NDN-SS-1-15-2016

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Senior Lifestyles

Inside...

Common causes of poor eye vision

One of a kindWillowbrook provides adult day service for more than 30 years

Home renovations for senior safety

Exercise and arthritis

Cut the costs of your prescriptions

Signs that long-term care is needed

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Senior Lifestyles • Winter 2016 –

Aging matters – signs that long-term care is neededThe task of searching for

long-term care is chock full of need-to-know data — the person’s health condition, their strengths and weaknesses, and if they can be on their on and alone? Family members want what’s best for a relative espe-cially when it comes to their safety, health, and well-being. And moving a parent to an as-sisted living facility is their de-fault. Whereas, the older parent may be headstrong on staying put and be free to go as they please.

When you buck heads, take a break and relax. Unless you’re in an emergency situation and a parent needs care right away, ease up and digest the following guide to help determine if long-term is necessary.

Remember each situation is different and what worked for one person may not be the best option for your parent. Before decid-ing to seek help, the first step is to assess the physical, men-tal, and medical

frailty conditions of your loved one.

Is your parent slow to recover from an illness? The condition could compromise their general well-being, and getting outside care assistance to get back on their feet is sensible. As people get older, the risks of falling in-

creases. Do they have an ongo-ing chronic condition? Chronic illnesses can significantly affect one’s body’s strength and re-covery time. What level is their self-care activity? Can they get dressed on their own, do house chores, manage medications, keep doctor appointments?

How frail is your parent physically? Are they losing or gaining weight? Do they have an appetite and are they eating well? Can they walk without holding on to furniture for bal-ance? Is their gait steady? Do they slouch in the chair when sitting?

How resilient is your parent’s mental ability? Have they given up on social activities? Are they isolating because of the fear to fall? Do they show reluctance to

leaving the house? If so, these are significant red flags that point to potential depression and forget-fulness. Other signs of mental decline are hopelessness and despair, listlessness, a change in sleeping patterns and losing in-terest in hobbies. Remember — people who have trouble with walking, memory, and hearing will pull away and isolate.

Is your parent on track with their medical procedures? Do they forget to take medica-tions? If they have multiple chronic conditions, they take several medicines. Are they on track with recommended dos-age and timetables? Monitoring and managing meds can be very confusing and overwhelming.

The money signs of de-cline. Are they keeping up

with household bills? Are they checking the mail and respond-ing to personal correspondence? Do you see unopened bills and unread newspapers sitting on the table? If so, be sure to look for overdue invoices, overdrawn balances, or other concerning communications.

Timing is everything. It’s common for family members to feel uncomfortable when talk-ing with a parent about long-term care needs, but you cannot dance around it. The conversa-tion must happen and the soon-er, the better. Don’t wait till they have an accident or significant illness. That’s when emotions run high. Don’t procrastinate and remember that timing is ev-erything when it comes to fam-ily discussions on eldercare.

By Carol MarakSeniorCare.com

Editor

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The costs of filling pre-scriptions is simply too big to bear for many people, even now that the Afford-able Care Act has greatly reduced the amount of peo-ple who are uninsured.

A survey from the Com-monwealth Fund found that 35 million people in Amer-ica failed to fill a prescrip-tion in 2014 because of the cost of the medication. That figure represents an im-provement from 2010, when 48 million people did not fill their prescriptions due to the costs of those medi-cations, but it still serves to highlight a need many peo-ple have to cut the costs of their medicine.

Though people who can-not afford to fill their pre-scriptions often feel help-less, there are a handful of ways they can cut the costs of their medications and start feeling better.

Discuss changes with your physician

Perhaps the simplest way to cut prescription costs is to discuss medication op-tions with your physician. Brand-name drugs are typi-cally more expensive than generic alternatives, so speak with your physician about generic drugs or less costly brand-name drugs that may treat your condi-tion as well as expensive brand-name drugs do.

Consider Patient Assistance Programs

Sometimes referred to as “Pharmaceutical Assis-tance Programs,” Patient Assistance Programs, or

PAPs, can greatly reduce the burden of prescription drug costs. Sponsored by pharmaceutical companies, PAPs distribute billions of dollars to patients who otherwise could not afford their medications. Eligibil-ity criteria varies depending on the program, but men and women struggling to pay for their prescriptions

can speak with their physi-cians about PAPs.

