A publication of Pima Council on Aging. For more information on Never Too Late, visit

Never Too Late July/August 2019 Summertime Issue Para información en Español ver paginas 15-18


Independence. Vitality. Respect.

Inside • Aging in Our Community 3 • Healthy Aging Center 4 • Men as Caregivers 5

• Nunca Es Demasiado Tarde 15 • Community Lunch Program 22 • Medicare: Prescription Coverage 24 • Ways to Help: Volunteer Corner 25 • Neighbors Care: Aging in Place 26 • Advocacy: Older Americans Act 27 • PCOA: A Trusted Source 28 • Hope Workshop Registration 29 • Featured Artist 31

• Family Caregiver Training 6 • Caregiver Support Groups 7 • Family Caregiver Services 8 • Health, Aging & Wellness Classes 9 • Aging Mastery Program 11 • Community Calendar 13

PCOA Helpline: (520) 790-7262 Administration: (520) 790-0504 Donate: E-mail: Website: Mail: 8467 E. Broadway Blvd. Tucson, AZ 85710 Never Too Late is published by Pima Council on Aging, the Area Agency on Aging, Region II. Material from Never Too Late may be reprinted when permission is given and attribution is used along with ©PCOA 2019. Editor Adina Wingate, (520) 790-0504 Editorial Assistant Jan Baker, (520) 258-5076 Advertising Adina Wingate, (520) 790-0504 Designer Lori Lieber, Lori Lieber Graphic Design 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. Editorial and Advertising Deadline for Next Issue August 2, 2019

On the Cover: Detail from Sonoran Desert/August (20”x32”) Acrylic and watercolor by Andrew Rush, The Drawing Studio (Story, full image on inside back cover)

PCOA Community Office Hours

T U C S ON Armory Park Community Center 220 S. Fifth Ave. Every other Wednesday, 1:30–5:00 p.m. Ellie Towne Community Center 1660 W. Ruthrauff Rd. Wednesdays, 9:00 a.m.–12:30 p.m. El Pueblo Community Center 101 W. Irvington Rd. Every other Tuesday, 8:30 a.m.–12:00 p.m. El Rio Community Center 1390 W. Speedway Blvd. Every other Wednesday, 8:30 a.m.–12:30 p.m.

Quincie Douglas Community Center 1576 E. 36th St. Every other Thursday, 8:30–11:00 a.m. G R E E N V A L L E Y Friends in Deed 301 W. Camino Casa Verde Mondays, 9:00 a.m.–3:00 p.m. MA R A N A Community Food Bank Resource Center 11734 W. Grier Rd. Tuesdays, 11:00 a.m.–3:00 p.m.




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Pima Council on Aging

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

Aging Well in Full Color

contributions to our community are profound and many. Learn more about Andrew and this issue’s cover art on page 31, and get to know additional local artists and their work with each issue of Never Too Late . Never Too Late has historically been a publication for PCOA’s members. With this updated version, we are expanding our focus to deliver timely, critical information to our entire community. Look for free copies of Never Too Late at Pima Public Library branches, community and senior centers, and other locations as we continue to expand distribution and put the publication in the hands of more people whom it might benefit. Never Too Late is delivered directly to your door with your paid subscription, or by email at no cost. Group subscriptions for businesses and communities are also available. Expanding Outreach and Services PCOA served nearly 20,000 people across Pima County’s communities last year, more than ever before, yet we know that there is

more need in our community than we currently address. We continually strive to reach more people and break down barriers that might prevent older adults from receiving assistance and fully engaging in the community. Nunca Es Demasiado Tarde is just one of PCOA’s initiatives aimed at better serving our Latino community. In recent years, we have focused on building staff capacity to ensure culturally and linguistically appropriate services are available to our Latino friends and neighbors, no matter what issue prompts them to turn to us for assistance. This fall, PCOA will open the Katie Dusenberry Healthy Aging Center at 600 S. Country Club Road. While our east Broadway Boulevard location is convenient for a large segment of older adults, we know that it can be challenging for people living in many parts of the community to visit our office. At the Healthy Aging Center, we aim to greatly improve ease of accessibility to the services we

PCOA has been a trusted source for information, assistance, and advocacy for older people and their families in Pima County since 1967. For five decades, PCOA has delivered information relevant to older adults through Never Too Late . From the days when Never Too Late was typed on a manual typewriter and produced by mimeograph, and later by Xerox, to the modern method of printing and delivery by our colleagues at the Arizona Daily Star , Never Too Late has consistently offered information about happenings in our community and at PCOA, ways to engage, available services, and issues important to older adults. Today, it is my pleasure to present Never Too Late ’s most colorful, expansive version to date. Within these pages are new features to be explored, such as Nunca Es Demasiado Tarde , our Spanish- language section, and a dedicated Advocacy column. More familiar features include a calendar of community events, information about healthy aging, news for family caregivers, and more practical and educational content to help us all age well. Through an exciting partnership with our friends at The Drawing Studio, each edition will feature an original work of art in celebration of the creativity and gifts of older local artists. It is an honor for the cover of this inaugural color issue to be graced with the work of Andrew Rush, founder of The Drawing Studio, whose

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It’s Never Too Late For a New Look Welcome to Never Too Late ’s new look! We’ve added a new cover, incorporated PCOA’s new branding, added color and changed our paper to a brighter white. We have retained our popular pull-out sections for Community Calendar and Health, Aging & Wellness, but now all sections are color-keyed for even easier identification. Plus we have added a four-page Spanish language section called Nunca Es Demasiado Tarde . And our original cover art by Andrew Rush, The Drawing Studio founder, starts a creative partnership that will present original cover artwork from The Drawing Studio in each edition of the paper.

