FREEFALL 2017

Health News You and Your Family Can Use

Senior GuideSenior Living Options, Rehabilitation,

Home Care, Hospice, Senior ResourcesSee pages 23-32

Westmoreland County

D E P A R T M E N T S :LOW BACK PAIN 3

LEGACY MEDICAL CENTER 4VARICOSE VEINS 5BREAST CANCER 6

SPINAL CARE 7DENTAL HEALTH 10

ASK THE EXPERT/Jerry DeRiso 11AUTISM 12

FOSTER PARENTS 14 CELIAC DISEASE 16

MEDICARE UPDATE 17SENIOR GUIDE 23

SENIOR HOUSING 26 HEALTHCARE DIRECTORY 33

Exercisesfor Low

BackHealth

Inside this issue:MEDICARE

UPDATESee pages 17-22

Tips for Choosingthe Best HomeCare Agency

Every ChildSeeking Foster

Parents

Treatmentfor

VaricoseVeins

HighlandsHospitalAutismCenter

Expanding

2 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

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Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 3

3 Core-Strengthening Exercises for Low Back Health

32 LAPS NAILED.70 rehab locations.With customized physical and occupational therapy programs, some of

the region’s most experienced therapists, and more than 70 locations

with flexible hours, we can get you back to doing what you love.

To make an appointment, call 1-888-723-4277 (4CRS) or visit UPMC.com/4CRS.

More than 31 million Americans expe-rience low back pain at any given time. Toavoid back issues, prevention is key. BrianMock, PT, DPT, facility director at UPMCCenters for Rehab Services’ location at theUPMC Outpatient Center-Wexford,explains three core strengthening exercis-es shown to increase core stability andreduce stress on the low back.

“These core strengthening exerciseshelp build flexibility and endurance, andenhance stability,” explains Brian. “Theychallenge your muscles but are executedin a way that minimizes the risk of injury.Always be sure to check with your doctorbefore starting any new exercise regi-men.”

Dying/dead bug exerciseTo perform this exercise, lie flat on your back on a mat with your

knees bent and your arms at your sides. Then raise both legs andarms up toward the ceiling to mimic a dying bug.

• From the dying bug position, move your rightarm to the floor above your head and your left legdown to the floor at the same time.

• Return to the starting position.• Repeat the move, lowering your left arm to the

floor above your head and move your right leg tothe floor at the same time.

• Do these movements in tandem so one armand the opposite leg are on the floor, and then upin the air, at the same time.

• Start with 10 to 15 repetitions per side andgradually work up to 20 to 25 repetitions.

Side plank While lying on a mat on your left side, prop

your torso up on your left arm.• Lift your hips off the mat. Be sure that your

knees, hips, and shoulders are in a line.• Hold for eight seconds and then bring your

hips back down to the mat. • Start by doing two repetitions at eight sec-

onds each. Gradually work up to five repetitionsat eight to 10 seconds each.

• Turn on your right side and repeat the steps.

Bird dog exerciseStart on your hands and knees with a neutral

spine, so your shoulder blades are down andback, your neck is long, and your chin is uptoward the ceiling.

• Straighten your right leg back, withyour toes pointed down. Raise your left armout in front of your head. Hold that positionfor eight to 10 seconds.

• Lower your arm and leg to the mat.• Switch sides, straightening your left leg

back, with your toes pointed down. Raiseyour right arm out in front of your head.

Hold for eight to 10 seconds.• Start by doing four to five repetitions on

each side. As you build endurance, you canincrease the repetitions.

To make an appointment, call 1-888-723-4277 (4CRS)or visit UPMC.com/4CRS

“These core strengthening

exercises help buildflexibility and endurance,

and enhance stability,” -Brian Mock, PT, DPT,

UPMC Centers for Rehab Services

>

4 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

By Daniel Casciato

At Legacy Medical Centers, everyone istreated like family.

“We’re not an assembly line,” stresses Dr.Matt Burnett, D.C., CCSMS, FST, who runsthe Peters Township-based practice along withhis brother Thomas Burnett, MD. “We takeour time with patients one-on-one. You willsee the doctor you make an appointment with.In this era of healthcare, the doctor-patientrelationship has been lost because of the timerequired and the documentation. Here atLegacy, you will feel at home and develop arelationship with your doctor. You’re part ofthe family.”

Legacy combines the best of both traditionalmedical and chiropractic care to form a cohe-sive multi-disciplinary health system. Its teamis comprised of chiropractors, physical thera-pists and medical doctors. Its patient-centeredapproach utilizes innovative and progressivetechnology, nutrition, physical medicine, andrehabilitation.

“We just don't manage your pain. We havethe most advanced modalities in westernPennsylvania by far and because of those tech-nologies we can obtain superior results,” saysDr. Burnett, adding, “We’re like the Tesla ofmedicine.”

Most of the conditions Legacy addressesinclude everything from strains and sprains toconcussions and anything that is neuromuscu-lar related. Not only will Legacy work one-on-one with patients, but they also work with sev-eral of the clinical staff, to reach an accuratediagnosis and develop customized treatment

plans that will lead patients to the highest qual-ity of life possible.

Patients at Legacy will go through a com-prehensive exam but more importantly, notesDr. Burnett, they want us to listen to theirstory. “You can’t treat everyone the samebecause you won’t receive the results you arelooking for,” says Dr. Burnett. “We take ourtime with our patients. Once we identify theproblem at hand we will go through a series ofmodalities that can decrease inflammation andswelling within the patient. That will help alle-viate that initial onset of pain. We’ll then gothrough another series of procedures that willcorrect those problems. If it’s a joint that isrestricted, we will manipulate it. If it’s a nervethat is damaged, we will laser it to regeneratethe nerve itself.”

Dr. Burnett, who started his career atWheeling Jesuit University—where hereceived a Bachelor’s Degree in NuclearMedicine and graduated summa cum laude—attended National University in Chicagowhere he earned an additional degree in biolo-gy as well as his Doctorate of Chiropractic.

At Legacy, Dr. Burnett treats a wide range ofpatients, but has an overall special niche in theathletic world treating local as well as profes-sional athletes. His experience started as anathlete himself at Wheeling Jesuit University,where he was a four-year varsity letter winnerand NCAA Academic All-American with themen’s soccer team. Dr. Burnett continued hissoccer career as the assistant men’s andwomen’s soccer coach at Illinois Tech inChicago while earning his doctorate degree.Upon graduation, Dr. Burnett stayed on with

Illinois Tech as their Strength andConditioning Coach until the 2010 season.After moving to Pittsburgh in 2004, Dr.Burnett quickly got involved in the soccercommunity. He started his local coachingcareer as the assistant coach for the girlsNorwin varsity soccer team. After three yearson staff, he transferred schools, serving as theassistant coach of the Peters Township HighSchool girls varsity soccer team from 2010-2013.

In addition to his successful coaching career,Dr. Burnett has worked with over a hundredNFL athletes from nine different teams. Hecontinues to see athletes from MLB, NHL,LPGA, PGA, and professional boxers.

“With my athletic background, I have hadthe same injuries some of my patients havehad,” he says. “That background, and workingwith athletes at all levels, has had an influentialimpact on my career and specialty. It alsohelped me better relate to our patients.”

While all patients differ in terms of theirmedical needs, the one thing that Legacyencourages is movement.

“We want our patients to keep moving,” saysDr. Burnett. “Our goal is to get them back upand running. Movement kills pain. The lack ofmovement enhances the pain that these chron-ic patients are having. When we move, highintensity exercise releases a cascade of endor-phins and natural hormones that kill pain.”

Empowering Patients Through Innovative and Progressive Treatment

Pictured is the Legacy Medical CentersMcMurray location. Legacy has additional

locations in Irwin and Robinson.

View of the Physical Therapy Gym, looking down the hall to the chiropractic

wing in McMurray.

Dr. Matt enjoys making patients feel comfortable at each visit. He likes to think his calmness, his sense of humor, and his fish tank has

something to do with that.

>

Legacy combines the best of both traditional medical and chiropractic care to form a cohesive multi-disciplinaryhealth system. Its team is comprised of chiropractors, physical therapists and medical doctors. Its patient-centered

approach utilizes innovative and progressive technology, nutrition, physical medicine, and rehabilitation.

Sports Management, Pain Management, Chiropractic, Regenerative Medicine, Physical Therapy, Concussion Treatment, Cryotherapy

Legacy Medical Centers has three loca tions: Peters Township (724) 941-0707,Irwin (724) 382-5626, and Robinson(412) 480-6036. For more information,visit www.legacymedicalcenters.com.

By Nancy Kennedy

Varicose veins and spider veinsare common, bothersome condi-tions, but they are also highly treat-able. At Greater Pittsburgh VascularAssociates, a division of JeffersonCardiology, the diagnosis and treat-ment of varicose veins is a specialty.

Expert, highly skilled cardiolo-gists at the Center’s two locationsoffer the most cutting-edge care in astate-of-the-art catheterization labequipped with the latest medicalimaging and surgical technologies todiagnose and effectively eliminateproblem veins and the discomfortsassociated with them.

Gennady Geskin, M.D., a board-certified cardiologist, says the pre-vention and treatment of varicoseand spider veins and their complica-tions is a primary focus of his prac-tice. “There is no reason for anyoneto suffer with the aching, swelling,fatigue and heavy feeling in thelower legs that is common for thosewith varicose veins. Sometimes,people assume that they just have tolive with it, or they are afraid to seektreatment because they mistakenlybelieve that the only treatment issurgery. Others think that varicoseveins are merely a cosmetic problem.The truth is that varicose veins are amedical problem, not a cosmetic

one, and they can have serious, longterm consequences when untreated.They can result in skin breakdown,ulcers, infection, bleeding andphlebitis.”

Varicose veins are mostly a matterof genetics, according to Dr. Geskin.“If both of your parents had them,you have an 80% chance of develop-ing them; if one parent had them,your chances are 50%. Pregnancycan cause varicose veins, andlifestyle is a contributing factor, too,especially if you are obese; occupa-tions, such as hairdressing, thatrequire long periods of standing canresult in problem veins.”

Conservative treatment consistsprimarily of wearing compressionstockings that provide support andreduce swelling and heaviness; ele-vation of the legs whenever possi-ble; and making adaptations in theworkplace to avoid prolongedstanding.

But for severe varicose veins, theideal treatment is to eliminate theveins altogether. That process beginswith diagnosis, including a physicalexamination of the legs and a diag-nostic venous ultrasound, doneright on site in the lab, to preciselyidentify malfunctioning veins andthe degree of reflux present.

“The majority of patients willhave reflux,” Dr. Geskin explains.The “venous system is a network of

blood vessels that resemble a tree.The valves are located in the treetrunk, and the veins are the branch-es of the tree. We look for reflux inthe superficial veins, which occurswhen the valves aren’t workingright. We treat the cause, usingendovenous thermal laser ablation, a

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 5

“There is no reason foranyone to suffer with the

aching, swelling, fatigue andheavy feeling in the lower

legs that is common for thosewith varicose veins.

Sometimes, people assumethat they just have to live

with it, or they are afraid toseek treatment because theymistakenly believe that theonly treatment is surgery.”

-Gennady Geskin, M.D.

