story and photo by Traci Chapman

As healthcare becomes more complex and treatment more expensive, patients of all ages and conditions have found themselves in a no man’s land where they find more questions than answers.
That’s where care management can lift the mists obscuring the answers those patients – and their families – are searching for, helping them improve their health, while avoiding at least some of the stressors that come with high medical bills and navigating the healthcare system.
What is care management?
Case managers are tasked with helping patients, caregivers and families find the most effective way to manage health conditions, while also focusing on potential medical cost savings. Several studies found in the U.S. National Library of Medicine, overseen by the National Institutes of Health, concluded care management can improve patients’ quality of care in the long-term, as well as positively impacting the cost of that care.
University of Oklahoma Health Sciences Center Fran and Earl Ziegler College of Nursing’s Care Management program has been providing community-based healthcare management services since 1995.
Seniors and Disabled Patients
OU’s Nursing Care Management program provides care management services to patients of all ages, conditions and income levels. For Karissa Maddox, RN, BSN, CMC, many of the people she’s spent the last 15 years of her career treating and guiding through the healthcare maze are seniors, elderly and disabled individuals who are deemed ADvantage-eligible by Oklahoma Department of Human Services. Maddox is also the program’s private care management services supervisor.
Oftentimes, multiple doctors treat patients, who also might be facing a myriad of conditions. That’s where a case manager comes in, serving as a central information hub and helping to coordinate care, Maddox said.
“It just relieves the stress and helps the family try to live a normal life, especially if loved ones live at a distance,” she said. “We are often the ‘professional advocate’ helping manage care – while communicating with family members and providers, in addition to coordinating all health care needs.”
OU Nursing case managers first provide an assessment, allowing them a comprehensive look not only into a patient’s medical issues, but also other challenges facing that patient – and their family. As hospital stays get shorter, Maddox said these assessments are crucial, providing the proper care plan and a bridge to medical providers, while also allowing patients to save money.
“You see the education you provide, the stability you provide – and being an advocate for them is huge,” she said. “Sometimes people don’t have anybody else to speak for them.”
OU Nursing Care Management has four office locations in Oklahoma City, Tulsa, Lawton and Elk City, providing services across Oklahoma to patients and their families.
Maternity Coaching and Education
OU Nursing recently unveiled new services geared specifically for pregnant women and new or expectant parents. This service provides supportive coaching and education to clients to help with the life transitions that come with the addition of a new baby, their communications with health care providers — also helping them to determine the best resources for their individual needs.
“The focus is on the client and personalized according to what is most important to her,” said Margaret Back, RN RLC, ANLC, maternity coach and consultant. “The tailored plans and education materials prepare the client to anticipate changes and to minimize the stress of transitioning through the stages of pregnancy and the ‘4th Trimester’ of life with a new baby.”
Services also benefit anyone feeling overwhelmed or uncertain about maternity health-related issues, Back said. “New or single parents working through the transition back to work and adoptive parents or grandparents caring for their grandchildren can also find support, guidance and assistance,” she said.
While services offered by Maternity Coaching and Education are not a substitute for a doctor, midwife, lactation consultant, childbirth educator, therapist or doula, those will be accessible to participants, Back said. It offers Bump to Baby & Beyond Bundles, as well as a la carte options, all designed for flexibility and to address the changing needs of individuals and families, both during pregnancy and after childbirth.
“I am very excited about the opportunity to share the knowledge and experience I have acquired during the past 30 years as a nurse,” said Back. “I truly enjoy helping expectant mothers and new parents navigate through the exciting but sometimes overwhelming transition to parenthood and newborn care.”
Teri Round, MS, BSN, RN, NE-BC, executive director of clinical operations, cited OU Nursing’s multi-faceted approach to care management, which allows patients to move through every chapter of their life – and healthcare – with support and guidance.
“We have been in the business of providing care coordination for more than 20 years – Our case managers are experienced professionals who are able to care for others across their lifespan, but who specialize in the care of seniors and helping them age in place,” Round said. “We have developed other business lines, which work to support care transitions using CTI, an evidence-based model that helps individuals control their chronic conditions at home versus hospitalization or ER; with OU Physicians in the Bedlam L Clinic, in a team effort to improve quality of life in those with little or no insurance and chronic conditions; private care management performing all of the above; and maternal-child health, our newest addition to our group of services.”
For more information or a professional consultation for private care management, contact Lisa Macias at 866-416-4980 or via email at lisa-macias@ouhsc.edu.