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Aging in Our Community

offer, as well as to broaden the array of opportunities for education and socialization available for older adults. See the accompanying article on this page about the Healthy Aging Center. PCOA is dedicated to helping all older people in our community not only to (continued from page 3) Aging Well Tucson and Pima County are among the fastest-aging areas in the nation. According to US Census data, between 2010 and 2015, the population of Pima County grew by 3%, while the number of people over 60 grew by over 17.5%. In 2016, Tucson had the third-oldest population of all major metro areas in the nation, behind Tampa-St. Petersburg and Pittsburgh. To meet the needs of this growing older population, and support people in living better as they live longer, our community needs to build capacity and offer stronger supports for social determinants of health. PCOA will open the Katie Dusenberry Healthy Aging Center this fall at 600 S. Country Club Road, across from Reid Park, to help address this critical need. The Center will serve as a hub for aging services and a central location for our community to discover the array of services that we and our community partners offer to support healthy aging. It will be a place for older adults to learn, socialize, and receive the help they need to maintain independence and quality of life.

Visit to begin your paid subscription to Never Too Late or sign up to receive a digital copy by email at no cost. For information about advertising in Never Too Late , contact Adina at (520) 790-0504 or

live long and healthy lives, and enjoy the best quality of life possible, but to remain engaged and find meaning. Within the pages of Never Too Late , through our partnerships, through our services and our advocacy work, we explore ways for older people to participate and contribute that are both meaningful for every individual, and a great asset to our society. We invite you to partner with us in our work.

W. Mark Clark President & CEO

Katie Dusenberry Healthy Aging Center Coming Fall 2019

Street view of the new Katie Dusenberry Healthy Aging Center, now being remodeled.

2001, Katie contributed both her treasure and her time by serving as a board member of PCOA, including a term as Chair. We can think of no more fitting tribute to Katie’s lifelong passion for aging concerns and the well-being of our older friends and neighbors than to name the Katie Dusenberry Healthy Aging Center in her honor. Other early and significant donors to the campaign include Tucson Electric Power, the Connie Hillman Family Foundation, and the Diamond family. To learn more about the Healthy Aging Center campaign, visit healthyagingcen-

Among the offerings will be evidence-based exercise classes designed specifically for older adults, fall prevention workshops, technology classes, assistance navigating Medicare, Driver Safety Courses, and a host of other opportunities for older adults to learn and engage. PCOA is honored to name our new center for our longtime friend, aging advocate and lead donor to the project’s capital campaign, Katie Dusenberry. Katie worked alongside PCOA’s founder, Marian Lupu, as an advocate for aging services during her time on the Pima County Board of Supervisors, she also represented the interests of older adults in Washington DC as a member of the Federal Council on Aging in the early 1980s. From 1984 to

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Times They Are A Changin’: Men as Caregivers

By Laura Hellwig , RN, PCOA Volunteer Recently a new Family Caregiver Support Group (FCSG) participant contacted me, the group facilitator, to find out if any other men would be attending the upcoming group. He shared that although the women in the group were greatly helpful, he wanted to hear about other men’s experiences in caring for a spouse with dementia. Hearing his expressed need for support, I wondered what is different about men and women as caregivers, and how their unique needs— if there are any—could be met. Demographics In America, the estimated number of unpaid caregivers (also known as “family caregivers” or “informal caregivers”) who have provided care to another person age 50 and older, in the last twelve months is 34.5 million. Considering that on May 27, 2019, the calculated USA population was 328,950,632 ( popclock/), those caregiving for older adults constitute about 10.5% of the U.S. population! Current statistics (AARP, Family Caregiver Alliance, 2015) tell us that about 40% of family caregivers are men. That means, for those caring for adults 50 and older, 13,800,000 are men. In comparison to 30 years ago, when men were about 18% of the caregivers, one can see that roles have evolved during this time-frame. Caregiving Journey: Men’s Perspective As with women, personal and work life experiences tend to frame how men address caregiving for their loved-one(s). While the following key differences

between men and women have been demonstrated through multiple studies done within the last ten years, these will likely change as caregiver resources and services (e.g., insurance-covered in-home assistance) become more readily accessible. • Men are less likely to have a social network established where they can reach out to talk about caregiving issues, or just about “stuff” in general. Even when a man has a group of supportive friends, whose conversations are more centered around hobbies, sports teams or work-life, he might be reluctant to talk with them about personal issues. This lack of social support can contribute to feelings of isolation. • For married couples, coordination of medical care (such as scheduling appointments and renewing prescriptions) usually was overseen by the wife. However, this is a task that most men feel at-ease taking on. • Often, men have had less “hands on” responsibility for household chores. Learning domestic duties such as laundry, food shopping and preparation and routine cleaning can feel overwhelming when also learning new caregiving skills. Men are more likely to hire-out such home tasks, or delegate the work to family members or friends who offer assistance, and this can help reduce the caregiver’s stress. • For many, caregiving can also include providing personal activities of daily living (ADLs): feeding, dressing, bathing and toileting are included. Many men currently caring for a woman, whether that be a wife, mother, sister or friend, can feel

uncomfortable with the physical aspect for this part of caregiving. Here also, men are more likely to hire a caregiver to assist About 40% of today’s family caregivers are men, up from about 18% 30 years ago, according to the most recent statistics available. Like their female counterparts, some men may have left jobs, retired early, moved to live with their care-recipient or encountered other disruptions to familiar routines and expectations in their lives. The resulting life changes can lead to feelings of isolation and depression. Self-care techniques are important in preventing or resolving these emotions. Establishing a routine that includes: “me time” to do what is important for you, exercising alone or with a group, eating a healthy diet and getting between 7 to 9 hours of sleep each night are all beneficial components of self-care. As with any life change, there will be with this part of caregiving. Managing A New Normal

