| E-Vote | 
                 
                
                  How  do your patients/clients use their free time?  
                    A.  Exercise/sports 
                      B.  Artistic pursuits 
                      C.  Volunteer work 
                      D. Reading                   
                  (Vote here!)  | 
                
              
              
                
                  | Recently in Aging Well... | 
                 
                
                  IT Streamlines Nursing Home Operations 
                    Innovative technology continues to improve the implementation of nursing  home functions, from resident services modifications to facility management  nuances. Read more 
                    A New Purview for HIV/AIDS 
                      Although successful therapies have extended the life expectancy of older  adults with HIV/AIDS, some significant obstacles remain. Read more 
                    The Workforce Landscape — Graying but Gritty 
                      Older adults no longer anticipate early retirements or the prospect of  unplanned, lazy days. Boomers expecting to work well past the age of 65 plan to  use their knowledge, talent, and time wisely. Read more 
                    Medication Monitor — Interaction Vigilance 
                    The number of medications  many older adults take puts this demographic at an increased risk of  interactions among prescription drugs, over-the-counter medications, nutrients,  and herbal preparations. Read more                      
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                  | Other  Aging News... | 
                 
                
                  Genes vs.  Behavior 
Behavioral choices such as smoking and sun exposure surpass genes  in determining appearance as we age, according to CBS  News. 
                      Senior  Emergency Departments 
                          NPR reports that specially trained staff and innovative design elements make an  older adults’ emergency department particularly efficient and appealing.  
                      Seniors Want Dynamic Activities 
                        Senior  centers across the country face challenges in developing programming that meets  the expectations of 21st century older adults, the Pittsburgh  Tribune-Review reports. 
                  Turning to  Franchises 
                        Franchises  offer retirees opportunities to develop their entrepreneurial talents,  according to MSNBC. 
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                    Openings | 
                 
                
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                  Editor’s E-Note 
                  It’s clear that nutrition is a critical player in lifestyle  considerations that affect older adults’ longevity. As we celebrate National  Nutrition Month in March, it’s important to create opportunities to make your  patients and clients aware of the key role diet plays in staying healthy and,  in turn, enhancing elders’ quality of life. 
                  This  month’s E-News Exclusive, “Adult Day Services: More Than a Stopgap Measure,”  highlights the dramatic modifications such services will likely undergo to  effectively serve the baby boomer demographic that will populate senior day  care centers in the not-too-distant future. In addition to programming and  staffing considerations, diet and nutrition issues serve as a focus for  proposed overhaul and enhancement.  
                  Healthcare  professionals can take active roles in providing input to local legislators and  planners who can influence the success of senior day care services as they  evolve to serve diverse groups of older adults. Take the opportunity to make a  difference. 
                  We  welcome your comments at AWeditor@gvpub.com 
                —  Barbara Worthington, editor | 
               
              
                | E-News Exclusive                | 
               
              
                 
                   
                  
                  Adult Day  Services: More Than a Stopgap Measure 
                  By  Barbara Worthington                   
                  Adult  day care provides for specific acute needs of older adults and their  caregivers. But to successfully address the approaching wave of baby boomers,  such services will have to be modified in both programming and flexibility to  meet boomer needs and expectations. 
                  Ideal  for providing an intermediate step between aging in place and institutionalization  for older adults, adult day services continue to expand and evolve. It may be  surprising that such services have been in place for more than three decades.  In 1978, only 300 adult day care centers existed nationwide. The country’s  older adult population explosion has seen that number increase to more than  2,100 such centers by the 1980s and more than 4,000 today, according to the  National Adult Day Services Association. 
                  Adult day services have proven essential for  providing caregiver respite, as well as therapeutic services and social  activities for older adults faced with diagnoses such as Parkinson’s disease,  diabetes, and Alzheimer’s disease. Adult day care permits caregivers to  maintain their jobs and escape the guilt often associated with placing a loved  one in a residential facility. At the same time, older adults who are the  beneficiaries of adult day services enjoy the opportunities for social  interaction, engaging activities, a range of healthcare services, and  assistance with the activities of daily living.
                (FULL STORY)  | 
                
              
                
                  | Ask the Expert | 
                 
                
                   
                    Have  a question you want answered by one of our experts? Send your question to  AWeditor@gvpub.com and it may be featured in an upcoming E-Newsletter or print issue.                      
                    Question: 
                      As a social worker and facilitator of an Alzheimer’s disease (AD)  support group, I have seen many families (including mine with regard to my  mother) in denial when their loved ones have been diagnosed with AD or  dementia. In addition to denial in such cases, another important issue that troubles  family members is their concern regarding the older adult’s driving. When an  older adult gets lost and/or experiences impairment in decision-making  processes, who should tell an elder that the individual may no longer drive?  Should families rely on the elder’s physician? 
                    Sandra L. Marsch, MSW 
                      Drums, PA 
   
  Response: 
                      Informing  any older adult that he or she should stop driving presents a potentially  delicate situation. The family—spouse, children, or other—is in a very risky  position and can expect unfavorable reactions from a loved one that can vary  from resistance and resentment to intense anger or even hostile responses. This  is especially true when, as with your clients, cognitive impairment is present. 
                    The  physician is the ideal choice in most cases. This is especially effective and  well received when the individual has an established and trusted relationship  with the physician. In cases where there is not such a close physician-patient  rapport, a pastor, rabbi, or other spiritual adviser can provide similar caring  and authoritative communication of this important advice. 
                    (READ MORE) 
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