Victoria Burdine was not raised with her grandparents. They were deceased, she said, regarding her childhood in Louisiana. Burdine always was the family member who cleaned house and cared for elderly people in her neighborhood in a little town named Rayne.
“I enjoyed it,” said Burdine, LPN, ADON and wound care nurse at Tuscany Nursing Center in Oklahoma City.
Burdine has been a nurse since 2009 and has always served in long-term care. She was a proud CNA for 15 years. Becoming a CNA was a smooth adjustment for Burdine after cleaning neighbors’ homes and running errands at the store for them.
“That’s my passion. A grandmother I could talk to and a grandmother — I didn’t have that,” she said. “So I take these residents here as my grandparents.”
She began working at Tuscany Nursing Center on the day it opened. There was one resident and Burdine was working the night shift, she said. Burdine was the LPN on the floor, and four months later she was asked to become the wound nurse. In early July she added the credential of certified wound nurse to her resume. Certification required rigorous study and taking a test.
“I started at 7 p.m. Sunday night and finished at 3 a.m. in the morning,” Burdine said. “So I am a board certified wound nurse.”
There were a lot of things she was already doing as a wound nurse, but she also learned a lot, she said. The extra education was valuable for her and also added job security to her career, she said.
Burdine said she admires that the nursing staff works well together as a team. At 3 p.m. everyday a few of the residents join her in her office for coffee and cookies. She loves it and said there is something about them that reflects her passion for the elderly.
Residents are of all ages. Some of them are in their 30s and 40s and she loves them, too. Some have been in accidents.
“You never know. It’s sad. I have a few that’s younger than me,” she said. “It is true that back in the day our grandparents would be in a nursing home, but these days it’s really young people, too.”
Burdine said it’s important to let the residents have choices. If they don’t feel like taking a bath at a certain time they can choose a later time.
“If there are certain things they want to eat – let them do it,” she said. “Just give them that freedom of choice. That plays an important role.”
Every once in a while Burdine will work in the skilled nursing unit when needed. Skilled nurses need to pay attention to detail and understand their role as a nurse, she said.
“There’s some hard work back there,” she said.
For long-term care a nurse needs to be compassionate, Burdinecontinued. Nurses without compassion and a love for their job will burnout and not make it in the industry.
“I love my job and I’m very compassionate,” Burdine said. “There’s things I do for a couple of people out of my pocket. Ladies like wigs. They like makeup. Some of them do have family and their family does not come. So I take out of my money and I buy them what they want.”
“If you’re here for the money it’s the wrong place to be.”
One of the residents has a 90-year-old mom that called Burdine from Las Vegas. She wanted to say how appreciative she is of Burdine for taking the time for her daughter to pay attention to small things.
“That means a lot,” Burdine said. “In my mind, the one thing I keep saying is, ‘This may be me one day.’ You know I wish somebody would take the time out if that happens to be me.”
“I want that same person like I am today to be caring. Take a little minute and just listen.”
Burdine tells the CNAs that the residents could be their kids. Across the U.S. nurses and CNAs need to stop what they’re caught up in life and pay more attention to detail, she said.
“Just listen because really that’s all they want you to do,” Burdine said. “So I always say this could be me.”
Currently Burdine is also caring for her mother who came to Oklahoma from Louisiana. She visits Burdine in the summertime.
When returning to Tuscany Village her residents are glad to see her. One of the residents called her at home and Burdine was happy to bring her a hamburger.

