Official Publication of Age Concern Hawkes Bay

See inside for local contact details

Winter 2016

Serving the needs of older people

Hawkes Bay

A Pukeko Print & Design Ltd publication. For advertising phone Monique (07) 577 9092 or email monique@pukekoprint.co.nz | www.pukekoprint.co.nz | Please refer to website for disclaimer

Serving the needs of older peopleHawkes Bay

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Age Concern Havelock North41 Middle Road, Havelock North Postal address: PO Box 8733, Havelock North 4157Phone: (06) 877 6488Email: ageconcernhb@xtra.co.nz

Age Concern WairoaAge Concern Centre, 8 Lahore Street, Wairoa Postal address: PO Box 210, Wairoa 4160Phone: (06) 838 3307 Fax: (06) 838 3309Email: acwai@xtra.co.nz

Age Concern Napier 98 Taradale Road, Marewa, Napier Postal address: PO Box 4027, Marewa, Napier 4143Phone: (06) 842 1346 Email: ageconcernnapier@xtra.co.nz

Age Concern Hastings415 Heretaunga Street East, Hastings Postal address: PO Box 185, Hastings 4156Phone: (06) 870 9060 Fax: (06) 870 9061Email: ageconhast@xtra.co.nz

Age Concern Flaxmere38 Bristol Cresent, Flaxmere, Hastings 4154Phone: (06) 879 7003 Fax: (06) 879 7023Email: ageconcernflax@xtra.co.nz

Age Concern Central Hawkes Bay3 Porongahau Road, Waipukurau 4200 Phone: (06) 858 9158Email: agecon.rail@xtra.co.nz

CONTACT DETAILS Age Concern is a not for profit, non-government, community based organisation which has been operating in the Hawkes Bay area since 1965.

Our mission is to provide quality supportive services that meet the needs of older people, and their whanau/families. We serve the needs of older residents by promoting older people’s rights and well-being through the provision of quality support, information and advocacy services which can assist and empower older people to live a quality life of their choosing.

We provide services that are accessible, affordable, relevant and responsive to community need. Our work focus has four key areas: critical services, managed by a registered Social Worker, supportive services to help maintain independent living, health promotion, and the provision of social activities to provide connection and reduce social isolation.

• Provision of Information• Support and Advocacy• Home Visit Assessments and Referrals• HBRC Total Mobility Assessments• Supportive Services i.e. grocery shopping trips • Accredited Visiting Service• Supplier of Life Tubes• Health Promotion and Exercise Programmes • Fun Social Activities• Volunteering Opportunities

Age Concerns work, based on the values of dignity, well-being, equality and respect, focuses on supporting older people so they are able to remain happy, healthy, involved and safe within their community.

CORE SERVICES• Provision of Information • Support and Advocacy• Home Visit Assessments / Referral as Required• HBRC Total Mobility Assessments• Accredited Visiting Service• Connection to the Elder Abuse and Neglect • Prevention Service• Volunteering Opportunities

Havelock North Ph: (06) 877 8476Hastings Ph: (06) 878 5029Taradale/Napier Ph: (06) 844 0620

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your driver!Many senior citizens continue to enjoy a range of activities throughout the colder months. There are a range of positive benefits from regular activities which are great for your body, your mind, mood and memory. Whether it is going to meet friends, going to appointments or enjoying an exercise class - Driving Miss Daisy is here to get you there on time, every time.

Social isolation is a growing phenomenon within the elderly community. The companionship that Driving Miss Daisy can provide is a great tool to combat this. The drivers will accompany you to activities and appointments enjoying a chat and maybe a coffee along the way.

Most communities have a range of senior activities on offer. Gather a group of friends to try an activity together for fun and a few laughs. There’s no harm in trying something new - if you don’t like it you can try something else.

Often winter can be a time to stay indoors and wrap up warm. Research tells us that exercise and regular activity helps you to stay mobile longer, leading to a healthier life.

A few suggestions to get you out and about over winter:• Bridge• Fitness classes / Yoga or Pilates• Church• Library - Book clubs or lectures• Community groups• Volunteer organisations

At Driving Miss Daisy they love to help their clients stay healthy and active. They can drive you to your next activity and provide you with any assistance required. Please call them today to discuss your requirement. They look forward to seeing you soon!

