Why the Valley Isle Has Some of the Happiest Seniors

MAGAZINE MAGAZINE

HAWAI‘I’S RESOURCE FOR LIFE | DEC•JAN 2014

WHY THE VALLEY ISLE HAS SOME OF THE HAPPIEST SENIORS

Adaptive Paddling Medicare Health: On Maui To-Do List Sober Seniors page 15 page 28 page 36

Major Complete Distribution Distribution Locations on Partners: Page 7 Choose Healthy, Live Well

Diabetes is an epidemic in Hawai‘i. It affects over 100,000 people in our state and the number increases daily. Prevention is the key, so it is important to learn about dietary and physical activity recommendations and know your risk factors.

Choose Healthy, Live Well is a pre-diabetes education program offered by the Straub Health Management Department. This 5-session program can help people at risk for Type 2 diabetes take the ﬁrst step toward preventing diabetes and living a longer, healthier life.

For more information, call the Straub Health Management Department at 522-4325.

Visits clinic regularly. Takes Pilates.

One of just 13 hospitals nationwide to earn Believes 62 is the new 39. all three Healthgrades awards in 2013.

Our convenient neighborhood Straub Clinics, and screening and education programs, make it easy for you to take control of your health. Go to hawaiipaciﬁchealth.org to learn more. Hawai‘i’s Resource For Life online at www.Generations808.com n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging “It’s time to ask CONTENTS | Dec / Jan 2014 COVER STORY AlohaCare about 16 MAUI MINDSET: ‘Iao has a physical WHY THE VALLEY ISLE your Medicare and spiritual beauty, HAS SOME OF THE HAPPIEST SENIORS and I think that’s ------options!” what it’s all about. HOW TO FIND US --Lo‘iloa Project director 09 Web & Subscription Info Al Harrington Kawewehi Pundyke Educator, Healer & Entertainer ELDERHOOD PROJECT with Kirk Matthews of KHON2 10 Represent: Neighbor Island Seniors

This is a paid endorsement. LIFESTYLE 12 Frank, As Always: Big-Band Musical Baggage 13 Medicare Moment with Martha 14 Book Review: If It Swings, It’s Music You get more benefi ts beyond Original Medicare 15 Senior Spotlight: Adaptive Paddling On Maui 23 Aging In Place – Maui: All-In-One Services 24 Downsize & Declutter The Easy Way Our benefi ts include: 25 Creating Ageless Kitchens 26 Solar Savvy: Tips From Industry Pros » Drug Coverage » Preventive Services » Acupuncture US GOVT PROGRAMS & SERVICES » Vision Coverage » Tests, X-rays & » 24-hour Nurse Advice Line 28 Medicare: 8 Things On My Medicare To-Do List » Hearing Coverage Lab Services » Local Customer Service 29 Social Security: Start A New Tradition 30 Hawaii Health Connector Update PROGRAMS & SERVICES Call: 973-6395 • Toll-free: 1-866-973-6395 • TTY: 1-877-447-5990 31 Finding Funds For Long-Term Care 8 a.m. to 8 p.m., 7 days a week • www.AlohaCare.org CAREGIVING 32 Conversations About Wishes 33 Home Care For Stroke Survivors RESOURCE GUIDE 34 Alzheimer’s & Caregivers Support Groups HEALTH 36 Mind & Body: Sober Seniors 37 Cataracts: Serious But Treatable 38 Preventing Falls With Aquatic Exercises 39 Healthy Food Tips For Your Kidney AlohaCare Advantage (HMO) is a HMO plan with a Medicare contract. AlohaCare Advantage Plus (HMO SNP) WISDOMS is a HMO plan with a Medicare contract and a contract with the Hawaii Medicaid program. Enrollment in 40 Are You ‘Good To Go?’ AlohaCare Advantage or AlohaCare Advantage Plus depends on contract renewal. The benefi t information 41 Elder Abuse: Lotteries & Sweepstakes provided herein is a brief summary, not a complete description of benefi ts. For more information contact On The Cover (left to right): Lo‘iloa Project director 42 Legal: Is Physician-Assisted Suicide Legal the plan. Limitations, copayments and restrictions may apply. Benefi ts may change on January 1 of each Kawewehi Pundyke welcomes volunteers Heali‘i Kauhane 43 Legal: Siblingship year. AlohaCare Advantage Plus is available to anyone who has both Medical Assistance from the State and and Nalani Archibeque to work the taro patches as part of Kaunoa Senior Center’s Civic Adventures program. 44 Financial: Home Equity Into Retirement Income Medicare. H5969_400250_1 CMS Accepted 101313 Cover & Feature Story Photography by Brian Suda Generations Magazine’s content—editorial or advertising—should not be used as a substitute for advice from your doctors, financial advisors or life planners. Accounts, views and opinions expressed in this magazine do not necessarily reflect the views of the Publisher, Editor, or its staff and distributors, as well as being liable for damages arising out of any content, products or events mentioned in the magazine. Copyright 2013 Generations Magazine is produced bimonthly as a free resource for Hawai‘i's mature community. All rights reserved. No part of ©this magazine may be reproduced or transmitted in any form or by any means, except for the inclusion of brief quotations in a review, without permission in writing from the publisher. Printed by Hagadone, O‘ahu, Hawai‘i www.Generations808.com 808-847-5310, Neighbor Islands Toll-Free: 800-491-4888

PERCY IHARA WILSON ANGEL BRIAN SUDA Aloha To The Great Year Of 2013! Publisher/Editor Art Director Photographer p 6 808-234-3117 [email protected] [email protected] p 7 [email protected] EDITOR’S NOTE SHERRY GOYA PETERSON ROSARIO STAFF & DISTRIBUTION LOCATIONS he end of this year was highlighted with Generations Magazine is now in its fourth year AIMEE HARRIS Sales & Distribution Webmaster Associate Editor 808-722-8487 [email protected] an island hop to Maui, where Generations and we are so excited to move further into our [email protected] [email protected] TMagazine discovered why some of the hap- communities and bring you more engaging piest seniors in Hawai‘i call the Valley Isle home. stories, trusted resources and valuable programs The cover story, Maui Mindset, explores how and services. Maui County is committed to its seniors and their For 2014, we look forward to expanding our OAHU DISTRIBUTION LOCATIONS: Lanakila Senior Center The Care Center of Honolulu families … and how seniors are eager to give back. distribution points and posting more information 15 Craigside Leahi Hospital The Ihara Team Part of the “Maui Mindset” is the county’s on our website (www.Generations808.com). AARP Chapter 60 Logo’s Bookstore TIMES: Kaimuki philosophy of taking care of each other, says Ruth We’re also planning on more workshops, presen- Allstate (Ewa Beach) LONGS: Hawaii Kai Kaneohe Aiea Griffith, Kaunoa Senior Services administrator. tations and our 8th annual KHON2 Elderhood Aloha Nursing Rehab Centre Manoa Vacations Hawaii In the story she noted, “Maui County is made up Project Aging in Place Workshop on Saturday Airline Machinists Union (IAM) Love’s Bakery Waianae Comprehensive Health Center small communities and residents are very civic August 23 at the Ala Moana Hotel. And going Ameriprise Financial Love’s Bakery Thrift Stores Waikiki Community Center minded. We look out for one another. Even our forward, we’re offering free digital copies of Arcadia Makua Alii Senior Center Windward Mall Food Court seniors who receive support services want to each magazine … just email a request at Attention Plus Care Maluhia Hospital give back to the community in any way they can. [email protected]. YMCA Avalon Care Centers Manoa Cottages Homecare Maui seniors play a vital role in maintaining our YWCA Starting with this issue, Big City Diners McKinley Carwash thriving communities.” PUBLIC LIBRARIES: Aiea, Aina Haina, we welcomed our new full- Catholic Charities Moiliili Community Center Ewa Beach, Hawaii Kai, Hawaii State, However, just as with many other areas, Maui time associate editor Aimee Na Mea Hawaii (Ward) Child & Family Services Kahuku, Kailua, Kaimuki, Kalihi-Palama, is facing a growing senior population. By 2020, Harris. She will be hand- Dauterman Medical & Mobility One Kalakaua Kaneohe, Kapolei, Liliha, Manoa, the county expects the number of people turning ling all of the magazine’s City & County of Honolulu’s Pacific Rim Bank McCully-Moiliili, Mililani, Pearl City, 60 to double. In response, Maui is working with editorial content, so if you Elderly Affairs Division Pali Momi Medical Center Salt Lake, Wahiawa, Waialua, Waianae, its Baby Boomers to redefine what it will mean have stories or programs Waikiki-Kapahulu, Waimanalo, Waipahu Filcom Center Palolo Chinese Home to be a healthy and engaged senior over the next that would be of interest DISTRICT PARKS: Aiea, Halawa, Kailua, Gold Coast Real Estate Plaza at Mililani two decades. to our seniors, feel free Kilauea, Makiki, Manoa, Pupukea Beach, Hawaii Association of Retired Americans Plaza at Moanalua Salt Lake, Waiau, Waimanalo, Waipahu to contact her at Aimee@ Aimee and Percy, bundled up Thank you to our Generations Magazine staff Hawaii Okinawan Center Plaza at Punchbowl Generations808.com. for Haleakala¯ sunrise. COMMUNITY PARKS: Aina Haina, for venturing to Maui for a whirlwind tour of Hawaii State Executive Office on Aging Pohai Nani Ala Puumalu, Ala Wai, Asing, Crestview, Maui — including a 3 a.m. wake up call to catch Hawaii Kai Retirement Project Dana Ewa Beach, Kahala, Kaimuki, Kaneohe, sunrise at Haleakala¯. Kuapa Isles, Makakilo, Mililani, Hawaii State Legislature Olaloa Retirement Community Moanalua, Pearl City, Pililaau, Wahiawa, Live well, Hino Hairstyles (Ala Moana Center) Queen’s Cancer Center Whitmore HMSA (main office) Queen’s Gerontology NEIGHBOR ISLANDS: Percy Ihara, Editor/Publisher Honolulu Christian Church Rehabilitation Center of the Pacific HAWAII: Kamuela Inn, Love’s Thrift Japanese Cultural Center Roots & Relics Store (Hilo), Na Puuwai P.S. A special mahalo to Dana Acosta of Kaunoa Kaiser Permanente SAFEWAY: Enchanted Lake KAUAI: Love’s Thrift Store (Lihue) Senior Services for coordinating a full day of Kahala Nui Kaneohe MAUI: Maui County Executive Office interviews and events for Generations Magazine. Kapahulu Community Center Salvation Army on Aging, Kaunoa Senior Center, Kalama Heights Senior Community, Hale Makua Kapiolani Hospital Scott Makuakane Law Office (Kahului), Hale Mahaolu, Roselani Place, Senior Move Managers Kuakini Health System Love’s Thrift Store (Kahului) Generations enjoys breakfast at Kula Lodge, Maui, after St. Francis Hospice Kuhio Pharmacy I & II MOLOKAI & LANAI: Na Puuwai a stunning Haleakala¯ sunrise (left to right): Aimee, Lanakila Meals on Wheels Straub Clinic & Hospital Percy, Peterson and Wilson.