Whether it’s climbing into a combine to harvest the wheat or walking into a congressional meeting to discuss farm policy, Francie Kucera Tolle remains focused on one goal—“It’s the legacy of it.”
Rather than a legacy of how Tolle will be remembered, this is one centered on how others will value and appreciate agriculture as a result of her family’s stewardship.
Having been born on a family farm and now farming with her husband Chuck, Tolle knows the importance of agriculture. She has been a resident in Grant County her entire life and laughed as she reminisced growing up on a farm with her three sisters.
“My dad brought a bottle calf home one time and we thought it was the greatest thing ever and asked for a few more. The next day we had 30 bottle calves and would be mauled when we got to barn,” said Tolle. “A year later we wanted some feeder pigs and my dad brought home a whole truck load. Next, we thought we would like some sheep and our dad said, ‘Really?’ We changed our minds pretty quick.”
Tolle spoke about the daily life lessons that were learned among the cattle and in the wheat fields. The greatest of these was work ethic and faith.
“You have to have faith because there is no telling what the weather will be,’’ said Tolle. “You use your work ethic and do everything you can but in the end you have to have faith.”
Growing up, Tolle did everything the hired hands did on the farm, saying it was expected of her and her sisters. She started driving the combine when she was 12 and basically lived in the barn with the stocker cattle during the winter. She went on to college with no plans on returning home. But as fate would have it she started dating a local farm boy and married him in 1990.
“I didn’t really have plans on marrying a farmer,” laughed Tolle. “I was a business major and liked marketing. But then I started dating Chuck and I came back to agriculture pretty quick.”
They moved and started their own operation in 1992 in Grant County with a quarter of land, mainly growing wheat and running a cow-calf and stocker cattle operation. Their little operation began to grow as Tolle had two boys, Clint and Cole.
Tolle laughed and said her boys never wanted to drive the combine growing up because that was her thing. Now her boys are growing up and making their own legacy. Clint is married and will graduate college soon, with plans on returning to the farm. Cole just graduated high school and is beginning embark on his college journey studying construction management.
In addition to raising two boys and operating a farm, Tolle also works tirelessly to carry on the legacy of her dad, who taught her the importance of agriculture through policy.
“I got my love for policy from him,” said Tolle. “He never went to college but he was the smartest man I ever knew.”
It was not uncommon for Tolle and her father to be talking about world trade, farm policy and commodity markets. This sparked her interest and she began her work in farm policy in 2003 as Director of the Oklahoma Wheat Growers Association.
From here, many doors began to open for Tolle as she served as Agricultural Liaison to Congressman Brad Carson, Director of Agritoursim, Legislative Policy Analyst for the Oklahoma Farmers Union/American Farmers and Ranchers, State Director of Farm Service Agency and is now currently the Regional Director of the Risk Management Agency serving Oklahoma, New Mexico, and Texas.
When asked about her most rewarding experience, there was no hesitation as she recalled the implementation of the Livestock Forage Program, which resulted in paying over a billion dollars to farmers and ranchers in Oklahoma affected by the three year drought.
“I saw people literally cry because they were saved… I will never forget. That was pretty impactful,” said Tolle.
Although she stays busy with policy and farming, she never forgets why she does it. Tolle is proud to say that she is only the second generation born in the United States.
“It’s the legacy of it. My grandparents came here for this reason. Here I am fulfilling the dream they had. I don’t want it to die,” said Tolle.
Again, even though Tolle has left a legacy in what she does, this was not her goal in an individual sense. Instead, she hopes that through her work, people will know and understand the complexity of farming and in agriculture in general.
“It’s not easy,” said Tolle. “Yes it is rewarding but it is the hardest job you will ever do. If you don’t love it, you won’t do it. There is not another job where you work as hard as you do with farming.”
Tolle is also quick to give credit to her husband for all of her success saying he is extremely supportive of everything she has done. Even with all of her accomplishments, her greatest one is building a legacy with her husband to make sure that others will value and appreciate agriculture as a result of their stewardship.
“My goal is to leave a legacy,” she said.