Havelock North/Hastings - Sheryl Ivory(06) 878 5029 027 234 6017 Taradale/Napier - Christine Franklin(06) 844 0620 021 465 335

Note: This article is provided as an information resource only. Please consult your GP before commencing any exercise programme.

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Serving the needs of older peopleHawkes Bay

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SWING INTO

Warm up wiselyThe chilly weather has finally arrived and it is time to take all steps to keep your fingers and toes warm, without facing the chilling prospect of enormous energy bills. As you bring the heaters out from the back of the cupboard, it’s a good time to have a think about home heating costs.

Fortunately, most people have got the message about insulation so homes are warmer nowadays. But in case you need a quick reminder, did you know…?

• About 40% of all household heat is lost through the ceiling, so insulate this first (it’s a little like you putting a hat on). Ceiling insulation material needs to be 100mm to 150mm thick to be effective. It also needs to be airtight, so there are no sneaky leaks.• Walls account for about a quarter of lost heat, but they are more difficult to insulate unless you are building a new home or extensively renovating. One way to insulate is to reline the interior walls with gib board.• Raised wooden floors can also be a problem. It is

estimated that just over 10% of heat loss is through the floor. Wood fibre insulation board and floor coverings are an effective way of minimising heat loss through the floor. Another alternative is to fit insulation below the floor. You have no doubt seen the advertisements for polystyrene insulation that fits between the floor joists, but some people staple cardboard between floor joists to create an insulated layer of air.• Just over 10% of the heat of a household is lost through windows. Well-made, full-length curtains or thermal drapes are a simple answer to heat loss through windows. Thick, heavy fabrics are the most efficient. Light materials should be lined. Because a lot of air is lost around the edges, the curtains should extend 150mm on each side, and below the base of the window. A full pelmet is recommended. Heavy drapes are more heat efficient than blinds.

We think the best way to approach heating solutions is to look at the lowest cost options. Here are some oily rag suggestions that have been sent in by readers:

• K.W. writes, “We have recently lined the existing curtains in our house with new woollen blankets from the army surplus shop. The blankets are folded double and stitched together making an open ended bag which is then attached to the curtain at the top so that the completed article consists of three layers, being the original curtain and two thicknesses of woollen blanket. This has increased the average temperature in the house appreciably by reducing the heat loss through the glass. We believe this to be far more cost effective than double glazing.”• Joy from Cambridge has this tip for lining curtains. “My thermal drapes are past their best and no longer keep the warmth from escaping through the windows in winter. Before winter started this year I purchased enough shower curtains of a similar colour to the backing on the thermal drapes. They have no pattern on them and are the size used for a shower over a bath. They have worked really well - the difference in warmth when the curtains are pulled back is telling. I bought mine at Kmart - they were a lot cheaper than the Warehouse.”• There are lots of others things you can do like making your own “stop draught sausages,” to eliminate door draughts. This is a fabric sausage filled with sand or sawdust. By adding buttons as eyes, these sneaky heat hounds can develop a

personality of their own - an excellent family project!• Leaky window and door joinery can be sealed with sealants or a self-adhesive foam strip.• A wood burning coal range or potbelly stove is a cheap way to heat your home and a great way to save on cooking costs. A lot of the warm air from stoves gets trapped in the ceiling - it’s amazing how hot it gets up there, where it’s not needed. The best way to make use of that wasted heat is to have a ducted ventilation system that takes the warm air from around the stove and pushes it through into the colder parts of the house.• A reader from Auckland writes, “Those with a wood burner or pellet heater could install a small swivelling fan high up in a corner of the room. It will drive warm air down to where you need it most and, if you like, into adjoining rooms.”• Warm a bed rather than a bedroom. Electric blankets are very cheap to run and hot water bottles are even cheaper!• A thick layer of newspaper under mats keeps the room warmer in winter and makes the carpet last longer.

Fun Facts1. People say “Bless you” when you sneeze because when you sneeze, your heart stops for a millisecond.2. It is physically impossible for pigs to look up into the sky.3. More than 50% of the people in the world have never made or received a telephone call.4. If you sneeze too hard, you can fracture a rib. 5. Rats multiply so quickly that in 18 months, two rats could have over a million descendants. 6. The cigarette lighter was invented before the match. 7. Most lipstick contains fish scales.8. Elephants are the only mammals that can’t jump.9. Honey is the only food that doesn’t spoil.10. Pearls melt in vinegar.