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challenges and opportunities to learn; some participants call this caregiving phase their “new normal.” Participating in a caregiver support group is a proven way to help navigate this “new normal.” The group of other caregivers going through similar situations, provides non-judgmental listening, opportunity to ask questions, share ideas on how to work through challenges or resources in the community and respite. Many who attend caregiver support groups—men and women— share that, “This isn’t how we envisioned spending our retirement years.” The group participants accompany one another as they travel this unforeseen path. (continued from page 5) Men as Caregivers one can be stressful and it is difficult to provide care when you are unsure of what you’re doing. You’ll feel much better when you’re confident of your skills and we can help! Give us a call today to sign up for one or both workshops available every month! Must register in advance. To RSVP call: 514-7642 x 201 This training is made possible through a partnership between Pima Council on Aging and Lutheran Social Services. Training is availabe to upaid family caregivers who are caring for someone age 60 or older, or caring for someone of any age suffering from Alzheimer’s or a related dementia.

Support Groups Near You There are many different-focused support groups offered either in-person, or online. Some of the diagnosis-specific caregiver support groups available in Tucson include those offered by the Alzheimer’s Association ( and American Parkinson’s Disease, Arizona Chapter (https://www.apdapar- support-az/). PCOA’s Family Caregiver Support Groups are open to any adult providing care for someone 60 and older, or for someone of any age caring for someone with Alzheimer’s disease or a related dementia, at locations in the Tucson metropolitan

area. See page 7 for the current support group schedule, or check the PCOA website: help/caregiver-support-groups.html/ or call the PCOA Helpline at (520) 790-7262. As I wrote this article, the heartfelt Bill Withers song “Lean On Me” (©Universal Music Publishing Group) came to mind. The lyrics highlight the importance of letting others know “when you’re not strong” so they “can help you carry on.” The line, “I might have a problem that you’d understand” rings true to the value of a caregiver support group. After all, no matter who you are, and what you are dealing with, “We all need someone to lean on.”

Free Family Caregiver Training Workshop Schedule – July & August The demands of caring for a loved July 26: Tucson City Council, Ward 6 Office, 3202 E. 1st. Street, Tucson, AZ 85716 August 23: Ellie Towne Community Center, 1660 W. Ruthrauff Rd., Tucson, AZ 85705 30 minute break – lunch not provided

Workshop I – MORNING July 26: 9:00 a.m.–12:30 p.m. August 23: 9:30 a.m.–1:00 p.m. • Stress and Time Management • Communication Skills • Alzheimer’s & other related dementias • Infection Control and Providing Personal Care • Nutrition, Assistance with Eating, & Redirecting • Fall Prevention • Activity Planning • Psychological & Emotional Conditions • Grief & End of Life Resources

Workshop 2 – afternoon July 26: 1:00–3:30 p.m. August 23: 1:30–4:30 p.m. • Proper Body Mechanics • Home Environment Safety • Planning for an Emergency • Understanding Assistive Devices • Proper Walking /Transferring Techniques • Re-positioning with Reassessment • Outings and Car Etiquette

To register or receive information, please contact: Lutheran Social Services of the Southwest, (520) 514-7642, ext. 201, or email Jason Browne at

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PCOA Caregiver Support Groups – July & August North Tucson

Green Valley Monday, August 12, 1:00–2:30 p.m. Friends In Deed (Room A), 301 W. Camino Casa Verde, 85614 North Tucson Thursday, August 15, 1:30–3:00 p.m. City Council Ward 6 (West Room) 3202 E. 1st St., 85716 East Tucson • LGBT Welcoming! Tuesday, August 20, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 East Tucson Monday, August 26, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 Southwest Tucson Tuesday, August 27, 9:00–10:30 a.m. Tucson Estates Recreation Center (Suite 1) 5900 W. Western Way, 85713 Oro Valley Wednesday, August 28, 3:00–4:30 p.m. Rancho Vistoso Urgent Care (Board Room) 13101 N. Oracle, 85737

JULY Oro Valley Tuesday, July 1, 12:00–1:30 p.m. Rancho Vistoso Urgent Care (Board Room) 13101 N. Oracle, 85737 East Tucson Monday, July 6, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 Green Valley Monday, July 8, 1:00–2:30 p.m. Friends In Deed (Room A), 301 W. Camino Casa Verde, 85614 Central Tucson Tuesday, July 9, 5:30–7:00 p.m. Grace St. Paul’s Church (Weeks Room) 2331 E. Adams St., 85719 North Central Tucson Thursday, July 11, 11:00 a.m.–12:30 p.m. Ward 3 City Council Office (Community Room) 1510 E. Grant Rd., 85719 East Tucson • LGBT Welcoming! Tuesday, July 16, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 care for a person 60 and older, or caring for someone of any age who has Alzheimer’s disease or a related dementia. Pre-registration is required if attending a group for the first time. PCOA family caregiver support groups are open to anyone providing

Thursday, July 18, 1:30–3:00 p.m. City Council Ward 6 (West Room) 3202 E. 1st St., 85716 East Tucson Monday, July 22, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 Southwest Tucson Tuesday, July 30, 9:00–10:30 a.m. Tucson Estates Recreation Center (Suite 1) 5900 W. Western Way, 85713 Oro Valley Wednesday, July 31, 3:00–4:30 p.m. Rancho Vistoso Urgent Care (Board Room) 13101 N. Oracle, 85737 AUGUST North Tucson Thursday, August 1, 1:30–3:00 p.m. City Council Ward 6 (West Room) 3202 E. 1st St., 85716 East Tucson Monday, August 5, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 Oro Valley Tuesday, August 6, 12:00–1:30 p.m. Rancho Vistoso Urgent Care (Board Room) 13101 N. Oracle, 85737 North Central Tucson Thursday, August 8, 11:00 a.m.–12:30 p.m. Ward 3 City Council Office (Community Room) 1510 E. Grant Rd., 85719

