Never Too Late September/October 2025

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

Para informaciòn en Español ver páginas 21-24 September & October 2025 Healthy Aging & Falls Prevention, Medicare Open Enrollment Never Too Late

WHAT’S NEW · Aging in Our Community · Philanthropy · Medicare Corner · Dementia Capable Southern Arizona · Rights and Benefits · Caregiving · Advocacy · Ending Life Well · Nosh & Know · Community Lunch Program · Healthy Living · Nunca Es Demasiado Tarde · PCOA Puzzle · Neighbors Care Alliance · 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 Medicare Corner . . . . . . . ......... 5 Dementia Capable Southern Arizona . . . . . . . ......... 8 Rights and Benefits . . . . . ....... 10 Caregiving . . . . . . . . . . .......... 12 Advocacy . . . . . . . . . . ........... 14 Ending Life Well . . . . . . . ........ 15 Nosh & Know . . . . . . . . ......... 16 Community Lunch Program . . ... 17

Healthy Living . . . . . . . . ......... 18 Nunca Es Demasiado Tarde . . ... 21 PCOA Puzzle . . . . . . . . . ......... 25 Neighbors Care Alliance . . . . .... 26 PimaCare at Home . . . . . . ....... 29 Featured Artist . . . . . . . . ........ 31

PCOA Helpline: (520) 790-7262 Administration: (520) 790-0504 Donate: givepcoa.org E-mail: help@pcoa.org Website: pcoa.org Mail: 8467 E. Broadway Blvd. Tucson, AZ 85710-4009 Never Too Late is published by Pima Council on Aging, the Area Agency on Aging, Region II. Material from Never Too Late may be reprinted when permission is given and attribution is used along with ©PCOA 2025. skregar@pcoa.org Graphic Designer Rebecca Manchester rmanchester@pcoa.org Advertising Susan Stein Kregar (520) 790-7573 ext. 5060 skregar@pcoa.org Editorial and Advertising Deadline for Next Bi-Monthly Issue SEPTEMBER 25, 2025. Please include a contact person name and phone number with all submitted material. All articles are subject to editing in accordance with technical and policy guidelines but will not be altered in content without permission of the author. Publication of submissions is not guaranteed. Ads are not to be considered as PCOA endorsements of products, services, or individuals. Editor Susan Stein Kregar (520) 790-7573 ext. 5060

ON THE COVER Interconnected, by Desirée Maultsby, The Drawing Studio. Story and full image on page 31.

CONNECT WITH US The best way to access our services is by calling our Helpline between 8:30 am and 5:00 pm Monday through Friday at (520) 790-7262 or emailing help@pcoa.org . Our 600 S. Country Club Rd. building is open for those requiring in-person assistance. FIND US ON SOCIAL MEDIA

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Pima Council on Aging

Aging in Our Community

A Message from Our President & CEO, Robert Ojeda, Ph.D. Staying Active, Staying Informed, Staying Connected

W hen I think about what makes Southern Arizona such a special place, I think about the people who call it home, especially older adults. Every day I see the way they strengthen our neighborhoods, nurture families, and bring a depth of perspective that benefits all of us. Their presence makes our community richer in ways we sometimes take for granted. At PCOA, we exist to make sure older adults can continue doing just that. Whether it is staying active, living safely in their homes, or navigating something complex like Medicare, our team is here to walk alongside them and their families. I often hear from people who feel relieved after taking one of our falls prevention or exercise classes, such as A Matter of Balance or EnhanceFitness®. A Matter of Balance helps participants understand their personal fall risks and learn practical tools to manage them with confidence. EnhanceFitness® focuses on building strength, balance, and endurance through guided exercises, helping people stay active and reduce the likelihood of falls.

This time of year also brings Medicare Open Enrollment, which runs from October 15 to December 7. It can be confusing to sort through options and compare plans, especially when circumstances or benefits change from year to year. PCOA’s trained Medicare counselors offer free, unbiased support to help older adults and caregivers review their coverage and make decisions that are truly in their best interest. It is one of the most meaningful services we provide, because it takes the stress out of an otherwise overwhelming process. As we look ahead to the months to come, I invite you to think about the older people in your life. Maybe it is a parent, grandparent, neighbor, or friend. Are there ways they could use a little extra support or connection? Sometimes sharing a resource, making a phone call, or inviting someone to join you for an event can open the door to something meaningful. Honoring the essential role older adults play in our community helps ensure that as we all age, we continue shaping the future together.

Robert Ojeda, Ph.D.

I am grateful to be part of a community that values its older members and understands how much richer life becomes when everyone feels supported and included. Thank you for being part of this work with us. Warm regards,

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

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Pima Council on Aging

Philanthropy When we help someone else, whether with our time, care, or donations, we don’t just lift their spirits. We lift our own. This phenomenon is known as the Happiness Economy, and you’re part of it every time you lend a helping hand. You’re not alone in wanting to make the world better. People who give feel happier, more connected, and more hopeful—and that happiness sticks around much longer than the fleeting thrill of a new gadget.

The Happiness Economy Why giving and experiences bring lasting joy What if the secret to happiness isn’t something you buy but something you do? Research shows that spending money on experiences, such as sharing a meal or taking a trip, brings more lasting joy than buying things. And here’s something even more powerful, giving to others brings the biggest boost of all.