Serving the needs of older peopleHawkes Bay

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Age Concern Havelock North• Office opening hours: Monday, Wednesday and Thursday, 8.30am - 1pm or by appointment• Support and advocacy• Home visits and referrals• Referral to Elder Abuse co-ordinator• Visiting services• Health promotion programs• Fun social activities• Tuesday mornings 9.30am to 11.30am for a chat and a cuppa! Everyone Welcome• Friday morning tea at St Lukes Hall – 24 Te Mata Road, Havelock North, 9.30am to 11am, Transport available• Bi-Monthly Luncheons • Monthly Outings• Frozen meal distribution with delivery available for an extra $3• Loan equipment is also available for use• Total Mobility assessment agents for Havelock NorthCall us on 877 6488 for any information

Age Concern Wairoa• Support Services, Information, Advice and Personal Advocacy: Responding in person/ phone to a range of queries from older people and their carers e.g. Advising where to obtain a service, what is available. Providing confidential support and empowerment to older people• Information Resources: Providing written materials e.g. pamphlets and resources • Visiting Services: Non-accredited visiting service for socially isolated older people• Education: Providing education seminars and workshops for the public on subjects such as Positive Ageing, Enduring Power of Attorney, Carfit and Police Safety in the home and the community• Social Activities: Holding events that provide social connection between older people e.g. drop in centre, outings, morning teas and films• Exercise/Mobility: Holding exercise classes such as Tai Chi • Representation: Providing representation and advice on older peoples’ issues e.g. Wairoa

District Council, Government Departments, Civil Defence Welfare Group • Other services provided: Wairoa Community Transport Service, Management of Presbyterian Services Sheilton Retirement Village, Monthly Foot Care Clinic, Monthly Community Police Clinic

Age Concern NapierCORE SERVICES INCLUDE:Support, information and advocacy provided by in home visits by our Community Worker.Monthly clinics held at Taradale RSA and Work and Income Taradale, by our Community Worker.Health and Safety seminars in conjunction with Work and Income Senior Services, HBDHB Options, Fire Safety prevention, officer and NZ Police. These seminars are held at retirement villages in Napier, all welcome, contact office for further details.Total Mobility Taxi Voucher Assessments.Representation on Hawkes Bay District Health Board Advance Care Planning committee.Justice of the Peace Service.

SUPPORTIVE SERVICES• Transport to Hawkes Bay Hospital, Napier Health Centre and GP’s• Personal support grocery shopping• Weekly group transport grocery shopping• Monthly group transport for shopping (Kmart/ Warehouse/Mitre 10)• Monthly group transport to Taradale library and shops• Volunteer house maintenance/handy man, gardening• Fortnightly Podiatry Clinic• Accredited Visiting Service

HEALTH PROGRAMMES/SOCIAL ACTIVITIES• Sit and Be Fit• Tai Chi• Falls Prevention Programme• Monday Social Luncheon• BYO Craft Group• Gardening Group• Mens Outing• Monthly morning or afternoon tea• Friday games afternoon• Special day outings. Held monthly or bi-monthly, contact office for details

We service Napier City and surrounding Districts. Office is open Monday to Friday 8.30am to 3.00pm

Age Concern HastingsOur centre is open Monday to Friday from 9.30am to 3.30pm for:• Support with completing forms, WINZ reviews, direct debits etc. Referral information i.e. Contact information for Needs Assessment agency - Options HB and Meals on Wheels details• Service provider information i.e. gardener, handyman, electrician, plumber etc• Resources & local information for a wide range of age related topics and initiatives i.e. Tai chi, Stroke Support group, RNZFB equipment• Total Mobility scheme application assessments for discounted taxi vouchers for eligible older people• Elder Abuse and Neglect service • Volunteer Visitors to isolated and lonely older people through the Visiting Service• Senior Drive mature drivers refreshment and confidence course• Sit and Be Fit fun exercise morning session• Crib on Tuesdays• Scrabble Thursdays and Housie on Fridays• Scrumptious Lunches fortnightly• Rummikub on Thursdays• Indoor Bowls afternoon on Thursdays • Trips and Outings • Bi-Monthly interesting & informative newsletter• Foot Care Clinic appointments monthly with Lynette• Library to borrow books, jigsaw puzzles or videos• A wide range of EZEE frozen meals • Life Tubes - This is recognised by Police, St John and the Fire Service. A life tube with all your medical information on it sits within your fridge, and gives valuable information to emergency services should you require them

Age Concern Flaxmere IncOUR REGULAR WEEKLY PROGRAMMES:Arts and Crafts GroupEvery Monday morning from 10.00am$2.00 donation, tea and coffee provided.

