SUMMER 2013www.berksseniorguide.com

Home Sweet Home

Pg 7

Pg 12

Pg 18

Travel RVing for Seniors

Pg 22

Influencing Your Grandchildren

Urinary Incontinence- We Can Help

at Phoebe

1Southeast Pennsylvania 1

Hot Weather Safety Tips

To review some hot weather safety tips: Be aware of days when extreme heat conditions are predicted by paying attention to your local weather forecast. On hot days, you should:

• Drink plenty of water; • Avoid long periods in the direct sun or in unventilated rooms; • Keep air conditioning or fans running; • Avoid vigorous activity when it is hot and humid; • Reschedule activities for cooler times of the day; • Wear light-colored, lightweight, loose-fitting clothing; • Wear a hat or other head covering when out in the sun; • Wear appropriate sunscreen protection; and • Take frequent baths or showers and remain in a cool place.

People of all ages are sensitive to extremes in temperature. As you age, your body may become less able to respond to extremely hot or cold temperatures. In addition, taking certain types of medications can affect how your body responds to heat. Pennsylvania’s 52 Area Agencies on Aging (AAA) are ready to assist older adults during dangerously hot weather. AAAs offer a broad range of services, including helping to relocate older adults to cooler locations such as a local church or senior center. For more information contact us at 610-478-6500.

HEAT-RELATED ILLNESSES Heat-related health problems may include the following: Heat Cramps Symptoms: Painful spasms usually in leg and abdominal muscles. Heavy sweating. First Aid: Firm pressure on cramping muscles or gentle massage to relieve spasm. Give sips of water. If nausea occurs, discontinue. Heat Exhaustion Symptoms: Heavy sweating, weakness, skin may be cold, pale and clammy. Weak pulse. Normal temperature possible. Fainting, vomiting. First Aid: Get victim to lie down in a cool place. Loosen clothing. Apply cool, wet cloths. Fan or move victim to air-conditioned place. Give sips of water. If nausea occurs, discontinue. If vomiting occurs, seek immediate medical attention.Heat Stroke (Sun Stroke) Symptoms: Extremely high body temperature (106+). Hot, dry skin. Rapid, strong pulse. Possible unconsciousness. Victim will likely not sweat. First Aid: Heat stroke is a severe medical emergency. Dial 911 or emergency medical services or get the victim to a hospital immediately. Delay can be fatal. Move victim to a cooler environment. Try a cool bath or sponging to reduce body temperature. Remove clothing. Use fans and/or air conditioners. DO NOT GIVE FLUIDS.

Courtesy of the Berks Area Agency on Aging

2

FEATURES4 Senator Judy Schwank – Report to the People

6 Reserve Your Legacy

7 Influencing Your Grandchildren – Linda Hancock

8 Advantage Care Cottages

9 PACE Programs

10 Home Care Resource Guide

11 Time to Consider Live-in Care – Gary Hawkins

12 Home Sweet Home – Michele E. Hatt-Ciemiewicz

14 Adult Day Care Resource 15 Resource Directory

18Urinary Incontinence – We Can Help at Phoebe – Allison Maurer, DPT

19 Get Your Life Organized

21Questions to Ask When Comparing Retirement Communities – Stacia Keith

22 Travel RVing for Seniors – Sandy St. Germaine

23 “Aunt Tilly’s Kitchen”

24Lifecare Contracts Remain a Good Option for Many Seniors!

LAYTON BARNARDPublisher - Senior Guidebook

For a free subscription,please send your mailing

information and email address (if applicable) to

the address below:

PO Box 49Wernersville PA

19565-0049

EMAILseniorguidebook@mac.com

OFFICE610.670.2918

FAX610.927.0422

For advertising information contact:

Copyright 2013 Barnard Publishing, LLC. All rights reserved.

Senior Guidebook to Southeast Pennsylvania Housing & Resources is published quarterly by Barnard Publishing, LLC. The opinions, advice or statements expressed by contributing writers don’t reflect those of the editor, the publisher or of Senior Guidebook to Southeast Pennsylvania Housing & Resources. No part of this magazine may be reproducedwithout prior consent of the publisher. It is your responsibility to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content contained herein. Furthermore, Barnard Publishing, LLC makes no representations and, to the fullest extent allowed by law, disclaims all warranties, expressed or implied, including but not limited to, warranties of merchantability and fitness for particular purposes regarding the suitability of the information; the accuracy, reliability, completeness or timeliness of the content, services or products advertised herein. The content published herein may include inaccuracies or typographical errors.

SUMMER 2013

Photography by: Jennifer Borror

Berks County610-478-6500

www.berksaging.org Chester County

610-344-6350www.chesco.org/aging

Lancaster County717-299-7979

www.co.lancaster.pa.us/lanco_agingLebanon County

717-273-9262Lehigh County610-782-3200

www.lehighcounty.org (Select Human Services)

Montgomery County610-278-3601

www.montcopa.org/mcaas/

OFFICES OF AGING

STATE & COUNTY RESOURCES

Southeast Pennsylvania

OTHER SENIOR RESOURCES

AAA Reading-Berks800-373-4339

www.aaardgberks.com AARP PA State Office

717-238-2277 • www.aarp.orgBureau of Consumer Protection

717-787-9707National Council on the Aging

www.ncoa.orgPACENET Prescription Programs

800-225-PACE PA Department of Aging

717-783-1550PANPHA

www.panpha.orgSilver Sneakers Fitness Program

www.silversneakers.com

Local Resources& Websites

Pennsylvaniawww.state.pa.us

Berks Countywww.co.berks.pa.us

Berks Encorewww.BerksEncorePa.org

Chester Countywww.chesco.orgLancaster County

www.co.lancaster.pa.usLebanon County

www.pacounties.org/LebanonLehigh County

www.lehighcounty.orgMontgomery Countywww.montcopa.orgPA Senior Centers

www.paseniorcenters.orgPA State Senior Games

www.keystonegames.com

A Front Cover Phoebe Ministries – Wernersville

B Back Cover The Highlands at Wyomissing – Wyomissing

C Inside Front Cover StoneRidge Retirement Living – Myerstown

D Inside Back Cover The Lutheran Home at Topton – Topton

1 Phoebe Ministries – Wernersville

6 Legacy At The Papermill – Wyomissing

8 Berks Visiting Nurses Association – Wyomissing

9 The Highlands at Wyomissing – Wyomissing

11 Griswold Special Care – Wyomissing

19 Phoebe Ministries – Wernersville

20 Alzheimer’s Association

23Keystone Villa – Douglassville/FleetwoodMifflin Court Senior Living Community - Shillington

ADVERTISERS

Berks

Lancaster

Lebanon

Lehigh

ChesterMontgomery

Reading

Topton

Lebanon

Hershey

Allentown

Pottstown

West ChesterHoney BrookGlenmoore

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On the 4th of July, we will mark the 238th birthday of the United States of America…..Independence Day. A day for celebration and a day for gratitude. On the 4th of July we are thankful for the opportunities we have in America and for our freedom that has been defended by many generations of brave men and women who have served or are serving around the world as members of the military of the United States of America. We are proud of them!

ATTENTION PENNSYLVANIA VETERANS

State Senator Judith L. Schwank • 11th Senatorial District

Report To The People

The 2013 Pennsylvania Vacation Guide is now available free of charge at my district office. The

guide highlights attractions, accommodations, and must-see points of interest in the Keystone State. It also includes information on road trips across the

Commonwealth – no matter what your passion, there is a Pennsylvania road trip just for you.

“

“To our men and women in uniform….past, present and future,

God bless you and thank you.

Service to our country has always been considered service to the Commonwealth of Pennsylvania. Thus veterans have traditionally received special consideration through many state programs. I am pleased to inform you that every Tuesday from 10 a.m. to 4 p.m. VFW State Service Officer Audrey Bergstresser, a native of Berks County and Vietnam War veteran, will be available for appointments in my new district office at 210 George Street (across the road from the entrance to the Fairgrounds Square Mall). I invite veterans of all ages and all service eras to make an appointment with Service Officer Bergstresser by calling her at 717.234.7927 to receive free information and assistance for government benefits including VA health care, compensation, pension, education and dependent benefits. Walk ins are welcome.

Surviving spouses also can meet with State Service Officer Bergstresser to learn about their eligibility for VA benefits. She will visit veterans in their homes if disabilities prevent them from driving to appointments. Call her at 717.234.7927 to arrange for a visit.