Your generosity helps older adults in our community stay safe, supported, and connected. Meals delivered with care, a ride to the doctor, or a kind voice on the other end of the phone can make a profound difference. Because of you, someone feels seen. Someone feels safe. Someone knows they’re not alone. That’s not just good for them, it’s good for you, too. Give. Share. Connect. It’s a different kind of wealth, and it lasts.

All donations to PCOA are eligible for the Arizona charitable tax credit. ■ Yes! I care and want to support older adults aging well:

This gift is from: Name:_ ______________________________________ Address:_ ____________________________________ _____________________________________________ Phone:_______________________________________

■ A one-time gift of ■ $30 ■ $50 ■ $75 ■ $_ ________ ■ A recurring monthly gift of $_ ________ charged to my credit card ($10 minimum). ■ My check made payable to PCOA is enclosed. ■ Please charge my gift to my credit card ($10 minimum). Card #_ _______________________________________________ Exp. Date__________________ Sec. Code__________________

NTL SEPTEMBER & OCTOBER 2025

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Pima Council on Aging

Medicare Corner

2025 MEDICARE PRESENTATIONS ✓ Understand the difference between Original Medicare and Medicare Advantage. ✓ Learn about Medigap and Prescription Drug Plans. ✓ Questions to ask before you enroll. ✓ How and when to enroll. ✓ Learn about Medicare Savings Programs and help with paying Part B premium and/or Part D drug costs for those who qualify. ✓ How to find plans that offer the lowest costs for prescriptions you take. Pick up plan comparison spreadsheets for Pima County Medicare beneficia ries.

DATE

TIME

REGISTRATION LINK

LOCATION

Wednesdays September 10 & October 8 Wednesdays September 24 & October 22

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

PCOAMedicare.eventbrite.com

12:00–3:00 pm

MurphyWilmotLibraryMedicare.eventbrite.com

2:00–5:00 pm

PCOA is your local State Health Insurance Assistance Program (SHIP) , and Senior Medicare Patrol (SMP) for Pima County. For assistance with your Medicare questions, email SHIP@pcoa.org or contact us at (520) 546-2011 . 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

cost and coverage that will take effect January 1 of the next year. The ANOC is typically mailed with the plan’s Evidence of Coverage (EOC), which is a booklet that details the plan’s cost and benefits for the upcoming year. If you have a Medicare Advantage Plan or Part D plan and do not receive these notices, you should contact your plan. Review these notices to see if your plan will continue to meet your health care needs in the following year. If you are dissatisfied with any upcoming changes, you can make changes to your coverage during Medicare’s Open Enrollment. Here are three types of changes to look for: • Find out what you can expect to pay for services in 2026. Costs such as deductibles and copayments can change each year. For example, your plan may not have a deductible in 2025, but it could have one in 2026. • Check to see if your doctors, hospitals, and other health care providers and pharmacies will still be in network for 2026. Plan networks can change each year, which means your doctor may not be in your plan’s network for 2026. • Look through the plan’s formulary. The formulary is the list of drugs the plan covers. Formulary changes can happen from year to year, meaning your drug may not be covered in 2026 even though it was covered in 2025. Make sure your drugs will still be covered next year. If they are not, then you may want to select a different drug plan that covers all

of your drugs. If the formulary is incomplete, or you do not see your drug(s) on the list, contact the plan directly to learn more. What notices will I receive if I am enrolled in Extra Help? Extra Help is a federal program that helps pay your prescription drug costs if you have limited income and assets. There are many notices people with Extra Help may receive starting in September, depending on the situation. Contact your local SHIP for more information.

What is Medicare’s Open Enrollment?

Medicare’s Open Enrollment occurs each year from October 15 through December 7 . During Open Enrollment, you can make changes to your Medicare coverage. In most cases, this period is the only time you can pick a new Medicare Advantage or Part D plan. Even if you are satisfied with your current health and drug coverage, Open Enrollment is the time to review what you have and compare it with other options in your area to make sure that your current coverage is still best for you in the coming year. What is the Medicare & You handbook? The Medicare & You handbook is mailed to all Medicare households each September. The handbook in- cludes information on Medicare bene- fits, frequently asked Medicare ques - tions, and any changes to Medicare coverage. If you don’t receive your Medicare & You handbook, call 1-800-MEDICARE to request that a copy with information for your area be sent to you. Why are my ANOC and EOC important? The Annual Notice of Change (ANOC) is the notice you receive from your Medicare Advantage or Part D plan in late September. This notice gives a summary of any changes in the plan’s

What is a notice of creditable coverage? If you are enrolled in a prescription drug plan through your or your spouse’s current or former employer, you should receive a notice from your employer or plan around September of each year, informing you if your drug coverage is creditable. Creditable means that the coverage is as good as or better than the standard

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Pima Council on Aging

Medicare Corner

Take Action: 1. Contact your State Health Insurance Assistance Program (SHIP) to learn about the Medigap rules in your state and to get help comparing plan options. To find a SHIP in another state call 877-839-2675 and say “Medicare” when prompted or visit www.shiphelp.org . 2. Go to the Medicare.gov website for online help comparing Medigaps in your area. 3. If you decide to purchase a Medigap, call the plan directly to purchase the policy. 4. Call your Senior Medicare Patrol (SMP) if you have experienced potential fraud, errors, or abuse.