Indoor BowlsOur Indoor Bowls Enthusiasts meet every Tuesday

afternoon 1.00pm - 3.00pm. Doubles and Singles are played with much cheering and laughter. Come along for a fun afternoon. $2.00 donation, afternoon tea provided. New players always welcome.

Weekly Club DayEvery Wednesday from 9.30am, members come along for a social get together with old friends. This is a great opportunity to meet new friends over a hot drink or a shared meal. The Weekly Club day is variable and can consist of many of things: Social pool and darts, cards and board games. Variety of goods for sale including preserves. Lunch options available: $3 Lunch options include Filled Rolls, Sandwiches and Hot Pies; $8 Monthly Luncheons.Weekly Raffles, Occasional Guest Speaker or Entertainment. $2.00 donation, shared morning tea. Transport is available on request, new and non-members always welcome!

Get Active and Keep Moving!Sit and Be Fit Classes with a twist…and whole lot of Fun! Monday's 9.30am to 10.30am. $3.00 per person includes morning tea afterwards.

OUR FORTNIGHTLY AND MONTHLY PROGRAMMES:Day Trip ThursdayThe majority of our day-trips happen on a Thursday. Trips are always clearly advertised in newsletters and posted up around the hall.

Musical EntertainmentNew to Age Concern Flaxmere, come along and enjoy good ole fashion musical entertainment. Let your singing voices flow and your tapping toes tap. To be held once a month at Age Concern Flaxmere. Shows will be clearly advertised through our bimonthly newsletters, flyers and on local noticeboards. $2.00 Koha at the door, hot drinks provided, low-cost lunch options available. Everyone Welcome!

Shopping TripsFortnightly trips into town. You can be picked up from home or meet at Age Concern Flaxmere on Fridays of the Pension pay week. $5.00 transport. Please note this is a members only service.

Men’s Afternoon PoolAimed at those of you who enjoy a few games of pool and/or darts in a friendly yet competitive atmosphere. Fortnightly Fridays (pension off week) $2.00 at the door will cover your pool games and afternoon smoko.

SUPPORTIVE SERVICES

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Serving the needs of older peopleHawkes Bay

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Age Concern Central Hawkes Bay• In home support from our community worker• Social activities which include fortnightly tea/coffee meetings, lunches• Education from Health Promotion activities so older people are kept informed such as driving safe with age, safe seniors etc.• Support Services which include information, advice and advocacy. This includes a full range of resources available for older people in the CHB Age Concern office• Transport - Total Mobility assessments, half price taxi fares for those with a disability. We are the centre for CCS parking permits in Central Hawkes Bay.• Elder Abuse and Neglect Social Worker. Referrals can be made to the social worker who is based in Hastings but services Central Hawkes Bay• Exercise and Mobility - Includes Sit and be Fit each week at a charge of $4.00. Age Concern also works with the Hawkes Bay District Health Board on a falls prevention programme• Clinics - monthly podiatry clinics• Food Services, Frozen Ezee meals are available for purchase at the CHB office, we also work with Meals on Wheels via the District Nursing programme• Sales of loan equipment - we have a loan service for wheelchairs and walkers• Representation - we represent older people on committees with Local Council, Rotary and Lions Clubs• Life Tubes - This is recognised by Police, St John and the Fire Service. A life tube with all your medical information on it sits within your fridge, and gives valuable information to emergency services should you require them.• Bi-Monthly members’ newsletter

For Ezee Meals or Life Tubes as well as helpful advice and support, call into our office from Tuesday to Friday between 9am and 3pm, 3 Porangahau Road, Waipukurau or phone (06) 858 9158.

Dunstall’s Funeral ServicesCorner of Edwardes & Bower Streets, Napier

(06) 835 7196 www.dunstalls.co.nz

Tai Chi - Ancient Craft for Any Age and Stage

Walk around any bustling Asian city in the early morning and you're bound to see countless locals engaged in the ancient craft of Tai Chi. Public parks, gardens and even balconies are filled with people of all ages starting the day with this form of moving meditation. With today's fast pace of life, there's a lot to be said about the discipline of starting the day at a relaxed speed, refocusing your energies and reducing stress. But for active agers the benefits are far stronger than that.