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. email [email protected] Generations Magazine welcomes its new contributors: Links to DEBORAH ARENDALE has been the Executive on Aging for the Maui County Office Welcome To The Generations808.com not just on Aging since 2008. She has specialities in Geriatric Mental Health and Substance “resources” Abuse Counseling. She serves on the Board for the National Association of Area but the entire issue Agencies on Aging. Homepage Play the video that’s existing on the screen Main navigation menu: Use these or click in the gray box Links to Navigational Menu to link to AIP Videos Events TERI BRUESEHOFF brings years of experience to her position as chief operating topics to navigate to the various pages p 8 officer at HiHomeCare, a subsidiary of The Hawaii Group. She has proven leader- in our site. As you run the cursor over p 9 ship skills in the face of any crisis and a natural ability to connect with people the word, it’ll become bold. These HOW HOW TO FIND US CONTRIBUTORS of all ages. topics will always exist on every page. Throughout the homepage, there are also various other buttons that’ll take BRUCE EKIMURA is the founder of Alternate Energy, a locally-owned solar you to any one of these topics. energy provider since 1993. The company is Hawai‘i’s only Certified Mitsubishi Electric Installer and Elite Dealer, and prides itself on being one of the finest in Home is the main page. product, installation and customer service in the solar PV industry. This Issue will take you to the current issue’s table of contents with live JEANNETTE KOIJANE, MPH, executive director, has worked with Kokua Mau for links to individual articles. more than 10 years, beginning at the Executive Office on Aging. She has a Master’s Resources will take you to resource in Public Health from UH and a BA from Cornell University. She works in Microne- guide archives. sia to develop palliative care and as a volunteer advisor to Zahana, a participatory rural development project in Madagascar. AIP Videos show a list of the Aging In Place Workshop speakers. REIKO LEWIS, principal of award-winning Ventus Design, brings two decades of experience in Universal Design, hospitality, residential and spa design. Blending Events: contains the events calendar. artistry with her detail-oriented approach, Lewis has built a reputation in Hawai‘i Advertising contains all of our adver- and abroad. tising and marketing information. About Us is just a little background. ADELE RUGG, a ‘professional’ volunteer, has called Maui home for more than Contact Us via mail, phone or email. 30 years. She represents Maui County PABEA (Policy Advisory Board for Elder Links to Links to Downloads a Click Links to Affairs) and the Kiwanis International. An active member to Reach To Recovery Subscribe provides a subscription This Resources PDF version of “full story” archive (breast cancer survivors), Red Hot Mamas of Maui, Maui Bailliage of the Chaine form so you can enjoy Generations Issue the magazine to read the articles des Rotisseurs, Maui Community Band and an avid paddler of Kihei Canoe Club. Magazine delivered to your door every remainder of organized Click on any logo to open that specific by topic. other month. article GERRY SILVA was appointed state president of AARP Hawai‘i in January 2013. the company’s website on a separate window He is AARP’s lead volunteer and spokesperson of You’ve Earned a Say, and in the past year has spoken at 40 community events, meeting hundreds of members and residents across the state. Silva is a retired Army colonel who served for A perfect gift opportunity — one-year subscription to Generations Magazine: more than a decade as chief of staff of the Hawai‘i Army National Guard. Birthdays, or any day! A gift to show you care. MARY STEINER is the campaign manager for Compassion & Choices Hawai‘i. She leads initiatives in advocacy, education and end-of-life care in the state. Prior to working with Compassion & Choices, Mary was CEO of The Outdoor Circle. Hawai‘i's Resource for Life Name ______

DR. CHRISTOPHER TORTORA, a board certified ophthalmologist, is host of Address ______“The Hawaiian Eye Show,” a weekly radio program about healthy vision. The show SUBSCRIP TION is broadcast live every Saturday at 8 a.m. on KHVH 830 AM/rebroadcast at 9 p.m. ______on KHBZ 990 AM. 6 issues for $12 (1 issue every other month) Phone ______Please send this form and AARP | TIFFANY M. BROWNE | JANE YAMAMOTO-BURGISAY | DR. RITABELLE FERNANDEZ | MARTHA A. KHLOPIN | SCOTT MAKUAKANE | KIRK MATTHEWS | JULIE MOON | SAGE PLUS | a check payable to: Email ______FRANK B. SHANER | JEFFREY SISEMOORE | SCOTT SPALLINA | MICHAEL W. Y. YEE | STEPHEN YIM GENERATIONS MAGAZINE 1414 Dillingham Blvd., Suite 201 Signature ______BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our Hawai‘i’sHonolulu, Resource Hawai‘i For Life 96817 online at www.Generations808.com AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging Represent: Neighbor Island Seniors by Kirk Matthews of KHON2s’ The Elderhood Project

was attending a legislative hearing some years We hope that policymakers and institutions keep ago dealing with senior issues. The hearing that in mind when making decisions that could p 10 Iwent on for some time as the committee mem- impact seniors across the state. bers talked about significant health care problems

THE ELDERHOOD PROJECT In this issue, Generations Magazine visits Maui affecting seniors in Honolulu. At some point, a as a starting point for this conversation about our respected senior advocate from Maui raised his Neighbor Island seniors and their families, but hand and said, “Excuse me, this NOT the state of I feel certain other Neighbor Islands will soon O‘ahu. It’s the state of Hawai‘i.” be given more consideration, not just by the Everyone laughed because what he said was magazine but by those people helping seniors exactly true. Half of the state’s population lives on as they age. the Neighbor Islands. And, Maui alone has nearly The fact is, I’m thinking about some waterfront 32,000 seniors — a number that is expected to property on Moloka‘i. I might be able to afford it increase to approximately 54,000 by 2020. if I live in one of those little storage sheds from On the Neighbor Islands, hospitals and senior Sears. I’ll have to talk to Mrs. Matthews first. n care facilities are often few and far between. Fam- ily members may be miles — or islands — apart. There are higher costs for gas, groceries — virtu- The Elderhood Project airs on KHON2 Friday morning ally everything seniors count on for quality of life. news at 5:45a.m. and Thursday news at 5p.m.

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. Applying for benefits can be very difficult. Big-Band Musical Baggage Important Notice: Without assistance, many applications are denied.Since 1996, Cardon Outreach has by Frank B. Shaner — “I’m not ready to be called a senior.” helped people across Hawaii get coverage for Nursing Home or Home and Community Your Medicare Plan Based Medicaid services.

hen Generations invited me to write an We are commited to working with you and article about my high school days, one Not Offered In 2014? helping you though the Medicaid Long Term Care Eligibility Process. of the first memories that came to mind p 12 W by Martha A. Khlopin p 13 was of riding in the backseat of my dad’s 1959 Call us for a FREE screening FRANK, AS ALWAYS Chevy Impala every morning, heading to school and more information. A MEDICARE MOMENT WITH MARTHA and listening to his favorite radio program. very year, a few weeks before Halloween, I get dozens of calls 808.566.6666 In the 50s, there was this DJ named Hal Lewis from Medicare beneficiaries with questions about Medicare’s TOLL FREE FROM ALL ISLANDS (aka J. Akuhead Pupule) but I really wasn’t EAnnual Enrollment Period, which begins October 15 and ends 855.690.8977 “tuned in” to his show, however, he amused my December 7. It is the time when Medicare beneficiaries can decide ® dad and constantly made him laugh out loud. to keep their existing health plan or select a new plan that becomes www.cardonoutreach.com Aku broadcasted from the “Tree House” at the Go For Broke Monument, Los Angeles effective January 1 of the following year. I provide tips to help call- International Market Place in the early 1960s and ers review their options. This year, in addition to those calls, my played big-band music and stand up singers like rising up and changing our country and the world voicemail overflowed with seniors who received an unexpected let- Frank Sinatra, Vic Damone, Dean Martin, The forever. And the 442nd Regimental Combat Team ter from about their Medicare health coverage. The notice explained Active licensees with RERC Lennon Sisters, The McGuire Sisters, etc. I’ve and 100th Infantry Battalion local boys who gave that their Medicare plan would not be offered in 2014 and was can receive commissions come to realize now that what I listened to back more than most ... these men were not going to let ending December 31, 2013. As a result, they would need to take from referrals made on any then affected me for the rest of my life. (Keep that anything get in their way in achieving their best. action and select a new plan by December 31, 2013, or their cover- island or the Mainland. in mind ... your kid is being shaped while sitting The Greatest Generation went for it! age would revert to Original Medicare only. Call for a new agent packet. in the back seat of your car. I have people come up to me and say they listen to my radio show And when I think back on riding in my dad’s SO HERE ARE MY TOP FIVE TIPS: car, I feel like I was on the end of a very long Real Estate now because their mom and dad used to listen Tip 1: You qualify for a special enrollment period from October shooting star, streaking across the midnight sky. Referral Center, Inc. to me in the morning, too.) 15 to February 28, 2013. So now is the time to consider your I really had no idea what my parents had gone options. If you don’t take action by December 31, you’ll have 1888 Kalakaua Ave, #C312 When not with dad, I would listen to this through but I knew that everything was changing. other guy named Elvis Presley on KPOI. So the Original Medicare coverage only, and will lose prescription Honolulu, HI 96815 music that came from dad’s radio each morning All I’m saying is we must always holomua, drug coverage unless you join a separate Medicare prescrip- Sherry A. Goya (S), President was something I had to endure. And to see my keep moving and look forward, but never tion drug plan. forget what was laid down before us. n 808-722-8487 dad moving his shoulders to the music, it was Tip 2: Decide to join another Medicare Advantage health plan [email protected] kinda goofy! But oddly enough, sitting back there because your plan has notified you that your existing plan all those years, I started to appreciate the big-band will no longer be offered. If you wait until after February 28 sound and recognize the songs and the people to join a new plan with prescription drug coverage, you may who sang them — Tony Bennett and Nat King have to pay a late-enrollment penalty. Cole. But I had no idea as to the weight of this Have you Fallen? music and what it meant to my father’s genera- Tip 3: Call Medicare 24 hours, 7 days a week at 1-800-MEDICARE 1 out of 3 Seniors fall every year! tion — The Greatest Generation. for help. 30% of falls are preventable. It wasn’t until much later that I realized I was a Tip 4: Refer to the 2014 Medicare & You Handbook for detailed product of the generation who grew up in the U.S. information. during the deprivation of the Great Depression, Tip 5: For help comparing plans: Call Hawai‘i’s State Health Insur- and then went on to fight in World War II. I’m a ance Assistance Program, Sage PLUS at 1-888-875-9229. WWII baby. A baby boomer! All counseling is free. n The Greatest Generation dealt with segregation, “The Greatest Generation” ... Go for Broke! Call Project Dana for a detention, internment, prejudice and so much Oil on canvas, 24” x 18” Martha Khlopin hosts the popular weekly radio program “Medicare FREE more. Yet, many national figures and heroes came Moment with Martha — The World of Medicare” sponsored by out of those trying times. Martin Luther King, for Home Safety/Fall AlohaCare. It airs on KHNR-690AM on Saturdays from 11– 11:30 a.m. Prevention Assessment! example, came from the Greatest Generation and Join the conversation with Frank B. Shaner on Facebook and on KGU-99.5FM on Sundays from 10 –10:30 a.m. For information, he spoke eloquently from the depths of disparity, and experience his art online at www.frankbshaner.com. call 808-973-0754, [email protected]. 808-945-3736

