The Momentum 4th Quarter 2020

The Momentum 4th Quarter 2020

Winter Tips From FEMA 5 Residents' Rights Month 9 Vintage Self-Care 21

Human Rights Day 44

In This Edition

Vintage Services...................................................3 Keep Your Cool in Cooler Weather......................5 Fire Safety.............................................................6 Advance Care Planning........................................7 Residents ' Rights Month....................................9 Voting Rights.......................................................10 LTC Ombudsman................................................12 Elder Abuse.........................................................14 Transportation Voucher.....................................16 Vehicle Winter Survival......................................17 Make the Most of Your Dr. Visit..........................19 Vintage Self-Care................................................21 Vintage Vouchers.............................. .................24 Getting a Good Night's Sleep.............................25 Caregiver Connections Volunteers Needed......27 Forgetfulness......................... ............................28 Vintage In-Home Voucher..................................30 Fight Flu..............................................................31 Caregiver Month.................................................33 Long Distance Caregiving..................................37 Caring for Family Caregivers.............................39 Vintage Caregiver Programs..............................41 Caregiving in the US...........................................42 Prevent Fractures...............................................43 Human Rights Day..............................................44 Vintage Holiday Traditions.............................. ..46 Pitkin Virtual Events and Activities....................49 Alzheimer's Association E-Services...................53 CARE Energy Services.........................................55 Alzheimers Support Groups...............................57 Hero's Journey of the Caregiver........................58 Grand County Home Rehab Program................61 Summit Veterans................................................62 Smiles for Seniors...............................................63 Grief Support......................................................67 Regional Resources............................................68

Stopping by Woods

Whose woods these are I think I know. His house is in the village, though; He will not see me stopping here To watch his woods fill up with snow. My little horse must think it queer To stop without a farmhouse near Between the woods and frozen lake The darkest evening of the year He gives his harness bells a shake To ask if there is some mistake The only other sound's the sweep Of easy wind and downy flake. The woods are lovely, dark and deep,

But I have promises to keep, And miles to go before I sleep, And miles to go before I sleep. Robert Frost

Oct-December 2020

Original content in this edition provided by Leah Rybak, LMR Consulting LLC Magazine edited and content curated by Ceci Peterson, Vintage & Amanda Rens-Moon, Vintage

INFORMATION | RESOURCES | ADVOCACY

We are The Alpine Region’s Aging Expert

Vintage is the Alpine region’s aging expert—ensuring that all of us have access to the supports, services, and resources we need as we age. We also provide deep content expertise to ensure our communities and providers meet those needs as well. Our services include financial assistance for in-home services, transportation, and dental & vision needs, information & referral, nutrition programs, caregiver supports, Medicare counseling, long term care ombudsman, volunteer opportunities, legal assistance, and educational programs.

YOURVINTAGE.ORG

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SERVICES FOR AGING WELL IN COLORADO Your Connection to Information, Resources, and Advocacy in Eagle, Grand, Jackson, Pitkin, and Summit.

Volunteer Opportunities We have a variety of volunteer opportunities, such as Respite

Dental & Vision Assistance Programs

People-Carry

TOOTH

We have funding for adults 60 and older for dental and vision needs that will keep you healthy and receiving the care you need. Transportation We have trusted transportation options to get you where you need to go when you need to go there. Options include transportation vouchers and other transportation services depending on the area. Health: Nutrition & Balance Vintage offers the following nutrition- related programs such as Home Delivered Meals, Community Based Meals, and Nutrition Education and Counseling. We also provide Evidence-Based Health and Wellness Programs and fall prevention classes. Legal Assistance

Companions, Medicare Counselors, Regional Advisory Council Board members, Long Term Care Ombudsmen, and our RSVP program. Caregiver Support At Vintage, we support you in whatever stage of the aging journey you are on! For caregivers, we offer training and education, financial assistance, and have a volunteer respite program in Summit County to assist where you need it most. Medicare & State Health Insurance Assistance Program (SHIP) We are here to answer your questions or concerns about Medicare, Medicare benefits, or to see if you’re eligible for the Medicare Savings Program. LTC Ombudsman The Long Term Care Ombudsman protects and promotes the Resident Rights of the residents of nursing homes and assisted living facilities in our region.

Shuttle-Van

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APPLE-ALT

Plus-Square

HEARTBEAT

BALANCE-SCALE

We contract with partners who provide legal services to older adults 60+ free of charge to those with the most significant economic or social needs.

Aging Services Focused on YOU Call our Resource Center at (970) 468-0295 if you have any questions or are interested in learning more.

