The Senior Citizen’s guide to baltimore Contents Featured Articles Quick Tips for Making Retirement Living Decisions.......................3 Free Phones........................................................................................5 Mob Town Defeats the Mobs and Builds a Career Fire Department in the 19th Century...............7 Clinical Trials and Research Studies..............................................10 When a Friend is Ill.........................................................................14 Thumb Pain: A Common and Treatable Condition...........................16 What You Need to Know When Buying Your First Set of Hearing Aids.........................................................18 Helpful Hints to “Rightsize” Your Home.........................................20 Alzheimer’s Disease 101..................................................................22 Boomers Resource Guide A License to Steal: Power of Attorney Abuse in Maryland............................................... 26 Exhausted? Ask the Expert........................................................................................... 28 When Someone You Know is Depressed....................................................................... 30 Adult Day Services...................................................................................................... 31 Planning Issues to Address Upon Retirement............................................................... 33 Resource Directory Arts / Entertainment.......................................35 Adult Day Services........................................37 Advocacy / Referral Services.........................37 Assistive Devices...........................................38 Bus Tours.......................................................38 Cancer............................................................38 Caregivers’ Support.......................................38 Clinical Trials.................................................39 Crohn’s Disease / Colitis................................39 Dental.............................................................39 Diabetes ........................................................39 Depression / Mental Illness............................39 Elder Abuse....................................................39 Employment / Volunteerism...........................40 Eye Care.........................................................40 Financial / Insurance......................................40 Geriatric Care Management...........................40 Hearing...........................................................41 Home Healthcare...........................................41 Hospitals / Medical Centers...........................41 Independent Living........................................43 Kidney............................................................43 Legal Assistance.............................................43 Libraries.........................................................44 Lung Disease..................................................46 Mental Health.................................................46 Multiple Sclerosis..........................................46 Parkinson’s Disease.......................................46 Pharmaceuticals.............................................46 Research Studies............................................46 Senior Centers................................................47 Senior Living Options....................................48 Veteran Support..............................................48 SeniorCitizensGuide.com/baltimore 1 by Tricia Ourand The Senior Citizen's Guide to Baltimore is a bi-annual publication that is released during the spring and fall. To request copies of the guide please e-mail info@spindlepub.com The Senior Citizen’s Guide to Baltimore is a semi-annual publication of Spindle Publishing Company, Inc. Every effort has been made to include correct and current information. However, the Senior Citizen’s Guide to Baltimore or its publisher cannot accept any responsibility for inaccuracies or omissions. Mention or editorial inclusion of any organization or business does not constitute endorsement. Mention of AARP or its website does not constitute endorsement by AARP or its website. Cover photo purchased from www.shutterstock.com © Spindle Publishing Company, Inc. Spindle Publishing Company, Inc. 2275 Swallow Hill Rd, Building 800 Pittsburgh, PA 15220 Phone: 412-278-4900 • Fax: 412-278-4906 www.seniorcitizensguide.com Publication Manager Erin Schutt Group Publication Manager Jennifer Rogers Publisher Naresh Dewan Administrator Diane Koch Creative Services Amy DePalma, Ryan Lange, Samantha Lewis, Amanda Navadauskas Staff Gabrielle Bogan, Emily Dellaquila, Amanda Elrod,Michele Greene, Nicole Kerestine, Gabrielle Matich, Dalene Renner, Kristie Rae Sirakos, Erin Wolfe Intern Vanessa Burns Home Quick Tips for Making Retirement Living Decisions T here are a lot of reasons seniors choose to live in a retirement community: freedom from home maintenance and chores; a full social life; a healthier lifestyle with well-balanced food and convenient service; a helping hand when you need it. Start Early to Research Your Options If there’s one thing people continually tell us about making the move to senior living, it’s that they wish they’d done it sooner. It is well documented that reducing stress and tough-to-manage chores increases well-being and enjoyment of life. Some communities have waiting lists or may have health requirements for the kind of living you want. You’ll want to give yourself plenty of time to look into your choices. Some of the most important factors to consider when making this decision are: • The types of services that would be most helpful such as interior and exterior maintenance or transportation • The degree of physical assistance or care needed today or that might be required in the future • Proximity to one’s current cultural, religious, civic and religious activities as well as doctors’ offices and other trusted medical care providers • Having the right mix of amenities and hospitality to fit your personality and style. The basic types of senior living communities are described below: • Often offered as a monthly rental option with no large entrance fee required, Independent Living is for active seniors looking to maximize their independence and enjoy a service-rich, convenient lifestyle that makes life easier and more fun. • Also offering the benefits of Independent Living, a Continuing Care Retirement Community additionally provides on-site 2 Say You Saw It in the Senior Citizen’s Guide to Baltimore SeniorCitizensGuide.com/baltimore 3 by Maryland Relay skilled care if a resident or spouse has a change in health needs that requires medical oversight. There is an entrance fee and a monthly service fee. Free Phones • Assisted Living is for seniors who could benefit from assistance with everyday living tasks, but do not need the medical attention of a skilled nursing facility. • Alzheimer’s Care provides comprehensive assisted living services, with specialized care techniques and living areas adapted for individuals with Alzheimer’s disease or other memory limitations. Education M Editorial provided by Tricia Ourand, Director of Marketing, Brightview Senior Living. aybe, just maybe, you’ll read this and recognize someone you know. You may have just hung up the phone after talking to your mom or dad. Did you repeat yourself? Did she or he say, ‘What?’ every time you finished a sentence? Do you wonder how much of your conversation she or he actually understood? Think long enough and you’ll recognize someone who has a hearing loss. For many people with hearing loss, using the telephone is a struggle each and every time it rings. For them, mistaking words or misunderstanding conversations can make it seem like a hassle to use the phone at all. Fortunately, solutions are available through new technology to make life easier for those who are deaf or hard of hearing, or struggle to use a standard phone due to any disability. Maryland Accessible Telecommunications (MAT), together For an application and more with Maryland Relay, has been information about the MAT providing free assistive phones in program, please contact: Maryland for over ten years. Amplified and captioned telephones, ring Maryland Accessible signalers, large button, hands-free Telecommunications and text telephones are just some / Maryland Relay examples of what is available at no 301 W. Preston Street cost to qualified Maryland residents. Suite 1008A The MAT program serves those who Baltimore, MD 21201 are Deaf, hard of hearing, DeafBlind, P: 800-552-7724 (V/TTY/VP) or have a cognitive, mobility, or E: moreinfo@mdrelay.org speech disability. It is the goal of the W: www.mdrelay.org MAT program to enable people who (download a MAT Application struggle to use a standard phone due under ‘Free Equipment’ link) to a disability of any kind to independently use a phone to stay connected to their world, their family and friends. The MAT program provides free telephone assessments. Because everyone’s ability is different, a variety of specialized telephones are available to satisfy an individual’s communication needs. Six centers in 4 SeniorCitizensGuide.com/baltimore Individual communities may offer different combinations of these kinds of options. Check the communities near you to see the types of senior living offered. For adult children who are taking the lead in researching assisted living options for their parents, starting the conversation is the first, and often the most emotional, step in the process. If possible, bring the subject up gradually over time. Give your parent(s) time to get used to the idea and listen carefully to their concerns and fears. Include your parent(s) as much as possible in the process of choosing a community. Visit the community with them. And make sure you’re up to date on all of their financial assets, accounts and insurance policies. It’s also smart to have a durable power of attorney in hand should you need to unexpectedly assist in the management of your parents’ assets. Evaluating a Community Once you’ve decided which type of retirement community is best for you or your parent(s), and narrowed your list of potential communities, you’ll want to visit each one, ask the right questions and talk to the residents. If you really like one particular community, visit at different times of the day to get a well-rounded impression of the community. Make a list of your top three “must haves” and keep them in mind when researching communities. It’s