A publication of Pima Council on Aging. For more information on Never Too Late, visit nevertoolateatpcoa.org.
Never Too Late September 2019 Healthy Aging & Falls Prevention Month Para información en Español ver páginas 15-18
P U B L I C AT I ON O F P I MA COU N C I L ON AG I N G , H E L P I N G P I MA COU N T Y AG E WE L L S I N C E 1 9 6 7
Independence. Vitality. Respect.
Inside • Aging in Our Community 3 • Healthy Aging Center 4 • Smart Technologies Assist Us 5
• Nunca Es Demasiado Tarde 15 - 18 • Community Lunch Program 22 • Positive Aging for Women 23 • Medicare: Free Forums 24 • Ways to Help 25 • Neighbors Care: Aging in Place 26 • Advocacy 27 • Falls Prevention 28, 29 • Featured Artist 31
• Family Caregiver Training 6 • Caregiver Support Groups 7 • Family Caregiver Services 8 • Health, Aging & Wellness Classes 9, 10 • Ways to Describe Health 11, 12 • Community Calendar 13
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 2019. Editor Adina Wingate, (520) 790-0504 awingate@pcoa.org Editorial Assistant Jan Baker, (520) 258-5076 jbaker@pcoa.org Advertising Adina Wingate, (520) 790-0504 awingate@pcoa.org Designer Lori Lieber, Lori Lieber Graphic Design lori@lorilieber.com Please include a contact person name and phone number with all submitted material. All articles are subject to editing in accordance with technical and policy guidelines but will not be altered in content without permission of the author. Publication of submissions is not guaranteed. Ads are not to be considered as PCOA endorsements of products, services, or individuals. Editorial and Advertising Deadline for Next Issue September 6, 2019
On the Cover: Detail from Neighbors Delight ( 8.5” by 11.5”) pastel by Sara Heitshu, The Drawing Studio (Story, full image on inside back cover) PCOA Community Office Hours
T U C S ON Armory Park Community Center 220 S. Fifth Ave. Every other Wednesday, 1:30–5:00 p.m. Ellie Towne Community Center 1660 W. Ruthrauff Rd. Wednesdays, 9:00 a.m.–12:30 p.m. El Pueblo Community Center 101 W. Irvington Rd. Every other Tuesday, 8:30 a.m.–12:00 p.m. El Rio Community Center 1390 W. Speedway Blvd. Every other Wednesday, 8:30 a.m.–12:30 p.m.
Quincie Douglas Community Center 1576 E. 36th St. Every other Thursday, 8:30–11:00 a.m. G R E E N V A L L E Y Friends in Deed 301 W. Camino Casa Verde Mondays, 9:00 a.m.–3:00 p.m. MA R A N A Community Food Bank Resource Center 11734 W. Grier Rd. Tuesdays, 11:00 a.m.–3:00 p.m.
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Read Never Too Late online at pcoa.org
Page 2 | September 2019, Never Too Late
Pima Council on Aging
Aging in Our Community A Message from W. Mark Clark, President and CEO
Take a stand to prevent falls
steps to mitigate those risks benefits each and every one of us. I’m grateful that the greatest casualty of my fall was my tie, and for the opportunity to view the event as a cautionary tale I can share with you, rather than suffering a serious and potentially life-changing injury. I walk a little more slowly now, and look a bit more carefully at the terrain ahead. I’m also going to check out some of the free falls prevention events and activities taking place across our community in September, October and November, and hope you will, too. See Falls Prevention free events on pages 28 & 29.
hundred or so guests. There was much discussion with my colleagues planning the event about how best to allow me to save face. In the end, we didn’t use heavy makeup, or adjust the lighting on the stage, or find a replacement to step into my role at the Gala. Instead, I got a haircut, put on my tux, took the stage and declared into the microphone, “I stand before you a poster child for the importance of PCOA’s falls prevention work.” You see, the greatest disservice we can do to a critical topic like falls prevention is to sweep it under the rug from a place of embarrassment (rugs can also present a falls hazard, by the way). It is easy for us to imagine that such things only happen to others, but the reality is that every person is at risk for falls, the risk of injury increases with age and loss of strength, and taking
Here we are again in September, which includes the observance of the annual Falls Prevention Awareness Day on the 23rd of the month. This year, I am more acutely aware than ever before of the importance of falls prevention, having personally taken a fall just a few months ago. Leaving a community event in April, I came out of the building into the dark evening, crossed an unlit parking lot and thought to step onto a curb, which I missed. The toe of my shoe caught on the edge and I went down like a rock. Luckily, I didn’t break anything, but did scratch up parts of my face rather badly and was shocked and disoriented in the moment. I’m also sad to report the loss of my favorite tie, from which I was unable to remove the bloodstains. Most damaged of all, perhaps, was my dignity, as I suffered the embarrassment of having to retell the tale again and again in response to concerned inquiries, which were appreciated nonetheless. As it happened, my tumble occurred just a few days prior to PCOA’s Gala, where I was scheduled to stand on stage in my tuxedo and address five
It’s Never Too Late For a New Look Welcome to Never Too Late ’s new look! We’ve added a new cover, incorporated PCOA’s new branding, added color and changed our paper to a brighter white. We have retained our popular pull-out sections for Community Calendar and Health, Aging & Wellness, but now all sections are color-keyed for even easier identification. Plus we have added a four-page Spanish language section called Nunca Es Demasiado Tarde . And our original cover art by Sara Heitshu, a Drawing Studio artist, continues a creative partnership that will present original cover artwork from The Drawing Studio in each edition of the paper.
September 2019, Never Too Late | Page 3
Pima Council on Aging
Aging in Our Community
Healthy Aging Center to EngAGE Older Adults Aging affects EVERYONE. In fact, each of us is aging every day. Whether you are concerned about your own quality of life as you age, or that of a parent, spouse or other loved one, each of us will eventually find ourselves in need of information and support in order to age the way we want. That’s why PCOA is opening the Katie Dusenberry Healthy Aging Center this fall, named for our longtime friend, aging advocate and lead donor to the campaign. The Katie Dusenberry Healthy Aging Center will serve as a hub for aging services and a central location for more people to discover the array of services that PCOA and our community partners offer to support healthy aging. It will be a place for older adults to learn, socialize, and receive the help they need for their independence and quality of life. The Katie Dusenberry Healthy Aging Center is a central place for older people to EngAGE in: • Social, educational and wellness activities • Exercise designed for older adults • Information & Referral abouut community services • Medicare counseling and enrollment support • Fall prevention and health education • Medication use and management information
EngAGE with us!
