White Pass and Yukon Route Railway

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Online Music Lessons - A Good Way To Learn?

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6 Best Senior Winter Tips to

Prepare for the Coming Season

Great At Any Age

Winter 2014www.berksseniorguide.com

To learn more about living at Phoebe Berks, visit www.phoebe.org/berks.

1Southeast Pennsylvania

By Karen Miller, Fitness Coordinator, and Andrea Long, Residential Counselor

PHYSICAL FITNESS – The Secret Ingredient at Phoebe Berks Village

According to resident Nancy Dettra, “Each member of the Phoebe Fitness Staff is an enthusiastic motivator. They all really excel at sharing their knowledge and expertise. They encourage residents like me to perform to the best of our abilities.” Nancy has been a very active participant in fitness classes since moving to Phoebe in 2007. Her weekly fitness regime is a combination of balance classes and water walking classes. Nancy reports that she has recently decided to increase her aqua fitness participation from 3 days a week to 5 days a week. “I have noticed that the more I keep moving, the less I feel the aches of my arthritis. Water walking is the perfect exercise for me because it is a challenging workout, yet I feel no impact to my joints. The Phoebe pool is always kept heated to about 86 or 87 degrees which is within the range recommended by the Arthritis Foundation. Plus, relaxing in the hot tub after a good workout is an added bonus!” At age 82, Nancy attributes much of her vitality to the fitness programs she enjoys at Phoebe Berks Village.

At age 100, resident John Hollinger makes it a habit to swim laps, lift weights, and use the treadmill at least twice a week. Like many other Phoebe Berks independent living residents, he is a shining example of healthy aging. “With all the facilities they have here, there is so much residents can take advantage of,” he says. “I’ve always been physically active and I think that’s the main reason I am living so long.” John, a resident of Phoebe Berks since 1994, says that he looks forward to many more years at Phoebe and that he doesn’t plan to stop exercising anytime soon. His advice to others is to stay as active as possible for as long as possible. “I think keeping active also keeps your mind healthy,” he says.

Phoebe Berks residents can choose to participate in 9 different “land” programs and 6 different “water” programs. Because some of these are so popular, they are offered several times a week. Classes vary in size, as well as in content and skill level. Besides Water Walking, other classes in the pool include Circuit Training, Aqua Zumba, Making Waves, and a brand new Ai Chi class. During Aqua Zumba, the beats of Latin music get the residents revved up to utilize the water’s resistance for a full body workout without impact to muscle or bone. The Making Waves class is an intermediate level class for swimmers and non-swimmers. It’s a combination of float, laps, and movements. Residents come prepared to work hard and have fun. Ai Chi is basically Tai Chi in the pool. Internal relaxation and slow movements make this class perfect for those finishing a high impact class or for those who just want to enjoy relaxation in the water.

One of the most popular “land” classes is the Abs, Arms, & Legs

class, in which participants use weights, balls, or the resistance of their own bodies to improve strength, balance, and coordination. The Chair Yoga & Relaxation class allows participants to engage in mind-body experiences that are challenging and fulfilling. They practice yoga poses, basic breathing techniques, as well as other techniques for better relaxation and stress reduction. Most recently, small group training sessions for men have been added to the list of weekly offerings. These groups consist of 3 to 6 men who are working on improving strength in their major muscle groups. A friendly competition was quick to start between the groups. The news of measurable results and successfully targeted goals is eagerly shared but bragging rights are the only prize in this neighborly competition each week! Other land classes offered at least weekly include Balance class, Seated Exercise class, and Aerobics.

In all the fitness classes at Phoebe Berks Village, the main goals are good posture, improved balance, safe form and technique, and, of course, lots of fun! Village residents who participate regularly in fitness programs have reported noticeable improvements in their balance, strength, flexibility, endurance, and metabolism. By gaining more confidence in their gait and posture through exercise, they are much better equipped to handle the activities of daily living in the present, and for years to come. Independent Living residents who are committed to staying active have discovered the secret ingredient necessary for maintaining vitality: Physical fitness at Phoebe Berks Village. Add some to your life today!

Because our residents realize that “variety is the spice of life”, many take advantage of the wide range of exercise programs available at Phoebe Berks Village. Much of their “spice” comes from the benefits they gain through their energizing fitness

routines. Well over half of Phoebe’s independent living residents regularly participate in either group fitness classes or individual use of the Fitness Center, which includes an indoor heated pool and a weight room with cardio equipment. Some exercise enthusiasts even take advantage of one-on-one personal training sessions with Phoebe’s certified fitness instructors.

To learn more about living at Phoebe Berks, visit www.phoebe.org/berks.

2

FEATURES

1

PHYSICAL FITNESS – The Secret Ingredient at Phoebe Berks Village - Karen Miller, Fitness Coordinator, and Andrea Long, Residential Counselor

4 Senator Judy Schwank – Report to the People

56 Best Senior Winter Tips to Prepare for the Coming Season - Stefanie Jeanne

6 PACE

7 Lifecare Contracts Remain a Good Option for Many Seniors!

8 Failure to Thrive Treatment for the Elderly – Gary Hawkins

9 White Pass and Yukon Route Railway - Linda Brandt

10 Home Care Resource Guide

11 Navigating Health Services Lingo in a Time of Big Change

12 Great At Any Age - Michele E. Hatt-Ciemiewicz

14 Adult Day Care Resource

15 Resource Directory

18 Thinking of Moving to an Assisted Living Residence?

20 Online Music Lessons - A Good Way To Learn? - Kevin Sinclair

21 Piano Lessons for Seniors - Now Online - By Edward Weiss

22What Is Long Term Care? - Kevin W. JacksonLong Term Care and the Liquidity Trap - Kevin W. Jackson

23 “Aunt Tilly’s Kitchen”

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 2014 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.