Medicare prescription drug benefit. Keep these notices of creditable coverage each year. If you decide to enroll in a Part D plan in the future, you may need these notices as proof that you had creditable coverage and should not have a late enrollment penalty. Read Your Medicare Statements to Detect Potential Medicare Fraud, Errors, or Abuse If you have Original Medicare, you should receive Medicare Summary Notices, or MSNs. If you have a Medicare Advantage plan or Part D plan, you should receive Explanation of Benefits, or EOBs. Your Medicare statements explain what services and items were billed, the Medicare-approved amount for each line item, and the amount that you may owe. Remember that MSNs and EOBs are not bills. Reading these statements can help you detect potential fraud, errors, or abuse.

Keep the following tips in mind: • Review your Medicare statements as soon as they arrive. • Confirm that you actually received all listed services or items, in other words, that it’s accurate. • Keep notes of your medical appointments and compare them to your Medicare statements. • Contact your health care provider if you have questions or notice any errors on your MSNs or EOBs. • Contact your Senior Medicare Patrol (SMP) for a printed My Health Care Tracker (helps you track your appointments). • Download the mobile app, the SMP Medicare Tracker, which includes a My Health Care Tracker.

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Pima Council on Aging

Dementia Capable Southern Arizona A Memory Café is a welcoming social gathering for individuals living with dementia and their caregivers. It DCSA in The Community

Brain Health Tip September is National Falls Prevention Awareness Month. Falls and dementia are linked: • Older adults who have fallen have a 21% higher risk of developing dementia. • Falls can cause head injuries or reduced activity, stress, and social withdrawal, all of which affect brain health. Falls prevention protects your brain: • Join classes such as EnhanceFitness® or A Matter of Balance to improve strength and balance. • Make your home safer. Add non-slip mats, improve lighting, reduce clutter, and use contrasting colors. • Wear supportive footwear, practice balance exercises, and monitor blood pressure. • Use assistive devices as needed such as walkers, grab bars, and up-to-date glasses. Options Counseling Caring for a loved one with memory loss? You are not alone. DCSA offers Options Counseling to help connect you with memory loss screenings, resources, referrals, and support. Call (520) 790-7262 or fill out a request online at pcoa.org/DementiaReferral

provides a safe, supportive space to enjoy activities and connect with others in a relaxed environment. Cafés help promote social connectedness and foster community for those affected by memory loss. September & October 2025 Memory Cafés Please visit bit.ly/memory-cafes for café-specific information or to register.

Fridays September 26 & October 31 10:00—11:30 am Wednesdays September 10 & October 8 3:00–4:00 pm Wednesdays September 10 & 24 and

AARP Tucson Office 6700 N. Oracle Rd., Suite 331 Tucson, AZ 85704

AARP Memory Café Alzheimer’s Association Memory Café

Beyond Bread 421 W. Ina Rd. Tucson, AZ 85704

The Katie (PCOA) 600 S. Country Club Rd. Tucson, AZ 85716 The Lupu (PCOA) 8467 E. Broadway Blvd. Tucson, AZ 85710 United Methodist Church of Green Valley 300 W. Esperanza Blvd. Green Valley, AZ 85614

Memory Café at The Katie

October 8 & 22 10:00–11:00 am

Tuesdays September 16 & October 21 10:00–11:00 am

Memory Café at The Lupu

Thursdays September 11 & October 9 2:00–3:00 pm

Esperanza Memory Café

Thursdays September 11 & October 9 10:30–11:30 am Fridays September 19 & October 17 1:00–2:00 pm

JFCS Tucson 4301 E. 5 th St. Tucson, AZ 85711

Midtown Memory Café at JFCS

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

Posada Life Memory Café

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Pima Council on Aging

Dementia Capable Southern Arizona

September–November 2025 Presentations

Dementia Friends Information Session

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. VIRTUAL Wednesday, October 8 3:00–4:30 pm Thursday, November 13 1:00–2:30 pm 600 S. Country Club Rd., Tucson 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. VIRTUAL Wednesday, October 15 3:00–4:30 pm Thursday, November 20 1:00–2:30 pm 600 S. Country Club Rd., Tucson IDEA! Behaviors & Alzheimer’s Designed to help family members who are seeing changes in behaviors that may be difficult to understand. Utilizing the IDEA! strategy, this program aims to explore and understand why behaviors happen, their meanings, and practical tips to respond. Tuesday, September 9 2:00–3:30 pm 600 S. Country Club Rd., Tucson VIRTUAL Friday, October 24 10:00–11:30 am

Gain a general understanding of dementia with a focus on creating a dementia-friendly community. Tuesday, September 9 10:00–11:00 am 600 S. Country Club Rd., Tucson Dementia Friends: Special Emphasis on the Faith Community Tuesday, September 23 12:30–2:00 pm 600 S. Country Club Rd., Tucson Dementia Friends: Special Emphasis on Preparing for Holidays VIRTUAL Wednesday, October 29 3:00–4:30 pm Dementia 101 Learn more about what dementia is and how it impacts individuals, families, and communities. Understand common signs of dementia and how to approach memory concerns. VIRTUAL Wednesday, October 1 3:00–4:30 pm Thursday, November 6 1:00–2:30 pm 600 S. Country Club Rd., Tucson

For more information on the presentations, please contact Nicole Thomas at nthomas@pcoa.org or (520) 790-7573 ext. 1739. NEW CLASS! EnhanceFitness®: Strong and Capable Mondays, Wednesdays & Fridays 1:00–2:00 pm Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd. Tucson, AZ 85716. An interactive fitness program for both those living with memory loss and mobility challenges and their caregivers! EnhanceFitness® is an evidence-based falls prevention and physical activity program specifically designed for older adults. For more information and to register please email DCSA@pcoa.org or call (520) 790-7573 ext.1748 .

