The Third Act

What is your attitude about aging? Most of us think about getting older as a decline. Jane Fonda, in her recent TED video shares her research on on aging and suggest we rethink how we feel about the last 3 decades of our lives. 

Researchers say that we will live 30 years longer then our grandparents.   With all this added time how do we use it?  How do we live it successfully?   She suggests that we look at aging as a upward reaching staircase, the upward ascension of the human spirit.

How will you live your third act?

 
The Third Act

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Independence at Home Demonstration Program Commences

Medical practices equipped to provide at-home care services for chronically-ill patients may be eligible for incentive payments under a new demonstration project created by the Affordable Care Act.

Starting this month, the Independence at Home Demonstration is calling for applications to test whether providing coordinated home-care services for patients with multiple chronic conditions will keep them out of the hospital, improve patient satisfaction and outcomes, and lower Medicare costs.

Up to 10,000 eligible beneficiaries, as well as up to 50 providers may participate during the study’s 3-year period. Applications from medical practices to the program are being accepted until Feb. 6.

“When critically-ill patients can remain in familiar surroundings, the benefits are many: the person retains greater control over their lives, families and caregivers report greater satisfaction with the care, and unnecessary hospitalizations are avoided,” CMS acting administrator Marilyn Tavenner said in a statement.

In order for beneficiaries to participate, they must have multiple chronic conditions, have received rehabilitation treatment in the last year, be covered under fee-for-service Medicare, have been admitted to the hospital in the last year, and need assistance with at least two daily activities (such as walking or bathing). CMS will track beneficiaries’ experiences through a variety of quality measurements.

To qualify for the program, medical practices must have experience providing at-home care, they must serve at least 200 eligible beneficiaries, they must use electronic health information systems, and they must provide at-home visits and have available 24/7 coverage. They must also report required quality measures. Practices may apply separately, or multiple primary care practices within a geographic area may form a consortium in order to participate.

Practices that demonstrate a specific savings target as a result of participation in the project will receive an incentive payment if they also meet at least three of six quality measures. The amount of the incentive payment will be commensurate with the savings achieved. Saving targets will be determined on a per capita basis.

If you would like more information on how this program may benefit you here at Paradise Village, contact our Executive Director for assistance.

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Paradise Valley Hospital Earns Award

Paradise Valley Hospital Recognized as Top Performer

The Joint Commission Recognized PVH on Key Quality Measures

National City, CA – Sept. 27, 2011 – Out of more than 3,000 hospitals across the country, Paradise Valley Hospital was recognized as a top performer on key quality measures by The Joint Commission.

Paradise Valley ranks in the top 14 percent of all commission-accredited healthcare facilities based on clinical processes data shown to improve care for heart attack, heart failure, pneumonia and surgical care.

“Today, the public expects transparency in the reporting of performance at the hospitals where they receive care, and the Joint Commission is shining a light on the top-performing hospitals that have achieved excellence on a number of vital measures of quality of care,” said Joint Commission President Mark Chassin, MD, FACP, MPP, MPH.

To be recognized, a hospital had to meet or exceed 95% performance on a composite score that included all of the accountability measures, and meet or exceed 95% performance on every performance measure that it reports to the Joint Commission. Of the 34 California hospitals recognized, nine are Prime Healthcare hospitals, including Paradise Valley Hospital. Paradise Valley also is one of only three recognized hospitals in San Diego County.

“I want to thank the physicians, nursing staff and employees at Paradise Valley Hospital for adhering to our motto of bringing quality, cost-effective and compassionate healthcare to every one of their patients,” said Regional CEO Luis Leon.

The commission is the leading accreditor of healthcare organizations in the United States.

The commission’s “Improving America’s Hospitals,” recognizes hospitals that are top performers in using evidence-based care processes closely linked to positive patient outcomes. The 405 organizations identified as attaining and sustaining excellence in accountability measure performance for the full previous year (2010) represent approximately 14 percent of commission-accredited hospitals and critical access hospitals that report core measure performance data.

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San Diego Experiences Significant Power Outage

Yesterday, San Diego experienced a power failure, the likes of which have not been experienced before on this scale.  More than two million households were without power, from Baja, California into South Orange County.  This disrupted most all area businesses, caused extraordinary gridlock on highways and surface streets, and closed the Lindbergh  Airport for all in-bound and outbound flights.

