a publication of the aging & disability resource center ... · to keep aging feet healthy and...

12
Each year, during an enrollment period that takes place from Octo- ber 15 to December 7, Medicare beneficiaries can make changes to their Medicare coverage. Benefi- ciaries can switch between Original Medicare and private Medicare Advantage plans, they can switch between Medicare Advantage plans, and they can join or change stand- alone Part D prescription drug plans. These changes go into effect on January 1. For the enrollment period that just ended this past December, the Centers for Medicare and Medicaid Services (CMS) rolled out a com- pletely redesigned Medicare Plan Finder tool. Medicare beneficiaries can use this online tool to compare plan options, estimate costs, and enroll in plans. In late Novem- ber 2019, CMS reported that Plan Finder traffic was 14% higher than in 2018. However, you may have heard about reports of “glitches” with the new Plan Finder. These include inaccurate details about drug prices and pharmacy networks. Some people also reported difficulty sort- ing search results. Although CMS updated the Plan Finder almost daily, beneficiaries may have signed up for plans before the mistakes were caught. Unfortunately, now that their new coverage has started, some people are learning that the plans they chose do not work well for them. For example, their copays might be higher than estimated on the Plan Finder, or their preferred pharmacy might not be in their new plan’s network. If you chose a Medicare Advan- tage plan or Part D plan based on bad information, you may be able to change your plan. CMS has a process for you to request a special enrollment period that would allow you to change your plan. You can call 1-800-MEDICARE and explain that there is an issue with your plan choice. If your choice was based on inaccurate information, you might be granted a special enrollment period to change your coverage. People who are enrolled in a Medicare Advantage plan already have an opportunity to switch plans. Each year, from January 1 until March 31, beneficiaries enrolled in Advantage plans can change plans or switch to original Medicare and a stand-alone Part D plan. In addition, some other circum- stances will give you a special enrollment period to change plans. For example, people who recently moved to a new area with different coverage options, lost employ- er-sponsored drug coverage, or were recently released from jail may qualify for a special enroll- ment period. In addition, someone living in a skilled nursing facility can switch or drop plans. Finally, if you are enrolled in both Medicare and Medicaid, you have additional opportunities for a special enroll- ment period. If you have any questions about whether you qualify for a special enrollment period or would like help choosing a new plan, please contact your local Aging and Dis- ability Resource Center at 608-328- 9499. If you have an urgent need for medication, and you cannot fill your prescription because your Medicare plan does not work the way you expected it to, please contact the Aging and Disability Resource Center right away. A publication of the Aging & Disability Resource Center • March | April 2020 What to do if You Picked the Wrong Medicare Drug Coverage By the GWAAR Legal Services Team

Upload: others

Post on 08-Oct-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

Each year, during an enrollment period that takes place from Octo-ber 15 to December 7, Medicare bene�ciaries can make changes to their Medicare coverage. Bene�-ciaries can switch between Original Medicare and private Medicare Advantage plans, they can switch between Medicare Advantage plans, and they can join or change stand-alone Part D prescription drug plans. These changes go into effect on January 1.

For the enrollment period that just ended this past December, the Centers for Medicare and Medicaid Services (CMS) rolled out a com-pletely redesigned Medicare Plan Finder tool. Medicare bene�ciaries can use this online tool to compare plan options, estimate costs, and enroll in plans. In late Novem-ber 2019, CMS reported that Plan Finder traf�c was 14% higher than in 2018.

However, you may have heard about reports of “glitches” with the new Plan Finder. These include inaccurate details about drug prices

and pharmacy networks. Some people also reported dif�culty sort-ing search results. Although CMS updated the Plan Finder almost daily, bene�ciaries may have signed up for plans before the mistakes were caught. Unfortunately, now that their new coverage has started, some people are learning that the plans they chose do not work well for them. For example, their copays might be higher than estimated on the Plan Finder, or their preferred pharmacy might not be in their new plan’s network.

If you chose a Medicare Advan-tage plan or Part D plan based on bad information, you may be able

to change your plan. CMS has a process for you to request a special enrollment period that would allow you to change your plan. You can call 1-800-MEDICARE and explain that there is an issue with your plan choice. If your choice was based on inaccurate information, you might be granted a special enrollment period to change your coverage.

People who are enrolled in a Medicare Advantage plan already have an opportunity to switch plans. Each year, from January 1 until March 31, bene�ciaries enrolled in Advantage plans can change plans or switch to original Medicare and a stand-alone Part D plan.

In addition, some other circum-stances will give you a special enrollment period to change plans. For example, people who recently moved to a new area with different coverage options, lost employ-er-sponsored drug coverage, or were recently released from jail may qualify for a special enroll-ment period. In addition, someone living in a skilled nursing facility can switch or drop plans. Finally, if you are enrolled in both Medicare and Medicaid, you have additional opportunities for a special enroll-ment period.

If you have any questions about whether you qualify for a special enrollment period or would like help choosing a new plan, please contact your local Aging and Dis-ability Resource Center at 608-328-9499. If you have an urgent need for medication, and you cannot �ll your prescription because your Medicare plan does not work the way you expected it to, please contact the Aging and Disability Resource Center right away.

A publication of the Aging & Disability Resource Center • March | April 2020

What to do if You Picked the Wrong Medicare Drug Coverage

By the GWAAR Legal Services Team

Page 2: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

2 March | April 2020 The Bridge | 608-328-9499

Many people are embarrassed when talking about feet. As you age, your feet begin to change appearance, and not always for the better. Aging feed require extra care. Over time, feet �atten and become wider, leaving the fatty padding to naturally wears down, leaving the bones and joints of the feet more exposed to wear and tear. An injury as simple as a bad blister can impair mobility, balance and overall function. Skin breaks, sprains, neuropathy, ingrown toenails, and injuries like fractures could be the �rst domino to fall and lead to a cascade of health conditions that could seriously affect your older adult’s health and well-being

To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight essential senior foot care tips.

