07/07/2004
New Hanover County Health Department
Revenue and Expenditure Summaries for May 2004
Cumulative: 91.67% Month 11 of 12
Revenues
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Type of
Revenue
Budgeted
Amount
Current Year
Revenue Balance
Earned Remainln
%
Prior Year
Budgeted Revenue Balance %
Amount Earned Remalnln
$ 1 ,368,233 $ 349,864 79~64%
$ 521.006 $ 66,938 88.61%
$ 787,498 $ 247,888 76.06%
$
$ 259,109 $ 53,791 82,81%
$ 147.649 $ (34.799) 130.84%
Federal & State $2,025,090 $1,674,610 $ 350,480
AC Fees $ 583,661 $ 610,391 $ (26,730)
Medicaid $1,044,080 248,701
Medicaid Max $ 273,333
EH Fees $ 300,212 42,356
HeaUh Fees $ 127,450 (30,401)
Expenditures
Current Year Prior Year
. Type of Budgeted Expended Balance % Budgeted Expended Balance %
Ex ndlture Amount Amount Remalnin Amount Amount Remalnln
Salary & Fringe $10,004,2&1 $8,605,872 $ 1 ,398,389 9,073,451 $7,797,800 $1,275,651 85.94%
Summary
Budgeted Actual %
FY03~ FY 03~
Expenditure5:
Salaries & Fringe $10,004,261 $8,605,872
Operating Expenses $1,873,804 $1,420,205
Capital Outlay $351,270 $238,274
Total Expenditures $12,229,335 $10,264,351 83.93%
Revenue: $6,752,231 $5,833,840 86.40%
. Net County $$ $5,477,104 $4,430,511 80.89%
Revenue and Expenditure Summary
For the Month of May 2004
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NHCHD BOARD OF HEALTH APPROVED GRANT APPUCATlON STATUS FY 03-04
Date (BOH) Grant Reauested Pending Received Denied
Kate B. Reynolds Charitable Trust- Transportable
5/512004 Dental Unij $375,000 $375.000
Cape Fear Memorial Foundation- Dental Grant $185,000 $185,000
Cape Fear Memorial Foundation. School Health
4n12004 Emergency Dental Services Grant $ 15,000 $ 15.000
Safe Kids Coalltion- Govemo(s Hi9hway Safety
Program- (Coalition Vehicle Request) $ 16,000 $ 16,000 .
Safe Kids Coalltlon- Safe Kids Buckle Up Program-
3/3/2004 Child Safety Seat Grant $3.500 $3,500
2/412004 No activity to report for February 2004.
Cape Fear Memorial Foundation. Funds needed to
enhance health education in 4 areas other than Diabetes (an
lnt2004 enhancement to Diabetes Today Grant). $20,000 $18,500 $1,500
12/312003 No activity to report for October 2003.
Cape Fear Memorial FoundaUon- Funds needed to cover
dental services for needy children as identified by School
1 1/5/2003 Health Nurses. $3,000 $3,000
NC Medical Foundation. Through the Good Shephard
Ministries for nursing services to the population frequenting
the shelter. $25,000 $25,000
Duke University- To provide 10 hours of nursing services for
TB Outreach. $10,388 $10,700 -$312
NC Tobacco and Control Branch, DHHS- Continuation of
Tobacco Prevention Program. $100,000 $64,093 $35,907
10/112003 No activity to report for October 2003.
New Hanover County Safe Schools- Uniting for
Youth "U4Youth"(funding will be received over a 3
9/3/2003 year grant period) $49,000 $12,702 $36,298
Safe Kids Coalltlon- Fire Prevention (Please note this
grant was pulled- coalition not able to meet deadline for
request) $2,500 $2,500
8/6/2003 NC DHHS- OPH Preparedness and Response $82,350 $31,950 $50,400
Smart Start- Partnership for Children (Grant
7/312003 Increase for Part Time Nurse Position) $5,523 $5.523
Cape Fear Memorial Foundation - Diabetes Today
(two-year request; $42,740 annually) (Received $25,00
year 1 and $20,000 year 2) $85,480 $45,000 $40,480
Duke University Nicholas Schaol of the
Envlronment-Geographic Information Systems Grant
(Env Health) $10,000 $10,000
Safe Kids Coalition- Safe Kids Mobile Car Seat
Check up Van $50,000 $50,000
6/412003 Safe Kids Coalition- Risk Watch Champion Team $10,000 $12,500
Smart Start- Partnership for Children: Child Care
5n12003 Nursing Program (Preliminary Approval) $171,977 $172,500
Smart Start- Partnership for Children: Health Check
(Preliminarv Approval) $41,035 $41,747
UNC-CH: Child Care Heallh Consultant $62,849 $64,495
Cape Fear Memorial Foundation (through
Partnership for Children): Navioator procram $178,707 $180,000
4/312003 No activity to report for April 2003.
