The Administration for Community Living (ACL) recently awarded a three-year grant to the Oklahoma Healthy Aging Initiative, part of the Donald W. Reynolds Department of Geriatric Medicine. ACL is part of the United States Department of Health and Human Services.
The grant will help fund implementation of a statewide program for falls prevention.
Lee Jennings, M.D., geriatric medicine specialist, will coordinate the program, which integrates complimentary components: Tai Chi Quan: Moving for Better Balance (TCQ: MBB), and Stay Active and Independent for Life (SAIL) in an effort to decrease the likelihood of falls and improve mobility among older Oklahomans and those with disabilities.
“In addition, OHAI will train volunteer class leaders to enhance program sustainability. Our objective is to build sustainable partnerships with organizations, such as hospital systems, long-term care facilities and insurance providers,” Jennings said. She is also principle investigator on a study related to the grant-funded program.
National Falls Prevention Awareness Day, Monday, Sept. 23, is about preventing fall-related injuries. Among older adults, falls are the leading cause of fatal and non-fatal injuries, posing a threat to life and quality of life.
In connection with the national emphasis, OHAI will host a Facebook live event from 9 a.m. until 2 p.m.
The event will include healthcare professionals in a discussion of the adverse impact of falls, how to prevent them as well as practical tips for creating a more secure environment. The event will also feature video demonstrations of TCQ and SAIL classes.
Keith Kleszynski, Ph.D., associate director of OHAI, explained that the SAIL program is new to OHAI and relatively new to Oklahoma. “We selected this program for its emphasis on physical activity and its appeal to those inclined toward more rigorous exercise,” he said. “It represents a strategic move to reach more male participants.”
Currently, 79 percent of OHAI tai chi participants are female; however, the risks associated with falls and injuries are not limited by gender.
SAIL was developed to improve strength, balance and fitness – all critical components in one’s ability to remain physically active and reduce the risk of falls. It can be done seated or standing. Tai chi incorporates slow and controlled movements that also increase balance and flexibility.

by Bobby Anderson, Staff Writer

The final full week in September was homecoming week for Tealridge Retirement Community in Edmond.
A traditional fall activity, homecoming meant something different for the gathered friends and residents.
Tealridge’s rich 30-year history was on display with the community touting almost $1 million in ongoing improvements to the Edmond mainstay.
Residents past and present toured, reliving memories and looking ahead to what is sure to be a future focused on meeting resident needs.
“It doesn’t really matter how much things are made ‘new’ it’s still the essence of the people and I think that’s a huge piece of this community,” Tealridge Executive Director Melissa Mahaffey said during a break in the festivities.
“And the heart and the spirit,” Tealridge Retirement Counselor Kristen Moss echoed. “Everybody has a story. This community has a story and a history. It’s 30 years old and that’s why we picked the theme of homecoming. Come tell us your story.”
“We’re all fresh eyes in the community but for them this is homecoming week.”
Jon Paden, president of Affordable Community Housing Trust, had a vision of what the community should look and feel like many months ago.
“Our goal is for Tealridge to feel like the home I grew up in. My parents created an environment that was warm, welcoming, safe and a lot of fun. That is how my wife and I tried to raise our three kids and I hope that is how our folks at Tealridge feel about their home”.
Early on, Paden’s group tabbed Mahaffey to make that vision a reality.
“I have a great team,” Mahaffey said simply. “I hire great people. The number one criteria for being on this team is having a heart and soul for people because if they don’t, it doesn’t work.
“The true measurement of a good community all relies on who you have in place.”
A legendary property, Tealridge Retirement Community celebrated its next chapter with new ownership and property improvements.
The two-day event was open to the community.
Edmond Chamber of Commerce members were on hand Wednesday for an official ribbon-cutting ceremony.
Former University of Oklahoma quarterback and NEWS9 personality Dean Blevins entertained the crowd on Thursday.
Nestled next to the 200-acre Oklahoma Christian campus is Tealridge Retirement Community, a full-service, private and locally-owned community providing independent, assisted living and memory care services to the Community of Edmond.
Nancy and Todd Markum were sold on Tealridge from the very beginning.
“We’re excited,” Nancy said. “We were the first ones to get to move back in. It’s awesome. We love it. We always wanted to be here after living across the street.
“We wanted to be home. It’s our friends and our people.”
According to the National Institute on Aging, research studies have shown a strong correlation between social interaction and health and well-being among older adults and have suggested that social isolation may have significant adverse effects for older adults.
Moss said. “What works in New York or Los Angeles and all those cities in between doesn’t necessarily work in Oklahoma.
Jon is open to receive feedback from Melissa & the team on how we can help our retirees live their best life. The decision to move is not easy, we desire to work beside someone through their journey”.
The future is strong for the Edmond senior community, which has evolved in the last 30 years. The addition of the independent component compliments the full care campus concept.
“Who knows what independent living will look like in the next 10 years,” Mahaffey said. “But for right now we’re striving to meet the expectations of this generation. In the future, these services will evolve to a different clientele as our population continues to change.
“Nobody really knows what that’s going to be. It’s going to be wellness and nutrition but what else? Could it be additional traveling opportunities and other outlets for socialization?
One thing is for sure, “It’s about being a community with traditions in which someone feels welcome and that they are’“HOME’”.
For more information about Tealridge Retirement Community call 405-608-8020 or visit www.tealridge.com