1. Keep Feet CleanSince good foot hygiene is critical to preventing fungal, viral, and bacterial infections, routine foot cleaning may need to happen outside of the bath or shower. Making a regular habit of simple foot wipe downs with warm water, soap, and a washcloth will do the trick. And if done at night, it can even promote relaxation prior to sleep.

2. Moisturize FeetDry skin is more prone to cracking, �aking, and breaking which is why moisturizing is so im-portant for preventing open foot sores, especially for older adults whose skin is drier. Foot lotions should be applied after feet have been thorough-ly washed and dried. That locks in moisture and helps keep skin soft and supple. Afterwards, cov-er feet with breathable cotton socks for comfort and warmth.

3. Trim NailsKeeping toenails trimmed is another important element of foot care. If they get overgrown, it can cause pain or interfere with stable walking. You could trim their nails yourself or �nd local nail care clinics that specialize in caring for senior feet Podiatrists may also offer these types of foot care services. Professional care may be needed for seniors who have health conditions that affect their feet, like diabetes.

4. Monitor SoresDid you know that a common location for bed-sores is on the heels of the feet? For older adults who spend most of their time in bed or a chair, continuously resting their feet on a surface like

a pillow, footstool, or mattress throughout the day can result in pressure and skin irritation that leads to tissue breakdown. Prevent this type of potentially life-threatening condition by “�oat-ing the heels” — propping the ankles up so the feet rest suspended in the air without touching anything.

5. Get Properly Fitting FootwearThe health of your older adult’s feet can largely come down to their footwear. When was the last time they had their feet measured and sized by a specialist prior to buying shoes? Wearing shoes that are too small or too big can affect more than comfort levels — they can rub and cause blisters and other foot ailments as well as impair mo-bility. In general, seniors should avoid wearing heels higher than 1 inch and �nd closed-toe shoes that are comfortable and support their arch type, foot width, and ankle.

6. Get Medical Attention When NeededCommon foot conditions like bunions, ham-mertoes, discolored toenails, corns, and calluses may seem harmless, but if you’re an older adult and have any of these, it’s worth getting an evaluation from a podiatrist to prevent harmful developments later, like infections. A foot expert may recommend simple conservative measures like wearing orthotic aids, like toe separators, bunions pads, and braces. They might also rec-ommend updating footwear or topically treating any skin or nail conditions.

7. Address PainFeet are often the �rst parts of the body to show symptoms related to conditions like arthritis, di-abetic neuropathy. They can also be affected by injuries like plantar fasciitis. If your older adult experiences pain, tingling, numbness, stiffness, or in�ammation in their feet or ankles, get them to a doctor or podiatrist for a thorough exam as soon as possible. Catching early warning signs can help you and your older adult take quick action to prevent medical complications down the line.

8. Promote CirculationOlder adults who suffer from chronic illnesses like diabetes, peripheral artery disease, or condi-tions that limit mobility may experience reduced circulation in their lower legs and feet. That can contribute to dangerous developments like blood clots. Circulation in senior feet can be improved with foot massages, elevating the lower legs when resting, and talking with their doctor about prescribing compression hose.

The Importance of Healthy Feet

You’re Invited to

May 12, 2020 — Madison, WI Join other advocates and help educate state legislators about important issues affecting Wisconsin’s aging and disability populations! Wisconsin has a long, proud history of grassroots advocacy. Become a part of the citizen-led initiatives that make a difference!

No experience necessary; training is provided prior to your meetings with state lawmakers at the Wisconsin State Capitol.

Aging Advocacy Day!

The ADRC of Southwest Wisconsin-Green County will be providing transportation and taking a group to advocate for these issues. If you are interested in attending, please contact Morgan Kennison, Aging Programs

Coordinator at 608-328-9368 or call the ADRC office at 608-328-9499.

Page 3: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

The Bridge | 608-328-9499 March | April 2020 3

Celebrating National Health Care Decisions day is a great time to review your own advance planning documents or create advance planning documents if you have not already done so! Everyone over the age of 18 should be planning in the event inca-pacity would occur. Be sure to discuss your wishes with your agent or use this as an opportunity to have another conversation with them to ensure your wishes are clear!

The law on advance care planning documents and authority varies by state. In Wisconsin, practitioners typically recommend the following documents: • Power of Attorney for Finances and Property;• Power of Attorney for Health Care;• Declaration to Physicians (a/k/a Living Will); and• Authorization for Final Disposition (burial & funeral arrangements).Advance planning docu-ments can be executed with or without an attorney. Even though the basic forms are available online for free, an attorney can provide legal advice and counseling re-garding the person’s speci�c circumstances to ensure that the person’s wishes are stated and carried out as desired. It is important that the power of attorney for health care is signed before two unrelated and disinterested witness-es. Although the power of attorney for �nances does not technically require witnesses, it is granted important pro-tections under Wisconsin law if it is notarized when signed.

Powers of attorney provide authority for someone to make �nancial and health

care decisions for another person. Unlike other states, Wisconsin is not a “next of kin” state, meaning that fam-ily members do not have the ability to make health care decisions on behalf of an-other person just by virtue of being a relative (or spouse). Wisconsin law requires that a person be granted specif-ic authority to act--either authority from the individ-ual person (via a power of attorney document), or from a court (usually through a guardianship action). Power of attorney documents are valid once they are drafted and signed. When they are activated depends on the language within the docu-ment. Typically, a power of attorney for health care is activated by two physicians or a physician and a psychol-ogist when the principal has an incapacity to make health care decisions. A power of attorney for �nances is typically active upon signing, however, can be activated upon incapacity instead if those instructions are provid-ed within the document.

