Senior Guidebook - Jul/Aug/Sept 2010

JUL/AUG/SEP 2010www.seniorguidebook.com

MirabellaStylish Senior Livingat South Lake UnionSee our ad on page 1

Life is a 3-D Adventure at Garden Court!

RETIREMENT COMMUNITY520 - 112th Street SW • Everett WA 98204

425.438.9080 • FAX 425.438.1604

Virtual Tour & more atwww.gardencourtretirement.com

www.seniorguidebook.com 1

For advertising information contact:DAVID KIERSKY, Publisher

213 V Avenue / Anacortes WA 98221PHONE 360.588.9181 / FAX 360.588.9003

EMAIL [email protected]

JENNIFER KIERSKY BLAIRChief Editor/Production

Copyright 2010 Kiersky Publishing, Inc.All rights reserved.Kiersky Publishing Senior Guidebook to WesternWashington is published quarterly by KierskyPublishing, Inc. The opinions, advice or statementsexpressed by contributing writers don’t reflect thoseof the editor, the publisher or of Kiersky PublishingSenior Guidebook to Western Washington. No part ofthis magazine may be reproduced without priorconsent of the publisher. It is your responsibility toevaluate the accuracy, completeness or usefulness ofany information, opinion, advice or other contentcontained herein. Furthermore, Kiersky Publishing,Inc. makes no representations and, to the fullestextent allowed by law, disclaims all warranties,expressed or implied, including but not limited to,warranties of merchantability and fitness for particularpurposes regarding the suitability of the information;the accuracy, reliability, completeness or timeliness ofthe content, services or products advertised herein.The content published herein may includeinaccuracies or typographical errors.

FEATURES4 Coordinating Care for Safety and Value – Brian Giddens, University of Washington Medical Center

5 Chronic Pain Syndrome and Ayurved – Virender Sodhi, MD, ND

6 Living Well and Ensuring Dying with Dignity – Andrew Schorr

8 Merrill Gardens Support Our Troops Week – Bill Pettit, President, Merrill Gardens

10 Life’s Classroom – Tracey Harvey

12 Options and Resources for Affording a Senior Living Community – Kate Harrison & Linda Woolsey

14 Golfers Never Lose Their Swing -- Even Those with Memory Loss – Maureen Manley

18 It’s the Fair -- Country Style – Christine Blankenship

20 Culture Shock and Wiggle Room – Rick Steves

22 We Wish We Had Heard About Hospice Sooner – Annette Coffman

23 Service From The Heart – Sheila Moreno, MA

29 Directory

ADVERTISERSFront Cover Mirabella – Seattle

Back Cover GenCare Lifestyle: Ballard Landmark – Seattle; The Lodge – Renton;Scriber Gardens – Lynnwood; The Village – Granite Falls; Remington Place – Seattle-Lake City;Sun City-Arizona

Inside Front Cover Garden Court Retirement Community – Everett

Inside Back Cover Somerset Memory Care Community – Everett

Centerfold 16 Edmonds Landing – Edmonds

17 Rosewood Courte – Edmonds

1 Mirabella – Seattle

3 Sunrise Senior Living – Edmonds, Lynnwood, Snohomish, Mercer Island, Bellevue,Brighton Gardens of Bellevue

7 The Bridge – Mount Vernon

9 Merrill Gardens: The Creekside – Woodinville; Cordata – Bellingham; Kirkland; Marysville;Mill Creek; Monroe; At the University – Seattle; Mountlake Terrace Plaza – Mountlake Terrace; Northgate – Seattle; Northgate Plaza – Seattle; Queen Anne – Seattle; Stanwood

11 Salem Village Communities: Highland Greens Townhomes, Salem Village II, Highland GreensSenior Apartments, Salem Village Apartments – Mount Vernon

13 Leisure Care: Fairwinds-Brighton Court – Lynnwood; Fairwinds-Brittany Park – Woodinville

15 Aegis Living: Aegis at Totem Lake – Kirkland; Bothell; Bellevue; Callahan House – Shoreline;Edmonds; Issaquah; Kent; Kirkland; Lynnwood; Northgate – Seattle; Redmond; Shoreline

19 Home Place – Oak Harbor

26 PatientPower.info

27 SeniorGuidebook.com

28 Alzheimer’s Association – Seattle

Highland GreensMount VernonTina Kirk, Manager

Home Place – Oak HarborAmanda Nichols, LPNRobin Martin, Administrator

Fairwinds Brighton CourtLynnwoodPam McFadden, Sales Rep

Somerset Memory CareEverettMandy McKimson, Marketing

CARING FACES

Redefining Senior “HOME”

Whether it’s our pets in residence, ourflowering plants or our staff that actsmore like family than caregivers,

Sunrise Senior Living provides everydayexperiences that make our communities simply,more livable.

At Sunrise, we understand that the transitionto a senior community isn’t always easy. So, wefocus on the details of living, from beautifully

appointed living spaces to delicious meals,engaging social activities, transportation,and personalized assistance and care.

Visit or call a Sunrise Senior Living residencetoday to see what we do to make our communi-ties into places seniors can call home.

Brighton Gardens of Bellevue 425-401-0300 15241 NE 20th St, Bellevue, WA 98007 AL, ALZSunrise of Bellevue 425-401-5152 15928 NE 8th St, Bellevue, WA 98008 AL, ALZSunrise of Edmonds 425-673-9700 750 Edmonds Way, Edmonds, WA 98020 AL, ALZSunrise of Lynnwood 425-771-7700 18625 60th Ave, West, Lynnwood, WA 98037 AL, ALZSunrise of Mercer Island 206-232-6565 2959 76th Ave SE, Mercer Island, WA 98040 AL, ALZSunrise of Snohomish 360-568-1900 1124 Pine Ave, Snohomish, WA 98290 AL, ALZ

www.sunriseseniorliving.com

* Limited time offer, subject to change withoutnotice and available at participating communities.Certain restrictions may apply.

Call today about our Move-In Specials*

www.seniorguidebook.com 3www.seniorguidebook.com 3

In the U.S., there are many types and levels of health care. Examples includehospitalization, long-term skilled nursing, shorter-term rehabilitationprograms, assisted living, home health, hospice, primary and specialty clinics,and community programs. There are multiple points of entry and providers ofservices. Having choices as to where to go, and who to see can be very positivefor the consumer. At the same time, if the programs, institutions, and providersare not communicating with each other, or if they are conveying mixedmessages, the consumer can become overwhelmed. Even worse, if the providersare not communicating, care can be compromised. Costs can also go up whencare is not coordinated, as tests may be repeated unnecessarily, medicationsgiven that counteract, and recovery from an illness delayed due to confusionover the plan.At the University of Washington Medical Center, part of UW Medicine, much

effort is being put into coordinating care. Our pharmacists are working withphysicians to “reconcile” medications that patients were prescribed in thecommunity, with the medications we provide as part of our treatment plan.This will allow any potentially dangerous combinations of drugs to berecognized. We are electronically linking community physicians with ourinpatient provider teams, so that the community physician knows when theirpatient is being admitted and discharged. We have introduced Nurse CareCoordinators on some of our busiest units to help ensure that all care providersare aware of the treatment plan and that any barriers to treatment, such as alab or procedure delay, missed communication between the physicians, or needfor patient education, be resolved as soon as possible. Our social workerscommunicate with their inpatient or outpatient colleagues at the time of apatient transfer to or from the hospital, so that existing services can bemaintained as needed. Increasingly, when we are working with someone whohas an especially complicated system of care, with multiple providers, we try tohold “care conferences.” This brings together the primary and specialty doctors,and the other members of the interdisciplinary team (pharmacist, rehabprofessionals, social workers, nurses, nutritionists) to ensure that everyoneunderstands the treatment plan and goals of care.Ideally, the individual patient should be the hub of the wheel, while all of the

providers and services radiate around the patient and link with each other. Atany point in time, everyone surrounding the patient should be aware of whatthe plan for the patient is, and who is involved in the care. Here is an example:Carol is a 65 year-old female who has insulin dependent diabetes, a history ofbreast cancer (two years prior, treated with radiation and chemotherapy), and apacemaker. She is recovering from knee surgery, after a fall at home. Carol seesher primary care doctor, an oncologist, a cardiologist, and an endocrinologist onan ongoing basis, and temporarily will have some follow-up appointments withher knee surgeon. She has temporary in-home assistance arranged by the socialworker that works in the primary care clinic, and home physical therapythrough a local home health agency that was arranged by the social worker inthe hospital. There is also a daughter in the area who wants to be involved incare.At first glance, one would think that Carol is very well supported. She has five

doctors involved in her care, as well as community services and family. If allthese services are not coordinated however, the care may be inefficient, possiblyaffecting Carol’s health status. Many wonderful ingredients are necessary to

make up a big pot of stew, but the ingredients do not jump into the pot on theirown. If we were to serve as the “care coordinator” for Carol, here are somequestions we would ask:

Who is in charge of the overall plan? Usually, it is the primary carephysician, but this can change depending on what the predominant healthissue may be. Someone has to be the “lead”.

How is information being relayed to the other providers? Is eachprovider sending reports to everyone, to some of the providers, to thedesignated “lead”, or is no one communicating?

Is each of the providers prescribing medications, and if so, are theyreviewing with Carol and her daughter the current medications ateach visit? Does Carol have an updated list of all her medications? Forsomeone with this many providers, medications should be reviewedregularly.

Does each provider ask Carol to undergo the same lab tests? Forexample, endocrinologists request blood draws regularly, but then, so mightthe surgeon prior to conducting surgery, and the oncologist on an annualreview. Granted, specialized tests may need to be done, but there is also thelikelihood for redundancies. How many times must Carol give blood whenanother provider may already have the results needed? Some doctors, if notaffiliated through one system, may insist on having their own tests done, butit’s always worth asking.