3/5/2003 No activity to report for March 2003.
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As of 6/2212004
. NOTE. Notification received since last report.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 03-04
Date (BOH) Grant Reouested Pendlno Received Denied
2/5/2003 No activity to report for February 2003.
1/8/2003 He DHHS- OPH Preparedness and Response $115,950 $33,600 $82,350
12/412002 No activity to report for December 2002.
He Health and Wellness Trust Fund-Teen Tobacco
Use Prevention & Cessation Program ($100,000 per
11/612002 year for 3 years) $100,000 $100,000
Sa~ Kids Buckle Up Program-North Carolina Safe
10/212002 Kids $5,000 $5,000
Developing Geographic Information Systems (GIS)
Capacity in Loeal Health Oepartment'in Eastern
North Carolina-Duke University Nicholas School of
the Environment and Earth s~ces (NSEES) $18,000 $18,000
No ac:uvlty to report for septem r 2 .
No acUv ty to report for August .
No acuYlty to report for July .
Totals $1,741,259 $575,000 $752,287 $420,646
33.02%
43.20%
24.16%
Pendina Grants 3 12%
Funded Total Reouest 11 42%
Partially Funded 7 27%
Denied Total Reauest 5 19%
Numbers of Grants Annlied For 26 100%
As of 612212004
* NOTE. Notification received since last report
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:
Meeting Date: 08/02/04
Consent
A enda:[gI
Presenter: Cindy Hewett, Business
Mana er
Contact: Cind Hewett, Business Mana er, ext 6680
Department: Health
If)
Sub' ect: Medicaid Cost Settlement Funds for FY 04-05
Brief Summary: The New Hanover County Health Department has received $337,717.32
in Medicaid Cost Settl'ement funds resulting from the cost analysis for July 2002 - June
2003. Medicaid Cost Settlement funds must be spent in any of the programs in which
they are generated or any support programs such as Administration or Laboratory.
Theses funds have been received in the current fiscal year and will need to be rolled
forward into FY 04-05.
Recommended Motion and Requested Actions: To accept Medicaid Cost Settlement
Funds, approve funds budgeted in FY 04-05 ($151,600) and approve associated budget
amendment for remaininll funds ($186,117).
I Funding Source: Division of Medical Assistance (DMA)
Will above action result in:
DNew Position Number ofPosition(s)
DPosition(s) Modification or change
[8]No Chan e in Position s
Explanation: Each year local health departments participate in a Medicaid cost analysis.
Representatives from the State Controller's Office conduct the analysis by processing
data provided by the health department for services provided during a specified time
frame. DMA analyzes the data collected and determines if the health department is
owed an additional funds for services rovided durin the time eriod reviewed.
Attachments: Letter detailin
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17m STREET
I WILMINGTON, NC 28401.4946
TELEPHONE (910) 343-6500 FAX (910) 341-4146
June 22, 2004
To: New Hanover County Board of Health
From: Cynthia W. Hewett, MSIS
Business Manager
Subject: Medicaid Cost Settlement Funds for FY 04-05
New Hanover County Health Department has received $337,717.32 in Medicaid Cost Settlement
Funds for services provided from July 2003- June 2003. Totals received per program are as
follows:
.
Maternal Health $ 135,351.72
Familv Plannine: $ 7,384.60
Immunizations $11,029.01
Generic Bill $1,869.83
EPI/SroffB $15,679.18
CSHS $1,542.74
Child Health $164,860.26
Total $337,717.32
In order to balance our FY04-05 Budget, NHCHD needed to use $151,600 of these funds in the
following programs:
Administration $ 50,000
Laboratorv $ 4,600
Communicable Disease $ 27,000
Familv Planning $ 70,000
Total $ 151,600
.
As of 06/23/04
12
We are proposing to expend the remaining funds ($ 186,117) as follows:
.
