhelmed by the challenges of coordinating care. Seek support for yourself, from family, or friends to help deal with stress and emotional struggles. Many agencies host support groups for caregivers.

Prepare for unplanned travel Be prepared to travel if your loved one needs your help. Try setting aside vacation or sick days from work and research travel options. Enlist a friend or neighbor to pick up mail, water plants, or care for your home in case you need to leave suddenly. You can also arrange for someone to help care for your own family while you are away.

Call Alpine Area Agency on Aging for more information-970-468-0295

Help for Families Caring for an Older Adult!

Our National Family Caregiver Support Program provides support and services to help unpaid caregivers of older adults and grandparents caregivers who are caring for children. All services are provided at no cost.

What services are offered?

Who is a Caregiver?

Who is eligible?

Caregivers are family, friends, neighbors, partners and others who care for those they love as they face chronic illness or disability. Caregivers provide essential services to keep loved ones at home, safe, and as healthy as possible.

Unpaid caregiver adults or family members caring for a person over 60 and grandparents 55 years of age and older caring for children under 18. They reside in Region 12 service area (Eagle, Grand, Jackson, Pitkin, and Summit counties)

Respite Care: provides temporary, substitute supports, or living arrangements to provide a brief period of rest for caregivers. I nformation is available about services in the area including assistance in accessing the services and providing public education. Assistance is available to help the caregivers assess their needs, establish an option plan, and arrange for support services. Counseling includes the organization of support groups and caregiver training to assist the caregivers in making decisions and solving problems relating to their caregiver roles.

CALL US TODAY! WE CAN HELP! Ceci Peterson 970-531-4087

My Stress Management Plan One of the most important tasks for caregivers is caring for themselves. Many caregivers say their time and energy is better spent helping their loved one, and their personal needs aren’t important. However, a caregiver’s physical, emotional, and mental health is vital to the well-being of the care recipient. To be a good caregiver, you need to take care of yourself.

Use this page to figure out the best ways for you to manage caregiving stress.

1

I know I am feeling stressed because… __________________________________________________________________________________________ __________________________________________________________________________________________

2

This stress is being caused by… ________________________________________________________________________________________ ________________________________________________________________________________________

3

How am I dealing with all of this? __________________________________________________________________________________________ __________________________________________________________________________________________

4

What I need from my family right now is… ________________________________________________________________________________________ ________________________________________________________________________________________

5

What I need from my friends right now is… ________________________________________________________________________________________ ________________________________________________________________________________________

Source: https://www.itsguru.com/linkedin-profile-tips

National Blood Pressure Month

This month we aim to raise awareness about the impact of hypertension. Hypertension is abnormally high blood pressure. Why care about Blood Pressure? The higher your blood pressure is, the higher your risk of health problems in How is Blood Pressure related to fall risk? Lack of exercise, poor eating habits, an excess of salt in your diet and much more can negatively affect blood pressure. What can negatively affect Blood Pressure? the future. If your blood pressure is high, it puts extra strain on your arteries and on your heart. Low blood pressure can make you light headed and cause you to fall, even more of a reason to get checked!

To do in May: Get Checked!

We challenge you to get your blood pressure checked to honor Blood Pressure Month and make sure you are as healthy as can be!

Everything you need to know About Strokes

Stroke: What you need to know

A stroke happens when there is a blockage or interruption of blood supply to the brain.

Strokes can have different short- and long-term effects depending on which part of the brain is affected and how quickly it is treated. Stroke survivors can experience wide-ranging disabilities including difficulties with mobility and speech, as well as how they think and feel.

Nearly 14 million people will have a stroke this year and around 5.5 million people will die as a result. Did you know?

Fast access to treatment saves lives and improves stroke recovery.

There are two main types of stroke: ischemic and hemorrhagic. 2 types

You can identify the symptoms of a stroke by using and identifying each letter in the word FAST .

Face – Is the person's face drooping to one side? Arms – Does the person have a weakness in one arm? Speech – Is their speech slurred or garbled? Time – If this combination of symptoms is present it's time to call 911.

High blood pressure is the most important risk factor for stroke. Blood Pressure

Nearly 14 million people will have a stroke this year and around 5.5 million people will die as a result.

