Volume 19 Number 2 Summer 2013 July 1 is Freedom from ...public2.co.waupaca.wi.us/hrCommunityCare/Newsletters/Summer2013.pdfThe ADRC Connection • Summer 2013 | Page 3 3875783-01

Waupaca County Dept. of Health & Human Services: 715-258-6300 • Aging & Disability Resource Center (ARDC): 715-258-6400811 Harding Street • Waupaca, WI 54981

July 1 is Freedom from Waiting List Day!!!

PLEASE NOTE: Being an advertiser in this newsletter does not constitute an endorsement from Waupaca County Department of Health and Human Services.

Volume 19 Number 2 Summer 2013

Waupaca County

•D

epartment of Health & Human

Serv

ices

•

•Our

visi

onis

heal

th

y individuals, families, and

comm

unities•

Our mission is to be a resourceful place of information and respectful provider of support

for the elderly and disabled residents of Waupaca County and their caregivers and

to help them achieve dignity and quality of life through maximum independence and choice.

Current and past issues of the ADRC Connection are available on our website – www.co.waupaca.wi.us Select Aging/Disability Newsletter in the Health/Human Services column.

Remember when…’Family Care Comes to Waupaca County July 2010’ in the spring edition of the Community Care Notes? After three extremely successful years, not only have we exhaust-ed our long term support waiting lists, but as of July 1st, we will have reached ‘entitlement’. Wau-paca County residents who meet eligibility are entitled to receive long term services in the commu-nity with no waiting. According to the Wisconsin Department of Health Services, “Family Care, authorized by the Governor and Legislature in 1998, serves people with physical disabili-ties, people with developmental disabilities and frail elders, with the specific goals of:• Giving people better choices

about where they live and

what kinds of services and supports they get to meet their needs,

• Improving access to services,• Improving quality through a

focus on health and social out-comes and

• Creating a cost-effective sys-tem for the future.

Family Care has two major organizational components:

1. Aging and disability re-source centers (ADRCs), de-signed to be a single entry point where older people and people with disabilities and their fami-lies can get information and advice about a wide range of resources available to them in their local communities.

2. Managed care organiza-tions (MCOs), which manage and deliver the Family Care ben-efit, which combines funding and services from a variety of existing programs into one flex-ible long-term care benefit, tai-lored to each individual’s needs, circumstances and preferences.

The Milwaukee Journal Senti-nel published an article on April 6, 2013 citing that for three years the cost of caring for the average person in it [Family Care] has fallen rather than risen. Overall costs in recent years have risen substantially for Family Care as many more frail elderly or dis-

abled recipients have moved into it. But, surprisingly, state figures show the cost of caring for a re-cipient within the program fell to $2,887 per month in 2012 from $2,997 in 2010, or 3.7%. The financial officials within the private nonprofits [MCO’s] responsible for these patients of-

By Christie Gonwa, Aging & Disability

Resource Unit Coordinator

See Freedom page 3

In this issue:

MEDICARE: Inpatient or Outpatient? . . . . . . . 3

Medication Assistance . . . . . . . . . 5

Caregiver Advocate . . . . . . . . . . . 6

Senior Class Offerings . . . . . . . . . 7

World Elder Abuse Day . . . . . . . . 8

Annual Volunteer Appreciation & Senior Citizen’s Picnic . . . . . . . 9

Mission of Hope . . . . . . . . . . . . 10

Transportation Change . . . . . . . 11

Volunteer Opportunities . . . . . . 12

DHHS Implements Trauma-Informed Care . . . . . . 13

Share the Care . . . . . . . . . . . . . . 13

United Way 2-1-1 . . . . . . . . . . . 14

Ice Age Trail . . . . . . . . . . . . . . . . 14

Wisconsin Senior Employment Program . . . . . . . . . . . . . . . . . 14

Senior Day at the Waupaca County Fair . . . . . . . 14

GWAAR Announcement . . . . . . 15

Dartball Tournament . . . . . . . . . 16

Eating Alone and Eating Healthy 17

Dining Site Locations . . . . . . . . . 18

Elderly Nutrition Program . . . . . 18

Heat Stress in the Elderly . . . . . 19

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The ADRC Connection • Summer 2013 | Page �

33875783-01

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fer good reasons for their success in hold-ing down per-patient costs by avoiding the use of expensive nursing homes in favor of cheaper care in community settings. Plus, they’re confident they can find further sav-ings in the years to come.

Wisconsin’s aging population projected to grow by well over 100,000 people by 2020. Aging and disabled adults will have continued needs and spending will still need to be controlled for the masses. Often the answer is to keep people in their homes or assisted living, use prevention methods to keep them healthy, and avoid much cost-lier nursing homes. The cheapest option is the one that gives participants the best life.

For more information on how you may be assisted, call the Waupaca County Ag-ing and Disability Resource Center at (715) 258-6400 for your individualized ar-ray of options.

Freedom from page 1 MEDICARE:

Inpatient or Outpatient?84 year old widow Jean Arnau spent five days in

the hospital with a fractured spine – lying in a hospital bed, wearing a hospital gown and ID bracelet, eating hospital food, and receiving regular nursing care. But, when she was discharged and needed to transfer to a skilled nursing facility for rehabilitation, her family learned that she had never been formally admitted as an inpatient to the hospital. Instead, she’d been clas-sified as an outpatient under “observation” – a status that would cost her thousands of dollars.

Most patients would regard as meaningless the seemingly slight distinction between the two labels; after all, they’re exactly the same kind of care. But, it can have costly con-sequences. Under the rules, Medicare picks up the whole tab for the first 20 days in an ap-proved skilled nursing facility for rehab or other care but, only if someone has spent at least three full days in the hospital as an admitted patient. If instead a patient has been under observation for all or part of that time, he or she is responsible for the entire cost of rehab.

See MEDICARE page 4

Submitted by Kathy auStin,

benefit SpecialiSt - (715) 258-6278

Page 4 | The ADRC Connection • Summer 2013

4

(Note that this situation applies only to Medicare coverage in skilled nursing facilities, which are usually nursing homes, and not to rehab hospitals or inpa-tient rehab facilities. Such places have different rules to qualify for Medicare coverage, but coverage is not affected by previous obser-vation status while in a regular hospital.)

The skilled nursing facility that Arnau went to charged her $3900 for a two-week stay and although she had a Medicare Supplemental policy, this insur-ance doesn’t pay the out-of pock-et costs of services that Medicare does not cover.

Unwelcome news: Her fam-ily only learned about the prob-lem the day Arnau left the hos-pital and they are considering appealing the decision. At first they thought it was a mistake. But staff at the nursing facility told her they’d had four cases like her mother’s just the previous week. “Four cases of the same situation, in which Medicare patients had to pay for the nursing home be-cause they’d been on observation in the hospital, not an inpatient. What’s going on here?”