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Pima Council on Aging

Rights and Benefits

Social Security Transition to Electronic Payments What Beneficiaries Receiving Paper Checks Need to Know By Jack Burns, Social Security Public Affairs Specialist in Arizona Starting September 30, 2025, the Social Security Administration (SSA) will no longer issue paper checks for benefit payments. This change is part of a broader government-wide initiative to modernize payment systems and enhance service delivery. By moving to electronic payments exclusively, we aim to improve efficiency, security, and ensure beneficiaries receive their monthly benefits promptly.

Who Does This Affect? This transition primarily affects a small group of beneficiaries who have not yet switched to electronic payment methods. Less than one percent of beneficiaries currently get paper checks. We encourage these individuals to enroll in direct deposit or opt for the Direct Express® card to continue receiving their monthly benefits timely. Why the Shift to Electronic Payments? The transition from paper checks to electronic payments offers several important advantages: • Speed and Efficiency: Electronic Funds Transfers (EFTs) are processed more quickly than paper checks, helping beneficiaries receive their payments on time without delays. • Cost Savings: According to the U.S. Department of the Treasury, issuing a paper check costs about 50 cents, whereas an EFT costs less than 15 cents. This shift could save the federal government millions of dollars annually. • Enhanced Security: Paper checks are 16 times more likely to be lost or stolen compared to electronic payments, increasing the risk of fraud. Electronic payments provide a safer, more secure way to receive benefits.

What We’re Doing to Help We’re proactively sending notices to people who currently receive paper checks, to explain the upcoming change and highlight the benefits of switching to electronic payments. In addition, all benefit checks will include an insert explaining the steps a beneficiary can take to transition to electronic payments, and our technicians are ready to assist. These efforts aim to ensure a smooth transition and help recipients understand their options. Your Payment Options People who currently receive paper checks have two convenient options to receive their Social Security payments electronically: • Direct Deposit: Beneficiaries should enroll in direct deposit with their financial institution. Payments can be deposited directly into your checking or savings account.

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Pima Council on Aging

Rights and Benefits

• Direct Express® Card: For people without a bank account, the Direct Express card is a prepaid debit card designed specifically for federal benefit payments. For the fastest, most convenient service, we encourage you to register for (or log in to) your personal my Social Security account to verify your earnings from work are accurate, since they are used to determine the amount of your benefit: ssa.gov/myaccount .

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

FOURTH WEDNESDAY OF EACH MONTH Location may be subject to change. Eventbrite registration will reflect the most up-to-date location information. Please join us in person Date: September 24, 2025 Time: 2:00–4:00 pm Location: The Katie, 600 S. Country Club Rd. Please join us on Zoom from your computer, tablet, or phone Date: October 22, 2025 Time: 2:00–4:00 pm Registration is required for both the in person workshop and online webinar. TO REGISTER , go to bit.ly/ALTCSWorkshop or call Donna DeLeon at (520) 305-3450.

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Pima Council on Aging

Caregiving Health and Wellness Monitoring • Medication Management Tools Technology-based pill dispensers sort and dispense medications on a schedule, and may issue alerts if a dose is missed. • Wearable Emergency Alert Devices Smart watches including Apple, Google Pixel, or Garmin Forerunner can be equipped with fall detection and emergency features. Watches offer subtle safety for active older adults. Some medical alert sub- scription programs offer wearable device monitoring, and will make emergency calls to 911 if needed. Caregiving from a Distance • Tech Hacks such as the medication management tools and smart watch options can be managed remotely by caregivers by simply using an app on their smart phone. • Digital Locks and Smart Homes Similarly, digital locks allow caregivers to unlock doors remotely in an emergency. Some homes and appliances come with smart capabilities. This permits caregivers to monitor safety including the stove or garage door at their loved one’s home. • Non-invasive tools such as CarePredict or Aloe Care Health use motion sensors (not cameras) to monitor routines and detect unusual activity. Caregivers can be alerted to limited movement or changes without invading their loved one’s privacy.

Safety Hacks for Every Stage in Caregiving: Tools to Make Life Easier By Brenda Mayorquin, Aging and Caregiving Specialist Aging in a digital world doesn’t have to be scary, and caregiving doesn’t have to be overwhelming. There are numerous tools and smart solutions that support safety, connection, and easier living. From the simple to the tech-savvy, the hacks below can make daily life safer and more manageable. Home Safety • Lighting Installing night lights in the kitchen, staircases, hallways, and bathrooms is a simple way to brighten your steps. Motion-sensor lights that turn on as you walk into a room can also prevent late-night trips and slips. • Voice-Controlled Assistants Devices such as Amazon Echo, Google Home, or Siri can turn on lights, play music, or answer random questions. You can set medication reminders, or make a phone call to a friend or 911. • Outdoor Sensors Home communication and security systems including Ring, Nest, or SimpliSafe provide real-time video and audio interactions, so you can see who is at the door without opening it. Some sensors can also notify trusted adults about their loved one leaving unexpectedly, or wandering.

Planning for the Future • Voice-Controlled Home Hubs Centralized systems that integrate security, lighting, HVAC, and health monitoring help streamline daily routines and reduce the complexity of multiple apps and devices. There are plenty of tools that ease aging and caregiving burdens while promoting safety, independence, and peace of mind. Whether you’re aging in place, supporting a loved one, or coordinating care from afar, these safety hacks can change daily life into one that’s safer, smarter, and more connected. For more information about caregiver tools and support, contact us at (520) 790-7262.