Treatment ofVaricose Veins and

Spider Veins isNothing to Fear

at Greater PittsburghVascular

Associates

(Continued on page 7)

6 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

Stay abreast of local health fairs and healthfocused events and educational opportunities

by subscribing for our FREE monthly enewsletter at www.guidetogoodhealth.com

Breast Cancer

By Dani Wilson

Metastatic breast cancer (alsocalled Stage 4) is the most advancedstage of the disease and means thatthe cancer has spread to otherorgans in the body. Although it isconsidered incurable, treatmentcontinues because excellent care andsupport can extend lives by severalyears. Once a person is diagnosedwith metastatic breast cancer, thegoal of their treatment plan changesfrom eradicating the cancer to pro-longing the life of the patient in themost comfortable manner. Like -wise, supportive services mustchange.

Most support groups focus onhelping people cope during theirtreatment and then move beyondcancer, therefore those who will bein treatment for the rest of theirlives can feel isolated and unrelat-able. They are often wary of sharingtheir story in a room full of peopleworking towards remission.

People with metastatic breastcancer may not look like they havecancer, but it remains at the fore-front of their minds. They knowthat treatment will extend theirlives, but they also know they willeventually die from the disease.They may experience daily pain,depression, anxiety, and various side

effects from the long-term use ofprescribed medications. Theseissues are very different from thosewith early stage breast cancer, andthat is why support groups specifi-cally for people with metastaticbreast cancer are so important.

Targeted support groups make anenormous difference in the ability tocope and find understanding, cama-raderie, and solace. They connectpeople facing similar decisions,struggles, and fears. They have beenshown to improve the mental well-being and quality of life for peoplewith metastatic breast cancer, in partby allowing participants a safe placeto discuss the process of dying andto improve communication withfamily members.

Over 150,000 people in theUnited States are living withmetastatic breast cancer, and thatnumber is growing (NationalCancer Institute, 2017). Supportiveservices specifically designed fortheir needs must grow as well.

Dani Wilson is the director ofstrategic advancement at OurClubhouse. For more informa-tion on supportive services for

people with metastatic breast cancer,contact Our Clubhouse at (412) 338-1919, dwilson@ourclubhouse.org, or www.ourclubhouse.org.

Metastatic Breast Cancer Calls For Innovative Support Systems

>

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 7

10 Reasons Spinal Care Should Be an Integral Part of Your LifeBy Dr. Tim Strittmatter, DC

1. Increased EnergyAs Dr. Roger Sperry, a Nobel Prize winner for brain research once said,

“The more mechanically distorted a person is, the less energy available forthinking, metabolism, and healing.” How can the cells in the body, that aredependent on nerve transmission, be expected to stay healthy and well witha spinal misalignment? They can’t. That is why monthly spinal check-upsare really nervous system check-ups to keep this system running at 100%.

2. Stronger Immune SystemAccording to research by Ronald Pero, Ph.D., chief of cancer prevention

research at New York’s Preventive Medicine Institute and professor inEnvironmental Health at New York University, chiropractic patients wereshown to have a 200% greater immune competence than people who hadnot received chiropractic care. Pero concluded, ‘Chiropractic may optimizewhatever genetic abilities you have so that you can fully resist serious dis-ease.’

3. Increased Overall HealthAccording to a study by Coulter and researchers at the RAND Corporation

of senior citizens over 75, recipients of chiropractic care reported better over-all health, spent fewer days in hospitals and nursing homes, used fewer pre-scription drugs, and were more active than the non-chiropractic patients.

4. Maximized Athletic PerformanceFrom improving your golf game to professional athletes’ feats, spinal/body

balance is the key to preventing injuries and maximizing performance. Oneof the biggest causes of injuries in athletes is asymmetry throughout thebody. Chiropractic adjustments allow the body to move freely and balanced.When your spine is out of alignment, your muscles tighten causing decreas-es in ranges of joint motion, leading to pain and injury.

5. Decreased Healing TimeSpinal alignments speed up the recovery process of your muscles, liga-

ments, tendons, and joints because they increase circulation to normalizestress within the injured tissue, increase immune response, and improvebrain to body communication.

6. Improved Sleep QualityA common experience after a spinal alignment is having a deeper and

more restful sleep. The muscles are more relaxed, you’re able to breathemore effortlessly, and staying in one position in bed becomes easier.

7. Preventing Joint Degeneration A misaligned spine/body causes excess wear and tear on all joints of the

body – especially the spine, hips, knees, and ankles – leading to pain anddegeneration.

8. Posture BalanceWhen you have forward head carriage, it diminishes your ability to

expand your lungs fully, resulting in a 15+% decrease in oxygen utilization.Forward head carriage can lead to the development of TMJ pain, tight neck,migraines, headaches, seizures, disc and joint degeneration, thoracic outletsyndrome, carpal tunnel, facial twitching, neck and should pain, and pain.

9. Lower Blood PressureA special chiropractic adjustment (NUCCA) can significantly lower high

blood pressure. “This procedure has the effect of not one, but two blood-pressure medications given in combination,” study leader George Bakris,MD, tells WebMD.

10. Less DisabilityA study found that you are less likely to end up disabled if you get your

care from a doctor of chiropractic(DC). (Occupational and EnvironmentalMedicine 2011 (Apr).

> For more information or to make an appointment, you can reach Dr. Tim Strittmatter, DC at Keystone Spinal Care and Wellness Center at (724) 216-9000 or keystonespinal@gmail.com, or log on to Keystonespinal.com. Dr. Tim also offers Upper Cervical Care and Nutrition Counseling.

8 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

Changing Seasons Affect Your Facial Skin Care Needs

by Christopher M. Baratz, Owner of the Greensburg and West Virginia Massage Envy

This Fall is the perfect opportunity for you to take bettercare of your health and wellness. At Massage Envy Spa inGreensburg, we have extremely talented therapists, estheti-cians, and cosmetologists that thrive on helping our guestsand members overall total body care.

New Stretch Program Through our new assisted stretch program, our therapists

work with our guests to increase their range of motion, cir-culation, and actually stretch their muscles to where theyshould be. A 30-60 minute stretch followed by a 60-90 minute massage in my experience provides 10 timesmore effectiveness to decrease your pain levels and open your range of motion.

Facial Skin Care ServicesChanging seasons is also the perfect time to re-evaluate and start taking better care of your facial skin care

needs. Cold weather, changes in humidity, and fall and holiday stresses - all affect how your skin looks andfeels.At Massage Envy we are recognized for our skin care services nationwide. Through customized facials, ourbrand new microderm-abraision-infusion and chemical peels, we provide the best and most affordable facial intoday’s skin care market.

What is most important is after your service, our esthetician or cosmetologist will consult with you on whathome care regimens are recommended for your specific skin care concerns. This daily regimen will provide youwith continued wonderful results and will bring your skin to where you desire it to be in between your facialsessions.

Best of luck to everyone’s fall and holiday season!

Come to Massage Envy’s location in Greensburg or Morgantown for an introductory60 or 90 minute Massage or Facial Service for $55 or $83.

Westmoreland County

PUBLISHER/EDITOR

Nancy Lammie

ACCOUNT EXECUTIVE

Brenda Confer(724) 448-2733

goodhealthbrenda@aol.com

DESIGN & LAYOUT

JMC Graphics(412) 835-5796

CONTRIBUTING WRITERS

Kevin BrownDaniel Casciato

Vanessa Orr Nancy Kennedy

Lois Thomson

WEB SITE DESIGNER

Keith Trageserwww.keithtrag.com

Keith.Trageser@gmail.com

PRINTER

Gazette Printers

HOW TO REACH US:ADVERTISE / SUBSCRIBE EDITORIAL SUBMISSIONS

goodhealthmag@aol.com(412) 835-5796

2574 Oldfield Ave, Pittsburgh, PA 15102

The Westmoreland County Guide to Good Healthand the Western Pennsylvania Guide to Good

Health are published by JMC Publications.

The contents of this publication may not be repro-duced in whole or in part. All rights reserved. 2017

www.guidetogoodhealth.com

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 9

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safe and minimally invasive procedure that uses a concentrated beam oflight, or radiofrequency, which uses electricity. This is an outpatient,minimally invasive procedure; the patient is given a local anesthetic andthe procedure is well tolerated; there is no incision. It takes only sevenor eight minutes to complete and the patient is there for a total of justtwo hours. It’s safe and comfortable; the environment is not at all fright-ening, and patients walk out after the procedure.”

Post procedure, compression stockings must be worn for two weeks.Dr. Geskin says that outcomes are excellent: the recurrence rate is low,at just 4%. “In some situations, varicose veins may be getting fed bymultiple sources; these will shrink by 80% and that is probably enough.If the varicose veins are a longstanding problem, we may have to do aphlebectomy to pull them. This is also an outpatient procedure.”

Varicose veins cannot be entirely prevented, but they can be mini-mized; this is a matter of knowing your risk factors and delaying theonset as long as possible. Well-fitted compression stockings are veryhelpful, and Jefferson Cardiology provides expert custom fitting.

The most important point for those with varicose veins, says Dr.Geskin, is that this is not a cosmetic problem but a medical conditionand it requires treatment by specialists. The treatment is not somethingto be feared: it’s actually pretty easy and is nearly always covered byhealth insurance.

Greater Pittsburgh Vascular specializes in the treatment of varicoseveins, spider veins, peripheral arterial disease, chronic venous insuffi-ciency and deep vein thrombosis. The web site www.greaterpittsburgh-vascular.com offers excellent videos, diagrams and other educationalresources.

For more information or to to schedule an evaluation, call Dr. Gennady Geskin, Greater Pittsburgh Vascular Associates(A Division of Jefferson Cardiology Association), at(412) 469-1500 or visit www.greaterpittsburghvascular.com.

>

Treatment of Varicose Veins and Spider Veins (Continued from page 5)

10 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

www.drgreglane.com

Building the Perfect Bite Through Neuromuscular Dentistry

By Gregory Lane, DMD

Neuromuscular dentistry (NMD) looks at the joints, muscles, nerves,and teeth – the whole system that makes your bite possible.Misalignments in this system can result in a variety of chronic conditions,including:

• Headaches and pain in the neck and shoulders• Facial pain and jaw pain• Sleep apnea and depression• Limited jaw movement and “clicking or popping”One or more of these symptoms may be a sign of Temporomandibular

Joint Disorder (TMJ/TMD).Neuromuscular dentistry helps by restoring harmony to the system of

jaw joints, muscles, and teeth that come together in your bite.

What is NMD treatment like?Neuromuscular dentistry starts with diagnostic tests, including sonog-

raphy, computerized scanning, and jaw tracking studies (as needed).Treatment may involve a TENS device, which can relax jaw muscles

using mild electrical stimulation as well as a plastic “orthotic” mouthpieceor other orthodontic treatment to help adjust your bite. Occasionally, sig-nificant restorative dentistry may be needed.

Neuromuscular Dentistry may be the life-changing treatment you’vebeen looking for.

To learn more about NMD, Advanced Dental Services and TraditionalDental Services at the Lane Center for Advanced Dentistry at (724) 836-4433 or visit us at http://www.drgreglane.com.>

By Leigh Ann Brockhoff and Jaime Wieland

Essential oils. If you are likemany people these days you askyourself, “What are they and howdo I use them safely?