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. email [email protected] UH Press Presents: Adaptive Paddling On Maui by Adele Rugg IF IT SWINGS, IT'S MUSIC: than a dozen albums THE AUTOBIOGRAPHY OF HAWAI‘I'S and won two Grammy GABE BALTAZAR JR. Awards. t is the third Monday of Hearing that the Kihei Canoe Club had an by Gabe Baltazar Jr. with Theo Garneau From 1964 to 1969, the month … early morn- active visitor paddle organization, the County of p 14 Hawai‘i’s legendary jazz musician Gabe Balta- Gabe recorded with Iing at Ka Lae Po¯haku Maui Parks and Recreation Department contacted p 15 Beach, the home of the Dottie and Bud about the possibility of starting an SENIOR SPOTLIGHT: MAUI

B zar Jr. has thrilled audiences since the late 1940s Dizzy Gillespie, James

OOK with his powerful and passionate playing. In his Moody, Oliver Nelson. He Kihei Canoe Club. The ‘adaptive paddling’ program for people who are memoir, If It Swings, It’s Music, Gabe takes read- was also a regular in the Maui Economic Opportunity wheelchair bound or have a physical disability. ers along the long road to becoming one of the Los Angeles recording busses, filled with happy The club had the canoes and the County had staff R faces of all ages, begin to who was excited to

EV very few Asian Americans who has achieved studios, and he filmed worldwide acclaim as a jazz artist. with Pat Boone, Phyllis arrive. These paddlers are assist with this first- IEW Diller and Glen Campbell. In 1969, Gabe returned ready for their monthly in-the state program. Born in Hilo and raised in Kalihi-Palama, Gabe ‘adaptive paddling’ adventure, Dottie and Bud im- (Gabriel Ruiz Hiroshi Baltazar Jr.) was encour- to Hawai‘i to work as assistant director for the City and County of Honolulu’s Royal Hawaiian Band, which is sponsored by the Kihei mediately jumped aged by his father, an accomplished musician, to Canoe Club in partnership with in to help launch take up the clarinet and saxophone. As a teenager a post he held until 1985. He brought jazz to the public schools and went on to become Hawai‘i’s the County of Maui Parks and the program. They during World War II, Gabe performed with the Recreation Department. wanted to make Royal Hawaiian Band but spent his weekends premier jazz artists. Now 84, he mainly performs informal gigs with friends and family. This adventure is the brain- sure that everyone, playing in swing bands. After establishing himself including people in the West Coast jazz scene, in 1960 he rose to Gabe’s memorable encounters with the greatest child of two retirees, Dottie and Bud Nykaza, who are tireless in their giving back to the Maui com- with special needs, prominence as lead alto saxophonist of the famed names in jazz is fond record of days past. (Univer- had an opportunity Bud & Dottie Nykaza Stan Kenton Orchestra. The group recorded more sity of Hawai‘i Press, paperback, $24.99) n munity. They moved to the Valley Isle many years ago to get away from the cold winters of Chicago. to spend time on the It warms our heart They wanted to contribute to their new island water and watch for to see the joy it home and quickly became active members of honu, whales, rays and a dolphin. brings them. -- Dottie 841 Bishop Street, Suite 725 the Kihei Canoe Club and its ha¯lau, Ha¯lau Maui Honolulu, HI 96813 Nui O‘Kama (the school of the clan of the chief). Dottie and Bud applied for grants for equip- Two times a week, the couple leads visitor paddle ment, life vests and the creation of a special brick programs that include teaching Hawaiian culture walkway that provides wheelchair access from to canoe club guests. the roadway over the sand to the canoes. Serving Oahu, Kauai, Maui and the Big Island Prior to each adaptive paddling event Dottie and Bud arrange with the Kihei Canoe Club General Inquiries ...... (808) 536-8531 ‘ohana to bring snacks and beverages for all to Hearing Impaired ...... Call TTY 711 indulge in after the ocean paddle adventure. COMMUNITY PLAN If you are on Maui on the third Monday of the Local Customer Service month, please be sure to stop by and see all the excitement of another ‘adaptive paddle’ day on QUEST ...... Call Toll Free 1-877-512-9357 the water with these awesome paddlers. n QUEST ExpandedAccess (QExA) ...... Call Toll Free 1-888-980-8728 www.UHCCommunityPlan.com MEDICARE SOLUTIONS Local Customer Service AARP MedicareComplete ...... Call Toll Free 1-888-736-7435 UnitedHealthcare Dual Complete ...... Call Toll Free 1-866-622-8054 UnitedHealthcare MedicareComplete ....Call Toll Free 1-866-238-7220 www.uhcmedicaresolutions.com

To see a video and to learn more about the program, Photo Courtesy of David Fletcher, go to www.kiheicanoeclub.com/adaptive13.php. BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our Hawai‘i’s Resource For Life online at www.Generations808.com Pres., Wounded Warrior Wave Riders Assn. AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging From left to right: Assistant administrator Kathleen Kathleen administrator left to right: Assistant From Griffith and RSVP director Ruth administrator Aoki, Senior Services. Kaunoa of Dana Acosta, Senior Center for Kaunoa Special thanks to Dana of and photo shoots excursions interviews, arranging Magazine. Generations for

Deborah Arendale, Arendale, Deborah Executive on Aging MCOA

Baby Boomers evolved through through evolved Boomers Baby and a time of social revolution, way in a new ushering are they the ‘golden years.’ of viewing - - Kaunoa’s Leisure/Wellness Programs offer Programs Leisure/Wellness Kaunoa’s is constantly the program that Griffith says more than 100 regularly scheduled classes each scheduled classes each regularly 100 than more for activities a year) leisure/wellness (2,000 week skills that 55 and better to master new everyone aging, whole- lifelong learning, healthy promote growth. personal and wellness person the reinventing are Boomers as Baby evolving, to be a like whole concept of aging and what it’s excit- beyond and it’s frontier a new “It’s ‘senior.’ she says. ing for us,” Expert Qigong instructor Cory Williams Expert Qigong instructor Cory Williams arts on energy teaches the concepts of Senior Center. the lawn at Kaunoa In response to Maui’s next big wave of seniors, of seniors, big wave next to Maui’s In response seniors to keep job to find ways our “It’s in services and organizations Of the many the county is placing more focus and funds on the county is placing more and prevention. health, well-being and giving back to the commu- engaged healthy, a gold mine of information, are nity because they Griffith. time and wisdom,” says and Kaunoa Senior Center in Pa¯‘ia Maui County, as serve Maui Senior Center in La¯haina¯ the West and hubs of activity for senior programs central opportunities for provide The centers activities. ongoing, five through to learn and grow seniors countywide programs: Programs • Leisure/Wellness (RSVP) Program Volunteer & Senior • Retired Nutrition Program • Congregate Program Transportation • Assisted • Meals On Wheels Ambitions & Altruism • Adventures, By Aimee Harris By Aimee he fact that each year people from all over all over people from he fact that each year must say retire to Maui to move the world a lot. or perhaps it says ... something

Due to the Baby Boomer generation, the num- Boomer generation, Due to the Baby In government, elected officials support senior elected In government, “What makes Maui attractive is our philosophy is our philosophy Maui attractive “What makes During a recent trip to the Valley Isle, Genera- Isle, trip to the Valley During a recent

ber of people turning 60 in Maui County will to the Maui 2020, according nearly double by is an In addition, there County Office On Aging. to Maui who move number of seniors unreported year. each County to retire health and fund senior programs even during even health and fund senior programs recession. as the most recent such times, hard “Maui County is amazing in terms of its commit- Griffith. says ment to seniors,” of taking care of each other,” says Ruth Griffith, Griffith, Ruth says of each other,” of taking care a di- of Kaunoa Senior Services, administrator Department of vision of the County of Maui’s “Maui County is Housing and Human Concerns. look out for We made up of small communities. sup- who receive our seniors Even one another. back to the community, to give port services want volunteering helping our children, whether its by and frail. or assisting the sick for local nonprofits in maintaining our a vital role play Maui seniors thriving communities.” found two qualities that make qualities that make tions Magazine found two mature Maui County a magnet for the more civic minded, and the very are Residents crowd: — for its seniors elected officials care county’s and in deed. both in word Cover & Feature Story Photography by Brian Suda Story Photography Cover & Feature

T Or is there more to it? to more Or is there Is it simply a MauiIs it simply of mind? state happiest seniors in Hawai‘i.happiest The Valley Isle has some of the Isle Valley The