Prol!1am Bude:et Amount
Child Service Coordination Salaries 5123 $70,000
Maternal Outreach Workers Salaries 5123 $16,117
Equipment for Document Imal1inll 5131 $12,000
Laboratory Module and Maintenance 5121 $15,000
Clinic Enhancements 5124 $10,000
Chairs (Waitine: Room and Conference Room) 5131 $10,000
Carpetine: 5131 $10,000
Staff Trainine: 5131 $15,000
Enhancements to Fire Alarm System 5131 $20,000
Network Printer 5131 $3,000
Computer Equipment 5131 $5,000
Total $186,117
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As of 06/23/04
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:[gI Consent Meeting Date: 7/12/04
Agenda: [gI
Department: Health Presenter: David Rice or designee
ContactJanet McCum1;1.ee
Subject: Wolfe- North Carolina Public Health Association (NCPHA) Prenatal Grant
Application - FY(s) 0'4-06
Brief Summary' Need approval to submit a Prenatal Grant to NCPHA (Ann Wolfe
Endowment) for $5,00'0' to provide assistance to diabetic prenatal patients. This money
will be used to pay for diabetic supplies for prenatal patients with no source of payment
for those supplies. These patients are identified by our Maternity Care Coordinators.
Recommended Motion and Requested Actious: To approve the Prenatal Grant
application to NCPHA for $5,000; to accept the funds if awarded and approve any
associated budget am~ndment for FY 0'4-05 and 05-06 (grant period is 9/1/04-3/1/06).
I Funding Source: Ann Wolfe Endowment with NCPHA
Will above action result in:
ONew Position Number ofPosition(s)
DPosition(s) Modification or change
[gINo Change in Position(s)
Explanation: funds all for payment of diabetic care supplies
Attachments: Grant Application Cover Sheet/Budget Sheet
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2004 Wolfe Mini Grant Application
Grant Application Cover Sbeet
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. of application:
June 1, 20'0'4
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New Hanover Count Health De artment
NOrM of organjz(J/ion
(910') 343-650'0'
phone
David Rice
Name 'of Director
Wilmin ton NC 2840'1
City. State, Zip
(910') 341-4146
Fa:<
Health Director
Titl.
Employer Id.ntification Numb.r (EIN)
20'29 S. 17th Street
A ddre..
3-6591
nr; ,,"'~T\n"gr'" ~ om
E-mail
Panza McNeill RN BSN
NOrM of contaCt porson r.garding thit application Titl.
(910' 343-6564 mcneill
Ph_ E-mail
v.co
Debbie Kin
RNC
Give an abstract of the project and request.
Many of the pregnant clients that are diagnosed with gestati9nal diabetes
.are not eligible for medicaid. While home blood glUCOSe monitoring is
essential for these women to continue with a healthy pregnancy, the
enormity of the funds needed to purchase the needed supplies to check
their blood Sugars four times a day, co~pled with their inability to
comply with physician'S orders is overwhelming. This, compounded by
not only the negative physical effects on the health of the mother
during the pregnancy, but also the associated sadness and guilt they
bear in the knowing that they are harming their unborn child only
complicates the picture. Being able to provide the needed supplies not
only erases the barriers and guilt, but reduces both maternal and fetal
complications both during and after pregnancy as well as lowers the
rate of infant mortality.
Data Statement _ What is me lnfant Mortality Rate for your county'!
Total
3.4
White
1.9
Non-White
8.3
Project dates:
Sept. 1. 20'0'4 - March 1, 20'0'6
$5,0'0'0'.0'0'
Dollar amount requested:
,~,?:e',::'}i'Yi;'1:f~~",;'dt~;:J~;:;fu1'?-f~JI~~~tfl~~iJi!~llil'
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Name of Health Director:
Da~
~ ,.' . eJmOJ?
,
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Signature
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Wolfe Mini Grant Application Form
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EXPENSES
lli!!l
Syringes
Lancets
Blood glucose test ~trips
Ketostix
Insulin
Total Requested
.
Amount
$ 500.00
$'500.00
$'r4'in nn
$150.00
$400.00
$
$
$
$
$
$
$
$
$
$
55.000.00
.
Include a budget narrative ,explaining your requests.
90 days of Diabetic Supplies for one patient.
