aging answers, october 2014
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OCTOBER 2014
A Quarterly Supplement to
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Contents October 2014
A Quarterly Supplement to
10
74 Worth Noting
Do you need the flu shot? The Ohio
Department of Aging gives us the scoop.
6 Ask Kathy HirkoMedicare health plans made easy.
10 Feeling at Home for theHolidaysBy Anne Schleicher
Creating a “new normal” for your
aging loved ones during the holiday
season.
13 Book Clubs for SeniorsBy Sharon Schnall
14 Calendar
2 Aging Answers October 2014
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4
12
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4 Aging Answers October 2014
Immune systems weaken as we
grow older, so getting a flu shot
helps older adults stay healthier
throughout the flu season. A flu
shot especially helps those who
are managing chronic diseases
avoid compromising their wellness
efforts.
Three kinds of influenza viruses
commonly circulate among people
today: influenza A (H1N1) viruses,
influenza A (H3N2) viruses and in-
fluenza B viruses.
Adults 65 and older typically ac-
count for more than half (60 per-
cent) of flu-related hospitalizations
and almost all (90 percent) of flu-
related deaths.
The biggest reason people don’t
get flu shots is they think they
don’t need them. Seasonal flu
shots keep you healthy and safe
along with help prevent spreading
the flu to your loved ones.
You benefit anytime you get the
flu shot, but experience greater
protection when the shot is done
earlier in the season, such as
October.
Also, wash your hands regularly,
as this is the simplest way to pre-
vent spreading germs.
Adults 65 years of age and older
have flu vaccine options. They can
have a traditional, standard-dose
vaccine or a higher-dose vaccine
specifically designed to address
the age-related weakening of the
immune system. The vaccination
is a Medicare Part B benefit, which
means there is no
copay for eligible beneficiaries.
Older adults should speak with
their doctor or pharmacist to find
out more about simple steps they
can take to help prevent the flu for
themselves, the people they care
about and the best vaccine option.
The Ohio Department of Aging
promotes healthy, active and
engaged lifestyles for all of its
constituents, and sponsors
chronic disease management
programs to remain active and
healthier longer. Visit the depart-
ment at aging.ohio.gov, and the
Ohio Department of Health at
odh.ohio.gov.
Worth Noting
Reasons to Get a Flu Shot
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By John Kandare
We know from experience that as we age certain parts
of our bodies quit working the way they used to. This is
especially true with hearing. There are 48 million adults
with some form of hearing loss in the U.S., including
one out of three people between the ages of 65 and 75,
and almost 50 percent of seniors aged 75 and older.
As hearing declines, so do other parts of the body. As
an individual’s hearing loss progresses, so do the
chances of getting certain diseases and developing
debilitating conditions.Health Issues Rise Due to LossAudiologists use the term “auditory deprivation” to
describe such cases. A typical hearing evaluation
measures two main things: the softest
levels at which sounds are heard and
speech understanding.
Often, hearing loss goes undiag-
nosed or untreated for many years be-
fore it’s found.
Historically, the average time from
initial diagnosis to fitting of a hearing
aid is 10 years and only 20 percent of
people with a treatable hearing loss ac-
tually get fit with hearing aids.
While hearing loss has strong corre-
lations with other health issues, even
more concerning is that the loss can
also lead seniors to isolate themselves
from social interaction and eventually
develop cognitive decline and demen-
tia.
Falls can be very dangerous for older
adults and research shows that sen-
iors have increased risk of falling when
they have greater hearing loss.
There is a greater likelihood for
hearing loss when someone has a dis-
ease like high blood pressure or
diabetes as well. Research shows that
hearing loss is two times more com-
mon in people who have diabetes than
their peers.
Remembering Hearing AidsIf an individual has hearing loss and
does not wear hearing aids, their
speech understanding can get worse
and make successful rehabilitation
with hearing aids significantly more
challenging.
Often, a person will only wear their
hearing aids when they go to a restau-
rant or to church and complain about
how they do not work for them. A per-
son who only wears their hearing aids
in difficult listening environments will
Hearing Loss and Its Connections to Quality of Life
6 Aging Answers October 2014
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October 2014 Aging Answers 7
not see the most benefit from them.