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Pima Council on Aging

Caregiving

Thursday, September 18 · 1:30–3:00 pm Virtual Meeting on Zoom Monday, September 22 11:00 am–12:30 pm Virtual Meeting on Zoom Tuesday, September 23 · 9:00–10:30 am (Southwest) Tucson Estates In-Person Meeting OCTOBER Thursday, October 2 · 1:00–2:30 pm Virtual Meeting on Zoom Monday, October 6 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Tuesday, October 7 · 12:00–1:30 pm (Oro Valley) Impact of S. Arizona In-Person Meeting Tuesday, October 14 · 10:30 am–12:00 pm (Marana) Wheeler Taft Abbett, Sr. Library In-Person Meeting Wednesday, October 15 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Caregiver Support Groups

SEPTEMBER Tuesday, September 2 · 12:00–1:30 pm (Oro Valley) Impact of S. Arizona In-Person Meeting Wednesday, September 3 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Thursday, September 4 · 1:30–3:00 pm Virtual Meeting on Zoom Monday, September 8 · 1:00–2:30 pm (Green Valley) Friends Indeed In-Person Meeting Tuesday, September 9 · 10:30 am–12:00 pm (Marana) Wheeler Taft Abbett, Sr. Library In-Person Meeting Thursday, September 11 · 1:00–2:30 pm (East) PCOA Lupu Building In-Person Meeting Monday, September 15 · 1:00–2:30 pm (Midtown) The Katie In-Person Meeting Tuesday, September 16 · 10:00–11:30 am (North) AARP Arizona In-Person Meeting

Thursday, October 16 · 1:30–3:00 pm Mediating Family Conflict Workshop Virtual Meeting on Zoom Friday, October 17 · 1:00–2:30 pm (Green Valley) Friends Indeed In-Person Meeting Monday, October 20 · 1:00–2:30 pm (Midtown) The Katie In-Person Meeting Tuesday, October 21 · 10:00–11:30 am (North) AARP Arizona In-Person Meeting Monday, October 27 · 11:00 am–12:30 pm Virtual Meeting on Zoom Tuesday, October 28 · 9:00–10:30 am (Southwest) Tucson Estates In-Person Meeting RSVP required. To RSVP or if you have any questions, please contact Tonetta Clay at tclay@pcoa.org or (520) 305-3405.

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

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

September & October 2025, Never Too Late | Page 13

Pima Council on Aging

Advocacy

Storytelling: The Art of Advocacy By Jodi Goalstone

impacted you? It doesn’t have to be negative or shocking. It doesn’t have to fit one mold, it has to fit your mold.” Why Storytelling Works Statistics and policy briefs can be important, but stories help others feel why an issue matters. An elected official might forget numbers, but they will remember a vivid description of what it’s like to face a six-month wait for home repairs or the relief of finding affordable respite care. Storytelling builds understanding, empathy, and urgency. How to Craft Your Advocacy Story Like any skill, storytelling takes practice. These tips can help you get started: • Know your timing. Choose moments where your story adds clarity or emotion to a discussion such as a meeting with legislators, testimony at a public hearing, or talking with neighbors about an issue. • Keep it brief. Aim for five minutes or less. Avoid adding unrelated anecdotes or multiple scenarios. • Skip the jargon. Focus on personal impact rather than technical language or excessive statistics. • Make it real. Share concrete details including what you saw, felt, or experienced so listeners can picture themselves in your shoes. • Practice. Write it down, revisit it, and rehearse until it feels natural.

Advocating for issues that matter to older adults such as safety, health care and benefits, nutrition, and affordable housing begins with one of the most powerful tools you already have: your personal story. “Advocacy is using your voice,” says James Fitzpatrick, Director of Advocacy for the Alzheimer’s Association Desert Southwest Chapter. “Be who you are and share your story in a way that feels true to you.”

“You don’t have to emulate anyone,” Fitzpatrick emphasizes. “Speak your truth.” Your Voice Matters Advocacy isn’t limited to legislative visits or media interviews. It happens anytime you share your story with friends, community groups, or neighbors. Every conversation can plant a seed for change. Want to learn more about advocacy opportunities through PCOA? Visit pcoa.org/advocate or contact us at advocacy@pcoa.org to get involved.

Sharing your story connects decision-makers to the real-life impact of policies and programs. Fitzpatrick encourages caregivers and older adults alike to remember they are advocating not only for a loved one but also for themselves: “If the person with dementia didn’t exist, you wouldn’t be here. How has this

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Pima Council on Aging

Ending Life Well

Safety Hacks for the Aging Person By Kelley Hansen, Aging and Caregiving Specialist

Consider these options: • Wearable Devices such as watches or pendants, can detect falls and automatically alert emergency contacts, providing peace of mind. • Home Monitoring Systems Smart home technologies equipped with sensors to detect if someone has fallen, or has not moved for an extended period can be beneficial. • Emergency Response Services Consider subscribing to services such as Lifeline or similar, which provide immediate assistance at the touch of a button. Safety hacks can enhance the well-being of aging individuals by providing them with tools and strategies to manage their health and safety. Organizing important documents, utilizing emergency lock boxes, and investing in fall detection systems can empower older adults to live independently while ensuring that help is readily available if needed. For more information or assistance regarding end-of-life planning, call the

the refrigerator, so that first responders can easily find them. As for digital copies, you can email them to designated people. You can also upload your Advance Directives to the Arizona Healthcare Directive Registry so participating hospitals and medical facilities can have access in case of emergency. Emergency Lock Boxes Having an emergency lock box can be an invaluable tool for older adults living alone. The lock box should contain: • Spare Keys: Store a spare key to the home in the lock box for emergency responders, or with trusted neighbors. • Make sure trusted individuals know the location of the lock box and how to access it when needed.

