Never Too Late November/December 2024

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

Never Too Late National Family Caregivers Month/Season of Giving! Para información en Español ver páginas 28 – 29.

Nov./Dec. 2024 What’s News • Aging in Our Community • Community Lunch Program • Dementia Capable SoAZ • Healthy Minds for Life • Medicare & SMP Updates • Rights & Benefits • Caregiving • Healthy Living: Classes • Ending Life Well • PCOA Puzzle • Visibility Matters • Advocacy • Neighbors Care Alliance • CareGiver Training Institute • PimaCare at Home

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

Independence. Vitality. Respect.

Inside • Aging in Our Community 3 • Philanthropy 4 • Community Lunch Program 6 • Dementia Capable Southern Arizona Classes 7-8 • Healthy Minds for Life 9 • Medicare Corner & Senior Medicare Patrol 10-12 • ALTCS Workshop & Social Security Updates 13-14 • Caregiving 16-18

• Ending Life Well 19 • Healthy Living 23-24 • PCOA Puzzle 25-26 • Nunca Es Demasiado Tarde 27-28 • Visibility Matters 29 • Advocacy 30 • Neighbors Care Alliance 31-32 • Featured Artist 33 • CareGiver Training Institute (CGTI) 34 • PimaCare at Home (PCAH) 35

PCOA Helpline: (520) 790-7262 Administration: (520) 790-0504 Donate: givepcoa.org E-mail: help@pcoa.org Website: pcoa.org Mail: 8467 E. Broadway Blvd. Tucson, AZ 85710 Never Too Late is published by Pima Council on Aging, the Area Agency on Aging, Region II. Material from Never Too Late may be reprinted when permission is given and attribution is used along with ©PCOA 2024. Editor Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Editorial Assistant Jan Slonaker, (520) 790-7573 ext. 5076 jslonaker@pcoa.org Advertising Adina Wingate, (520) 790-7573 ext. 5067 awingate@pcoa.org Design Consultant Lori Lieber, Lori Lieber Graphic Design lori@lorilieber.com Editorial and Advertising Deadline for Next Bi-Monthly Issue DECEMBER 1, 2024 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.

On the Cover: Detail from Red Bloom Dreams, Watercolor by Yvonne Reineke, The Drawing Studio. (Story and full image on inside back cover.)

Connect With Us The best way to access our services is by calling our Helpline between 8:30 a.m. and 5:00 p.m. Monday through Friday at (520) 790-7262 or emailing help@pcoa.org. • Our 8467 E. Broadway Blvd. building is open for those requiring in-person assistance. • Our 600 S. Country Club Rd. building is open for those requiring in- person assistance.

FIND US ON SOCIAL MEDIA

FACEBOOK www.facebook.com/ pimacouncilonaging

INSTAGRAM https://www.instagram.com/ pimacouncilonaging/ NEXTDOOR https://nextdoor.com/pages/ pima-council-on-aging-tucson-az-1/

EMAIL help@pcoa.org

Read Never Too Late online at nevertoolate.pcoa.org.

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Pima Council on Aging

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

Announcing My Retirement: A Fond Farewell and Gratitude for a Decade of Service Dear PCOA Community,

The resilience and creativity of our team allowed us to provide essential support, even in the face of unprecedented challenges. This experience underscored the importance of our mission and our role in the community. As I prepare for this next chapter, I’m confident in PCOA’s future. Our Board of Directors is working diligently to select a new CEO who will bring fresh perspectives and continue advancing our mission. This transition offers exciting opportunities for growth and innovation, and I am eager to see how PCOA evolves under new leadership. I want to express my deepest thanks to our incredible staff. Your commitment and unwavering dedication have driven our success. It has been a privilege to work with such a talented and compassionate team. To our volunteers, thank you for your generosity and selflessness. Your contributions have enriched countless lives and have been a cornerstone of our organization’s impact. To our community partners, your collaboration and support have been invaluable. Together, we’ve built a network of resources that truly make a difference, and I am deeply grateful for your partnership. Lastly, to the older adults we serve, thank you for inspiring me every day. Your strength, wisdom, and resilience are a testament to the vital role older adults play in our community. It has been an honor to serve you, and I am proud of all we have accomplished together.

As we approach the end of the year, I want to emphasize the importance of your continued support for PCOA. Your donations have always been the backbone of our ability to provide essential services and programs. This year, your unrestricted contributions are more critical than ever. They enable us to respond to immediate needs, support ongoing programs, and invest in innovative solutions that enhance the quality of life for older adults. During this season of giving, I invite you to reflect on the impact PCOA has had on your life and the lives of those around you. Every contribution, no matter the size, plays a crucial role in sustaining our work and ensuring a brighter future for our community. Though I will miss the day-to-day interactions, I look forward to staying connected with PCOA and supporting its mission in new ways. I am excited to see the continued growth and success of the organization. Thank you for this incredible journey and for allowing me to be a part of something truly special. Together, we’ve built a strong foundation, and I am confident the future holds even greater promise for PCOA. With deep gratitude,

It is with a mix of excitement and nostalgia that I announce my decision to retire as President and CEO of Pima Council on Aging. I will remain in my role until a new leader is selected and the transition is complete. As I prepare to step down, I reflect on the incredible journey we’ve shared over the past decade. Serving as your CEO has been one of the greatest honors of my life, and I am deeply grateful for the opportunity to lead an organization that makes such a profound impact on the lives of older adults in our community. When I first joined PCOA, I was inspired by the dedication of our staff, volunteers, and partners. Over the years, this inspiration has only grown as I’ve witnessed the tireless efforts of our team to advocate for and support older adults. Together, we’ve navigated challenges, celebrated successes, and continually strived to enhance the services and programs we offer. Reflecting on our accomplishments, I am particularly proud of our core programs and new innovations that have brought national attention to PCOA, such as our Dementia Capable of Southern AZ initiative and the creation of SW Community Care Partners – a hub of leaders serving older adults in Pima County. We’ve made significant strides in ensuring that our community members can age with dignity and independence. One of our greatest achievements was adapting our services during the COVID-19 pandemic and launching the Take Your Shot campaign, which helped spread the critical message of vaccination.