Over the past several years, hospitals throughout the country have increasingly classified Medi-care beneficiaries as observation patients instead of admitting them, according to researchers at Brown University, who recently published a nationwide analysis of Medicare claims in the jour-nal Health Affairs. The results showed that in just three years, (2007 through 2009) the ratio of Medicare observation patients to those admitted as inpatients rose by 34%.

Medicare tells hospitals that

the decision to admit or discharge a patient who is under observa-tion can most often be made in less than 24 hours; “only in rare and exceptional cases do reason-able and necessary outpatient ob-servation services span more than 48 hours,” says the Medicare Ben-efit Policy Manual (PDFF), the agency’s coverage bible.

But the Brown University study found that more than 10% of patients in observation were kept in for 72 hours or longer in 2009, an increase of 88% since 2007. This research confirms the longtime concerns of consumer advocates. Two years ago, for ex-ample the federal Medicare agen-cy held a “listening session” at which more than 2200 hospital administrators, physicians, pa-tient advocates, and others called in to discuss the topic of obser-vation status. “Almost everyone who spoke felt the practice was harmful and should be ended”, says Judith Stein, founder and ex-ecutive director of the Center for Medicare Advocacy. But nothing came of it and so last year, the center filed a class action lawsuit against the federal government in an attempt to force change.

More out-of-pocket costs: The suit alleges that the practice of putting patients in observa-tion status not only denies them coverage for post-hospital rehab care in a skilled nursing facility, so they must either pay the full bill, more than $30,000 in the case of two plaintiffs, or forgo treatment. It also classifies them as outpatients while they’re in the hospital. Therefore their Medi-care coverage comes not under Part A (hospital insurance), but Part B (which normally covers doctor’s services and outpatient care. For some patients, this can

mean paying more out of pocket, especially if they need prescrip-tion drugs that, in this situation, would be covered under Part B and not under Part A or even the Medicare Part D drug benefit.

The practice “doesn’t make any sense because people only go into the hospital when they’re sick. They go either on orders of a doc-tor or because they arrived at the emergency department and were told they should stay”. And yet she adds “those who ended up in the nursing home with no payment were not aware and neither were their families that they were in observation status until they were discharged from the hospital. And then they were informed.”

The lawsuit calls for observa-tion status to be abolished, or at least for patients to be notified in a time fashion of their status and given the opportunity to make a swift appeal against the decision.

What determines whether a patient is classified as an inpatient or placed under observation? Usu-ally the call is made by the hos-pital, which, in many cases, may overrule the patient’s own physi-cian. But Medicare’s guidelines are not clear, and many experts suggest that hospitals are placing more and more patients under observation to protect themselves against new policies that penalize hospitals for unnecessary admis-sions and frequent readmissions of the same patient.

The American Hospital As-sociation says that hospitals are placed in an untenable position. On one hand, they risk penalties if they admit patients for short stays. Yet they anger patients who are put under observation.

Officials at the Centers for Medicare & Medicaid Services de-clined to be interview for this ar-ticle, citing the ongoing lawsuit.

Here’s what you can do to help avoid big bills if you or someone you’re looking out for, is placed under observation in the hospital:- Ask about your status each day

you are in the hospital. It can be changed from inpatient to observation at any time.

- Ask the hospital doctor to re-consider your case or refer it to the hospital committee that decides the status.

- Ask your own doctor whether observation status is justified. If not, ask the doctor to call the hospital to explain the medical reasons of why you should be admitted as an inpatient.

- If, after discharge, you need re-hab or other kinds of continu-ing care, but learn that Medi-care won’t cover your stay in a skilled nursing facility, ask your doctor whether you qualify for similar care at home through Medicare’s home health care benefit, or for Medicare-cov-ered care in a rehabilitation hospital.

- If you go to a skilled nursing facility and have to pay for it yourself, you can try formally appealing Medicare’s decision. When you receive your quar-terly Medicare Summary No-tice, make a copy and highlight the facility’s charge. Send this to the address provided on the notice with a letter saying you want to appeal Medicare’s deci-sion of non coverage on the ba-sis that you should have been classified as an inpatient dur-ing your hospital stay and not placed under observation. If this is denied, you can go to a higher level of appeal, follow-ing instructions on the denial letter.

MEDICARE from page 3

Reprinted from the October 2012 issue of AARP Bulletin, a publication of AARP, Copyright 2012. All rights reserved.


5

Medication Assistance Programs

By Karen Engel, Disability Benefit

Specialist

Medication adherence is a hot button issue right now and NeedyMeds wants to address it. One reason many people do not take their medications on time or at all is the high cost of their prescriptions. This is where NeedyMeds (www.needymeds.org) can help. The many resourc-es they list on their website, such as the Patient Assistance Pro-grams and Diagnosis-Based As-sistance sections connect people to programs that can assist them

with the costs of medications and therefore may improve adher-ence.

Patient Assistance Programs (PAPs)

Patient assistance programs (PAPs) are usually sponsored by pharmaceutical companies and provide free or discounted medi-cines to low-to-moderate-income, uninsured and under-insured people who meet the guidelines. Eligibility and application re-quirements vary from program to program. Use Needymeds.org website to find out if the medica-tion you need has a PAP.

Tips for Applying to PAPs: If there are any questions,

then call the program. Eligibil-

ity requirements, drugs, dosages, even programs, change regularly so it’s best to go directly to the program for information. If you do not qualify for the program but cannot afford the medicine, then tell the representative. Some companies may make hardship exceptions and are willing to re-view situations on a case-by-case basis. Sometimes a health care provider or advocate can write an appeal letter to the program ex-plaining your financial hardship.

Review the Federal Poverty Guidelines and Percentages Over the Poverty Guidelines when looking at the eligibility guide-lines of a program.

Make it as easy as possible for the doctor’s office. Fill out as much information on the appli-

cation as possible, including the doctor’s address and phone num-ber. Highlight the directions for the doctor and where he or she needs to sign. Give the doctor’s office an addressed-and stamped-envelope to send in the applica-tion or highlight the fax number so it is easy to find.

Plan ahead so your medicine supply doesn’t run out. When sending in an application, pay at-tention to the refill process and the amount of allowable refills. Each program is different; some may require a call from the doc-tor’s office while another may al-low the patient to call directly for a refill; others may require a new application, which takes time.

See PAP page 7


6


7

Be neat and complete. Some programs are fussy about their applications. The directions on the application should be completed exactly as directed. Print neatly. If something is unreadable or there is a blank, then the application may be denied, which can delay the process of receiving the medicine. Put “N/A” or “not applicable” in blanks that are not filled out to indicate the material was read through and not skipped over. Include supplementary forms if request-ed. Make sure all accompanying photocopies are clean and readable.

