ShareCare of Leelanau, Inc.
Neighbors Helping Neighbors-Promoting Independent Living for Senior Citizens

Newsletter

ShareCare's newsletter, the Connector, is published every other month. Below are articles from recent publications. If you'd like to read complete newsletters, click on the links below. (Note: You'll need Adobe Reader to open the newsletters. Click here to go to the web site to download it.)

bulletMay-June '08 Connector
bulletMarch-April '08 Connector
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Jan-Feb '08 Connector

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Archived Newsletters

Shingles Vaccine

Thank you to one of our members for sharing information on the Shingles vaccine.

The Centers for Disease Control recommends the shingles vaccine for anyone over the age of 60— even those who have already had shingles.

The vaccine may be obtained from:

bulletYour Primary Care Provider. Call him/her for info.
bulletThe Infectious Disease Clinic (935-5000), with a prescription and an appointment. Cost: $173. If you have Medicare Part D it is covered. If you have Medicare and a second carrier, check with the second carrier for requirements.
bulletThe Rite Aid Pharmacies in TC (on Bayshore Dr. and at Chums Corners), with a prescription. Cost: around $220. Medicare Part D helps pay for the vaccine, but no other prescription plans do.

Once you’ve had the shingles vaccine, you must avoid contact with infants and people receiving chemotherapy for 14 days. Also, for more information go to The Center for Disease Control and Prevention.
 

Medicare Rights Center

Every month I receive an Email newsletter from the Medicare Rights Center, and with each newsletter I’m amazed by the amount of information they make available regarding Medicare. An article in the Jan-Feb ‘08 issue of The Medicare Counselor deals with “Getting the Most Out of Your Private Drug Plan”. I don’t pretend to be an expert on Medicare, but I want to pass on enough information about reducing the cost of your medications so that you can approach a Medicare expert for more guidance if you are having trouble in that area.

Ways to lower your prescription drug costs:
Check with your doctor to see if there are generic alternatives to brand name drugs.
If your assets and income are low, you may qualify for help paying for your Medicare drug coverage with a program called Extra Help*.
If you are taking a drug that requires a higher co-payment, but your doctor thinks it’s the best medicine for the job, as an exception, your drug plan may grant a lower co-pay.
Check with your doctor for samples. This offers a temporary solution, but it can’t hurt to ask.

*Extra Help is a federal program that may help pay for your monthly drug plan premium, deductibles and co-pays. To qualify, your monthly income must be less than $1,276 a month ($1,711 for a couple) and your assets are low. Extra Help also covers the “gap” in your drug plan. (Note: Extra Help income limits change in February or March.)

The article discusses how to apply for the Extra Help program and how to appeal a decision if you are denied. The Jan-Feb ‘08 issue also included information on vaccinations and eye care coverage. If you’d like a copy, please call the Office. —Deb (386-2273)
 

HealthRide

On the rare occasion when SC volunteers are unable to meet the number of rides you need, Health Ride is available for ANY non-emergency medical or dental appointments, as well as to any individual who is unable to get onto other modes of transportation. The Health Ride vans are wheelchair lift equipped. Dialysis and Biederman Cancer Center patients do get a priority. The contact person, Frank Rutherford (933-5532), is in the office 5 days a week, 8AM-noon and 12:30-4:30PM. Frank has an answering machine that he responds to on the weekends. Or, call the office at 1-888-228-7743. There are rarely more than 2 individuals transported at a time. If he is called by noon of the day prior to the appointment he can usually make the arrangements.

Frank told Anne Kelly that a Health Ride van goes around the county a couple of times a day, and amazingly, the charge is only $2.00 no matter where you live! If you are an elder or disabled, the cost is only a $1.00. Please continue to check with us first, but, if we have several rides on a given day, it sure is nice to know that Health Ride is available.

Another transportation organization that serves Leelanau County is The Northwest Michigan Transportation Alliance, a collaboration of over 20 human service agencies, non-profits, and local businesses who seek to expand transportation options in Gr. Traverse, Leelanau and Benzie counties. NMTA can take you to the grocery store, or even to church. To schedule your ride, call BATA at 231-941-2324 or 888-228-7743 at least one week in advance. —J Walter & A Kelly

Important Safety Issue

A ShareCare member shared with me a Letter to the Editor, written by Mr. Dick Kennedy and published by local newspapers. In case some of you don’t get the papers, I want to pass it on to you. —DJW

Mr. Kennedy wrote:
“Recently, two homes have exploded because of a propane gas leak. My own house developed a leak that we fortunately detected in time. This should be a major concern for the thousands of propane users in the area. The amazing thing is that there is such a thing as a propane gas leak detector.....but few people even know that such a life-saving product exists. Propane sellers know about them, but don't carry them. Home centers, hardware stores and insurance agents know little or nothing about them.  There is a huge potential risk here that most of the thousands of users don't appreciate. Maybe you can help make them more aware. I can't think
of a better public service.”


