ELDERUPDATE CARING FOR THE CAREGIVER - A LOOK INSIDE - Florida Department of Elder Affairs
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E L D E R A F FA I R S .O R G ELDERUPDATE MARCH/APRIL 2019 NEWS BROUGHT TO YOU BY THE DEPARTMENT OF ELDER AFFAIRS VOL. 30, NO. 2 CARING FOR THE CAREGIVER Richard Prudom munities are livable, accessible, and supportive of is a very real and serious issue. Burnout is a prob- Secretary our caregivers. lem we want to prevent. Florida Department of Elder Affairs There are many factors affecting Florida caregivers, In 2016, AARP conducted a study on caregiving but one of the most significant ones is the increas- and reported that: Florida is home to more than ing incidence of dementia. The Alzheimer’s Asso- 5.5 million older residents and boasts the largest ciation projects there are 540,000 Floridians liv- • 68 percent of respondents who were current or 65+ population in the nation. In the next 10 years, ing with Alzheimer’s disease – a number that is past caregivers reported feeling emotionally our senior population will increase to more than expected to increase to more than 720,000 in the stressed. 7.6 million. There are challenges in promoting the coming years. Sadly, these figures do not include health and well-being of this growing and increas- those living with other forms of dementia, like • 34 percent felt financially stressed. ingly diverse older adult population. Aging, espe- Lewy Body dementia or vascular dementia, nor cially as baby boomers reach ages 85 and older, does it include the millions of caregivers affected. • 57 percent found it very difficult to get rest. signals a likely surge in the use of long-term care services. Disability rates evolve over time, so Flor- There are more than 1.1 million caregivers pro- • 45 percent had no time to exercise regularly or ida’s Aging Network has been given a significant viding care and support for family members with keep a healthy diet. challenge – to ensure that the needs of the frailest Alzheimer’s disease or a related dementia. And, as elders continue to be met. we know, there are still more caregivers provid- Our caregivers are not able to take care of them- ing other support outside of the dementia spectrum. selves because of all the demands they face pro- Additionally, the caregiver crisis is real and grow- When a loved one is diagnosed with an illness, viding care. And while the study noted that typi- ing. One of the most important things we are work- we know it is not just the individual who suffers. cal family caregivers in Florida are women over ing on is how to make Florida more age-friendly, Whole family structures and dynamics must be age 55, we know we also have people who fit in and a significant part of this is ensuring our com- adjusted accordingly. There becomes a “new nor- as the “sandwich generation,” where they are tak- mal.” And the stress family caregivers experience ing care of their children AND other loved ones CONTINUED ON PAGE 15 March/April 2019 A LOOK INSIDE News from Our Local PSAs Join Us at Florida Senior Day...................................... 13 PSA 5: Pasco-Pinellas.................................................. 3 Department of Veterans' Affairs SHINE Danny Burgess, Executive Director of FDVA.............. 14 New Medicare Card Distribution Is Completed........... 4 Homeowners Dear Judy..................................................................... 5 Reverse Mortgage Relief Available............................15 SHINE Volunteer Retires.............................................. 6 Transportation Guardianship Slow Your Roll: Low Speed Vehicle Guide...................17 Lee Eakin: Professional Guardian................................ 7 Office of Financial Regulation Health and Wellness Financial Planning for Memory Loss......................... 18 Vaccines for a Healthier Life........................................8 Financial Word Scramble.......................................... 19 Department of Elder Affairs Long-Term Care Ombudsman Our Mission, Programs, and Services.......................... 9 Volunteer Spotlight...................................................20 Volunteering Local Council Success Stories......................................21 The Importance of Volunteer Recognition................ 10 Alzheimer's Disease Awareness April Is Florida Volunteer Month................................11 News from the Capitol Alzheimer's Painting the Capitol Purple....................................... 24 Governor Ron DeSantis: First 30 Days........................ 12 Awareness MORE ON PAGE 24
2 LETTER FROM THE EDITOR MARCH/APRIL 2019 Elder Update ELDER UPDATE (USPS 403-710/ISSN 1060-4545) LETTER FROM THE EDITOR-IN-CHIEF Allison Burtoft ed to share this progress with you, nings. We feel that this issue of Elder Elder Update is a bimonthly publication mailed in state to Editor-in-Chief excited to continue moving forward, Update is a great opportunity to Florida residents at no cost to and we thank you for allowing us to share different ways to stay engaged recipients. Out of state, Elder As winter comes to a close, we say serve your communities. As always, with your community. Update may be accessed at hello to a new season with warmer we will have information from our elderaffairs.org. weather and longer days. It always SHINE Program and updates from We hope you enjoy this issue, and we Ron DeSantis seems like spring is a whirlwind – our partners through the Long-Term always appreciate hearing from you. Governor from the change of Daylight Savings Care Ombudsman Program. You'll If you have suggestions, please write Richard Prudom Time to the change of weather, it is also see highlights of some of our to us at the address in the left column Secretary certainly one of the busiest times of wonderful volunteers and profession- or visit elderaffairs.org for more Ashley Chambers the year. If you’re planning on travel- al guardians. information. Communications Director ing during this time and will change your address temporarily, please let If you’re staying in the state in the Allison Burtoft Editor-in-Chief us know if you would like for us to temporarily suspend your sub- coming months, this spring is the perfect time to experience new activ- SPECIAL THANKS Liz Jameson Elder Update staff is deeply scription until your return. We have ities. This March and April, there are Editor gratified by the many generous received many changes of addresses many opportunities to try something Haven Capone donations given recently by our out of state, and we want to ensure different from your normal routine or Layout Editor & Graphic Design readers. Your generosity and all of our Florida subscribers contin- learn something new. Elder Update welcomes kindness are truly appreciated, ue to receive the paper. submissions from readers. and your donations will be used Whether you choose to come out to However, due to the volume of to ensure the continued produc- Inside this issue of Elder Update, the Historic Capitol for Senior Day submissions, acknowledgements tion of Elder Update. cannot be mailed. Articles you'll learn about happenings across on March 27, or join a new organi- selected for publication must the state from the Department of zation in your hometown for Florida • Adelaide M Wagstaff provide accurate information Elder Affairs and from our new Gov- Volunteer Month, spring is a great to Florida’s elders about ernor, Ron DeSantis. We are excit- time to start fresh with new begin- aging-related programs and services and complement the Department’s mission. The SUDOKU 1 5 6 4 editor reserves the right to edit submitted material. Department of Elder Affairs 4040 Esplanade Way Tallahassee, Florida 32399-7000 Phone: 850-414-2000 There is only one valid solution to each Sudoku puzzle. When you start a game of Sudoku, some 8 2 TDD: 850-414-2001 POSTMASTER: blocks will be pre-filled for you. You cannot change these numbers in the course of the game. Each column must contain all of the numbers 1 3 2 6 1 Send address changes to: Elder Update Department of Elder Affairs through 9, and no two numbers in the same col- umn of a Sudoku puzzle can be the same. Each row must contain all of the numbers 1 through 9, 1 7 9 4040 Esplanade Way Tallahassee, Florida 32399-7000 Periodicals postage paid at and no two numbers in the same row of a Sudoku puzzle can be the same. Each block must contain all of the numbers 1 through 9, and no two num- 5 3 1 Tallahassee, Florida, and additional offices. In accordance with United States bers in the same block of a Sudoku puzzle can be the same. Good luck! 8 6 7 Postal Service regulations, the Florida Department of Elder Affairs publishes and distributes five regular issues and Solution found on page 22. www.brainbashers.com 6 7 4 9 7 4 one special edition of Elder Update Sudoku Puzzle © Kevin Stone each year. To view Elder Update’s 2018 Statement of Ownership form, please 8 4 2 3 email your request to information@ elderaffairs.org or call 850-414-2000.