also important to take notes every time you visit a community. There’s a lot to take in during these visits and you’ll want to remember everything you saw, thought and heard. Starting early, staying informed about options, and making a plan for evaluation can help make the research process easier and get the enjoyment of a stress-free lifestyle going sooner. Say You Saw It in the Senior Citizen’s Guide to Baltimore 5 by Rob Williams Maryland have phones for trial purposes where MAT customers (or anyone interested in buying their own equipment) may visit and learn what works best for them. As an added plus, when a customer receives a phone from the MAT program, they may also receive free training and installation. To be considered for the MAT program, applicants must: • Be a Maryland resident and at least 5 years old; • Be a recipient of SSI (Supplemental Security Income), SSDI (Social Security Disability Insurance), TDAP (Temporary Disability Assistance Program), TANF (Temporary Assistance for Needy Families), VA (Veterans), SSA (Social Security) benefits or Pharmacy, Medical, Housing Assistance, or be able to prove a financial hardship; • Be certified as having one of the following disabilities: mobility, blind, low vision, cognitive, DeafBlind, speech, deaf or hard of hearing, and have difficulty using a standard telephone; • Have telephone service in the home or apply for phone service. Editorial provided by Maryland Accessible Telecommunications/Maryland Relay, www.mdrelay.org. 6 Say You Saw It in the Senior Citizen’s Guide to Baltimore Life Mob Town Defeats the Mobs and Builds a Career Fire Department in the 19th Century I n 1859, Baltimore citizens removed many corrupt politicians, the American Party, and the volunteer fire companies who had enormous power over the city. At the same time their efforts curbed the street gangs who threatened to take control of the city. While most volunteer companies provided protection from fire and attacks by Native Americans and pirates in the early 1800s, several independent volunteer companies became complicit in keeping the gangs and politicians in power. By the 1840s, this minority of rowdy fire companies that made up the Baltimore United Fire Department had become so destructive to the culture and political structure of Baltimore that citizens formed bipartisan reform groups to force much-needed change. In the process, they created the current Baltimore City Fire Department, which became a model department in the 20th century. By the 1850s, Baltimore had earned its moniker “Mob Town” as it grew into the 3rd largest city in the United States. Despite Baltimore’s port, located near vastly productive farmlands, population growth and the rapid cycles of prosperity and depression created uncertain futures and a criminal underclass. Street gangs with names like “the Foundation Rackers,” the “Cock Robins”, the “Blood Tubs” and the notorious “Plug Uglies,” gained power and attached themselves to a number of city fire houses. The problems of the Baltimore United Fire Department and the gangs are detailed in Clarence H. Forrest’s Official History of the Baltimore City Fire Department (1898), J. Thomas Scharf’s The History of Baltimore City and County… (1881), and The Hanging of Henry Gambrill: The Violent Career of Baltimore's Plug Uglies, 1854-1860 by Tracy Matthew Melton (2004). Fire companies in major cities during the 1800s sprang up usually as semi-independent volunteer organizations – usually in response to a major fire. Volunteering gave men status and prestige in their neighborhoods because the fire houses were like community centers today. Several Baltimore fire houses even had lending libraries, held educational lectures SeniorCitizensGuide.com/baltimore 7 for the working class, and provided space for dinners and celebrations. In many ways, the volunteer companies were similar to organized sports teams. The companies drilled their firemen and put on fierce competitions to see who had the best equipment and strongest firemen. When the alarm sounded, 60 to 100 volunteers raced through the streets pulling their hand-pumped “enjines” to the fire. It took 60 men to pull the heavy fire engines and required many more firemen to keep the water flowing through the top-mounted nozzle. Up to 40 firemen, depending on the engine, took turns thrashing the pump handles up and down, 60 to 90 times a minute. Other firemen stood ready to jump in while others raced in to gather up belongings inside the house. This dazzling display of bravery and strength drew in young males who hung around the fire houses waiting for action. Often when a fire bell was rung, gang members, who were attached to that company, would race ahead to fight off other fire companies from hooking up to the hydrants. Scharf described, in 1881, the chaotic scene of firemen racing to the fire: “The alarm of fire, we are told, sounded to the peaceful citizens as a war-hoop, and the scene of conflagration was the scene of riot, if not invariably bloodshed. Gangs of disorderly blackguards, adopting the names of some of our fire companies, would marshal themselves under ringleaders, and armed with bludgeons, knives, and even fire arms, fight with each other like hordes of savages.” The fighting escalated. Riots were common during fires and elections. Companies battled each other and destroyed each other’s fire engines and fire houses. Gangs became well-drilled armies who challenged rival gangs for control of their neighborhood. Murder, assaults and destruction of property were all too common. At the same time, politicians used the gangs’ affiliation with the volunteer fire companies to keep people in fear and themselves in power. Politicians from both the anti-immigrant American Party and the Democrat Party were backed by gangs who helped sway elections. The gangs provided people who voted multiple times in different locations and they intimidated legitimate voters. Gang members began infiltrating city government and were running for the States Attorney’ office and the Clerk of the Court. Finally on October 8, 1858, New Market VFD brawled with a social club inside Lexington Market, resulting in gunfire and several members of the social club getting shot. Members of the social club retaliated and vandalized New Market’s fire house. The public had had enough. After Editorial and photography provided by Rob Williams, MA, History of American Technology and Museum Studies, Assistant Director of the Fire Museum of Maryland. 8 SeniorCitizensGuide.com/baltimore Say You Saw It in the Senior Citizen’s Guide to Baltimore The 1849 John Rodgers hand-drawn pumper, owned by Baltimore’s Deptford Co., one of the more rowdy fire companies that had affiliations with The Blood Tubs, according to writer Tracy Matthew Melton, “The Hanging of Henry Gambrill: The Violent Career of Baltimore’s Plug Uglies,” 1854-1860 (2004). On exhibit at the Fire Museum of Maryland, Lutherville, MD. years of reform attempts, a bipartisan committee organized rallies calling for fair elections, and the ouster of American Party politicians and the Baltimore United Fire Department. The gangs were so incensed they held their own parade dressed in outlandish costumes. They shouted threats of violence from a small schooner mounted on a wagon while others struck hammers on a flaming forge pulled on a wagon. The hammer blows rang through the night. They threatened bloodshed at the polls should a democrat appear or if the reformers pushed their agenda. The Blood Tubs marched in unison behind a banner of a voter having his head pushed into a tub of blood. At the same time, a reformed police department provided an armed force that was able to go up against the gangs. In February 1859, city government dissolved the Baltimore United Fire Department and the modern Baltimore City Fire Department (BCFD) was inaugurated. Many American Party candidates were defeated and by the Civil War the party moved into obscurity. Over the next 15 years, the BCFD fine-tuned their ordinances, modeling their agency into the paramilitary career organization it is today. Engine Company No. 8 on West Mulberry Street was one of the four new stations built in 1871 as part of the reorganized BCFD. The façade and first floor of the fire house have been reconstructed inside the Fire Museum of Maryland in Lutherville. 9 Health by Clinicaltrials.gov Clinical Trials and Research Studies Who can participate in a clinical trial? All clinical trials have guidelines about who can participate. These criteria are based on such factors as age, gender, the type and stage of a disease, previous treatment history, and other medical conditions. Before joining a clinical trial, a participant must qualify for the study. Some research studies seek participants with illnesses or conditions to be studied in the clinical trial, while others need healthy participants. It is important to note that inclusion and exclusion criteria are not used to reject people personally. Instead, the criteria are used to identify appropriate participants and keep them safe. What are the benefits of participating in a clinical trial? • Play an active role in your own health care. • Gain access to new research treatments before they are widely available and obtain expert medical care during the trial. • Help others by contributing to medical research. What are the risks of participating in a clinical trial? • There may be unpleasant, serious or even life-threatening side effects. • The experimental treatment may not be effective for the participant. • The protocol may require more of their time and attention than would a non-protocol treatment, including trips to the study site, more treatments, hospital stays or complex dosage requirements. 