A Living Will is a document that on its face may look sim-ilar to a power of attorney for health care; however, there are several important differ-ences. In writing a Living Will, a person is making a directive to his or her doctor regarding the person’s end of life decisions. There is no authority given to another person to act as an agent on the principal’s behalf, as is the case in the power of attor-ney documents. Additional-ly, a Living Will only applies in limited situations, such as if you have a terminal con-dition or are in a persistent vegetative state. By contrast,

a power of attorney for health care provides for an agent to have broad authority to make decisions in a wide range of situations. A person can have both a power of attorney for health care and a Living Will, if desired, or one or the other. If the documents are inconsistent, the power of attorney for health care takes precedence.

Finally, the Authorization for Final Disposition allows a person to indicate his or her funeral and burial preferenc-es in writing and to appoint a representative to carry out those wishes upon the per-son’s death. This document is recommended as part of a comprehensive estate plan because the authority under a power of attorney ends upon the principal’s death. If no agent is appointed under an Authorization for Final Disposition form, Wisconsin law indicates that a surviving spouse, children, parent, or siblings (in that respective order) can make funeral and burial decisions on behalf of a decedent. If there are surviving children or siblings that are making the decision, a majority of that group must agree and that can potentially cause issues and delays.

Advance Directive forms can be found on the Department of Health Services website. More information on ad-vance directives and how to complete these forms are also available on our website.

Myth-busting false beliefs about POA’s: 1. I do not need a POA be-cause my spouse or family can make decisions on my behalf. a. Wisconsin is not a “next of kin” state, meaning that

family members do not have inherent authority to make decisions solely based on their relationship with you. Authority must be speci�cally given to a person through a POA document or a court order.

2. I do not need a POA until I am older or sick. a. Too often, people wait until it is too late to do advance planning. If a person no longer has the capacity to execute a POA document, then a guardianship action in court may be needed. All adults over the age of 18 should consider creating advance directives.

3. Once I create a POA, I’m set for life.a. POA documents are not locked in stone. They can be revoked at any time or re-executed if the principal is of sound mind. Honoring Choices recommends that advance planning docu-ments be reviewed if any of the 4 “d’s” occur:

i. Death (if any of the agents named in your POA pass away);

ii. Decade (if it has been more than 10 years since you drafted or reviewed your documents);

iii. Divorce (if you subse-quently get a divorce after drafting your POA—in Wis-

consin, this invalidates your documents by law);

iv. Disease (if you become sick or are diagnosed with an illness).

In reviewing your documents, you want to ensure that the agent(s) you chose would still be able and/or willing to serve, that the principal and witnesses signed on the same date, that the witnesses are not related to the princi-pal, that the document still re�ects your current wishes and that nothing is crossed out.

4. I don’t have a lot of money or property, so I don’t need a Power of At-torney for Finance.a. A Power of Attorney for Finance may be needed to apply for or manage insur-ance and public bene�ts like Medicaid.

b. A Power of Attorney for Finance agent would be the one who could sign contracts regarding property, represent your interests in litigation or sign a lease.

c. A Power of Attorney for Finance can establish a spe-cial needs or burial trust.

d. You determine exactly what authority you want your agent to have or not have.

April 16th is National Health Care Decisions Day!By the GWAAR Legal Services Team

Happy Soul Foot Nurse, LLC

In-Home Foot Care

- -

-

a pillow, footstool, or mattress throughout the day can result in pressure and skin irritation that leads to tissue breakdown. Prevent this type of potentially life-threatening condition by “�oat-ing the heels” — propping the ankles up so the feet rest suspended in the air without touching anything.

5. Get Properly Fitting FootwearThe health of your older adult’s feet can largely come down to their footwear. When was the last time they had their feet measured and sized by a specialist prior to buying shoes? Wearing shoes that are too small or too big can affect more than comfort levels — they can rub and cause blisters and other foot ailments as well as impair mo-bility. In general, seniors should avoid wearing heels higher than 1 inch and �nd closed-toe shoes that are comfortable and support their arch type, foot width, and ankle.

6. Get Medical Attention When NeededCommon foot conditions like bunions, ham-mertoes, discolored toenails, corns, and calluses may seem harmless, but if you’re an older adult and have any of these, it’s worth getting an evaluation from a podiatrist to prevent harmful developments later, like infections. A foot expert may recommend simple conservative measures like wearing orthotic aids, like toe separators, bunions pads, and braces. They might also rec-ommend updating footwear or topically treating any skin or nail conditions.

7. Address PainFeet are often the �rst parts of the body to show symptoms related to conditions like arthritis, di-abetic neuropathy. They can also be affected by injuries like plantar fasciitis. If your older adult experiences pain, tingling, numbness, stiffness, or in�ammation in their feet or ankles, get them to a doctor or podiatrist for a thorough exam as soon as possible. Catching early warning signs can help you and your older adult take quick action to prevent medical complications down the line.

8. Promote CirculationOlder adults who suffer from chronic illnesses like diabetes, peripheral artery disease, or condi-tions that limit mobility may experience reduced circulation in their lower legs and feet. That can contribute to dangerous developments like blood clots. Circulation in senior feet can be improved with foot massages, elevating the lower legs when resting, and talking with their doctor about prescribing compression hose.

Page 4: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

Research has con�rmed that people of all ages – even those in their 80s – can improve cognitive function and even reduce their risk of Alzheimer’s Disease and other dementias through certain lifestyle behaviors.

The Green County Aging and Dis-ability Resource Center (ADRC) is now holding a new program called, Boost Your Brain and Memory. Boost Your Brain and Memory is a program developed by Mather Life-ways: Institute on Aging. This pro-gram uses a unique, whole-person approach to brain �tness, providing you with healthy practices that can help you remember things better, be

more organized, pay closer attention, and reduce your stress – as well as reduce your risk of dementia

Boost Your Brain and Memory con-sists of eight, 90 minute sessions that will take place on Tuesday’s from 1:30pm – 3:00pm starting May 12th and ending on June 30th. The class will be held at the Green County Hu-man Services Building. This class is free of charge but pre-registration is necessary as spots are limited.