* Test strips for glucose monitor (8 bottles) ............296.00
* Lancets (4 boxes) .......................................22.00
* Urine Ketostix (4 bottles) ..............................43.00
* Insulin (3-4 vials) .....................................84.00
* Syringes (2 boxes) .......................................;32.00
TOTAL A ...........................................477.00
(if insulin-dependent)
TOTAL B ...........................................368.00
(if NOT insulin-dependent)
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:[J Consent Meeting Date: 08/02/04
AlZenda: !8J
Department: Health Presenter: Cindy Hewett, Business Mgr
Contact: Cindy Hew~, Business Manager, ext 6680
Subject: Budget Amendment in the amount of$IO,OOO to transfer funds from the Animal
Control Services Trust Fund into FY04-05 Animal Control 0 eratin Bud et.
Brief Summary' The Animal Control Services Spay/Neuter Facility is near completion.
Additional funds are n~eded to cover the costs associated with e ui in the facilit .
Recommended Motion and Requested Actions: To approve budget amendment in the
amount of $1 0,000 from the Animal Control Services Trust Fund into the Animal Control
Services 0 eratin bud et for FY04-05.
I Funding Source: .ACS Trust Fund
Will above action result in:
DNewPosition Number ofPosition(s)
DPosition(s) Modification or change
!8JNo Chan e in Position s
Explanation: Transfer of funds from the Animal Control Services Trust Fund are needed
to cover actual costs associated with e ui in the facili .
I Attachments: Budget Amendment.
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date: 08/02/04
A enda: ~
Department: Health Presenter: Cindy Hewett, Business
Mana er
Contact: Cind Hewett, Business Mana er, ext 6680
Sub'ect: Chan es in the New Hanover Count Health De artment Fee Polic
Brief Summary: The New Hanover County Health Department is proposing, both,
narrative and fee changes to its current fee policy, These changes relate specifically to
services rovided throu the Personal Health Services Division,
Recommended Motion and Requested Actions: To accept and approve changes to the
New Hanover Count Health De artment Fee Polic as resented,
Funding Source: Health Fees, Medicaid, Medicare and other third party reimbursement
agencies,
Will above action result in:
[]New Position Number ofPosition(s)
Dposition(s) Modification or change
~o Ch e in Position s
Explanation: The New Hanover County Health Department is requesting to adjust its
current Fee Policy based on changes in services provided within its clinic and outreach
programs, Fee adjustments are based on changes in Medicaid and Medicare
reimbursement rates, Immunization ad'ustments are based on increased cost in vaccines,
I Attachments: Letter to the Board of Health,
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NEW HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17m STREET
I WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500 FAX (910) 341-4146
June 22, 2004
To: New Hanover County Board of Health
From: Cynthia W. Hewett, MSIS
Business Manager
Subject: Changes in the New Hanover County Health Department Fee Policy
I. We are requesting approval for the following narrative changes as they relate to services
provided within our Personal Health Services Division.
New Hanover County Health Department Fee Policy
I. General Guidelines
.
Delete the following:
M. Orthopedic and Neurology clinic services are available only to Medicaid eligible and
indigent patients. All Non-Medicaid visits will be billed to state grants.
(Note: Patients for these clinics will go through the same financial eligibility
process as our other clinic patients.)
Add the following:
T. Code 9921 IN will be used to capture services provided that are non-billable.
Examples include medication pick-ups in Neurology Clinic, as well as, Community
Outreach services such as medication refills; blood pressure checks; weight checks;
Information distribution at health fairs; services provided through the Ministering
Circle, and quarterly reviews conducted for Adult Day Care Centers.
.
As of 06/23/04
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2. We are also requesting. approval for the following changes in CPT codes and fees.
Change CPT Code Current Proposed Justification
Needed Fee Fee
Increase Fee II 975 $102.82 $105.00 Increase in TXIX Reimbursement for Insert
Norplant
Increase Fee 11977 .. $193.14 $205 00 Increase in TXIX Reimbursement for
Removal/ Re-insertion Norplant
Delete Code 87164 $41. 00 $0 NHCHD is not cleared through CLJA to
provide Dark Field Exam.
Increase Fee 46900 $179.37 $190.00 Increase in TXIX Reimbursement for
, Destruction of Anal lesion.
Increase Fee 86580 $5.00 $10.00 Increase in TXIX Reimbursement for TB
Intradermal Test (PPD)'
Decrease 96110 $121.00 $33.00 Change in Testing Method (we provide
Fee Limited ,Developmental Testing not extended)
Delete Code W8205 $75.93 NA Service no longer provided (parenting
Education Classes)
Increase Fee 96152 $22.19 $25.00 Increase in TXIX Reimbursement (Intensive
Psychosocial Counseling)
Increase Fee 90632 $25.00 $35.00 Increase in cost ofHEP-A vaccine (Charge to
employees and food handlers completing the
Safe Serve Course will be $25.00)
Decrease GOOOI $3.99 $3.00 Change in Medicare Reimbursement for
Fee Venipuncture
Decrease 80061 $12.00 $0 No charge for Lipid Panel. This is for Wise
Fee Woman Program only.