600 S. Country Club Road healthyagingcenter.pcoa.org K A T I E D U S E N B E R R Y Healthy Aging Center Thanks to a generous matching gift challenge from the Connie Hillman Family Foundation and the Estate of Donald and Joan Diamond, all gifts received by December 31, 2020 will be matched, dollar for dollar. We also welcome gifts spread over 36 monthly payments. Together we can make the Healthy Aging Center a reality! To learn more or donate to the campaign, visit healthyagingcenter.pcoa.org.
• Family caregiver support and training • Convening of community collaborations • Non-medical caregiver training and certification • Long-term care information and advocacy
Our goal is to raise $2.5 Million to establish a community hub for programs and services provided for older adults by PCOA and our community partners. Support from our community will enable PCOA to purchase, renovate and open this visible and accessible 16,000 square foot facility for Tucson’s largest and fastest growing population of people over 60. To date, we have raised over $1.7 million.
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Pima Council on Aging
Caregiving
Smart Technologies to assist older adults and their caregivers
By Zury Reyes , PCOA Family Caregiver Support Specialist We have all seen those commercials of “help, I’ve fallen and I can’t get up!” Emergency alert systems are common- place in the homes of many older adults who live alone, or stay alone for extended periods of time. While these alert systems are well-known, some other smart technologies that can help our loved ones are less known but can be just as useful. Here are some of the devices out there that you should know about as you care for your loved one: Smart plugs: These plugs are designed to let you control, via voice or an app, devices that have an on/off switch, including fans, coffee makers, space heaters, etc. There are also smart plugs that will also turn off any device by cutting off the electricity to the item plugged into it. Both types can be used to make sure your loved one has turned off electronics after using them. Pill dispensers: Automated pill dispensers come in all shapes, sizes, sophistication levels and price ranges. They can be a simple as a pill organizer attached to an alarm to a fully automated, app-managed pill sorter, dispenser and compliance log. For peoplewho havedifficulty remembering to take their medication, these can be the difference between being fully independent or needing constant medication management. Smart locks/keyless entry: Smart locks can assist with ensuring doors are locked at night, to allow safe and quick entry of emergency personnel, and to provide
notices of any suspicious activities. Depending on the style of smart lock, you can often also set up PIN numbers for entry for different people working with your loved one such as direct care workers, case managers, nurses, food delivery people, etc. Smart speakers: They can be used as an intercom system in bigger houses, can be used to voice-control other smart home devices, can serve to set up reminders and alarms, and can learn different voice commands to meet the users’ needs. Digital Pens: Sometimes, redundancy is a great thing. If you are worried about your loved one’s memory, smart pens can create a digital copy of whatever one writes with them. Smart thermostats: Look at the temperature inside your loved one’s home from your phone, and control the cooling and heating devices to adjust them so your loved one is comfortable and safe. You can save schedules for the A/C and heater, or get notifications when your loved one’s home temperature gets too high or too low. Bluetooth tracking devices: Misplace things within your house all the time? These might save you, your loved one or both of you, a nice amount of time. Attach them to your item, such as car keys or wallet, and if you can’t find them, you can go to an app and have your item tracker “ring”. It’s a lot easier to find something when it’s ringing. Smart utensils: for people with tremors or cognitive impairments, eating can be
Just a fewof the smart devices that can helpolder adults.
a difficult and frustrating task. Smart utensils can assist with handles that automatically stabilize and adjust to people’s tremors. There are, of course, considerations when deciding if any of these technologies can assist you in your caregiving journey. First, most of these require a wireless connection in the loved one’s home. Most of these also work best when the older adult has a caregiving figure keeping tabs on these devices, locally or remotely. Additionally, many of these devices can cost upwards of hundreds of dollars. Ultimately, these technologies might not help every older adult, but they should be considered as you explore what you can do to ensure your loved one can be empowered, respected and safe.
September 2019, Never Too Late | Page 5
Pima Council on Aging
Caregiving
Stay Social to Help Cut Your Odds of Dementia We know that it has other health benefits in terms of benefiting physical and mental
Dr. Sam Gandy is director of the Mount Sinai Center for Cognitive Health and NFL Neurological Care in New York City. He said, “I tend to believe these findings are correct.” Many studies have shown that being mentally and physically active affects keeping the mind sharp, he noted. “Physical activity, mental stimulation and social engagement are popping up in these studies left and right all around the world,” Gandy said. The bottom line for Gandy is that keeping your blood pressure and cholesterol low,
The demands of caring for a loved one can be stressful and it is difficult to provide care when you are unsure of what you’re doing. You’ll feel much better when you’re confident of your skills and we can help! Give us a call today to sign up for one or both workshops available every month! Please register in advance. To RSVP call: 514-7642 x 201 This training is made possible through a partnership between Pima Council on Aging and Lutheran Social Services. Training is availabe to upaid family caregivers who are caring for someone age 60 or older, or caring for someone of any age suffering from Alzheimer’s or a related dementia. The evidence continues to mount that staying socially engaged as you age helps keep dementia at bay. In a new study, British researchers found that being socially active in your 50s and 60s may reduce the risk of developing dementia. The findings showed that people in their 60s who interacted with friends nearly every day had a 12% lower risk of developing dementia than people who saw a couple of friends every few months. “This has important implications for people in middle-age as it suggests that keeping socially active is important for brain health.
health,” said lead researcher Andrew Sommerlad, a research fellow in the division of psychiatry at University College London. Social activity during midlife was linked with better memory and reasoning skills, he said. “We think this may be because social contact gives us a chance to exercise different aspects of thinking, like memory and language, which may make people more resilient against the damage which accumulates in the brain in people who develop dementia,” Sommerlad explained.
