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Spring
2012                                     Laughter for the Health of It
                                                                            By Robin Schaef
In this issue of                                          Policy Analyst, Division of Aging & Adult Services
Great Age:
Laughter ......................1         Beverly Bender is a                                                 What do you do in a laugh-
Chair’s Message..........2         certified laugh leader and                                           ter workshop? First, I talk
                                   laughter yoga instructor in                                          about how to find humor
Walking in Marin .......2          the Bay Area. She also has                                           every day. I say it's not fair
Legislative Update .....3          a Masters degree in Geron-                                           for the kids to have all the
Director’s Report.......3          tology from San Francisco                                            fun. Then we do laughing
                                   State University. Her                                                exercises. What we do is we
Spotlight on Marin ....4           speeches and classes                                                 start with a smile on your
60’s Retrospective......4          encourage participants to                                            face, then there's a laughing
Older Adult Needs ...5             see the hilarity in life, espe-                                      mantra (you go "Ho ho, ha
                                   cially when surrounded by                                            ha ha, ho ho, ha ha ha"). It's
LTC Ombudsman .....6               ongoing challenges and                                               really playful. Then we do
Save the Date .............6       chaos. Bev’s focus is on “laughing for the        laughing exercises. And because it’s not
Computer Tips...........6          health of it.”                                    about a joke, it works with all ages and cul-
                                         Laughter has been scientifically proven     tures. I've had everyone from 5 to 80 years
Seniors Are Talking...7            as an efficient way to release tension in a       old in my workshops.
Alzheimer’s Disease ..7            positive manner, strengthen the immune                 Is there any difference between this simulated
Meeting Calendar.......8           system, and much more. Bev expands her            laughter and real laughter? Even if it's not a real
                                   philosophy in the questions below.                laugh, your body doesn't know the differ-
                                         How did you get into laughter therapy?      ence. You're telling the body you're happy.
                                   While working on a master's in gerontology,       Test it yourself: If you sit up straight and
Editor:                            I studied using humor to promote healthy          smile, you can feel in your whole body that
Robin Schaef                       aging. I was doing research on all of the         you feel so much better. You just fake your
Editorial Board:                   health benefits of laughing, and my thesis        body out.
Marge Belknap, M.D.                was that it should be considered a serious             How can we laugh more? "The more you
Allan Bortel                       alternative health care like tai chi or acu-      laugh, the more you laugh." The thing with
Martha Copeland                    puncture.                                         laughter is, it's like diet and exercise. You
Sandy Miller                             What are the health benefits of laughter?   have to put it in your life every day. You
Elizabeth Moody                    When we're depressed or in pain, our whole        can go to a movie, read a book, put quotes
Publisher:                         body tightens - laughing relaxes the body.        and cartoons around your house that make
Division of Aging &                In the 1970s, Norman Cousins (editor of           you smile. Or just go into the bathroom;
Adult Services                     the Saturday Review) had a debilitating illness   look in the mirror and laugh at yourself! It
Nick Trunzo, LCSW,                 -- a serious type of arthritis. But he believed   doesn't mean you'll never be negative or
Director                           the mind and body were one, and so he             depressed, but you'll be less so. The best
                                   took lots of vitamins and he watched come-        benefit is FREE. To add some joy to your
                                   dies. Laughter helps the immune system,           life and find out more about laughter ther-
                                   the heart, and the respiratory system.            apy see www.laughter4all.com.
A Message from                                         Walking in Marin
                    the Commission                                                 By Elizabeth Moody
                                                                                Commissioner, Mill Valley
                         Chair                                        Trim your waistline and improve your health!
                               By Sue Beittel                   Those people who walk after 60 live longer with both
                          Chair, Commission on Aging
                                                                mental health and spiritual benefits. Studies find that
                                                                walkers have lower incidence of cancer, heart disease,
      Older adults have had a strong voice at elections.        stroke, diabetes and other killer diseases. Studies show
Let's continue to be heard since we have a life's worth         better memory scores and lower clinical dementia
of experience and knowledge, we need to express our             scores in older adults who physically exercise. Walk-
opinions when we vote.                                          ing benefits brain power and memory. It is shown to
    If you have moved since the last election, you need         have good effects on mood for people with major
to re-register and can do this up to fifteen days before        depressive disorders.
the June 5, 2012 election day. Voter registration cards             It is not too late for seniors to start exercising and
are available throughout the county at post offices,            eating nutritiously late in life. You can reduce your
community centers and other public places. Just fill            risk of death by almost a third if you do moderate or
out the simple card and mail it in. You have a choice           vigorous exercise each week and there is no better,
of permanently voting absentee, voting absentee for             more enjoyable way than walking. Women and men
this election alone or going to your polling place on           who are more physically active have been shown in
Election Day.                                                   studies to have significantly less decline in their think-
      This is a primary election especially important for       ing ability as they age.
selecting the Republican presidential candidate. You                Marin County is so full of beautiful hikes of every
need to be registered as a Republican. There are 172            length with and without physical challenge. Even hik-
California delegates of the required 1,144 needed for           ing the Golden Gate three mile bridge, with parking at
the Republican nomination. Changes due to redistrict-           either end and just going out and back part way is
ing and new way of voting for top candidates make for           delightful. Along the headlands west of Sausalito turn-
an interesting election. There are two state ballot             off from Highway 101 are many stops and view walks,
measures to consider: 1) Proposition 28 will reduce the         as well as more interior hikes to the bay and ocean.
number of lifetime years a legislator can serve to 12               A smooth flat path at the back of The Redwoods
from 14 but allows legislators to serve all 14 years in         Retirement Community, where I live, provides a 1 ¾
one house or a combination of the two houses. 2)                mile walk past a dog park and soccer field, with a Bay
Proposition 29, the California Cancer Research Act              view. I walk this almost daily with a neighbor, and it
would add a one-dollar-per-pack tax on cigarettes sold          can be accessed by parking on Sycamore past the Mid-
in California with proceeds to be used for cancer and           dle School. Pt. Reyes, Mt. Tamalpais, the Novato hills
other smoking-related health issues.                            and every single area in Marin have marvelous hikes of
      There are also local elections in Belvedere, Ross,        every length. Sierra Club has many hikes and you can
two Sanitary Districts, the Marin Superior Court and            check with county senior centers for local walking
for three members of the Marin County Board of Su-              groups.
pervisors. Information about the elections and candi-               Some neighbors of mine do pole walking to assist
dates will be available at: www.smartvoter.org.                 their walking. With equal use of feet with two poles,
      The Marin Commission on Aging will be losing              they say strength can be longer maintained while exer-
experienced, efficient and effective members at the             cising the upper body more. They term this holistic
end of their terms or because of their changing family          walking that gives security, resilience, steadiness, and
circumstances. This is an opportunity for the appoint-          improved posture by keeping the back straight.
ment of some new people with new ideas so I urge                    Federal transportation funds have provided
you to think about applying to your city or supervisor.         $118,000 for bike and pedestrian pathways to make
    Democracy is not a Spectator Sport.                         improvements in Safe Walks for Schools and for
                                                                Older Pedestrians.
                                                                      Don’t put it off. Come out and walk with us!


