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ProAging Podcast
Positive Aging Community - Steve Gurney
182 episodes
5 days ago
Discussions on a variety of topics related to positive aging and the longevity marketplace. These podcasts are recordings of our live digital discussions on the Zoom platform, to view all recordings and see the upcoming schedule, visit https://www.retirementlivingsourcebook.com/digital-discussions
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Society & Culture
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All content for ProAging Podcast is the property of Positive Aging Community - Steve Gurney and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Discussions on a variety of topics related to positive aging and the longevity marketplace. These podcasts are recordings of our live digital discussions on the Zoom platform, to view all recordings and see the upcoming schedule, visit https://www.retirementlivingsourcebook.com/digital-discussions
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Society & Culture
Episodes (20/182)
ProAging Podcast
Spotlighting the Unique Needs of Childfree Solo Agers

A growing 25% of U.S. adults—childfree or permanently childless—face unique aging challenges without traditional family support. In the Positive Aging Community's October 29, 2025 webinar, moderated by Steve Gurney, experts Dr. Sara Zeff Geber, PhD, and Dr. Jay Zigmont, CFP®, unpacked financial, legal, and social strategies for thriving as "solo agers."


## Redefining Solo Aging: Empowerment Over Stigma


Geber, who coined "solo aging" 12 years ago, shared her wake-up call: Married but childless, she realized "there was going to be nobody left behind" in a crisis. Ditching the painful "elder orphans" label, she promotes "solo aging" as neutral and proactive. "It doesn't put a negative spin on things. It just works," she said. Surveys show childfree solo agers crave deeper connections, outliving networks due to longevity gains.


Geber urges building social communities early: "Build your network now—before health declines." Retirement or moves often disrupt ties, but villages, cohousing, and apps like Snug (for check-ins) help.


## Tailored Financial and Legal Safeguards


Zigmont, founder of Childfree Wealth (four years strong), exposed flaws in standard planning: It assumes kids. "It's bad advice," he warned. His new Childfree Trust fills the gap, serving as nationwide medical/financial power of attorney, executor, and trustee for $999/year.


Via "care docs," it captures wishes for activation in emergencies—like hospital calls triggering pet sitters or asset management. A survey of 600+ childfree adults? Less than 20% have wills. Zigmont partners with trust firms for scalability: "We're that person when friends can't be."


Hybrid approach: Lean on chosen family for daily support, pros for heavy lifts like long-term care. For legacies sans heirs, opt for "warm hand" giving (live philanthropy) over cold bequests.


## Actionable Takeaways from Attendees


Chat buzzed with queries: International travel? Trust handles it. No relatives? Free tools like freewill.com start basics. Pets? Line up immediate caregivers. Resources flowed—Aging Life Care (aginglifecare.org), Five Wishes directives, Area Agencies on Aging.


As one participant noted: "I'm more worried about community than money." Geber and Zigmont agree: Plan now for dignity.


For more, visit sarazeffgeber.com or childfreetrust.com. Solo aging? It's liberated control.


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5 days ago
1 hour 2 minutes 52 seconds

ProAging Podcast
Building Dementia-Friendly Communities

In a world where dementia affects millions, the narrative often leans toward loss and isolation. But what if communities could rewrite that story—one where people living with dementia not only survive but thrive, connected and included? That's the heart of the Dementia Friendly Nevada (DFNV) initiative, and few voices capture its urgency and hope like Casey Venturini, director of DFNV and a passionate advocate shaped by personal experience.In an interview with Steve Gurney of the Positive Aging Community, Venturini shared his journey from family care partner to national leader in dementia inclusion. His story isn't just inspirational; it's a call to action for communities everywhere. From Personal Loss to Professional PurposeVenturini's entry into this work was deeply personal. Growing up in a multigenerational household, he was as close to his grandparents as his parents. At age 11, his grandfather was diagnosed with Lewy body dementia, which significantly impacted his final years. The diagnosis felt like a door slamming shut. The community seemed to withdraw, leaving his grandfather isolated in a slow, tragic decline—mirroring the Hollywood tropes of inevitable goodbye. This revelation transformed his view. Today, his grandmother lives with dementia in New York, supported by a network that embraces possibility over pity. "She's not suffering with dementia. She is living her life with dementia," Venturini explained. It's a stark contrast to his grandfather's experience, underscoring how knowledge and community support can turn challenge into chapters of growth.This grassroots approach recognizes that dementia-friendly work isn't one-size-fits-all. Each community brings unique strengths and needs, making the movement a "collaborative learning effort" under the national umbrella of Dementia Friendly America, which has thrived for nearly a decade.The Core Values: An Ethical Roadmap for InclusionAt the soul of DFNV are eight shared values, collaboratively crafted with people living with dementia, care partners, and professionals. Presented to the Nevada Legislature in 2017 by someone living with dementia, these principles frame dementia-friendly efforts as "citizenship work"—calling for full societal engagement, not just dementia-related programming.People can live well with dementia. Hope is foundational; without it, opportunities for well-being vanish.Partnering with people living with dementia and honoring each individual's lived experience opens a world of possibilities. People with lived experience of dementia are the true experts, in this work, co-leading—not just participating in—dementia-friendly and inclusive initiatives.Recognizing, validating, and responding to all forms of expression as meaningful communication supports well-being. Communication evolves; assuming intent behind every word and action builds deeper connections.When supporting a person living with dementia, we should always strive to see the world from their perspective.People living with dementia have the right to freedom. Diagnosis doesn't strip away autonomy; communities must safeguard choice.People living with dementia can grow and thrive. A diagnosis marks a new chapter, a comma not a period, and a life with dementia can be a life of meaning, growth, and joy with the right support. Proactive supports and services reduce the need for reactive interventions. Upstream conversations across sectors prevent crises and cut costs.A dementia-inclusive community is a strong community; everyone needs community, and communities need everyone. Inclusion benefits all, fostering connected, resilient societies.Venturini's work emphasizes collaboration, echoing a key model from Dupuis, Gillies, Carson, et al. (2012): the "Authentic Partnerships" framework. For more information visit https://dfamerica.org/

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1 week ago
29 minutes 23 seconds

ProAging Podcast
Never Too Late: Fitness Expert Sheila Agnew McCoy on Reinventing Health, Purpose, and Joy After 40

In a world that often glorifies youth, it's refreshing to hear stories that remind us: age is just a number, and reinvention is always possible. That's the core message from Sheila L. Agnew McCoy, a 74-year-old Chicago native, certified senior fitness specialist, and nine-year breast cancer survivor. In a recent interview with Steve Gurney of the Positive Aging Community, Sheila shared her journey from corporate burnout to empowering women over 40 through fitness, inspiration, and unapologetic self-love. "As long as the wheel keeps turning, keep going," she says with infectious energy. "Don't stop the wheel. You don't have to."

Sheila's story begins with a rebellious spark. As a teenager in Chicago, she once painted bold black stripes across her bedroom walls—a symbol of her spontaneous spirit that would define her life. Raised and educated in the Windy City, she spent a decade in corporate America before launching her own event planning and decorating business. But after 25 years of hustle, burnout hit hard. "I got burned out," she recalls, "and then I started doing women's programs."

What started as listening sessions revealed a deep need: inspiration, encouragement, and confidence-building for older women. Around age 40, menopause loomed large—"That is scary," Sheila admits—and it ignited her passion. She dove into research, wrote a slim book in the early 2000s encouraging women over 40, and began leading workshops. "I said, you know what? That's really what I always have wanted to do."