I always welcome your questions, concerns, comments and suggestions, so please contact me at any time at 610.929.2151 or email me at

senatorschwank@pasenate.com.

Also visit my website or Facebook page for more news and information.

5Southeast Pennsylvania

Your Ultimate Resource... Senior Guidebook to Berks County

Providing seniors, baby boomers, and their families a complete resource for their housing, home care and aging needs.

• Complete Facility Directory

• Online Calendar of Events

• Local Resources

www.berksseniorguide.com

66

Inf uencing Your Grandchildren

Reserve Your Legacy

W elcome to Legacy at the Papermill, Berks County’s newest and most exciting Active Adult Community

conveniently nestled in the scenic hills of Lower Heidelberg Township just minutes from the Spring Ridge exit of Rt 222. Legacy is a specially planned community for active adults 55+ who are ready to downsize but not ready to give up their lifestyle, their interests or their independence. We offer maintenance free living at its best in an amenity rich active community. Our cottages include first floor master bedrooms, open floor plans, 2 car garages and countless options and upgrades to customize your dream home. Condos will also be available for sale and for rent in future phases of the development. Your association dues will take care of yard maintenance and snow removal so you can spend your time and energy enjoying life, traveling, and taking advantage of all that Berks County has to offer.

Legacy offers the best of both worlds by being City Close yet Country Quiet. Situated on 53 acres of beautiful Berks County countryside, Legacy offers a location that is unmatched for its convenience yet maintains the peaceful and quiet lifestyle you are looking for. Legacy’s setting features stunning panoramic views, 36 acres of green space, walking trails with exercise stations, and world class trout fishing on the Tulpehocken and Cacoosing Creeks within walking distance of your front door. Relax by the Cacoosing Creek and watch our resident family of American minks and countless blue herons that frequent its banks or hop in your car and be shopping or dining within a half mile of the community…there’s something for everyone.

When you’re ready for a faster pace, get out and explore all that the surrounding area has to offer including museums, the Goggle Works, concerts, symphonies, restaurants, professional sports, and endless cultural activities all just minutes from your front door. History enthusiasts will revel over the rich heritage of Van Reed’s Paper Mill and other nearby Berks County attractions.

Berks County is also a convenient ride to many east coast major metropolitan areas including:

• Philadelphia – 75 minutes• Baltimore – 2 hours & 15 minutes• New York City – 2 hours & 20 minutes• Washington D.C. – 2 hours & 45 minutes

Legacy at the Papermill is proudly marketed and represented by Matt Wolf with RE/MAX of Reading. As a native to Berks County, Matt has a strong knowledge of the local attractions and real estate market. In fact, Matt grew up just 1 mile from the site of Legacy at the Papermill and spent many summer days fishing the banks of the Tulpehocken and Cacoosing Creeks within walking distance of the development. With over 11 years of real estate experience in Berks County, Matt can help guide you through your transition into the wonderful opportunity presented at Legacy at the Papermill.

Reserve your Legacy today!

7Southeast Pennsylvania

II just returned from a week of being with my eighteen and fourteen year old grandsons while their parents were on a golfing trip in Montana. My calendar indicated that I would be away "for influencing purposes". You see I can't change the boys and really don't want to do that because they are fine young men but I really did hope that I could expand their horizons a little.

Their mother always states that she likes the fact I do things with them that they would otherwise miss in life and it does take them away from those all-consuming computers for a little while.

Both of the boys work in the produce department of a grocery store so I thought they might enjoy visiting a Hutterite Colony to learn about what happens to all the groceries that the Colony purchases. We had an excellent tour by the minister's wife who explained how the women share responsibilities for making three meals every day for one hundred and sixteen people. We viewed the kitchens, dining halls and production areas where they do their butchering and canning as well as the huge organic garden. Alexander and Andrew learned about communal living where money, work, values and faith are shared. Of course, we left with excellent homemade pies, buns and raspberry jam for our own supper!

On the way home, we stopped at a bargain shop and purchased four large puzzles and once they were near completion bought foam mounting boards so we could glue the ones that we never wanted to attempt again because of their complexity. We had lots of time to talk as we worked and I shared stories about our family that they hadn't previously heard. Some of Alexander's friends came over one evening and quickly slid into chairs around the table to join in the fun. Every time a piece was put in place there was a mini celebration and in between we visited about their dreams, plans and ideas.

I purchased tickets for the boys' first live play - a Noel Coward set in the 1930s. They didn't know what to expect! Three hours is a long time to sit on wooden church pews in the theatre that once was a church, but it was really fun to watch the expressions on their faces as the British farce became more and more complex as it reached its climax.

We visited 1950s soda shops in two different communities and talked about how different life was "back then". They were

shocked to hear that the small soda pop which is now $2.50 was only 4 cents in the small community where I lived as a child. By the end of our second hamburger and fries meal, my youngest grandson was singing the words to "Lollipop" as it had been played quite frequently by other diners who were enjoying the jukebox. We bought a CD of 50s music to play on the drive home.

They boys say that I cook differently than their mother who is a gourmet chef. My meals consisted of mostly oven-baked family recipes such as Hungarian goulash, baked potatoes and chicken hurry. I sent old-fashioned stew and homemade desserts to work with them and they returned all smiles stating "Our boss loves you". They had shared this lunch with her.

It was a busy few days and we were all tired by the time that their parents returned. I had been missing my own bed and I'm sure that they were eager to return to their world of technology. The best moment of the week, however, was when these two six-foot teens gave me big hugs and said "Thanks for the fun, Grandma".

I didn't change them. I just did a little "influencing".

And now I would like to invite you to claim your Free Instant Access to a complimentary list of 10 Steps to Making Your Life an Adventure when you visit http://lindahancock.com

From Dr. Linda Hancock, Registered Psychologist and Registered Social Worker

Article Source: http://EzineArticles.com/?expert=Linda_Hancock

By Linda Hancock

Inf uencing Your Grandchildren

88

Recognizing the overwhelming need for alternative care environments for seniors, our agency has developed

Advantage Care Cottages, a unique alternative to nursing home placement that is rooted in the belief that seniors deserve to age in the community, rather than institutions.

The living environment involves, three seniors sharing a private, single-family home in a normal neighborhood. Berks VNA, Pottstown VNA and Advantage Home Care will provide individualized personal care and nursing services to each resident to ensure they have 24/7 support, enabling them to remain in the environment that is most comfortable – an actual home.

“Advantage Care Cottages are designed to blend into the fabric of the community,” says HHCM President & CEO Lucille Gough. “These homes are authentic in every way –from the way they look, to how they are decorated, even the way they smell – it’s an authentic home for people who would otherwise be in a nursing home.”

In fact, you would not recognize an Advantage Care Cottage if you walked past it. They are well-kept homes in normal neighborhoods – there are no signs out front – but in reality, you’d be seeing one of Pennsylvania’s most innovative approaches to senior care.

The development of this service will also provide a welcomed boost to the local employment scene, as Advantage Home Care is currently hiring caregivers to staff Advantage Care Cottages as well as working in other private homes. Applicants can stop in at Berks VNA (1170 Berkshire Blvd, Wyomissing) or Pottstown VNA (1963 E. High Street, Pottstown) to fill out an application.

“We have been serving Berks, Montgomery, and Chester counties, and the surrounding area, for more than 100 years. All of our services are geared toward enhancing seniors

independence and ability to age in the community, not in an institution,” concluded Mrs. Gough. “Advantage Care Cottages will ensure that seniors have the opportunity to age with dignity, in safe and independent homes.”

Advantage Care Cottages: A New Option for Long Term Care for Seniors

Individuals who are interested in the residential opportunities of Advantage Care Cottages should email advantagecarecottages@hhcminc.org or call 610-378-0491.

“With few exceptions, home is where seniors want to remain.” Says Mary Ellen Moreland, Director of Advantage Home Care. “Home is where they maintain their dignity and independence. Home is where they heal and recover faster and more effectively. Home is where

the most cost-effective and flexible care can be delivered. We recognize the tremendous need in our community for this type of environment, and we have created Advantage Care Cottages to meet this need.”

9Southeast Pennsylvania

The Pharmaceutical Assistance Contract for the Elderly or PACE program is a lottery-funded program. PACE, PACENET and PACE plus Medicare are Pennsylvania's prescription assistance programs for older adults, offering low-cost prescription medication to qualified residents, age 65 and older. For information, call 1-800-225-7223.