                                                            2
Legislative Update                                        From the
                    By Ellie Bloch
     Commissioner and California Senior Legislature              Director’s Desk
                  Assemblymember                                        By Nick Trunzo, LCSW, MS
                                                                  Director, Division of Aging & Adult Services
      Recently Sandy Miller, our CSL Senior Senator,
wrote an article for the Marin Independent Journal
about line 402 on the State income tax form to let the                Since its inception in 2002, Project Independence,
public know how to make contributions to the Cali-              our hospital-to-home transition program, has provided
fornia Senior Legislature. The CSL is the primary               vital support to patients and their families after dis-
advocate for senior issues at the State Legislature.            charge from the hospital, with excellent outcomes. In
      On the second Friday of the most months the               fact, in a study of 257 patients served from 2007
MCCOA Legislative committee meets in the Division               through 2010, only 4% were re-hospitalized within 30
of Aging building, 10 N San Pedro Road at 9:30 am to            days of discharge, well below the national average for
11:00 am where we discuss pending legislation and               Medicare recipients.
decide which bills we will support, watch or                          Building on the success of Project Independence,
oppose. After a decision is made at our committee               the Division of Aging and Adult Services applied for
level, it goes on to the Executive committee of the             the Community Care Transitions Program (CCTP), a
Commission on Aging (COA) and the decision of that              new service mandated by section 3026 of the Afford-
committee is than put on the agenda of the monthly              able Care Act that provides funding to test models for
COA meeting. If there is support by the Commission              improving care transitions for high risk Medicare bene-
a letter is drafted and sent to legislators in Sacramento       ficiaries. I am pleased to announce that our appli-
to let them know of our support for those bills.                cation was accepted, and we will be the first
      The Legislative Committee has reviewed ten                agency in California to offer CCTP!
pieces of legislation proposed or supported by the                   The goal of CCTP is to reduce hospital readmis-
CSL. The committee has formally supported two bills:            sions, maintain or improve quality of care, while docu-
     AB 1525 (Allen & Alejo) is an elder abuse pre-             menting measurable savings to the Medicare program.
     vention bill. Sponsored by the CSL, the bill               We have named our new program Advanced Care
     amends the Welfare and Institutions Code to add            Transitions (ACT). Partnering with two local hospitals,
     “money transmitters” to the list of mandated               Marin General and Novato Community Hospital, our
     reporters. The bill was amended on March 26th              plan is to assist 700 Medicare patients each year, provid-
     and referred to the Committee on Aging and Long            ing medication management, one-to-one education
     Term Care.                                                 regarding their illness and their discharge plan, and co-
     AB 2010 (Bonilla) another bill sponsored by the            ordination of the complex web of relationships between
     CSL. The bill amends the Civil Code to require             the hospital, the primary care physician, family mem-
     borrowers to receive reverse mortgage counseling           bers, and social supports.
     in person. Existing law already requires the pro-               The ACT team will be composed of public health
     spective lender giving the prospective borrow a list       nurses (two new positions) and a support services
     of 10 or more housing counseling agencies                  worker (one new position). ACT services will be avail-
     approved        by                                         able 7 days per week, to fully encompass the need for
     HUD. A lender                                              coordination when a patient is discharged on the week-
     may not accept a                                           end.
     final application                                               Building on the Project Independence track record
     unless there is                                            for success with hospital-to-home transitions, I am con-
     certification that                                         fident that ACT will be a excellent new resource to im-
     the prospective                                            prove care transitions in Marin.
     borrower got that
     counseling in per-
     son. The bill is in
     committee.

                                                            3
Spotlight on Marin                                             A 60’s Retrospective
               Senior Resource                                                            By Marge Belknap
                                                                         Commissioner, District 1; Chair, Public Information
                                                                         Committee; Chair, Citizen Advisory Committee, 1965

 Vital Program Continues                                                     This year, the Marin County Commission on
                                                                       Aging adopted a four year plan for older adults. This
         in Marin                                                      was reminiscent of a previous effort to evaluate needs
                                                                       and services for older adults prior to the passage of the
                      By Michele McCabe                                Older Americans Act and Medicare.
 Program Coordinator, Division of Aging & Adult Services                     Almost 50 years ago, the Marin Board of Supervi-
                                                                       sors appointed a committee of 20 Marin County citi-
                                       State funding for               zens who represented a wide variety of interests and
                                  Adult Day HealthCare                 professions in the County.
                                  (ADHC) has been                            This Citizens Advisory Committee was charged
                                  through numerous                     with developing a Master Plan to address what was
                                  reductions, changes and              called a situation of “social and economic disorder”
                                  shifts over the last dec-            for older adults living in Marin County. The Commit-
                                  ade.     Marin’s current             tee used a report of 1962, known as the Kaplan Re-
                                  provider, Life Long                  port, which was an attitude survey of a sample of older
                                  Medical        remains               people in Marin concerning their needs and resources.
                                  “committed to serving                      It was estimated that 18,000 adults over the age of
                                  Marin” says Holly                    60 resided then in the County out of a total population
                                  Rylance, Program Direc-              of approximately 140,000. The problems cited were
                                  tor of Lifelong Adult                amazingly similar to those in the recent report by the
                                  Day Health Center in                 Commission.
                                Novato.                                      Major problems included: access to medical care,
     The funding to ADHC has basically been cut in                     transportation, absence of affordable housing, avail-
half and enrollment criteria have become stricter. This                ability of legal services, inadequate income (thought to
smaller program is called Community Based Adult Ser-                   be due, in part, to forced early retirement due to
vices (CBAS). Lifelong is proud of the fact that all                   “ageism” in the work place), and isolation due to lack
Marin ADHC clients qualified for the new services.                     of available support systems, to name a few.
Rylance also reported that any changes have been invisi-                     Recommendations included Meals on Wheels,
ble to the clients and facilities. The program still pro-              friendly visitors for the homebound, and a daily tele-
vides the same array of services including skilled nur-                phone contact for those living alone. An interesting
sing, rehabilitation and case management services for                  suggestion was to have a central Senior Center which
adults with significant disabilities and complex medical               would serve as a social and recreational resource. This
issues. Transportation and the noon meal are included.                 idea later contributed to the development of Whistles-
     All services are provided by a daily fee that could               top by the Senior Coordinating Council.
be covered by Medi-Cal, VA healthcare, or even some                          The summary of the Committee’s activities
long term care insurances. Marin Division of Aging and                 stressed that older adults, especially the “old, old” (not
Adult Services, through the Federal Older American’s                   further defined), have need for special services because
Act, funds ten slots in the program.                                   of their age. This Advisory Committee was noted to
     Life Long is serving 50 older adults in Marin. This               be an unusual and far-sighted body in its efforts to
program is allowing these seniors to remain living more                develop a Master Plan for older people. Unfortunately,
independently at home rather than in an institutional                  implementation of many of the recommendations was
setting. For more information call (415) 897-6884.                     not possible because of lack of funding. Others have
                                                                       become a reality, in part because of Federal and State
 The “Spotlight on Marin Senior Resource” is a regular column          support.
in Great Age that aims to inform older persons and caregivers of
programs funded by the Division of Aging and Adult Services as
 well as other resources available for seniors in the community.
                                                                   4
Informative Look at the Needs of Older Adults in
                          Marin
                                                  By Robin Schaef
                                  Policy Analyst, Division of Aging & Adult Services

     The Area Agency on Aging                                                             the last 12 months. More than
(AAA), a program of the Marin                                                             one in three of the respondents
County Division of Aging and                                                              (37%, n = 332) have experi-
Adult Services, conducted an                                                              enced some kind of financial
extensive needs assessment                                                                difficulty during this period.
process this fiscal year in order                                                         Affording food and fuel/
to plan and fund needed ser-                                                              transportation costs tops the
vices to older adults and dis-                                                            list.
abled persons for the years                                                                     Almost one out of every
ahead. The full results of the                                                            four survey respondent (22%)
needs assessment, which util-                                                             is providing uncompensated
ized a community survey, tar-                                                             care to a family member, a
geted consumer focus groups                                                               friend, or both.
and a large stakeholders meet-                                                                  Regarding the use of tech-
ing, are presented in the four                                                            nology by age group only 24%
year Area Plan – Live Long, Live                                                          of all respondents indicated
Well 2012-2016.                                                                          they “do not use computers.”