Causes & Treatments for Stroke

Here are 10 things you can do to prevent stroke: 1. Lower your blood pressure. 2. Maintain a healthy weight. 3. Exercise more. 4. If you drink alcohol — do it in moderation. 5. Treat atrial fibrillation. 6. Treat and make healthy decisions to combat diabetes. 7. Quit smoking. 8. Check your cholesterol. 9. Take your medicines and prescriptions. 10. See a doctor regularly. 10 things you can do to prevent strokes

Often times people recover and go back to lead normal lives post-stroke. However, they may experience some continuous problems such as: Paralysis (inability to move some parts of the body), weakness, or both on one side of the body. Trouble with thinking, awareness, attention, learning, judgment, and memory. Problems understanding or forming speech. Trouble controlling or expressing emotions. Numbness or strange sensations. Pain in the hands and feet that worsens with movement and temperature changes. Trouble with chewing and swallowing. Problems with bladder and bowel control. Depression. What to Expect After a Stroke

Preventing Another Stroke

Unfortunately, if you have had one stroke, you may have another. One in four strokes each year are recurrent. The chance of stroke within 90 days of a TIA may be as high as 17%, with the greatest risk during the first week.

According to https://www.cdc.gov/

Get MONEY BACK! Get MONEY BACK (up to $892.00) for property taxes, rent, or heat you paid. Apply for the COLORADO PROPERTY/ RENT / HEAT CREDIT (“PTC”) REBATE

IF YOU:

Resided in Colorado for the ENTIRE YEAR Are claimed as a dependent on someone’s tax return Are lawfully present in the United States Have income equal to or less than:

2018

2019

Single: $14,074.00 Married: $18,972.00

Single: $15,192.00 Married: $20,518.00

AND

Are 65 years or older - OR - Are a surviving spouse and 58 years old by December 31st - OR - Were disabled for an entire year

You have 2 YEARS to apply for the rebate AFTER the end of the calendar year.

Application Deadlines:

2018 - December 31, 2020 2019 - December 31, 2021

There is FREE help applying for the “PTC” Rebate:

• Colorado Department of Revenue - (303) 238-7378

• Volunteer Income Tax Assistance (VITA) - (800) 906-9887

• Dial 2-1-1 (free call) to find a tax site near you. For the application and more information, see www.TaxColorado.com ‘Click’ on File and PTC Rebate

Audiobook Appreciation Month

DO YOU LOVE TO LISTEN TO STORIES?

Audiobooks are a great way to listen to stories and experience books in a different way!

WAYS TO LISTEN FOR FREE

The Colorado Talking Book Library For people who can't read standard print, CTBL provides audio, Braille and large print books keeping you connected to reading, stories and adventure. https://myctbl.cde.state.co.us/ LIBBY An app for free audiobooks through your library. More info at your local library.

5 GREAT AUDIOBOOKS TO TRY

Vision Impairment Program

OUR FAVORITES

Where the Crawdads Sing By: Delia Owens

Our Vision Impairment Program has funds for older adults 60+ who have, or suspect, vision impairment, like blindness, glaucoma, low- vision, cataracts, or any other visual complications.

The Giver of Stars By: Jojo Moyes

Educated By: Tara Westover

The Vision Impairment voucher includes the following services: regular eye examination, low-vision specialist appointment, assistive technology, adaptive aids, transportation, homemaker services, caregiver supports, home assessments, and skills training for newly diagnosed.

The Guardians By: John Grisham

The Murmur of Bees By: Sofia Segovia

Call 970-315-1325 for more information

Alzheimer’s & Brain Health Awareness

Learn about the warning signs of Alzheimer's and ways to keep your brain healthy as you age.

All About Alzheimer's

What is Alzheimer’s?

What causes Alzheimer's?

Alzheimer's is the most common cause of dementia. Dementia is a general term for memory loss and other cognitive abilities serious enough to interfere with daily life . According to the Alzheimer's Foundation, Alzheimer's disease accounts for 60% to 80% of dementia cases.

Technically speaking, all memory loss is caused by brain cell death. It starts with a decline in cognitive behavior and memory loss. In 2013, 6.8 million people in the U.S. were diagnosed with dementia. Of these, 5 million had a diagnosis of Alzheimer’s. Sadly, there is no cure for Alzheimer's. Things that make it easier to live with Alzheimer's are: Can you treat Alzheimer's?

Warning Signs?

Warning signs of Alzheimer's vary from person to person but most generally start with memory loss; often initially confusing time and place. Other warning signs can be withdrawal from work and social activities, poor judgement, misplacing things, and trouble understanding spatial relationships.