Each year, across the country, thousands of educators, caregivers, health and aging professionals, and older adults focus their efforts on one goal: preventing falls. That’s why the Oklahoma State Department of Health (OSDH) is partnering with the National Council on Aging (NCOA) and the Falls Free® Coalition to celebrate Falls Prevention Awareness Day, Sept. 23. This year’s activities will focus on the teamwork needed to prevent falls effectively.
Every second of every day in the United States an older adult falls, making falls the number one cause of fatal and nonfatal injury among older Americans. Every week in Oklahoma, approximately 124 adults age 65 and older are hospitalized and 11 die from a fall. Acute care hospital charges alone total more than $250 million a year.
Falls are not a normal part of aging, and an individual has the power to prevent them. The OSDH offers the following tips on simple tips to prevent falls:
Exercise regularly. Exercises that improve strength, balance, and coordination are the most helpful in lowering the risk of fall-related injuries.
*Speak up. Talk to your doctor about fall risks and prevention. *Ask a doctor or pharmacist to review both prescription and over-the-counter medications for side effects and interactions. The way medications work in the body can change with age. Some medications or combinations of medications can contribute to drowsiness or dizziness, which increases the risk of falling. *Have vision screenings at least once a year. The wrong prescription eyeglasses or health conditions, such as glaucoma or cataracts, limit vision and may increase the risk of falling. *Reduce hazards in the home that may lead to fall-related injuries. *Keep floors clean and clear of clutter where people walk.
*Maintain adequate lighting throughout the home, especially near stairways. *Remove throw rugs or use non-skid throw rugs in the home, and use non-slip mats in the bathtub or shower. *Install handrails on stairways and grab bars in bathrooms. *Keep regularly needed items in easy-to-reach places that don’t require the use of a step stool.
The Tai Chi: Moving for Better Balance program has been proven to reduce the risk of falls. Throughout Oklahoma, many individuals have been trained as Tai Chi instructors and teach Tai Chi: Moving for Better Balance classes to older adults. This exercise program focuses on improving functional abilities, such as balance and physical function, to reduce fall-related risks and frequency of falls. Oklahoma seniors are invited to join one of the more than 90 open Tai Chi: Moving for Better Balance classes across the state.
To receive more information on classes and how to prevent falls, contact the OSDH Injury Prevention Service at (405) 271-3430 or visit http://falls.health.ok.gov.