     The survey instrument included 38 questions to                Engaging in activities and staying connected to
gather caregiving, demographic, economic security,                 one’s community and social network of support are
health, housing, and quality of life information. The              determinants of quality of life. This study found
survey was distributed widely in Marin County and tar-             that close to 60 % of respondents see family and
geted many different population groups.                            friends on a regular basis. Volunteering was the
     The Area Agency of Aging received close to 900                sixth most frequently mentioned activity, which
surveys. Of these, 891 were used in the needs assess-              benefits both older persons and the agencies they’re
ment analysis while the rest were eliminated due to lack           serving.
of information or damage from postal processing. This
                                                                   Deteriorating health and increased need for assis-
was an excellent response rate. Information furnished
                                                                   tance are expected as one matures in age. Ability to
came primarily from self reports (85%) with about 12%
                                                                   perform activities of daily living (ADL) is indicative
provided on behalf of a client, family member, or
                                                                   of one’s capacity to stay independent. Forty-six
friend.
                                                                   percent (n = 410) of survey respondents reported
     Of these respondents the youngest was 45, the old-
                                                                   having some kind of difficulty performing an activ-
est 104. Ninety-three percent of respondents were older
                                                                   ity of daily living.
adults age 60 and above and their median age was 75
years.                                                             The majority of respondents generally felt healthy.
    Here are some highlights from the needs assessment             One in four reported being in “excellent” health,
community survey:                                                  while 45% feel they are in “good” health. On the
                                                                   other hand, more than one in four (27%) feel that
    More than one in four respondents has experienced
                                                                   their health is fair to poor.
    some kind of issue with abuse, employment, health,
                                                                    The needs assessment survey contains significant
    insurance, or legal concerns in the last 12 months.
                                                               and extensive information about the older adult popula-
    Among the homeowners in our survey, 17%                    tion of Marin. This information combined with the
    reported experiencing difficulty with affording            focus group information and the work of the commu-
    home repair this past year. Affording home repairs         nity stakeholders is presented in the plan along with
    was most difficult for those who have been in their        AAA initial strategies to meet the needs of older adults
    homes for more than 30 years.                              based on needs assessment findings. The full report can
    Economic security was a concern for older adults in        be found on www.marincounty/aging.net.

                                                           5
Long-Term Care                                             Computer Tips for Older
   Ombudsman Program                                                   Adults
        Expands                                                                     By Allan Bortel
                                                                Commissioner, Tiburon; Chair, Housing & Transportation
                      By Robin Schaef                                                Committee
    Policy Analyst, Division of Aging & Adult Services
                                                                     The Division of Aging & Adult Services’ needs
     The Marin County Long-Term Care Ombudsman                 assessment recently found that over three-fourths of
Program, a service of the Division of Aging and Adult          older adults use computers. Nevertheless, the use of
Services (DAAS), is pleased to announce the addition           technology can be a challenge to us all. Here are a few
of eight new volunteers to the program.                        tips and ideas that I find helpful.
     Currently these volunteers are in a 36 hour train-            Apple’s IPad tablet computer is proving to be an
ing class in order to become certified as Ombudsman            ideal, compact and economical solution for seniors
volunteers. With the addition of these new volunteers          wanting to use e-mail and visit their favorite web-
the program will have 12 active volunteers, as well as         sites. Starting at $400 (you don't need the latest version
four part-time staff members.                                  for $500 although it’s “touch” screen is improved), the
     The mission of the LTC Ombudsman Program is               IPad at 1.4 pounds is about as light as a book–and you
to improve the quality of care in nursing homes and            can use it wherever there is an open WiFi network or a
respond to resident complaints, as well as complaints          home WiFi router.
from family, friends, and others.                                    Storing your favorite photos is another benefit
   In FY 2010-11, the program responded to 765                 which allows you exhibit them on the 9.7 inch vivid
complaints, handled 423 complex cases and volunteers           color screen. In fact, you can easily carry around hun-
and staff made 795 facility visits. With each volunteer        dreds of your grandchildrens’ pictures in your IPad.
added the program is able to have a stronger presence          And if you wait and wait for your computer to boot up,
in facilities and provide assistance to an increased           the IPad is a wonderful surprise with its “instant on”
number of residents.                                           and its superior battery life.
     In addition to the regular activities of the LTC              For those wedded to a desktop or laptop computer,
Ombudsman Program, staff members are knowledge-                here are a few keyboard shortcuts. I try to teach seniors,
able about care facilities and work with family, friends       particularly because so much coordination is needed
and clients to give placement information. The pro-            between the mouse and monitor:
gram publishes “Choices”, a guide to Low-income                1. Scrolling does not require lining up the mouse’s
housing options and care facilities in Marin County.                pointer on the edge of the screen or dialogue
Copies may be obtained by calling 457-INFO (4636)                   box. Just click once, anywhere in the box, and then
or by going on-line www.marincounty/aging.org.                      use the     arrows on the bottom right of the key-
                                                                    board. Most importantly, you will have much bet-
                                                                    ter control over scrolling, either up and down or
  Save The Date - ‘Flights                                          sideways. Some mice have a “scroll bar,” which
                                                                    aids up and down movement.
        of Fancy!'                                             2. When filling out a form, use the tab key (on left) to
                                                                    move between the lines or empty spaces. Shift/Tab,
                                                                    will move your cursor backwards without position-
It’s time for the 27th Annual Marin Senior Informa-                 ing the mouse’s arrow or cursor.
tion Fair. Exhibitors and guests mark your calendars.          3. There are many ways of enhancing the screen for
Join in a day of information, health screening, enter-              those with low vision problems. This can be fixed
tainment, activities, music and whimsey at 'Flights of              or temporary for the online page. Seniors probably
Fancy!' to be held:                                                 need help from their local library or Whistlestop
          October 24th, 2012, 9AM to 3PM                            classes to tweak the screen for brightness and mag-
           Marin Exhibit Hall, San Rafael                           nification or color schemes which will customize
Booth space sells out early for this popular event. Act             and make viewing more enjoyable.
now. Exhibitors can order a booth application packet
via email at: info@marinseniorinformationfair.org.
                                                           6
Seniors are Talking                                              Alzheimer’s Disease
                   By Sandy Miller                                         Affects Us All
 Commissioner and California Senior Legislature Senator
                                                                                 By Marge Belknap, M.D.
Question: What do you do to stay healthy?                            Commissioner, District 1; Chair, Public Information
                                                                                        Committee
                                               Leo and his
                                                                       We have a challenge! In this newsletter on Page 5
                                           wife Joy, both
                                                                  an article which summarizes the recent findings of a
                                           82, have been
                                                                  countywide survey on the needs of older adults in
                                           walking every
                                                                  Marin has, by omission, identified the challenges of
                                           morning      to
                                                                  Alzheimer’s disease and dementia.
                                           church, which is
                                                                       For those of us who advocate on behalf of this
                                           almost a two
                                                                  population, it was noteworthy to see a response by
                                           mile round trip,
                                                                  nearly 900 individuals about their quality of life, health,
                                           for about 20
                                                                  financial, and social concerns without mention of
years. In addition, they work out at the YMCA in
                                                                  dementia, Alzheimer’s disease or other related disor-
Novato three days a week, lifting weights and cardio.
                                                                  ders. This is reflective of a largely hidden population
Joy also has been doing stretching and yoga exercises
                                                                  reluctant to identify the existence of Alzheimer’s dis-
for about 40 years, but Leo has managed to resist.
                                                                  ease or other dementias as an underlying health prob-
      Lloyd, age 84, is the leader of a Mind Exercise
                                                                  lem requiring assistance with Activities of Daily Living
class for the last 20 years, helping others to keep their
                                                                  (ADL’s), financial matters, and other services.
minds active and functional. The class does number
                                                                       Alzheimer’s disease is now estimated to be the
and word puzzles, learns new vocabulary, some geog-
                                                                  sixth leading cause of death nationally. The Alz-
raphy and new facts about famous people. He believes
                                                                  heimer’s Association estimates that approximately
our mind is the most advanced development in the
                                                                  6,000 Marin residents will be diagnosed with some
universe so we should try to improve it to the best of
                                                                  form of dementias by 2015. Although some have early
our ability. The class is free at the YMCA in San
                                                                  signs of Alzheimer’s without a formal diagnosis, a sig-
Rafael and you don’t have to be a member to partici-
                                                                  nificant number feel there is a certain stigma attached
pate.