10 Say You Saw It in the Senior Citizen’s Guide to Baltimore What is informed consent? Informed consent is the process of learning the key facts about a clinical trial before deciding whether or not to participate. It is also a continuing process throughout the study to provide information for participants. To help someone decide whether or not to participate, the doctors and nurses involved in the trial explain the details of the study. Then the research team provides an informed consent document that includes details about the study, such as its purpose, duration, required procedures, and key contacts. Risks and potential benefits are explained in the informed consent document. How is the safety of the participant protected? The ethical and legal codes that govern medical practice also apply to clinical trials. In addition, most clinical research is federally regulated with built in safeguards to protect the participants. Every clinical trial in the U.S. must be approved and monitored by an Institutional Review Board (IRB) to make sure the risks are as low as possible and are worth any potential benefits. An IRB is an independent committee of physicians, statisticians, community advocates, and others that ensures that a clinical trial is ethical and the rights of study participants are protected. Can a participant leave a clinical trial after it has begun? Yes. A participant can leave a clinical trial, at any time. When withdrawing from the trial, the participant should let the research team know about it, and the reasons for leaving the study. Who sponsors clinical trials? Clinical trials are sponsored or funded by a variety of organizations or individuals such as physicians, medical institutions, foundations, voluntary groups, and pharmaceutical companies, in addition to federal agencies such as the National Institutes of Health (NIH), the Department of Defense (DOD), and the Department of Veteran’s Affairs (VA). Trials can take place in a variety of locations, such as hospitals, universities, doctors’ offices, or community clinics. Editorial excerpted from ClinicalTrials.gov, “Information on Clinical Trials and Human Research.” 12 Say You Saw It in the Senior Citizen’s Guide to Baltimore Health by Karen James, LCSW-C When a Friend is Ill Y ou’ve just received the kind of phone call we all dread. A close friend has been diagnosed with a serious illness. You’re shocked and shaken. Maybe you’re thinking, “It can’t be,” or “What’s going to happen now?” As upset as you feel, you are even more concerned for your friend. When someone we’re close to develops a serious illness, we may not know what to say, or we fear we will say the wrong thing. There is also a natural tendency to want to protect ourselves from the knowledge that “this could happen to me, too.” When a dear one is ill, we are all afraid. Brushes with mortality can be intimidating. These fears, however, rob a friend of our loving support at the time when it is most needed. When someone feels abandoned by health and good fortune, adding social abandonment can really hurt. So, as friends, we can’t allow our fears to be paralyzing. None of us has the answers at times like this, but asking supportive questions is the key. Here are some helpful hints, from the perspective of the person who is ill. I’ve learned these by being on both sides of that helping equation. that you are there to follow my lead: ”You’ll let me know when you’ve had enough, won’t you?” But the other maxim is: “Don’t ask me every second if I am OK.” I need that balanced place between caring and overwhelming. • Sending a card means a lot. I can read it when I feel up to it, and I can save it to remind me of your caring. Remember to keep phone calls and visits brief. Let me ask for more! Keeping my household running and getting to appointments are some of my biggest worries. Informal scheduling of volunteer meals and rides is a great help, but there are also free web tools (see ”Lotsa Helping Hands” and “CareCalendar”) for organizing that help. The old cliché, “A friend in need is a friend indeed,” takes on new meaning when life presents us with the unexpected and unwelcome challenge of illness. Remember that feeling your warmth and kindness is healing for your friend. Keep your support simple and responsive to the person who has the illness. Editorial provided by Karen James, LCSW-C, Manager of Adult Therapy Services and Jewish Community Services, Baltimore, MD. • Don’t feel you have to make me or the situation better. Certainly don’t give me advice on what I should be doing. Instead, be there for me by expressing empathy: “I’m sorry you have to go through this.” • Make sure that what you want to do for me is something I’d like to have done! Check with me just by asking the question: “I’d like to do a housecleaning for you. Would that be all right?” • Give me the opportunity to talk about my illness by asking a simple question: “I hope you are holding up well. How is it going?” If I feel like talking, you’ve opened the door--- but please don’t push me through it. Sometimes I have to be me and not this illness. • Because symptoms are often invisible, I may look better than I feel. With illness, exhaustion can come on hard and fast. When we go on an outing or work on a project, please reassure me 14 Say You Saw It in the Senior Citizen’s Guide to Baltimore SeniorCitizensGuide.com/baltimore 15 Health by Dr. Michael S. Murphy Thumb Pain A Common and Treatable Condition T he human thumb is a complex structure involving multiple nerves, tendons, muscles and joints. This unique joint is unlike any other in the human body. It evolved over thousands of years as our ancestors developed and allows for many varied tasks ranging from gross manual grasp to a myriad of precise pinching tasks. Professional athletes and concert musicians all depend on this fascinating appendage. The thumb joint is shaped like a horse’s saddle, which allows for multiple planes of motion. The “saddle” is covered with a smooth cartilage which is nature’s shock absorber. With time, stress and injury the thumb’s cartilage breaks down causing pain as raw bone contacts raw bone. Inflammation and swelling results, and deformity of the thumb will become apparent. This problem occurs most frequently in women over the age of 40. Middle-aged men, however, often develop this condition. The exact cause is unknown, but there is a strong association with gender, genetics, previous injury and ligament laxity. Usually, the onset of pain progresses slowly. Patients experience increasing difficulty with gripping and pinching activities. Initially, the pain often waxes and wanes with long, pain-free periods. With time, turning a key, opening a jar and gripping a golf club all grow to be more and more difficult. Next, a bump at the base of the thumb becomes apparent. Weakness increases as dexterity decreases. When seeking medical attention, patients complain about increasing pain with gripping and pinching. An exam reveals swelling and a bump at the thumb base. The physician usually compresses and shifts the thumb to elicit a pain response. Decreasing grip and pinch strength is revealed and X-rays demonstrate joint changes. More sophisticated testing such as MRI is rarely necessary. Non-surgical treatment consists of rest, anti-inflammatory medication such as ibuprofen, and splinting. Limited use of cortisone injections may provide varying degrees of relief. Alternative treatments such as Glucosamine-Chondroitin Sulfate, acupuncture and chiropractic manipulation have all been tried with varying degrees of success. When these measures fail, surgical reconstruction of the arthritic joint is performed. A variety of procedures exist, but all involve removal of the 16 Say You Saw It in the Senior Citizen’s Guide to Baltimore arthritic surfaces and replacement with either tendon or synthetic substitutes. In most cases, surgery is performed on an outpatient basis. Regional or general anesthesia is usually required. Patients experiencing varying degrees of discomfort often require a few days of oral prescription pain relievers. Immobilization is usually needed for six to eight weeks. Frequently, supervised physical therapy is needed for six weeks to aid in the restoration of hand function. Patients typically require six months to recover fully with some occasionally needing a full year. Surgical patients uniformly recover with limited complications. To date, traditional procedures involving tendon joint reconstructions have demonstrated excellent long-term durability. Revision surgery is rarely needed. Most patients find their quality of life greatly improved with nearly all returning to previous work and leisure activities. Pain at the base of the thumb is a common and disabling condition that can be corrected. Non-invasive treatments often provide excellent pain relief. When indicated, surgical reconstruction provides uniformly excellent results. Editorial provided by Dr. Michael S. Murphy, Board Certified Surgeon with Greater Chesapeake Hand Specialists, P.A. SeniorCitizensGuide.com/baltimore 17 Health by Kimberly Bank, Au.D What You Need to Know When Buying Your First Set of Hearing Aids P urchasing hearing aids doesn’t have to be a stressful event in your life. It should be an exciting time when the quality of your life improves; however, the process can be confusing and there are a few steps you should take to ensure that you are properly educated prior to committing yourself to any amplification system. First of all, you should undergo a comprehensive audiologic assessment and these results/recommendations should be explained to you in a manner that is straight-forward and detailed. Considering how your hearing loss affects you in your daily life and expressing your expectations to your dispenser will help the section process. Realistically, some of these expectations will be achievable while some expectations may need to be modified and these are all things your dispenser will be able to discuss with you. I would advise you to contact your insurance company prior to your appointment with your dispenser in order to determine if you have a benefit for hearing aid (s). Most insurance plans do not cover hearing aids, but it is a good idea to find out what is covered by your plan. You will need to consider if you want to be fit with one hearing aid or two. In most cases, the dispenser will recommend that you consider two hearing aids (one for each ear). Two hearing aids are always preferred when the loss is symmetric and equal between ears; however, there are some cases when only one hearing aid may be the preferred option. Next, you will want to consider the styles of hearing aids that are available: Some aids are custom fit, others sit over the back of the ear. You will need to consider your manual dexterity when looking at the different style options as you will have to be able to manipulate its 18 Say You Saw It in the Senior Citizen’s Guide to Baltimore small features. Of course, you would want something cosmeti“Hearing aids open cally appealing but it should also the doors to better be a style which is appropriate for your degree of loss. Lastly, your communication and dispenser will review technology options with you. Technology ultimately improve the options refer to the complexity quality of life.