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A RESOURCE GUIDE FOR YOUR GENERATION

JAN / FEB 2017

VOL. 12 ISSUE 6

ENTERTAINMENT • HEALTH • BARGAINS • LIFESTYLE

A New

Year

MAKING GREAT

CHOICES IN 2017

Looking forward to a bright,

exciting, challenging future full

of possibility and surprise!

ALSO INSIDE

Keukenhof

Gardens

Avoiding an

Audit

Writing for

Senior Adults


2 JANUARY/FEBRUARY 2 0 1 7

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4 JANUARY/FEBRUARY 2 0 1 7

Contents Jan/Feb 2017

5

7

The Floral Beauty of Keukenhof Gardens

ELDER LAW: What you don’t know about gifting,

the $14,000 annual gift exclusion, and Medicaid.

STAFF WRITERS

Donald Hoffman Charles Sebastian

Angela S. Hoover Martha Evans Sparks

Dr. Tom Miller

Tanya J. Tyler

9

Annual GAP Conference Continues to Grow

Lisa M. Petsche

TaNiqua Ward

10

11

12

13

14

16

18

21

24

25

26

27

28

29

30

31

Avoiding an Audit: Be prepared, keep good records

Chronic Fatigue Syndrome

Courageous Conversations: Time to Have a Talk

Compassionate Friends Helps When Parents Lose a Child

Finding the Right Living Option for Your Elderly Loved Ones

EVENTS CALENDAR: January – February 2017

SENIOR SERVICES DIRECTORY

FINANCIAL: The Federal Arbitration Act

8 Reflections for a New Year of Caregiving

2016 Scorecard on Local Health System Performance

How to Help with a Partner with a Mental Illness

AGE ALLOWS: Writing for Senior Adults

HOBBIES: Inventors Network KY

FAMILY VISION: Autism and Eyesight

GARDENING: Winter Garden Tips

Near-Death Experiences Bring People Into New Way of Being

FROM THE

EDITOR

Tanya J. Tyler, Editor | Share your story:

tanyaj@twc.com

ROCK POINT PUBLISHING

Brian Lord / Publisher

Kim Blackburn / Sales Representative

Jennifer Lord / Customer Relations Specialist

Barry Lord / Sales Representative

Anastassia Zikkos / Sales Representative

Janet Roy / Graphic Designer

Living Well 60+ is a proud product of

ROCKPOINT

Publishing

Living Well 60+ can be found in 19 central

Kentucky counties and is distributed to over

900 locations, including senior centers,

retirement homes, hospitals, clinics and

specialty shops. You can also pick up your

FREE copy of Living Well 60+ at most

grocery and convenience stores as well as

many restaurants throughout Central KY.

For advertising rates and to find out

how to get YOUR article published:

859-368-0778

e-mail brian@rockpointpublishing.com

© Copyright LIVING WELL 60+ Magazine 2017.

All rights reserved. Any reproduction of the material in

this magazine in whole or in part without written prior

consent is prohibited. Articles and other material in this

magazine are not necessarily the views of Living Well 60+

Magazine. Living Well 60+ Magazine reserves the right to

publish and edit, or not publish any material that is sent.

Living Well 60+ Magazine will not knowingly publish any

advertisement which is illegal or misleading to its readers.

The information in Living Well 60+ Magazine should not

be considered as a substitute for medical examination,

diagnosis or treatment.

Dear Friends,

As a new year begins, we are often tempted to

look back on the just-passed 12 months with a

mingling of regret and happiness. I’ve learned not

to dwell on the past. I can’t change it, so I just accept

it. I make a point to learn from my mistakes and to

urge myself to make better life choices and strive to

be a better person. As Frank Sinatra sang, “Regrets,

I’ve had a few, but then again, too few to mention.”

I’d much rather look forward to a bright, exciting,

challenging future full of possibility and surprise. I

glanced out my window just this moment and saw

the clear bright horizon. It is exciting to think about

what is over that horizon: new friends to meet,

new ideas to explore, new places to visit. When

you’re Living Well 60 Plus (and I hope you are),

the far horizon isn’t frightening, it’s exhilarating. I

hope 2017 is the year you set out with purpose and

pizzazz for that elusive dream on the other side of

your horizon.

Tanya


JANUARY/FEBRUARY 2 0 1 7

5

The Floral Beauty of

Keukenhof Gardens

Floral showcase is a

botanical treasure

tasteful garden with bulb flowers

in lovely shades of pink and

red varieties of tulips devoted to

romance and love.

The “sensory garden” is a new

inspirational garden designed by

the most famous of Dutch gardeners,

Rob Verlinden. In the sensory

garden, feeling, smell and sight are

the points of focus.

Among the most unique of

the gardens is the Delfts Blauw

garden. Midway through the 17th

century, the potters in Delft managed

to copy the Chinese bluewhite

porcelain earthenware. Delft

Blue became extremely popular.

To this day, the blue-white combination

is used widely, and in this

garden there is a wonderful assortment

of blue and white flowers.

As recent visitors to Keukenhof,

my wife and I found the “Historical

Garden” a botanical treasure.

Here the delicate, beautiful

multicolored tulips share the story

of the development of 400 years of

tulip growth and cultivation in the

Netherlands. We learned about

the origin of the tulip and found

Keukenhof is

considered the

royal supplier of

flowers.

a reproduction of the Clusius

garden, planted with tulip varieties

that have been cultivated for four

centuries. It was thanks to Carolus

Clusius that the tulip became such

an icon of the Netherlands. Any

botanist or flower lover should

include the Keukenhof Gardens

on their bucket list.

ABOUT THE AUTHOR:

Thomas W. Miller, Ph.D., ABPP,

is a professor emeritus and senior

research scientist, Center for

Health, Intervention and Prevention,

University of Connecticut;

retired service chief from the VA

Medical Center; and tenured

professor in the Department of

Psychiatry, College of Medicine,

University of Kentucky.

by Dr. Tom Miller,

Staff Writer

Perhaps one of

the most special

gardens on earth is

in Amsterdam in the Netherlands.

Keukenhof Gardens is the international

independent showcase

for the Dutch floricultural sector,

with a special emphasis on flower

bulbs. Keukenhof is considered

the royal supplier of flowers. It has

almost 100 exhibitors who give

their very best range of flowering

bulbs for display in the park.

With these bulbs, the garden

designer creates a special design

for each exhibitor. In the space of

eight weeks, Keukenhof showcases

what the Dutch floricultural

market has to offer. The focus in

the park is on the 7 million springflowering

bulbs, which is a chance

for the participating companies

to display their living catalogue.

In more than 20 flower shows,

500 growers present an enormous

variety of cut flowers and potted

plants.

The history of Keukenhof goes

back to the 15th century. The

name means “kitchen garden.”

Countess Jacqueline of Bavaria,

Jacoba van Beieren (1401-1436)

gathered fruit and vegetables

from the woods and dunes for the

kitchen at Teylingen Castle. Keukenhof

Castle was built in 1641,

and the estate grew to include over

200 hectares. In 1949, a group of

20 flower-bulb exporters came up

with a plan to use the estate for a

permanent exhibition of springflowering

bulbs. That signaled the

birth of Keukenhof Gardens Park.

The park opened its gates to the

public in 1950 and was an instant

success, with 236,000 visitors in

the first year. During the past 66

years, Keukenhof has become a

world-famous attraction. In 2016,

the 67th edition of Keukenhof

took place with “The Golden Age”

as its theme.

The variety of gardens featured

at Keukenhof make it a park to

enjoy. The inspirational gardens

provide a link to present-day floral

trends. Visitors will discover a

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JANUARY/FEBRUARY 2 0 1 7

7

ELDER LAW

What you don’t know

about gifting, the $14,000

annual gift exclusion,

and Medicaid.

by Mary Ellis Patton

Edited by Carolyn L.

Kenton

Are you afraid to

give a gift of more

than $14,000 in any one year because

you will have to pay taxes?

Are you confident that making the

$14,000 annual gift will keep you

Medicaid complaint?

If you ask an adult American

how much they can give away

each year without paying taxes,

most will automatically respond,

“$14,000.” It has become almost

a part of the American DNA. Unfortunately,

most people misunderstand

the rule.

The Gift Tax Rule

The annual gift tax exclusion is

really a reporting rule. Any gift

over $14,000 must be reported

on a federal gift tax return, IRS

form 709. This does not mean that

you pay tax on it. Gifts reported

on Form 709 count towards the

lifetime federal gift tax exclusion

(which in 2016 is $5.45 million

per person). No tax is owed until

the gift-giver exceeds total gifts of

$5.45 million.

Annual gift-givers can give to

as many people as they wish. The

$14,000 figure applies to gifts

made to each individual person –

not the total of the gifts made in a

single year.

Married couples can double

the gift amount without being

required to report. Yes, a married

couple, can for example, give

$28,000 to each of their children

(and their spouses) without having

to report the gift.

With proper planning, a married

couple can gift $10.9 million,

plus as many annual gifts as they

choose, without paying gift tax.

Why the Gift Tax Rule

Doesn’t Matter

With the gift tax exclusion being

at $5.45 million, few estates are

paying federal gift tax. In fact,

99.8% of estates do not owe gift

tax. 1 That means that only the

richest 0.2% of Americans are

actually affected by this rule.

If you want to give a large gift to

a child or another loved one, there

is likely nothing holding you back.

Most Americans will simply not

gift more than $5.45 million in

their lifetime. There is no reason

to fear, give your gift, fill out your

Form 709, and enjoy.

Gifting and Medicaid

The Gift Tax Rule is exclusively

a tax rule. It is not a Medicaid

rule. Medicaid does not take the

gift tax rule into consideration

and will penalize gifts made in the

five years prior to the Medicaid

application.