Effective management of any conditions occurring alongside the Alzheimer’s Activities and day-care programs Involvement of support groups and services Education and training

The Momentum | Spring 2020 | For more information go to https://www.alz.org/(source)

The census counts every generation. Every 10 years, the United States counts everyone who lives in the country, from newborn babies to the oldest among us. It is important for everyone to complete the 2020 Census so that communities like yours can be accurately funded and represented. Responding is important. The 2020 Census will influence community funding and congressional representation for the next decade. Information collected in the census will inform the allocation of more than $675 billion in federal funds for states and communities each year. That includes money for things like:

› First responders › Medicare Part B › Supportive Housing for the Elderly Program

› Libraries and community centers › Supplemental Nutrition Assistance Program (SNAP) › Senior Community Service Employment Program

Responding is easy. Beginning in mid-March 2020, you can respond to the census online, by phone, or by mail. Choose the option that is most comfortable for you. Large-print guides to the questionnaire are available upon request. From May – July 2020, census takers will visit households that have not yet responded. A census taker can assist if you need help completing your form. Responding is safe. Your personal information is kept confidential by law. Your responses can only be used to produce statistics. They cannot be shared with law enforcement agencies or used against you by any government agency or court in any way.

For more information, visit: 2020CENSUS.GOV

D-OP-EL-EN-125

2020 Census

Every 10 years the United States conducts a census to count all of the people living in our country. Because the Census attempts to contact all people, it is reasonable to believe that scammers might try and take advantage of this opportunity to attempt to collect personal and financial information. Knowing how the Census works will help you avoid potential Census scams. Here are a few things you should know:  Invitations to respond online to the Census will be sent in the mail March 12-20. Two postcard reminders will follow the initial invitation (if the Census has not been completed). The fourth mailing will contain a reminder and a paper questionnaire. The fifth mailing will alert you that a Census taker will visit your home.  In May, June & July, Census takers will conduct door- to-door enumeration for households that have not responded to the Census online or through the mail.  The Census Bureau will not send you an email. Almost all contact from the Census will come through the mail.  Census agents will not ask you for personal or financial information, such as your Social Security number or credit card number.  Census takers will not ask for donations.  Though taking part in the Census is required by law, a Census taker will never threaten arrest. If you have any doubt about if the contact you received was from a real Census agent call 800-642-0469. If you have any other questions about potential Census scams contact an AARP ElderWatch volunteer for assistance.

Recognize, Refuse, Report!

Call us Monday–Friday, 9 a.m.–4 p.m.

800-222-4444 Option 2

800-222-4444 Denver Metro Area 303-222-4444 www.aarpelderwatch.org

March 2020

Count Me Out of Census Scams! Follow these tips and answer the 2020 Census safely:

Follow the instructions in the letter from the Census you receive in March.

The 2020 Census will NOT call you beforehand – those calls are scams!!

Respond online, by mail or by calling the Census Bureau, as instructed in the letter you receive.

Beginning in May, If you haven’t responded in any of these ways, a census taker will visit.

Phone calls to you and emails are NOT ways to answer the census! HANG UP or IGNORE incoming calls that are attempting to conduct the census, and DELETE emails – those are scams!! Verify whether a 2020 Census mailing or visit is legitimate: • The March letter will be from the US Dept. of Commerce, Jeffersonville, IN o A follow-up letter or postcard might come from the CO regional office in Dallas • If you get a visit, check the census taker’s badge, and look for an official bag or laptop with the Census Bureau logo o You can check whether the person at your door is a Census Bureau employee: call Census Bureau Headquarters at 1-800-923-8282, their regional office in Dallas at 1-972-510-1790, or the Community Protection Division.

Remember these SCAMS – the REAL 2020 Census WILL NOT:

• Ask for your Social Security number, bank account or credit card numbers, or passwords • Ask for money or a donation • Contact you on behalf of a political party or religious organization • Call you to conduct the census over the phone • Send you an email asking you to reply, click a link or open an attachment • Knock on your door before May 2020.

Questions? Call the Community Protection Division at (303) 441-3700 Boulder Office: Justice Center, 1777 6th St., Boulder, Colorado 80302 303.441.3700 fax: 303.441.4703

Longmont Office: 1035 Kimbark, Longmont, Colorado 80501 303.441.3700 fax: 303.682.6711

www.bouldercounty.org/district-attorney/ TDD/V: 303.441.4774

What you need to know about coronavirus disease 2019 (COVID-19)