Who is eligible?To be eligible for PACE and PACENET:

• You must be 65 years of age or older• A Pennsylvania resident for at least 90 days prior to the date of application • You cannot be enrolled in the Department of Public Welfare's Medicaid prescription benefit

PACE and PACENET eligibility is determined by your previous calendar year’s income.PACE

• For a single person, total income must be $14,500 or less• For a married couple, combined total income must be $17,700 or less• There are no income deductions and all income is counted. There is no asset limit for eligibility. • Qualified individuals have to pay copayments of $6 for each generic and $9 for each brand name medication.

PACENET• PACENET income limits are slightly higher than those for PACE• For a single person, total income can be between $14,500 and $23,500• For a married couple, combined total income can be between $17,700 and $31,500• Qualified individuals have to pay a monthly premium at the pharmacy and prescription copayments are $8 for each

generic and $15 for each brand name medication.PACE Plus Medicare

• Under PACE Plus Medicare, PACE/PACENET coverage is supplemented by federal Medicare Part D prescription coverage and offers older Pennsylvanians the best benefits of both programs. Older adults continue to receive the same prescription benefits while, in many cases, saving more money.

Information and Assistance with Application Process• For more information, to download an application, or to apply online, please visit the PACECares website (pacecares.

magellanhealth.com) Applications can be obtained through the PACE/PACENET toll-free number, 1-800-225-7223, or through the local Area Agency on Aging.

Questions?• For local assistance, contact your local Area Agency on Aging or visit a local pharmacy.

PACE, PACENET, and PACE Plus Medicare

10

What is Home Health Care?Home health care is a wide range of health care services that can be given in your home. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility. The goal of home health care is to treat an illness or injury. Home health care helps you get better, regain your independence, and become as self-sufficient as possible.

In general, home health care includes part-time or intermittent skilled nursing care, and other skilled care services like physical therapy, occupational therapy, and speech-language pathology (therapy) services. Services may also include medical social services or assistance from a home health aide. Usually, a home health care agency coordinates the services your doctor orders for you.

• Wound care for pressure sores or a surgical wound• Physical and occupational therapy• Speech-language therapy• Patient and caregiver education• Intravenous or nutrition therapy• Injections• Monitoring serious illness and unstable health status

• Help with basic daily activities like getting in and out of bed, dressing, bathing, eating, and using the bathroom

• Help with light housekeeping, laundry, shopping, and cooking for the patient

NOTE: In order to cover home health care, Medicare and other health insurance plans have certain requirements. For example, Medicare requires you to be “ homebound. ” Read more about how Medicare covers home health care, or call your plan for more information.

If your doctor or referring health care provider decides you need home health care, they should give you a list of agencies that serve your area. If they suggest an agency or give you a list, they must tell you whether their organization has a financial interest in that agency.Use Home Health Compare to find out more about each agency and talk to your doctor or other health care provider about the information you find here. Keep these things in mind:

• There are differences in how home health agencies operate and the services they provide. Look closely at each agency and the services they offer, discuss your options with your doctor or other health care provider, and choose the agency that best meets your needs. Your choice should be honored by your doctor, hospital discharge planner, or other referring agency.

• Your choices may be limited by agency availability, or by your insurance coverage. Medicare Advantage Plans, Medicare health plans, or other health insurance plans may require that you get home health services from agencies they contract with. Call your plan for more information.

Once your doctor refers you for home health services, the home health agency will schedule an appointment and come to your home to talk to you about your needs and ask you some questions about your health. The home health agency staff will also talk to your doctor about your care and keep your doctor updated about your progress. Doctor’s orders are needed to start care. It is important that home health staff see you as often as the doctor ordered.Here are some examples of what the home health staff should do:

• Check what you are eating and drinking. • Check your blood pressure, temperature, heart rate, and breathing. • Check that you are taking your prescription and other drugs and any

treatments correctly. • Ask if you’re having pain. • Check your safety in the home. • Teach you about your care so you can take care of yourself. • Coordinate your care. This means they must communicate regularly with

you, your doctor, and anyone else who provides care to you.

As a patient of a Medicare-approved home health agency, you have several rights and the home health agency must provide you with a written copy of them. They include rights such as the following:

• The right to choose your home health agency. (For members of managed care plans, the choices will depend upon which home health agencies your plan works with.)

• The right to have your property treated with respect • The right to be given a copy of your plan of care, and participate in

decisions about your care • The right to have your family or guardian act for you if you are unable • The right to make complaints to the agency or the State Survey Agency

about your treatment, care that’s not provided, or staff shows disrespect for you or your property

For more information go to www.medicare.gov, and select Home Health Compare.

Examples of skilled home health services include:

Examples of home health aide services include:

Getting Started

Home Health Patient RightsWhat to Expect

Home Care Agency Contact Number

American Red Cross 3 610-861-5105Assured Assistance 3 3 3 3 610-796-4737

Bayada Nurses 3 3 3 3 3 3 3 610-406-9000Chestnut Knoll 3 3 3 3 610-473-3328

Comfort Keepers 3 3 3 3 3 610-678-8000Griswold Special Care 3 3 3 3 3 610-372-9940

Home Instead Senior Care 3 3 3 610-372-2500Maxim Healthcare Services 3 3 3 3 3 3 3 610-678-1594

PatientCare 3 3 3 610-373-0300Senior Helpers 3 3 3 3 610-323-0460

The Birches at Home 3 3 3 267-933-6800United Disabilities Services 3 3 3 888-837-4235

Visiting Angels 3 3 3 610-898-7880

Home Care Directory

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Pediat

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11Southeast Pennsylvania

Time to Consider Live-in Care?

If you identify with any of the questions or statements below it may be time to consider a live-in caregiver.

• Does your loved one want to remain at home?• Does your loved one need 8 hours of care or more per day?• Is living with family not a possibility or choice for your loved one?• Does your loved one need assistance during the day and occasionally at night?• Is it accurate to say your loved one cannot live alone safely?• Are your loved one’s care needs beyond what assisted living can provide?• Is the cost of going into a nursing home too expensive for your loved one?• Is your loved one forgetful to a point of being a danger to themselves?• Are you concerned about your loved one’s safety and well being when they are alone?• Has a health care professional suggested your loved one might need 24 hour care?• Would your loved one like to build more lasting relationships with caregivers?

Stay Safe, Independent, and In-Control

Caregivers referred by Griswold Home Care are carefully screened through our proprietary screening system which includes a behavioral-based interview, criminal background check, extensive supervisory and personal reference checks, and more. Caregivers are available to help with personal care, homemaking, meal preparation, incidental transportation, medication reminders, companionship and other tasks. An additional layer of care and comfort is provided by care coordinators who maintain regular contact with all clients to ensure that the relationship between them and the caregiver(s) is satisfactory, filled with dignity, respect and understanding.

Understanding care options is perhaps the largest obstacle people face. Up until their need appears, they have had no reason to investigate the varied options much less know about them. Non-medical home care is used by thousands of Berks County residents in their homes right now and has become the fastest growing senior health care alternative in the United States.

Why Choose Live-In Care?

There are several reasons to choose live-in over hourly care, assisted living or a nursing home. It is by far the most economical choice; the cost of a nursing home is often significantly greater than the amount of a live-in caregiver. In addition, with live-in arrangements the individual gets to know one or two caregivers well. Studies suggest that most older adults prefer to age in place, staying at home and adjusting as needed to the realities of new health and lifestyle requirements.

For more information please contact Griswold Home Care at 610-372-9940 or at www.GriswoldHomeCare.com

By Gary R. Hawkins, CSA

12

Home Sweet Home By Michele E. Hatt-Ciemiewicz

Many years ago, you purchased the house of your dreams. Over the years you have cared for her, painted and remodeled

her, and made her the jewel of your neighborhood. And for all of your hard work, she has served you well by keeping you cool in the blazing heat, warm in the blinding blizzards, and dry in raging rain.

However, is your home up to code? Is it really the safe according to the municipality in which you reside? The unfortunate truth is that boroughs and townships regularly update and change their housing codes to meet the demands of changing laws, building materials, and safety regulations; the typical homeowner rarely follows these changes and can often be caught by surprise when he finds that his home has some safety issues that warrant concern and need to be corrected.