COVER STORY p 16 p It’s the people of Maui who make it so Ivey Mitsuyuki, RSVP & Civic Adventures “Being here made me think about who I am, special, both the Program Assistant: “Kaunoa’s Civic who my ancestors are, what they did and what host organiza- Adventures has given me the opportunity am I doing,” Kauhane says. “Volunteering here to learn about my own backyard and to puts us back in the dirt where we need to be. tions and the also learn more about my own heritage.” seniors... “I have the choice to watch ESPN or to do - - Ivey something that is beneficial to everyone — so volunteering is what I decided to do,” he says. A “junior senior” Heali‘i Kauhane, 57, says that “Whenever a Civic Adventures happens, I make his initial visit to the Lo‘iloa Project was when he time for it. It’s a different way I can help and give was commissioned to take photos for an archae- back to the dirt ... so to speak.” ology group. “When I saw this place, my jaw Nalani Archibeque, 68, a Kaunoa participant dropped open,” Kauhane says. “I communicated and community psychologist in hospice, says, Courtesy of Kaunoa Senior Center Kaunoa is my experience with Ivey Mitsuyuki, the Civic “I’m still working but I just appreciate the op- Adventures program assistant ... and she made Kaunoa volunteer and member, a lifestyle. portunity to volunteer. Research shows that even Lee Murakami (right), gifts volunteering with Lo‘iloa happen.” if you volunteer for a couple hours a week, it re- Ms. Hamashige a present from - - Lee leases the feel-good dopamine. We get supported the Angel Tree. Whenever a Civic Adventures by giving.” happens, I make time for it. She recalls, “Coming up here was my first Civic Lee: Kaunoa Volunteer & Avid Student Adventure. I imagine that they’re all great, but to It’s a different way I can help “It’s a refreshing thing to be here,” says Lee do this one first ... wow. I was impressed because Restored taro patches at the Lo‘iloa Project, where Murakami, a Kaunoa participant and volunteer. and give back to the dirt Lo‘iloa put 20 of us ku¯puna in the lo‘i and in no Kaunoa members volunteer as part of Civic Adventures. “I encourage all of the seniors ... come, don’t stay ... so to speak. - - Heali‘i time the thing was clean! Cut, and piled up. Courtesy of Aimee Harris home and watch Korean dramas. Come out here Nobody talked, we just worked.” Pundyke of Lo‘iloa has been clearing the for- and be active.” Pundyke laughs, “That’s the thing about work- est and restoring the ancient taro patch for six Soon after Murakami, 74, retired as an interme- ADVENTURES, AMBITIONS & ALTRUISM ing taro patch. It’s really a time of reflection. years. He opened up the lo‘i to community groups diate public school teacher in 1995, she was ready As you get connected with the land ... you’re in about two years ago. “When I get to work with to look for activities and things to do. “I joined Nalani & Heali‘i: Kaunoa Leisure/Wellness the mud ... in the Hawaiian perspective that’s ku¯puna through organizations such Kaunoa, it Kaunoa and I’ve been taking classes and vol- Programs Volunteers kulou — you’re bowing down and reverence really makes me happy. It means that Lo‘iloa gets unteering ever since. It’s good. I’m never alone, While developing the Leisure/Wellness Pro- while you clean.” to share some Hawaiian culture that the ku¯puna which is really wonderful. You get all the people grams, Kaunoa has found that Baby Boomers may not have learned from their parents because Born of Japanese/Haole/Hawaiian parents, here and everybody is so friendly and helpful.” prefer volunteering opportunities that are more the culture was suppressed at the time when they with a hanai Hawaiian father, Archibeque remem- active, hands-on and outdoorsy. She spends most of her days at the center do- were growing up,” Pundyke explains. “Because bers, “My dad always had a poi bowl on the table, ing a variety of activities — Jazzercise, Pilates “The new generation of adults 55 and better of that, there’s often a detachment, and for me but lots of times he couldn’t get kalo, so he’d and weightlifting. “I focus on the exercise classes want to experience new things and they don’t re- this project is about rebuilding those relation- make the ‘ulu (breadfruit) poi, which I ... did ... because I want to keep fit. I want to be indepen- ally like to commit to one organization,” Griffith ships ... and not only for them as ku¯puna, but for not ... like! When we lose our food, we lose our dent. I don’t want to fall or to be in a wheelchair. says. “That’s why we partner with a variety of their grandkids because there is a resurgence in language, we lose our culture. That’s true for any These exercises keep me strong so I can travel,” local nonprofits. The nonprofits get the opportu- Hawaiian culture today. By reconnecting, I hope native peoples, so to see this restored lo‘i is pretty she says. nity recruit new volunteers, while the seniors get that they can give their grandkids a blessing to exciting to me.” a unique experience, access to exclusive locations be involved in their culture rather than — nah, On volunteer days, you can find Murakami at and are able to learn something new.” never mind. I see the reconnection as a healing the front office where she helps with enrollment and class updates. “So, that’s the ‘work’ part,” she A recently developed Kaunoa volunteer activity process.” says, “but even that’s fun because I get to meet a is Civic Adventures, which blends volunteering Kauhane, who is of Hawaiian decent, echoes lot of new people every day.” with enriching activities. One of the adventures — that sentiment. His father was raised in Kahana in partnership with the Hawai‘i Nature Center — Valley, Oahu, where he cultivated kalo. Then, the Coincidentally, as a youth in the 1950s, is the Lo‘iloa Project. Project director Kawewehi family moved to town and worked as state em- Murakami attended Kaunoa School, which is Pundyke leads a half-mile hike up to Lo‘iloa in ployees and teachers. Kahana the current location of Kaunoa Senior Center. ‘Iao Valley to the wetland lo‘i (taro patch) where Valley was later transformed … To see this “It’s so funny, so here I am again but in my senior seniors learn about restoration efforts and help into a subdivision and the val- restored lo‘i is years. I’m back at school learning different things, maintain the ponds. having fun and really enjoying myself here.” ley was designated as a park. pretty exciting to me. - - Nalani Harvesting taro at Lo‘iloa.

Courtesy of Kaunoa Senior Center Debby: Kaunoa RSVP Volunteer WHEELS & HOT MEALS

The Retired & Senior Volun- Ruth: Beneficiary & Administrator teer Program (RSVP) is one of the largest volunteer networks in the Ruth Griffith’s family received Kaunoa services, nation for people 55 and better and and is a prime example of the powerful impact prioritizes projects for each local that senior services can make on ku¯puna and community. It is federally funded their families. While Griffith and her brother were by the Corporation for National & attending Mainland colleges, their parents became seriously ill. “I wanted to come home to help, but Courtesy of Kaunoa Senior Center Courtesy of Peterson Rosario Community Service. my parents didn’t want me to quit college. It was The Congregate Nutrition Program at Kaunoa provides Numerous studies have found Veteran instructor Judy Ridolfino teaches a family dream for us to go to school ... my brother anyone 60-plus with a nutritionally balanced meal in a that when older adults give to their community, one of Kaunoa’s many fitness classes. and I were the first generation,” Griffith recalls. fun and social environment. they also receive personal health benefits such as I don’t treat our members improved mental health, higher levels of happi- For situations where seniors are homebound, the center offers two programs — Assisted Trans- ness and reduced stress and lower health care cross Maui like seniors ... and they costs. portation Program and Meals On Wheels. don’t act like it. - - Judy County— In fiscal year 2013, 659 Kaunoa RSVP senior The transportation program provides one-on-one including escort services to help the frail conduct essential A volunteers alone gave 61,548 hours to better the Moloka‘i and LEISURE WELLNESS PROGRAM lives in their communities. activities — shopping, banking, doctor visits — so La¯na‘i — there are that they can age at home. Judy: Kaunoa Instructor To reach the community, RSVP collaborates many organiza- Meanwhile, the Meals On Wheels Program tions that offer Judy Ridolfino has been an instructor of Kau- with local non-profit agencies and programs. One delivers 400 hot, nutritious, ready-to-eat midday senior services. For example, Na Pu‘uwai noa’s Leisure/Wellness Programs for more than such partnership is with the La¯haina¯ Complex meals to seniors. “An important part of Meals On opened a Department of Human Service 20 years and currently teaches 12 classes a week. After School Enrichment Tutoring Program, where 3rd through 8th graders receive after school tutor- Wheels is the face-to-face safety check,” Griffith licensed adult day care program on Moloka‘i. With belief that variety contributes to good ing in reading, writing and math. says. “Volunteers ensure that the seniors are well Certified nurse assistants keep ku¯puna busy health, her classes range from calligraphy and enough to answer the door. The check puts the with activities, in- cupcake wars to stretchy bands and Nordic Debby Takahashi, 72, a family’s mind at ease and has saved seniors’ lives.” cluding the develop- pole walking. former teacher at Baldwin RSVP lets us care ment of a small gar- High School, is on Kaunoa’s These same services gave Griffith and her When you walk into one of Ridolfino’s strength for people and be den that is harvested RSVP Advisory Council and brother confidence in their parents’ care and training classes, the first thing you notice is the for making snacks. has tutored 4th grade math social, too. - - Debby allowed them to focus on school. size of the weights. “We don’t lift three-pound for the past three years. Griffith returned to Maui after college, yet On La¯na‘i, the weights. I care about my class members so I don’t she was unable to work and care for her parents. new (two year-old) let them use the same weight week after week. I “After I retired from 34 years of teaching, I So, Kaunoa continued its support and services. La¯na‘i Senior Center is a beautiful building encourage them to ‘heavy up.’ It’s loving torture,” was so afraid of not having a social base. I won- that houses offices for the Maui County Office she laughs, “that’s why members come back.” dered what I was going to do during the day ... “The whole Kaunoa system held our family on Aging, Kaunoa and the DMV. It contains of course, this was before I had grandkids,” together … they did this for us for more than 10 Sometimes Ridolfino encourages class atten- a dining room for the Congregate Lunch Takahashi laughs. “RSVP lets us care for people years,” Griffith says. dance by offering fruit smoothies, too. She says, Program and classrooms for Leisure/Wellness and be social, too.” “But once they see the results from class — better Shortly after Griffith’s mother passed, the classes and activities. bone density, lower cholesterol and stronger bod- Kaunoa West Maui Senior Center opened its doors And in Wailuku, Maui, ies — it’s not about the smoothies anymore.” and she was hired as program assistant. “For me, volunteers at the nonprofit it was the most natural thing in the world. It was The social aspect of class is equally important Na Hoaloha — Neighbors fate,” she says. “I wanted to give back and directly as the physical fitness. Ridolfino notes that having Helping Neighbors have impact other seniors and families of Maui.” fun and making friends keeps people young and been helping Maui’s seniors helps to prevent other problems. Griffith quickly moved up to assistant adminis- remain independent for trator. That brought her to Kaunoa Senior Center in more than 17 years. “Sometimes in class, someone will come up Alfred Huang and Pa¯‘ia where she currently serves as administrator. volunteer Barbara and share with me about a sickness or a loss in Executive director Gerri Kennedy the family, and I encourage them to keep coming Courtesy of Kaunoa “Kaunoa has been a part of most of my life. I Shapiro calls Na Hoaloha to class so that everybody can give them that ex- Senior Center literally would not be here if it weren’t for its ser- “Match.com for seniors.” Volunteers are vices. Being able to give back after having received carefully matched with seniors to create tra attention,” she says. “You’ve got a bonding of Nearly 200 seniors, including Debby Takahashi (right), so much is truly a blessing,” Griffith says. “That’s long-term relationships, providing services friends here that’s unlike anywhere. That’s a big made 3,000 lei at the Blossoms For The Brave event. n part of Kaunoa.” On Veteran’s Day, the lei decorated gravesites at the why I love Maui. We take care of each other.” “from the heart.” Makawao Veterans Cemetery. Solar Electric Photovoltaic Systems • Solar Water Heating • Solar Attic Fans All-In-One Services Help Seniors Stay Home by Deborah Arendale of the Maui County Office On Aging Call now for a FREE solar consultation 842-5853 Visit www.AlternateEnergyHawaii.com for more information t is no secret that the number of individuals the senior and family caregiver. But the time is over the age of 60 is increasing exponentially. well spent. We identify not only needs, but also IWithout massive changes to operations, there areas of strength and potential areas of risk. p 23 will be no way to effectively meet the needs of Seniors receive a comprehensive support plan seniors in the future. This we know. What may designed to meet current needs, improve function AGING IN PLACE: MAUI not be so evident are the strides forward that the when possible, and prevent further decline. Hawai‘i State Executive Office on Aging and the This proactive approach, combined with evi- ”AEI gave us a good Area Agencies on Aging (AAA) in Hawai‘i are dence-based health promotion activities, is critical price and the best making in “getting ahead” of the population boom. to the future success of the aging network. We About 18 months ago, the Maui County Office know the amount of funding we receive will not quality panels. Their on Aging (MCOA) implemented a new assessment keep pace with the aging population. Therefore, service was terriﬁ c. protocol that each AAA in Hawai‘i will eventually we must engage in coordinated planning efforts use. (Kaua‘i began the use of the new tool a year that maximize health and independence in a pre- There’s no need to ago). And let me warn you, it is a long assess- emptive manner and be able to meet the needs of go anywhere else.” ment. So, why implement an assessment that at-risk seniors for years to come. n could be construed as cumbersome and downright bothersome for frail seniors? Maui County Office On Aging The Misakis, Pearl City homeowners The answer lies in what seniors and family J. Walter Cameron Center 95 Mahalani Street, Rm. 20, Wailuku Monthly Savings: $200/month caregivers end up receiving from the assessment. 808-270-7774 | F: 808-270-7935 Imagine a senior who needs assistance in order Toll Free in Hawai‘i 808-643-2372 | www.co.maui.hi.us to remain safely at home. Maybe the senior and family identify a few services that would allow him/her continued independence. Rather than having to call numerous agencies and participate in separate assessments, the AAA can conduct one assessment that provides a comprehensive view of how to help keep that senior at home. 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lanning ahead for 2014, made me stop and enables that person to obtain information about he holiday season has arrived — a time of about your disability claim. You can do all this ponder for a moment … what are the things your health coverage and billing on your behalf. year that is steeped in tradition. We’d like and more at www.socialsecurity.gov. p 28 Pthat are really important to me? First thing 7] VOLUNTEER! Volunteering is a great way to Tto suggest that you start a new tradition. p 29 that came to my mind was my family. Second was It actually starts with breaking the old tradition