Winter 2014

ADVERTISERSFront Cover Phoebe Ministries – Wernersville

Back Cover The Highlands at Wyomissing – Wyomissing

Inside Front Cover The Lutheran Home at Topton - Topton

Inside Back Cover Phoebe Ministries – Wernersville

3 Alzheimer’s Association

6 The Highlands at Wyomissing – Wyomissing

8 Griswold Special Care – Wyomissing

11 Berks Visiting Nurses Association – Wyomissing

21Keystone Villa – Douglassville/FleetwoodMifflin Court Senior Living Community - Shillington

3Southeast Pennsylvania

4

There are more than 8,400 men, women and children in Pennsylvania on the waiting

list for life saving organ transplants. Over the last ten years, an average of 490 people died annually while waiting for organs in our Commonwealth - they simply ran out of time.

Senate Bill 850: The Donate Life PA ActSaving Lives Through Organ Donation

The “The Donate Life PA Act”, (Senate Bill 850 of which I am a co-sponsor), is at the time of this writing currently before the State Senate for possible consideration. The bill includes provisions to educate students in medical and nursing schools, high schools and colleges to create more awareness about organ donation, reinforces that organ transplantation is a priority over other uses of organs, and reduces the likelihood that organ donations will be denied over the express wishes of a donor or a donor’s family.

It is hoped that by increasing awareness about the importance of organ donation through education, more people will sign up to become donors. The need for organ transplants rises faster than the number of donors. More than 100 people are added to the nation’s organ transplant waiting list every day, and thousands die every year waiting for an organ that never arrives. We can change that.

In Pennsylvania 4.4 million people have said “yes” to organ and tissue donation by adding the donor designation to their driver’s license, learner’s permit or state identification card. But this represents only half of those eligible to register. That is why I am asking you to consider becoming an organ donor. Anyone, regardless of age or medical history, can sign up to be an organ and tissue donor. You do not have to wait until you’re getting or renewing your driver’s license, learner’s permit or photo ID to sign up to donate. You can sign up to be an organ and tissue donor at any time at the Pennsylvania Department of Transportation website. There is no fee to sign up. When you sign up online, your status as a registered donor will be reflected in your driver’s record but you will not receive a new license. All you need to sign up is your driver’s license, photo ID number, date of birth and the last four digits of your Social Security number. If you sign up to became a donor, it is important that the people closest to you know and understand your wishes.

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.

State Senator Judith L. Schwank • 11th Senatorial District

Report To The People

5Southeast Pennsylvania

By Stefanie Jeanne6 Best Senior Winter Tips to Prepare for the Coming Season

Get Ready for Winter!

1. Make sure that the house has proper heating:

Temperatures can go from chilly to biting cold as seasons change from summer to autumn to winter. This is a critical time for seniors, whose weakened physical constitutions make them vulnerable to certain medical events. The house gets too cold, and they might suffer a heart attack or a stroke. It is therefore highly important to check the house's heating sources for any possibility of failure. Check the fireplace, the heater and even space heaters. If you can afford it, you should upgrade old space heater models to the latest ones, which are safer to use and less prone to causing fires. Chimneys should be cleaned and checked for any blockage or buildup of soot and dirt. The heater's filter should also be replaced. If you're one of those who subscribe to a gas-based heating system, call the gas company and request for an inspection.

2. Install carbon dioxide and carbon monoxide detectors and alarms:

During winter, residents are usually forced to stay indoors for days. This creates a situation where they rely solely on the house's heating system. If you're living in a new house or a house whose venting system has not been properly inspected, this could pose a danger of gas poisoning. Carbon dioxide or carbon monoxide are silent killers, and such gases have in fact poisoned and killed people, even entire families, and such tragic loss of life could have been prevented by the installation of a very simple and inexpensive detector and alarm.

3. Stock up on supplies:

Back in those days before widespread and inexpensive refrigeration, families would spend the previous three seasons preparing for the winter by drying, smoking or canning all their food. These days, you don't have to do any of that. All you need to do is hit the supermarket and stock up on food and other supplies, such as emergency medicine, painkillers, extra lights or bulbs, batteries.

4. Make advance planning for snow and ice removal:

You can't expect your elder to go out there and shovel snow, can you? Ice and snow present a lot of serious hazards to the average senior-ice is slippery, for example, and poses a serious risk for accidental fall. In fact, many elderly people figure in various outdoor accidents involving ice and snow each year. Hire a professional who can provide snow removal service, or at least, try to go out of your way to do this for your senior loved one.

Helping your senior loved one prepare for the change in seasons is important because they could not easily do any of these preparative measured by themselves. You should also check out in advance if the senior has outdated equipment or busted gears that could later put the senior's health at serious risk. While it's still autumn right now, heeding these 6 tips to help your senior loved one prepare for the change in season could save you and your aging parent a lot of trouble and spare you from unnecessary risk.

Utility Emergency Numbers

5. Have someone to regularly visit your senior loved one:

Despite all careful precautions, sometimes you can't really be sure. Try to visit your senior loved one regularly, checking their medicine intake, the house's temperature and heating, and food supply. If you can't do it yourself, find someone who can do it for you, preferably a professional care-giver. Such care providers are often hired out from their agencies, at very flexible schedules.

6. And most importantly, ensure the senior's safety:

The change in seasons-from summer to autumn to winter-can be highly stressful events for those with certain medical conditions and weakened physical constitutions, such as the elderly. Winter, in particular, presents a significant risk to seniors due to the extreme weather conditions that could last for several weeks. For this reason alone, you might consider getting your senior loved one a medical alert system, a device that is worn as a bracelet or necklace pendant. The wearer needs only to press the device to get instant communication with a monitoring and response team in the event of an emergency. Such a personal alert system is inexpensive to use, anyway, with several highly reputable providers competing to serve you.