Medicaid considers any gifts

made in the five years prior to an

application for Medicaid financial

assistance to be made in contemplation

of that assistance. Thus,

Medicaid will assign a penalty

period for gifts made within the

five year “lookback” which starts

when the client is “otherwise eligible”

(eligible except for the gift)

and has applied at the Medicaid

office for assistance. Medicaid

calculates a penalty which is a

period of time of ineligibility for

financial assistance.

For clients who have done no

planning and now have a family

member residing in a nursing

home, lifetime gifting can still

be beneficial as the family may

be able to preserve up to half of

the value of the gift by “curing”

the gift in a “give-and-give-back”

or “half-a-loaf ” strategy. This

involves returning a portion of

the gift in a prescribed manner

and reapplying for Medicaid in a

timely way. This strategy should

only be done with an attorney’s

help and supervision.

Possible Tax Concerns for

Gift Recipients

While the gift-giver will likely

not have tax consequences for

giving the gift and the gift recipient

will not pay income tax on the

gift, the recipient still needs to be

aware of potential capital gains

income taxes when he wishes to

liquidate the asset. Under federal

law, the new owner of the gifted

asset retains the cost basis (often

the acquisition cost) of the gift

giver. Thus, if the gift giver’s home

is the subject of the gift and the

gift giver purchased the home for

25 percent of its current value, the

gift-recipient owner, when selling

the house, will incur a capital gain

of 75 percent of the sale price. To

avoid this result, the home can

be sold by the gift giver using his

$250,000 capital gains tax exclusion

and gift the cash.

Conclusion

If you are thinking about using

a gifting strategy in conjunction

with your estate plans, you should

contact an elder law attorney. Gifting

can be a wonderful planning

technique if you are able to weigh

the benefits and consequences.

SOURCES:

Joint Committee on Taxation,

“History, Present Law, and Analysis

of the Federal Wealth Transfer

Tax System,” March 16, 2015,

https://www.jct.gov/publications.

html?func=startdown&id=4744.

ABOUT THE AUTHOR:

Mary Ellis Patton is an associate

at Bluegrass Elderlaw, PLLC in Lexington,

Kentucky. In her practice,

Mary uses customized Powers-of-

Attorney, Wills, and Trusts to help

clients to achieve their financial,

legal, and health care goals. Mary is

licensed to practice law in bothKentucky

and Ohio. She is the author

of Chapter 13, Age Discrimination,

of the Kentucky Practice Series,

Elder Law Volume. She serves as the

Secretary to the Elder Law Section

of the Kentucky Bar. She is also a

member of the Fayette County Bar

Association and the National Academy

of Elder Law Attorneys. Mary

earned her B.A. in Communication

magna cum laude from the University

of Kentucky in 2004. In 2007,

she graduated with her J.D. from the

University of Dayton School of Law.

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8 JANUARY/FEBRUARY 2 0 1 7

Annual GAP Conference

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Keynote speaker offers insight about

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Newtown Pike in Lexington on

March 16. Registration begins at

8 a.m. and the last session ends at

3:30 p.m. Attendance is expected to

exceed 400.

Joan Callander Dingle will bring

the keynote address. “Refocus and

Reconnect: Changing Childhoods,

Restoring Hope, Enjoying Today”

will help families parenting relatives’

children learn how to set boundaries

(personal limits). Attendees will

also learn how talking openly and

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with children about birth

parents will empower the stand-in

parent and develop confidence and

self-esteem in the children.

Dingle knows what she’s talking

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Family Magazine.

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Raising Children of

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Raising Their Children’s Kids.

An impressive array of workshops

at the conference will cover many

of the problems people raising

children who are not their own face.

Among the workshops is “Discipline

and the Traumatized Child.”

The presentation addresses why

parenting methods and strategies

that are effective with birth children

often do not work with children

placed with relative parents after being

traumatized and/or physically

abused by the birth parents. Participants

will learn five factors that help

bring peace to their homes. The

leader will be George Humlong, the

Resource Parent Training Director

who coordinates the Special Advocates

for Education Program at the

University of Kentucky. He and his

wife became foster parents in 1992

and have taken care of numerous

children.

Trooper Robert Purdy, an 11-

year veteran of the Kentucky State

Police, will lead a workshop called

“Hiding in Plain Sight,” aimed at

educating community leaders,

caregivers and professionals working

with teens about some of the

current alcohol and illegal drug

trends affecting youth. Participants

will learn about new technological

advances that have made detection

of drugs and alcohol much harder.

Relatives attending the conference

span the caregiving spectrum.

Although sometimes surrogate

parents step in because a child’s

biological parents are in jail, became

mentally ill or died, the overwhelming

cause is drug and alcohol abuse

Joan Callander Dingle,

Keynote speaker 2017

by the birth parents. Sometimes the

only notice grandparents or other

relatives get that they have another

child to raise is a call from their local

Department of

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Services saying

their daughter

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authorities remove a child from

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they have no choice but to accept

the child because the alternative is

to send the child to foster care.

As in previous years, volunteer

attorneys will be available for

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consultations are free but you must

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fill out the Legal Consultation

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registration form and send it in

with your registration. The limited

number of time slots will be filled in

the order received.

The GAP conference is planned

and managed by a committee of

volunteers. Co-chairs are Mary Jo

Dendy, MSW, coordinator at the

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Resource Center, and Kristina

Stambaugh, Director of Aging

and Disability Services for the

Lexington-Fayette Urban County

Government.

For more information about

the conference or for a copy of

the registration brochure, call the

Extension Office at (859) 257-5582

or go to the conference Web site,

www.gapofky.org. Registration is $5

for grandparents/relative caregivers

and $50 for professionals – social

workers, lawyers, or others – who

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1 0 JANUARY/FEBRUARY 2 0 1 7

Avoiding an Audit

Be prepared, keep good records

by Jamie Lober, Staff Writer

All taxpayers dread it: the possibility

of being audited. An audit

is not as common a practice as you

may believe. Kentucky Planning

Partners found in 2015, the IRS audited

0.8 percent of all individual tax

returns. The IRS defined an audit as

a formal review of a tax return to ensure

information is being reported

according to current tax law and to

verify the information itself is accurate.

It does not necessarily mean

you have done something wrong.

The best way to avoid an audit

is to file a legitimate tax return and

have accurate documentation to

support it. Always double check

your return and make sure you don’t

make any careless mistakes. Make

sure you have all of your paperwork,

including bank statements and

income reports, handy before beginning.

A computer program such as

Turbo Tax can be just the helping

hand you need to avoid errors.

While filing on paper versus electronically

is a personal preference,

studies show fewer errors are made

when filing electronically, making it

less likely you will be audited.

Tax attorney Ken Sheppard

Jr. says a common cause for the

Kentucky Department of Revenue

to run an audit is failure to report

income. People don’t fail to report

on purpose. Often it is because a

W2 or 1099 was lost or arrived late.

If you forget to report something,

you can always ask for an amended

W2 or 1099.

In general, honesty is the best policy.

AARP says people should avoid

round numbers such as $1,200

or $1,500 because it suggests you

may have been estimating. The IRS

targets people it suspects may not

keep the best records, so don’t flag

yourself. One of the most common

myths about taxes is if you forget to

put your signature on the form, you

will be audited. However, the reality

is the form will be returned to you

and you will just have to sign it and

return it. It is a common mistake to

overlook certain places on the form,

such as the boxes for your Social

Security number. Do not leave

anything blank.

Kentucky Planning Partners says

whether a tax return will be audited

comes down to random selection;

information matching or comparing

reports filed from payers to

taxpayers; related examinations; or

having a transaction with another

taxpayer whose return was chosen

to be examined further. Save all

your records so if you do need to

reference anything you will be able

to find it easily. It is always better to

be prepared.

If you are self-employed, have receipts

for all the business deductions

you claim. Ordinarily those who earn

a high income are at the greatest risk

of an audit because they tend to take

more deductions and give to more

charities. Be cautious if you choose to

claim business use of a vehicle. Keep

a log of your mileage so you can

validate where you have gone.

People tend to feel more confident

about their filing if they work

with a certified public accountant.

All CPAs are accountants, but

not all accountants are CPAs. The

American Institute of CPAs defined

the job as “a trusted financial advisor

who helps individuals, businesses

and other organizations plan and

reach their financial goals, whether

it is saving for a new home, opening

a new office or planning a multibillion

dollar merger.”

If you are audited, there is no

reason to panic. It simply means the

IRS will send you a notice requesting

specific details about your return

because it is looking for clarification

on something. Do not ignore the

notice, hoping the situation will

go away. That will not happen. A

trained tax professional will be glad

to meet with you and address any

questions or concerns you have

prior to the audit.

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JANUARY/FEBRUARY 2 0 1 7

1 1

Chronic Fatigue Syndrome

Rare but debilitating disorder has

specific symptoms

by Dr. Tom Miller, Staff Writer

Chronic fatigue syndrome

(CFS) is the most common name

used to designate a significantly

debilitating medical disorder

or group of disorders generally

defined by persistent fatigue. CFS

is often accompanied by other

specific symptoms that persist for

at least six months, according to

the Mayo Clinic. This disorder

is known as myalgic encephalomyelitis

(ME), post-viral fatigue

syndrome (PVFS), chronic

fatigue immune dysfunction syndrome

(CFIDS) and other terms.

Biological, genetic, infectious and

psychological mechanisms have

been proposed for the development

and persistence of symptoms

with this disorder.

Persons with CFS may report a

wide spectrum of symptoms that

sometimes have a psychological

etiology. These symptoms may include

muscle weakness, increased

sensitivity to light, sounds and

smells, orthostatic intolerance,

digestive disturbances, depression

and cardiac and respiratory problems.

Clinical researchers suggest

as many as 75 percent of people

with CFS experience migraines.

