Living Well 60+ September-October 2014

A RESOURCE GUIDE FOR YOUR GENERATION 

Living 

W ell 

SEPT / OCT 2014 

VOL. 10 ISSUE 4 

50 Plus 

ENTERTAINMENT • HEALTH • BARGAINS • LIFESTYLE 

snapshot 

of caregiving today 

WHO ARE THE CAREGIVERS? 

WHO ARE THE CARE RECEIVERS? 

ALSO INSIDE 

Time to file for 

Bankruptcy? 

Person of Interest: 

Teresa Isaac 

Gardening: 

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4 SEPT/OCT 2 0 1 4 

Contents 

Sept/Oct 2014 

All Aboard! 

Transportation Garden at the Arboretum 

Relief for Chronic Migraines May Come in the Form of Injections 

Is it Time to File Bankruptcy? 

PERSON OF INTEREST: Teresa Isaac Has ‘Lots of Energy’ 

Unearthing the Histories of Kentucky’s Black Families 

Fall Prevention Awareness Day 

TRAVEL: Summer Getaway to Wisconsin’s Door County 

GARDENING 

Conquering Separation Anxiety in the Fall Garden 

CALENDAR 

CMS Issues Revised Guidance on Medicare 

Part D for Hospice Patients 

SENIOR SERVICES DIRECTORY 

The Pros and Cons of Downsizing 

Headaches Can Change As You Age 

LATE-LIFE SUCCESS: Grandma Moses 

Local Agency Helps Refugees Pursue the ‘American Dream’ 

Kentucky Senior Games Promote Health and Fitness for Persons 

50+ 

FOOD DUDE: Old-Fashioned Casseroles 

SENIOR CARE: 

When Living Alone is No Longer an Option 

50 YEARS AGO 

Warren Commission report delivered to president; 

King awarded Nobel Peace Prize 

A Prosthetics Primer 

Read LivingWell50+ Digital: 

How to Choose a Mortgage 

FROM THE 

COVER 

PAGE 13 

Living Well 50+ is 

a proud product of 

A RESOURCE GUIDE FOR YOUR GENERATION 


W ell 

SEPT / OCT 2014 

VOL. 10 ISSUE 4 

50 Plus 

ENTERTAINMENT • HEALTH • BARGAINS • LIFESTYLE 

snapshot 

of caregiving today 

WHO ARE THE CAREGIVERS? 

WHO ARE THE CARE RECEIVERS? 

WRITERS 

STAFF WRITERS: 

Donald Hoffman 

Angela S. Hoover 

Frank Kourt 

Jamie Lober 

Abby Malik 

Lisa M. Petsche 

Jan Ross 

Charles Sebastian 

Doris Settles 

Martha Evans Sparks 

GUEST WRITERS: 

Sarah Wilder, Lexington Clinic 

Kentucky Association of Hospice & Palliative Care 

STAFF 

Tanya Tyler 

editor/staff writer 

John Brokamp 

publisher 

Janet Roy 

director of creative services 

Kim Blackburn 

sales representative 

John Hoffeld 


Dea Baker 


FROM THE 

EDITOR 

Dear Friends, 

A friend of mine posted a 

question on Facebook: What’s 

your favorite thing about being 

a half century? (Or, as we like 

to say it, Living Well 50 Plus.) 

The replies were interesting: 

• No longer being asked when I’m going to have 

children. 

• Not really caring what people think. 

• I’m guilty of a lack of insecurity. Through my 

Tanya Tyler • tanya@samplerpublications.com 

illness and hospital stays, I let a lot of stuff fall by 

the wayside. 

• I’m loving my salt and pepper hair. 

• I made it this far. 

• When a young punk gets out of line I can tell 

him, “I’m old enough to be your father – show 

me some respect!” 

• Embracing spirituality and feeling okay about 

saying no. 

• And someone else wrote: Being 50 beats the 

alternative. 

My reply? I don’t have to explain anything I do – 

or don’t do – to anyone. I do what I want to do and I 

really don’t need or seek anybody’s approval. 

I’d be interested in hearing how you answer this 

question. Email me! There’s still lots for us to do as 

we’re Living Well 50 Plus. Go to it! 

Live life like you mean it! 

Tanya 

P.S. Deep apologies for the glaring grammatical error in last 

month’s article about Sam Dick. He is AN award-winning 

broadcast journalist and a pretty nice guy to boot.


All Aboard! 

Transportation Garden at 

the Arboretum features 

mini railroad for children 

by Dr. Tom Miller, 

Staff Writer 

Parents and 

grandparents often 

search for new or 

unique places to take their children 

and grandchildren. Among the 

treasures in Lexington is the 

Transportation Garden at the Arboretum, 

the official state botanical 

garden of Kentucky. 

This unique garden was developed 

by Paul Busse of Applied 

Imagination of Alexandria, Ky. 

Applied Imagination has created 

charming gardens around the United 

States that have trains traveling 

through magical natural environments, 

including recent displays at 

Cincinnati’s Krohn Conservatory 

and at the U.S. Botanical Garden in 

Washington, D.C. 

The Transportation Garden 

features a whimsical miniature railroad 

where children can learn how 

plants and plant products travel 

both naturally by air and water and 

by varieties of mechanical transportation. 

The railroad has a diesel 

freight train and Thomas the Tank 

Engine, to the delight of many 

youngsters. The trains run on two 

levels. One is at the ground level 

and offers easy viewing for the very 

young. The other rides high atop a 

beautiful naturally scenic railroad 

that traverses both mountain tops 

and trestles. 

The Kentucky Children’s Garden 

is a safe, 1.85-acre outdoor learning 

center designed to help children 

ages 2 to 10 years discover plants 

and their environment. There 

is an integrated combination of 

various child-scaled theme gardens 

and garden-like elements for 

experiential play. There are also 

gardens planted and maintained by 

children; a small amphitheater for 

presentations; interactive educational 

exhibits; and interconnecting 

paths. Children (and parents 

and grandparents as well) should 

wear clothes that can get wet and 

dirty when they visit the Kentucky 

Children’s Garden. Admission is 

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$3 (under 2 free). A ticket for $10 a 

day (for up to five people) and $60 

for a season household membership 

(good for five people on one 

pass) are also available. 

The Arboretum began in 1991 as 

a joint effort between the University 

of Kentucky and the Lexington- 

Fayette Urban County Government. 

It has 100 acres of plants. 

The mission of the Arboretum is 

to showcase Kentucky landscapes 

and serve as a resource center for 

environmental and horticultural 

education, research and conservation. 

There are year-round activities 

for the entire family. It was named 

the state botanical garden in March 

2011. For more information, visit 

the Arboretum’s Web site at www. 

ca.uky.edu/Arboretum. 

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8 SEPT/OCT 2 0 1 4 

Relief for Chronic 

Migraines May Come in 

the Form of Injections 

by Sarah Wilder, Lexington Clinic 

Public Relations Specialist 

For those who suffer from 

chronic migraines, the pain is not 

only stressful and inconvenient, 

it can be debilitating. The good 

news is, there is a treatment option 

that can reduce the number 

of and intensity of migraines 

suffered. 

Botox brand botulinum toxin 

was approved as a treatment 

for chronic migraines in 2010. 

A trial released earlier that year 

demonstrated the positive effect 

of botulinum toxin within a large 

population of chronic migraine 

sufferers. After six months, or 

two cycles of treatments, patients 

experienced eight fewer migraines 

per month, on average. 

After one year, the study showed 

even greater success with the 

treatment; 70 percent of patients 

regularly treated experienced at 

least 50% reduction in migraines. 

Since the publication of the 

trial, the use of botulinum toxin 

for migraine has become a popular 

topic among physicians who 

treat chronic migraines. Although 

the specific reasons for why these 

injections reduce the occurrences 

and intensity of chronic 

migraines is not currently known, 

Eliza E. Robertson, M.D., Ph.D., 

a Lexington Clinic neurologist, 

provided some insight into the 

matter. 

“We know that the toxin 

decreases the contraction of the 

muscles in which we inject,” Dr. 

Robertson said. “However, we 

think there may be an additional 

effect targeting pain-mediating 

neurotransmitters that are associated 

with migraines.” 

This treatment is currently only 

recommended for patients who 

suffer from chronic migraines, defined 

with specific criteria, which 

includes at least 15 headache 

days per month. According to Dr. 

Robertson, the data from clinical 

trials only applies to this population, 

and not to those who suffer 

from occasional migraines. She 

did add, however, that studies 

have been promising for chronic 

daily headaches. 

For patients with chronic 

migraines who would like to 

explore the option of botulinum 

toxin injections as treatment, Dr. 

Robertson advises that they first 

consult with a physician who currently 

performs this procedure to 

verify their diagnosis of chronic 

migraine and that their insurance 

will cover the injections. 

“Interested patients will not 

only need to discuss with their 

doctor if these injections are right 

for them, they should also verify 

with their physician that they 

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will receive the FDA-approved 

injection site protocol, which is 

31 injections in seven muscles 

around the head, neck and shoulders,” 

Dr. Robertson said about 

the process. “The protocol can 

be modified, if necessary, to each 

patient’s needs with subsequent 

injections based on tolerability 

and symptoms,” she added. 

“While Botox, just one of the 

three types of botulinum toxin, 

funded the trials and obtained 

FDA approval for the treatment 

of chronic migraines, there are 

three forms of botulinum toxin 

type A: Botox, Dysport and Xeomin. 

Within my clinical experience, 

all three brands of the toxin 

work equally well in the treatment 

of chronic migraine.” 

Regardless of which form of 

botulinum toxin is used, Dr. 

Robertson recommends the 

injections as a treatment option 

to chronic migraine patients 

because the positive effects of the 

treatment greatly outweigh the 

costs. 

“The potential benefits of 

this type of treatment include a 

reduced number of migraines, 

increased hours of productivity, 

huge savings in cost, ER visits, 

Eliza E. Robertson, M.D., Ph.D., 

Lexington Clinic neurologist 

and the avoidance of side effects 

from previously or too frequently 

used migraine medications. Given 

the potential overall improvement 

in well-being and quality of 

life, botulinum toxin for chronic 

migraine is often the best option 

available,” Dr. Roberston said. 

“Besides, the procedure goes 

relatively fast and, for most, is 

well tolerated.” 

Please call 859.258.4DOC 

(4362) or visit LexingtonClinic. 

com

y Doris Settles, Staff Writer 

A fixed income with escalating 

medical, utility, housing, food and 

drug bills is a very real problem 

for the over-50 population, causing 

more and more seniors to face 

some harsh realities about their 

ability to continue to pay their 

bills. Filing bankruptcy becomes 

a possibility. Each situation is 

highly individual, and no decision 

or action should be taken without 

checking first with your CPA and 

then with a lawyer specializing in 

bankruptcy law. 

Simply put, bankruptcy is when 

you owe more than you can possibly 

afford to pay. Seniors may 

be in a position to benefit from 

certain protections. 

“Federal law protects certain 

benefits from garnishment by 

creditors, including veterans’ 

payments, Social Security, disability 

payments, most retirement 

assets and more,” said Scott Dick, 

a Lexington CPA. “Also, a senior 

who has little or no income beyond 

protected benefits could be 

deemed ‘judgment proof,’ meaning 

that creditors could not collect 

even if they made the effort.” 

The first step in determining a 

course of action is to find out how 

much you have and how much 

you owe. To determine where you 


Is It Time to File Bankruptcy? 

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are financially, inventory all your 

liquid assets. Include retirement 

funds, stocks, bonds, real estate, 

vehicles, college savings accounts 

and other non-bank account 

funds. Decide on a rough estimate 

for each item, then sum up your 

total assets. 