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

PP&L Electric: 800-342-5775

PA American Water: 800-565-7292

Western Berks Water Authority: 610-678-4400

First Energy Services: 888-544-4877

UGI Gas Service, UGI Electric Service, UGI Penn Natural Gas: 800-276-2722

UGI Central Penn Gas: 800-652-0550

Comcast: 800-266-2278

Verizon: 800-837-4966

AT&T: 800-288-2747

66

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

L

7Southeast Pennsylvania

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

88

Failure to Thrive Treatment for the Elderly

Very often the image of a small baby comes to mind when someone hears the term failure to thrive. However, adults — particularly older individuals — can fall into this category, as well. It is important to understand the warning signs in older adults as this can be a critical and

deadly illness. Caregivers need to have a failure to thrive care plan in place before it becomes necessary. According to The Institute of Medicine, failure to thrive is defined as, “Weight loss of more than 5%, decreased appetite, poor nutrition, and physical inactivity.” Failure to thrive in older adults is not just one medical condition. It is a deep-seated disorder that can include physical and mental components. Very often it is accompanied by depression, dehydration, and low cholesterol.

Warning Signs and StatisticsFailure to thrive in older adults is a serious condition that affects up to 35% of older adults in general, up to 40% of nursing home patients, and up to 60% of hospitalized veterans. This condition is not simply part of the aging process and can often lead to death. It is important to recognize the signs early so failure to thrive does not advance in your elderly loved one before treatment can begin.

One warning sign is depression, which is widespread and frequently undiagnosed in older adults. Often the early signs of depression – weight loss, fatigue, changes in mood, and noticeable changes in memory, concentration, and attention span – are misdiagnosed as dementia. Older adults who are worried about their independence may attempt to hide these symptoms or mention physical issues rather than symptoms. (www.aafp.org) Older adults who have these signs should be screened for depression. Unlike depression, malnutrition is an autonomous forecaster to failure to thrive in older adults and mortality. A dietary history, including caloric intake and body weight, needs to be taken and monitored on an ongoing basis. In addition to periodic high calorie booster meals, older adults tend to be open to eating more in the morning. Make breakfast the largest meal of the day and ensure that it’s nutrient rich while still enjoyable to the patient’s palate.

A Plan to ThriveA failure to thrive plan for older adults can stabilize and improve the patient’s outlook and outcome. All plans should include the following:

• Monitoring of daily electrolytes and fluids• Daily weighing and tracking weight trends• Performing depression assessments – have the primary care

provider determine if medicines are necessary• Recording daily caloric intake and types of foods eaten• Encouraging participation in activities the patient once enjoyed• Providing opportunities for exercise at the patient’s level of ability• Providing social interaction

When developing a failure to thrive plan, it should be a team effort. From the primary care provider to a dietitian, mental health care provider, and family members, there needs to be an awareness and coordination in how to combat all facets of this illness.

What is most important is to understand that weight loss, depression, lack of interest in food and activities are not a normal part of the aging process. These are all signs of something more serious and ultimately can lead to death. Keeping the older adult in your life mobile, social, and involved in their favorite activities can go a long way to keeping them from falling into a failure to thrive elderly prognosis and providing them with a more fulfilling and longer life.

By Gary R. Hawkins, C.S.A., Owner Griswold Home Care

9Southeast Pennsylvania

Imagine riding the engineering marvel of the historic White Pass & Yukon Route (WPYR) wooden railroad through the wilderness

and over the White Pass Summit. Cliff-hanging turns will have you holding on to your breath as the train pulls you up 3,000 feet in only 26 miles. You can explore the wild west of Alaska and, if you opt for the Bennett Scenic Journey, Canada's Yukon. Be sure to reserve this shore excursion with your Alaskan cruise.

The WPYR is included on several Alaska cruise-tours, including Holland America's Yukon+Double Denali Journey. This train ride can be added as a shore excursion during your port stop in Skagway or as a cruise-tour to Whitehorse and Denali before or after your cruise. Depending on the itinerary you choose, the cruise portion of your trip is between 3-5 days and the land tour is 7-8 days, for a total Alaskan vacation that lasts 10-13 days.

This is the best train ride EVER

The railway starts or ends at the cruise port in Skagway and heads west to cross over the Canadian border. On the WPYR, you'll enjoy the spectacular view from your vintage parlor car as you climb 50 miles up, over, down and through the White Pass Summit from a slow 5 mph up to speeds of 25 mph on the same route built during the Klondike Gold Rush.

The train follows the path of the infamous Yukon River. You'll see the notorious Five Finger Rapids, which put fear in the eyes of the Klondike Stampeders who tried to maneuver it. The railroad was actually built as a result of the treacherous rapids during the Klondike Gold Rush in 1898. The $10 million project was considered an impossible task but it was literally blasted through coastal mountains in only 26 months. Thousands of men and nearly 500 tons of explosives overcame difficult weather and terrain conditions to produce "the railway built of gold." The train became the safest way to cross the White Pass Summit to get to Whitehorse--the center of the gold rush.

The WPYR was designated an International Historic Civil Engineering Landmark in 1994. It shared this honor with such engineering marvels as the Eiffel Tower, Statue of Liberty and the Panama Canal. The WPYR has enjoyed a rich and vivid history throughout its 100 years of operation. The Klondike has gone from the gold mining operations of the first stampeders to large corporations now controlling the mining in the region. During World War II, the WPYR was the main transportation route for bringing in supplies for the US Army's Alaska Highway construction project.

The railway was closed in 1982 during the mining collapse. It was restored and reopened in 1988 with cruise tourists in mind. Today it is Alaska's most popular shore excursion carrying nearly 400,000 passengers during the tourism season of May to September.

Do you want to take the train ride of your life?