Why are so many people goingcrazy for them? If they actuallywork, why haven’t I heard aboutthem before?” Or maybe you knowsomeone who is very enthusiasticabout them and you’re just not quitesure there’s actual evidence to sup-port these “magical” oils.

Essential oils come from aromaticplants. The practice of using themfor therapeutic purposes or aro-matherapy dates back at least 5,000years. They were used so successful-ly to promote wellness and combathealth issues that they were oftentreasured more than gold.

During recent days, there has beena renewed interest from our societyfor holistic and natural wellnesssolutions. People are becomingmore interested in learning about theingredients in the foods they eat anddrink. They are also trying to mini-mize the chemicals and syntheticproducts to which they are exposed.Long term exposure has been shownto result in a loss of energy and vital-ity with potential disease and ulti-mately, a diminished quality of life.

Essential oils are a natural addi-tion to your holistic wellness lifestyleto make your efforts even more effec-tive. For example, using Lavenderessential oil in a diffuser during thenight can support a restful sleep,which is vital for optimal immunesystem function.

Applying Frankincense and/orWild Orange essential oil through-out the day can help you stay calmand focused which helps yourimmune system function as

designed, since too much stress leadsto an impaired immune system.

Many essential oils also passthrough the blood-brain barrieraffecting our memory, hormones andemotions, which ultimately affectour physical responses. There areeven specialty blends of essentialoils, like doTERRA On Guard,which is a blend of several essentialoils that have powerful antisepticand cleansing properties that natu-rally boosts a person’s immunity.

For many, they love the idea ofincorporating essential oils but theyfeel overwhelmed on where to startand are unsure of a legitimate andtrustworthy reference. To help thenovice begin, we offer classes at localwellness centers, community venuesand colleges, as well as online webi-nars. We are experienced essentialoil and herb users dedicated tobridging the gap between easternand western medicine.

To learn more about essentialoil and herb blends cus-tomized specifically for youor to schedule a one-on-one

personal wellness consult or attend aworkshop, call (724) 797-5886 orvisit www.ezekielsgarden.net

Combat Health Issues and PromoteWellness with Essential Oils

>

Dental Health Tip …. from the Lane Center for Advanced Dentistry

Visit us online at www.guidetogoodhealth.com

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 11

LOCALLY OWNED

Ask The ExpertsQ: What is the significance of posture to health,

especially in relation to aging?A: People should have greater expectations for what they can do with

their bodies as they age. An increase in awareness of the numerous optionsavailable - not only in restoring physical ailments, but preventing them inthe first place - is paramount in this realization. We need to understand thatwe do not have to age that way if we adopt a proactive approach to one’shealth. And posture is where it can all begin!

Q: What exactly does posture mean and why does it matter?

A: Posture is much more important than people believe. When yourhead, shoulders and hips are in the correct position, years disappear fromyour appearance. Proper alignment of your head, spine and hips will lessenthe amount of strain on your muscles and ligaments. Standing, walking andeven athletic abilities are improved significantly when posture is corrected.

Q: What is a posture analysis?A: State of the art computer analysis, available at Diamond Physical

Ther apy, provides a detailed postural assessment. This analysis not onlyreveals in great detail the postural issues that exist, but also calculates theextra strain on the neck and lower back. The severity of the posturalchanges the client has undergone is able to be calculated, as well as demon-strate the long-term effects their posture will have if not addressed.

Q: How are postural problems treated?A: Physical therapists are able to utilize many treat-

ments and modalities to achieve these goals. However,with the newest revelations regarding the importance ofposture, only a few physical therapists in the region havethe technology and knowledge to most effectively addressthese issues. Utilizing the area’s only Meilus MuscularTherapy Robot, flexibility and movement can be restored tothe body. This robot is used by professional sports teamsaround the country and is very much in demand in statessuch as California and Florida, where doctors utilize itscapabilities to assist in loosening and lengthening muscles.Diamond Physical Therapy also has the experience and train-ing to address the issues affecting you by creating and imple-menting an individually tailored program. In conjunction withexercises to address your postural problems, we implementtechnologically advanced treatments to address both acute andchronic pain.

Q: What is your best advice for those who have concerns about their posture?A: YOUR healthcare IS YOUR CHOICE! Do not let

anyone dictate your care; you choose where you want to goand have treatment. And with direct access, in most cases you do not needto have a prescription to see a direct access licensed physical therapist.

Expert / Diamond Physical Therapy

Jerry DeRiso, MPT, on why you need a Posture Analysis

For more information or to make an appointment, visit diamond-pt.com or call (724) 238-9185 or (724) 853-6800.>

By Daniel Casciato

The Highlands Hospital RegionalCenter for Autism (HHRCA) isexpanding to the former ZachariahConnell Elementary School inConnellsville, PA. The organizationsays that the new renovated 42,000-square-foot location, slated to openin the spring 2018, will serve as thenew school for its students. The cur-rent facility will be used for otherpurposes.

Several years ago, it was identifiedthrough a community needs assess-ment that Fayette County was inneed of additional resources forindividuals living with autism.Research showed that out of the41,742 children ages 5 to 24 inFayette County, approximately 444will have some form of autism basedon current medical statistics. As aresult, Highlands Hospital createdHHRCA with the goal of servingthose in the region with effective,ongoing treatment and hope.

Jordan Morran, Director of

Autism Services for the HHRCA,says that its affiliation withCleveland Clinic Children's Centerfor Autism made it possible to offera state-of-the-art program to chil-dren in the area.

The school opened its doors onSeptember 1, 2011 with four stu-dents and today it provides qualityeducation to 18 students, ages 5 to17, from five school districts.

"We offer a year round, licensed,private school for children ages 5-21," says Morran. "Each studentreceived individualized program-ming and ABA—applied behavioranalysis—therapy in a 1 to 1.4 ther-apist to student ratio. Each class-room is supervised by a licensed PAteacher."

Morran is very excited to be grow-ing into a new location. An expan-sion gives the school more spaceand ensures access to its full range ofprograms for children with autism.

“We began with four students in2011 and unsure as to how muchthe program would grow,” she says.

“Our enrollment is now at 18 andwe’ve completely maxed out the cur-rent space. We have a waiting list forstudents which we can accommo-date when move into the new build-ing.”

One of the new initiatives recentlyintroduced at HHRCA was a func-tional development program forhigh school students. Children andteens with autism often struggle tolearn functional skills—skills neces-sary for daily living and establishingquality of life. By developing theseskills, you can increase their abilityto achieve independence.

“Because the students we had atthe beginning are getting older, wehave to look at the skills that theyneed when they graduate school,”says Morran. “We’re working ontheir functional skills for the home,in particular, so they’ll know how todo laundry, cleaning, cooking andmanage money.”

As part of the functional develop-ment program, teenaged studentsparticipate in a work program atHighlands Hospital for severalhours per week.

“This allows them to get used togoing to a job and interacting withthe public,” says Morran. “In thenew facility, we will have an entirespace dedicated to a vocational andtraining room for the older kids tofurther expand their needs whetherthey plan to live on their own orneed assisted living upon gradua-tion.”

What makes HHRCA uniquecompared to other centers forautism is its affiliation withCleveland Clinic Children's Centerfor Autism. According to Morran,this affiliation has provided the cen-ter with a wealth of research basedpractices and curriculum.

"We run a true ABA Programwith skilled staff implementing theprogramming," she says. "Studentswork one-to-one or one-to-two witha Classroom Behavior Therapist.These therapists must have a degreein education, psychology or a relat-ed field and undergo a strict trainingprocess provided by ClevelandClinic.”

Highlands Hospital offers inten-sive treatment through the exclusiveuse of applied behavioral analysis(ABA) to provide children on thespectrum with the highest likeli-hood of success. The evidence-based, data-driven methodology ofABA has been proven effectivethrough extensive research, showinggreat benefit to individuals on theautism spectrum and their families.

"At HHRCA, we understand thatyour children are a most treasuredgift," adds Morran. "We strive toprovide the best overall care for yourchild, addressing both academic andfunctional needs. We strive to helpthe family as a whole by providingmonthly observations, home visitsas well as additional conferencesand collaboration with home basedteams.”

Looking ahead, Morran is veryexcited to see all that the center cando to help students and their fami-lies in the future.

"We have experienced steadygrowth in our six years of operationand have been able to provide assis-tance to children and families acrossthe region of varying ability levels,"she says. “We look forward to con-tinuing our growth.”

12 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

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- Jordan Morran

>For more information, visitwww.highlandshospital.org/services/autism-center.

Parents of Children With Special Needs…Go to www.guidetogoodhealth.com

for more stories, information just for you!

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 13

Individuals with disabilities andtheir families face significant chal-lenges in planning for theirfutures. Concerns about the futureare very real. Where will your fam-ily member live after you are nolonger alive? Who will look aftertheir finances? When should Istart future planning?

Future planning includes thevarious tools available to families,such as special needs trusts, thatwill assist in proper planning for aloved one with a disability. Specialneeds trusts enable a person with adisability to protect assets that arein their name, while continuing to be eligible for vital government benefits,such as Supplemental Security Income and Medical Assistance. They alsooffer some peace of mind to families trying to ensure their loved ones aretaken care of in the future.

It’s important for families to find an agency or company they can trustwhen deciding who will manage their loved one's assets. For individualswith disabilities, families should seek a company with case management andsocial work experience to add to the traditional role of trustee. With thatexperience, staff will work with individuals with disabilities and their fami-lies to ensure proper government support and services are being provided,and that the funds are managed and distributed in a responsible manner.

By planning ahead, families will have a snapshot of all their loved one’sneeds. This snapshot helps paint a clear picture of what makes that personunique and what they need to survive, even after their caregiver has passedon. Future planning helps to ensure that your family member’s needs are metday to day, on special occasions and in times of emergency.

For a free Future Planning Guide visit www.achievafamilytrust.orgor contact ACHIEVA Family Trust at (412) 995-5000 x589or futureplanning@achieva.info.

Future Planning Offers Peace of Mind for Families of Disabled

>

Special Needs

14 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

“One hundred years from now, itwill not matter what my bankaccount was, what kind of house Ilived in, or what sort of car I drove.But the world may be differentbecause I was important in the lifeof a child.” Forest Witcraft,teacher and Boy Scout executive

Caring for children as a fosterparent is not easy, but the rewardsare enormous, and the potentialfor making a lifelong positiveimpact is beyond measure. AtEvery Child, Inc, a dynamicregional non-profit that serveschildren and families, foster par-ents are special people, but theyare also perfectly ordinary people,who come from all walks of life.What they have in common is awillingness to make an extraordi-nary commitment of time, energy

and self to give a child the sanctu-ary of a safe place to call home.

Every Child is driven by a mis-sion to provide safe and lovinghomes for vulnerable children,and one of the most effective waysthey achieve this is through theirChild and Family Support Services,which includes a foster care pro-gram. Holly Livingston, director ofChild and Family Services, says thatthe need for foster parents is great,particularly in Westmore landCounty where the opioid epidemicis taking a toll on families. “We getcalls every day for foster care place-ments, from all over WesternPennsylvania, and so recruitment offoster families is a constant process.We try to place children in homesthat are as close as possible to theirhomes. Our goal is always reunifi-

cation with the biological family.”To become a foster parent for

Every Child, one must be at least 21years of age. Single people, empty-nesters, retired couples, same sexcouples and others are welcome toapply. The process of becoming afoster parent begins with a face-to-face meeting with Alexa Crippen,foster care supervisor, to learnwhat foster parenting entails.“The need for foster parents isgreat but it is not something thatcan be undertaken lightly,” shesays. “People come to us with big,open hearts, but they have tounderstand the reality of fosterparenting. We frame it for themand dispel the myths so they knowwhat they are getting into.”