Next, collect and add up your 

bills and credit statements. If the 

total value of your assets is less 

than the total amount of debt you 

owe, declaring bankruptcy may be 

one way out of a sticky financial 

situation. However, bankruptcy 

shouldn’t be approached casually. 

And it’s not a simple, easy cure-all 

for out-of-control spending. 

“Going bankrupt” can happen 

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one of two ways. Either you may 

voluntarily claim bankruptcy 

under Chapter 7 or Chapter 13, 

or creditors can petition the court 

to declare a person bankrupt. A 

Chapter 7 bankruptcy liquidates 

your assets to pay off as much of 

your debt as possible. The cash 

from your assets is distributed to 

creditors such as banks and credit 

card companies. For many, this 

option offers a quick, fresh start. 

But if a debtor owns a company, 

a family home or any other personal 

assets that he or she wants 

to keep, Chapter 7 may not be the 

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A Chapter 13 bankruptcy is 

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ter 13 offers a grace period. Any 

debts remaining at the end of the 

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Be aware, however, that filing 

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Except in rare instances, it doesn’t 

discharge debts from mortgages, 

student loans, taxes, alimony 

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for bankruptcy for about $300 

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1 0 SEPT/OCT 2 0 1 4 

Person of Interest 

Teresa Isaac Has 

‘Lots of Energy’ 

Serving on boards, teaching, mulling 

another run for office keeps former 

mayor busy 

by Martha Evans 

Sparks, 

Staff Writer 

Teresa Ann 

Isaac was mayor of 

Lexington from 2002-2006. The 

second woman to serve in that 

office – the first was Pam Miller – 

she has not rested on her laurels 

since her tenure ended. 

In 2013, she was in the Middle 

East’s West Bank, where she completed 

her most recent sessions of 

training mayors from around the 

world for the U.S. Department of 

State. In the years between 2007 

and the present, she has taught 

mayors of cities in Namibia, 

Pakistan and Uganda. She meets 

with anywhere from 50 to 300 

mayors, teaching them about 

social justice, economic development, 

infrastructure, establishing 

trust with their constituents and 

youth empowerment. She tries 

to help them find ways to use the 

resources they have at their local 

level. Each country usually has an 

agenda about two weeks long. In 

2004 and 2005, the State Department 

sent her to train mayors in 

Argentina and Chile as part of a 

democracy project. 

Isaac is a native of Harlan 

County. Her father, Sam Isaac, was 

mayor of Cumberland, Ky. After 

he finished his stint as mayor, 

the family moved to Lexington. 

Isaac graduated from Transylvania 

University in 1976 and from the 

University of Kentucky College 

of Law in 1979. In a remarkable 

display of self-confidence, she 

opened a solo law practice in Lexington 

right out of law school. 

“It worked out great,” she said. 

“I loved it.” 

In 1988, she was elected to the 

Lexington-Fayette Urban County 

Government as an at-large member. 

In 1992, she was reelected to 

the Urban County Council and 

became vice mayor, serving in 

that capacity from 1993-1999, 

still the record for longest-serving 

vice mayor. She practiced law for 

20 years until 1999, when she 

became executive director of the 

Lexington Fair Housing Council. 

Following her time as mayor, 

she returned to the Fair Housing 

Council and was promoted to 

board chair of the organization 

in 2007, a position she still holds. 

She lost her bid for a second term 

as mayor to Lexington attorney 

Jim Newberry in 2006. 

Undaunted, Isaac was employed 

in May 2007 as a campaign staffer 

for Kentucky businessman Bruce 

Lunsford, who was bidding for the 

Democratic nomination as Kentucky 

governor. While she was involved 

in that effort, Isaac taught a 

course at Transylvania called “The 

Governor’s Race: See How They 

Run.” Through the years, her alma 

mater has honored her twice, with 

an Outstanding Alumni award 

and Transylvania’s Service Award. 

She has served on the university’s 

alumni board. 

“I’ve been on a million boards,” 

she said. She currently chairs 

the Volunteers of America board 

in Lexington; she is also on the 

board of Emerge Kentucky, which 

trains women to run for political 

office. She has taught as an adjunct 

professor at several Kentucky 

colleges. 

In the past six months, family 

affairs have taken precedence. 

Both her children married in one 

month. Her daughter, Alicyn 

Isaac-Lowry, is a graduate of 

Columbia University College of 

Law and is with New York City 

law firm Davis Polk. Isaac’s son, 

Jacob Isaac-Lowry, lives and works 

in Hawaii. He earned a degree 

in mechanical engineering from 

the University of Michigan Ann 

Arbor. 

“I’m at a crossroads, watching 

both of my kids marry. I feel it is 

a real accomplishment. I am very 

proud of both of my kids,” said 

Isaac. 

Would she consider running 

for political office again? “I always 

have in the back of my mind running 

for office again. That is a real 

possibility,” she said. “I always 

want to encourage more young 

women to run for office.” 

Can she do all of this? “Oh, yes,” 

she said. “I have lots of energy.” 

“I always want to encourage more 

young women to run for office.” 

—Teresa Isaac

Unearthing the Histories 

of Kentucky’s Black 

Families 


Persistence is critical when traditional 

resources are lacking 

by Doris Settles, Staff Writer 

Frequently, African Americans 

encounter a frustrating dearth of 

information when researching 

their family histories. The African 

American Genealogy Group 

of Kentucky (AAGGKY) was 

formed out of that frustration. 

Unique methodology, persistence 

and sharing of information 

is critical in the face of the lack of 

traditional resources. AAGGKY 

members say they’ve found information 

on family members filed 

under A for African, B for black, 

C for colored or N for Negro, 

as well as in the backs of books, 

totally unindexed and more often 

nonexistent. But if you happen 

to find that missing piece of your 

family puzzle, which fits in so 

many others’ puzzles as well, how 

might you be able to share that 

resource? 

Enter 11 researchers who 

gathered in January 2011 to form 

AAGGKY. 

The group meets every month 

on the third Saturday at easily accessible 

places throughout Central 

Kentucky. Rotating meeting 

locations allows for a higher level 

of participation and availability 

of those resources that do exist. 

Meetings are free and open to anyone. 

They feature speakers, roundtables 

or panel discussions and 

hands-on workshops. AAGGKY 

members share research successes 

and disappointments and 

offer tips and techniques unique 

to conducting black genealogical 

research in Kentucky. 

“We have never had a meeting 

where somebody didn’t make a 

connection with someone else,” 

said group president Sharyn 

Mitchell. “Several times a year 

we have one-on-one workshops 

where we work together to break 

through those brick walls and find 

those connections.” 

With a mailing list of more than 

500 people, both African American 

and Caucasian, a membership 

nearing 100 and between 25-75 

people attending each meeting, 

AAGGKY encourages both blacks 

and whites to work together to 

ferret out their histories. 

“We encourage descendants of 

slave owners to share their deeds, 

ledgers and Bibles that document 

the stories of slaves so intermingled 

stories may be found,” 

Mitchell said. “With every passing 

1 1 

minute, we are losing our histories 

to death, memory loss and record 

destruction.” The AAGGKY attempts 

to minimize this loss. 

Anyone interested in researching, 

preserving and sharing the 

stories of Kentucky’s African 

American generations is invited 

to join AAGGKY. “We are accountants 

and plumbers, janitors 

and teachers, preachers and 

presidents, housewives and truck 

drivers,” Mitchell said. 

For more information, visit the 

organization’s Web site at www. 

aaggky.org. 

With every 

passing minute, 

we are losing 

our histories to 

death, memory 

loss and record 

destruction.” 

—Sharyn Mitchell, 

President, African 

American Genealogy 

Group of Kentucky 

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1 2 SEPT/OCT 2 0 1 4 

Fall Prevention 

Awareness Day 

Tips help reduce falls 

among older adults 

by Martha Evans 

Sparks, Staff Writer 

Fall Prevention 

Awareness Day is 

Sept. 23 – the first 

day of autumn. Since 2008, this day 

has been set aside to promote and 

increase public awareness about 

how to prevent and reduce falls 

among older adults. Six years ago, 

11 states observed FPAD. By 2013, 

the number had grown to 47. 

Falls are not just an older person’s 

problem. But falling is more likely 

to result in disastrous consequences 

for those 65 and above. Most falls 

happen in the home and are a leading 

cause of death from unintentional 

injuries in older adults. Every 

15 seconds an older adult is seen 

in an emergency department for a 

fall-related injury. 

In Kentucky, how FPAD is 

observed depends on what the 

local people want to do, said Hannah 

Keeler, Kentucky Safe Aging 

Coalition coordinator. Funding for 

the events is through local and state 

health departments, Keeler said. 

“We don’t charge for the events. All 

are free,” she said. “The state health 

department 

PILATES 

has funds for this, plus 

the individual health departments 

PLACE 

PILATES 

PLACE 

have some funds.” 

Activities marking the day will 

range from distributing literature 

about fall prevention to hosting 

full-blown events with speakers and 

even one-on-one interviews, where 

an individual can talk with a knowledgeable 

person who can give 

advice on how various medications 

may affect balance and increase 

the risk of falling. Vision screening, 

balance tests and education on 

home safety are among other topics 

addressed on FPAD. 

“Every year we [have] a governor’s 

proclamation on that day saying 

this is Kentucky Fall Prevention 

Awareness Day,” said Keeler. FPAD 

events are scheduled to take place in 

Pilates is designed 

to strengthen the 

body’s core muscles 

through low-impact 

fitness techniques. 

Franklin County, including Frankfort, 

the state capital. Other events 

are already planned for the Barren 

River District Health Department 

in Warren County (Bowling Green) 

and the seven counties comprising 

the Green River District Health 

Department (Hancock, Daviess, 

Henderson, Ohio, McLean, 

Webster and Union). Bullitt and 

Oldham counties also plan to mark 

the day. Others will no doubt join 

as the date approaches. 

The 14 member organizations of 

the Kentucky Safe Aging Coalition 

partner to promote FPAD. Coalition 

members include the Kentucky 

Injury Prevention and Research 

Center, the Kentucky Department 

of Public Health, the University of 

Kentucky College of Public Health 

and UK’s Cooperative Extension 

Service. The National Council on 

Aging advocates for FPAD. 

To learn more about FPAD or 

this year’s schedule, Keeler suggests 

calling the coalition’s office in 

Lexington at (859) 323-4747 for 

up-to-the-minute information. You 

can also visit www.nofalls.org. 

10 Tips for 

Preventing 

Falls 

1. Find a good balance 

and exercise program. 

Build balance, 

strength and flexibility. 

2. Regularly review 

your medications 

with your doctor or 

pharmacist. Do any of 

them have side effects 

that are increasing 

your risk of falling? 

3. Have vision and 

hearing checked regularly. 

Your eyes and 

ears can help keep 

you on your feet. 

4. Get rid of clutter 

you can fall over in 

your home, including 

small rugs. 

5. If you keep small 

area rugs, put grippers 

on the underside so 

they will not slide. 

6. Be sure all stairways 

have hand rails. 

7. Install grab bars in 

bathtubs and showers. 

8. Don’t be too proud 

to use a cane or even 

a walker if such assistive 

devices help you 

maintain balance. 

9. Keep a night light 

on so you can see 

where you are going if 

you must get up during 

the night. 

10. Be sure your entire 

home is well lit. 

All sessions taught by 

Stott Pilates trained 

health professionals. 

859-266-3810 

365 Duke Rd. 

Lexingtotn 

studio@pilatesplaceky.com 

follow us on: 

Eastland Shopping Center 1020 Industry Rd. Ste 10 Lexington, KY 40505 

859-253-0012 Mon 9-7, Tues-Sat 9-6


A Snapshot of 

Caregiving Today 

Who are the caregivers? 

Who are the care receivers? 