US GOVT PROGRAMS & SERVICES PROGRAMS US GOVT meet new people, help your community and keep Set up an online account to: & SERVICES PROGRAMS US GOVT the health of my family and myself. This article is of trudging to an office when you need to do you active. The Hawaii SHIP has several different • receive your benefit verifi- dedicated to Medicare recipients and their caregiv- volunteer opportunities. business with Social Security. ers so that we can all have a healthy and happy cation letter 8] Do you belong to a community group that Sometimes traditions evolve. Many of the • review benefits New Year. Here are 8 easy things that can help things your parents or grandparents did in a you navigate the healthcare maze. would like an educational Medicare presentation? • view earnings record Call or email Hawaii SHIP to request a speaker. Social Security office you can now do online. 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For assistance, volunteer infor- disability, based on your health and risk factors. whether you qualify for benefits — even apply for by going to www.socialsecurity.gov. n This is not an annual physical exam. mation or to request a Medicare speaker, contact us Social Security disability, retirement and spouses 1-888-875-9229 or [email protected]. n benefits online from the comfort of home. 2] Follow that prevention plan! For other information and locations near you: 3] Sit down with your loved ones and discuss You also can go online to get a replacement 1-800-772-1213 (toll free) | 1-800-325-0778 (TTY) Medicare card or appeal a medical decision made www.socialsecurity.gov your end-of-life wishes and complete an advanced Kahu HIBiz 8.125x5.333 Ad.ƒ 7/24/13 7:07 PM Page 1 health care directive form. Your medical team and family will use this document if you are ever unable to make your wishes known. 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BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. email [email protected] Hawaii Connector Must Be Consumer Finding Funds For Long-term Care Friendly, Accountable & Sustainable by Tiffany M. Browne, Nightingale Case Management, Inc. by Gerry Silva, state president of AARP Hawaii reparing for aging and care is not easy and many do not anticipate the costs associated with long-term care. Some of us assume p 30 eginning in January 2014, Hawai‘i residents concept was championed by Sen. Roz Baker of P p 31 that relatives will be able to provide care, however

AARPOF who are without health insurance, small Maui. Arguments were that a private entity, freed PROGRAMS &SER this doesn’t always pan out. Those who are not businesses, and those who are self-employ- of the restraints of government bureaucracy, would B prepared for long-term care costs are left wonder- ed will be able to be covered by insurance pur- be more nimble and cost effective. ing how they will afford their care or the care of a chased through an online marketplace known as But as a private entity, the Connector is not loved one. Whether assisted living, in-home care the Hawaii Health Connector. The Connector was Moreover, Medicaid covers the cost for care and H subject to the State Sunshine Law. In an attempt or a nursing home is the type of long-term care services under the program for those who qualify. established by the state Legislature in 2011 to offer to remedy this lack of openness, Sen. Les Ihara AWAII needed, the costs can be overwhelming. Nursing health plans to the public under the Affordable For more information, visit online at introduced SB 830 that would have required the homes on O‘ahu can charge $6,000 to $10,000 per Care Act. humanservices.hawaii.gov/ssd/home/adult-ser- Connector to comply with open meeting and no- month. This is why it is important for families to vices, scroll down and click on the Adult Foster After more than $200 million in federal dollars, tice provisions. The bill was held in the Consumer explore all of their options. the Hawaii Connector Protection Committee, Care Program tab. n V For example, a program called the Community ICES was last in the nation to chaired by Sen. Baker, Care Foster Family Home Program under the State provide plan informa- and it never saw the Nightingale Case Management, Inc. has been a part of Hawai‘i offers long-term care in licensed adult tion. It has a long way light of day. of the CCFFH Program for over 12 years. foster homes within the community. The cost for to go to become the For a free assessment and consultation, please contact: During the informa- this program ranges from $3,000 to $5,500 per reliable and consumer- 808-484-2205, [email protected], tional briefing to the month. This is half the cost of a nursing home. or visit www.nightingalecasemanagement.com friendly organization Legislature on October 9, that Hawai‘i deserves. there were lots of out- Equally important, it reach anecdotes. Con- must be able to sustain sumer outreach and operations without fed- education is critical. eral funds in 2015 — just The Connector Board SEE WHAT YOU’VE BEEN MISSING. 14 months away. should take the lead on a specific outreach plan JENKINS EYE CARE o ers routine eye examinations and the latest AARP wants the Connector to succeed, but as to reach Hawai‘i’s 100,000 uninsured residents. advancements in treating common or more serious eye conditions. of the beginning of November its website was The deadline for all exchanges in the nation to Dr. Jenkins has performed more than 570 bladeless laser cataract surgeries minimally functional. Navigation is cumbersome be self-sustaining is rapidly approaching. Sustain- using LenSx® technology since 2012. A medical pioneer, Dr. Jenkins was and tools consumers need are lacking. To be ability is a federal mandate and the Connector the rst in Hawai‘i to perform LASIK and LenSx® eye surgery and to use consumer friendly, the website needs to add needs to deal with it quickly. An early Connector the iStent® implant for patients su ering from both glaucoma and cataracts. major features such as: estimate put its 2015 operating costs at nearly — tools to assist in understanding plan choices $16 million. It needs to identify revenue to match. Specializing in the treatment of: Nearsightedness, Farsightedness, Astigmatism, Cataracts, Glaucoma, Dry Eye Syndrome — quality of care information, including quality The Connector Board needs to provide the direc- ratings for hospitals, physicians and other tion and pull out all stops to become sustainable. Call today to make an appointment. (808) 591-9911 providers There must not be any last-minute surprises. The Connector has to come through. After a huge in- — patient experience information that allows vestment in federal tax dollars, Hawai‘i’s tax payers patients to rate their providers must not be asked to pay the difference in 2015 — complaint data and beyond or — worse yet — bailout the Connector by making it a state agency. n Accountability and transparency are major www.JenkinsEyeCare.com concerns. The Connector was created by the Facebook.com/jenkinseyecare | Twitter: @jenkinseyecare Legislature as the only private, non-profit ex- Contact AARP Hawai‘i for more information: YouTube: www.youtube.com/jenkinseyecare change in the nation. It allowed HMSA, Kaiser, State Office: 808-545-6024 | Toll-Free: 866-295-7282 615 Pi‘ikoi Street, Suite 205 Honolulu, Hawai‘i 96814 and Hawaii Dental Service to have voting board aarp.org/hi | facebook.com/AARPHawaii members despite clear conflicts of interest. The twitter.com/AARPHawaii

