FRIENDLY CHATTER FRIENDSHIP MANOR HCC

March 2020

March Happenings Our Wednesday Outings will depend on the Weather

Wednesday, March 4th at 11:00 a.m. – Culvers Outing

Sunday, March 8th Daylight Savings Time – Spring Forward!

Monday, March 9th at 1:30 p.m. – Karaoke with Jim Wednesday, March 11th at 11:00 a.m. – Hong Kong Buffet Monday, March 16th at 1:30 p.m. – Hilary Sauter Polka Music Tuesday, March 17th – Happy St. Patrick’s Day!! Shamrock Contest All Day Long 10:00 St Pat’s Trivia You can wear Jeans, if you wear green Residents will vote for Staff and Staff will vote for Residents Wednesday, March 18th at 10:00 a.m. – Little Six Casino Lunch & Gambling at 1:30 p.m. – Concertina Fun Monday, March 23rd at 1:30 p.m. – Phil Kitze Guitar & Harmonica Music Wednesday, March 25th at 11:00 a.m. – Coffee Ta Cream Monday, March 30th at 12:30 p.m. – Men’s Group at 1:30 p.m. – Polka Music with Ernie & John at 3:00 p.m. – Resident Council, Bring your Concerns Music Humor: How do you make a bandstand? Take away their seats Because of his outstanding tuba playing, the band director promoted him to three-ba.

Spotlight of the Month

Sisters

Nancy was born on March 13, 1963 in Minneapolis. Nancy grew up in the Bloomington area. Nancy worked at

a few different companies doing quality assurance which included measurements and visual inspections. When

Nancy first started getting sick, doctors diagnosed her with MS, however, the lesion in her spine healed ruling

out MS diagnosis. Soon after doctors then diagnosed Nancy with Ataxia, which runs in her family. Ataxia is a

neurological sign consisting of lack of voluntary coordination of muscle movements that can include gait

abnormality, speech changes, and abnormalities in eye movements. Nancy enjoys listening to music, word

searches, socializing with her friends but her greatest passion is her “Boys” – Cats Skeeter and Kirby. Nancy

has a great sense of humor that she inherited from her Dad. Nancy loves to make people laugh.

My name is Mary Agnes Mazo Borochoft born on November 14, 1956. I was born in Bloomington, MN. I have

one son. I worked as a LPN at Park Nicollet in St. Louis Park for several years. Mary loved her job. Mary has

Ataxia which is a genetic condition. Please see below regarding at additional information regarding this

condition. Mary is very involved with Friendship Manor’s activities from Bingo, Bible Study, Sing-a-Long,

Char’s Group, enjoys pet visits, Pokeno, Book Club, Church Services, Meet and Eat. Please stop by Room

201B and say “Hi”.

Little bit about…………………………..

Ataxia is a degenerative disease of the nervous system. Many symptoms of Ataxia mimic those of being drunk,

such as slurred speech, stumbling, falling, and incoordination. These symptoms are caused by damage to the

cerebellum, the part of the brain that is responsible for coordinating movement.

What causes Ataxia?

Ataxia is usually caused by damage to a part of the brain known as the cerebellum, but it can also be caused

by damage to the spinal cord or other nerves. The spinal cord is a long bundle of nerves that runs down the

spine and connects the brain to all other parts of the body.

March WORSHIP SERVICES 2020 Tuesday, March 3rd Communion Service 9:30 a.m.

Bible Study W/Pastor George 2:00 p.m.

Thursday, March 5th Zion United Methodist Church 2:00 p.m.

Sunday, March 8th Worship Service Mt. Olivet Assembly of God 3:00 p.m. Tuesday, March 10th Communion Service 9:30 a.m. Bible Study W/Pastor George 2:00 p.m.

Wednesday, March 11th Pastor Jerry 1:30 p.m.

Thursday, March 12th Valley View Baptist Church 2:00 p.m.

Tuesday, March 17th Communion Service 9:00 a.m.

Bible Study W/Pastor George 2:00 p.m.

Thursday, March 19th St. John’s Lutheran 2:00 p.m.

Sunday, March 22nd Worship Service Mt. Olivet Assembly of God 3:00 p.m. Tuesday, March 24th Communion Service 9:30 a.m.

Bible Study W/Pastor George 2:00 p.m.

Thursday, March 26th Faith Lutheran Church 2:00 p.m.

Tuesday, March 31st Communion Service 9:30 a.m.

Bible Study W/Pastor George 2:00 p.m.

Comforting Scripture:

I am sending an Angel ahead of you to guard you along the way and bring you to the place I have prepared. Exodus 23:20

We wish to express our deepest sympathy to the Family and Friends of the following Residents who have passed away.