MARCH/APRIL 2019 Elder Update PLANNING AND SERVICE AREAS 3 PSA 5 Bonnie Hough medical care. The local WellMed medical clinic is Director of Outreach, AAAPP working with AAAPP to ensure the holistic needs of their older adult patients are being met, either Two New Exciting Programs through services provided by either organization, AAAPP is proud to announce the launch of two or by providing funds for crisis-relieving services new pilot projects, aimed at addressing the needs where appropriate. News From Our of caregivers. These projects include the following: A First-of-Its-Kind Needs Assessment Training on and Implementation of Savvy AAAPP has worked to build a coalition of munici- Local Planning Caregiver, an evidence-based program to help caregivers of adults with Alzheimer’s disease or related disorders better manage their stress pal and foundation partners to fund an evidence- based Community Assessment Survey of Older Adults. This survey will be mailed to 18,000 and Service Areas and learn healthy coping skills. Four to six agency representatives will be trained to pro- vide the program, and a pilot course will be homes where at least one adult over the age of 60 lives and will collect a wide range of information on the needs of our community’s elders to live held in both Pinellas and Pasco counties. safely and independently. The survey is expected Florida is divided into 11 Planning and to be mailed in March of 2019, with data available Service Areas (PSAs). Each PSA is made Development of Caregiver Connect, a Face- late summer 2019. up of several counties that receive ser- book-live educational series and informal peer support group for family caregivers who Free, Anonymous Incontinence Supply Bank vices through an Area Agency on Aging cannot leave their homes but are in need of Over the past year, AAAPP has received two (AAA) centrally located in the PSA. information, support, and resources to assist grants to build out a free and anonymous incon- AAAs contract with the Department of in caring for their loved ones. The series is tinence supply bank throughout our PSA. Older Elder Affairs to provide services locally expected to launch late spring 2019 via the adults who call the helpline in need of inconti- that best meet the needs of elders. AAAPP Facebook page. nence supplies are directed to a variety of commu- nity sites where they can pick up several packs of PSA 5 includes Pasco and Pinellas coun- Partnerships to Address supplies at a time. In the first year of the program, ties and is served by the Area Agency the Needs of Older Adults AAAPP and its distribution network provided more AAAPP has partnered with the WellMed Founda- than 22,000 individual pull ups and 7,000 individu- on Aging of Pasco-Pinellas (AAAPP). tion to ensure medical providers are also address- al pads to older adults in need. ing the social needs of older adults as they provide
4 SHINE MARCH/APRIL 2019 Elder Update New Medicare Card Distribution Is Completed Portions of CMS News Release • Call 1-800-MEDICARE for assistance. They • Start using your new Medicare card right away. (January 16, 2019) will verify your identity, check your address on Carry it when you need healthcare. Medicare record, and help you get your new card. coverage and benefits are the same. The new The Centers for Medicare & Medicaid Services card does not impact or change your healthcare (CMS) recently completed a large-scale effort to • Log into your mymedicare.gov account to get benefits. provide new Medicare cards without Social Secu- your new Medicare number or print your official rity numbers to people with Medicare. The new card. The new Medicare number is now avail- • Keep your other plan cards. If you’re in a Medi- cards support the agency’s work to protect personal able in your account, even if you didn’t receive care Advantage Plan (like an HMO or PPO) or identity and reduce fraud and abuse. Over the past your card in the mail. Accounts are password- a Medicare Drug Plan, keep using that plan ID nine months, CMS sent new cards to more than 61 protected and secure. To access or create an card whenever you need care or prescriptions. million people with Medicare across all U.S. states account, visit MyMedicare.gov. However, please carry and protect your new and territories, completing the mailing ahead of Medicare card — you may be asked to show it. schedule. • Ask your healthcare provider. Providers may be able to look up your Medicare number through • Protect your Medicare number just like a credit “Safeguarding our beneficiaries’ personal infor- a secure portal when you come in for healthcare card. Only give the new Medicare number to mation continues to be one of our top priorities,” services. doctors, pharmacists, other healthcare providers, said CMS Administrator Seema Verma. “The insurers, or people you trust to work with Medi- Trump Administration is committed to modern- Prioritizing Security care on your behalf. Medicare will never call izing Medicare and has expedited this process to Although the new Medicare cards are designed to uninvited for your Medicare number or other ensure the protection of Medicare beneficiaries and protect against identity theft, people with Medicare personal information. taxpayer dollars from the potential for fraud and should continue to look out for scams. CMS offers abuse due to personal information that existed on these tips: CONTINUED ON PAGE 19 the old cards. All beneficiaries should continue to use these new cards as a valuable resource when • Destroy your old Medicare card so no one can seeking care. These new cards will not only be eas- get your personal information. ier for beneficiaries, but also provide the Medicare program with essential protections due to the new unique identifier on the cards.” In April 2018, CMS began mailing the new Medi- care cards, each of which features a unique, ran- domly assigned Medicare number known as a Medicare Beneficiary Identifier (MBI). The MBI is a combination of letters and numbers that helps protect against personal identity theft and fraud. CMS mailed the new cards on a rolling schedule to all people with Medicare, completing the task three months before the April 2019 deadline for replacing old Medicare cards set by Congress as part of the legislation passed under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Medicare patients are successfully using their new cards in doctor’s offices and other healthcare facilities. Assistance Available For anyone with Medicare who has not received a new card by now, CMS offers these tips:
MARCH/APRIL 2019 Elder Update SHINE 5 DEAR Your Questions Answered JUDY: by a SHINE Counselor Explaining the Maximum Out-of-Pocket Limit and the Choice to Defer Medicare Part B Coverage Dear Judy, The Maximum Out-of-Pocket Limit cover 100 percent of covered health I signed up for a Medicare Advan- is the highest yearly amount you will care costs for the remainder of the tage plan last fall during the Open have to pay out-of-pocket for covered calendar year. Enrollment Period. In reviewing my health care services. This spending plan’s documents, I notice that my maximum is one important differ- Dear Judy, plan has a “maximum out-of-pocket ence between Medicare Advantage limit” for the year. Can you please plans and the original fee-for-service I am turning 65 in August 2019. explain what this means? Medicare program; Original Medi- Should I defer my Part B coverage? JUDY ARCHEY care doesn’t have a yearly cap on Thanks, your health care costs. This yearly Thanks, Judy Archey is the Area Coordi- Ms. M.A. cap does not include monthly pre- Mr. Bass nator for Putnam, Alachua, Brad- miums, but it does include annu- ford, and Union counties. She Dear Ms. M.A., al deductibles, co-insurance, and Dear Mr. Bass, also serves as a statewide train- Thank you for taking advantage of copayments. They may all count Welcome to Medicare! You are not er for the Department of Elder Medicare’s Open Enrollment Period. toward this maximum limit. required to sign up for Medicare Part Affairs’ SHINE Program. It is wise to check your coverage B when you are first eligible if you every year. The Maximum Out-of-Pocket may be still have insurance coverage through If you have a question you would different for each individual a current employer, be it through like answered in our new Dear Maximum Out-of-Pocket Medicare Advantage yours or your spouse’s. Judy column, please send an Limit is one important plan and can change email to information@elderaf- difference between from year to year. “Current” is the operative word here. fairs.org. You may also send a Medicare Advantage Once you have reached Retiree, COBRA, Veterans’ benefits, question by regular mail to: and the traditional the plan’s limit for that or individual insurance purchased fee-for-service year, then your Medi- from the Marketplace does not count care Advantage as coverage from a current employer. Elder Update: Dear Judy Medicare plan. Florida Department Plan will If you miss your deadline to sign up for Part B for this or any other rea- of Elder Affairs son, you may be required to pay a 4040 Esplanade Way late enrollment penalty for the rest of Tallahassee, FL 32399-7000 your time on Medicare. You can enroll in Part B without a care ends. If you miss this win- penalty at any time during the eight dow, you may be subject to a pen- months after you or your spouse stop alty for as long as you are covered working or your employee health by Medicare. SHINE provides free, unbiased health insurance counseling and information to elders and their caregivers. Through a statewide network of trained SHINE counselors, individuals with Medicare-related questions and issues can receive personal and confidential assistance. Through the SHINE/SMP (Senior Medicare Patrol) Program, SHINE counselors support the SMP mission to empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education. For more information, you may visit our website at FLORIDASHINE.ORG.
6 SHINE MARCH/APRIL 2019 Elder Update Volunteer Retires From SHINE Program After 21 Years of Service to Southwest Floridians and the Area Agency on Aging for Marshall filed hundreds, if not thou- ABOUT THE AREA Southwest Florida (AAASWFL). sands, of appeals during her two-plus decades with SHINE, winning nearly AGENCY ON AGING FOR In October, SHINE volunteers past all of them. She once won an appeal SOUTHWEST FLORIDA and present, along with current and on behalf of a client for more than The Area Agency on Aging for former employees of AAASWFL $500,000. Southwest Florida is a nonprofit and Cape Coral Hospital gathered to organization serving Charlotte, wish Marshall the best at a retirement The SHINE Program has grown sig- The secret to Jo reception at AAASWFL’s North Fort nificantly since Marshall joined the Collier, DeSoto, Glades, Hen- dry, Lee, and Sarasota coun- Myers headquarters. team. She recalls that in 1997, there Marshall's over were only about three or four SHINE ties. AAASWFL is the state’s designated Aging and Disability two decades SHINE is a DOEA program and is operated locally through AAASWFL. volunteers serving AAASWFL’s seven counties. Marshall would Resource Center for Southwest Florida. The organization is com- as a successful SHINE counselors like Marshall pro- vide free and unbiased information sometimes need to travel as far away as Sarasota and Clewiston to provide mitted to connecting older adults counselor? to help clients understand their Medi- counseling and information to Medi- and adults with disabilities to resources and assistance for liv- care health care options so they can care beneficiaries. Today, 60 volun- ing safely with independence “I’ll do anything make the best decisions for their indi- vidual needs. SHINE counselors also teers provide Medicare counseling services for the agency. and dignity. More information is available at www.aaaswfl.org or I can for you, help beneficiaries understand benefits available through Medicare, such as Marshall provided one-on-one coun- by calling the toll-free Helpline at but I don’t take preventative health care services. seling to 450 clients last year. Avail- 866-413-5337 (866-41-ELDER). any nonsense Volunteering from her counseling site able reporting data shows that Mar- shall has counseled 3,541 clients SHINE counseling is avail- able year-round across Florida. from anyone.” at the SHARE Club in Cape Coral Hospital, Marshall assisted thousands since 2010 and has spent an incred- ible 2,229 hours assisting those To receive help from SHINE, individuals may call to sched- of clients over the past two decades. clients. ule appointments at designated Marshall’s SHINE duties included SHINE counseling sites, attend Kirsten O’Donnell, MBA helping seniors evaluate insurance Marshall will tell you that she loves enrollment events in their local Area Agency on Aging for SWFL plans and apply for financial assis- helping people, but that passion isn’t communities, or arrange to speak tance. However, her true passion the secret to her success. Ask her to with a trained SHINE counselor For 21 years, Southwest Florida’s came from filing appeals on behalf of reveal why she was such an effective at 1-800-963-5337 (1-800-96- seniors have counted on Jo Marshall clients who were seeking assistance counselor for more than two decades, ELDER). SHINE is also actively to help them with their Medicare and with denied claims by insurance and Marshall will answer with a seeking volunteer counselors. For health insurance issues. Marshall companies or health care providers. laugh. more information about counsel- served two-plus decades as a volun- ing or volunteer opportunities, teer with the SHINE (Serving Health “My very first client was an appeal,” “I’ll do anything I can for you,” she’ll please visit floridashine.org. Insurance Needs of Elders) Program Marshall smiles. “It was for $20, reply. “But I don’t take any nonsense through both the State of Florida’s which was a lot more money 21 years from anyone.” Department of Elder Affairs (DOEA) ago. And I won it.”