Do the community providers know the overall goals for Carol? Has thephysical therapist communicated Carol’s physical limitations and exercisegoals to the in-home caregiver and the daughter? Is one person asking Carolto try walking while the other is telling Carol to stay in her chair? Did thesocial worker know when requesting in-home assistance that home healthwas also in the home? These services offer different things, but the extentand frequency of the care will change based on other services being offered.

What can you do as a consumer to ensure coordinated care? If you are in asystem of care that is linked structurally (i.e., the clinic is affiliated with thehospital), that can help, but don’t take it for granted that even internal systemstalk to each other. Be your own advocate and educator. Let every provider knowwho else you are seeing. Bring to each visit your current medication list. Informyour providers of the community services you are utilizing. Be sure to have adurable power of attorney who can speak for you when you are not able tospeak for yourself, and make sure that they know your health status andservices. Ask that providers send reports to your other providers. As the healthcare system continues to work to improve coordination of care for greater safetyand value, you can help by being your own “care coordinator”.

Brian Giddens is an Associate Director in Social Work and Care Coordination Department atthe University of Washington Medical Center.

4 SENIOR guidebook – bridging generations

Coordinating Care for Safety and Valueby Brian Giddens


Pain is the most common complaint that leadspatients to seek medical care. Chronic painsyndrome is a common problem that presents amajor challenge to healthcare providers,because of its complexity. Chronic painsyndrome is a poorly defined condition. Mostphysicians consider ongoing pain lastinglonger than 6 months as diagnostic. Othershave used 3 months as basic criteria, and stillsome physicians suggest any pain persistingmore than reasonable healing time is chronicpain. Chronic pain is not uncommon.Approximately 35% of Americans have someelement of chronic pain, and approximately 50million Americans are disabled partially ortotally due to chronic pain. Chronic pain isreported more commonly in women. Majoreffects in a patient's life with chronic painsyndrome are, depressed mood, reducedactivity and productivity, fatigue, reducedlibido, excessive use and abuse of drugs andalcohol, dependent behavior, and disability. Thiscondition is managed best with amultidisciplinary approach, requiring goodintegration and knowledge of multiple organsystems. Naturopathic and Ayurvedicapproaches with nutrition, exercise, yoga,breathing exercises, meditation, and detoxification, along with use ofanti-inflammatory and adaptogens, are the best approach for Chronic painmanagement.

The pathophysiology of chronic pain syndrome is multifactorial and complex,and yet is still poorly understood. Some researchers have suggested that chronicpain syndrome might be a learned behavioral syndrome that begins withabnormal stimulus that causes pain. While acute pain is a normal sensationtriggered in the nervous system to alert you to possible injury, and the need totake care of yourself, chronic pain is different. Chronic pain persists. Pain signalskeep on firing to the nervous system for weeks, months, even years. This painbehavior is then rewarded externally, or internally. The pain behavior is thenreinforced, and it occurs with or without any abnormal stimulus. Internalreinforcers are fear, irritability, anger, frustration, sexual issues, responsibilitiesand many more. External reinforcers include such factors as attention fromfamily members, friends, physician, medications, compensation, and time offfrom work.

Because of the complex etiology and the frequent presence of associateddisorders, a thorough history is necessary for the physician to direct furtherevaluation and appropriate consultations. A detailed history including: physical,mental, and emotional symptoms, relationships, sexual relationships andabuse, work, stress, sleeping patterns, and exercise, are all important factors. A

detailed review of the musculoskeletal,reproductive, gastrointestinal, urologic, andneuropsychological systems must be obtained.Lists of diseases are long and exhaustive, andbeyond the scope of this article. As needed,specific questions should be asked of particularpatients, depending on their associateddisorders. Patients with major depression,somatization disorder, hypochondriasis, andconversion disorder are prone to developingchronic pain syndrome. Stress single handedlyis a major contributor factor in chronic pain. Itis not uncommon to notice neck, back, jaw,shoulder pain and headache with increasedstress.

Ayurvedic TreatmentAyurvedic medicine considers disease to be amistake of the intellect, (Pragya= Intelligence,Apradh= Mistake.) Treatment options aregeared towards normalization and balancingof the body at mental, emotional, spiritual, andphysical levels, with detoxification, nutrition,yoga, exercise, breathing exercise, meditation,counseling, herbal and mineral supplements.

Ayurvedic NutritionAyurvedic nutrition is prescribed according to one’s body type and pathology. Ingeneral, night shade family, citrus family, dairy products, red meat, caffeine,sugar, and alcohol are avoided. Patients are prescribed light digestiblehypoallergenic foods. Patients are encouraged to consume more vegetables,fruits, nuts, and grains like rice, amaranth, quinoa, millet, and buckwheat.

Ayurvedic Detoxification Program, Panch KarmaAyurvedic medicine has elaborative detoxification procedures for differenthealth conditions known as Panch Karma treatments (Five detoxificationmethods). According to Ayurveda, our natural state is one of health, happiness,and an inner sense of well-being. Health is defined as the body being clear oftoxins, the mind is at peace, emotions are calm and happy, wastes are efficientlyeliminated, and organs are functioning normally. In a busy, stressful, and toxicworld, our physical and mental systems accumulate toxins causingdeterioration in bodily functioning. This eventually weakens our systems, whichopens the door for chronic, degenerative, and non-specific diseases to develop.These can evolve into serious specific diseases, ultimately damaging anindividual’s health and wellness.

Panchakarma can help by reversing these negative effects of daily living. It canrestore a natural state of health and wellness by cleansing your body of toxins,bringing balance into your system, and improving bodily function.

continued on page 24

Chronic Pain Syndrome and Ayurvedby Virender Sodhi MD (Ayurved), ND

6 SENIOR guidebook

This is a hard topic we, in America, hesitate to face. We celebrate living well inour senior years, but when a chronic illness or cancer threatens our living, wehave a hard time confronting how we want to die head-on. Take a deep breath,and let’s explore this together. You will feel better, really!

The statistics show most of us die in a hospital when we’ve become too elderlyand frail. Rather than letting us slip away with a minimum of suffering, theAmerican healthcare system defaults to doing everything to keep us alive; evenif it’s as a prisoner in the ICU. The truth is, our country spends much more thanmost other western countries on our last few weeks of life. It doesn’t cure us,won’t save us, and it usually doesn’t make us feel better. Some would say ittorments us, and racks up big charges for the doctors and hospitals. One couldargue they make big money trying to cheat death, when at this point, even thedoctors know that death cannot be cheated.

I know these are strong statements, but I believe in my teacher Dr. RobertMartensen. He is a lecturer at Harvard Medical School, and historian at theNational Institutes of Health. He has written an important book called A LifeWorth Living, where he points out how our current American Way of facingdeath is a disservice to the elderly, and to their families. Dr. Martensen does notbelieve in “assisted” suicide, by any means. He does believe however, thatdoctors should not use interventions to keep you alive. According to Dr.Martensen, it isn’t right to thrust anyone into a few more days or weeks of life,which is not really a life worth living. Dr. Martensen points out that ventilatorsare way overused at the end of life. The patient is sedated, tubes are inserted,and the ventilator is simply serving as a “bridge therapy” for someonerecovering from pneumonia, for example. It is only keeping the organs alive,while the patient has no ability to say goodbye to family and friends. The illness

is essentially taking over, which is not allowing the patient to die with any sortof dignity.

So, what can we do? What can we do when our health fails for the final time,and our children fly in from multiple places to argue about “what Mom wouldwant.” Let’s be frank, what they’re really arguing about is what THEY want.Maybe they can’t bring themselves to say goodbye, even after a life lived longand well. One can understand that, but this is why your wishes need to beknown and spelled out clearly, IN ADVANCE. According to Dr. Martensen, beyondall the pre-signed legal documents, you need to have designated one person –maybe a friend and NOT a family member – who can keep a clear head andexpress your wishes. Again, If there’s ambiguity, the doctors and hospital willdefault to keeping you alive. This will come at great expense, and possibly withdiscomfort and lack of dignity for you.

I urge you to speak with your friends and children about what you would want.You clearly know how you want to live. But how do you want to die? I pray wecan all live full tilt with no disability until we are 100, and keel over on thetennis court, or die in our sleep with a smile on our face. You know as well as Ido though, that it hardly ever works out that way. So confront reality, takecontrol, and make your wishes known. Also, pick up Dr. Martensen’s book. I don’tsuggest this because I get a commission, rather I hope that it may spark afruitful discussion between you and the people who love you. Those same lovedones who might otherwise fight you, when the time comes to saying goodbyewith clarity.

For more information , please visit www.patientpower.info

Living Well andEnsuring Dyingwith Dignityby Andrew Schorr

What is Assisted Living?

Assisted Living is designed to meet the needs of individuals who are unable to live alone yet do not require skilled nursing care. The Bridge at Mount Vernon offers a unique combination of residential housing, personalized

services and health care while promoting the maximum independence and dignity of each of our residents by providing compassionate, professional care.

At The Bridge at Mount Vernon, it isn’t just about the quality of our Assisted Living services. It’s also about the quality of life that you want for yourself or your loved one.

To learn how The Bridge at Mount Vernon can benefit you or a loved one, call now to schedule a tour and ask about our move-in specials!

(360) 416-0400

Benefits of Assisted Living at The Bridge at Mount Vernon:

Three well-balanced meals

Medication monitoring

Daily activities

Peace of mind

Socialization

301 South LaVenture Road Mount Vernon, WA 98273

www.centurypa.com

AN ASSISTED LIVING COMMUNITY

AN ASSISTED LIVING COMMUNITY

9/09



Western Washington residents are invited to help Merrill Gardens communitiesraise funds for the USO (United Service Organizations) in June. Each of the 20communities in the Puget Sound area will join together to host a USOfundraising event the week of June 14th, when they celebrate MerrillGardens Support Our Troops Week. The communities are planning a varietyof special events and the requested donation is just $10. Merrill Gardens issupplying all the food and entertainment, and all money raised will be givendirectly to the USO. Guests can choose to attend a ‘Mess Hall’ lunch or dinner,and many communities are planning live music, dances, and auctions.