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our Hawai‘i’s Resource For Life online at www.Generations808.com AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging by Jeannette Koijane, MPH, executive director of Kokua Mau, Conversations Hawai‘i Hospice and Palliative Care Organization; and Home Care For Stroke Survivors Leanne Logan, a nurse educator who specializes in by Teri Bruesehoff, Chief Operating Officer HiHomeCare (The Hawaii Group subsidiary) About Wishes palliative care ACE: Does the person’s smile droop? untie K was having trouble breathing at of their choice, with relief of pain and suffering F RMS: Is one arm weak? cal Manager should meet you and your family at home and her son called 911. She is now and according to their values, beliefs and tradi- A PEECH: Is speech slurred? the home, assess the family dynamics, perform a p 32 Ain the Intensive Care Unit. The doctor asks tions.” (Kokua Mau Mission Statement) IME: If you see any of the head-to-toe physical assessment, provide a home p 33 the family, “What would your mother want us to S safety inspection and develop a customized care CAREGI V Kokua Mau has information for individuals, T above signs, call 911! CAREGI V do if she could speak for herself right now? She’s families and health professionals. Its website plan for the caregivers to follow. An RN should having more trouble breathing. Do you want us Time is crucial when witnessing a stroke. be available to you 24/7 to provide support. (www.kokuamau.org), has direct links to com- Think F.A.S.T. to “‘do everything?’” munity resources, such as downloadable Advance Are caregivers supervised and evaluated by a Unfortunately, this is a very common scenario Directive forms and printable information that aring for stroke survivors at home can be Registered Nurse? ING ING at hospitals in Hawai‘i. Sometimes, even when covers topics that we often find difficult to talk overwhelming for anyone. Getting outside On a regular basis an RN should: people have thought about these things and dis- about. For instance: help from home care agencies can make a C ✔ Perform assessments of the patient and make cussed them with their doctor, they haven’t sat difference in your ability to balance your life with • If someone is not able to eat, what are the pros any changes to the care plan down and talked with their family. And, yet, it and cons of tube feeding? (You can view or your loved one’s needs. ✔ Ensure that the family is satisfied with the care- is the family that the doctors and nurses turn to download a guide for decision making about Ask the following questions to find a trust- giver and the services the agency is providing for answers. tube feeding on Kokua Mau’s website.) worthy company with qualified, reliable caregiv- ✔ No one says that conversations about these ers who are also compassionate and dedicated. Assure the family that they are there as a • What is POLST? (Physicians Orders for Life-Sus- resource for all parties n things are easy. They are not easy. So how do you taining Treatment, a portable doctor’s order that Does the provider send a Registered Nurse get started? Who should be involved? In Hawai‘i, (RN) to meet the family and develop a plan makes your wishes known.) HiHealthCare, 745 Fort Street, Honolulu, HI 96813 one place to turn is Kokua Mau, Hawai‘i Hospice of care for the caregivers to follow? and Palliative Care Organization. Kokua Mau • What are the pros and cons of CPR for someone 808-534-7815 | [email protected] knows these conversations are crucial and it in- who is elderly and frail? (Did you know that As part of the admission process, an RN Clini- hihealthcarehawaii.com vites you to use its free resources to help explore among this group CPR is less than 5 percent options and begin the conversation. effective?) Kokua Mau is a group of volunteers from many Along with written resources, Kokua Mau has a organizations and professions who have joined Speakers Bureau that can meet with your group to together “to weave a start the conversations that we all need to have. uaranteed Lifetime Care is the best gift for you and your family. lei of caregiving and As our state’s nonprofit hospice and palliative G support so that the care organization, Kokua Mau recently received people of Hawai‘i national recognition with the 2013 Trailblazer Some places are simply perfect for how you’d like facing serious illness Award from the National Hospice and Palliative to live. At Arcadia, you’ll enjoy the peace of mind can live in the place Care Organization. of guaranteed lifetime care, on-site medical services So, what happened with Auntie K? Fortunately and ﬁ rst-class amenities. Come visit now and see her son and other family members began to how the good life in Hawaii’s only accredited remember that when her brother had been hospi- community is better that ever. talized, Auntie K had spoken of what she would want if that happened to her. Because of this, they Call now to lock in 2013 entrance fees were able to come together as a family and follow her wishes. The members of Kokua Mau hope that with the use of its free resources, none of you will ever end up at the bedside of your loved one wondering what she or he would have wanted. n The Benchmark for Senior Living in Hawaii.

Kokua Mau, Hawai‘i Hospice & Palliative Care Organization 808-983-1722 808-585-9977 | [email protected] Mr. & Mrs. Harry Murakami – residents since November 2011 – www.arcadia-hi.org www.kokuamau.org with granddaughter, Hannah.

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. email [email protected] ALZHEIMER’S & CAREGIVERS SUPPORT GROUPS (SG) OAHU Aiea Alzheimer’s SG St. Timothy’s Episcopal Church 98-939 Moanalua Rd. 3rd Mon, 7 pm Aiea Pearl City Caregivers SG Kapiolani Medical Center 98-1079 Moanalua Rd. 2nd Tue, 7 pm, 625-3782 Honolulu Alzheimer’s SG Kilohana UM Church, Rm. 6 5829 Mahimahi St. 2nd Mon, 7 pm

Honolulu Alzheimer’s SG Central Union Church, Fireside Rm. 1660 South Beretania St. 4th Thu, 10 am ACE & NASM CERTIFIED Honolulu Alzheimer’s SG The Plaza–Punchbowl, Activity Rm. 918 Lunalilo St. 4th Sat, 3 pm p 34 ✦ Personal training for all ages Honolulu Eldercare SG residential 710 Ahukini St. 4th Sat, 9:30 am, 395-9082 RESOURECE GUIDE ✦ Specializing in senior fitness Honolulu Koolau Caregivers SG First Presbyterian Church 45-550 Kionaole Rd. 1st Thu, 7 pm, 625-3782 ✦ Honolulu Makiki Caregivers SG Community of Christ Church 1666 Mott Smith Dr. 4th Mon, 7 pm, 625-3782 Locations: Mililani & Honolulu Honolulu Project Dana Honpa Hongwanji Betsuin 1727 Pali Highway 2nd, 3rd, 4th Wed, 945-3736 808-221-3905 Honolulu VA Caregiver SG VA Matsunaga Spark Center 459 Patterson Rd. 2nd Mon, 433-7646 [email protected] Kailua Alzheimer’s SG Castle Medical Center, Wellness Ctr. 640 Ulukahiki St. 3rd Tue, 6 pm shapingup808.com Kailua Castle Hosp. Caregiver SG Castle Medical Center, Pikake Rm. 640 Ulukahiki St. 4th Thu, 10 am, 263-5077 Victor, 88 yrs., is doing a moving lunge on the Kaneohe Alzheimer’s SG King Intermediate School, Port. 1 46-155 Kamehameha Hwy. 2nd Sat, 10 am TOTAL GYM Gravity System. Kapolei W. Oahu Caregivers SG The Caregiver Foundation 891 Kamaaha Ave. 4th Thu, 7 pm, 625-3782 Great for balance, flexibility and CORE stability. Mililani Mauka Alzheimer’s SG The Plaza–Mililani 95-1050 Ukuwai St. 4th Wed, 6:30 pm Wahiawa Ctrl. Oahu Caregivers SG Wahiawa General Hospital 128 Lehua St. 1st Thu, 625-0420 Joan Packer, 91 yrs., working on the ball to BIG ISLAND strengthen the hip muscle Hilo Alzheimer’s SG Church of the Holy Cross 440 W. Lanikaula St. 2nd Tue, 10 am for balance and stability to prevent shuffling . Hilo Alzheimer’s SG Aging and Disability Resource Ctr. 1055 Kinoole St. 2nd Wed, 5 pm Hilo Alzheimer’s SG Hawaii Island Adult Care 34 Rainbow Dr. 3rd Thu, 9 am KAUAI Lihue Agency on Elderly Affairs Piikoi Building 4444 Rice St., Suite 330 3rd Thu, 2 pm therap direct y car Princeville Alzheimer’s SG Church of the Pacific 4520 Kapaka St. 2nd Thu, 3 pm -one e! ne-on nd o Puakea Alzheimer’s SG Regency–Puakea 2130 Kaneka St. 4th Tue, 4:30 pm ool a ess P Westside Alzheimer’s SG Kauai Veterans Memorial Hosp. 4643 Waimea Canyon Dr. 4th Thu, 3:30 pm Endl only MAUI with Honolulu’s Orthopedics, Sport Medicine Kahului Alzheimer’s SG Adult Day Care Center 11 Mahaolu St. 4th Tue, 3 pm and Manual Therapy Wailuku Alzheimer’s SG Hale Makua 1540 Lower Main St. 3rd Thu, 5:15 pm Indoor, Private Aquatic Physical Therapy For more information about Alzheimer’s support groups in your area, call the association office nearest to you. Hawai‘i: 808-443-7360 | Kauai: 808-245-3200 | O‘ahu: 808-591-2771 | Maui: 808-242-8636 Cardiopulmonary Rehabilitation For online information on caregiving support groups, log on to these sites: & Geriatric Therapy Alzheimer’s Association Aloha Chapter | www.alz.org The Caregiver Foundation | www.thecaregiverfoundation.org/support-groups/ Rehabilitation of the Pacific | www.tinyurl.com/rehabpacific

Moon Physical Therapy, LLC THERE’S NO PLACE LIKE HOME! Julie Moon, M.P.T. Owner & Treating Physical Therapist CUSTOMIZED & PERSONAL IN-HOME CARE 320 Ward Avenue, Suite 107 Setsuko, 84 years old, said “Since starting aquatherapy, THE AFFORDABLE ALTERNATIVE TO my balance has improved so that I don’t need to use 808-597-1005 ASSISTED LIVING FACILITIES my walker as much at home anymore.” www.moonpt.com Email: [email protected] Call 734-5555 • www.kokuacare.com We accept all major private health insurance, as well as Worker’s Comp and No Fault. LEEWARD 671-9000 • WINDWARD 262-1155 • EAST O’AHU 396-9555 Screened, Trained, Bonded & Insured BABY BOOMER SHOW.com • IN-HOMEHawai‘i’s ASSESSMENT only radio & showHOME dedicated SAFETY EVALUATION to our Hawai‘i’s Resource For Life online at www.Generations808.com AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging FREE • 10 HOUR SERVICE (After purchase of ﬁ rst 100 hrs.) by Christopher Tortora Sober Seniors Cataracts: M.D. of the Hawaiian Eye Center by Dr. Ritabelle Fernandes, MD Serious But Treatable ccording to the National Survey on Drug Does alcohol interact with medications? ataracts affect more than 24 million Use and Health conducted in 2012, nearly Many medications interact with alcohol, for Americans, with nearly 115,000 of them p 36 A41 percent of adults 65 years of age or example taking aspirin or other blood thinners Cright here in Hawai‘i. A cataract is when p 37 older drink alcohol. Most of them don't have a the normally clear lens of the eye starts to

