Surrounding You With the Care You Need to Remain at Home FALL 2015 OUR SENIOR-MOST CITIZEN! ~A Message from the PACE Executive Director~ The number of dementia cases continues to increase nationally and worldwide. There is a great need to insure health care staff are well trained to provide appropriate, competent, and sensitive direct care and At the PACE support for the dementia Day Center patient. There is also the need we provide to bring attention to this services across serious health problem that the cognitive continuum. affects over 70 percent of our PACE participants. June was National Alzheimer’s Awareness Month. PACE participated in a community meeting, sponsored by the Alzheimer’s Association. Two caregivers shared their experience of caring for a loved one with Alzheimer’s. The Walk to End Alzheimer’s took place in August and PACE had the largest team of people participating. PACE participants, staff, family and friends joined together to demonstrate our commitment to this cause. ~Continued on p.2~ Born in 1913, Bessie Bookwalter is the oldest participant at PACE! Her family moved from Chicago to Benton Harbor when she was five years old. “My mother said if there’s a heaven it’s right here! We had trees and grass. We didn’t have to play on the sidewalk any more,” Bessie said. Of PACE, Bessie said: “There’s something different here all the time — lots of people to watch. I wish I could walk around like some of the others do. I’m trying. I’m riding the bike a lot.” ~Continued on p. 6 PACE staff and family members took part in the Walk to End Alzheimer’s in August. Bessie Bookwalter, age 101, exercises on the NuStep machine in the PACE Therapy Gym. The NuStep bike has become a valuable vehicle at PACE! It takes participants to greater strength and other fun and exciting places. See pages 4-5 to read more about our award-winning adventures and “travels” on the NuStep machine. Playing jacks. Drawing a ball field and bases in the dirt with a stick. Playing outside in the summer until sunset, or until mom called. Childhood memories are a favorite topic of conversation in the PACE Cognitive Climbers group. Participants also enjoy talking about work they did as an adult. “I loved being a truck driver and seeing a lot of different states,” one participant said. Cognitive climbers is a mental stimulation group led every day by Activity Coordinator Meg. These small group sessions help participants to maintain their cognition through Activity Coordina- structured activities that are fun. The activities focus on tor, Meg, shows participants participants’ strengths rather pictures as than concentrating on their areas discussion topics of difficulty. in the Cognitive They are engaged in activities Climbers group. that bring laughter and build friendships. When thinking about what they can do, not what they can’t do, they become more confident and strengthen their relationships. Participants can express themselves without feeling judged. “Oh, I remember the sounds of vendors singing and yelling at a baseball game!” a participant said. (continued from page one) As you know, activities are a key element of PACE. We offer a broad range of activities that engage participants with no dementia to those with significant dementia. We create a special space for those who need one-on-one attention by offering special programs like Cognitive Climbers, Music Therapy and Shining Star Daily Ribbon cutting at the Walk Rhythms. to End Alzheimer’s PACE staff are committed to serving our participants, engaging them in meaningful activities and motivating them to their fullest potential. They attend regular memory care Training, and practice techniques to keep our participants active. Thank you to all who share our commitment and support our effort to provide excellent care. ~ Therese Saggau, Executive Director Lindsey, a Certified Dementia Practitioner, offers activities that focus on what the participant is able to do or would have fun The memory care program at PACE helps doing. She looks for a new activity to replace participants who live with dementia. They take part one that has become difficult. in activities carefully created so each One of our participants loved to read participant can experience success “I like coming here the daily newspaper. He became upset and not be frustrated. Any partici- ecause everyone believes in me. There when he could no longer read it on his pant can join regardless of the is always something for own. Lindsey spoke to a family extent of their dementia. to do — things that member who now reads the newspaper “The world isn’t made for people me I used to do but to him. This allows the participant to with dementia,” said PACE Activity different so I can do continue something he loves. It also gives Coordinator Lindsey. “But when our them better.” — a participant in the the participant and his family member a participants come to PACE we can memory care new focus for conversation. Now they match them with activities that are program. enjoy talking about the articles together. easy for them to enjoy.” BEREAVEMENT GROUP HELPS TO BRING COMFORT PACE SOCIAL WORKERS ASSIST IN MANY WAYS Ada Barton says angels come in all different forms. The evening of her daughter Jeanie’s death, after family had left, a butterfly fluttered close outside the window where Ada was sitting in her home. “It kept coming back to my window. It was like she was telling me: ‘Momma, It’s ok.’ In my heart I know it was her.” Just weeks after the death of Jeanie — the third deceased of Ada’s five children — PACE began a monthly bereavement group to provide support for participants who have lost a loved one. “It was hard at first,” Ada said of taking part in the bereavement group soon after her daughter’s passing. “It had just happened.” “It doesn’t hurt as bad when you talk to someone. And it’s better talking to some one you don’t For participant Ada, the PACE bereavement group helps ease the know. It’s not loss of two daughters. the same as family.” Ada feels the benefit of participating in a support group with others who have gone through a similar experience. “They are very smart. They knew what I was talking about. They’ve been there.” “I love the group. I wouldn’t want it to ever quit.” Ada relayed that her daughter Johanna said: “PACE has done wonders for you.” The bereavement group is just one way she’s better because of PACE, Ada says. Participants who are grieving the loss of a loved one are welcome to take part in this support group. They can join or leave the group at any time. The group is led by Hospice at Home staff members. It meets once a month for one hour at PACE. To learn more or to join the group, please call your PACE social worker at 269-408-4322. There are four social workers at PACE who support our participants in several ways. They help caregivers and family members, too. The social workers reach out to community resources on behalf of participants. They smooth the way to apply for food assistance, financial assistance or housing assistance. Social workers help participants understand advanced directives and complete forms. Social worker Kim When caregivers need shares a quiet respite, social workers moment with a participant. find a temporary place for participants to stay away from home. They also make sure our participants stay financially eligible for PACE. Social workers offer a kind ear when participants need to talk. They can also arrange for outside counseling services. Social worker Loren greeted a participant and noticed his book of poems. Loren asked if he could read aloud from the book. Sure! You never know how a social worker might help! ENCLOSED WITH THIS ISSUE Information on the PACE grievance and appeals process is being mailed to participants along with this newsletter. Please read and keep this information about your right to file a grievance/appeal. WE STEPPED TO THE BRIDGE! Participants made it all the way from St. Joe to the Mackinac Bridge during last year’s exercise challenge. Taking turns on the NuStep machine in the PACE rehab gym, they logged virtual miles “traveling” on an award-winning adventure. They reached their goal in time for the governor’s annual Labor Day walk across the bridge. Each participant received a signed congratulations certificate from Governor Snyder and Lt. Gov. Calley. It’s 340 miles from St. Joe to the Bridge. One mile equals 1,584 steps on the NuStep bike. Along the way they “visited” the Lake Michigan lighthouses. As miles were logged they looked at photos of each lighthouse and learned about its history. The NuStep bike became so popular the participants would line up and await their turn. It was time to purchase a second NuStep machine! Over one-third of the PACE participants are able to exercise on the machine. Many of our participants began the challenge of riding the NuStep bike 5-10 minutes per day. As their strength and stamina increased, the therapy staff saw amazing time and mileage increases. By the end of the challenge most were able to ride for 30-40 minutes — some more than an hour! The NuStep bike increases strength and mobility and helps prevent falls. Participants can feel their muscles are better toned and they have more energy. Home care agencies and facilities that care for some of our participants reported that our participants were stronger and needed less assistance. A few of our participants who live with dementia also took part and were aware of the project. They became engaged in our “journey” and asked if we were at the next lighthouse. The lighthouse theme carried over to other activities. Participants painted ceramic lighthouses. A guest speaker from the City of Saint Joseph brought lighthouse art sculptures that stood on the downtown sidewalks last year. Our guest also talked about the lighthouse at the St. Joe pier. Read about our next NuStep challenge on page 5! PACE STAFF HONORED Last year’s PACE lighthouse project on the NuStep machine won a state award! PACE staff members Carrie, Sindy, Meg and Robin accepted the Leading Edge and Care Services Award. They attended the Leading Age conference in Detroit in April 2015 to receive the award. The lighthouse project was honored for its benefits and creativity. Leading Age is an organization that encourages programs such a PACE to help people age well. Leading Age makes our state government aware of the need for programs and services that help improve quality of life for older adults. PACE also received a special certificate for our “Relentless positive action in making Michigan a better place to live and age well.” PACE BOARD OF DIRECTORS Lynn Kellogg, President Eileen Willits, Vice President Dennis Mack, Secretary/Treasurer Donald Hanson James Schlaman Christine Vanlandingham Dan Wassenhove Melinda Graham Gruber Michael Westfall, D.O. Ernest Buck, M.D. PACE ADMINISTRATIVE STAFF Therese Saggau, M.S.P.T. Executive Director Janel Groth, R.N. Center Manager Keith VanOosterhout, M.D. Medical Director FOLLOWING THE BUTTER LIES TAKING THE NUSTEP MACHINE TO NEW DISTANCES We raised butterflies at PACE — thanks to staff members in our Occupational Therapy, Physical Therapy and Activities departments. They created a butterfly project that enriched many areas of PACE. We watched 42 Monarch butterflies’ amazing change from egg to larva to chrysalis. Then when the butterflies emerged, we sent them off from the PACE garden patio! This fall participants will “travel” to Mexico by logging miles on the NuStep exercise machine. (1,584 exercise steps equal one mile.) This virtual trip will follow the Monarch butterfly migration as they fly to Mexico for the winter. Earlier we “traveled” to the Mackinac Bridge on the exercise