Pima Council on Aging Support Group Program: (520) 305-3405

“Lighten up on yourself. No one is perfect. Gently accept your humanness.” — Deborah Day

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Who is a family caregiver? Do you: • Help a family member with tasks such as grocery shopping or rides to and from medical appointments? • Share responsibility for another person’s health, well-being and safety, no matter where they live? • Help someone who needs around-the- clock care? The person you care for may be as close as your living room or as far away as a long-distance phone call. In all these cases, you are a caregiver! Caring for a loved one creates many challenges. Our aim is to decrease stress and increase support and coping skills by providing: • Information and assistance in gaining access to resources, services and benefits. • Individual and family consultations, in person or by phone, to support decision-making and problem-solving related to the caregiving role. • Respite, a short time of rest or relief from caregiving, provided in-home or in an adult day program. • Caregiving trainings to assist in caring for yourself and your loved one. • Support groups to reduce stress, connect with others and know you ARE NOT ALONE! PCOA Family Caregiver Services You Are Not Alone. We’re here to help!

Who qualifies for services? • Any adult providing care to individuals 60 years or older. • Family caregivers of a person with Alzheimer’s or related dementia, regardless of age. • Non-parent relative caregivers age 55+ providing care to children under 18. How do I access services? (520)790-7262 We have specialists in Family Caregiver Support, including experts on the needs of LGBTQI older people. Family Caregiver Training • PCOA contracts for family caregiver training offered in two parts: a four-hour classroom learning experience and a four-hour hands-on workshop. Please contact: Lutheran Social Services at (520) 514-7642 ext. 201. • We may be able to recommend other trainings unique to your situation. Call us at (520) 790-7262.

Grandparents Raising Grandchildren PCOA contracts for services for grandparents and other non-parent relatives raising children. The Kinship and Adoption Resource and Education (KARE) Family Center provides services through its one-stop center. For more information please call (520) 323-4476. What caregivers tell us: “You have no idea what a relief it was to talk to the Caregiver Specialist and not only get exactly the kinds of information we needed, but just as important, get reassurance that our decisions are on track. My sister and I left there feeling 10 pounds lighter.” “You really listened to our questions and concerns, gave us so many great ideas, and most of all, you reassured us. You cannot imagine how relieved we are to be armed with information and ideas that can help us manage mom’s care for the foreseeable future.”

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Health, Aging & Wellness Pull out this handy class schedule to keep with you

Put Life Back in Your Life!

Program locations and availability change regularly. Pre-registration is required. For information and to register, call the Health Promotion Dept. at (520) 305-3410 . Visit program schedules at Healthy Living with Chronic Pain Healthy Living with Diabetes

Pima Council on Aging offers a series of five evidence-based health promotion programs for adults 60 years and older, in collaboration with community partners. These programs are designed to assist you with managing your personal health, staying fit, and maintaining or improving quality of life. Small steps. At least 91% of older adults have at least one chronic condition and 77% have two or more. Diabetes affects 23% of older adults, and 1 in 3 older adults fall every year in the U.S. Most falls can be prevented. Community-based health promotion programs help individuals gain self-confidence in controlling symptoms; manage the progression of long-term and chronic, age-related conditions; and lead an active and productive life that most strive for. Sign up today for 1, 2, or all 5 of the evidence-based health promotion programs to be healthier, prevent disease and achieve positive results. Call 305-3410 for locations near you! Medicare does not pay for these programs. Positive changes. Healthier living.

An interactive workshop for individuals with pre-diabetes or Type 2 Diabetes and their caregivers. Topics include managing your symptoms, learning relaxation techniques, the importance of healthy eating, effective communication with healthcare providers, monitoring blood sugar and using medications effectively. What: A six-week program for 2.5 hours once a week Contribution: $20 per person; $30 per couple (covers your book and supplies) MHC Healthcare Marana Main Health Center, Community Room B, Marana 85653 July 24, 31, Aug. 7, 14, 21, 28 Wednesdays, 10:30 a.m. – 1:00 p.m.

For those who are living with a chronic condition or are caring for someone with a chronic condition, including but not limited to hypertension, arthritis, heart and lung diseases, stroke, depression and diabetes. A fun, interactive course to help you manage your emotions, pain and Contribution: $35 per person, $45 a couple (covers your book and supplies) St. Mark’s United Methodist Church 1431 W. Magee Rd. October 16, 23, 30, Nov. 6, 13, 20 Wednesdays, 1:00 – 3:30 p.m. For those living with chronic pain and their caregivers. Topics for this interactive workshop include understanding acute and chronic pain; balancing activity and rest; managing your emotions, pain and fatigue; and decreasing frustration. Also, addressing the importance of healthy eating, medications and interventions, etc. Participants are led through a “Moving Easy” program designed for individuals with chronic pain. What: A six-week program for 2.5 hours once a week

Healthy Living with Ongoing Health Conditions fatigue, decrease frustration, and

increase fitness and self-confidence. What: A six-week program for 2.5 hours once a week Contribution: $20 per person; $30 per couple (covers your book and supplies)

Learn Practical Skills • Gain Self-confidence • Manage Fall Risks • Positive Changes & Healthier Living