1 3 

by Lisa M. Petsche, Staff Writer 

In approximately 30 percent of 

American households, unpaid care 

is regularly provided to someone 

who is chronically ill, disabled or 

aged and whose ability to carry out 

activities of everyday life is compromised. 

It’s not necessary to live under the 

same roof as the person one is helping 

or to provide assistance with 

personal or medical care in order to 

be considered a caregiver. 

Here is some information about 

the nature of caregiving today. 

• Who are the caregivers? 

The typical caregiver is an adult 

child providing help to a parent or 

parent-in-law. But a caregiver may 

also be a friend or neighbor, grandchild, 

sibling or other extended 

family member, spouse or parent. 

The majority of caregivers are 

female and married. A significant 

proportion are young seniors caring 

for older seniors, and they may have 

health issues of their own. Most often, 

though, caregivers are in the 45- 

65 age group. Those at the younger 

end are likely to have children still at 

home and consequently have been 

labeled “the sandwich generation.” 

Close to two-thirds of family caregivers 

are employed. They juggle 

caregiving with paid work and other 

responsibilities such as maintaining 

their own households and attending 

to other family members. It’s no 

surprise self-care is a low priority for 

caregivers, given the demands on 

their time. 

Who are the care 

receivers? 

The typical care recipient is 

female, over 70, widowed and living 

alone. The older the care receiver, 

the more likely she is to require personal 

care; 50 percent of those over 

age 85 years fall into this category. 

The 85-plus age group is, of course, 

a rapidly growing demographic. 

The most common types of 

health conditions associated with 

care needs are age-related – for 

example, osteoporosis, arthritis and 

vision loss. Other common medical 

diagnoses of care receivers are 

cancer, heart disease, neurological 

disease (such as Parkinson’s disease), 

dementia and mental illness 

(such as depression). 

What do caregivers 

do? 

Caregiving tasks fall into two 

categories: basic activities of daily 

living (known as ADLs) and instrumental 

activities of daily living 

(IADLs). ADLs are daily self-care 

tasks such as feeding, toileting, 

dressing, grooming, bathing and 

mobilizing. Fewer than 25 percent 

of caregiving situations involve helping 

with these needs. 

Typically, care receivers need help 

with IADLs before they require help 

with ADLs. IADLs are the more 

complex skills involved in living 

independently – skills normally 

learned during adolescence and 

early adulthood. They include using 

the telephone, way finding, managing 

transportation (whether it’s 

driving or using public transportation), 

handling finances, shopping, 

preparing meals, managing medications 

and performing housework 

and basic indoor and outdoor home 

maintenance. 

To help ensure informal caregiving 

is sustainable and remains a 

rewarding experience over time, 

it’s important for care providers to 

use available help. This includes 

obtaining assistance from family 

members and friends as well as 

taking advantage of community 

services that can help maximize the 

care receiver’s functioning and assist 

the caregiver with necessary tasks. 

Doing so improves the quality of life 

of not only the caregiver but also the 

care receiver. 

Note: Statistics were obtained 

from the National Alliance for 

Caregiving, the Family Caregiver 

Alliance and the Caregiver Action 

Network. 

Take a tour and join us for lunch, on us! 

Make your reservation today for our 

complimentary lunch and tour. 

ARE YOU DISABLED? 

HAVE YOU APPLIED FOR SOCIAL SECURITY DISABILITY? 

ARE YOU CAUGHT UP IN RED TAPE? 

An experienced Social Security Claims Advocate can help you: 

• By assisting you in filing your initial application. 

• Filling out and filing your appeals. 

• Gather medical and other important information to submit to Social Security. 

• Contact your doctors to obtain a report of your medical condition. 

• By obtaining documents from your Social Security file and review them. 

• By presenting opening and closing statements at your hearing that 

will state how you meet the Social Security listing of being disabled. 

1001 Crossfield Drive 

Versailles, KY 40383 

daisyhillseniorliving.com and 

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For a FREE CONSULTATION of your claim call 

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NO FEE IS PAID UNLESS YOU WIN

1 4 SEPT/OCT 2 0 1 4 

TRAVEL 

Summer Getaway 

to Wisconsin’s Door 

County 

“Cape Cod of the Midwest” is popular 

tourist destination 

by Jan Ross, 

Staff Writer 

The last time we 

were in Wisconsin’s 

Door County, the 

powdery snow was up to our knees 

and we learned to snowshoe. This 

trip was a little different. 

Since Door County is often 

advertised as “the Cape Cod of the 

Midwest” because of its lovely 300 

miles of coastline, it seemed like the 

perfect summertime escape. It was, 

in many ways, an idyllic trip. The 

fact that some days were cloudy, 

cool and foggy and the mosquitos 

had a field day feasting on my legs 

(bring bug spray!) did not detract 

from our enjoyment. 

Because Door County has 

become a very popular tourist 

destination, you will have your 

choice of lodgings, but I highly 

recommend the Little Sister Resort. 

With a variety of cottages, chalets 

and rental homes, its location 

right on the shores of Little Sister 

Bay, a hot breakfast included for 

every member of your family and 

a restaurant, it’s a great choice. Our 

two-bedroom chalet was perfect 

for two adults and a child and we 

enjoyed our full kitchen. The resort 

is adjacent to the Bay Ridge Golf 

Course for the golfers in your group 

and also has a playground, basketball 

court, bikes to ride and plenty 

of non-motorized watersports such 

as paddle boards available at no extra 

charge. If you pay a visit to Fred 

and Fuzzy’s, the restaurant on the 

shore of the bay, be sure to order the 

fried cheese curds. A local specialty, 

they are delicious. 

When you’re ready to try some 

local eateries, head to the famous Al 

John’s Swedish Restaurant, where 

you can check out the goats grazing 

on the unique grass roof and sample 

some delicious Swedish meatballs. 

Or try The Cookery in nearby 

Fish Creek. Family 

owned and run, this 

lovely and friendly 

location serves some 

fabulous gourmet food. We had the 

best meal of our trip here. 

For a view of Door County from 

the water along with a fascinating 

historical tour of the area, book 

a cruise with Shoreline Charters. 

We took the “Coastline, Cliffs, and 

Caves” tour, which leaves right from 

the marina in Sister Bay, only about 

10 minutes from the Little Sister 

Resort. 

Several villages comprise the 

Peninsula of Door County, and we 

checked out a number of them during 

our visit. Each has plenty of local 

shops and restaurants, and many 

have beaches on the beautiful, clear 

water of the bays as well. One of our 

favorites was Egg Harbor, where 

we stumbled on Eggstravaganza, a 

celebration of the town’s 50th anniversary. 

Scattered throughout the 

village 

were 50 magnificently decorated 

large eggs, each more extravagant 

than the last. 

We had to pay a visit to White 

Fish Dunes State Park to check out 

the beach that was covered with a 

deep layer of snow during our winter 

visit. It certainly looked different 

on this visit! 

Winter or summer, you should 

open up to beautiful Door County. 

Door County is often 

advertised as “the Cape 

Cod of the Midwest” 

because of its lovely 

300 miles of coastline.


1 5 

GARDENING 

Conquering Separation 

Anxiety in the Fall Garden 

Keep your summer bulbs at their 

bloomin’ best 

by Frank Kourt, 

Staff Writer 

You may not want 

to hear about spring 

and summer blooming 

plants right now. 

It is, after all, nearly fall, and aren’t 

we done with all that? 

Well, not really. Not, that is, if 

you want your summer bulbs to 

be happy and healthy and at their 

bloomin’ best. 

It may seem like the simplest 

thing in the world to plant bulbs, 

but over the years, you may well find 

your efforts have been too successful. 

By that I mean the bulbs tend to 

multiply, and when that happens, 

they have to be dug up, separated 

and re-planted elsewhere if you 

expect them to bloom the next year. 

A good case in point is the 

venerable iris. For several years, we 

planted irises in half whiskey barrels, 

and they’ve rewarded us with 

beautiful, delicate blooms. This year, 

though, not so much. The trouble is 

the rhizomes have grown too close 

together, resulting in no blooms. 

This means they have to be dug up, 

separated and re-planted before 

the cold conditions of October and 

November hold sway. 

In order to do this, it’s best to lift 

the crowded irises out of the ground 

in a clump, if possible. If that’s not 

going to work, you’re going to 

Iris bulbs separated and 

ready to plant. 

have to break the giant clump into 

smaller ones. 

Next, brush as much dirt away 

from the rhizomes as you can and 

break the clumps apart into pieces 

about 4 inches long. Each rhizome 

should have at least one fan of leaves 

on it. Those that have no leaves can 

be discarded. Make sure you keep 

the roots in each rhizome intact. 

Once you have your separate rhizomes, 

you can trim the leaves back 

to about 6 inches. 

Now find a sunny spot with 

well-drained soil and dig your hole 

and plant the rhizome just below 

ground level, spreading the roots 

and spacing them about a foot and a 

half apart. Cover the rhizomes with 

loose, rich soil, allowing the leaf fans 

to protrude from the ground, and 

water them well. 

Daffodils may experience similar 

problems, while tulips seem less 

likely to crowd. If you noticed your 

daffodil blooms underperforming 

last spring, it may well be that, like 

iris rhizomes, the bulbs have multiplied 

to the point where blooming is 

impeded. 

If you know where your daffodils 

are buried, you should have no 

problem digging them up and separating 

the bulbs for re-planting. Unfortunately, 

at this time of year, the 

foliage may have died back to the 

point where you can no longer find 

their resting place. Don’t despair; 

you’ll just have to wait until spring, 

when the foliage comes back, and 

mark the spot for easy identification 

next fall. 

Assuming you do know where 

your daffs are buried, just dig them 

up and separate the bulbs. Replant 

the largest bulbs in well-drained 

soil in a sunny spot about 5 inches 

below the soil’s surface, making sure 

the pointed end is facing up. Space 

them about 4 to 5 inches apart. 

Here’s an example of iris crowding that needs to be remedied. 

Water thoroughly, then cover with 

about 3 inches of mulch to protect 

the bulbs from the cold and keep 

them moist. 

In the less likely event you have a 

tulip-crowding problem, dig up the 

bed and separate the bulbs, leaving 

some in the original spot. Plant your 

Quaint Sophistication... 

Retirement Living 

at its Finest! 

3310 Tates Creek Rd., 


(Across from Lansdowne Shoppes) 

tulip bulbs about 8 inches deep, 

drop in a generous amount of peat 

moss and add some bulb fertilizer. 

Cover them up with soil and water 

well. 

If all goes well, you’ll be greeted 

by a whole new set of blooms next 

summer! 

• INDEPENDENT LIVING AND LICENSED PERSONAL CARE 

APARTMENT HOMES 

• SUPERIOR SERVICES AND AMENTITIES 

• MADE FROM SCRATCH KENTUCKY PROUD DINING 

• DAILY TRANSPORTATION SERVICES 

• BRIMMING SOCIAL CALENDAR 

• SAFETY, SECURITY, AND PEACE OF MIND 

Come Explore The Next Chapter in Your Life! 

(859) 266-2129 

www.mayfairseniors.com

1 6 SEPT/OCT 2 0 1 4 

Events 

Calendar 

SEPT. 2014 OCT. 2014 

Sun Mon Tue Wed Thu Fri Sat 

1 2 3 4 5 6 1 2 3 4 

7 8 9 10 11 12 13 5 6 7 8 9 10 11 

14 15 16 17 18 19 20 12 13 14 15 16 17 18 

21 22 23 24 25 26 27 19 20 21 22 23 24 25 

28 29 30 26 27 28 29 30 31 

Ongoing 

Yoga Health & Therapy 

Center Classes 

Our Yoga Classes feature slow 

stretch with gentle breathing, 

and relaxation techniques. 