Consult your member organizations

If you are a member of the AAA automotive group or the American Associa-tion of Retired Persons, you might be eligible for medi-cation discount cards free of

charge. These cards provide discounts on your medica-tions, but some come with expensive fees upfront. Look for no-fee cards, such as those offered to AAA and AARP members or others offered by nonprofit organi-zations, before considering options offered by pharma-ceutical companies or other for-profit businesses.

Contact charitable organizations

Some charitable organi-zations, such as the Nation-al Organization for Rare Disorders and maybe even some local nonprofits, offer prescription assistance to people in need.

Visit NORD online at www.rarediseases.org.


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Metro Creative ConnectionThirty-five million people in America failed to fill a prescription in 2014 because of the cost of the medication, but there are ways to cut prescription costs so no person has to go without a medication. Discussing your concerns with your doctor is the first place to find alternative to name-brand medicines.

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Exercise and arthritis — how to manage pain

Across the country, more than 50 million people are living with doc-tor-diagnosed arthritis. So says the Arthritis Foundation, which proj-ects that figure will rise to 67 mil-lion by the year 2030.

Simply put, arthritis is a signifi-cant problem, one that can not only affect a person’s quality of life, but also his or her pocketbook, as the Arthritis Foundation notes that woking-age men and women (those between the ages of 18 and 64) who contend with arthritis are less likely to be employed than people of the same age who do not have arthritis. Arthritis is not only bad for employ-ees, but also for employers, as it ac-counts for $156 billion annually in lost wages and medical expenses.

Exercise may be the last thing on many arthritis sufferers’ minds, but exercise can play a vital role in reducing the often painful symp-toms associated with arthritis. Among its other benefits, exercise can strengthen the muscles around arthritic joints and help men and women maintain bone strength. In addition, the Mayo Clinic notes that lack of exercise can make joints feel more painful and stiff, as a sedentary lifestyle will ultimately contribute to putting more stress on joints.

Upon being diagnosed with ar-thritis, patients should speak with their physicians about the best way to use exercise to combat and relieve their symptoms. Some patients may require physical therapy, while oth-ers might be able to work with their physicians to develop an exercise regimen that can help reduce the severity of their symptoms and any pain that accompanies those symp-toms.

The following are some types of exercises that figure to play a strong role in managing arthritis and im-proving quality of life.

Aerobic exercises Low-impact aerobic exercises,

such as walking and swimming, can help arthritis sufferers alleviate their symptoms and improve their overall health. Arthritis sufferers who have not exercised in awhile because of their pain may have gained weight as a result, and aerobic exercise is a great way to shed extra pounds. Losing excess weight is a great way to make physical activity less taxing on your joints as well.

Range-of-motion Range-of-motion exercises are

typically simple and don’t take much time, but when done correct-ly, such exercises can be very effec-tive at relieving the stiffness associ-ated with arthritis.

A physician or physical thera-pist might advise you to do range-of-motion exercises each day, and you may even need to do them a few times each day. Adhere to this advice, continuing to perform the exercises as long as your doctor or physical therapists deems them necessary.

Strength training As previously noted, arthritis

sufferers may feel as though lifting weights will only exacerbate their existing symptoms. But strength training will strengthen the muscles around the joints, providing more support for those joints and ulti-mately reducing symptoms of pain.

Speak with your physician or physical therapist about appropri-ate strength-training activities and the importance of rest. If you ex-perience any pain during strength-training sessions, stop immediately and report the pain to your physi-cian.

More information about manag-ing arthritis can be found at www.arthritis.org.

Submitted PhotoLow-impact exercises such as walking and swimming can help arthritis sufferers allevi-ate their symptoms and improve their overall health.

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As adults approach their golden years, the homes they once thought of as sanctuaries can become unsafe. Families wrestle with the decision to keep parents and grandparents in their homes or move them into assisted liv-ing facilities or other senior residences.