“ of the device in terms of sound processing and available features. In general, the higher the level of technology, the more sophisticated the device will be. Technology level is the strongest price driver wherein the higher the technology the higher the price will typically be. Patients should consider their lifestyle when considering technology options. Pricing should be provided to you in writing and you should never feel pressured to make the decision on that day. You should be able to think it over for a few days and return with the same previously quoted pricing. Remember to ask about warranties and trial periods as well. All hearing aids come with a set warranty period. You will want to know how long the warranty will last and what it will cover. Ask about extended warranties and how much they cost? It’s a good idea to find out what happens when your warranty ends and what types of fees occur if a hearing aid needs to be repaired once the warranty has expired? Federal law mandates that when you buy a hearing aid you will have a minimum of a 30-day trial period, but many offices will provide you with a longer trial period. If you do decide to return one or both of you hearing aids there is typically a restocking fee which will be subtracted from your refund. You will want to know exactly how much this restocking fee is (is it a flat rate or a percentage of the purchase price?). At this point, you are ready to make your selection along with your dispenser’s guidance. Remember to focus on your ultimate goal of hearing better while considering other factors such as cosmetics and pricing. Digital hearing aids will often require fine tuning during the initial trial period. Don’t be surprised if you need to return to your dispenser a few times for adjustments. Hearing aids open the doors to better communication and ultimately improve the quality of life. Go ahead and take the plunge into amplification. Editorial provided by Kimberly Bank, Au.D., CCC/A , Clinical Audiologist, ENT Associates/GBMC Consultant. SeniorCitizensGuide.com/baltimore 19 Home by Heather Murphy Helpful Hints to “Rightsize” Your Home T he idea of moving from the home you have lived in for 40 years, to a smaller apartment or room in an assisted living, may seem nearly impossible. You begin to think about all of the clothes, furniture, pictures, and knick-knacks that are stored in your attic. You recall all of the memories that have been made in the home, and the idea of leaving becomes overwhelming. Moving may not seem like an easy task, but if you plan and organize your move, the transition can be seamless and stress-free. You first thought may be “Where do I begin?” Here are some helpful hints to help you “Rightsize,” creating a clutter-free and simpler move. 1. Begin sorting through your things in small manageable sessions. Set realistic expectations. The home didn’t accumulate 40 years worth of “stuff” in a few days, so it won’t take a few days to sort through it all. Pick one area at a time and get that done before moving to the next. For example, sort through your desk today and the bedroom closet tomorrow; 2-3 hour bursts work best. Determine what to keep, gift, donate, and discard. Discard and donate as you go, don’t keep it around and agonize over the decision. 2. Rightsizing can be done at any time! But the best time is BEFORE your house is listed. This will help you cut the clutter to make your home more marketable. Sort as you go. Don’t leave sorting until the week prior to your move. It makes the process of packing that much easier! Work with the end result in mind, have a vision of how your current home should look, and how your new home will look. 3. Don’t start packing months before your move, you will lose track of your items and wind up taking too much! Sort and rightsize first, then begin packing 2 weeks prior to the move. 20 Say You Saw It in the Senior Citizen’s Guide to Baltimore 4. Ask yourself what you really want to take with you. Do you really need 10 winter coats? Do you still have your jeans from high school? Ladies – do you have a ton of heels that you won’t be able to wear any longer? Gentlemen – how about your tie collection? Ask yourself, “Do I use it?” and “Do I love it?” If you answer yes to these, then keep it. Another idea is to keep one or two of a particular set of items and let the rest go. 5. Has your basement become the storage area for your children’s old high school yearbooks? Ask your family members what items they intend to keep. Give them a timeframe to claim these items and stick to the deadline. 6. Don’t worry about your donation or sales plan right away. Finish sorting first. Take a tour of your home, but look at your furniture with a different eye. Are there any non-negotiables? For example, wherever I go, my great grandmother’s cedar chest will go with me. It is a great piece for storage as well. Keep in mind functionality and utility of each item you are planning on taking. 7. On the day of the move you should carry the personal items that you will need for the next day or two leading up to and after the move. Some necessities are address books, cell phones, keys, and medications. Always carry your checkbook, credit cards, and cash on you during the move, along with your eyeglasses and any hearing devices. You should also pack an overnight bag with at least 2 days worth of clothing, cosmetics, dental care, and personal care items you will need on move day. The most important piece of advice we can give you is to give yourself permission to hire a professional Move Manager. It’s not a luxury, it’s an investment. A professional will save you the headaches and backaches of your move. They are there every step of the way and will make sure your needs are met We hope reading these tips have alleviated some of the stress you have about moving. Remember, retirement is the time to care for yourself and simplify your life: find that perfect maintenance-free lifestyle. With the right planning, organizing, and with the help of a professional Move Manager, you can be settled, stress-free, and enjoying your new home. Editorial provided by Heather Murphy, Director of Move Management Services with Abilities Network. SeniorCitizensGuide.com/baltimore 21 Health by Veronica Deza, MD Alzheimer’s Disease 101 A lzheimer’s disease is a scary thought for many as they approach the “golden years.” This progressive brain illness can profoundly affect not just the individual who develops it, but spouses and entire families. Alzheimer’s is the most common type of dementia among older Americans. People who have dementia may have trouble with everyday activities such as eating, drinking, talking and walking. They may act confused, have trouble understanding what is said to them or have trouble communicating their own thoughts and needs. In addition to Alzheimer’s, other things, like stroke, infection, illness and certain drugs can cause dementia. Researchers don’t yet know the exact cause of Alzheimer’s disease, but they have identified risk factors that increase the likelihood of developing it. They include: • Age. After age 65, the risk of developing Alzheimer’s doubles every five years. • Gender. Research shows that women are more than twice as likely as men to develop Alzheimer’s. • Genetics. Although family history is less of a risk factor, in rare cases of “familial Alzheimer’s,” the disease can develop at a much younger age than 65. 22 “If you begin to experience these symptoms, or notice them in a family member or friend, it is imperative to see your healthcare provider.” Say You Saw It in the Senior Citizen’s Guide to Baltimore Of course, you can’t control your age, gender or family history, but there are some steps you can take to reduce your risk: Protect Yourself from Injury. Researchers have linked serious head injury and the future risk of developing Alzheimer’s. So buckle up whenever you’re in a vehicle, and wear a helmet when appropriate such as while playing sports or riding a motorcycle. Be Heart Smart Brain health is strongly linked to heart health. Alzheimer’s risk can be increased by conditions that damage heart or blood vessels, like high blood pressure, heart disease, stroke, diabetes and high cholesterol. Work with your doctor to monitor and treat problems that arise. Age Healthfully Maintain a healthy weight, avoid tobacco and excess alcohol, stay socially connected and keep your body and mind active. How do you differentiate Alzheimer’s from normal forgetfulness? Memory problems caused by Alzheimer’s will begin slowly, so at first, you may think that they are a natural part of aging. It’s not unusual for an older adult to forget having paid a bill or what was on the grocery list, but with Alzheimer’s disease, these symptoms begin to happen more and more often. As the disease progresses, the person may forget how to do familiar tasks. Even simple things like cooking a meal or balancing a checkbook may become difficult. In later stages, people may even forget how to comb their hair or brush their teeth. If you begin to experience these symptoms, or notice them in a family member or friend, it is imperative to see your healthcare provider. Currently there is no cure for Alzheimer’s, but medication and early treatment can slow the progression of the disease. Lastly, if you are caring for a loved one with Alzheimer’s, don’t let yourself be consumed by your caretaker role. Remember to take time to care for yourself and consider joining a support group where you can share your experiences and learn from others who have been through the same challenge. Editorial provided by Veronica Deza, MD, Director of Community Medicine and Geriatrics, Department of Family Medicine, Franklin Square Hospital Center. SeniorCitizensGuide.com/baltimore 23 Boomers Resource Guide A License to Steal Power of Attorney Abuse in Maryland T he abuse of a power of attorney is one of the most widespread financial problems of the elderly and their families: by financial institutions. The new law helps to curb abuse by: • Notarized and witnessed • More parties authorized to demand an accounting or petition the court to review Manifestations of Power of Attorney Abuse Who? Relatives, caregivers, and opportunistic strangers • Compensation prohibited unless specifically provided in POA • Outlining the duties of an agent Why? Fraud in creating the document or in using the document in unauthorized ways • Don’t sign a POA without understanding its contents and risks. • Don’t give another person control over your ATM card. • Agent must be trustworthy and capable What to Do if Financial Abuse Occurs • Notify family and financial institutions in writing to revoke Call the Maryland Department of Human Resources at 1-800-9177383. The Department will contact Adult Protective Services in the appropriate