The House of Representatives. I played 'Chris North', a single mother of 2 children, one of whom has asthma. AlohaCare recently awarded Rep. Maile Shimabukuro and Women of Wai'anae a $5000 grant to. Their team won $800 in the AlohaCare Healthy Hawaii Teen Video Contest for placing second in the Teen Health category. November 11, 2009 - MidWeek The Central Waha Nui. Gandy, MD, MS, FACP, FRACP In Support of Our Seniors i. Acknowledgements Mahalo to Mark Brown for Dreaming and to our associates for their contributions. Copyright 2. 01. 1 by Ritabelle Fernandes & Hortense M. Grant Physicians Practice Association. Seton MAP Program 12T57 Seven Corners Shasta Administrative Services. Aloha Care Advantage ALOHA Alpha Care Medical Group ACMG1 Alpha Data.No part of this booklet may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the written permission of the authors. Home Safety, Fall Prevention, & Universal Design 1. Does your home need repairs, remodeling, or do you need to design a new home?. Role of Technological & Electronic Devices. Legal Advocacy & Elder Law 1. Long- Term Care Insurance 3. C. Adult Day Care & Day Health. Chore Services Program 5. Senior Volunteerism & Job Training 6.
E. Durable Medical Equipment. Social Services & Support 1. Senior Citizen Centers. Caregiver Support Groups.. Moving On Other Housing Options.. Independent Living Facilities. Assisted Living Facilities.. Adult Residential Care Home.. Grandfamilies Housing. Modular Home Communities.. Naturally Occurring Retirement Community.. Veterans Affairs Housing.. PREFACE Life expectancy for residents of Hawaii is said to be the highest in the nation. Approximately 1. 8. Hawaii is over 6. The proportion of the elderly population in Hawaii is reported to be growing 2. Some have estimated that by 2. Hawaii will be over 6. What services will they need? Where will all these seniors live? What housing options are available for seniors now? Many family caregivers and their elders in Hawaii are having problems currently finding appropriate housing and/or nursing care due to the lack of available information and the critical shortage of such facilities in the state of Hawaii. In view of the increasing senior population, we present a review of information on services and current housing options for seniors on Oahu as of 2. Normal aging is characterized by physiological changes that affect vision, hearing, taste, muscle strength, bone mass, reaction time, and the ability to cope with changes in stress levels. Some seniors view these changes of normal aging as the end to the joy of independent living. Many active seniors would like to remain right where they are age in place, even when their needs arise for assistance and/or supervision. Often the need for the senior to move arrives a little before the senior is ready to give up his or her current home. The final choice of housing centers around two options to move or remain in his or her current home. The latter choice is referred to as aging in place. The senior needs to give some thought to the following questions before the need to make a decision about his or her living situation arrives. Do I possess independent living skills that include an understanding of the concept of time and appropriate use of a calendar including scheduling of medications? Do I have the capability to take care of personal hygiene and grooming? Does my home provide the best environment for my physical needs? Do I have access to food, transportation, healthcare, and/or help to fulfill my basic needs where I live? Do I have the financial means to sustain me in my current home? Do I understand my legal rights? Often physical changes associated with normal aging force the senior to look for new housing arrangements. This decision should not be made in haste. A variety of housing options for seniors exist on Oahu. Each option is different and must be carefully examined to see which option best meets the needs of the senior. An understanding of descriptive terminology in relation to evaluating information about types of senior housing facilities and government agencies that provide housing assistance programs for seniors is essential in making decisions about housing options. Information can be obtained by dialing 2. AGING IN PLACE Home represents security and independence to most Americans. Even seniors with declining health cling to the dream of successful aging in place. A study by the American Association of Retired Persons (AARP) has revealed that 9. American seniors wish to age in their respective homes. Approximately 2. 6% of seniors fear loss of independence if they move from the home where they have resided for years. Many seniors consider living in safe neighborhoods close to family and friends, medical care, places of worship, and shopping centers as the most important factors in selecting a place to live. Many seniors depend on adult relatives to help pay the bills and/or provide care that they need. By the age of 6. 