MARCH/APRIL 2019 Elder Update GUARDIANSHIP 7 Lee Eakin: Lee Eakin is a professional guard- PROFESSIONAL GUARDIAN course, the incapacity with which the ian in private practice in North Palm person deals may impact the practi- Beach, Florida. Lee was the first cality of these goals. Those persons recipient of the Guardian Excellence with developmental limitations may Award presented by the National have more opportunity to “increase” Guardianship Association (NGA) or “improve” their functional levels and is highly regarded in the field. than those suffering from late-life Through his work, he helps many cognitive loss. But that doesn’t nec- people in need of guardianship and essarily change the goal. shines a light on the positive work of professional guardians. Are there requirements to becoming a professional What interested you in guardian in Florida? professional guardianship? To become a guardian in Florida, one Finding guardianship was a stroke of completes a 40-hour course, takes good luck for me. I was working for an exam, and submits background a large social services agency, coor- research (including law enforce- and, ultimately, decided she wanted “extraordinary” or those involving dinating Alzheimer’s respite care, ment and credit reports) to the Office to go for “restoration.” But when she finances, are under the supervision when I was asked to move over to the of Public & Professional Guardians realized that restoration meant she of the courts. Palm Beach County’s new guardianship program. It was (OPPG), which is the registering would not have her guardian, she courts and the office of the Palm ideal: I found guardianship fit well agency in Florida. I belong to the balked, saying she “kinda liked” hav- Beach County Clerk of Courts have with my background and interests, National Guardianship Association ing someone like her guardian in her been very active in helping to make and I’ve been a guardian for the 15 (NGA) and am certified by the CGC. life. Often, the guardian can identify guardianship better for those we years since. I have a masters in social Belonging to the NGA and FSGA alternatives to the less-than-safe or serve. work and a masters in health admin- (and their local chapters) helps keep less-than-optimal life their client is istration, and I’m a nursing home a guardian’s skills and knowledge leading and, working with them, is Are there benefits of administrator. I’m also certificated in honed, as well as offering great net- able to improve their life. Sometimes planning ahead and gerontology, so guardianship and I fit working. Continuing education is this is medical care, sometimes sup- avoiding guardianship? nicely together. I’m on the board of required and necessary to maintain port services, sometimes placement trustees of the Center for Guardian in a more appropriate setting, or When is this practicable? one’s status and professional pro- Certification (CGC) and served as ficiency. Our practice is guided by other intervention. Occasionally, it’s When I speak with others, I stress the president of the Florida State Guard- state law, through the courts, and by stepping in to stop exploitation and need for planning prior to any form ianship Association (FSGA) for two standards of practice promulgated by financial or physical risk. I helped of incapacity. I encourage everyone terms, having been on its board for our profession. one woman transition to a residential program, fully expecting her to hate to meet with an attorney to formalize 10 years. structures to assure they will main- Is there a specific case it. On my first visit, she grabbed me tain control of their life for as long as What is the role of the and said, “If I’d known it would be that you would like to possible, and then have that control professional guardian? this wonderful, I’d have moved 10 share where the individual years ago!” move to a trusted “other” who will was under guardianship assure that their quality and direc- Guardianship is a valuable tool for tion of life reflects their wishes. My protecting those who lack the abil- and benefited? Discuss the role of documents (will, living will, durable ity to act for their own protection. oversight by the courts. power of attorney for health care, While I won’t identify any specific While it varies from locale to locale, and others) are all in place. I’ve dis- person under guardianship with All professional guardianship prac- it focuses on helping maintain the cussed them with the people who’ll whom I’ve worked, I can say there tice is under the oversight of the person’s standard of living; protect- carry them out, and copies have been are those for whom I’ve worked who courts. We work closely with the ing them from abuse, exploitation, or given to those who need them. I can’t stand out in my mind. Among them auditors, investigators, and ultimate- neglect; and when possible, helping imagine not taking this step to assure are a bright, socially-adept woman ly, the judges themselves. Many of them learn the skills or gain the sup- my end of life is lived the way I’d who found the guidance guardian- the actions of a guardian, especially ports needed to maximize their levels want it to be. ship provided to be a match for her those actions which may be seen as of autonomy and independence. Of
8 HEALTH AND WELLNESS MARCH/APRIL 2019 Elder Update ogy states that one in three persons will develop the virus, during which time it may be transferred to others. This may even cause chickenpox in sus- ceptible individuals. The CDC recommends adults age 50 years or older be administered two doses of Shingrix vaccine, separated by two to six months. This is a relatively new vaccine and replaces the formerly recommended Zostavax®. The Shingrix vaccine is recommended even in those individu- als who previously received Zostavax. Keeping an updated list of all previous vaccinations and administration dates can prove very beneficial for both yourself and your providers, and can take much of the guess work out of the equation. This brings us to Tdap and Td. The acronyms alone are enough to make us want to run in the opposite direction. However, this immunization protects against tetanus, diphtheria, and pertussis; three bacterial diseases that can prove to be life- threatening if contracted. The CDC recommends that all adults age 65 and older with no record of having previously received Tdap should receive a single dose of this immunization followed by the Td booster every 10 years. This is of special impor- tance to those who plan to have close contact with children under the age of 12 months. One caveat to the timing of the Td booster is the event of certain Vaccines for a Healthier Life skin injuries. In these cases, an early booster may be recommended. Joy Barbee, BSN to be a member of the aging population, live in an Last, but definitely not least, is the influenza vac- Clinical Coordinator assisted living facility or nursing home, or just plan cine, a vaccine that is updated yearly and tailored West Florida Memory Disorder Clinic to spend some quality time with the grandchildren, to fight the strains of the flu that are predicted to be then this article was written for you. We’ll review the most prevalent of the season. Studies on vac- D. Garrett Smith immunizations specific