Diagnosis-Based Assistance Diagnosis-based assistance (DBA) programs help with

costs associated with specific diagnoses. They may cover many types of expenses, including drugs, insurance co-pays, office visits, transportation, nutrition, medical sup-plies, child or respite care.

Some cover one specific diagnosis, while others cover whole categories (such as all types of cancers) or even all chronic medical illnesses. These programs are funded by ei-ther private or government organizations. Some programs are national in scope, while others are limited to people in specific states. Most have some type of eligibility require-ments, usually financial ones.

Coupons, Rebates & More InformationCoupons, rebates and more offers of brand name medi-

cine (over-the-counter and prescription) can be found through NeedyMeds. These offers may be in the form of a printable coupon, rebate, savings card, 7-30 day free trial of-fer, or free samples. There are a variety of ways to receive the offers: some may be printed right from their website, others require registration, filling out a questionnaire, or even ob-taining a sample from the doctor’s office.

Another way to find an offer is by looking for your medi-cation on the Brand Name Drug page. These are also the drugs that have a patient assistance program. If the coupon icon appears next to the name of the drug there is an offer available for it in addition to the patient assistance program. Click on the icon to find the offer.

The Coupons, Rebates & More page contains an alpha-betical listing of the names of the medicine, offer expiration date, specifics of the offer, and the link to the offer.

Clicking on Local Pharmacy Coupon brings you to the website of the manufacturer of the medicine. Here you will find instructions for accessing the offer. Some are cards or forms that are mailed out and others are printed from the website. Some may require a physician’s signature or are for refills of current prescriptions. The offer can be difficult to find on a few websites. Be patient and browse for the offer.

So remember to take your medications as prescribed and use Needymeds as a resource anytime to help you with your health care costs.

PAP from page � “An ounce of prevention is

worth a pound of cure.” Benjamin Franklin

Staying fit & managing your chronic condition is always in sea-son! Please join us for the following classes. Helping you stay active and healthy is important to us. It’s one way for you to maintain your inde-pendence and live a well balanced life!

Strong Women™ (AKA Strong Seniors)

Strong Women™ is a program designed to help women become or stay strong, fit and healthy. It is an evidence-based, strength-training program from Tufts University proven to pre-vent osteoporosis, build muscle and improve balance, as well as decrease depression and arthritis symptoms.

NEW LONDONDates: Monday’s & Wednesday’s July 8 – August 28 Time: 10:30 – 11:30 am *bring own weights & matLocation: Washington Center Gymnasium, 600 W. Washington St.

Cost: New London Residents over 60: $20 Non Residents over 60: $27.�0Residents under 60: $40 Non Residents under 60: $�� Registration: New London Park & Rec Office, New London Aquatic & Fitness Center or online at www.newlondonwi.org

Call Kim Ebert at 920/982-8�22 with any questions.

FREMONTDates: Classes will be held Mondays: �:1�pm -6:1�pm & Saturdays: 9:1�am -10:1�am July 1 – August 24 *Bring own weights & mat

Location: Fremont Village HallCost: Residents over 60: $20 for 8 week session Residents under 60: $40 for 8 week sessionRegistration: New London Park & Rec Office, New London Aquatic & Fitness Center or online at www.newlondonwi.org

Call Kim Ebert at 920/982-8�22 with any questions.

Living Well with Chronic ConditionsThis six-week program teaches

new strategies that will give par-ticipants the confidence and skills needed to manage the challenges of living with a chronic health condi-tion. Topics include:- how to develop a suitable exercise program- management of symptoms, nutri-tion and medication- breathing exercises and stress management- how to deal with emotions such as anger and depression- problem-solving skills- and more!Dates: Wednesday’s July 24 – August 28 Time: 9:00 am – 11:00 am Location: Waupaca Senior Center, 407 School St. (lower level)

Cost: $10Registration: Call Hannah at 71�/942-1440 *Minimum of 8 participants needed to hold the workshop

The following submitted By:

Kristine WiegmanVolunteer Coordinator/Prevention Coordinator


8

Throughout the world, abuse and neglect of older adults large-ly remains under recognized, or treated as an unspoken problem. No community or country in the world is immune from this prob-lem.

Each year an estimated 2.1 million older Americans are vic-tims of elder abuse, neglect, or exploitation. Abuse and neglect of older adults is a complex and multi-faceted problem. Elder abuse encompasses many differ-ent types of harms and can occur in domestic, community, or insti-tutional settings (nursing home or other long-term care facility).

In Wisconsin an elder is a person age 60 or older who has experienced, is currently experi-encing, or is at risk of experienc-ing abuse (physical, emotional,

sexual, treatment without con-sent, unreasonable confinement or restraint), neglect, self-neglect, or financial exploitation. Perhaps what is most surprising is that the mistreatment is most often per-petrated by the individual’s own family members or someone they know. Abusers may be spouses, family members, or personal ac-quaintances, professionals in po-sitions of trust. The opportunistic strangers who prey on the vul-nerable through scams are more widely published or reported on the news, but this is a very small percentage of the cases.

Relatively few cases are iden-tified or reported because elders are often reluctant to admit to the mistreatment. It is estimated that only 1 in � cases or fewer are re-ported.

In 2012 the number of report-able cases of elder abuse in Wau-paca County was 10� (statewide 6,39� – unofficial numbers). These numbers continue to rise as we educate our communities to this issue. The older popula-tion in America is continuing to grow as the baby boomers reach age 60 and better. Seniors are living longer, but not necessar-ily better. Potential declines in cognitive and physical functions could make them more vulner-able to victimization.

Many victims are reluctant to report abuse because they may:• feel ashamed and embar-

rassed, particularly if a family member is the abuser

• be afraid that the abuser will get in trouble

• worry that they will be forced to live in a nursing home – and this sometimes happens

• feel guilty or somehow to blame

• be in denial that the abuse is occurring, or unaware that what they are experiencing is abuse or neglect

• be afraid that if they report, the abuse will get worse.Some victims are unable to

speak out do to dementia or other impairments, or may not be believed when they do. It is up to each and every one of us to do our part in raising aware-ness. Elder abuse has no limits

as to who it affects. Elder abuse can happen to any older individ-ual – your neighbor, your loved one – it can even happen to you. Please do your part to make this My World…Your World…Our World, Free of Elder Abuse!

Each county in Wisconsin has an agency that is responsible to re-spond to concerns of elder abuse. Waupaca County Department of Health and Human Services is the lead elder abuse agency for Wau-paca County. For more informa-tion please visit http://www.dhs.wisconsin.gov/aps/.

If you or someone you know is in a life threatening situation or immediate danger, contact 911 or the local police or sheriff ’s de-partment.

