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Special points of inter-est:
HEALTHY AGING TIMES OCTOBER 2016
Eagle County
Tis the Season for Flu Shots
Inside This Issue:
Flu shots……………...………......……………....…...1
4 Nutrients you may be Missing……...…..……….….2
Medicare Open Enrollment & Flu shots cont.………...3
Move of the Month & Dizziness……………….……..4
Mission and Contact Information……………….…….5
Healthy Aging Resources…………………..……..6 &7
Cook’s Corner Recipe………………………………...8
Tis the season to get your flu shot! Flu shots will be available at all 3 Eagle County Healthy Aging sites this year. Minturn - Sept. 30, El Jebel - Oct. 4 & Eagle - Oct. 11. Some facts about flu:
The immune system weakens with age, making it harder to fight disease. As a result, the flu can be severe for adults 65 years of age and older.
This age group typically accounts for more than half of flu-related hospitalizations and almost all flu-related deaths.
In fact, influenza, combined with pneumonia, is one of the top ten leading causes of death in the United States in people 65 years of age and older.
Adults 65 years of age and older should try to get vaccinated as early as possible.
According to the U.S. Centers for Disease Control and Prevention, the single best way to help prevent the flu is to get an annual flu vaccination, which is recommended for everyone six months of age and older, with rare exception.
In fact, it is estimated that during the 2014-2015 flu season, almost 58,000 hospitalizations were averted due to vaccination in people 65 years of age and older. (continued on page 3)
For older adults, it is especially important to try to get vaccinated early in the season, which has been
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4 Nutrients You May Be Missing
Getting adequate nutrition can be a challenge as you get older. With age, the number of calories you need be-gins to decline. Every calorie you consume must be packed with nutrition in order to hit the mark. Even then, you may fall short. "As we get older, the body becomes less efficient at absorbing some key nutrients," says Katherine Tucker, RD, PhD, chair of the department of health sciences at Northeastern University in Boston. In addition, the ability to taste food declines, blunting appetite. Some foods become difficult to chew or di-gest. Several key nutrients in particular may be in short supply as you get older. Here are the top vitamins and nutrients to look out for -- and how to get enough.
Vitamin B12: B12 is important for creating red blood cells and DNA, and for maintain-ing healthy nerve function. “Getting enough B12 is a challenge for older people because they can’t absorb it from food as well as younger people," says Tucker. "Even if your diet contains enough, you may be falling short."
How to hit the mark: Eat more foods rich in B12. The richest sources include fish, meat, poultry, eggs, milk, and milk products. Talk to your doctor about whether you should take a B12 supplement.
Folate/Folic Acid: You may have heard of folate. Too little of this essential B vitamin is known for contributing to anemia and increasing the risk of a pregnant woman having a baby with a neural tube defect. Older people whose diets don’t include a lot of fruits and vegetables or fortified breakfast cereals may be falling short.
How to hit the mark: Now that breakfast cereals are fortified with folate, deficiencies are less common. If you don’t eat breakfast cereals or plenty of fruits and vegetables, it’s wise to ask your doctor if you should take a supplement that contains folate.
Vitamin D: Vitamin D helps the body absorb calcium, maintain bone density, and prevent osteoporosis, recent findings suggest that D may also protect against some chronic diseases, including cancer, type 1 diabetes, rheumatoid arthritis, multiple sclerosis, and autoimmune diseases. In older people, vitamin D deficiency has also been linked to increased risk of falling. Many Americans fall short on vitamin D, which is mainly produced by the skin when exposed to sunlight.
How to hit the mark: Many foods are fortified with vitamin D, including cereals, milk, some yogurts, and juices. Few foods naturally contain vitamin D. However, vitamin D is found in salmon, tuna, and eggs. Re-searchers are currently debating what the recommended level of vitamin D for optimal health should be. Many experts think older people need to take vitamin D supplements, since the skin becomes less efficient at producing the vitamin from sunlight as we age. For now, the best advice is to talk to your healthcare provider.