The USO is the bridge between the American public and the U.S. military. Theydeliver comfort, morale, and recreational services to the military. Theorganization holds a special place in the hearts of many of Merrill Gardenssenior residents, who served in the Armed Forces. This congressionallychartered, private, nonprofit organization relies on the generosity of individualsand corporations for support. They provide services for the military atcommunity and airport centers, and by reaching out to troops across the world.Last year the USO served more than 5 million military and family membersworldwide.

“The money raised at the Merrill Gardens events will allow us to continueproviding the morale and welfare necessities the USO has been known for since1941,” says Donald Leingang, Executive Director, of USO Puget Sound Area.“Donations will help fund our centers and our special programs, such as ourUnited Through Reading Program. This program allows deployed parents to bevideotaped reading a bedtime story to their children.While the military parent is en route to Iraq, the USO mails the book and DVD tothe family home, allowing memories to be captured forever. In 2009, the army

of volunteers who work with the USO provided the “last meal on U.S. soil” toevery deploying military member.

“We are so pleased to be able to support the wonderful programs of the USOwith our community fundraisers. Our team members and residents are workinghard to put together some very special events, and we are hoping to see bigcrowds join us,” said Kellie Moeller, Regional Marketing Director for MerrillGardens.

The USO says the funds are badly needed. “As the number of military asked toredeploy for a second and third time continue to increase, the necessity topartner with civilian organizations becomes more critical. The USO supports asmany programs as fiscally possible each year, but due to these financialconstraints, we occasionally have to say, “we can’t help. We feel terrible havingto do that, and receiving this donation would allow us to proudly say yes. Itwould also allow us to be able to extend our services to the ever-increasingnumber of military who have been deployed on multiple occasions, and to thespouses and children that have endured 8 years of conflict. We are proud MerrillGardens has entered this partnership with us – together we will be able tosupport the brave Americans fighting to ensure our freedoms,” said Leingang.For details about the USO fundraising events at Merrill Gardens in WesternWashington, visit our website at www.merrillgardens.com.

Merrill Gardens is a family owned company based in Seattle. Parent R.D. Merrill isa timber company with roots that go back over 100 years. The Merrill familystarted Merrill Gardens 17 years ago and it’s now the largest senior housingcompany in Washington with 22 communities. Pettit has been with the companysince its inception.

Support Our Troops Weekby Bill Pettit, President, Merrill Gardens


Call the Merrill Gardens community near you for the date and time of their USO event!

Retirement, Assisted Living & Alzheimer’s Care

(800) 889-5510

A one of a kind retirement community

Bellingham*(360) 715-8822

Marysville(360) 659-1279

Mill Creek(425) 338-1580

Monroe*(360) 794-4284

Mountlake Terrace(425) 672-4673

Northgate(206) 362-7250

Northgate Plaza(206) 363-6740

Queen Anne(206) 284-0055

Stanwood*(360) 629-3445

University(206) 523-8400

West Seattle (206) 932-5480

West Seattle Admiral Heights(206) 938-3964

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Too often we view learning as something youonly do in the classroom. Following graduation,individuals want to rest their mind and beginapplying their skills. The general thought of acontinuing education is not on the top ofeveryone’s mind. However, a continuinglearning process is essential to keeping themind sharp and nimble, and it doesn’t have tobe in a classroom. If you are interested in trulyliving a whole life with the riches of health,purpose, and happiness, then consider lookingin your own community for the following ideas.

When pursuing a passion you have yet toaccomplish, community colleges are a goodplace to start. There are always a variety ofcourses that may spark your interest – look atprofessional development, personalenrichment, or special interests categories.Want to learn something more about thecomputer other than just how to email? Publiclibraries, innovative retirement living communities, and senior centers haveprograms just for you. Love to travel? Consider learning a foreign language tohelp you navigate your way around that country. Not only does this give themind an ultimate workout, but the confidence to explore and enjoy youradventure too. Love to cook and experience new foods? Look at the miniprograms, and food demonstrations offered at culinary schools. Area hospitalnetworks are great ways to learn how to prepare wholesome foods that willfuel the body, and give you the energy to live a long life.

The ability to understand the things that once scared you will now be withinyour grasp, with just a little basic knowledge and understanding. Whatever youdesire to learn will be less intimidating and more achievable, by opening yourmind to change. Try changing channels in order to get out of the “I have alwaysdone it this way” rut. Watching new television news stations to gain a richerpoint of view on topics that you are passionate about, will enable you tounderstand opposing viewpoints and perspectives. Simply remembering wecan learn from people you disagree with, can make you wiser and more incontrol. Things that unite beliefs are far greater than what divides us. Entertainother thoughts and points of view when exploring ideals like religion, politics,or even your wellness plan.

Too often, folks relegate themselves to what they know, instead of searching fornew subject matter to learn and explore. Staying sharp and living with purposeonly enrich conversations I have with family members and residents. Givingyour time can be the greatest gift you can give to your family, friends, and eventhose you do not know. As older adults age, many do not have family andfriends left with which to spend their time. Seek organizations and othercharitable ways for you to connect with those that would benefit from yourcompanionship. Friends to Friends is a wonderful, and free, resource that alignsvolunteers with WA seniors feeling isolated and all alone.

The good news is that living a Whole Life can be your sole responsibility; you donot have to rely on others. There is now more research than ever, on aging andsenior lifestyles. If you take the time to look for the credible sources that areoffering courses on evidence-based breakthroughs in neuroscience and aging,you will be assured to emerge a vibrant student of life.

Enjoy & Be Well,Tracey Harvey

Tracey Harvey is the Corporate Director of Vitality for GenCare Lifestyle.For more information, you can call 206-467-2620, or visit www.gencarelifestyle.com

Life’s Classroom • Living A Whole Lifeby Tracey Harvey


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A Non-profit Corporation...Providing Senior Adults with Quality Housing in a Caring Community

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Highland Greens Senior Apartments3100 N 30th StreetMount Vernon WA 98273360.848.8422

Salem Village Apartments2619 N LaVenture RoadMount Vernon WA 98273360.428.5662

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Carefree Single LevelSENIOR RESIDENCES

Carefree independent living• Units 930-1200 square feet• Two bedroom,or one bedroom with den

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Highland Greens TownhomesVillage Court @ 3200 N 30th Street

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Salem Village II2601-2617 N LaVenture Road

Mount Vernon WA 98273360.540.1438


You’ve finally decided it’s time to take the next step in life’s journey and moveinto a retirement community. What now, and how do you make it happen? Werecognize that these are difficult times and with all the financing choicesavailable the decision can become even more challenging. Everyone’s situationis unique, and it’s hard to know which is the best option for you.

The Traditional RouteAdditional income in the form of interest, capital gains, or dividends can begenerated by money in savings and investments, and can be used to pay forliving expenses. Many of these options can be used as a line of credit, that canbe tapped into to help pay for the various fees associated with senior living.

Working with Real Estate AssetsThough it may not feel like it right now, real estate, such as the sale of a home,is still a great source of equity. Particularly so, when home ownership may havebecome a burden physically or financially. With the current economy, having abuyer on your timeline could be a challenge. A lesser-known option isconnecting with reputable and qualified buyers who can pay you cash whenyou want it. Exploring this choice may be the perfect solution for you.

Utilizing InsuranceA life settlement is a transaction in which a person sells the ownership of a lifeinsurance policy for cash. Though not well known, this can be a good source offunds for those who qualify. These settlements can be done directly with aninsurance company, or through a third party. Long-term care insurance is anoption for paying for assisted living services. Health insurance, Medicare, orMedicaid does generally not cover long-term care. Premiums are typicallybased on the age of the insured, and can vary.

Government BenefitsGovernment benefits offer solutions to those in need of some additionalfunding. For those who qualify, the VA Aid and Attendance Benefit will pay upto $23,388 for the veteran, and up to $12,672 for the surviving veteran, and itis tax-free. The VA has medical, financial and service related qualifyingguidelines. Medicare coverage is generally provided for those in need of roundthe clock skilled nursing, or hospice care. For those individuals who haveexhausted their resources, Medicaid can be used for approved nursing homecare, and even assisted living services (though these programs are limited).Some married couples may have a need to preserve jointly held funds for thewell spouse, so the other spouse in need of skilled nursing, adult family home,or dementia specialty care can be covered by Medicaid. Qualified professionalswho have specialized in elder care services could be an accountant, attorney, ora certified financial advisor.

Ask the local retirement and assisted living communities of interest to you tocompare the cost of living in your own home, to that of living in theircommunity. With most costs included in your monthly rent (housekeeping,maintenance, transportation, meals, and fun) you’ll find that the cost of seniorhousing is much more comparable than you may have originally thought.

We know the difference living in a retirement community can make in your life.It’s the chance for a new beginning that can be just as sweet as your old life, ifyou give it a chance. With the potential for new friends, new interests, lots ofchoices and possibilities, it could even be sweeter; it’s ultimately up to you.

About Leisure CareLeisure Care operates elegant retirement communities that are all aboutFive-Star Fun. Above all else, Leisure Care wants residents to have more fun thananyone. They do this by setting colossal standards for quality and choice inguest services, amenities, resort-style living, and in all things “fun.” Driven by agenuine respect for residents and their families, Leisure Care’s employees striveto exceed customer expectations every day. The innovative spirit and dedicationto service that began more than 35 years ago have allowed Leisure Care tobecome one of the nation’s top privately held senior housing companies.