What is coronavirus disease 2019 (COVID-19)? Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. The virus that causes COVID-19 is a novel coronavirus that was first identified during an investigation into an outbreak in Wuhan, China. Can people in the U.S. get COVID-19? Yes. COVID-19 is spreading from person to person in parts of the United States. Risk of infection with COVID-19 is higher for people who are close contacts of someone known to have COVID-19, for example healthcare workers, or household members. Other people at higher risk for infection are those who live in or have recently been in an area with ongoing spread of COVID-19. Learn more about places with ongoing spread at https://www.cdc.gov/coronavirus/2019-ncov/about/ transmission.html#geographic. Have there been cases of COVID-19 in the U.S.? Yes. The first case of COVID-19 in the United States was reported on January 21, 2020. The current count of cases of COVID-19 in the United States is available on CDC’s webpage at https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html. How does COVID-19 spread? The virus that causes COVID-19 probably emerged from an animal source, but is now spreading from person to person. The virus is thought to spread mainly between people who are in close contact with one another (within about 6 feet) through respiratory droplets produced when an infected person coughs or sneezes. It also may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads. Learn what is known about the spread of newly emerged coronaviruses at https://www.cdc.gov/ coronavirus/2019-ncov/about/transmission.html. What are the symptoms of COVID-19? Patients with COVID-19 have had mild to severe respiratory illness with symptoms of • fever • cough • shortness of breath

What are severe complications from this virus? Some patients have pneumonia in both lungs, multi-organ failure and in some cases death. How can I help protect myself? People can help protect themselves from respiratory illness with everyday preventive actions. ​ • Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer that contains at least 60% alcohol if soap and water are not available. If you are sick, to keep from spreading respiratory illness to others, you should • Stay home when you are sick. • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. • Clean and disinfect frequently touched objects and surfaces. What should I do if I recently traveled from an area with ongoing spread of COVID-19? • Avoid close contact with people who are sick. • Avoid touching your eyes, nose, and mouth with unwashed hands. If you have traveled from an affected area, there may be restrictions on your movements for up to 2 weeks. If you develop symptoms during that period (fever, cough, trouble breathing), seek medical advice. Call the office of your health care provider before you go, and tell them about your travel and your symptoms. They will give you instructions on how to get care without exposing other people to your illness. While sick, avoid contact with people, don’t go out and delay any travel to reduce the possibility of spreading illness to others. Is there a vaccine? There is currently no vaccine to protect against COVID-19. The best way to prevent infection is to take everyday preventive actions, like avoiding close contact with people who are sick and washing your hands often. Is there a treatment?

There is no specific antiviral treatment for COVID-19. People with COVID-19 can seek medical care to help relieve symptoms.

cdc.gov/COVID19

CS 314937-A 03/20/2020

Long-Term Care Ombudsman Program

by the Administration on Aging (AoA). Local ombudsmen work with and on behalf of residents in hundreds of communities throughout the country. RESULTS In federal fiscal year 2012, over 11,000 volunteers, 8,712 of whom were certified to investigate complaints, and 1,180 staff served in Long-Term Care Ombudsman Programs in 573 localities nationwide. Ombudsmen investigated and worked to resolve 193,650 complaints made by 126,398 individuals. In addition, ombudsmen provided information on rights, care and related services 405,589 times. RESIDENTS’ RIGHTS Ombudsmen help residents and their families and friends understand and exercise rights guaranteed by law, both at the Federal level for nursing homes and for States that provide rights and protections in board and care, assisted living and similar homes. Residents have the right to : • Be treated with respect and dignity • Be free from chemical and physical restraints • Manage their own finances • Voice grievances without fear of retaliation • Associate and communicate privately with any person of their choice • Send and receive personal mail • Have personal and medical records kept

WHAT IS THE LONG-TERM CARE OMBUDSMAN PROGRAM?

Long-term care ombudsmen are advocates for residents of nursing homes, board and care homes, assisted living facilities, and similar adult care facilities. They work to resolve problems of individual residents and to bring about changes at the local, state, and national levels to improve care. While many residents receive good care in long-term care facilities, others are neglected, and other unfortunate incidents of psychological, physical, and other kinds of abuse do occur. Thus, thousands of trained staff and volunteer ombudsmen regularly visit long-term care facilities, monitor conditions and care and provide a voice for those unable to speak for themselves. The Swedish word “ombudsman” means “a public official appointed to investigate citizens’ complaints against local or national government agencies that may be infringing on the rights of individuals.” This concept has been applied in many U.S. settings to include complaints against non-governmental organizations and advocacy for individuals and groups of individuals, as with the Long- Term Care Ombudsman Program. HISTORY Begun in 1972 as a demonstration program, today the Long-Term Care Ombudsman Program is established in all States under the Older Americans Act which is administered

