Senior Gazette

Winter 2006
by Carol Schmitkons,
Amherst Township Senior Service Director

Home-Delivered Meal Program

Next year’s meal provider will be Golden Acres Lorain County Nursing Home.  The winter months will soon be upon us once again and perhaps you don’t find it as easy to get to the grocery store or to cook for yourself as you did when you were younger and had more energy and your health was better.  Why not let us help you out?  Getting a hot meal once a day and having someone check on you to make sure you are OK sure can brighten up those gloomy winter days.  Meal cost is based on your income level, so if you need to stretch your monthly income, this may be a way we can help you.

I wish to send along a special thanks to all those who have volunteered their time to deliver meals this year, especially Jake & Phyllis Nekich, Keith Rumpler, Debbie Senko, and Ray & Dottie Roth.  We couldn’t do it without your help!!!

Aging & Disability
Resource Network (ADRN)

The Administration on Aging (AoA) and the Centers for Medicare and Medicaid Services (CMS) joined forces to fund “Real Choice System Change Grants” that would enable people of all ages with disabilities or long-term illnesses to live a meaningful life in the community.  The Ohio Department on Aging (ODA) was awarded a 3-year grant.  Through contract with the ODA, the Western Reserve Area Agency on Aging (WRAAA), of which we are a part, is to create the ADRN as the pilot site for Ohio.  Its purpose is to:

  1. Create a coordinated approach to integrating information and referral for all available services, both public and private, to individuals aged 60+ and for people with disabilities age 18 and over.
  2. Provide streamlined access to long-term care services through a network of service providers.
Check out their website www.ConnectMeOhio.org.  This program is meant for consumers and their caregivers, provider organizations and the Greater Cleveland community.

ATTSO
OFFICE HOURS
8:00 A.M. – NOON  (M-F)

Lorain County Prescription Discount Cards Available

  • Free enrollment
  • No limits
  • Use whenever prescription not covered by insurance
  • No age requirements – no need to be Medicare beneficiary to enroll
  • No income requirements
  • Family coverage
  • Average savings 20%

Visiting Nurses Association (VNA) Healthy Town Website

The “Healthy Town” website presents new and improved, easy-to-use information specific to improving the health of seniors in our community.  Log on to “Healthy Town’s website at www.vnahealthytown.org for:

  • Fast Facts
  • Prevention Checklist
  • Health Profile
  • Links to Resources
  • Download and print brochures

VNA also has a second website that is helpful for seniors.  It is www.htseniorscreen.org.  This site will give you the following information:

  • Identify your health risks
  • Get your personal prevention checklist
  • Access information for a healthy you

How to Arrange for a Ride

Seniors needing rides to doctor appointments should call Charlotte Metez at the Lorain County Office on Aging at 244-6261 (ext. 4826) from Lorain or 326-4826 from Elyria to arrange for pick up.  Please call her as soon as you know the time and date of your doctor appointment.  We will only be assisting clients who have a non-life-threatening emergency or short notice for an appointment.  You may call 988-5822 for help with these needs.


Holiday Blues, Depression, or Dementia??

Here at the office I see my mission as ensuring continued quality of life for the older adult residents of Amherst Township.  Our office exists to help all township residents over the age of 60 maintain their independence and freedom to live with dignity.

As the holiday season approaches, I become more aware of many older adults struggling to enjoy life – a mate may be gone, the kids may live far away, the circle of close friends may be dwindling, forgetting things may make one fearful, and health issues may be increasing.  Suddenly the golden years don’t seem so golden any more.  Zest for life is often replaced with pain, bitterness, anger and resentment.  The holiday season, meant to be a time filled with good memories and the counting of our blessings and designed to give us new hope and vision for the new year ahead, suddenly loses its appeal.  One looks in the mirror and suddenly feels old, useless and lonely and dread of the holidays and fear of what the future holds sets in.

Depression and dementia are ugly words in my vocabulary, but for many older adults they are a real part of the holidays.  Instead of joining in holiday

festivities, family traditions and making memories that will live on long after they are gone, many prefer to sit in a dark lonely room and dwell on the “what if’s” or the “if only’s”.  Here are some ways to recognize that you have a problem and realize that it’s time to get help, so your holidays can once again be filled with my favorite word, joy.