Most migraines in ME/CFS are

undiagnosed. Other symptoms

of CFS include post-exertion

malaise, unrefreshing sleep, widespread

muscle and joint pain, sore

throat, cognitive difficulties and

chronic, often severe mental and

physical exhaustion in a previously

healthy, active person.

Fatigue is a common symptom

in many illnesses, but CFS is

comparatively rare. Estimates of

its prevalence vary widely, from

seven to 3,000 cases for every

100,000 adults. Some national

health organizations have estimated

more than 1 million Americans

and approximately a quarter

of a million people in Western

Europe have CFS. The disorder

occurs most often in adult women.

Quality of life is particularly and

uniquely disrupted in CFS.

The Mayo Clinic (www.

mayoclinc.org) notes the cause

of CFS is currently unknown,

although there are many theories

ranging from viral infections to

psychological stress. Health care

professionals recognize CFS may

be triggered by a combination

of factors. There is no single test

to confirm a diagnosis of CFS.

Because of the complexity of this

condition, when CFS is suspected,

a variety of medical tests may be

needed to rule out other health

problems with similar symptoms.

Treatment for CFS focuses mainly

on symptom relief and may include

medication and psychological

interventions. CFS may also

be treated with physical exercise,

according to the Mayo Clinic.

SOURCES AND RESOURCES:

Mayo Clinic. Chronic Fatigue

Syndrome. www.mayoclinic.org

WebMD. Chronic Fatigue

Syndrome Health Center. www.

webmd.com/chronic-fatiguesyndrome

There is no

single test

to confirm a

diagnosis of

chronic fatigue

syndome.

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1 2 JANUARY/FEBRUARY 2 0 1 7

Courageous

Conversations:

Time to Have a Talk

It’s hard to discuss end-of-life

issues but it’s important

by Tanya J. Tyler,

Living Well 60+

Editor

While it is

difficult to talk

about end-of-life issues, it’s vitally

important that you communicate

your wishes to your loved ones

well before you need to.

“It’s called having ‘courageous

conversations,’” said Dr. Shahid

Aziz, a medical ethicist and hospice

and palliative care physician

currently working with adults

and children in multiple hospitals

and hospices in the Baltimore/

Washington, D.C. area. Aziz says

advanced care planning is part of

palliative care.

“Patients say, ‘Why do I have to

talk about this now? Ask me when

the time comes,’” Aziz said. “The

fallacy in that is you never know

what will happen or when it will

happen, and a majority of people

will not be able to talk when it

does. There are diseases where

you lose the capacity to make

decisions. You don’t want to get

stuck in that situation.”

How do you start the conversation

with family and friends who

are reluctant to discuss death and

dying? Aziz says it’s as simple

as sitting down together and

showing them an article like this.

You can discuss medical ethical

questions about having your life

prolonged by artificial means

such as dialysis and IV nutrition.

You can talk about DNRs (do not

resuscitate in case of cardiac arrest)

and other types of directives.

These decisions about how you

want to live – and die – are best

made when you are still mentally

capable and clearheaded.

The bottom line is, only you can

decide what living fully and consciously

means to you. Aziz offers

the question: “What is the lowest

level of existence that is OK for

you?” You alone can answer that.

Your physician’s role is to guide

you through your illness and to be

honest about the outcomes. He or

she should ask: “Are you enjoying

your life? Is it good? What do

you want?” And he or she should

respect and enforce your wishes.

Out of his 20 years of experience

in this discipline, Aziz offers

some advice for creating a medical

directive:

• Make clear what is important

to you. If you want doctors to

stop treatment when it’s no

longer beneficial, say so.

• Note which artificial treatments

you don’t want to

prolong your life. You can also

specify a time limit to artificial

treatment.

• Choose someone who knows

what you want and don’t want

to be your advocate. Have

an alternative if possible. It

doesn’t have to be a family

member; it can be a friend.

• Be sure to check your state

laws to see if your doctor can

go against your wishes.

• Give a copy of your directives

to people close to you as well

as your doctor.

• Review your instructions

every year.

• The simpler it is, the better.

Your list of wishes does not

have to be notarized, but it does

help if it is written down so when

the time comes, your loved ones

can consult it and ensure they are

fulfilling their promises to you. If

anyone protests a decision made

on your behalf, the list can placate

them and assure them that what

is being done is what you wanted.

A directive makes it easier to

practice rational decision-making.

And you can always change the

document.

“It’s a living plan, not a dying

plan, so your doctor knows your

goals and how to manage your

care,” Aziz said. “We are working

from the goals of living – how you

want to live and how you don’t

want to live.”

Only you can

decide what

living fully and

consciously

means to you.


JANUARY/FEBRUARY 2 0 1 7

1 3

Compassionate Friends

Helps When Parents Lose

a Child

Support, hope and comfort are

essential for coping

by TaNiqua Ward, M.S., Staff Writer

The loss of a child is one of the

most devastating experiences a

parent may face. You are not only

losing a child; you are also losing a

piece of yourself, and your future

will be forever changed.

Compassionate Friends is an organization

that supports families

that have lost a child. Its mission

statement says: “When a child

dies at any age, the family suffers

intense pain and may feel hopeless

and isolated. The Compassionate

Friends provides highly personal

comfort, hope and support to every

family experiencing the death

of a son or a daughter, a brother or

a sister or a grandchild and helps

others better assist the grieving

family.”

Over 57,000 children under

the age of 19 years die annually

in the United States, according

to the American Association for

Marriage and Family Therapy. Regardless

of the age or the cause of

a child’s death, it is still devastating.

It is important for families to

seek help and support when facing

such a difficult time.

Compassionate Friends is

available in hundreds of locations

around the United States. Families

come together and provide emotional

support to one another. The

people who are part of the group

have gone through similar experiences

and are also going through a

grieving process. Everyone suffers

loss differently based on culture,

religion and the relationship with

the child who died. There is not a

certain way to mourn the loss, so

it is important to be surrounded

by people who understand what

you are experiencing. You can seek

help through family therapy and

support groups such as Compassionate

Friends, but there are ways

you can help yourself:

• Try journaling your thoughts

and feelings. Sometimes it is

easier to write what you are feeling

instead of sharing it verbally

with others.

• If you feel comfortable, talk

about your child. Share memories

with people close to you. It

may be painful at first, but it can

also help you heal.

• Engage in activities with your

family. Try to maintain some

sort of stability even though life

may seem to be out of control.

Your family can help you find

that sense of control and some

enjoyment.

Families mourning the loss of

a child should allow the grieving

process to take place. There is no

timetable on how long you should

grieve and it is important to be

patient with the process. It is also

good and helpful to find ways to

honor and remember the child as

well. The love of a lost child unites

the Compassionate Friends group

and brings its members together.

To learn more about how this

group can help you, visit www.

compassionatefriends.org.

Compassionate

Friends is

available in

hundreds

of locations

around the

United States.

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1 4 JANUARY/FEBRUARY 2 0 1 7

Finding the Right Living

Option for Your Elderly

Loved Ones

Involve the care recipient in

making the choice

by Tanya J. Tyler,

Living Well 60+ Editor

As parents and other loved ones

age, a prime concern is finding a

place for them to live. Many senior

housing options are available,

forming a continuum of care that

seeks to make the transition to each

stage easy.

You could choose to help your

parents age in place in their own

home, hiring home care personnel

to help with daily living activities

such as cooking, laundry, grocery

shopping, taking medications and

bathing. You might make modifications

to the house, such as installing

easy-access tubs and showers.

You could choose to move them

into your own home and care for

them yourself. Or you could find

an independent living community

where your parents would interact

with people of the same age and

have moderate supervision. This

option is best for those who are

still in good shape mentally and

physically and can take care of

themselves without assistance.

But if their health begins to fail

or they suffer a setback such as

a heart attack or stroke, the next

option could be an assisted living

facility. Here they will be closely

monitored by staff and get help

with daily living activities. These facilities

offer apartment-style living

and often have amenities such as

exercise rooms, restaurant-quality

dining and opportunities for shopping

and other off-site activities.

When the care recipient

becomes incapacitated to the

point where he or she needs more

intensive care, you can choose to

place him or her in a skilled nursing

home. Residents receive 24-hour

supervision, health management

support, physical or occupational

therapy if necessary, meals and

medication. Patients with Alzheimer’s

disease or other dementia can

be placed in a memory care facility

especially designed for these challenging

conditions.

Continuing care retirement communities

encompass the options of

independent living, assisted living

and skilled nursing on one campus,

so an elderly person can smoothly

transition from one level of care to

another as needed in a familiar environment.

This option is becoming

increasingly popular.

Unfortunately, many people put

the decision off until a crisis hits.

“I wish I could say people get

proactive, but I’ve learned everybody

waits for that crisis,” said

eldercare expert Barbara McVicker,

author of Stuck in the Middle:

Shared Stories and Tips on Caring

for Mom and Dad and Before Things

Fall Apart: Preparing to Care for

Mom and Dad.

McVicker cared for her aging

parents for 10 years while raising

her children and working as

a development director. She had

discovered her father sent $68,000

to scammers in Canada who told

him he had won the Canadian

lottery and needed to pay taxes on

the winnings. Other events could

trigger the sudden need to find

an appropriate place for an ailing

parent.

“It could be a phone call that

says, ‘Mom’s in the emergency

room; she’s broken her hip,’”

McVicker said. “We encounter that

crisis and we haven’t had the conversation

about where they will go.”


As difficult as it may be, the time

to discuss all the options is now.

“The best gift families can give

each other is to talk about it sooner

rather than later,” McVicker said.

“By not bringing up the topic, it

makes all the aspects of caregiving

– financial, emotional, physical –

difficult.”

With people living longer,

caregiving can easily be a 15-year

unpaid job. “Caregiving is a marathon,

not a sprint,” McVicker said.