Now is the time to book your 2014 Alaskan cruise plus land tour. Don't delay-the most popular shore excursions and cruise-tours sell out first. Alaskan cruising season runs from May to September, and we can help you find the time that's right for you. Perhaps you'd prefer something more "exotic", like a European river cruise. Whatever your dream destination, we can help you plan your vacation from start to finish. Contact CruiseExperts.com by visiting our website http://www.CruiseExperts.com.

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

White Pass and Yukon Route Railway Is One of Alaska's Most Popular Cruise Vacation Shore Excursions

By Linda Brandt

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 3 610-406-9000Berks VNA 3 3 3 3 3 3 3 3 610-378-0491

Chestnut Knoll 3 3 3 3 610-473-3328Comfort Keepers 3 3 3 3 3 610-678-8000

Griswold Special Care 3 3 3 3 3 610-372-9940Home 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

Seniors Helping Seniors 3 3 3 3 610-898-0090The Birches at Home 3 3 3 267-933-6800

United Disabilities Services 3 3 3 888-837-4235Visiting Angels 3 3 3 610-898-7880

Home Care Directory

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11Southeast Pennsylvania

With all of the recent changes in health care and insurance, health care terms and resources have become even more confusing.

To help you navigate the ever-changing world of health care, the knowledgeable professionals of Berks Visiting Nurse Association (VNA), Pottstown VNA and Advantage Home Care have detailed explanations for commonly used health care and health care services as they are defined by Medicare. Homecare describes any form of care given within the home which covers both medical and non-medical forms of care. This can range from care provided by a home health aide, home health nurse, companion or caregiver, and it includes intermittent care, respite care and home therapies. Homebound is defined by meeting two criteria. First, patients either have trouble leaving their home without help OR leaving their home isn't recommended because of their condition. Second, patients are normally unable to leave your home; leaving is a major effort. They may leave home for medical treatment or short, infrequent absences for non-medical reasons such as attending religious services. Those who attend adult day care are still able to get home health care.

Plan of Care is a written doctor’s orders for home health services and treatments based on the patient’s condition. The plan of care is developed by the doctor, the home health team, and the patient. Skilled Care is a type of health care given when patients need skilled nursing or a rehabilitation staff to manage, observe and evaluate their care. Nursing, physical therapy, occupational therapy and speech therapy are considered skilled care by Medicare. Caregivers are defined as those who provide care to another person. There are two types of caregivers: medical caregivers and non-medical caregivers. Medical caregivers, such as registered nurses, provide assistance to patients with medical needs. Non-medical caregivers, such as home health aides, help individuals with activities of daily living.

The experienced staff of Berks VNA, Pottstown VNA and Advantage Home Care is always happy and available to answer

any questions. For information about how home care services can help seniors and others live safely and independently

in their own homes, please call 1-855-The-VNAs or visit www.hhcminc.org.

Navigating Health Services Lingo in a Time of Big Changes

12

A

Photography by: Jennifer Borror

Great At Any AgeMichele E. Hatt-Ciemiewicz

As the end of another year draws near, most people’s minds plan for the hustle and bustle of the winter holidays and anticipate the prospect of another new year. Each end affords us the opportunity of a new beginning, and every year, New Year’s Day gives each of us the chance to remake ourselves or to do something that will enhance our daily lives.

However, the chance to create resolutions that will change and enhance our lives can be a paradox. On one hand, it can full us with excitement at the idea of trying something new and reaping all of the benefits of the success that may follow; on the other hand, it can paralyze us as the fear of failure or retribution is played out in our mind’s eye. With that said, I think it is important to remember that humans are their own worse critics, and most of us would end toxic friendships that criticize us and hold us back the way our imaginary fears do.

So this year, why not take a leap of faith and plan something new and exciting? Make a resolution that will enhance and improve the quality of your life. In doing so, look around you for inspiration. There are many people doing great things; all you have to do is really pay attention. You may even be inspired by the following famous people most of whom have gained greatness and success after the age of 50.

ArtGrandma Moses – Anna Mary Robertson, best known as Grandma Moses, began painting pictures of rural American life in her 70s (“Grandma Moses”).

Pablo Picasso – Picasso was born in 1881, and his artistic career spanned nearly 80 years. In 1907, Picasso painted “Les Demoisselles dAvignon” which is believed to be the inspiration for the Cubism movement, and then in 1927 and onward, Picasso created Surrealistic paintings. Many believe that most of his greatest works were produced after the age of 50 (“Pablo Picasso”).

Leonardo da Vinci – Born in 1452, da Vinci came from humble beginnings, and by the age of 20, he qualified as a master artist. However, one of his greatest works, “The Mona Lisa” was painted when da Vinci was in his 50s (“Leonardo da Vinci”).

BusinessColonel Harland Sanders – At the age of

65 Sanders opened his first Kentucky Fried Chicken franchise and changed

America (Cranford).

Ray Kroc – Like Sanders, Kroc revolutionized the way Americans ate and started his fast food franchise later in life. At the age of 52, Kroc opened his first McDonald’s restaurant (Cranford).

13Southeast Pennsylvania

Great At Any AgeMichele E. Hatt-Ciemiewicz

Writing Laura Ingalls Wilder – At the age of 65, Wilder published her first book Little House in the Big Woods which was the first part of a series of autobiographical books that later became known as the Little House [on the Prairie] series. Wilder published her last book in the series when she was 76 years old (“Laura Ingalls Wilder”).

Wallace Stevens – Stevens was in his 50s when he changed his career from an insurance salesman to a poet (Cranford).

Maya Angelou – Angelou was in her 60s when she became famous for her writing (Cranford).

These are just a few of the amazing people who have accomplished remarkable feats after the age of 50. While some of them ended up excelling in a career they spent their whole life working in, others made significant career changes and changed the shape of the world. These examples prove that there is no clear path to success and that success can present itself at anytime. The one thing that is for certain is that these people all had a few similar traits in common: vision, motivation, and goals.