W. Mark Clark President and CEO Pima Council on Aging (PCOA)

November/December 2024, Never Too Late | Page 3

Pima Council on Aging

Philanthropy

The Season of Giving: Be a Champion for Family Caregivers

Tucson Electric Power: Empowering Older Adults Through Generous Support

As the year draws to a close and we enter a season of warmth, family, and generosity, let’s take a moment to honor those who dedicate their lives to caring for others — our community’s family caregivers.

These individuals work tirelessly, often without recognition or rest, to support their loved ones, and now is the time to show them the support they deserve. At PCOA, we see the sacrifices family caregivers make every day. Many juggle full-time jobs while providing essential care to older adults — helping with daily tasks and offering emotional support. The physical, emotional, and financial strain can be overwhelming. That’s where you come in. This season, your donation to PCOA can make a real difference. Your contribution provides vital resources to help caregivers continue their invaluable work. Your Gift at Work: • Respite Care: Fund professional respite services, giving caregivers a much-needed break to rest and recharge. • Training & Support: Enable PCOA to offer training and support groups, equipping caregivers with the skills and emotional reinforcement they need. • Wellness Programs: Help caregivers access programs that manage stress and prioritize their own health. • Emergency Assistance: Provide urgent support for medical expenses or home modifications that ensure safety. In this season of giving, your kindness can be a lifeline for family caregivers. Your donation will offer hope, strength, and the comfort of knowing they’re not alone. How to Donate: Visit pcoa.org/donate or call (520) 790-7573 ext. 5042. Every gift, no matter the size, makes a meaningful impact.

In a remarkable show of support for our community, Tucson Electric Power (TEP) has awarded Pima Council on Aging (PCOA) a generous $25,000 donation. This contribution will be instrumental in furthering two key initiatives that directly benefit older adults in Pima County. Supporting Lifelong Learning: “Nosh and Know” Part of TEP’s donation has helped launch “Nosh and Know,” an educational series for older adults. This program offers expert- led discussions on topics including brain health, in-home care, and aging with confidence, providing a welcoming space for learning and connection. Addressing Housing Insecurity: Strengthening the Emergency Fund TEP’s contribution will also strengthen our Emergency Fund, focusing on housing insecurity for older adults. With rising living costs, many older adults in our community face the very real threat of losing their homes. TEP’s contribution will bolster this vital resource, ensuring that more older adults can remain in their homes and maintain their independence. A Heartfelt Thank You We deeply appreciate TEP's continued commitment to PCOA and the older adults in our community. Their generosity will make a lasting impact, ensuring that more people receive the help they need. Together, we are building a compassionate community where everyone can age with dignity.

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Pima Council on Aging

Information

They took the time to hear “

Armando Delgado | Tucson, AZ

As a member, you’ll also enjoy: • More time with your doctor • Same-day member appointments • A convenient schedule of activities and events designed to keep you moving

People around the country are living life to its fullest thanks to our more caring approach to primary care for adults age 60+. With centers conveniently located right in your neighborhood, it’s never been easier to make regular wellness visits and preventive care part of your routine.

Become a member at ArchWellHealth.com or call (520) 613-0005.

Visit ArchWellHealth.com/OrangeCouch to hear how members are living their best lives better with ArchWell Health!

Orange Couch Conversations

Primary Care for Tucsonans Age 60+

ADVERTISEMENT

November/December 2024, Never Too Late | Page 5

Pima Council on Aging

PCOA Community Lunch Program

NO MORE PARTY OF ONE NO MORE PARTY OF ONE 60 years old or older? Tired of dining alone?

PRE-REGISTRATION REQUIRED Please call for mealtimes, to reserve a meal, and for days and hours of operations. Ajo Community Center 290 W. Fifth St., Ajo (520) 387-5040

Archer Neighborhood 1665 S. La Cholla Blvd., Tucson (520) 791-4353 Freedom Recreation Center 5000 E. 29th St., Tucson (520) 791-4969 Posada Life Community Center 780 S. Park Centre Ave., Green Valley (520) 393-6814 Quincie Douglas Center 1575 E. 36th St., Tucson (520) 791-2509 Saguaro Senior Meals Program 8302 E. Broadway Blvd., Tucson (520) 485-7413 William M. Clements Center*** 8155 E. Poinciana Dr., Tucson (520) 791-5787 * Dinner Meal Only ** Open Monday, Wednesday, Friday *** Open Until 2pm

Armory Park Center* 220 S. 5th Ave., Tucson (520) 791-4070 Casa De Encanto 250 N. Silverbell Rd., Tucson (520) 415-6804 Donna Liggins Center 2160 N. 6th Ave., Tucson (520) 791-3247 El Pueblo Neighborhood Center 101 W. Irvington Rd., Tucson (520) 889-0928 El Rio Neighborhood Center 1390 W. Speedway Blvd., Tucson (520) 791-4683 Ellie Towne/Flowing Wells Community Center** (Open Mon., Wed., Fri.) 1660 W. Ruthrauff Rd., Tucson (520) 724-5362

COMMUNITY LUNCHES $2 TO $3 A MEAL! Want to get out of the house and enjoy a satisfying lunch while making friends?