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Health, Aging & Wellness

A Matter of Balance


Randolph Recreation Center 200 S. Alvernon Way Monday, Wednesday, Friday 10:15 – 11:15 a.m., Levels 1 & 2 Tucson Estates 5900 W. Western Way (Some restrictions apply) Monday, Thursday, Saturday 12:30 – 1:30 p.m., Level 1 William Clements Regional Center 8155 E. Poinciana Dr. Monday, Wednesday, Friday 8:30 – 9:30 a.m., Levels 1 & 2 Pima County Natural Resources, Parks and Recreation now has an online registration system. To register for these 3 locations, please visit http://webcms. parks_and_recreation/ and click the “register now” link. If you have any questions, please contact us at 724-5000. Drexel Heights Community Center 5220 S. San Joaquin Ave. Monday, Wednesday, Friday 9:00 – 10:00 a.m., Levels 1 & 2 Ellie Towne Flowing Wells Community Center 1660 W. Ruthrauff Rd. Monday, Wednesday, Friday 1:30 – 2:30 p.m., Levels 1 & 2 Picture Rocks Community Center 5615 N. Sanders Rd. Monday, Wednesday, Friday 10:00 – 11:00 a.m., Levels 1 & 2

Emphasizes the importance of maintain- ing an active lifestyle in order to reduce the risk of falling. Utilizing a small group discussion format, participants develop practical strategies to help them stay safe and active. Topics include: Fear of Falling, Getting Up from a Fall, Home Safety, and Exercising to Increase Strength and Flexibility. What: Eight 2-hour sessions, twice a week, for 4 weeks. Contribution: $20 per person; $30 per couple (covers workbook, materials and snacks) Marist Center 111 S. Church Ave. (Broadway & Church, Downtown) July 8, 10, 15, 17, 22, 24, 29, 31 Monday and Wednesday, 1:00 – 3:00 p.m. St. Mark’s United Methodist Church 1431 W. Magee Rd. Sept. 9, 11, 16, 18, 23, 25, 30, Oct. 2 Monday and Wednesday, 1:00 – 3:00 p.m. Morris K. Udall Regional Center 7200 E. Tanque Verde Rd. Sept. 17, 19, 24, 26, Oct. 1, 3, 8, 10 Tuesday and Thursday, 10:00 – 12:00 a.m. The Highlands at Dove Mountain 4949 W. Heritage Club Blvd., Marana 85658 Oct. 7, 8, 14, 15, 21, 22, 28, 29 Monday and Thursday, 1:30 – 3:30 p.m. Cornerstone Fellowship Church Co-sponsored with Senior Pride for LGBTQ Community 2902 N. Geronimo Oct. 21, 23, 28, 30, Nov. 4, 6, 11, 13 Monday and Thursday, 1:00 – 3:00 p.m.

A low to moderate level exercise class taught by a certified fitness instructor. Includes a 20 minute no/low-impact aerobic segment, stretches, and structured strength training exercises using weights. Fitness assessments done at 4 month intervals. What: 1 hour, 3 times weekly. Classes are ongoing, Monday, Wednesday, Friday. Contribution: $18 per month or $60 per 4 month session. Level 1 is a chair class. Levels 1 & 2 has both chair and low impact standing aerobic segments. Level 2 includes low impact standing aerobics. You are welcome to visit the site you are interested in attending. For space availability and registration information at one of these 7 locations, call 305-3410. El Dorado Campus Cafeteria of TMC Senior Services 1400 N. Wilmot Rd. Monday, Wednesday, Friday 9:00 – 10:00 a.m., Level 1 El Pueblo Neighborhood Center 101 W. Irvington Rd. Monday, Wednesday, Friday

9:00 – 10:00 a.m., Level 1 10:30 – 11:30 a.m., Level 2 El Rio Community Center 1390 W. Speedway Blvd. Monday, Wednesday, Friday 10:30 – 11:30 a.m., Level 2 Morris K. Udall Regional Center 7200 E. Tanque Verde Rd. Monday, Wednesday, Friday 10:15 – 11:15 a.m., Level 1 2:30 – 3:30 p.m., Levels 1 & 2

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Health, Aging & Wellness

Physical Activity and Motor Ability Associated with Better Cognition in Older Adults, even with Dementia

Encouraging evidence indicates that being more physically active is associated with a lower risk of Alzheimer’s disease and a slower rate of cognitive decline in older adults. But it remains unclear exactly how physical activity lowers this risk for Alzheimer’sdisease. One theory is that physical activity is somehow preventing the formation of the damaging plaques and tangles that are the hallmark of Alzheimer’s. Alternatively, perhaps being more physically active may simply improve or maintain the ability to function in the face of accumulating brain damage from Alzheimer’s disease, a concept sometimes referred to as cognitive resilience. Rush University Study A recent study by NIA-funded researchers at Rush University aimed to test these two theories, finding an association between motor abilities and cognitive test performance, as well as a separate independent association between physical activity and cognitive performance. In both cases, better motor abilities or higher levels of physical activity were associated with better cognitive performance. The study was published Feb. 19 in Neurology . More than 450 older adults from the Rush Memory and Aging Project were recruited from retirement communities throughout the Chicago metropolitan area. Participants underwent a series of cognitive, behavioral, and biomedical tests during their lives, and generously agreed to donate their brain and other tissues following their

The Aging Mastery Program® (AMP) classes Tuesdays, September 10 – November 19, 2019, 1:30 pm – 3:00 pm (There will not be a class on Tues., Oct. 29)

• Navigating Longer Lives • Exercise and You • Sleep The Aging Mastery Program® (AMP) classes will explore: • Financial Fitness • Advance Planning • Healthy Relationships • Healthy Eating and Hydration

• Medication Management • Fall Prevention • Community Engagement

A comprehensive approach to aging well. The program combines classes with expert speakers, group discussion and goal setting to help you gain new skills to make small meaningful changes in your life. Registration is payable in advance for all 10 weeks of the program. Limited spots available: Sign up now! Fee: Early Bird fee is $89 per person if registered and paid by Fri., Aug. 16 After Fri., Aug. 16 fee is $99 per person Registration and Fee (payable in advance) by Fri., Aug. 30, 2019 (No refunds after Fri., Aug. 30, 2019) Location: Casas Adobes Congregational Church 6801 N. Oracle Rd.