confidential • Apply for State and Federal assistance without discrimination • Be fully informed prior to admission of their rights, services available, and all charges • Be given advance notice of transfer or discharge OMBUDSMAN RESPONSIBILITIES Ombudsman responsibilities outlined in Title VII of the Older Americans Act include: • Identify, investigate, and resolve complaints made by or on behalf of residents • Provide information to residents about long-term care services • Represent the interests of residents before governmental agencies • Seek administrative, legal, and other remedies to protect residents • Analyze, comment on, and recommend changes in laws and regulations pertaining to the health, safety, welfare, and rights of residents • Educate and inform consumers and the general public regarding issues and concerns related to long-term care and facilitate public comment on laws, regulations, policies, and actions • Promote the development of citizen organizations to participate in the program • Provide technical support for the

• Advocate for changes to improve residents’ quality of life and care

RESOURCES The National Long-Term Care Ombudsman Resource Center supported with AoA funding and operated by the National Consumer Voice for Quality Long-Term Care, provides technical assistance and intensive training to assist ombudsmen in their demanding work. To contact a long-term care ombudsman, visit You can also call Eldercare Locator at 1-800- 677-1116 (http://www.eldercare.gov) and ask for the local ombudsman program or the Area Agency on Aging nearest the nursing home or similar adult care facility where the resident lives. The area agency will either be the sponsor of the ombudsman program or know where the program is located. The Medicare Guide to Choosing a Nursing Home booklet is available free from the Centers for Medicaid and Medicare Services (CMS). Call 1-800-Medicare (1-800-633- 4227) and ask for publication #02174, or view it on the Web at: http://www.medicare.gov/NHCompare. To contact your local Long Term Care Ombudsman contact Tina Strang at 970-531-2980 or tstrang@nwccog.org the resource center’s Web site at http://www.ltcombudsman.org.

development of resident and family councils to protect the well-being and rights of residents

ARE YOU

READY?

They may be tiny, but mosquitoes pack a dangerous punch. Worldwide, mosquitoes and the diseases they spread are among the most destructive forces impacting people’s health. The threat of mosquito-borne illnesses in the United States is far less than in some other warmer parts of the world. However, recent years have seen a growth and resurgence of some mosquito-borne diseases in U.S. communities. Luckily, with a few precautions, you can fight the bite! Protect yourself from mosquito-borne diseases

What’s the threat?

In the United States, there are a few mosquito-borne diseases that you should know about.  West Nile virus: West Nile virus was first discovered in the United States in 1999 and has since spread throughout the country. Mosquitoes catch the virus after biting infected birds and then pass on the virus to humans. The risk of catching the virus is highest during warmer seasons, such as summer and fall. Many people bitten by a mosquito carrying West Nile virus may not experience any symptoms at all. However, people with weakened immune systems, pregnant women, very young and older people are at higher risk of developing a severe and dangerous form of West Nile virus.  Dengue: This illness is one of the fastest growing mosquito-borne diseases in the world. The dengue virus is spread when a mosquito bites an infected person and

Photo courtesy iStockphoto—Henrik Larsson

then passes the virus on to a healthy person. While dengue rarely happens in the continental United States, cases do occur in border communities such as in south Texas, and when travelers bring the virus back with them into the country. Dengue is caused by one of four viruses transmitted by a mosquito bite. One form of the disease known as dengue fever is not deadly. But the more serious dengue hemorrhagic fever, which happens when a person who has already been infected by one type of dengue virus is infected with another type of dengue virus, can be deadly.  Eastern equine encephalitis virus: Eastern equine encephalitis virus is also spread when a mosquito bites an infected bird and then bites a human. Very few people in the United States contract the virus, with most cases happening in the Atlantic and Gulf Coast

aphagetready.org

regions and from late spring through early fall. Some people bitten by an infected mosquito develop mild or no symptoms at all. In very rare cases, the virus can cause swelling and inflammation of the brain, which can be deadly. The virus frequently infects horses, hence the word “equine” in its name. However, the virus can’t be passed directly from horses to people. Other similar mosquito-borne diseases that occur in the United States are western equine encephalitis, St. Louis encephalitis and La Crosse encephalitis.