Class size is small, to provide 

careful instruction. Yoga classes 

are offered Mon through Thurs 

(daytime and evening), and Sat 

mornings. Our Meditation Starter 

Course teaches simple ways 

to focus and quiet the mind; 

5-week sessions are offered on 

Sundays at 5:30 pm. A nonprofit 

organization operating 

since 1981, The Yoga Health & 

Therapy Center is located at 322 

W. 2nd St. Free private parking 

is provided for most classes. For 

more information on fees and 

scheduled dates and times, call 

us at 859-254-9529, or email us 

at info@yogahealthcenter.org 

Sun Mon Tue Wed Thu Fri Sat 

Send us your event listings 

List your event for FREE if it’s free to the public*. 

E-mail your event information to graphics@samplerpublications.com 

(*$35 fee for events that are not free to the public) 

Reiki Introduction & 

Practice 

6:30pm- 8:30pm, 4th Tuesday 

each month. 1403 E. Breckinridge 

Street, Louisville, KY. Free. 

Those who do have not Reiki 

training—come for an introduction 

& to experience it. No experience 

required. Those with Reiki come 

to practice on others & receive 

the Reiki energy. Everyone will 

get 15 -20 minute Reiki treatment. 

Free reattunement to your last 

level of Usui or Karuna Reiki® if 

you have your certificate. Contact 

JoAnn Utley at 502-777-3865 

or jutley5122@bellsouth.net to 

register. More info at http:// 

joannutley.byregion.net 

Sit and Get Fit 

Mondays and Fridays, 9:30am- 

10:30am. FREE! This event is 

a seated controlled exercise/ 

movement class to improve 

strength, flexibility, balance 

and coordination. It is taught 

by Anne Graff, MS, OTR/L, 

Occupational Therapist certified 

by the American Senior Fitness 

Association as a Senior Fitness 

Instructor and trained in Body 

Recall. Also included are: Fall 

Prevention and Recovery, Fun 

Movements to Strengthen 

Body and Mind, Improve 

Posture and Core Conditioning, 

Wellness Education, Relaxation 

Techniques, and Music. 

The Charles Young Center is 

located at 540 E. Third Street. 

Parking is available on Shropshire 

Avenue or Lewis Street, 

Lexington, KY. Ages 60 and older. 

For more information, please 

contact Alexis Edge at 859-246- 

0281 or aedge@lexingtonky.gov. 

Wellness Wednesday 

On the first Wednesday of the 

month, all Good Foods Market 

and Café customers will receive 

5% off all supplements, body 

care, and bulk herb & spice 

items. Customers can special 

order Wellness Wednesday items 

ahead of time and pick them up 

on Wellness Wednesday. When: 

Wednesday, July 3, 8 am – 10 

pm. held at Good Foods Market 

& Café, 455 Southland Drive. 

Ric’s Garden, the 

public cutting garden 

at Ashland Terrace, 

475 S. Ashland 

Avenue, is open for 

business 

This year Lexington’s oldest 

retirement community offers 

alstroemeria, iris, ageratum, 

gooseneck loosestrife, goldenrod, 

purple coneflowers, Joe Pye 

weed, lisianthus, snapdragons, 

zinnias, salvia, black-eyed susans 

and marigolds. The following 

varieties of herbs are available: 

oregano, nasturtium, rosemary, 

lemon grass, 

sweet marjoram, 

lemon thyme, basil, 

parsley, fennel, 

Italian parsley, 

sorrel, garlic 

chives, mint, winter savory, lemon 

verbena, dill, French tarragon 

and sage. Large blooms are .50, 

small blooms are .25. Herbs 

are .25 a small bunch. Roses 

and vegetables are reserved for 

residents only. The donation box 

and scissors are located at the 

start of the main garden walkway; 

water and containers are available 

near the shed. Don’t miss the 

smaller cutting garden behind 

the shed. All proceeds are used 

to maintain the garden and feed 

the critters. Call Kelly or Michelle 

at 266-2581 for additional 

information. 

Swing Lessons 

Tuesdays, starting September 30, 

2014. From 8pm–10pm at Tates 

Creek Recreation Center, 1400 

Gainesway Dr. $5 per person per 

lesson. Call for more information: 

Glenn and Rosalee Kelley 859- 

233-9947 or Peter and Robin 

Young 859-224-3388. 

September 19 

Family Caregiver 

Workshop 

This program is specialized for 

family caregivers and will offer 

information about Alzheimer’s 

disease and caregiving, and 

will also provide an opportunity 

to reflect, regenerate, and gain 

a new perspective on your 

caregiving issues. Local and 

statewide experts who specialize 

in aging and Alzheimer’s care will 

present topics that are valuable 

to family caregivers of persons 

with dementia. This training is 

designed specifically for family 

caregivers and is therefore


1 7 

Nature lovers, hikers, cliff climbers 

RENT THIS CABIN 

Near Natural Bridge State Park and 

Red River Gorge. 

Call or visit website for reservations. 

Ken & Sheila Brown 

www.VRBO.com/361686 

(606) 668-2599 

(606) 643-6044 

ksbrown@mrtc.com 

not open to those who are 

professional caregivers. Jointly 

sponsored by the Bluegrass 

Area Agency on Aging and 

Independent Living, the UK 

Sanders Brown Center on Aging, 

Baptist Health - Lexington and 

the Alzheimer’s Association. 

Workshop registration fee: $10 

(includes lunch). Registration is 

required; to register, call 1-800- 

272-3900 or email infoky-in@alz. 

org. From 9:00 a.m. – 4:00p.m. 

at Bluegrass Area Development 

District, 1st Floor conference 

room, 699 Perimeter Drive, 

Lexington, KY. 

September 20 

A Day of Mindfulness 

for Body, Mind and 

Spirit 

This mini-retreat will help you 

promote resilience, positive 

psychology and emotional 

intelligence. Mobilize your inner 

resources for healing, practice 

self-care approaches for 

promoting health, learn mindbody 

skills for managing stressrelated 

chronic conditions, relax 

your body, quiet your mind and 

open your heart and cultivate your 

innate happiness, peacefulness 

and compassion. You will learn: 

CLASSES OFFERED: 

• Yoga for Golfres, TM 

• Beginners and Basic Yoga 

• Yin and Restorative Yoga 

• Gentle Yoga and Restorative Yoga 

for Cancer 

• Chair Yoga for Recovery 

• Heated (80-85) Degree Slow Flow Yoga 

Class Schedule at 

agelessyogastudio.com 

skilled relaxation, body scan, 

guided imagery, journaling, 

self massage, mindfulness 

meditation and mindful gentle 

yoga. Instucted by John A. 

Patterson MD, MSPH, FAAFP, 

Board certified- Family Practice 

and Integrative Holistic Medicine, 

Faculty member- UK College 

of Medicine, U of L School of 

Medicine, Saybrook Graduate 

School of Mind Body Medicine. 

Cost $95 includes food and drink 

(discount available for financial 

need). Pre-registration required: 

9AM-4PM @ Mind Body Studio, 

517 Southland Drive Lexington 

KY 40503. www.mindbodystudio. 

org. 859-373-0033. 

October 4 

Sound Healing 

Workshop 

11:00-12:30, Centered Lexington, 

309 North Ashland Avenue Suite 

180. This workshop will explore 

the use of sound, vibration, and 

mantra for yoga, meditation, 

and relaxation practices through 

gong, kirtan and chanting! 

$15.00 donation will go toward 

supporting the mission and 

services of the Centered 

community. See http://www. 

centeredlex.com/ for the calendar. 

October 11 

NAMI Walk 

www.namiwalks.org/Lexington 

Saturday October 11, 2014 at 

Masterson Station Park. Walker 

check-in time: 10am. Walk starts: 

11am. No registration fee but 

walkers are encouraged to collect 

donations. All proceeds fund 

NAMI local programs. For more 

info, call Marcie Timmerman, 859- 

317-2792. 

• Private 1-on-1 Yoga Sessions 

• Reiki Sessions 

New Student Introductory Offer: 

30 days for $30 

UNLIMITED yoga 

(Offer good only if you have not been to 

Ageless Yoga before) 

FREE CLASS* 

When you sign up a friend! 

611 Winchester Rd, Suite 200 


859-303-6225 

info@agelessyogastudio.com 

agelessyogastudio.com 

*on your next package deal 

CMS Issues Revised 

Guidance on Medicare 

Part D for Hospice Patients 

KAHPC & Several Members of the 

Kentucky Congressional Delegation Played 

Crucial Role in Advocating for Revisions 

Provided by Kentucky Association 

of Hospice & Palliative Care 

Several members of the Kentucky 

Congressional Delegation joined 

the Kentucky Association of Hospice 

and Palliative Care (KAHPC) 

in calling for a temporary halt in 

recent Part D Payment Reform 

Guidance issued by CMS. Specifically, 

Senator Mitch McConnell, 

Representatives Ed Whitfield, Brett 

Guthrie, John Yarmuth, and Andy 

Barr co-signed letters sent by the 

United States House and United 

States Senate to CMS Administrator 

Marilyn Tavenner requesting 

that CMS suspend the current Part 

D payment policy and instead bring 

together all relevant stakeholders to 

work together on a policy that does 

not jeopardize Medicare beneficiaries’ 

access to medication. The joint 

efforts of Congressional leaders and 

hospice advocates have paid off and 

now hospice patients everywhere 

will have timely access to needed 

prescription medications. 

On March 10, 2014, the Centers 

for Medicare & Medicaid Services 

(CMS) issued a memorandum to 

Part D Plan Sponsors and Medicare 

Hospice Providers entitled, “Part D 

Payment for Drugs for Beneficiaries 

Enrolled in Hospice – Final 2014 

Guidance” (Guidance). The Guidance, 

which became effective May 1, 

2014, set forth a prior authorization 

process aimed at limiting instances 

in which a Part D plan inappropriately 

covered prescription medications 

related to a hospice beneficiary’s 

terminal condition. 

When a beneficiary elects hospice 

under Medicare, the hospice is 

required to pay for drugs associated 

with terminal illness or related conditions. 

Part D processes the medications 

for conditions unrelated to 

the terminal illness. This framework 

means that medications that should 

be covered by the Medicare hospice 

benefit are sometimes incorrectly 

paid for by Part D plans. Under the 

prior Guidance, whenever a beneficiary 

or family caregiver attempted 

to fill a prescription at a pharmacy, 

the pharmacy was required contact 

the prescriber to determine whether 

the medication was related to the 

terminal illness. If it was not or if the 

determination of relatedness was 

unclear, the pharmacy could not fill 

the prescription. Instead, the pharmacy 

had to notify the beneficiary 

of his or her appeal rights – thus 

placing the burden on the beneficiary 

to request a formal coverage 

determination from their Part D 

plan to access their prescribed 

medication. 

In effect, the Guidance placed 

terminally ill patients at the center 

of disagreements between hospice 

providers and Part D plans, leaving 

them to navigate payer disputes on 

their own – a battle for which they 

had neither the time nor strength. 

Recognizing this problem, 

KAHPC joined forces with hospice 

providers across the nation and 

went to Washington, D.C. to rally 

for change. Specifically, KAHPC 

met with the Kentucky Congressional 

delegation and informed 

them about the hugely detrimental 

impact the Guidance was having on 

hospice patients and their families. 

The united front was successful. 

On July 18, 2014, CMS issued a 

new memorandum, which now limits 

prior authorization by hospices 

to four classes of drugs: analgesics, 

antinauseants, laxatives, and antianxiety 

medications. According to 

the HHS Inspector General, these 

CMS Continued on Page 31

1 8 SEPT/OCT 2 0 1 4 

Senior Services 

DIRECTORY 

About the Directory 

Living Well 50+ is striving to make your search for local 

senior services a bit easier. We know there are many 

companies available to assist seniors in central Kentucky 

– so many that beginning a search to fit your need can 

seem like a daunting task. 