by Dr. C.V Ramana

What is osteoporosis?
It is the “weakening” or “softening” of bones.
Bone consists of a framework or matrix of collagen and other soft tissue elements. It is then “hardened” by deposition of calcium mineral into the matrix. We think of bone as being a “static” component of the body, but this is not true. Bone is constantly formed and broken down throughout our life as the result of a complex interplay of dueling hormones, health, diet, and activity. In childhood and young adulthood, bone growth is faster than breakdown. People generally reach peak bone mass in their late 20’s. After that, bone breakdown tends to be faster than new bone formation. When calcium is taken out of mature (or fully formed) bone and not replaced, the frame left behind is soft or weak, and easily susceptible to fracture.
Why is calcium needed in the body?
Calcium is an important mineral in the body – it is vital to the formation and strengthening of our bones, but also plays an important role in the function of muscles and nerves as well as innumerable biochemical reactions in the body. Calcium is transported throughout the body dissolved in blood, and so, available to all of our organs and tissues in carrying out their functions. The amount of calcium in the blood is tightly regulated by hormones released into the bloodstream from the thyroid and parathyroid glands (located below the Adam’s Apple), pituitary gland (in the brain), as well as the adrenal glands and kidneys.
Our bones serve as a massive reservoir of calcium that can be tapped when calcium levels in the blood are low due to inadequate dietary intake, inadequate levels of vitamin D in our bodies, or the wrong form of vitamin D due to inadequate exposure to sunlight, or as a result of some medications.
How to know if you have osteoporosis?
Unfortunately, this is a “silent disease” and does not become symptomatic until a bone is fractured, or the back becomes kyphotic (stooped) due to slow collapse of multiple vertebra in the upper spine.
How to find out if you have osteoporosis?
Sometimes the diagnosis may be suggested based on the appearance of bones on x-rays or CT scans that you may have for other reasons. The most reliable way, though, is through a test called DEXA which measures Bone Mineral Density (BMD) in various bones in the body.
Blood tests to determine the level of Calcium, Vitamin D, calcitonin and parathyroid hormone can also be helpful, especially in planning treatment.
Risk factors for developing osteoporosis
Factors that can be modified
* Lifestyle – inactive lifestyle or extended bedrest
* Smoking
* Alcohol consumption
* Inadequate dietary intake
* Sex hormones – abnormal absence of menstrual periods or menopause with low estrogen in women, and low testosterone in men
* Medications – long term use of steroids, some seizure medications
Factors that cannot be modified
* Sex – women are more prone to develop this than men
* Age – bone mass decreases in everyone after the late 20’s
* Body size – small boned women are more likely to develop osteoporosis]
Ethnicity – Caucasian and Asian women have a higher likelihood, though African American and Hispanic women are also at high risk.
* Heredity – people whose parents have osteoporosis have an increased likelihood
How can it be treated?
* Smoking cessation
* Decrease alcohol consumption
* Lifestyle modification – weight bearing exercises such as walking, jogging, hiking, climbing stairs, playing tennis and dancing are all good. Resistance exercises such as weight lifting or weight training machines are good
* Increase dietary intake of calcium and vitamin D
* Recommended levels – calcium – more than 1000 mg/day after the age of 30, and 1200 mg/day for women after the age of 50. Vitamin D – more than 600 IU/day for adults up to age 70, and 800 IU/day for men and women beyond the age of 70.
Medications
* Supplemental calcium and Vitamin D
* Prescription medications that work in a variety of ways to interfere with the rates of bone formation and breakdown balance
* Bisphosphonates (which bind to calcium for deposition in bone)
* Estrogen and estrogen analogues
* Estrogen receptor modifiers
* Calcitonin – hormone
* Parathyroid hormone blocker
Who can treat Osteoporosis?
A primary healthcare provider should be contacted for diagnosis and development of a treatment plan. In some cases, they may refer to a specialist for the treatment. Specialists can include endocrinologists, rheumatologists, and women’s health specialists such as an Ob/Gyn.
Dr. C.V Ramana is a vascular and interventional radiologist with more than 20 years of practice experience. He has expertise in all areas of vascular and interventional radiology. Dr. Ramana has a Ph. D from Yale University and MD from CWRU in Cleveland, Ohio where he subsequently completed his fellowship in Vascular and Interventional Radiology at the Cleveland Clinic. https://naadihealthcare.com/