She helped her parents stay in their

own home for several years, but

eventually they moved to a continuing

care retirement community.

“There’s a point at which you either

need to hire skilled people, such as

RNs, or move to a place that can

provide the level of care it takes,”

McVicker said.

People sometimes hesitate to

move a parent into another type of

facility because the parent has said,

“Don’t ever put me in a nursing

home.”

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“We say OK, and as the situation

deteriorates, we feel limited by that

promise,” McVicker said. “There

are so many great options now, but

our parents have in mind the old

nursing home ‘warehouse’ model

and don’t understand how different

and how engaged and how their

health can even get better by being

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McVicker advises making visits

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This can help him see what the

facility is like and he can talk to staff

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It’s most important to reassure

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1 6 JANUARY/FEBRUARY 2 0 1 7

Events

Calendar

JANUARY

Sun Mon Tue Wed Thu Fri Sat

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

FEBRUARY

Sun Mon Tue Wed Thu Fri Sat

1 2 3 4 5 6 7 1 2 3 4

8 9 10 11 12 13 14 5 6 7 8 9 10 11

15 16 17 18 19 20 21 12 13 14 15 16 17 18

22 23 24 25 26 27 28 19 20 21 22 23 24 25

29 30 31 26 27 28

Send us your event listings

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

E-mail your event information to brian@rockpointpublishing.com

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

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.

Swing Lessons

Every Tuesday: 8pm–10pm at

Tates Creek Recreation Center,

1400 Gainesway Dr. $5.00 per

person per lesson. Call for more

information: Glenn and Rosalee

Kelley 859-233-9947; OR Peter

and Robin Young 859-224-3388.

Community Yoga Class

with Lauren Higdon

Every Tuesday 10:30am–

11:30am at Centered Studio,

309 n Ashland ave suite 180

in Lexington. This weekly

restorative class integrates

gentle yoga, breathing

techniques, meditation and

wellness tips for all ages and

levels of physical condition.

Classes may include chair yoga,

restorative, yin yoga, tai chi,

and more. Perfect for beginners

as well as experienced yogis!

Donations-based class.

Community Flow

This weekly (Tuesdays)

restorative class integrates

gentle yoga, breathing

techniques, meditation and

wellness tips for all ages and

levels of physical condition.

10:30am–11:30am. Donation

only (great portion of all

donations go to the Backpack

Food Program at Ashland

Elementary.) Inspiring, Educating

& Supporting our World through

the Moving, Visual & Healing

Arts! Daily classes, therapies,

workshops & a great spot to

host your next event! 309 N

Ashland Ave Ste.180, Lexington,

KY 40502. 859-721-1841.

www.centeredlex.com.

Lupus Support Group

Living & Coping with Lupus:

meets 1st Tuesday of every

month at Imani Baptist Church,

1555 Georgetown Road,

Lexington from 7:00pm–8:30pm.

The Lupus Foundation of

America support groups are

intended to provide a warm

and caring environment where

people with lupus, their family

members, caregivers and loved

ones can share experiences,

methods of coping and insights

into living with chronic illness.

www.lupusmidsouth.org

877-865-8787.

MELT Method Hand,

Foot and Body Healing

Class by Shayne Wigglesworth.

Mondays and Wednesdays

at 12pm - Discover painfree

living at any age! Enjoy

a gentle foam roller class to

reduce pain, inflammation,

stress, anxiety and more! MELT

Method certified instructor

Shayne Wigglesworth will teach

you healing techniques you

can use for self care at home.

All materials and rollers are

provided. Perfect for all ages,

body types and experience

levels. Learn more – call/online:

www.centeredlex.com

859-721-1841

Mindfulness-Based

Stress Reduction

MONDAYS (THRU MARCH 13)

8 week series beginning with

Monday Jan 9th orientation.

The “gold standard”

mindfulness program. Learn

to promote resilience, prevent

burnout, cultivate compassion

and manage stress-related

chronic conditions. Instructor:

John A. Patterson MD, MSPH,

FAAFP. Mind Body Studio 517

Southland Drive, Lexington,

KY 859-373-0033. Full details

at www.mindbodystudio.

org/?page_id=1262


January 7-13

Keeneland’s Behind the

Sales Scene

8am–9:30pm at Keeneland.

$25. Keeneland is offering

guests an opportunity to

experience a behind-thescenes

look at the world’s

leading Thoroughbred auction

house. Tour Guides will lead

guests throughout the grounds

to get an in-depth look at

sales operations. Experience

includes watching the morning

workouts and touring the

world-renowned Keeneland

Sales Pavilion, auction ring

and outside show ring where

some of Thoroughbred racing’s

greatest horses have been

sold.

January 9

Diabetes Support Group

9-10 am, Senior Citizens

Center, 195 Life Lane (behind

Southland Christian Church

on Richmond Road). Free.

Sponsored by the Lexington-

Fayette Co. Health Dept. For

more information, call (859)

288-2446.

January 17

Eat, Move, Lose Weight

Support Group

12 – 1 pm, Lexington-Fayette

Co. Health Department PH

Clinic South, 2433 Regency

Road. Free weight-loss support

group appropriate for anyone

wishing to lose weight or

maintain weight loss. Share

struggles and ideas with

others. Held first and third

Tuesdays most months. For

more information or to preregister,

call 288-2446.

January 19

Fayette County

Diabetes Coalition

Monthly Meeting

1 pm, Public Health Clinic

South, 2433 Regency Rd,

Lexington. Open to anyone

interested in enhancing

diabetes awareness and

education in the community.

For more information, or to

attend, call 859-288-2347.

January 24

Health Chats about

Diabetes

10 – 11 am, The Refuge Clinic,

2349 Richmond Road Suite

JANUARY/FEBRUARY 2 0 1 7

220, Lexington. Free. Join us

to discuss tips to manage and

control diabetes in practical

ways. For more information,

call 288-2446. Sponsored by

the Lexington-Fayette Co.

Health Dept.

January 24

Health Chats about

Diabetes

4-5 pm, Nathaniel Mission,

1109 Versailles Rd, Suite

400. Free. Sponsored by the

Lexington-Fayette Co. Health

Dept.. For more information,

call (859) 288-2446.

February 3

1964: The Tribute

Since the early 80’s, “1964”:

The Tribute has been thrilling

audiences all over the globe

with what Rolling Stone

Magazine has called the “Best

Beatles Tribute on Earth”.

8pm–10pm at the Lexington

Opera House. Admission

$39–$49. 401 W. Short St.,

Lexington. 859.233.4567 for

more information.

February 9-12

Kentucky Sport, Boat &

Recreation Show

Shake off the cabin fever

and enjoy great outdoor

products, exclusive deals, and

entertainment that includes

fishing, farm animals, and zip

lining! Thurs-Fri 2pm-9pm;

Saturday 9am-9pm; Sunday

10am-5pm and Lexington

Center and Rupp Arena. $10

Single Day Pass; $5 Kids. 430

West Vine Street, Lexington.

859.233.4567 for more

information.

February 11

Athens Schoolhouse

Antiques Show

Repurpose antiques,

collectibles and architectural

salvage for one-of-a-kind

decor. The monthly show

features a unique collection

of curiosities for your Home

& Garden. Occurs on the

2nd Saturday and Sunday

of every month. $2 for both

days. 10am-5pm. 6270 Athens

Walnut Hill Pike, Lexington.

859.255.7309 for more

information.

February 17-19

Rodgers +

Hammerstein’s

Cinderella

This lush production features

an incredible orchestra, jawdropping

transformations and

all the moments you love - the

pumpkin, the glass slipper, the

masked ball and more - plus

• Companionship

• Light Housekeeping

Saturdays

thru March 25

Lexington Farmer’s

Market

1 7

Every Saturday at Cheapside

Park visit the Lexington Farmers’

Market! You can purchase herbs

and spices, honey, beeswax,

candles, body care products,

organic products, eggs, meats

and fresh, seasonal produce.

8am-1pm.

some surprising new twists.

Presented by Broadway Live &

The Opera House Fund. Times:

Friday 7:30pm; Saturday 1pm

and 7:30pm; Sunday 1pm

and 6:30pm at the Lexington

Opera House, 401 W. Short

St., Lexington. For tickets and

details, call 859.233.3535.

Home Care by Seniors for Seniors

There’s a huge difference in the kind of home care you can receive from someone who really

understands what your life is like as a senior. Your concerns and need for independence.

Someone who like you, has a little living under his or her belt. Our caring, compassionate seniors

are there to help. We offer the services you need to stay in your own home, living independently.

• Meal Preparation

• Transportation

. . . and more!

KY 500239

Like getting a little help from your friends ® Call us today!

If you are interested in becoming a service Provider we would like to hear from you too.

(859) 408-1145

www.seniorshelpingseniors.com/lexington

©2016 Seniors Helping Seniors. Each offi ce is independently owned and operated. All trademarks are

registered trademarks of Corporate Mutual Resources Inc. Not all services are available in all areas.