Paradise Village residents and staff, however, took great comfort in one another and rode out the electrical disruption in style.  With ample power produced from back-up generators, Paradise Village operations continued with only minimal interruption.  Central services in the Plaza, such as restaurant dining, WiFi internet, all elevators, Club Paradise wellness facilities, and most other services did not experience problems.  In fact, the camaraderie produced through the event was extremely positive!  It even caused an impromptu social hour around both the speech from President Obama and the season opening NFL football game.

“I’m so happy with the response from staff and management and the community was quite prepared to handle this problem!” exclaimed one Paradise Village resident.

Other communities in the San Diego, without generators to back up their electrical systems, did not fare as well.  With some residents stuck in elevators and complete shut down of services and amenities, these communities had a much more difficult time during these long hours.

Thanks go out to staff and residents for such a positive response to an unprecedented blackout.  Paradise Village’s design and construction proved worthy to provide residents and employees safety and security in an otherwise daunting situation.

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Getting the Most From Your Doctor’s Visit by Dr. Sonia Huntley, M.D.

Let’s face it: going to the doctor is not always a pleasant experience, and in fact can be frightening, time consuming and even intimidating.  Here are six ways to make your doctor visits more comfortable and productive.

  1. The first thing to remember is that your health is your most important asset.  While spending time in a doctor’s office may not be your favorite thing to do, it is a necessity and will help you maintain staying healthy and therefore increase your quality of life.

 

  1. When you feel fearful about the exchange between you and your doctor, try to adopt a practical attitude.  Detach from your feelings: it’s a fact finding visit – it doesn’t have to be an emotional one.  When you can look at it with the right attitude, you will feel less intimidated and more focused on what the appointment is about.

 

  1. It’s a good idea to take someone with you.  Not only will there be another pair of ears to remember what was said, but you will have your own support system in place during the appointment.  They may also be able to ask the questions that elude you.

 

  1.     Before you arrive, make a list of problems you want to discuss. 

For example: low back pain, left side, 3 weeks – taking Tylenol or dry itchy patch on

 right cheek for3 months

Make your list precise and short – not too many problems per visit.  Give your list to the medical assistant before you see the doctor.  You will feel more in control of the situation this way and the staff will also be able to help you more efficiently.  Repeating what you have learned before the visit ends will help you remember what took place and allows the doctor to see if further explanation is needed.

  1. Be sure to ask questions and take notes.  Just like the prepared list of problems, you’ll

want your query to be simple and to the point.  Then if you write down what is being said, you can ask for clarification of a term or specific instructions before you leave.  You can also ask for handouts with more information for your specific problem.

  1. It’s a good idea to organize your own medical history.  In an emergency or upon seeing new care providers, you will be able to help track important issues.   Start by listing every medical concern you can recall for the past five years, including past surgeries and medications. For example, you can obtain clinic notes, imaging and tests, lab reports and hospital summaries.

 

Finally, remember that your health is the number one subject during your visit.  Following these six guidelines will optimize your time with the doctor, and you can continue to focus on what’s most important: you.

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Going the Distance

If you’re a runner, perhaps the name Dr. George Sheehan rings a bell.  If not, you may want to pick up one of his books on the subject, one that he knew quite a lot about.  Dr. Sheehan was an accomplished physician and a forerunner (pun intended, of course) in the jogging/running movement of the 70′s.  Throughout his later years, he became an icon of the benefits and the joys of running, a celebrated author, and a man who celebrated the excitement of living each and every day.

His words on running seem to fit perfectly with Generations’ mission of Enhancing Lives and Celebrating the Excitement of Living.  We believe that everyone is an athlete and that wellness is an integral part of life, no matter one’s age.  Here is a quote from George Sheehan’s book, ”Going the Distance”.  Enjoy your road!  Make it an exciting journey!

“To many people, growing old seems like the endgame in chess: life winding down in a series of small moves with lesser pieces.  As I age, I have discovered this is not true.  I am not an elderly king stripped of my powers, reduced to a ragtail army of pawns.  My life is not a defensive struggle of restricted options.  Growing old is a game of verve and imagination and excitement!

The aging game is chess at its best.  The opening gambit may have been made long ago.  The responses long set in motion.  Some pieces indeed have been lost.  But the board is still filled with opportunity.  The outcome is not now a matter of strength, although that still remains, but of faith and courage, hope and wisdom.