Fitness entered the picture organically. After gaining a few pounds from her demanding business, Sheila started walking, then biking along Chicago's lakefront. "It became a passion for me," she says. Not athletic in school—"The only thing I liked about athletes was the men's sports team; I liked going to the gym to pass by the boys' locker room"—she discovered joy in movement during her late 30s and early 40s. Hiring a personal trainer helped her feel confident in the gym, and soon, compliments rolled in: "Wow, you're looking good." That validation fueled her further.

Fast-forward to 1999: Sheila was a regular at gyms wherever life took her. At 65, a young trainer pulled her aside. "You should be a senior fitness specialist," he said. "I've been watching you, and other women are watching you too." She got certified, weaving it seamlessly into her workshops and book. Now, at 74, Sheila runs the Smart Path to Fitness for Active Adults, a program designed to dismantle excuses. "If you've never been to a gym, if you've never exercised, if you've got health problems—there's too many excuses out there," Steve notes. Sheila's response? Modifications for everyone, from chair exercises to wheelchair adaptations.

Her own health battles underscore this. As a breast cancer survivor, she's passionate about regaining range of motion post-surgery or during treatment—especially timely in October, Breast Cancer Awareness Month. One of her certifications is in corrective exercises, targeting imbalances from injury, surgery, or disease. "A disease does not have to stop you. Injury does not have to stop you," she insists. "You just have to get the correct program." She urges physical therapy and continuity: "I try to do modifications when I do exercises, so it could be for everyone."

Sheila's Facebook group, Lifestyle Fitness for Active Adults, offers quick exercises, meal preps, and motivation. Her website, sheilaagnew.com, is a gateway to workshops, her book, and more. As Steve urges: "I hope that our community members go there and get engaged with your community. You're a great inspiration."

In Sheila's words, it's simple: Start where you are, keep the wheel turning, and embrace the full you. At any age, that's the real reinvention.


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2 weeks ago
18 minutes 29 seconds

ProAging Podcast
Insights from Author David Emerson Frost on Thriving, Not Just Surviving

David Emerson Frost, a thought leader and author, brings a powerful and optimistic message about aging, purpose, and health in a recent conversation with the Positive Aging Community. Drawing on his diverse background as a Navy veteran, college athlete, and fitness writer, Frost argues that while aging is inevitable, thriving as we age is both possible and within reach through intentional action and holistic habits.

Central to Frost’s philosophy is the “7 S Model”—strength, stability, stamina, stretching, stress (or, more accurately, managing stress), restorative sleep, and an anti-inflammatory diet. He calls this the “Stamina 90” model, emphasizing that attention to these seven lifestyle pillars, most days of the week, is key to thriving into one's nineties. Frost warns against shortcuts like over-reliance on medications, advocating instead for movement, nutrition, and sound sleep to help people avoid or delay the onset of multiple health conditions.

Frost embraces global best practices, referencing Scandinavian concepts such as the joy of outdoor living, resilience, and “hygge”—practices that foster happiness and adaptability even in challenging conditions. He suggests that, in healthcare, we can learn from cultures that promote lifestyle changes before pharmaceutical interventions, emphasizing exercise and nutrition as first-line strategies before reaching for prescriptions.

Frost’s first book, "Ka Boomer," argues for an empowered approach to aging—where “Ka boomers” take steps, not just pills. His follow-up, "Strong to Save," targets Generation X and highlights the core importance of building multiple types of strength as we age, using Ruth Bader Ginsburg as a model for resilience. He encourages everyone to adopt resistance training, maintain functional strength, and leverage technology or natural supplements judiciously to augment wellness, always with a critical eye toward evidence and necessity.

Frost’s upcoming work, "Burden or Banish," explores a paradox central to aging: while most elders don’t want to become a burden, without planning and proactive health habits, that outcome remains common. The book aims to provide tools for minimizing the strain on caregivers and maximizing healthy years ("healthspan") by addressing top threats like heart disease early and consistently practicing preventive health measures.

The conversation stresses that social isolation, while a risk at any age, becomes especially damaging for older adults. Frost celebrates close friendships and family ties but notes the demographic shifts leading to more solo agers and the need for intentional connection and support. Drawing from the Blue Zones research and the Japanese concept of "ikigai" (purpose), he argues that finding purpose and staying connected—whether through volunteering, faith communities, or social clubs—rank among the top factors for happiness and longevity past age eighty.

Frost introduces the idea of a “physical portfolio,” likening the investment the government makes in each American’s life to the investment individuals must make in maintaining their health. He urges everyone to sustain their physical assets to match the immense value society places on life, reinforcing that the foundation for quality of life and independence is built day by day through intentional choices.

Frost closes with a call to courage: quoting Eleanor Roosevelt, he challenges everyone to do something uncomfortable each day and lean into growth. He reminds us that it is never too late to reinvent oneself, find new purpose, and build stronger, more supportive communities—aging, he insists, can be a platform for deeper wisdom, connection, and personal achievement.

This article is drawn directly from the conversation and insights shared by David Emerson Frost with the Positive Aging Community on October 10, 2025, highlighting practical strategies and hopeful perspectives for living well at any age.

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2 weeks ago
27 minutes 53 seconds

ProAging Podcast
The Backup Plan for Solo Agers: A Model for Community Support

At the heart of the discussion was Linda J. Camp, the creator of The Backup Plan. A Minnesota-based innovator with 28 years in the public sector and 15 years teaching adult learners, Camp's journey into solo aging advocacy was deeply personal. "I am one," she shared candidly, reflecting on her own life without family nearby and the long-distance caregiving struggles for her father, who lived alone in northern New York until dementia complicated his independence. "He looked like he had the support he needed, but he was actually a solo too."

Frustrated by the lack of tailored resources—barriers like rural isolation, urban overload, and suburban silos—Camp applied her systems-thinking expertise to design a scalable model. Over a decade of experimentation, she tested formats: from top-down information sessions (too passive) to unstructured peer groups (lacking direction). The result? A flexible framework that empowers rather than dictates.

"It's a model, not a program," Camp clarified in response to an audience query. Unlike expert-led workshops with predefined topics, The Backup Plan is a bottom-up approach for building self-managing peer groups of 6-12 solo agers. Key components include:

  • A Sponsoring Organization: Provides free meeting space and helps recruit participants through newsletters, word-of-mouth, or community networks. "They don't have to do very much," Camp noted—just enough to remove logistical hurdles like rental fees.
  • A Coach: Not a facilitator, but a guide who "keeps an eye on things" like a basketball coach from the sidelines. "The coach doesn't dribble the ball," Camp quipped, emphasizing the role's focus on gentle steering, feedback, and resource nudges.
  • Peer-Driven Tools: Free participant and coach manuals (copyrighted but licensed at no cost) offer frameworks, not checklists. They encourage results-oriented thinking: "Here's what we're trying to accomplish. Recognize that you are the expert of your own life." Examples abound for diverse contexts, from rural resource scarcity to urban abundance.

The model's goals are threefold: equip organizations to better serve solos, cultivate communities for shared problem-solving, and motivate individuals to tackle tough tasks like healthcare directives. "People hate doing them," Camp admitted, "but it makes a difference if everyone else is struggling too—they can talk it out and divide the research."

Research underpins the peer focus. Camp cited studies, including one from the University of Pennsylvania on the Oprah Book Club, showing peers drive change more than experts. "People buy books because their friend said it was good, not because Oprah did," she explained. This "tribe" dynamic builds not just plans, but lasting bonds that combat isolation.