That’s why our directory features a collection of local 

companies and organizations who have a solid track 

record of providing exceptional assistance. We hope it 

becomes a useful starting point in your search for quality 

senior services. 

Category Key 

County Offices & Meal Programs 

Health Care Systems & Hospitals 

Transportation, Personal Shopping, Errands 

Does your 

business 

provide 

excellent 

senior 

services? 

call us for a spot 

in the directory 

859.225.4466 

Senior Day Centers, Adult Day Centers & 

Respite Care 

In Home Care (Non-Medical) 

In Home Medical Care 

Mental Health, Family & Caregiver Support, Advice 

Disability & Rehabilitation 

Medical Equipment, Supplies & Monitoring Systems 

Finances & Estate Planning, Trusts/Wills, 

Reverse Mortgage 

Funeral Arrangement & Pre-Planning 

Legal Services 

Home Repair & Maintenance 

Skilled Nursing Facilities, Personal Care Homes, 

Long-Term Care 

Senior Independent Living & Retirement Housing 

(Non-Medical) 

Real Estate / Rent- Subsidized Housing For Independent 


Moving, Estate Sales, Downsizing Services 

Fitness, Healthy Eating & Healthy Living 

Healthcare, Medicare Help and Insurance 

Vision Care


1 9 

HEALTH CARE SYSTEMS 

& HOSPITALS 

Lexington Clinic 

1221 S. Broadway 


859-258-4000 

IN HOME CARE 

(NON-MEDICAL) 

Accessible Home 

Health Care 

366 Waller Ave. Ste. 112 


859-313-5167 

www.accessiblebluegrass.com 

Assisting Hands 

1795 Alysheba Way, Ste. 7105 


859-264-0646 

www.assistinghands.com/lexington 

Senior Helpers of the 

Bluegrass 

3070 Harrodsburg Rd. Ste. 240 


859-296-2525 

www.seniorhelpers.com 

IN HOME 

MEDICAL CARE 

Medi-Calls 

1055 Wellington Way #215 


859-422-4369 

Saint Joseph Home Health 

2464 Fortune Dr. Ste. 110 


859-277-5111 

www.saintjosephanchomecare.com 

DISABILITY & 

REHABILITATION 

YMCA of Central Kentucky 

239 E. High St. 


859-254-9622 

ymcaofcentralky.org 

Drayer Physical Therapy 

Institute: Winchester Center 

160 Pedro Way 

859-745-2152 

www.drayerpt.com 


Institute: Richmond Center 

1054 Center Drive, Ste. 1 

859-625-0600 



Institute: Lexington Perimeter 

Center 

600 Perimeter Drive, Ste. 175 

859-268-1201 



Institute: Lexington Beaumont 

Center 

1010 Monarch Street, Ste. 150 

859-219-0211 


MEDICAL EQUIPMENT, 

SUPPLIES & 

MONITORING SYSTEMS 

Central Baptist Lifeline 

859-260-6217 

www.centralbap.com 

FINANCES & ESTATE 

PLANNING, TRUSTS/ 

WILLS, REVERSE 

MORTGAGE 

Attorney Walter C. Cox, Jr 

& Assoc. LLC 

2333 Alexandria Dr. 

859-514-6033 

www.waltercoxlaw.com 

info@waltercoxlaw.com 

LEGAL SERVICES 

Bluegrass Elder Law 

120 North Mill Street, Ste 300 

859-281-0048 

www.bgelderlaw.com 

HOME REPAIR & 

MAINTENANCE 

Mountain Waterfalls 

Award-Winning Water Features 

859-684-0642 

www.mountainwaterfalls.net 

SENIOR INDEPENDENT 

LIVING & RETIREMENT 

HOUSING (NON-MEDICAL) 

Mayfair Village 

3310 Tates Creek Rd. 


859-266-2129 

www.mayfairseniors.com 

Windsor Gardens of 

Georgetown Assisted Living 

100 Windsor Path 

Georgetown, KY 40324 

502-570-0540 

marsha@goodworksunlimited.com 


200 Rose Mary Dr. 

Winchester, KY 40391 

859-745-4904 

www.brooksplace.org 

The Lafayette 

690 Mason Headley Rd. 

859-278-9080 

www.lafayettelexington.com 

Ashland Terrace 

475 S. Ashland Ave. 


859-266-2581 

www.ashlandterrace.org 

Hometown Manor Assisted 

Living Community 

Georgetown, Lawrenceburg, 

Shelbyville 

859-229-5914 

www.hometownmanor.com 

St Andrews Retirement 

Community 

300 Stocker Dr. 

859-625-1400 

www.standrewsplace.org 

Hometown Manor Assisted 

Living Communities 

2141 Executive Drive, Lexington 

(859) 317-8439 

www.hometownmanor.com 

MORE 

LISTINGS ON 

NEXT PAGE 

Bluegrass 

www.bgelderlaw.com 

ElderlawPLLC 

Take control of your future 

Carolyn L. Kenton 

Amy E. Dougherty 

120 N. Mill St., Ste. 300 


Phone: 859.281.0048 

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Guardianship 

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2 0 SEPT/OCT 2 0 1 4 

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SERVICE DIRECTORY, CONTINUED 

REAL ESTATE / 

RENT-SUBSIDIZED 

HOUSING FOR 

INDEPENDENT LIVING 

Turf Town Properties, Inc. 

124 Kentucky Ave. 


859-268-4663 

www.turftown.com 

Briarwood Apartments 

1349 Centre Parkway 


859-272-3421 

glickco.com 

MOVING, ESTATE SALES, 

DOWNSIZING SERVICES 

Caring Transitions 

1411 Delaware Ave. 

859-543-9848 

www.CTLex.net 

Lexington Life Services 

859-797-8157 

lexingtonlifeservices.com 

FITNESS, HEALTHY 

EATING & HEALTHY 

LIVING 

Yoga Health & Therapy 

Center 

322 West Second Street 


859-254-9529 

www.yogahealthcenter.org 

Well Fed Meals 

1301 Winchester Rd. #17 


859-539-5863 

www.wellfedmeals.com 

HEALTHCARE, 

MEDICARE HELP & 

INSURANCE 

Bluegrass Insurance 

Solutions 

859-312-9646 

www.PeteAlberti.com 

VISION CARE 

Medical Vision 

3288 Eagle View Ln. Ste. 300 

Lexington, KY 

859-278-9486 

www.medicalvision.com 

TRANSPORTATION, 

PERSONAL SHOPPING, 

ERRANDS 

Superior Van & Mobility 

4734 Rockford Plaza 

Louisville, KY 40216 

1-800-458-8267 

www.superiorvan.com 

Carolyn L. Kenton 

Amy E. Dougherty 

BLUEGRASS ELDERLAW 

120 North Mill Street, Suite 300 


859.281.0048 

www.bgelderlaw.com

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by Donald Hoffman 

Downsizing is daunting and inevitable, 

especially if you have had 

a life-altering experience. It may 

have taken one of many forms: 

Loss of Convenient spouse or serious Location illness 

are among the most traumatic 

reasons for downsizing. However, 

there are several other reasons to 

downsize, such as: 

1. Your neighborhood has 

changed and you no longer 

feel safe in your home. 

2. You no longer are able to keep 

up Patient your home Satisfaction as you once 

did. 

3. You want a different retirement 

lifestyle. 

4. You want to move closer to 

Kimberly your children F. Wilkins DMD, PLLC 

and grandchildren. 

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Many older people are able to 


“age in place.” Lexington, Staying KY 40509 in one’s 

home can be a valid and important 

decision. If you do decide 

to downsize, Visit us only the after web you at have 

chosen www.wilkinsdental.com 

a lifestyle you would enjoy, 

Mon - Thurs, 8:00-5:30, Fri 9:30-2:00, Sat. by 

a neighborhood you want to live in 

and the type of housing you desire 

(single story, senior apartment, 

independent living, continuing 

care retirement community or assisted 

living or senior community) 

should you proceed. 

There are several ways to downsize. 

Three simple ways are: 

• Donate your items to a worthy 

charity. 

• Send your items to auction. 

• Give items over time to family 

and friends. 

All these techniques have both 

pros and cons. For example, giving 

items away or donating to a worthy 

charity makes you feel good. You 

are helping family, friends and 

others within the community, a 

definite plus. But if you donate or 

give your belongings away, you 

will not receive cash for them. 

Your furniture and household 

items have value and that investment 

can be turned into cash. 

Selling your items at auction is 

a quick way to rid yourself of extra 

personal property. While it is fast 

(a pro), there are no guarantees 

the items will sell for what you 

expect them to (a con). There are 

never any guarantees when you 

sell at auction. Items bring what 

they will bring on any given day. 

Auction contracts, terms, conditions 

or commissions vary, as will 

the cost of moving items to the 

showroom. If you do choose this 

route, make sure the auctioneer is 

properly licensed. Attend an auction 

before you hire an auctioneer 

or sign a contract. 

Many people decide to hold 

their own estate or garage sale or 

hire a company to do it for them. 

Both of these techniques are fine 

to pursue, but do so with reservations. 

Carefully check out the 

company you are hiring. Will they 

sell your items on the Internet, 

at the house or on consignment? 

Check out their references, their 

reputation and their knowledge of 

the items to be sold. Be sure you 

show the consignment shop owner 

your items first and check both 

terms and commission. 

If you decide to hold your own 

garage sale, follow these guidelines: 

• Never do a sale alone. Ask 

friends to help watch customers 

and to serve as cashiers. Be 

sure they circulate and are visible 

to discourage shoplifting. 

• Hold the sale outside or in a 

garage. Never let anyone in 

your house and keep the doors 

DOWNSIZE Continued on Page 31

2 2 SEPT/OCT 2 0 1 4 

Headaches Can 

Change As You Age 

New research being 

conducted on common 

health complaint 

by Jamie Lober, Staff Writer 

Headaches tend to be one of the 

most common health complaints 

to hit doctors’ offices. You may 

wonder if headaches get worse as 

you age and when you should be 

concerned about their intensity 

and frequency. Many people are 

surprised to learn headaches affect 

the entire lifespan. 

“Typically, we see headaches are 

a problem that starts in the young 

teenage years,” said Dr. Siddharth 

Kapoor, director of the headache 

program at University of Kentucky 

HealthCare. 

If you are struggling with headaches, 

you are not alone. “Twelve 

percent of the world’s population 

suffers from migraine-type headache, 

the most common type of 

headache disorder,” said Kapoor. 

Some people are at greater risk 

than others. “Usually for the most 

common types of headaches, 

there is a genetic predisposition or 

susceptibility,” Kapoor said. “There 

are occasionally triggers, but nothing 

can prevent them entirely for 

someone who is susceptible.” 

Everyone’s prognosis is different. 

“Some people get tremendous 

benefit as they age and the headaches 

tend to go away, especially 

for women who had a hormonal 

influence on their headaches,” said 

Kapoor. “But for many others, the 

headaches tend to persist and occasionally 

can change their form.” 

It is important to communicate 

with your doctor about how you 

are feeling. “Patients who have a 

significant change in their headache 

type need to talk to their doctor 

about it because it may require 

attention,” said Kapoor. 

The key is to first understand 

the type of headache you have. 

“I recommend the patient bring 

to the doctor’s office a detailed 

description and good notes about 

the headaches,” Kapoor said. This 

includes: 

• the headache’s location; 

• what brings it on; 

• what makes it better or worse; 

• how it is affected by sleep or alcohol 

or caffeine consumption; 

• what medications help it or 

make it worse; 

• what medications or incidents 

in their life may have led to the 

start of the headache; and 

• if there is anyone else in the 

family who has headaches. 

The more information you 

Are You Injured? 