to your needs. cines show as we age we become more vulnerable PharmD Candidate 2019 to complications, severity of symptoms, and poten- University of Florida First up: the Pneumococcal vaccine, which may tial hospitalization resulting from the flu. Therefore, provide added protection from, and decreased it is important that we adhere to the current recom- As another winter season comes to an end, we say severity of, Pneumococcal diseases such as pneu- mendation proposed by the CDC, that all individu- “goodbye” to the cool weather, and “hello” to new monia. Centers for Disease Control and Prevention als above the age of 6 months receive a yearly flu beginnings and lifestyle modifications. While stay- (CDC) Guidelines recommend that all individuals vaccine, with those age 65 and older receiving a ing organized usually tops the list of goals for the age 65 and above receive vaccination with Prevnar higher dose to prompt a stronger immune response. new season, there is one rather unique resolution 13 (PCV13), followed 12 months later with Pneu- that could lead to a healthier way of living not only movax 23 (PPSV23). Be sure to speak with your My hope is that this article has invoked empower- for ourselves, but for our friends, neighbors, and health care provider to ensure proper administra- ment and enthusiasm for immunizations. May it loved ones as well: Get needed immunizations. tion of this series, as the scheduling of this vac- spark a conversation between you and a provider, cination may vary slightly depending on patient- a stranger, a neighbor, or a family member, and “What do they protect against?” “Do I need any specific factors. from that conversation, inspire the decision to take of them?” “Am I up to date?” are all very relevant action. A healthier generation begins with our questions that we are curious about, but we don’t Additionally, there is the herpes zoster, or shingles elderly population. necessarily take the time to seek the answers. vaccination. This painful condition results from Therefore, we couldn’t think of a better time than re-activated varicella zoster—the virus that causes Sources available upon request. now to brush up on this topic. So, if you happen chickenpox. The American Journal of Epidemiol-
MARCH/APRIL 2019 Elder Update DEPARTMENT OF ELDER AFFAIRS 9 The Florida Department of Elder Affairs: Our Mission, Programs, and Services Office of Strategic Initiatives those who need help due to frailty Florida Department of Elder Affairs and/or disability. With more than 5.5 million people Programs Administered by DOEA age 60+, Florida has the highest per- DOEA administers many programs centage of older adults in the coun- including the federally-funded Older try, and, like the rest of the nation, is Americans Act (OAA) programs, aging rapidly. Many people of retire- which provide many services that ment age are still working and will help support elders living at home stay active for many years to come. and in the community, helping to While most of our older residents prevent or delay entry into a nursing are active and healthy, we know that home. These services include home- everyone ages differently and that maker services, companionship, help some may need help with their daily for caregivers, home health assis- activities. The Florida Department of tance, home repair, transportation, Elder Affairs (DOEA) helps elders meals and nutrition, employment, all stay healthy and vital as we grow notice, and can happen in any season. meet their needs with many types of information and referrals, legal sup- older. Programs that help regain or The program provides one benefit per programs and services, using funds port, and health and wellness activi- retain good balance, help manage household per season and can help provided by the federal government, ties, among others. chronic diseases like arthritis and with repairs to existing heating and the State of Florida, and government diabetes, and those that teach us cooling systems, along with vouch- grants. Our mission is to help Flori- The ADRCs also use OAA funds to how to make healthy food choices ers for portable heaters, blankets, and da’s elders remain healthy, safe, and support the statewide Elder Helpline are becoming more and more popu- fans. independent. that connects elders and families lar and available at local senior cen- with the local programs and infor- ters and other venues. DOEA is also State-funded programs include the Compared to many of the other state mation they are seeking. Nutri- working to find ways to continually Alzheimer’s Disease Initiative (ADI), agencies, DOEA is relatively young tion services provide healthy meals improve the current long-term care Community Care for the Elderly and not very large, having been cre- and snacks to local elders through system better and to give more com- (CCE), and Home Care for the Elder- ated in 1991 and currently with a home-delivered meals, also known munity choices and options to all ly (HCE). The ADI program provides staff of fewer than 500 full-time as “Meals on Wheels,” or at congre- older Floridians in need of care. supportive services such as respite, workers state-wide. We are the pri- gate meal sites such as senior centers, caregiver training, and counseling mary state agency that administers along with nutrition education to The Senior Community Service for clients and families affected by social and human services programs help elders learn how and why eating Employment Program (SCSEP) helps Alzheimer’s disease or related disor- for older adults and adults with dis- healthy meals and snacks is impor- unemployed and under-employed ders. ADI also funds Memory Disor- abilities. DOEA leads Florida’s tant at any age. low-income Floridians who are at der Clinics, which offer services to "Aging Network," which also includes least age 55 by placing them in part- those diagnosed with or suspected 11 regional Area Agencies on Aging Caregiver assistance programs offer time jobs where they develop skills of having a memory loss, and the (AAAs), 51 lead agencies, and direct support services including much- and gain work experience before Alzheimer’s Disease Brain Bank, an care service providers who in turn needed respite to caregivers, giving moving on to full-time employment. active research database. employ the many direct care work- those who care for seniors a break ers who provide hands-on care. The from the difficult job of taking care The Emergency Home Energy Assis- The CCE program helps frail elders state’s AAAs are non-profit organi- of others; they also include education, tance Program (EHEAP) assists low- remain at home by providing adult zations that contract with local pro- training, support groups, and other income households, with at least one day care, case management, con- viders to provide the various services assistance for caregivers. person age 60 or older when they are sumable medical supplies, home- offered in each region. They operate experiencing a home energy emer- delivered meals, emergency alert as Aging and Disability Resource Under the OAA, DOEA has been gency. Home energy emergencies response, personal care, respite, and Centers (ADRCs) to provide “no using more preventive services and may be delinquent utility bills, a lack other community-based services. wrong door” access to services for evidence-based programs to help us of fuel or wood, or getting a shut-off CONTINUED ON PAGE 22