                                                                  to this condition. The disease is now most commonly
      Jim and Carolyn, both in their 70s, frequently go
                                                                  understood to be a risk factor in advancing age.
to the comedy club in Mill Valley. “It definitely helps
                                                                       We all know family, neighbors or friends who
to laugh.” They also like to dance and are always will-
                                                                  struggle with this disease but lack the panoramic view
ing to get up and go because “it keeps us youthful.”
                                                                  of the magnitude of the problem. Our challenge is to
      Betty, age 78, stays active with the Goldenaires,
                                                                  increase awareness that our personal experience is only
does not eat fast food or sweets and gets a check-up
                                                                  a small snapshot of this disease. Our next challenge is
every year.
                                                                  to fund the services which help both caregivers and
      Olivia, 87, plays bridge and bingo, likes to exer-
                                                                  their loved ones maintain whatever quality of life is
cise and line dance.
                                                                  attainable, in spite of facing the inevitable conclusion
      Florise, 83, does meditation.
                                                                  of an incurable disease.
      Yolanda, 93, does her own cooking, takes care of
                                                                       Because of the generosity of the Marin Commu-
her house and walks everywhere since she no longer
                                                                  nity Foundation, the Belvedere Foundation, and other
drives.
                                                                  community funders, as well as State, Federal and local
      Peggy, 80, is trying to eat more fruit and vegeta-
                                                                  dollars through the Division of Aging and Adult Ser-
bles, but makes sure she takes vitamins, fish oil, cal-
                                                                  vices, this population is better served in Marin County
cium, and cinnamon capsules.
                                                                  than in many other communities.
      Ruth, 90, has done water aerobics daily for the
                                                                      As the population grows, so does the need for
last 24 years.
                                                                  enhanced and expanded services and the funding to
      Jillian, 73, volunteers, exercises, does her own gar-
                                                                  support them. Now that’s a challenge!
dening, and loves to be with other people. “Socializing
is important.”

                                                              7
Find the
      service
   Find the
   Find the
    Find the
      Find the
   that’s right
    service
    service
     service
       service
 that’s right
  that’s you!
    that’s right
     for right
 that’s right Summer Calendar of Meetings
    Call theyou!
     for you!
      for you!
         for you!
     for Information The public is invited toCalendar Meetings
                         Summer Calendar of Meetings
                             Summer participate in all meetings held by the Commission
                                                                          of Meetings
                          Summer Calendar second Meetings and its Committees.
                           Commission meetings are held on the
    and Referral Line at Summer Calendar of of Thursday of the month. Presentations at the
 CallCall the Information
 Call the Information
  Call the Information
        the Information
          457-INFO       The The publicinvited to participate ininstart at 10:00 a.m., the Commission and andCommittees. at
                         The public isis invited to participate in allinmeetings held heldfollowed by the and its Committees.
                          The public is invited to participate all meetings held by the the Commission its Committees.
                           Commission meetings typically all meetings held by the Commission business meeting
                               public      is invited to participate all meetings by by Commission and its its Committees.
        Referral Line at     Commission meetings held on the second are as                     of
 andand Referral Line atCommission meetings are held heldthe second Thursday follows:month. Presentations at the the
  and Referral Line at Commission meetings are areand presentationsThursdayofofthe month. Presentations at the
   and Referral Line at Commission meetings dates on the the second Thursdaythe the month. Presentations the
          (457-4636).      11:15 a.m. Meeting are held on on second Thursday of the month. Presentations at at
       457-INFO
        457-INFO         Commission meetings typically start at 10:00 a.m., followed by the business meeting at
                          Commission meetings typically start at 10:00
                             Commission meetings typically at at 10:00
                                           meetings                          Julya.m., followed by the the business meeting
                                                                                   12 followed by by business meeting at
      457-INFO the Commission June 14 typically startstart10:00 a.m.,a.m., followedthe business meeting at at
            check out
    Also, 457-INFO 11:15 a.m.a.m. Meeting dates and presentations as follows:
                         11:15 a.m. Meeting dates and presentations are arefollows:
                          11:15 a.m. Meeting dates and presentations are as follows:
                             11:15 Meeting dates and presentations are as as follows:
      (457-4636).
       (457-4636).
        (457-4636).
           (457-4636).                                                                                       August
      Network of Care,                June 14Marin
                                       June 14
                                        June
                                           June            Topic: To be12 12
                                                                   JulyJuly
                                                                    July 12
                                                                     July announced
                                                                          12
 Also, check out out the Topic: What is14 14 Vil-
  Also, check out the
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     Also, check the
  Marin’s comprehensive lage?                                                                               August
                                                                                                             August
                                                                                                             August
                                                                                                                August
   Network of Care,
       Network Care,
    Network of Care, Topic: What isMarin Vil-
                            Topic: What Marin Vil-
                                Topic: What is Marin     Topic: To be announced
                                                          Topic: To To announced
                                                             Topic: be be announced
   Network ofof Care, at Topic: What isisMarinVil- Vil- Topic: To be announced
   online search tool                                                                                 Commission on Aging
Marin’s comprehensive lage?
Marin’s comprehensive lage?
 Marin’s comprehensive lage?    lage?
   Marin’s comprehensive Speakers: Melanie Sum-            Speaker: To be announced                     recess. No meeting.
  www.marin.networkof         mers, Executive Director,                                            Commission on Aging
                                                                                                   Commission on Aging
                                                                                                    Commission on on Aging
                                                                                                        Commission Aging
 online search tool at
 online search tooltool atSpeakers: Melanie Sum-
  online search tool at Speakers: Melanie Sum-
     online search at Speakers: Melanie Sum-
      care.org/aging.           Speakers:
                              Marin VillageMelanie Sum- Speaker: To be announced
                                                         Speaker: To be announced
                                                          Speaker: To To announced
                                                             Speaker: be be announced               recess. No meeting.
                                                                                                     recess. No meeting.
                                                                                                      recess. No No meeting.
                                                                                                          recess. meeting.
www.marin.networkof
www.marin.networkof
 www.marin.networkof
   www.marin.networkof mers, Executive Director,
                          mers, Executive Director,
                           mers, Executive Director,
                            mers, Executive Director,
   care.org/aging.
    care.org/aging.
     care.org/aging.          Place: San
                           Marin Village
                            Marin Village
                                Marin Village
        care.org/aging. Marin Village Rafael Commu-        Place: Marguerita Johnson
                              nity Center (Club Room),     Senior Center, 640 Drake
                              618 Street, SanCommu-
                           Place:BSanRafaelCommu-
                            Place:SanRafael Commu-
                                Place: Rafael Rafael       Avenue, Marguerita Johnson
                          Place: San San Rafael Commu- Place: Marguerita Johnson
                                                         Place: Marguerita Johnson
                                                          Place: Marguerita Johnson
                                                             Place: Sausalito
                          nity Center (Club Room),
                            nityCenter (Club Room),
                                 Center (Club Room),
                           nity nity Center (Club Room), Senior Center, 640 Drake
                                                         Senior Center, 640640 Drake
                                                          Senior Center, 640Drake
                                                             Senior Center, Drake
                           618618Street,SanRafael
                            618BStreet, SanRafael
                                     B Street, Rafael
                          618 BBStreet,San San Rafael Avenue, Sausalito
                                                         Avenue, Sausalito
                                                          Avenue, Sausalito
                                                             Avenue, Sausalito
                                Committee Meetings are held at the Division of Aging and Adult Service’s facilities at 10 North
                                San Pedro Road, San Rafael. For details call 473-7118.