county to investigate. You can also contact an attorney of your choice for advice regarding immediate steps to take to prevent further abuse. Ways to Reduce the Risk of Other Forms of Financial Abuse • Review your bank statements for unauthorized payments or withdrawals. • Use direct deposit • Don’t re-title your assets to another person or jointly with another person Editorial provided Snyder, Esq. by Jill A. Boomers How? • Modifiable duties: avoiding a conflict of interest, acting loyally, keeping all records, and attempting to preserve the principal’s estate plan. • Accounting to third party? • Don’t sign blank checks for another person to fill in the amount. • Non-Modifiable duties: acting with care, competence, and diligence in accordance with the principal’s expectations and best interest, and acting within the scope of authority granted by the principal. Non-Statutory Ways to Reduce the Potential for Power of Attorney Abuse • Hire an attorney: assesses capacity and undue influence, helps select appropriate agents, explains safeguards to reduce the risk of abuse, can educate agent, and can physically hold POA until it needs to be utilized. Efforts in Maryland to Curb Power of Attorney Abuse Maryland General and Limited Power of Attorney Act in 2010 (Loretta’s Law) increases accountability of agents and acceptance of powers of attorney 26 • Notify your family members and financial institutions re: POA. • Include provision re: gifts, commingling funds, changing beneficiary w w w.BoomersResourceGuide.com Boomers Resource Guide • 2012 Resource Guide.com Broad decision-making authority, no oversight, or unintentional. designations, personally benefitting, and receiving compensation. 27 Boomers Resource Guide When Someone You Know is Depressed Exhausted? Ask the Expert Dear Aging Expert, My mother is a very private and independent woman who still cares for her own household at the age of 88. Recently, she has been falling and has landed in the hospital five times in the last year. She refuses to use a cane or walker, even in the house. She goes out only with me or another family member. She has had some physical therapy, but as soon as it ends, she is back to feeling weak and falling. How can I convince her to use a walker or to accept other services? I am exhausted. 28 Editorial provided by Rona S. Bartelstone, LCSW, MSW, CMC, Senior Vice President of Care Management, SeniorBridge. w w w.BoomersResourceGuide.com as someone ever confided feelings of depression to you? This is not uncommon. But when those feelings persist and impact a person’s health and well-being, it may be necessary to seek help. As a concerned friend or family member, you may wonder how serious the depression is, and you may feel the need to encourage the person to seek treatment. But often that is not easy to do. The National Alliance on Mental Health reports that depression affects more than 6.5 million adults. This illness can impact a person’s physical and emotional health, employment, family, and friendships. Depression can be tricky. Many of the symptoms can be misinterpreted or mistaken for other things. For example, have you had a friend who began to cancel on you repeatedly at the last minute? Have you worked with someone who started calling in sick frequently and was doing less and less when in the office? Perhaps you have a friend who is always complaining about an ache or a pain. All of these behaviors may be attributed to depression. It can take some time before friends and family recognize that someone they care about is depressed. It can take even longer for the depressed person to find the strength and courage to seek help. According to doctors at the Mayo Clinic, depression can be identified when the symptoms persist for more than two weeks and include feelings of sadness, irritability, a loss of interest in activities, insomnia or excessive sleeping. A person may think more slowly, move more slowly, Boomers Resource Guide • 2012 Depression is a serious illness. Recognizing that someone you care about needs help, and having the courage to discuss your concerns, may just be the push needed for a person to acknowledge the depression and seek help. be indecisive, and experience decreased concentration. In severe cases there may be thoughts of suicide or self harm. What can you do as a friend or loved one to encourage the person affected by depression to get help? Xaviar Amador, a clinical psychologist offers these suggestions: • Be gentle and remember that a person who is depressed feels very vulnerable. It is probably not helpful to tell the person 29 Boomers I wonder what your mother would say if she knew how worried and exhausted you are. Most parents, despite their pride, don’t want to be a “burden” to their children. Very often, parents do not take advice from their kids. Even my own mother, used to remind me that although she wasn’t well that she (not me) was still the mother! So often the best way to help parents move toward acceptance of a more realistic plan is to have an objective outsider, such as their physician, a care manager or some other “expert” discuss the options for meeting their needs. Not only H Resource Guide.com Dear Exhausted, with the outside professional be able to respect your mother’s privacy and her independence, but will help her to meet her own goals of staying at home and as functional as possible. The way that you introduce the “expert” can be by speaking with the physician ahead of a visit and expressing your concerns or asking him/her to recommend a geriatric care manager in your area. This way you can say that, “the doctor wants you to meet this individual to assure that you can stay independent and in your own home.” It will then be the job of the care manager to earn your mother’s trust, help her to feel safe in her own home and demonstrate respect for her wishes. If your mother has always been demanding and you have been at her “beckon call” then you need help for yourself to know where to draw the line and how to offer her alternatives to your caring. Neither of these options is easy, but both can be done with the help of a professional such as a care manager. You can ask your doctor for a referral. Boomers Resource Guide to “get a grip” or “pull yourself together” because he or she may not able to do so at that time. It is okay to share your own vulnerabilities. This will help to reduce any shame the person may feel about being ill. • Do not try to reason with the person. Focus on a part of the problem that he can see and ask him to get help for that. For example, if the person is having difficulty sleeping or problems concentrating, ask if he will seek help for those problems. Editorial provided by Donna Kane, MA of Community Liaison, Access Services, and Jewish Community Services in Baltimore, MD. w w w.BoomersResourceGuide.com W hen you are at work, you are trying to concentrate on the business at hand, but your attention is divided with questions that are uppermost in your mind: Is my elderly parent safe at home? Did my mom turn on the stove and accidently set a fire? Did my dad get lost because he wandered out of the house? According to the National Family Caregivers Association, more than 65 million Americans take care of elders, and for many of them, keeping their loved ones at home for as long as possible, despite frail their health, is their main goal. Adult day services can be a seamless solution to help families postpone or avoid having to ask themselves if nursing home care is the best option for someone who can’t live entirely independently but who does not need around the clock supervision. It can offer families in that situation a way to make sure an elder spends the day in a stimulating, safe place while giving a caregiver peace of mind and time to work, run errands or just relax. There are many adult day care centers across the country, so it can be a daunting task to find the best one for your spouse or parent; a good program strives to become an extension of the home environment with caring, personalized attention for every individual participant. Right away, make sure the basics that your loved one needs are available. These can include everything from medical treatment, to assistance with daily tasks of living, to a lot of social interaction. For instance, depending on the facility you choose, participants with special medical needs such as diabetes, hypertension and post-stroke Boomers Resource Guide • 2012 disabilities can be given their medications as often as necessary by medically trained staff members. It is also a plus when vital signs, such as blood pressure, are monitored, treatments are performed and other nursing services are available. Additionally, seniors with mental health challenges, such as dementia, confusion and Alzheimer's disease, can take part in activities especially designed to help them with their memory recall. Another thing to ask about is what kind of help is offered with personal grooming, bathing and toileting throughout the day. It is encouraged to visit the adult day center that you are considering for a loved one. Make an appointment to meet the staff to see for yourself the activities going on and the atmosphere of the center. If you are able, it is a good idea to drop by without an appointment for added insight. Another important thing to consider when choosing an adult day care center is that each participant has his or her own comprehensive, coordinated treatment plan, which ideally should be developed in consultation with the participant's private doctor. Something else to remember is that just because a person ages does not mean that he or 31 Boomers 30 Depression is a serious illness. Recognizing that someone you care about needs help, and having the courage to discuss your concerns, may just be the push needed for a person to acknowledge the depression and seek help. The good news is that depression can be treated, often through a combination of medication and psychotherapy. The earlier it is diagnosed and treated, the sooner the person can begin to recover. Adult Day Services Resource Guide.com • Ask the person to get help for your sake, because you are concerned and you want her to feel better. Amador suggests that if the person will not seek help despite your concern, maybe you can convince her to do so based on the strength of your relationship. Boomers Resource Guide • A respite from 24-hour responsibility • An alternative to expensive in-home care • The ability to keep a loved one at home longer • The serenity that a loved one is being well taken care of. Editorial provided by Michelle Mills, Director