Change All NA NA Modifier change from "26" to "90 based on
Modifier Referred guidance from State Laboratory.
Labs
Add Code 8711690 NA NA Referred lab service: Culture, tubercle or
other acid fast bacilli.
Delete Code 87320 26 NC NA Change in testing method (Chlamydia, trach
af, EIA)
Add Code 87491 90 NC NA Change in testing method (Chlamydia,
nucleic acid)
Add Code 87591 90 NC NA NAAT Gonorrhea
Increase Fee 90733 $65.00 $75.00 Increase in cost of Menomune vaccine
(Charge to employees will be $70.00)
As of 06/23/04
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
A enda:
Department: Health; Health Programs Presenter: Elisabeth Constandy, Scott
Administration; Heafth Promotion Team Harrelson
Contact: Elisabeth Constandy 343-6658 (Health Education Supervisor); Scott Harrelson
343-6592 Health Pro ams Administrator
Subiect: NC March of Dimes Communitv Grant PrOlrram
Brief Summary: NC March of Dimes has announced continuation of the Community
Grant Program to address rates of premature birth. NHCHD would like to submit a letter
of intent to request continuation funding in the amount of $50,000, which would enable
us to maintain and expand the current Project Stop maternal smoking cessation initiative
to better serve the community in need of these services. The goal of the program is to
reduce the number of pregnant women who smoke, and to promote other lifestyle choices
to promote healthy pregnancies. NHCHD currenty receives funding from NC MOD in
the amount of $48,280,which funds a .75 FTE Health Educator.
Recommended Motion and Requested Actions: Approve grant application for $50,000
and budget amendment if funding is received.
I Funding Source: . North Carolina Chapter of the March of Dimes
Will above action result in:
DNew Position Number of Position(s)
I:8JPosition(s) Modification or change
No Chan e in Position s
Explanation: Current grant monies fund a .75 FTE Health Educator (position currently
filled). Initial funding of $48,280 included monies for training, materials, and graphic
design which were one time only expenses. If grant request is funded at $50,000, that
could cover expanding position to 1.0 FTE and maintain a feasible operating budget.
Re uests of this sition su rt ex ansion of sition to 1.0 FTE.
I Attachments: Letter of Intent to Judy Ritter, NC March of Dimes Grant Manager.
23
,
NEW: HANOVER COUNTY
HEALTH DEPARTMENT
2029 SOUTH 17111 STREET
WILMINGTON, NC 28401-4946
TELEPHONE (910) 343-6500, FAX (910) 341-4146
Evcrywhere. Everyday. EveI)4lody.
..
TO: Judy C. Ritter, 'NC March of Dimes
FROM: Elisabeth K, Constandy. New Hanover County Health Department
DATE: June 21, 2004
North Carolina March of Dimes
Community Grant Program
LeUer of Intent for 2005 Applicatio,n
Fundin!:! Priority:
Increasing Availability of Prevention Services
C). Increasing smoking cessation services available to pregnant women
who smoke, preferably utilizing the "5 A's" counseling approach.
.
Contact Information:
Elisabeth K. Constandy, MS, CHES
Health Education Supervisor
New Hanover County Health Department
2029 South 17th Street
Wilmington, NC 28401
econstandvlal nhcqov .com
910.343.6658 (phone)
910.341.4146 (fax)
.
"?jour .J./ealth - Our priority"
24
Budaet Estimate
. Salaries and Fringe
Health Educator (1.0 FTE) Salary' $33,800.00
Frinae: $ 9,784.04
$43,584.04
Expenses / Fees
Travel & Training for Health Educator $ 1,500.00
Educational Materials for Cessation Classes $ 2,000.00
Incentives for Participants $ 1,000.00
Expendable Office Supplies $ 1,000.00
Postage/Printing/Copying ~ 915.04
$ 6,415.04
. Total Amount Requested $50,000.00
.
25
Fundina Priority:
Increasing Availability M Prevention Services: C). Increasing smoking cessation
services available to pregnant women who smoke, preferably utilizing the "5 A's"
counseling approach.