For more information, please call us today at 425- 775-4440 or visit our websiteat www.leisurecare.com.

Options & Resources For AffordingA Senior Living Community

written by Leisure Care Corporate Office and edited by Kate Harrison, General Manager,and Linda Woolsey, Marketing and Sales Representative, Fairwinds-Brighton Court

It’s More Than Retirement. It’s Five-Star Fun.

How can I afforda senior living

community?

We Can Help You Understand Your Financial Choices and ResourcesSo you, or a loved one, are ready to make a move to a senior community lifestyle. What’s

the next step? In these difficult economic times, the financing choices can seem tough to

navigate. We can help you discover the many resources you may not realize you have

available to you! Whether it’s using traditional funding sources such as retirement

accounts, real estate, and insurance, or less known sources such as government

benefits, the options can be confusing. So, rely on our expertise to put your mind

at ease. Call us today, or visit www.leisurecare.com to learn more. We’re here to help.

Fairwinds - Brighton Court • 6520 - 196th St SW • Lynnwood • 425.775.4440Fairwinds - Brittany Park • 17143 - 133rd Ave NE • Woodinville • 425.402.7100

www.leisurecare.com


Anyone who is an avid golferknows the importance ofmastering his or her swing. Ifyou watched the pros at therecent Masters Tournament, orany golfer at your local publiccourse, you can see the detailand precision in preparing tohit that little ball with thehead of a club. The swing is thething. Ask any golfer andthey’ll express theirfrustration, as well as theirlove for the game, in the samebreath.

Being a caregiver for someone with Alzheimer’s carries its own share offrustration and love, as well as fear and loss experienced by those who sufferfrom the effects. Their inability to perform basic activities that used to besecond nature, strips away self-confidence and joy. Many of the residents atAegis of Bothell suffer from varying stages of memory loss, Alzheimer’s disease,and other forms of dementia. We are known for our creative activities andprogramming for such residents. I have been fortunate enough to have theexperience to witness the unique power the game of golf has on theseindividuals.

I recently read an insightful article by Matthew Futterman, in the The Wall StreetJournal. It was about the game of golf, and the staying power that the golfswing has on the human mind. Aegis of Bothell’s Executive Director, Karl Miller,and I recently set out to experience this in our own community. Karl, an avidgolfer, created a putting course that would accommodate all levels of skill andmobility. His course is complete with the sounds of nature. Waterfalls andchirping birds produce a sense of the outdoors, and the peacefulness of thecourse.

One by one, the residents stepped up to try their hand, past players andnon-players alike. As Monty, who is in the advanced stages of Alzheimer’s and aformer golfer, stepped up, she took the club and went through her “ritual” ofgetting ready for the shot. She repositioned her legs and feet, eyed the ball andthe hole, took a couple practices taps, and then SWING. Hole in one! The bestpart was watching Monty smile, as she raised her arms to cheer for herself,along with the rest of the crowd.

Karl and I have taken our“Golf to Go” show on theroad, visiting local skillednursing facilities andassisted living communities.With each crowd thatgathers we see those whoare eager, and others that aretimid. Everyone participatesthough, whether they’retaking a few shotsthemselves, or cheering onthe willing. We travel to 1 or2 locations on a monthlybasis, setting up our course

with entertaining names for each hole. “Through the Dog’s Legs,” is a favorite ofmany of our fans. Golfers have to hit the ball under a metal dog, with a waggingtail. Karl dresses up in the whole outfit...knickers, argyle socks, golf shirt, andcap. I follow along in an argyle vest and knickers, with signs to engage thecrowd “Shhh,” “Quiet,” “Applause,” “Almost!” “So close!” We give out awards for1st, 2nd and 3rd place, and bring along fresh lemonade for the players. Theplayers come out of their shells, participate, and are focused on the moment.

As I learned from the Wall Street Journal article, golfing as an activity is abehavioral therapy, a common treatment that can be personalized to include aresident’s particular interests. Instead of creating a one size fits all activitiesprogram, we try to consider all residents as individuals and offer activities foreach person’s preferences and hobbies. For some of our residents, this includesgolf, and it is amazing to watch our residents utilize the motor memory of theirgolf swing. It may have been 20 years or more since they have picked up a golfclub, but the response is automatic. According to experts in the field ofneurology and the study of memory loss, people don’t lose motor memory. Thisrecall ability allows our residents with dementia to enjoy a positive experiencefrom their past, boosts confidence, and can even provide a small window ofclarity.

For more information, please contact Maureen Manley at Aegis of Bothell,425-487-3245 or visit www.AegisofBothell.com

Golfers Never Lose Their SwingEven Those With Memory Loss

by Maureen Manley



Life’s calling. So answer. There are too many things to see and do, not to take advantage of every second. And we can help. Let us give you a hand. Consider us your second family—we’ll certainly treat you like you are.Call the community nearest you or go to aegisliving.com for more information.

Totem Lake (Kirkland)

425-814-2841

Bothell

425-487-3245

Bellevue

425-453-8100

Callahan House (Shoreline)

206-417-9747

Edmonds

425-776-3600

Kirkland

425-823-7272

Kent

253-520-8400

Issaquah

425-392-8100Northgate (Seattle)

206-440-1700

Lynnwood

425-712-9999

Redmond

425-883-4000

Shoreline

206-367-6700


Call us, we can help.425.673.2875

www.rosewoodcourte.com

Caring for the Memory Impaired

She’s alwaysbeen therefor you.

Now it’syour turn.

Ever been to a good, old-fashioned county fair? Step into the summer scenewith the hustle and bustle of exhibitors, the smells of animals, and fried food.Can you hear the bands, the cattle, the babies, and the teens on carnival rides?These are great memories both of long ago and of recent years, but rememberall the walking? How far away from the fair gates did you park? How much wasthe parking fee? What about the ticket price? It was worth the cost andexcitement as a teen or with a young family in tow, but for Senior Citizens?

Enough of all that! Step into the scene of Skagit Senior Day in the Park. For thepast three years, this event has given Skagit County Seniors an alternative towading through acres of crowds, animals, and wild rides. From Birds, Birds, Birds,to Garden Fair, yearly themes have brought interest and variety. Attendees havehelped to judge quilts and garden baskets, by voting on their favorite display.Last summer’s SSDP also brought a handmade birdhouse display contest,amongst friendly, competing exhibitors. An assortment of live music has alsoaided in drawing a wonderful crowd, who received optional free healthscreenings, canvas totes, prizes, and information from exhibitors. Our guests hada chance to observe and learn about a peregrine falcon and an owl from theSarvey Birds of Prey bird sanctuary. For those who wanted to treat their ownbackyard feathered friends; a table was provided with supplies for makinghandmade bird feeders on the spot – including a main course of bread andpeanut butter. It was a good day for neighborhood birds!

Many of our senior guests participated in drawings for a variety of prizes, andwere those prizes worth filling out a ticket for...from beautiful gift baskets,birdhouses, gift cards, and more! That was last year though, and this yearpromises to be even more inviting! You’ll have the chance to meet old friendsand new, at our 2010 Skagit Senior Day in the Park. The theme this year isCountry Fair. Guests will again have an opportunity to step inside the Burlington

Senior Center to observe and vote on favorite quilts, crafted by artistic regionalquilters. Browse around outside at the clean, well-constructed health exhibits,get a free health screening, and take home any of the offered information thatmatches your lifestyle and needs. Of course, one cannot attend a country fairwithout lunch...again, free of charge!

To top it all off, you will enjoy the entertainment lined up for our Country Fair.Square dancers from several different dance clubs will show us how squaredancing is done with style, and they come complete with a caller, costumes, andcountry flair! Also, look forward to hearing the Blankenship family of five,including parents and their children ages 14, 13, and 7. You will appreciate theiryouthful, country voices! Does anyone remember John Denver? If so, you willcertainly enjoy his music, brought by a man who has taken it to heart. Ted Vigilnot only sings Denver’s music, but also looks like him! From his clothes, hairstyle, and guitar, down to his personality and love for country music, Ted bringsan exciting tribute to a past favorite country musician. For all you Denver fans,this is a treat not to miss!

Come on out to the Burlington Senior Center, adjacent to Maiben Park onThursday, August 19, 2010, for Skagit Senior Day in the Park! There will benearby parking for those who enjoy a short walk, and there will be a shuttle tobring our guests from a parking lot only a few blocks away. Just find and followthe balloons. It’s clean, it’s entertaining, it’s educational, and it’s free! Fordirections contact Kim Kelley at the Burlington Senior Center at 755-0102. Welook forward to seeing you there!

Christine BlankenshipSedro-Woolley, Washington

It’s The Fair – Country Style!Skagit Senior Day in the Park • Thursday, August 19, 2010 • 10 am to 2 pmBurlington Senior Center / Maiben Park • 1011 Greenleaf Avenue, Burlington



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Many Americans board a plane for an overseas destination without fullyrealizing that they are flying into a completely different culture. Someexperience culture shock: a psychological disorientation caused by immersionin a place where people do things – and see things – differently.

Most cultural groups develop separately, with their own logical (as far as they’reconcerned) answers to life’s basic needs. While every culture is ethnocentric,thinking, “We do it right,” it’s important for travelers to understand that mostsolutions to life’s problems are neither right nor wrong. They are different. That’swhat distinguishes cultures, and for a traveler, that makes life interesting.

Americans, like all groups, have their own peculiar traits and ways of doingthings. It’s fun to look at our culture from a wider perspective, and see howothers question our sanity. For instance, we consider ourselves very clean, butwhen we take baths, we use the same water for soaking, cleaning, and rinsing.(We wouldn’t wash our dishes that way). The Japanese, who use clean water forevery step of the bathing process, might find our ways strange or evendisgusting. People in some cultures blow their nose right onto the street. Theycouldn’t imagine doing that into a small cloth, called a hanky, and storing it intheir pocket to be used again and again.