Modifying seniors’ homes to make them safer is another option. The Na-tional Institute on Aging says that families may be able to have a senior stay at home by helping older relatives remain independent but safe. The fol-lowing are a few ways to do just that.

• Remove fall hazards. The NIA reports that six out of 10 falls hap-pen at home, where people spend the most time and fail to think about their safety. Seniors who want to be inde-pendent may overestimate their physi-

cal abilities. Because falls can be so dangerous, leading to cuts, abrasions, broken bones, and more, seniors and their families must take steps to pre-vent falls in homes. Improve lighting, especially at night when sight may become diminished. Install hand rails and grab bars where possible. Pick up clutter and remove tripping hazards, such as slippery rugs or electric cords. Install an electric stair climbing seat to make traversing stairs less risky.

• Improve visibility and ability to communicate. Vision loss may ac-company aging, but technology can help mitigate such losses. Use big-button phones, remote controls and even keyboards so seniors can keep in touch. Voice-activated thermostats or smart home technology also can make it easier for seniors to voice their needs.

• Modify fixtures and other fea-tures. Dexterity may wane with age, and arthritis can make grasping or turning doorknobs and faucets more challenging. Take inventory of areas of the home that present the biggest obstacles to seniors. Replace knobs in the shower or on faucets with lever handles, which are easier to maneuver. Install new cabinets and doors that freely glide open and self-close. Re-place toggle light switches with eas-ier paddle-type switches that can be pushed with a hand or even arm. Mo-tion-sensor lights also can be handy. Push-button oven controls may make cooking easier.

• Prepare for medical emergencies. Invest in medical alert systems, such as necklaces or bracelets, that can be used to contact police or emergency medi-cal personnel directly. Make phones

available in commonly used rooms in the home, such as bedrooms, the living room, bathrooms, and the kitchen.

• Install ramps and nonslip floor-ing. Ramps can make it easier to reach the front door or cross over elevated doorway thresholds. Nonslip floor-ing also can prevent falls around the house, offering more traction for feet, walkers or canes.

• Repair cracks in walkways and driveways. Safety should also extend to the outdoors. Be sure to repair cracks or uneven pavement. Replace loose patio blocks or bricks with a more stable design or with concrete or asphalt. While outdoors, trim back bushes and make sure there are no tripping hazards outside as well.

A few modifications can make it possible for seniors to live comfortably in their homes for many years.

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Cell phones allow seniors to call for help at any time and from any place. Preparing for medical emergencies and improving com-munication with emergency medical personnel is important for peace of mind.

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Common causes of poor visionVision loss is a common condition, as the World

Health Organization notes that more than 285 mil-lion people across the globe suffer some type of vi-sual impairment. Many people can effectively coun-ter their vision problems with prescription lenses, but others may have a more significant issue, such as low vision.

The Kellogg Eye Center defines low vision as a reduced level of vision that cannot be fully corrected with conventional glasses. Those with low vision have some useful sight and are not considered com-pletely blind. However, low vision can interfere with performance of daily activities, and some people with this condition are classified as “legally blind.”

Symptoms of low vision include difficulty recog-nizing objects at a distance or problems with dif-ferentiating colors. Yet, not everyone dealing with these symptoms has low vision. Specialized testing can determine if a person has low vision or another condition.

Many conditions can impact sight and contribute

to vision loss. Here’s a look at some of the more common ones.

• Glaucoma: A person with glaucoma may grad-ually lose peripheral vision. Early symptoms, such as a subtle loss of contrast, may be unnoticeable. Even-tually, glaucoma may cause tunnel vision, which oc-curs when a person can only see through a small window.

• Macular degeneration: Macular degeneration is the leading cause of vision loss, affecting more than 10 million people in the United States alone, according to the American Macular Degeneration Foundation. The AMDF offers that macular degen-eration is caused by the deterioration of the retina’s central portion, known as the macula. The macula is responsible for focusing central vision in the eye, and it contributes to one’s ability to read, drive a car, recognize faces or colors and see objects in fine detail.

• Retinal detachment: An increase of floaters or sudden flashes of light in vision may be indicative of retinal detachment or a tear in the retina. When caught promptly, a detached retina may be repaired.