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FEMA Region VIII Shares Emergency Preparedness Tips for This Winter Keep Your Cool in Cooler Weather

With cooler fall temperatures moving in, we’re going to be spending more time inside. While we’re spending more time indoors, now is the time to make a new emergency plan – one that includes the potential for a disaster while we’re still in this current COVID-19 environment. The FEMA Region VIII office, located in Lakewood, Colorado, is your source for information on emergency planning and preparedness actions you can take now to prepare for the winter. Here are a handful of tips to help you feel more prepared: • Lean on your support network of family, friends, and neighbors (like your pals at Vintage). Share your emergency plans with them, including where you keep your emergency supplies and how to use lifesaving medications or equipment. • Give your emergency kit a COVID-19 upgrade. Your kit should include items such as cloth face masks, extra soap and hand sanitizer, and disinfecting supplies, should you need to evacuate to a shelter in case of an emergency. Also, with winter weather on the way, you’ll want to make sure your kit includes enough supplies to sustain you for at least 72 hours. Learn more about what else to keep in your kit at ready.gov/kit. • Push the button on your smoke alarm every month. Our partners in preparedness at the U.S. Fire Administration observe National Fire Prevention Month this October 4-10. Our risk of being seriously hurt or killed in a fire increases with age, which is why it’s important to practice your escape with family members. Keep your wheelchair, eyeglasses, hearing aids, and a telephone near your bed in case of a fire. • Check your home’s heaters before you need to turn them on. Get your heat sources cleaned and inspected. When it’s time to turn them on, keep anything that can burn at least three feet away from all heat sources. Don’t forget to turn off space heaters when you leave the room or go to bed, and never use an oven or gas stovetop to heat your home. • Don’t forget about your pet or service animal in your emergency planning. What’s best for you is usually best for your animals. If you must evacuate, take your pets with you. However, not all shelters accept animals that are not service animals. Share with your family where you wish your pet to be taken in case of an emergency or disaster.

Looking for more emergency preparedness tips? Visit Ready.gov for more information about emergency planning or text “PREPARE” to 43362. (Remember that FEMA will never call or text to ask you for money or personal information). For more information on COVID-19, visit CDC.gov/coronavirus or visit Colorado’s website https://covid19.colorado.gov/ for local information. 5

Fire Safety for Older Adults and Their Caregivers People over the age of 65 face the greatest risk of dying in a fire – more than 2 ½ times that of the general population. The U.S. Fire Administration wants older adults, their caregivers and all Americans to know that there are special precautions you can take to protect yourself and your home from fire. Install and Maintain Smoke Alarms The chance of surviving a home fire almost doubles with the initial warning from a smoke alarm. • Install smoke alarms on each level of your home and inside and outside sleeping areas. • Test them monthly and replace alkaline batteries at least once a year. • Caregivers are encouraged to check the smoke alarms of those who are unable to do it themselves. Plan Your Escape Developing a fire escape plan around one’s capabilities is a key element to fire safety! • Have at least two exits from every room. • If you use a walker or wheelchair, check all exits to be sure that you can go through the doorways. • Unless instructed by the fire department, never use an elevator during a fire. • If you live in a multi-story home, arrange to sleep on the ground floor near an exit. • Speak to your family members, building manager or neighbors about your fire escape plan and practice it with them.

Be Safe Around Medical Oxygen When using medical oxygen, the amount of oxygen in the air can increase. This means there is a higher risk of both fires and burns because it is easier for a fire to start and spread. • Never smoke in a home where medical oxygen is used. • Never use a candle, match, lighter or other open flame. • Never use a fireplace, stove or other equipment fueled by gas, kerosene, wood or coal. • Keep oil, grease and similar petroleum-based products away from oxygen valves. They can cause a spontaneous explosion. Be Fire-Safe Around the Home Careless smoking is a leading cause of home fire deaths among older adults. • If you must smoke, never smoke in bed. • Stay in the kitchen when you are frying, grilling or broiling food. Use a timer to remind you that you’re cooking. • Don’t overload electrical outlets or extension cords. • Properly maintain chimneys and keep anything that can burn at least 3 feet away from space heaters. • Take special precaution if you are on medication that makes you drowsy. Remember, the prevention of fires is up to all of us ... Fire is Everyone’s Fight™.

U.S. Fire Administration www.usfa.fema.gov

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Advance Care Planning

What is advance care planning? Advance care planning is the process where you identify your values and wishes for your health care at a future time if you are no longer capable of making choices for yourself. What is an advance directive (AD)?

How do I get started?  Think about the medical treatments and care you would or would not want, if you were no longer able to make those choices. The Values Worksheet on the other side of this handout can help you get started.  Choose your Health Care Agent and talk with them about your values and wishes.

An advance directive (AD) is a legal form that helps your doctors and loved ones understand your wishes about

 Complete a VA advance directive. What do I do with the advance directive (AD) after I fill it out?

medical and mental health care. It can help them decide about treatments if you are not able to decide for yourself. An advance directive protects your right to make your own medically-related decisions. And, it provides the best way to ensure that your future medical care reflects your wishes. The VA AD includes sections that allow you to identify a Health Care Agent and to specify your treatment preferences. Those sections are:  Durable Power of Attorney for Health Care – Allows you to identify a Health Care Agent, the person who would make health care decisions for you if you are unable to make decisions for yourself.  Living Will – Allows you to indicate the treatments you would and would not want, such as resuscitation, mechanical ventilation (breathing machine) and feeding tube. Ask your social worker for a VA AD form or go to www.va.gov/vaforms for the form and related information. You can also talk with your social worker if you need help starting a conversation with loved ones about your wishes or completing the advance directive.