The more often a person wears a hearing aid, the
better the typical outcome.
Receiving Help Because hearing is tied to other health centers in the
body and can have devastating effects on quality of life,
it is vitally important to diagnose and treat it.
If you know an older adult who has been either
struggling to hear or has withdrawn from their normal
social circles, encourage them to get their hearing
tested. Doctors often test and find hearing loss with
people who do not self-report having hearing difficul-
ties, but the loved ones around them do. These individ-
uals usually benefit the most from a hearing test and
discussion of their concerns and key challenges.
Properly fit hearing aids can not only increase an in-
dividual’s quality of life, but also decrease his or her
chances of dementia and Alzheimer’s due to social
isolation. This gives their loved ones peace of mind and
ensures your time together will once again become
quality time together.
John Kandare, Au.D. is an audiologist at Zounds Hear-ing, which offers free, comprehensive hearing evaluationsin Brooklyn, North Canton and Mayfield Heights offices.
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8 Aging Answers October 2014
A treatment offered at Eliza Jen-
nings is bringing hope to older
adults living with dementia and
their families. SAIDO Learning®
is a non-pharmacological treat-
ment that has been shown to im-
prove the symptoms of memory
loss and dementia among individ-
uals with cognitive impairment.
Older adults participating in
SAIDO Learning are more en-
gaged in daily activities, socializ-
ing more with family members
and caregivers, and eating better.
Many are enjoying a renewed opti-
mism for life and daily living.
In 2011, Eliza Jennings part-
nered with Kumon Institute for
Education to become the first site
in the U.S. to conduct an exciting
research trial to examine the re-
sults of SAIDO Learning when
provided to residents of one of
Eliza Jennings’ communities for
older adults. The results of the
trial indicated measurable im-
provement in cognitive function.
SAIDO Learning has been prac-
ticed for more than a decade in
more than 1,600 nursing facilities
across Japan, showing stunning
results in over 18,000 older adults.
The SAIDO Learning method in-
volves a caregiver (called a “Sup-
porter”) trained to work with two
older adults (called “Learners”) by
engaging them in a series of pre-
cise, yet simple, arithmetic, writ-
ing and reading exercises.
Learners progress through a
planned succession of scientifi-
cally developed worksheets suited
to their individual needs. The ses-
sions are conducted five times per
week and last 30 minutes, in order
to stimulate the prefrontal cortex
of the brain. Most notably, the
result is an improvement in
cognitive function.
Through SAIDO Learning, we
can do more than just care for
older adults with Alzheimer’s dis-
ease and other dementias — we
can now treat the symptoms with-
out the use of drugs and set goals
for improvement.
Eliza Jennings, the recognized
expert in innovative aging serv-
ices, offers SAIDO Learning at
each of its communities, including
the assisted living community at
its Retirement Campus at The
Renaissance in Olmsted Town-
ship, and Eliza Jennings Assisted
Living Community at Devon Oaks
in Westlake.
For more information about
SAIDO Learning at Eliza Jennings,
please call 216-325-1266.
Helping to Improve Memory Loss
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Aging can bring changes to many family traditions.
Your parent or grandparent might live in an assisted
living or skilled care facility, and can’t be part of holi-
day events like she or he once was. For many older
people, the holidays are bittersweet.
Don’t be afraid to adjust your traditions. Communi-
cation with family and those involved in your relative’s
care will help you avoid more holiday stress.
Loved Ones Away From HomeResidential facilities have busy activities depart-
ments whose job is to provide socialization each day
of the year, even during holidays for those who are
unable to go home.
“We have special holiday meals that we invite fami-
lies to,” explains Robin Hanna, director of life enrich-
ment at St. Mary’s of the Woods in Avon. “We bring in
entertainers and school kids to do crafts, sing carols
and decorate cookies.”
Hanna says families are welcome to decorate resi-
dents’ rooms. Many share events like school recitals
on devices like an iPad.
It’s a good idea to call ahead if more than one person
will be visiting at the same time. That way staff can
find a setting that will allow for a comfortable visit.
If you’re feeling overextended and unable to visit, find
others who can help.
Home for the HolidaysIn many instances, you can still in-
clude your relative in some part of your holidays at
home.