What's it all about?Tai Chi is actually a form of ancient Chinese martial arts that evolved into the practice of slow, tranquil movements, most commonly recognised as "hand pushing". The fundamentals of tai chi are based around strengthening your qi. Qi (pronounced 'chee') is believed to flow through invisible channels or meridians in the body and when qi is disrupted, illness is the result.

Tai Chi has many reported health benefits including suppleness, stress reduction, mental alertness, better balance and co-ordination and is thought to be partly responsible for healthy longevity in certain Asian nations.

Who's it for?Tai Chi is suitable for most people from children to the elderly and can be performed by those in wheel chairs. You don't necessarily need a medical

By Emma Stirling APD

check to get started, as the pace is kind enough on "not as fit as I used to be" bodies. However it is still recommended to talk to your health professional if you've been sedentary for a while or have any existing conditions or injuries.

How to get started?Like yoga and pilates there are plenty of do-it-yourself home helpers like books and DVD's. However, you generally need to have completed formal classes with an instructor before feeling confident or motivated to go it alone. The basic set of movements can take several months to learn the right technique. And it's important that you practice until you can follow a sequence of moves as if on auto pilot.

So it's best to sign up for a block of classes and give yourself plenty of time to find your groove. There are specialised seated classes and those targeting a specific complaint, like arthritis too. As with any class, make sure you check out the certification and experience of the instructor and the conducive and convenient location.

I am a Seenager(Senior teenager)

I have everything I wanted as a teenager, only 60 years later.

I don’t have to go to school or work.I get an allowance every fortnight.

I have my own pad.I don’t have a curfew.

I have a driver’s licence and my own car.I have ID that gets me into bars and

the bottle store.The people I hang around with are not

scared of getting pregnant.And I don’t have acne.

Life is Good!

Serving the needs of older peopleHawkes Bay

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Staying at home in your lateryears is now an affordable and safe option thanks to the care and support Care on Call provides.

From a couple of hours of help around the home per week to full time care Care on Call has experienced, trained and thoroughly screened carers available to cater to your unique needs.

Please call us or visit our website for more information.

hawkesbay@careoncall.co.nz

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Contact Details: Faye Philp | 07 544 8581 / 027 241 6871 or email glp@clear.net.nz

Fresh Horizons is a Christian Ministry designed to raise awareness of the value of people in life’s “second half”. With international and local speakers to help inspire, educate and resource them for community involvement.It’s about making the second half of life the best half of life.

Intergenerational Ministry

FOR MORE INFORMATION ABOUT FRESH HORIZONS visit www.freshhorizons.org.au

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One approach doesn’t fit all

August 17/18th 2016

At Heartland Seniors Finance we set out to solve a problem with our Heartland Home Equity loan. It allows you to access the value in your home – without having to sell it. So if you’re 60 yrs+ please pick up the phone and call.

FINANCING RETIREMENT CAN BE TOUGH

David Russell06 974 6227 or 027 801 1851 david.russell@heartland.co.nz

Heartland Seniors Finance is a division of Heartland Bank Limited. Heartland Bank Limited’s lending criteria, fees and charges apply.

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Elder AbuseEach year, Age Concern’s Elder Abuse and Neglect Prevention (EANP) services receive more than 2,000 referrals of older people who may be facing elder abuse or neglect. That’s eight referrals every working day. About three quarters of these situations are confirmed to involve elder abuse or neglect. Abuse is also identified by other agencies including health providers, the police, lawyers, banks, other community support organisations, and other non-Age Concern Elder Abuse and Neglect Prevention services.We know that only a small proportion of elder abuse incidents come to the attention of an agency that can be of assistance. Elder abuse can be classified into different types. Often the abuse experienced by an older person/kaumātua involves more than one type of abuse. In the cases seen by Age Concern’s Elder Abuse and Neglect Prevention Services over the last three years: • Three quarters involved psychological abuse• Over half involved financial abuse• 15-20% involved physical abuse• 15-20% involved neglect• 15-20% involved self-neglect Age Concerns report that they are dealing with an increasing number of older people who have become the victims of scams. Scammers are targeting lonely older people who have assets, forming friendships with them (particularly through romance scams)