To report suspected abuse, please contact the Waupaca County Aging and Disability Re-source Center at 71�-2�8-6400 or 1-866-739-2372. All calls can be made anonymously and you do not need to prove that abuse is occurring.

A social worker will investi-gate your suspicions and based on circumstances will offer sup-port, assistance or connections to the right services.

World Elder Abuse Awareness Day is June 15th

Greentree Health & Rehabwhere you get specializedcare and personalizedtreatment in• Rehab, post acute, post

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JOINT REPLACEMENT RECOVERY • WOUND CARE • IV THERAPY • PAIN MANAGEMENTDIABETES MANAGEMENT • POST SURGICAL CARE • TRANSITIONAL CARE

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S udden changes in behavior or finances P hysical injuries, dehydration, or malnourishment E xtreme withdrawal, depression, or anxiety A bsence of basic care or necessities K ept away from others

U nsanitary living conditions P ersonal items missing

SPEAK UP for seniors!


9

You Are Cordially Invited To:Waupaca County Dept. of Health & Human Services

20th Annual Volunteer Recognition & Senior Citizens Picnic

What better way to celebrate than in royal flair! This year’s theme is SENIOR PROM! Dust off your dancing shoes, try on that old dress or suit & join us for a fabulous time of recognizing the 700 volunteers, dancing & wonderful door prizes! The ‘Geriatric Gentlemen of Jazz’ will bring us back to the days of old ~ sure to get your toes tappin’!

When: Friday, September 13

Time: 11:00 am – 1:00 p.m.

Where: Iola Old Car Show Grounds 130 Jensen Dr, Iola

Cost: FREE For Waupaca County DHHS Volunteers Non DHHS Volunteers: $6.00

Menu: Ham sandwich, potato salad, baked beans, beverage & dessert

“Volunteers are the Crowning Jewel! ”

(PLEASE PRINT)VOLUNTEER NAME ___________________________________________________________

ADDRESS _____________________________________________________________________

PHONE ______________________________________________________________________

In which community do you primarily volunteer?

Clintonville Iola Manawa Marion

NewLondon Waupaca Weyauwega

GUEST NAME (if applicable) _____________________________________________________

AMouNTENCLosEd: ______________________________________________________

Volunteers are free. Non-volunteers are $6.00 per person. Please do not send cash.

Send completed registration along with check made out to:

Waupaca County DHHS, Attn: Volunteer Picnic, 811 Harding St., Waupaca WI �4981

For more information, please call 71�.2�8.6277

Email: [email protected]

WAUPACA COUNTY

DHHS VOLUNTEER

APPRECIATION &

SENIOR CITIZEN’S

PICNIC

Friday,

September 13th 11:00 a.m. - 1:00 p.m.

RsVP: Please complete & return the registration by August 30For more information contact: Kristine Wiegman, Volunteer Coordinator at [email protected]


10

Reinvest in your community!

Strong participation by local businesses, churches, community agencies, and individuals is crucial to the success of this event.

Local businesses can donate goods or make a financial contribution.

Churches can provide volunteers, goods, as well as a financial gift.

Professionals such as doctors, nurses, hairstylists, photographers, can donate their time on the day of the outreach.

Individuals can volunteer to offer their time on the day of the event.

Volunteer Registration is simple:1. www.mission-of-hope.com2. Click on the Volunteer tab.3. Complete the online form.4. Hit the Submit button.5. Tell others how easy it was and invite them to serve with you.

How You Can Help!

Date: Saturday, August 24, 2013Time: 10:00 am to 3:00 pm(while supplies last)Place: Bernegger River Walk on Wolf River Avenue in downtown New London, WI

Our Mission:

Please remember that yourcommunity needs volunteers

to give others a hand upall year long.

CONTACT:Mission of Hope

N5961 Ava LaneNew London, WI 54961

(920)359-0705•(800)725-2756www.mission-of-hope.com

Find us on Facebook!

May Mission of Hope be a catalyst to unite a community to meet the needs of others by engaging the community to embrace and encourage those in need while equipping all people with opportunities to volunteer, provide and/or receive education, support, and opportunities to reinvest in their community.

*CommunityIMPACT, Inc. is recognized by the IRS as a 501(c)(3) charitable organization whose vision is local congregations and community-based organizations collaborating to impact their community. Mission of Hope is a program within CommmunityImpact, Inc.All donations can be made payable to CommunityIMPACT, Inc.

CommunityIMPACT, Inc.

www.mission-of-hope.com

10:00 am to 3:00 pm

AUGUST 24, 2013

Bernegger River WalkDowntown New London, WI

Community Outreach

Guests of Honor

COMPASSION

If you are unemployed or struggling to make ends meet each month, we are here to join with you in a day full of blessings!

Volunteers across the region are gathering upon New London, WI on Saturday, August 24, 2013 to offer free of charge:

•Groceries •Connectionto CommunityResources • EducationalResources •HealthScreenings •Haircuts •BeautyMakeovers • FamilyPortraits • Shoes • Lunch •ActivitiesforChildren •Prayer

Everyone has scared value worthy of compassionate care!

A day set aside to intentionally meet the needs of our neighbors and to promote and celebrate community service (volunteering), and more importantly, a day to demonstrate love and offer a sense of Hope!

Mission of Hope was inspired by Brooke Prahl, a 2012 graduate of New London High School. After volunteering at Convoy of Hope (a national outreach) in Appleton, she brought the event to New London.

May dreams within our communities flourish with our second annual Mission of Hope.

We want to encourage and invite non-profit and government programs to consider extending their reach from Waupaca or Appleton to New London and the surrounding areas. We have needs in our community which can be serviced with the support of many communities. May Mission of Hope be a sustainable catalyst in service to existing programs already available to our Guests of Honor.

May we Unite as a community to serve one another with open

hearts and open doors!

LOVE

Imagine This!By participating financially, you can help give hope and new opportunities to those that need a hand up in our communities. We are blessed with the generosity of our communities offering their time, talent, and treasures to service our Guests of Honor.

GOLDSPONSOR-$2,500• RecognizedasaGold Sponsor• NameandLogoonourwebsite• NameandLogoonoursponsor board at the event’s main entrance• Opportunitytosponsoraparticular tent at the event

SILVERSPONSOR-$1,000• RecognizedasaSilver Sponsor• NameandLogoonourwebsite• NameandLogoonoursponsor board at the event’s main entrance

BRONZESPONSOR-$500• RecognizedasaBronze Sponsor• Namelistedonourwebsite• Namelistedonoursponsorboard at the event’s main entrance

Anyonecandonatebyvisitingourwebsite:

www.mission-of-hope.comDonations can be made to Community IMPACT, Inc.*

HOPE

Your Contribution

www.newvisioncenter.comOffices located in Oshkosh, Ripon, Berlin, FDL &Waupaca

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“The day will be most memorable in the history of America. I am apt to believe that it will be celebrated by succeeding generations as the great anniversary festival. It ought to be solemnized with pomp and parade, bonfires and illuminations (fireworks) from one end of this continent to the other, from this time forward forever more.” So wrote John Adams on July 3, 1776 to his wife after the Continental Congress had decided to proclaim the American colonies independent of England.