1 NW 64th Street 73116 Oklahoma City, OK Phone: (405) 608-8884

Women’s Veterans Monument Sets the Standard for Honoring America’s Best

Story and photos by Darl Devault, Feature Writer

With the privilege and opportunity approaching of honoring all military service on upcoming Veterans Day more than 300,000 women have volunteered to serve our country in Iraq and Afghanistan.
The little known Del City monument created as America’s only inclusive bronze monument honoring women veterans patriotically illustrates this pride.
Dedicated in 2014, this Women’s Veterans Monument honoring the two million women who have served and are serving in the armed forces is our nation’s first inclusive-of-all-services tribute.
Sculpted by Luther, Okla. artist Joel Randell, the monument honors women who today make up 16 percent of the enlisted forces, and 18 percent of the officer corp.
In the years since its unveiling, this first-of-its-kind public art has engaged the art community. Oklahoma’s most famous illustrator and fine art painter, Mike Wimmer, sought out the monument as a visitor.
“Joel Randell celebrates the poise, dignity and strength of the women serving in our armed forces,” Wimmer said recently. “Its patriotic expression of figurative realism gives honor to the women who stand up with uncommon valor to serve and protect their nation, community and family. He captured every figurative detail in meticulously representing and honoring the achievements of real women in their chosen branch of military service.”
The polished black granite monument depicts five bronze slightly-larger-than-life uniformed Army, Marines, Navy, Air Force and Coast Guard women.
It also features an Oklahoma Army National Guard uniformed woman speaking with a little girl inquiring when she can serve. The mother and daughter are sitting at a reflecting pool before the mother’s departure to serve her country.
The centerpiece is the servicewomen in intricately-correct dress uniforms and caps. They are facing outward in a circle, holding hands. Planners said this represents the strength and unity between them to form a symbol of strength and purpose around a flagpole with a large American flag.
An all-woman committee of eight veterans guided the artist during the $1.5 million project, spending three years planning the monument.
The women, who had attained all levels of military rank and responsibility, designed the overall look and paid attention to the greatest detail. They made sure their service uniform depictions could pass any critical dress inspection a fellow veteran might make of the bronze statues.
Oklahomans SSgt Laurel “Chip” Chambers, MSgt Barbara L. Curry, Capt. Jennifer Grant, Sp4 Linda Kiselburgh, SMSgt Deborah L. McQuillar, AZCS Carolyn Mischke, SSgt Dorothy Rimbold and Lt. Col. Julie Wende served on the committee.
The monument stands in Patriot Park, the site of several veterans’ memorials and monuments and a Veterans Day ceremony each year opposite the Del City Community Center just off I-35. In 1995 the city built the first monument to honor all of Del City’s war dead since World War II. A Fallen Soldier Battle Cross honors veterans who served in Iraq and Afghanistan. A Blue Star Mothers Memorial joined the Vietnam War artwork and soldier mausoleum in 2011.
This newest monument—to those who take the oath to serve their country, allows Del City citizens and leaders to make a strong statement that women veterans deserve honors. This monument says ladies do their share—from the initial historical commitment to provide support, to the now dangerous duty of combat. The folks from this small city next to Tinker AFB celebrate the patriotism that binds them to the goal, keeping America free.
By depicting a youth conversing with a role model, the monument also conveys the multigenerational relationship between women who have served and now younger generations.
With owner John Free Jr., supervising, The Bronze Horse Foundry in Pawhuska, Okla., cast the monument’s bronze figures.
“These seven patriotic figures in one masterpiece are really something,” Free said after installing the statues. “People really like that the artist researched these subjects so strongly for accuracy, because this bronze art is going to stand here forever.”
One Lawton, Okla. combat veteran saw firsthand how a fellow female soldier made the ultimate sacrifice in combat.
Eleanor McDaniel, 67, a veteran of Operation Desert Storm/Desert Shield as the first Comanche woman to serve in U.S. combat as the highest-decorated Comanche woman recalled Army Spec. Lori Ann Piestewa. Piestewa, a Hopi, died after an ambush in March 2003 in Iraq.
Piestewa was the first Native American woman killed in combat on foreign soil. McDaniel said the monument honors the sacrifices of all military women, whether in combat or during peacetime.
“This monument is well deserved and long overdue,” McDaniel said in 2014. “Other communities should follow the example. Recognition of this magnitude for our women in the military is uncommon, but many extraordinary women have served and deserve that recognition. I am deeply grateful to the people of Del City and all those that made it possible to recognize and honor the service and sacrifice of all the women of the U.S. military.”
Arizona’s government renamed Squaw Peak in the Phoenix Mountains as Piestewa Peak in 2008 and renamed the freeway that passes nearby in her honor.