“Nursing home residents have the right to leave the
facility for holidays, overnight stays and other ‘leaves’
without creating any disruption in their care or serv-
ices,” says Sam McCoy, vice president of elder rights
for the Akron/Canton Area Agency on Aging.
When you make this decision, “You have to make
sure it’s your loved one’s needs being met, not just
yours,” explains Dr. Lori Stevic-Rust, a clinical psy-
chologist who is director of senior services at Lake
Health and president of the Lake County Council on
Aging. “Don’t do it just because that’s the way it’s al-
ways been done.”
Planning ahead is best for all involved. “Give the staff
at least a few days’ notice, especially if it’s going to be
overnight,” McCoy says. “This gives them time to or-
ganize medications, clothing and personal care items.”
Pam Turos, a social worker with the Greater Cleve-
land chapter of the Alzheimer’s Association, suggests
asking the staff to pick out a nice outfit for your relative
and get her hair done.
“She’ll receive a lot compliments and will feel spe-
cial,” she says.
When bringing a person with dementia to a holiday
event at your home, adult children can brief other fam-
ily members on the older person’s limitations and be-
havior, says Stevic-Rust.
“You might have to say, ‘Don’t be offended if
Grandma gets upset because it’s too noisy,” she says.
This is particularly important now that many families
have four generations.
Creating a ‘New Normal’
10 Aging Answers October 2014
HolidaysBeing flexible and communicating your relative’s(and your own) needs can makethe season brighter for everyone.
for the
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Smaller gatherings are better for people
with dementia. Have only immediate family at
an event if your loved one is likely to become
confused or agitated.
Before Holiday Festivities “There are several ways to involve them in holiday
traditions, like cooking and gift wrapping,” says Turos,
who has cared for two family members with
Alzheimer’s disease.
This can be done days or weeks before an actual
holiday, with just you and your relative.
“I even took my grandmother shopping, but to
smaller stores,” Turos says.
Playing holiday music can reconnect those with
memory loss to fond memories.
Keep gifts simple, sentimental and practical. Write
your loved one a letter on special paper about how
much he or she means to you. Have a new print made
of a favorite photo or put together a photo album.
With Alzheimer’s patients, try to meet them where
they are mentally; even a toy might have a lot of
meaning. Ask staff for suggestions,
including what not to get.
Planning for the holidays will set your
compass for self-care as well.
“The number-one rule, you have
to take care of yourself, before you
can take care of anyone else,”
Turos adds.
s
October 2014 Aging Answers 11
By Anne Schleicher
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12 Aging Answers October 2014
As many of you know, pets can be a
very important part of keeping an
aging loved one engaged in a happy
life. There are many benefits of
having a pet.
However, pets are an added
responsibility that involves making
sure they are fed and have water,
and have an opportunity to go out for
walks or use the kitty litter pan.
An unhealthy pet may lead to
health problems for older adults
(and other higher risk individuals).
Does this mean you need to get
rid of the household pet? No. It just
means you need to know the three
simple ways you can support your
aging loved one so they can live
safely at home with their pet.
Vet Up: Make sure your loved
one’s pet is seen at least once a year
by a primary care veterinarian to
keep current on parasite control and
essential vaccinations. This is the
best defense for preventing diseases
that can accidentally be spread from
the pet to the owner or young chil-
dren, pregnant women or people
with certain medical conditions. This
also helps the pet live a long and
healthy life with the least amount of
pain and distress.
Pick Up: Pick up pet waste
promptly. Even if a pet is allowed
outdoors, waste needs to be cleaned
up from the yard (best if cleaned up
immediately) and discarded prop-
erly. Many tools out there can help
pick up pet waste without the need
to bend down and get close to the
waste. It’s recommend double bag-
ging the waste before placing it in
the garbage can for proper disposal.
Keeping the home clean and tidy is
also necessary.
Wash Up: Wash hands after han-
dling pet waste (and before handling
food or eating). For example, my
grandmother had dementia, and I
saw that she did not remember that
she needed to wash her hands after
disposing of her dog’s waste. The
benefits of her having the dog far
outweighed any potential drawback,
she just needed extra support to live
safely with her pet.