To learn more or to register for the workshop, please contact the Green County ADRC at 608-328-9499.

4 March | April 2020 The Bridge | 608-328-9499

Boost Your Brain & MemoryLearn Strategies for Keeping Your Brain Healthy as You Age

Join us at the Monroe Memory Café!

Second Wednesday of Each Month 1:30-3:00 PM

Behring Senior Center Blends & Friends Café

1113 10th St., Monroe, WI

The second Wednesday of each month we host a social gathering for individuals with early stage dementia, Alzheimer’s, or memory loss and their family and friends. You do not need to sign up ahead of time!

If you have questions or want more information, contact the ADRC at 608-328-9610 or [email protected].

Day Time For family, friends, and other caregivers

who are caring for a person with a chronic il lness or disability.

Green County Government Services Building,

Lower Level: Multipurpose Room One N3152 State Road 81, Monroe WI

If you have questions or would like more information, contact the ADRC at 608-328-9499 or email us at [email protected].

EVERY 4TH THURSDAY OF THE MONTH; 10:30AM-12:00PM

Night Time For family, friends, and other caregivers

who are caring for a person with a chronic il lness or disability.

If you have questions or would like more information, contact the ADRC at 608-328-9499 or email us at [email protected].

Monroe Public Library; Large Program Room: 2nd Floor

925 16th Ave., Monroe WI

EVERY 2ND THURSDAY OF THE MONTH; 6:00PM-7:30PM

Page 5: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

Across Green County, kind citizens give their time and energy every day, but never see a pay-check. Volunteers are the silent force that deliver and serve hot meals at lunchtime, take people to doctor’s appointments or shopping, and brighten people’s day. In 2019, the Aging & Disability Resource Center utilized the talents and time of over 150 volunteers in the nutrition, adult day center and driver escort programs.

As National Volunteer Month approaches, we want to take the time to recognize and celebrate these kind individuals. They �nd the time in their busy schedules to give back to the wonder-

ful residents of Green County. In 2019, volun-teers for the ADRC provide over 5,500 hours of service!

So thank you, to everyone who has made a difference this last year and the years before. You truly are the backbone and lifeline of so many of our projects. We would not be able to provide the wonderful services at the ADRC without the use of every one of our volunteers.

If you know one of our great volunteers, make sure to thank them during not only National Volunteer month, but also every month because they deserve it!

The Bridge | 608-328-9499 March | April 2020 5

April is National Volunteer Month

We’ve all felt it. That nagging feeling like we’ve done something wrong; failed. It keeps prodding at you. You could have done more, done better; and now you’ve let someone down. Guilt.

The person you’ve failed or let down the most is probably you! You have an image of the “perfect you” - the way you believe you should be and the way you want to be. This image is based on your values and beliefs of how things ought to be - in a perfect world. When the things you do are differ-ent than the way the “perfect you” would have done them, you feel guilty. You’ve let yourself down.

For example, the “perfect you” has unending patience, but after answering the same question ten times in 5 minutes, you raise your voice in irritation. Guilt. The “per-fect you” makes sure your spouse is happy, but when you have lunch with a friend on Saturday, your husband eats alone. Guilt. The “perfect you” believes your father should live with you when he is no longer able to live alone, but real-istically, your job and family make that impossible. Guilt.

These feelings of guilt are common among caregivers and can actually help guide you into making good

decisions. However, if your image of the “perfect you” is misaligned from what you realistically can do, these emotions can make you feel bad about yourself. If you are prone to guilt, learn to manage your guilt and use it to help you make realistic decisions. Here are some helpful tips for managing caregiver guilt.

Recognize when you feel guilt. In order to handle guilt properly, you must �rst be able to name it. When you get that nagging guilt feeling, own it and manage it before it gets you down.

Figure out where the guilt is coming from. What is the discrep-ancy between the real you and the “perfect you?” Are your expecta-tions of yourself or your loved one

too high? Do you have needs that are not being met? Do you need a break?

Give yourself a break. There is no certain way a caregiver should feel. Some days are better than others. Allow yourself to feel any emotion – anger, sadness, joy – and remem-ber that emotions don’t control your actions.

Look for ways to change how you do things. If you believe you should be more patient, �nd ways to deal with repetitive questioning. If your husband doesn’t like to eat alone, �nd a friend or volunteer to eat with him while you have lunch with a friend. Let your guilt guide you into new solutions that works for both of you.

Recreate your image of a “perfect you”. You may have created the image of who you should be when life was simpler. The idea of hav-ing dad move in with you was great at the time, but it may not be possi-ble now. Committing to have him visit every Saturday may be a more realistic expectation. Promising to be your spouse’s only caregiver when he just needed a little help was okay, but with the amount of care he needs now, having someone come in to help is a must.

Ask for help. Your guilt may be caused by not being able to do everything you think needs to be done; so, listen to your guilt and get some help. Ask friends or family for help, or call ADRC of Southwest Wisconsin-Green Coun-ty at 608-328-9499. There is no shame in asking for help. No one can do it all alone.

Always keep in mind that when you take care of yourself �rst you are a healthier caregiver, both phys-ically and emotionally. Make sure your own needs are being met, and when that nagging feeling creeps into your thoughts, don’t let it over-take you. Let it guide you to be the best caregiver you can be today.

Jane MahoneyCaregiver Support Specialist

Greater Wisconsin Agency on Aging Resources

Caregiver Guilt

Page 6: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

6 March | April 2020 The Bridge | 608-328-9499

Personality DisordersMany of us have heard terms like narcissistic, para-noid, or borderline. But what do they actually mean?

These terms are conditions called personality disorders. Someone is diagnosed with a per-sonality disorder when they have a rigid and unhealthy pattern of thinking, functioning, and behaving that causes dif�culty with relation-

ships, social activities, work, and school.