OGE Energy Corp. will join forces with United Way of Central Oklahoma during its annual fundraising campaign to double new, first-time company contributions.
“United Way agencies provide such valuable services to our communities, and we’re only as strong as the communities we serve,” said Sean Trauschke, chairman, President and CEO of OGE Energy Corp. “We identified this as a way to help support and grow the missions of these agencies where we live and work.”
This opportunity comes at a critical time as United Way of Central Oklahoma begins fundraising efforts for 57 local nonprofits, serving hundreds of thousands of clients each year who need us more than ever. The gift will help Partner Agencies serve more central Oklahomans by providing life-saving services to those in need.
“OGE Energy Corp. is known for giving back in big ways, and we are truly grateful that they thought of United Way – that says a lot about the caring nature of their organization,” said Debby Hampton, United Way of Central Oklahoma president and CEO. “It takes all of us to make this a more compassionate community, and OGE’s support is one of the big puzzle pieces that makes that possible throughout central Oklahoma.”
Donations may be made online at unitedwayokc.org or by giving through your workplace campaign.
About United Way of Central Oklahoma
United Way of Central Oklahoma researches human needs within the communities of central Oklahoma and directs resources to accountable health and human services agencies to meet those needs by improving the health, safety, education and economic well-being of its most vulnerable citizens. For more information about United Way of Central Oklahoma, please visit unitedwayokc.org or call (405) 236-8441.

My favorites are the foliage colors and of course the temperature and the weather.

Rosa Knight

I can work in my garden again and there’s no mosquitoes.

Melanie Wright

The coolness and the Oklahoma State Fair.

June Cavendish

OU football and tailgating.

Vicki Bailey

by Susan Price – www.NursingHomeAbuseCenter.org

Individuals who have limited mobility or who are confined to a bed or wheelchair are at a high risk of developing bedsores. What starts as inflammation can quickly turn into a painful wound that is difficult to treat. What’s more, once bedsores are established, the patient is at risk for infection, sepsis, gangrene, and amputation. These complications can be fatal.
Bedsores most commonly develop on bony prominences, or parts of the body that come into the most contact with a bed, chair, or other surface. Common places bedsores develop include the heels, elbows, tailbone, and shoulder blades.
Fortunately, bedsores are preventable. Caregivers who follow the standards of care for repositioning, skin care, diet, and exercise can help prevent bedsores among patients.
Exercise to Prevent Bedsores
Exercise is a great way to help prevent bedsores. Exercise increases blood flow throughout the body, including to the skin. This helps prevent bedsores by keeping skin and underlying tissue healthy and well oxygenated. Exercises don’t have to be strenuous in order to be effective. Here are some examples of the type of exercises that can help prevent bedsores. · Ankle Stretches – Ankle stretches are a great way to improve circulation and range of motion. Caregivers assist with ankle stretches by holding the heel and ankle, and slowing bending and moving the foot around. · Arm Lifts – Arm lifts can be done with assistance, or solo. Raise the arm as high as possible (and comfortable), and hold it for ten seconds. Arm lifts can be easily customized depending on the patient’s needs. · Leg Lifts – Leg lifts are a great way to improve circulation and encourage flexibility and range of motion. These exercises can be done with the patient on their back or side, depending on what is most suitable. The leg is slowly raised even with the hip, and is held there for 10-20 seconds as is comfortable and appropriate. · Palm Stretches – Palm stretches are a simple way to improve circulation in the lower arm and hand. With this exercise, the patient opens his or her hand as wide as possible extending the fingers. Then, the patient touches each finger to their thumb slowly before extending the finger again.
Doing these exercises a few times each day, or even once a day, can reduce the risk of a patient developing bedsores.
Exercise as Part of a Healthcare Plan
Exercise is most effective at preventing bedsores when it is part of a comprehensive healthcare plan.
Caregivers can also help prevent bedsores by making sure patients have adequate food and hydration, access to medical care, and assistance with hygiene.
Bedsores often develop on parts of the body that are covered with clothing or linens. Caregivers should perform routine skin checks to look for signs of a developing bedsore. Once a developing bedsore is stageable, it is dangerous and needs immediate medical attention.
Of course, you should never start an exercise regimen for yourself, or for someone you are caring for, without talking to a doctor first. Exercise should be performed with the guidance of a doctor who knows about the overall health of the patient.
Sources: www.nursinghomeabusecenter.org/bedsores/
www.accessrehabequip.com.au/blog/post/21-how-to-prevent-bedsores%3A-exercises-for-pressure-care-patients/
https://advancedtissue.com/2015/06/4-effective-exercises-for-bedridden-patients/
https://www.nursinghomeabusecenter.org/stages-of-bedsores/