Responsible pet care is essential
for healthy living. The day-to-day
needs of a pet to stay happy and
healthy may require special consid-
erations. If you or your loved one
needs extra support in caring for a
pet, many people can help. While
you may be inclined to consider a
typical pet owner, it might not be the
best choice. There are people who
have the credentials as a profes-
sional pet sitter, pet groomer,
animal behaviorist, veterinary tech-
nician, pet waste manager or others
who can support the specific needs
of any pet.
Understanding what each of these
professionals do can help preserve
the special bond your aging loved
one has with their pet and gives you
peace of mind that you don’t have to
have the added extra worry of what
to do with their pet in times of crisis.
For more guidance than is given
here, please see the accompanying
One Health Organization ad at left.
Keeping Pets and Older AdultsSafe In Their HomeHere are some simple tips to minimize health riskswhen caring for a pet. By Dr. Anna M. Van Heeckeren at
One Health Organization
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October 2014 Aging Answers 13
The monthly drive from her job in
Akron to the Regina Health Center
in Richfield is one that Mary Popio
welcomes. For five years, Popio
has led a book discussion with a
group of center residents, repre-
senting ages 60s through 90s,
held at the center’s assisted living
and nursing home campus.
“These people are readers. They
have incredible perspective to
bring,” says Popio, a librarian with
Library Express Delivery Service
(LEDS) with the Akron-Summit
County Public Library.
Continuing Learning ExperienceCertainly, book clubs are engag-
ing, bringing together a diverse
group of people, ready to talk
about likes and dislikes concern-
ing the selection. However, the
value and benefits go beyond the
book review.
“It’s a continuing learning expe-
rience. You meet people. You meet
new people. It gets you out of the
house,” says Barbara Terrano, 81,
a member of a book club run by
Solon branch staff of the Cuya-
hoga County Public Library.
“Sometimes after book group, two
or three of us stop for lunch in the
snack shop (of the center) and sit
and talk,” she says. “The socializ-
ing is very important.”
Terrano joined the Solon book
club two years ago, and was previ-
ously a member of three book
clubs in Massachusetts where she
lived before returning to Northeast
Ohio. She joined these clubs in
2008 following the deaths a year
prior of her husband, mother and
aunt. Before joining those clubs,
she was devoted extensively to
caregiving duties and later with
settling family affairs.
Moderating the Best DiscussionsThe materials are important.
Barbara Wilson, a public service
assistant with the Brook Park
branch of the Cuyahoga County
Public Library, routinely orders 10
large-print books, 10 regular-print
books and three CD format or
audio books for the Brook Park
branch club, recognizing there are
some who can only read large-
print and others who prefer audio
listening.
However, member participation
is a hallmark of book clubs.
Skilled moderators strike a bal-
ance among discussions about the
book itself; participant reminisc-
ing, particularly with a member-
ship that brings collective living
history and life experience; and
quite simply, general asides and
digressions.
After reading “A Secret Gift,”’ by
Ted Gup, about his family’s De-
pression-era life in Canton, “They
commented on what their par-
ents did to save money or how
they did not have fruit at Christ-
mas,” Wilson says. “They got
emotional. The book was per-
sonal. It wasn’t just facts.”
With some personal timelines
dating back to the 1920s and
1930s, senior members of book
clubs bring history to life.
While club members enjoy
memoirs and historical fiction,
contemporary works are among
the notable selections. For exam-
ple, “The Girl with the Dragon Tat-
too,” “Orange is the New Black:
My Year in a Woman’s Prison” and
“The Hunger Games” were past
discussion generators of the
Regina Health Center’s book club
in Richfield.
“There’s always someone who
will come up with some insight
that the rest of us did not pick up
on,” Wilson says.
Sharon Schnall is based in
Northeast Ohio.
Book Clubs for SeniorsGo Beyond Review and Discussion
By Sharon Schnall
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MonthlyThe Mended Hearts GreaterAkron Chapter #59 (Heart Dis-ease Support Group), 1-2 p.m.Second Tuesday of every monthChapters invite healthcare pro-fessionals to present valuableinformation and answer ques-tions. Summa Rehab Hospital,29 N. Adams St., Akron. ContactGlenn Reeder, 330-688-4418 orJim Patterson, 330-334-1236,MendedHearts.org.