In Minnesota, the impact is tangible: 12 active groups, two launching soon, and seven more organizations in the pipeline—more in greater Minnesota than the Twin Cities metro. "We're offering new infrastructure where resources are limited," Camp said proudly.

Julia Ockuly, the first Backup Plan coach and volunteer service coordinator at Longfellow Seward Healthy Seniors in Minneapolis, brought the model to life. Her group, part of a "living at home block nurse program," started in 2021 amid pandemic restrictions—fittingly, their inaugural meeting was outdoors in a gazebo. "We had about eight people," Ockuly recalled. "It was coming out of isolation, and they've stuck with it."

Challenges arose: Ockuly initially struggled to step back from leadership, and socializing often eclipsed planning. "People wanted to connect, which makes sense," she said. But evolution followed. The core group of 8-12 now blends monthly socials with guest speakers on topics like healthcare directives, solo travel, death doulas, green burials, and nature accessibility. "We've delved into end-of-life planning, but also community politics and safety," Ockuly shared.


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2 weeks ago
1 hour 2 seconds

ProAging Podcast
Discovering Memory Cafes: Building Community and Joy for Those Living with Dementia

In a podcast episode from the Positive Aging Community, Steve Gurney welcomed Mary Ek, Director of Dementia Friendly America (DFA), and Beth Soltzberg of the Memory Care Alliance to discuss Memory Cafes—innovative gatherings that transform community support for people living with dementia and their caregivers. This article summarizes their insights on the origins, impact, and future of Memory Cafes, emphasizing how these programs foster connection, reduce isolation, and challenge stigma.The Roots of Dementia Friendly AmericaMary Ek describes DFA not just as an organization, but a growing nationwide movement dedicated to building communities where people with dementia and their care partners can thrive. DFA began in Minnesota in 2011 as "Act on Alzheimer's" and expanded nationally after the 2015 White House Conference on Aging. Today, DFA partners with USAging, spans 400 communities, and supports over 225,000 trained “Dementia Friends”—people who learn to recognize dementia and respond supportively.Ek explains, “We do this through a multi-sector approach, knowing that everyone has a role in creating communities that welcome and engage those living with dementia and their care partners.” One recent DFA focus is its partnership with the Memory Cafe Alliance, whose directory and resources are now hosted on the DFA website.What Is a Memory Cafe?Beth Soltzberg, whose social work at Jewish Family & Children’s Service in Boston made her a leader of Memory Cafes, reports starting with eight participants in 2014; her network now serves nearly 2,000. Memory Cafes, originating in Holland and now global, offer welcoming, fun social gatherings for people experiencing cognitive changes and those who care about them.Cafes vary widely—some feature artists or musicians, others emphasize casual conversation. Venues range from libraries and museums to gardens and bowling alleys. A short video from the podcast captures their spirit: “Memory Cafes are welcoming gatherings for those with cognitive changes or dementia, along with caring family, friends, and professionals. It’s a social hour, which everyone needs.” Attendees say things like, “I learned joy at a memory cafe,” reflecting real emotional uplift.Combating Isolation and StigmaDementia can cause deep isolation due to symptoms, stigma, or misunderstanding. Soltzberg stressed how activities once enjoyed may become harder, increasing loneliness. Memory Cafes provide joyful, normalizing spaces to build new relationships and strengthen existing ones.By emphasizing fun and belonging, Cafes counter stigma. Soltzberg notes, “People can live with dementia for many years. They need to keep living their lives.” Ek points out that DFA’s Dementia Friends program teaches meaningful engagement for non-professionals, turning uncertainty into positive action.Real-Life Stories of ImpactPersonal stories reveal the transformative power of Memory Cafes. Soltzberg recounted helping a woman invite her decades-long friend with dementia to a music-themed Cafe. The invitation rekindled friendship and gave remote relatives peace of mind, knowing a joyful activity was scheduled. Ek shared how a man, long after his wife’s passing, remained close to other caregivers he’d met at a Cafe—proof that these are more than events, but life-changing connections.These interconnected initiatives remind us that dementia can be a catalyst for community and deeper connection. Soltzberg concluded, “People can live well with dementia. We need to work together to support that.” Learn more and find or launch a Memory Cafe at dfamerica.org or memorycafedirectory.com.

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3 weeks ago
29 minutes 31 seconds

ProAging Podcast
Building a Dementia-Friendly America

In a recent episode of the Positive Aging Community podcast, host Steve Gurney sat down with Mary Ek, a key figure in the Dementia Friendly America (DFA) initiative, to discuss how communities across the United States are transforming to better support individuals living with dementia and their care partners. Ek, who has been involved since the program's early days, shared the origins, growth, and impact of DFA, highlighting its role in fostering welcoming environments where people with dementia can live, engage and thrive.From Minnesota Roots to National MovementEk's journey with dementia-friendly efforts began in 2011 in Minnesota, where she helped launch a statewide initiative called Act on Alzheimer's. Initially an educator turned project manager, Ek was drawn into the work after raising a large family. "I was part of the group that led the effort to get this going in Minnesota before it was handed off as a national initiative in 2015," she explained. She rejoined the effort in 2022, working remotely for USAging (formerly the National Association of Area Agencies on Aging), and has witnessed the program's remarkable expansion.The initiative took root through Minnesota's Area Agencies on Aging, which spearheaded community-level changes. Recognizing its potential, the program went national at the 2015 White House Conference on Aging. USAging stepped up as the administrator, leveraging its network of over 600 area agencies on aging and Title VI programs to provide a backbone for the movement. "They've been powering the Dementia Friendly America movement since 2015," Ek said, noting how the model from Minnesota—starting small and creating ripple effects—has scaled nationwide.What Is Dementia Friendly America?At its core, DFA is a multi-sector approach to building communities where people with dementia and their care partners can live well, engage socially, and remain in their homes as long as possible. "It's essentially a multi-sector approach to creating communities where people living with dementia and their care partners can live, engage, thrive, play, and just live well with dementia," Ek described. It's not limited to healthcare; it involves businesses, faith communities, libraries, banks, first responders, and more. The goal is to equip everyone—from individuals to organizations—with simple tools to make environments more supportive.The Three Pillars of DFADFA rests on three interconnected pillars, each designed to drive change at different levels:Dementia-Friendly Communities: This community-level effort brings sectors together to adapt spaces and services. Over 400 communities have engaged, starting with small steps like making faith communities or libraries more accessible. "It truly is a ripple effect," Ek said, noting how volunteer-driven groups, departments on aging, or local foundations lead these flexible, adaptable initiatives.Dementia Friends USA: Adopted in 2016 as a sub-license from the global program originating in Japan, this individual-focused pillar educates people on recognizing dementia signs, communication tips, and taking action. Participants commit to simple acts, like supporting a neighbor or encouraging others to join. With over 225,000 Dementia Friends across the U.S. and sessions in more than 40 states (plus an online option), it's a catalyst for broader change. "We want to teach people to walk toward people living with dementia rather than away," Ek explained.Memory Cafe Alliance: The newest pillar, this partnership provides safe, welcoming spaces for people with dementia and their care partners to socialize. Over 500 cafes are listed on the DFA website, offering free gatherings with food, music, activities, or entertainment. "It's not about the diagnosis; it's about just celebrating all that they can do and enjoy together," Ek said. An online curriculum helps anyone start a cafe, often beginning with Dementia Friends training.