and then requesting money for various hypothetical emergencies. In many cases, it is the family who contact Age Concern for assistance. The older person is often content to accept their financial loss in exchange for the proffered friendship. Who is involved?• Almost half of abused older people are over the age of 80• Forty per cent of abused older people live alone• More than three quarters of alleged abusers are family/whānau; and we know that family/whānau members continue to abuse their older relatives even when that person is in residential care.• Almost half of alleged abusers are adult childrenAbusers are as likely to be female as male. How does abuse affect older people/kaumātua?For about half of the older people/kaumātua seen by Age Concern’s Elder Abuse and Neglect Prevention Services, their health was significantly affected by the abuse. Two out of every five abused people experienced a significant reduction in their independence, loss of confidence and self esteem, and reported feeling very frightened or anxious and emotionally distressed.

About a quarter of abused older people experienced long-term inability to cope by themselves and poor health, sometimes leading to the need for residential care.

For Hawke’s Bay enquiries please ring: Brad - Social WorkerAge Concern Hastings 870 9060

HelenA local Health Centre referred their patient to the Elder Abuse and Neglect Prevention (EANP) service after treating Helen for physical injuries that she said

were the result of a fall at home. The EANP worker visited Helen at her home and found her living in a shed at the back of her own property, as her son and his partner and children were living in her house. From talking with Helen, the EANP worker uncovered that the son’s partner had physically assaulted her. Helen had not told the doctor because her son threatened to: “put you into a rest home” if she spoke up.

After talking together and with reassurance from the EANP worker, Helen agreed to the police being notified. The EANP worker supported her to lay a complaint and advocated for her during the investigation that followed.

The EANP worker ensured that Helen was given access to appropriate legal advice about her property ownership rights. Now that she understood her rights and with the supports services available, Helen considered all her options and she decided to sell. It was negotiated that her son would find accommodation for his blended family and move out of his mother’s home. Helen’s son was prohibited from interfering with the house sale process.

Helen had her choices validated, was supported in defending her rights with regard to her personal safety, her well-being and her property. Helen chose to move to an adjacent community where she could feel safe and supported and more involved with activities she enjoyed.

Always respected,Never abused

Serving the needs of older peopleHawkes Bay

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Looking for the best care in the Bay?

Our professional team of coordinators, registered nurses and support workers have the skills and knowledge required to meet your needs, regardless of your age or of any injury, illness or disability that you may have.

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If you need support with personal cares and home management you need to look no further.

For further information call us on 0800 201 801 or call in and see us at Level 1, 25 Bower Street, Napier or visit www.healthcarenz.co.nz

Conversations that count - advance care plansBrian Goodwin loves nothing more than to head out on long cycle rides or walks and describes himself as fit, healthy and active, but in case that changes he made the decision to put an advance care plan in place.

The Ashburton resident, (right) who’s in his late 60s, was prompted to do so when his wife Shirley died. “I lost my wife to leukaemia. She’d actually been diagnosed 16 years before and had gone through three lots of chemotherapy.

“It was January two years ago; it was obvious her leukaemia had changed form and it was an aggressive form of lymphoma.

“We knew she only had a very short time to live.

“She made the most of her time… and we did a lot of things but it was very clear she wanted, preferably, to

die at home, if that was possible.

He says his wife had her wishes, and actually helped plan her funeral service, arranged the person to do the eulogy, confirmed some hymns, and as a family, they did the rest.

Mr Goodwin then reflected on what he needed to do.

“It was fairly obvious at that point in time, being by myself, that I needed to put something in place so my doctor and other medical people would actually understand what my requirements or requests were.

“My family don’t live in Ashburton and although they’re only a phone call away, they may not be able to be contacted at any particular time.

“(It was also) probably based partly on having seen my wife go through what she did and although she didn’t have an advance care plan herself, she was aware of it and her wishes were made very clear, and all the family were aware of that.”

Different wishesUnlike his wife Shirley, Brian Goodwin does not want to die at home.

“It‘s one of the interesting factors in this. I have no desire for my family to have to look after me.

“Having said that, I know they will support me and look after me but I don’t expect them to, for me to be reliant upon them to do that.

“If my health state is such that I’m incapable of looking after myself, then I will either happily go into a rest home or hospital, whatever is the appropriate place to go.” The differences in what people want were behind the worldwide movement to create advance care plans, says Auckland neurologist Dr Barry Snow (right).

“Many people when they came to the last days of their life, often

received care in a place or in a way that they wouldn’t have if they had had a chance to have a say, or be able to plan for it.