60 years old or older? Tired of dining alone?

COMMUNITY LUNCHES $2 TO $3 A MEAL! Want to get out of the house and enjoy a satisfying lunch while making friends?

13 Community Lunch sites in metro Tucson, Ajo, and Green Valley

FOR MORE INFORMATION Please visit https://bit.ly/4cJNHjV or call the PCOA Helpline at (520) 790-7262. 60 years old or older? Tired of dining alone? Want to get out of the house and enjoy a satisfying lunch while making friends? COMMUNITY LUNCHES $2 TO $3 A MEAL!

13 Community Lunch sites in metro Tucson, Ajo, and Green Valley

FOR MORE INFORMATION Please visit https://bit.ly/PCOAmeals or call the PCOA Helpline at (520) 790-7262.

ORE INFORMATION t https://bit.ly/4cJNHjV or call the pline at (520) 790-7262.

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Pima Council on Aging

Dementia Capable Southern Arizona

The holiday season is here, bringing a wonderful spirit of joy and togetherness!

Taking care of your brain health is vital! If you or a loved one are experiencing memory concerns, don't hesitate to get a memory screening. Early detection can make a big difference! Contact the PCOA helpline at (520) 790-7262 to schedule your screening today. Visit - https://pcoa.org/ dementiareferral/ Memory Concerns?

While it’s a time for celebration, it can also be a time of stress for those living with dementia, as well as their family, friends, and caregivers. Although the holidays may look a bit different this year, there are still plenty of ways to fill the season with love, laughter, and cherished family traditions. Here are a few helpful hints to help make this holiday season wonderful for you and your loved one with dementia. • Set realistic expectations and don’t overbook yourself. • Schedule a brunch or lunch instead of dinner if confusion increases later in the day. • Choose smaller gatherings or stagger visitors to avoid stress. • Use flameless candles and simple decorations to ensure safety. • Create DIY decorations such as popcorn garlands or paper chains as a fun activity. • Enjoy holiday music, familiar stories, and classic films. • Request “coupons” for helpful tasks instead of physical gifts, such as cooking or grocery runs. Maintaining routines and self-care is crucial for caregivers during this time. Continue daily routines, social activities such as Memory Cafés, and attend support groups as much as possible.

Dementia Capable Southern Arizona Classes: November & December

In Person Katie Dusenberry Healthy Aging Center (600 S. Country Club)

Presentation

Dementia Friends Information Session Gain a general understanding of dementia with a focus on adopting a mindset of creating a dementia-friendly community. This presentation is appropriate for all community members ages 13+. Memory Loss: Progressions, Behaviors, and Interventions Part 1 Dive into the progression of dementia, the brain changes that occur, and care tips. This presentation is designed for family members and other caregivers. Memory Loss: Progressions, Behaviors, and Interventions Part 2 Take a deeper dive looking at caregiver strategies, common challenges, and approaches to caring for someone with dementia. This presentation is designed for family members and other caregivers. Register online today at https://bit.ly/DCSAevents or by scanning the QR code. For more information or to register , contact Nicole Thomas at (520) 790-7573 x 1739 or nthomas@pcoa.org.

Monday, November 4 10:00 a.m. - 11:00 a.m.

Thursday, December 5 10:00 a.m. – 11:30 a.m.

Thursday, December 12 10:00 a.m. – 11:30 a.m.

November/December 2024, Never Too Late | Page 7

Pima Council on Aging

Dementia Capable Southern Arizona Pima County Memory Cafés November & December 2024 Café Day & Time Date Location Info

* Registration is appreciated but not required.

AARP Memory Café

*To register , visit – AARP Events Near Tucson, AZ Point of contact – Aaron Wodka at (520) 730-1170 or awodka@aarp.org. * Point of contact – Susie James at (928) 237-2926 or sjames@alz.org. *To register , visit https:// cafeatthekatie.eventbrite. com. Point of contact – Nicole Thomas at (520) 790-7573 x1739 or nthomas@pcoa.org. *To register, visit http:// cafeatthelupu.eventbrite. com. Point of contact – Nicole Thomas at (520) 790-7573 x1739 or nthomas@pcoa.org. Registration requested

November 15 & December 13 (November and December cafés are earlier in the month due to the holidays.) November 13 & December 11 November 13 & December 11 (There will not be a second café in November and December due to the holidays.) November 19 & December 17

AARP Tucson Office, 6700 N. Oracle Rd., Ste. 331, Tucson, AZ 85704 Beyond Bread 421 W. Ina Rd. Tucson, AZ 85704 The Katie (PCOA) 600 S. Country Club Rd. Tucson, AZ 85716

Last Friday of each month, 10:00 a.m. – 11:30 a.m.

Alzheimer’s Association Memory Café Café at The Katie

2nd Wednesday of each month, 3:00 p.m. – 4:00 p.m. 2nd & 4th Wednesday of each month, 10:00 a.m. – 11:00 a.m.

Café at The Lupu

3rd Tuesday of each month, 10:00 a.m. – 11:00 a.m.

The Lupu (PCOA) 8467 E. Broadway Blvd., Tucson, AZ 85710

Esperanza Memory Café

2nd Thursday of each month, 2:00 p.m. – 3:00 p.m.