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3 weeks ago
18 minutes 32 seconds

ProAging Podcast
Empowering Hearts and Minds: Inside the Dementia Friends Program

In today’s world, aging brings both wisdom and challenges—yet conversations about dementia are too often whispered in the shadows of fear and stigma. What if a single one-hour session could replace those whispers with confident, compassionate action? That’s the promise of the Dementia Friends program: a global movement revolutionizing how communities support individuals living with dementia, and those who love them.On a recent Positive Aging Community podcast, host Steve Gurney spoke with Jennifer Hammer, Assistant Director of Dementia Friendly America at USAging, and Marty Williman, Program Director at the Ohio Council for Cognitive Health. Together, they described Dementia Friends as not just educational, but deeply human—designed to foster inclusion, reduce isolation, and demonstrate that living well with dementia is possible.A Global Movement Rooted in EmpathyDementia Friends isn’t clinical; it’s for everyone—neighbors, cashiers, librarians, even zoo staff. Launched in the US in 2016, the program is now part of a worldwide network across 50+ countries, aiming to change how we think, act, and speak about dementia. Under the umbrella of Dementia Friendly America and USAging, Dementia Friends works alongside the Dementia Friendly Communities initiative and Memory Cafe Alliance, each supporting those impacted by dementia. Williman noted, “We haven’t found a community sector yet that couldn’t use this information.” With most people with dementia living in their communities, not nursing homes, these programs help everyone play a part in creating supportive environments.Inside a Dementia Friends SessionSessions are casual, interactive, and welcoming—no prior knowledge required. Led by trained volunteers called Champions, each session covers basics: what dementia is, types, and risk factors. But the heart lies in five core messages—crowdsourced from people with dementia in the UK—that debunk myths with hope:Dementia isn’t a normal part of aging; it’s caused by brain disease.It’s more than memory loss—judgment, communication, and decision-making are also affected.Living well with dementia is possible, grounded in adaptation, dignity, and respect.Capping off the hour are practical tips and an “action pledge.” Participants receive resources customized for their region. Williman shared that nearly everyone knows someone impacted by dementia, and that the networking these sessions spark is often life-changing.From Fear to Hope: Real StoriesThe program’s impact is seen in how perceptions shift: Asked what words come to mind before and after a session, people move from “fear” and “regression” to “hope,” “respect,” and “fighter.” Williman recalled an attendee who decided to reconnect with a sibling living with dementia after years; others, like first responders and adult day staff, now embed Dementia Friends in orientation and ongoing training. Ohio’s program is adapted for developmental disability communities, faith groups, and even those aging in incarcerated settings—underscoring its universal relevance.Looking Ahead: Dementia FriendsgivingMomentum for Dementia Friends is building. On November 18, 2025, Dementia Friendly America will host its free “Dementia Friendsgiving” event, with expert sessions, networking, and a keynote by acclaimed dementia educator Teepa Snow. Hosted by Gurney, it’s a major national inflection point for inclusion and learning. Find details and registration at dfamerica.org.Why This MattersDementia touches people of all backgrounds—young, old, at book clubs or airports. Dementia Friends proves that awareness bridges stigma and empathy, empowering anyone to make a difference. Hammer summed up the impact: “This is the most positive job I’ve ever had.” Williman emphasized the ripple effect: change starts with one person, one action, one community. Interested in making a difference? Attend a session at dfamerica.org.

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3 weeks ago
20 minutes 42 seconds

ProAging Podcast
A Life of Moves and Meaning: Journey to a Life Plan Community

In a world where many approach retirement with caution, Rita Collins stands out as a beacon of proactive living and boundless curiosity. A former teacher, entrepreneur, and world traveler, Rita recently shared her remarkable story in an interview with Steve Gurney of the Positive Aging Community. Now a resident at Roland Park Place, a life plan community in Baltimore, Maryland, Rita's path to this new chapter is as unconventional as it is inspiring. Her tale weaves together global moves, innovative businesses, and a deep commitment to community—offering valuable lessons for anyone navigating the complexities of aging.


Rita's story begins with a lifelong love of exploration. From her twenties onward, she has lived in eight U.S. states and two countries overseas, embracing change as an opportunity rather than a challenge.

Her professional life has been equally diverse in her sixties, she sought a fresh adventure. Living in rural Montana—a town of just 1,500 people—she dreamed of opening a bookstore. Recognizing that a traditional brick-and-mortar shop wouldn't thrive in such a small market, she innovated: a traveling bookstore housed in a van.

This wasn't Rita's first foray into entrepreneurship. In the early 1990s, shortly after moving to Montana, she co-founded a nonprofit to address gaps in arts, adult education, and social services in her community.

Rita's move to Montana in the early 1990s stemmed from visits to friends and the affordability of land at the time. She and her then-husband bought property while living in Portland, Oregon, eventually relocating full-time. There, she taught at a community college, built deep community ties through her nonprofit, and immersed herself in local life. But after a decade, personal challenges—a failing marriage and the events of 9/11—prompted another shift. Seeking a fresh start, she took an eight year overseas adventure with teaching job in Romania (two years), then in the Czech Republic (six years). 

Upon returning to Montana, Rita launched her traveling bookstore, which became a success.

Rita approached her relocation with the same planning prowess she applies to everything. She created a spreadsheet of criteria: an urban setting for walkability, a nonprofit organization for financial stability, onsite management, and no affiliation with a large corporation. As a lifeplan/continuing care retirement community (CCRC), it needed to offer seamless transitions to assisted living or memory care if needed—eliminating future upheavals.

Leveraging her bookstore travels, Rita visited potential communities in Portland, Seattle, Chicago, Washington D.C., and Baltimore. Roland Park Place emerged as the clear winner. "Hands down, it met all my criteria," she says.

Life at Roland Park Place balances independence with community support. With about 250 residents in independent living, spanning ages from the sixties to over 100, the population is diverse in interests and backgrounds. Rita appreciates the arts programming—concerts, painting, music—and the administration's responsiveness.

For Rita, the move was about more than convenience; it was about building a network proactively. As a solo ager without close family ties mentioned in the interview, she values having a ready community for potential health changes. "I wanted to develop that community before it was a necessity," she explains, contrasting it with those who move later in life and struggle to form bonds. The CCRC model ensures continuity: "All of that is on campus and would be seamless."

At the heart of Rita's story is St. Rita's Traveling Bookstore (/saintritasbooks.com), now in its 11th year. Housed in a high-top van stocked with 700-800 volumes organized by category, it's a portable haven for readers.


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1 month ago
28 minutes 3 seconds

ProAging Podcast
PACE® - Programs of All-Inclusive Care for the Elderly

The Positive Aging Community recently hosted a discussion on the PACE (Program of All-Inclusive Care for the Elderly) program, featuring Ron Hess, Executive Director of Cherry Blossom PACE. The PACE program is a comprehensive healthcare solution designed to help older adults remain in their homes rather than moving to institutional settings. It provides a coordinated package of medical, physical, emotional, and social services, including transportation, delivered by a familiar team. Originating in San Francisco in the 1970s, PACE has expanded to over 180 programs across 33 states, offering a cost-effective alternative to traditional Medicaid services. The program is available to individuals aged 55 and older who meet specific medical and residency criteria. While most participants are enrolled in Medicaid, PACE also accommodates those with Medicare or private pay options. The discussion highlighted the program's adaptability, its role in facilitating proactive care, and its partnerships with various healthcare providers. For those interested in starting a PACE program, the National PACE Association offers resources and guidance. The session emphasized the importance of reaching out to local PACE programs for personalized assistance and information. 