The aging game is a sport for which childhood and youth and maturity are no more than a preparation.  Its scope comes as a surprise.  It expands my life at a time when I expected it to diminish.  It demands an excellence that no longer seemed necessary.  It asks me to surpass what I did at the peak of my powers.  Age will not accept second best.

In the aging game I must be all I ever was and am yet to be.  What has gone before is no more than a learning period.  A breaking in.  Life, someone has said, is boot camp.  If it is, age is the combat for which I was trained.  Now I must take this person I have become and make each new day special.  I must make good on the promise of every dawn I a privileged to see!”

Well said, Dr. Sheehan!  We shall go and greet each dawn with excitement!

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Paradise Village Hosts Ultra-Walker Leo Schreven!

Paradise Village is proud to host Leo Schreven – the man who walked across America in 100 days!  Paradise Village warmly invites you to this free event so that you can be inspired to achieve your maximum potential, no matter your age.

Mr. Schreven has been walking across the country to bring awareness of the issue of malnutrition in children around the world and to raise funds to combat this problem.  In total, he has walked a marathon each day for the past 100 days.  You can go to www.kidscharitywalk.com for more information.

The Kids Charity Walk is working in partnership with MannaRelief (www.mannarelief.org), a Christian inter-denominational, non-profit organization that provides advanced nutritional support to malnourished children around the world. Since 1999 they have helped over 109,000 children in over 83 countries of the world.

Come and listen to Leo talk about his journey, his secrets to motivation, and his mission.  It’s an evening sure to inspire!

We hope to see you on Wednesday, May 18th at 7pm.

For more information, call 619-475-0383.

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Water Exercises, Hydrotherapy, Swimming & Water Therapy for Arthritis

Warm water exercises are beneficial to health and wellness of everyone but play a special roll in keeping arthritis sufferers healthy as well as the easing of some symptoms over time. Swimming, water aerobics and other water exercises are low impact, with the water’s buoyancy supporting the body’s weight to decrease pressure on joints and making it easier to perform range of motion exercises. The benefits to keeping your body in motion are to build strength, loosen stiff joints and relaxing sore muscles.

Although pain stops many arthritis patients, regular movement has been proven to relieve pain and improve joint function. Listen to your body and take advantage of the best time of day or the way you feel. Relax, feeling anxious can amplify pain and know your body – when it’s OK and when its time to stop.  Always, consult your doctor before starting any exercise routine.

Paradise Village offers gentle aquatic exercises by Arthritis Foundation accredited instructors at the pool! Ability to swim is not required.

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Eat Your Veggies! Nutrition is Key to Senior Health

Getting the right nutrients is vital to your health and wellbeing. Balance is the key – make sure you are consuming a variety of healthy foods every single day. Certain health issues require doctor and nutritionist involvement, so make sure whatever you do, you are consulting your medical professionals. The best places to start a healthy diet include:

  1. Eat nutrient packed food – fruits, vegetables, whole grains
  2. Find flavorful foods that provide nutrition
  3. Snack between meals, depending on your physician’s advice
  4. Eat with others often, to get more well rounded meals
  5. Get help with food prep, consider your situation and which options would be most practical

Senior health issues can have many individual or interrelated causes including eating too little food, taking in too few nutrients, and aging related digestive changes and problems. Symptoms might include fatigue, depression, weak immune system, anemia, weakness, digestive issues, lung, and heart problems, and skin concerns.   It’s not difficult or complicated to improve your nutritional intake and your health. Help is always available, consult your doctor before making lifestyle changes, and don’t be uncomfortable discussing issues.

At Paradise Village meals are prepared by our award-winning chef that are both healthy and packed with flavor!

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Spring is Upon Us Here in San Diego!

February brought to San Diego, one of the strangest weather events in memory. While it may have made it seem like Spring would not get here, in fact, March is upon us. March is one of the wetter months for San Diego, but the temperature continues to rise and the days grow longer. If you haven’t been able to enjoy the out-of-doors as much as you might like, consider Spring as your invitation to reconnect with San Diego’s World famous temperate climate and beautiful gardens. Whether you go to Balboa Park, or the one-of-a-kind Ocean coastline or simply open up your windows, or step outside you’ll be glad you live in this special area.

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