Article by Nikki Buckelew, Buckelew Realty Group’s Mature Moves Division with Keller Williams Realty. www.okcmaturemoves.com

In generations past, there simply weren’t many options when it came to where one would live out their retirement years. In fact, there were basically three choices: 1) Stay put in your own home, 2) live with your kids, or 3) move to a nursing home when “it was time.”
The landscape has certainly changed significantly in the last decade. Not only are people living longer, but retirees have more options than ever before as it relates to housing options. So many choices it can make your head spin!
Fewer people as of late are opting to stay in a home that is too large, too costly, or losing value due to neighborhood decline. Even fewer are electing to move in with their adult children. More and more seniors are taking a proactive approach concerning their retirement lifestyle, with the trend toward community living designed to support and encourage the independent lifestyle they value.
The new normal
Included in the available stock of senior living options are upscale luxury apartments catering to the active 55 and older crowd, as well as all-inclusive resort style properties resembling a cross between 5-star hotels and country clubs. Private residences including duplexes, cottages, garden homes, and villas are also on the rise, boasting neighborhood club houses with fitness and media rooms, walking paths, organized activities and trips, and more. All this and they even take care of your yard and maintenance.
For those needing a bit slower pace and maybe even a little help from time to time, there are supportive housing communities designed to help people remain autonomous and independent by providing non-medical assistance. Key attractors to these communities include 2-3 prepared meals a day, housekeeping services, rides to the doctor and local retail and grocery stores, and 24-hour concierge access. When needed, many of these communities can provide or arrange for assistance with dressing, bathing, and medications.
Of course there are still the communities equipped to care for those with chronic medical or mental illnesses or degenerative diseases. Unlike the independent and assisted living communities mentioned above, however, these longterm care facilities are ‘chosen’ by default only after other options have been ruled out.
Comparing options can be complicated
With all these options, especially the all-inclusive ones, the challenge is figuring out which communities have what you are looking for. More importantly, what services are offered and what the fees include. Each development has varied unit sizes and meal options, as well as ever-changing, healthcare options and activity programming.
Ownership may belong to a for-profit enterprise or operated by a not-for-profit organization. Some are affiliated with churches, universities, and local municipalities and each has it’s own unique philosophy of property management.
Taking proactive steps
The key to finding the right fit is investigating the various options available well in advance – long before you are ready to make a change. By doing so, you remain in the driver’s seat when it comes to your lifestyle choices, rather than leaving it to chance (or up to your kids).
Fortunately, senior adults have a variety of free educational opportunities in the metro area to choose from when it comes to learning the ins and outs of 55+ living options. Some events are hosted by senior living communities who offer optional campus tours directly following the educational program and others are held in event centers. The goal of these organizations and associated expert speakers is to help older adults and their trusted advisors navigate the sea of information related to senior living.

Below is a list of a few upcoming events (advanced registration required):

Candid Conversations: Senior Living Options – Epworth Villa Retirement Community – August 15th at 10am RSVP: 405-752-1200
How to Pay for Senior Living – Spanish Cove Retirement Village – August 31st at 10am RSVP: 405-354-5906
The Truth About Senior Living – OptionsMAPS3 Health & Wellness Center – September 14th at 10am & 2pm RSVP: 405-563-7501
Getting Real About Real Estate after Retirement – Concordia Life Care Community – October 24th at 2:30pm RSVP: 405-437-1414