United Methodist Church of Green Valley, 300 W. Esperanza Blvd. Green Valley, AZ 85614 JFCS Tucson 4301 E 5th St. Tucson, AZ 85711

November 14 & December 12

To register call (520) 625-4712.

Midtown Memory Café at JFCS

Registration is encouraged. To register, email memorycafe@jfcstucson. org. Point of contact – Alison Wood (520) 795-0300 x2248 or awood@jfcstucson.org.

2nd Thursday of each month, 10:30 a.m. – 11:30 a.m.

November 14 & December 12

Posada Life Memory Café

3rd Friday of each month, 1:00 p.m. – 2:00 p.m.

La Posada Community Center 780 S. Park Centre Ave., Green Valley, AZ 85614

November 15 & December 20

* Point of contact – Vicki Roy at (520) 393-6800 or VRoy@casagv.org.

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Pima Council on Aging

Healthy Minds for Life A Message from Lee Ryan, Professor, Psychology Department: Director, BIO5 Brain and Body Imaging Center at the University of Arizona Promoting Brain Health through Arts Engagement

from the arts. Among young children, studies have shown that being involved in arts activities benefits childhood brain development, enhances learning and creativity, and is associated with positive behaviors such as altruism and empathy as well as long-term higher educational attainment. How could something as simple as taking up painting or learning to dance provide so many health benefits? Most likely, many factors positively influence our health. Enhancing social connectedness and decreasing loneliness increase the likelihood that we engage in healthy activities, including eating healthy meals and being physically active. Decreasing stress, anxiety, and depression influences a variety of important physiological mechanisms such as stimulating the parasympathetic nervous system and increasing neuroplasticity – the ability of the brain to build new connections. We can think of artistic activities as multi- faceted interventions that collectively benefit our physical and mental health. Of course, it’s well known that many of these benefits, including alleviating stress and decreasing depression, also happen when people engage in physical exercise. So, is there something special about the arts? The answer is clear, yes. Arts engagement promotes creativity, encourages self-expression, and allows people to share with others on an emotional level, leading to self- awareness, self-knowledge, and personal insights. The arts also connect us with beauty. Much of what we find “beautiful” is highly subjective, and yet we often have a shared experience of beautiful – a sunset, a landscape, a painting or a piece of music. Neuroscientists are beginning to understand what happens in the brain when we perceive beauty.

In recent years, programs have popped up all over the world encouraging people to get involved with community arts – through music, dance, photography, theatre, poetry, folk art, and many others. According to the World Health Organization, engaging in arts activities offers a wide range of health benefits, both physical and psychological, and leads to increases in overall well-being and quality of life. Several recent studies have also shown that arts engagement protects against cognitive decline among older adults. The health benefits attributed to arts engagement are surprisingly extensive. Becoming involved in visual arts, theatre, literature, or music has been shown to improve health conditions such as cancer, heart disease, and stroke by reducing symptoms, slowing disease progression, and accelerating disease recovery. Mental health benefits include reducing anxiety and depression, alleviating chronic stress, and reducing grief and negative emotions. Just as important, arts engagement appears to enhance cognitive functions such as memory and mental control among older adults and decreases the risk for developing cognitive impairment in later life. Arts engagement also has a positive impact on our personal well-being. The arts help individuals express themselves, develop coping skills, and build self- esteem. Since many of these activities take place in group settings, arts engagement leads to increased social interaction and connectedness, improved interpersonal skills, and reductions in feelings of loneliness, isolation, and hopelessness. It’s not just older adults who benefit

Whether it’s visual art, photographs of nature, or music, researchers find that these experiences activate regions of the brain that play a key role in our feelings of reward and pleasure. The activation of these pathways not only makes us feel good, but they also enhance the brain’s cognitive systems including memory and attention. Arizona people understand the message. As just one example, the Arizona Commission on the Arts (https://azarts. gov/programs) has created programs to encourage lifelong arts engagement. One of their programs entitled AZ Creative Aging provides training and resources for artists and arts organizations to support high-quality arts programs for older adults throughout our community. You can also find lists of arts activities through these websites: Tucson Lifestyle, Visit Tucson, and the Arts Foundation for Tucson and Southern Arizona. Give it a try. Attend a gallery tour, take a class in painting or pottery, or join a choir. You’ll be doing something very positive for yourself and for your brain. Professor, Psychology Department: Director, BIO5 Brain and Body Imaging Center at the University of Arizona. She is a researcher studying aging and Alzheimer’s disease and is a member of the Precision Aging Network. You can find more information about the Precision Aging Network at our website: https:// precisionagingnetwork.org/. To hear about ways that you can participate in our research studies, email us at healthymindsforlife@email.arizona.edu.

November/December 2024, Never Too Late | Page 9

Pima Council on Aging

Medicare Corner

2024 Medicare Presentations  Understand the difference between Original Medicare and Medicare Advantage.  Learn about Medigap and Prescription Drug Plans.  Questions to ask before you enroll.  How and when to enroll.  Learn about Medicare Savings Programs which may help with paying Part B premiums and/or Part D drug costs for those who qualify.  How to find plans that offer the lowest costs for the prescriptions you take. Pick up plan comparison spreadsheets for Pima County Medicare beneficiaries!

Date

Registration Links

Location

Time

Saturday, November 2 2025 Medicare Updates and Q&A Only – Limited Seating! Wednesday, November 13

11:00 a.m. – 2:00 p.m.