Local Need:
The New Hanover County Health Department provides many services to
pregnant women, new mothers, and families. Our Maternity Care Coordination
Program (MCC) currently has a caseload of 291 with 145 pending. The MCC
program is pilot-testing a new intake form that assesses smoking status of the
mother, and has been making many referrals to the Project Stop health educator.
The new intake process is based on the "5 A's" counseling approach (addressing
the "Ask" and "Advise" steps, with referral to Project Stop for remaining steps).
Information obtained from a survey conducted by the NHCHD Family
Assessment Coordinator indicated a need for provision of cessation services for
pregnant women. The Family Assessment Coordinator position functions as a
part of the NHCHD NAVIGATOR Program, an intensive home visiting program
for high-risk, first time mothers. Approximately 200 women responded to the
survey in 2002, with 10% indicating an interest in cessation services. Currently,
the NAVIGATOR program is referring clients to the Project Stop program. There
are 52 mothers enrolled in NAVIGATOR.
The NHCHD Women, Infants, and Children (WIC) program has expressed
interest in referring clients to Project Stop. While many of the women receiving
MCC or NAVIGATOR services are also being seen in WIC, there are additional
WIC clients in need of cessation services. There are currently over 450 prenatal
clients enrolled in WIC, for a total of over 3,000 WIC participants in New Hanover
County
According to North Carolina State Center for Health Statistics data, NHC still has
higher than state average rates for women who smoked during their pregnancy;
(for 1997-2001' NC 144% , NHC 15.9%). There has been no decline in this
statistic in recent years for New Hanover County.
The cessation classes currently offered by the NHCHD Project Stop health
educator are the only cessation services specifically for pregnant women, and
are the only classes for non-cardiac patients in this area. With the recent
(Summer 2003) closing of the local American Cancer Society office, volunteer
coordinated cessation services have dropped off significantly. To date, Project
Stop has received referrals for 61 women desiring cessation services.
Proiect Goals:
The goal of the Project Stop program is to identify pregnant women in need of
smoking cessation services. Initially, Project Stop was interested in identifying
women enrolled in NHCHD programs such as MCC, NAVIGATOR, and WIC.
However, marketing for the program has expanded into some private 08
. practices in New Hanover County and some pre-established women's groups
.
.
26
such as the Adolescent Parenting Program and the New Hanover Community
Health Center. It is a goal for 2005 to begin providing cessation services to .
women in these, and other groups.
Taraet Audience:
The target audience is primarily women receiving their prenatal care through a
variety of NHCHD programs, including MCC, WIC, and NAVIGATOR. For
expansion of se~ices in 2005, Project Stop will include pregnant women
receiving care at private offices and through other community agencies.
Expansion of marketing Project Stop will also include interaction with some
women who are contemplating becoming pregnant. Services will be offered to
these women if there is an identified need.
Number of Participants:
Allowing for some overlap between MCC, NAVIGATOR, and WIC clients, it is
estimated that there at least 700-750 women receiving services through these
programs.
Measurable Obiectives:
1) Maintain training of MCC and NAVIGATOR staff in "Counseling Women
Who SmokE;l" curriculum. (Initial training held 12/03).
2) Follow-up with referrals received from MCC, NAVIGATOR, and WIC.
3) Provide series of ongoing cessation classes.
4) Market Project Stop through NHCHD "Baby Bucks Boutique" incentive
program. Issue "Baby Bucks. as incentive for clients to participate and .
complete cessation classes.
5) Contract with local substance abuse prevention agency to provide intense
counseling for those identified as excessive smokers.
Evaluation:
A tracking system is in place to follow-up with all referrals. Data collected on
cessation success rates will be evaluated in-house using analysis software such
as SAS or Epi Info. UNC-Wilmington has evaluated effectiveness of a Folic Acid
Awareness campaign in the past, and NHCHD staff has an ongoing relationship
with the UNCW Health and Applied Human Sciences Dept for intern assistance.
Impact:
Project Stop has already had a positive impact on the health of pregnant women
receiving care through NHCHD. Providing a supportive environment for pregnant
women to set cessation goals has been proven to increase long-term success
rates. According to the Office of the Surgeon General, "...eliminating maternal
smoking may lead to a 10% reduction in infant deaths. Women are more likely to
stop smoking during pregnancy, both spontaneously and with assistance, than at
other times in their lives. Using pregnancy-specific programs can increase
cessation rates, which benefits infant health and is cost-effective." NHCHD looks
forward to maintaining and expanding the Project Stop program.