Put the original in a safe and easy-to-access place. Put a note on the copies about where the original is kept. Give copies to your health care provider, Health Care Agent and a family member. While an AD does not expire, you can cancel or change it at any time. Review your AD from time to time. Your preferences for future health care may change based on changes in: your health or where you live, who provides support or care for you, or new medical treatments.

Non-VA Advance Directives VA accepts state-authorized and

Department of Defense advance directives. Your state may also have a separate Mental Health AD. If you complete a VA advance directive, you do not need to complete a separate one for mental health. You can record those preferences on your VA AD. Ask your social worker if you have questions about these documents. To learn more visit www.va.gov/Geriatrics or www.va.gov/Ethics .

www.va.gov/Geriatrics

This form must be printed to complete it. 7

Advance Care Planning

Values Worksheet for Advance Care Planning Think about these questions before you prepare your advance directive. They are also good topics to discuss with your loved ones, health care providers and spokesperson.



How important are these items to you?

Not Important

Very Important

.......... .......... .......... .......... .......... .......... .......... .......... ..........

Preserve my quality of life

........................................ ........................................................ ............................................ .....................

0

1

2

3

4

Be independent

0

1

2

3

4

Be alert and competent

0

1

2

3

4

Be able to relate to family and friends

0

1

2

3

4

............... .......... ...........

Be comfortable and as pain-free as possible

0

1

2

3

4

Leave good memories for family and friends

0

1

2

3

4

Leave money to family, friends or charity

0

1

2

3

4

......................................... .................

Let nature take its course

0

1

2

3

4

Die in a short time rather than lingering

0

1

2

3

4

....... Live as long as possible, no matter the quality of life

0

1

2

3

4

................. ............................

Stay true to my spiritual beliefs and traditions

0

1

2

3

4

Help with medical research or teaching

0 1

2

3

4

 Do you want to take part in making decisions about your care?

 Yes

 No



Do you always want to know the truth about your condition?

 Yes

 No



Do you want your finances taken into account when treatment decisions are being made? How do you feel about using life-sustaining measures in the face of terminal illness? Do you have strong feelings about certain medical treatments (such as mechanical breathing, CPR, feeding tube, kidney dialysis, intensive care, chemo or radiation therapy)?

 Yes

 No



 Yes

 No



Would you want to avoid certain treatments only if death was certain?

 Yes

 No



Would you want certain treatments if used to prolong the dying process?

 Yes

 No



Would you accept certain treatments to lessen pain?

 Yes

 No



What will be important to you when you are dying?



Would you prefer at-home hospice care or would you prefer to be in a hospital? Do you want to be an organ donor?  Yes  No



_______________________________________________________________________________________________________________________________________

Adapted from Values Worksheet originally published by Group Health Cooperative, Seattle, WA (now known as Kaiser Permanente Washington)

January 2020 8

Residents Rights Month

And a highlight about voting rights!

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All About Residents Rights

“The months of restrictions on visitation in long-term

care facilities and the inability of residents, families,

and friends to be together during the coronavirus

pandemic has emphasized the importance of

connection, of relationships, and the impact they have

on all of our well-being.”

- Lori Smetanka, Executive Director of the Consumer Voice

What is Residents Rights Month?

This year's theme is “Connection Matters” . The theme emphasizes connections – to family, to friends, and to the community – as an essential component of good health and quality of life for residents. During this crisis, many creative ways of staying connected were shared that can be replicated and built upon in all communities. Most importantly, call a loved one or an ombudsman who is specifically trained to advocate for the rights of older adults and those with disabilities if you feel your rights are in question. What's the 2020 Theme for the month?

October honors residents living in all long-term care facilities and also, those receiving care in their home or community. Residents Rights Month raises awareness about these rights and pays tribute to the unique contributions of long-term residents. The Nursing Home Reform Law, passed in 1987, guarantees nursing home residents their individual rights, including but not limited to:

individualized care, respect, dignity, the right to visitation and privacy the right to complain, and the right to make independent choices.

Vintage offer ombudsman services via the phone.

Call Tina Strang at 970- 531- 2980 or reach out via email at [email protected]

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The Momentum | Fall 2020 | For more information go to https://theconsumervoice.org/events/2020-residents-rights-month

Voting Rights in Colorado

You, yes you , have the right to vote!

“Voting is the

Here is everything you need to know about voting in a long term care facility to vote here in Colorado:

expression of our

฀ You must be a U.S. citizen and a Colorado resident for 22 days in order to vote in Colorado.

commitment to

ourselves, one

฀ There must be at least one accessible voting system in each Voting Service and Polling Center and all voting places must be accessible. ฀ Registration forms, ballots, and other materials must be made available in alternate formats that are accessible ฀ Individuals with disabilities have a right to reasonable modifications and auxiliary aids that make it possible for them to participate in government programs and services which includes federal and state elections. ฀ A person with a disability may vote alone or with assistance from a person of the voter’s choice, other than the voter’s employer or an agent of the voter’s union and you may have extra time to cast your vote. ฀ Voting machines must provide all voters with the ability to independently and privately cast, verify, and correct their ballot before it is counted. ฀ If you need assistance completing and filing a complaint, you can contact Disability Law Colorado’s VOTE! Program at (303) 722-0300.

another, this country,

and this world.”