The member who shared the article with me wrote:
"We purchased a detector over the Internet at a cost of about $70, which is about the same cost as three or four smoke detectors. It protects against a devastating explosion which could destroy our house and all of its occupants. It protects us against two explosive gases (methane and propane) and one toxic gas (carbon monoxide). We found this product on the Internet at Family Safety Products: www.familysafetyproductsinc.com or 616-530-6540. Northern Fire and Safety in Traverse City offers expert advice, and will order a detector for you (947-6305).”

Resources for Older Drivers

Some of you may have parents or friends whose driving worries you. If so, it would be helpful for you read an article we have in the office from The Summer 2007 issue of the Nursing Spectrum and NurseWeek Specialty Guide. In the article written by Patricia Russo-Meck, RN and Arlen Orhon Jech, RN they give suggestions such as, planning activities during daylight hours, not taking long trips, and finding alternate types of transportation. Below are some references listed in the article:

bulletLePore PR. When You Are Concerned: A Handbook for Families, Friends, and Caregivers Worried About the Safety of an Aging Driver. Albany NY: New York State Office for the Aging; 2000.
bulletIs it time to get off the road? Harvard Health Letter 2002; 27(8): p 1-3
bulletR. Sherer. Older drivers on the road: how can we insure their safety? Geriatric Times Website. www.geriatrictimes.com/g001204.html.Accessed January 24, 2007
bulletAARP Driver Safety. www.aarp.org/families/driver_safety
bulletNational Highway Traffic Safety Administration. www.nhtsa.dot.gov/people/injury/olddrive/booklet.html
bulletAutomobile Association of America (AAA).www.seniordrivers.org/home
bulletAssociation for Driver Rehabilitation Specialists www.driver-ed.org
bulletThe Alzheimer’s Association. www.alz.org

We have some of the articles in the office, and some can be found on the Internet, but please don’t hesitate to give us a call for help with this issue. —Anne Kelly

Door Prize

Are you having difficulty or pain when opening doors or turning on faucets?

Deb stumbled on to a product that might be just what you need. A company called Great Grips, has soft, nubby faucet and round door knob grips. They slide over your door knobs and faucets and make opening doors and turning water on and off a simple task. The grips are available in blue/red for cold/hot faucets and glow-in-the dark so you can see exit doors at night.

To order call 1-800-346-5662 or visit the Great Grips web site at www.greatgrips.com. If you need more information, but don’t have access to the Internet, give Deb a call (386-2273) and she’ll send it to you in the mail.

Note: Great grips sent a few samples, so if you’d like to give them a try, give Deb a call.

Cancer Support Group

A newly-formed cancer support group will hold its meetings on the first Monday of every month from 5:15PM to 6:45PM, in rooms 148-149 at the Northport Public School (enter from the main lobby and follow the signs).

Anyone who has been diagnosed with cancer at any time in life is welcomed. The group is facilitated by Terry Gremel, R.N., M.S.N.. Terry has over 20 years of experience in Oncology and co-facilitated the Cancer Support Group at Munson Medical Center for 15 years. Please call Terry at 386-7715 for more information.
 

Why Can’t I Remember My Address?

Do you ever wonder if something you just did or said is a normal part of ageing, or if it might be related to early stages dementia? Perhaps you’ve already discussed this with your doctor, but you would like a second, more in depth, opinion. There are two clinics in Traverse City that deal with ageing issues, and while ShareCare does not endorse either clinic, we can say that our members have had positive experiences with both. Anne Kelly RN, BSN can guide you through the process of finding help, but please note that both clinics require a referral from your primary care provider. Do you ever wonder if something you just did or said is a normal part of ageing, or if it might be related to early stages dementia? Perhaps you’ve already discussed this with your doctor, but you would like a second, more in depth, opinion. There are two clinics in Traverse City that deal with ageing issues, and while ShareCare does not endorse either clinic, we can say that our members have had positive experiences with both. Anne Kelly RN, BSN can guide you through the process of finding help, but please note that both clinics require a referral from your primary care provider.