  • Ronald Hess ronald.hess@cherryblossompace.com
  • National PACE Association
  • PACE Programs Nationwide: Comprehensive Directory of 186 Providers Across 33 States

Cherry Blossom PACE Contact Information

  • Phone: 571-789-0770
  • Toll-Free: 888-524-2060
  • Fax: 571-775-3946
  • Email (General): info@cherryblossompace.com
  • Email (Enrollment): enrollment@cherryblossompace.com
  • Website: https://cherryblossompace.com
  • Address: 1901 N. Beauregard St., Ste. 110, Alexandria, VA 22311

Who Is Eligible for PACE?

Eligibility for PACE is determined by four basic criteria:

  • Age 55 or older

  • Residency within a defined service area (determined by zip code)

  • State-specific medical eligibility—typically requiring some assistance with daily living due to health conditions

  • Ability to be safely served in the community

Each program performs its own assessment to determine if participants can be safely supported outside of institutional settings. The Cherry Blossom PACE program, for example, serves Alexandria, Fairfax, and Arlington counties in Northern Virginia and provides transportation and home services within those regions.

While most PACE participants are Medicaid recipients, qualifying for Medicaid is not a requirement. For those with Medicaid, care is typically covered in full. Participants without Medicaid may enroll via Medicare, or privately, paying a fixed monthly premium (often less than what a nursing facility would cost), with all specialty care, medications, and transportation included—no copays or deductibles.

PACE is designed to be efficient: on average, states spend about 12% less on PACE enrollees compared to other Medicaid services. Importantly, the program has shown resilience to Medicaid funding changes, remaining largely insulated from recent cuts.

PACE is much more than an adult day program or a simple provider network. It operates as both a health plan and provider, coordinating hands-on healthcare, specialty services, medications, and transportation. Cherry Blossom PACE, for instance, partners with local vendors, specialists, and service providers to deliver everything from home modifications to primary care, while maintaining a closed pharmacy model for safety and consistency.

Even continuity with outside primary care providers is possible if a contract is in place. The essential principle is flexibility and individualized care planning. Home care, for example, can include assistance with meals, exercises, and companionship—tailored to each participant’s daily needs and lifestyle.



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1 month ago
1 hour 5 minutes 22 seconds

ProAging Podcast
Rewire Retirement: How Purpose, Neuroscience, and Microsteps Transform the Next Chapter of Life

Retirement is often envisioned as the reward at the end of a long career, but too many people find themselves adrift once finances are settled, lacking a sense of purpose and fulfillment. Cyn Meyer, author of "The Rewire Retirement Method: Ailing from Aimless to Amazing," and founder of Second Wind Movement, offers a transformative approach to redefining retirement—one built not on financial spreadsheets, but on neuroscience, clarity, and sustained personal growth.From Aimless to Amazing: Redefining RetirementTraditional retirement planning focuses almost exclusively on money—401ks, nest eggs, and the dream of untethered leisure—but the real challenge is psychological and emotional. Meyer’s experience as a life coach for retirees, combined with personal family events and a background in neuroscience, led her to create a system that unlocks genuine fulfillment after career ends. She saw firsthand retirees with substantial assets fall into a "retirement rut": losing momentum, purpose, and zest for living, which often gives way to anxiety, depression, and a sedentary lifestyle.The Rewire Retirement SystemMeyer’s method, built into a three-month program and distilled in her book, centers around clarity before action. Instead of rushing to fill time with stereotypical pursuits like pickleball or beach days, her system guides individuals to uncover their authentic identity for this new phase. The process leverages neuroscience, notably the reticular activating system (RAS), prodding the brain daily toward new, meaningful pathways that fuel purpose.The method breaks retirement into "Five Rings," each representing a part of this holistic journey:Giving Back: Community involvement, volunteering, sharing wisdom.Recreation: Physical, creative, and leisure pursuits.Connection: Building deeper relationships and family ties.Personal Growth: Learning new skills, overcoming challenges.Legacy: Creating impact and meaning, be it through family, professional boards, or artistic expression.Rather than an all-at-once overhaul, the program recommends microsteps—small, daily actions (about 20 minutes a day)—to incrementally build a life that is both unique and deeply satisfying. The approach emphasizes that retirement is a launchpad for upward growth, not a period of descent or withdrawal.Real Success and ResilienceThe outcomes of Meyer's approach are as unique as the individuals who use it. Some find renewed drive—like the client who, after severe health setbacks and mini-strokes, used the microstepping system to reconnect with family, grow stronger physically, and hike mountains by age 70. Others discover latent passions, such as joining professional boards, writing books, or grandparenting with deeper relationships.Importantly, Meyer notes that the age at which someone begins this journey is irrelevant—what matters is the internal search for what’s missing. Everyone is vulnerable to feeling "rudderless" if purpose is lacking, regardless of physical health or previous achievements. Her message is clear: when that subtle void appears, it’s time to act.Individuality Over ComparisonOne vital lesson Meyer shares is to resist comparing retirement journeys. Each person is an individual, with unique dreams, goals, and intrinsic motivators. The path in this new chapter should be drawn inwardly, not by keeping up with the societal or financial benchmarks of others.Getting Started: Tools and AccessFor those interested, Meyer offers entry points through her website, SecondWindMovement.com, which includes a free masterclass and courses such as the 14-day Purpose Jumpstart. Her book is available for deeper self-guided exploration. The goal is accessibility for anyone, not just those who can afford private coaching.

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1 month ago
23 minutes 50 seconds

ProAging Podcast
Insights from Aging Life Care Experts: Navigating Challenges in Elder Care

In a compelling virtual roundtable hosted by Steve Gurney on the Positive Aging Community platform, three seasoned Aging Life Care Managers (ALCMs) shared their expertise and personal journeys on September 10, 2025. Featuring Samantha McDaniel of Aging Individualized (Maryland), Leslie Mason of Seabury Care Management (DC metro area), and Annette Murphy of Spring Point at Home (New Jersey), the discussion offered a deep dive into the holistic role of ALCMs, addressing real-world challenges like dementia care, emergency preparedness, and family dynamics. Spanning 14 pages of transcribed insights, this session provided actionable strategies for families and professionals alike.

The panelists’ diverse backgrounds underscored the adaptability of ALCMs. Samantha McDaniel, a solo practitioner with over 10 years in senior living, founded Aging Individualized to deliver personalized care across Maryland and virtually. Her shift from community roles to home-based support was driven by a desire to "impact change" directly where clients live. Leslie Mason, a clinical manager at Seabury since 2004, transitioned from teaching and pediatric social work after a chance hospital encounter with a care manager, now serving older and disabled adults in the DC region. Annette Murphy, leading Spring Point’s home division, brought a geriatrics-focused career from therapy and social work, joining the field after mentorship from a national ALCM, seeking freedom to follow clients’ needs.

Annette Murphy clarified the ALCM role, noting that the term “Aging Life Care” is trademarked by the Aging Life Care Association (ALCA), requiring vetted members to adhere to a strict code of ethics. With backgrounds in social work, nursing, gerontology, or recreation therapy, ALCMs assess the “whole person”—physical, emotional, social, and environmental needs—crafting tailored care plans. Gurney likened them to “wedding planners,” “quarterbacks,” or “wing people” for aging, emphasizing their role in resource navigation and mediation. Leslie Mason added that ALCMs are “big thinkers” who dive into details to enhance quality of life, while the ALCA’s eight knowledge areas (e.g., health, housing, legal) guide their practice. Families can find local ALCMs via the ALCA website by zip code.