- Sharon Salzberg

Call your local ombudsman Tina at 970- 531- 2980 or reach out via email at [email protected]

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The Momentum | Fall 2020 | For more information go to https://theconsumervoice.org/events/2020-residents-rights-month

Long-Term Care Ombudsman Program

by the Administration on Aging (AoA). Local ombudsmen work with and on behalf of residents in hundreds of communities throughout the country. RESULTS In federal fiscal year 2012, over 11,000 volunteers, 8,712 of whom were certified to investigate complaints, and 1,180 staff served in Long-Term Care Ombudsman Programs in 573 localities nationwide. Ombudsmen investigated and worked to resolve 193,650 complaints made by 126,398 individuals. In addition, ombudsmen provided information on rights, care and related services 405,589 times. RESIDENTS’ RIGHTS Ombudsmen help residents and their families and friends understand and exercise rights guaranteed by law, both at the Federal level for nursing homes and for States that provide rights and protections in board and care, assisted living and similar homes. Residents have the right to : • Be treated with respect and dignity • Be free from chemical and physical restraints • Manage their own finances • Voice grievances without fear of retaliation • Associate and communicate privately with any person of their choice • Send and receive personal mail • Have personal and medical records kept

WHAT IS THE LONG-TERM CARE OMBUDSMAN PROGRAM?

Long-term care ombudsmen are advocates for residents of nursing homes, board and care homes, assisted living facilities, and similar adult care facilities. They work to resolve problems of individual residents and to bring about changes at the local, state, and national levels to improve care. While many residents receive good care in long-term care facilities, others are neglected, and other unfortunate incidents of psychological, physical, and other kinds of abuse do occur. Thus, thousands of trained staff and volunteer ombudsmen regularly visit long-term care facilities, monitor conditions and care and provide a voice for those unable to speak for themselves. The Swedish word “ombudsman” means “a public official appointed to investigate citizens’ complaints against local or national government agencies that may be infringing on the rights of individuals.” This concept has been applied in many U.S. settings to include complaints against non-governmental organizations and advocacy for individuals and groups of individuals, as with the Long- Term Care Ombudsman Program. HISTORY Begun in 1972 as a demonstration program, today the Long-Term Care Ombudsman Program is established in all States under the Older Americans Act which is administered

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confidential • Apply for State and Federal assistance without discrimination • Be fully informed prior to admission of their rights, services available, and all charges • Be given advance notice of transfer or discharge OMBUDSMAN RESPONSIBILITIES Ombudsman responsibilities outlined in Title VII of the Older Americans Act include: • Identify, investigate, and resolve complaints made by or on behalf of residents • Provide information to residents about long-term care services • Represent the interests of residents before governmental agencies • Seek administrative, legal, and other remedies to protect residents • Analyze, comment on, and recommend changes in laws and regulations pertaining to the health, safety, welfare, and rights of residents • Educate and inform consumers and the general public regarding issues and concerns related to long-term care and facilitate public comment on laws, regulations, policies, and actions • Promote the development of citizen organizations to participate in the program • Provide technical support for the

• Advocate for changes to improve residents’ quality of life and care

RESOURCES The National Long-Term Care Ombudsman Resource Center supported with AoA funding and operated by the National Consumer Voice for Quality Long-Term Care, provides technical assistance and intensive training to assist ombudsmen in their demanding work. To contact a long-term care ombudsman, visit You can also call Eldercare Locator at 1-800- 677-1116 (http://www.eldercare.gov) and ask for the local ombudsman program or the Area Agency on Aging nearest the nursing home or similar adult care facility where the resident lives. The area agency will either be the sponsor of the ombudsman program or know where the program is located. The Medicare Guide to Choosing a Nursing Home booklet is available free from the Centers for Medicaid and Medicare Services (CMS). Call 1-800-Medicare (1-800-633- 4227) and ask for publication #02174, or view it on the Web at: http://www.medicare.gov/NHCompare. To contact your local Long Term Care Ombudsman contact Tina Strang at 970-531-2980 or [email protected] the resource center’s Web site at http://www.ltcombudsman.org.

development of resident and family councils to protect the well-being and rights of residents

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SPOTTING THE SIGNS OF ELDER ABUSE

Abuse can happen to any older person, by a loved one, a hired caregiver, or a stranger. Abuse can happen at home, at a relative’s home, or in an eldercare facility.

physical

emotional

There are many types of abuse:

neglect

sexual

abandonment

financial

Watch for these signs of abuse:

Seems depressed, confused, or withdrawn

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Isolated from friends and family

Has unexplained bruises, burns, or scars

Appears dirty, underfed, dehydrated, over- or undermedicated, or not receiving needed care for medical problems

Has bed sores or other preventable conditions

Recent changes in banking or spending patterns

Talk with the older adult and then contact the local Adult Protective Services, Long-Term Care Ombudsman, or the police.

Visit https://www.nia.nih.gov/health/topics/elder-abuse to learn more about elder abuse and how to get help.