.
27
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New Hanover County WIC PROGRAM
, HISP ANlt WIC CASELOAD
MonthlYear Total WIe Hispanic % of caseload
Participation ParticipatIon Hispanic
Jan 01 2719 172 6.3
ApT 01 , 2778 189 6.8
July 01 2856 204 7.1
Oct 01 . 2841 242 8.5
Jan 02 2847 251 8.8
ApT 02 2830 260 9.2
July 02 .. 2956 271 9.2
Oct 02 , 3028 289 9,5
Jan 03 2870 292 10.2
April 03 2825 305 10.8
July 03 2925 336 11.5
Oct 03 2894 336 11.6
Jan 04 2845 374 13.1
ApT 04 3056 443 14.5
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New Hanover County
Health Department
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125 Years Public Health
Servi
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Wilmin n
. Rev. John Lamb Prichard
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. Solomon S. Satchwell Gravesite
. Dr. James H. Dickson Gravesite
. Rev. John Lamb Prichard Gravesite
. David Brinkley Gravesite
. Yellow Fever Hill
. Elizabeth Day Gravesite
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StarNewsOnline.com: The VOice ot Soutlleastern Nonn UI1'OllDa
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llIreadY reaistered? Loaln I _Isler to use tills site
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Last upda\Bd: June 15. 200412:00AM
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SI CANTWELL I COMMON SENSE
Health agency may be old, but
it's open to new ideas
The New Hanover
County Health
Department is celebrating its 125th
birthday. It may be old, but it's not
set in its ways. The department is
changing the way it does business,
including rolling out a new
scheduling system for clinical
services July I.
Story tools
ell ~ dah B
Bookmark Forums PrInt this Em.1I this
ADVERTISEMENT
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Dan Shingleton spoke at a luncheon
Monday in the department's
auditorium. The professor at
Wilson's Barton College has become
sort of an unofficial department
historian.
VIeW Entire Ad
Earlier, Mr. Shingleton gave a
walking tour of downtown. We relived the yellow fever epidemic of
1862, which killed 654 people here, and I learned how the department
started.
New Hanover lays claim to having the oldest health department in the
state. Unfortunately, so does Guilford County.
Who's right? You decide.
When the N.C. Board of Health was created in 1877, it was housed in
the Chestnut Street home of Dr. Thomas Fanning Wood, where the
county library's main branch is today.
As a doctor in the Confederate Army, Dr. Wood saw that infection
and disease, not bullets, killed two-thirds of the Civil Wars casualties,
Mr. Shingleton said.
After the war, Dr. Wood worked in a smallpox hospital in
http://wnmlb03.us.publicus.com/apps/pbcs.d1Varticle?AID=2004406150320
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6/16/2004
StarNewsUnline.com: The VOice ot :soutneasrem Norm ~arOlma
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SERVICES
Archives
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About us
~W$Il!lj)ers In
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i\C!Llevement Aw~-,\l
El!!~r!'-<::O--'l!!;
Wilmington.
Yellow fever, smallpox and the terrible sanitation conditions of the
Civil War convinced the doctor of the value of public health.
So two years after the state board was created, Dr. Wood and others
asked the General Assembly to establish a New Hanover County
Board of Health, the first in the state. That was accomplished on June
14,1879,125 years ago Monday.
Guilford County formed a county health department with a full-time
director in 1911.
Around that time, Wilmington hired a full-time health director. On
April I, 1913, the General Assembly consolidated the city and county
health boards into a New Hanover County health department with a
full-time director.
So does New Hanover's health board give it a valid claim as the state's
oldest health department, or is itjohnny-come-Iately Guilford with its
1911 county director? You know how I'd vote.
The county department's budget for 1913 was $12,250, Mr.
Shingleton said.
Today the department has a $12 million budget and 190 employees,
said David Rice, county health director.
When Mr. Rice came in November 1997, he inherited a well-
functioning department from Robert Parker, he and others said.
But the county budget crunch early in this decade forced the
department to rethink how it operates. The N.C. Institute for Public
Health performed an organizational analysis in 2002. The department
is about two-thirds of the way toward implementing its
recommendations, Mr. Rice said.
They include reducing layers of management, strengthening the
central aclmini!rtrative staff and centralizing functions such as billing
and training.