So what does all of this mean?It means that a home must meet all of the housing standards and regulations as set by the borough or township to ensure that the home is safe. The codes deal with the safety and function of the home and property and are not governed by cosmetic details. For example, a code may state that every staircase must have a railing; this requirement is for safety. However, the code does not dictate that the railings must be stained, match the woodwork, or match the other handrails in the house; those details are considered cosmetic and not functional. The inspection is governed by the codes of the municipality, and inspectors generally follow the International Property Maintenance Code handbook which is founded on the premise to “protect public health, safety, and welfare;” it is not designed to increase building costs, restrict building materials, or promote building materials (iii). So this is about ensuring your home’s safety now and in the future.

According to Gerald Trate, Code Enforcement Official, “Code inspections determine if any building code and/or property maintenance issues or violations are present and if and when they should be corrected.” Codes inspectors also determine the time frame by which violations need to be addressed. “Time frames are not always set in stone; the due dates may be dictated by safety factors, the extent of repairs needed, and the estimated overall cost,” adds Trate. So while a home can look like it is in excellent

over-all condition, there may still be safety concerns, especially in older homes. People may have resided in these homes for many years, and they may feel quite safe and comfortable within their home and be unaware that there are problems.

Although every municipality differs, for the most part, the codes deal with health, safety, fire, and sanitation violations. Some of the more common problems inspectors find are inadequate electric service. For example, a 60 amp circuit cannot handle today’s amp requirement for appliances, so that is a potential fire hazard and must be addressed immediately. Other electrical issues involve improper wiring of outlets, improper use of extension cords as a form of permanent wiring, and pull chain type lights over wash tubs or other receptacles using water. It is all too easy for people to use an extension cord as a permanent form of wiring and then overload it. So what may have begun as just a simple solution to making an electrical appliance connect to an outlet has over time turned into a fire hazard. Other more common problems in residential properties involve lack of handrails or large open spaces between the handrails and the steps; this issue is especially true in homes that were built many years ago when the codes were quite different. Improper installation of dryer vents and lack of smoke and carbon monoxide detectors are also causes for concern. Trate, who has been a codes inspector since 2004, elaborates, “Not only do we look for the presence of smoke and carbon monoxide detectors, but we also check to make sure that they are in working order. Our main concern is the homeowner’s safety.”

"This back porch is probably no more than 3 feet from the ground, but a railing needs to be added for safety"

" All smoke detectors must have batteries installed properly"

"Even though there is a handrail, a second one needs to be added to the other side for safety"

13Southeast Pennsylvania

A formal codes inspection focuses on the whole property (Trate). These inspections occur on new construction and, depending on the municipality, on the sale of a home. During these inspections, inspectors will also look at the drainage of rain water and soil stack leaks. Some other features examined are foundation walls, exterior walls, chimneys and towers, sidewalks and driveways (International Property Maintance Code 9-10). Essentially, the whole property is inspected in order to determine if there are any violations that would make the home unsafe for any reason.

However, you do not always need a third party to tell you that your home has some safety issues that need to be addressed; you can look around your home and make some informal assessments of your own. Safety should always be a concern. Trate explains that common sense should dictate when evaluating your own home. If it looks unsafe, it probably is. From there, homeowners can educate themselves by attending home and garden shows, researching topics online, watching home improvement shows, and reading newspaper and magazine articles. You can look for clues in the articles; for example, when you are reading a newspaper article about a recent fire, pay attention to the cause and educate yourself that way. Also, some municipalities may provide informative seminars. “When I was the codes inspector in West Reading, I conducted an informational program at a local church. There were about 20 people in attendance, and I was able to give them an overview of issues they should look at in their home as potential codes violations. It was very informative for everyone who attended,” states Trate.

Knowing that there are safety issues on the property gives the homeowner time to address these defects. Older citizens are usually on a fixed income and cannot assume hundreds or thousands of dollars of repairs at one time, so if the homeowner is aware of the problems, he can have them repaired slowly over several months or years and spread out the cost.

There are also some very basic tasks every homeowner can complete to ensure the safety of his home. All batteries in smoke and carbon monoxide detectors need to be replaced yearly. The entire dryer vent system needs to be cleaned out. Too many people just clean out the trap and neglect the entire system. Over time, lint builds up and eventually clogs the system making this a fire hazard. Also, homeowners need to pay attention to signs in their home. If fuses blow often, this is a sign of insufficient wiring in an outlet, and this should be checked. If there is discoloration on the walls or ceiling, it may be mold caused by leaky pipes. Clearly there is a reason for the discoloration, and this should be checked (Trate). People need to care and be aware of what is happening in their home. Knowledge is power.

In the end, it is your home; love it and treat it with respect. Make it as safe as it is beautiful, and she will serve you for many years.

Works CitedInternational Property Maintenance Code.

International Code Council, Inc. Country Club Hills, IL, 2006. Print.

Trate, Gerald. “Codes Inspectors.” Personal Interview. 15 May 2013.

"This is an electrical hazard. The lighting system must be rewired and be put on a switch system"

"The open space between the rail and steps is a safety hazard; a board must be added to fill in the gap"

14

Adult Daycare Resource Directory

14

EldergardenLebanon PAPh. 717-274-3821Palmyr PAPh. 717-832-3854

Spang Crest ManorAdult Day ServicesLebanon PAPh. 717-272-1495

Concepts of Lehigh ValleyBethlehem PAPh. 610-866-7600

Lifepath, Older AdultDaily Living CenterBethlehem PAPh. 610-814-3141

Sarah Care Adult Day ServicesHrs: M-F 6:30 AM-6:00 PMSat. 8:00 AM-3:00 PMAllentown PAPh. 610-391-1576

Westminster VillageAllentown PAPh. 610-782-8390

Adult Day ServicesLansdale PAPh. 215-855-8296

Souderton PAPh. 215-703-0523

Advance Lane Training &Employment CorporationHrs: 8:30 AM-5:00 PMColmar PAPh. 215-822-6417

Applied Skills IndustriesHuntingdon Valley PAPh. 215-938-7767

Beelong Adult Day ServicesHatboro PAPh. 215-675-0103

Bon Homie Older AdultDaily Living CenterHrs: 7:00 AM-5:30 PMLimerick PAPh. 610-792-8820

Center Point Training CenterWorcester PAPh. 610-584-0550

Evergreen Adult Day ProgramWyndmoor PAPh. 215-233-6309

Frederick Mennonite Community Adult Day CareHrs: M-F 7:00 AM-5:30 PMFrederick, PAPh: 610-754-7878

Helen L. Weiss Senior Day ProgramNorth Wales PAPh. 215-371-2121

Helping HandsBechtelsville PAPh. 610-754-6491

Main Line Adult Day CenterBryn Mawr PAPh. 610-527-4220

Manatawny ManorAdult Day ServicesHrs: 7:00 AM-5:30 PMPottstown PA Ph. 610-705-3749

Montgomery AdultDaily Living CenterLansdale PAPh. 215-855-7997

Senior Adult Activities Center of Montgomery CountyNorristown PAPh. 610-275-1960

Senior Care of Blue BellBlue Bell PAPh. 610-828-4144

Senior Care of GibraltarHorsham PAPh. 215-443-5300

Adult Day Servicesat Garden Spot VillageHrs: 7:30 AM-5:30 PMNew Holland PAPh. 717-355-6226

Ephrata AreaRehabilitation ServicesEphrata PAPh. 717-733-0710

Lancaster GenerationsLancaster PAPh. 717-656-8783

Lancaster Regional Medical CenterLancaster PAPh. 717-295-8211

Landis Homes Adult Day ServicesLititz PAPh. 717-581-3920

Masonic VillageAdult Daily Living CenterElizabethtown PAPh. 717-361-5353

PAI Adult Day ServicesLancaster PAPh. 717-519-6740

Spanish AmericanCivic AssociationLancaster PAPh. 717-397-6267

The Senior Center Adult Daily CareM-F 7:30 AM-5:30 PMGap PAPh. 717-442-2496

Sarah Care of Great ValleyM-F 7:00 AM-6:00 PMMalvern PAPh. 610-251-0801

Ageless HarmonyAdult Senior Day CareHrs: 7:30 AM-5:00 PMLaureldale PA Ph. 610-929-1197Mt. Penn PA 610-898-0712 Sinking Spring PA Ph. 610-685-2382

Down on the Farm Adult DaycareHrs: 7:00 AM-5:30 PMDouglassville PA Ph. 610-385-6175

Fox Hunt MeadowSenior Day Respite FarmHrs: 8:00 AM-8:00 PMBirdsboro PA Ph. 610-582-9887

Phoebe BerksTranquility PlaceHrs: 7:00 AM-5:30 PM / M-FWernersville PA Ph. 610-927-8940