People with personality disorders often are not aware of how their condition affects their lives and instead believe the world is causing their situation. They are at higher risk of developing a substance abuse problem.

There are three clusters of personality disorders. Cluster A are characterized by odd thinking or behavior and include paranoid, schizoid, and schizotypal personality disorders. Cluster B are

characterized by overly emotional or unpredict-able behavior and include antisocial, borderline, histrionic, and narcissistic personality disorders. Cluster C are characterized by anxiety or fear and include avoidant, dependent, and obses-sive-compulsive personality disorders. No one knows for sure what causes personality disorders, but they are thought to be caused by a combination of genetic temperament and grow-ing up in a chaotic or unstable household. There are successful treatments for these condi-tions, and people can signi�cantly improve their lives through therapies and sometimes medi-cations. If you or someone you know repeat-edly struggles in these areas, it may be time to consider treatment. To learn more about personality disorders and treatments available in our area, contact the Green County Mental Health Navigator or stop by the Resource Room to look through informa-tion or check out books.The Mental Health Navigator can be reached at 608-328-9396 or [email protected]. The Resource Room is open to the public Mon-Fri 8-4:30 pm at the Public Health and Human Services Building, N3152 State Rd 81, Monroe, WI 53566.

Work Flexible Hours and Make Your Own Schedule!

The ADRC is seeking volunteer drivers to assist elderly individuals and those with a disability to

their appointments.

This is a voluntary position, but you are reimbursed at the IRS Reimbursement Rate. We drive people

Monday through Friday.

Candidates should have a valid driver’s license, car insurance and feel comfortable driving people to

locations such as Monroe, Madison and Janesville.

This is an extremely rewarding program. If you wish to apply or have questions about the position,

please contact us at 608-328-9499 or email us at [email protected]

Page 7: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

The Bridge | 608-328-9499 March | April 2020 7

Why Seniors Are at RiskThere are a few reasons why older adults are more susceptible to �uid and electrolyte imbal-ances. With age, our body’s ability to conserve water is reduced. This can make it more dif�cult to adapt to things like �uctuating temperatures. Additionally, the sense of thirst diminishes with age. By the time someone actually feels thirsty, essential �uids could already be extremely low.

Certain medical conditions and medications can affect a senior’s ability to retain �uids. Individ-uals with dementia may forget to eat and drink, and in more advanced stages may have dif�culty swallowing. Drugs like diuretics, antihistamines, laxatives, antipsychotics and corticosteroids can cause frequent urination that depletes water and electrolytes. Furthermore, seniors who expe-rience incontinence often purposely refuse or limit �uids in order to avoid accidents.

Signs and Symptoms of DehydrationIt’s important to be mindful of the signs and symptoms and to communicate with a doctor or health professional if you notice red �ags that could indicate complications from �uid loss.

Keep in mind that thirst is not usually a helpful indicator, because a person who feels thirsty may already be dehydrated. Initial signs to look for include headache, constipation, muscle cramps, dry mouth and tongue, and sleepi-ness or lethargy. Urine color is another helpful indicator and should be clear or light yellow for someone who is properly hydrated.

If severe dehydration goes unchecked, it can cause seizures due to electrolyte imbalance, a reduction in the volume of blood in the body (hypovolemic shock), kidney failure, heat inju-ries, and even coma or death.

Signs of Severe Dehydration• Little or no urination• Dark or amber-colored urine• Dry skin that stays folded when pinched• Irritability, dizziness, or confusion• Low blood pressure• Rapid breathing and heartbeat• Weak pulse• Cold hands and feet

Preventing DehydrationFor most of us, drinking plenty of �uids and eat-ing foods with high water content is a great way to keep our bodies properly hydrated in warmer weather. Most adults need about 64 ounces of �uid every day, but that amount increases with

heat and humidity and can change based on various medications and health conditions.

A good rule of thumb is to try balancing �uid intake with output. If a senior is sweating or urinating more frequently, then their �uid intake should become more frequent as well. If a loved one is suffering from an illness that causes fever, diarrhea or vomiting, carefully monitoring �uid intake is crucial. Keep in mind that you can become dehydrated in cold weather, too!

Foods Can Be Hydrating, TooWhile water is the go-to for most people, keep in mind that beverages are not the only source of �uids. Raw fruits and vegetables can pack a hydrating punch as well. For example, a small plate of cut vegetables, like celery sticks, cu-cumber slices, cherry tomatoes and bell pepper slices served with a healthy dressing or hummus for dipping can be a nutrition- and �uid-�lled snack.

If a senior has an aversion to fruits and veg-etables, especially when they are uncooked, high water content foods like crudités, salads or gazpacho may be an unrealistic approach. Instead, adding healthy ingredients into foods they already enjoy can yield small victories for

a caregiver. Try adding a cup of fresh berries to yogurt, cereal or dessert, or add slices of tomato and a few leaves of lettuce to wraps and sand-wiches. These may not seem like meaningful additions, but every little bit adds up. Incorpo-rating these items on a daily basis can help your loved one prevent dehydration without signi�-cantly changing the amount of liquid they drink.

While these helpful guidelines make good health-sense, it is important to stay in communi-cation with your loved one’s doctor and keep in mind that managing some medical conditions, such as heart failure and kidney or liver disease, may require intentional restrictions of �uid intake.

Jennifer Lee�ang, Partners in Care https://www.agingcare.com/articles/hydration-tips-for-seniors-205594.htm

Hydration Tips for Seniors

Join the ADRC of Southwest Wisconsin-Green County office for our 2020 Lunch & Learn series. We will be partnering with local speakers and organizations to provide presentations over the lunch hour. The

Lunch & Learn series will be on the First Friday of every month from 11:30-1:00 PM at the Green County Government Services Building Multi-purpose rooms (N3152 State Road 81 Monroe, WI 53566. All Lunch & Learn presentations are free of charge but reservations for lunch are required. Please RSVP

to the ADRC at 608-328-9499 by the Monday prior to the Lunch & Learn.