       4381 (voice)/473-3232 (TTY) or by e-mail at disabilityaccess@marincounty.org.
     Request for an alternative format of this publication may be requested by calling 473-
          4381 (voice)/473-3232 (TTY) or by e-mail disabilityaccess@marincounty.org.
        4381 (voice)/473-3232 (TTY) or e-mail at atatdisabilityaccess@marincounty.org.
         4381 (voice)/473-3232 (TTY) or by e-mail atdisabilityaccess@marincounty.org.
      4381 (voice)/473-3232 (TTY) or by by e-maildisabilityaccess@marincounty.org.
      Request an an alternative format of this publication mayrequested by calling 473-473-
       Request for an alternative format of publication may maybe requested by calling 473-
    Request forfor alternative format of thisthispublication may be requested by calling 473-
       Request for an alternative format of this publication be be requested by calling
                                                                                                          Health of It
                                                                                                    Laughter for the
                                                                                                       Health It It
                                                                                                       Health of It
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                                                                                                       Featured in
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                                                                                                        Featured
                                                                                                   www.marincounty.org/aging
                                                                                                   Website:
                                                                                                       www.marincounty.org/aging
                                                                                                      www.marincounty.org/aging
                                                                                                     www.marincounty.org/aging
                                                                                                  www.marincounty.org/aging
                                                                                                   473-7118
                                                                                                       Website:
                                                                                                      Website:
                                                                                                     Website:
                                                                                                  Website:
                                                                                                   San Rafael, CA 94903
                                                                                                       473-7118
                                                                                                      473-7118
                                                                                                     473-7118
                                                                                                  473-7118
                                                                                                   Suite 1023
                                                                                                  SanSan Rafael, CA 94903
                                                                                                       Rafael, San 94903 Rd.,
                                                                                                       North CA CA 94903
                                                                                                   10San Rafael, CA 94903
                                                                                                       San Rafael, Pedro
                                                                                                  SuiteSuite1023
                                                                                                     Suite 1023
                                                                                                      Suite
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           County of Marin
                                                                                                      10 North Pedro Rd., Rd.,
                                                                                                     10 North San Pedro Rd.,
                                                                                                  10 North SanSan Pedro Rd.,
                                                                                                       10 North San Pedro
              PAID
                                                                                                    Commission
          U.S. Postage
                                                                                                     on Aging
                                                                                                     on Aging
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                                                                                                      Marin County
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Great Age Newsletter Spring 2012

  • 1. Spring 2012 Laughter for the Health of It By Robin Schaef In this issue of Policy Analyst, Division of Aging & Adult Services Great Age: Laughter ......................1 Beverly Bender is a What do you do in a laugh- Chair’s Message..........2 certified laugh leader and ter workshop? First, I talk laughter yoga instructor in about how to find humor Walking in Marin .......2 the Bay Area. She also has every day. I say it's not fair Legislative Update .....3 a Masters degree in Geron- for the kids to have all the Director’s Report.......3 tology from San Francisco fun. Then we do laughing State University. Her exercises. What we do is we Spotlight on Marin ....4 speeches and classes start with a smile on your 60’s Retrospective......4 encourage participants to face, then there's a laughing Older Adult Needs ...5 see the hilarity in life, espe- mantra (you go "Ho ho, ha cially when surrounded by ha ha, ho ho, ha ha ha"). It's LTC Ombudsman .....6 ongoing challenges and really playful. Then we do Save the Date .............6 chaos. Bev’s focus is on “laughing for the laughing exercises. And because it’s not Computer Tips...........6 health of it.” about a joke, it works with all ages and cul- Laughter has been scientifically proven tures. I've had everyone from 5 to 80 years Seniors Are Talking...7 as an efficient way to release tension in a old in my workshops. Alzheimer’s Disease ..7 positive manner, strengthen the immune Is there any difference between this simulated Meeting Calendar.......8 system, and much more. Bev expands her laughter and real laughter? Even if it's not a real philosophy in the questions below. laugh, your body doesn't know the differ- How did you get into laughter therapy? ence. You're telling the body you're happy. While working on a master's in gerontology, Test it yourself: If you sit up straight and Editor: I studied using humor to promote healthy smile, you can feel in your whole body that Robin Schaef aging. I was doing research on all of the you feel so much better. You just fake your Editorial Board: health benefits of laughing, and my thesis body out. Marge Belknap, M.D. was that it should be considered a serious How can we laugh more? "The more you Allan Bortel alternative health care like tai chi or acu- laugh, the more you laugh." The thing with Martha Copeland puncture. laughter is, it's like diet and exercise. You Sandy Miller What are the health benefits of laughter? have to put it in your life every day. You Elizabeth Moody When we're depressed or in pain, our whole can go to a movie, read a book, put quotes Publisher: body tightens - laughing relaxes the body. and cartoons around your house that make Division of Aging & In the 1970s, Norman Cousins (editor of you smile. Or just go into the bathroom; Adult Services the Saturday Review) had a debilitating illness look in the mirror and laugh at yourself! It Nick Trunzo, LCSW, -- a serious type of arthritis. But he believed doesn't mean you'll never be negative or Director the mind and body were one, and so he depressed, but you'll be less so. The best took lots of vitamins and he watched come- benefit is FREE. To add some joy to your dies. Laughter helps the immune system, life and find out more about laughter ther- the heart, and the respiratory system. apy see www.laughter4all.com.