Once when I was having lunch at a cafeteria in Afghanistan, an older manjoined me to make a point. He said, “I am a professor here in Afghanistan. In thisworld, one-third of the people use a spoon and fork like you, one-third usechopsticks, and one-third uses fingers – like me. We are all civilized the same.”

Toilet paper (like a spoon or a fork) is another Western “essential” that mostpeople on our planet do not use. What they use varies. I won’t get too graphichere, but remember that millions of civilized people on this planet never eatwith their left hand. (Some countries such as Turkey have very frail plumbing,and toilet paper jams up the WCs. If wastebaskets are full of dirty paper, leaveyours there, too)

Too often we judge the world in terms of “civilized” and “primitive.” I was raisedthinking that the world was a pyramid with the US on top, and everyone elsewas trying to get there. I was comparing people on their ability (or interest) inkeeping up with us in material consumption, science, and technology.

My egocentrism took a big hit when my parents took me to Europe. I was apimply teenager in an Oslo park filled with parents doting over their adorablechildren. I realized those moms and dads loved their kids as much as my parentsloved me. It hit me that this world is home to billions of equally preciouschildren. From that day on, I was blessed...and cursed...with a broaderperspective.

Culture Shock and Wiggle Roomby Rick Steves


Over the years, I’ve found that if we measure cultures differently (maybeaccording to stress, loneliness, heart attack rates, hours spent in traffic jams, orfamily togetherness), the results stack up differently. It’s best not to fall into the“rating game.” All societies are complex and highly developed in their own way.

Just as we have a stereotypical view of most of the world, most of the worldsees us as a version of Uncle Sam. To the average Abdullah on the street – who’sseen plenty of American movies, TV shows, and tourists, and has read countlessnews stories about those crazy Yankees – we are outgoing, hardworking,informal, rushed, overconfident, and unconcerned with class distinctions andauthority.

Some of these traits are positive and others aren’t. Remember, there are noabsolute good and bad when it comes to comparing lifestyles. For instance,while we may proudly ignore class ranks and think of our friendliness as avirtue, someone from India might be shocked at our “class ignorance.” The sameway a Frenchman might see our “good-old-boy” slap-on-the-back warmth, asdownright rude.

If a prescription could be written to cure culture shock, it would includeinstructions to:

• Learn as much as you can about your host culture.

• Assume “strange” habits in this “strange” land are logical. Think of thesehabits as clever solutions to life’s problems.

• Be militantly positive. Avoid the temptation to commiserate withnegative Americans. Don’t joke disapprovingly about a culture you’retrying to understand.

• Make a local friend, someone you can confide in and learn from.

Most importantly, remember that different people find different truths to be“God-given” and “self-evident.” Things work best if we give everybody a littlewiggle room. And that goes for more than just travelers.

Rick Steves (www.ricksteves.com) writes Europeantravel guidebooks and hosts travel shows on publictelevision and public radio. Email him [email protected], or write to him c/o P.O. Box 2009,Edmonds, WA 98020.

Rick Steves grew up in Edmonds, Washington andstudied at the University of Washington where hereceived degrees in Business Administration andEuropean History. But his real education came inEurope – since 1973 he’s spent 120 days a year inEurope. Spending one third of his adult life living out ofa suitcase in Europe has shaped his thinking. Today heemploys 80 people at his Europe Through the Back Doorheadquarters in Edmonds where he produces 30guidebooks on European travel, the most popular travelseries in America on public television, a weeklyhour-long national public radio show, and a weeklycolumn syndicated by the Chicago Tribune. Rick and hiswife Anne have traveled each of the last 22 years withtheir two kids, Andy and Jackie.


Time after time, spouses and families tell us “wewished we had heard about Hospice sooner.” Whyaren’t people hearing about Hospice in time?

It must be one of the best kept secrets in healthcare:an amazing team of compassionate and skilled careproviders all paid for by Medicare, Medicaid orinsurance. Locally, if those resources are notavailable, then the Skagit Hospice Foundation cansupplement the care. There should be no financialbarrier to receiving hospice care from SkagitHospice Services on Skagit, Island, San Juan orSnohomish Counties.

When Hospice services are requested, a team ofprofessionals trained and educated in hospice andpalliative care, begin their special work. Theysupport the person with a life-threatening diseasefrom the time they begin to have intensive careneeds, all the way through the end-of-life. Hospiceprovides this support with doctors, nurses, socialworkers, chaplains, aides, volunteers andbereavement services. This holistic, interdisciplinary approach to the end-of-lifetakes into account all types of concerns: physical, emotional, psychological,spiritual, relational, financial and practical. Skagit Hospice Services provides allof this, and with it comes an enormous sense of confidence through a processthat can be otherwise overwhelming for all involved.

Knowing how comprehensive Hospice care can be, again begs the originalquestion, why are we not calling Hospice sooner? Unfortunately people think ofthis step as giving up, when actually studies show the opposite, patients usuallylive longer. You can find this and more about Hospice care on the internet,www.skagithospice.org, or by calling Skagit Hospice Services. They can provideinformation over the phone, mail it, or better yet, Hospice staff will come andvisit to answer your questions in person. Your doctor does not have to make theinitial call, and can work collaboratively with the Hospice staff to co-managecare once it begins.Often times, people fear that the timeframe to use Hospice within is only sixmonths. The truth is there is no limit to the time a person can receive Hospicecare, as long as they remain medically eligible. When qualified, people canremain on Hospice for years. Unfortunately, more frequent than not, peoplereceive Hospice for days instead of weeks, months, or years. The amazing workof Skagit Hospice Services is more beneficial if it is used for more than just a fewdays. However, If one only has days, the Hospice staff is still able to provide an

unanticipated and appreciated level of comfort and support, to the patient andtheir loved ones.

People have shared how unbelievably difficult making the initial call to Hospiceis, but later revealed how relieved they were once they met with the Hospicestaff. It is conceivable that most of us know a person who is Hospice eligible, yetnot receiving care and afraid to call. Increased hospitalizations, weight loss,infections, and less ability to accomplish the activities of daily living (eating,bathing, dressing, toileting, walking) are things to look for as signs for increasedcare needs. Call for a friend and the Hospice staff will be happy to evaluatemedical eligibility either in person, or via their doctor.

Skagit Hospice Services and the Skagit Hospice Foundation are workingtogether to expand services, by developing plans for a Hospice House. Thisexpansion will help to better serve this community. Within the next few years,not only will care be provided in people’s homes, skilled nursing, assisted living,retirement, and adult family home facilities, but also in a unique facilitydesigned for hospice care. Skagit Hospice Services is changing their name toHospice of the Northwest, to embrace all communities served: Skagit, San Juan,Island, and Snohomish Counties. So when you call for a friend, remember to lookfor Hospice of the Northwest, formerly known as Skagit Hospice Services.

“We Wished We Had Heard About Hospice Sooner...”by Annette Coffman

Annette Coffman, M.A. is the Executive Director of Hospice of the Northwest Foundation. For more information you can contact Annette at 360-814-5702.


Many of the services offered at Somerset Memory Care Community are thebasic services offered everywhere else. However, if you’re looking for morethan the general feeding, bathing, dressing, grooming, and medical care ourresidents receive, then you’ve come to the right place. Somerset is able to offerall of those things, and so much more. Let me explain what I am talking about.

From the moment you decide Somerset is the place for your loved one, wecollectively work as a team to establish their physical and medical needs.Somerset staff is routinely trained in learning and applying newdementia-wise interaction skills. This creates a higher quality of life for ourresidents, while simultaneously making some of the staffs interactive taskswith our residents easier.

Along with this, our Social Service department connects with family membersfor further history. They discover their likes/dislikes, what type of dementiathey may have, and any other pertinent history. Once gathered, these factsmay greatly contribute to their overall quality of life, as well as ensuring therewill be activities of genuine interest regularly offered to enhance their day.

Some of our services offered are strictly a Somerset quality, as most places donot have the benefit of a Social Services Department, whose director has aMaster’s degree in Mental Health Counseling. As a result, Somerset is able tooffer family members one-on-one counseling, while they are going throughsome of the hardest times they have ever faced.

Additionally, throughout the day our residents experience the benefits ofAbraham Maslow’s 1943 “Maslow’s Hierarchy of Human Needs” theory, inpractice. Use of this theory has purposefully created a pathway to a higherquality of life, than what would otherwise be possible.

To assure our residents psychological and mood state are being monitored,they may be assessed regarding depression, and cognitive decline/stabilization on an ongoing basis.

Finally, on the third Tuesday of every month at 10:00 am, Somerset facilitates a support group for family members. This is a time when questions can be answered,fears can be addressed, and where one can identify with others who are going through many of the same things. Most of all, it is a valuable link to the reminderthat now and never do you have to be alone.

As a community, Somerset offers 24-hour admissions, same-day assessments, expedited move-in process, transportation, diabetic management, continencemanagement (bowel and bladder), pain management, and our ability to specialize in challenging dementia behavior. We are confident you will enjoy and benefit,due to our many “from the heart” services.

If you would like to learn more about Maslow’s Hierarchy of Human Needs theory, please feel free to contact Sheila Moreno, MA, Director of Social Services atSomerset Memory Care Community, 425-348-8800.

Service from the Heartby Sheila Moreno


According to Ayurveda, good health depends upon our capability to fullymetabolize all aspects of life, assimilating that which nourishes. and,eliminating the rest. Not only do we need to completely digest our food, butdigesting our experiences and emotions is important, as well. Otherwise, toxinsaccumulate in our bodily tissues creating imbalance, and ultimately disease.Panchakarma is an elegant cleansing process that releases stored toxins, andrestores the body’s innate healing ability.