Dementia Care and Initiating Change (Samantha McDaniel): McDaniel noted a rise in calls from families struggling to start conversations with loved ones with dementia. In one case, a woman with mid-stage dementia, isolated and calling ambulances frequently, shifted to assisted living after McDaniel’s questions about quality of life—“What do you wake up for?”—led to a self-initiated respite stay where she thrived. She emphasized ALCMs as mediators, helping families navigate resistance objectively.

Young Onset Dementia and Dual Needs (Leslie Mason): Mason highlighted the growing challenge of young onset dementia (e.g., Alzheimer’s under 65), where resources for older or middle-aged adults fall short. Seabury’s information line addresses this “heartbreaking” gap, while she also supports parents of adult children with disabilities facing physical limits, requiring dual-age management.

Emergency Preparedness as a Gift (Annette Murphy): Murphy introduced a crisis planning kit, mandated for Spring Point clients, covering evacuation plans, water shutoffs, and “go bags” with emergency contacts. Inspired by her FEMA experience, she framed it as a “roadmap” for solo elders and out-of-state families, addressing power outages and snowstorms. This initiative, expandable to all ALCMs, offers peace of mind.

Handling Complex Family Dynamics (Tina’s Case): Tina’s question about a verbally threatening mother, despite a social worker’s involvement, led to suggestions: home-visiting physicians for documentation, psychiatric crisis intervention if needed, and building a professional network. The panel urged assessing competence and risk, offering post-call consultations.



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1 month ago
55 minutes 38 seconds

ProAging Podcast
Navigating Life's Transitions: Insights on Retirement and Reinvention

Conversation on the Positive Aging Community platform, host Steve Gurney sat down with George Jerjian, an author, speaker, and thought leader specializing in life's transitions. Jerjian, whose latest book is Odyssey of an Elder, shared his personal journey from a life-altering health scare to embracing retirement as a profound opportunity for growth. The discussion delved into themes of identity, purpose, gratitude, and adventure, offering valuable lessons for anyone approaching or navigating later life stages.A Wake-Up Call: From Diagnosis to DiscoveryJerjian's transformative path began in 2007 when he was diagnosed with a bone tumor and given just six months to live. Contrary to expectations, the experience didn't fill him with fear of death itself but rather concern for his teenage daughters. Miraculously, the tumor proved non-cancerous, but the brush with mortality reshaped his priorities. "Time is the most important thing," Jerjian emphasized, prompting him to semi-retire after a successful career.However, after 18 months of leisure, boredom and resentment set in. In 2016, seeking clarity, Jerjian embarked on a 30-day silent retreat inspired by Ignatian spiritual exercises—a rigorous program of introspection, often drawing from Catholic and Buddhist traditions. Isolated from external distractions like news, TV, or books, he conducted a deep "audit" of his life, reflecting on past homes and experiences. This revealed a key insight: "None of the good things could have happened without the preceding bad things." Crises, he realized, are turning points rather than endpoints.This epiphany led to his first book, Spirit of Gratitude: Crises are Opportunities, where he profiled 12 stories illustrating how challenges foster growth. Jerjian challenged the cultural view of retirement as a "problem," arguing it's a fork in the road where one's work-tied identity must evolve. He also highlighted how physical spaces, like homes, can anchor identity, urging listeners to declutter—both materially and emotionally—to make room for new beginnings.The DARE Method: A Framework for ReinventionCentral to Jerjian's philosophy is his DARE method, an acronym standing for Discover, Assimilate, Rewire, and Expand. He described it as a courageous approach to unretiring and crafting a fulfilling next chapter:Discover: Understand retirement's history and essence—it's not just financial planning but life planning. Jerjian referenced ancient thinkers like Cicero, who viewed old age as life's "crown," countering modern society's dismissal of elders as obsolete.Assimilate: Absorb new knowledge about the mind, particularly the subconscious. Willpower alone fails; the subconscious often sabotages goals. Jerjian stressed that we are not our thoughts but observers of them, advocating for releasing unhelpful ones.Rewire: Rewrite limiting stories from childhood, family, or society. By "recording over" old narratives, individuals can foster positive change.Expand: Counterintuitively, retirement should involve growth, not contraction. Gratitude plays a scientific role here, connecting thinking and thanking to open doors for more abundance. Jerjian advocated shifting from consumerism's dissatisfaction to a service-oriented mindset, inspired by Samurai ethos.Jerjian ties this to broader societal benefits, noting that serving others alleviates personal troubles and infuses life with nobility.

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1 month ago
45 minutes 4 seconds

ProAging Podcast
The Death Deck: Facilitating Meaningful End-of-Life Conversations

In a recent discussion hosted by Steve Gurney of the Positive Aging Community, Lisa Pahl, a licensed clinical social worker and co-creator of The Death Deck, shared insights into her innovative tool designed to spark meaningful conversations about end-of-life decisions. With 18 years of experience in hospice care and eight years in emergency medicine, Pahl identified a critical gap in how families approach death and dying. Too often, the absence of prior discussions leads to conflict and distress when making healthcare decisions during a medical crisis. The Death Deck, created in 2018, aims to bridge this gap by encouraging open dialogue in a lighthearted yet profound way. Pahl, who became the sole CEO of The Death Deck after buying out her business partner in 2025, continues to expand its reach.What is The Death Deck?The Death Deck is a card game designed to make end-of-life conversations more approachable. By incorporating humor and multiple-choice questions, it helps individuals and families discuss sensitive topics without the heaviness that often accompanies them. Pahl explained that the deck was born out of her desire to reduce chaos and uncertainty at the end of life by empowering people to share their preferences well before a crisis. In 2023, Pahl and her team expanded their offerings with the EOL (End of Life) Deck, a professional tool tailored for hospice and palliative care settings. This deck adopts a softer tone with less humor, focusing on detailed end-of-life preferences.A third deck, the Dementia Deck, is set to launch on September 1st in collaboration with Compassion and Choices. This deck, inspired by their Dementia Values and Priorities Tool, helps individuals articulate care preferences for different stages of dementia, addressing a condition many fear more than death itself.Why These Conversations MatterPahl emphasized that discussing end-of-life wishes is like exercising a muscle—it requires practice to become comfortable. Many avoid these conversations due to fear, believing that talking about death might somehow hasten it. The Death Deck’s cards prompt reflection on personal and family attitudes toward death. For example, one card asks, “Growing up, my family dealt with death by: A) talking openly, sharing feelings, stories, and dark humor; B) in a no-nonsense sort of way—shit happens, you move on; or C) keeping it all bottled up and avoiding any discussion.” Pahl shared that her upbringing leaned toward options A and B, with humor often used to cope, while Gurney noted that his family leaned toward avoidance, but his professional work has shifted his perspective, encouraging more open dialogue.How The Death Deck is UsedThe Death Deck serves as a versatile tool for both families and professionals. For families, it provides a structured yet approachable way to discuss end-of-life wishes, often using humor to ease tension. Professionals, particularly in hospice and palliative care, find the cards useful for initiating conversations without making patients or families feel overly vulnerable. As Pahl noted, “It feels a little less vulnerable when I am reading something off a card than if I’m just staring into your eyes asking how you feel about visitors as you’re declining.”A Tool for Living WellUltimately, The Death Deck is not just about preparing for death—it’s about living more intentionally. As Pahl and Gurney discussed, reflecting on end-of-life preferences often prompts people to prioritize relationships and values in the present. For those interested in exploring this tool, The Death Deck and its companion decks are available at thedeathdeck.com, where additional resources and a blog provide further support for end-of-life planning. As Pahl’s work demonstrates, embracing these conversations can transform fear into empowerment, ensuring that both life and death are approached with clarity and connection.