HEALTH and drinking alcohol may increase the risk of HEALTH drinking problem, but some of them drink too stomach bleed. Tylenol and alcohol can increase become cloudy, which blocks and distorts light much. Men are more likely than women to have risk of liver damage. Mixing alcohol with some necessary for the retina to process images. There are various methods available to cor- problems with alcohol. medicines can cause sleepiness, confusion, lack The disease occurs naturally as we age, but rect cataracts, but the general procedure involves of coordination, nausea, vomiting or headaches. some risk factors include exposure to ultravio- removing the clouded lens of the eye and replac- let light, diet, smoking, diabetes, use of some ing it with an artificial lens implant. Surgery is How much is one alcoholic drink? steroid medications and serious eye injuries. typically outpatient with very little pain or dis- – one 12-ounce can or bottle of regular beer, Cataracts usually worsen over time and can lead comfort. Modern cataract surgery can often be ale or wine cooler to blindness if left untreated. upgraded to include vision correction to reduce – one 8- or 9-ounce can or bottle of malt liquor Signs of cataracts include blurred vision, dependence on glasses and contacts for those with vision impairments near, far and in between. n – one 5-ounce glass of wine sensitivity to light, fading or yellowing of colors, poor night vision, sensitivity to glare and see- – one 1.5-ounce shot glass of hard liquor such ing a halo around bright lights. People at risk Hawaiian Eye Center as whiskey, gin, vodka or rum should get regular eye exams and be aware of O‘ahu: 606 Kilani Ave., Wahiawa | 808-621-8448 Are there any benefits to drinking alcohol? the symptoms, especially if you are over the Big Island: 1178-A Kinoole Street, Hilo | 808-969-1419 age of 40. Toll Free 1-888-621-2020 | www.HawaiianEye.com Studies have shown that light to moderate drinkers — men who have one or two drinks a What are the effects of alcohol on aging? day and women who have one-half or one drink Seniors are more sensitive to alcohol because a day — are less likely to develop or die of heart they metabolize alcohol more slowly than young- disease than people who drink more or not at er people. As a result, alcohol stays in their bodies all. Moderate amounts of alcohol raises the level longer. Also, the amount of water in the body of high-density lipoprotein (HDL) also known as goes down with age, causing a higher percent- good cholesterol, which is associated with greater age of alcohol in their blood than younger people protection against heart disease. The risks of after drinking the same amount of alcohol. drinking must be considered along with the Aging lowers the body's tolerance for alcohol. potential benefits. For example, as little as one This means that older adults can experience the drink a day can slightly raise the risk of breast effects of alcohol, such as slurred speech and lack cancer in some women, especially those who are of coordination, more easily than when they were past menopause or who have a family history of younger. A senior can develop problems with breast cancer. alcohol even though his or her drinking habits How much alcohol is safe to drink? have not changed. Healthy seniors should not drink more than What are the health consequences? three drinks a day or a total of seven drinks a Heavy drinking can damage the liver, the heart week. However, people can still have problems and the brain. It can increase the risk of develop- within these limits. Depending on their health ing certain cancers as well as damage muscles and how alcohol affects them, seniors may need and bone. Drinking too much alcohol can worsen to drink less than these limits or not at all. some health conditions such as diabetes, gout, Do you need to stop drinking for better health? hypertension, heart failure, liver problems and memory problems. Other health issues include For help and resources, please visit mood disorders such as depression and anxiety. www.hawaiiislandrecovery.com/resources. n

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our Hawai‘i’s Resource For Life online at www.Generations808.com AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging by Julie Moon, Preventing Falls With Physical Healthy Food Tips for Your Kidney Aquatic Exercises Therapist by Jeffrey Sisemoore, Director of Planned Giving for the National Kidney Foundation of Hawai‘i ne-third of the population over the age of injury, and patients are able re you aware of the cau- eye out for the letters “PHOS” as 65 falls each year, and the risk increases to push the limits with their tion about drinking cola part of an added ingredient when p 38 Oproportionately with age. At 80 years, over balance, allowing for quick- Adrinks? According to a shopping for foods and beverages. p 39 half of seniors fall annually. Those who take a er carry over to functional, 2007 study, “carbonated bev- The National Kidney Foundation HEALTH spill often develop a fear of falling. Fear gone un- land-based activities. erage consumption has been recommends that people eat fresh, HEALTH checked may lead to limiting activities and loss of The Endless Pool’s adjustable current offers a linked with diabetes, hyperten- unprocessed foods. Also consider physical fitness, increasing risk of falling. unique environment to challenge patients with sion and kidney stones, all risk enjoying water with a twist of In these situations, it’s important to consider speed, resistance and water depth, allowing factors for chronic kidney dis- lemon rather than that cola or n alternate interventions for the elderly — especially them to advance to higher levels of stability and ease (CKD). Cola beverages, in other carbonated drinks. for those with joint pain and medical conditions strength. Seniors are taught center of gravity con- particular, contain phosphoric acid and have been that restrict land training. A recent study from trol, postural strategies, gait exercises, strength, associated with urinary changes that promote kid- 1 University of California, San Francisco found that endurance and flexibility training. ney stones.” Drinking two or more colas per day was associated with increased risk of CKD. water exercises were more effective in improving Aquatherapy, with the Endless Pool, offers balance than land exercises. many benefits and should be seen as the modality Researchers are also learning that the issue The buoyancy of the water helps patients stay of the future for fall prevention for the elderly. n may be more pervasive than carbonated bever- National Kidney Foundation of Hawai‘i upright and reduces their fear of falling. The ages. The National Kidney Foundation recently 808-589-5976 | [email protected] reported that people who “consume a diet that water’s resistance allows patients more time to Moon Physical Therapy, LLC www.kidneyhi.org | www.kidney.org is high in phosphorus could be doing damage to detect and correct postural errors that may lead to 320 Ward Avenue, Suite 107; Honolulu, HI 96814 1 Epidemiology. 2007 July; 18(4): 501–506. doi: 10.1097/EDE.0b013e3180646338 their heart, with or without pre-existing kidney 2 AKA Framingham Offspring Study a fall. With aquatherapy, there is less chance for 808-597-1005 | www.moonpt.com 3 http://www.kidney.org/news/monthly/phosphorus.cfm?homestatic=PhosphorusInfographic?homeslider=Phosphorus disease.” The foundation reports that some stud- 4 Food and Nutrition Board, Institute ies link high amounts of phosphorus from food with increased phosphorus in the body, ultimately leading to cardiovascular disease2 and kidney “We’re so happy with our growing ohana here 3 problems. National Leaders in Long Term Care Protection and the many activities provided.” Phosphorus is a mineral that is found in the “The life/ltc policy replaced my term policy for a little -Ted & Sets Ozawa body and aids in making strong bones, among other things. However, if too much phosphorus more than what I was paying. I am insured with is consumed damage can result. The most com- Let us give you peace of mind for today and the future. the choice of using my life mon form of phosphorus in foods is an additive policy for ltc if needed. John We call it Guaranteed Lifetime Care. Should you ever need called “phosphate,” which can even be found assistance or care, we’ll be here for you. Let us give you was always very sincere, in so-called “all natural” or “organic” foods and honest, and reliable and I something to be happy about in 2013 and for the beverages. would recommend him to rest of your life…guaranteed. It has been estimated that the average Ameri- anyone.” can adult needs only 700mg of phosphorus per Charles E. Roberts John Nakao, Vancouver, B.C. day but is consuming at least twice this amount.4 Why disrupt & burden your family with the 70% risk of Phosphate can be found in some prepared boxed needing long-term care? Protect & pass on your wealth; and frozen foods, many sliced breads, cereals, get care in your own home & NOT a nursing home. Long- meats, dairy products and flavored drinks, among Term Care Advisors brokers major LTC insurers with up For a limited time, you can still enjoy 2012 other items. Moreover, this form of phosphorus is to 40% couple & 15% health discounts with sharable entrance fees. Offer ends soon, so call today! nearly 100 percent absorbed by the body, unlike beneﬁ ts & paid up policies. Some programs RETURN plant-based phosphorus like whole grains, dried UNUSED LTC BENEFITS TAX FREE. Please call or email Call today at 533-5416 for no-obligation long-term care, life policy or lifetime beans, nuts and seeds, of which only 30 to 50 income annuity quotes. percent is absorbed. 15craigside.org/lifetime JOHN NAKAO, Long-Term Care Risk Specialist 15 Craigside Place, Honolulu, Hawaii 96817 People can control the amount of phosphorus 808-485-8888 • [email protected] they consume by reading food labels. Keep an www.LTCAdvisor.info/usa

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. email [email protected] by Scott Spallina Are You ‘Good to Go?’ Lotteries & Sweepstakes: Senior Deputy by Mary Steiner, Campaign Manager for Compassion & Choices Hawai‘i You’re Not That Lucky Prosecuting Attorney e all know death is a natural part of life ❖ Do you always want to know the truth about hen Betty Lau (victim’s name The victim then sends the money to and something we will all experience. your condition? About treatment options and their changed) of Kaimuki¯ the third party. When the bank p 40 WBut have you thought about how you odds of success? And what does “success” mean Wopened her mail, she discovers that the check was p 41 want to be treated during your final days? How to you and quality of life? could not believe how lucky fake, they make the victim WISDOMS WISDOMS you would like to die? ❖ What will be important to you when you are she was to find out that she pay the cash back and Though it’s not an easy topic, and most of us dying? No pain? Hold on as long as possible? Fam- won the $3-million Aus- threatens to call the avoid thinking about it, consider giving your ily members present? What are your priorities? tralian Lottery. The official police on the vic-vic death some thought this holiday season. What looking letter explained that an tim for passing a ❖ Would you want to be in a nursing home if unnamed company bought her a bad check. better way to start the New Year than with a your condition warranted? resolution to complete your advance healthcare ticket as a promotional program and These scams have directive and talk to your family about what you Compassion & Choices has a free Good-to-Go the enclosed Gold Credit Card from VISA some things in common. want at the end of life? Toolkit to guide your conversation and document contained the prize money. With the Firstly, the notices state that the results at www.CompassionAndChoices.org/ plastic card in hand, Betty felt confident In fact, there is a growing movement in Hawai‘i the victim must act soon or the advance-directive. this lottery was legitimate. Betty then monies won will be put back into and the nation toward considering how we want read that the card had to be activated to die and sharing those wishes with doctors, Compassion & Choices’ End-of-Life Consulta- some sort of “general lottery fund.” tion is a free service. Professional consultants lis- with a payment in order for her to gain Secondly, the letters advise the victims caregivers and loved ones. Increasingly, people access to the funds she had won. She was feel everyone deserves to make their own per- ten to each unique situation and provide informa- to not tell anyone they won so that they tion, emotional support and patient advocacy as told, however, that any funds she paid would do not become victims of fraud. And finally, sonal decisions for dying with comfort, dignity be put right back on the credit card. However, and control. people navigate complex choices about terminal each of these letters ask for an advanced payment illness or the dying process. after making payment after payment, she received of fees in order to access the winnings. Compassion & Choices Hawai‘i is part of this yet another notice that there was one more fee movement. They help people receive state-of-the- For more information, free consultation, access she had to pay in order for her to get access to How can you prevent this from happening art care and the full range of options at the end of to the Good-to-Go Toolkit and much more, call the money. She had the feeling of playing a slot to you? life, including disease-specific treatment, pallia- 1-800-247-7421 or visit www.CompassionAnd- machine that kept showing “bar” “bar” cherry”— Choices.org/hawaii. n • Watch the news for information about recent tive care, hospice, avoidance of unwanted medical one more spin (or, in this case, payment) and she scams. treatment and access to aid in dying, which is the would win big. For the next three months, Betty option to advance the time of death if suffering sent more than $150,000 in an attempt to activate • Review your bank statements for any unauthor- becomes unbearable. the card. It was only when she went through her ized withdraws. entire savings account that she was forced to stop • Never rush into sending money to strangers. How do you get the conversation started? pursuing this fantasy. Talk to family, friends or financial advisors After many attempts to engage family mem- Unfortunately, the Elder Abuse Unit at the before taking action. bers, one Compassion & Choices client set her Prosecutor’s Office and the Honolulu Police • Do not fill out contest entry forms. The entries holiday table with advance directive forms at Department are seeing the above scene being are made into lists that can be bought by scam every place setting and announced, “Nobody gets played out repeatedly in Hawai‘i. Letters, emails, artists who can then contact you with accurate dinner until these are filled out.” Now that’s some and telephone calls are being received by seniors information you provided for the contest. tough turkey! in increasing numbers. Each giving news that is • And, finally, realize you are not that lucky to And while the paperwork is important, the es- too good to be true. have won a contest you never entered. n sential thing is to get the conversation going. Try These notices are official looking with impres- starting with, “If one of us ever had to make deci- sive wording and says the victim must pay a sions about your treatment because you couldn’t, small fee to receive their winnings. Some include it would be much easier if we knew what you credit cards, like in Betty’s case, while others To Report Suspected Elder Abuse, call: really want.” Then ask the following: include a real looking check. The victim is told Adult Protective Services ❖ Would you want life support if you have a to cash the check and send the money to another 808.832.5115 terminal illness? What if you’re in a permanent party to pay for the transaction/processing fees. [email protected] coma? What if you have a chronic illness such as The bank cashes the check without verifying it is or visit www.ElderJusticeHonolulu.com. Alzheimer’s disease? real (because they are customer friendly afterall). All reports are confidential.