However, if left untreated and the detachment reaches the macula in the center of the retina, vision loss may be irreparable. The National Eye Institute says those with extreme nearsightedness, those who have had cataract surgery or those with a family his-tory of retinal detachment are at a high risk.

• Diabetic retinopathy: Blurring or patchy vision loss can be a side effect of high blood glucose lev-els. Not all people with diabetes will develop vision problems, but it is common enough to warrant at-tention.

• Cataracts: According to The Mayo Clinic, a cataract is a clouding of the normally clear lens of the eye. Cataracts develop when aging or injury changes the tissue that makes up the eyes’ lenses. Clouded vision can make it more difficult to read or drive. Over time, cataracts may obscure vision so much that they require surgical repair.

Routine eye examinations can bring potential vi-sion disturbances to light and facilitate faster treat-ment. Eye doctors also can make suggestions about lifestyle changes, including the use optical devices to improve sight.

Metro Creative

As many independent adults grow older, there’s an increased need for so-cialization and activity. For dependent adults who live with a loved one, there’s an increased need for care dur-ing the day when a caretaker might be working.

Willowbrook Adult Day Center in Newton provides a unique service to local resi-dents. It’s the only adult day service program for seniors in the county, and it’s been in existence for more than 30 years.

Willowbrook was inspired by a 1985 Jasper County League of Women Voters study which found a need for adult day services for New-ton residents.

Mercy Hospital, of Des Moines, and its business branch Willis Adult Care ap-proved a satellite location in Newton that same year, and by fall, Willis had an office, its first director, Marge Den-niston, and its first client, Alice Whetstine.

The business became an independent operation and changed its name from Wil-lis to Willowbrook in 1989. Soon a building fund drive was launched with Wesley Life and supporter Marvin Hoeksema, and by 1992, Willowbrook and Park Cen-

tre opened its new and cur-rent location, becoming the first day center in the state to maintain a separate program for clients with Alzheimer’s and dementia.

In 2010, Willowbrook ex-panded services to all Jasper County residents which has made an impact to residents in other communities.

Participants come from Baxter, Kellogg, Prairie City, Colfax, Monroe and even Marshalltown and New Sha-ron, and many are able to at-tend with the help of HIRTA Public Transit. As a partner agency of United Way of Jasper County, Willowbrook can help relieve participants and their families of the wor-ries of daily transportation.

“We get grant funding

from United Way to cover the costs of transportation so that isn’t put back on our participants,” Willowbrook Director Kelsey Terpstra said.

Participants at Willow-brook range from those who have high-level needs to those who simply want more activity and engagement in their day. The age of partici-pants range as well but a ma-jority are seniors.

Staff members build close partnering relationships with participants in hopes for them to have a renewed sense of purpose and happier, healthier lives.

“Families, participants and staff create a partnership where everyone is involved,” Wesley Life Director Margot

Voshell said. “Willowbrook is more than a place to go during the day, it is a place where people are given the opportunity to make a dif-ference and feel a real sense of purpose, whether they are mentoring a new participant, helping make blankets for victims of the Haiti disas-ter, or making gifts for loved ones.”

A typical day includes breakfast, a morning activ-ity, lunch, an afternoon ac-tivity and a snack. Activities include exercise, arts, mani-cures, board games, horse shoes, balloon ball, Bible study, field trips and visits from organization leaders and business owners from around the community.

Around 35 participants currently attend Willow-brook two to five times per week, Monday through Fri-day. Margaret Bailey, 93, of Newton, is one of them.

Bailey was encouraged by her son to attend Willow-brook as a way to increase socialization. She said at first she didn’t like the idea of go-ing somewhere new, but after she started going to Willow-brook she was happy she did.

“I’ve been very happy since. They have good service, nice girls, and to be around new people, you know, they’ve all been nice,” Bailey said.

Bailey said her favorite ac-tivity at Willowbrook is play-ing dominoes but she enjoys the variety of entertainment lined up as well.