March 6th– Make Life Easier at Home! Learn about different tips, tricks and tools to age safely at home.

Adaptive equipment/devices are products that can help with activities of daily living. Whether you have had a stroke, broken arm, knee replacement or just general aging, there are many aids to make life easier. Even the smallest aid can make a big difference for people of all ages and abilities. Nicole Sanders, Independent Living Specialist, COTA from Access to Independence will present adaptive equipment and aids for all.

April 3rd– Getting Your Financial House in Order

Ron Speilman will talk about many issues and concerns we need to think about before we are confronted by Disease, Dementia & Death. Whether we are assisting spouses, parents, family or friends we need to consider alternatives and to communi-cate.......we need to BE PREPARED. Spielman's talk will include numerous suggestions and provide opportunity for questions. For the past decade Spielman has served as Special Projects Advisor at Monroe Clinic

May 1st-Mental Health Awareness

Join the ADRC and Jeff Ditzenberger discuss the important of mental health awareness. He started a non-profit support group called Talking Understanding Growing and Supporting (TUGS) that helps raise awareness of suicide and mental health in the farming community. He's a farmer, veteran and mental health advocate who works with other farmers and service providers about warning signs associated with prolonged periods of stress.

Work Flexible Hours and Make Your Own Schedule!

The ADRC is seeking volunteer drivers to assist elderly individuals and those with a disability to

their appointments.

This is a voluntary position, but you are reimbursed at the IRS Reimbursement Rate. We drive people

Monday through Friday.

Candidates should have a valid driver’s license, car insurance and feel comfortable driving people to

locations such as Monroe, Madison and Janesville.

This is an extremely rewarding program. If you wish to apply or have questions about the position,

please contact us at 608-328-9499 or email us at [email protected]

Foods with High Water ContentIngredient Percent Water Serving SizeCucumber 96% 1 cup peeled and slicedTomato 94% 1 mediumWatermelon 92% 1 cup diced, or 10 ballsBell pepper 92% 3/4 cup slicedGrapes 92% 1 cupCantaloupe 90% 1/10 (1 small wedge)Orange 97% 1 mediumBlueberries 85% 1 cupApple 84% 1 medium

Page 8: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

Walk-Ins with our Elder Benefit Specialist Tuesday & Thursday afternoons 12:30-4:30 pm NO APPOINTMENTS NEEDED during this time. All other days you must have an appointment,

To schedule an appointment you can call 608-328-9499

8 March | April 2020 The Bridge | 608-328-9499

Q&A with an I&AInformation & Assistance Specialist

Mandy Johnsen

Believe it or not, spring is right around the corner! Spring officially starts on March 19th and that means it is time to start thinking about

that dreaded spring cleaning.

Do you have clutter around your home that you would like to be cleaned up, maybe some yard work that has gone undone because it is a little more than you can handle?

Did you know that there are resources that can help you, or your loved one? There are a couple of options that could be explored, for example a Supportive Home Care Agency or a professional lawn care service. We understand that some-times our health, or the health of our loved ones, interferes with our ability to handle household or outside tasks. It is nice to know that there are options to get some assistance if needed.

For a listing of these agencies or if you would like to know more about how the ADRC could assist with arranging services, contact the ADRC.

“Spring adds new life and new beauty to all that is.”- Jessica Harrelson

Did you return home for the holidays to find your loved ones (parents, grandparents, etc.) struggling more than they let on? This time of year, it is common for family members who are not home often to notice a change in their loved one’s ability to complete certain tasks. Maybe you see that the home is not as clean as mom used to keep it, or maybe you discover the stove doesn’t appear to have been used for a period of time as there are dust bunnies in the burners. As we age, certain things can become more difficult, especially when you add in some hearing loss, physical impairments, etc. It can be difficult to know exactly what is going on in the home if you are being told everything is fine when you check-in. Are you wondering how you can help, especially if you do not live close by? A call to the ADRC is how you can help. After talking with your loved ones about the possible need for some assistance, a call to an Information & Assistance Specialist (I&A) is your next stop. There are a number of resources that can be explored to help a loved one in their home, such as a supportive home care worker or home delivered meals. An I&A can arrange an office visit, home visit, or chat by phone with you and/or your loved ones. Resources can be provided and a follow-up call will be made to insure the resources were helpful. The New Year is here and it should not start with families worrying about their loved ones. Give us a call at the ADRC we would be happy to discuss options and resources available!

Q&A with an I&A Health & Wellness Day

Sponsored by the Aging and Disability Resource Center

THURSDAY, JUNE 18TH, 2020 8:30 AM TO 12:00 PM

MONROE HIGH SCHOOL (1600 26TH Street, Monroe, WI)

VENDOR BOOTHS & FREE HEALTH SCREENINGS

LIVE ENTERTAINMENT

BREAKFAST WILL BE SERVED UNTIL 10:30 AM - COST IS $5

No reservation needed

Medication Disposal on site; Bring any unused glasses for Lion’s Club

Questions? Contact the ADRC at 608.328.9499

Transportation is available, please contact the ADRC to arrange

BLOOD DRIVE ON SITE

Walk-Ins with our Elder Benefit Specialist Tuesday & Thursday afternoons 12:30-4:30 pm NO APPOINTMENTS NEEDED during this time. All other days you must have an appointment,

To schedule an appointment you can call 608-328-9499

Page 9: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

Walk-Ins with our Elder Benefit Specialist Tuesday & Thursday afternoons 12:30-4:30 pm NO APPOINTMENTS NEEDED during this time. All other days you must have an appointment,

To schedule an appointment you can call 608-328-9499

The Bridge | 608-328-9499 March | April 2020 9

Providing care for a friend or family member can be a rewarding experience, but it often provides many challenges too. Over 65 million family caregivers in America provide a vast ar-ray of emotional, �nancial, nursing, homemak-ing and other services on a daily basis and often �nd themselves struggling to meet the needs of both their loved one and themselves.