Murphy-Wilmot Library 530 N. Wilmot Dr. Tucson, AZ 85711 PCOA at The Katie 600 S. Country Club Rd. Tucson, AZ 85716 Virtual via Zoom Oro Valley Public Library 1305 W Naranja Dr, Oro Valley, AZ 85737 PCOA at The Katie 600 S. Country Club Rd. Tucson, AZ 85716

https://PCOA-Medicare-2025-Updates.eventbrite.com

12:00 p.m. – 3:00 p.m. 12:00 p.m. – 3:00 p.m. 12:00 p.m. – 3:00 p.m. 12:00 p.m. – 3:00 p.m.

https://Medicare-At-TheKatie.eventbrite.com

Wednesday, November 13 via Zoom Wednesday, November 6

https://PCOA-Medicare-on-Zoom.eventbrite.com

https://MedicareOroValleyLibrary.eventbrite.com

Wednesday, December 11

https://Medicare-At-TheKatie.eventbrite.com

PCOA is the local State Health Insurance Assistance Program (SHIP) for Pima County. Contact us at (520) 546-2011 for more Medicare information.

This project was supported in part by grant number 90MPPG0022, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

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Pima Council on Aging

Medicare Corner

Common Open Enrollment Notices You can make changes to your Medicare coverage each year during Medicare’s Open Enrollment, which runs from October 15 to December 7 . Around September, you may have received notices with information about changes to your coverage for the coming year. Read these notices so you can decide if your coverage will continue to meet your needs or if you should change it. Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) • Sent to people who have a Medicare Advantage Plan or Part D plan. • Notices include any changes to your plan in 2025 . • Look for any changes to the plan’s: Provider Network – will your preferred providers still be part of your plan’s network? Costs – will your out-of-pocket costs be within your budget? Formulary – are all your prescribed drugs still part of your plan’s list of covered drugs in 2025? If you are unhappy with any changes to your plan, you can enroll in a different plan for 2025. The Medicare & You Handbook • Sent to everyone enrolled in Medicare. • Includes information about Medicare-covered services. • Lists Medicare Advantage Plans and Part D plans in your area.

• If you did not receive a Medicare & You handbook, you can call 1-800-MEDICARE to request your region’s copy be sent to you.

Other Notices You May Receive

Plan Non-Renewal Notice You would have received this notice in October if you are enrolled in a plan that is leaving the Medicare program in the coming year. You should enroll in a new plan during Open Enrollment. If you do not enroll in a new plan at this time, you will also have until the last day in February to enroll in a new plan. Consistent Poor Performance Notice You received this notice in late October if you are enrolled in a plan that has received a low rating for three or more years in a row. A low rating is three stars or fewer out of five. Plans are rated on their quality and performance, such as how well they handle appeals. This notice encourages you to look at other plan options in your area.

This project was supported in part by grant number 90MPPG0022, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

November/December 2024, Never Too Late | Page 11

Pima Council on Aging

Medicare Corner

Medicare Marketing Violations Beginning in October, you likely started receiving mail from different insurance companies about the plans they offer. You can use this marketing information to compare your options. Although companies can send you mailings, you should know that they must follow certain rules when marketing their plans. Some examples of marketing violations include: • A plan cannot use language that suggests their plan is preferred by Medicare. • A plan cannot call or email you if you did not ask them to do so. • A plan cannot leave information like flyers or door hangers on your car or at your home if they came from a company that did not have an appointment with you.

Where You Can Go for More Help

If you think you have experienced marketing violations, you should report it. Keep any documented proof, such as an agent’s business card, marketing materials, emails, or phone call records. You can report marketing violations to 1-800-MEDICARE or your local State Health Insurance Assistance Program (SHIP) or Senior Medicare Patrol (SMP). Pima Council on Aging is your local SHIP and SMP in Pima County. Contact us at (520) 546-2011 or email SHIP@pcoa.org for assistance. SHIP counselors can explain the government’s marketing rules, help you review the incident, and report it to the correct authorities, if needed. They can also help you understand the notices you receive in advance of the fall Open Enrollment Period. When you contact your local SHIP, a certified Medicare counselor will give you one-on-one guidance based on your unique situation and needs.

This project was supported in part by grant number 90MPPG0022, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.

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Pima Council on Aging

Rights & Benefits Information

ALTCS Workshops Join us for a workshop to learn about the Arizona Long Term Care System (ALTCS). Discover what ALTCS is, the eligibility requirements, and the range of services available once enrolled. This workshop is an excellent starting point for anyone considering ALTCS for themselves or a loved one.

This credit, also known as the 140PTC, may be filed during tax season if you meet the following criteria: • Arizona resident for the entire year of 2024. • Age 65 or older by 12/31/2024 or a recipient of SSI. (PCOA serves those 60 and older.) • You paid property taxes and/or rent in 2024. • Your total annual household income was less than $3,751 if you live alone or less than $5,501 if others live with you. Social Security income (and other non-taxable income) is not counted. You can claim this credit even if you don’t file income taxes any longer. PCOA is happy to help you! For more information, please call PCOA’s Helpline at (520) 790-7262 or email help@pcoa.org. Appointments are available starting February 2025. Do you know about Arizona’s Property Tax Credit Refund? Did you PAY PROPERTY TAXES or RENT in 2024? You may be eligible!

