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IHS 2008 Long Term Care Grants

Subject: IHS 2008 Long Term Care Grants announcement
To: ELDERCARE@LISTSERV.IHS.GOV
The 2008 Long Term Care Grants request for application has been published in the Federal Register. These are grants for $50,000 – 75,000 per year for two years to either plan or implement long term care services.
Key Dates May 2 for mandatory Letter of Intent.

The Letter of Intent does not obligate you to apply, but we cannot accept applications unless there has been a letter of intent to apply. So if you think you might apply, send in a letter of intent!

June 20 application deadline
A pdf of the Federal Register Announcement can be found at: http://edocket.access.gpo.gov/2008/pdf/E8-6409.pdf

The application has not yet been posted but will be on www.Grants.gov using Funding Announcement Number: HHS–2008–IHS–EHC–0001 or CDFA number:93.933.

Bruce Finke, MD
IHS / Nashville Area Elder Health Consultant
Chronic Care Initiative
(413) 584-0790
(615) 417-4915 cell
http://www.ihs.gov/MedicalPrograms/ElderCare/index.asp

The AI/AN elder population is growing rapidly and the Al/AN population as a whole is aging. The prevalence of chronic disease in this population continues to increase, contributing to a frail elder population with increasing long-term care (LTC) needs.

LTC is best understood as an array of social and health care services that support an individual who has needs for assistance in activities of daily living over a prolonged period. LTC supports elders and their families with medical, personal, and social services delivered in a variety of settings to support quality of life, maximum function, and dignity.

While families continue to be the backbone of LTC for Al/AN elders, there is well documented need to support this care with formal services. The way these services and systems of care are developed and implemented can have a profound impact on the cultural and spiritual health of the community.

Home and community-based services have the potential for meeting the needs of the vast majority of elders requiring LTC services, supporting the key roles of the family in the care of the elder and the elder in the care of the family and community.


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2008 free tax help for some in Alaska

Free Tax Help – 2008 Tax-Aide and VITA sites. The VITA program is a federal grant that rural senior programs can apply for.

This program is designed to prepare basic tax returns for most low and middle income taxpayers, with an emphasis on senior citizens and disabled taxpayers. Sites are staffed by volunteers trained by the IRS to prepare basic tax returns. E-file means it’s fast, accurate AND it’s absolutely FREE. Volunteers receive training on the Earned Income Credit and other personal tax credits. If your income is below $39,783 you MAY qualify for an Earned Income Credit, up to $4,716.

*** You must file a 2007 tax return to receive the Economic Stimulus Payments. To be eligible for this payment, you must have a tax liability, or at least $3000 of earned income, Social Security benefits, or certain VA benefits. If you had at $3,000 of qualifying income, you should file a tax return even if you are not required.

AARP TaxAide sites may offer priority service to taxpayers age 60 and older.

As all locations are staffed by volunteers using donated space, these dates and times may change. To get the most current information, please call the Alaska 211 referral line by dialing 2-1-1, or 1-800- 478-2221. [try this and see if it works. There were problems last week or so– the software couldn’t figure out rural Alaska zip codes.]

NO COST ELECTRONIC FILING AVAILABLE

WHAT TO BRING
Social security cards or current record of SSN’s for you, spouse and all dependents.
Form W-2 (Wage and Tax Statement) from each employer.
All income information (such as Forms 1099-INT, 1099-DIV, SSA-1099 or RRB-1099 and 1099R).
Record of VA benefits received
Property tax and mortgage interest statements.
List of your medical, interest, contributions, and miscellaneous expenses (to itemize your deductions).
Copies of last year’s tax return (helps volunteer prepare this year’s return).
Child care payment information and name, address and SSN/EIN of your child care provider.

The rest of the document is written in a way to make it difficult to re-post so I’ll only list the names of places. Contact them for hours and dates.