Are You Disabled? 

provide, the easier it is for the 

doctor to arrive at a good diagnosis 

and effective treatment. “We have 

a good history of the patient, their 

patterns and then an evaluation 

and sometimes detailed testing 

like MRI of the brain or imaging, 

although that is not necessary for 

everybody,” said Kapoor. 

New research into headaches is 

constantly underway, Kapoor said, 

and treatments are getting creative. 

“There is increased emphasis on 

electrical or magnetic therapy or 

medical devices to help, especially 

for those with a lot of co-morbidities 

or other conditions like heart 

conditions who sometimes cannot 

take the medications that are commonly 

prescribed,” said Kapoor. 

“Sometimes we use nerve-block 

injections. Botox, which is used 

for cosmetic reasons or stroke 

victims, can be effective for a small 

group that has frequent migraine 

headaches. It is an FDA-approved 

therapy.” 

It is possible to gain control over 

HEADACHE Continued on Page 31 

WE CAN HELP 

Auto Accident Injuries 

Motorcycle Accidents 

Nursing Home Neglect 

Social Security Disability 

Work Injuries / Comp. 

Tractor Trailer Accidents 

Wrongful Death Cases 

Personal Injury Cases 

Long-Term Disability 

Immigration

Late-Life Success: 

Grandma Moses 

Folk artist is consummate example 

of starting a new career at 

advanced age 

by Angela S. Hoover, 

Staff Writer 

Renowned 

American folk artist 

Grandma Moses is 

one of the most noted and oft-cited 

examples of someone embarking on 

new career at an advanced age. Yet, 

unlike other late-life success stories, 

Anna Mary Robertson Moses didn’t 

plan to start a new career. 

Born Sept. 7, 1860 in Greenwich, 

N.Y., Moses grew up in a rural farm 

community with sporadic education. 

As a child, she drew pictures 

and colored them with berry and 

grape juices. At age 12, she left her 


parent’s farm to work as a hired girl 

until she married Thomas Moses 

in 1887. The two farmed in the 

Shenandoah Valley near Staunton, 

Va., until 1905, when they moved to 

a farm at Eagle Bridge, N.Y., not far 

from her birthplace. Thomas died in 

1927 and Moses continued farming 

until 1936. 

Moses tried doing worsted 

embroidery but arthritis made it too 

difficult, so she switched to painting 

at age 76. Initially, she copied illustrated 

postcards and Currier and 

Ives prints. Later she began recreating 

scenes from her childhood. She 

gave her early paintings away or sold 

them for $2 to $5. 

In 1939, Louis Caldor, an 

engineer and art collector, was 

impressed by several of her paintings 

he saw hanging in a drugstore 

window in Hoosick Falls, N.Y. He 

bought them, then went to her farm 

and bought her remaining paintings. 

In October of that year, three of the 

paintings were exhibited at the Museum 

of Modern Art in New York 

in a show titled “Contemporary, 

Unknown Painters.” 

Moses’ paintings immediately 

garnered favorable criticism. Art 

historians labeled her painting style 

American Primitive, described as 

naïve yet acclaimed for its purity of 

color, attention to detail and vigor. 

Throughout her life, Moses produced 

more than 1,600 paintings. In 

November 2006, her 1943 painting 

“Sugaring Off ” sold for $1.2 million. 

In October 1940, Moses had a 

one-woman show of 35 paintings 

under the name Mrs. Moses at Galerie 

St. Etienne in New York. The 

press dubbed her Grandma Moses 

and the nickname stuck. Grandma 

Moses exhibitions were so popular 

they broke attendance records all 

over the world. From 1946, her 

2 3 

paintings were reproduced in prints 

and on Christmas cards, as well as 

curtains, dresses, cookie jars and 

dinner ware. They were used to sell 

cigarettes, cameras, lipstick and 

instant coffee. 

Moses’ paintings were shown 

throughout the United States and 

Europe in about 150 solo shows and 

100 group exhibits. In 1949, President 

Harry Truman presented her 

with the Women’s National Press 

Club Trophy Award for outstanding 

accomplishment in art. In 1950 

the National Press Club cited her 

as one of the five most newsworthy 

women, and the National Association 

of House Dress Manufacturers 

named her their 1951 Woman of 

the Year. Moore College of Art in 

Philadelphia awarded her its first 

honorary doctorate degree. Mademoiselle 

magazine named Grandma 

Moses “Young Woman of the Year” 

when she was 88. 

A little more than a year and a half 

after being featured on the cover of 

Life magazine, Robertson died at 

the age of 101. A U.S. commemorative 

stamp was issued in her honor 

in 1969. 

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2 4 SEPT/OCT 2 0 1 4 

Local Agency Helps Refugees Pursue the ‘American Dream’ 

Kentucky Refugee Ministries provides comprehensive resettlement services 

by Tanya J. Tyler, 

Editor 

Started in Louisville 

21 years ago, 

Kentucky Refugee 

Ministries (KRM) 

is a resettlement agency dedicated 

to helping refugees become selfsufficient, 

contributing members of 

the community. 

What is a refugee? 

“By definition, refugees have 

to be out of their home country; 

they’ve been forced to flee for fear 

of their lives. They cross a border 

and then they apply to get into the 

refugee resettlement program,” said 

KRM resource coordinator Dabney 

Parker, who works in the Lexington 

affiliate office that opened in 1998. 

The refugees may be fleeing from 

religious, ethnic or political persecution. 

Most stay in the resettlement 

process for years and years and 

years, Parker said. Some Congolese 

have been in camps in Africa for up 

to 15 years. Some Bhutanese have 

been in camps in Nepal for 22 years. 

The holdup is mostly due to red 

tape. 

“When they cross the border and 

find a refugee camp, there are folks 

on the ground in those places that 

are interviewing, but they have to 

first of all prove that they qualify as 

a refugee,” Parker said. “They have 

to prove identification, and they 

don’t have documents a lot of times. 

If you’re fleeing, you don’t stop and 

pack a suitcase. So with the lack of 

documentation, just identifying 

them takes a very long time.” 

After going through the screening 

process, the refugees come to the 

United States, some of them right to 

the heart of the Bluegrass. 

“Kentucky is very different,” Parker 

said. “All of our folks are coming 

from very warm climates. One 

family came from the Congo. They 

landed in February at midnight and 

there were three inches of snow on 

the ground.” 

Once the refugees arrive in Kentucky, 

KRM’s goal is to help them 

settle into their new life. The agency 

provides new arrivals with furnished 

apartments. 

“After being in Africa or another 

location for 10 to 15 years in a tent 

or hut, a hardscape apartment – 

furnished! – is overwhelming, seen 

straight from an airport arrival 

after 48 hours of traveling halfway 

around the world,” Parker said. 

Volunteers help set up the apartments, 

greet the new arrivals at the 

airport and take them to various 

social service and medical appointments. 

“They come alongside and help 

them adjust to this new culture, this 

new land they’re in,” Parker said. 

Clients begin to take English as 

a Second Language classes and an 

eight-week course called World 

of Work that helps with résumé 

writing, online applications and 

interviewing skills. Within a year, 

generally, the former refugees are 

working and pursuing their own 

version of the “American dream.” 

“There will be some that have a 

more difficult time adjusting just 

as there would be with any population,” 

said Parker. “We stay with 

them. If we don’t see them, that 

means things are fine and they’re off 

and running and doing what they’re 

supposed to do: building a new life.” 

One year KRM helped resettled 

282 people, and it is on target to do 

the same this year. Parker said the 

work is personally very rewarding. 

“I think refugees are the most 

courageous, resilient population of 

people I know,” she said. “They have 

left everything that’s familiar and 

they’re coming to a whole new place 

and having to start all over. I have 

the greatest admiration for them. 

“What we do here is really what 

America is all about,” she added. 

“We are a nation of immigrants and 

these are our newest new American 

families.” 

To learn more about KRM, visit 

its Web site at www. kyrm.org or call 

(859) 226-5661. 

Pictured: WOW Graduation: 

Refugees who have attended the 

eight-week prep class World of 

Work show off their certificates. 

World of Work helps them with 

résumé writing and interviewing 

skills. Photo credit: Kentucky 

Refugee Ministries 

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Since 1934 Yellow/Wildcat Cab has been growing with the community 

As always we are looking forward to serving you

y Dr. Tom Miller, 

Staff Writer 

If you still long 

to feel the “thrill 

of victory” in an 

Olympic challenge, the 2014 

Kentucky Senior Games could be 

your chance. 

From Sept. 2-7 in Frankfort, 

seniors will compete in 23 different 

events, including basketball, 

golf, tennis (singles and doubles), 

cross country, cycling and swimming. 

Sports you won’t find at the 

official Olympics but are staples 

at these Games include corn hole 

and pickle ball. The Games are 

open to Kentuckians age 50 years 

and older. 

The goal of the Kentucky Senior 


Kentucky Senior 

Games Promote 

Health and Fitness 

for Persons 50+ 

Games is to maintain or improve 

the physical, mental and emotional 

health of all senior Kentuckians. 

Its purpose is to implement a 

year-round program of fitness and 

health promotion for Kentuckians 

who are Living Well 50 Plus. 

“There was a gentleman last year 

who was in his 90s,” said Al Gordon, 

chair of the Kentucky Senior 

Games board. “He’s participated 

in the Games for over 30 years. 

He’s an exciting young man.” 

Gordon has competed in the 

Games for the past eight years. 

His wife started competing five 

years ago. She participates in 

cross country, but his sport of 

choice is golf. He enjoys seeing all 

the people who come out to the 

Games. 

Take on an Olympic 

challenge in a variety 

of events 

“It’s been an inspiration for me 

to see the seniors involved,” he 

said. 

Seniors from all over Kentucky 

participate, as well as people from 

bordering states who want to 

qualify for the National Senior 

Games, to be held in Minneapolis 

this year. “Last year we had over 

300 participants and this year 

we could get over 500 people,” 

Gordon said. 

The athletes may be amateurs, 

but they are dedicated to and 

focused on their chosen events. 

“One of the biggest sports is 

track and field,” Gordon said. 

“Most participants are still walking 

or running and doing those 

events. There’s a huge horseshoe 

group in Frankfort, and last year 

2 5 

that was one of the bigger events.” 

While a main focus is the 

competition, many of the athletes 

come out for the camaraderie. 

“It’s an exciting time for a lot of 

seniors,” Gordon said. “One of 

the things is the friendships that 

they develop from competing 

in the Kentucky Senior Games. 

They come back every year to see 

their friends and to celebrate and 

continue to participate.” 

While many of the sporting 

events in the Kentucky Senior 

Games are familiar, pickle ball is 

something new. 

“It’s growing really fast in Lexington,” 

said Gordon. “It’s huge in 

Florida.” 

According to Gordon, pickle 

ball uses a badminton court, a low 

net, a whiffle ball and a wooden 

paddle. Singles or doubles can 

play. 

The Kentucky Senior Games 

encourages older adults to stay active 

and fit and revive past fitness 

and recreational skills or learn new 

ones. Volunteers with expertise in 

sports officiating or administration 

are needed for the Games. 

“That’s a big part of being able 

to host state games, to have people 

who are willing to work the event,” 

Gordon said. “We invite younger 

people to come and help.” 

For more information about the 

Games or to register, go to www. 

kentuckyseniorgames.com. 

“Get involved for your personal 

health and wellness,” Gordon said. 

“That’s why I do it.” 

Additional reporting by Tanya 

J. Tyler, Living Well 50 Plus 

editor 

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2 6 SEPT/OCT 2 0 1 4 

For a Hearty Fall Supper, Try an 

Old-Fashioned Casserole 

Ever-popular comfort foods help make winter bearable 

As autumn chills become the 

rule, it’s time to batten down the 

hatches and face the fact that 

winter is just around the corner. 