Dear Savvy Senior, How much does cremation cost and how can I find a good deal in my area? I would like to get a simple, basic cremation that doesn’t cost me, or my family, a lot of money. Frugal Senior

Dear Frugal,
Cremation costs can vary widely. Depending on your location, the provider and the services you request, cremation can range anywhere from $500 to $7,500 or more. But that’s a lot cheaper than a full-service funeral and cemetery burial that averages nearly $11,000 today. Here are some tips to help you get a good deal.
Shop Around
Because prices can vary sharply by provider, the best way to get a good price on a simple “no frills” cremation is to call several funeral homes in your area (most funeral homes provide cremation services) and compare prices.
When you call, ask them specifically how much they charge for a “direct cremation,” which is the basic option and the least expensive. With direct cremation, there’s no embalming, formal viewing or funeral. It only includes the essentials: picking up the body, completing the required paperwork, the cremation itself and providing ashes to the family.
If your family wants to have a memorial service, they can have it at home or your place of worship after the cremation, in the presence of your remains.
If you want additional services beyond what a direct cremation offers, ask the funeral home for an itemized price list that covers the other service costs, so you know exactly what you’re getting. All providers are required by law to provide this.
To locate nearby funeral homes, look in your local yellow pages, or Google “cremation” or “funeral” followed by your city and state. You can also get good information online at Parting.com, which lets you compare prices from funeral providers in your area based on what you want.
Or, if you need more help contact your nearby funeral consumer alliance program (see Funerals.org/local-fca or call 802-865-8300 for contact information). These are volunteer groups located in most regions around the country that offer a wide range of information and prices on local funeral and cremation providers.
Pricey Urns
The urn is an item you need to be aware of that can drive up cremation costs. Funeral home urns usually cost around $100 to $300, but you aren’t required to get one.
Most funeral homes initially place ashes in a plastic bag that is inserted into a thick cardboard box. The box is all you need if you intend to have your ashes scattered. But if you want something to display, you can probably find a nice urn or comparable container online. Walmart.com and Amazon.com for example, sells urns for under $50. Or, you may want to use an old cookie jar or container you have around the house instead of a traditional urn.
Free Cremation
Another option you may want to consider that provides free cremation is to donate your body to a university medical facility. After using your body for research, they will cremate your remains for free (some programs may charge a small fee to transport your body to their facility), and either bury or scatter your ashes in a local cemetery or return them to your family, usually within a year or two.
To find a medical school near you that accepts body donations, the University of Florida maintains a directory at Anatbd.acb.med.ufl.edu/usprograms.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.