So as the new year approaches, many of us may not be planning on taking up marathon running or launching our own TV program because those goals may seem overwhelming or impractical; however, it is entirely reasonable, and beneficial, to consider making resolutions for 2014. Maybe you will start an exercise regimen; maybe you will take up writing or painting; or maybe you will initiate a career change. Whatever you put into motion will surely have far reaching benefits if you follow through and take action.

Here’s to great beginnings and planning a new you in 2014. Cheers!

EntertainmentSusan Boyle – At the age of 48, Susan Boyle launched her professional singing career on the television show Britain’s Got Talent by performing “I Dreamed A Dream” from Les Miserables. Although singing had been a source of comfort and solace for her, it was this performance that introduced her to the world and made her a house hold name (“Susan Boyle”).

Julia Child – Julia first worked as a secret intelligence officer, but then later in life, she found her true calling as a chef. At 51, Child became famous and a household name after launching her TV program The French Chef (Cranford).

Alfred Hitchcock – Hitchcock’s best films were directed when he was between the ages 54-61 (Cranford).

Politics and Social IssuesBen Franklin – Franklin was a man of many talents and lifelong accomplishments; he was a writer, publisher, inventor, diplomat, and politician. However, his is probably best known for his work on and for signing The Declaration of Independence, which he did in his 70s.

Mahatma Gandhi – Gandhi was born in 1869 and spent his life advocating for the rights of Indians. In his 50s, Gandhi led his civil disobedience campaign from 1919-22. Then is 1930, he lead a 200 mile march as a symbolic defiance of government monopoly (“Mahatma Gandi”).

Golda Meir – At 70, she became Israel’s Prime Minister.

Nelson Mandela – At 74, he became South Africa’s oldest President.

Ronald Reagan – At 69, just a few days shy of his 70th birthday, he became President of the United States.

SportsSister Marion Irvine – Irvine was overweight and smoking two packs of cigarettes a day when she took up running at the age of 47. At the age of 54, she qualified for the Olympic marathon trials (Cranford).

Loretta Hill – At the age of 68, she was still playing basketball for Celadrin Tigerettes basketball team in Baton Rouge, LA (Eldred).

Marjorie Templeton – Templeton did not start exercising until 1975 at the age of 49. In 1981, she took up tae kwon do as a means of dealing with the grief of her mother’s and husband’s passing. After many years of hard work, she earned a sixth-degree black belt (Eldred).

Works CitedCranford, Janet. “Are You One of the Late Bloomers?” Janet Cranford and Career

Change Pathways. 2007-2013. Web. 17 November 2013.Eldred, Shelia Mulrooney. “Fitter Than You: Three 50-plus Athletes Who Can Kick Your

Butt. Experiencelife.com. July-August 2008. Web. 20 November 2013.“Grandma Moses.” 2013. The Biography Channel. Web. 2 November 2013,

“Laura IngallsWilder.” 2013. The Biography Channel. Web. 1 November 2013.“Leonardo da Vinci.” 2013. The Biography Channel. Web. 14 November 2013.

“Mahatma Gandi. 2013. The Biography Channel. Web. 1 November 2013.“Pablo Picasso.” 2013. The Biography Channel. Web. 2 November 2013.

“Susan Boyle.” 2013. The Biography Channel. Web. 1 November 2013.

14

Adult Daycare Resource Directory

14

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

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

15Southeast Pennsylvania

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 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

16

LANCASTER 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

17Southeast Pennsylvania

LEBANON

LEHIGHArden 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

1818

What Is Assisted Living

If you or a loved one is considering moving to an assisted living residence, this article is for you.

Assisted living is a promising option for seniors because of its philosophy - to promote residents’ independence, and their rights to make decisions about their lives, as much as possible, while providing housing and tailoring services to meet their individual needs and preferences. It is important you have an understanding of the philosophy of each community you visit and how each will enable you to live your life the way you want.

This series of articles special purpose is to help you find a residence where you can achieve what many seniors want from assisted living: to stay as independent as possible, control your life – and stay in the residence if you want, even if you become more dependent.

Thinking of Moving to an Assisted Living Residence?

Generally, assisted living residences provide a combination of housing and supportive services for seniors who don’t need to be in a nursing home (for round-the-clock nursing and medical care) but do require more personal care and health services than independent living provides.

Assisted Living accommodations and services vary. Some residences provide apartments with kitchenettes, while others offer private or shared rooms. In one residence, services may be limited to housekeeping and personal care, such as help withy bathing and dressing; meanwhile, another may also offer other services such as physical therapy or transportation. Typical services include meals that are served in common dining room, personal care, housekeeping, and activities.

Explore Your Options

Plan Ahead

First, we encourage you to explore your whole spectrum of options. Do you still live at home? If so, before deciding on assisted living, look into getting home care, housekeeping, or other services – and what they would cost. These services could help you stay in your house or apartment.

Maybe you can still take care of yourself but want the companionship that communities offer. If so, here’s another option to consider: independent living – also called retirement communities, congregate living, or senior apartments. Independent living typically provides seniors with recreational, educational, and social activities. Although such residences may also provide laundry, linen, meal services, and transportation, they almost never offer any personal care or health services.

Assisted living is a group living arrangement that can be beneficial, especially if you feel lonely at home because of disability or the loss of your spouse, partner, or other family or friends. But assisted living does require compromises you wouldn’t have to make living in your own home – or even in independent living.

Many people have to choose an assisted living residence in the midst of a crisis, so they don’t have time to weigh their options. But it’s best if you can prepare ahead before any health crisis forces you to make a quick decision. That way, you can take your time to explore what you need and want, and be a careful consumer. You’ll find the community that’s best for you, and you’ll help realize assisted living’s promise – helping you to maintain control over your life and to make the residence you choose, your home.