Treatments are mainly divided into three parts. First, preparation for cleansingcalled Poorva Karma, involves internal and external oleation treatments knownas Snehan. Internal oleation is achieved by consuming medicated ghee, or otheroil preparations. External oleation is achieved by massaging medicated oilpreparation onto the body. Specialized points called Marma Point, vital pointswhich are very comparable to acupressure and acupuncture points, are thenworked in to the body. Fats have an unique ability to bind to many organicsolvents, insecticides, pesticides, hydrocarbons, plastics and many more. This isfollowed by Swedan or sweating treatments, which is achieved by manydifferent methods. This treatment helps to sweat out toxic load. In addition tothese treatments, patients generally follow a hypoallergenic diet based on theirAyurvedic, psychosomatic body type and pathology. Yoga postures, breathingexercises and meditation, are also practiced along with treatments.

The second part is the main detoxification, which includes1. Therapeutic vomiting known as Vaman, which I have replaced by modified

fasting, as Americans are usually very averse to the thought of throwing up.2. Purging known as Virechan, is achieved by purging herbs to cleanse the

small intestine, liver and spleen.3. Medicated enemas known as Basti, two kinds of enemas are administered,

cleansing and then restorative to restore the functions of bowel.4. Nasal treatments, medicated oils, herbal solutions are administered into the

nostrils to detoxify nasal passages and sinuses, and restore balance to theolfactory senses. This treatment is called Nasya.

5. The last treatment is known as Rakt Mokshan, or Bloodletting. This wasachieved by many different methods, with the use of leeches being one ofthese methods. I usually encourage selected patients to go for blooddonation. Research concurs that people who donate blood live longer, whichmay be due to a diluted toxic load. I believe that females live longer thanmales because of menstruation, which constantly cleanse them. After themain detoxification, adaptogens are administered to rejuvenate and createa balance in the body.

I have found Panch Karma treatments to be very effective in almost all kinds ofdiseases, including chronic pain.

EXERCISE FOR CHRONIC PAINPeople with chronic pain who exercise regularly require less medication, andoften have the same level of pain relief. Specific exercises strengthen specificmuscles, decrease pain, and strengthen muscles, tendons, and ligaments.Endurance exercises reduce joint stress. Stronger muscles are less prone tomicro-trauma and are fewer triggers for pain. Exercise done on a regular basishelps improve sleep and boosts energy. A good exercise program will includegood alignment of the body, mind, muscles, and stretching, with a core

balancing endurance program. Thisshould be done under a trainedprofessional. Be aware however, that toooften over zealous personal trainers havemade my patients with chronic painsuffer more. Be sure to choose aprofessional who has experience withchronic pain. In spite of all the benefits, itis not very often prescribed by thephysicians, according to a studypublished in the February 2009 issue ofArthritis Care & Research. Only 14.4% ofpatients were prescribed exercise bytheir Physicians. Physical therapists werethe ones who most often prescribed anexercise program.

Yoga and Chronic PainUsing Yoga posture for pain management can help minimize medication usageand help you lead a happier and fuller life. The best techniques for painmanagement are Yoga breathing, relaxation, and meditation. These threeaspects of Yoga act to distract your mind from pain, reduce your body’s tensionin reaction to pain, and provide an opportunity to “move through” the paininstead of resisting it so it loses its impact. Yoga postures are believed to reducepain by helping the brain’s pain center regulate the gate-controllingmechanism, located in the spinal cord, and the secretion of natural painkillers inthe body.

Breathing exercises used in yoga can also reduce pain. Because muscles tend torelax when you exhale, lengthening the time of exhalation can help producerelaxation and reduce tension. Awareness of breathing helps to calm you, andaid in relaxation and pain management. The act of controlling the breath inyoga also helps reduce pain. The body has a natural phenomenon built into thenervous system, which keeps tension in the muscles “on stand by” when thelungs are full, or “pressurized.” Relaxation training is a step-by-step process ofrelaxing each of your body’s muscles. This exercise helps to counteract thebody’s natural tendency to increase muscle tension, in an unconscious effort to“push” the pain away, which only causes the pain to increase. Mental relaxationis more effective in the relief of chronic pain, when combined with meditationand rhythmic breathing. I usually prescribe alternate nostril breathing forseveral minutes per day, which has shown remarkable improvement in moodsand reduction in pain level.

Meditation and Chronic PainMeditation training is a conscious effort to reduce your mind’s constant chatterand instead to simply concentrate on the feeling of not thinking. Regular dailypractice of meditation builds a foundation of internal strength, by opening adoor to a part of yourself that is not governed by the demands of your physicalbody. Start with five minutes, and slowly build up the time until you can do 20minutes. Eventually, you might want to try two 20-minute sessions, one in themorning and another at night. A number of studies have been published toshow beneficial effects of meditation in chronic pain.

Chronic Pain Syndrome and Ayurved continued from page 5

AYURVEDIC HERBS FOR PAIN MANAGEMENTThere are many Ayurvedic herbs that addressongoing excess inflammation. Among these areSalai (Boswellia serrata), proven in clinical studiesto ease the pain of osteoarthritis, the priced spiceTurmeric (Curcuma longa), Ginger (Zingiberofficinale) known in Ayurveda as the “universalmedication,” the powerful herb Ashwagandha(Withania somnifera), and Guggal (Commiphoramukul). Taken alone or in combination with otherherbs, these natural pain relievers address chronic inflammation without theserious side effects many chemical pharmaceuticals cause. What follows is asampling of my clinical experience using these herbs for pain relief and control.

Salai (Boswellia serrata)This herb is unrivaled as a treatment for osteoarthritis. In a 2008 double blind,placebo controlled study; Boswellia serrata produced very rapid results inpatients with osteoarthritis, many of whom were bedridden. The patients’ painscores and functional abilities were markedly improved, and blood levels ofcartilage-degrading enzymes decreased. In another study, all of theosteoarthritis patients treated with Boswellia reported reduced knee pain,increased knee flexion and increased walking distance. Swelling was alsoreduced considerably.

In a study using dogs, Boswellia produced improvements in intermittentlameness, localized pain and stiff gait. All the external factors that aggravatelameness, such as “lameness when moving” and “lameness after a long rest”diminished gradually.

I have used Boswellia with great success to treat patients with osteoarthritis,rheumatoid arthritis and psoriatic arthritis. With holistic combinations of herbaltherapy and Panch Karma detoxification, nutritional changes, and yoga, I havebeen able to take many patients off of prescription pain medications, includingsteroids.

Turmeric (Curcuma longa)My personal belief is that turmeric is responsible for the low cancer rate inIndia. Turmeric is a powerful antioxidant, anti-inflammatory, anti-carcinogenic,anti-microbial and hepatoprotective spice. India has the lowest rate ofAlzheimer’s disease in the world, and turmeric is thought to be that magicpotion. I have used it with remarkable results in treating cardiovascular andgastrointestinal disorders.

As a pain-reliever, turmeric is potent in treating every aspect of inflammation.Cox-2 inhibitors such as Celebrex and Vioxx were once touted asanti-inflammatory drugs without the side effects. However, many patients tookthese drugs for years before learning that they are associated with heartdisease. Turmeric, on the other hand, has a much broader spectrum ofanti-inflammatory activity than these drugs, without the side effects. Turmerichas been used as a culinary spice in many areas of the world for centuries, andits safety for human consumption is well established.

Ashwagandha (Withania somnifera)Ashwagandha is an important Ayurvedic rasayana – a rejuvenating tonic thatenhances longevity and may be used over a long period of time without side

effects. Clinical studies have shown Ashwagandhato relieve the pain of rheumatoid arthritis.Ashwagandha is one of the Ayurvedic herbs thatoffer promise as an alternative to steroids. Itsnaturally occurring steroidal content is muchhigher than that of hydrocortisone, a commonlyprescribed anti-inflammatory. I always chooseAshwagandha for patients with a need forsteroids like hydrocortisone or prednisolone.Ashwagandha always comes to the rescue with

flying colors, allowing such patients to reduce or eliminate their need forsteroids.

Ginger (Zingiber officinale)The medicinal value of ginger is so wide-reaching it’s often called the “universalmedicine.” I remember it as Grandma’s answer to everything – from stomachaches to headaches and joint pain.

Ginger is a powerful anti-inflammatory and anti-oxidant. It was studied inpatients with rheumatic arthritis in two clinical trials. In one, seven RA patientsreported pain relief, increased joint mobility, decreased swelling and reducedmorning stiffness.

Guggal (Comiphora mukul)In the West, guggal is best known as a cholesterol-reducer. In Ayurveda,however, it has long been used to treat inflammatory conditions likerheumatoid arthritis, osteoarthritis, and psoriatic arthritis.

I have treated hundreds of patients with conditions including rheumatoidarthritis, osteoarthritis, psoriatic arthritis, polymyalgia rheumatica,fibromyalgia, and asthma using the above said herbs, in combination withnutritional changes, exercise, yoga, meditation and the Panch karma detoxprogram. I have been able to take patients off medications like Methotrexate,Enbrel, Humira, Remicade and Prednisone after three to sixteen months ofAyurvedic treatment. Even though my patients show tremendousimprovement, I always advise them to stick to their nutritional program andlifestyle changes to ensure a lifetime of great health. I usually use combinationformulas of standardized extracts of guggal with ashwagandha, turmeric,boswellia and ginger, for a synergistic anti-inflammatory effect. Recently apatient of RA returned after nine years to my clinic, who was treated withsimilar protocols and was in remission until now, when she went off herprogram and symptoms came back.

ConclusionAyurvedic and naturopathic treatment modalities are effective in chronic painmanagement. We need to consider mental, emotional, physical, and spiritualaspects of the disease.