Prospectus Senior Day ServicesHrs: 7:30 AM-5:30 PMReading PAPh. 610-372-4637

St. Joseph Adult Day ServicesHrs: 7:30 AM-5:30 PMReading PAPh. 610-378-2267

Woodhaven Day Care for AdultsHrs: 7:30 AM-5:30 PM2405 New Holland RoadShillington, PA 19607Ph. 610-777-4579

Adult Care of Chester CountyHrs: 6:30 AM-6:30 PMExton PA Ph. 610-363-8044Kennett Square PAPh. 610-444-4413

Lynch Homes Adult Day CareMalvern PA Ph. 610-647-4309

Tel Hai Adult Day CareHrs: 6:00 AM-7:00 PMHoney Brook PA Ph. 610-273-9333

BERKS

LANCASTER

CHESTER

LEBANON

LEHIGH

MONTGOMERY

MONTGOMERY

15Southeast Pennsylvania

Keystone Villa at FleetwoodIND, PC • 484-637-8200501 Hoch Rd.Blandon, PA 19510www.keystonevilla.com

Kutztown ManorN • 610-683-6220Kutztown PA

Laurel Personal Care HomeN, PC • 610-562-2284Hamburg PA

Liberty SquarePC • 610-589-1679Stouchsburg PA

The Lutheran Home at ToptonCCRC, A/D • 800-322-9597 Topton PA

The Manor At Market SquareIND, PC • 610-373-0800Reading PA

Manor Care Health ServicesN, A/D • 610-374-5166West Reading PA

Manor Care Health ServicesN, A/D • 610-921-9292Laureldale PA

Manor Care Health ServicesN, A/D • 610-670-2100Sinking Spring PA

Manorcare PottstownN • 610-323-1837Pottstown PA

Mifflin CenterN • 610-777-7841Shillington PA

Mifflin CourtPC • 610-796-1600450 E. Philadelphia Ave. 19607 Shillington PAwww.genesishcc.com

Miller Personal Care HomePC • 610-374-9203Reading PA

Berkshire CommonsPC, A/D • 610-779-3993Reading PA

Berkshire CenterN • 610-779-0600Reading PA

Berkshire ManorN • 610-779-0600Reading, PA

Berks HeimN • 610-376-4841Leesport PA

Berks Leisure LivingPC • 610-916-8833Leesport PA

Bernet Golden Age Guest HomePC • 610-689-5360Birdsboro PA

Beverly Healthcare ReadingN • 610-779-8522Exeter PA

Buehrle Assisted LivingPC, A/D • 610-682-1360Topton PA

Chestnut KnollPC, A/D • 610-473-8066Boyertown PA

Colonial Manor Adult HomePC • 610-385-6175Douglassville PA

Columbia CottagePC • 610-927-0310Wyomissing PA

Country Meadows of WyomissingIND, PC, A/D • 610-374-3122Wyomissing, PA

Danken HousePC • 610-678-9282Wernersville PA

Elmcroft of ReadingPC • 610-370-2211Reading PA

Phoebe Berks Health Care CenterN, RHB • 610-678-40021 Heidelberg DriveWernersville PA 19565www.phoebe.org

Phoebe Berks VillageCCRC • 610-927-85501 Reading DriveWernersville PA 19565www.phoebe.org

Phoebe Berks Village CommonsPC • 610-927-8512 1 Reading DriveWernersville PA 19565www.phoebe.org

Providence HouseIND • 610-376-7787Reading PA

Rittenhouse Senior Livingof ReadingPC • 610-208-8890Reading PA

Sacred Heart VillaPC • 610-929-5751Reading PA

Spruce ManorN, A/D, RHB • 610-374-5175West Reading PA

Stabon Manor Personal Care HomePC • 610-373-2272Reading PA

Twin Spruce of MyerstownIND • 717-866-2938Myerstown PA

The Villa St. ElizabethPC • 610-478-1201Reading PA

Walnut Woods of BoyertownIND • 610-367-6616Boyertown PA

Wyomissing Nursing &Rehabilitation CenterN • 610-376-3991Wyomissing PA

Evans Retirement CenterPC • 610-944-7257Fleetwood PA

Golden Living Center of ReadingN • 610-779-8522Reading PA

Golden Ridge at Furnace KnollPC • 610-693-5850Robesonia PA

Grand View ManorPC• 610-944-1800Fleetwood PA

Green Hills ManorPC • 610-775-1451 10 Tranquility LaneReading PA 19607

Harmony Hill Assisted LivingPC • 610-589-5415Womelsdorf PA

The HawthornePC • 610-375-9696Reading PA

Hearthstone at AmityPC • 610-385-7600Douglassville PA

Hearthstone at MaidencreekPC • 610-926-7600Reading PA

The Heritage of Green HillsCCRC • 484-269-5100Reading PA

The Highlands at WyomissingCCRC, A/D • 610-775-23002000 Cambridge AvenueWyomissing PA 19610www.TheHighlands.comKeystone Villa at DouglassvilleIND, PC, A/D • 610-385-50021152A Ben Franklin Highway EastDouglassvilla, PA 19518www.keystonevilla.com

Directory of Residential Facilities inBERKS, CHESTER, LANCASTER, LEBANON, LEHIGH & MONTGOMERY COUNTIES

Properties in boldface are advertisers in The Senior GuidebookLists provided and updated by PA Dept of Health, PA Dept of Insurance, and the County Offices of Aging

Email changes/additions to: seniorguidebook@mac.com

AA - Active Adult IND - Independent Living PC – Personal Care/Assisted Living N - Skilled Nursing

RHB – Rehabilitation A/D - Alzeimer’s & Dementia Care CCRC – Continuing Care Retirement Community (Assisted Living/Skilled Nursing/Independent Living)

BERKS

16

Lancashire TerraceRetirement VillageIND • 717-569-3215Lancaster PA

Landis HomesRetirement CommunityCCRC, A/D • 717-569-3271Lititz PA

Laurel View Memory SupportAssisted LivingA/D • 717-355-6000New Holland PA

The Long CommunityPC • 717-381-4900Lancaster PA

The Long HomePC • 717-397-3926Lancaster PA

Longwood ManorPC • 717-426-0033Maytown PA

Luther AcresCCRC • 717-626-6884Lititz PA

Magnolias of LancasterA/D • 717-560-1100Lancaster PA

ManorCare Health ServicesPC, N • 717-367-1377Elizabethtown PA

ManorCare Health ServicesN • 717-397-4261Lancaster PA

Maple Farms Nursing CenterN • 717-859-1191Akron PA

Masonic Village at ElizabethtownCCRC • 717-367-1121Elizabethtown PA

Meadow RidgePC/AL • 717-490-8100Lancaster PA

Mennonite HomeCCRC, A/D • 717-393-1301Lancaster PA

Moravian ManorCCRC • 717-626-0214Lititz PA

Mountain View Assisted LivingPC • 717-355-6000New Holland PA

Moyer Personal Care HomePC • 717-721-6194Ephrata PA

Mt. Hope Nazarene Retirement CommunityN • 717-665-6365Manheim PA

The Muhlenberg LodgePC • 717-627-2335Lititz PA

Oak Leaf ManorPC • 717-872-9100Millersville PA

Oak Leaf Manor NorthPC, A/D • 717-898-4663Landisville PA

Personal Touch Assisted LivingPC • 717-733-3880Ephrata PA

Pleasant ViewRetirement CommunityCCRC • 717-665-2445Manheim PA

Quarryville PresbyterianRetirement CommunityCCRC, A/D • 717-786-7321Quarryville PA

Red Rose ManorPC • 717-394-8999Lancaster PA

Rheems Nursing CenterN • 717-367-1831Rheems PA

St. Anne’s Retirement CommunityN, PC, IND • 717-285-5443Columbia PA

St. John’s Herr EstateIND, PC • 717-684-0678Columbia PA

Sunny Crest HomePC • 610-286-5000Morgantown PA

Susquehanna Valley Reha-bilitation and Nursing FacilityN • 717-684-7555Columbia PA