bike, visiting all the lighthouses along Lake Michigan. (see p.3) To follow the butterflies, participants tagged a few Monarchs and will track their migration on the Monarch Watch website. Our goal is to ride the NuStep bike the same number of miles that the Monarchs fly as they migrate to Mexico for the winter. That’s 2136 miles! This activity has another goal. Participants will build strength and endurance, helping them maintain their independence. Butterflies became a theme throughout the PACE Day Center. Participants built butterfly houses and planted a butterfly garden. They put together butterfly puzzles and colored a butterfly wall mural. They also learned about butterflies during a visit to the Sarett Nature Center butterfly house. A Sarett naturalist brought Monarchs to PACE. She taught us about their remarkable lifecycle. The project nurtures a caring spirit and raises awareness about the fascinating Monarch. Around the world people are learning ways to help save the beautiful creatures. There are fewer Monarchs today because of dangers to their food and environment. AT 101, BESSIE IS OUR ELDEST Bessie met her husband, “Bookie,” when they were (CONTINUED FROM PAGE 1) students at Benton Harbor Bessie grew up with one older sister and one High School. They dated for younger sister, and they had fun playing jacks and five years. “We saved our jumping rope. “I see these children now and money and had our home all they’re not outside like we used to be. They’re furnished.” A tool and dye looking at a computer or tv. I wonder what’s going maker, Bookie’s skills kept him to happen to them,” Bessie said. on the home front after WWII “We were so poor the Depression began. “When the Japs came didn’t bother us like it did the rest of over in ’41 he was needed in the people.” Bessie’s father immigrat- the defense plant more than in ed from Prague. “My parents were the Army,” Bessie recalls. both Bohemians,” Bessie said of the During that time, the family region now part of the Czech resided in Kalamazoo. They Bessie and Bookie married in 1937 Republic. Her father was a barber in moved back and lived at Chicago and then in Benton Harbor. Sister Lakes for 45 years. “He had all the farmers. He was 89 They owned H.C. Bookwalter & Sons Tractor when he quit cutting hair.” Company at Euclid Center, where Bessie helped During most of her years out in the office. She also worked in the purgrowing up the family did not Bessie, age 5 chasing department of the Heath Company. have a car. The first model they Bessie and Bookie were married for 73 years. acquired was an Overland. “There were no They raised two sons and a daughter. Bessie windows,” Bessie recalls. “There were shades you’d lives on 35 acres where her son, Dick, also has a pull down.” In the winter her father put the car up house. Bessie has six grandchildren and 10 great on blocks and the family would travel by horse and -grandchildren. buggy through the snow. “Someday there won’t be In retirement, Bessie and Bookie spent any cars. People will just fly,” Bessie said. winters near their son, George, in Florida, then in Texas. Bessie kept a log of their travels. “I did a lot of writing. Every night I would write down DAY CENTER CLOSINGS Our number one priority is the safety of our what we did.” At home Bessie likes to sit at her window participants and staff. and watch the birds on feeders that Dick fills for Day Center Closed, No Transportation: her. “I’m blessed because they’re so wonderful If we are closed “PACE of Southwest Michigan” to me,” Bessie said of her three children — to will be included in television and radio which her daughter, Cyndi, responds: announcements. We will call each participant “That’s because she was so wonderful to us!” scheduled to attend the Day Center that day. We will discuss any medications, home care or meals needed. We will provide the items you need. schools are closed, the PACE vans will NOT provide transportation to the Day Center that day. Day Center Open, No Transportation: Snow and Ice Removal If the school district you live in is closed, the At each home, participants or family members PACE vans will NOT provide transportation in must arrange for clearing walkways and drivethat area. Our day center will still be open. ways. Keep all walkways and ramps salted. We will Participants could still attend if a family member or not be able to pick you up if these areas are not caregiver drives them. When the St. Joseph, MI, cleared of ice and snow. FALL PREVENTION IT’S A MATTER OF BALANCE Helping participants to prevent falls is a major focus at PACE. We have begun a fall prevention class called “A Matter of Balance.” The class is part of a nationally recognized program designed to reduce falls and the fear of falling. PACE participants chosen for the class learn exercises for better strength and balance. They learn to set goals to increase their activity level. Flexibility is also improved. Eight two-hour sessions are led by our occupational therapist and physical therapist. They even teach the participants how to control their fall if it does happen. Participants exercise in the Matter of Balance class. WE’RE GETTING AROUND! . . . on the St. Joe Carousel at Silver Beach! . . . at Dinges Farms, Three Oaks FLU SHOTS GIVEN The flu shot is being offered to participants beginning Monday, Oct. 19. They are also receiving information about the injection. Heat, redness and swelling can occur at the injection site in the upper arm. Discomfort might last 2-3 days. ALWAYS HERE FOR YOU WHEN TO CALL PACE If you are ill or hurting, but it is not an emergency, please call PACE between 8:00 a.m. and 4:30 p.m. For urgent medical issues, call PACE day or night at 269-408-4322. Call 911 in an emergency. Then notify PACE. . . . at the Curious Kids Museum, St. Joe.
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