“We realised that if we had (discussions) with people when it’s clear they are dying, but when they’ve still got a chance to put things in place, then they would do things differently.”

Dr Snow is the national clinical lead of Advance Care Planning.

“One of the main preferences is to be at home with the family around but also to have really good care to make sure they’re not a burden to others and are not in pain or distress.

“Most of that can be achieved but it does require advance planning.

“If you want to die at home, quite a few things need to be put in place, such as messages to ambulances and emergency services - i.e don’t take me to hospital.”

With medical advances, he believes it makes sense to have a plan for end of life care.

“For 80 per cent of us, you can pretty much predict how we’re going to die because we develop a chronic disease as we get older; kidney failure, heart failure or lung failure, or dementia or some combination of that.”

How do you select the right Residential Care Home?Unless you have prior experience of a relative or friend in residential care you will be uncertain what to look for in a care home Brittany House Manager, Fay Diskin, a registered nurse and veteran of the residential care sector with some 25+ years experience, offers advice on three key areas to consider. “Firstly, the staff should be warm and welcoming, and naturally compassionate and empathetic,” says Fay.“Secondly, consider the quality of care. The Ministry of Health publishes audit results for all residential care facilities on their website,” explains Fay, “but the Manager of a facility can also make this available to you upon request.” “We are exceptionally proud at Brittany House to boast a 4-year certification, which places us roughly within the top 9% of all residential care facilities nationwide”. Finally, Fay explains that the facility should have spaces for living which is appropriate for the person receiving care. “Brittany House is particularly spacious, with large lounges, rooms, and recreational space available for use,” says Fay. Fay is happy to answer questions from anyone considering care or just wanting to understand their options. For more help in how to choose a care home, call Fay at Brittany House today on (06) 878 5606.

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Serving the needs of older peopleHawkes Bay

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Viv’sCompanion Driver Service

LOCAL OWNER - LOCAL KNOWLEDGEBOOKINGS ARE ESSENTIAL

Phone Vivienne Dahm for more informationPh: 06 856 6824 Cell: 027 211 3663

Our mission is to provide a safe, comfortable,enjoyable Companion Driver Service for the people of Central Hawkes Bay.

Services include:

Transport for those who are unable to drive

Assistance with shopping/Health care visits/Appointments

Blood test clinic visits

Airport transfers - pick up / drop off

Weddings / Funerals

Personal Door-to-Door Driving assistance and care.

Viv’s Companion Driver Service is a safe, comfortable, friendly, and reliable driving service for the people of Central Hawkes Bay.

Providing transport to and from health care appointments, hairdressers, shopping, movies, social functions, weddings, funerals, any occasion where you need to be driven in and around Central Hawkes Bay.

Viv’s friendly, helpful manner helps people feel relaxed in her company. She will assist the client in whatever way they may need, with shopping, support person, listening ear at doctors, dentist, assistance with walking frames, getting in and out of the vehicle, and with general fetching and carrying.

Viv is available for short journeys from A to B, longer trips such as hospital visits, airport pick up/drop off, and although she is flexible as to time and days, booking are essential.

For bookings, enquiries and no obligation quotes,please give Viv a call (06) 856 6824 or mobile 027 211 3663.

WIN a double pass to Tribute to the Rat Pack show by simply filling in the details below and posting to Pukeko Print & Design, 927 Cameron Road, Gate Pa, Tauranga 3112, by the 12th July 2016 to go into the drawName: __________________________Phone Number: __________________Alternatively email your details to: monique@pukekoprint.co.nz and quote ACHB 2/16

Complete with our brass ensemble, we present to you our tribute to the Rat Pack. Maybe we should be calling ours the Brat Pack as Bonaventure Allan-Moetaua, Rutene Spooner and Robert Enari croon and clown their way through songs made famous by Frank Sinatra, Dean Martin and Sammy

Davis Jnr, complete with the famous trio’s antics - plus a few of their own!

Concert in Hastings21st July 2016, 11am

P: 0508 266 237 (toll free) E: bookings@operatunity.co.nz W: www.daytimeconcerts.co.nz

WIN

Options for careDr Snow says while the health system is very good at treating acute episodes with intensive care in hospital, based on the cure model of disease, a different approach could be used for the end stages of a chronic disease.