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FREE FAMILY CAREGIVER TRAINING WORKSHOP SCHEDULE – SEPTEMBER
September 20: Tucson City Council, Ward 5 Office, 4300 S. Park Ave., Tucson, 85714 30 minute break – lunch not provided
WORKSHOP I – MORNING September 20: 9:00 a.m.–12:30 p.m. • Stress and Time Management • Communication Skills • Alzheimer’s & other related dementias • Infection Control and Providing Personal Care • Nutrition, Assistance with Eating, & Redirecting • Fall Prevention • Activity Planning • Psychological & Emotional Conditions • Grief & End of Life Resources
WORKSHOP 2 – AFTERNOON September 20: 1:00–3:30 p.m. • Proper Body Mechanics • Home Environment Safety • Planning for an Emergency • Understanding Assistive Devices • Proper Walking /Transferring Techniques • Re-positioning with Reassessment • Outings and Car Etiquette
To register or receive information, please contact: Lutheran Social Services of the Southwest, (520) 514-7642, ext. 201, or email Jason Browne at jbrowne@lss-sw.org
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Pima Council on Aging
Caregiving
(continued from page 6) and maintaining a healthy weight along with eating a healthy diet, and staying mentally and socially active is the best recipe for delaying or preventing dementia. The report was published online Aug. 2 in PLOS Medicine. More information For more on dementia, visit the Alzheimer’s Association, https://www.alz.org/alzheimers-dementia/ what-is-dementia Stay Social
PCOA CAREGIVER SUPPORT GROUPS – SEPTEMBER Ward 3 City Council Office (Community Room) 1510 E. Grant Rd., 85719 East Tucson • LGBT Welcoming!
SEPTEMBER Oro Valley Tuesday, September 3, 12:00–1:30 p.m. Rancho Vistoso Urgent Care (Board Room) 13101 N. Oracle, 85737 North Tucson Thursday, September 5, 1:30–3:00 p.m. City Council Ward 6 (West Room) 3202 E. 1st St., 85716 East Tucson • Date Change due to Labor Day Monday, September 9, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway Blvd., 85710 Green Valley Monday, September 9, 1:00–2:30 p.m. Friends In Deed (Room A), 301 W. Camino Casa Verde, 85614 Central Tucson Tuesday, September 10, 5:30–7:00 p.m. Grace St. Paul’s Church (Weeks Room) 2331 E. Adams St., 85719 North Central Tucson Thursday, September 12, 11:00 a.m.– 12:30 p.m. PCOA family caregiver support groups are open to anyone providing care for a person 60 and older, or caring for someone of any age who has Alzheimer’s disease or a related dementia. Pre-registration is required if attending a group for the first time.
Tuesday, September 17, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway, 85710 North Tucson Thursday, September 19, 1:30–3:00 p.m. City Council Ward 6 (West Room) Tuesday, September 24, 9:00–10:30 a.m. Tucson Estates Recreation Center (Suite 1) 5900 W. Western Way, 85713 Oro Valley Wednesday, September 25, 3:00–4:30 p.m. Rancho Vistoso Urgent Care (Board Room) 13101 N. Oracle, 85737 East Tucson Monday, September 30, 1:00–2:30 p.m. Pima Council on Aging (Board Room) 8467 E. Broadway Blvd., 85710 3202 E. 1st St., 85716 Southwest Tucson
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September 2019, Never Too Late | Page 7
Pima Council on Aging
Caregiving
Join a group of fellow caregivers as we discuss the complexities of ongoing loss associated with caring for someone with dementia and what to do about it. You will learn skills to help you stay strong, healthy, resilient, and positive so you can navigate the journey with healing and hope. This discussion series features videos based on the groundbreaking book, Loving Someone Who Has Dementia: How to Find Hope While Coping with Stress and Grief by Pauline Boss, Ph.D., the nation’s leading expert on caregiver grief. Free Video Discussion Series Details: Where: Ellie Towne/Flowing Wells Community Center 1660 W. Ruthrauff Rd, Tucson, 85705 When: Wednesdays, Aug. 21, 25 Sept. 4, 11, 18, 25, Oct. 2, 9, 16, 23 Time: 10:30 am – 12:30 pm Finding Meaning and Hope Week 1 – The Ambiguous Loss of Dementia: How Absence and Presence Coexist Week 2 – The Complications of Both Loss and Grief Week 3 – Stress, Coping, and Resiliency Week 4 – The Myth of Closure Week 5 – The Psychological Family Week 6 – Family Rituals, Celebrations, and Gatherings Week 7 – Seven Guidelines for the Journey, Part I Week 8 – Seven Guidelines for the Journey, Part II Week 9 – Delicious Ambiguity Week 10 – The Good-Enough Relationship
Feeling Stretched as a Caregiver? You are not alone. Powerful Tools for Caregiving is an educational series designed to provide you with the tools you need to take care of yourself. This program helps non-paid, family caregivers reduce stress, improve self-confidence, communicate feelings better, balance their lives, increase their ability to make tough decisions and locate helpful resources. Powerful Tools for Caregivers Free Family Caregiver Training: Where: Ellie Towne/Flowing Wells Community Center 1660 W. Ruthrauff Rd, Tucson, 85705 When: Tuesdays, Sept. 24, Oct. 1, 8, 15, 22, 29 Time: 1:00 – 3:00 pm Week 1 - Taking Care of You Week 2 - Identifying and Reducing Personal Stress Week 3 - Communicating Feelings, Needs, and Concerns Week 4 - Communicating in Challenging Situations Week 5 - Learning From our Emotions Week 6 - Mastering Caregiving Decisions You will receive a book, The Caregiver Helpbook , developed specifically for the class. A donation of $30 to help defray the cost of the book is suggested, but not required to attend the class. Reimbursement for respite is available for caregivers attending classes. Caregivers arrange their own respite and get a voucher for reimbursement. For details, call the Arizona Caregiver Coalition at 888-737-7494. Register through Eventbrite at https://toolsforcaregiving.eventbrite.com
Register through Eventbrite at https://findingmeaningandhope.eventbrite.com
These classes are offered in a safe and confidential environment in which to share, develop friendships and build support for being a resilient caregiver. For more information or to register in person , contact Debra Waring at PCOA 520-305-3407, dwaring@pcoa.org. Class size is limited. Pre-registration is required.