Some of those myths are aboutmotivation, Crippen says. “There’sa common belief that foster par-ents do it for the money. This isfalse – they do it for the love ofkids. The money goes primarily tomeeting the needs of the kids.”Another myth is that children infoster care have no ties to theirbiological families and are betteroff with foster parents, but in fact,the opposite is true; they visit withtheir families and their foster par-ents are trained to nurture thatrelationship. “Children want to bewith their parents- they love them.Biological parents are not neces-sarily bad parents. The kids maybe in foster care because of a par-ent’s illness or something that hap-pened unexpectedly.”

The reality is that foster parent-ing is both very hard and veryrewarding, Crippen says. “As afoster parent, you have to navigatea lot of systems, includingChildren and Youth Services, theschool system, the legal systemand healthcare system. All chil-dren have a lot of needs, but chil-dren in foster care often havemany more needs and more com-

plex needs.”New foster parents are screened

carefully, with background checksand a thorough home study. Theyreceive 24 hours of comprehensivetraining and become certified as,essentially, Crippen says, “profes-sional parents.” “The entireprocess takes about 90 days. Theyare well prepared, with all thetools they need.”

Every Child’s foster parents areembraced by a strong network ofsupports. “Foster parents are neveralone,” Livingston says. “We arealways accessible and supportive,24/7, and if they call they will get ahuman voice. We provide trainingsand a support group; these thingscreate community among the fosterparents so they have peer support.”

For Holly Livingston and AlexaCrippen, working at Every Child isgratifying. “When we see a success-ful reunification, when we see achild making progress, growing andgaining self-esteem, we feel reward-ed. We love being advocates forchildren and knowing we have along lasting impact,” Livingstonsays. “Children belong in safe stablehomes and we will do whatever ittakes to achieve that. At EveryChild we change lives for the better,and our extraordinary foster parentsare an essential part of that.”

Originally created in 1997 toprovide services to medically fragilechildren, Every Child has expandedin scope and mission to includeChild and Family Support Servicesand a comprehensive ClinicalServices program. In all of EveryChild’s services, the goal is to devel-op, preserve and strengthen therelationships to family and commu-nity that are essential to a child’sgrowth and development.

For more information, visitwww.everychildinc.orgor call (412) 665-0600.

Every Child is Seeking Foster Parents

>

• Foster Care • Adoption• Family Support Services

• In-Home Behavioral Health Carewith Autism Enhancement

A foster parentlooks just like you!

Foster children in our community need safe, nurturing homes. Interested in learning more

about fostering a child, or just helping to makea difference in the life of a foster child?

Call us at 412-665-0600or visit www.everychildinc.org.

Receive updates on local events,health fairs and health news you can use and more!

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 15

Did you know thatyour tax dollars can be directed towardtuition to a privateschool? Did I get your attention?

Pennsylvania has a programcalled EITC (Earned IncomeTax Credits). Here is how itworks. Any business that earnsa profit in Pennsylvania can sendmoney to a private school, suchas Aquinas Academy inGreensburg. In return, they willreceive a tax credit for their statetaxes. Individuals are also ableto participate as long as theyqualify, so this is not just forbusinesses. These funds must beused as tuition, and studentsmust qualify for them. Are youintrigued?

Your EITC contribution canbe given to Aquinas Academy,and this contribution can benefita student in need right away.Many parents wish to provide aCatholic education to their chil-dren, but they don’t think theycan afford the tuition. Generousdonors who participate in thisprogram allow students to

attend a Catholic School. We are continuing our search

for donors. We are looking forbusinesses and individuals whofeel strongly about families hav-ing a choice in their education.We are looking for those thatmight want to help a studentrealize a dream of attendingAquinas Academy. Are youready to help a student realize

that dream?If you are able to contribute to

the EITC program, please con-tact the school office and speakto our principal, Mr. JosephRice. Remember, your contribu-tion will come back to you in taxcredits, so this program costsvery little to the donor. Everygift size will be valued andappreciated.

ELEMENTARY CATHOLIC EDUCATION AT AQUINAS ACADEMY: Faith, Academics, and Service

Sports, Performing Arts,Clubs, and more

Faith, Academics, and Serviceare our pillars, but there aremany extras that are offered atAquinas Academy. We have awell-rounded sports programthat includes three seasons andsports such as cross country,football, basketball, and volley-ball. Our performing arts pro-gram includes, instrumentallessons, band, and acting. Manyclubs are available for our stu-dents such as chess and newspa-per. Parents are not just allowedto be a part of their children’slives, but encouraged to do so.All of these extra offerings helpto create the family atmospherethat makes Aquinas Academyso special.

Aquinas Academy is theElementary Catholic Educationchoice in Greensburg, PA. Wehope that you will join us andhelp us to continue to be thelight on the hill as we move intothe future.

Personal tours are available.Like us on Facebook, and besure to find us on the web.

Aquinas Academy724.834.7940www.aquinasacademy.org info@aquinasacademy.org

Use Your Tax Dollars to Help A Child In Need Receive a Catholic Education

16 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

Now reachingfurther.

Standing Together to End Violence! By Ann M. Emmerling, Executive Director

Blackburn Center has been providing services to victims of domestic and sexual violence in WestmorelandCounty since 1976. These services include a 24-hour hotline, counseling and therapy, advocacy/accompani-ment to court proceedings and emergency rooms; and provide shelter for victims of intimate partner violenceand their children.

In 2002, Blackburn Center recommitted to actively work to end gender-based violence in the community.The agency’s commitment to social transformation can be seen in their innovative partnerships with local uni-versities, their Coaching Boys into Men program, their Fearless Advocacy for Male Engagement (FAME) group,and their ongoing work to educate and train students, professionals and volunteers throughout WestmorelandCounty.

Recently, Blackburn Center has noted the escalation of other types of crime in Westmoreland County com-munities. The agency realized that the expertise and skills they’ve developed over four decades of service tovictims of gender-based violence in Westmoreland County could be put to good use for victims of all types ofcrime.

As a result, Blackburn Center's expertise in trauma-informed services can - and will now - benefit victims ofany type of violence or crime.

Blackburn Center is a leader in Westmoreland County in two areas: trauma-focused services to victims ofany type of violence or crime, and expertise in primary prevention of gender-based violence. At BlackburnCenter, they are standing together with the community to end violence.

For more information, call their Toll-free Hotline at (1) 888-832-2272 or visit www.blackburncenter.org >

By Nancy Kennedy

At the supermarket, the aislesseem to be filled with more andmore products labeled “gluten-free.” Without a doubt, this is atrend within the food industry, inresponse to consumer demand forsuch products.

But don’t assume that “gluten-free” is merely the latest food fad.Gluten intolerance, also known asceliac disease, is in fact a serious,life altering, chronic autoimmunedisease that causes pain, diarrhea,weight loss, and anemia and canlead to major complicationsincluding permanent damage tothe small intestine.

Gluten is found in numerousfood products: bread, crackers,cereal, pasta, pizza crust and manyothers; it is also found in non-food products, including chewinggum, medicines, vitamins and lipbalms. When a person has celiacdisease, it means that they cannotdigest and absorb gluten, the pro-tein found in wheat, rye and bar-ley.

If a person with celiac diseaseconsumes these products, theimmune system responds bydestroying the villi – the tiny fin-gerlike projections all along thesmall intestine. This process dam-

ages the lining of the small intes-tine so that nutrients cannot beabsorbed through the walls andinto the bloodstream; instead theypass rapidly through the body andare expelled. As a result, the per-son becomes malnourished.

Symptoms of gluten intoler-ance include diarrhea, constipa-tion, weight loss, fatigue, muscleweakness and dermatitis. As aresult of the malnutrition thatceliac disease causes, anemia,osteopenia, lactase deficiency mayeventually develop. In children,growth and development can bedelayed.

For Brenda Confer, celiac dis-ease hit like a speeding train. “Igot very sick very quickly,” sherecalls. “It was four years ago. Ihad suddenly begun to feelexhausted, and then I developedsevere diarrhea. I felt like I wasdying – the pain was terrible, likeshards of broken glass passingthrough my intestines. I lost fif-teen pounds and ended up hospi-talized, for IV fluids to rehydrateme. I was diagnosed by a gas-troenterologist, who said my labwork was ‘off the charts’ – thediagnosis was celiac sprue.”

Brenda learned after her diag-nosis that there were family mem-bers with the condition – a com-

mon finding, as celiac disease is agenetic disorder that runs in fam-ilies. People who have a first-degree relative with celiac diseasehave a 10% chance of developingit. The onset can be triggered bysevere stress, such as childbirth,surgery or emotional trauma.

Celiac disease is common,affecting 1 in 100 people world-wide. The Celiac DiseaseAssociation estimates that twoand one-half million Americansare undiagnosed and therefore atrisk for long term health prob-lems. There is no cure for celiacdisease, but once the diagnosis isconfirmed, it can be treated, withstrict adherence to a gluten freediet.

“Go gluten free,” says BrendaConfer. Following a gluten freediet helps manage the symptomsand allow healing of the injuredsmall intestine. Although im -

prove ment for some will beginwithin a few weeks, for others itmay take much longer.

Confer, a wife and mother, saysthat she is vigilant about feedingher family healthy foods andmonitoring them for any signs offood intolerance. She has had tolearn to eat differently, avoidingthe flours that contain gluten.

She believes that the transitionhas been somewhat easier for her,because she has a healthcare back-ground, she enjoys cooking andhas always cooked from scratch.“There are many options, andyou learn to read labels and payattention,” she says.

“There are cookbooks and veryhelpful web sites. It does takesome effort, but it has made memuch more aware of food andhealth. I miss Italian bread andpasta. But I am feeling so muchbetter now!”

Celiac Disease: A Serious but Manageable Condition

Symptoms of gluten intolerance include diarrhea, constipation, weight loss, fatigue,

muscle weakness and dermatitis. As a result of the malnutrition that celiac disease causes,

anemia, osteopenia, lactase deficiency may eventually develop.

by Frank MacNeil, Agency Manager, Focus Senior Benefits

The last three months of the year bring many things to the people ofWestern Pennsylvania. Steelers football, the changing color of theleaves, Christmas music on every radio station, and relentless Medicareadvertisements assault our senses through every possible medium. Itis an annual rite of passage prior to the Holiday season.

For seniors on Medicare, these advertisements prompt several ques-tions to arise:

• Am I satisfied with my plan?• Are my drugs still going to be covered?• Will my doctor still accept my plan?• Do I need to shop?This should not be a time of anxiety or panic. Medicare consumers

should feel excitement in the air! The various insurance companieshave had an entire year to figure out how to position their benefits tobe attractive to their customers. Consumers now have the ability toshop these new plans and make decisions for next year.