Join the adventure!

For more information and to REGISTER, call Pima Council on Aging, 520-305-3409

©2014 National Council on Aging.All Rights Reserved.

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Pima Council on Aging

Health, Aging & Wellness

Better Cognition deaths. In this study the researchers were particularly interested in measures of daily activity, motor function, and cognition taken about 2 years before death. Signs of dementia were observed in 191 participants, while the remaining 263 participants did not show signs of dementia. Daily activity was measured over 10 days using an accelerometer device worn on the wrist, averaged into a daily activity score. Cognitive function was measured as a composite of 21 cognitive tests assessing memory, spatial reasoning, and the ability to rapidly perceive or compare objects. Motor abilities were separately measured from daily activity as a function of several measures of fine motor skills, walking ability, and grip and pinch strength. Physical Activity & Cognitive Resilience The team then looked at brain tissue from these participants after their death and examined it for signs of Alzheimer’s disease, including amyloid plaques and neurofibrillary, or tau, tangles. They also looked at nine other measures of brain damage and disease including those caused by cardiovascular disease. Almost all cases, including those with no signs of dementia, showed evidence of at least one form of brain disease or damage, with most cases showing an average of three different forms of brain pathology. Critically, the authors found that even after accounting for the presence of signs of Alzheimer’s disease and other brain damage, more physical activity and better motor abilities were still associated with better cognitive function. This finding supports the explanation that physical activity may promote cognitive resilience, helping offset or mask the negative conse- quences of neurodegeneration.

(continued from page 11)

There are some limitations to this study. Because the study was cross-sectional, researchers could not identify a clear cause and effect relationship between physical activity and cognitive function (e.g., it could be equally likely individuals with better cognitive function happen to also be more physically active). Participants with signs of dementia did have lower levels of physical activity and poorer motor abilities than those without signs of dementia. The current study also did not examine lifetime physical activity. It is unclear whether the association seen between physical activity and cognitive function reflects the benefits of a lifetime of being physically active, or if initiating physical activity later in life may also be protective. Additional studies that examine individuals longitudinally across the lifespan and randomized controlled trials of physical activity interventions should help to answer these questions. Finally, the current study does not speak to the cellular and neural processes that might underlie these cognitive resilience processes. However, this study does provide additional promising evidence that physical activity and motor skills are beneficial to cognitive functioning in older age and greater physical activity may even help to protect against the harmful effects of brain degeneration in diseases like Alzheimer’s. This research was supported in part by NIA grants R01AG17917, R01AG56352, and R01AG052488. Source: National Institute on Aging (April 2019)

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Pima Council on Aging

Community Calendar Pull out this handy calendar section for July 2019 to keep with you

1 – 2 p.m., Peer support group, ALOHA – Adult Loss of Hearing Association Every Tuesday. Free. Adult Loss of Hearing Association, 4001 E. Ft. Lowell. Contact: 795-9887 or 1:30 – 3:30 p.m., seniors’ Dance Every Tuesday. Live music by Ken Novak & Ron Wagner, $3.00 members, $4.50 non-members. Udall Center, 7200 E. Tanque Verde Rd. Contact: 551-6154 3 – 4:30 p.m., Free individual and Group Support Counseling for Survivors of Abuse, Financial Exploitation, and Neglect Call for Intake. Deena Stewart-Hitzke, c. EdD – Administration of Resources and Choices Office: 623-3341 or cell 358-3887 or visit 3 – 4:30 p.m., grATis Apoyo individual y de Grupo Asesoramiento para Sobrevivientes de Abuso, Explotación Financiera y Negligencia Llamada para Intake. Martha Cruz – Administración de Recursos y Opciones 623-9383 ext. 1009 or visitar early retirement affect your benefits? • Do you qualify for disability, survivors, and spouse benefits? • How do you get the most from your benefit? • What is the future of Social Security? • When should you file for Medicare? Learn how to use my Social Security online account and other online services. You should go to to create a my Social Security account and print out your Social Security Statement before attending the workshop. Murphy-Wilmot Library, 530 N Wilmot Rd. Visit: 5 – 7 p.m., social security 101 – Everything you wanted to know Free workshop. • When are you eligible to receiveretirement benefits? • How does

6 – 7 p.m., Tucson Tuesday Laughter yoga Every Tuesday. Come laugh with us for peace, healing and maybe even flat abs! Free! Everyone is welcome. All ages and abilities! Quaker Meeting House, 931 N 5th Ave. Drop-in or call: Loti, 490-5500 7 – 8 p.m., ALOHA - Adult Loss of Hearing Association, evening Support Group Every Tuesday. Adult Loss of Hearing Association, 4001 E. Ft. Lowell. Contact: 795-9887 or July 3, Wednesday 5 – 7 p.m., Tucson singletarians (See page 21) Are you or someone you know struggling with Lupus? Come join us for a supportive discussion about Lupus, its signs, symptoms, and coping strategies. Coffee Talk Support Group every first Wednesday of the month, 6pm- 9pm. Lupus Foundation of Southern Arizona, 4602 E Grant Rd. Contact: 622-9006 or visit 6 – 9 p.m., Lupus Foundation of Southern Arizona Support Groups



All calendar listings are posted on for the months remaining in 2019. Click on: • Events calendar (bottom of page) • Search events Enter: • Date range • Category - Pima Council on Aging Listings are subject to change July 2, Tuesday 8 a.m. – 3 p.m., golden Age Club #1 Every Tuesday. Randolph Recreation Center, 200 S. Alvernon Way, Performing Arts Bldg. Contact: 791-4560 9 a.m. – 3 p.m., sunnyside senior Club Every Tuesday. El Pueblo Senior Center, K.A.R.E. Family Center, 220 E. Speedway Blvd. Contact: 323-4476 9:30 a.m. – 1 p.m., Tucson society of the Blind Every Tuesday. Bring a sack lunch. Christ Presbyterian Church, 6565 E. Broadway. Contact: Barbara, 298-2427 or Tom, 721-1019 or visit 101 W. Irvington Rd. Contact: 791-7461 9:30 – 11:30 a.m., Kin support group Every Tuesday, for Kinship Caregivers. July 4, Thursday