  • Anchorage Senior Center Tax-Aide
  • Northeast Anchorage Tax-Aide
  • First Free Methodist, Anchorage
  • Spenard Rec Center
  • Crosspoint Church Tax-Aide, Anchorage
  • University of Alaska Anchorage
  • Palmer Senior Center
  • Mid-Valley Senior Center
  • Wasilla Senior Center
  • Upper Susitna Senior Housing
  • Glacier View Bible Church
  • Willow Senior Housing
  • Fairbanks Senior Center Tax-Aide
  • North Pole Library Tax-Aide
  • University of Alaska Fairbanks
  • Noel Wien Library Tax-Aide
  • North Pole Senior Center Tax-Aide
  • Nikiski Senior Citizens, Inc.
  • Homer Senior Center
  • Seward Senior Center
  • AVTEC Library (Seward)
  • Soldotna Tax-Aide Site
  • University of Alaska, SE
  • Swan Lake Senior Center
  • United Methodist Church, Sitka
  • Tongass Credit Union
  • Rendesvous Senior Center
  • Ketchikan Parks & Rec Center
  • Metlakatla Tongass Credit Union
  • Craig City Youth Center
  • Juneau Mendenhall Library
  • Wrangell Senior Center
  • Kodiak College
  • Valdez Tax-Aide
  • Kodiak Senior Citizen Fair

Older, more able

This is an interesting summary of trends in aging in the US. Part of the reason for less disabling aging is the involvement of people in their medical and health decisions [see also Preventive health care in elderly people needs rethinking], technology (from microwave ovens to walkers), smokers died before now and quitters started quitting awhile ago, availability of surgery from eyes to knees, older people exercise more than in the past, changes in attitude towards aging capabilities (changing expectataions of older people by older people and others. Off those rockers!), better availability of foods, etc.

Frank Greve of McClatchy Newspapers says, “The remarkable thing about National Public Radio senior news analyst Daniel Schorr, 91, who only recently gave up tennis, and Landrum Bolling, 94, the globe-trotting director at large for the relief agency Mercy Corps, is the same: They aren’t as remarkable as you’d think they are.

A surprising decline in disability rates among older Americans since the 1980s is enabling millions more to lead longer, richer, spryer lives. … older Americans typically are disability-free for the roughly 10 months of life expectancy that were added from 1992 to 2003.

…According to Dr. Eileen Crimmins, a professor of gerontology and sociology at the University of Southern California, 25 percent of Hispanic and black Americans older than 65 need help with basic tasks. For whites, the rate is 17 percent. Differences in disability rates linked to income and education also persist, Crimmins and others have found, and while women live longer than men, they endure more disabilities. […]

Growing Older May Be Getting Easier, Tuesday 11 December 2007

http://www.truthout.org/issues_06/121107HB.shtml


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Love and respect never grow old

Love never grows old condom card

Safe sex for older people is a major concern of A Little Red Hen http://alittleredhen.typepad.com/a_little_red_hen/ who has been reminding people with her condom amulets.

2007-11-30 [revised] Stop the ‘tubes! A Little Red Hen has a new blogzine announced here–
Knit A Condom Amulet, the Blogzine

and click image to see the new site–
button for knitacondomamulet

Fortunately, there has been recent news coverage about the need for HIV and STD testing, and practicing safe sex, by those over 50.

Experts and older patients are teaching a belated lesson to battle a risky HIV generation gap that has left many unprotected and infected.
By P.J. Huffstutter, Los Angeles Times Staff Writer
November 26, 2007

…although the number of HIV and AIDS patients in the over-50 crowd nationwide had grown in recent years, some of the increase was attributed to people who are living longer with the virus or disease, thanks to improvements in therapy treatments.

But without widespread testing, “we don’t really know what the true prevalence [of STD infection] is in this group,” Lieb said. “There’s reason to think, at least anecdotally, this is a combustible situation that is being overlooked.”

That’s why some social service and public health officials have turned to HIV-positive patients like Fowler to speak out and try to get their peers’ attention…. Fowler recently met up with a graying group to commiserate about sexually transmitted diseases, and recounted her cautionary tale. How a divorce in her 50s led her back into the dating pool, and how she enjoyed a New Year’s Eve fling with a former co-worker. Fowler said she never considered using condoms, given that she had already gone through menopause.

“I had lived what I considered a conventional, traditional life. I had been a virgin on my wedding night in 1959,” said Fowler, a founder of the National Assn. on HIV Over Fifty, who now coordinates the speakers bureau at a local AIDS organization. She has spoken before hundreds of groups over the years, including medical researchers and HIV/AIDS advocates to senior centers.

“I remained monogamous for 23 years of marriage. . . . After the divorce, I didn’t consider myself promiscuous. I didn’t frequent the singles bars. I went out with men my age who, like me, had been married and were divorced.”