The ADRC Connection • Summer 2013 | Page 11

11Non-Emergency Transportation

Provider Change as of August 1stMedical Transportation Management, Inc. (MTM) will start

providing services to Medicaid eligible members for non-emer-gency transportation. Call centers will be in Milwaukee and Mad-ison. A Forward health member update will be mailed the first week in July. Up until August 1st, rides will remain unchanged using Logisticare as the provider.

Waupaca County will continue to provide the volunteer driv-ers to elderly and disabled persons, who are not on medical as-sistance, to medical appointments, nutrition programs and em-ployment. The process for scheduling rides remains the same. Call Nancy or Kate at (71�) 2�8-6279. We still need and appreci-ate our volunteer drivers! THANK YOU for all who serve.

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01

Guests of Honor

COMPASSION

If you are unemployed or struggling to make ends meet each month, we are here to join with you in a day full of blessings!

Volunteers across the region are gathering upon New London, WI on Saturday, August 24, 2013 to offer free of charge:

•Groceries •Connectionto CommunityResources • EducationalResources •HealthScreenings •Haircuts •BeautyMakeovers • FamilyPortraits • Shoes • Lunch •ActivitiesforChildren •Prayer

Everyone has scared value worthy of compassionate care!

A day set aside to intentionally meet the needs of our neighbors and to promote and celebrate community service (volunteering), and more importantly, a day to demonstrate love and offer a sense of Hope!

Mission of Hope was inspired by Brooke Prahl, a 2012 graduate of New London High School. After volunteering at Convoy of Hope (a national outreach) in Appleton, she brought the event to New London.

May dreams within our communities flourish with our second annual Mission of Hope.

We want to encourage and invite non-profit and government programs to consider extending their reach from Waupaca or Appleton to New London and the surrounding areas. We have needs in our community which can be serviced with the support of many communities. May Mission of Hope be a sustainable catalyst in service to existing programs already available to our Guests of Honor.

May we Unite as a community to serve one another with open

hearts and open doors!

LOVE

Imagine This!By participating financially, you can help give hope and new opportunities to those that need a hand up in our communities. We are blessed with the generosity of our communities offering their time, talent, and treasures to service our Guests of Honor.

GOLDSPONSOR-$2,500• RecognizedasaGold Sponsor• NameandLogoonourwebsite• NameandLogoonoursponsor board at the event’s main entrance• Opportunitytosponsoraparticular tent at the event

SILVERSPONSOR-$1,000• RecognizedasaSilver Sponsor• NameandLogoonourwebsite• NameandLogoonoursponsor board at the event’s main entrance

BRONZESPONSOR-$500• RecognizedasaBronze Sponsor• Namelistedonourwebsite• Namelistedonoursponsorboard at the event’s main entrance

Anyonecandonatebyvisitingourwebsite:

www.mission-of-hope.comDonations can be made to Community IMPACT, Inc.*

HOPE

Your ContributionReinvest in your community!







How You Can Help!


Our Mission:











10:00 am to 3:00 pm

AUGUST 24, 2013


Community Outreach

Reinvest in your community!







How You Can Help!


Our Mission:











10:00 am to 3:00 pm

AUGUST 24, 2013


Community Outreach

CONTACT: Mission of Hope, N5961 Ava Lane, New London, WI 54961 (920) 359-0705 • (800) 725-2756 www.mission-of-hope.com

Please remember that your

community needs volunteers to give others a hand up

all year long.


12

Did you find yourself singing this tune as you were reading? For many Wau-paca County residents, volunteers are

that slice of sunshine in someone’s day. To illustrate the impact Volunteer have on resi-dents, here are some fascinating statistics from 2012.

Volunteers donated 40,0�3 hours & drove 86,914 miles. They delivered �4,2�3 meals & served 3�,676 meals for a GRAND TOTAL OF 89,929 MEALS SERVED! The in-kind contribution amount (value provided in lieu of being paid) to Waupaca County was al-most a half million dollars!! THANK YOU VOLUNTEERS!

We can measure time, miles & meals but we cannot measure the impact the human touch has on those being served. You can make a difference! Here are some ways to spread some sunshine!

SENIOR NUTRITION MEAL SITES:Do you enjoy the company of seniors? If

so, please join us at any of the 7 Senior Nu-trition Sites!

Sites are located in: Clintonville, Iola, Manawa, Marion, New London, Waupaca & Weyauwega.

• Assist at the meal site – receptionist, food server, meal set up & clean up.

• Offer your talents to the participants through music, art or professional abilities.

• Hours are approx 10:00 am – 1:00 pm, Monday – Friday. (no holidays) Flexible schedule! Choose the day(s) you’re avail-able.

**SPECIAL NOTE: Site volunteers are ur-gently needed in Weyauwega on Wed., Thur., & Fri.

MEALS-ON-WHEELS: A home delivered meal with a smile can

do amazing things for those we serve.

Consider being a Meals-On-Wheels Driv-er!

• Meals are delivered to home bound residents Monday – Friday (no holidays). Delivery times & length of route vary by the local nutrition site. Approximate times are 10:4� a.m. – 12:30 p.m. If you can offer even one day a month to deliver, it would make a huge difference in someone’s life that needs a meal & appreciates the visit!

**SPECIAL NOTE: We would like to ex-pand the delivery area outside of the New London city limits; within a � mile radius of the Senior Center. In order to accomplish this, dedicated volunteer delivery drivers are needed. Our goal is to build a core volun-teer team designated specifically for this out-reach. Is that you?

MEAL DELIVERY DRIVER COORDINATOR ~ IOLA/

SCANDINAVIA Do you enjoy planning, coordinating &

being the “one” others can call upon? If so, this may be for you!

• Organize & schedule home delivered meal drivers. Prepare the driver calendar 2-3 months at a time. Be the contact person for the drivers who volunteer at the Iola Senior Nutrition Site. Possess pleasant phone man-ners & the ability to communicate effectively with volunteers, Site Manager & Volunteer Coordinator.

TRANSPORTATION• Provide safe & dependable transporta-

tion to Waupaca County residents who are elderly or disabled for medical or nutritional needs. Background check required. Training is provided. Paid mileage. Must have a valid Wisconsin driver’s license & clean driving re-cord. Vehicle must pass a safety inspection.