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2 months ago
28 minutes 38 seconds

ProAging Podcast
Celebrating 30 Years of Care Plus Home Health: A Conversation with Tom and Heather Najjar

Steve Gurney of the Positive Aging Community recently sat down with Tom Najjar, Co Founder & President, and Heather Najjar, Co Founder & Chief Clinical Officer of CarePlus Home Health, to reflect on the organization’s three decades of service, its deep roots in the community, and its vision for the future.A Personal Start Focused on QualityCarePlus Home Health was founded in 1995 when Tom Najjar was caring for his father during end-of-life. The experience inspired him to launch CarePlus not only as a business but as a mission to provide quality, compassionate care. From the start, Tom emphasized quality over growth: “We wanted to have a good reputation and rely on referrals rather than advertising. We built a reputation we’re proud of and made many partnerships within the community.”Leadership with Clinical StrengthHeather Najjar, a doctorally-prepared nurse practitioner with 32 years of experience, helms the clinical side of CarePlus. She leads a robust team, all registered nurses, ensuring education and professional development are continual priorities. “Our clinical leadership team is especially strong,” Heather shared, highlighting ongoing training and opportunities for caregivers to develop their skills.Flexible, Community-Based CareCarePlus stands out for its adaptable approach to home care. The organization has established close partnerships with a variety of residential settings, including independent and assisted living communities, and offers what it calls "flex care." This allows clients to receive services starting at just 30 minutes and up to full 24/7 care, making professional support accessible and affordable even for those who might only need occasional help.Heather noted the unique value CarePlus brings to independent living communities that lack in-house healthcare: “We fill the gap where there’s either no care or not enough care, providing everything from hands-on support to light housekeeping and transportation.”Commitment to Excellence in TrainingA key differentiator is CarePlus’s investment in professional training. All caregivers undergo an annual two-day skills event as well as in-person orientation and return demonstrations for new employees. The clinical team regularly refreshes caregiver skills and provides remediation when needed. Tom credits much of the company’s reputation and client satisfaction to this strong foundation of education and support: “The strength is the clinical team, making sure our caregivers are up to speed on what they need to know and do.”A Culture of Collaboration and Giving BackTom and Heather emphasized the importance of collaboration—both within their team and across the wider caregiving community. Tom reflected, “I don’t look at competitors as competitors. We refer to and rely on each other for services and information. It makes us all stronger.” This collaborative ethos extends to supporting other agencies and building a network of trusted providers.Looking Back and AheadWith staff members who have remained part of the CarePlus team for decades, Tom and Heather are proud of the supportive community they’ve built, not only among clients and families but also within their own organization. As Heather summed up: “I love the focus on training and a career path for our caregivers. It's a wonderful mission.”As CarePlus enters its fourth decade, the Najjars’ commitment remains unwavering: delivering personalized, quality care while supporting caregivers and the entire community. Their story showcases what’s possible when compassion, professionalism, and community engagement come together in service of others.

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2 months ago
17 minutes 14 seconds

ProAging Podcast
Understanding Wound Care and the Transformative Benefits of Mobile Wound Care

Wound care is a vital aspect of healthcare, particularly for people with chronic or complex wounds, such as diabetic foot ulcers, pressure ulcers, venous leg ulcers, and post-surgical wounds. In the United States, these wounds affect about 6.5 million individuals, with annual costs exceeding $25 billion. They commonly arise from diabetes, poor circulation, or immobility, and if left untreated, can result in infections, amputations, and reduced quality of life. Recently, mobile wound care has emerged as an innovative solution that brings specialized treatment to patients’ homes or care facilities. This article synthesizes the essentials of wound care, highlights the benefits of mobile wound care, and shares insights from a Positive Aging Community discussion with Ashley Harris (Advanced Mobile Wound Care of Virginia) and Andre Atkins (Alternate Solutions Home Health).

Watch the episodeWhat is Wound Care?Wound care comprises medical interventions to promote healing and avoid complications in wounds that don't heal naturally. It involves cleaning, debridement (removing dead tissue), dressing changes, infection prevention, and advanced therapies like biologic grafts or negative pressure wound therapy.Benefits of Mobile Wound Care1. Accessibility and ConvenienceMobile wound care overcomes logistical obstacles—patients no longer need to arrange transportation or travel long distances. Providers deliver care wherever the patient resides, ensuring consistent treatment for those with mobility or scheduling challenges.2. Advanced Technologies and ExpertiseMobile providers use advanced tools like biological placental grafts and ultra-mist debridement systems, increasing comfort and healing rates. These certified specialists focus only on wound management for high-level care.3. Improved Compliance and HealingPain, transportation, or dissatisfaction can lead to missed appointments and slow healing. Mobile care ensures regular visits, cutting down cancellations and enhancing adherence. Consistent care can reduce hospitalization rates and risk of reinfection.4. Personalized, Collaborative CareTreatment plans are tailored in collaboration with physicians, home health agencies, and caregivers. Providers like Harris emphasize close work with home health teams to ensure continuous care between visits.5. Patient Choice and EmpowermentPatients can request mobile wound care, especially when traditional options are inaccessible or ineffective, giving them more control over their healing journey.6. Support for Care FacilitiesMobile wound care reduces administrative burdens for care facilities by providing on-site expertise, letting staff focus on daily caregiving while residents receive specialized treatment.While mobile wound care offers notable advantages, some cases may still require hospital-based interventions. Availability can vary by location, and the post-pandemic loss of experienced clinicians has made these specialized teams even more valuable. Mobile wound care teams combine advanced skills with patient education, supporting effective wound management between visits.Overall, mobile wound care is a major advancement for patients with chronic or complex wounds who face barriers to traditional care. By delivering specialized, evidence-based treatments at home or facility, providers like Advanced Mobile Wound Care of Virginia and Alternate Solutions Home Health are improving healing, reducing complications, and elevating quality of life. As highlighted by Harris and Atkins, the combination of advanced technology, expertise, and patient-centered care makes mobile wound care a transformative option for those in need. To learn more, individuals can contact providers or consult their home health agency about available options, as mobile wound care continues to grow as a compassionate, effective solution.

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2 months ago
18 minutes 7 seconds

ProAging Podcast
“I am not ready yet!” Open Forum and Q&A

The phrase "I'm not ready yet" is a common refrain in elder care, as Steve Gurney, founder of the Positive Aging Community, shared in a 2025 webinar. Heard daily for 35 years, it reflects hesitation to plan for aging, from housing to legal prep. A community-driven discussion, sparked by surveys and a concise PowerPoint, unpacked this sentiment's roots, risks, and solutions.What It MeansGurney’s slides listed key triggers: aversion to age-segregated living, affordability fears, emotional downsizing burdens, resistance to strangers in the home, and denial of health decline. Participants added depth via chat: Pam said, “We don’t see ourselves as old. I’m frozen at age 53.” Dixie noted, “Folks aren’t ready to face mortality.” These reflect self-perception and fear, often tied to ageism—prejudice against one’s future self.Why We HesitateEmotional attachment to homes, financial uncertainty, and independence fears drive delays. Gurney highlighted longevity concerns: with people living past 90, costs loom large. Health denial—“I’m fine now”—blocks planning for scenarios like dementia. Attendees like Wally feared becoming a burden, while Joe said it’s easier to imagine death than incapacitation.Risks of DelayProcrastination limits options, as Gurney’s slide warned. Health crises or emergencies force rushed choices, reducing control. Early planning ensures choice in living arrangements and access to benefits like social programs or peace of mind. Phyllis shared her mother’s 19-year dementia journey, showing aging in place is possible but tough without prep.Helping OthersTo counter “I’m not ready yet,” Gurney advised empathy: “I get it—I don’t want to leave my home either.” Encourage open talks about fears, share stories of regretful delays, and suggest gradual steps like adult daycare “test drives.” Legal prep—wills, trusts, advance directives, HIPAA forms—was urged by attendees like Florence.Moving Forward“I’m not ready yet” is human but surmountable. The webinar’s breakout rooms fostered candid chats, reinforcing community as key. Planning now—whether for housing, care, or documents—offers control and dignity. As Gurney’s platform, positiveaging.com, provides resources, the message is clear: readiness shapes a purposeful future.