Registration is required for both the in-person workshop and online webinar. To register , go to: https://bit.ly/3KldFP2 , or call Donna DeLeon at (520) 305-3450. Please note the change of date for the December workshop due to the holidays. Please join us on Zoom from your computer, tablet, or phone. Date: December 11th Fourth Wednesday of each month from 2:30 p.m. – 4:00 p.m. Location may be subject to change. Eventbrite registration will reflect the most up-to- date location information. The webinar is available by telephone or via Zoom on a computer or smart device. Please join us in person. Date: November 7th Location: The Katie | 600 S. Country Club Rd.

November/December 2024, Never Too Late | Page 13

Pima Council on Aging

Rights & Benefits Information

Frauds & Scams, Social Security Number & Card What You Can Do To Protect Your Personal Information By Dawn Bystry, Associate Commissioner, Office of Strategic and Digital Communications Note: The Social Security Administration is required to contact the others. o Equifax at 1-800-525-6285. o Experian at 1-888-397-3742. o TransUnion at 1-800-680-7289. • Regularly check your credit report for

providing the below information as a public service following reports of a data breach that is unrelated to SSA’s internal systems and data, neither of which has been compromised. With various reports of data breaches involving Social Security numbers in the media, we’d like to remind you about the importance of protecting your personal information. Someone illegally using your Social Security number (SSN) and possibly assuming your identity can cause many problems. What to do if you suspect your Social Security number has been stolen . Identity thieves can use your SSN and other personal information to apply for loans and credit cards and open cellphone and utility accounts in your name. If you believe your information has been stolen and you may be a victim of identity theft, you can: • Visit IdentityTheft.gov to make a report and get a recovery plan. IdentityTheft. gov is a one-stop resource managed by the Federal Trade Commission, the nation’s consumer protection agency. Or you can call 1-877-IDTHEFT (1-877- 438-4338). • File a police report and keep a copy for your records in case problems arise in the future. • File an online report with the Internet Crime Complaint Center (IC3) at ic3. gov. Its mission is to receive, develop, and refer cybercrime complaints to law enforcement and regulatory agencies. • Notify one of the three major credit bureaus and consider adding a credit freeze, fraud alert, or both to your credit report. The company you call is

anything unusual. Free credit reports are available online at AnnualCreditReport.com.

you, from enrolling in direct deposit or changing your address or direct deposit information through “my Social Security” or a financial institution (via auto-enrollment). You’ll need to contact us to make changes or remove the blocks. Other ways to safeguard your information. • Don’t carry your Social Security card with you. Keep it at home in a safe place. Be careful who you give your number to. • Change your passwords regularly and use a unique password for each account to prevent hackers from accessing multiple accounts if one password is stolen. • Add an extra layer of security to your online accounts by using multi-factor authentication, which is a sign-in process that requires a password plus additional information. • Be wary of scammers pretending to be Social Security employees. If you get a suspicious call, text, or email about a problem with your Social Security number or account, ignore it, hang up, and don’t respond! To report the scam and to learn more, visit Protect Yourself From Scams.

• Contact the IRS to prevent someone else from using your Social Security number to file a tax return to receive your refund. Visit Identity Theft Central or call 1-800-908-4490. To learn more, read our blog, Protect Yourself from Identity Thieves, and our Identity Theft and Your Social Security Number publication. What else can you do to protect yourself? Create or sign in to your personal “my Social Security account” to check for any suspicious activity. If you have not yet applied for benefits: • You should not find any benefit payment amounts, and you should be able to access your Social Security Statement and view future benefit estimates. • Review your statement to verify the accuracy of the earnings posted to your record to make sure no one else is using your Social Security number to work. If you receive benefits, you can add blocks to your personal “my Social Security account.” • The eServices block prevents anyone, including you, from viewing or changing your personal information online. • The Direct Deposit Fraud Prevention block prevents anyone, including

You’ll find more tips at our Fraud Prevention and Reporting page.

Please share this important information with your friends and family and post it on social media.

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Pima Council on Aging

Information

PCOA Representatives Coming to Green Valley Meet Us! Mondays between 9:30 a.m. – 12:30 p.m. November 2024 4th Rights & Benefits 18th Medicare 25th Dementia Capable Southern Arizona December 2024 2nd Rights & Benefits 9th Family Caregiving Support Program 16th Medicare 23rd Dementia Capable Southern Arizona Join us at

Assistance in Green Valley PCOA provides information, assistance, and advocacy for older people and their families in Pima County. A wide variety of help is available for people living in Green Valley, either in-person, by phone, or virtually. Please call our Helpline at (520) 790-7262 to find out how PCOA can help, or use the contact information below to reach specific programs directly.

Call us for help with...

Join us in-person and online

PCOA Helpline: (520) 790-7262 • Rights & Benefits Assistance

• Caregiver support groups  To see the schedule of virtual family caregiver support groups and to register, call: (520) 305-3405  Visit memorycafe.pcoa.org or call (520) 790-7573, ext 1739 • Workshops about understanding Medicare  To register, call: (520) 546-2011 • Workshops about understanding the Arizona Long Term Care System (ALTCS)  To register, call: (520) 305-3450 • EnhanceFitness® classes  To see the schedule for EnhanceFitness®and learn about other virtual programs go to: thekatie.org • Memory Cafés

 Provides assistance with community resources and landlord/tenant issues  Help access financial assistance resources  Information and assistance for anyone caring for a loved one living with them or living in their own home  Advocacy for people in nursing and assisted living facilities throughout Pima County • Medicare Education and Counseling • Dementia Screenings and Support • Family Caregiver Support • Ombudsman