– – – NEW OPPORTUNITIES! – – –

PREVENTION PROGRAM LAY LEADER• Facilitate evidence-based programs geared

for Seniors in Waupaca County! Programs offered through the Aging & Disability Re-source Center (ADRC). Help Seniors make positive changes in their life by leading workshops geared for their health & well be-ing! Training is required & paid for. Mileage is reimbursed for the workshops you facili-tate. Current evidence based programs of-fered are:

Stepping On: Stepping On is a seven-week workshop using adult education to develop the knowledge and skills needed to help older adults prevent falls. It focuses on how strength and balancing exercises, medica-tion management, home safety, footwear, vi-sion, and mobility all play an important in fall prevention.

Living Well with Chronic Conditions: This six-week program teaches new strategies that will give participants the confidence and skills needed to manage the challenges of living with a chronic health condition.

Strong Women (aka: Strong Bones/Strong Seniors): Strong Women™ is a program de-signed to help women become or stay strong, fit and healthy. It is an evidence-based, strength-training program from Tufts Uni-versity proven to prevent osteoporosis, build muscle and improve balance, as well as de-crease depression and arthritis symptoms.

For additional workshop information, visit http://www.youradrcresource.org/ser-vices/health_wellness.html

To learn more about these opportunities, please contact:

Kristine Wiegman Volunteer Coordinator/Prevention Coordinator

[email protected]

Check out the ‘Waupaca County DHHS Volunteer Program’ on Facebook

Kristine WiegmanVolunteer

Coordinator/Prevention

Coordinator

We all need Sunshine!You are my Sunshine, My only Sunshine, you make me happy

when skies are gray. You’ll never know dear how much I love you…

The ADRC Connection • Summer 2013 | Page 1�

13

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* For an additional occupant ina suite, please add $500.00

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• All utilities(cable included)except telephone

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Rental prices include:• All services inindependent living

• Weekly cleaning of suite• Weekly laundering oflinens, towels andpersonal items

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DHHS Implements Trauma-Informed Care

In a recent all staff meeting of the Waupaca Department of Health and Human Services, Trauma Informed Care was in-troduced as a new practice to in-corporate in all areas of service. According to the Federal Agency of Substance Abuse and Mental Health Services Administration, “Traumatic experiences can be dehumanizing, shocking or ter-rifying, singular or multiple compounding events over time, and often include betrayal of a trusted person or institution and a loss of safety. Trauma can result from experiences of vio-lence. Trauma includes physical, sexual and institutional abuse, neglect, intergenerational trau-ma, and disasters that induce powerlessness, fear, recurrent hopelessness, and a constant state of alert. Trauma impacts one’s spirituality and relation-ships with self, others, commu-

nities and environment, often resulting in recurring feelings of shame, guilt, rage, isolation, and disconnection. Healing is pos-sible.”

The prevalence of trauma varies, but many can have a his-tory of even a single event of trauma that has helped to shape responses in life. In assisting people with past traumas, pro-fessionals are taught to ask not “What’s wrong with you?” to “What has happened to you?”

These new methods will be taught in all units of service, in-cluding the Aging and Disability Resource Center as workers seek to help consumers find needed services and better understand past experiences. Watch for more information and community presentations as we incorporate these values into our service to the community.

This model is for you if...

• You’ve never been a caregiver.

• Someone you love has a serious illness.

• They turn to you.• You don’t know what to do.

• You’ve been taking care of someone seriously ill for a long time.

• You’re burning out.• You can’t do it alone anymore.

Contact Kate at the Waupaca Aging and Disability Resource Center for advice and help now!

(715) 258-6400.


14

2-1-1 Introduces New Search Site

The United Way Fox Cities 2-1-1 Online Resource Directory has been updated! To find resources serving Calumet, Outagamie and Waupaca County residents, enter information about the person needing the service. Just enter the zip code, browse categories and search by the service keyword, agency or program name. It’s as easy as that.

www.211now.orgDo you know that your donations help to support 2-1-1 for our

area, not only to give us information, but to be there for us in times of great need or disaster to help us find support? You can find out more by contacting Susan Richards by dialing 2-1-1 (or 800-924-��14) or [email protected].

YOU are Needed as a Wise Senior

The Wisconsin Senior Employment Program (WISE) helps people �� and older learn new skills by placing them in training positions. Workers are paid $7.2� per hour and income limits do apply. The goal is to seniors gain regular, unsubsidized employment. All of Waupaca County’s nutrition sites are in need of your assistance through this program now. The program serves a wide variety of people from all walks of life. Training is provided by the nutrition site managers. To inquire about your ability to start now, call

• Ryan Rockey Clintonville Community Center (71�)823-7667

• Mary Maxwell Iola Senior Nutrition Center (71�) 44�-2�48

• Mona Golla-Kolosso Manawa Nutrition Center (920) �96-3320

• Mary Riske Marion Senior Center (71�) 7�4-2482

• Kim Ebert New London Senior Center (920) 982-8�22

• Joann Samack Waupaca Nutrition Center (71�) 2�8-9�98

• Caroline Webb Weyauwega Nutrition Center (920) 867-3213

at the

Waupaca County FairFriday,August23,2013

Free Entertainment in the Grandstand Pavilion“Neil Zunker and the Music Connection”

10:30 a.m. & 12:00 p.m.

Entrance fee: $4.00 for seniors until 3:00 PM Free parking

Senior Day

(Seniors = age 62 and older)Join us for Senior

Day at the Fair!

As part of an early post retirement goal, former ADRC Manager Patrick Enright has been walking the Ice Age Trail as a fundraising effort to support the elderly nutrition program and to honor the volunteers that have kept it strong. Funding cuts, however, continue to threaten current service levels. Dona-tions to support this goal can be made to WC Opportunities Inc. and sent to Christie Gonwa, Waupaca County ADRU, 811 Harding Street, Waupaca, WI �4981. The donations are all tax exempt under �01 (c) 3 status of the IRS and will be receipted for year-end tax reporting. You can fol-low Pat on his blog at www.iceagetrailhiker2013.wordpress.com. He has now walked in excess of �00 miles and complet-ed the first half of his trail walk. In the fall he will begin the completion of the second and final half. He welcomes your comments and thanks you for your support – as do we!

The Trails Continue To Beckon Me


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Drs. Robert Wubben, James Mitchell &Brian Sears

OFFICE LOCATIONS• Providers for most insurance companies• Accept Medicare and Medical Assistance

• Affiliated with Theda Clark Medical Center and Riverside Medical Center in Waupaca.

The physicians of Orthopaedic Specialists, S.C. are available to carefor your entire family’s orthopedic needs.

To schedule appointments call (715) 258-0242 or 1-800-214-9668

Treatment of:• Fractures• Trauma reconstruction• Foot and ankle surgery• Total joint replacement

• Arthroscopic surgery• Sports medicine• Shoulder surgery• Hand & carpal tunnel surgery

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IOLA LIVING ASSISTANCE, INC.185 S. Chet Krause Drive

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Iola Living Assistance, Inc. Welcomes you to explore three levels of livingarrangements for rehabilitive, respite, assisted living, or long term care.