5 years, approximately 4. Americans depend on financial assistance from relatives, 3. Family and friends provide approximately 8. Hawaii. According to the 2. United States (US) Census data, the cost of monthly rental of $1,2. Hawaii topped the national average rental cost of $8. US. Hawaii rated third for renter occupied units spending 3. Seniors who choose to age in place often need help in identification of their needs as well as in obtaining help to cope with them. These needs may include safety, security, obtaining meals, transportation, elder law, insurance, finances, case management, health care, exercise, housekeeping services, locating a companion, socialization, spirituality, and/or locating day care. Family, friends, neighbors, and community organizations often help the senior to cope with some of these needs. Local service providers that can help seniors fulfill their basic needs are listed in Senior Information and Assistance Handbook 2. Elderly Affairs Division, City and County of Honolulu. A copy is available free of charge from any branch of the American Savings Bank. Elderly Affairs Division (EAD), Department of Community Services, City and County of Honolulu, develops and supports services that enable older adults to live to their fullest capacity in their respective homes and communities through contracts with local service provider agencies. These services include caregiver support, personal care, group dining, home delivery of meals, transportation, escort, counseling, legal services, housing assistance, health, and educational activities. The Hawaii Aging and Disability Resource Center (ADRC) is a one stop source for information, assistance, and access to services and care for older adults, individuals with disability, and family caregivers, telephone: 7. Home Safety, Fall Prevention, & Universal Design 1. Home safety is very important in preventing falls and disabilities. Falls are the leading cause of injuries among seniors in Hawaii. Every 5 hours a senior in Hawaii suffers a fall that results in the senior being hospitalized. One in three adults 6. US suffers a fall each year. Falls can result in bruises, sprains, 4. Two thirds of non fatal falls occur in women who often sustain a fracture. The number of fatal falls increases steadily as seniors grow older. The number of falls as well as the medical cost associated with the management of these falls is collected by the National Institute of Health and Centers for Disease Control and Prevention. Some falls can be prevented by use of the following. Installation of stair railing and/or stair climber. Eliminating area rugs that shift or curl. De- cluttering the living spaces and footpaths throughout the home. Providing a roll- in or curb- less shower stall. Installing grab bars in the shower and tub areas. Appropriate height toilet seat. Lights in hallways as well as closets. Replacing door knobs and faucets with lever type handles. Increasing the width of doorways to 3. Installation of a smoke detector and fire extinguisher according to code. Setting of hot water heater thermostat at 1. F or lower. Home safety evaluations conducted by a physical therapist or an occupational therapist along with a qualified building industry professional designer, architect, builder, or contractor are invaluable in the prevention of falls. Table 1 lists organizations offering home safety evaluations. Cost: No charge for home safety evaluations by medical insurance, if the evaluation is prescribed by a physician. Organizations Offering Home Safety Evaluation Name East Oahu Physical Therapy 8. West Hind Drive Suite #2. Honolulu, HI 9. 68. Elam Sports Oahu 1. Kamokila Boulevard Suite #1. Kapolei, HI 9. 67. Kaiser Permanente Home Health (Kaiser members only) Mapunapuna Clinic 2. Paa Street Honolulu, HI 9. Ohana Pacific Rehabilitation Services 3. Ulunui Street #4. Kailua, HI 9. 67. OT to You, LLC P O Box 4. Honolulu, HI 9. 68. Project Dana (Volunteer program) 9. University Avenue Honolulu, HI 9. Rehab at Nuuanu Rehabilitation Hospital of the Pacific 2. North Kuakini Street Honolulu, HI 9. Stay. Fit Physical Therapy 9. Aiea Height Drive #2. Aiea, HI 9. 67. 01 Phone 3. Therapist and Home Care On Call, Inc. Hoauna Street Kaneohe, HI 9. Falls can be caused by many factors which are associated with health and aging conditions. Predictors of falls include a previous fall, poor posture, poor balance, prolonged bed rest, muscle weakness, mobility problems, loss of sensation in the feet, vision changes, dehydration, and drug interactions. Review of vision of the senior, his or her use of physician prescribed and over the counter medications, alcohol consumption, and marijuana use, may provide information that can be useful in decreasing the occurrence of falls. Senior participation in community fall prevention exercise programs and educational classes shown in Table 2 help prevent in- home falls. Most of these prevention programs and classes are free of charge, others charge a nominal fee. Fall Prevention Exercise & Educational Programs Name Arthritis Foundation Exercise Program 6. Piikoi Street Suite #1. Honolulu, HI 9. 68. Attention Plus Care 1. Makaloa Street Room #1. Honolulu, HI 9. 68. Castle Wellness and Lifestyle Medicine Center 6. Ulukahiki Street Kailua, HI 9. Phone 5. 96- 2. 90. Department of Parks and Recreation City and County of Honolulu P O Box 3 Honolulu, HI 9. Hawaii Academy 1. Mo onui Street Honolulu, HI 9. HMSA Strong, Straight & Steady 8. Keeaumoku Street Honolulu, HI 9.
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