Harold L Shirley M Irene C Mary B Wenzel K

March Birthdays Residents Staff

Myrle U. – March 2nd Charles R. – March 12th

Sharon A. – March 10th Kim C. – March 13th

Nancy H. – March 13th Diane M. – March 14th

Charles A. – March 15th

Beth G. – March 15th

Rose B. – March 16th

Carol P. – March 21st

Lori M. – March 26th

Char’s Corner RIDDLES

The dictionary defines a riddle as “a mystifying, misleading, or puzzling question posed as a problem to be

solved or guessed”. That definition is rather complex, but residents in Char’s Group respond to riddles. One

can almost see the wheels turning in their heads as they search for the answers. Riddles such as, “What travels

all over the world but stays in one place” produced many answers. Although everyone had an answer, no one

got the right one, “a postage stamp”. Here’s one for you. Please don’t google the answer.....the residents can’t

do that. Just get the brain power reved up and wait until the next issue of “Friendly Chatter” to get the

answer.

“The poor have it, the rich don’t need it. It’s more powerful than God, more evil than the devil. If you eat it,

you’ll die.”

Aren’t riddles fun?

Submitted by Char Jorgensen

The Royal Couple – Newspaper Article

Friendship Manor’s Valentine’s Day queen Diane Gulseth and king Paul Wester were crowned

Feb. 14. Gulseth has been married to her husband DuWayne for 57 years, and Wester has

been married to his wife Lynn for 35 years.

Friendship Manor crowns

Valentine’s Day king and queen Staff Report

Shakopee’s Friendship Manor Valentine’s Day queen Diane Gulseth and king Paul

Wester were crowned Feb. 14 at the facility. The crowning occurs every year on Valentine’s

Day, according to staff.

Gulseth has been married to her husband DuWayne for 57 years. She is from

Bloomington and has three children, four grandchildren and a dog. In her free time, she like to

talk.

Wester, resided in Burnsville, MN. Was originally from Labolt, South Dakota, has been

married to his wife Lynn for 35 years and has two children, two step children, five

grandchildren and three great-grandchildren. He loves to sing, and before he retired he was a

mechanical engineer.

Winner of Super Bowl Guesses-Jamie M.& Lindsey W.

St. Patrick’s Day Events – Tuesday March 17th

9:00 Communion Service

9:30 Exercise

10:00 St. Pat’s Day Trivia

12:30 Bird Visits

1:30 Card Club

2:00 Bible Study with George

2:30 St. Pat’s Dessert

The Menu for Lunch is Rueben Casserole, Shamrock Cookie

St. Patrick’s Day Celebration

St. Patrick’s Day Shamrock Contest on Tuesday, March 17th.

We will have a Shamrock Contest for all Residents and Staff.

Residents and Staff are given a numbered Shamrock, we will

draw a number every hour from 9:00AM until 4:00PM. The

number drawn will be announced.

The winners can get the prize at the front desk.

“Though there is no bone in the tongue, it

has frequently broken a man’s head.”

-Irish Proverb

“Better today than tomorrow morning.”

-Irish Proverb

Medical Notes Valerie J. Schereck, MSN, ANP-C

SLEEP DISORDERS

Sleep disorders are common among the elderly and occur in up to 50% of individuals over the age of 65. Sleep

disorders are defined as the inability to fall asleep, stay asleep, sleeping too much, or having abnormal, sleep-

related behaviors. The American Academy of Sleep Medicine categorizes them into the following major

groups, insomnia, hypersomnia (excessive sleepiness), sleep-related breathing disorders, circadian rhythm

sleep-wake disorders, parasomnias (sleep disorders that include unwanted events or experiences that occur

while people are falling asleep, sleeping, or waking up), and sleep movement disorders. In this article,

discussion will be limited to insomnia, obstructive sleep apnea, and restless leg syndrome.

As people age, the timing and amount of sleep changes. Older individuals tend to fall asleep earlier and

awaken earlier and less tolerant of changes in the sleep-wake cycle (i.e., jet lag and daylight savings time).

Daytime napping in older adults may compensate for poor nighttime sleep. Sleep efficiency also decreases

from 95% during adolescence to less than 80%.

TWO TYPES OF SLEEP

The two main types of sleep are non-rapid eye movement (NREM) sleep and rapid eye movement (REM)

sleep.

NREM Sleep is divided into four stages based upon the amount and frequency of different types of

brain waves (electrical activity of the brain) Stage I occurs as people become drowsy and fall into a light

sleep. Stage II, where most sleep time is spent, is a continuation of light sleep. Stages III and IV are the

deepest levels of sleep and are necessary for feeling rested.

REM Sleep is a very deep but active stage of sleep in which people dream. In this stage, the heart rate

and breathing speed up and then slow down, and the individual’s eyes move rapidly. Older individuals

reach the deepest stage of sleep (Stage IV) more slowly and spend less time in REM sleep.