Magnesium: Magnesium plays a crucial role in some 300 different physiological processes. Getting enough can help keep your immune system in top shape, your heart healthy, and your bones strong. "Many whole foods, including vegetables, contain magnesium. But it is often lost in processing," says Tucker. Absorption of magnesium decreases with age. Some medications older people take, including diuretics, may also reduce magnesium absorption.
How to hit the mark: Fill your plate with as many unprocessed foods as possible, includ-ing fresh fruits, vegetables, nuts, whole grains, beans and seeds, all of which are great sources of magnesium. (webmd.com)
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Medicare Open Enrollment Prescription Drug Coverage and Advantage Plans - October 15 to December 7, 2016
What can you do? Switch your Part D prescription drug coverage to another Part D prescription drug plan Enroll in a Part D prescription drug plan if you are not currently enrolled in one Switch your Advantage Plan to another carrier Switch from Original Medicare (Part A and B only) to an Advantage Plan Switch from and Advantage Plan to Original Medicare If you want to enroll in an Advantage Plan and you are not currently in one, you must ….. Be enrolled in Original Medicare (Part a and Part B) Live in the plan’s service area Cannot have End-Stage Renal Disease (ESRD)
What about auto-renewal? If your carrier has discontinued your current plan (they sent you a notice as is required by law), then you will enroll in a new prescription drug plan. Most of you will have received an Annual Notice of Change (ANOC) or Evidence of Coverage notices by September 30th. CMS will have the information available online in Oc-tober at Medicare.gov.
If your plan is still available, you may Allow for auto-renewal and you will remain in that plan Select a new prescription drug plan
If you miss this enrollment period, even by a minute, you will not be able to make a change or enroll until next year for 2018 coverage unless you have a qualified Special Enrollment Event. Ask your site coordinator for Medicare counseling options near you! (medicare.gov)
Flu Shots (continued from page 1)
The flu can be dangerous for older adults as chronic health conditions such as heart disease and diabetes can worsen as a result of the flu.
People with these conditions are more likely to develop complications from the flu that can result in hospi-talization and even death.
Chronic health conditions commonly affect older adults:
*86% of adults 65 years of age and older have at least one chronic condition, and 68% of Medicare beneficiaries have two or more.
*Among adults 65 years of age and older, roughly 20% have diabetes, and about 30% have heart disease.
Flu vaccination is a Medicare benefit with no copay. A higher-dose vaccine is widely available; talk to your health care provider about flu vaccine options. (www.ncoa.org)
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Move of the Month: Heel to Toe Walk
1. Position the heel of one foot just in front of the toes of the other foot. Your
heel and toes should touch or almost touch.
2. Choose a spot ahead of you and focus on it to keep you steady as you walk.
3. Take a step. Put your heel just in front of the toe of your other foot.
4. Repeat for 20 steps. (nihseniorhealth.gov)
Dizziness can be caused by loose crystals called “otoconia” in your inner ear, which is known as BPPV. Benign paroxys-mal positional vertigo, or BPPV, is the most common cause of vertigo, and is also the most common vestibular (inner ear) disorder. BPPV occurs when tiny calcium crystals are displaced from either one or both of the otolith organs of the inner ear and fall down into one of the semicircular canals, disrupting the flow of the fluid of that canal.
What results from that disruption of fluid is essentially a false sense of motion. People with BPPV will most often report experiencing short episodes of severe vertigo with change in head and/or body position, such as turning over in bed or get-ting up and out of bed, tilting their head back in the shower to wash their hair, or turning their head from side to side while driving. The onset of vertigo can be very sudden and very frightening. And while the classic sign of BPPV is episodic se-vere vertigo related to changes in head position, many people experience a more mild or low grade constant unsteadiness between attacks or episodes.
Why do those crystals come loose?
About half of the time, the cause is unknown. When the reason can be identified, it is typically the result of a head injury, which can range from mild to severe. Sometimes taking a misstep off the end of a curb is enough to displace one or more otoconia. High intensity aerobics or mountain biking on rough trails can also cause BPPV. Occasionally, BPPV can be secondary to viruses that affect the inner ear, such as vestibular neuritis or labyrinthitis, and has also been associated with migraines.