PCOA office will be closed

July 6, Saturday 8 – 9 a.m., Walk With A Doc – Pima County Medical Society Walk led by Seth Peterson, a physical therapist. One to two mile walk on level ground. Children’s Memorial Park,

701 W. Edgewater Dr. Contact: 795-7985 or

July/August 2019, Never Too Late | Page 13

Pima Council on Aging

Community Calendar Pull out this handy calendar section for July 2019 to keep with you

July 9, Tuesday 10:30 a.m. – 2 p.m., Pima & Swan Seniors Club 2nd and 4th Tuesdays. Fun, fellowship and friendship. Local Church. Call for more information. Contact: 444-4714 July 10, Wednesday 2:30 – 3:30 p.m., Alzheimer’s Association Support Group

10 a.m. – noon, Women’s Army Corps Veterans Association, Palo Verde Chapter #87 Girl Scout Headquarters, Broadway & Columbus. Contact: Norma, 624-3827 1 – 3:30 p.m., National Federation of the Blind (NFB) Southern Arizona Association for the Visually Impaired, 3767 E. Grant Rd. Contact: Sami, 903-1190 or Bob, 733-5894 or July 7, Sunday Noon – 2 p.m., Reach for the Stars workshop – for LGBTQ+ older adults (and youth) This workshop is an opportunity to express yourself through dance, achieve personal growth and inspire others to do the same. This is a unique chance for seniors in our community who are looking to stay active, break a sweat and reach for the stars! Join Michael La Salta every Sunday. Michael will be conducting a beginner and intermediate level dance class. Michael has 35+ years of experience in a multitude of disciplines that he will utilize to help you discover a balanced, effective way of moving! Offered by Colby Olsen Foundation. The Historic Y, 738 N. 5th Ave. Visit: 3:45 – 5 p.m., Gamblers Anonymous (GA) Every Sunday. Streams in the Desert Lutheran Church - Room A, 5360 E. Pima St. Contact: Susan, 747-5018 4 – 5 p.m., Clutterer’s Anonymous (CLA) Every Sunday. Streams in the Desert Lutheran Church - Room B, 5360 E. Pima St. Contact: Wendy, 888-0088

en grupos de apoyo mutuo mejoran los resultados para el cuidado de familiares. SUPPORT GROUP DAY & TIME • Grupo de apoyo mutuo, 1er y 3 er lunes del mes: 6-7:30 p.m., cuidado de niños disponible • Monday Night, 2nd & 4th, 6-7:30 p.m., childcare available • Tuesday Morning, 9:30-11:30 a.m., childcare is available only on non-school days • Children of Incarcerated Parents, 1st & 3rd Thursday, 5:30-7:30 p.m., call to register, childcare available • Green Valley, 3rd Friday of the month,10 a.m.-12 p.m., Green Valley Public Library, childcare available This program was partially funded through a contract with Pima Council on Aging, utilizing funds from the Arizona Department of Economic Security. KARE Family Center, 220 E. Speedway Blvd. Contact: 323-4766 10 a.m. – 3 p.m., Jacobs Park Seniors 50 and older welcome. Join us every Thursday. Games, pinochle, hand & foot canasta, coffee & snacks. Jacobs Park YMCA on Fairview Ave. Contact: Kathy, 292-2666 10:30 a.m. – noon, The Tucson Retirees of AFSCME Donna Liggins Center, 6th Ave. off of Grant. Contact: Vikki, 904-0785 or Peggie, 609-3037 10:30 a.m. – 3 p.m., The Embroiderers’ Guild of America Tucson Chapter Every Thursday. Ellie Towne Flowing Wells Community Center, 1660 W. Ruthrauff Rd. Contact: Linda, 398-7268 or visit 11 a.m. – 1:30 p.m., National Association of Retired and Veteran Railroad Employee’s Inc., Unit 63 The Golden Corral, 4380 E. 22nd St. Contact: Ken, 520-288-8221 or Dan, 296-4576

2nd & 4th Wednesdays. Pima Council on Aging, 8467 E. Broadway Blvd. Contact: Robin, 373-0349 2:30 – 4 p.m., LGBTQI Grief Support Group

A safe and accepting place to share about grief and loss. Sponsored by Soreo Hospice and Senior Pride. Every other Wednesday (except holidays). No charge. Must call to RSVP Tuesday before by 3 p.m. Soreo Hospice, 2475 E. Water St.

Contact: 547-7000 or July 11, Thursday

8 a.m. – 1 p.m., Exercise Class, Line dancing, Qi gong, Tai Ji followed by Mahjong and light lunch Lunch and free play at 12:00 p.m. Tucson Chinese Cultural Center, 1288 W. River Rd. Contact: Patsy Lee, 292-6900 9:30 – 11:30 a.m., Peer - LED Kinship Caregiver Support Groups Come be supported by others sharing a similar journey of caring for kin children! ¡Venga a recibir apoyo de personas que comparten el camino de crianza de niños familiares! Studies show that peer-led support groups improve outcomes for kinship families. Los estudios han comprobado que la participación

Page 14 | July/August 2019, Never Too Late

Pima Council on Aging

Nunca Es Demasiado Tarde ¡Saca esta práctica sección de 4 páginas para que te acompañe!