Here are a couple of key things every consumer on Medicare should do

in advance of December 7th:

Don’t Forget the Drugs

Many times, consumers will focus in on the premium ofthe plan that they are on, and if they see that it hasn’t

changed – or changed very little – they will assume that their plan isthe same as the previous year. The most significant area where subtlechanges can happen and have a significant impact on cost is with pre-scription drug coverage.

Know What’s Out There

It may be that the plan a consumer is on was appropriatelast year, and may still be appropriate this year. However,

new plans could have entered the market that would offerlower costs or richer coverage. If someone isn’t looking at Medicareoptions, then it could cost them in the end.

Get Some Advice

If you were going to put thousands of dollars into aninvestment, would you do it without the advice of a pro-

fessional advisor? If you needed an annual check-up doneon your car, would you do it yourself? Assessing Medicare

coverage on an annual basis is no different.At the end of the day, the Annual Election Period offers an opportu-

nity for consumers to adjust their coverage to suit their ever-changingneeds. It’s important to be a full participant in that process to ensurethat the coverage continues to provide adequate protection.

Medicare Decision Time is Here

www.FocusSeniorBenefits.com

To meet with an experienced agent from Focus SeniorBenefits in your neighborhood to review your Medicareoptions in 2018, call (412) 446-2491. For more informa-tion, visit our website at FocusSeniorBenefits.com.

>

Become an APPRISE Volunteer!

APPRISE, the PA State Health Insurance Assistance Program, is afree health insurance counseling program through the PennsylvaniaDepartment of Aging, designed to help all Pennsylvanians withMedicare. APPRISE counselors are volunteers who start out as con-cerned citizens who have a question or issue regarding their ownhealth insurance. As an APPRISE volunteer, you will:

• Receive free training about Medicare, Medicaid, MedicareAdvantage, Medigap, Medicare prescription drug coverage, appeals,fraud and abuse and more.

• Have the opportunity to take advantage or various volunteeropportunities, such as becoming a counselor, a speaker, an assistant, adata entry person, etc.

• Whatever your talents may be, there is an opportunity for you tovolunteer.

To find out more about the APPRISE Program, call 1-800-783-7067 or visit us at www.aging.pa.gov/insurance.

To receive your own FREE copy of the Guide to Good Health,fill out subscription form on page 33.

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 17

18 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

By Daniel Casciato

Medicare is the nation-al health insurance pro-gram for U.S. residents65 and older. It also cancover some people under65 with certain illnessesand disabilities. Theoverall program is quitecomplex, and often pre-miums and other detailscan change from year toyear. That’s why it’simportant to reviewchanges to your Medicareplan each year. This way you’ll be better prepared when 2018 arrives.

“Everyone should look at their health care decision-making as part oftheir overall planning for retirement,” says Bob O’Connor, executivedirector of Medicare for Aetna in Pennsylvania. “Those who are alreadya Medicare recipient should review the plan on a recurring basis tomake sure the plan they have today still meets their needs.”

Here are some key thingsyou should consider:

• Does the plan’s formulary (drug list) cover your medications? • Are your doctors and pharmacy in-network?• What are the plan’s out-of-pocket costs?

(Review the premium, deductible, copays and/or coinsurance.)• Is a Medicare Supplement plan right for me?• When can I enroll?

Know what your plan has to offer

Many insurance companies update their formulary (drug list) annual-ly. According to O’Connor, some of these changes for 2018 could bemore noticeable. For example, some prescription drugs might have acost increase or may no longer be covered by your plan. That’s why it’sso important to make sure you review your current prescriptions andcompare against your plan’s formulary. This will help you see what’schanging next year.

“When you review your out-of-pocket costs, like plan premiums,don’t forget to factor in the cost of drugs,” says O’Connor. “Often, thisis an expense that gets overlooked. Keep in mind, just because the drugis covered by the plan’s formulary, it doesn’t mean there won’t be a costassociated (such as deductible or copay).The best thing to do is to dis-cuss your coverage with a licensed broker or agent”.

The more you know, the more likely you are to get the plan that’sright for you. For example, know if your doctors are in the plan’s net-work. Know if your plan requires you to have a primary care physician(PCP). O’Connor recommends you review all of your options, recog-nize what your budget will allow and understand what benefits you canexpect to use each year.

“Some companies differ in terms of network,” he says. “Understandwhich facilities, hospitals and doctors you want to access. Make sureyour doctors and hospital are in the plan's network.”

Is MedicareSupplement coverage

the right choice for you?

“Medicare is a nice safety net, butit still has significant cost sharing,and some people might want helpcovering those significant costs,” saysO’Connor.

Once you have Original Medicare(Parts A and B), see if a MedicareSupplement plan is right for you.Although these plans work alongsideyour Original Medicare coverage,

the premiums can be expensive and will go up over time. The plans alsohave deductibles and coinsurance that can be expensive. However, thereare no network restrictions. So you can use any physician or hospitalthat accepts Medicare.

If you want to sign up for a Medicare Supplement plan, you can doso during the initial enrollment season. This is a onetime-only, 6-month period when federal law allows you to buy a policy you wantthat’s sold in your state. It starts in the first month that you’re coveredunder Medicare Part B, and you’re 65 or older. During this period, youcan’t be denied a Medicare Supplement policy or charged more due topast or present health problems. Keep in mind, if you miss this period,Medicare Supplement Insurance plans may check for medical condi-tions and your premium could be higher.

When to enroll in a Medicare Advantage or prescription drug plan

The initial enrollment period for Medicare lasts for seven months —the three months before you turn 65, your birthday month and thethree months following your birth month. You can sign up for Part Aand/or Part B during that time.

During your initial enrollment period, you can enroll in:1. Part C (Medicare Advantage), with or without prescription drug

coverage, once you have Medicare Part A and Medicare Part B2. Part D (prescription drug coverage only) once you have Part A or

Part BJust remember, if you wait to enroll in prescription drug coverage,

you may have a lapse in coverage and will have to pay a late enrollmentpenalty (LEP).

If you didn’t enroll during the initial enrollment period, or you wantto select a new plan, you can do so during Medicare’s Annual ElectionPeriod (AEP). This begins on October 15, and runs through December7, each year. However there may be other times when you may be ableto join, switch, or drop a Medicare Advantage Plan.

If you’d like more information visit www.aetnamedicare.com.

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract.Their SNPs also have contracts with State Medicaid programs. Enrollment intheir plans depends on contract renewal. See Evidence of Coverage for a com-plete description of plan benefits, exclusions, limitations and conditions of cov-erage. Plan features and availability may vary by service area.

©<2017> Aetna Inc.

Choose a Medicare Plan for 2018 That’s Right for You

>

“During this period, you can’t be denieda Medicare Supplement policy orcharged more due to past or presenthealth problems. Keep in mind, if youmiss this period, Medicare SupplementInsurance plans may check for medicalconditions and your premium could be higher.”

-Bob O’Connor, Executive Director ofMedicare for Aetna in Pennsylvania

Insurance & Health Plans

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Our dual-eligible Special Needs Plan is available to anyone who has both Medical Assistance from the state and Medicare. See Evidence of Coverage for a complete

pharmacies in order to get Low Income Subsidy (LIS) copays. You must continue to pay your Medicare Part B premium. The Part B premium is covered for full-dual members. Premiums, co-pays, co-insurance, and deductibles may vary

at any time. You will receive notice when necessary. A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings, call 1-833-817-0692 and TTY 711. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees

to change. All persons eligible for Medicare may receive a $10 reward card with no enrollment obligation. Non Coventry

valid while supplies last.©2017 Aetna Inc.

$0Plans starting at

monthly planpremiums

1-833-815-2526 (TTY: 711)

» $0 monthly plan premiums » Health and drug coverage in one simple plan » A limit on the medical costs you pay each year

Get a $10 reward card when you call.There’s no obligation to enroll.

$0Plans starting at

monthly planpremiums

» $0 monthly plan premiums » Health and drug coverage in one simple plan » A limit on the medical costs you pay each year

Get a $10 reward card when you call.There’s no obligation to enroll.

Health and prescription drug coverage in one simple plan

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 19

20 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

Submitted by Gateway Health

Sometimes when you fall, you can simply get up, brush yourself offand return to normal activity. But other times you might not be so lucky,and may fracture a bone or hit your head. If so, your fall could lead tofurther problems, like needing to go to the hospital or move to a carefacility.

The good news is you can help avoid falls by doing targeted strengthexercises and balance training. Plus, as a bonus, you’ll also be strength-ening your bones, which can help prevent osteoarthritis.

Before you begin, remember that you also want to prevent a fall fromhappening while you exercise, so make sure your space is free from trip-ping hazards and that you have something secure to hold onto, such as a

sturdy chair or a partner. Also, keep in mind that even though it may seem more logical to exer-

cise your lower body only, you need to exercise both your upper andlower body. Remember, you pull, reach and lift using your arms, and ifthey are weak, they could contribute to a fall.

‘A Few Exercises to Try

Here are examples of exercises that can help. Start with a few repeti-tions, then gradually increase. If you have questions or concerns, checkwith your doctor. Also, ask your doctor about more exercises that areappropriate for you.

• Stand on left foot, holding secure chair or partner and hold for 10seconds; repeat on right foot.

• Lower Body: Hold back of a sturdy chair; slowly raise up on tip-toes, hold for one second, come down.

• Upper Body: Stand and hold hand weights at your sides, palmsinward. Raise both arms to the side, shoulder height. Hold for one sec-ond, then slowly lower.

Unfortunately, after age 65, more than one in three seniors fall. Avoidfalls by doing strength and balance exercises daily. Plus, make sure yourtraining goes hand in hand with making your home safer, too. Find andremove tripping hazards like loose rugs, electric cords or items left onstairs.

Strength +Balance =

Fewer Falls

BEFORE YOU BEGIN

BALANCE TRAINING

STRENGTH TRAINING

Insurance & Health Plans

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 21

If you have these

cards… Pennsylvania

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Gateway Health has been serving those with Medicaid for 25 years. We know how to help people just like you who are eligible for both Medicare and Medicaid.

Gateway Health Medicare AssuredSM gives you more than basic health coverage:

Gateway Health has the Medicare plan for you.

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Benefits vary by plan.

Gateway HealthSM offers HMO plans with a Medicare contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered. Enrollment in these plans depends on contract renewal. Gateway Health Special Needs Plans are available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copays and restrictions may apply. Benefits, premiums and copays may change on January 1 of each year. Premiums and copays may vary based on the level of Extra Help you receive. Please contact the plan for further details. You must continue to pay your Medicare Part B premium. The State pays the Part B premium for full dual members. Gateway Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Gateway Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call PA: 1-800-685-5209, OH: 1-888-447-4505, NC: 1-855-847-6430, KY: 1-855-847-6380 (TTY: 711). ATENCIÓN: Si usted habla español, tenemos servicios de asistencia lingüística disponibles para usted sin costo alguno. Llame al PA: 1-800-685-5209, OH: 1-888-447-4505, NC: 1-855-847-6430, KY: 1-855-847-6380 (TTY: 711). PA: 1-800-685-5209, OH: 1-888-447-4505, NC: 1-855-847-6430, KY: 1-855-847-6380 (TTY: 711). Y0097_1073 Accepted

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8 a.m. to 8 p.m., 7 days a week

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Time to test Drive A new Medicare PLan?