Valley Assistance Services Your Helping Hand Forward

Community Lunch Program

Help in the home

• Located at Posada Life Community Center • Monday - Friday at 11:30 a.m. • For people 60 and older (and spouse, regardless of their age) • A suggested donation of $2–$3 is requested  To register call: (520) 625-2273

Call our Helpline for more information and eligibility assessment: (520) 790-7262 • Help with bathing and light house keeping • Home Delivered Meals • Time away (respite) for family caregivers

3950 S. Camino Del Heroe Green Valley, AZ, 85614

PCOA Helpline: (520) 790-7262 | pcoa.org | help@pcoa.org PCOA maintains a waiting list for services based on available funding and capacity of workers. Are you interested in being a paid caregiver? Contact us at (520) 305-3445

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Pima Council on Aging

Caregiving

PCOA CAREGIVER SUPPORT GROUPS – NOVEMBER/DECEMBER

Held in-person or virtually with Zoom.

Participation in the groups can be in person, by telephone, computer, tablet, or smartphone with video. Support groups are a way to connect with others who are walking the journey of caregiving like you are. You get to SEE (if you use the video option) that you are not alone. You get to hear others’ challenges and successes, learn about helpful resources, know that your story matters and that you have been heard. Support groups are facilitated by a

To protect the confidentiality of the group sessions, access information will only be given to registered participants. Emails are sent out on Fridays with updated schedules and additional information. If you participated in the groups before COVID, and have not been receiving the emails, please check your junk or spam folder. To RSVP or if you have any questions, please contact: Tonetta Clay, Support Group Facilitator at (520) 305-3405 or tclay@pcoa.org.

“Participation in the group aids in navigating the shift from life before my partner’s diagnosis and alleviates the weight of guilt and fear for both of us.” –Support Group Attendee

NOVEMBER/DECEMBER professional and are a safe place for you to express your concerns, frustrations, etc. and learn that others feel this way too.

11/4 & 12/2, 1st Monday 1:00 p.m. – 2:30 p.m. (East) In-Person 11/5 & 12/3, 1st Tuesday 12:00 p.m. – 1:30 p.m. (Oro Valley) In-Person 11/7 & 12/5, 1st Thursday 1:30 p.m. – 2:30 p.m. Virtual ON ZOOM 11/12 & 12/10, 2nd Tuesday 10:30 a.m. - 12:00 p.m. (Marana) In-Person 11/13, 2nd Wednesday 1:00 p.m. – 2:30 p.m. (East) In-Person

11/15 1:00 p.m. – 2:30 p.m. (Rescheduled from the Holiday) (Green Valley) In-Person 11/18 & 12/16, 3rd Monday 1:00 p.m. – 2:30 p.m. (Midtown) In-Person 11/19 & 12/17, 3rd Tuesday 9:30 a.m. – 11:00 a.m. (North) In-Person 11/20 Caregiver Appreciation Fest 10:00 a.m. - 12:00 p.m. (East) See page 20 for information.

11/21 & 12/19, 3rd Thursday 1:30 p.m. – 3:00 p.m. Virtual ON ZOOM 11/25 & 12/23, 4th Monday 11:00 a.m. – 12:30 p.m. Virtual ON ZOOM 11/26 & 12/24, 4th Tuesday 9:00 a.m. – 10:30 a.m. (Southwest) In-Person 12/9, 2nd Monday 1:30 p.m. – 2:30 p.m. (Green Valley) In-Person

12/12, 2nd Thursday 1:30 p.m. – 2:30 p.m. (East) In-Person

*NOTE: Meetings will not be held on days when holidays are observed. PLEASE RSVP for all groups. We continue to social distance at all in-person meetings. Masks are optional. To RSVP or if you have any questions, please contact: Tonetta Clay, Support Group Facilitator (520) 305-3405, tclay@pcoa.org

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Pima Council on Aging

Caregiving

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

Friday, November 15, 2024 Tuesday, January 14, 2025 Friday, February 7, 2025 Wednesday, March 5, 2025

Monday, April 14, 2025 Tuesday, May 20, 2025 Thursday, June 12, 2025

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

• Stress Management & Grief • Communication • Dementia Behaviors & Issues • Finances & Legal Resources • Lifelines for Support: Respite & Support Groups • Phone & Technology Use • Grief & End of Life Resources Workshop 1: Steps to Resilience (9:00 a.m. – 12:30 p.m.) Check in at 8:45 a.m.

Workshop 2: Physical Care and Safety (1:00 p.m. – 3:30 p.m.)

• Proper Body Mechanics • Home Environment Safety & Falls Prevention • Planning for an Emergency • Understanding Assistive Devices • Proper Walking/Transferring Techniques

• Re-positioning with Reassessment • Activity Planning, Outings & Car Etiquette • Infection Control & Providing Personal Care

This training does not provide certification or CEU’s for employment.