The Geriatric Assessment Clinic (106 S. Madison Street, Traverse City) attempts to improve the quality of life for older adults and keep them independent for as long as possible. They address the following: The Geriatric Assessment Clinic (106 S. Madison Street, Traverse City) attempts to improve the quality of life for older adults and keep them independent for as long as possible. They address the following: home safety and living; placement guidance, patient and caregiver education; family/caregiver stress level; driving issues; prescription medication assistance; competency; depression and mental health; dementia; falling; polypharmacy; diet.

During your visit you will meet with health care professionals who are trained in the special needs of older adults. The team includes: Medical Director (team leader, certified in gerontology); Certified Gerontology Nurse (conducts a home visit; assesses self-care skills); Social Worker (psychosocial assessments); Pharmacist (completes a medication profile and reviews for appropriateness). For more information call the Geriatric Assessment Clinic at 231-935-8127 or 231-935-6650.

The Memory and Movement Disorder Clinic (1213 W. Front Street, Traverse City) provides an interdisciplinary team assessment for anyone experiencing memory concerns, symptoms of Parkinson’s disease and other movement disorders. The clinic offers the following: a comprehensive neurological assessment, with additional testing, if indicated; assessment of caregiver knowledge and needs; information and recommendations regarding community support services; assistance with management of the dementia or movement disorder, as indicated.

This clinic’s team includes the following professionals: Neurologist who performs a comprehensive neurological evaluation; R.N. who performs a nursing assessment and assesses activities of daily living and self-care skills; Social Worker who assesses family support and financial needs; performs a geriatric depression screening test, evaluates caregiver stress. For more information call the Memory and Movement Disorder Clinic 231-935- 0386.

Recognizing a Stroke

Sometimes symptoms of a stroke are difficult to identify, and unfortunately, the lack of awareness can spell disaster. A stroke victim may suffer brain damage when people nearby fail to recognize the symptoms of a stroke. Now doctors say a bystander can recognize a stroke by asking three simple questions:

bulletAsk the individual to SMILE.
bulletAsk him or her to RAISE BOTH ARMS.
bulletAsk the person to SPEAK A SIMPLE SENTENCE.

If he or she has trouble with any of these tasks, call 9-1-1 immediately and describe the symptoms to the dispatcher.

After discovering that a group of non-medical volunteers could identify facial weakness, arm weakness and speech problems, researchers urged the general public to learn to ask the three questions. Widespread use of this test could result in prompt diagnosis and treatment of the stroke and prevent brain damage.

FIVE WISHES

FIVE WISHES is a document that, once filled out and signed, directs how you wish to be treated in the face of a serious illness. It also lets you list who you wish to designate as your patient advocate. If you would like help filling out a FIVE WISHES document, you can call the Advance Care Planning Department at Munson: 231-935-6176. They will send you a copy of the Five Wishes Document if you don’t already have one. Also, Anne Kelly, RN is able to help if you have questions while filling out your FIVE WISHES.

Choosing a Physician

For those of you looking for a physician to replace Dr. Stafford, here are some questions you may want to ask yourself and the doctors’ offices you may be considering: 

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Do you prefer a male or female physician?

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Is s/he Board Certified?

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Is s/he a “Family Practice” or “Internal Medicine” specialist?

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Is s/he an M.D. or  a D.O.?

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Will s/he visit me if I’m admitted to Munson, or will I be seen by the Hospitalists?

Does s/he participate in Medicare?  If not, you will pay the bill before leaving the doctor’s office and mail it into Medicare for partial reimbursement.  Participation means that doctor accepts what Medicare is willing to pay for that visit.

The Physician’s Referral office told me that all the doctors in the area can see their own patients if admitted to Munson, but most choose not to (for time-savings I suspect).  Two who do follow their own are Dr. Mary Clifton, MD (internal medicine, Board Certified), and Dr. Carl Anders, MD (also internal medicine and Board Certified).  The Physician’s Referral service depends on the doctors in the area to submit information for listing, so their list is not comprehensive.                               

 


231-386-2273(CARE) • 231-386-0028
211 S High St. • PO Box 153 • Northport, MI 49670
E-mail: info@sharecareleelanau.org


Copyright 2000-2008 ShareCare of Leelanau, Inc.  • All Rights Reserved  • Updated 07/03/08