Protect yourself

The best way to protect yourself from mosquito-borne disease is to take precautions against mosquito bites. „ „ Use insect repellent when outdoors. Make sure the repellent contains the chemical DEET. Before you start applying, read the product instructions carefully. Put repellent on exposed skin and clothing, but not on skin underneath your clothing. To protect your face from bites, put some repellent on your hands and then apply to your face. Wash your hands afterward. Keep mosquito repellent away from the eyes and mouth. „ „ When possible, wear clothing that fully covers your arms, legs and feet. Wearing light-colored clothing is even better, as mosquitoes are attracted to dark and bright colors. „ „ Avoid using fragrances or scented lotions that may attract mosquitoes. „ „ Avoid outdoor activities during peak mosquito hours from dusk until dawn. „ „ Install screens on the windows in your home and repair screens with rips or tears. „ „ Mosquitoes lay their eggs in water, so regularly get rid of any standing water around your home, such as water that has collected in flower pots, trash cans, rain gutters or swimming pool covers.

Photo courtesy iStockphoto—Sebastian Iovannitti

Safe travels

Before traveling out of the country, do your research and take the same precautions against mosquito bites that you would at home. In some tropical countries, your chance of being in- fected with a mosquito-borne disease is much higher and the diseases can be more dangerous to your health. Depending on the country you are visiting, you might want to make sure mosquito netting is hung around your bed. In the case of malaria, a mosquito-borne disease that is rare in the United States but is still common in much of the world, there are preventive drugs you can begin taking before you travel. Consult your doctor to choose the best course of action for you and your loved ones.

Photo courtesy iStockphoto—Denise Kappa

800 I Street, NW • Washington, DC • 20001-3710 202-777-APHA • www.aphagetready.org • getready@apha.org

FAMILY Nearly 5 million people are treated for skin cancer each year in the United States. Skin cancer can be serious, expensive, and sometimes even deadly. Fortunately, most skin cancers can be prevented. PROTECT YOUR FAMILY FROM SKIN CANCER

Ultraviolet (UV) rays—from the sun or from artificial sources like tanning beds—are known to cause skin cancer.

Damage from exposure to UV rays builds up over time, so sun protection should start at an early age.

PROTECT YOUR FAMILY AND YOURSELF FROM SKIN CANCER STAY SUN SAFE OUTDOORS

Wear a long-sleeved shirt and pants or a long skirt for additional protection when possible. If that’s not practical, try wearing a T-shirt or a beach cover-up. Apply a thick layer of broad spectrum sun- screen with an SPF of 15 or higher at least 15 minutes before going outside, even on cloudy or overcast days. Reapply sunscreen at least every 2 hours and after swimming, sweating, or toweling off.

Seek shade, especially during midday hours. This includes 10 am to 4 pm, March through October, and 9 am to 3 pm, November through February. Umbrellas, trees, or other shelters can provide relief from the sun. Be extra careful around surfaces that reflect the sun’s rays, like snow, sand, water, and concrete. Wear sun protection gear like a hat with a wide brim and sunglasses to protect your face and eyes. Sunglasses protect your eyes from UV rays and reduce the risk of cataracts and other eye problems. Wrap-around sunglasses that block both UVA and UVB rays offer the best protection by blocking UV rays from the side.

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LIMIT UV EXPOSURE Discourage Indoor Tanning and Sunbathing Indoor tanning and sunbathing often begin in the teen years and continue into adulthood. Don’t wait to teach your children about the dangers of tanning. Children may be more receptive than teens, so start the conversation early, before they start sunbathing or indoor tanning. For example, you can • Help preteens and teens understand the dangers of tanning so they can make healthy choices. • Talk about avoiding tanning, especially before special events like homecoming, prom, or spring break. • Discourage tanning, even if it’s just before one event like prom. UV exposure adds up over time. Every time you tan, you increase your risk of getting skin cancer.

UV rays are strongest • During midday. • Near the equator. • During summer months. • At high altitudes.

Remember that sunburns and skin damage can occur even on cloudy or overcast days. If you’re unsure about the sun’s intensity in your area, check the daily UV Index for your zip code on the US Environmental Protection Agency’s website.

INDOOR TANNING • E xposes users to intense levels of UV rays, a known cause of cancer. • D oes not offer protection against future sunburns. A “base tan” is actually a sign of skin damage. • C an spread germs that can cause serious skin infections. • C an lead to serious injury. Indoor tanning accidents and burns send more than 3,000 people to the emergency room each year. The US Food and Drug Administration states that indoor tanning should not be used by anyone younger than age 18. Many states restrict the use of indoor tanning by minors.

There’s no such thing as a safe tan.