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2 months ago
25 minutes 33 seconds

ProAging Podcast
You’d Better Not Die Or I’ll Kill You: A Caregiver’s Survival Guide to Keeping You in Good Health and Good Spirits

Engaging discussion features Steve Gurney from the Positive Aging Community and bestselling author Jane Heller, focusing on her book "You'd Better Not Die or I'll Kill You: A Caregiver's Survival Guide to Keeping You in Good Health and Good Spirits." Jane shares her journey from a book publicist to a successful author, highlighting her personal experiences as a caregiver for her husband, Michael, who has Crohn's Disease, and her mother, who had dementia. The conversation delves into the challenges and strategies of caregiving, including the importance of humor, maintaining personal health, and building a supportive community. Jane emphasizes the necessity of having an advanced directive and shares insights on dealing with medical professionals and the emotional toll of caregiving. The discussion also touches on the unexpected friendships and personal growth that can arise from caregiving experiences. Jane's candid reflections offer valuable advice and encouragement for those navigating the complexities of caregiving.

More information: https://janeheller.com/

Book on Amazon: You'd Better Not Die or I'll Kill You: A Caregiver's Survival Guide to Keeping You in Good Health and Good Spirits


Recording Link: https://www.retirementlivingsourcebook.com/videos/you%E2%80%99d-better-not-die-or-i%E2%80%99ll-kill-you-a-caregiver%E2%80%99s-survival-guide-to-keeping-you-in-good-health-and-good-spirits

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2 months ago
57 minutes 23 seconds

ProAging Podcast
Insights from Howard Gleckman on Medicare and Medicaid Changes

Howard Gleckman, a senior fellow at the Urban Institute and Forbes columnist, provided a comprehensive overview of recent public policy changes affecting older adults. Drawing from his expertise in aging and tax policy—stemmed from personal caregiving experiences—Gleckman analyzed the implications of the Trump administration's "big beautiful bill" and related executive actions as of August 2025. The focus was on Medicaid and Medicare reforms, which could reshape long-term care, costs, and access for millions of seniors and people with disabilities.

Medicaid, which supports about 7.2 million seniors and 4.8 million younger disabled individuals (dual eligibles), faces a $1 trillion reduction in federal spending over the next decade. Key changes include:

  • Work Requirements and Paperwork: Starting potentially in December 2026, states must impose work mandates, though older adults and those with disabilities are exempt. Family caregivers' status remains unclear, risking benefit loss for those quitting jobs to provide care. Recertification is now required at least twice yearly, increasing administrative burdens and potentially deterring eligible recipients.
  • Funding Reductions: Limits on state provider taxes (e.g., on nursing homes) will cut federal contributions by about $120 billion starting in 2028. Expansion states under the Affordable Care Act lose extra funding from January 2026, forcing tough choices: cut benefits, limit eligibility, or raise taxes. Gleckman warned that optional home and community-based services (HCBS) are most vulnerable, as nursing home care remains mandatory. While the bill allows states to expand HCBS for less needy individuals without lengthening waitlists, funding cuts make this unlikely.
  • Staffing and Workforce Impacts: The bill repeals Biden-era minimum staffing rules for nursing homes until 2034. Combined with mass deportations, this exacerbates shortages of direct care workers, driving up costs for facilities and families.

Gleckman emphasized that states may prioritize institutional care over community-based options, potentially worsening outcomes for older adults preferring to age at home.

Despite campaign promises to protect Medicare, changes aim to curb fraud, boost efficiency, and emphasize prevention—but at the risk of higher costs and reduced access:

  • Prior Authorization Expansion: For the first time, traditional fee-for-service Medicare will require prior approval for 17 procedures (e.g., back surgeries, pain injections) in a six-state demo (New Jersey, Ohio, Oklahoma, Texas, Arizona, Washington). CMS plans to use AI for reviews, with human oversight.
  • Payment Adjustments: Skilled nursing facilities see a 2.8% payment increase for 2026, deemed insufficient by the industry. Home health agencies face a 6.4% cut ($1 billion+), sparking bipartisan opposition. The Labor Department repealed Obama-era rules, allowing home care workers to earn below federal minimum wage ($7.25/hour) and exempting them from overtime, per state laws.
  • Enrollment and Programs: Easier enrollment in Medicare Savings Programs (for low-income beneficiaries) is delayed until 2034. The GUIDE program for dementia care navigation continues but with penalties if it fails to improve outcomes or save money. Value-based care is expanding, rewarding providers for quality over volume.
  • Drug Pricing and Hospice: Trump favors "most favored nation" pricing to align U.S. drug costs with foreign markets, potentially supplementing Biden's negotiations. Hospice faces crackdowns on alleged fraud, though details are pending.

Gleckman noted deregulation of nursing homes (e.g., rolling back transparency rules) and potential reductions in Medicare Advantage supplemental benefits like gym memberships due to insurer financial pressures.


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2 months ago
1 hour 3 minutes 14 seconds

ProAging Podcast
Aging Life Care Manager® Roundtable Discussion

An engaging and informative live & interactive session where Aging Life Care Managers® come together to share their knowledge and best practices. 

  • Marie Woodard (Marie@independentyou.net)
  • Megan Descutner (megan@goldenpondvirginia.com)
  • Soni Pahade (soni@agingadvisors.com)

Summary of the Chat Transcript (see full transcript here):

  • The discussion centers around Aging Life Care™ (also known as geriatric care management), its role, certifications, and practical considerations for families and professionals caring for aging adults or those with disabilities. Key themes include:
  • Resources Mentioned
  • International Commission on Health Care Certification (ICHCC)
    Website: www.ichcc.org
    Provides Certified Geriatric Care Manager (CGCM) credential, though not ALCA-recognized.

  • Booklet by Soni Pahade

    • Details and questions for interviewing Aging Life Care Managers (available through Soni—no direct upload provided in chat).

  • Retirement Living Sourcebook Article
    Understand Aging Life Care™ – Guides and advocates for families
    Website: www.retirementlivingsourcebook.com (link noted as non-functional in chat).

  • Legal Advice:

    • Any qualified estate planning attorney can update wills and POAs, no need to return to the original drafting attorney.

    • The importance of elder law attorneys for legal matters related to aging.

  • HandyPro (Ali Soltani contact)
    Website: handyprowdc.com
    Offers free consultation services in VA, MD, and DC area.

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2 months ago
56 minutes 29 seconds

ProAging Podcast
Discussions on a variety of topics related to positive aging and the longevity marketplace. These podcasts are recordings of our live digital discussions on the Zoom platform, to view all recordings and see the upcoming schedule, visit https://www.retirementlivingsourcebook.com/digital-discussions