We hunker down to our favorite stews 

and soups, but in the back of our minds are 

those old favorites of our childhoods: the 

ever-popular casseroles. 

Oh, sure, they’re not what we’d ordinarily 

consider “company food,” but that’s just the 

beauty of these treasures. They’re just for us; 

they’re comfort foods and they speak to us 

of the winter days of our youth. 

Make no mistake, though, many 

casseroles are good enough to share with 

company. In fact, we can create a special 

kind of intimacy with friends by sharing our 

own special favorites. In our house, we’ve 

had some of the best times with best friends 

sharing one of these “one-dish wonders” that 

were so popular in the 1950s and early ’60s. 

When you resurrect the recipes, it actually 

makes you wonder why they ever fell out of 

favor. 

So don’t think of a casserole as an 

“everyday” dish or something that’s brewed 

up from leftovers. One-dish preparations are, 

in fact, part of a respected culinary tradition. 

What would France be without its cassoulet? 

Here are a trio of recipes to try. 

BAKED PASTA 

CASSEROLE 

No doubt you’ve gone to an Italian 

restaurant and ordered baked ziti, baked 

mostaccioli or some other rich, hearty Italian 

specialty from the oven. Served piping hot, 

with plenty of cheese, it’s a hearty, stick-to- 

food 

dude 

Frank 

Kourt 

the 

your-ribs dish and also surprisingly easy 

to make. 

• 1/2 cup dry red wine 

• 1 lb. Italian sausage, hot or sweet 

• 1 lb. mostaccioli or other pasta 

cooked al dente (slightly chewy) 

• 1 lb. mozzarella cheese, sliced or 

shredded 

• Grated Parmesan or Romano cheese 

• 1.5 quarts thick spaghetti sauce* 

In a large frying pan, simmer the 

sausage in the wine until done (after the 

wine has boiled away and the sausage 

browns). Cut the sausage into 2-inch 

sections. Cook and drain pasta. Arrange 

some of the pasta on the bottom of an 

ovenproof casserole, add some sausage 

pieces, cover with mozzarella, then sauce. 

Layer on more pasta, meat, cheese and 

sauce until casserole is full. Finish with 

sauce covering the top and sprinkle with 

grated cheese. Bake, covered, for one 

hour in a 325-degree oven. Serve piping 

hot with a good Italian bread and, if 

desired, a salad. 

*Use you own sauce or try the bottled 

variety, which you may want to “jazz 

up” by mixing in some sautéed onions, 

green peppers and mushrooms and some 

additional Italian spices. 

CURRIED CHICKEN 

CASSEROLE 

This is a family favorite with a hint of 

the mysterious East to it, thanks to a dash 

of curry powder. 

• 3 boned, skinless chicken breasts or 6 

boned, skinless chicken thighs 

• 2 sliced carrots 

• 1 onion, chopped 

• 1 tsp. salt 

• 1 bunch fresh broccoli, cut into spears 

• 1 can cream of chicken soup 

• 2/3 cup mayonnaise or salad dressing 

• 1/3 cup evaporated milk 

• 1 cup grated Cheddar 

• 1 tsp. lemon juice 

• 1 tsp. curry powder 

• 1 T melted butter/margarine 

• 3/4 cup bread crumbs 

Place the meat, carrots, onion and 

salt in a pot. Cover with hot water and 

simmer until chicken is tender, 35-45 

minutes. Cool the chicken and cut 

each breast into quarters or cut thighs 

in half. Steam the broccoli until almost 

tender and arrange it lengthwise in a 

casserole, topping with the chicken. Mix 

the soup, mayonnaise, evaporated milk, 

cheese, lemon juice and curry together 

well and use it to top the chicken and 

broccoli. Blend the melted butter and 

bread crumbs and sprinkle on top of 

the casserole. Bake in a pre-heated 

350-degree oven, uncovered, for 30-45 

minutes until heated through. 

TATER TOPPED BEEF 

CASSEROLE 

This one’s so easy to make (it uses 

canned and “instant” ingredients) that 

you’re not going to believe it’s fit for 

company. It is, though. It makes a hearty, 

yet attractively presented all-in-one meal. 

• 2 T butter or margarine 

• 1 large onion, chopped 

• 3 stalks thinly sliced celery 

• 2 cans roast beef and gravy 

• 1 pkg. frozen peas, thawed 

• 1 tsp. Worcestershire 

• 2 cups hot mashed potatoes (instant 

is okay) 

• 1 T dried parsley 

Sauté the onion and celery in the 

margarine until onion is transparent. 

Add roast beef with gravy and peas and 

Worcestershire. Mix well and place in 

casserole. Mix the parsley in with the 

mashed potatoes and drop rounded 

tablespoonsful around the edges of the 

casserole to make a border. Bake at 325 

degrees for about 30 minutes, until the 

tops of the potatoes are turning a golden 

brown.

LET’S COMPARE 

A Simple, 

Cost Effective 

Alternative to 

All-On-4* 

All-on-4 

Fixed Detachable Solution to 

Replace Loose Dentures 

Minimally Invasive Procedure 

Short Healing Time 

Lab Components Included 

Immediate Final Restoration 

# of Implants Used 

6-8 Shatkin F.I.R.S.T. 

Mini Dental Implants 

X 

X 

X 

X 

(4-6 Months) 

Final Restoration 

in 4-6 Months) 

4-6 Large Diameter 

Implants 

Total Patient Costs 

$12,500 $35,000–$50,000 

Dr. Ballard Morgan, DMD 

General Dentistry 

859-233-7700 www.ballardmorgandmd.com 

1510 Newtown Pike, Ste 201, Lexington (Griffin Gate Plaza) 

You’ll 

love 

your 

new 

smile.

M A G A Z I N E 

2 8 SEPT/OCT 2 0 1 4 

Senior Care: 

When Living Alone Is No 

Longer an Option 

Consider different programs available 

by Angela S. Hoover, 

Staff Writer 

Life expectancy 

has increased dramatically, 

but so 

have the challenges of living with 

an aged body and mind. For many 

seniors, living alone is no longer 

an option, be it due to a physical 

condition or a neurological one 

such as Alzheimer’s disease. When 

this time comes for a family member 

or even for yourself, there are 

plenty of options. 

The first thing to consider 

doing is contacting the Kentucky 

Department of Aging and 

Presenting Sponsor 

& 

Independent Living (DAIL). Staff 

and/or the Web site can provide 

information about all services or 

programs you and your family 

qualify for. DAIL can also provide 

listings of in-home caregivers, 

home-health caregivers, assisted 

independent living communities, 

senior housing and full-facility 

(nursing) homes. DAIL can also 

connect you with caregiver respite 

and counseling services. Call 

1-800-372-2973 or visit http:// 

chfs.ky.gov/dail/default.htm for 

more information. 

About 70 million families opt 

for family caregiving, where a 

relative takes care of the elderly 

Thursday, October 2, 2014 

Registration: 5:30 pm 

Hot Seat Event: 6:00-9:00 pm 

Ticket Price: $100 (includes dinner) 

Marriott Griffin Gate Ballroom 

1800 Newtown Pike Lexington, KY 40511 

Join us for our 3rd annual Hot Seat for HOPE 

event! It is an honor to have Coach Joe B. 

Hall in the “Hot Seat” this year! Proceeds 

will benefit Kentucky CancerLink. The 

mission of Kentucky CancerLinkis to provide 

support to Kentuckians by removing and/ 

or reducing barriers to screening, diagnosis 

and treatment of cancer. Visit our website: 

www.kycancerlink.org for more information 

and ticket purchase. 

Hear former UK players, colleagues and 

friends share their best stories and insights 

about Coach Hall while supporting a great 

cause! Roasters/Toasters will include Coach 

Denny Crum, Terry McBrayer, Ben Chandler 

and other special guests! We are pleased to 

have Jack “Goose” Givens as emcee for the 

event! 

person in one of their homes. Oftentimes 

the caregiver is unable to 

work full or part time at an outside 

job due to the time and energy demands 

of caregiving. There is relief 

for those families who are not able 

to shoulder this economic burden. 

Medicaid offers Cash and Counseling 

grants in Kentucky that pay 

a small stipend to the caregiver. 

Visit www.cashandcounseling.org 

or www.cms.hhs.gov/home/medicaid.asp 

for more information. 

In-home care and home-health 

care allow someone to remain in 

his or her own residence while 

receiving varying degrees of assistance. 

Home-health care requires 

a physician to deem it medically 

necessary; in-home care does 

not. Medicaid may cover some or 

all in-home care costs. Medicaid 

waivers may be received through 

DAIL. 

Numerous national franchises, 

private companies, volunteer and 

free programs and individuals offer 

in-home and home-health care 

locally. In-home care providers 

offer personal care services such 

as bathing, meal preparation, laundry, 

light housekeeping, errand 

services, grocery shopping and 

companionship. They also provide 

live-in services with 24-hour care, 

respite care, health monitoring 

technology and private-duty nursing 

care. Pricing varies according 

to the level of service needed with 

a median of $18-$19 an hour. 

Home-health care is more expensive 

because it requires a medical 

healthcare professional who can 

dispense medications. 

The assisted living community 

is the bridge between in-home 

care and a full-service facility. 

These campuses or apartment 

complexes offer studios and oneand 

two-bedroom private residences 

with kitchens or kitchenettes 

for independent living with 

the safety net of care staff. The 

care staff tends to housekeeping, 

scheduled transportation, medical 

and memory-loss services. Health 

professionals are available 24/7 to 

all residents. These communities 

offer various amenities and entertainment 

events. Some offer both 

independent assisted living and 

full-facility care options. Longterm 

care insurance, Medicare, 

Medicaid and sometimes Section 

8 are available financing options. 

On average, expect to pay a little 

more than $2,000 a month for 

minimal care at independent assisted 

living communities. 

Paying For Care 

Government Programs 

Medicare, eligible for those age 

65 years and older, can help with 

costs but will not cover everything. 

It will not pay for most 

long-term care; it does not pay for 

custodial or personal care, which 

accounts for most of the cost of 

long-term care. However, Medicare 

will pay for some nursing 

home, hospice and home-health 

care under certain conditions. 

Medicaid is available for elderly 

or disabled people with low incomes. 

It generally covers most 

types of long-term care, including 

nursing-home care, home-health 

care, personal care and hospice 

care for those who qualify. 

Be sure to check with DAIL 

for other qualifying options and 

resources. 

Insurance 

Check with your or your family 

member’s insurance provider 

about accelerated or living benefits 

(to cash out a policy at about 

50 percent to 75 percent of its face 

value). If the issuing insurance 

company won’t cash in the policy, 

it can be sold to a third-party 

company in return for a life settlement 

or senior settlement for the 

same payout rate. The third-party 

company receives any benefits 

after the insured’s death instead of 

the original beneficiaries. 

The assisted 

living community 

is the bridge 

between in-home 

care and a fullservice 

facility.


50 YEARS AGO: 

Warren Commission report 

delivered to president; King 

awarded Nobel Peace Prize 

by Tanya J. Tyler, 

Editor 

After President 

John F. Kennedy 

was killed on Nov. 

22, 1963, his successor, Lyndon B. 

Johnson, created a commission to 

glean out the facts behind the assassination. 

The seven-man commission 

was named after its reluctant 

chair, Supreme Court Chief 

Justice Earl Warren. In its 888- 

page report, delivered to Johnson 

on Sept. 24, 1964, the commission 

concluded Lee Harvey Oswald 

had acted alone in the shooting, 

but never gave an explanation 

for why he did it. The report did 

not put to rest the questions and 

speculations about the assassination 

that continue to this day. 