  • 2. A Message from Walking in Marin the Commission By Elizabeth Moody Commissioner, Mill Valley Chair Trim your waistline and improve your health! By Sue Beittel Those people who walk after 60 live longer with both Chair, Commission on Aging mental health and spiritual benefits. Studies find that walkers have lower incidence of cancer, heart disease, Older adults have had a strong voice at elections. stroke, diabetes and other killer diseases. Studies show Let's continue to be heard since we have a life's worth better memory scores and lower clinical dementia of experience and knowledge, we need to express our scores in older adults who physically exercise. Walk- opinions when we vote. ing benefits brain power and memory. It is shown to If you have moved since the last election, you need have good effects on mood for people with major to re-register and can do this up to fifteen days before depressive disorders. the June 5, 2012 election day. Voter registration cards It is not too late for seniors to start exercising and are available throughout the county at post offices, eating nutritiously late in life. You can reduce your community centers and other public places. Just fill risk of death by almost a third if you do moderate or out the simple card and mail it in. You have a choice vigorous exercise each week and there is no better, of permanently voting absentee, voting absentee for more enjoyable way than walking. Women and men this election alone or going to your polling place on who are more physically active have been shown in Election Day. studies to have significantly less decline in their think- This is a primary election especially important for ing ability as they age. selecting the Republican presidential candidate. You Marin County is so full of beautiful hikes of every need to be registered as a Republican. There are 172 length with and without physical challenge. Even hik- California delegates of the required 1,144 needed for ing the Golden Gate three mile bridge, with parking at the Republican nomination. Changes due to redistrict- either end and just going out and back part way is ing and new way of voting for top candidates make for delightful. Along the headlands west of Sausalito turn- an interesting election. There are two state ballot off from Highway 101 are many stops and view walks, measures to consider: 1) Proposition 28 will reduce the as well as more interior hikes to the bay and ocean. number of lifetime years a legislator can serve to 12 A smooth flat path at the back of The Redwoods from 14 but allows legislators to serve all 14 years in Retirement Community, where I live, provides a 1 ¾ one house or a combination of the two houses. 2) mile walk past a dog park and soccer field, with a Bay Proposition 29, the California Cancer Research Act view. I walk this almost daily with a neighbor, and it would add a one-dollar-per-pack tax on cigarettes sold can be accessed by parking on Sycamore past the Mid- in California with proceeds to be used for cancer and dle School. Pt. Reyes, Mt. Tamalpais, the Novato hills other smoking-related health issues. and every single area in Marin have marvelous hikes of There are also local elections in Belvedere, Ross, every length. Sierra Club has many hikes and you can two Sanitary Districts, the Marin Superior Court and check with county senior centers for local walking for three members of the Marin County Board of Su- groups. pervisors. Information about the elections and candi- Some neighbors of mine do pole walking to assist dates will be available at: www.smartvoter.org. their walking. With equal use of feet with two poles, The Marin Commission on Aging will be losing they say strength can be longer maintained while exer- experienced, efficient and effective members at the cising the upper body more. They term this holistic end of their terms or because of their changing family walking that gives security, resilience, steadiness, and circumstances. This is an opportunity for the appoint- improved posture by keeping the back straight. ment of some new people with new ideas so I urge Federal transportation funds have provided you to think about applying to your city or supervisor. $118,000 for bike and pedestrian pathways to make Democracy is not a Spectator Sport. improvements in Safe Walks for Schools and for Older Pedestrians. Don’t put it off. Come out and walk with us! 2
  • 3. Legislative Update From the By Ellie Bloch Commissioner and California Senior Legislature Director’s Desk Assemblymember By Nick Trunzo, LCSW, MS Director, Division of Aging & Adult Services Recently Sandy Miller, our CSL Senior Senator, wrote an article for the Marin Independent Journal about line 402 on the State income tax form to let the Since its inception in 2002, Project Independence, public know how to make contributions to the Cali- our hospital-to-home transition program, has provided fornia Senior Legislature. The CSL is the primary vital support to patients and their families after dis- advocate for senior issues at the State Legislature. charge from the hospital, with excellent outcomes. In On the second Friday of the most months the fact, in a study of 257 patients served from 2007 MCCOA Legislative committee meets in the Division through 2010, only 4% were re-hospitalized within 30 of Aging building, 10 N San Pedro Road at 9:30 am to days of discharge, well below the national average for 11:00 am where we discuss pending legislation and Medicare recipients. decide which bills we will support, watch or Building on the success of Project Independence, oppose. After a decision is made at our committee the Division of Aging and Adult Services applied for level, it goes on to the Executive committee of the the Community Care Transitions Program (CCTP), a Commission on Aging (COA) and the decision of that new service mandated by section 3026 of the Afford- committee is than put on the agenda of the monthly able Care Act that provides funding to test models for COA meeting. If there is support by the Commission improving care transitions for high risk Medicare bene- a letter is drafted and sent to legislators in Sacramento ficiaries. I am pleased to announce that our appli- to let them know of our support for those bills. cation was accepted, and we will be the first The Legislative Committee has reviewed ten agency in California to offer CCTP! pieces of legislation proposed or supported by the The goal of CCTP is to reduce hospital readmis- CSL. The committee has formally supported two bills: sions, maintain or improve quality of care, while docu- AB 1525 (Allen & Alejo) is an elder abuse pre- menting measurable savings to the Medicare program. vention bill. Sponsored by the CSL, the bill We have named our new program Advanced Care amends the Welfare and Institutions Code to add Transitions (ACT). Partnering with two local hospitals, “money transmitters” to the list of mandated Marin General and Novato Community Hospital, our reporters. The bill was amended on March 26th plan is to assist 700 Medicare patients each year, provid- and referred to the Committee on Aging and Long ing medication management, one-to-one education Term Care. regarding their illness and their discharge plan, and co- AB 2010 (Bonilla) another bill sponsored by the ordination of the complex web of relationships between CSL. The bill amends the Civil Code to require the hospital, the primary care physician, family mem- borrowers to receive reverse mortgage counseling bers, and social supports. in person. Existing law already requires the pro- The ACT team will be composed of public health spective lender giving the prospective borrow a list nurses (two new positions) and a support services of 10 or more housing counseling agencies worker (one new position). ACT services will be avail- approved by able 7 days per week, to fully encompass the need for HUD. A lender coordination when a patient is discharged on the week- may not accept a end. final application Building on the Project Independence track record unless there is for success with hospital-to-home transitions, I am con- certification that fident that ACT will be a excellent new resource to im- the prospective prove care transitions in Marin. borrower got that counseling in per- son. The bill is in committee. 3
  • 4. Spotlight on Marin A 60’s Retrospective Senior Resource By Marge Belknap Commissioner, District 1; Chair, Public Information Committee; Chair, Citizen Advisory Committee, 1965 Vital Program Continues This year, the Marin County Commission on Aging adopted a four year plan for older adults. This in Marin was reminiscent of a previous effort to evaluate needs and services for older adults prior to the passage of the By Michele McCabe Older Americans Act and Medicare. Program Coordinator, Division of Aging & Adult Services Almost 50 years ago, the Marin Board of Supervi- sors appointed a committee of 20 Marin County citi- State funding for zens who represented a wide variety of interests and Adult Day HealthCare professions in the County. (ADHC) has been This Citizens Advisory Committee was charged through numerous with developing a Master Plan to address what was reductions, changes and called a situation of “social and economic disorder” shifts over the last dec- for older adults living in Marin County. The Commit- ade. Marin’s current tee used a report of 1962, known as the Kaplan Re- provider, Life Long port, which was an attitude survey of a sample of older Medical remains people in Marin concerning their needs and resources. “committed to serving It was estimated that 18,000 adults over the age of Marin” says Holly 60 resided then in the County out of a total population Rylance, Program Direc- of approximately 140,000. The problems cited were tor of Lifelong Adult amazingly similar to those in the recent report by the Day Health Center in Commission. Novato. Major problems included: access to medical care, The funding to ADHC has basically been cut in transportation, absence of affordable housing, avail- half and enrollment criteria have become stricter. This ability of legal services, inadequate income (thought to smaller program is called Community Based Adult Ser- be due, in part, to forced early retirement due to vices (CBAS). Lifelong is proud of the fact that all “ageism” in the work place), and isolation due to lack Marin ADHC clients qualified for the new services. of available support systems, to name a few. Rylance also reported that any changes have been invisi- Recommendations included Meals on Wheels, ble to the clients and facilities. The program still pro- friendly visitors for the homebound, and a daily tele- vides the same array of services including skilled nur- phone contact for those living alone. An interesting sing, rehabilitation and case management services for suggestion