Your first consideration in choosing an assisted living residence should be the services offered and whether they will meet your needs and preferences. Wi9ll you get the help you need when you need it? Can you choose something that is not on the menu? Does the activities program offer the activities you enjoy? What housekeeping services are available and are they included in the monthly fee?

As with any choice of where to live, another important consideration is likely location. You’ll want to be as close as possible to your family and friends who mean the most to you. Even within the building, location is key: a single apartment located close to an elevator is more desirable – and expensive – than a shared room further down the hall.

Next comes price. Assisted living can be expensive. Some private long-term care insurance policies cover it, but Medicare doesn’t. Certain states are starting to cover some services under Medicaid. Monthly fees may be the same for everyone, or set based on which services you need. But fees can rise at any time, and extra services may raise them, especially if they include hourly charges for assistance. The management of some residences also charges an entrance fee or requires a refundable security deposit.

Make Many VisitsTry to make several visits to at least a few assisted living settings to decide which will best meet your needs and desires. Research your options by speaking to family, friends, and other resources in your area. The local agency on aging and the long-term care ombudsman program, which exist in many communities throughout the country, can provide information about how to find high-quality assisted living. The Ombudsman Program is a federal and state funded program that works to enhance the quality of life and care for assisted living and nursing home residents. Ombudsmen are advocates that resolve residents’ complaints and educate consumers and providers of assisted living.

Try to visit a given residence at various times of the day – including at least one unannounced visit on an evening or weekend. Try to visit during at least one meal, so you can taste the food.

Family Members Can Help Get Residents’ Needs Met

If you’re the relative of an older adult who is considering assisted living, you can help by remembering which activities he or she enjoyed most. Ask yourself: What did Dad like best? Then you can help him continue to thrive in assisted living, pursuing a path similar to what he would have chosen for himself if he were still living at home.

19Southeast Pennsylvania 19Southeast Pennsylvania

Your Choices And Preferences

Questions To Ask The Staff

What To AskSpeak to as many people as you can who live and work at the residence. You’ll probably meet first with the administrator, marketing director, or admissions coordinator. Also, make sure to speak with other staff members, including personal care aides, activity staff and the nurse, if there is one.

Make sure your state has licensed the residence. Ask specific questions about how they’ll meet your needs for service – not only now, but also if those needs arise.

Residents and their family members are other important sources of information. Ask them what they like and dislike about the place. Talk with residents who are outside or in the lobby, where they may feel free to give honest answers about whether there’s enough staff and how active the Resident Council is.

Make Your Own Decisions

QUESTIONS TO ASK Yourself & The Staff Of Potential Residences:

You may also want to preserve your power to make decisions about the aspects of your life that matter most to you. It might be important to you, for instance, to decide whether to go for a walk by yourself, even if you have a chance of falling. It might be a priority for you to walk as best you can – even if your family of the residence staff thinks you’d be safer in a wheel chair.

It might be essential for you to decide whether or not to take a specific preventive health action. For instance, you may sometimes want to go off a special diet. Some decisions may involve weighing your desire to do something, such as going for a walk alone, with the possibility that you might raise your risk, like falling. Or you might like to smoke or have an alcoholic beverage.

Does frailty or a medical condition limit your choices and activities, such as walking or choosing food? If so, ask the staff:

• How do you deal with residents who have a history of falling, but who like to go for walks alone outside the building?

• How do you react to residents who occasionally eat foods not on their diets?

Is it important for you to do things that others consider unsafe, but seem either safe or worth the risk to you? If so, ask the staff:

• Can I come and go as I please? • Can I take a late night walk if I want? • Do you believe the neighborhood poses dangers to residents? • Can I smoke? In my room? In special areas in the building

or on the grounds? • Can I take an alcoholic drink? In my room, public areas, or

the dining room?• What if I want to do something my family deems unsafe? • Are there government rules that the management believes

limits my ability to do something that might be unsafe for me?

You Probably want to retain control of your life and maintain your lifestyle even though you’re not as independent as you once were. You want your individual choices honored, such as when you prefer to wake, bathe, or eat dinner.

Some assisted living residents complain they are not provided with real options, so they cannot achieve real control. Instead, their residences’ staff and management just select alternatives in advance and then offer them to residents.

Before choosing a residence, you should explore which kinds of help you need and how you prefer to lead your life. Then use this assessment of your needs and preferences to ask questions about how well the staff can serve you. For instance, if you need help dressing and you prefer to get up at a certain our, you’ll want to know that staff can dress you when you want to get up. This information will help you decide whether a residence meets your needs and preferences – and is right for you.

Try to be realistic about your needs. If you must rely on others to help you do certain things, you may not be able to lead quite as independent a life as you once did. It’s possible that you’ll have to balance what you want (your preferences) with what you need.

• Who draws up the Resident Service Plan (an individualized list and schedule of which services each resident receives, and when)? How involved is the resident and family in the process?

• If monthly fees are based on a service formula, how often is it reassessed? When fees rise, how far in advance do you notify residents?

• How stable is the residence financially? Ask for a copy of their annual report. Do a search on the Internet to see what reporting there has been on the company.

• Who decides about transferring residents within and outside the residence? Is a nursing home affiliated with or attached to the residence, and if so, may I visit it?

• How are grievances handled? Is there a Resident Council? Is there a Family council? Who runs the councils?

• How does the waiting list work? Is there a probationary period after the resident moves in?

• What happens in a medical emergency?

Help Plan Your Care

For More Information

You probably want your independence maintained as much as possible. To do so, you may need to receive services that are tailored to meet your individual needs. One of the benefits of assisted living is getting the help you need so you can do more for yourself and enjoy more of your favorite activities than you could at home alone.

Assisted living residences often have a Resident Service Plan that documents what staff will do for residents and establishes a schedule for providing this help. The Resident Service Plan results from a planning process that tries to identify your needs for help. If you need to communicate in a language other than English, for instance, that should be in the plan. It’s important for you to see this plan – and to help develop it – to ensure that it either reflects your preferences or is changed to do so.