Cleveland Clinic’s SupperClub at Euclid Hospital. SupperClub features bingo and dinneron the second Thursday of eachmonth. Reservations required,call 216-448-1210. $5 payableat the door.
Life Goes On (Amputee SupportGroup), 7-8 p.m. Last Thursdayof every month, free. Healthprofessional staff facilitates themeeting with communityspeakers lending their expert-ise. Summa Rehab Hospital, 29N. Adams St., Akron. ContactHerbert Neal, 330-572-7300.
Life After Stroke (Stroke Sup-port Group), 10 a.m.-noon, sec-ond Friday of every month.Provides a forum for stroke sur-vivors and their families toshare ideas and solve problems.Summa Rehab Hospital, 29 N.Adams St., Akron. Contact Dr.Cathy Torcasio, 330-686-4455or 330-572-7300.
Caregiver Support Group, free,last Saturday of every month.This gathering provides a time
for caregivers of parents/grand-parents/children to connect andtalk about their experiences andWestbay Rehab and Care Cen-ter, 27601 Westchester Park-way, Westlake, 866-824-8174
Mondays andTuesdaysOpen Gym, Mondays, 6-7 p.m.,Tuesdays, noon-1 p.m. All ages,physical abilities or experiencelevels are welcome. Passesmust be purchased in advance— no drop-ins please. Lynd-hurst Campus, 1950 RichmondRoad. Call 877-331-9355 oremail Lifestylemed@ccf.org.Visit my.clevelandclinic.org.
ThursdaysParkinson’s Group ExerciseProgram, 11:30 a.m.-12:30p.m., free. Exercise program tohelp ease the daily struggles ofParkinson’s. Summa RehabHospital, 29 N. Adams St.,Akron. Contact Kelly Rutan,330-572-7300.
October 1Fall Wellness Expo, 9-11:30a.m. UH Bedford Medical CenterSenior Network. Solon SeniorCommunity Center, 35000 PortzParkway, Solon
October 2Parma Senior Wellness Expo,9 a.m.-1 p.m. This expo provides resources from West-ern Reserve Area Agency onAging. UAW Local 1005, 5615Chevrolet Blvd., Parma
October 2Medina Hospital Health Fair,10 a.m.-2 p.m. Sponsored byCleveland Clinic’s HealthwiseConnection and PNG (Profes-sional Networking Group) spe-cializing in senior services.1000E. Washington St., Entrance A,Medina, 330-725-1000my.clevelandclinic.org
October 3Summit Senior Expo at Summit Mall, 8 a.m.-2:30 p.m.Exhibits, health screenings, fluvaccinations, music, dancing,bingo, the Price is Right gameshow, food and a lot of fun.3265 W. Market St., Akron
October 9Amputee Support Group, 2-3:30 p.m. TriPoint Medical Cen-ter, 7590 Auburn Road, ConcordTownship. To register, call 800-454-9800 or visit lakehealth.org.
October 11Lake County’s Annual Walkfor White Cane Safety Aware-ness Day, 10 a.m.-1 p.m. Learnwhat it’s like to walk withoutsight. Meet and learn aboutservice dogs. Proceeds benefitthe visually impaired childrenand adults of Lake County.Willoughby Municipal Pool,36900 Euclid Ave., 440-479-2163
October 14Wellness Free Speaker Series:This is Your Brain on Peaceand Calm, 7-8 p.m. Join
speaker JaneEhrman, M.Ed., CHES,to learn effective andeasy ways to enter a state ofpeace to benefit your health andwell-being. Cleveland Clinic’s Lyndhurst Campus - First FloorWest Auditorium, 1950 Richmond Road.
October 15Healthy Cooking Series:Soups, 6-8 p.m. Join Center forLifestyle Medicine’s Chef Perkoas he teaches how easy it is tomake some fall favorites. Regis-tration required, $35 for classand dinner. Cleveland ClinicLyndhurst Campus – Kitchen,First Floor East, 1950 RichmondRoad, Lyndhurst, 216-448-8500
October 16Community Health Lecture:Facts Concerning ProstateCancer, 6-7 pm., ongoing freelecture series. Presented byLake Health Urologist ZurabDavili, MD. To register, call theWest Medical Center, 36000 Euclid Ave., Willoughby, at 800-454-9800 or visit lakehealth.org.