1 8 JANUARY/FEBRUARY 2 0 1 7

Senior Services

DIRECTORY

About the Directory

Living Well 60+ 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

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

Real Estate / Rent- Subsidized Housing For Independent

Living

Moving, Estate Sales, Downsizing Services

Fitness, Healthy Eating & Healthy Living

Healthcare, Medicare Help and Insurance

Vision Care

Does your

business

provide

excellent

senior

services?

call us for a spot

in the directory

859.368.0778


JANUARY/FEBRUARY 2 0 1 7

1 9

HEALTH CARE SYSTEMS

& HOSPITALS

Lexington Clinic

1221 S. Broadway

Lexington, KY 40504

859-258-4000

IN HOME CARE

(NON-MEDICAL)

Accessible Home Care

366 Waller Ave. Ste. 112

Lexington, KY 40504

859-313-5167

www.accessiblebluegrass.com

Assisting Hands

1795 Alysheba Way, Ste. 7105

Lexington, KY 40509

859-264-0646

www.assistinghands.com/lexington

Senior Helpers of the

Bluegrass

3070 Harrodsburg Rd. Ste. 240

Lexington, KY 40503

859-296-2525

www.seniorhelpers.com/lexington

Seniors Helping Seniors

Where seniors who want to help are

matched w/ seniors looking for help

710 E. Main Street

Lexington, KY 40502

859-408-1145

www.seniorshelpingseniors.com/

lexington

IN HOME

MEDICAL CARE

Medi-Calls

1055 Wellington Way #215

Lexington, KY 40513

859-422-4369

Saint Joseph Home Health

2464 Fortune Dr. Ste. 110

Lexington, KY 40509

859-277-5111

www.saintjosephanchomecare.com

DISABILITY &

REHABILITATION

YMCA of Central Kentucky

239 E. High St.

Lexington, KY 40502

859-254-9622

ymcaofcentralky.org

Drayer Physical Therapy

Institute: Winchester Center

160 Pedro Way

859-745-2152

www.drayerpt.com

Drayer Physical Therapy

Institute: Richmond Center

1054 Center Drive, Ste. 1

859-625-0600

www.drayerpt.com

Drayer Physical Therapy

Institute: Lexington

Perimeter Center

600 Perimeter Drive, Ste. 175

859-268-1201

www.drayerpt.com

Drayer Physical Therapy

Institute: Lexington

Beaumont Center

1010 Monarch Street, Ste. 150

859-219-0211

www.drayerpt.com

MEDICAL EQUIPMENT,

SUPPLIES &

MONITORING SYSTEMS

Baptist Health 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

Mayfair Village

3310 Tates Creek Rd.

Lexington, KY 40502

859-266-2129

www.mayfairseniors.com

Windsor Gardens of

Georgetown Assisted Living

100 Windsor Path

Georgetown, KY 40324

502-570-0540

marsha@goodworksunlimited.com

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.

For a FREE CONSULTATION of your claim call

Patsy R. Hughes, Disability Claims Advocate,

1-859-263-7780.

NO FEE IS PAID UNLESS YOU WIN

Rose Mary C. Brooks Place

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.

Lexington, KY 40502

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

Morning Pointe Senior

Living Residences

233 Ruccio Way, Lexington 40503

859-554-0060

Lexington East Facility

150 Shoreside Dr., Lexington

859-721-0350

The Lantern (Alzheimer’s Care)

225 Ruccio Way, Lexington 40503

859-309-4867

www.morningpointe.com

MORE LISTINGS

ON NEXT PAGE


2 0 JANUARY/FEBRUARY 2 0 1 7

SERVICE DIRECTORY, CONTINUED

REAL ESTATE /

RENT-SUBSIDIZED HOUSING

FOR INDEPENDENT LIVING

Turf Town Properties, Inc.

124 Kentucky Ave.

Lexington, KY 40502

859-268-4663

www.turftown.com

Briarwood Apartments

1349 Centre Parkway

Lexington, KY 40517

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

Hall’s Moving Service, Inc.

SENIORS SAVE 5%

258 E. 2nd Street, Lexington

859-231-0428

FITNESS, HEALTHY

EATING & HEALTHY

LIVING

Yoga Health & Therapy Center

322 West Second Street

Lexington, KY 40507

859-254-9529

www.yogahealthcenter.org

Well Fed Meals

1301 Winchester Rd. #17

Lexington, KY 40505

859-539-5863

www.wellfedmeals.com

HEALTHCARE,

MEDICARE HELP &

INSURANCE

Kentucky Health Solutions

2333 Alexandria Drive

Lexington, KY 40504

Direct 859-312-9646 | Office 859-309-5033

www.kentuckyhealthsolutions.com

VISION CARE

Medical Vision

3288 Eagle View Ln. Ste. 300

Lexington, KY

859-278-9486

www.medicalvision.com

TRANSPORTATION, PERSON-

AL SHOPPING, ERRANDS

Superior Van & Mobility

4734 Rockford Plaza

Louisville, KY 40216

1-800-458-8267

www.superiorvan.com

ATTORNEYS-AT-LAW

Call Today: 859-281-0048

www.bgelderlaw.com

120 N. Mill St., Ste. 201

Lexington, KY 40507

Carolyn L. Kenton - Mary Ellis Patton - Amy E. Dougherty

Take Control of Your Future!

Our dedicated, multi-generational, and experienced team of

attorneys helps families address the planning and implementation

issues of becoming elderly, dealing with disability, and handling

death transfers.

When planning for your future and the future of your loved ones, you

deserve peace of mind throughout the process. At the law office of

Bluegrass Elderlaw PLLC we listen carefully to your objectives, clearly

and thoroughly explain the options to best achieve your goals, and

equip you to approach your future with confidence.








Asset Preservation

Estate Planning, Wills and

Trusts

Medicaid Planning and Crisis

Planning

Powers of Attorney

Guardianship

Medicaid Applications

Special Needs Trusts and

Planning

THIS IS AN ADVERTISEMENT


FINANCIAL

The Federal

Arbitration Act:

Its Scope and Application

to Nursing Home Admission

Contracts

by Bobby E.

Reynolds, J.D.;

LL.M (Taxation)

Nursing homes

are inserting

arbitration clauses into their

admission contracts with more

frequency. The Federal Arbitration

Act (“Act”), 9 U.S.C. § 2,

often questions the enforceability

of such clauses. Therefore, it

is of the utmost importance that

counsel advising nursing homes

understand the laws applicable

to the validity of arbitration

clauses related to admission

contracts and the finer nuances

and complexities that may present

problems to nursing homes

desiring to enforce such clauses.

A clause requiring the parties

to submit claims to binding arbitration

can be compulsory solely

if federal diversity jurisdiction

exists. Federal law preempts any

state laws proscribing enforcement

of arbitration clauses. 1

Notwithstanding, the Act

renders “valid, irrevocable, and

enforceable” any “written provision

in any maritime transaction

or a contract evidencing a

transaction involving commerce

to settle by arbitration a controversy

thereafter arising out of such

contract or transaction, . . . or an

agreement in writing to submit to

arbitration an existing controversy

arising out of such a contract, transaction,

or refusal.” Accordingly,

although the Act is applicable to

“transactions,” “contracts,” and

“controversies,” pursuant to Sections

1 and 2, the Act becomes

operative only if the controversy

stems from a contract or

transaction involving interstate

commerce.

Various cases from multiple

jurisdictions illustrate the operation

of the Act. In Marmet

Health Ctr., Inc. v. Brown, 132

S. Ct. 1201 (2012), the United

States Supreme Court held that

West Virginia’s proscription

against pre-dispute agreements

to arbitrate personal-injury or

wrongful-death claims against

nursing homes was a categorical

rule that prohibited arbitration

of a particular type of claim,

conflicted with the terms and

coverage of the Act, and accordingly,

was preempted.

Kentucky cases illustrate how

Kentucky construes the Act

and its various provisions. For

instance, the Kentucky Court of

Appeals held that an arbitration

clause did not apply to a wrongful

death claim initiated by the

beneficiaries of the deceased

nursing home resident. 2 In Ping

v. Beverly Enterprises, Inc., 376

S.W.3d 581 (Ky 2012), the Kentucky

Supreme Court held that

a durable power of attorney did

not grant the agent the authority

to bind the nursing home

resident to binding arbitration

as the contract of admission

mandated. The court held that

the language contained in the

power, which granted the agent

the authority to manage the

resident’s property and financial

affairs and to make health

care decisions, did not grant

the agent authority to agree to

binding arbitration when the

arbitration agreement was not

a condition of admission to the

nursing home.

A Kentucky appeals court held

that parents, who by statute are

empowered to make health care

decisions for an adult disabled

child, do not have the authority

to bind that child to binding

arbitration with a nursing home

in which the child resided. 3 In

yet another Kentucky case, the

Kentucky Supreme Court held

that an agent acting under a

power of attorney lacked the

authority to sign an arbitration

agreement because the power of

attorney did not explicitly grant

the power to agree to arbitration.

4 In yet another Kentucky

case, a nursing home resident’s

verbal directive to her son did

not include any apparent or

actual authority to agree to

arbitration. 5

Commerce clause cases can

be extremely complicated

and very fact specific, leaving

courts to struggle with the often

complex question of whether a

transaction involving interstate

commerce. This Article will set

forth a few cases illustrating

application of the commerce

clause. It is left to the reader to

consult various treatises discussing

the subject. 6 However, the

above-referenced cases illustrate

various application of the Act

to specific factual situations, especially

in Kentucky. Residents

and others having standing to

sue must carefully examine the

specific arbitration clause if they

desire to challenge it.

SOURCES:

1. Allied-Bruce Terminex Cos. V.

Dobson, 513 U.S. 265 (1995).

2. HQM of Pikeville, LLC v.

Collins, 2014 WL 3537039 (Ky.

Ct. App. July 18, 2014).

3. Stanford v. Rowe, 2012 WL

4208924 (Ky. App. Sept. 21,

2012).

4. Extendicare Homes, Inc. v.

Whiman, 2015 WL 5634309

(Ky. Oct. 9, 2015).

5. Kindred Healthcare, Inc. v.

Henson, 2014 WL 1998728

(Ky. Ct. App. May 16, 2014).

6. See Tribe, Laurence H.,

American Constitutional Law,

Volume I (Foundation 3d ed.

2000).

ABOUT THE AUTHOR:

Bobby E. Reynolds has been an

attorney in Kentucky for several

years. He practices law in Nicholasville,

Kentucky, having previously

clerked for a Judge on the

United States Court of Appeals

and having obtained an LL.M in

taxation from the University of

Florida College of Law Graduate

Tax Program. Mr. Reynolds also

teaches continuing legal education

to attorneys in Kentucky.