was to have a central Senior Center which adults with significant disabilities and complex medical would serve as a social and recreational resource. This issues. Transportation and the noon meal are included. idea later contributed to the development of Whistles- All services are provided by a daily fee that could top by the Senior Coordinating Council. be covered by Medi-Cal, VA healthcare, or even some The summary of the Committee’s activities long term care insurances. Marin Division of Aging and stressed that older adults, especially the “old, old” (not Adult Services, through the Federal Older American’s further defined), have need for special services because Act, funds ten slots in the program. of their age. This Advisory Committee was noted to Life Long is serving 50 older adults in Marin. This be an unusual and far-sighted body in its efforts to program is allowing these seniors to remain living more develop a Master Plan for older people. Unfortunately, independently at home rather than in an institutional implementation of many of the recommendations was setting. For more information call (415) 897-6884. not possible because of lack of funding. Others have become a reality, in part because of Federal and State The “Spotlight on Marin Senior Resource” is a regular column support. in Great Age that aims to inform older persons and caregivers of programs funded by the Division of Aging and Adult Services as well as other resources available for seniors in the community. 4
  • 5. Informative Look at the Needs of Older Adults in Marin By Robin Schaef Policy Analyst, Division of Aging & Adult Services The Area Agency on Aging the last 12 months. More than (AAA), a program of the Marin one in three of the respondents County Division of Aging and (37%, n = 332) have experi- Adult Services, conducted an enced some kind of financial extensive needs assessment difficulty during this period. process this fiscal year in order Affording food and fuel/ to plan and fund needed ser- transportation costs tops the vices to older adults and dis- list. abled persons for the years Almost one out of every ahead. The full results of the four survey respondent (22%) needs assessment, which util- is providing uncompensated ized a community survey, tar- care to a family member, a geted consumer focus groups friend, or both. and a large stakeholders meet- Regarding the use of tech- ing, are presented in the four nology by age group only 24% year Area Plan – Live Long, Live of all respondents indicated Well 2012-2016. they “do not use computers.” The survey instrument included 38 questions to Engaging in activities and staying connected to gather caregiving, demographic, economic security, one’s community and social network of support are health, housing, and quality of life information. The determinants of quality of life. This study found survey was distributed widely in Marin County and tar- that close to 60 % of respondents see family and geted many different population groups. friends on a regular basis. Volunteering was the The Area Agency of Aging received close to 900 sixth most frequently mentioned activity, which surveys. Of these, 891 were used in the needs assess- benefits both older persons and the agencies they’re ment analysis while the rest were eliminated due to lack serving. of information or damage from postal processing. This Deteriorating health and increased need for assis- was an excellent response rate. Information furnished tance are expected as one matures in age. Ability to came primarily from self reports (85%) with about 12% perform activities of daily living (ADL) is indicative provided on behalf of a client, family member, or of one’s capacity to stay independent. Forty-six friend. percent (n = 410) of survey respondents reported Of these respondents the youngest was 45, the old- having some kind of difficulty performing an activ- est 104. Ninety-three percent of respondents were older ity of daily living. adults age 60 and above and their median age was 75 years. The majority of respondents generally felt healthy. Here are some highlights from the needs assessment One in four reported being in “excellent” health, community survey: while 45% feel they are in “good” health. On the other hand, more than one in four (27%) feel that More than one in four respondents has experienced their health is fair to poor. some kind of issue with abuse, employment, health, The needs assessment survey contains significant insurance, or legal concerns in the last 12 months. and extensive information about the older adult popula- Among the homeowners in our survey, 17% tion of Marin. This information combined with the reported experiencing difficulty with affording focus group information and the work of the commu- home repair this past year. Affording home repairs nity stakeholders is presented in the plan along with was most difficult for those who have been in their AAA initial strategies to meet the needs of older adults homes for more than 30 years. based on needs assessment findings. The full report can Economic security was a concern for older adults in be found on www.marincounty/aging.net. 5
  • 6. Long-Term Care Computer Tips for Older Ombudsman Program Adults Expands By Allan Bortel Commissioner, Tiburon; Chair, Housing & Transportation By Robin Schaef Committee Policy Analyst, Division of Aging & Adult Services The Division of Aging & Adult Services’ needs The Marin County Long-Term Care Ombudsman assessment recently found that over three-fourths of Program, a service of the Division of Aging and Adult older adults use computers. Nevertheless, the use of Services (DAAS), is pleased to announce the addition technology can be a challenge to us all. Here are a few of eight new volunteers to the program. tips and ideas that I find helpful. Currently these volunteers are in a 36 hour train- Apple’s IPad tablet computer is proving to be an ing class in order to become certified as Ombudsman ideal, compact and economical solution for seniors volunteers. With the addition of these new volunteers wanting to use e-mail and visit their favorite web- the program will have 12 active volunteers, as well as sites. Starting at $400 (you don't need the latest version four part-time staff members. for $500 although it’s “touch” screen is improved), the The mission of the LTC Ombudsman Program is IPad at 1.4 pounds is about as light as a book–and you to improve the quality of care in nursing homes and can use it wherever there is an open WiFi network or a respond to resident complaints, as well as complaints home WiFi router. from family, friends, and others. Storing your favorite photos is another benefit In FY 2010-11, the program responded to 765 which allows you exhibit them on the 9.7 inch vivid complaints, handled 423 complex cases and volunteers color screen. In fact, you can easily carry around hun- and staff made 795 facility visits. With each volunteer dreds of your grandchildrens’ pictures in your IPad. added the program is able to have a stronger presence And if you wait and wait for your computer to boot up, in facilities and provide assistance to an increased the IPad is a wonderful surprise with its “instant on” number of residents. and its superior battery life. In addition to the regular activities of the LTC For those wedded to a desktop or laptop computer, Ombudsman Program, staff members are knowledge- here are a few keyboard shortcuts. I try to teach seniors, able about care facilities and work with family, friends particularly because so much coordination is needed and clients to give placement information. The pro- between the mouse and monitor: gram publishes “Choices”, a guide to Low-income 1. Scrolling does not require lining up the mouse’s housing options and care facilities in Marin County. pointer on the edge of the screen or dialogue Copies may be obtained by calling 457-INFO (4636) box. Just click once, anywhere in the box, and then or by going on-line www.marincounty/aging.org. use the arrows on the bottom right of the key- board. Most importantly, you will have much bet- ter control over scrolling, either up and down or Save The Date - ‘Flights sideways. Some mice have a “scroll bar,” which aids up and down movement. of Fancy!' 2. When filling out a form, use the tab key (on left) to move between the lines or empty spaces. Shift/Tab, will move your cursor backwards without position- It’s time for the 27th Annual Marin Senior Informa- ing the mouse’s arrow or cursor. tion Fair. Exhibitors and guests mark your calendars. 3. There are many ways of enhancing the screen for Join in a day of information, health screening, enter- those with low vision problems. This can be fixed tainment, activities, music and whimsey at 'Flights of or temporary for the online page. Seniors probably Fancy!' to be held: need help from their local library or Whistlestop October 24th, 2012, 9AM to 3PM classes to tweak the screen for brightness and mag- Marin Exhibit Hall, San Rafael nification or color schemes which will customize Booth space sells out early for this popular event. Act and make viewing more enjoyable. now. Exhibitors can order a booth application packet via email at: info@marinseniorinformationfair.org. 6