GWAAR Announces New Advocacy and Public Policy Coordinator

The Greater Wisconsin Agen-cy on Aging Resources (GWAAR) is pleased to announce that Janet Zander has accepted the newly-created position of Advocacy & Public Policy Coordinator and will begin work from her home office in Rosholt, Wisconsin, on July 1, 2013.

Most in Wisconsin’s aging network know Janet as a dedi-

cated professional with a dem-onstrated passion for advocacy. She has been director of the Ag-ing & Disability Resource Center of Portage County since 1997 and is past-president of the Ag-ing & Disability Professionals Association of Wisconsin (AD-PAW) where she chairs the leg-islative/advocacy committee. According to Bob Kellerman, ex-ecutive director of GWAAR, her vast experience and stellar repu-tation make her a perfect fit for the position.

As Advocacy & Public Policy Coordinator, Janet will be the agency lead in identifying and influencing public policy that impacts older people through-out the state. She will track legislative and policy develop-ments at the federal, state, and local levels; analyze the effects on older people, the services they rely on, and the agencies that provide those services; and engage, inform, and mobilize the aging network around those issues using a coordinated strat-

egy. Most importantly, Janet will work with county and tribal aging programs to create a grass-roots network that educates and supports the advocacy efforts of older people throughout the state.

Please join us in welcoming Janet to the Greater Wisconsin Agency on Aging Resources and stay tuned for additional news and contact information as she begins this new position.

By Kris Krasnowski, GWAAR Communications Coordinator


16

Dartball Tournament

The Waupaca County Senior Dartball tournament was held March 14th at Marion and it was one of the closest finishes in years. Clintonville, Marion, and Weyauwe-ga all finished tied with 3 wins and 1 loss. The win-ner was decided by the number of runs scored in the tournament and Clintonville was declared the win-ner with 20 runs scored. Marion finished second with 16, and Weyauwega, a close third with 14.

Clintonville also won the first half and beat Marion (second half champs) in the playoffs for the league champion-ship.

Clintonville TeamFront row: Dan Plauster, Arlyce Velte, Donna Decker, Elsie Lutzewitz, Gordon Graetz. Back row: Bob Pluger, Bob Eggleston, Karl Lutzewitz, Don Pringnitz, Dave Buss and Ron Lutzewitz

Marion TeamFront row: Ruby Niemuth, Hazel Plauster, Dorothy Keller, Eugene Barnick, Warren Erdman. Back row: Jerry Plauster, Mike Suehring, Ken Huebner, Lyle Passehl, Doug Plauster and Terry Beyer.

Weyauwega TeamFront row: Robert Erickson, Elaine Kaminske, Joyce Prahl, Mary Ann Rasmussen. Back row, Merlyn Prahl, Wayne Hoffman, Neil Rasmussen and Roger Boushley.

New London TeamFront row: Arlyn Bauer, Rose Kaddatz, Lyle Kaddatz. Back row: Elmer Miller, Earl Wohlrabe, Jacob Algiers and Robert Glocke

Waupaca TeamFront row: Harold Morack, Ruth Wilde, Stu Droeger, Ray Moros. Back row: Clarence Ehrenberg, Willard Wilde, Eugene Gauerke and Sonny Snyder.

at Marion on March 14TH

Dartball

Champions!


17

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EATING WELL WHEN EATING ALONENo need to sacrifice nutrition for convenience, says UW-Extension expert

Wisconsin had nearly 64�,000 single-person households as of the 2010 Census. That’s a signifi-cant number of people who may regularly cook and eat meals on their own.

If you’re cooking for yourself, you may not want to spend much time preparing a meal, says Su-san Nitzke, UW-Extension spe-cialist and Professor Emerita in nutritional sciences at the UW-

Madison. “But by following a few basic tips, you don’t need to sacri-fice good nutrition for speed and convenience when you’re making a meal for yourself.”

1. Think ahead and buy foods that are easily adapted to a variety of meals, says Nitzke. “For exam-ple, with some planning you can buy a hot, pre-baked chicken for tonight’s dinner and end up with several other meals as well. When you bring the chicken home from the grocery, set aside the amount that you plan to eat right away. Cut the rest into thin slices and chunks and refrigerate within one hour. The saved chicken slices can be used for a sandwich tomorrow and the chunks can be

used to make a chicken salad the next day.”

2. If you’re accustomed to pre-paring family-sized recipes, select a few of your favorites that are delicious as leftovers. Divide the extra food into portion-size con-tainers and freeze for quick and healthy homemade “TV dinners” at a later time. This works espe-cially well with hearty recipes like soups, stews and pasta dishes. “As a rule of thumb, dishes like lasagna and beef/vegetable stew that are readily available in your grocer’s freezer have basic recipes that freeze well when you make them at home,” says Nitzke.

3. Use restaurants wisely. Or-dering pizza or stopping for fast

food is okay now and then, but eating out can be more expensive and less nutritious than prepar-ing meals at home. “Studies show that people drink more soda and eat fewer vegetables and whole grains when eating out,” says Nitzke. These nutrition pitfalls can be avoided with careful selec-tion, especially for beverages and side dishes.

4. At the grocery store, buy fruits and vegetables that store well. Carrots, beets, cabbage, squash, sweet potatoes, apples, oranges, and kiwi fruits are ex-amples of fresh foods that usual-ly last several days or even weeks

Alyson Bechard, Wisconsin Nutrition Education Program

(WNEP) Coordinator

See Eating Well page 19


18

Site Managers, (L-R) Back Row, Standing: Ryan Rockey, Caroline Webb, Kim Ebert, Joanne Samack and

Mona Golla-KolossoSeated: Mary Riske and Mary Maxwell

Elderly Nutrition Program

Good nutrition is critical to good health—no matter what your age. Studies show that the right diet and adequate in-take are especially important for older people and that poor

nutrition is the biggest threat to an older adult’s independence. Wis-consin’s Elderly Nutrition Program is a step in that direction. The program offers tasty, nutritious meals to anyone aged 60 and older (in some tribes aged �� or older). Each meal provides at least 1/3 of the daily amounts of nutrients needed to promote good health. Participants are provided with an opportunity to donate toward the cost of the meal, but no one (aged 60 or older) will be denied a meal regardless of their ability to donate.

Many communities offer meals in a specific location—often a senior center or other community facility—where older people can easily gather for food, fellowship, and fun. It’s not uncommon for new friendships to form during these meals. Card games, crafting sessions, health and/or other activities often take place before, dur-ing, or after the meal. The goal is to offer “more than a meal.”