Email: bobby@summitcrt.com

Phone: 859-270-6193

Conflict Resolution & Trainings

400 Etter Drive, Suite 1

Nicholasville, Kentucky, 40356

Famil

Co

Li

Ca

Pa

Busin

W

Le

Te

Famil

A

Ca

M

Lo

Th

Indus

Pl

Bu

www.summitcrt.com

Phone: 859-305-1900


2 2 JANUARY/FEBRUARY 2 0 1 7

LIVING INDEPENDENTLY

IS EVEN BETTER WHEN

YOU HAVE A LITTLE HELP.

Living in a comfortable community with staff always on-hand to help you with

the tasks of daily living can go a long way in reducing the amount of time you

spend worrying. That’s why we’re here.

Schedule your visit today!

PERSONAL CARE

AND SO MUCH MORE

The Willows at Hamburg

859-543-0337 • 2531 Old Rosebud Road • Lexington, KY

The Willows at Citation

859-277-0320 • 1376 Silver Springs Drive • Lexington, KY

Cedar Ridge Health Campus

859-234-2702 • 1217 US Highway 62E • Cynthiana, KY

trilogyhs.com •


JANUARY/FEBRUARY 2 0 1 7

2 3

GET FIRST DIBS ON LIVING

LIFE TO ITS FULLEST.

People do better when they’re active, engaged, and in comfortable surroundings. It also

doesn’t hurt to have a safe place with highly trained medical staff. That’s why we’re here.

Call today and ask about becoming one of our first residents and a member of our Founder’s Club.

FOUNDER’S CLUB BENEFITS

$0 Move-in Fee

Priority Admission

First Choice Floor

Plan/Location

Exclusive Invites

Event Recognition

PERSONAL CARE

AND SO MUCH MORE

OPENING EARLY 2017

2710 Man O’War Blvd. • Lexington, KY 40515

859-213-0298 • willowsatfritzfarm.com •

A Trilogy Health Services Community


2 4 JANUARY/FEBRUARY 2 0 1 7

8 Reflections for a New

Year of Caregiving

Questions and suggestions may

prompt resolutions

by Lisa M. Petsche, Staff Writer

Whether you are new to caregiving

or have been at it for a while,

you may find yourself feeling overwhelmed

and worried about your

ability to handle all the responsibilities

involved in looking after

a person with a long-term health

condition.

What better time than the start

of a new year to reflect on your role

and how you may be better able to

manage it. Take time to honestly

answer the following questions and

consider the advice offered here.

1. Do you accept the realities of

your care receiver’s condition?

• Give yourself permission to

experience all emotions that

surface.

• Grieve losses, but don’t dwell

on them. Adapt your goals and

expectations.

• Recognize there will be good

days and bad days.

2. Are you open to learning

new things?

• Educate yourself about your

care receiver’s diagnosis and

share the information with

family and friends to help them

understand.

• Be open to learning practical

skills, such as proper transferring

and bathing techniques.

Mastering these tasks will make

caregiving as safe and easy as

possible.

• Find out about community

services in your area that can

help. The local office on aging is

a good resource.

3. Do you keep communication

lines open?

• Involve your care receiver (if

able) and other family members

in decision making as

much as possible. Don’t shoulder

the responsibility alone.

• Develop a partnership with involved

healthcare professionals.

Share information about your

care receiver, ask questions,

seek advice and offer opinions

and suggestions.

• Keep family members informed

Talk openly

with your care

receiver about

his or her

wishes.

of changes in your care receiver’s

status. Don’t act as if things

are okay when they’re not.

4. Are you prepared for

changes and challenges?

• Find out what to expect during

the course of the illness in

terms of symptom progression

and caregiving skills, medical

equipment and community

supports that may be needed.

• Talk openly with your care

receiver about his or her wishes.

Discuss living arrangements,

outside help, surrogate decision

making, medical intervention

and end-of-life care and funeral

arrangements. Be careful not to

make promises you may not be

able to keep.

• Help your care receiver get his

or her affairs in order, including

completing paperwork such

as advance directives, powers

of attorney and a will. Consult

with a lawyer who is familiar

with eldercare issues.

5. Are you open to simplifying

your life?

• Keep a caregiving log so you

don’t have to rely on memory

when it comes to medical history.

Include notes about medications

tried and their results;

acute illnesses; hospitalizations;

tests; diagnoses; treatments;

and surgeries.

• Keep relevant medical, financial,

legal and other documents

organized in a binder or filing

system for easy access.

• Seek ways to streamline your

life. Set priorities and stick to

them. And let go of the need for

perfection.

• Take things one day at a time.

Learn to live in the moment

and focus on simple pleasures.

6. Do you practice self-care?

• Look after your own health.

Make it a priority.

• Find something relaxing you

can do to give yourself a daily

break at home.

• Schedule regular breaks from

caregiving duties. Take a couple

of hours, a day or an overnight.

7. Do you have supportive

people in your life?

• Stay connected to friends and

outside activities.

• Find someone you can talk

with openly, who will listen and

empathize.

• Talk with other caregivers. Join

a community support group or

an Internet group.

8. Are you receptive to help?

• Recognize that you can’t and

shouldn’t do everything alone.

• Accept offers of help. Ask other

family members to share the

load. Be specific about the type

of help that’s needed.

• Research and take advantage

of respite services in your community.

ABOUT THE AUTHOR:

Lisa M. Petsche is a social

worker and a freelance writer

specializing in boomer and senior

health matters. She has personal

and professional experience with

eldercare.

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JANUARY/FEBRUARY 2 0 1 7

2 5

Foundation Releases 2016

Scorecard on Local Health

System Performance

Compares health access,

quality, cost, more

by Angela S. Hoover,

Staff Writer

The Commonwealth

Fund, a

private foundation,

has released its 2016 Scorecard on

Local Health System Performance

(LHSP). This is the foundation’s

second evaluation; the first report

was released in 2012.

This year the scorecard measures

changes in local area performance

over recent years. For most localities,

this is anywhere from 2011 to

2014.

The scorecard compared health

care access and quality, avoidable

hospital use, costs of care

and health outcomes. Of the 300

communities evaluated, there was

overall improvement in terms of

fewer uninsured residents, better

quality of care in doctors’ offices

and hospitals, more efficient use

of hospital and fewer deaths from

treatable cancers. However, there

are still vast differences between

measurable areas throughout many

local health systems. Fortunately,

Lexington saw many improvements,

including improvements in:

• adults with age-appropriate

vaccines;

• home health patients who got

better at walking or moving

around;

• home health patients whose

wounds improved or healed

after surgery;

• risk-adjusted 30-day mortality

among Medicare beneficiaries

hospitalized for heart attack,

heart failure, pneumonia or

stroke;

• colorectal cancer deaths;

• hospital admissions among

Medicare beneficiaries for

ambulatory-care sensitive

conditions for those aged 75

and older;

• Medicare beneficiaries with

dementia, hip or pelvic fracture

or chronic renal failure who

received a prescription drug

that is contraindicated for that

condition;

• Medicare beneficiaries who

received at least one drug the

elderly should avoid;

• Medicare 30-day hospital readmissions;

and

• uninsured adults ages 19 to 64.

Lexington saw an increase in

obesity, which was the most notable

measure of decline from the

2012 LHSP Scorecard. For more

details on this report, visit www.

commonwealthfund.org/interactives/2016/jul/local-scorecard/.

In addition to this scorecard, the

Commonwealth Fund partners

with AARP to produce the Long

Term Services and Supports

(LTSS) Scorecard. This scorecard

is a multidimensional approach to

measuring state-level performance

in areas that assist the elderly,

adults with disabilities and family

caregivers. This evaluation system

began in 2011.

One driver for creating the

LTSS Scorecard is the aging Baby

Boomer generation, some of

whom will be in their 80s in about

a decade. For this group and the

generations that follow, individuals

will have fewer family caregivers

to provide unpaid help. At present,

there is no national solution, which

means these challenges are up to

individual states to address. Some

states are doing better and some

are doing worse in these matters.

The second evaluation of states’

LTSS services was done in 2014.

Five areas were considered: affordability

and access, choice of

setting and provider, quality of

life and care, support for family

caregivers and effective transitions.

The highest ranking state across all

five dimensions was Minnesota.

Kentucky was dead last across the

board. The 2014 LTSS Scorecard

results are available at www.

longtermscorecard.org/2014-

scorecard#.WFi_z-kUW74.

The next LTSS Scorecard has

not been released yet. For ongoing

research and reports pertaining to

long-term care and family caregiving,

visit AARP at www.aarp.org/

ppi/issues/caregiving.

The scorecard

measures

changes in

local area

performance

over recent

years.

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2 6 JANUARY/FEBRUARY 2 0 1 7

How to Help with a Partner

with a Mental Illness

Support groups can offer strength & hope

by TaNiqua Ward, M.S., Staff Writer

Many relationships have their

ups and downs. No relationship

is perfect. It takes a lot of work to

sustain a relationship, and having

a partner with a mental illness can

have a significant impact.

The National Alliance of Mental

Health (NAMI) (www.nami.org)

defines mental illness as a condition

that affects a person’s thinking,

feelings or moods. If you are

living with a mental illness and are

already in a relationship, you may

wonder whether you should tell

your partner about your mental

illness. If you are single and want to

be in a relationship, you may wonder

if a relationship is right for you.

You can build a relationship while

dealing with a mental illness if you

receive support and acceptance

from your partner.