For more information about Dr. Virender Sodhi and the Ayurvedic Clinic, please visitwww.ayurvedicscience.com

Please note: This article is purely informative and should not replace the guidance of yourphysician. If you suffer from an illness, you should consult a physician before taking anyherbs, vitamins, minerals or enzymes. Even at the peak of health, it is best to consult aqualified practitioner before taking any dietary supplement.


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ARLINGTONOlympic PlaceRetirement & Assisted LivingCommunity20909 Olympic PlaceArlington WA 98223360-435-8440

EDMONDSAegis of EdmondsAssisted Living/Alzheimer’s Memory Care21500 - 72nd Ave West Edmonds WA 98026425-776-3600

Edmonds LandingAssisted Living180 Second Ave SouthEdmonds WA 98020425-744-1181

Rosewood CourteAssisted Living/Alzheimer’smemory impaired only 728 Edmonds WayEdmonds WA 98020425-673-2875

Sunrise of EdmondsAssisted Living/Alzheimer’s Care750 Edmonds WayEdmonds WA 98020425-673-9700

EVERETTBethany at Silver CrestAssisted Living/Nursing Home Adjacent2131 Lake Heights DriveEverett WA 98208425-385-2335

Cascadian Place RetirementRetirement3915 Colby AvenueEverett WA 98201425-339-2225

Clare Bridge Silver LakeAlzheimer’s & Dementia Care2015 Lake Heights DriveEverett WA 98208425-337-6336

Emeritus at Silver LakeAssisted Living12806 Bothell-Everett HighwayEverett WA 98208425-338-3227

Garden CourtRetirement CommunityIndependent and Assisted Living520 - 112th Street SWEverett WA 98204425-438-9080

Emeritus at SeabrookIndependent and Assisted Living11333 3rd Place WEverett WA 98204425-347-0372

Somerset Memory CareCommunityAssisted Living / Alzheimer’smemory impaired only524 - 75th Street SEEverett WA 98203425-348-8800

Washington OakesRetirement and Assisted Living1717 Rockefeller AveEverett WA 98201425-339-3300

GRANITE FALLSThe VillageIndependent Living302 North Alder AvenueGranite Falls WA 98252360-691-1777

LAKE STEVENSAshley PointeIndependent and Assisted Living11117 - 20th Street NELake Stevens WA 98258425-397-7500

LYNNWOODAegis of LynnwoodAssisted Living18700 44th Avenue WestLynnwood WA 98037425-712-9999

Clare Bridge LynnwoodAlzheimer’s & Dementia Care 18706 - 36th Ave W Lynnwood WA 98037425-774-3300

Chateau PacificIndependent & Assisted Living3333 - 148th Street SWLynnwood WA 98037425-787-9693

Fairwinds – Brighton CourtRetirement/Assisted Living6520 - 196th Street SWLynnwood WA 98036425-775-4440

Scriber GardensIndependent & AssistedLiving/Wellness Services6024 200th Street SWLynnwood WA 98036425-673-7111

Sunrise of LynnwoodAssisted Living/Alzheimer’s Care18625 - 60th Ave WLynnwood WA 98037425-771-7700

MARYSVILLEGrandview VillageRetirement & Assisted Living5800 - 64th Street NEMarysville WA 98270360-653-2223

Merrill Gardens at MarysvilleIndependent & Assisted Living9802 - 48th Dr NEMarysville WA 98270360-659-1279

MILL CREEKMill Creek GardensAssisted Living/Alzheimer’s memory impaired only13200 - 10th Dr SEMill Creek WA 98012425-379-8276

Merrill Gardens at Mill CreekIndependent and Assisted Living14905 Bothell Everett HwyMill Creek WA 98012425-338-1580

MONROEMerrill Gardens at MonroeIndependent and AssistedLiving/Alzheimer’s MemoryImpaired15465 - 179th Ave SEMonroe WA 98272360-794-4284

MOUNTLAKE TERRACEMountlake Terrace PlazaA Merrill Gardens CommunityIndependent and Assisted Living23303 - 58th Ave WMountlake Terrace WA 98043425-672-4673

MUKILTEOHarbour PointeIndependent and Assisted Living10200 Harbour PlaceMukilteo WA 98275425-493-8555

SNOHOMISHSunrise of SnohomishAssisted Living/Alzheimer’s Care1124 Pine AveSnohomish WA 98290360-568-1900

STANWOODJosephine Sunset HomeAssisted Living/Nursing HomeAdjacent9901 - 272nd Place NWStanwood WA 98292360-629-2126

Merrill Gardens at StanwoodIndependent & Assisted Living/Alzheimer’s and Dementia Care7212 - 265th Street NWStanwood WA 98292360-629-3445

Stanwood Community &Senior CenterIndependent Living7430 - 276th Street NWStanwood WA 98292360-629-7403

Warm Beach Senior CommunityIndependent & Assisted Living/Skilled Nursing 20420 Marine DriveStanwood WA 98292360-652-7585

SKILLED NURSING CAREAldercrest - Edmonds425-775-1961

Bethany at Pacific - Everett425-259-5508

Bethany at Silver Lake - Everett425-338-3000

Delta Rehab Center - Snohomish360-568-2168

Edmonds Rehab and Healthcare–Edmonds 425-778-0107

Everett Rehab and Care Center -Everett 425-513-1600

Everett Trans. Care - Everett425-258-7552

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DIRECTORY

Forest View Trans. Health Center–Everett 425-258-4474

Josephine Sunset Home -Stanwood 360-629-2126

Lynnwood Manor Health Center -Lynnwood 425-776-5512

Madeleine Villa Health Care -Marysville 360-659-1259

HCR Manor Care - Lynnwood425-775-9222

Marysville Care Center -Marysville 360-659-3926

Merry Haven Health Care Center -Snohomish 360-568-3161

Parkway Nursing Center -Snohomish 360-568-8566

Regency Care Center at Arlington- Arlington 360-403-8247

Regency Care Center of Monroe -Monroe 360-794-4011

Sunrise View Convalescent Center- Everett 425-353-4040

ANACORTESFidalgo Care Center &Rosario Assisted LivingAssisted Living/Skilled Nursing/Secured Dementia Care/Rehab1105 27th StreetAnacortes WA 98221360-293-3174

Cap Sante Court Retirement1111 32nd StreetAnacortes,WA 98221360-293-8088

Chandler’s Square Retirement/Assisted Living1300 “O” Ave.Anacortes WA 98221360-293-1300

MOUNT VERNONThe BridgeAssisted Living/Hospice301 S LaVentureMount Vernon WA 98274360-416-0400

Highland GreensSenior ApartmentsAffordable Senior Apartments3100 N 30th StMount Vernon WA 98273360-848-8422

Highland Greens TownhomesSenior ResidencesVillage Court @ 3200 N 30th StMount Vernon WA 98273360-540-1438

Life Care Center of Mount VernonAssisted Living/ Skilled Nursing/Rehab/Alzheimer’s2120 E DivisionMount Vernon WA 98274360-424-4258

Logan CreekRetirement/Independent Living2311 E DivisionMount Vernon WA 98274360-428-0222

Mountain GlenRetirement/Assisted Living1810 East DivisionMount Vernon WA 98274360-424-7900

Salem Village IISenior Residences2601-2617 N LaVenture RdMount Vernon WA 98273360-540-1438

Salem Village ApartmentsAffordable Senior Apartments2619 N. LaVenture RdMount Vernon WA 98273360-428-5662

SEDRO-WOOLLEYBirchview - A Memory CareCommunity Assisted Living/Enhanced Adult Residential Care925 Dunlop AveSedro-Woolley WA 98284360-856-1911

Country Meadow VillageRetirement & Assisted Living1501 Collins RdSedro-Woolley WA 98284360-856-0404

Life Care Center of Skagit ValleySkilled Nursing1462 West SR 20Sedro-Woolley WA 98284360-856-6867

BELLINGHAMAlderwood ParkLicensed Skilled Nursing2726 AlderwoodBellingham WA 98225360-733-2322

Bellingham Health Care & RehabLicensed Skilled Nursing/Specialized Care1200 BirchwoodBellingham WA 98225360-734-9295

Cordata Health Care &Rehab CenterLicensed Skilled Nursing4680 Cordata ParkwayBellingham WA 98226360-398-1966

Fairhaven EstatesAssisted Living2600 Old Fairhaven ParkwayBellingham WA 98225360-647-1254

Highgate HouseAssisted Living/Specialized Care151 & 155 East KelloggBellingham WA 98226360-671-1459

Highland Care CenterLicensed Skilled Nursing2400 Samish WayBellingham WA 98226360-734-4800

The LeopoldRetirement & Assisted Living1224 Cornwall AveBellingham WA 98225360-733-3500

Merrill Gardens at CordataRetirement/Assisted Living/Specialized Care4415 Columbine DrBellingham WA 98226360-715-8822

Mt. Baker Care CenterLicensed Skilled Nursing2905 Connelly AveBellingham WA 98225360-734-4181

Parkway ChateauRetirement/Independent Living2818 Old Fairhaven ParkwayBellingham WA 98225360-671-6060

Rosewood VillaRetirement/Assisted Living702 32nd StreetBellingham WA 98225360-676-9193

Shuksan Health Care CenterLicensed Skilled Nursing1530 James StreetBellingham WA 98225360-733-9161

Spring CreekRetirement & Assisted Living223 E Bakerview RoadBellingham WA 98226360-756-2301

St. Francis Extended Health CareLicensed Skilled Nursing3121 Squalicum PkwyBellingham WA 98225360-734-6760

Summit Place at Mt. BakerAssisted Living2901 Connelly AveBellingham WA 98225360-738-8447