United Zion HomeCCRC • 717-626-2071Lititz PA

Village Vista Skilled Nursing Facility N • 717-397-5583Lancaster PA

Vineyard of CentervillePC • 717-299-2919Lancaster PA

Evergreen EstatesRetirement CommunityPC • 717-394-2208Lancaster PA

Fairmount HomesCCRC • 717-354-4111Ephrata PA

Faith Friendship Villaof MountvillePC • 717-285-5596Mountville PA

Friendship CommunityPC • 717-656-2466Lititz PA

Garden Spot VillageCCRC, A/D • 717-355-6000New Holland PA

Golden Living Center N • 717-397-4281Lancaster PA

The GrovesPC • 717-733-2040Ephrata PA

Hamilton ArmsN • 717-393-0419Lancaster PA

Harrison House of ChristianaN • 610-593-6901Christiana PA

Harvest View Assisted LivingCCRC • 717-445-4551Narvon PA

Heatherbank Nursing andRehabilitation CenterN • 717-684-7555Columbia PA

Hershey Mill HomePC • 717-285-3358Mountville PA

Hearthstone Retirement VillaPC • 717-492-9692Mount Joy PA

Homestead VillageCCRC • 717-397-4831Lancaster PA

Hope HousePC • 717-293-9089Lancaster PA

Lancashire Hall Nursing andRehabilitation CenterN • 717-569-3211Lancaster PA

Akron HavenPC • 717-859-4141Akron PA

Audubon VillaN, PC • 717-626-0211Lititz PA

Brereton Manor Guest HomePC • 717-872-2403Washington Boro PA

Brethren VillageCCRC • 717-569-2657Lancaster PA

Calvary Fellowship HomesCCRC • 717-393-0711Lancaster PA

Cambridge LancasterPC • 717-397-3000Lancaster PA

Cherry Street HomePC • 717-684-7060Columbia PA

Cocalico Assisted LivingPC • 717-335-2244Denver PA

Cocalico Christian HomePC • 717-336-1788Denver PA

Colonial HallPC • 717-397-3000Lancaster PA

Colonial LodgePC • 717-336-5501Denver PA

Conestoga ViewN, RHB, A/D • 717-299-7850Lancaster PA

Country Meadows of LancasterPC, A/D • 717-392-4100Lancaster, PA

Country View ManorPC • 717-284-3350Quarryville PA

Denver Nursing HomeN, PC • 717-627-1123Stevens PA

Ephrata ManorIND, N, PC • 717-738-4940Ephrata PA

LANCASTER

17Southeast Pennsylvania

Arden CourtsA/D • 610-366-9010Allentown PA

Atria BethlehemIND, PC, A/D • 610-317-0700Bethlehem PA

Blough Healthcare CenterN • 610-868-4982Bethlehem PA

Cedarbrook Nursing HomesN • 610-395-3727Cedarbrook Lehigh County Home Allentown PA

Country Meadows of AllentownPC, IND, A/D • 610-395-6521Allentown PA

David A Miller Assisted LivingPC • 610-794-53001925 Turner StreetAllentown PA 18104www.phoebe.org

Fellowship ManorN, PC, IND • 610-799-3000Whitehall PA

Good Shepherd Home BethlehemN • 610-807-5600Bethlehem PA

Good Shepherd HomeLongterm Care FacilityN • 610-776-3136Allentown PA

Green Meadows at AllentownPC • 610-434-7433Allentown PA

Holy Family ManorN • 610-865-5595Bethlehem PA

Kirkland VillageCCR • 610-691-4504Bethlehem PA

Lehigh Manor Nursing & Rehab Center N, A/D • 610-366-0500Macungie PA

Lehigh Valley Hospital TCU• 610-402-3300 Allentown PA

Liberty Nursing And Rehab CenterN • 610-432-4351Allentown PA

Luther Crest Retirement CommunityCCRC • 610-391-8220Allentown PA

Manorcare Health Svcs AllentownN, A/D • 610-776-7522Allentown PA

Manorcare Health Svcs-Bethlehem IN, A/D • 610-865-6077Bethlehem PA

Manorcare Health Svcs-Bethlehem IIN • 610-861-0100Bethlehem PA

Moravian Village of BethlehemCCRC • 610-954-7349Bethlehem PA

Mosser Nursing HomeN, A/D • 610-395-5661Trexlertown PA

New Seasons at MountainviewPC, RHB, A/D • 610-797-4651Allentown PA

New Seasons at AllentownPC, RHB • 610-433-9220Allentown PA

Phoebe ApartmentsIND • 610-794-62621901 West Linden StreetAllentown PA 18104www.phoebe.org

Phoebe HomeN, RHB • 610-435-90371925 Turner StreetAllentown PA 18104www.phoebe.orgPhoebe TerraceRetirement CommunityAA • 610-794-60001940 Turner StreetAllentown PA 18104www.phoebe.org

Sacred Heart Hospital TCFAllentown PA • 610-776-4500

St. Luke’s TCU• 610-954-4242Bethlehem PA

Traditions of HanoverIND • 610-882-0400Bethlehem, PA

Valley Manor Nursing And RehabN • 610-282-1919Coopersburg PA

Westminster VillageCCRC • 610-434-6245Allentown PA

Kar-Lyn HomesPC • 717-274-7525Lebanon PA

Kindred PlaceIND • 717-867-5572Annville PA

Lebanon Valley Brethren Home• 717-838-5406Palmyra PA

Lebanon Valley HomeN • 717-867-4467Annville PA

Linden VillagePC, A/D • 717-274-7400Lebanon PA

ManorCare Health ServicesN, A/D • 717-273-8595Lebanon PA

Palmyra Nursing HomeN • 717-838-3011Palmyra PA

Pleasant View RetirementCommunityCRC, A/D • 717-665-2445Manheim PA

Rothermel L Caplan TCU• 717-270-7729Lebanon PA

Spang Crest ManorPC, N, RHB, Daycare• 717-274-1495 Lebanon PA

StoneRidge Poplar RunCCRC • 717-866-3200440 E. Lincoln AveMyerstown, PA

StoneRidge Towne CenterN RHB PC A/D 717-866-32007 West Park AveMyerstown, PA

The Traditions of HersheyIND • 717-838-2330Palmyra, PA

Twin Oaks Nursing HomePC, N • 717-838-2231Campbelltown PA

Twin Spruce of MyerstownPC • 717-866-2938Myerstown PA

United Christian Church HomeCCRC • 717-867-4636Annville PA

York StreetPC • 717-272-1124Lebanon PA

Welsh Mountain Samaritan HomePC • 717-355-9522New Holland PA

Westvue at Homestead VillagePC • 717-397-4831Lancaster PA

Willow ValleyRetirement CommunitiesCCRC • 717-464-6800Lancaster PA 800-770-5445

Willow Valley – The Glen N, PC • 717-464-6161Lancaster PA

Willow Valley – Meadow RidgePC • 717-490-8100Willow Street PA

Willow View HomePC • 717-786-5519Willow Street PA

Woodcrest VillaRetirement CommunityCCRC, A/D • 717-390-4100Lancaster PA

Woodland HeightsRetirement CommunityCCRC • 717-445-8741Narvon PA

Zerbe Sisters Nursing CenterN • 717-445-4551Narvon PA

Cedar HavenN, A/D • 717-274-0421Lebanon PA

Columbia Cottage-Palmyra• 717-832-2900Palmyra PA

Cornwall ManorCCRC • 717-273-2647Cornwall PA

Elmcroft of LebanonPC • 717-228-0909Labanon PA

Hearthstone Manor of LebanonPC, A/D • 717-272-8782Lebanon PA

Hill Farm EstatePC, IND • 717-867-5176Annville PA

LEBANON

LEHIGH

What is urinary incontinence (UI)?Urinary Incontinence, or UI, is defined as the “loss of bladder control” or an “involuntary or unwanted leakage of urine.” According to The Agency for Healthcare Research and Quality, thirteen million men and women have UI or some type of bladder dysfunction in the United States. Consequences of UI include embarrassment, depression, disrupted sleep, increased risk for falls, and socialization limitations.

What causes UI?UI is usually caused by problems with nerves and muscles that help to hold or pass urine.

Urine is stored in the bladder, which is also called the Detrusor muscle. When urine leaves the bladder, it goes into a tube called the urethra, which takes urine out of the body.

Muscles in the wall of the bladder contract to force urine out through the urethra. At the same time, sphincter muscles around the urethra relax to let the urine pass out of the body.

Incontinence happens if the bladder muscles suddenly contract or the sphincter muscles are not strong enough to hold back urine.

Women suffer more from UI than men. This can be due to past pregnancies and childbirth as well as menopause. Several causes of UI affect both men and women, including constipation, medications (especially “water pills”), caffeine and alcohol, infections (such as Urinary Tract Infections), nerve damage, and excess weight.