Meet with our experienced agents in your neighborhood to review your

Medicare options for 2018.

Whether you are new to Medicare or have been a recipient for years, our trained staff will help you make the

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at your home, at our offices, or at a local neighborhood meeting.

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For a list of events or more information,give us a call or visit our website

Medicare Plans can change their cost, coverage,

and doctors each year.

You can make changes

between October 15th and December 7th

It IS important to know how these changes affect you, and how your changing health may

affect how your plan works for you.

22 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 23

Falls are one of the leading prob-lems facing an older person. Thelatest reports indicate that one ofevery three persons aged 65 andover falls each year. Falls are theleading cause of death by injury.87% of all fractures among seniorsare due to falls. Half of all olderpeople hospitalized for a fracturecannot return home or live inde-pendently after their injury.

General Environment• Clear pathways of clutter and

electrical cords• Firmly attach carpet and rugs,

eliminate scatter or throw rugs.• Use a raised seat and safety rails

for toileting• Rearrange furniture so they are

not obstacles• Install sturdy handrails on stair-

cases• Provide adequate lighting, espe-

cially on walkways, stairs; use anight light where possible; Keepa flashlight handy in the eventof a power outage.

• Try to use only chairs with arm-rests for assistance when gettingup and down; do not use chairswith wheels.

• Have a slip-resistant rug next toyour bathtub/shower; Use non-skid texture strips on showerfloor

Lifestyle Changes • Have your vision and hearing

checked regularly• Talk to your doctor/health care

provider about your medica-tions and the side effects;

• Try to use one pharmacy toobtain your medications.

• Wear supportive, rubber-soledshoes. Shoes should have low,even heels and firm shape. Besure your slippers have a grip-per sole.

• Use a cane or walker to helpmaintain your balance

• Maintain a regular exercise pro-gram to improve strength andtone; Ask your doctor if youwould benefit from home phys-ical therapy or occupationaltherapy.

from Shandra Harcarik, RN, BSN

TIPS TO HELP YOU PREVENT FALLS

ADVICE

Senior Guide• Rehabilitation • Resources • Transportation Services • Home Care/Hospice • Senior Living Options

• Senior Services that Support Independent Living

Falling is for Leaves!Your Living Space

and Personal Safety

> For more information, youcan reach Shandra Harcarik,RN, BSN, at GallagherHome Health Services at(412) 279-7800 or visitwww.Gallagherhhs.com tolearn more about their services.

An essential part of heart disease prevention is knowing thesymptoms of heart problems. Think beyond chest pain and beaware of these symptoms, says Dr. Shishir Mathur of JeffersonCardiology.

1. Any chest discomfort –not just pain but heartburn, heaviness or unusual sensations. 2. Palpitations, or passing out –this can mean a heart rhythm problem3. Shortness of breath4. Leg swelling or leg pain

Don’t Ignore These Symptoms of Heart Disease

1) sleep deprivation; 2) lack of exercise

3) chronic stress4) social isolation

Four behaviors that can harm your brain and cause faster brain aging:

Source: Prevention Magazine

24 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

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DECIDING TO PURSUE HOME

CARE OR HOME HEALTHCARE

FOR A LOVED ONE IS NOT A

DECISION TO BE TAKEN LIGHTLY.

YOU WANT TO MAKE SURE

YOU’RE COVERING YOUR BASES

AND CHOOSING A REPUTABLE

AND TRUSTWORTHY AGENCY IN

ORDER TO PROVIDE THE BEST

CARE POSSIBLE.

CONSIDER THESE HELPFUL TIPS

TO SELECT THE BEST!

7 Tips for Choosing the Best Home Care Agency

>This article was submitted by HarmonyHome Healthcare. For more informationplease call 1-888-772-8959or visit www.homewithharmony.com

1. Always be sure to select an agency that is licensed through the state.This ensures that the agency is meeting state standards to protect clients and their fam-

ilies.2. Verify that the caregivers are trained, qualified, and have passed their background

checks.The best agencies will provide training and continuing education checks for their

employees, as well as perform extensive background checks ensuring they are qualified tocare for your loved ones.

3. Know that the agency’s caregivers are bonded and insured.This should include professional and general liability, Worker’s Compensation, and

bonding.4. Ask how the agency evaluates what type of care your loved one needs.Become familiar with the agency’s divisions or programs and what specific services they

are able to provide for your loved one.5. Find out which caregivers will be in your home.Understand the agency’s process for assigning a caregiver or caregivers to your loved

one, so that you know who and what to expect.6. Know the agency’s emergency care policy.Inquire how the agency and its caregivers are trained and prepared to handle any emer-

gency situations that may arise. 7. Know how the agency handles issues and concerns.The best agency will have detailed procedures for dealing with any complaints or con-

cerns in order to resolve them in a timely manner.

Harmony’s trustworthy caregivers are ready to lend a helping hand to your mother,father, children, and loved ones in twelve counties throughout the SouthwesternPennsylvania region. Contact us and one of our patient advocates will be happy to dis-cuss how Harmony's programs can help your family today.

Senior Guide

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 25

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26 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

By Daniel Casciato

Westmoreland County HousingAuthority (WCHA) believes thatthrough more activity and exercise,seniors can lead longer and health-ier lives.

It’s with this in mind that WCHAencourages its senior residents toparticipate in its new Flex Fit pro-gram that will hopefully aid themto successfully “age in place,”whereas they can live more safely,independently and comfortably.

“We recognize the need for, orthe importance of wellness, withhousing. If you have stable hous-ing and stable health and wellnessopportunities, then hopefullyyou’re better prepared for the agingprocess,” says WCHA ExecutiveDirector Michael L. Washowich.

Flex Fit, a 45-minute exercisewellness program, was introducedlast year at South GreengateCommons (SGC), the authority’snewest elderly-only apartment com-plex located in HempfieldTownship, and has proven to be sosuccessful that the authority hasdecided to expand it to an additionalnine elderly and disabled communi-ties across Westmoreland County.

Roxanne Dreher, a wellness exer-cise coach, created Flex Fit afterbeing approached by WCHA Hopein Life Director Lynn Wackenhuthto create a wellness program foradults of all abilities, including thosewho use a walker or a wheelchair.

“Our residents love it and attendregularly,” says Wackenhuth. “Afterjoining WCHA, Roxanne has done agreat job of having an exercise pro-gram that can be modified for any-one of any ability. She modifies it foreveryone so that they all get some-thing out of the experience. Andshe keeps it so fun. They just havea great time.”

There are no set routines withFlex Fit, according to Dreher. Mostof what she teaches the class is toimprove their balance and flexibil-ity. She does follow the four exer-

cise guidelines recommended bythe National Institute on Aging —endurance, coordination, relax-ation and education.

“To create this program, I tookthe best parts of everything thatI've ever worked with and incorpo-rated it into its own wellness pro-gram,” Dreher explains. “Anyonecan participate in it. The onlyrequirement is that all residentsbring four things to them to eachclass - a sense of humor, a commongratitude, an open mind, and theirown common sense.”

For Dreher, it was important tonot develop an exercise programwhere she and the residents wouldjust go through the routines andmotions. Her goal is to educatethem about why they go throughthose motions. She also gives resi-dents different exercises and chartsto follow and encourages each ofthem to continue exercising intheir own on the days when thereis no class.

One thing that Dreher talksabout at each of her classes isfalling. Nothing truly prevents afall - everyone will fall, she says.But what she discusses with herclass almost on a regular basis isovercoming that fear of falling.

“We're so afraid of things thatfear prevents some people frombeing a little more active,” shesays. “So we often focus on over-coming the fear of falling.”

She adds that there are so manybenefits to exercise as most every-one knows. “But the most impor-tant benefit is that it helps youmaintain your ability to remainindependent.”

Research has shown that exercisecan help improve your lifestyle andallow you to live longer and live bet-ter. Research has also shown thatexercise can not only benefit yourphysical health, but you also reapthe benefits of the mental end of thespectrum for seniors and for allolder adults, she stated.

That's the over-riding goal for theauthority’s Hope in Life Program,adds Wackenhuth. The programoffers resident activities and drug-prevention programming.

“Our health and wellness pro-gramming stresses the importanceof aging in place and doing it well,”says Wackenhuth. “We want ourresidents to be as healthy as theypossibly can and as risk free as pos-sible.”

Dreher notes that it doesn’t nec-essarily take a gym for you to gethealthy.

“Whether you walk, participatein Flex Fit or any other exerciseprogram, just get out there and doit,” she says. “Once you’re there, werecommend trying to get outside ofyour comfort zone because onceyou get there, all good things hap-pen. There should be no boundary.”

For more information, visitwww.wchaonline.com.

WESTMORELAND COUNTY HOUSING AUTHORITY:Helping Seniors Age in Place By Staying Active and Exercising

>

Flex Fit, a 45-minute exercise wellness program, was introduced last year at South Greengate Commons (SGC), and has proven to be so successful that the authority has decided to expand it to an additional nine elderly and disabled communities across Westmoreland County.

Senior Guide

Attention: Physicians, Health-Focused Businesses!

If you would like to receive issues of theGuide to Good Health (free of charge) todistribute to your patients in your receptionarea, please call (412) 835-5796 or e-mailgoodhealthmag@aol.com

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 27

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28 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

By Summer Aston

The face of seniors is changing inWestmoreland County, and GO Westmore -land recognizes this with their continuedeffort to assist older adults with active agingand independent living. The GO Westmore -land Senior Shared-Ride Program is a feasiblealternative to driving.

Trips can be taken for any purpose, suchas going to the grocery store, a medicalappointment, or even the salon. Riding withGO Westmoreland allows older adults toconfidently get to their destination, no mat-ter the occasion. Funding for this door-to-door program is provided by thePennsylvania State Lottery. Once enrolled inthe program, older adults 65+ may travel at a discounted rate using GOWestmoreland. They would also be able to travel on any fixed-route busservice in the State for free.

Additional discounts are available through the Westmoreland CountyArea Agency on Aging (AAA). When an adult 65+ registers with the AAAfor their Priority Transportation Program, an extra 10% is deducted fromtheir copay when traveling to certain destinations. Some eligible trips aremedical appointments, Senior Centers, Senior Center based shopping, AAAAdult Day Care, and AAA Vision Care.

Older adults are keeping up to date with growing technological trends, astechnology is a large part of our world today. GO Westmoreland is working

to make their services availablethrough multiple platforms, whichaids in accessibility to all of theresources they provide. Advanced GPSand scheduling technologies are uti-lized by GO Westmoreland to helpdeliver the most reliable and consis-tent service to riders. In the future, GOWestmoreland looks to continue theircommitment to growth and develop-ment as it best serves county residents.

GO Westmoreland assists seniors,and also provides transportation forpersons with medical assistance. Withthe Medical Assistance Shared-Rideprogram trips can only be taken formedical purposes, but are done so

completely free of charge. Funding for this program is made possiblethrough the Department of Human Services.

Disability Transportation is another valuable service provided by GOWestmoreland. With their Americans with Disabilities Program (ADA) andPersons with Disabilities Program (PwD), they provide transportation forthose who cannot mentally and/or physically utilize fixed-route public busservices.

. To learn more about the transportation options offered by GO Westmoreland, visit their website at www.westmorelandtransit.com or call 1-800-242-2706.