Home-Delivered Meals, often referred to as Meals on Wheels, are great for folks who cannot get to a meal site and who meet certain eligibility requirements, but still need a nutritious meal. Friendly drivers bring delicious, home-style, freshly prepared meals delivered to your door Monday through Friday. Every de-livery comes with the well-being check that Meals on Wheels has become famous for!

The nutrition program offers more than just a meal. It provides socialization, nutrition education, and other activities and is often the gateway to many other services. The program is offered by all county and tribal aging units/ADRCs in Wisconsin.

If you or someone you know can benefit

from the Senior Nutrition and Activities Program,

please call The Aging & Disability Center at

71�.2�8.6400 or your closest meal site:

*Gift certificates are available*

To view each site’s monthly menu: on the Internet, go to www.co.waupaca.wi.us.

Under the Health/Human Services column click on Senior Meal Sites and then Meal Site Current Menus

COMMUNITY SENIOR DINING SITE MANAGERS & LOCATIONS SERVING TIMES

Clintonville Community Center Site Manager, 30 S Main St Ryan Rockey 71�.823.7667 Serving Time: 11:30 AM

Iola Site/Living Oaks Site Manager, �0� Iola St Mary Maxwell 71�.44�.2�48 Serving Time: 11:00 AM

Manawa Senior Center Site Manager, Town of Little Wolf Town Hall Mona Golla-Kolosso E632� County Rd N Serving Time: 11:30 AM 920.�96.3320

Marion Senior Center Site Manager, Lions Point- 320 W Garfield Mary Riske 71�.7�4.2482 Serving Time: 11:30 AM

New London Senior Center Site Manager, Washington Center Kim Ebert 600 W Washington St Serving Time: 11:30 AM 920.982.8�22

Waupaca Senior Dining Center Site Manager, Trinity Lutheran Church Joanne Samack 206 E Badger St. Serving Time: 11:30 AM 71�.2�8.9�98

Weyauwega-Fremont Center Site Manager, American Legion Building Caroline Webb 303 N Mill St Serving Time: 11:30 AM 920.867.3213

Waupaca County offers meals in seven dining site locations.


19

Rehab Servicesat Lakeview Manor

MJ Care Rehab at Lakeview Manor provides quality, comprehensivephysical, occupational and speech therapy services.

We provide all private inpatient rooms as well as top-notch outpatient therapy services.

Our rehab programs address the following concerns:• Stroke or other neurological incidents• Limb fractures, knee and hip replacement• Fall prevention and balance training• Arthritis and pain management for lower back, hips, knees, hands, shoulders• Muscle, ligament and tendon strains and tears• Speech-language deficits• Voice disorders• Swallowing/chewing deficits• Incontinence programs• Physical conditioning and cognitive re-training/community re-entry• Wound care services• Developmentally delayed patient treatments• Home safety assessments

Mandi BeckPTA/Rehab Director

920.867.2183Lakeview Manor912 Manor Drive

Weyawega, WI 54983

For more information, contact:

4180768-01

in your refrigerator. Selecting canned or frozen forms may be more practical for softer fruits like peaches and berries and for vegetables that spoil quickly like corn and peas--especially when these products are not in season. “Frozen vegetables in bags are especially useful. You can take out just enough for today’s meal and keep the rest fro-zen for later,” says Nitzke.

�. Stock up on foods that are easily prepared in small portions. Depending on your taste preferences, you may choose to stock up on small cans of tuna, pasta sauce, beans and vegetables along with small bags or boxes of rice, tortillas, peanut butter, breakfast cereal, and noodles or spaghetti. The same principle applies to basic items in your refrigerator like milk, yogurt, cheese, eggs, salad dressing, and butter or margarine. Frozen bagels and English muffins are handy substitutes for fresh bread. With these items on hand, along with salt, pepper and some vegetable oil, you will have the basic ingredients for a number of quick and easy meals whenever the need arises.

6. Avoid the temptation to skip meals and eat more snacks. “Start-ing with breakfast and throughout the day, you’re more likely to have a balance of healthy food by eating regular meals and healthy snacks, rather than grazing on less-healthful foods throughout the day,” says Nitzke.

For more information on healthful eating, contact the Waupaca County UW-Extension office at (71�) 2�8-6230.

Eating Well from page 17

Aging & Disability Resource Center (ADRC)Hours: 8:00 a.m. to 4:30 p.m. Walk-Ins Welcome

Phone: 1-71�-2�8-6400 or 1-866-739-2372E-mail: [email protected]

Waupaca County Courthouse 811 Harding Street, Waupaca - Second level

Heat Stress in the ElderlyElderly people are more prone to heat stress for several

reasons. They do not adjust as well to sudden changes in tem-perature, are more likely to have a chronic medical condition that changes normal body responses to heat, and are also more likely to take prescription medicines that impair the body’s ability to regu-late its temperature or that inhibit perspiration.

Heat stroke is the most serious heat-related illness. Warn-ing signs vary but may include: an extremely high body temp (above 103°F); red, hot, and dry skin (no sweating); rapid, strong pulse; throbbing headache, dizziness, and nausea.

Heat exhaustion is a milder form. Warning signs vary but may include: heavy sweating, paleness, muscle cramps, tiredness, weakness, dizziness, headache, nausea or vomiting, fainting, skin may be cool and moist, pulse rate fast and weak, and breathing fast and shallow.

To protect yourself from heat stress: Drink cool, nonalco-holic beverages; rest; take a cool shower, bath, or sponge bath; if possible, remain indoors in the heat of the day and seek an air-conditioned environment; wear lightweight clothing; and do not engage in strenuous activities.

You can help your elderly relatives or neighbors by visiting them at least twice a day and watch for signs of heat stress; encour-age them to increase their fluid intake; and take them to air-condi-tioned locations if they have transportation problems.

If you see any signs of severe heat stress, you may be deal-ing with a life-threatening emergency. Call for immediate medical assistance and begin cooling them down by: • Getting the person to a shady area. • Cooling them rapidly, using whatever methods you can. For ex-

ample, immerse them in a tub of cool water; place them in a cool shower; spray them with cool water from a garden hose; sponge them with cool water; or if the humidity is low, wrap them in a cool, wet sheet and fan him or her vigorously.

• Monitor their body temperature and continue cooling efforts until it drops to 101°–102°F

• If emergency medical personnel are delayed, call the hospital emergency room for further instructions.

This information and more can be found on the Centers for Disease Control and Prevention website for at http://emergency.cdc.gov/disasters/extremeheat/


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Volume 19 Number 2 Summer 2013 July 1 is Freedom from ...public2.co.waupaca.wi.us/hrCommunityCare/Newsletters/Summer2013.pdfThe ADRC Connection • Summer 2013 | Page 3 3875783-01