Choose Sun-Safety Strategies that Work Broad spectrum sunscreen with an SPF of 15 or higher is important, but it shouldn’t be your only defense against the sun. For the best protection , use shade, clothing, a hat with a wide brim, and sunglasses, as well as sunscreen. FOR MORE INFORMATION, VISIT CDC’S SUN SAFETY WEBSITE.

T.J.'s Medicare Minute

65 and Still Working? Let's Find Out Your Medicare Enrollment Options 1) May I and my spouse stay on my current employer health insurance plan after turning 65? You may stay on your employer sponsored plan until you separate from your employer sponsored plan as long as the employer continues to offer health insurance for their employees. When you separate from the employer sponsored plan, a special enrollment period (SEP) starts. You will not be charged late enrollment penalties from when you turned 65. You will submit proof you have had creditable medical coverage after you turned 65. You have 63 days to enroll in a Part A, Part B, and Part D to avoid later enrollment penalties. You will have 8 months to enroll in a supplement plan with a guaranteed issue. Most people choose not to have a gap in coverage and enroll in their Medicare, Part D Prescription plan, and Medigap/Part C plans to start when their employer plan coverage ends. 2) I turn 65 in two months and I and my spouse are on an employer plan. Do I have to enroll in Medicare now? Answer: It depends. You have options. A) When you turn 65, you and your spouse can stay on your employer sponsored plan. You choose when you want to leave the employer plan. B) Some people price shop to help them decide when to leave the employer plan. a. Stay on the plan and continue to work for a few more years. b. Look at health insurance cost with and without spousal coverage. C) People who are 65 years old are eligible to enroll in Part A, in addition to their employer plan. Part A is secondary to employer plans with more than 20 employees actively working. Part A Medicare is primary to employer plans with less than 20 employees actively working NOTE: There are tax implications. See the link: Deciding Whether to Enroll in Medicare Part A and Part B When You Turn 65 People with IRMMA income levels typically do not add Part A until full Medicare enrollment. Retiree Medicare Plans For those with Retiree Health Insurance coverage, make certain you know all of their rules. Some retiree plans require you to purchase health insurance coverage directly through the retiree plan.

Questions? Contact T.J. Dufresne, SHIP Coordinator at 970-468-0295 x 120

Alpine Area Agency on Aging Voucher Programs

D DENTAL VOUCHERS 60 and older

$500 for your dental needs at your dentist of choice

V I T

VISION VOUCHERS 60 and older $150 for vision needs at your eye doctor of choice Additional funding available for vision impairment/blindness

IN-HOME SERVICE VOUCHER ( Homemaker, Chore, Personal Care) 60 and older Difficulty shopping, cooking, performing chores, bathing etc. $1000 for your provider of choice

TRANSPORTATION VOUCHER 60 and older

$500 mileage reimbursement for medical appointments or social trips

Dental and Vision Vouchers Amanda Rens-Moon 970-315-1325 arensmoon@nwccog.org

In-Home & Transportation Vouchers Ceci Peterson 970-531-4087 cpeterson@nwccog.org

Curried Chicken Pita Recipe

CAL/SERV :

YIELDS :

TOTAL TIME :

4

20 MIN

380

INGREDIENTS

DIRECTIONS

1 .In a small bowl, whisk cilantro, sour cream, mayonnaise, lime juice, ginger, curry powder, coriander, and 1/8 teaspoon salt until well blended.

1/4 c. packed fresh cilantro leaves 1/4 c. reduced-fat sour cream 2 tbsp. low-fat mayonnaise 1 tbsp. fresh lime juice 1 tsp. grated peeled fresh ginger 1/4 tsp. curry powder 1/4 tsp. ground coriander salt 2 c. chopped, cooked chicken breasts 5 radishes 1 1/2 c. chopped cantaloupe 1/4 small red onion 3 tbsp. roasted cashews 4 pitas

If making ahead, cover and refrigerate up to 1 day.

2. In a bowl, combine chicken, radishes, cantaloupe, and onion.

If making ahead, cover and refrigerate up to 1 day.

To serve, toss chicken mixture with half of dressing. Sprinkle with cashews. Serve with pitas and remaining dressing.

Handmade Senior Crafts now for Sale at Main Street Thrift!

Some of our crafty seniors have been getting together to make fabulous items to sell in the thrift store. So far, projects have included wine sleeves, which are made from sleeves and are the perfect hostess gift! Other hand made items include knitted hats, crocheted afghans and dish rags, quilted lap blankets and carrier bags. Most of the crafts are made from donated and/or re-purposed materials. All proceeds from sold items will go to the Grand Seniors for outings, activities and transportation.