Should I talk to my doctor about UI?YES! Incontinence can be treated with drugs, surgery, and even Physical and Occupational Therapy. Many family doctors can give advice or options to treat UI, but they may not know to give the information if they do not know there is a problem. The family doctor can also refer the patient to doctors who knows more about UI, such as a urologist, OB/GYN, or urogynecologist.

What does Physical and Occupational Therapy do to decrease Urinary Incontinence?The therapy staff will assess the individual as a whole to see what areas need improvement. The staff will work together with the patient to increase strength and function of the pelvic floor muscles, which are the muscles that surround the bladder and urethra. When strong, these muscles help to control and stop urinary leakage. The therapy staff will also assess strength of the abdominal muscles, strength and range of motion of the arms and legs, standing and moving balance, ability to stand and walk to the bathroom, and ability to move around safety in the bathroom. They will also provide information on the bladder irritant dietary sources that increase incontinence.

1818

Urinary Incontinence - We Can Help at Phoebe BerksBy Allison Maurer, DPTSenior Physical Therapist, Outpatient Rehab at Phoebe Berks

What are the types of UI?

Stress incontinence – Leakage of small amounts of urine with such things as coughing, sneezing, exercising, laughing, and lifting heavy things. It is basically the leakage of urine when stress is placed on the bladder for some reason and can be caused by physical changes from pregnancy, childbirth, and menopause.

Urge incontinence – This is sometimes called "overactive bladder." Leakage associated with a strong, sudden urge to urinate. This may occur when the person least expects it, such as during sleep, after drinking water, or after hearing or touching running water.

Mixed incontinence – Mixed incontinence is the occurrence of stress and urge incontinence together.

Functional incontinence – Incontinence due to physical disability, external obstacles, or problems with thinking, moving, or speaking that keep a person from reaching a toilet. For example, a person with Alzheimer's disease may not realize there is a need to urinate until it is too late, or a person who has difficulty walking may not be able to get to a toilet in time.

Overflow incontinence –Leakage that occurs when the bladder does not empty completely due to such things as prostatic hyperplasia or fecal impaction.

Transient incontinence – Leakage that occurs for a short or “transient” time due to an illness (such as a bladder infection or pregnancy).

At Phoebe Berks, the Outpatient Therapy staff is trained and experienced to work with these issues. We believe every senior should lead a healthy lifestyle and are experts in senior wellness.

Please contact Phoebe Rehab Services by calling Phoebe Berks at 610-927-8505. Continence improvement is possible with proper training. Incontinence should not control a person’s life!

Sources: womenshealth.gov, and Accelerated Care Plus Clinical Solutions Education Series.

19Southeast Pennsylvania 19Southeast Pennsylvania

Get Your Life Organized

Use the following as a guide for getting organized

Store the following information in a security box or safe deposit box:1. Social Security information2. Birth certificates, adoption papers, citizenship papers3. Divorce or separation papers4. Passport5. Burial lot deed6. Church records7. Deeds/mortgages8. Corporate and government bonds/securities9. Life insurance policy(s)10. Vehicle titles11. Marriage records12. Will13. Letter of last instruction14. List of household contents15. List of assets/savings16. Real estate investment records

Create a ”History File”, in this file keep the following items:1. Resume2. Checkbooks/passbooks3. Pet registrations4. Repairs/maintenance instructions5. Net worth statement (list of assets and debts)6. Auto repair receipts7. List of credit cards, with phone numbers and addresses8. Loan agreements and contracts9. Employee handbook, contract, employment record and benefits10. List of degrees and diplomas11. Pension/retirement records12. Record of publications (if you have been published)13. Account books14. Bank statements and cancelled checks15. Living will16. Safe deposit keys17. Health bills & receipts18. Medical history for each family member19. Health insurance ID cards (copies since you carry originals)20. Lease/rental agreements21. Home improvement receipts and property tax receipts22. Homeowners and renters insurance23. Passbooks24. Purchases, interest, charitable contributions and medical expenses25. Income tax returns, forms, schedules, support info and W-2 forms26. Vehicle bill of sale27. Auto insurance28. Record of traffic violations29. Explanation of warranty or guarantee on items purchased

Gone are the days where the “man of the house” was solely responsible for carrying out the household paper-pushing duties. Collecting and paying the bills, maintaining and archiving the endless amounts of important receipts, and storing the numerous valuable and important documents that are collected over a lifetime, is now, more often than not, fallen upon the women of the house.

The increasing population of single and divorced women and longer life expectancies contribute to the shift in traditional rolls. US Department of Health statistics show the average 65-75 year old woman will outlive her partner by 2-3 years. These changing roles demonstrate the need for both spouses to be familiar with the operation and location of all the important household documents.

Make your life a little easier by starting to collect the items listed in the guides above today. If you are currently married, start talking with your spouse about these important matters—ask yourself, ÅgIf something unexpected would happen tomorrow, do I know where all the important papers are and can I take over the household “paper-pushing” duties?

If the answer is NO…Get organized today!

20

21Southeast Pennsylvania 21

Questions to Ask When Comparing Retirement

CommunitiesBy Stacia Keith, Director of Sales,

StoneRidge Retirement Living

Selecting a retirement community can be a daunting task. While some people compare the process to buying a house, I prefer to compare it to choosing

a spouse. Think about it. Essentially, you’re making a lifetime commitment to a community as they are to you. You are shopping for not only your next home but for the rest of your future. Like in a marriage where you can never know someone too well before you marry them, you can never know too much about a community before you move. Of course, also like a marriage you may know them well, but surprises and disappointments over time will arise over time. What matters is does it meet your needs and expectations.

Having a community live up to your expectations is all about asking the right questions. Truthfully, you can never ask enough. However, I’ve put together a list of some of the most important questions that often go unasked.

What is day to day living like?Communities vary greatly in size and features. Some seem like a small city. Others only have a handful of people. With under 200 residents and 140 dwelling units, StoneRidge is a great size to get to know people and have a family-like atmosphere while maintaining both your privacy and Independent Lifestyle. Of course, we will also have three dining venues, a gift shop, card and game room, cinema, large living room and recreation room. We’ll also offer an indoor pool, full fitness and wellness center, general store, ice cream parlor, and billiards room when our current renovation is completed at the end of 2013. At StoneRidge, you live the life you choose.

What services are not included?I frequently hear prospects question what’s included, they don’t often ask what isn’t included. You should always ask what services are available at an extra charge. A la carte services are where communities seem to differ the most.

StoneRidge offers an almost totally inclusive package with housekeeping, a meal credit, cable, utilities, transportation and more.

If I need medical attention, how do I get it?Each community has a different process for making sure you get the help you need. Don’t wait until you have an emergency to find out whether or not you can see an on-site doctor, be assisted by a nurse or call for emergency assistance. StoneRidge has all of these types of assistance available to our Resident, and we also offer physical, occupational and speech-language therapies for all Residents. These therapy services, along with Podiatry, are often available to our Independent Residents in their apartments or cottages.

May I see the healthcare center?No one ever wants to think about what will happen if they need personal care or full-time nursing care, but the fact is that you may need it at some point in time. Take a look at it now, and see how they rate on www.medicare.gov/nursinghomecompare. StoneRidge offers a Five Star rated nursing center to our Residents and has all private rooms for personal care Residents.

May I see the contract and/or Resident handbook?Don’t wait for the application to look at the contract. Make sure you know what you will be agreeing to before you decide to apply for a community. It’s important to make sure all of your needs and expectations are met, and the agreement is where that begins.

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Sandy St. Germaine has a website devoted to RV enthusiast.

Please visit it at http://www.travelrving.com

Article Source: http://EzineArticles.com/6268962

Travel RVing for SeniorsBy Sandy St Germaine

Call them baby boomers, over 55's, empty nesters or just plain seniors - retired adults are flocking to the RV lifestyle

in ever-increasing numbers. There are many advantages to joining campground "clubs". They offer access to amenities not provided to the general public, and they provide both practical and emotional support to their members. Although all RVers have something in common from the gitgo - their enjoyment of RV travel - clubs and organizations have now evolved to form more specific niches.

Some of the sites you might want to explore are: Escapees RV Club, RVers Online, and Fulltime Rving. Another club that centers on the senior RVer is the Baby Boomer RV Club.