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Pima Council on Aging
Health, Aging & Wellness Pull out this handy class schedule to keep with you
Put Life Back in Your Life!
Program locations and availability change regularly. Pre-registration is required. For information and to register, call the Health Promotion Dept. at (520) 305-3410 . Visit program schedules at www.pcoa.org/ways-we-can-help/healthy-living-classes/ Healthy Living with Chronic Pain Healthy Living with Diabetes
Pima Council on Aging offers a series of five evidence-based health promotion programs for adults 60 years and older, in collaboration with community partners. These programs are designed to assist you with managing your personal health, staying fit, and maintaining or improving quality of life. Small steps. At least 91% of older adults have at least one chronic condition and 77% have two or more. Diabetes affects 23% of older adults, and 1 in 3 older adults fall every year in the U.S. Most falls can be prevented. Community-based health promotion programs help individuals gain self-confidence in controlling symptoms; manage the progression of long-term and chronic, age-related conditions; and lead an active and productive life that most strive for. Positive changes. Healthier living.
For those living with chronic pain and their caregivers. Topics for this interactive workshop include understanding acute and chronic pain; balancing activity and rest; managing your emotions, pain and fatigue; and decreasing frustration. Also, addressing the importance of healthy eating, medications and interventions, etc. Participants are led through a “Moving Easy” program, a gentle stretching program. What: A six-week program for 2.5 hours once a week Contribution: $35 per person, $45 a couple (covers your book and supplies) St. Mark’s United Methodist Church 1431 W. Magee Rd. October 16, 23, 30, Nov. 6, 13, 20 Wednesdays, 1:00 – 3:30 p.m. Underwritten in part by
An interactive workshop for individuals with pre-diabetes or Type 2 Diabetes and their caregivers. Topics include managing your symptoms, learning relaxation techniques, the importance of healthy eating, effective communication with healthcare providers, monitoring blood sugar and using medications effectively. What: A six-week program for 2.5 hours once a week Contribution: $20 per person; $30 per couple (covers your book and supplies) MHC Healthcare - New Dates Marana Main Health Center, Community Room B, Marana 85653 Aug. 28. Sept. 4, 11, 18, 25, Oct. 2 Wednesdays, 10:30 a.m. – 1:00 p.m.
Sign up today for 1, 2, or all 5 of the evidence-based health promotion programs to be healthier, prevent disease and achieve positive results. Call 305-3410 for locations near you! Medicare does not pay for these programs. Learn Practical Skills • Gain Self-confidence • Manage Fall Risks • Positive Changes & Healthier Living For those who are living with a chronic condition or are caring for someone with a chronic condition, including but not limited to hypertension, arthritis, heart and lung diseases, stroke, depression and diabetes. A fun, interactive course to help you manage your emotions, pain and Healthy Living with Ongoing Health Conditions fatigue, decrease frustration, and increase fitness and self-confidence. What: A six-week program for 2.5 hours once a week Contribution: $20 per person; $30 per couple (covers your book and supplies)
September 2019, Never Too Late | Page 9
Pima Council on Aging
Health, Aging & Wellness
A Matter of Balance
EnhanceFitness
Randolph Recreation Center 200 S. Alvernon Way Monday, Wednesday, Friday 10:15 – 11:15 a.m., Levels 1 & 2 Tucson Estates 5900 W. Western Way (Some restrictions apply) Monday, Thursday, Saturday 12:30 – 1:30 p.m., Level 1 William Clements Regional Center 8155 E. Poinciana Dr. Monday, Wednesday, Friday 8:30 – 9:30 a.m., Levels 1 & 2 Pima County Natural Resources, Parks and Recreation now has an online registration system. To register for these 3 locations, please visit http://webcms. pima.gov/government/natural_resources_ parks_and_recreation/ and click the “register now” link. If you have any questions, please contact us at 724-5000. Drexel Heights Community Center 5220 S. San Joaquin Ave. Monday, Wednesday, Friday 9:00 – 10:00 a.m., Levels 1 & 2 Ellie Towne Flowing Wells Community Center 1660 W. Ruthrauff Rd. Monday, Wednesday, Friday 9:30 – 10:30 a.m., Levels 1 & 2 Picture Rocks Community Center 5615 N. Sanders Rd. Monday, Wednesday, Friday 10:00 – 11:00 a.m., Levels 1 & 2
Emphasizes the importance of maintain- ing an active lifestyle in order to reduce the risk of falling. Utilizing a small group discussion format, participants develop practical strategies to help them stay safe and active. Topics include: Fear of Falling, Getting Up from a Fall, Home Safety, and Exercising to Increase Strength and Flexibility. What: Eight 2-hour sessions, twice a week, for 4 weeks. Contribution: $20 per person; $30 per couple (covers workbook, materials and snacks) St. Mark’s United Methodist Church 1431 W. Magee Rd. Sept. 9, 11, 16, 18, 23, 25, 30, Oct. 2 Monday and Wednesday, 1:00 – 3:00 p.m. Morris K. Udall Regional Center 7200 E. Tanque Verde Rd. Sept. 17, 19, 24, 26, Oct. 1, 3, 8, 10 Tuesday and Thursday, 10:00 – 12:00 p.m. The Highlands at Dove Mountain 4949 W. Heritage Club Blvd., Marana Oct. 7, 8, 14, 15, 21, 22, 28, 29 Monday and Thursday, 1:30 – 3:30 p.m. Cornerstone Fellowship Church Co-sponsored with Senior Pride for LGBTQ Community 2902 N. Geronimo Oct. 21, 23, 28, 30, Nov. 4, 6, 11, 13 Monday and Thursday, 1:00 – 3:00 p.m. Posada Life Community Center 780 S. Park Centre, Green Valley September 3, 5, 10, 12, 17, 19, 24, 26 Tuesday & Thursday, 1:30 – 3:30 p.m. Underwritten in part by
A low to moderate level exercise class taught by a certified fitness instructor. Includes a 20 minute no/low-impact aerobic segment, stretches, and structured strength training exercises using weights. Fitness assessments done at 4 month intervals. What: 1 hour, 3 times weekly. Classes are ongoing, Monday, Wednesday, Friday. Contribution: $18 per month or $60 per 4 month session. Level 1 is a chair class. Levels 1 & 2 has both chair and low impact standing aerobic segments. Level 2 includes low impact standing aerobics. You are welcome to visit the site you are interested in attending. For space availability and registration information at one of these 7 locations, call 305-3410. El Dorado Campus Cafeteria of TMC Senior Services 1400 N. Wilmot Rd. Monday, Wednesday, Friday 9:00 – 10:00 a.m., Level 1 El Pueblo Neighborhood Center 101 W. Irvington Rd. Monday, Wednesday, Friday
9:00 – 10:00 a.m., Level 1 10:30 – 11:30 a.m., Level 2 El Rio Community Center 1390 W. Speedway Blvd. Monday, Wednesday, Friday 10:30 – 11:30 a.m., Level 2 Morris K. Udall Regional Center 7200 E. Tanque Verde Rd. Monday, Wednesday, Friday 10:15 – 11:15 a.m., Levels 1& 2 2:30 – 3:30 p.m., Level 2