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our Hawai‘i’s Resource For Life online at www.Generations808.com AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. n AGING IN PLACE WORKSHOP VIDEOS n RESOURCE LINKS: Caregiving & Aging by Scott A. Makuakane Is Physician-assisted Suicide Counselor at Law Siblingship Legal In Hawai‘i? by Stephen B. Yim, Attorney at Law large, well-funded national organization ing pain) physicians and services do a wonderful has been taking out print ads and airing job of assisting the terminally ill and their fami- siblingship [sib-ling-ship] noun (November 9, 2013): p 42 TV commercials that claim that doctors in lies face death. There are legitimate and compas- p 43 A 1. The state of being related or interrelated Hawai‘i are providing lethal doses of medication sionate ways of dealing with end of life issues WISDOMS to individuals who desire “aid in dying.” Accord- that do not involve suicide or raise the prospect 2. A state of affairs existing between one of two or more individuals WISDOMS ing to the ads and commercials, this is perfectly of euthanasia. having one common parent. legal because of a newly discovered loophole in For more information, or if you would like a Hawai‘i law. copy of the Attorney General’s opinion, email ou will not find this word in the diction- The estate plan ultimately is supposed to mir- n As it turns out, however, the ads and commer- [email protected]. ary — it is a new word as of November 9, ror and reflect our lives, and the relationships we cials ignore what Hawai‘i’s chief law enforce- 2013. It describes the unique, textured, built. If your plan does not mirror and reflect your ment officer, attorney general David Louie, has Y dynamic relationship existing between siblings. most important values, or does not speak clearly said about this topic. In an opinion letter dated Think about the uniqueness of this relationship. enough to ensure that it helps to preserve the re- December 8, 2011, Louie addresses: Scott Makuakane, Counselor at Law Focusing exclusively on estate planning and trust law. Siblings begin their relationship at a very young lationships between your children — their sibling- (1) whether section 453-1 of the Hawai‘i Revised age. My twins, for example, literally started their ship — I encourage you to review your plan with Watch Scott’s TV show, Malama Kupuna Statutes (the supposed newly discovered loop- lives together. And, if they are fortunate, they will your estate planning attorney. n Sundays at 8:30 p.m. on KWHE, Oceanic channel 11 hole) authorizes a physician to assist a termi- experience their lives to old age together. They nally ill patient with dying www.est8planning.com experience joys and setbacks together, laugh and Stephen B. Yim, Attorney at Law O‘ahu: 808-587-8227 cry together, and fight together. And through (2) whether any criminal laws prohibit “aid in Email: [email protected] 2054 S. Beretania St., Honolulu dying” the fighting, they can learn conflict resolution 808-524-0251 | stephenyimestateplanning.com together. No other relationship is quite like a Louie opines that the loophole being touted in “siblingship.” Parents are there at the beginning, favor of physician-assisted suicide simply allows but all too often they leave too early. Spouse’s join doctors to prescribe unconventional “remedial us in our adult lives. Friends often come and go. agents or measures” (i.e. medication or treatment Captain Cook intended to make the patient better — or at least When parents die, siblings are called home to to provide pain relief and comfort), not cause the “divide up the pie.” And what I experience all too Coin Company patient’s death. In the attorney general’s view, often with the families that I work with, is that OF HONOLULU the law clearly does not allow doctors to prescribe the siblings fight over the same things that they lethal doses of medication. fought over when they were kids — property and We buy & sell collectibles: fairness. However, the parents are no longer there As to the second question, Louie opines that to referee and help divide up the pie fairly. • Coins & Currency physician-assisted suicide would constitute the • Vintage Jewelry The estate planning process, if done properly, crime of manslaughter. However, proving that • Tokens & Medals can do much to minimize the risk of fighting the crime had been committed would involve • Hawaiiana convincing a jury that the physician intended for when parents die. However, many plans do not the patient to commit suicide, and that the lethal speak clearly enough in this respect. Leaving Collections medication prescribed by the physician accom- a family home or a heirloom “equally to the and Estates plished its intended task. As we all know, proving children” does not go far enough to help avoid sought! that a crime has been committed is not necessar- the family fight. To leave it up to grieving adult ily an easy task. But the fact that a crime is dif- children to decide what is “equal” when it comes their inheritance, puts too much pressure on their Captain Cook Coin Company is one of Hawaii’s most ficult to prove does not mean that no crime was respected coin dealers. Owner, Craig Watanabe has committed. Obviously, any physician who follows relationship. 54 yrs. experience in buying and selling coins, currency interpretation of Hawai‘i law urged in the current If the parents and the estate planning attorney and other collectibles. Give Craig a call or go online now! advertising blitz could be in for serious trouble. do not spend enough time minimizing the risk ANA Life Member | Authorized PCGS, NGC, ANACS & So don’t be fooled by the commercials and ads. of fighting between the siblings, we risk fractur- CAC Dealer | ICTA Charter Member Our existing hospice and palliative care (alleviat- ing, or worse destroying this unique, wonderful 808-531-2702 captaincookcoin.com relationship — the siblingship.

BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. email [email protected] Home Equity Into Retirement Income by Michael W. K. Yee, CFP “I can’t believe my

he long-struggling hous- owner paid back when the ing market is finally house is sold at some future HIGH RATE!” p 44 Tshowing signs of recovery, date. However, interest accrues giving many homeowners more throughout the duration of the WISDOMS equity in their properties. This is loan and upfront fees apply, so it prompting more pre-retirees to con- can be expensive. sider if, and how, home equity can A standard reverse mortgage, also be turned into a source of cash to help called a Home Equity Conversion fund their retirement. Mortgage, charges a 2 percent mort- Amy’s CGA rate Home equity represents one of the gage insurance premium on the full biggest assets for many Americans. value of the home. The government now at age 60 is 4.4%. However, there are risks in assuming that offers a lower cost “Saver” loan with a your home’s equity will be a guaranteed mortgage insurance premium of just 0.01 source of income in retirement. For start- percent of the home’s value, but apply- What’s yours? ers, home equity, like any investment, is ing a higher interest rate. Over time, the subject to the fluctuations of the market combination of fees and interest charges ONE LIFE TWO LIVES and may have tax consequences. Also, can significantly deplete the value of the you will always need a place to live, so home’s equity. Age Rate Age Rate you can’t assume that the full value of Reverse mortgage applicants must be at 60 4.4% 60 3.9% a home is at your disposal. Remember least 62 years old. The older a retiree that the primary function of your home is, the more he or she can receive from 70 5.1% 70 4.6% is to provide a roof over your head, the home’s equity. Understanding the and using equity to fund retirement complicated terms of a reverse mort- 80 6.8% 80 5.7% requires careful planning. Here are gage before signing on the dotted 90+ 9.0% 90+ 8.2% three primary options: line is crucial. • Home Equity Lines of Credit • Selling & Downsizing: The (HELOC): A HELOCS (second other way to tap a home’s equity mortgage) is a reasonable option is to sell it. Many retirees are Total Benefits for an employed individual, ready to “downsize” or to buy but it may be less practical or rent a smaller residence. Partial Tax-Free Income • Large Tax Deduction for someone in retirement. HELOCs need to be re- If the market is right, they can sell their existing • paid, and using the proceeds from a home equity home, buy a new place and have equity leftover High Payout Rate Avoid Capital Gains Tax loan to help fund retirement often means taking to add to their retirement nest egg. n on interest costs in order to generate that income. It’s important to note that an individual puts a lien on their home by taking a HELOC, and risks Michael W. K. Yee at (808) 952-1222 ext. 1240 With a Charitable Gift Annuity (CGA), you can make a gift to the University of Hawai‘i 1585 Kapiolani Blvd., Suite 1100 Honolulu, Hawai‘i 96814 losing it should he or she fail to repay under the Foundation and receive a fixed, high payout rate for life, an income tax deduction, tax-free terms of the loan. Michael W K Yee, CFP®, CFS®, CRPC®, is a Financial Advisor CERTIFIED FINANCIAL PLANNER practitioner™ with Ameriprise Financial Services, Inc. in income, and avoid capital gains tax. • Reverse Mortgage: A popular alternative is a Honolulu, HI. He specializes in fee-based financial planning and asset management strategies and has been in practice for 26 years. Best of all, you can do it while supporting students, faculty, research and programs at the reverse mortgage. This allows a homeowner to The sale of a home and home equity loan products may have a tax impact, University of Hawai‘i. tap into the home equity while still occupying it. please consult your tax advisor. A reverse mortgage provides payment to home- Ameriprise Financial Services Inc. and its affiliates do not offer tax or legal advice. Consumers should consult with their tax advisor or attorney regarding Contact us to learn more about your high rate. owners for the bulk of the value of their homes their specific situation. via a lump sum, a line of credit or periodic pay- Brokerage, investment and financial advisory services are made available through Ameriprise Financial Services, Inc. Member FINRA and SIPC. ments. In essence, this is a loan to the home- © 2013 Ameriprise Financial, Inc. All rights reserved. File #154457 Office of Estate & Gift Planning [email protected] • (808)956-8034 • www.UHFLegacyGift.org BABY BOOMER SHOW.com Hawai‘i’s only radio show dedicated to our AM 690 every Saturday, 4 pm – 6 pm “Boomers”: real talk ... real conversations. For Our University, Our Hawai‘i, Our Future

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