Be sure to get yourself a lifetime senior pass from the National Park Service. The senior discount card is only $10 and is good for your lifetime. Besides being honored at all Forest Service and National Park Service sites, the lifetime national parks Senior Pass also gives seniors a 50% discount on federal fees charged for accessibility to things like camping, swimming, boat launching, etc. One catch. You cannot get the pass online or through the mail. You must purchase it in person at a federal site where entrance fees are charged or at federal regional offices.

There are literally hundreds of campgrounds catering to the 55 and older community. Do a quick search on the internet and you will find them in every state, offering discounts and amenities galore for the senior RVer.

Whether you are traveling or have set up camp for a long stay, always check for senior discounts in the area. Many restaurants offer senior discounts, as do grocery stores and some department stores. The discounts are often not advertised, but it never hurts to ask about them. Discounts of 10% or 20% on everyday purchases can add up to a tidy savings over the long haul.

And if you are worried about staying in touch with family and friends, don't! The internet is always available and so are cell phones. Some folks say that gallivanting around the country gives them the freedom to visit their kids and grandkids more often than they did before they undertook the RV lifestyle.

So go ahead. Spend your golden years in total freedom. But you never have to be alone. Senior RVers are very social beings. The seasoned RV travelers are quick to welcome "newbies" and to share a myriad of approaches to living on the road.

Get a National Parks Pass

Senior citizens (those over 62) have the opportunity to acquire a lifetime pass for $10. Go to www.recreation.gov for more information.

Be Aware of the Environment

Be careful where you park your RV, not all places are safe and can be dangerous in the case of sudden flash floods. Check with local rangers to find a safe and legal parking/camping area.

Prepare for the Unexpected

You never now what Mother Nature may surprise you with. Be prepared and remember to take along non-perishable food that won't spoil, as well as a few jugs of water.

When You Are Tired, Stop

It’s a vacation, don’t spend it in a hospital; take rests when you are tired. Remember, diving an RV is more taxing than driving a car. It takes a great deal more attention and concentration.

Where to stop

When you are tired, don’t stop on the side of the road. Use well lit rest stops. Also, Walmart parking lots are great places to rest and even stop for the night. Walmart welcomes RVer’s for over night stops and their large well lit parking lots are safe and convenient. For more information: www.walmartatlas.com/rv-parking-at-walmart/

Make a First Aid Kit

A first aid kit is well worth the minimal trouble it takes to put together. Here are some recommendations: extra flashlight, batteries, bandages, alcohol, hydrogen peroxide, gauze, tweezers, bug ointment, aspirin, ibuprofen, cold tablets, and any prescription medicines.

www.gorving.com - Go RVing

www.recreation.gov - Recreation.gov

www.koa.com - Kampgrounds of America

www.nps.gov - National Park Service

www.gocampingamerica.com - Go Camping America

www.motorhome.com - Motorhome Magazine

RVing Tips:

Websites of Interest:

23Southeast Pennsylvania

Enjoy the season with these five-star Summer recipes.

My Mom’s Best Hamburgers for the Grill

2/3 cup cooking oil2/3 cup of water2/3 cup ketchup¼ teaspoon hot sauce2 tablespoons Worchestershire sauce2 tablespoons sugar2 tablespoons flour ¼ cup lemon juice1 teaspoon salt½ teaspoon pepper1 teaspoon garlic salt5 lbs. ground beef

Ingredients:

Directions:

Mix all ingredients together. Shape into patties and grill. Serve on bun you’re your choice of: lettuce, tomato, onions, cheese and condiments.

Pasta Salad

2 (7 oz) bags rotini pasta2 cups cucumber, sliced1 ½ cups tomato, sliced2 (4 oz) cans tiny shrimp (optional)½ cup celery, sliced10 slices salami1 cup mayonnaiseI bottle Italian dressing1 hard-boiled egg, sliced1 can black olives1 jar green olives

Ingredients:

Directions:Cook rotini according to package instructions. Drain and chill. Mix all ingredients except olives, mayonnaise, and Italian dressing and egg. Slice and add olives according to taste. Add mixture to chilled pasta.

To make dressing: mix mayo, dressing, and egg together, add to salad and toss. Best if chilled before serving.

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LPreservation of Assets

Lifecare is a program that aids in the protection of financial assets. By purchasing Lifecare for a set fee, with minimal inflationary increases, individuals have the assurance of knowing that the remainder of their income and assets will be protected in the event of a catastrophic illness which might require long-term skilled nursing care. In addition residents receive substantial tax benefits related to the prepayment of future health care costs.

Using Today’s dollars for Tomorrow’s Healthcare NeedsPurchasing Lifecare guarantees you will have care in the future when

you need it. You will have already paid for much of that future care with an investment made in today’s dollars. Even as daily costs for assisted living/personal care and skilled nursing care increase, you have already locked in your investment. Lifecare answers the questions of whether a person will be able to afford long-term care in the future. The price of Lifecare already includes long-term care for life at a predictable cost.

Security for CouplesRarely do both spouses in a marriage remain equally healthy for an

equally long period of time. By purchasing Lifecare, couples ensure that the appropriate levels of amenities and services will be available to both spouses simultaneously, for life.

This allows the couple to maintain their independence for a much longer period of time. Lifecare programs are a safety net of services that allows the couple to maintain a close, loving relationship while either spouse receives the care he or she needs and deserves. This alleviates one spouse having to provide round the clock care for the other, yet allows them to be together under the same roof while still paying the single monthly service fee. And finally, both spouses can rest assured that should one predecease the other, the remaining spouse’s care has been guaranteed.

Quality of Life - Today and in the FutureLifecare provides the opportunity to maintain quality of life as we progress

through the continuum of life. The services provided by a Lifecare community with a contract for continuing care, assure the details that provide meaningful quality of life will be available as the years pass. Additionally it takes away the burden to the spouse, children, or Power of Attorney of locating and making the decision of where healthcare services will be provided in the future. Ultimately, Lifecare is designed to meet the needs of the individual at every level of the retirement experience.

Lifecare Contracts remain a good option for many Seniors!

The Highlands at Wyomissing is a non-profit, Continuing Care Retirement Community offering residential, assisted living/personal care, skilled nursing and memory support care. Call us to learn more about Lifecare at The Highlands at Wyomissing. Please visit www.thehighlands.org or call 610-288-3405.

Lifecare is a term that is used in the retirement industry, although many times the concept of Lifecare and its benefits are not well understood. Long-term care is a topic on the minds of many seniors today. With modern medicine continuing to advance, people are living longer than ever and life expectancy continues to increase. And as people live longer, the need for a variety of healthcare services, including, personal care/assisted living and long-term nursing care, increases. This prepaid continuum of care, called Lifecare, meets the needs of residents, beginning with residential living, followed by personal care/assisted living, and finally, skilled nursing care. In today’s environment of escalating health care costs, comprehensive levels of care are important. A standard Lifecare (All-Inclusive) contract includes residential living with all the lifestyle features and amenities available, plus unlimited personal care/assisted living and skilled nursing care whenever needed for as long as needed, all covered by the same monthly service fee.

Long Term Care Statistics

• The average annual cost for a private room in a nursing home in the Reading, Pa area is $107,310. The average annual cost for a semi-private room in the Reading, Pa area in a nursing home is $95,630. *Genworth Financial 2010 Cost of Care Survey

• The average annual cost for a private, one bedroom assisted living/personal care apartment in Reading, Pa area is $39,390. *Genworth Financial 2010 Cost of Care Survey.

• Nearly 70 percent of those turning 65 this year eventually will require long-term care in their lifetimes. *2006 Congressional Quarterly Report

• Medicare, a federal program, pays for approximately 12% of care in skilled nursing centers. *PA Department of Health 2007 Long-Term Care Questionnaire

• The lifetime probability of becoming disabled in at least two activities of daily living or of being cognitively impaired is 68% for people age 65 and older. *AARP. Beyond 50.2003: A Report to the Nation on Independent Living and Disability, 2003, (11 Jan 2005).

• About 75 percent of single people and 50 percent of all couples spend all their savings within one year of entering a nursing home. *The Wall Street Journal, June 2000

• Roughly 40% of those reaching the age of 70 are expected to need some type of long term care during the rest of their lives. *GE Capital, 2002

• More than half of the US population will require long term care at some point in their lives. * Americans for Long-Term Care Security, www.ltcweb.org, August 2000

• One out of five Americans over the age of 50 is at risk of needing long term care in the next 12 months. *Americans for Long-Term Care Security, www.ltcweb.org, August 2000

• 60% of people over age 75 will need long term care and need care for approximately 3 years. *Business Week www.businessweek.com