by Bobby Anderson, Staff Writer

Excitement is buzzing up and down the halls at Village on the Park in Oklahoma City.
The retirement community is atwitter over what is expected to be the blockbuster event of the summer – the wedding of residents Ann Trumbly and Bud Barker.
“He caught me in a weak moment,” the 84-year-old Trumbly smiled when asked what led to the upcoming August ceremony.
Both currently reside in separate cottages at Village on the Park and each lost spouses in the past.
Neither ever dreamed they would remarry.
“We just clicked, we really did,” Barker said. “We weren’t expecting it but it happened.”
The couple’s first official date came last October when a group of Village on the Park travelers went to Royal Bavaria restaurant in Moore to celebrate Octoberfest.
For weeks Barker had been telling Marketing Director Karen Proctor that he planned on “bringing a friend” but declined to say who it was.
“And forever they were just going to be friends,” Proctor said, unfolding the story.
The couple agreed to go out once a week for dinner. One week Trumbly would pay, the next Barker would pick up the check.
“Somewhere along the way they shocked me,” Proctor said. “They’re both educated. They both love music and they both just love talking to each other.”
A few months ago the couple pulled Proctor aside to tell her the big news.
“I just cried and cried and cried,” Proctor said. “I was shocked. They had kept saying over and over it was nice to have a good friend.”
But both agreed it was great to have a best friend again.
EVERYONE’S ABUZZ
“Everybody’s so excited,” Proctor said. “We’ve had residents who have gone and bought dresses – even though it’s going to be super casual.” Everybody feels a part of it because they knew them with their other spouses and were so sad when their spouses passed away.
“It’s been fun to see them have so much fun.”
Cake and punch will be served back at Village on the Park.
“Real simple. That was Ann’s orders,” Proctor said.
She helped the bride-to-be shop for a wedding dress – all without ever leaving Village on the Park, helping Trumbly navigate the Internet for the perfect gown that was delivered to her house.
“They’ve got about 50 flower girls,” Proctor joked.
Barker swears he’s not nervous.
“Everybody has been fantastic, they really have,” Barker said. “Our children – she has a son and daughter and I have a son and daughter – and they’re all tickled to death. They could see we needed somebody.”
The couple doesn’t plan on registering anywhere, in fact, it might be the first wedding in history where guests receive all of the gifts.
The bride and groom are currently trying to downsize their respective cottages so that they may move in with each other after the wedding.
Once the nuptials are complete the two will fly down to Ft. Lauderdale to embark on a Caribbean cruise honeymoon.
But do the two have any skinny-dipping plans?
“I don’t know about that yet,” the 87-year-old Barker laughed. “Age is funny.”
Both are excited for the date to finally get here later this month.
They say planning – even a simple ceremony – doesn’t get any easier the second time around.
“Sometimes I wonder how we’re going to get through this. It’s not the marrying him (part) it’s about all the stuff you have to go through,” Trumbly said.
Trumbly has always been sort of a mother-figure for Proctor so it was Proctor who sat the couple down early just to make sure they had their bases covered.
The two had already discussed it with their respective families. A Sunday compromise was struck, with the couple attending Trumbly’s Catholic mass on Saturday nights and Barker’s Baptist church on Sundays.
Barker says he may be getting the better end of the deal, especially since Trumbly’s cottage has a washer and dryer as well as a covered carport for his Lincoln.
“There’s a lot of advantages for me, I don’t know about her,” he teased.
But the groom has shown he may be handy in the kitchen.
“I fixed her a bacon and tomato sandwich last night,” he said with pride. “Someone gave us a real nice tomato out of the garden and we stole some bread and bacon out of the kitchen and I cooked it in my room.”
It’s moments like those both were missing.
And they never expected to find them again.
“This is a marvelous place here. Everybody here is family,” Barker said.

By Darlene Franklin

Fifty books in with her latest novel, “Mermaid’s Song,” historical author Darlene Franklin is still going strong and looking forward to another fifty titles.
“I love finding a historical tidbit and teasing it into a story,” Franklin said. “I love growing a story from a character, an idea, a setting, an event. There is never enough time to tell them all.”
Franklin recently celebrated her Jubilee title, “Mermaid’s Song,” with 500 supporters joining her in an online Facebook gathering July 10.
The well-received story is an imaginative retelling of Hans Christian Andersen’s classic fairy tale, set on the shores of historic Maine with a shipwrecked Acadian beauty and her rescuer.
Franklin’s storytelling career took off in 2005 with “Romanian Rhapsody.” Her first historical novella, “Dressed in Scarlet,” finaled for the 2008 American Christian Fiction Writers Book of the Year award as part of the Barbour novella collection, “Snowbound Colorado.”
“That gave me the courage to continue, and the market was wide open,” she said.
While relishing the afterglow of celebration, Franklin is committed to five additional novellas over the next year and will be contributing devotions to an upcoming nonfiction collection.
“At the moment, I’m writing this year’s Christmas romance, ‘The Christmas Child,’ to be released by Forget Me Not Romances this September,” Franklin said. “Apart from that, the door is wide open. I’m looking at writing a single-author devotional book, and maybe contemporary romance or a cozy mystery.”
When not writing best-selling fiction, Franklin pens a column for Book Fun Magazine, “The View Through My Door,” her unique perspective on life from a nursing home. Franklin’s titles are available at online retailers as e-books and in print. Her complete list of fifty, as well as dozens of collections to which she contributed, can be found at https://www.amazon.com/Darlene-Franklin/e/B001K8993A.