of Levindale Adult Day Services, a LifeBridge Health Center. w w w.BoomersResourceGuide.com Planning Issues to Address Upon Retirement A new retiree would be well served to pay particular attention to these ten financial considerations that are so often overlooked at retirement. Social Security Choices Electing to receive Social Security benefits prior to reaching the "normal retirement age" can result in a reduction in benefits payable if earned income exceeds allowable limits for those years. The rude awakening for many will be that the "normal retirement age" becomes a moving target for persons born after 1942. Baby boomers should not assume that at age 65, earned income could be unlimited. That age limit is creeping up to age 67. A consultation with an experienced Social Security advisor will give the retiree insight into issues such as: (1) whether working a couple more years would increase the Social Security benefit materially; (2) coordinating the claiming of benefits for husband and wife; and (3) deferring the start of the benefit beyond normal retirement age because of income tax considerations or due to anticipated longevity. mate beneficiaries are much younger, the tax-free compounding continues for decades while they withdraw minimal amounts during their lifetimes. Re-thinking Life Insurance Continuing to maintain a life insurance policy is often ill advised when the underlying basis for purchasing the insurance is no longer applicable. Policies that have a cash surrender value may be more valuable to the insured as an investment rather than locked in a policy with continuing premiums. An expert in analyzing life policies could evaluate the policy and warn the insured whether maintaining the policy is a bad idea. Long-term Care Insurance. Retirees making their budgets should always factor in an affordable amount for premiums on a long term care insurance policy. Purchasers of these policies generally don’t view the policy as “nursing home” insurance, but rather as a “stay out of a nursing home” policy. Such policies can pay for home health aides who will help postpone or avert that nursing home admission. Conversion to a Roth IRA Asset Restructuring For wealthier retirees, serious consideration should be given to converting a traditional IRA to a Roth IRA. The conversion will generate income tax and be costly on the front end, but the ultimate savings to the family can be significant on the back end. A Roth IRA is not subject to the “required minimum distribution rules” so it can continue to compound tax-free during the remaining life of the account holder. If the ulti- Retirees spend a lifetime accumulating a plethora of different assets that become all scattered about. A goal in retirement should be to reduce the amount of time and attention necessary to maintain these assets. This will ultimately reduce probate costs and headaches for the family. Shed "nuisance" assets such as time-shares, undeveloped lots, smallholdings of stock certificates, and collectibles. Boomers Resource Guide • 2012 33 Boomers 32 see if transportation to and from a participant’s front door to and from the center is provided with specially equipped vans for the handicapped. Finally, with all of this planning, do not forget that a good adult day services program not only benefits a participant but his or her family members as well. Some of those advantages include giving caregivers: Resource Guide.com she does not enjoy life’s pleasures just like the rest of us. That is why it is vital that there are therapeutic recreation specialists or activities’ coordinators who lead dynamic programs. Current events sessions, arts and crafts, intergenerational opportunities, music, cooking classes, exercise classes, movies, discussion groups, live entertainment and trips into the community are just a few of the variety of activities that facilities often include in their curriculum. Don’t forget that these kinds of goings-on are good for socialization and encouraging friendships. The few more things to keep in mind are the meals and snacks that are served, that they taste good, and that they are nutritious. Assistance with feeding should be provided as needed, and special dietary requirements should be accommodated. With all of the running around that caregivers do these days, check to Boomers Resource Guide Fixed Income Vs. Total Return Retirees become fixated on fixed income. Myopically focusing on just the annual yield of an investment fails to consider the total return that could be realized. Equities, such as stocks, may provide a smaller fixed income from dividends, but there may be an overall better gain when factoring growth in the equation. A savvy investment advisor would help balance a portfolio to maximize return. Preparing for Incapacity Sadly, persons with diminished mental capacity often lose a substantial sum because they succumb to others taking advantage of their mental state or inability to plan. Using such tools as a power of attorney, revocable living trust or setting up joint accounts can enable a trusted family member to perform an oversight function with asset protection. Simple first steps such as having duplicate bank statements sent to that child or enabling a child to view an account through Internet access can add a policing element to the estate plan. Beyond Estate Planning Document Preparation Just as important as having the will, power of attorney, and advance directive prepared is communicating 34 with appropriate family members as to the existence and content of these documents. Family members should be given easy access to these documents in the event of emergency. Attorneys can serve this function as well. Revamping Beneficiary Designations Once beneficiary designations are made on retirement accounts, annuities, and life insurance policies, they are often ignored for decades. Since these designations “trump” the terms of a will, it is important to consider whether the beneficiary designation goes far enough with contingency planning. For example, if a child predeceases a parent, does the beneficiary designation specify correctly where that child's share of the account should pass? Income Tax Review The strategies for reducing income taxes can be entirely different in retirement. The tax code is infamous for making apparent deductions disappear when certain phase-out percentages are applied. Editorial provided by Kevin F. Bress, Esq., managing member of the Towson firm of Hodes, Pessin and Katz, P.A. w w w.BoomersResourceGuide.com arts / entertainment ATTRACTIONS Baltimore ClayWorks.........................................................410-578-1919 Harborplace and the Gallery at Harborplace......................410-332-4191 Ladew Topiary Gardens.....................................................410-557-9466 Lexington Market, Inc........................................................410-685-6169 Mahogany Exchange/Out of Africa Gallery III..................410-752-5808 Maryland Art Place.............................................................410-962-8565 The Maryland Zoo in Baltimore.........................................410-396-7102 Top of the World Observation Level..................................410-837-8439 teams Baltimore Orioles Baseball................................................410-685-9800 Baltimore Ravens Football.................................................410-261-7283 MUSEUMS Antique Toy Museum.........................................................410-230-0580 American Visionary Art Museum.......................................410-244-1900 B & O Railroad Museum....................................................410-752-2490 Babe Ruth Birthplace and Museum....................................410-727-1539 Baltimore Museum of Art...................................................443-573-1700 Baltimore Museum of Industry..........................................410-727-4808 Baltimore Streetcar Museum, Inc.......................................410-547-0264 Edgar Allan Poe House & Museum...................................410-396-7932 Eubie Blake National Jazz Institute & Cultural Center......410-225-3130 Fire Museum of Maryland..................................................410-321-7500 Glenn L. Martin Maryland Aviation Museum....................410-686-6122 Great Blacks in Wax Museum............................................410-563-3404 Historic Ships in Baltimore................................................410-539-1797 Homewood Museum..........................................................410-516-5589 Irish Shrine and Railroad Workers Museum......................410-669-8154 The James E. Lewis Museum of Art..................................443-885-3030 Jewish Museum of Maryland.............................................410-732-6400 Maryland Historical Society Museum................................410-685-3750 Maryland Museum of African Art......................................301-490-6070 Maryland Science Center...................................................410-685-5225 Mount Clare Museum House.............................................410-837-3262 National Aquarium in Baltimore........................................410-576-3800 SeniorCitizensGuide.com/baltimore 35 National Museum of Dentistry...........................................410-706-0600 Port Discovery, The Kid-Powered Museum . ....................410-727-8120 Reginald F. Lewis Museum of Maryland...........................443-263-1800 Star-Spangled Banner Flag House & 1812 Museum.........410-837-1793 The Walters Art Museum....................................................410-547-9000 The Washington Monument and Museum.........................410-396-1049 historical monuments Evergreen House................................................................410-516-0341 Fort McHenry National Monument....................................410-962-4290 Hampton National Historic Site.........................................410-823-1309 The Phoenix Shot Tower....................................................410-605-2964 The Preservation Society/Robert Long House...................410-675-6750 Project Liberty Ship, Inc....................................................410-558-0646 St. Alphonsus Shrine..........................................................410-685-6090 U.S. Naval Academy – Armel –Leftwich Visitor Center.....410-293-8687 Hippodrome Theatre...........................................................410-837-7400 Jim Rouse Theater..............................................................410-997-1317 Kraushaar Auditorium at Goucher College........................410-337-6000 Lyric Opera House..............................................................410-685-5086 Maryland Stage Company..................................................410-455-2917 McManus Theater at Loyola College.................................410-617-5024 Merriweather Post Pavilion................................................410-715-5550 Midatlantic Center for the Performing Arts.......................443-438-4525 Olney Theatre Center for the Arts......................................301-924-3400 Rep Stage at Howard Community College........................443-518-1500 Theatre Hopkins.................................................................410-516-7159 Vagabond Players...............................................................410-563-9135 adult day services Maryland Association of Adult Day Services............ www.maads.org Visit their website to use the adult day services facility finder. walking tours Berrywine Plantations/Linganore Winecellars...................410-795-6432 Boordy Vineyards...............................................................410-592-5015 Baltimore Ghost Tours.......................................................410-357-1186 Herr Foods, Inc...................................................................410-796-0042 on the water Harbor Cruises....................................................................800-695-5239 Sail Baltimore.....................................................................410-522-7300 MUSIC & THEATRE Arena Players, Inc..............................................................410-728-6500 The Audrey Herman Spotlighters Theatre..........................410-752-1225 Bach Society of Baltimore.................................................410-521-0209 Baltimore Center Stage......................................................410-332-0033 Baltimore Symphony Orchestra.........................................410-783-8000 Baltimore Theatre Project..................................................410-752-8558 Chesapeake Arts Center......................................................410-636-6597 Everyman Theatre..............................................................410-752-2208 Fells Point Corner Theatre.................................................410-276-7837 Gordon Center for the Performing Arts..............................410-356-7469 36 Say You Saw It in the Senior Citizen’s Guide to Baltimore advocacy / referral services Agencies on Aging Offering information, services, and referral to senior living options, senior centers, nutrition programs, health insurance options, transportation, respite care, and much, much more for seniors and their family members. Baltimore City Commission on Aging................................410-396-4932 Baltimore County Department of Aging.............................410-887-2594 Maryland Department of Aging.........................................410-767-1100 Montgomery County Area Agency on Aging......................240-777-3000 Prince George’s County Department of Family Services.....301-265-8750 Answers For the Aging.........................410-646-0100 or 888-502-7587 Baltimore County Dept. of Health..................................410-887-2243 MD Attorney General’s Office-Consumer Protection Division Deceptive Business Practices.............................................410-528-8662 Health Advocacy................................................................410-528-1840 Securities Division.............................................................410-576-6360 (For complaints against financial planners/brokers) SeniorCitizensGuide.com/baltimore 37 MD Medical Assistance Beneficiary Services & Pharmacy Access Hotline............................................800-492-5231 Medicare Helpline, Center for Medicare & Medicaid Services.........................................................800-633-4227 United Way of Central Maryland, Inc. First Call for Help............................................................410-547-8000 assistive devices Maryland Relay Service............................................. See page 6 301 West Preston St., Suite 1008A • Baltimore, MD 21201 800-552-7724 • www.mdrelay.org • moreinfo@mdrelay.org Trained telephone operators transmit conversations between people using a standard voice telephone with persons using a text telephone. bus tours megabus.com See page 2 Toll Free: 1-877-GO2-MEGA (1-877-462-6342) Luxury double deckers offer free wi-fi, power outlets, panoramic windows and a green alternative way to travel. Megabus.com customers also receive special “megadeals” on hotels, sightseeing, Broadway shows, box lunches and more! Service between Baltimore and 10 cities! American Cancer Society clinical trials Parexel - Healthy Volunteers Study....................... See page 11 3001 South Hanover St., 7th Floor • Baltimore, MD 21225 877-617-8839 • www.baltimoretrials.com • study.Baltimore@parexel.com The PAREXEL Research Unit, located at Harbor Hospital in Baltimore, is currently seeking volunteers who are interested in participation in clinical research trials with investigational medications. We are looking to enroll healthy Males and Females 18 and older. Depending on the study, participants could receive compensation ranging from $1,200 to $6,000 upon completion. crohn’s disease / colitis Crohn’s & Colitis Foundation of America.......................... 443-276-0861 (Maryland/South Delaware Chapter) dental Baltimore County Oral Health Services.........................410-396-4501 Provides preventive and urgent dental care services to low-income, uninsured and Medicaid-eligible residents of Baltimore City. diabetes American Diabetes Association ........410-265-0075 / 888-DIABETES cancer depression / mental illness Gambrills Office . ....................................................................... 410-721-4304 White Marsh Office .....................................................................410-931-6850 American Association for Geriatric Psychiatry.............301-654-7850 HopeWell Cancer Support...............................................410-832-2719 American Association of Retired Persons (AARP).......866-542-8163 Prostate Cancer Network.................................................410-465-0368 caregivers’ support (Maryland Office) elder abuse Family and Children’s Services of Central Maryland Elder Services ................................................410-366-1980 Baltimore County Department of Social Services, Adult Protective Services..................410-853-3000 National Association of Professional Geriatric Caregivers Mid Atlantic Chapter ............................................www.gcmonline.org National Eldercare Institute on Elder Abuse and State Long Term Care Ombudsman Services........302-831-3525 38 SeniorCitizensGuide.com/baltimore Say You Saw It in the Senior Citizen’s Guide to Baltimore 39 employment / volunteerism Job Corps – Woodstock................................................410-461-1100 Provides over 300 on-going volunteer opportunities and one-time events to choose from in over 200 non-profit organizations and local agencies. Retired Senior Volunteer Program.............................. 410-361-9400 Senior Community Service Employment Program.......410-767-1276 Community service employment opportunities for eligible low-income Baltimore County residents age 55 and over. Senior Employment and Housing Services Office...... 410-887-4006 Senior Expo Job Bank Hotline.................................... 410-887-2279 Seniors seeking employment can call 24 hours a day to hear a current listing of positions. Senior Information Assistance..................................... 410-887-2584 eye care Baltimore Association of the Deaf-Blind (BADB).........410-247-5045 Lighthouse National Center for Vision and Aging........... 800-829-0500 National Federation for the Blind (Baltimore)..............410-659-9314 Prevent Blindness (Mid-Atlantic)....................................... 888-790-2020 financial / insurance Internal Revue Service.....................................................800-829-1040 Free Tax Counseling for the Elderly (TCE) and Volunteer Income Tax Assistance (VITA). Home-bound tax payers can ask for a volunteer home visit. Maryland Insurance Administration..............................800-492-6116 geriatric care management hearing Alexander Graham Bell Association for the Deaf, Maryland Chapter............................................................410-602-1634 Maryland Relay Service............................................. See page 6 301 West Preston St., Suite 1008A • Baltimore, MD 21201 800-552-7724 • www.mdrelay.org • moreinfo@mdrelay.org Trained telephone operators transmit conversations between people using a standard voice telephone with persons using a text telephone. Maryland Speech-Language-Hearing Association........410-239-7770 National Association of the Deaf.....................................301-587-1788 home healthcare WeCare Private Duty Services....... See Outside Back Cover 1852 Reisterstown Road, Suite 209 • Pikesville, MD 21208 410-602-3993 • TTY Dial: 7-1-1 • www.wecarepds.com WeCare Private Duty Services, Inc., is a Nursing Referral and Residential Services Agency dedicated to serving those who need and desire assistance within the comfort and privacy of their own homes. Our services range from Skilled Nursing Care to assistance with Activities of Daily Living. WeCare has earned a stellar reputation-which speaks for itself-by providing the solutions that improve the quality of life for our clients. hospitals / medical centers Bayview Medical Center..................................................410-550-0100 4940 Eastern Avenue • Baltimore 21224 Bon Secours, Baltimore Health System..........................410-362-3000 2000 West Baltimore Street • Baltimore 21223 Franklin Square Hospital Center...................................443-777-7000 9000 Franklin Square Drive • Baltimore 21237 GBMC HealthCare...........................................................443-849-2000 6701 North Charles Street • Towson 21204 National Association of Professional Geriatric Care Managers..................................................... 520-881-8008 Good Samaritan Hospital................................................443-444-4000 5601 Loch Raven Blvd. • Baltimore 21239 40 SeniorCitizensGuide.com/baltimore Say You Saw It in the Senior Citizen’s Guide to Baltimore 41 Harbor Hospital & Harbor Hospital LifeResource Ctr.... 410-350-3200 3001 S. Hanover Street • Baltimore 21225 Johns Hopkins Hospital...................................................410-955-5000 600 North Wolfe Street • Baltimore 21287 Kernan Hospital...............................................................410-448-2500 2200 Kernan Drive • Baltimore 21207 Levindale Hebrew Specialty Geriatric Ctr & Hospital..... 