How is BPPV treated?
While BPPV is the most common cause of vertigo, it is also one of the most easily treated. Repositioning maneuvers are completed typically in a health care provider’s office but can sometimes be performed at home as well. The maneuvers incorporate a specific series of head and body movements designed to move the displaced otoconia out of the involved or affected semicircular canal. This series of movements is typically completed in a short period of time, though repeti-tion of the series can sometimes be required. There are several types of repositioning maneuvers, including the Epley maneuver, the Semont, and the Appiani, which are specific to the semicircular canal that is involved. (www.swedish.org)
Dizzy? Fluids And Crystals In Ear Might Be Cause
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HEALTHY AGING TIMES
OCTOBER 2016
Culinary: Claudia Chacon Eagle & Minturn Culinary Specialist 970.328.1483
Nikki Reckles El Jebel Culinary Specialist 970.328.7680
Our Mission: Healthy Aging is dedicated to serving the over 60 population of Eagle County with nutrition, transportation, social activities and programs that help to maintain the independence of older adults.
Coordination: Carly Rietmann Healthy Aging Program Supervisor—Eagle 970.328.8896 [email protected] Christy Doyon Healthy Aging Program Coordinator—El Jebel 970.328.7682 [email protected] Pat Nolan Healthy Aging Program Coordinator—Minturn 970.328.8831 [email protected]
Transportation: Bob Anderson El Jebel Bus Driver 970.309.8465
Mikey Colley Eagle & Minturn Bus Driver 970.343.9565
Reservations are requested for lunch by 12:00 pm the day BEFORE the meal is served (24 hour advance notice is requested please).
Eagle: Please call 328-8896. Lunches are served at noon on Tuesday and Thursday at the Golden Eagle Senior Center, 715 Broadway in Eagle. We deliver meals to homebound seniors in the mid and lower Eagle Valley (Eagle, Gypsum )
El Jebel: Please call 379-0020. Lunches are served at noon on Tuesday and Thursday at the Eagle County Annex Building, 0020 Eagle County Dr. in El Jebel (just off Hwy 82 at Crown Mountain Park). We deliver meals to homebound seniors in the Roaring Fork Mid-Valley.
Minturn-Vail: Please call 328-8831 or 328-2812. Lunches are served at 11:30 a.m. on Wednesday and Friday at Maloit Park Senior Center inside Vail Ski and Snowboard Academy in Minturn, 1951 Hwy. 24 in Minturn. We deliver meals to homebound seniors in the upper Eagle Valley (Edwards to Vail)
All meals are funded by the Older Americans Act and Eagle County Govt. Anyone over 60 or regular volunteers under 60: suggested anonymous donation of $3.00 All Guests under 60 must pay $8.00.
Meal Reservation Information
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Volunteer Opportunities
Alpine Area Retired and Senior Volunteer Program (RSVP) is a volunteering program specifically for peo-ple 55 or better. Contact them today to learn about fun and exciting volunteer opportunities in Eagle County. Contact CJ Grove, Alpine Area RSVP Coordinator at (970) 468-0295 ext. 122 or [email protected]
Medicare Information and Counseling
Northwest Colorado Councils of Government (NWCCOG) offers a State Health Insurance Assistance Pro-gram (SHIP) for Medicare beneficiaries. Contact TJ Dufresne at 970.468.0295 x120 or [email protected]
Alpine Area Agency on Aging
The Alpine Area Agency on Aging is a program of NWCCOG is the designated regional planning and service agency for senior services in Eagle, Grand, Jackson, Pitkin, and Summit Counties. Contact Erin Fisher, AAAA Director at 970.468.0295 x107 or [email protected]
In Home Caregiving Assistance
There are currently three organizations in Eagle County who offer in-home assistance :
Caring 4 You Homecare: 970-390-2889 (medical and non-medical), Homecare and Hospice of the Valley: 970-569-7455 (medical only), Visiting Angels: 970-328-5526 (non-medical only)
Dietary Guidance & Consultation
Free dietary guidance and consultation is a service provided through our meal program in Eagle County. For information, answers, or to set up a consultation contact Melaine Hendershott, RD at 303-503-2622
Mental Health and Wellness
Mind Springs Health: Eagle: 970-328-6969 | Vail: 970-476-0930 | Aspen: 970-920-5555 | Glenwood Springs: 970-945-2583
Eagle Valley Senior Life
Eagle Valley Senior Life operates an adult day program for those with dementia, offers support to family caregivers and are an all around great resource for information. 970-977-0188.