Powerful Tools for Caregivers is an education-al workshop series designed to provide tools caregivers need to better care for themselves. Participants will learn how to reduce stress, improve self-con�dence, better communicate

feelings, �nd life balance, increase their abili-ty to make tough decisions and locate helpful resources. Classes consist of six, 1 ½-hour sessions held once a week. Two experienced leaders conduct each class and provide inter-active lessons; discussions and brainstorming to help you take the “tools” you learn and put

them into action for your life. Participants also receive a copy of, The Caregiver Helpbook – a helpful resource guide that they can use as a tool during their time as a caregiver.

Green County ADRC is offering the Powerful Tools for Caregivers on Saturdays from April 25th through May 30th. Classes will be held at ‘18th & 8th venue located at 1802 8th Street, Monroe, WI from 9:30am – 11:00am. This pro-gram is free of charge. For more information or to register, contact Green County ADRC by phone at 608-328-9385 or by email by [email protected].

Powerful Tools for CaregiversApril 25th- May 30th

If you bank, shop, watch movies or stream music online, you’re used to emails from the digital companies you do business with touting new products or alerting you to changes in their terms of service. But if a message from, say, Apple, Net-�ix, PayPal or Wells Fargo warns of a problem with your account, proceed with caution: It’s likely a phishing scam aiming to hook your personal data.

The email might seem genuine at �rst, with familiar corporate branding at the top. But instead of addressing you by name, it will greet you generically (“Dear Am-azon Customer,” for example), or not at all. The message will vary: A payment has failed. There’s a problem with your order. We lost your customer data. We’ve detect-ed suspicious activity and locked your account. But the ask will be the same: You need to “update” or “verify” your login or billing information, which you can do by clicking a link or following the instructions in an attachment. (In a variation on the scam, the message might include a phony invoice or receipt and ask you to con�rm or dispute a purchase.)

You might also get an account-re-lated phishing message by text. Whatever the contact method, don’t take the bait. The link will likely lead to a copycat website, where the scammers hope you’ll enter your username, password, or bank or credit card information. Armed with that info, they can rack up bills on your dime, access your �nancial accounts or steal your identity. The attachment might also be booby-trapped with malware the crooks can use to harvest logins and personal and �nancial data from your device.

Online companies may contact you about a genuine issue with your account — for example, if the credit card you use for pay-ment has expired. But they will not ask in an email or text for your login information, Social Security number or �nancial data. If you have any reason to believe there’s a real problem, contact the compa-ny’s customer service department or check your account status on its genuine website or app.

Warning Signs• The sender’s email address does not include the correct corporate domain (for example, @net�ix.

com or @paypal.com). If there is any variation after the “@,” such as extra characters or words, it’s probably not from the company.

• The greeting is generic (“Dear customer,” “Dear account holder,”) or addresses you by your email rather than your name.

• The email seeks login credentials such as username and password, personal data like your Social Security number, or billing info like bank account or credit card numbers.

• The email includes typos, bad grammar or foreign spellings (for example, “centre” instead of “cen-ter”).

• You’re urged to act quickly, at the risk of losing your account.

Do’s• Do hover your cursor over links in the body of the email. This will reveal the true destination URL. If the link is unfamiliar, don’t click it.

• Do only use a company’s of�cial website or app to update account information such as passwords or payment methods.

• Do contact the company direct-ly, through an of�cial website or customer service line, if you have concerns about an email or text message you received.

• Do use antivirus software and keep it up to date. Activate �rewalls and other settings that block mali-cious �les.

Don’ts• Don’t open documents or down-load �les from suspicious emails. They could install malware on your device.

• Don’t click on links or open attachments to “update,” “unlock” or “verify” an account. Go to the company’s website or app to check your account status.

• Don’t click on a link or call a phone number in a text “alert” to verify your identity or account status.

• Don’t reveal personal or �nancial information in response to an unso-licited email. Legitimate companies will not ask you to provide sensitive data in an email.

https://www.aarp.org/money/scams-fraud/info-2019/account.html

‘Update Account’ Scams

Page 10: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

MONDAY

MONDAY

10 March | April 2020 The Bridge | 608-328-9499

Page 11: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

The Bridge | 608-328-9499 March | April 2020 11

March 2020 Menu - Monroe/Brodhead/Albany/New Glarus/Monticello

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

April 2020 Menu - Monroe/Brodhead/Albany/New Glarus/Monticello

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

1% milk only served. Meals are prepared without salt. For serving times and more information, call the Aging and Disability Resource Center at 608-328-9499. The Monroe Dining Center is located in the Behring Senior Center, 325-3040. The Brodhead Dining Center is located at the Brodhead Senior Center, 897-4796. Monticello meals are available through Gempeler’s Supermarket. 608-636-2418.

* all menus are subject to change *

1Monroe Breaded Cod PattyNew Glarus SameMonticello Baked Ham

2Monroe Taco CasseroleNew Glarus SameMonticello Turkey/Dressing

Albany BBQ Beef Tips 3Brodhead SameMonroe SameNew Glarus SameMonticello Baked Cod

Albany Baked Fish 6Brodhead SameMonroe Same New Glarus SameMonticello Baked Chicken

7Monroe Chicken ThighNew Glarus SameMonticello Roast Beef

8Monroe MeatloafNew Glarus SameMonticello Lasagna

9Monroe Roast BeefNew Glarus SameMonticello Pork Cutlets

10

Dining Centers Closed

Albany Hamburger Sloppy Joe 13Brodhead SameMonroe Same New Glarus SameMonticello Ham Balls

14Monroe Hot Turkey Noodle CasseroleNew Glarus SameMonticello Mushroom Steak

15Monroe Fish BreadedNew Glarus SameMonticello Chicken Breast

16Monroe Apple Pork Loin CasseroleNew Glarus SameMonticello Turkey/Dressing

Albany Chicken Breast 17Brodhead SameMonroe Same New Glarus SameMonticello Baked Cod