PCOA es una fuente confiable de información, asistencia y apoyo para las personas mayores y sus familias en el Condado de Pima. Información y Referidos

PCOA proporciona los siguientes y muchos otros servicios tanto directamente, como a través de colaboraciones con asociados de la comunidad: Envejecer Bien • Programa de ejercicios para el mejoramiento de aptitud física (EnhanceFitness) • Taller sobre la prevención de caídas “Cuestión de Equilibrio” (A Matter of Balance) • Educación sobre el uso indebido de medicamentos para ser inteligente con las medicinas, (de BeMedSmart) • Programa de Dominio del Envejecimiento (Aging Mastery Program) • Programa de almuerzos comunitarios Servicios a Cuidadores Familiares • Asesoría personal con un cuidador • Grupos de apoyo para cuidadores • Entrenamiento para cuidadores familiares Apoyo en el Hogar • Comidas a domicilio con el programa Meals on Wheels de Pima • Coordinación de los quehaceres domésticos, cuidado personal y otros • Reparaciones y adaptaciones del hogar Salud, Derechos y Beneficios • Educación y consejería sobre Medicare • Defensores del Cuidado a Largo Plazo • Planificación avanzada para el final de la vida

PCOA ofrece información confiable sobre recursos y servicios para las personas mayores y sus familias en el condado de Pima a través de nuestra Línea de Asistencia y nuestro sitio web. Nuestra Línea de Asistencia cuenta con especialistas certificados en información y referidos, que pueden ayudar prácticamente con cualquier pregunta o problema relacionado con las personas mayores en el condado de Pima. Ellos tomarán en cuenta su situación particular y le ayudarán a identificar recursos para satisfacer cada una de sus necesidades. Apoyo Como Agencia del Envejecimiento del Condado de Pima, PCOA aboga a favor de las necesidades e intereses de los adultos mayores y de quienes los cuidan. Trabajamos con funcionarios del gobierno federal, estatal y local para promover políticas que beneficien a las personas mayores de hoy día y las generaciones venideras. A través de esfuerzos comunitarios conectamos a adultos mayores, cuidadores, y a aquellos que se preocupan por los asuntos de la

¿Cómo tengo acceso a los servicios?


tercera edad con funcionarios electos para proporcionar testimonios de primera mano sobre cómo los cambios en la legislación, la política o los fondos disponibles les afectarán a ellos y a sus familias.

Bienvenido a Nunca Es Demasiado Tarde , un nuevo capítulo de Never Too Late , la publicación de 50 años del Consejo Pima sobre el Envejecimiento (PCOA) que brinda información sobre servicios relacionados con la salud, asistencia en el hogar, envejecimiento, cuidado, dinero y preocupaciones legales, defensa, información y referencias, formas de ser voluntario y mediante colaboraciones con socios comunitarios.

July/August 2019, Never Too Late | Page 15

Pima Council on Aging

Nunca Es Demasiado Tarde

Nunca es demasiado tarde para la creación de células nuevas en el cerebro

dos cosas están interconectadas, pero está claro que hay mucha variación entre un individuo y otro”, dijo Lazarov. “El hecho de que encontráramos células madre neurales y neuronas nuevas en el hipocampo de adultos mayores significa que si podemos encontrar una forma de fomentar la neurogénesis, por ejemplo mediante una molécula pequeña, quizá podamos ralentizar o prevenir el declive cognitivo en los adultos mayores, sobre todo cuando comienza, que es cuando las intervenciones pueden ser más efectivas”, planteó. Los hallazgos aparecen en la edición del 23 de mayo de la revista Cell Stem Cell. Más información La Asociación del Alzheimer (Alzheimer’s Association) ofrece consejos para mantener el cerebro sano. Artículo por HealthDay, traducido por ©Derechos de autor 2019, HealthDay FUENTE: University of Illinois at Chicago, news release, May 24, 2019 -- Robert Preidt Last Updated: May 30, 2019 ©Derechos de autor 2019, HealthDay

Una nueva investigación ofrece nuevas esperanzas a todo el que esté luchando con una memoria que empeora: las neuronas continúan formándose hasta la vejez, incluso en las personas con deterioro mental o enfermedad de Alzheimer. “Encontramos que había neurogénesis [la formación de nuevas neuronas] activa en el hipocampo de adultos mayores de 90 y tantos años”, señaló la autora del estudio, Orly Lazarov, profesora de anatomía y biología celular en la Universidad de Illinois, en Chicago. “Lo interesante es que también vimos algunas neuronas nuevas en los cerebros de personas con enfermedad de Alzheimer y deterioro cognitivo [del pensamiento]”, añadió en un comunicado de prensa de la universidad. Los hallazgos podrían conducir a nuevos tratamientos para el declive mental en los adultos mayores, afirmaron los investigadores. En el estudio, Lazarov y sus colaboradores examinaron el tejido del hipocampo de los cerebros de 18 personas, con una edad promedio de 90.6 años, tras su fallecimiento.

El hipocampo está implicado en la formación de los recuerdos y en el aprendizaje. En promedio, en cada cerebro había unas 2,000 células madre neurales y 150,000 neuronas en desarrollo. Aunque las personas con deterioro mental y enfermedad de Alzheimer tenían neuronas nuevas, sus niveles eran significativamente más bajos que en las personas con una función cerebral normal, anotaron los investigadores. Esta es la primera evidencia de números significativos de células madre neurales y neuronas de desarrollo reciente en el hipocampo de los adultos mayores, incluso en los que sufren de trastornos que afectan a esa parte del cerebro. Los investigadores también encontraron que las personas que puntuaron más en las pruebas de habilidades mentales tenían más neuronas de desarrollo reciente en el hipocampo que las que tuvieron puntuaciones más bajas, independientemente del nivel de enfermedad en el cerebro. “La mezcla de los efectos de la patología y la neurogénesis es compleja, y no comprendemos exactamente cómo las

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Pima Council on Aging

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