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Pima Council on Aging
Health, Aging & Wellness The Surprising Way Older Adults Describe Their Health Resilience, gratitude and realistic expectations all play roles
A common myth about aging is that older adults are burdened by illness and feel lousy much of the time. In fact, the opposite is usually true. In fact, most report feeling distinctly positive about their health. Consider data from the 2017 National Health Interview Survey (the most recent available), administered by the U.S. Centers for Disease Control and Prevention. When asked to rate their overall health, 82% of adults ages 65 to 74 described it as excellent (18%), very good (32%) or good (32%) — on the positive side of the ledger. By contrast, only 18% had a negative perspective, describing their health as fair (14%) or poor (4%). “Being healthy means being able to continue doing what I like: going to the theater, organizing programs, enjoying the arts, walking.” This trend toward positivity is also evident among adults age 75 and older: 73% of this group said their health was excellent (12%), very good (28%) or good (33%), while only 27% gave a fair (20%) or poor (7%) evaluation. How could this be true when the majority of older adults — about 60% — have two or more chronic illnesses, such as diabetes, arthritis, hypertension, heart disease or kidney disease, and higher rates of physical impairment than other age groups? For Health, Attitude Is Everything The answer lies in how older adults think about their health. For many, good health means more than the lack of illness or disability. The components of health they tend to value more are vitality, emotional well-being, positive social relationships, remaining active and satisfaction with life, while poor physical functioning plays a
less important role. “Being healthy means being able to continue doing what I like: going to the theater, organizing programs, enjoying the arts, walking,” said Lorelei Goldman, 80, of Evanston, Ill., who has had ovarian and breast cancer. She also describes her health as “good.” “I have all my faculties and good, longtime friendships,” Goldman continued. “I used to be a bad sleeper, but now I’m sleeping much better. Almost every day, there are moments of clarity and joy. I’m involved in a lot of activities that are sustaining.” Even when older adults are coping with medical conditions and impairments, they can usually think of people their age who are worse off than they — those who have died or gone to nursing homes, said Ellen Idler, a professor of sociology at Emory University in Atlanta and a leading researcher in the field of “self-rated health.” By comparison, older adults still able to live on their own may feel “I’m doing pretty well.” At some point, merely surviving can be interpreted as a sign of good health. “People hit their 80s and 90s, look around and feel pretty good about just being alive,” Idler said. Realistic Health Expectations That isn’t true for younger adults, who measure their health against an ideal “there shouldn’t be anything wrong with me” standard. But expectations for what constitutes good health change as people move into later life. “Older people expect some deterioration in health and aren’t thrown off course in the same way when it occurs,” said Jason
Schnittker, a professor of sociology at the University of Pennsylvania who has studied self-rated health. Resilience is also at play. As older adults adapt to illness and other physical changes, they tend to adjust their outlook. “I may be handicapped, but I can still walk,” one 86-year-old woman told Swiss researchers after being hospitalized due to a fall and forced to use a stick to get around. She considered herself fortunate and rated her health positively. “As long as you can get to church, as long as you can walk, you can say all’s well,” a man in his 80s declared after becoming severely disabled because of a slipped disc in his spine and an embolism. He, too, felt good about his health. Positivity: A Predictor of Longevity Lest you think older adults’ bias toward positivity is a sign of denial or a lack of objectivity, a large body of research shows it’s highly meaningful. “Self-rated health is very strongly predictive of longevity,” as well as other outcomes such as cognitive health and use of health care services, Schnittker noted. Idler and Yael Benyamini, a professor at Tel Aviv University’s Bob Shapell School of Social Work, were among the first scholars to highlight the association between self-rated health and mortality in a much-cited 1997 study that examined research reports from around the world. The link was consistent even when adjustments were made for respondents’ medical conditions, medication use, health care utilization, socioeconomic status and other factors.
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Pima Council on Aging
Health, Aging & Wellness Older Adults Describe Their Health (continued from page 11)
In a phone conversation, Benyamini offered two explanations for this finding, which has been widely replicated: For one, people may be acutely attuned to subtle changes in their bodies, like increased pain or fatigue, that end up being significant but may be hard for doctors to detect. Also, people may factor in how multiple medical conditions interact and affect them — something that medical tests don’t pick up. “Say you have diabetes, angina and osteoarthritis. How does this affect your life? It’s very individual — no one can tell from the outside — and it’s hard to put your finger on as a physician,” Benyamini said. Another possible explanation is that people who feel healthy are more likely to be active and take care of themselves, making it likely they’ll survive longer, Benyamini said. Positivity Isn’t Universal Of course, this positivity isn’t universal. African Americans, Hispanics, people with
lower levels of income and education and individuals with poor social connections are more likely to rate their health nega- tively as they age. At younger ages, women rate their health more poorly than men, but this changes in later life, with men becoming more likely to report worse health and women becoming more optimistic. Sometimes, surveys assess self-rated mental health separately, and results for older adults again overturn common assumptions about negativity associated with older age. The National Social Life, Health, and Aging Project, spearheaded by investigators at the University of Chicago, found that fewer than 1% of adults (ages 57 to 97) rated their mental health as poor; just under 8% considered it fair; nearly 23% thought it was good; nearly 41% believed it was very good and 28% judged it excellent. This data, based on a representative sample of 3,101 individuals surveyed in 2015, was provided upon request and has not yet been published.