Please contact your local Office of Aging or State Agency. They can provide you with additional information and useful checklists, to help you evaluate your needs and wants and how a facility can best address them.

A special thank you to the Berks County Office of Aging for their assistance in compiling this information.610-478-6500 • www.berksaging.org.

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Online Music Lessons - A Good Way To Learn?By Kevin Sinclair

There are many musical instruments to choose from, depending on budget and personal preference. There are also various ways to learn. The traditional way is to learn your instrument on a one to one basis with a teacher. You could also learn from a book, a CD or DVD, or online. The problem with learning from a book is that you cannot hear how the notes are supposed to sound and compare yours to them. This is especially true if you want to learn to sing. Reading about how to sing and actually hearing the notes are totally different.

Learning online, even though you might not have considered it before, has some great benefits. First of all, online learning provides a complete audiovisual experience. You can see how to position your fingers on your instrument and also hear the exact note you should be aiming for. Online learning can be either free or very cheap, unlike a tutor, and you can begin your lesson whenever is convenient for you, rather than make an appointment with a tutor and have to travel to his or her house or studio.

If you are a slow learner, you can repeat the online lesson. A personal tutor normally charges an hourly rate. Some people simply cannot afford to attend lessons or travel back and forth to them, especially after paying the cost of a guitar, piano or other costly instrument. Without online lessons, they might not be able to learn at all.

Learning to play a musical instrument online might not be right for you, however. For one thing, when you have a tutor and make a mistake, your tutor will correct you. The tutor will be watching your fingering and the way you handle your instrument. He or she will also be listening to your music and you will get feedback. The online learning process is one way. If you are making a mistake, nobody is going to tell you and you might learn bad playing habits which are difficult to get rid of later.

If you decide to learn an instrument online, there are a few things you ought to know before starting. First of all, there are literally hundreds of online courses so it will be confusing to find the right one. The prices range from nothing to the price of a private tutor, but pricing is not the only consideration. The quality of the online lessons is as important as the cost, if not more so, so you should check several out before committing yourself.

A good course will include audio, video and perhaps animations too. Some also include email consultation or software to help you with your learning.

A sensible thing to do is to check out forums for your preferred instrument. For example, if you wish to learn the guitar, you can read reviews in guitar forums. Somebody might have learned online and rave about a particular course. It is handy to see what other people thought of the course you are considering and find out whether it sounds suitable for you.

Many courses also offer a money-back guarantee after 30 or 60 days, which is reassuring. This means that the course creators are very confident that you will be able to learn your instrument and they have faith in their online lessons. A course with a guarantee is preferable to one without.

You can choose from beginner or advanced lessons. Did you learn to play your instrument in school many years ago and are looking for a refresher course, or are you totally new to the world of music? This can affect which online course would suit you best.

Some people can learn with a tutor and find it hard to discipline themselves to learn online when there is not another person physically present. It depends on your individual learning style. Other people would feel more comfortable and relaxed learning from the comfort of their own house. It depends what would work for you. Perhaps you tried using a private tutor and it did not work out.

Whatever your musical preferences and style, there should be a good online course for you. Take a look at what is available and you will be surprised how many online lessons actually exist. Learning online means you can learn quickly and easily from the comfort of your own home, for a fraction of the cost you would pay a private tutor.

If you are interested in online music lessons, a good way to start is to Google “online (your instrument) lessons”.

21Southeast Pennsylvania 21

Used to be if you wanted to take piano lessons, you'd turn to your yellow pages and let your fingers do the walking.

Today, you can still let your fingers do the walking ... but online!

Piano lessons for seniors are here and are online. Some are free, some paid. But there are options available to those who want to learn how to play the piano.

The first thing you want to do is identify what you want to learn. Do you like the New Age piano style? Then I humbly suggest my site (available below.) Do you want to learn jazz or classical? These too are online and are actually free.

Many seniors are actively getting involved in the online world. And as more and more do, the need to cater to this demographic group will become greater.

Here are some tips you should look for when selecting piano lessons online:

How are the lessons organized?

Many piano lessons online are formatted as a PDF file or e-book. There's nothing wrong with this at all. In fact, it's just an electronic book. This idea is used quite a lot in the online piano lesson world.

Then you have actual lessons online with video and audio samples. If you're like me, you want to hear AND see what's going on. Now, with video being easy to implement and download, you can watch your piano instructor actually give a lesson online.

And last but not least, you have something where you're actually "live" with an instructor via webcam. While this option may intrigue some, it might not be the best use of your dollar as this type of instruction does cost money.

My recommendation? Look for lessons that have an instructor who uses video and audio samples. You can learn at your own rate and you won't feel rushed to "complete" assignments.

Piano Lessons for Seniors - Now OnlineBy Edward Weiss

Edward Weiss is a pianist/composer and webmaster of Quiescence Music's online piano lessons. He has been helping students learn how to play piano in the New Age style for over 14 years and

works with students in private, in groups, and now over the internet.Visit www.quiescencemusic.com now and get a FREE piano lesson!

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

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When asked whether they've known someone who needed long term care before, many will answer negatively because

they've never had experience with a relative or family friend living in a nursing home. Unwittingly, these respondents have mistaken care for a place that it is provided. Unfortunately, this common response underscores a lack of understanding about this important retirement planning topic.

It's easy to understand long term care (LTC) because it is exactly what it sounds like: care provided for a long term of at least 90 days or longer to anyone with a prolonged illness, disability, chronic need, or cognitive impairment. Millions across American spanning all age groups are receiving this kind of assistance that may last several months, several years, or even a lifetime.