Albany Hamburger 20Brodhead SameMonroe Same New Glarus SameMonticello Pork Cutlets

21Monroe Beef Noodle CasseroleNew Glarus SameMonticello Chicken Cordon Bleu

22Monroe Beef TipsNew Glarus SameMonticello Roast Beef

23Monroe Lemon Rosemary ChickenNew Glarus SameMonticello Swiss Steak

Albany Chicken Casserole 24Brodhead SameMonroe Same New Glarus SameMonticello Tuna Noodle Casserole

Albany Breaded Fish 2Brodhead SameMonroe Same New Glarus SameMonticello Baked Chicken

3Monroe Hot Turkey Noodle CasseroleNew Glarus SameMonticello Roast Beef

4Monroe Hamburger Sloppy JoeNew Glarus SameMonticello Lasagna

5Monroe Apple Pork Loin w/GravyNew Glarus SameMonticello Pork Cutlets

Albany Chicken Breast 6Brodhead SameMonroe SameNew Glarus SameMonticello Hamburger Bean Bake

Albany Lemon Rosemary 9 Chicken BreastBrodhead SameMonroe Same New Glarus SameMonticello Ham Balls

10Monroe Hamburger on a bunNew Glarus SameMonticello Mushroom Steak

11Monroe Chicken CasseroleNew Glarus SameMonticello Chicken Breast

12Monroe Beef TipsNew Glarus GravyMonticello Turkey/Dressing

Albany Beef Noodle Casserole 13Brodhead SameMonroe Same New Glarus SameMonticello Baked Cod

Albany Chicken Thigh 16 w/GravyBrodhead SameMonroe Same New Glarus SameMonticello Pork Cutlets

17Monroe GoulashNew Glarus Same Monticello Chicken Cordon Bleu

18Monroe Baked SpaghettiNew Glarus SameMonticello Roast Beef

19Monroe Scalloped TurkeyNew Glarus SameMonticello Swiss Steak

Albany Roast Beef w/Gravy 20Brodhead SameMonroe Same New Glarus SameMonticello Tuna Noodle Casserole

Albany Tator Tot Casserole 23Brodhead SameMonroe Same New Glarus SameMonticello Meatloaf

24Monroe Turkey Slice w/GravyNew Glarus SameMonticello Spaghetti

25Monroe Onion Topped Mac N’ CheeseNew Glarus SameMonticello Pork Roast

26Monroe Creamed ChickenNew Glarus SameMonticello Baked Chicken

Albany Hot Ham Slices 27Brodhead SameMonroe Same New Glarus SameMonticello Ham Balls

Albany Sage Chicken Thighs 30Brodhead SameMonroe Same New Glarus SameMonticello Beef Stew

31Monroe LasagnaNew Glarus SameMonticello Chicken Breast

Page 12: A publication of the Aging & Disability Resource Center ... · To keep aging feet healthy and reduce the risk of health issues indirectly caused by foot problems, use these eight

12 March | April 2020 The Bridge | 608-328-9499

The Aging & Disability Resource Center works with people of any age to help you find transportation to

where you need to go. Just call the ADRC at 608-328-9499 to get started.

Driver escorts are qualified volunteer drivers who use their own vehicles to provide rides. To use this service, you must be able to get into and out of the vehicle on your own. Drivers can assist you, but cannot lift or provide medical care. When you schedule your ride, we’ll let you know how much the service will cost.

Reservations are required 48 hours in advance and co-payments are collected at the time of the ride.

All buses are walker and wheelchair accessible.

Thurs, March 5 Thurs, April 2

Monroe-Juda-Brodhead to Janesville $10.00

Wed, March 11,25 Wed, April 8, 22

Belleville-New Glarus-Monticello to Monroe $5.00

Thurs, March 12, 26 Thurs, April 9, 23

Albany-Brodhead-Juda to Monroe $5.00

Thurs, March 19 Thurs, April 16

Monroe-Monticello-New Glarus to Madison $13.00

Buses provide transportation to and from multiple locations on a regular schedule.

Riders are picked up at home and taken to all the places they need to go. Drivers also help

with packages.

All ages welcome, with priority seating reserved for the elderly and those with a disability.

All shuttle bus services are a suggested donation.

To guarantee a spot, please call by noon 2 days before the trip

Appointments are available for free income tax preparation services for low to moderate in-come, elderly and disabled persons through the IRS Volunteer Income Tax Assistance (VITA) and AARP Foundation Tax-Aide programs. Assistance provided includes the preparation of federal and state (including homestead) income taxes.

Appointments are available in:

• Monroe on Wednesdays beginning February 5th-April 8th from 9AM-1:30PM at Green County Human Services, N3152 State Rd 81, Monroe, WI.

• Brodhead on Mondays beginning February 3rd- April 6th from 9AM to 12PM at the Brod-head Public Library, 1207 25th Street Brodhead, WI.

• Albany from 9AM to 1PM at the Albany Village Hall, 206 North Water Street, Albany WI on February 7th and 21st and March 6th and 20th.

Please call the ADRC at 608-328-9499 to schedule an appointment.

Bring your photo ID, social security card, last year’s tax returns, Forms W-2, SSA, 1099, 1099R, 1099G, brokerage statements and self-employment records. Additional docu-ments include mortgage interest; medical/dental expenses (including Form 1095A and insurance premiums); charitable donations; and sales, income and property taxes. We cannot prepare returns with self-employment if any apply: there are employees, losses, expenses that exceed $25,000, depreciation or business use of home.

For homestead credit, bring the above docu-ments and a copy of your real estate tax bill or an original rent certi�cate signed by your land-lord. If you are age 62 and under, are disabled and have no income, you must also provide written proof of your disability.

2019 Tax Assistance Appointments