The CourtyardDementia Care CommunityAssisted Living/EnhancedSpecialized Care 848 W Orchard DrBellingham WA 98225360-715-1338

FREELANDMaple RidgeAssisted Living Community1767 Alliance AvenueFreeland WA 98249360-331-1303

OAK HARBORHarbor Tower VillageRetirement & Assisted Living100 E Whidbey AveOak Harbor WA 98277360-675-2569

Home PlaceAlzheimer’s & Dementia Care171 SW 6th AveOak Harbor WA 98277360-279-2555

Regency on WhidbeyAssisted Living, IndependentCottages, Harbor Care1040 & 1045 SW Kimball DrOak Harbor WA 98277360-279-0933 & 360-279-2224

Summer HillRetirement and Assisted Living165 SW 6th Ave.Oak Harbor WA 98277360-679-1400

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AUBURNAuburn MeadowsAssisted Living/Memory Care945 22nd Street NEAuburn WA 98002253-333-0171

BELLEVUEAegis of BellevueAssisted Living / Memory Care148 102nd Ave SEBellevue WA 98004425-453-8100

The BellettiniLuxury Apartment Homes in theHeart of Bellevue / 62+1115 108th Avenue NEBellevue WA 98004425-450-0800

Brighton Gardens of BellevueAssisted Living &Alzheimer’s Care15241 NE 20th StreetBellevue WA 98007425-401-0300

Sunrise of BellevueAssisted Living &Alzheimer’s Care15928 NE 8th StreetBellevue WA 98008425-401-5152

Wynwood BellevueAssisted Living Alzheimer’s& Dementia Care1640 148th Ave SEBellevue WA 98007425-373-1161

BOTHELLAegis of BothellAssisted Living / Memory Care10605 NE 185th StreetBothell WA 98011425-487-3245

Chateau at Bothell LandingIndependent & Assisted Living17543 102nd Ave. NEBothell WA 98011 425-485-1155

Life Care Center of BothellAssisted Living/Skilled Nursing707 228th Street SWBothell WA 98021 425-481-8500

North CreekRetirement & Assisted Living907 201st Place SEBothell WA 98012425-483-8927

Riverside EastRetirement & Assisted Living10315 East Riverside DriveBothell WA 98011425-481-1976

Vineyard Park at Bothell LandingIndependent &Assisted Living Community10519 East Riverside DriveBothell WA 98011425-485-8900

BURIENEl Dorado WestRetirement & Assisted Living1010 SW 134th StreetBurien WA 98146206-248-1975

COVINGTONCovington PlaceRetirement Apartments26906 169th Place SECovington WA 98042888-548-6609

ENUMCLAWHigh Point VillageRetirement & Assisted Living1777 High Point StreetEnumclaw WA 98022360-825-7780

FEDERAL WAYFoundation HouseIndependent LivingPersonalized Assisted Living32290 1st Avenue SFederal Way WA 98003253-838-8823

ISSAQUAHAegis of IssaquahAssisted Living / Memory Care /Hospice780 NW Juniper StreetIssaquah WA 98027425-526-6037

KENMORESpring Estates - KenmoreAssisted Living7221 NE 182nd StreetKenmore WA 98028425-481-4200

KENTAegis of KentAlzheimer’s / Memory Care10421 SE 248th StreetKent WA 98030253-479-1768

Farrington CourtRetirement / Assisted Living516 Kenosia AvenueKent WA 98030253-852-2737

KIRKLANDAegis of KirklandAssisted Living / Memory Care13000 Totem Lake BoulevardKirkland WA 98034425-823-7272

Aegis at Totem LakeRetirement / Assisted Living/ Memory Care12629 116th Avenue NEKirkland WA 98034425-814-2841

Kirkland LodgeAssisted Living6505 Lakeview Drive NEKirkland WA 98033425-803-6911

Madison House / Totem LakeRetirement / Assisted Living12215 NE 128th StreetKirkland WA 98034425-821-8210

Merrill Gardens at KirklandIndependent & Assisted Living201 Kirkland AvenueKirkland WA 98033425-828-2570

MERCER ISLANDSunrise of Mercer IslandAssisted Living &Alzheimer’s Care2959 76th Avenue SEMercer Island WA 98040206-232-6565

REDMONDAegis of RedmondAssisted Living / Memory Care7480 West Lake SammamishParkway NERedmond WA 98052425-883-4000

Fairwinds – RedmondRetirement / Assisted Living9988 Avondale Rd NERedmond WA 98052425-558-4700

Peters CreekRetirement & Assisted Living14431 Redmond WayRedmond WA 98052425-869-2273

The MarymoorRetirement & Assisted Living 4585 W. Lake SammamishParkway NERedmond WA 98052425-556-9398

RENTONThe LodgeRetirement / Assisted Living1600 South Eagle Ridge DriveRenton WA 98055425-793-8080

SEATTLEAegis at NorthgateMemory Care11039 17th Avenue NESeattle WA 98125206-440-1700

CRISTWOOD RetirementCommunityResidential/Assisted Living SkilledNursing/Onsite Home Health19303 Fremont Avenue NorthSeattle (Shoreline) WA 981331-877-639-3292 / 206-546-7565

Merrill Gardens at NorthgateIndependent and Assisted Living11501 15th Avenue NESeattle WA 98125206-362-7250

Merrill Gardens at Queen AnneIndependent and Assisted Living 805 4th Ave NSeattle WA 98109206-284-0055

Merrill Gardens at Renton CentreIndependent and Assisted Living104 Burnett Ave SRenton WA 98057425-235-6400

Merrill Gardens at West SeattleIndependent4611 35th Ave SWSeattle (West) WA 98126206-932-5480

Merrill Gardens Admiral HeightsIndependent and Assisted Living2326 California Ave. S.W.Seattle (West) WA 98116206-938-3964

KING


Merrill Gardens at the UniversityIndependent & Assisted Living5115 25th Ave NESeattle WA 98105206-523-8400

MirabellaIndependent, Assisted Living,Skilled Nursing & Memory Care116 Fairview Ave NSeattle WA 98109206-254-1447

Northgate PlazaA Merrill Gardens CommunityIndependent & Assisted Living11030 5th Ave NESeattle WA 98125206-363-6740

Remington PlaceRetirement3025 NE 137th StreetSeattle WA 98125206-367-0369

Ballard LandmarkRetirement/Assisted Living5433 Leary Ave NWSeattle WA 98107206-782-4000

the Stratford at Maple Leaf Independent, Assisted Livingand Memory Care9001 Lake City Way NESeattle WA 98115206-729-1200

SHORELINEAegis of Shoreline andCallahan HouseIndependent, Assisted Livingand Memory Care14900 & 15100 First Avenue NEShoreline WA 98155206-367-6700 and 206-417-9747

WOODINVILLEFairwinds – Brittany ParkRetirement / Assisted Living17143 - 133rd Ave NEWoodinville WA 98072425-402-7100

The CreeksideA Merrill Gardens CommunityIndependent RetirementCommunity18200 Woodinville-SnohomishRoad NEWoodinville WA 98072425-483-7953

PORT ORCHARDPark VistaRetirement & Assisted Living2944 SE Lund AvenuePort Orchard WA 98366360-871-2323

SILVERDALECRISTA Shores RetirementCommunityResidential, Assisted Living1600 NW Crista Shores LaneSilverdale WA 983831-800-722-4135 / 360-613-3502

BONNEY LAKECedar RidgeRetirement & Assisted Living9515 198th Avenue EBonney Lake WA 98391253-299-6461

GIG HARBORClare Bridge Shoreline ViewAlzheimer’s & Dementia Care9324 N Harborview DriveGig Harbor WA 98332253-858-7790

Merrill Gardens at Gig HarborIndependent and Assisted Living3213 45th Street Court N.W.Gig Harbor WA 98335253-858-5300

Sound Vista VillageRetirement & Assisted Living6633 McDonald AvenueGig Harbor WA 98335253-851-9929

MILTONMill Ridge VillageRetirement & Assisted Living607 28th AvenueMilton WA 98354253-925-9200

PUYALLUPClare Bridge PuyallupAlzheimer’s & Dementia Care8811 176th Street EPuyallup WA 98375253-445-1300

Merrill Gardens at PuyallupIndependent and Assisted Living123 4th Avenue NWPuyallup WA 98371253-848-1234

Silver CreekRetirement & Assisted Living17607 91st Avenue EPuyallup WA 98375253-875-8644

TACOMALife Manor IndependentSenior Living1601 S.Union AvenueTacoma WA 98405253-383-3363

Life Manor AssistedLiving Community1609 S.Union AvenueTacoma WA 98405253-779-3800

Villas Union ParkIndependent Living2010 S Union AvenueTacoma WA 98405253-752-6870

Wynwood AllenmorePersonalized Assisted Living3615 S 23rd StreetTacoma WA 98405253-759-7770

HOQUIAMChannel Point VillageRetirement & Assisted Living907 K StreetHoquiam WA 98550360-532-9000

LACEYWoodlandRetirement & Assisted Living4532 Intelco Loop SELacey WA 98503360-528-3253

OLYMPIAClare Bridge OlympiaAlzheimer’s & Dementia Care420 Yauger Way SWOlympia WA 98502360-236-1400

Merrill Gardens at OlympiaIndependent and Assisted Living616 Lilly Road N.E.Olympia WA 98506360-456-0601

YELMRosemontRetirement & Assisted Living215 Killion Road NWYelm WA 98597360-458-1800

PORT ANGELESPark View VillasRetirement & Assisted Living1430 Park View LanePort Angeles WA 98363360-452-7222

PORT TOWNSENDDiscovery ViewRetirement Apartments1051 Hancock StreetPort Townsend WA360-385-9500

Seaport LandingRetirement & Assisted Living1201 Hancock StreetPort Townsend WA 98368360-379-9376

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