Stop by Main Street Thrift in the Mountain Family Center building in Granby to check out the handmade treasures!

Mountain Family Center 480 E Agate Ave, Granby, CO 80446 (970) 557-3186 https://www.mountainfamilycenter.org/

FREE EVENTS in Eagle for Veterans

FREE Yoga for Veterans and their Families

All ages and abilities are welcome! Mondays at 9:30 a.m. CMC-Edwards Campus 150 Miller Ranch Road, Edwards, CO 81632

FREE Coffee and Donuts for Veterans and their Families

Join in for coffee and donuts following Yoga at 10:30 a.m. every Monday. Or just come for the coffee and donuts. CMC-Edwards Campus. 150 Miller Ranch Road, Edwards, CO 81632

FREE Fly-Tying Classes

FREE Fly-Tying Classes through PROJECT HEALING WATERS for Disabled Veterans with rating at 0% or higher. Thursdays at 6:30 p.m. CMC-Edwards Campus, Room 116 150 Miller Ranch Road, Edwards, CO 81632

Other classes to commence in spring: Rod Building and Casting. Contact Billy Bortz at 970-390-0038 for more information.

Pat Hammon Eagle County Veterans Service Officer 970.328.9674

Carolyn Schneider Assistant Eagle County Veterans Service Officer 970.328.8875

Garfield County Senior Programs

Please Call Debby Sutherland to sign up for classes at 970.945.9191 ext. 3084

Source

Other program offerings by Garfield County Senior Programs

Matter of Balance N'Balance Tai Chi & Cooking Matters

Interested in becoming a Matter of Balance Instructor?

Contact Debby Sutherland 970.945.9191 ext. 3084

Source

Smiles for Seniors Mobile Dental Hygiene Clinic Age 60+

Clinic held on the 3rd Friday of each month at Pitkin Health & Human Services.

Every other month in El Jebel, Eagle County Community Center

Includes professional cleaning, oral evaluations, screenings for dental decay, oral cancer or suspicious lesions, gingivitis (gum tissue infection,) periodontitis (jaw bone infection,) & dental infections.

This standard treatment is offered for $85. Financial assistance may be available. please inquire when you schedule your appointment.

Consultations and referrals provided.

if you have been unable to access routine cleanings and screenings, this is a great opportunity for professional care.

We accept MEDICAID!

Please leave a message for Kelly at (970) 309-2064 with questions and/or to schedule an appointment.

Source

Humanizing Hoarding Basalt: May 7th 12:00-2:30pm Basalt Regional Library 14 Midland Ave, Basalt, CO 81621 Frisco: May 8th 9:00-11:30am

Hoarding Expert Jen Hanzlick will challenge your notions of why hoarding is a widespread disorder and how those living through it need our empathy and care. Basalt - May 7th Frisco - May 8th What do you think of when you see a hoarder?

Summit County Community & Senior Center 83 Nancy's Place, Frisco, CO 80443

RSVP Required May 1st

www.humanizinghoarding.eventbrite.com

970-455-1069

Questions? efisher@nwccog.org / 970-455-1067

Save the Date - Tickets go on sale March 15, 2020 May is Older Americans’ Month!

“Make your Mark”

Join us as we celebrate Older Coloradans Day 2020! We’ll include legislators, a panel discussion on the major issues from the 2020 General Assembly, educational presentations, awards for exceptional community service, resources you need to know about, entertainment, and lunch! Every May, the Administration for Community Living (ACL) kicks off the nation’s observance of Older Americans Month with a new national theme. This year, it’s “Make Your Mark”. It’s another way to celebrate the many contributions older adults make in our communities - and to our Colorado economy (over $130 BILLION). Organizations and individuals of all ages are also making their marks. It’s a reminder that you too can make your mark - and make a difference. Join us on May 14th in Denver to learn more! When: Thursday, May 14, 2020 - 9:00AM - 2:00PM Location: PPA Event Center, 2105 Decatur St, Denver, CO 80211

www.ColoradoSeniorLobby.org Visit our event site: OlderColoradansDay.com

This event is organized by

Satellite events to celebrate Older Coloradans Month around the state may be held on other dates in Colorado Springs, Grand Junction, Fort Collins and Pueblo. Contact us if you are interested in hosting.

Questions & Sponsorship Information call or email: Bob Brocker - Colorado Senior Lobby President –303 - 832 - 4535 President@ColoradoSeniorLobby.org Karin Hall - CSL Volunteer - 303 - 794 - 0799 - Karin@SeniorsResourceGuide.com

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