GO Westmoreland: Providing Safe and Reliable Service to Westmoreland County Residents

>

Senior Guide

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 29

For most patients, dischargefrom a hospital, skilled nursingfacility or rehabilitation center isa time of great anticipation. Theylook forward to returning to theprivacy and comfort of their ownhomes, where they can continueon with their recovery process.

But some patients may feelanxious if they are not well orstrong enough to return home.Amber House at HarmonHouse’s Bridge to HomeProgram helps patients to contin-ue their recovery in a safe, sup-portive environment until theyare ready to resume independentliving. Bridge to Home offerspatients a full array of services,including rehabilitation, medica-tion management, meals, TV andcable service, personal laundry,housekeeping and recreationalactivities.

“What sets our program apartis that patients get continued service, support and rehabilitation for an all-inclusive, affordable price,” said Susan P. Fox, community liaison forAmber House’s Bridge to Home Program.

“Patients stay in a beautiful, homelike setting for one to ten weeks,where our friendly team of nurses, physical and occupational therapists

and other staff provide servicesthat are customized to meet theneeds of each patient.”

Fox added that Amber Housefeatures a luxurious diningroom that offers three nutrition-ally balanced meals each day, avariety of onsite recreationalactivities and an outside cov-ered patio area. Families are alsowelcome to visit their lovedones any time.

“We strive to make each resi-dent and their families feel athome and comfortable for theduration of their stay,” said Fox.Located at 601 South ChurchStreet in Mt. Pleasant, AmberHouse can accommodate up to70 patients. The Bridge to HomeProgram is currently acceptingnew patients.

“Our goal is to make the tran-sition as easy as possible for ourpatients,” said Fox. “We want to

help them to get better and feel confident about living independently intheir own homes again.”

To schedule a tour of Amber House at Harmon House, call (724) 547-1890. You can also visit www.myamberhouse.comfor more information about the Bridge to Home Program.

Bridge to Home Helps Patients Transition to Living in their Own Homes Again

>

30 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

The Westmoreland County Area Agency on Aging operates 13 Senior CommunityCenters in Westmoreland County, known as Centers for Active Adults. Our centers offerlifelong learning opportunities to individuals 50 years of age and older to exercise themind and keep them engaged in their community. Research confirms staying activereduces isolation, improves outlook, and promotes wellness. Health and Wellness oppor-tunities at the Centers for Active Adults include: fall prevention workshops, ChronicDisease Self-Management classes to empower individuals, and fun fitness classes like TaiChi, Stay Active and Independent for Life (SAIL), Walk with Ease, Yoga and Zumba toincrease stamina and heart health. Our centers also offer: daily socialization opportuni-ties, nutritious hot meals, volunteer opportunities, resources and speakers, Farmer’sMarket Vouchers, tax assistance, and daily activities, such as BINGO, crafts, card games,biking, bus trips, etc.

Please visit or contact any of our centers listed below for specific information:

Centers for Active Adults Offer Lifelong Learning Activities

and Health and Wellness Opportunities

As with these and other programs, the Area Agency on Aging takes great pride in helping to keep families together and supporting their changing needs.

Information and AssistanceService CoordinationCare ManagementAdult Day ServicesDomiciliary CareHome Delivered MealsPersonal CareHome Support ServicesProtective ServicesCaregiver Support

Westmoreland

County Area Agencyon Aging

Since 1967 theWestmoreland County AreaAgency on Aging has been

providing services and opportunities to

older adults

SUPPORTIVE SERVICES

FOR FURTHER INFORMATION

Contact Westmoreland County Area Agency’s Senior Line at (724) 830-4444 or 1 (800) 442-8000 or visit www.co.westmoreland.pa.us/aging

Assessment ServicesSenior Center ServicesNursing Home TransitionVolunteer OpportunitiesOmbudsmanVision CenterTelephone ReassuranceLegal ServicesAssistance in Applying for Benefit ProgramsHealth Insurance Counseling

CENTERS FOR

ACTIVE ADULTS

Westmoreland County'sCenters for Active Adults provide a wide array of

opportunities from Tai Chiand day trips to aerobics,

book clubs, and computerclasses. Stay engaged in your

community - visit a Center for Active Adults today!

Avonmore East Vandergrift HerminieCenter for Active Adults Center for Active Adults Center for Active Adults458 Railroad Street 400 McKinley Avenue 101 Sewickley Avenue 724-697-4014 724-568-2692 724-446-3282

Jeannette Latrobe McKenna (Greensburg)Centers for Active Adults Centers for Active Adults Centers for Active Adults211 Gaskill Street Fifth Ward School, 15 Ave. C 971 Old Salem Road724-527-3200 724-539-0237 724-837-8832

Monessen Mt. Pleasant New AlexandriaCenter for Active Adults Centers for Active Adults Centers for Active Adults1925 Grand Boulevard 424 Washington Street 207 Main St.724-684-6105 724-547-4593 724-668-7055

New Florence New Kensington Valley (Ligonier)Center for Active Adults Centers for Active Adults Centers for Active Adults216 Ligonier Street 1039 Third Avenue 135 Kalassay Drive724-235-2800 724-335-8597 724-238-7942

West NewtonCenter for Active Adults103 Main Street724-872-4976

DOM CARE PROVIDERS...Open their Hearts

and Homes

All over the State of Pennsylvania, caring individualsprovide a unique alternative to personal care home place-ment by opening their homes and hearts to individuals inneed of housing and supervision. The program is calledDomiciliary Care (Dom Care) and Westmoreland is one ofthe many counties that offers this opportunity.

Dom Care provides alternative living arrangements foradults unable to live independently due to physical disabil-ities, medical conditions, intellectual disabilities, and/ormental illness. Dom Care can prevent individuals frombecoming unnecessarily institutionalized. Home providersare responsible for assuring that their participants receivenutritious meals, medications, supervision, and safe hous-ing. In addition to the Dom Care, many of the participantsalso engage in community programs, activities and servicessuch as attending the local senior center or attending adultday care. Financial support for program participation isavailable to Dom Care Consumers in need.

Westmoreland County currently has over 35 Dom Careparticipants and 14 Dom Care homes. Each home goesthrough a strict certification process before becoming aprovider. In addition, home provider applicants are subjectto a thorough background check and health screeningprocess before approval. Home providers are given amonthly stipend for the services and supports providedwhile the consumer is living in their home. WestmorelandCounty’s Area Agency on Aging employs care managers

who are responsible for overseeingthe program and provid-

ing on-going servicesto both the con-sumer and thehome provider.Dom Care homes

are subject to a re-certification process

on an annual basis andconsumers are assessed, at a minimum,

of every six months. Each piece of the program con-tributes to the goal of providing a warm, safe, “home like”environment that can last for many years.

Westmoreland CountyArea Agency on Aging is alwayslooking for new home providers. To learn more about Dom Care and

the rewards of becoming a provider, call 724-830-4444.

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 31

By Vanessa Orr

Recovering from a medical condition such as a stroke or a hip fracture canbe extremely difficult. One thing that can make it easier for patients is to getpersonalized therapeutic support in an inpatient setting.

“One of biggest benefits of inpatient rehab is that there are staff membersavailable to help residents with whatever they need; especially things thatthey would have trouble doing if they were home alone,” explained ShelleyMeyers, rehab director for Allstar Therapies at Westmoreland Manor. “Wealso have a lot of resources available to us—not just weight equipment andTherabands, but also bikes, parallel bars and standing frames to help patientswho need assistance while they build endurance.”

Westmoreland Manor provides short-term rehabilitation for patientsrecently discharged from the hospital as well as rehab services for the long-term residents of its skilled nursing facility. Families who need someone tocare for a loved one while they are out of town can also take advantage of itsrespite program. “Our short-term residents have rehab six times a week,”said Meyers. “We also monitor our long-term residents for signs of declineand offer therapies to help them improve. “If a family wants to go on vacationand can’t take mom, they can have her stay with us,” she added. “We’ll takegood care of her, and they can leave knowing that she’s safe.”

Westmoreland Manor provides physical therapy, occupational therapy andspeech therapy to help patients improve to the best of their abilities. “Wetend to see patients with multiple comorbidities—they may have diabetes,balance issues or a history of falls,” said Meyers. “We provide rehab so thatthey can get back home, or require a lesser level of care.”

Physical therapists work with patients on everything from dynamic bal-ance or learning to use different assistive devices. “We do a lot of ‘high bal-ance’ things,” said Meyers, giving the example of patients utilizing the

Westmoreland Manorcourtyard to re-learnhow to walk outside onuneven surfaces.

Occupational thera-py helps patients withactivities of daily liv-ing. “If a person normally does a lot of cooking, we have therapists who workwith them here in a kitchen that we use to simulate the home environment,”said Meyers. Speech therapy helps patients with speaking, memory, medica-tions and swallowing, and even managing finances. “The residents love touse our iPad applications to practice paying bills,” said Meyers, adding thatit also helps improve memory and attention span.

Through its home assessment and evaluation program, a staff member willvisit patient’s home to look at the living environment and bring that informa-tion back to the treating therapist. “If we know that a patient will have towalk up five stairs when she gets home, for example, we’ll work on her abilityto do that,” said Meyers. “We also go with the resident and a family memberto the house before discharge and run through their daily routine to makesure that they can return home safely.”

The company also contracts with many home health agencies, which is anadvantage once the patient is ready to go home as it provides continuity ofcare.

“Everything we do here is centered around the care of the resident,” saidMeyers. “Our dedicated staff works hard to make sure that they have every-thing they need to improve and to get back home with their loved ones.”

To learn more about rehabilitation services at Westmoreland Manor, call (724) 830-4000 or visit www.westmorelandmanor.org.

Senior GuideResident-Centered Focus Key

to Westmoreland Manor’s Rehab Program

>

32 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

It is wonderful when seniors are able to live on their own, as the continu-ation of everyday routines in the comfort of their own homes and communi-ties is good for their physical and mental health. When a parent starts havingtrouble with basic responsibilities, the next step is usually assistance fromtheir own children and family.

But there are many challenges when caring for an aging parent or lovedone. The family members – most often sons and daughters – are also dealingwith their own families, careers, and homes, and frequently find themselvesstretched thin. They are covered up with tasks that quickly consume theentire day in this fast-paced world, desperately trying to balance their ownlives while trying to care for an aging parent.

All too often, the family members struggle to keep pace, and often hit abreaking point. When that happen, they look for alternatives, and the choiceis often thought to be to move their loved one to a nursing home or assistedliving facility. In some cases, this may be necessary. However, with some assis-tance in their routines, a senior can often remain in the home. When the fam-ily simply cannot be there all of the time, in-home care from Visiting Angelscan provide a respite and fill the gap. In-home care can be an economical andlogical solution that helps not only the senior, but also the rest of the family.

Each family situation is unique, so the Care Plan for each senior is specifi-cally tailored and customized to meet the needs – and the budget – of thesenior and the family. The Caregivers employed by Visiting Angels follow theCare Plan that is put into place. Sometimes the senior just needs companion-ship and a bit of help moving about the house. The Care Plan may also callfor specific tasks such as hygiene assistance, meal preparation, housekeeping,errands, medication reminders, and more. Some seniors need just a few hoursper week with some routine tasks, while others need quite a bit of assistancethroughout each day, or overnight, or on weekends – whatever schedule isneeded.