Home Delivered Meals
Home delivered meals are offered to home-bound older adults two days per week through the Healthy Aging meal program. El Jebel/Basalt: 970-328-7682, Gypsum/Eagle/Wolcott: 970-328-8896, Edwards/Avon/Minturn/Vail: 970-328-8831
Healthy Aging Resources in Eagle County
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Healthy Aging Resources in Eagle County
Public Transit Opportunities
Eagle River Valley: Eco Transit - 970-328-3250, Paratransit is also a service offered by Eco Transit for those who are medically unable to drive. Must be accepted into the program via an application and doctor’s signature. Roaring Fork Valley: Roaring Fork Transportation Authority (RFTA) - 970-925-8484
Medical Transportation Services
If you are in need of a ride to a medical appointment, there’s help! Mountain Ride - medical rides for Medicaid beneficiaries: 1-844-686-7433 or mtnride.org, Eagle County Healthy Aging - medical rides for anyone in need no matter of age: Eagle River Valley - 970-328-8896 or Basalt/Roaring Fork - 970-328-7682
Veteran’s Services
Veteran Services Officers can assist Veterans and their family file for benefits including Health Care, Pen-sions, Training and Education, Home Loans, Life Insurance, Burial and Memorial Benefits, Transportation, Transition Assistance, Appeals of VA Claims Decisions, and more. Contact Eagle County Veteran’s Services Officer Pat Hammon at 970-328-9674 or [email protected]
Senior Specific Housing
Eagle County’s Housing Department operates two senior-specific independent living complexes in Eagle - Golden Eagle Apartments and Seniors on Broadway. Contact Leona Perkins, Property Manager at 328-8897 or [email protected]. The Carbondale Housing Authority operates Crystal Meadows Senior Housing in the Roaring Fork Valley. Contact them at 970-963-9326. If you are in need of assisted living or skilled nursing in the Eagle River Valley, Castle Peak Senior Life and Rehabilitation will open its doors in Fall of 2016. Contact Matt Scherr at (970) 989-2500 or [email protected]
Helping hands
Helping Hands is a project of Alpine RSVP and can provide you with a volunteer to help with household chores or minor home repair. Learn more at (970) 468-0295 ext. 122 or [email protected].
Libraries & Eagle Valley Senior Life
Did you know if you call your local library with a question about information and resources in your area that they either have the answer or will help you find it? All of our local libraries offer a wealth of information. Avon Library: 970-949-6797, Basalt Library: 970-927-4311, Eagle Library: 970-328-8800, Gypsum Library: 970-524-5080, Vail Library: 970-479-2184.
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Eagle County Public Health PO Box 660 Eagle, CO 81631
We’re on the web!
www.eaglecounty.us/
publichealth
HEALTHY AGING TIMES
Directions: Preheat oven to 450 °F.
Toss cauliflower, oil, marjoram, salt
and pepper in a large bowl. Spread
on a large rimmed baking sheet and
roast until starting to soften and
brown on the bottom, 15 to 20
minutes.
Toss the cauliflower with vinegar
and sprinkle with cheese. Return to
the oven and roast until the cheese is
melted and any moisture has evapo-
rated, 5 to 10 minutes more.
(eatingwell.com)
Ingredients:
8 cups 1-inch-thick slices cauliflower florets, (about 1 large head)
2 tablespoons extra-virgin olive oil
1 teaspoon dried marjoram 1/4 teaspoon salt Freshly ground pepper to taste 2 tablespoons balsamic vinegar 1/2 cup finely shredded Parmesan
cheese
Cook’s Corner: Balsamic & Parmesan Roasted
Cauliflower