410-466-8700 2434 W. Belvedere Avenue • Baltimore 21215 Maryland General Hospital.............................................410-225-8000 827 Linden Avenue • Baltimore 21201 Mercy Medical Center.....................................................410-332-9000 301 Saint Paul Place • Baltimore 21202 Northwest Hospital Center..............................................410-521-2200 5401 Old Court Road • Randallstown 21133 St. Agnes Hospital.............................................................410-368-6000 900 Caton Road • Baltimore 21229 St. Joseph Medical Center...............................................410-337-1110 7601 Osler Drive, Towson Sinai Hospital....................................................................410-601-9000 2401 W. Belvedere Avenue • Baltimore 21215 independent living Baltimore Neighborhoods, Inc........................................410-243-6007 Tenant landlord, fair housing, and discrimination complaints. Dept. of Housing & Urban Development (HUD)...........410-962-2520 Information on public housing, rental assistance, and fair housing. Park View..............................................See Inside Front Cover Apartment Homes for Seniors 410-246-7499 • SeniorLiving@sheltergrp.com www.thesheltergroup.com See advertisement for individual locations. The Shelter Group’s Park View communities serve seniors whose income is too high to permit government assistance but too low to support entry into many conventional retirement centers. By combining private debt, equity raised using the federal tax credit program, and financing support from local government agencies, The Shelter Group is able to keep rents within the reach of our residents while offering a physical plant, amenities, and services to equal those provided in far more costly facilities. kidney National Kidney Foundation of Maryland.................... 410-494-8545 Union Memorial Hospital................................................410-554-2000 201 E. University Parkway • Baltimore 21218 University of MD Medical Center...................................410-328-8667 22 S. Greene Street • Baltimore 21201 legal assistance The Law Office of Jill A. Snyder, LLC.................. See page 27 Office Locations in Baltimore and Towson, MD 410-864-8788 • www.snyder-law.net My practice is concentrated on trust and estate planning, probate, and small business advisory services. I provide individuals and families with comprehensive and compassionate estate planning services, including the preparation of various estate planning documents, strategies to reduce or eliminate estate tax liability, and recommendations regarding asset titling, life insurance, and beneficiary designations. Legal Aid Bureau............................................................. 410-296-6705 Assists individuals with certain legal problems at no cost. Must meet income guidelines. 42 Say You Saw It in the Senior Citizen’s Guide to Baltimore SeniorCitizensGuide.com/baltimore 43 Maryland Legal Aid Baltimore City..............................................................................410-951-7777 Baltimore County.........................................................................410-427-1800 Provides a full range of civil legal services to financially qualified Marylanders and people over 60 from 13 offices around the state. Maryland Senior Legal Hotline.......................................800-896-4213 Provides free legal assistance, consultation and/or representation to seniors age 60 or over for specific types of cases. State of Maryland Office of Attorney General..............410-576-6300 Send complaints in writing to the division about unfair and deceptive business procedures and practices for investigation. libraries Patterson Park 158 N. Linwood Avenue 410-396-0983 Essex Library 1110 Eastern Blvd. 410-887-0295 Pennsylvania Avenue 1531 W. North Avenue 410-396-0399 Hereford Library 16940 York Road 410-887-1919 Reisterstown Road 6310 Reisterstown Road 410-396-0948 Loch Raven Mini Library 1046 Taylor Avenue 410-887-4444 Roland Park 5108 Roland Avenue 410-396-6099 Parkville-Carney Library 9509 Harford Road 410-887-1234 Southeast Anchor Library 3601 Eastern Avenue 410-396-1580 Perry Hall Library 9440 Belair Road 410-887-5195 Walbrook 3203 W. North Avenue 410-396-0935 Pikesville Library 1301 Reisterstown Road 410-887-1245 Washington Village 856 Washington Boulevard 410-396-1099 Randallstown Library 8604 Liberty Road 410-887-0770 Waverly 400 E. 33rd Street 410-396-6053 Reisterstown Library 21 Cockeys Mill Road 410-887-1165 Brooklyn 300 E. Patapsco Avenue 410-396-1120 Hamilton 5910 Harford Road 410-396-6088 Canton 1030 S. Ellwood Avenue 410-396-8548 Hampden 3641 Falls Road 410-396-6043 Cherry Hill 606 Cherry Hill Road 410-396-1168 Herring Run 3801 Erdman Avenue 410-396-0996 Clifton 2001 N. Wolfe Street 410-396-0984 Highlandtown 3323 Eastern Avenue 410-396-1580 Edmondson Avenue 4330 Edmondson Avenue 410-396-0946 Light Street 1251 Light Street 410-396-1096 BALTIMORE COUNTY Arbutus Library 855 Sulphur Spring Rd. Ste. 105 410-887-1451 Forest Park 3023 Garrison Boulevard 410-396-0942 Northwood 4420 Loch Raven Boulevard 410-396-6076 Catonsville Library 1100 Frederick Road 410-887-0951 Govans Branch 5714 Bellona Avenue 410-396-6098 Orleans Branch 1303 Orleans Street 410-396-0979 Cockeysville Library 9833 Greenside Drive 410-887-7750 44 Say You Saw It in the Senior Citizen’s Guide to Baltimore Towson Library 320 York Road 410-887-6100 White Marsh Branch Library 8133 Sandpiper Circle 410-887-5097 Woodlawn Library 1811 Woodlawn Drive 410-887-1336 SeniorCitizensGuide.com/baltimore 45 American Lung Association lung disease Maryland......................................................................................443-451-4950 National.......................................................................................202-785-3355 mental health Mental Health Association of MD...................................410-235-1178 Information and education programs Maryland Coalition on Mental Health and Aging.........410-235-1178 Support, education, and advocacy for families coping with mental illness. multiple sclerosis National Multiple Sclerosis (MS) Society (Maryland Chapter)..................................443-641-1200 parkinson’s disease American Parkinson’s Disease Association (APDA).......... 800-223-2732 pharmaceuticals BenefitsCheckUp and BenefitsCheckUpRx........www.benefitscheckup.org Maryland Medicaid Pharmacy Program.......................800-226-2142 Medicare/Drug Discount Cards......................................800-633-4227 Medbank of Maryland Baltimore City or County ..................................................410-821-9262 research studies Parexel - Healthy Volunteers Study..................... See page 11 3001 South Hanover St., 7th Floor • Baltimore, MD 21225 877-617-8839 • study.baltimore@parexel.com • www.baltimoretrials.com The PAREXEL Research Unit, located at Harbor Hospital in Baltimore, is currently seeking volunteers who are interested in participation in clinical research trials with investigational medications. We are looking to enroll healthy Males and Females 18 and older. Depending on the study, participants could receive compensation ranging from $1,200 to $6,000 upon completion. 46 Say You Saw It in the Senior Citizen’s Guide to Baltimore BALTIMORE CITY / BALTIMORE COUNTY A.I.M./Action in Maturity 410-889-7915 3900 Roland Avenue Allen Center for Senior Citizens 410-685-6224 1404 S. Charles Street Ateaze Senior Center 410-887-7233 7401 Holabird Avenue Booth Senior Center 410-396-9202 229 1/2 South Eaton Street Bykota Senior Center 410-887-3094 611 Central Avenue Catonsville Senior Center 410-887-0900 501 N. Rolling Road Cherry Hill Senior Life Center 410-354-5101 606 Cherry Hill Road Suite 201 senior centers 410-887-7225 641 Main Street Forest Park Senior Center 410-466-2124 4801 Liberty Heights Avenue Greenmount Senior Center 410-396-3552 425 E. Federal Street Harford Center for Senior Citizens 410-426-4009 4920 Harford Road Hatton Senior Center 410-396-9025 2825 Fait Avenue Jacksonville Senior Center 410-887-8209 3605A Sweet Air Road Liberty Senior Center 410-887-0780 3525 Resource Drive Edgemere Senior Center 410-887-7530 6600 North Point Road Mt. Carmel/Prettyboy Senior Center 410-887-1923 17038 Prettyboy Dam Rd. Edward Myerberg Center 410-358-6856 3101 Fallstaff Road Oliver Senior Center 410-396-3861 1701 North Gay Street Essex Senior Center 410-687-5113 600 Dorsey Avenue Overlea/Fullerton Senior Center 410-887-5220 4314 Fullerton Avenue Fleming Senior Center Parkville Senior Center SeniorCitizensGuide.com/baltimore 47 410-887-5338 8601 Harford Road Pikesville Senior Center 410-887-1245 1301 Reisterstown Road Reisterstown Senior Center 410-887-1143 12035 Reisterstown Road Sandtown-Winchester Senior Center 410-728-5300 1601 Baker Street Seven Oaks Senior Center 410-887-5192 9210 Seven Courts Drive Southwest Senior Center 410-566-1311 1200 W. Baltimore Street Victory Villa Senior Center 410-887-0235 403 Compass Road Waxter Center for Senior Citizens 410-396-1324 1000 Cathedral Street Senior Network of N. Baltimore 410-323-7131 5828 York Road senior living options Park View..............................................See Inside Front Cover Apartment Homes for Seniors 410-246-7499 • SeniorLiving@sheltergrp.com www.thesheltergroup.com See advertisement for individual locations. The Shelter Group’s Park View communities serve seniors whose income is too high to permit government assistance but too low to support entry into many conventional retirement centers. By combining private debt, equity raised using the federal tax credit program, and financing support from local government agencies, The Shelter Group is able to keep rents within the reach of our residents while offering a physical plant, amenities, and services to equal those provided in far more costly facilities. Maryland Department of Veteran Affairs veteran support Outreach & Advocacy Program.................................................. 410-260-3838 Veterans Service & Benefits Program......................................... 410-230-4444 Veterans Home Program............................................................. 301-884-8171 Veterans Cemetery & Memorial Programs................................. 410-354-3550 48 Say You Saw It in the Senior Citizen’s Guide to Baltimore