Senior Independent Living Communities

While driving past my local fire station this morning, I saw a line of children – they looked like first- or second-graders – walking two by two with a teacher at the either end of the queue. They were headed into the firehouse for what was likely their first-ever visit and formal lesson in fire safety. And since October 9-15 is National Fire Prevention Week, the children’s field trip was very timely!

We are very conscientious about teaching our kids the basics of fire safety because they are such a vulnerable group. Many of us, however, overlook what is arguably an equally vulnerable group – the elderly, especially older folks who live alone. Seniors with hearing or vision loss and those with mobility impairments may not detect fire quickly and may be hindered in their escape.

In fact, adults between age 65 and 75 have a fire death rate twice that of the national average; between age 75 and 85, three times the national average; and over age 85, four times the national average. The leading cause of fire deaths in the elderly? Smoking. The leading cause of fire-related injuries in the elderly? Cooking.

Here are some fire safety tips for any senior who lives independently, whether in a retirement village or in a community setting:

• The single most important step you can take to save your life during a fire is to install smoke alarms, which can alert you to the presence of deadly smoke while there is still time to escape. Place alarms next to each sleeping area and on every floor of your home. Ask friends, family members, building managers or someone from the fire department to install and test smoke alarm batteries at least twice a year – spring and fall with the change of daylight savings time is a good plan. If your smoke alarms are hardwired (connected to the electric circuitry of your residence), make sure they are also equipped with battery back-ups.

• Whether at home or elsewhere, always know the location of the nearest exit. If you live in an apartment building, know where the exit stairwell is and plan to wait there for help if you cannot take the stairs. If you live in a multistory house, try to sleep on the ground floor. Plan your escape route around your capabilities and practice it.

• Have at least one fire extinguisher – and know how to use it. Keep a fire extinguisher easily accessible in the kitchen. If you are confined to a wheelchair, consider having a small easy-to-reach fire extinguisher in mounted on your chair

• Make sure there is a phone next to your bed within arm’s reach. Keep emergency telephone numbers and hearing aids (if necessary) handy.

• Never leave the stove unattended while cooking. If you need to step away from the stove, turn it off. Keep towels and potholders away from the burners. If food or grease catches fire, smother the flames by sliding a lid over the pan and turning off the heat.

• Never use appliances with exposed wires.
  
• Make sure that you are alert when you smoke.
  
• NEVER SMOKE IN BED!
  
• If an oxygen source is nearby, warn guests to refrain from smoking.

• Don't leave portable heaters alone or go to sleep while they are on.
  
• Don’t overload electrical outlets or extension cords.
  
• If your residence is on fire, get out as soon as possible – and stay out. Do not try to gather personal possessions before you leave.

For more information, visit the Ohio Fire Marshal’s website. Take some time during National Fire Prevention Week to think about your own safety and that of your family and friends.

Many veterans call Bethany Village home. These brave men and women served our country in all branches of the military and continue that service here at Bethany. An official veterans group is active on campus and recently coordinated a donation drive for the Blue Star Mothers. The drive collected things like socks, batteries, eye drops, candy and much more that our enlisted men and women need while stationed away from home.

During July, Americans remember the anniversary of our independence. At Bethany, residents celebrate just the same. There are cookouts, summer concerts and other activities to stay engaged. If you don’t like the heat, no worries: everything at Bethany is connected, meaning you can still workout in the Fitness Center, have lunch with friends in the Bistro and take an art class all in the comfort of air conditioning.

If you are ready to proclaim your independence, you should first call 937-436-6850 to make a personalized appointment. A senior living counselor will work with you to make sure you get the most out of your visit and help determine if Bethany is the right place for you.

Remember, while your neighbors are working on the lawn in the August heat, you could be sitting on your new patio, sipping iced tea. Or playing bridge with new friends. Or enjoying an art show. Our move-in coordinator can provide advice and help with the downsizing process.

Are you planning to visit communities like Bethany Village over the summer?

For older adults, falling can lead to serious injury, disability and loss of independence. Last week we talked about fall-proofing your home. Now let’s look at another very important step you can take to lower the risk of falling: EXERCISE.