National Institute on Aging

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Vintage (Formerly known as Alpine Area Agency on Aging) has a transportation voucher to suit your needs. The voucher program works in two ways: 1. You drive yourself and receive mileage reimbursement. 2. Someone else drives you, and we pay them or reimburse you for payment. Who is Eligible? If you are 60+ and live in Eagle, Grand, Jackson, Pitkin or Summit counties, you may qualify. NEED A RIDE?

Contact Ceci Peterson for more information [email protected] 970-531-4087 16

In Your Car Winter Survival Survival Tips

Keep Cool — Two Ways 1. Calm down and think. The storm will end and you will be found. 2. Don’t work enough to get hot and sweaty. Wet clothing loses insulation value, making you susceptible to hypothermia. Keep Fresh Air in Your Vehicle It’s much better to be cold and awake than comfortably warm and sleepy. Wet or wind-driven snow can plug your vehicle’s exhaust system and cause deadly carbon monoxide gas to enter your vehicle. Don’t run the engine unless you are sure the exhaust pipe is free of snow. Keep snow off the radiator to prevent the Keep your blood circulating freely by loosening tight clothing, changing positions frequently and moving your arms and legs. Huddle close to one another. Rub your hands together or put them in your armpits or between your legs. Remove your shoes occasionally and rub your feet. Don’t Expect to Be Comfortable The challenge is to survive until you’re found. engine from overheating. Stay Warm Without Fuel

Everyone should be cautious about traveling in extreme winter weather. Cold, snow and ice are demanding on cars, drivers and passengers. Cold affects metal, rubber and other materials in your car. It can reduce the effec- tiveness of your vehicle’s battery by at least 50 percent. It can freeze tires and keep them flat on the bottom for at least the first half-mile of travel. It can thicken your car’s lubricants, making the engine work too hard. Most importantly, extreme winter weather can threaten your life. Follow these tips to stay safe as you drive in Minnesota. Plan Before You Travel Simple planning can save you trouble and even save your life. Prepare Your Vehicle Be sure your vehicle is in good winter driving condition. Take along the emergency equipment referred to in this booklet and keep it accessible. Keep your gas tank at least one-half full. Be Aware of the Weather Listen to forecasts, road reports and storm warnings. Dress appropriately. Pack extra scarves and mittens. Allow extra time for trips in severe weather. Make Yourself Easy to Find Tell someone where you are going and the route you will take. Report your safe arrival. If you stall or get stuck, tie a colored banner (from your winter survival kit) to your antenna or hang it out a window. At night, remove the cover from your dome light and turn the light on. Road crews or rescue units can see a small glow at a considerable distance. To reduce battery drain, use emergency flashers only if you hear approaching vehicles. Keep one person on watch; don’t let everyone rest at the same time. Stay in Your Vehicle Walking in a storm can be very dangerous. You might lose your way or become exhausted, collapse and risk your life. Your vehicle is a good shelter. Avoid Overexertion Shoveling snow or repositioning your car by pushing it takes a lot of effort in storm conditions. You could risk heart attack or injury. Take it easy!

Winter Driving Tips

Be Able to See and Be Seen Clean frost and snow off all windows, mirrors, lights and reflectors. Equip your car with good wiper blades and keep an ample supply of windshield washer fluid. If visibility is poor, use headlamps. Get a Feel for the Road When you first start out, accelerate carefully to test wheel-spin and brake gently to test skidding. Be Gentle Use the accelerator and brakes slowly to maintain control of your vehicle. Fast acceleration can make wheels spin on ice and snow. Brake with a gentle pumping action. Stepping too hard on the pedal will lock the brakes and cause loss of steering control.

continued on next page 17

Increase Your Following Distance Ice or snow can multiply your stopping distance up to ten times. Make Turns Slowly and Gradually Heavily traveled intersections can become “polished” and slick. Brake before you come to a curve, not while you are in it. Turn in the Direction of the Skid If the rear of your car begins to slide, turn into the direction of the skid. Expect a second skid as the car straightens out, and be prepared to counter this sliding action. Scattered Slippery Spots Icy spots on the road surface can cause loss of steering control. Do not use your brake. Take your foot off the gas and steer as straight as possible until your car slows to a safe speed. Avoiding a Collision In an emergency situation, you can intentionally steer your car off the road and into a snow bank. You may get stuck, but you’ll avoid a crash.

Suggested food items: n Raisins in small packets n Semi-sweet chocolate in pieces for sharing n Miniature candy bars n Chewing gum n Wrapped hard candies n Food bars n Canned soup, meat and poultry Store bulky and heavy items in an accessible place: n 30-foot cord to use as homing line when you must exit the vehicle n Booster cables n Basic tools n Sand, cat litter or other grit in a plastic milk carton n Shovel n Tow cables or chain

n Sleeping bag or blankets n Road flares and reflectors n Snowmobile suit and heavy boots

Making a Winter Driving Survival Kit

Use an empty three-pound coffee can or any similar container with a plastic cover to store the following items: n Small candles and matches n Small, sharp knife and plastic spoons n Red bandanna or cloth n Pencil and paper n Large plastic garbage bag n Safety pins

Emergency Phone Calls

If you become stranded in any part of Minnesota, and you have a cell phone, call 911 to summon help. In other states, you may be able to dial 911 or 0 to reach an operator. When you talk with authorities: n Provide information on your location, condition of all persons in the vehicle and the problem you are experiencing n Follow instructions; you may be told to stay where you are and wait for rescuers n Do not hang up until you know who you have spoken with and what will happen next n If you must leave your vehicle, write down your name, address, phone number and destination. Place the piece of paper inside the front windshield for someone to see

n Whistle n Snacks

n Cell phone adapter to plug into lighter n Plastic flashlight and spare batteries

Reverse batteries in the flashlight to avoid accidental switching and burnout. Warm batteries before using them. Store safety items in the passenger compart- ment when severe winter weather threatens in case the trunk is jammed or frozen shut. Choose small packages of food that you can eat hot or cold.