By definition, this specialized healthcare is custodial in nature and provides assistance with the basic activities of daily living. A doctor certifies the need for this kind of help when their patient requires assistance with at least 2 of the 6 activities of daily living including:

• Eating • Bathing • Dressing • Toileting • Transferring (Walking) • Continence

These services may be provided almost anywhere, but they are most commonly provided in the comfort of ones home. Care may also be provided in respite care, adult day care, assisted living, nursing home, and hospice facilities.

Once consumers are educated about this, many will then admit experience of a family member who needed care. Perhaps a grandparent, uncle or aunt received assistance in their home from a spouse, child, or relative. Maybe a surviving spouse required care and moved in with a child for family support. Statistics bear the truth of these experiences out since half of all LTC services are provided in the home.

With medical advances in healthcare, increasing longevity, and a growing senior population, the need for long term care is greater today than ever before. The need is even greater for women since their risk is twice that of their male counterparts. Women are often younger than their marriage partners and have longer life expectancies, so it's common for them to outlive their spouses who will not be there to help when their widowed partners need care for themselves.

Today, anecdotal and statistical evidence argues that it's absolutely critical that seniors and retirees educate themselves about long term care and how to pay for it. For many, insurance is the most effective way to manage this greatest unfunded financial risk in retirement.

In 2011, the average cost for a room in a skilled nursing facility cost more than $70,000 for a semi-private "shared"

room and a private room cost more than $90,000. That was the cost for just one year of care and for just one individual or spouse. Considering that many will need care for 3 or 4 years (or longer) and it becomes painfully obvious why seniors are so concerned about the future cost of care.

With this kind of financial liability, middle class families are at greatest risk, but even families with significant assets can find themselves in a long term care liquidity trap. It's not a matter of whether high net worth families can afford to pay for these expensive services, because clearly they can. It's about creating the liquidity needed to pay for these services in a tax-efficient manner.

Families with significant assets typically own a diversified portfolios of securities, government and corporate bonds, annuities, real estate, or other assets. Unfortunately these assets are either illiquid or selling them at an inopportune time could lead to substantial investment losses. As a result, a long term care event can cause a significant liquidity trap. Paying taxes on capital gains or withdrawals from qualified retirement accounts to pay for care only adds insult to injury. Because of this, long term care insurance still makes a lot of sense even for those that can afford to pay for care out of their own pocket.

It's with good reason that financial advisors sell life insurance to their clients to pay for estate taxes; it's not because they can't afford to pay the taxes, it's to provide their estates with liquidity. LTC insurance provides a similar liquidity benefit and, like life insurance, provides a number of tax advantages.

To begin with, the insurance premiums may be deductible on individual tax returns. Secondly, qualified long term healthcare expenses that would normally be paid from other sources of income are reimbursed tax-free. For high income families, this can translate into thousands of dollars in savings. Furthermore, if government policy continues to favor future tax increases on the nations' wealthiest families, these tax advantages may become even more valuable in the future.

Today, those with significant assets can buy linked-benefit policies that combine LTC insurance with life insurance. This unique plan design provides a long term care benefit along with premium liquidity. Many of these hybrid policies can be cancelled for a full refund at any time and for any reason and if the policy holder dies before utilizing their policy benefits, the full premium is paid back to their beneficiaries through a guaranteed death benefit. If you don't use it, you don't lose it.

For high net worth families, a linked-benefit LTC plan provides the liquidity necessary for future care and protects their investment principle at the same time.

What Is Long Term Care?Long Term Care and the

Liquidity TrapBy Kevin W. Jackson By Kevin W. Jackson

LongTermCareInsurance411 provides helpful long term care planning information, expert advice, timely reviews, and tips on how to save moneyon long term care insurance. Get free no-obligation LTC quotes from the nation's top-rated long term care insurance companies.

Learn more at http://www.LongTermCareInsurance411.com

Article Source: http://EzineArticles.com/?expert=Kevin_W._Jackson

23Southeast Pennsylvania

Enjoy the season with these five-star Winter recipes.Famous Pasta Fagioli Soup

in a Crock Pot

2 lbs. ground beef1 onion, chopped3 carrots, chopped4 stalks celery, chopped2 (28 oz.) cans diced tomatoes, undrained1 (16 oz.) can red kidney beans, drained1 (16 oz.) can white kidney beans, drained3 (10 oz.) cans beef stock3 teaspoons oregano2 teaspoons pepper5 teaspoons parsley1 teaspoon Tabasco sauce (optional)1 (20 oz.) jar spaghetti sauce8 oz. pasta

Ingredients:

Serves: 12

Directions:Brown beef in a skillet

Drain fat from beef and add to crock pot with everything except pasta.

Cook on low for 7-8 hours or high for 4-5 hours.

During last 30 min on high or last hour on low, add pasta.

Baked Potato Soup

5 slices of bacon, diced1/3 cup butter¾ flour1 large onion, chopped2 medium carrots, peeled and shredded2 cloves garlic, minced2 cups chicken broth3-5 cups milk4-5 small baked potatoes, cooled and chopped (1”)¾ cup extra sharp cheddar cheese, shreddedSalt and pepper to tasteSour cream, chives, crumbled bacon, additional cheese

Ingredients:

Directions:- Cook bacon in a large pot until browned, remove bacon and reserve- Sauté onions in bacon grease until slightly tender- Add carrots and cook 2 minutes- Add garlic and cook 1 minute- Melt butter with bacon grease and veggies- Add flour and whisk until lumps are gone, stirring constantly for 1 minute- Add broth, 1 cup at a time, whisking well after each addition to prevent lumps- Add 3 cups of milk in the same manner- Add potatoes and bacon and season to taste.- Bring to a boil, reduce heat to a low simmer, and add more milk to your desired consistency Serve with sprinkled with additional cheese, a dollop of sour cream, chives and crumbled bacon.

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 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

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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

www.berksseniorguide.com