Recent research has found

there is a correlation between the

type of relationship an individual

has and the effect it can have on

mental health. If an individual is in

a healthy relationship, the partner

that is struggling may fight off their

mental illness. However, if an individual

is in an unhealthy relationship,

mental illness can worsen and

the person may develop even more

problems. In addition, both partners

in the relationship can struggle

with symptoms of mental illness,

says marriage and family therapist

Pierre Imlay, MEd, RMFT. It is important

for couples to seek professional

help if one or both partners

have a mental illness.

Here are a few tips to maintain

a healthy relationship while facing

mental illness:

• Learn about the illness and

treatments – Research the

illness and educate yourself as

much as possible. Also, make

sure your partner is receiving

the appropriate treatment for

his or her illness.

• Seek out professional help

– Learn from a health professional

how you can help your

partner. Make sure your partner

is following the instructions

received from the health professional.

Counseling can also

help with the struggles you may

encounter. It provides balance

and guidance in a situation that

can easily become toxic under

the wrong circumstances.

• Maintain positive communication

– Keep encouraging your

partner. Continue to show and

state that you love him. Let her

know she has your support.

• Check in with one another –

Talk to one another regularly.

Share feelings, needs and expectations.

Try to schedule a regular

time to talk, such as during

dinner or before bedtime. Make

sure you are on the same page.

This also helps with accountability

in the relationship.

• Learn from the struggles –

When situations occur, allow

them to be a learning experience.

Reevaluate the situation

afterward and think of ways

you will handle it better next

time. Grow from every experience.

While adjusting to the stresses

of loving someone with a mental

illness, it is important to identify

sources of support. Consider

joining a family support group to

meet other people going through

the same struggles you may be

experiencing. Talking to them can

provide hope and understanding.

Research has shown family-based

programs improve the well-being

of individuals with mental illness,

as well as that of their partners

and families. Join a local family

support group to get the education

you need and help your

loved one overcome his or her illness.

You can find support groups

at your local hospital or health

department or you can contact

your local chapter of NAMI.


JANUARY/FEBRUARY 2 0 1 7

2 7

Age Allows

Writing for Senior Adults

Age Allows is a column dedicated to the development

of a creative lifestyle for older adults. It is designed

to provide new ways of thinking about retirement, to

develop creative alternatives to living during advanced

age and to enrich the life experience for those living in

independent living, assisted living and nursing homes. It

seeks to help older adults reexamine and enhance their

lifestyles and increase their contributions to society.

by Donald Hoffman, Staff Writer

Question: I love to read, and

now feel I’d like to write. What do

I need to know about writing?

Answer: The ability to create

as a writer – in fact, through any

venue – depends on your perspective

of what you see; an emotional

connection to the subject that will

motivate you; and your imagination.

If you’ve ever had “writer’s

block,” a period of time where

words and thoughts do not seem

to flow, you will know what I

mean. The creative process will

literally “stand still” until all components

coalesce into a cohesive,

rational reason to deeply explore

an idea.

That all of these areas of experience

must connect before creativity

is born is not a new concept. It

was advanced by Jerome Brunner,

an eminent psychologist, as he

explored the complexities of the

human mind. This concept is

most important as we delve into

suitable ways to expand creative

experiences for older adults. Here

is an example:

I met William as we waited

in line at McDonald’s. We sat at

adjoining tables, continued talking

about family and life in general

and stumbled across writing as a

joint interest. William, it turns out,

has been writing for quite a while.

He is unpublished; he writes for

his own gratification. My wife and

I listened raptly as he recited one

of his “sayings,” as he called them,

and we immediately recognized

it as pure poetry. How does an

ordinary guy – someone who has

worked all of his life and is still

working while retired – find the

time and motivation to produce

exceptional creative poetry?

I know little about William

except that he is hard working –

retired but still working part time.

He has strong family and church

connections and strong ties to his

religious heritage. William values

education and proudly talks about

his daughter and her quest for a

Ph.D. He possesses an unbelievable

vocabulary and a way of putting

words and phrases together

in thoughtful sequences of great

spirituality and meaning. Since

William writes basically for himself

and reads what he writes only

within a small circle of church and

personal friends, he does not yet

recognize how important or advanced

his creative thinking skills

are nor the impact his “sayings”

might have on a larger audience.

The motivation to write comes

from many sources. In this instance,

I believe William’s motivation

grows from a strong spiritual

connection to God. Spiritual

beliefs are often enabling motivators

for individuals at all ages and

levels of society. Such connections

are highly personal in nature,

involving powerful emotional

connections and imagination,

and thus they meet the Brunner

criteria for developing the creative

thought process. William could

have communicated his thoughts

in other ways: through the visual

arts, musical experience, dance,

crafts, theater or any other form

of expression he chose. William’s

choice was to use language to

transmit his thoughts and beliefs.

He felt comfortable with words.

You indicate your love of reading,

so if you are widely read you

already know that writers write

about fictional and non-fiction

subjects. You can create a novel

or poetry or write for magazines.

That is every author’s choice to

make. The possibilities are enormous

and the process changes for

each genre and subject. Hone your

research skills and learn to make

detailed outlines focusing on the

idea and sequence of events or the

storyline and decide on the audience

you will write for. You must

decide if you want to tell a story,

relate or solve a problem, write

about yourself, create a biography,

a children’s morality tale or investigate

some other subject area.

Sometimes putting words

to paper or on a computer is

intimidating, especially to those

new to writing. This intimidation

can serve as a block to

progress. Some beginners find

it easier to use an oral approach.

There are programs designed for

the computer that automatically

take spoken words and transfer

them to the screen. You can also

record your words on tape and

later transcribe the story into

written form. Both techniques

can help a new writer transition

more easily to putting ideas on

paper.

Inventive approaches to writing

frequently appear, some well

suited for exploration by senior

adults, such as a zine. Zines

(short for magazines) offer opportunities

for beginning and

advanced writers and artists to

informally publish their work.

You simply write, draw, paint

and design your published work,

copy it, then cut it to size and

either sew, glue, or staple the

pages together. Collections of

poetry, essays on any subject,

illustrated stories, sayings or

other creative experiences suited

to reproduction on paper, once

printed and bound, are shared

within a chosen group. They are

easily critiqued and re-written at

will in a non-threatening learning

experience for older adults.

If you believe you might need

help with your writing, check

with the Carnegie Center in

Lexington, the OLLI program

at the University of Kentucky,

your local senior center or an

adult education program. All

have writing programs for older

adults and some are free. Many

independent and assisted living

residences also have structured

writing programs for residents.

Postscript: If I had not begun

talking to William, truly listened

and been open to his ideas, I never

would have discovered an answer

to this question. The importance

of openness to new ideas and the

lessening of the fear of meeting

new people is an important key to

developing creativity. My conversation

with William provided me

with motivation, an emotional

connection to my subject and an

imaginative approach to say what

I believe to be important. I am

grateful and deeply indebted to

William for his openness and his

thoughts and hope to meet him

once again.

ABOUT THE AUTHOR:

Don Hoffman is the former

director of the Donovan Scholars/

Council on Aging at the University

of Kentucky and author of

Arts for Older Adults: An Enhancement

of Life.


2 8 JANUARY/FEBRUARY 2 0 1 7

Hobbies

Inventors Network KY

Have a great idea? Here’s some help

by Angela S. Hoover, Staff Writer

Ever have an idea for a new

product or a solution to a problem?

Most people do, but they

don’t know what to do with their

ideas. That’s where the Inventors

Network KY comes in.

The Inventors Network

Kentucky is a 501c3 non-profit

dedicated to providing educational

resources and support to

inventors and entrepreneurs. It

began in 1996 in Lexington as the

Inventors Council Central KY.

“We help inventors and entrepreneurs

through education,

engagement and empowerment,”

said Don Skaggs, president of the

Inventors Council Central KY.

More than just a club, the Inventors

Network is a comprehensive

group of programs that includes

presentations from speakers,

hands-on workshops, brainstorming

sessions and networking.

The network guides individuals

through each step from idea to

production and finally selling

in the marketplace. It can even

provide referrals to private and

governmental agencies across

Kentucky.

“There are associations like

ours, but we strive to do something

very unique, especially with

our workshop programs,” said

Skaggs.

A self-described “serial inventor”

since 1991, Skaggs began

attending council meetings in

2001after he saw a newspaper ad

about it. The network has two different

types of monthly meetings.

The first meeting, which is free

and open to the public, is held the

first Tuesday of the month. It features

expert speakers and provides

networking and learning opportunities.

Topics covered include patent

law, prototyping, marketing,

sales, finances and licensing. These

meetings not only cover basic information

and instruction but also

focus on individual behaviors to

cultivate – and shun – for success.

A prevalent behavior for many is

to treat their idea or product like a

baby. But babies cost money.

“The day they stop treating

their invention or product like a

baby, it begins to be like an actual

product,” Skaggs said.

The second meeting is a

members-only workshop. These

brainstorming sessions are held

under a joint confidentiality

agreement. Here members share

ideas and explain where they’re

at and what they might be stuck

on so other members can offer

ideas and solutions. The nondisclosure

agreement protects

against idea theft.

“It’s a brainstorming session on

steroids, as I’ve heard someone

describe it,” Skaggs said. “What

happens in the meeting, like Las

Vegas, stays in the meeting.”

The workshops, which meet the

second Tuesday of the month, are

powerful for members because

it’s helpful to be around other

inventors and entrepreneurs, said

Skaggs.

“No one is totally successful if

they work in complete isolation,”

he said. “People are very helpful.”

The network launched expanded

educational classes called

the Empowered Inventing series

in 2016. These are structured,

step-by-step classes that cover

many stumbling blocks for inventors

and entrepreneurs, including

behavior change, a known root

cause of many failed inventions

and businesses, as well as explaining

processes of different stages of

development.