“I like the entertainment. They have very nice enter-tainment, and I’m not too hip on the exercise, but I


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Kate Malott/Daily NewsThomas Hllad, right, fitness coordinator at the Newton YMCA hosts a Silver Sneakers exercise course at Willowbrook. Exercise is just one of many activities planned at Willowbrook.

Willowbrook provides service for more than 30 years

By Kate MalottNewton Daily News

Only senior adult day center in Jasper County

“They have good service, nice girls, and to be around new people, you know, they’ve all been nice,”

— Maragret Bailey, of Newton,

WIllowbrook participant

WILLOWBROOK | 11

Life insurance is a product few people want to think about. That’s perfectly understandable, as life insurance forces men and women to consider their own mortality. But life insurance is not something adults should avoid, especially if they have depen-dents.

Many people should consider life insurance when estate planning so they can provide security for their loved ones. But life insurance is a purchase unlike any other, and people may be confused or intimidated when attempting to purchase life insurance policies.

Deciding if you need coverageWhile life insurance seems like the kind of thing

every person should have, that’s not necessarily the case. For example, single men and women with no dependents and no tax or debt concerns generally do not need life insurance. If you are single but have tax issues or a considerable amount of debt, then a life insurance policy can be used to pay those debts upon your death. Adults with dependents, such as a spouse

and/or children, should consider purchasing life in-surance, which can help your surviving dependents maintain their quality of life and pay their bills in the wake of your death.

Buying life insuranceMuch like various other types of insurance, life in-

surance can be purchased from an insurance agent or via an insurance company’s website. When choosing a company from which to buy a life insurance policy, look for a company with a strong rating, as no one wants to end up being burned by a life insurance pro-vider who goes out of business. Some people prefer to work with independent brokers who can share infor-mation about products from various providers rather than just the ones offered by the firm company-affil-iated agents work for.

Choosing coverageWhen choosing coverage, you will no doubt be

asked if you prefer term insurance or permanent insur-ance. Term insurance is the least expensive life insur-ance, and such policies only last for a predetermined

number of years. Men and women may purchase life insurance policies if they only want life insurance un-til they retire or until their children reach adulthood. Permanent insurance is more expensive and will last from the moment you purchase the policy until your death. Many people choose permanent life insurance policies so the money their beneficiaries receive upon their death can be used to pay estate taxes. In addi-tion, there is an investment component to permanent insurance policies, as a portion of the premiums on such policies is invested (policies will spell out how the money is invested) and allowed to grow tax-free so long as the policy is open. Term insurance only provides protection with no investments.

When choosing how much coverage to purchase, it’s easy to go overboard and aim for as much as pos-sible. However, many financial advisors suggest pur-chasing enough coverage to pay for funeral costs and a level of income replacement you can comfortably afford. If your spouse does not work, you should con-sider purchasing enough coverage so he or she can afford to pay the family’s day-to-day cost of living expenses.

Life insurance merits serious consideration, and adults should do their homework and fully under-stand a policy before signing any contracts.


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Kate Malott/Daily NewsMaragret Bailey, left, and other Willowbrook participants exercise during Silver Sneak-ers exercise class on Jan. 7 at Willowbrook. Silver Sneakers is one of many classes put on by local business and organizations for Willowbrook participants.

know its good for me,” she joked.Besides daytime care and respite

for caregivers, Willowbrook Adult Day offers recreational, activities, nu-tritional meals, medication monitor-ing, specialized dementia training for all staff members and family support and referral services.

The center also offers bathing and grooming services, physical therapy

and transportation to doctor ap-pointments.

“This is different than the hospi-tal or a nursing home too. For the most part, these people are happy to be here. I love older adults, and I feel like we’re giving them purpose and meaning and keeping them home as long as they can,” Terpstra said.

For more information about Wil-lowbrook, call 641-791-4500.

Contact Kate Malott at 641-792-3121 ext. 6533 or [email protected]

WillowbrookContinued from Page 9


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How did it get so late so soon? It’s night before it’s afternoon.

December is here before it’s June. My goodness how the time has flewn.

How did it get so late so soon?~Dr. Seuss

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Independent apartments available for move in. Call Newton Village today and schedule a tour.

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NDN-SS-1-15-2016

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