As we progress through various stages of aging, ensuring safety and security becomes increasingly vital. The following guide is filled with essential safety hacks designed to help older adults navigate potential risks while maintaining their independence. Important Documents One of the first steps to ensure safety for aging individuals is organizing important documents. This includes: • Medical Records: Keep a file that includes medical history, medications, allergies, and contact information for healthcare providers. • Legal Documents: Important legal documents such as Advanced Directives/Powers of Attorney, Living Wills, and estate plans should be easily accessible. • Emergency Contact List: Create a list of emergency contacts, including family members, close neighbors, and healthcare providers. Consider creating both a physical and digital copy of these documents. The physical copies can be stored in an easily accessible binder or folder that can be kept in a secured box. If they are in a secure area, designate a person to know where they are and allow them to be accessible. Some of these documents can be placed on

PCOA Helpline at (520) 790-7262.

Fall Detection Systems Falls are a common risk for older adults, but fall detection systems can significantly enhance safety.

We are grateful for the generous support provided by the Shaaron Kent Endowment held at the Community Foundation for Southern Arizona.

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Pima Council on Aging

Nosh & Know

Join PCOA for Each session offers expert insights, engaging discussions, and snacks! NOSH& KNOW A series of insightful events designed to help you age well and stay connected.

Nosh & Know Returns: More Topics, More Conversations, More Nosh Our popular Nosh & Know series returns in September, bringing practical insights on topics that matter most as we age. Last year’s events were so well received that we doubled the number of sessions to meet demand, and many still sold out! This year we are offering two sessions per topic and have expanded each session to 90 minutes. In addition, the series will rotate among various times and locations throughout Pima County to make it easier for more people to attend. Upcoming topics include Falls Prevention (September), Medicare Essentials (October), Caring for Aging Parents, Healthy Brain Tips, and more. We’re grateful to Tucson Electric Power for once again sponsoring this series, helping us keep registration affordable at just $5 per session. Light snacks and meaningful conversation await. Visit pcoa.org/noshandknow for details and join us as we continue learning together. $ 5 per person (includes snacks) REGISTER TODAY at pcoa.org/NoshandKnow or call (520) 790-0504 to reserve your space.

SPONSORED BY

FALLS PREVENTION September is Falls Prevention Month Discover essential tips and strategies to prevent falls and maintain your independence. This session is designed to help you age well and stay safe in your home and community. Thursday, September 25 10:00–11:30 pm Desert Hills Lutheran Church 2150 Camino del Sol

MEDICARE 101 Medicare Essentials

This 90-minute session provides a clear overview of Original Medicare, Medicare Advantage, and Prescription Drug Coverage (Part D), helping you understand your options and next steps.

Thursday, October 23 10:30 am–12:00 pm Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd. Tucson, AZ 85716 SPANISH Friday, October 24 10:30 am–12:00 pm Casa De Encanto 250 N. Silverbell Rd. Tucson, AZ 85745

Green Valley, AZ 85622 Friday, September 26 10:00–11:30 am Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd. Tucson, AZ 85716

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Pima Council on Aging

Community Lunch Program

NO MORE PARTY OF ONE

REGISTRATION REQUIRED Please call for mealtimes, to reserve a meal, and for days and hours of operations.

Armory Park Center* 220 S. 5 th Ave., Tucson (520) 791-4070 Casa De Encanto 250 N. Silverbell Rd., Tucson

(520) 310-6716 Casa De Pueblo 4975 S. Liberty Ave., Tucson (520) 310-2915 Freedom Recreation Center 5000 E. 29th St., Tucson (520) 791-4969 La Posada Community Center 780 S. Park Centre Ave., Green Valley (520) 393-6814

FOR MORE INFORMATION Please visit bit.ly/PCOAmeals or call the PCOA Helpline at (520) 790-7262. William M. Clements Center** 8155 E. Poinciana Dr., Tucson (520) 791-5787 *Dinner Meal Only **Open Until 2:00 pm

60 years 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! 6 Community Lunch sites in metro Tucson and Green Valley

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Pima Council on Aging

Healthy Living incur a traumatic fall. Some view falls and balance issues as an inevitable part of aging. There are inevitable things that come with aging, but falls are not among them. As we age, beginning at about age 40, we lose about 5% of our brain mass with each passing decade. This leaves us more vulnerable to jarring our skulls, which may occur during a fall, causing a brain bleed. Slow bleeds can take several days to create side affects that alert us of a problem. Many older adults take numerous medications for one or more chronic conditions; it’s so common that it has a name, polypharmacy. Some medications, such as Benadryl, or combinations of medications, make us more vulnerable to falls. Our reflexes aren’t as quick as they once were and our coordination may be different, too. As we age, our hearing and eyesight change, both of which can affect our susceptibility to falls. How many of us have told our primary healthcare provider that we have fallen, only to get a note in our charts, but nothing more? After all, if our primary isn’t concerned, should we worry? The answer is, "yes." We should be concerned as falls are the leading cause of injury and death among adults age 65 and older. About 25%, or 14 million adults over 65, will experience a fall. From 2003 to 2023, fall-related death rates increased by more than 70% for ages 65–84 and doubled for those 85+. Nearly 3 million of those falls will require an emergency