October 17Celebration of Life Gala, 6-11p.m. The Village at Marymountwill host its fifth annual gala atExecutive Caterers at Lander-haven, 6111 Landerhaven Dr.,Mayfield Heights. Ticket info,call 216-332-1751 or thecelebrationoflifegala.org.
14 Aging Answers October 2014
Event ListingsOctober, November & December
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October 2014 Aging Answers 15
Send your event listings to: calendar@NortheastOhioParent.com
October 17Medicare Check-Up Day, 10 a.m. Unbiasedinformation about Medicare and the Plan Dprescription drug benefit from the LakeCounty Council on Aging. Bring a list of yourprescriptions. Register by calling 440-944-6010. Wickliffe Public Library, 1713 LincolnRoad, Wickliffe, wickliffe.lib.oh.us.
Sweet & Savvy Presentation: Medicare Ato Z, 1 p.m. Medicare Updates and 2015changes. RSVP by Oct. 10. The Gables ofHudson, 5400 Darrow Road, Hudson, 330-653-9170
October 22Center for Functional Medicine: Dr. MarkHyman and screening of film “Fed Up,”5:30-7:30 p.m. Concerned about heart dis-ease, diabetes, cancer or Alzheimer’s? Dr.Hyman will share his thoughts, answer ques-tions and invite you to join the Fed Up Chal-lenge. Free, registration required. Richard E.Jacobs Health Center, 33100 Cleveland ClinicBlvd., Avon, 216-448-8500
Stroke Survivor Support Group, 6-7 p.m.TriPoint Medical Center, 7590 Auburn Road,Concord Township. To register, call 800-454-9800 or visit lakehealth.org.
October 23Knowing the 10 Signs, 6:30 p.m., presented by the Alzheimer’s Association.Refreshments will be served. RSVP by Oct.19. The Gables of Hudson, 5400 DarrowRoad, Hudson, 330-653-9170
October 24Know Your Numbers Heart Event, 8 a.m.-noon. Get heart screenings and learn moreabout heart rhythm disorders and peripheralvascular disease. TriPoint Medical Center,7590 Auburn Road, Concord Township. Toregister, call 800-454-9800.
November 6-16Women’s Wellness Week Retreat in Captiva Island, Fla. Join experts fromCleveland Clinic’s Center for IntegrativeMedicine at Women’s Wellness Week. Visit
my.clevelandclinic.org/Documents/Wellness/CIM/womens-wellness-retreat-booklet.pdf.
November 13 Annual Caregiving Conference & Lunch-eon, What Works: Effective Methods forImproving Caregivers’ Quality of Life.Featured speaker: Laura N. Gitlin, PhD. Ses-sions in evidence-based programs, awards,lunch and a caregiver panel. Benjamin RoseInstitute, 11890 Fairhill Road, Cleveland,216-791-8000, benrose.org/education.
Senior Craft Night, 10 a.m.-noon. Make amini album. $5 donation. Pre-registration isrequired as space is limited. Medina CountyRecreation Center, 855 Weymouth Road,Medina, 330-721-6932, medinarec.org
December 2Grandparenting Today, 7-9 p.m., free. Designed to help prepare grandparents for
their new role before and after the birth of agrandchild. Topics include: childbirth and infant care today, and a safe home environ-ment. To register, call 216-844-4000. University Hospital Landerbrook Health Center, 5850 Landerbrook Dr., Cleveland.
December 4-6 Christmas Extravaganza, 11a.m.- 4 p.m.,Lavish holiday decorations, over 55 Christ-mas trees, wreaths, ribbons, garlands andmore. Lake County History Center, 415Riverside Dr., Painesville Township, Lakehistory.org.
December 8Caregiver Support Group, 6-7:30 p.m. Thisgroup provides education and emotionalsupport for those who are helping someonewith cancer. Stewart’s Caring Place: A Can-cer Wellness Center; free for those touchedby cancer. 2955 W. Market St., Akron, 330-836-1772, stewartscaringplace.org
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