10 VOLUNTEERING MARCH/APRIL 2019 Elder Update The Importance of Volunteer Recognition Janice Harvey list and decide who will coordinate • Send a write-up to your local Try some of the following questions: Office of Volunteer and a recognition event (not a volunteer). community newspaper. Community Services Consider holding the event at a vol- • Who is your favorite author? Florida Department of Elder Affairs unteer meeting, a volunteer training Once you start a recognition program session, or at a planned formal event. in your organization, make sure to • What is your favorite restaurant? April is Florida Volunteer Month. The following are ideas to make the continue it. Not only will your vol- This special month provides an recognition successful: unteers look forward to it, but staff • Do you enjoy going opportunity for organizations to rec- members in your organization will to the movies? ognize their volunteers for being an • Inventory items that you or an expect it. It will become an antici- integral part of their team. Florida’s associate presently have that pated event to recognize the value • What do you enjoy doing volunteers are providing an invalu- could be used for the occasion. and importance of your volunteers. in your spare time? able service in their communities Plan your next recognition event well and are doing a tremendous amount • Write thank you cards or letters in advance so that you can relax and • What are some of your of work across our state. It is impor- for each volunteer to be presented enjoy it with your volunteers. favorite snacks? tant to take time to let your volun- at the event. teers know that they are appreci- If you are unable to hold an event, or Let us acknowledge that volun- ated. Although April is set aside to • Recruit family, friends, and co- are between events, there are simple teers are essential at all levels, even recognize volunteers, you can choose workers for donations of food ways to recognize volunteers. Take including the highest level of govern- to recognize your volunteers at items, decorations, music, and time to recognize special achieve- ment. I encourage all organizations anytime. other items needed for the ments or a milestone that has been to recognize and thank their volun- celebration. reached. Show interest in your volun- teers within their local communities. Recognizing a volunteer can be as teer and what they are doing for your simple as saying thank you, which • Seek in-kind donations from organization. Talk with your volun- The Department of Elder Affairs doesn’t cost anything but speaks vol- local businesses for items you are teer. Send a birthday card or invite Office of Volunteer and Communi- umes. Volunteering is giving back missing. the volunteer to a one-on-one meet- ty Services (OVCS) is charged with from the heart without the expecta- ing or lunch to say thank you. Cre- recognizing elder volunteers who tion of compensation in return, but • Consider personalizing the tokens ate a list of questions for the meet- provide a service to other elders. For it is no secret that recognizing vol- of appreciation that you will give ing or lunch that can be used to keep more information on how to recog- unteers is considered one of the most to your volunteers. a conversation going and that will nize your volunteers, contact OVCS effective retention strategies. allow you to get to know your volun- at (850) 414-2000. • Utilize your organization’s social teers better – these questions are also If you don’t have a recognition pro- media site to post recognitions. good for the initial orientation of new gram for your volunteers, consider volunteers. starting one. First, review what’s • Place an article in your organiza- most important by starting a priority tion’s newsletters.
MARCH/APRIL 2019 Elder Update VOLUNTEERING 11 Pictured Left: Volunteer Charlie Pope receives an enthusiastic hug from a group of children Pictured Above and Right: Distributing meals at the Naples Senior Center during the "Lunch and More" event APRIL IS FLORIDA nonprofits and volunteers, making tion, like Habitat for Humanity, or the process easier and more efficient serve a certain population – chil- for everyone involved.” dren, the homeless, cancer patients, VOLUNTEER MONTH For organizations, the portal will pri- marily assist with volunteer recruit- etc. Virtual volunteering will be an option as well, engaging those who can’t leave their homes, are unable Aly Coleman There are seemingly endless ways to ment and management, including to arrange transportation, or have Volunteer Florida participate in community service, but registration, attendance, and approval restricted schedules. many Floridians still find themselves of service hours. They will also be Every April, Florida Volunteer wondering: How do I get started? able to send targeted emails to vol- In the coming months, the portal will Month is celebrated throughout the In the coming months, Volunteer unteers regarding specific projects launch to participating organizations, state. It’s a time for Floridians to Florida, the state’s lead agency for and events and search for individual followed by the general public. Vol- engage in volunteerism, while raising national service and volunteerism, volunteers based on skillset, certifi- unteer Florida is very excited about awareness of the countless benefits of will offer a simple answer to that cations, and more. its potential to increase volunteerism community service. resounding question. in Florida. Volunteers can filter their searches by Though it’s often overlooked, human Through an online portal, Florida- location, availability, and interests. “It’s going to be a game changer,” capital is an easily accessible, cost- based organizations will be able to For instance, a volunteer who is visit- said Woodrich. effective solution to community-wide post volunteer needs. Then, interest- ing her friend in Pensacola, only free problems. Volunteers can tutor at-risk ed individuals, families, and groups one afternoon during her trip, and For more information about the por- students and help them overcome can search through a list of opportu- passionate about animal welfare can tal or to be involved in the upcom- barriers to success. They can protect nities in their communities. incorporate those parameters in her ing launch, please email Jovita public land and conserve precious search. As a result, she might sign Woodrich, Director of Volunteer Ser- natural resources. They can even “Fostering volunteerism is a top pri- up for a one-hour shift at the humane vices at Volunteer Florida, at volun- respond to disasters, like hurricanes, ority and a critical component of our society that’s less than two miles teer@volunteerflorida.org. by performing damage assessments, mission at Volunteer Florida,” said away from her friend’s house. distributing supplies, or removing Jovita Woodrich, Director of Volun- More information about Volunteer debris. teer Services. “Through the portal, If desired, volunteers can also choose Florida can be found at volunteer- we can serve as the conduit between to connect with a specific organiza- florida.org.