For questions or possible respite ideas, call Kelley Hansen at (520) 790-7573 ext. 3413; khansen@pcoa.org

Register and/or cancellations on Eventbrite: https://caregivingessentials25.eventbrite.com or call Donna Deleon at (520) 790-7573 ext. 1750; ddeleon@pcoa.org

November/December 2024, Never Too Late | Page 17

Pima Council on Aging

Caregiving

The Season of Giving Self-Care By Kelley Hansen , Aging and Caregiving Specialist A caregiver aged 66 to 96 has a 63% higher risk of dying than the general population. A caregiver often gets so emotionally and physically involved in caring for their loved one that they forget to care for themselves. Self-care comes second to everything. Caregivers are at risk because of: • Weakened Immune System: Stress creates short spurts of cortisol to boost immunity, but with constant stress, a caregiver's body has too much cortisol, paving the way for inflammation and reduced ability to fight off infectious invaders. • Nutritional Deficiencies: A caregiver may be so busy that they fail to eat healthy foods consistently. Coupled with decreased appetite, difficulty chewing, medication interactions, and health issues, caregivers can become malnourished. • Depression and Anxiety: A caregiver experiences intense emotions, including frustration and depression. In some cases, caregivers can “burnout” resulting in a state of physical, mental, and emotional exhaustion. When depression or exhaustion lingers, a caregiver may need professional medical or therapeutic help. • Cognitive Burnout: Mental exhaustion affects how a caregiver perceives situations or thinks through challenges and may include poor memory, difficulty focusing, and reduced problem-solving. Caregiver burnout is a vicious cycle where exhaustion makes it difficult to care for a loved one which increases concerns about meeting the loved one's needs. Caregivers can take these steps to prevent stress or burnout. Physically: • Exercise: Physical activity is proven to increase your energy, improve health, and boost your mood. • Nourishment: Healthy and energizing foods boost your immune system and help you to feel better. • Fluids: Hydrating with water improves physical and cognitive function. • Sleep: Getting enough sleep replenishes a person’s focus and energy. Emotionally: • Seek Support: A support group or therapist can be a safe space to share concerns and emotions.

PCOA’S ANNUAL CAREGIVER FEST

Wednesday, Nov. 20th 10:00 a.m. - 12:00 p.m. Celebrating the Heart of Care: Honoring Our Family Caregivers

Join us for a day of celebration and support for caregivers and the person they care for! Enjoy games and activities, food trucks, enter the free raffle for amazing prizes, and discover self-care Location: PCOA ~ 8467 E. Broadway Blvd., Tucson

activities and valuable resources. Find out more and register today at: https://bit.ly/CaregiverFest

• Mind Your Self Talk: Ditch critical and judgmental thoughts. Learn to let things go and know that you are doing an amazing job! • Healthy Hobbies: Journal, adventure, or seek out favorite activities. Spiritually: • Meditate or Pray: Take a moment to think about what you are grateful for. • Take a Walk: Enjoy nature and the fresh air! Mentally: • Ask for Help: A caregiver may be afraid to ask for help, but asking for help will assist a person to move situations forward more efficiently. • Accept Help: Receiving help creates a sense of belonging and reduces isolation. By being vulnerable, a caregiver allows others to respond to their needs and reduces the caregiver's burden. This season, give yourself the opportunity for self-care. Remember that even with caregiving obligations, you choose how you spend your time, how you show love and affection, and how you celebrate. To talk with an Aging and Caregiver Specialist, call our Helpline at (520) 790-7262.

Page 18 | November/December 2024, Never Too Late

Pima Council on Aging

Ending Life Well: Conversations & Connections

Reflections on Loss: What I Wish I Had Known By Alex Trevino , Caregiving and End of Life Specialist Many have faced the difficult experience of losing someone close. In these discussing end of life wishes. Engaging in these conversations allows for a greater sense of closure and less uncertainty when difficult decisions arise. “I wish I had learned about palliative care and hospice sooner.”

moments, we often navigate emotional and logistical challenges we had not anticipated. Those who reflect on these experiences share a common desire to have been more informed and better prepared. “I wish I had been more prepared for the emotional roller coaster.” Grief is not a straightforward process. It is normal to feel a wide range of emotions — sometimes all at once. From profound sadness to disbelief, grief can include anger, numbness, loneliness, or deep sorrow. Seeking emotional support early on, through counseling or support groups, can ease the burden and provide tools for managing the depth and complexity of grief. “I wish I had known more about the natural changes during the dying process.” Witnessing physical changes of someone nearing death can be unsettling. Changes in breathing, loss of appetite (for food and water), skin appearance, and altered consciousness are common as the body shuts down. Knowing these changes are part of the natural process offers reassurance and reduces stress during an emotional time. “I wish I hadn’t avoided the difficult conversations.” Talking openly about unresolved matters, dying, and death can be uncomfortable, but it often represents a big regret. Many people wish they had shared more openly with their loved one — expressing their feelings, sharing memories, and

Palliative care and hospice focus on providing comfort, symptom management, and emotional support, often making the dying process more peaceful for both the individual and their family. Understanding the benefits of palliative care and hospice brings a sense of relief, increases understanding, and makes the experience less overwhelming. “I wish I had been more prepared for the logistics after death.” After a loved one passes, there are many decisions that have to be made quickly, from moving the body to starting funeral arrangements. Preparing for these steps — such as obtaining death certificates and closing accounts — can ease the burden during hard times. “I wish I had been more familiar with End of Life Care Planning and Advance Directives.” Without Advance Directives, family members may have to make difficult decisions about medical treatments, disposition, and organ donation without clear guidance. Preparing these documents ahead of time alleviates confusion, reduces stress, and ensures that your loved one’s wishes are honored. By being better informed about the emotional, physical, and logistical aspects of death, families can navigate with greater confidence and less stress. PCOA offers resources to assist with End of Life Care Planning, including help completing Advance Directives. Please call the PCOA

Helpline at (520) 790-7262. With preparedness in mind, our next two articles will serve as guiding tools and checklists for End of Life Planning and what to do after the death of a loved one.

Shaaron Kent Endowment held at the Community Foundation for Southern Arizona

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Pima Council on Aging

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