Minnesota Department of Public Safety Homeland Security and Emergency Management

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5 Ways to Make the Most of Your Doctor Visit Being able to talk with y our doctor is important, especially if you have health problems or concerns.

Use these TIPS to make the most of your doctor visit.

Prepare for your visit. Be ready to ask three or four questions. Share your symptoms, medicines or vitamins, health habits, and any major life changes.

Take notes or ask for written materials.

Don’t be afraid to ask the doctor to repeat or clarify important information.

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Make decisions with your doctor that meet your needs. Discuss risks, benefits, and costs of tests and treatments. Ask about other options and preventive things you can do.

Be sure you are getting the message. If you have trouble hearing, ask your doctor to face you when talking and to speak louder and more clearly.

Tell the doctor if you feel rushed, worried, or uncomfortable. You can offer to return for a second visit or follow up by phone or email. 

Learn more about communicating with your doctor: https:/ www.nia.nih.gov/health/ doctor-patient-communication. National Institute on Aging

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Is Emotional Wellness Month!

Self-Care VINTAGE Let's Practice

Covid-19 turned the world on its head. Here's how the Vintage Staff practices self-care.

ERIN FISHER VINTAGE DIRECTOR

The outdoors is my sanctuary and my refuge from the daily grind. It’s the self care gift that I have never regretted giving to myself, and whether it’s hiking alone, adventures with friends, or fishing (my last name is Fisher – what do you expect?!) I always return rejuvenated and bubbling with gratitude. I’ve learned that I have to schedule this time or I’ll always find another task or work project that will override my desire for

spontaneous fun. Get it on your calendar and do what makes your heart happy!

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CECI PETERSON VINTAGE PROGRAM SPECIALIST My husband, Alton and I enjoy riding our bikes on the weekends. I ride my bike by myself for an hour during the week, because he is at work. Riding my bike helps me mental and physically. I feel better and relaxed after I ride my bike. We also enjoy spending the evenings by the fire in the Spring, Summer and Fall. We have a fire pit in the backyard. It is fun to enjoy time together, talk about how our day went and enjoy a glass of wine, or two. LOL. It is a good way to unwind and connect.

We also like to go camping in the Fall when the tourists are all gone.

I found this quote years ago “A daily hit of athletic induced endorphins gives you the power to make better decisions, helps you be at peace with yourself and offset stress.” Growing up playing sports most of my life I have found exercise to do wonders to clear my mind, help me process thoughts, and help me feel that zest for life. I call myself a runner most days but sometimes my runs just look like hikes or walks outside in nature. I think it’s important to meet yourself where you are, but also have tools to help combat stressful or sad thoughts. JONNAH GLASSMAN SHIP MEDICARE COORDINATOR

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TINA STRANG VINTAGE LTC OMBUDSMAN, RSVP COORDINATOR I start my day by feeding my mind, body, soul, and spirit to stay grounded. When working on tough situations I like to put down onto paper what I can do and what I cannot do by drawing two circles. This helps me visualize a plan for the situation and helps me not to go into the other circle. Listening to positive upbeat music helps me stay positive and I have heard that dancing does wonder for our stress levels. AMANDA RENS-MOON VINTAGE PROGRAM SPECIALIST-LEAD When COVID hit, I found my usual go-to self-care practices (going for a walk, snuggling with my family, reading etc,) didn't seem to be enough. I felt not only the weight of my responsibilities, but also the knowledge that mistakes made during this time period, (personally or professionally) would have long- term consequences. It took me a while, but eventually, I realized what I needed was something that I could do poorly. I needed something that I could create without any emotional tie to the outcome. After an evening drawing with my family from YouTube videos, I realized that I'd found my COVID hobby. I started drawing. My whole life I believed I couldn't draw, and my early drawings reflect that...but since this new hobby is about the process NOT the product, it doesn't matter. I love trying a new drawing technique and FAILING miserably at it, and this freedom is actually allowing me to improve far faster than I would have otherwise. My self-care advice, "Find something to do terribly and relish it."

I Cannot Control Actions &

How Long COVID will last

Reactions of Others

Government Mandates

Economic Impact

Control

How I Social Distance

My Kindness & Grace

My Social Media Exposure

Finding Fun Things to Do

1st Drawing

Doesn't

look like

my

daughter

at ALL!