12 NEWS FROM THE CAPITOL MARCH/APRIL 2019 Elder Update Governor Ron DeSantis Leading With Purpose and Conviction an equally high number of press recovery efforts. Since then, he has ration, allowing Florida to complete briefings across the state, Governor made multiple additional visits to the the C-44 Reservoir and storm water DeSantis recognizes that there is still Panhandle, announced $2.8 million treatment area, the C-43 Reservoir more work to be done for the people in state matching funds and has met and an additional 20 projects over of Florida. Below are highlights of one-on-one with President Trump to the next five years. He also signed the Governor’s time in office thus far. secure 45 days of 100% reimburse- an Executive Order calling for the ment for hurricane recovery efforts. formation of a Blue-Green Algae “Being Governor is a better job than Task force, the appointment of a I could have ever imagined,” said HISTORIC INVESTMENTS Chief Science Officer and the cre- Governor DeSantis. “While we have IN OUR ENVIRONMENT ation of the Office of Environmental accomplished a lot in these first 30 The environment is a major part of Transparency. days, I would like the people of Flor- what makes Florida, Florida. That is ida to know there is no intention of why Governor DeSantis has made HISTORIC SUPREME slowing down as I will continue to the environment an early priority. In COURT APPOINTMENTS fight for the issues that are important his recently released proposed bud- As promised during his inaugural to our great state.” get, Governor DeSantis recommends address, Governor DeSantis made February 6, 2019 investing $625 million for Ever- historic appointments to put an end in News Releases by Staff HURRICANE RECOVERY glades Restoration and protection of to judicial activism on the Florida Highlights of First 30 Days in Office Following the devastation left behind water resources. By investing this Supreme Court. These appointments by Hurricane Michael, Governor amount each year, $2.5 billion will included Justices Barbara Lagoa, the Tallahassee, Fla. – Today, Governor DeSantis has made recovery a top be invested by the end of his first first Cuban-American female Justice, Ron DeSantis marks his 30th day priority of his administration. His term, which is $1 billion more than Carlos Muñiz, the first Nicaraguan- in office that is exemplified by a first full official day in office was what was invested the previous four American Justice and Robert Luck, fast-paced but purposeful schedule. spent in Mexico Beach to empha- years. $360 million would be specifi- the first Orthodox Jewish Justice. Holding more than 30 events and size that he is committed to aiding cally dedicated to Everglades resto- GOVERNOR DESANTIS ADDRESSES EVERGLADES RESTORATION GOVERNOR DESANTIS VISITS MEXICO BEACH ALL PHOTOS COURTESY OF GOVERNOR RON DESANTIS' PRESS OFFICE
MARCH/APRIL 2019 Elder Update NEWS FROM THE CAPITOL 13 MARCH 27, 2019 Join Us at the GOVERNOR DESANTIS STATE CAPITOL SPEAKS ON THE GARDINER SCHOLARSHIP WAITLIST REPEALING COMMON CORE PARDONING THE Governor DeSantis recently issued GROVELAND FOUR Florida Senior Day 2019 is just and resources filled with informa- Executive Order 19-32, outlining a In his second week in office, Gover- around the corner. Join us to cel- tion available for guests. path for Florida to improve its educa- nor DeSantis issued a full pardon of ebrate and advocate for Florida tion system by eliminating Common the members of the Groveland Four, seniors! Groups travel from all over The event will begin at 10 a.m. at Core and paving the way for Flori- which was unanimously approved by the state to join and be a part of the back steps of the old Florida da students to receive a world-class the Executive Clemency Board. For Florida Senior Day each year. This State Capitol building with a com- education. Fulfilling a promise made seventy years, the histories of Ernest event is in place to support their plimentary breakfast provided on a during his campaign for governor, Thomas, Samuel Shepherd, Walter needs and celebrate their contribu- first come, first served basis. The the Executive Order directs Florida Irvin and Charles Greenlee have tions. The annual celebration will luncheon, including food from Department of Education Commis- been wrongly written for crimes they be held on March 27, 2019, and is Chick-Fil-A, will follow in the late sioner Richard Corcoran to compre- did not commit. Governor DeSantis expected to bring more than 1,500 morning and early afternoon, but hensively review and recommend believes it is never too late to do the elders and advocates from across the fun doesn’t stop there. Live revisions to the academic standards right thing. the state. There will be entertain- entertainment, featuring musical for Florida’s kindergarten through ment, free health screenings, a and dance performances, is ongo- grade twelve students. STANDING WITH ISRAEL complimentary lunch, and much ing throughout the event from the Governor DeSantis condemns all dis- more. beginning until 2:30 p.m. Resourc- INVESTING IN crimination. Airbnb has a policy that es will be available with informa- OUR CHILDREN commercially discriminates against For the fifth year, the Department tion on housing, health care, and Included in Governor DeSantis’ pro- the Jewish people and the State of of Elder Affairs will partner with more. posed budget is a nearly $19 mil- Israel. Governor DeSantis accepted United Way of Florida to offer a lion investment to fund the waitlist the State Board of Administration’s day to celebrate seniors and to For more information about the for Gardiner Scholarships in Florida. recommendation to place Airbnb on share a deep appreciation for their event, visit floridaseniorday.org. Each student has their own unique the Scrutinized Companies List. contribution to our great state. Register online at floridaseniorday. needs, and the Gardiner Scholarship Further, the Governor announced There will be booths from sponsors org/our-events/register-now. Program provides eligible students a his support for $2 million in recur- scholarship that can be used to pur- ring security funding for Jewish Day chase approved services or products Schools. He also announced that his hosted by: to design a customized education first international trip as Governor program for the student. Funding the will be a trade mission to the State Gardiner Scholarship waitlist would of Israel. cover nearly 2,000 students with spe- cial needs. Register for free at FLORIDASENIORDAY.ORG CONTINUED ON PAGE 14 850-222-3868INFO@FLORIDASENIORDAY.ORG