“Mental health becomes an even more important component of self-rated health with age,” Schnittker said. Depression, in particular, appears to be a negative influence, affecting how people view their circumstances. Although Laurie Brock, 69, of Denver, has severe arthritis and systemic lupus erythematosus, she considers her health “very good” and credits her optimism, her close relationships and her “extremely active life.” Poor health would mean being bedridden, “not being able to go out or be as mobile as I am” or extended suffering, she said. “My attitude now is ‘I’ve lived [nearly] 70 good years, and I hope the next years are rich as well,” Brock said. “I think most people fear old age. But once they get there, it’s like, ‘Oh, I’m still going, I’m still OK.’ And fear becomes acceptance.” Source: By Judith Graham, June 26. 2019 reprinted with permission by Kaiser Health News and Next Avenue.
Tuesdays, Sept. 10 – Nov. 19 1:30 – 3:00 pm (There will not be a class on Tues., Oct. 29) The Aging Mastery Program® (AMP) classes
Registration is payable in advance for all 10 weeks of the program. Limited spots available: Sign up now! Fee: Registration fee is $99 per person Location: Casas Adobes Congregational Church 6801 N. Oracle Rd. A comprehensive approach to aging well. The program combines classes with expert speakers, group discussion and goal setting to help you gain new skills to make small meaningful changes in your life. Join the adventure! • Navigating Longer Lives • Exercise and You • Sleep • Advance Planning • Fall Prevention • Medication Management • Healthy Eating and Hydration • Financial Fitness • Community Engagement• Healthy Relationships Classes will explore: For more information and to REGISTER, call Pima Council on Aging, 520-305-3409 ©2014 National Council on Aging.All Rights Reserved.
Page 12 | September 2019, Never Too Late
Pima Council on Aging
Community Calendar Pull out this handy calendar section for September 2019 to keep with you
3 – 4:30 p.m., FREE Individual and Group Support Counseling for Survivors of Abuse, Financial Exploitation, and Neglect Call for Intake. Deena Stewart-Hitzke, c. EdD – Administration of Resources and Choices Office: 623-3341 or cell 358-3887 or visit arc-az.org 3 – 4:30 p.m., GRATIS Apoyo Individual y de Grupo Asesoramiento para Sobrevivientes de Abuso, Explotación Financiera y Negligencia Llamada para Intake. Martha Cruz – Administración de Recursos y Opciones 623-9383 ext. 1009 or visitar arc-az.org 6 – 7 p.m., Tucson Tuesday Laughter Yoga Every Tuesday. Come laugh with us for peace, healing and maybe even flat abs! Free! Everyone is welcome. All ages and abilities! Quaker Meeting House, 931 N 5th Ave. Drop-in or call: Loti, 490-5500 7 – 8 p.m., ALOHA - Adult Loss of Hearing Association, Evening Support Group Every Tuesday. Adult Loss of Hearing Association, 4001 E. Ft. Lowell. Contact: 795-9887 or info@alohaaz.org September 4, Wednesday 2:30 – 4 p.m., LGBTQI Grief Support Group A safe and accepting place to share about grief and loss. Sponsored by Soreo Hospice and Senior Pride. Every other Wednesday (except holidays). No charge. Must call to RSVP Tuesday before by 3 p.m. Soreo Hospice, 2475 E. Water St.
4 – 5 p.m., Clutterer’s Anonymous (CLA) Every Sunday. Streams in the Desert Lutheran Church - Room B, 5360 E. Pima St. Contact: Wendy, 888-0088 September 2, Monday Labor Day - PCOA office will be closed September 3, Tuesday 8 a.m. – 3 p.m., Golden Age Club #1 Every Tuesday. Randolph Recreation Center, 200 S. Alvernon Way, Performing Arts Bldg. Contact: 791-4560 9 a.m. – 3 p.m., Sunnyside Senior Club Every Tuesday. El Pueblo Senior Center, K.A.R.E. Family Center, 220 E. Speedway Blvd. Contact: 323-4476 9:30 a.m. – 1 p.m., Tucson Society of the Blind Every Tuesday. Bring a sack lunch. Christ Presbyterian Church, 6565 E. Broadway. Contact: Barbara, 298-2427 or Tom, 721-1019 or visit www.tucsonsocietyoftheblind.org 1 – 2 p.m., Peer Support Group, ALOHA – Adult Loss of Hearing Association Every Tuesday. Free. Adult Loss of Hearing Association, 4001 E. Ft. Lowell. Contact: 795-9887 or info@alohaaz.org 1:30 – 3:30 p.m., Seniors’ Dance Every Tuesday. Live music by Ken Novak & Ron Wagner, $3.00 members, $4.50 non-members. Udall Center, 7200 E. Tanque Verde Rd. Contact: 551-6154 101 W. Irvington Rd. Contact: 791-7461 9:30 – 11:30 a.m., Kin Support Group Every Tuesday, for Kinship Caregivers.
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All calendar listings are posted on tucson.com for the months remaining in 2019. Click on: • Events calendar (bottom of page) • Search events Enter: • Date range • Category - Pima Council on Aging Listings are subject to change September 1, Sunday Noon – 2 p.m., Reach for the Stars workshop – for LGBTQ+ older adults (and youth) This workshop is an opportunity to express yourself through dance, achieve personal growth and inspire others to do the same, and is a unique chance for seniors in our community who are looking to stay active, break a sweat and reach for the stars! Join Michael La Salta every Sunday. Michael will be conducting a beginner and intermediate level dance class. Michael has 35+ years of experience in a multitude of disciplines that he will utilize to help you discover a balanced, effective way of moving! Offered by Colby Olsen Foundation. The Historic Y, 738 N. 5th Ave. Visit: www.colbyolsenfoundation.org 3:45 – 5 p.m., Gamblers Anonymous (GA) Every Sunday. Streams in the Desert Lutheran Church - Room A, 5360 E. Pima St. Contact: Susan, 747-5018
Contact: 547-7000 or samantha@soreo.com 5 – 7 p.m., Tucson Singletarians (See page 21)
September 2019, Never Too Late | Page 13
Pima Council on Aging
Community Calendar Pull out this handy calendar section for September 2019 to keep with you
1 – 3:30 p.m., National Federation of the Blind (NFB) Southern Arizona Association for the Visually Impaired, 3767 E. Grant Rd. Contact: Sami, 903-1190 or Bob, 733-5894 or www.nfb.org. September 9, Monday 11 a.m. – 1:30 p.m., National Active and Retired Federal Employees (NARFE) Association, Chapter 55 Attendees pay for their lunch. For further information, 444-6970. Golden Corral, 4380 E. 22nd St. Contact: 444-6970 September 10, Tuesday 10:30 a.m. – 2 p.m., Pima & Swan Seniors Club 2nd and 4th Tuesdays. Fun, fellowship and friendship. Local Church. Call for more information. Contact: 444-4714 1:30 p.m. – 3 p.m., Aging Mastery Program (see page 12) 2 p.m. – 3 p.m., Senior Pride Speaker Series Himmel Park Library, 1000 N. Tucson Blvd.