Once you have made sure your home is safe, have talked to your doctor about medications that may cause dizziness and, if you have osteoporosis, are taking your calcium and vitamin D supplements, the next item on your agenda should be developing a regular exercise regimen. If you live in an assisted living community or CCRC like Bethany Village, chances are there is a certified exercise professional/trainer on staff who can help you design a program. Otherwise, ask your doctor for a referral to an exercise physiologist who understands the needs of older adults. If you are a beginner, you may feel more comfortable in a group class.

Exercise not only makes you stronger, it also helps improve balance, endurance, flexibility and mood. A program of regular strength and balance training as well a cardiovascular routine are the backbone of a good exercise plan. Even 15 minutes of activity, such as walking or swimming, done every other day can make a difference. Add yoga and tai chi for an extra dose of balance training.

If your doctor says it’s okay to begin exercising on your own, take a look at the Centers for Disease Control (CDC) general strength training program for older adults. The CDC recommendations are comprehensive – and to some, perhaps overwhelming. Begin by focusing on just a few exercises that work the lower body and are specifically designed to help prevent falls. But don’t overdo it! For example, recent research suggests that strength training (often done using weights) should be done only three times per week to get fall-prevention benefits. Muscles need time to rest between sessions.

Here are a few tips to help you get started:

For strength

• While standing at the kitchen sink, rise on your toes, then lower your heels to the   ground, and then rock back on your heels and lift your toes before lowering again. (Hold on to the counter!)
• From a seated position, lift and straighten alternating legs.
• Carefully try easing into and out of a sitting position without using your hands.

For balance

• Stand on both feet and focus on a point on the wall for 30 seconds. Try not to move your body to steady yourself.
• Try to do the same thing while balancing on one foot. Do this next to a sturdy piece of furniture or counter that you can grab if need be.

• Work up to 30 minutes of walking most days of the week.

Although exercise isn’t a surefire way to prevent falls, it can make a big difference – and it has many other health benefits. Before starting any exercise program, however, be sure to check with your doctor. People who have had hip replacements, for example, are restricted from certain movements.

Do you exercise regularly? Write a comment about your exercise activities.

Are you retired and looking to make a move to a senior living community like Bethany Village? Maybe you’re an adult child and you are planning for both your parent and yourself. As we get ready to usher in a new year, give yourself some time to reflect on the past…and what you would like to happen in the future.

If you want to start 2011 off right, you’ll need a plan. Here are some popular resolutions for seniors:


 

1. Consider your living arrangements. Is it time to move to a senior living community and leave the life of maintenance and housework behind?
2. Get (or keep!) moving every day for optimal physical fitness. Bethany Village exercise physiologist Christy Trittschuh reminds all of us to start small and do mild exercises like walking.
3. Clean out your dressers, drawers, closets and donate what you no longer want or need. Think of the feeling of accomplishment when you have all that free closet space!
4. Make plans to get together with a friend or neighbor at least once a week. This forces you to keep a social schedule and strengthens your non-familial relationships.
5. Be indulgent. That’s right! You’ve earned that extra (occasional!) cookie or extra hour of sleep. Drop the guilt, enjoy life more.

All those resolutions are well and good for people who are already retired. But what if you are a Baby Boomer and thinking about retiring in the next decade or so? There are some important resolutions you should be considering as well. Here are a few key points:

1. Get your financial house in order. Baby Boomers Retirement Network has an entire checklist regarding your finances and future retirement goals. The top of their list? Stashing enough money in your 401(k) to get your employer match and don’t keep all your investments in one company’s stock.
2. Get moving everyday. Just like mom and dad, you need to move it…or lose it! Hit the gym or grab a friend and go walking. Staying healthy cuts down on doctor bills.
3. Take good care of your aging parents and plan for both your futures.
4. Hire a lawyer and get a will…and a living will, too.
5. Travel to different destinations and consider where you’d like to spend retirement. 

So that’s what the experts say should be on your resolution list for 2011. Do you have any other resolutions not listed here?