A Few Brave

Months Later

A Few Brave

Months Later

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Voucher Programs

DENTAL VOUCHERS 60 and older $500 for your dental needs at your dentist of choice

D

VISION VOUCHERS 60 and older $150 for vision needs at your eye doctor of choice Additional funding available for vision impairment/blindness

V

IN-HOME SERVICE VOUCHER ( Homemaker, Chore, Personal Care) 60 and older Difficulty shopping, cooking, performing chores, bathing etc. $1000 for your provider of choice

I

TRANSPORTATION VOUCHER 60 and older

T

$500 mileage reimbursement for medical appointments or social trips

Dental and Vision Vouchers Amanda Rens-Moon 970-315-1325 [email protected]

In-Home & Transportation Vouchers Ceci Peterson 970-531-4087 [email protected]

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GETTING A GOOD NIGHT’S SLEEP

An ongoing lack of sleep or poor-quality sleep increases your risk of health problems such as cardiovascular

disease, high blood pressure, diabetes,

depression, and obesity.

They are also linked to memory problems, forgetfulness, and more falls or accidents.

Aim for 7-9 hours of sleep each night.

HERE ARE SOME TIPS TO HELP:

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Go to bed and wake up at the same time every day, even on weekends.

Find ways to relax before bedtime each night.

Avoid distractions such as cell phones, computers, and televisions in your bedroom.

Don’t eat large meals, or drink caffeine or alcohol late in the day.

Exercise at regular times each day, but not within 3 hours of your bedtime.

Avoid long naps (over 30 minutes)

in the late afternoon or evening.

Visit https://www.nia.nih.gov/health/good-nights-sleep for more information about getting a good night’s sleep.

National Institute on Aging

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Can you Spare

4

Hours a Month?

Virtual or In-Person Volunteering Available

Social Isolation is as Dangerous as Smoking 15 Cigarettes a day! 4 volunteers needed to help Eagle County neighbors maintain their health by playing cards, computer games, or providing in-person or telephonic visits.

Proper PPE and Training Provided

[email protected] 970.977.0188

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Contact us today to join our team of volunteers!

FORGETFULNESS Normal or Not?

Many people can become more forgetful as they age.

How can you tell the difference between mild forgetfulness serious memory problems

like Alzheimer’s disease?

See what’s typical and what’s not:

NORMAL AGING

ALZHEIMER’S DISEASE

• • Making a bad decision once in a while • • Missing a monthly payment • • Forgetting which day it is and remembering later • • Sometimes forgetting which word to use • • Losing things from time to time

• • Making poor judgments and decisions a lot of the time • • Problems taking care of monthly bills • • Losing track of the date or time of year • • Trouble having a conversation • • Misplacing things often and being unable to find them

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Although some forgetfulness comes with age, don’t ignore changes in memory or thinking that concern you.

Talk with your doctor if you notice you have more serious memory problems than normal.

Visit www.nia.nih.gov/understanding-memory-loss for more information about forgetfulness and memory loss.

National Institute on Aging

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Vintage (formerly known as Alpine Area Agency on Aging) In-Home Services Voucher Program Do you need help with daily activities like vacuuming, doing laundry, snow removal, and personal care? The Vintage In-Home Services Program provides funding for older adults who need assistance with personal care, chores, and homemaking services. Who is Eligible? If you are 60+ and live in Eagle, Grand, Jackson, Pitkin or Summit county, you may qualify.

Contact Ceci Peterson for more information [email protected] 970-531-4087 30

Adults 65 and Older Need a Flu Shot

Information for adults 65 years and older

Influenza (the flu) can be a serious illness, especially for older adults. FACT: People 65 years and older are at high risk of serious flu complications. People’s immune systems become weaker with age placing people 65 years and older at high risk of serious flu complications compared with young, healthy adults. During most seasons, people 65 years and older bear the greatest burden of severe flu disease. Between about 70 percent and 85 percent of seasonal flu-related deaths in the United States occur among people 65 years and older. And people 65 and older account for between about 50 percent and 70 percent of the flu-related hospitalizations. An annual flu vaccine is the best way to reduce your risk of flu and its potentially serious consequences. FACT: While flu vaccine can vary in how well it works, vaccination is the best way to prevent flu and its potentially serious complications. Flu vaccination has been shown to reduce the risk of flu illness and more serious flu outcomes that can result in hospitalization or even death in older people. While some people who get vaccinated may still get sick, flu vaccination has been shown in several studies to reduce severity of illness in those people.

People 65 years and older can get any flu shot approved for use in that age group with no preference for any one vaccine over others. There are regular-dose flu shots that are approved for use in people 65 and older and there are also two vaccines designed specifically for people 65 and older. 1. A high dose flu vaccine (Fluzone® High-Dose) contains 4 times the amount of antigen as a regular flu shot. The additional antigen creates a stronger immune response (more antibody) in the person getting vaccinated. (FLUAD™) is a standard dose flu vaccine with an adjuvant added. An adjuvant is an ingredient added to a vaccine to help create a stronger immune response to vaccination. 2. An adjuvanted vaccine

For more information, visit: www.cdc.gov/flu or call 1-800-CDC-INFO

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Flu shots have a good safety record and do not cause flu. FACT: The side effects of flu shots are mild when compared to potentially serious consequences of flu infection.