contract with Pima Council on Aging, utilizing funds from the Arizona Department of Economic Security. KARE Family Center, 220 E. Speedway Blvd. Contact: 323-4766 10 a.m. – 3 p.m., Jacobs Park Seniors 50 and older welcome. Join us every Thursday. Games, pinochle, hand & foot canasta, coffee & snacks. Jacobs Park YMCA on Fairview Ave. Contact: Kathy, 292-2666 10:30 a.m. – 3 p.m., The Embroiderers’ Guild of America Tucson Chapter Every Thursday. Ellie Towne Flowing Wells Community Center, 1660 W. Ruthrauff Rd. Contact: Linda, 398-7268 or visit tucsonega.org 11:30 a.m. – 1:30 p.m., Mid-America Club First Thursday unless falls on a Holiday, lunch (cost for lunch). All present/past residents of Mid-states welcome. Contact: Marilyn, 792-2333 or Judy, 370-2675 12:30 – 2:30 p.m., Reading For Pleasure First Thursday of each month. Tucson City Council Ward 6 office, 3202 E. 1st St. Contact: Henry, 795-1584 or hh71939@gmail.com 6 – 8 p.m., Survivors of Suicide Tucson – Support Group 1st & 3rd Thursday. Catalina Methodist Church, 2700 E. Speedway, Bldg. H-30. Contact: 323-8660 or sostucson@aol.com September 7, Saturday 8 a.m. – 9 a.m., Walk With A Doc - Pima County Medical Society Walk led by Seth Peterson, a physical therapist will lead the walks. One to two mile walk on level ground. Children’s Memorial Park, 701 W. Edgewater Dr. Contact: 795-7985 or dcarey5199@gmail.com
6 – 9 p.m., Lupus Foundation of Southern Arizona Support Groups Are you or someone you know struggling with Lupus? Come join us for a supportive discussion about Lupus, its signs, symptoms, and coping strategies. Coffee Talk Support Group every first Wednesday of the month, 6pm- 9pm. Lupus Foundation of Southern Arizona, 4602 E Grant Rd. Contact: 622-9006 or visit www.lupus-az.org September 5, Thursday 8 a.m. – 1 p.m., Exercise Class, Line dancing, Qi gong, Tai Ji followed by Mahjong and light lunch Lunch and free play at 12:00 p.m. Tucson Chinese Cultural Center, 1288 W. River Rd. Contact: Patsy Lee, 292-6900 9:30 – 11:30 a.m., Peer - LED Kinship Caregiver Support Groups Come be supported by others sharing a similar journey of caring for kin children! ¡Venga a recibir apoyo de personas que comparten el camino de crianza de niños familiares! Studies show that peer-led support groups improve outcomes for kinship families. Los estudios han comprobado que la participación en grupos de apoyo mutuo mejoran los resultados para el cuidado de familiares. SUPPORT GROUP DAY & TIME • Grupo de apoyo mutuo, 1er y 3 er lunes del mes: 6-7:30 p.m., cuidado de niños disponible • Monday Night, 2nd & 4th, 6-7:30 p.m., childcare available • Tuesday Morning, 9:30-11:30 a.m., childcare is available only on non-school days • Children of Incarcerated Parents, 1st & 3rd Thursday, 5:30-7:30 p.m., call to register, childcare available • Green Valley, 3rd Friday of the month,10 a.m.-12 p.m., Green Valley Public Library, childcare available This program was partially funded through a
September 11, Wednesday 2:30 – 3:30 p.m., Alzheimer’s Association Support Group
2nd & 4th Wednesdays. Pima Council on Aging, 8467 E. Broadway Blvd. Contact: Robin, 373-0349 September 12, Thursday
9 a.m. – 11:30 a.m., Southern Chapter of the Arizona Falls Prevention Coalition - Free events (see pages 28 & 29)
Page 14 | September 2019, Never Too Late
Pima Council on Aging
Nunca Es Demasiado Tarde ¡Saca esta práctica sección de 4 páginas para que te acompañe! Tecnologías para asistir a adultos mayores y sus cuidadores en el diario vivir
Escrito por Zury Reyes , Especialista de apoyo al cuidador familiar, PCOA Frecuentemente se pueden ver los comerciales en la televisión de los sistemas de alerta de emergencias. Estos dis- positivos son comunes en los hogares de adultos mayores que viven solos o que pasan mucho tiempo solos. Mientras que estos sistemas de alerta son reconocidos, existen otras tecnologías “Smart” que pueden asistir a nuestros seres queridos, que son menos conocidas pero también útiles. A continuación discutimos algunos otros dispositivos que podrían ayudarle a usted o a sus seres queridos: Enchufe inteligente: Estos enchufes están diseñados para facilitar su control a través de órdenes verbales o a través de una aplicación. Sirven de interfaz para que los dispositivos enchufados puedan prenderse y apagarse remotamente. También existen otros enchufes inteligentes que pueden cortar completamente la electricidad que pasa del enchufe al dispositivo enchufado. Ambos tipos pueden utilizarse para cerciorarse que un ser querido haya apagado un dispositivo eléctrico luego de su uso. Dispensadores de pastillas: Los dispensadores de pastillas automáticos vienen en varios tamaños, niveles de sofisticación y precios. Pueden ser tan sencillos como un organizador de medicamentos adjunto a una alarma, o tan complicados como un dispositivo automatizado que separe y dispense medicinas en horarios específicos, y que registre la conformidad del uso de dichos medicamentos. Para las personas que