INSOMNIA

Insomnia is defined as the inability to fall or remain asleep. It can lead to restlessness and anxiety which can

make obtaining sleep even more difficult. It can also interfere with the ability to function during the day. It is

the most common sleep disorder in older adults; up to 40% report insomnia and approximately 20% report

severe insomnia. It is more prevalent as age increases and is more common in women than men. Insomnia can

be acute or short term or chronic and long term.

RISK FACTORS FOR THE DEVELOPMENT OF INSOMNIA

Stress (may be acute or chronic)

Acute or chronic illness

Pain

Environmental changes

Consumption of or withdrawal from caffeine, nicotine or alcohol

Medications that have stimulant properties

Withdrawal from certain medications especially anti-anxiety medications and antidepressants.

Inadequate sleep hygiene (habits and practices that are conducive to sleeping well)

Psychiatric disorders such as depression, anxiety, and post-traumatic stress disorder

Other sleep disorders

Treatment of insomnia depends on the cause. One of the most important things to alleviate insomnia is to

educate individuals about good sleep hygiene habits.

WAYS TO IMPROVE SLEEP

Having a regular sleep schedule; going to bed at the same time and rising at the same time each day.

Regular bedtime routine

Use of the bedroom primarily for sleep

Avoidance of substances that interfere with sleep such as caffeine, chocolate, and alcohol prior to

bedtime

Comfort measures such as pillows and cushions

Having regular exercise

Relaxation techniques such as meditation, listening to calming music, deep breathing, and progressive

relaxation.

Medications are rarely used in short-term insomnia. They can be used in chronic insomnia but should be used

with caution and for as short a period of time as possible and at the lowest dose that is effective.

Benzodiazepines are a group of drugs that improve sleep onset and reduce awakening; however, they are

associated with increased risk of adverse effects and falls in older adults. Nonbenzodiazipines such as Sonata,

Ambien and Lunesta can be used for short term with fewer side effects; however, they may be habit forming.

Antidepressants such as trazodone, remeron, and doxepin can be sedating but may be indicated if depression

is associated with insomnia. Antihistamines and over-the-counter sleep aides may contain Benadryl which is

sedating and has a high side-effect profile in the elderly.

SLEEP APNEA

Obstructive sleep apnea hypopnea (OSAH) is a sleep-related breathing disorder which is characterized by

abnormal breathing or respiration during sleep. OSAH is also characterized by episodes of partial (hypopnea)

or complete (apnea) interruption of respiration during sleep. OSAH is the most common type of sleep apnea in

the elderly. Airway obstruction is caused by temporary collapse of the oropharyngeal wall. OSAH tends to

occur in individuals who are moderately to severely obese. It is more common in men than women. Use of

alcohol and hypnotics (sleeping medication) may exacerbate this disorder.

Symptoms of OSAH include fatigue and poor concentration during the day and snoring and restlessness during

sleep. Individuals with suspected sleep apnea should be referred to a sleep specialist. Sleep studies are usually

obtained to diagnose the disorder. A history should also be obtained from each person’s bed partner for a

report of snoring and apnea. Treatment consists of weight management, avoidance of alcohol and drugs, and

the use of a continuous positive airway pressure, (CPAP) device or mouth guard.

Sleep disorders are common in older adults and the risk for development increases with age. They can effect

quality of life and people’s ability to focus and concentrate. They are generally treatable, but medications

should be avoided if possible due to their side effects and potential for habituation.

RESTLESS LEG SYNDROME

Restless leg syndrome (RLS) is a sleep movement disorder. In RLS, a person experiences an uncomfortable

sensation in one or both legs which is often described as an irresistible urge to move the legs. RLS is twice as

common in women than in men. Risk for the development of RLS increases with age. The cause of RLS is

largely unknown, but it may be related to underlying iron deficiency, diabetes mellitus, rheumatic disease, or

venous insufficiency.

RLS usually occurs just before bedtime or while the person is awake in bed. Relief may come with movement,

but symptoms reoccur when movement is stopped. RLS results in difficulty falling asleep and sometimes

insomnia. Rubbing and stretching the legs may help. The medications Mirapex and Requip are sometimes

given one hour prior to usual symptoms onset. Iron replacement therapy is given to individuals who have iron

deficiency anemia. INDIVIDUAL ADAPTIONS Rosann Moore, CTRS

Sleep disorders can disrupt the daily lives of elders. Fatigue may make attending activities an effort or diminish interest

in participating. It makes sense, however, for elders to stay energetic in their activities of interest, since being more

active and engaged may lead to better sleep. Focus on offering pursuits that reduce stress, helping an elder to stay in a

consistent routine of daily activities of interest, and stay physically active.