Understandably, seniors may be reluctant to allow “strangers” into theirhomes, particularly when it comes to personal care. To alleviate these con-cerns, Visiting Angels is licensed by the Pennsylvania Department of Healthand is insured. Background checks are conducted on Caregivers, who mustalso undergo orientation and periodic training.

Carter Healthcare Named5-Star Quality Provider

Carter Healthcare was recently named a 5-Star home healthcare providerfor the Greensburg area by the Centers for Medicare and Medicaid Services.Carter Healthcare is one of only seven providers in Pennsylvania who earnedthis superior distinction and ranks in the top 3 percent of all home careproviders nationwide.

Although Carter Healthcare is new to the Greensburg market, opening itsdoors in 2015, Carter Healthcare has been serving patients since 1989. All ofits providers currently rank 4.5 stars or better, providing the highest qualityof care in the nation. The home healthcare company is already helping peo-ple live better lives in the community.

“I had Carter Healthcare out and it was the best choice I could have made.Jane, my nurse, and Joe my physical therapist were exceptionally nice, intel-ligent and professional,” said patient Patricia Shearer. “I plan to use themagain for my next surgery.”

In addition to home healthcare and in-home skilled nursing, CarterHealthcare offers a variety of special services including COPD management,congestive heart failure rehabilitation program, orthopedic rehabilitationhome care, diabetes management program, continued wellness, psychiatrichome care, speech language pathology homecare and stroke recovery.

Carter Healthcare is clinician owned so implementing quality of care ini-tiatives from inception has been the backbone of the company. This attentionto detail has allowed Carter Healthcare to become one of the premier home-care companies in the United States. In addition to earning the JointCommission’s Gold Seal of Approval, Carter Healthcare has continued togrow throughout the country, with offices in Pennsylvania, Ohio, Oklahoma,Texas, Florida, Kansas and Missouri.

Helping people live better lives is not only a mission, it is intertwined withthe culture and way Carter Healthcare conducts business. Carter strives tocreate a professional, caring, values and outcomes driven culture for theirpatients, employees and the community.

PROVIDING THE NATION’S

HOME HEALTHQUALITYHIGHEST RATED

www.carterhealthcare.com

24-Hour # 888.951.1112

Referral Fax # 888.622.4329

Skilled Nursing

Specialized Programs including:

COPDDiabetes

Ortho Rehab

>Visiting Angels has a long history of providing in-home care to adults.We are available any time to understand your needs, discuss the serviceswe provide, and schedule an in-home assessment. We can be reached atvisitingangels.com or (724) 216-0488.

Take the Pressure Off with Senior Care

Senior Guide

> Carter Healthcare can be reached at (724) 832-6436 or www.carterhealthcare.com.

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 33

ACUPUNCTUREMurrysville Acupuncture(724) 212-6594www.murrysvilleacupuncture.com

ART CLASSES/PRIVATE EVENTSPainting With A Twist724-221-6527- GreensburgAttend one of our classes or hold your own pri-vate event.

CHIROPRACTIC/SPINAL CAREKeystone Spinal Care & Wellness Center(724) 216-9000www.KeystoneSpinal.comSince 2003, Dr. Tim has practiced NUCCA, agentle, all natural pain relief treatment.

Legacy Medical Centers www.legacymedicalcenters.com.

CHILDREN, SPECIAL NEEDSAchieva(412) 995-5000 Allegheny County(724) 837-8159 Arc of Westmoreland(724) 775-1602 Beaver Countywww.achieva.info

Every Child, Inc(412) 665-0600 www.everychildinc.orgFoster Care • Adoption • Family SupportServices • In-Home Behavioral Health Carewith Autism Enhancement

Highlands Hospital Regional Center for Autismwww.highlandshospital.org/services/autism-center.(724) 603-3360

DOMESTIC VIOLENCEBlackburn Center1-888-832-2272 www.blackburncenter.org

Standing together to end violence

HOLISTIC HEALTHEzekiel’s Garden(724) 797-5886 • www.ezekielsgarden.net

Highlands Hospital Integrative Medicinewww.highlandshospital.org/services/integrative-medicine

HOME CARECarter Healthcare724-832-6436www.carterhealthcare.com

Gallagher Home Care Services412-279-2257Gallagher Home Health Services412-279-7800

Harmony Home Care, Home Healthcareand Pediatrics412-573-7338 or (412) 283-4354www.homewithharmony.com

Visiting Angels724-216-0488www.visitingangels.com/monvalley

HOSPITALSHighlands Hospitalwww.highlandshospital.org 724-628-1500

INDEPENDENT LIVING Westmoreland County Area Agency on Aging(724) 830-4444 • (800) 442-8000www.co.westmoreland.pa.us/aging

MASSAGE THERAPY/FACIALSMassage Envy(724) 832-8383 • www.MassageEnvy.com1420 Greengate Centre, Greensburg

MEDICAL SUPPLIES/DIABETIC SHOESPonsi Shoes1 (866) 708-5825www.ponsishoes.com

MEDICARE/INSURANCECoventry Health CareMedicare Advantage PlansAn Aetna Company1-833-815-2526 (TTY: 711)

Fedele Insurance ServicesJuly Ridilla, (412) 244-1000judy@fedeleinsurance.comwww.fedeleinsurance.com

FOCUS Senior Benefits412-446-2491 Focusseniorbenefits.comOur trained staff will help you make the mosteducated Medicare choice to fit your needs. FocusSenior Benefits interacts with you where you feelmost comfortable – at your home, at our offices,or at a local neighborhood meeting.

Gateway Health1-877-GATEWAY/TTY: 711www.medicareassured.comWe know how to help people who are eligiblefor both Medicare and Medicaid.

PHOTOGRAPHYCarey Busatto Photography(724) 309-6091careybusatto@comcast.netwww.careybusattophotography.comNewborns, Children, Families, High School Seniors

PHYSICAL THERAPYDiamond Physical Therapydiamond-pt.com(724) 238-9185 or (724) 853-6800

Legacy Medical Centers www.legacymedicalcenters.com.

UPMC Centers for Rehab Services1-888-723-4CRS (4277)UPMC.com/4CRS

REHABILITATIONHEALTHSOUTH Rehabilitation Hospitals of PittsburghHarmarville - Sewickleydemandhealthsouth.com877-937-7342

SENIOR HOUSINGWestmoreland County Housing Authority1-800-WCHA-NOW (924-2669)www.wchaonline.com

SENIOR SERVICESSenior Life(724) 838-8300 SeniorLIFEGreensburg.com

Westmoreland County Area Agency on Aging(724) 830-4444 • (800) 442-8000www.co.westmoreland.pa.us/aging

SKILLED NURSING CARE & REHABILITATION

Greensburg Care Center(724) 836-2480www.mygreensburgcarecenter.com

Harmon House Care Center(724) 547-1890www.myharmonhousecarecenter.com

Transitions Healthcare(724) 864-7190www.transitionshealthcarellc.com

Westmoreland Manor(724) 830-4022www.westmorelandmanor.org

TRANSPORTATION SERVICESWestmoreland Transit1 (800) 221-9282Door-to-door service to older adults 65+ andpeople with disabilities. Older Adults 65+ rideFREE, Commuter service to Pittsburgh

VARICOSE VEINSGreater Pittsburgh Vascular Associates(412) 469-1500www.greaterpittsburghvascular.com

WALK-IN BATH Kohler Walk-In Bath888-711-3289www.homesmartind.com

WOMEN’S HEALTHK & J's Complete WomanMonroeville: (412) 646-4661Bethel Park: (412) 835-5093www.kjcompletewoman.comBreast Forms, Bras, Wigs

DIRECTORYIn order to choose a health professionalwho is right for you, you need information. The following guide is a good place to start.

Name: _____________________________________________________________________________________________________Address: ___________________________________________________________________________________________________City: _____________________________________________________________ State:______________ Zip:________________Phone:___________________________________________________ E-mail: __________________________________________Gender and Age:_____________________________________________________________________________________________

REMEMBERto sign up for yourFREE subscriptionTo receive your own copy direct mail, mail the form below to the WestmorelandCounty Guide To Good Health, 2574 Oldfield Avenue, Pittsburgh, PA 15102or email goodhealthmag@aol.com

Check out our Healthcare Directory at www.guidetogoodhealth.com

To be included in this Directory, email goodhealthmag@aol.com.

34 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017

If you or a loved one needs reha-bilitation after an illness, injury orsurgery, you have a choice inwhere to go. Although facilitiesoffer rehabilitation services, thequality and amount of these ser-vices can vary. It is important toknow that all rehabilitation is notthe same.

When comparing inpatientrehabilitation facilities (IRFs) likeHealth-South Rehabilitation Hos -pitals of Pittsburgh in Harmarvilleand Sewickley to skilled nursingfacilities (SNFs), research con-cludes that long-term outcomesfor inpatient rehabilitation facilitypatients are superior—they returnhome two weeks earlier, have 8%lower mortality rate, 5% feweremergency room visits and signifi-cantly fewer hospital readmissionsper year*.

Patients treated in an inpatientsetting like HealthSouth Harma -rville or Sewickley also receive amandatory minimum of threehours of physical, occupationaland speech therapy level of ser-vices a day, five days a week andbenefit from 24-hour nurse over-sight and availability. Addition -

ally, IRF patients get frequentphysician visits and increasednursing hours per patient.

HealthSouth Harmarville andHealthSouth Sewickley are alsoJoint Commission Accredited forseveral of their therapy programs.Harmarville is accredited forstroke, brain injury, Parkinson’sdisease, amputee, diabetes and

spinal cord injury while Sewick -ley is accredited for stroke, braininjury, amputee, hip fracture,Parkinson’s disease and MultipleSclerosis.

This means the rehabilitationprograms underwent an exten-sive, unannounced, on-site evalu-ation by a team of JointCommission reviewers and wereevaluated against Joint Com -mission standards. To earn thecertification, both hospitals suc-cessfully demonstrated compli-

ance with national standards andeffective use of evidence-basedclinical practice guidelines tomanage and optimize care forpatients.

Both HealthSouth hospitalsalso utilize a variety of technolo-gy services to complement tradi-tional therapy.

These technologies helpimprove patient functional inde-pendence measures and are abeneficial and complimentarycomponent to the patient’s over-all care plan.

In many ways, comparingHealth South Harmarville andSewickley to SNF facilities is likecomparing apples and oranges.When in need of any kind of reha-bilitation care, it’s important toshop around and compare whatfacilities have to offer.

For more information, visitdemandhealthsouth.comor call 877-937-7342.

*Dobson|DaVanzo analysis of research identifiable 20% sample of

Medicare beneficiaries, 2005-2009

Shopping for Rehabilitation is Like Comparing Apples to Oranges

Proper wheelchair fit is importantnot only for comfort and ease of

use, but also to reduce the risk ofdeveloping sores and other

injuries. That's why HealthSouthoffers wheelchair seating pressure

mapping technology to identifyand remedy problem areas.

>

HealthSouth utilizes a variety of therapeutic exercises to help improve strength

and range of motion.

This spot reserved for youTo reserve, this spot, call (412) 835-5796

or email goodhealthmag@aol.com or

Fall 2017 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 35

36 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Fall 2017