If you are an older person thinking about visiting some retirement communities in anticipation of making a move (or if you are a family member thinking about future living arrangements for a loved one), I have a very important piece of advice for you: Do it when things are going well and you are not in crisis or under any pressure to make a fast decision. Not being in a hurry to make a move gives you the freedom to consider all your options, weigh the pros and cons, and make an informed decision.

I’ve been a senior living counselor at Bethany Village for 11 years, and in that time, I have learned what it takes for prospective residents to glean the most information from their retirement community preview tours. Here are some tips:

Don’t be afraid to make an appointment. Selecting a retirement community can’t be done over the phone. You’ll want to compare at least a couple of similar places. Meeting face-to-face with a counselor is the best way to get a feel for the place and have all your questions answered.

Be prepared. Before you set off for your appointment, take a few minutes to write down your "hot button" issues. What are you looking for? What is less than perfect in your current living situation? Could the community you are visiting solve those problems?

Allow enough time for your appointment. For example, Bethany’s campus is fairly large – ranging from independent living in cottages to long-term nursing home care. We ask our prospective residents to plan on about a 90-minute visit.

Visit during the day. Retirement communities are quieter in the evening and on weekends, so if you want get a realistic impression, come during the day.

Try to set aside preconceived negatives. There are several common preconceived notions about moving into a retirement community. One has to do with loss of control over your lifestyle. A quality retirement community will allow you to make the decisions about how much assistance/care you need. Fear of moving into a nursing home is another common issue. If there is a nursing home associated with the retirement community you are visiting, ask to see it and take a good look around. At Bethany, for example, I think the community and atmosphere would be not at all what you anticipated.

Expect the places you visit to follow-up with you. The counselors you meet with should call you about a week after your visit to see if you have any questions. If you show interest in the community, you should expect the counselor to invite you and perhaps a family member back for another visit.

Let’s face it: people generally don’t like making dramatic changes in how and where they live, especially as they get older. You probably want to see me – a retirement community counselor – about as much as you want to go to the dentist! But taking care of these plans now can make your life a lot easier later. I can assure you that at Bethany Village, your needs and comfort come first. And if you use the tips I’ve outlined above, you will be able to make an informed choice when it’s time to look at retirement living.

Your comments are welcome about your experience with tours of retirement communities.

For many seniors having a car and the ability to drive anywhere and anytime is understandably a luxury they do not willingly want to relinquish. They have been driving the majority of their lives and many cannot imagine giving this up.

If one or both of your parents is facing the decision to stop driving, either because of personal health or safety issues, understand the gravity of the decision. To provide support, be encouraging and offer up some positive aspects of letting someone else do the driving.

A big benefit is financial. The money saved on insurance, gas and routine maintenance is substantial and can be applied toward paying for private transportation when needed. Other benefits include the end of battling inclement weather and skipping the annual hassle of renewing car insurance, driver’s licenses and registrations.

If your mom and dad live in a retirement community such as Bethany Village they can still keep their independence whether they drive or not. Bethany provides bus transportation to local grocery and department stores, physician offices and pharmacies at no extra cost. Bethany also provides private transportation based on individual needs and assistance that might be required.

Children that live nearby can also provide transportation assistance, and pair the outing with lunch and some quality time with mom and dad.

Our society is of the mindset that once you can no longer drive, your life comes to a halt. While driving can certainly afford your parent(s) a more spontaneous lifestyle, with some advance planning, a full social calendar is possible!

Have you recently had the "no more driving" talk with mom or dad? How did it go? Leave your advice in the comments section below. AARP has more information about planning the conversation.

• Health changes: shortness of breath, increased pain, unexplained bruises or other injuries, difficulty walking, changes in eating or sleeping habits
• Memory loss: missed appointments, losing or misplacing items, repetitive conversation, missed doses of medications or medications taken at wrong times
• Mood changes: loss of interest in usual activities, being withdrawn, prolonged sadness, increased irritability, unusual fears
• Poor safety judgment: stove burners left on, unexplained dents in the car, getting lost, dressing inappropriately for the weather
• Decline in personal appearance: wearing the same clothing, poor grooming and/or hygiene
• Decline in living conditions: house not being kept up like it used to be, dirty dishes or paperwork piling up, rooms messy
• Difficulty managing finances: unpaid bills, unable to maintain checkbook