tienen dificultades recordando tomar sus medicamentos, estos dispositivos pueden ser la diferencia entre la vida independiente o necesitar monitoreo de medicamentos constante por terceros. Cerraduras inteligentes: Las cerraduras inteligentes pueden asistir a un cuidador asegurándose que las puertas estén cerradas durante la noche y para proveer advertencias de cualquier tipo de irregularidad. Dependiendo del estilo de cerradura, a veces se pueden programar diferentes códigos de acceso para las personas trabajando con su ser querido, tal como trabajadores sociales, cuidadores profesionales, doctores, personal de em ergencias, etc. Altavoces inteligentes: Pueden utilizarse como un sistema de comunicación barato en casas grandes. Se pueden utilizar para dar órdenes a otros dispositivos inteligentes, para programar recordatorios y otras alarmas, y hasta pueden aprender nuevas directrices para servir las necesidades del usuario. Plumas digitales: Según la memoria se atrofia, es útil tener copias de las cosas que necesitamos recordar. Si le preocupa la memoria de un ser querido, las plumas digitales pueden crear una copia digital de lo que sea que su ser querido escriba. Termómetros inteligentes: Con ellos puede controlar la temperatura en la casa de su ser querido remotamente, desde su teléfono, y asegurarse que su ser querido esté en una temperatura cómoda. Usted puede planificar horarios a seguir para el calentador y el acondicionador de aire, o
September 2019, Never Too Late | Page 15 consideradas según el cuidador intente asegurarse que su ser querido se sienta en poder, respetado, y a salvo. puede especificar si quiere recibir notificaciones cuando la casa de su ser querido esté muy fría o muy cálida. Dispositivos de rastreo Bluetooth: ¿Se le pierden las cosas en su casa todo el tiempo? Estos dispositivos quizás le ahorren a usted o a un ser querido ese tiempo de búsqueda. Usted puede adjuntarlos a cosas como su llavero o su cartera, y cuando no pueda encontrarlos, puede ir a una aplicación en su teléfono social y pedirle al dispositivo que suene. Es mucho más fácil encontrar algo cuando está sonando. Utensilios inteligentes: Para las personas con temblores en las manos o impedimentos intelectuales, comer puede ser una actividad difícil y frustrante. Los utensilios inteligentes pueden asistir en la actividad ya que tienen mangos que automáticamente estabilizan la comida y se ajustan a los temblores de las personas. Por supuesto, hay consideraciones a tener si piensa que alguna de estas tecnologías le pueda ayudar a usted en su rol como cuidador. Primero, la mayoría de estos dispositivos requieren conectividad al internet en la casa donde se utilizan. La mayoría de estos dispositivos también son más útiles para personas mayores que tienen un cuidador que los monitoree, localmente o a distancia. En adición, muchos de estos dispositivos pueden costar decenas y hasta cientos de dólares. Al fin y al cabo, estas tecnologías quizás no ayuden en el cuido de todos los adultos mayores, pero deberían ser
Pima Council on Aging
Nunca Es Demasiado Tarde
Tome una posicián para prevenir caídas
Estamos de nuevo en septiembre, cual incluye el día Nacional de Prevención de caídas, el 23 de septiembre. Este año
programado presentarme de traje al frente de más de 500 personas. Hubo mucha discusión entra mis colegas que planificaron el evento de cómo tratar de salvar mi cara. Al fin, no tuvimos que utilizar mucho maquillaje o ajustar las luces del escenario o buscar a alguien que remplazara mi presentación en la Gala. Al contrario, me corte el cabello, me vestí y me pare al frente del escenario tome el micrófono y dije “Estoy parado aquí frente a ustedes como ejemplo publico de la importancia del trabajo de prevención de caídas de PCOA.” Como pueden ver, el peor error que uno puede hacer acerca del tema de prevención de caídas es barrerlo debajo de un tapete a causa de la vergüenza ( tapetes/ alfombras también pueden ser un peligro de caídas) Es muy fácil para nosotros pensar que estas cosas solo suelen suceder a los demás, sin embargo la realidad es que todos estamos a riesgo de una caída y el riesgo aumenta con los años y la
pérdida de fuerza, tomando pasos para mitigar esos riesgos nos beneficia a cada uno de nosotros. Estoy agradecido que el daño mayor fue solamente mi a corbata y puedo ver lo sucedido como un ejemplo de falta de precaución el cual puedo compartir con ustedes en vez de haber sufrido una herida grave que pudiese ver cambiado mi vida. Hoy en día camino más despacio y con más precaución. También me informare sobre las actividades de prevención de caídas que son ofrecidas en nuestra comunidad en septiembre, octubre y noviembre y espero que ustedes hagan los mismo.
mas que nunca, estoy consciente de la importancia de la prevención de caídas después de haber sufrido una caída hace unos meses. En abril, al salir del edificio de un evento comunitario, ya estaba obscureciendo y pensé que había pisado la banqueta cuando en realidad me trómpese y caí como piedra. Afortunadamente no me rompí nada, pero si me raspé partes de la cara gravemente y en ese momento me sentí desorientado y asombrado. También lamento informales que fue el día que perdí mi corbata favorita a causa de no poder sacar las manchas de sangre. Quizás, lo que sentí más dañado fue me dignidad, sufrí mucha vergüenza al tener que repetir lo que había sucedió a las personas que preguntaban como seguía. Agradezco, a las personas que se preocuparon por mi bien estar. Mi caída sucedió días antes de la Gala de PCOA, donde estaba
W. Mark Clark President & CEO
Bienvenido a Nunca Es Demasiado Tarde, un nuevo capítulo de Never Too Late , la publicación de 50 años del Consejo Pima sobre el Envejecimiento (PCOA) que brinda información sobre servicios relacionados con la salud, asistencia en el hogar, envejecimiento, cuidado, dinero y preocupaciones legales, defensa, información y referencias, formas de ser voluntario y mediante colaboraciones con socios comunitarios.
Page 16 | September 2019, Never Too Late
Pima Council on Aging
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