Falls Are NOT an Inevitable Part of Aging By Karen Fogas Healthy Living Program Director Right before Memorial Day, I got a call that my mom had fallen. The attendants at the assisted living community in Washington state where she lived, found her unresponsive during a routine 4:30 am check. We believe she had gotten up in the night to use the bathroom, lost her balance and fell, hitting her head on the counter. At the hospital, an MRI showed a large subdural hematoma was shifting her brain and pressing it into her brain stem. She never regained consciousness and died a week later. I talked to my mother frequently in the months before she passed. In fact, I had spoken to her the night before. She was upbeat and in a very good mood. Just before we hung up, I reminded her about falling and asked her to slow down. Her response was, “Oh, I know!” As a former nurse, my mother assumed she knew everything she needed to know about falls and didn’t want to be reminded to change her habits and behaviors, even the small ones. Some older adults I speak with don’t want to be reminded of their mortality. By avoiding the subjects that come with getting older, they avoid thoughts of dying, or worse for many older adults, the thought of losing functional independence. Still others fail to realize the realistic con- cerns around falls, often until they

room visit and another one million will require hospitalization. Hip fractures, 90% of which are caused by falls, often result in prolonged recovery, with about 25% of those incurring a hip fracture passing away within six months. The Centers for Disease Control put the cost of fall-related medical care at around $50 billion annually, however more recent estimates show non-fatal falls cost Medicare and others over $80 billion in 2020. Costs are expected to exceed $100 billion by 2030. But as dire as all that sounds, falls are not an inevitable part of aging! Once we acknowledge the risk, we can take meaningful steps to prevent falls. • Learn the facts about falls and how you can prevent them. • Get and stay active, don’t let the fear of falling shrink your world. • Exercise is great for lots of reasons as we age, and it has been proven to reduce and prevent falls. • Get your hearing and eyesight checked annually. • Assess your home for falls risks like loose rugs, poor lighting, and clutter • Add modifications including grab bars, rearrange cupboards and use assistive devices such as canes or tub transfer benches. • Talk with family members and healthcare professionals about your concerns. For more information about preventing falls, contact us at (520) 790-7262.

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Healthy Living

Upcoming Classes The Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd.

Oro Valley Recreation Center 10555 N. La Canada Dr., Oro Valley Monday, Wednesday, Friday 9:00–10:00 am Call (520) 544-1900 to register. Pima County Parks & Recreation Ellie Towne/Flowing Wells Community Center 1660 W. Ruthrauff Rd. Monday, Wednesday, Friday 10:00–11:00 am Drexel Heights Community Center 5220 S. San Joaquin Ave. Monday, Wednesday, Friday 10:00–11:00 am Picture Rocks Community Center 5615 N. Sanders Rd. Monday, Wednesday, Friday 10:00–11:00 am

EnhanceFitness® is developed specifically for older adults, with exercises focusing on four key areas important to your health and fitness: stretching and flexibility, low impact aerobics, strength training, and balance. You can join us no matter what your current level of fitness is because we offer seated and standing exercise options. This is no average fitness class! EnhanceFitness® is an evidence-based program backed by years of research, which means it is scientifically proven to: • Improve strength and balance

Monday, Wednesday, Friday In-Person (IP) 10:30–11:30 am Remote (R) 10:30–11:30 am Tucson Estates (TENHN) 5900 W. Western Way Circle Monday (Recreation Hall) Wednesday, Friday (Multi-Purpose Hall) 10:30–11:30 am

Randolph Recreation Center 200 S. Alvernon Way, Bldg. 1 Monday, Wednesday, Friday 9:00–10:00 am

El Rio Recreation Center 1390 W. Speedway Blvd. Monday, Wednesday, Friday 11:00 am–12:00 pm Udall Park, Carol West Senior Center 7200 E. Tanque Verde Rd. Monday, Wednesday, Friday 11:00 am–12:00 pm Clements Regional Center, Fitness Ctr. 8155 E. Poinciana Dr. Monday, Wednesday, Friday 8:30–9:30 am REGISTER ONLINE AT: bit.ly/PCOAEnhanceFitness

• Increase flexibility • Boost activity levels • Improve mood • Help prevent falls

Don't wait to register. These popular classes sell out quickly!

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Pima Council on Aging

Healthy Living Arizona Falls Prevention Coalition September & October Events

Home Safety Check: A Falls Prevention Walkthrough Wednesday, September 3 10:00 am TMC for Seniors 2695 N. Craycroft Rd. Falls Prevention in Motion Wednesday, September 10 2:00 pm TMC for Seniors 2695 N. Craycroft Rd. Tucson, AZ 85712 Tucson, AZ 85712 Watch Your Step:

Arroyo Gardens Independent and Assisted Living Falls Prevention and Awareness Health Fair Friday, September 26 10:00 am–3:00 pm 160 N. La Canada Dr. Green Valley, AZ 85614 Reclaiming Confidence, Connection and Wellbeing After a Fall Tuesday, September 30 2:00 pm TMC for Seniors 2695 N. Craycroft Rd. Tucson, AZ 85712 Carondelet St. Joseph’s Hospital Trauma Center Tuesday, September 30 For information, contact Melissa Anderson at melissa.anderson2@ carondelet.org or (520) 405-6467 . PCOA Falls Assessment & Prevention Lab Thursday, October 9 1:00–4:00 pm Katie Dusenberry Healthy Aging Center 600 S. Country Club Rd. Tucson, AZ 85716 Participate in standardized tests related to assess falls risk. Enjoy balance, coordination, and flexibility activities. Explore adaptive equipment. Light snacks provided. For information, contact Lisa Walters at (520) 790-7573 ext. 3411 . 1:00–3:00 pm Wilmot Library 530 N. Wilmot Rd. Tucson, AZ 85710

Fourth Annual Banner University Medicine Falls Prevention Summit

Friday, October 17 11:00 am–3:00 pm Chinese Cultural Center 1288 W. River Rd. Tucson, AZ 85704

Educational sessions from a variety of university experts, balance and Tai Chi worshops, vendors, refreshments, and giveaways. Registration required . Learn more and register at bit.ly/FallsPreventionSummit Fourth Annual Feast for Your Brain Saturday, October 25 10:00 am–3:00 pm El Rio Neighborhood Center 1390 W. Speedway Blvd. Tucson, AZ 85745 Community health fair hosted by the University of Arizona Mel and Enid Zuckerman College of Public Health. Learn about healthy aging, brain health, and Mind Crowd (discover how to reduce cognitive decline). Speakers, cultural dancers, singers, vendors, Tai Chi, food truck, raffle, and more. For more information contact Caroline Carrasco at carolinacarrasco@arizona.edu or (520) 223-5116 .

TMC for Seniors No Falls Fair Wednesday, September 17 9:00–11:30 am Tucson Jewish Community Center Individual presentations for older adults to attend in person or online. Partnering with Encompass Health and the JCC. Contact Maya Luria at Maya.Luria@tmcaz.com or (520) 324-1996 . Falls Prevention Presentation: Exercises to Help Make You Stronger Wednesday, September 17 2:00–3:00 pm Goodness Family Church, Children's Building 3141 W. Ironwood Hills Rd. Tucson, AZ 85745 Learn about exercises to build strength and home safety tips to help prevent falls. Registration required. Call Fran Fischer at (520) 639-2743 to register. 3800 E. River Rd. Tucson, AZ 85718

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Pima Council on Aging

Nunca Es Demasiado Tarde

Un mensaje del Dr. Robert Ojeda, nuestro presidente y director ejecutivo Manténgase activo, manténgase informado, manténgase conectado C uando pienso en lo que hace del sur de Arizona un lugar tan especial, pienso en las personas que lo han hecho su hogar, especialmente los adultos mayores. Diariamente veo la forma en que fortalecen nuestros vecindarios, en la que cuidan a las familias y en la forma en la que ofrecen una profunda perspectiva que a todos nos beneficia. Su presencia enriquece a nuestra comunidad en formas que en ocasiones damos por sentadas. En PCOA estamos para garantizar que los adultos mayores puedan seguir haciendo justo eso. Ya sea manteniéndose activos, viviendo con seguridad en sus hogares o navegando algo complejo como Medicare, nuestro equipo está aquí para acompañarlos a ellos y a sus familias. Con frecuencia escucho de personas que se sienten tranquilas después de tomar una de nuestras clases o ejercicios sobre prevención de caídas tales como A Matter of Balance o EnhanceFitness®. A Matter of Balance (Es cuestión de equilibrio) ayuda a los participantes a

más significativos que ofrecemos, ya que elimina el estrés de un proceso que puede resultar abrumador. A medida que esperamos los meses venideros, los invito a pensar en los adultos mayores en su vida. Tal vez sea uno de sus padres, sus abuelos, vecinos o amigos. ¿Hay maneras en que podrían beneficiarse de un poco más de apoyo o conexión? Compartir un recurso, hacer una llamada telefónica o invitar a alguien a que le acompañe a un evento puede, en ocasiones, abrir la puerta a algo importante. Honrar el papel funda- mental que desempeñan en nuestras comunidades los adultos mayores ayuda a asegurar que, a medida que todos envejecemos, sigamos dando forma al futuro juntos. Estoy agradecido de formar parte de una comunidad que valora a sus adultos mayores y entiende cuánto más rica es la vida cuando todos se sienten apoyados e incluidos. Gracias por ser parte de nuestro trabajo. Saludos cordiales.

Robert Ojeda, Ph.D.

entender los riesgos personales de las caídas y les enseña sobre herramientas prácticas para para afrontarlas con confianza. Enhance Fitness® se enfoca en desarrollar fuerza, equilibrio y resistencia por medio de ejercicios guiados que ayudan a las personas a mantenerse activas y a reducir la probabilidad de una caída. En esta época del año también tenemos el periodo de inscripción abierta de Medicare, que va desde el 15 de octubre hasta el 7 de diciembre. Analizar las opciones y comparar planes puede ser confuso, especial- mente cuando las circunstancias o los beneficios cambian año con año. Los asesores capacitados en Medicare con los que cuenta PCOA ofrecen apoyo gratuito e imparcial para ayudar a los adultos mayores y a los cuidadores a evaluar su cobertura y a tomar decisiones que realmente les convengan. Es uno de los servicios

Dr. Robert Ojeda Presidente y director ejecutivo Pima Council on Aging

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