“A person with really bad heart failure often wakes up at night with…chest discomfort and the panicky feeling of not being able to breathe.

“Quite appropriately they’ll call an ambulance which triggers a whole series of events - the ambulance comes, there’s lots of frantic lights, and people shouting and rushing up and down stairs, stretchers, loads the person into the ambulance, encourages them to keep breathing, races to hospital, to the emergency room where people are milling around, taken to a holding bay, put onto a ward, they get treated with diuretics and a little bit of morphine, and then they go home.”

He says there is another option.

“Let me tell you the story a different way - if this person sat with their doctor and the doctor said, ‘Look, you’re probably in the last six months of your life and you’re having some of these events but we can actually teach you how to manage these at home. We can give you a supply of a diuretic and some injections that your family can give you, if they’re comfortable to do this’.

“If you go back to that picture of the ambulance etc, all the person got was an injection of a diuretic.

“For a person who’s having a series of these events as a part of their last six months of life, a visit to hospital can be incredibly stressful and disruptive and horrible for everybody involved.”

There is always the option to call an ambulance.

“The reason why people, in this situation, call the ambulance is because they don’t have a plan in place - their only plan is 111, and it triggers a whole series of other things that could have been done at home if the plan was in place,” says Dr Snow.

Talk to your doctorAn advance care plan is different to an advance directive where you give orders to the doctor, in what is a legal statement.

“An advance care plan is actually more a statement of preferences and general wishes that the doctor takes into account when they’re planning the care,” says Dr Snow.

Brian Goodwin says he’s made it clear what should happen if he has a debilitating event.

“I don’t want resuscitation, for example, if I have a stroke and I am going to be a vegetable. I see no sense in having resuscitation under those circumstances.

“I’m prepared to accept resuscitation if I’ve got a reasonable chance of surviving with a quality of life, not necessarily the quality of life I had but a quality of life.

“It’s always subjective, I’m aware of that, but I don’t want to be a burden on others.”

To put his plan in place, the keen athlete spoke first to his doctor.

“It’s given me some certainty. I know if something happens to me I’ve got something written down that gives them some guidance on what action they should or should not do.

“It works for me and it will work for my family because they know that I’ve got things in place, that’s the important thing.”

Brian is active with a plan for changes

Serving the needs of older peopleHawkes Bay

Page 16

Are you looking for a worthy cause to volunteer your valuable time to?

The Art Deco Trust has been working for over 30 years on the preservation of our Art Deco Heritage

and we would love your help!

Our volunteer network is the backbone of our charitable organisation and we need passionate people like you to

continue this work within the Art Deco Centre, taking guided walks around the city and with our world famous events.

If you are interested in knowing more, please contact the General Manager, Sally Jackson on 06 835 0022 or email

Sally at gm@artdeconapier.com

Visit our website to get to know us better: www.artdeconapier.com

Buildings are more than just bricks and mortar. With thoughtful design and placement they can define a city. Napier is a case in point. Following the earthquake of 1931, Napier rose from the rubble with a new identity as the newest city on the globe. However, the uniqueness and value of what had been created was not immediately obvious to everyone. Developers moved in and tried to demolish the Art Deco assets found in the city centre. With buildings at threat, the Art Deco Trust was formed to preserve and protect the Art Deco gems and 30 years later it certainly can claim success with Napier now world renowned for its stunning Art Deco architecture. The Trust thrives with a huge team of volunteers; in fact it couldn’t function without their support. Until 1992, when Napier City Council funding enabled the Trust to appoint a chief executive, everybody involved was a volunteer and this invaluable support group has continued to grow with the Trust. A team of just over 70 walk guides support the Walks and Tours activity of the Trust, and are out giving visitors to the city, the Art Deco Napier experience 364 days of the year. The Art Deco Centre retail store is staffed by at least four volunteers per day, with up to a dozen coming on board on days cruise ships are in Port. They are the face and spirit of the Art Deco Trust; welcoming with genuine enthusiasm and provide authentic service with a smile to all those who pass through the shop. The Trust’s volunteers are a passionate group that make up the very backbone of the charitable organisation and they are looking for new volunteers to assist within the Art Deco Centre, with the guided walks around the city and for the summer and winter events. If you are interested in finding out more information, please contact the Trust’s General Manager, Sally Jackson on (06) 835 0022 or via email gm@artdeconapier.com

The Art Deco Trust family of volunteers and staff - May 2016