  • Causes of Depression
    • Medical conditions
    • Reaction to pain and disability
    • Medications
    • Life events & personal crisis
    • Family history
    • Personality
  • Get help now; don’t wait until it gets worse!
    • Check with your doctor – he knows your family history, yours meds, your health problems
    • Share with a close friend or family member who’s known you for a long time & whom you trust
    • Talk to a counselor or a clergyman

What about Dementia?
How is it Different from Depression?

 

Depression

Dementia

Onset:

Abrupt or gradual; often result of life changes

Gradual and unrecognized; no specific cause

Prognosis:

Usually responds to medicine

Progressive decline over time; often irreversible

Mood:

Depressed, anxious, irritable

Stable; irritated and agitated when under stress or with change

Attention:

Fluctuates

Normal until advanced stages

Thinking & speech:

May be slow, impaired concentration, but logical; expresses helplessness, hopelessness, and low self worth

Difficulty with abstract thinking; may make poor judgments; words become difficult to find

Memory:

Possible problems with recent and remote events

Short-term memory problems more severe over time

Time of day issues:

Often complains of feeling worse in the morning

“Sundowning” common; agitation with change in routine or when tired

Symptom duration:

Relatively short with gradual improvement

Long, with worsening over time

E-Mail Address:  amhersttwpseniors@comcast.net

Medicare Updates

Open Enrollment Period

There will be even more Part D plans to choose from in 2007 – 61 to be exact, so you might find that one of the new plans better meets your needs.  Seniors who have delayed enrolling in Medicare Part D, wish to change plans, or just want to make sure their current plan is still the best choice, may do so by calling me at 988-5822 during this year’s “open enrollment period”, which begins on November 15th and continues until December 31st.  Coverage changes will go into effect January 1st, 2007.  If you failed to sign up for a plan before the May 15, 2006 deadline, you will have to pay a monthly premium penalty which will be applied on top of the regular plan premium starting in January.  After that, the next enrollment time will not begin until November 15, 2007 when the premium penalty will grow from $2.24 to $6.08 per month.  Only seniors with very low incomes and assets will not be affected by the premium penalty calculated at 1% for each month of delay in enrolling.

Medicare Helps You Stay Healthy

Utilize Medicare’s preventive benefits by asking your doctor or health care provider to discuss which of the preventive services you need and how often you need them.  Covered benefits include:

  • Bone mass measurement
  • Cardiovascular screening
  • Colorectal cancer screening
  • Diabetes screening
  • Services & supplies
  • Vaccinations for flu, pneumonia, & hepatitis B
  • Glaucoma screening
  • Pap test& pelvic exam with clinical breast exam
  • Prostate cancer screening
  • Screening mammogram
  • Smoking cessation counseling
  • “Welcome to Medicare” physical exam, which now includes an ultrasound screening for abdominal aortic aneurysm during the first six month you are eligible for Medicare benefits

2007 Medicare Amounts

  • Part A

    • Hospital deductible...... $992 per period

    • Hospital co-pay.......... $248/day
      In-patient days 61-90

    • Skilled Nursing Facility
      Co-pay..................... $124/day

  • Part B

    • Monthly premium........ $93.50

    • Annual deductible........ $131

    • Copay......................   20%

Secondary Insurance

Many people ask me about which type is best when they become eligible for Medicare.  Here’s an easy way to think about it:

  • Group Health plans from a former employer or union are usually the cheapest & best supplements to Medicare if you’re lucky enough to have one available, even if you have to pay part of the cost.

  • Medicaid is state assistance to those with limited income & resources.

  • Medicare Supplemental Insurance is private insurance designed to coordinate with original Medicare.  There are 12 standard plans (A-L) which pay all or most of the remaining costs after Medicare pays their portion.  There is no network of providers or facilities with these plans and you are guaranteed the right to purchase one of these plans without medical underwriting, but they must be purchased within six months from the Part B effective date for those over 65 years of age.

May your Holiday & New Year
Be Filled with Great Joy!!!!