14 VETERANS' AFFAIRS MARCH/APRIL 2019 Elder Update Florida Cabinet Approves Danny Burgess as Executive Director of the Florida Department of Veterans’ Affairs Steve Murray our nation and support for our veter- Representatives, Burgess served on Florida Department ans during his time in the Legislature the Zephyrhills City Council and as of Veterans’ Affairs make him the right man for the job, mayor of Zephyrhills. He earned his and I could not be more excited to undergraduate degree from the Uni- Recently the Florida Cabinet unani- see what all he accomplishes for our versity of South Florida and his Juris mously approved Governor DeSan- veteran community in this new role Doctorate from the Barry University tis’s appointment of State Represen- going forward.” School of Law. tative Danny Burgess to serve as the Executive Director of the Florida Danny Burgess is a Captain and “I am honored to have the opportuni- Department of Veterans’ Affairs. Judge Advocate in the United States ty to serve those who served us,” said Army Reserve. He was elected to Burgess. “Together, we will work to “I thank my fellow members of the represent eastern Pasco County in ensure Florida continues to lead the Florida Cabinet for approving Danny the Florida House of Representa- charge as the most veteran-friendly to lead the Department of Veterans’ tives in 2014, and he was subse- state in the nation.” PICTURED ABOVE: Affairs,” said Governor Ron DeSan- quently re-elected in 2016 and 2018. DANNY BURGESS tis. “His unwavering commitment to Prior to joining the Florida House of GOVERNOR RON DESANTIS LEADING WITH PURPOSE AND CONVICTION…CONTINUED FROM PAGE 13 HOLDING GOVERNMENT ELIMINATING provide a solution to People United STANDING FOR FREEDOM OFFICIALS ACCOUNTABLE HARMFUL REGULATIONS for Medical Marijuana v. Depart- IN VENEZUELA Governor DeSantis has made it To ensure a brighter future for Flor- ment of Health within the first two Standing alongside Vice President a priority to suspend officials ida’s economy, Governor DeSantis weeks of the upcoming legislative Mike Pence, Governor DeSantis who are negligent and incompe- recently kicked off a one-day event session. If a solution is not reached, declared his support for democracy tent. Since taking office, he has called “Florida Deregathon” to find the Governor will drop the state’s in Venezuela, issuing a proclama- ordered the suspensions of Oka- solutions to harmful regulations fac- appeal and the lower court ruling, tion recognizing Interim President loosa County Superintendent of ing Floridians. Hosted by Lieuten- stating a ban on smoking medical Juan Guaidó as the only legitimate Schools Mary Beth Jackson, Bro- ant Governor Jeanette Nuñez and marijuana is unconstitutional, would leader in Venezuela and standing ward County Sheriff Scott Israel Florida Department of Business and stand. against Nicolás Maduro’s oppressive and Palm Beach County Supervi- Professional Regulation Secretary regime. The proclamation affirms sor of Elections Susan Bucher and Halsey Beshears, along with Flori- SAVING TAXPAYER Florida’s deep affection for the has appointed successors who will da’s Professional Licensing Boards, DOLLARS Venezuelan people and decries the bring competency and dignity back Florida Deregathon was a success as Governor DeSantis’ Bold Vision for individual liberties that have been to the respective offices. In addi- numerous burdensome regulations a Brighter Future budget amounts stripped from them. The Governor tion, he requested the resignations were identified. to a total of $91.3 billion, including also called on the Florida Legisla- of all South Florida Water Man- $335 million in tax cuts for Florida ture to act swiftly during the 2019 agement District board members, PROPOSED MEDICAL families. The proposal also includes legislative session to follow suit in all of whom have either adhered to MARIJUANA REFORM the continuation of the highly suc- recognizing Juan Guaidó as the the Governor’s request to resign or Governor DeSantis feels that the cessful 3-day back-to-school sales Interim President of Venezuela. plan to. The Governor has appoint- current medical marijuana legisla- tax holiday, as well as the weeklong ed Chauncey Goss and intends to tion is not in line with the will of disaster preparedness sales tax holi- Governor DeSantis has accom- appoint “Alligator Ron” Bergeron to the more than 70% of Florida voters day, for a total tax cut of $45.3 mil- plished much in his first 30 days in the board. who supported it in 2016 via a con- lion. It also sets aside $5.2 billion in office. Stay tuned. stitutional amendment. Because of reserves, including $1.6 billion in this, he has called on legislators to the Budget Stabilization Fund.
MARCH/APRIL 2019 Elder Update HOME OWNERSHIP 15 Reverse Mortgage Relief Available for Florida Seniors Taylore Maxey Florida Housing Finance Corporation Do you owe your reverse mortgage lender/servicer money for taxes, insurance and/or association dues? Are you facing the threat of foreclo- sure? There is a program that could help you! The Elderly Mortgage Assistance Program (ELMORE) is designed to provide up to $50,000 to eligible seniors with reverse mort- gages to bring property taxes, insur- ance policies, and association dues (property charges) current. If you qualify for assistance, you could additionally receive up to 12 months of future property charges to be paid on your behalf. The ELMORE program is still open and accepting applications, but it will not be around forever. Now is the time to apply. To assist seniors in applying for the ELMORE Program, Florida Housing Finance Corporation (Florida Housing) has established a ments. Make sure to ask when we partnership with the Florida Depart- will be having an event in your area CARING FOR THE CAREGIVER…CONTINUED FROM PAGE 1 ment of Elder Affairs (DOEA) and for a face-to-face meeting! National Foundation of Debt Man- like a parent. It is no surprise most Legislature for their support and agement (NFDM), a certified reverse Please call 1 (800) 601-3534 to talk caregivers who participated in the funding for essential care programs mortgage counselor. with an ELMORE counselor who study reported they felt extremely like respite and adult day care that can answer any questions and let you stressed about trying to balance provide relief for care partners in The NFDM counselors are avail- know the steps that need to be taken their work and family duties and order for them to stay well, and able to assist seniors in completing to get you qualified. taking care of their household. we hope funding continues as the Florida ELMORE application. demands rise. They will be happy to talk to you For a complete description, terms of We cannot leave our caregivers about the program and explain the assistance, and eligibility criteria for behind. In a nutshell: support, care, Our vision is for Florida commu- requirements. This service is FREE the ELMORE program, visit www. and understanding are often falling nities to be places where residents OF CHARGE, and seniors will not floridaelmore.org. short of caregivers’ needs, and that feel comfortable to live through be asked to pay for any services. The is why we are committed to helping all stages of life. We are proud of toll-free number is 1 (800) 601-3534. Florida Housing Finance Corporation through programs like the National our efforts but recognize we still The line is open Monday-Friday, 9:00 was created by the Legislature more Family Caregiver Support Program, have a long way to go. Until every a.m. - 7:00 p.m. than 35 years ago. We are the state’s our Home Care for the Elderly Pro- family caregiver can say they feel housing finance agency (HFA) that gram, the Alzheimer’s Disease Ini- supported and they have access to There will be ELMORE events administers state and federal resourc- tiative, and the Dementia Care and the help or services they need, our throughout the state until June 2019, es to help provide affordable home- Cure Initiative, to name a few. work is not done. where you can go to meet one-on- ownership and rental housing options one with a counselor to assist you for our hardworking and vulnerable I thank Governor DeSantis, Lieu- with the application and any docu- Floridians across the state. tenant Governor Nunez, and the
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