After getting your flu shot, you may experience some mild side effects. The most common side effects include soreness, tenderness, redness and/or swelling where the shot was given. Sometimes you might have headache, muscle aches, fever, and nausea or feel tired. The high dose and adjuvanted flu vaccines may result in more of the mild side effects that can occur with standard-dose seasonal shots.

Long-term medical conditions also can put you at high risk of serious flu complications. FACT: Flu can make long-term health problems worse, even if they are well managed. Diabetes, asthma, and chronic heart disease (even if well managed) are among the most common long-term medical conditions that place people at high risk of serious flu complications. It is particularly important that all adults with these or other chronic medical conditions get a flu vaccine every year. FACT: There are prescription drugs that can treat influenza virus infections. People 65 and older should be treated with influenza antiviral drugs if they get sick with flu. If you have flu symptoms--even if you had a flu shot--call your doctor, nurse, or clinic. Doctors can prescribe medicine, called antiviral drugs, to treat flu and lessen the chance of serious illness. These medicines work better the sooner they are started. Call if you have any or all of the following symptoms: • Fever or feeling feverish/chills • Cough • Sore Throat • Runny or stuffy nose • Muscle or body aches • Headache • Fatigue (tiredness) • Sometimes diarrhea and vomiting It’s very important that antiviral drugs be used early to treat flu in people who are very sick with flu (for example, people who are in the hospital), and people who are sick with flu and are at high risk of serious flu complications, like people 65 and older.

Take control of your health and fight flu this season with an annual flu vaccine. For more information about the flu or the vaccine, call 1-800-CDC-INFO or visit http://www.cdc.gov/flu/.

CS HCVG-15-FLU-105

Last Updated October 23, 2018

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National Family Caregiver Month Tips for Caregivers & Loved Ones During the Holidays 33

Caregiving During a Pandemic

6 Caregiver Tips for Unprecedented Times

There's been a lot going on in the past months with COVID-19. Here are a few tips for staying healthy and maintaining self-care during the pandemic as a caregiver:

1. Establish a new routine and stick to it. Things may be changing rapidly but consistency is best for you and your loved one. Include exercise, nutrition, hydration, and adequate sleep so you both stay healthy. 2. Get a 90-day supply of prescriptions and pick up at a drive-through pharmacy or delivery service. 3. Stay informed about the rules and regulations concerning COVID-19 but also take a break from the news when it feels like it's too much. 4. Encourage hobbies such as sewing, gardening, or puzzles, and find ways to ease stress such as yoga, meditation, prayer, or virtual mental health visits. 5. Take online courses together that help both of you embrace socialized activities (like cooking or crafting). 6. Compile an easily accessed list of your loved one's conditions, medicines, health care providers, and pharmacy. Plus closely monitor supplies such as glucose testing strips. We hope these tips help and both you and your loved one are doing well. There are lots of ways to connect and thrive, even during a pandemic.

We are here to help

Vintage offers individual counseling to family caregivers under the National Family Caregiver Support Act.

Call today at 970-468-0295 or at [email protected]

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Ways to Connect This Holiday Season

The holidays are going to be different this year but there are still plenty of ways to connect with your loved ones, even from afar. The most important thing to remember during the holidays is no matter how far away you are from your family, take this a as a time to remind your loved ones how important they are as a part of your life. You'll never regret telling everyone you love them during the holidays. Also, if technology is part of your holiday celebrations, don't be afraid to ask for help! Ask a neighbor or caregiver to set up your phone, computer, or device so that you can join in on the holiday festivities from far away. If you feel burdensome because you can't fully participate in the festivities like you used to, try to give yourself grace and enjoy your time. Your family loves you and is happy you are there (virtually or in-person).

1. Houseparty Houseparty is a social networking app that allows up to eight people to video chat at once in a “room.” 2. Let's Roam: Digitally guided in- home scavenger hunts with your loved ones from far away. 3. Marco Polo: Have a group or 1-on-1 conversation over video. Easily send quick messages back and forth with fun filters, etc. 4. Scrabble Go: Play online scrabble from your device with friends near and far. 5. Netflix Party: Watch a movie or TV show with your loved ones at the same time. 6. TinyBeans: Watch the kiddos grow up on this private social network & get photos daily. Technology Recommendations to Connect You with Your Loved Ones:

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Caregiver Tips

Caregiver burnout is real. Over 70% of caregivers over the age of 70 die before their care recipients. And most caregivers are so focused on taking care of others that they often forget to take care of themselves. If you are a caregiver, here are some tips for maintaining your health and happiness.

Tip 1

Tip 2

Seek Support

Be Open

You are not alone! Find a community of other caregivers and don't hesitate to ask for help if and when you need it.

There may be new technologies or kinds of assistance available. Beware of scams but also keep an open mind about different ways you can help care for your loved one.

Tip 3

Tip 4

Get Organized

Take Breaks

The more organized you are, the smoother things will go! Make sure all legal documents and medical records are easy to access and in order.

It is hard to feel like there is enough time in the day, but take breaks for your mental and physical health. Try to exercise, rest or do one thing a day just for you!

Vintage.org | 970-468-0295 | 249 Warren Ave, PO Box 2308, Silverthorne, CO 80498

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