One important focus is protecting

new inventors and entrepreneurs

from scams, which affect

more than 25,000 inventors a

year at an estimated cost of $200

million. The network believes the

most powerful weapon against

scams is educating inventors

about the right direction to go

when spending money and time

on their invention, product or

startup.

In 2004, the network held

its first annual convention for

inventors. It is now the largest

inventor/entrepreneur event of

its kind in the Midwest. Known as

Inventor-Con, it attracts nationally

recognized speakers and exhibitors

from all over the country. The

Louisville center opened this

past September. The network

started a YouTube channel (InventorsCouncil)

to upload educational

videos and is also looking into

more ways to connect with others

in rural areas in the state. It is

also planning outreach programs

with middle and high schools,

colleges and other postsecondary

educational centers, groups and

associations.

Membership is $50 annually.

The council’s offices are located

at 4101 Tates Creek Centre

Drive, Suites 150-143. Visit www.

KYInventors.org or call (859)

201-1311.


JANUARY/FEBRUARY 2 0 1 7

2 9

FAMILY VISION

Autism and

Eyesight:

Prisms Help Get

Systems in Sync

by Dr. Rick Graebe,

Family Eyecare

Associates and

Vision Therapy

It may surprise

you to learn eyesight and autism

spectrum disorders have a connection.

One of the major symptoms

of autism is a lack of eye contact.

Few people with autism have

trouble with their eyesight. The

problem is with the person’s ambient

visual system. The ambient

system is concerned with things

going on around us in the background.

It generally filters everything

out for us because noticing

every little thing in the visual

field would be overwhelming.

However, people on the autism

spectrum have trouble using the

central and peripheral visual

systems simultaneously, so subsequently

they have trouble filtering

things. Having autism can

be compared to walking around

with the tubes from paper

towels in front of your face. You

would move your head around

constantly, trying to check out

your environment and keep up

with what’s going on. People on

the autism spectrum tend to get

hyperstimulated when there is

In one documented case, a 14-year-old

boy who had never said more than oneword

sentences started speaking full

sentences within 15 minutes of putting

on a pair of yoked prisms.

too much peripheral movement

happening all around them.

Their ambient visual system is

not telling them that people are,

perhaps, moving in many different

directions, both forward and

backwards. Confused, needing

to feel where they are in relationship

to the things around them,

people on the autism spectrum

might start exhibiting stimming

– self-stimulatory behavior that

incorporates the repetition of

physical movements, including

flapping the arms. When the

ambient visual system works as

it is supposed to, people on the

autism spectrum don’t experience

overstimulation.

Vision therapy using yoked

prisms has been shown to help

people on the autism spectrum

tremendously, sometimes even

removing autism tendencies.

This therapy has a major impact

on the ambient vision system.

It is not a cure for autism; it is

a calming of the sensory system.

In one documented case,

a 14-year-old boy who had

never said more than one-word

sentences started speaking full

sentences within 15 minutes

of putting on a pair of yoked

prisms. The prism changes

the distribution of light on the

retina; one theory espouses the

prism resets the timing between

the ambient and focal vision systems.

When they are out of sync,

a prism can help the two systems

blend better. Yoked prisms do

what any therapy – physical, occupational,

speech – is meant to

do: create a new, more meaningful

and useful environment for

the patient. It changes input and

thus changes output.

Vision therapy is an attempt to

understand the world in which a

person on the autism spectrum

lives and moves, to understand

what makes their sensory input

different and to take steps to

improve it. It is effective for

both children and adults. Once

there is a better understanding

of what is affecting the person

with autism, vision therapy can

expand his or her peripheral

awareness and help him or her

achieve the ability to judge space

and distance so they don’t get

as overwhelmed as quickly. For

more information about yoked

prisms and the autism spectrum,

a recommended book is Mel

Kaplan’s “Seeing Through New

Eyes,” which details his work

with patients on the autism

spectrum.

ABOUT THE AUTHOR:

Dr. Graebe received both his B.S

degree in Visual Science and Doctorate

of Optometry from Indiana

University. He is a Behavioral Optometrist

and learning expert. He

has been in private practice here

in the Bluegrass area for the past

32 years.

Family Eyecare Associates

105 Crossfield Drive, Versailles, KY 40383

859.879.3665 | www.myfamilyvision.com

www.kentuckyvisiontherapy.com


3 0 JANUARY/FEBRUARY 2 0 1 7

Gardening

Winter Garden Tips

’Tis the season to prepare for spring

by Angela S. Hoover, Staff Writer

Don’t have a garden but want

to start one this spring? Then

get started this winter! Go ahead

and plan and plot where your

garden will be. Winter is not an

off-season for avid Kentucky

gardeners. Which tasks you undertake

depends on your answer

to the question: to grow or not

to grow?

The key to growing in the

winter is to only concentrate on

plants hardy enough to withstand

cold temperatures – forget

about tomatoes and corn until

late spring. There are plenty of

plants well-suited for winter

growing. Cold-tolerant plants

that can withstand even temperatures

in the teens include brassicas

– kale, bok choy, kohlrabi and

most mustard greens. Fava beans

are hardy enough to survive

temps of 10 degrees F. They are

also a good winter nitrogen fixer.

Root crops such as carrots, beets,

rutabaga and parsnips are perfect

for winter – just be sure to plant

them in a low tunnel or with a

thick layer of mulch. Low tunnels

can protect against drying winds

or compression from heavy

snows. The cold temperatures

yield sweet-tasting vegetables.

The biggest challenge to winter

gardens is temperature fluctuations

that go from very warm

to extremely cold. (After all,

this is Kentucky.) The warmer

temperatures can encourage

premature blooms and bring

pests and diseases, but sudden

freezes can halt development.

Coverings for particularly hardfreeze

nights can be purchased

or even improvised quickly with

an actual blanket. Hoops with

wire at intervals helps keep any

covering laid on top of the crop

area from touching and weighing

down on the plants. When

the freezing temperatures pass,

remove the cover. The plants will

look droopy and limp at first.

But as the sun warms them, the

intercellular water circulates and

drains and in time the plants will

perk back up.

Winter is a good time to test

your soil’s nutrient levels. Leafy

green vegetables require more

nitrogen than winter peas, carrots

or broccoli. The pH level of

soil is the most important factor.

During the winter time, the pH

level should be adjusted to a

range of 6.2 to 6.8. It’s also important

to remove any remaining

summer vegetables and add them

to the compost pile.

If you don’t wish to grow

anything this winter, plant cover

crops. Cover crops are also called

“green manure” because while

they act as a covering for the

soil, they also prevent erosion

and provide nutrients for the soil

when tilled. Red-flowering clover

is an ideal example of a cover

crop that can help build and protect

the soil in gardens or areas

of a garden that are not actively

growing a vegetable, root or

herb. Cereals such as wheat, rye,

buckwheat or oats are also great

cover crops. Clover and cereal

grains can be grown together or

alone. Another nice winter-cover

crop mix is cereal grain(s) and

legumes such as cow peas. Avoid

planting ryegrass because it is

difficult to eradicate in the spring.

Cover crops should be fertilized

at planting time and maybe once

again later in the season if they

need a boost. Come this spring,

you’ll have nutrient-rich soil to

work with for your garden.


JANUARY/FEBRUARY 2 0 1 7

3 1

Near-Death Experiences

Bring People Into New

Way of Being

Perceptions, behaviors,

lives are changed

by Charles Sebastian, Staff Writer

The subject of near-death

experiences (NDEs) has long

fascinated the public. It has made

its way into many books and movies.

These occurrences vary, from

the classic “I saw a bright light”

to “My life flashed before me” to

“I had a visitation from a family

member who passed on.” Are these

simply light-and-shadow plays of

the mind or actual experiences

on some level yet unknown to us?

Whether NDEs could one day be

proven real or not is irrelevant to

the fact that they can turn people’s

lives around and drastically change

their behaviors and perceptions.

Dr. Jim Roach, who helms

The Midway Center for Integrative

Health in Midway, has heard

numerous NDE accounts over his

many years in practice. He is the

author of the spiritual near-death

book, “God’s House Calls,” in

which he cites 45 patients who had

spiritual NDEs.

“One [patient], an alcoholic,

had a negative near-death experience,”

Roach said. “He didn’t share

details, but it shook him up. The

next two years he did everything

he could to make amends, then

had a blissful near-death experience.

Maybe it matters if we are

making the world a better place.”

Because of the different experiences

in the near-death category,

not only is there the “was it real

or only in my imagination” effect,

but the truth of some experiences

seems more or less plausible than

that of others.

“Maybe Einstein had it right: E

= mc2,” Roach said. “We look at

each other and see solid mass; in

reality, we are just an energy field.

Almost every week I encounter

someone who has been out

of body. Famous psychiatrist

Elizabeth Kübler-Ross, author of

‘Death and Dying’ and many other

books, interviewed 2,000 people

with NDEs, including blind people

who, while their doctor did CPR,

from up above could see every

detail and describe every color.”

While NDEs vary in form,

fashion and delivery, they all have

the common thread of taking the

subject out of his or her comfort

zone and somehow showing the

person something new. The experiences

bring the person into a new

way of being and dealing with the

world.

“[I have] hundreds [of patients]

with premonitions, intuitions, outof-body

experiences or [who have]

heard voices or seen visions with

positive, transformative messages,”

Roach said. “Half of my serene,

upbeat female patients have had

these experiences; they are incredibly

common but so personal they

are rarely shared.”

Until the day comes when we

can somehow prove these experiences

are real in the minds and

bodies of those who report them,

we continue to wonder about their

place in the human drama. Even if

one day NDEs are proved, tested

and accepted, naysayers would still

be naysaying. What is important

is the undeniable role NDEs play

in the human experience and how

they have shaped lives, nations and

the world.

For more information about

Roach and The Midway Center

for Integrative Health, visit www.

themidwaycenter.com.

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