  • 7. Seniors are Talking Alzheimer’s Disease By Sandy Miller Affects Us All Commissioner and California Senior Legislature Senator By Marge Belknap, M.D. Question: What do you do to stay healthy? Commissioner, District 1; Chair, Public Information Committee Leo and his We have a challenge! In this newsletter on Page 5 wife Joy, both an article which summarizes the recent findings of a 82, have been countywide survey on the needs of older adults in walking every Marin has, by omission, identified the challenges of morning to Alzheimer’s disease and dementia. church, which is For those of us who advocate on behalf of this almost a two population, it was noteworthy to see a response by mile round trip, nearly 900 individuals about their quality of life, health, for about 20 financial, and social concerns without mention of years. In addition, they work out at the YMCA in dementia, Alzheimer’s disease or other related disor- Novato three days a week, lifting weights and cardio. ders. This is reflective of a largely hidden population Joy also has been doing stretching and yoga exercises reluctant to identify the existence of Alzheimer’s dis- for about 40 years, but Leo has managed to resist. ease or other dementias as an underlying health prob- Lloyd, age 84, is the leader of a Mind Exercise lem requiring assistance with Activities of Daily Living class for the last 20 years, helping others to keep their (ADL’s), financial matters, and other services. minds active and functional. The class does number Alzheimer’s disease is now estimated to be the and word puzzles, learns new vocabulary, some geog- sixth leading cause of death nationally. The Alz- raphy and new facts about famous people. He believes heimer’s Association estimates that approximately our mind is the most advanced development in the 6,000 Marin residents will be diagnosed with some universe so we should try to improve it to the best of form of dementias by 2015. Although some have early our ability. The class is free at the YMCA in San signs of Alzheimer’s without a formal diagnosis, a sig- Rafael and you don’t have to be a member to partici- nificant number feel there is a certain stigma attached pate. to this condition. The disease is now most commonly Jim and Carolyn, both in their 70s, frequently go understood to be a risk factor in advancing age. to the comedy club in Mill Valley. “It definitely helps We all know family, neighbors or friends who to laugh.” They also like to dance and are always will- struggle with this disease but lack the panoramic view ing to get up and go because “it keeps us youthful.” of the magnitude of the problem. Our challenge is to Betty, age 78, stays active with the Goldenaires, increase awareness that our personal experience is only does not eat fast food or sweets and gets a check-up a small snapshot of this disease. Our next challenge is every year. to fund the services which help both caregivers and Olivia, 87, plays bridge and bingo, likes to exer- their loved ones maintain whatever quality of life is cise and line dance. attainable, in spite of facing the inevitable conclusion Florise, 83, does meditation. of an incurable disease. Yolanda, 93, does her own cooking, takes care of Because of the generosity of the Marin Commu- her house and walks everywhere since she no longer nity Foundation, the Belvedere Foundation, and other drives. community funders, as well as State, Federal and local Peggy, 80, is trying to eat more fruit and vegeta- dollars through the Division of Aging and Adult Ser- bles, but makes sure she takes vitamins, fish oil, cal- vices, this population is better served in Marin County cium, and cinnamon capsules. than in many other communities. Ruth, 90, has done water aerobics daily for the As the population grows, so does the need for last 24 years. enhanced and expanded services and the funding to Jillian, 73, volunteers, exercises, does her own gar- support them. Now that’s a challenge! dening, and loves to be with other people. “Socializing is important.” 7
  • 8. Find the service Find the Find the Find the Find the that’s right service service service service that’s right that’s you! that’s right for right that’s right Summer Calendar of Meetings Call theyou! for you! for you! for you! for Information The public is invited toCalendar Meetings Summer Calendar of Meetings Summer participate in all meetings held by the Commission of Meetings Summer Calendar second Meetings and its Committees. Commission meetings are held on the and Referral Line at Summer Calendar of of Thursday of the month. Presentations at the CallCall the Information Call the Information Call the Information the Information 457-INFO The The publicinvited to participate ininstart at 10:00 a.m., the Commission and andCommittees. at The public isis invited to participate in allinmeetings held heldfollowed by the and its Committees. The public is invited to participate all meetings held by the the Commission its Committees. Commission meetings typically all meetings held by the Commission business meeting public is invited to participate all meetings by by Commission and its its Committees. Referral Line at Commission meetings held on the second are as of andand Referral Line atCommission meetings are held heldthe second Thursday follows:month. Presentations at the the and Referral Line at Commission meetings are areand presentationsThursdayofofthe month. Presentations at the and Referral Line at Commission meetings dates on the the second Thursdaythe the month. Presentations the (457-4636). 11:15 a.m. Meeting are held on on second Thursday of the month. Presentations at at 457-INFO 457-INFO Commission meetings typically start at 10:00 a.m., followed by the business meeting at Commission meetings typically start at 10:00 Commission meetings typically at at 10:00 meetings Julya.m., followed by the the business meeting 12 followed by by business meeting at 457-INFO the Commission June 14 typically startstart10:00 a.m.,a.m., followedthe business meeting at at check out Also, 457-INFO 11:15 a.m.a.m. Meeting dates and presentations as follows: 11:15 a.m. Meeting dates and presentations are arefollows: 11:15 a.m. Meeting dates and presentations are as follows: 11:15 Meeting dates and presentations are as as follows: (457-4636). (457-4636). (457-4636). (457-4636). August Network of Care, June 14Marin June 14 June June Topic: To be12 12 JulyJuly July 12 July announced 12 Also, check out out the Topic: What is14 14 Vil- Also, check out the Also, check out the Also, check the Marin’s comprehensive lage? August August August August Network of Care, Network Care, Network of Care, Topic: What isMarin Vil- Topic: What Marin Vil- Topic: What is Marin Topic: To be announced Topic: To To announced Topic: be be announced Network ofof Care, at Topic: What isisMarinVil- Vil- Topic: To be announced online search tool Commission on Aging Marin’s comprehensive lage? Marin’s comprehensive lage? Marin’s comprehensive lage? lage? Marin’s comprehensive Speakers: Melanie Sum- Speaker: To be announced recess. No meeting. www.marin.networkof mers, Executive Director, Commission on Aging Commission on Aging Commission on on Aging Commission Aging online search tool at online search tooltool atSpeakers: Melanie Sum- online search tool at Speakers: Melanie Sum- online search at Speakers: Melanie Sum- care.org/aging. Speakers: Marin VillageMelanie Sum- Speaker: To be announced Speaker: To be announced Speaker: To To announced Speaker: be be announced recess. No meeting. recess. No meeting. recess. No No meeting. recess. meeting. www.marin.networkof www.marin.networkof www.marin.networkof www.marin.networkof mers, Executive Director, mers, Executive Director, mers, Executive Director, mers, Executive Director, care.org/aging. care.org/aging. care.org/aging. Place: San Marin Village Marin Village Marin Village care.org/aging. Marin Village Rafael Commu- Place: Marguerita Johnson nity Center (Club Room), Senior Center, 640 Drake 618 Street, SanCommu- Place:BSanRafaelCommu- Place:SanRafael Commu- Place: Rafael Rafael Avenue, Marguerita Johnson Place: San San Rafael Commu- Place: Marguerita Johnson Place: Marguerita Johnson Place: Marguerita Johnson Place: Sausalito nity Center (Club Room), nityCenter (Club Room), Center (Club Room), nity nity Center (Club Room), Senior Center, 640 Drake Senior Center, 640640 Drake Senior Center, 640Drake Senior Center, Drake 618618Street,SanRafael 618BStreet, SanRafael B Street, Rafael 618 BBStreet,San San Rafael Avenue, Sausalito Avenue, Sausalito Avenue, Sausalito Avenue, Sausalito Committee Meetings are held at the Division of Aging and Adult Service’s facilities at 10 North San Pedro Road, San Rafael. For details call 473-7118. 4381 (voice)/473-3232 (TTY) or by e-mail at disabilityaccess@marincounty.org. Request for an alternative format of this publication may be requested by calling 473- 4381 (voice)/473-3232 (TTY) or by e-mail disabilityaccess@marincounty.org. 4381 (voice)/473-3232 (TTY) or e-mail at atatdisabilityaccess@marincounty.org. 4381 (voice)/473-3232 (TTY) or by e-mail atdisabilityaccess@marincounty.org. 4381 (voice)/473-3232 (TTY) or by by e-maildisabilityaccess@marincounty.org. Request an an alternative format of this publication mayrequested by calling 473-473- Request for an alternative format of publication may maybe requested by calling 473- Request forfor alternative format of thisthispublication may be requested by calling 473- Request for an alternative format of this publication be be requested by calling Health of It Laughter for the Health It It Health of It Health of of It Health of Laughter for the Laughter for the LaughterIssuethe This for the Laughter for Featured in This Issue This Issue This Issue This Issue Featured in Featured in Featured inin Featured www.marincounty.org/aging Website: www.marincounty.org/aging www.marincounty.org/aging www.marincounty.org/aging www.marincounty.org/aging 473-7118 Website: Website: Website: Website: San Rafael, CA 94903 473-7118 473-7118 473-7118 473-7118 Suite 1023 SanSan Rafael, CA 94903 Rafael, San 94903 Rd., North CA CA 94903 10San Rafael, CA 94903 San Rafael, Pedro SuiteSuite1023 Suite 1023 Suite Aging on10231023 County of Marin 10 North Pedro Rd., Rd., 10 North San Pedro Rd., 10 North SanSan Pedro Rd., 10 North San Pedro PAID Commission U.S. Postage on Aging on Aging ononAging Aging County of of Marin CountyCounty of Marin of MarinMarin County First Class Marin County PAID PAID PAID PAID Commission Commission Commission Commission U.S. Postage U.S. PostagePostage U.S. Postage U.S. First Class First Class First Class Class First Marin County Marin County Marin County Marin County