Some say Warren suppressed key 

evidence, such as not allowing the 

other members of the commission 

to view the autopsy photos or to 

interview other possible witnesses 

to the slaying. Some members of 

the commission had doubts about 

the report, especially the so-called 

“single bullet” theory. Approximately 

1,100 records that have 

been kept from the public will be 

available in 2017. 

On Oct. 15, 1964, Rev. Dr. 

Martin Luther King Jr. received 

the Nobel Peace Prize for his work 

in the struggle for civil rights. 

Gunnar Jahn, chair of the Nobel 

Committee, said in his presentation 

speech: “[King] is the first 

person in the Western world to 

have shown us that a struggle can 

be waged without violence. He 

is the first to make the message 

of brotherly love a reality in the 

course of his struggle, and he has 

brought this message to all men, 

to all nations and races.” He called 

King “an undaunted champion 

of peace.” At age 35, King was 

the youngest man to receive the 

Nobel Peace Prize. 

King said he would give the 

prize money of $54,123 to the 

civil rights movement to ensure it 

would continue. His Nobel lecture 

was on “The Quest for Peace and 

Justice.” In his acceptance speech 

made on Dec. 10 of that same 

year, he said, “I accept this award 

on behalf of a civil rights movement 

which is moving with determination 

and a majestic scorn for 

risk and danger to establish a reign 

of freedom and a rule of justice.” 

He said he was mindful of the 

2 9 

struggles going on at the time 

in Philadelphia, Miss. and in 

Birmingham, Ala. “I must ask 

why this prize is awarded to a 

movement which is beleaguered 

and committed to unrelenting 

struggle, to a movement which has 

not won the very peace and brotherhood 

which is the essence of the 

Nobel Prize,” he said. “After contemplation, 

I conclude that this 

award which I receive on behalf 

of that movement is a profound 

recognition that nonviolence is 

the answer to the crucial political 

and moral question of our time 

– the need for man to overcome 

oppression and violence without 

resorting to violence and oppression. 

I accept this award today 

with an abiding faith in America 

and an audacious faith in the future 

of mankind. I still believe that 

we shall overcome.” 

On April 4, 1968, King was assassinated 

in Memphis, Tenn. 

ENCORE! ENCORE! 

Wesley Village is Kentucky’s First CCRC (Continuing Care 

Retirement Community), offering all levels of independent 

living, licensed health care and memory care in a wide variety 

of attractive home and apartment settings. 

The Encore Centre will feature: 

• Independent Living Apartments 

• Garden Terrace Suites 

• Indoor Warm Salt Water Exercise Pool 

• Café 

• Movie Theatre 

• Beauty Salon and Spa 

1125 Lexington Road, Wilmore, KY 40390 

www.wvillage.org facebook.com/wvinfo 

Susan Blankenship, Marketing Dir. 859-858-3865 ext. 227

3 0 SEPT/OCT 2 0 1 4 

A Prosthetics Primer 

Modern technology 

improves outlook for people 

living with limb loss 

by Abby Malik, Staff Writer 

According to statistics, nearly 

2 million people in the United 

States live with limb loss. Using 

modern technology, prosthetics 

have provided many of these 

individuals with new outlooks 

on the future after a life-changing 

accident or illness. More than 500 

people in America lose a limb 

each day, according to the national 

organization Amputee Coalition 

(www.amputee-coalition.org). 

This organization works to ensure 

amputees don’t go through their 

journeys alone. 

During Limb Loss Awareness 

Month this past spring, Shayne 

Adkins, clinical director and vice 

president of Hi-Tech Artificial 

Limbs in Lexington, discussed on 

WKYT the fact that 60 percent of 

limb loss is preventable. 

“With limb loss awareness, you 

want to take into account what’s 

the main source or cause of most 

amputations, and that’s diabetes,” 

Adkins said. “It’s important to 

realize that there are ways you can 

take care of yourself. It becomes 

that much more important to take 

care of your feet as a diabetic. We 

want to make people aware there 

are things you should be doing on 

a daily basis.” 

There’s no place like 

Home! 

Personal Care 

Respite Care 

Light Housekeeping 

Errands / Transportation 

Medication Reminders 

Meal Preparation 

Companionship 

Companies such as Hi-Tech 

Artificial Limbs provide comprehensive 

prosthetic technology for 

an array of individuals who need 

a device for a lower limb, upper 

limb or specialized area. While a 

doctor’s prescription is required 

before a prosthetic device can be 

created, Hi-Tech can provide an 

initial consultation without one. 

One question Hi-Tech frequently 

receives is, “Will I be able 

to do all the things I did before 

I lost my limb?” According to 

the company’s Website (www. 

hi-techartlimbs.com), the majority 

of people who lose a limb can 

get back to normal within several 

months. How well an individual 

functions depends primarily 

on his or her personal goals, a 

comfortable prosthetic fitting, 

good follow-up care and a positive 

attitude from everyone involved in 

the person’s recovery. 

Learning to use a new prosthesis 

isn’t a simple task. The process 

takes patience, strength, time and 

perseverance. Patients should 

work with a therapist to get the 

most out of using a new device. A 

therapist can help an individual 

learn to do many things, including 

taking care of the prosthetic limb, 

properly taking it on and off, moving 

on different types of surfaces 

including stairs, being prepared 

for emergencies, performing normal 

work, home and car activities 

and getting back into recreational 

activities. 

More than 

500 people 

in America 

lose a limb 

each day. 

According to the 

Amputee Coalition, 

250 adults lose a leg 

each day because of 

diabetes. Seven out of 

10 of those amputations 

could have been 

prevented. 

Since diabetes lowers 

blood flow and sensation 

to a person’s feet, 

the coalition offers 

a guide called “Take 

a Seat, Check Your 

Feet” for diabetics to 

follow in order to maximize 

foot health. Here 

are some tips from the 

guide: 

• After a shower or 

bath is the best time 

to do a foot examination. 

Use both hands 

to check for sores, 

scratches or lumps 

on the bottom of the 

foot because even the 

smallest cracks can 

get infected. 

• Check for temperature 

changes from one 

part of the foot to 

another. A temperature 

change might indicate 

low circulation or 

infection. 

• Look out for sores, 

bruises and thin, shiny 

or hairless skin on top 

of the foot. 

• Look between toes 

for redness, blisters or 

sores. 

• Check for ingrown 

toenails with puffy and 

red skin along the nail 

and tenderness or 

pain. 

ALLIANCE 

Medical Home Care 

3716 Willow Ridge Rd. Lexington KY 

859-296-9525

How to Choose a 

Mortgage 

Reaching out to right 

lender is important 

by Jamie Lober, Staff Writer 

Choosing a mortgage is no 

simple task. 

“Having a mortgage is an 

emotional process,” said Lashonda 

Moore, mortgage loan officer at 

PNC East Main Street in Lexington. 

“Reaching out to the right 

lender is the key.” 

Some people find the process 

easier than others. “It depends on 

what the customer’s needs are, 

how complex the property [they 

want to buy] is and what type of 

loan you are doing,” said Moore. 


Prequalification is the best way 

to start. “Getting a pre-qualification 

is always the first step into 

purchasing a home,” Moore said. 

“It lets you know exactly how 

much money you qualified for.” 

There are several different types 

of loans. “You have rural housing 

loans, conventional mortgages, 

FHA mortgages, VA loans,” 

Moore said. “They are personalized 

for the customer’s needs.” 

The duration of the mortgageprocuring 

process varies with 

every scenario and every person. 

“The majority of the time it takes 

30 days to close a mortgage,” 

Moore said. “If you are looking at 

government loans and rural housing 

loans, it can be up to 60 days 

to close. The VA loans can possibly 

be around 45 days to close.” 

If you have the correct information 

at hand when you begin, you 

can make things go smoothly. 

“You want to make sure you are 

prepared as far as the documentation 

you might need,” said Moore. 

“You always want have your last 

two years of tax returns, your last 

two years of W2s, 30 days’ worth 

of pay stubs and two months of 

bank statements.” Most people 

want to know up front how much 

house they can afford to buy. 

With this documentation, a credit 

report and an examination of 

liabilities and debt, a qualified 

mortgage banker can determine 

that information. 

Everyone is their own best 

judge of when they are ready to 

purchase a home. “As a mortgage 

lender, you never want to put 

3 1 

someone in the position where 

they cannot afford to make a 

house payment, so you have to 

sit down and have a conversation 

with them,” said Moore. “Knowing 

how to save and what to do to 

be qualified for a house is important, 

and sitting down with a 

mortgage banker will help you get 

on the right track. Find someone 

that you work well with.” 

A competent mortgage lender 

will usually talk about expenses, 

including the amount of the down 

payment you will need. “A down 

payment of 5 percent conventional 

usually is the route that most 

people will go,” said Moore. The 

best strategy is to start saving as 

soon as possible. 

The benefits of homeownership 

are enormous. There are no disadvantages. 

“You are building equity 

in a home, and having a house is 

the American dream,” said Moore. 

CMS continued from Page 17 

drugs are nearly always covered under the Medicare hospice benefit. 

On behalf of the hospice providers across Kentucky and the patients they 

serve, KAHPC would like to sincerely thank the Kentucky Members of 

Congress who co-signed the letters to Administrator Tavenner. Because of 

your support, hospice patients can now rest a little easier. 

DOWNSIZE continued from P. 21 

locked during the sale. If it is an estate sale and items you wish to 

keep have been removed, then holding the sale in house would be an 

exception. 

• Price every item. If you do not know prices, ask a professional. 

• Keep your cell phone handy in case of trouble. 

• Check with the city or your homeowners’ association to see if a 

license is needed and for signage regulations. 

• If you are undecided about selling a particular item, don’t. Once an 

item is gone, it can never be recovered. So go slow – no quick decisions 

here. Decide well before the sale what you will need to keep or 

want to sell. Put a tag on keepers. It is easy to forget which items you 

decided to keep, give away or sell. 

HEADACHE continued from P. 22 

your headaches. “The main focus is to reduce the intensity, the strength or 

the duration of the headache such that it does not affect the patient,” said 

Kapoor. “If you do not respond to medications or the headaches come on 

suddenly and are associated with changes in vision or you are not feeling 

well, you should get a prompt evaluation.” 

The best thing you can do is take good care of yourself. “Consider a 

good, healthy lifestyle [and] dietary factors,” said Kapoor. “Exercise generally 

does tend to help people.” 

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Today I discovered I am a . 

At The Willows at Citation, it’s never too late to try 

something new! 

At The Willows, we offer a variety of onsite resident activity programs tailored to our 

residents’ interests and abilities, ranging from cooking classes to painting workshops 

and more. Our residents’ beautifully designed private suites are only steps away from 

our array of five-star amenities. Our programs and services are designed with one 

thing in mind: exceeding the expectations of our guests and their families. 

Call or stop by today to schedule a personal tour! 

Personal Care • Short-Term Rehab 

Long-Term Care • Skilled Nursing 

Respite Care 

A Trilogy Health 

Services Community 

859-277-0320 

1376 Silver Springs Drive 


willowsatcitation.com 

Meet Jane. Her favorite pastime is gardening. 

Her legacy continues at The Willows. 

Tending to flowers; singing hymns; enjoying a cup of coffee with friends... 

These simple, enjoyable pastimes are sometimes lost when an individual enters an Alzheimer’s/ 

dementia journey. However, in our specialized memory care neighborhood, The Legacy at The 

Willows, you will find our residents engaging in these activities and more. 

Our homelike setting is designed to reduce anxiety, allowing our residents to feel at 

peace. As part of our family support efforts, we offer programs such as Family Forum 

and Caregiver’s Day Off. 

Contact us today for more information. 

Assisted Living • Personal Care 

Short-Term Rehab • Long-Term Care 

Skilled Nursing • Memory Care 

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A Trilogy Health 

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willowsathamburg.com

Living Well 60+ September-October 2014

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