Her own physician, she said, dismissed her questions about getting tested for HIV as unnecessary for someone her age. Her early symptoms were dismissed as routine ailments of aging.

Read the rest at

The National Association on HIV Over Fifty (NAHOF) was founded at the National Conference on AIDS and Aging in October of 1995 in New York City. Our mission is to promote the availability of a full range of educational, prevention, service and health care programs for persons over age fifty affected by HIV.

People over age fifty are affected by HIV in numerous ways. People in their mid or later years may be infected with HIV, the virus associated with AIDS. Ten percent of all AIDS cases are persons age fifty and up, a quarter of these are over age 60. Older women appear to have higher incidence rates than older men, and persons of color are especially at risk.

AIDS and HIV affect families, both traditional and families of choice. Increasingly older adults care for relatives and friends infected with HIV. Many adults with HIV turn to older parents for help and care. Increasingly grandparents are substitute parents for their grandchildren whose own parents are unable to care for their children due to HIV-related needs. Many of these are “AIDS orphans” and grandparents have stepped in to be full or part time caregivers for the children; middle-age and older adults with adult children may need emotional support….

Older people with HIV/AIDS face a double stigma: ageism and infection with a sexually-or-IV-drug transmitted disease.
http://www.hivoverfifty.org/tip.html

Safe sex is needed especially in what seems to be a new tourism–

By Jeremy Clarke, Sun Nov 25, 2007
Older white women join Kenya’s sex tourists

MOMBASA, Kenya (Reuters) – Bethan, 56, lives in southern England on the same street as best friend Allie, 64….

Hard figures are difficult to come by, but local people on the coast estimate that as many as one in five single women visiting from rich countries are in search of sex.

Allie and Bethan — who both declined to give their full names — said they planned to spend a whole month touring Kenya’s palm-fringed beaches. They would do well to avoid the country’s tourism officials.

“It’s not evil,” said Jake Grieves-Cook, chairman of the Kenya Tourist Board, when asked about the practice of older rich women traveling for sex with young Kenyan men.

“But it’s certainly something we frown upon.”

Also, the health risks are stark in a country with an AIDS prevalence of 6.9 percent. Although condom use can only be guessed at, Julia Davidson, an academic at Nottingham
University who writes on sex tourism, said that in the course of her research she had met women who shunned condoms — finding them too “businesslike” for their exotic fantasies.
[…]


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Vibrators and exercise for strength among the frail

There has been additional research into vibrating platforms as a means to improve bone and muscle health. An earlier post is here,

  • Vibrating beds as osteoporosis exercise
  • These platforms may be similar to one manufactured by Soloflex and one about to come out by Nintendo Wii. The Wii will have a game console attached for using video games as an exercise on a balance board. The news reports don’t mention how the human tests are done.

    Other Wii games mentioned earlier–

  • Ideas to exercise in small cold places
  • The SoloFlex would be easy to set-up as a study in a senior center. See the news story (Boston Globe) Vibrating machines are studied for health benefits. A home machine called Soloflex Whole Body Vibration Platform is smaller and less powerful, generating more of a massage sensation at the lowest setting. More and stronger vibration doesn’t mean faster results and could be dangerous as the article points out. There would have to be modifications for those with balance problems. However, measures of muscle strength, balance, and coordination are easy enough to set up.

    Here’s a cautious review from epinions.com– It is considered a class 1 Medical Device by the FDA. Those who shouldn’t use this are recovering from surgery, have heart disease, neurological conditions, pre-existing deep vein thrombosis, joint implants or are pregnant.

    No one has yet tested vibrating motel beds (don’t forget your condom amulets http://www.alittleredhen.com/a_little_red_hen/2007/09/safe-sex-alerts.html or http://www.alittleredhen.com/a_little_red_hen/2007/10/jenna-bush-wear.html

    Vibrations Shown to Build Bone, Reduce Fat (National Public Radio)

    Morning Edition, October 29, 2007 · Standing on a gently vibrating platform for 15 minutes a day can build bone mass and reduce fat in mice, according to a new study. The changes are due to a stem cell in bone marrow that can become muscle, bone or fat. Testing has begun in humans…. Scientists are about to launch a similar study in humans. Douglas Kiel works at the Institute for Aging Research at Hebrew Senior Life in Boston, where subjects will soon get 10 minutes of jiggling a day.

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