Perhaps the most visible changes have come in the personal health
service programs.
A number of divisions such as child services, maternal health and
school health were combined into a Personal Health Services
Division. Janet McCumbee runs it.
Child health clinics in Carolina Beach, Ogden and other locations
were closed as demand fell off. But a clinic serving the homeless has
opened at Good Shepherd Ministries.
http://wnmlb03.us.publicus.com/appslpbcs.dll/article?AID=2004406150320
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6/16/2004
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StarNewsOnline.com: The Voice ofSoutheastem North Carolma
Ms. McCumbee explained the "same-day" scheduling system that will
be effective July 1. Instead of clinics on certain days of the week for
family planning, child health and sexually transmitted diseases, all
services will be available every day. Nurses and other personnel have
been cross-trained in one another's disciplines.
After July 1, people can call the department at 343-6500 starting at
7:30 a.m. to schedule an appointment that day.
Appointments aren't needed for shots or blood pressure and
mberculosis tests.
The changes should make it easier for people to schedule the services
they need. I think Dr. Wood would approve.
Visit the online "Common Sense" forum,
~.starnewsonline.com/cantwell. Contact Si Cantwell at 343-2364
or sLcantwell@starnewsonline.com
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FEATURE
SECTION
2004 Parade of I
2004 Trucks &. S
APartment Local
Commerd~1 Sho
March 2004
Congratulations
Graduates. 2004
Fact Book 2003
Health &. Medlclr
Mayfalre Town C
Grand Oaenlna
New for 2004
New Home Sho,"
Readers' Choice
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6/16/2004
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living Well is a quarterly publica-
tion dedicated to your well-being.
A collaboration between Cape Fear
Memorial Foundation and the New
Hanover County Health Depart-
ment, Living Well will include tips
to help your family stay healthy,
information on where to go for
help in New Hanover County, and
features of interest. .
Living Well is for general information only and
should not be construed as medical advice or
diagnosis, nor as advice about treatment of any
Specific medical cOndition.
Cape Fear Memorial
Foundation was established
in 1996 with proceeds from the sale
~C" Cape Fear Memorial Hospital.
.1. R. T. Sinclair, Jr. led the estab-
lishment of the foundation as a
way to continue the hospital's
philosophy of caring. To that end,
the Foundation's primary purpose
is to serve the health and medical
needs of the people of Southeastern
North Carolipa. In its~t eight
years, the Foundation has worked
with over 125 charitable not-for-
profit organizations providing $15
nlillion in support. The Foundation
continually seeks to partner with
well run org<mizations that demon-
strate an ability to provide quality
health services in our community.
New Hanover County
Health Department
VISION
Healthy People,
Healthy Environment; Healthy
c~.
(l "jcmmunity
~MISSION
Our mission is to asSUre a safe
and healthy community.
MOTTO
Your Health.: Our Pri9nty
Editor: msh Snyder
;:)
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'1 I' .~
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Volume I, Issue 2, June 2004
8~tB~ili11
DDn hen legendary baseball player Satchel Paige was
Li\] asked his age, he responded with, "I don't know.
How old would you be if you didn't know how old you
was?" Mr. Paige couldn't track down his birth records.
He really didn't know how old.he was.
That's not the case formost of us. We click off birthdays
divisible by ten. We discover new laugh lines in the mirror
each morning. We are on a first name basis with our
Betty Ann Sanders,
Owner, Coastal
Adult Day Care,
Host, Lets Talk
and Lets Read
"Successful aging!
For me, it's about
being happy and
being involved.
My passion is helping people
. - whether it's an octogenarian at Coaslal Adull Day Care or students
al UNCW - I'm learning from all of them. One of the mosl fulfilling
parts of my life is my connection with the students and faculty at
the university. Yes, I'm very busy; bul whal I gel back from my
involvemenl with people of all ages keeps me young. My advice
10 others: Get involved. It exercises the mind...and it's the key to
healthy living:'
Marsha Fretwell, MD
"The older we get, the more
important prevenlion is in our
lives...because the consequences
of getting sick are more serious.
The cosl of most drugs is for
diabetes and cardiac care, hyper-
tension and choleslerol. While a
small component is genetic for
. .-- these condilions, they are largely
prevenlable - and that means walching your diet and exercising. You're
never too old to begin an exercise regime or change the way you eat.
I practice medicine from the knees up...and can't stress enough how
importanl il is 10 keep our quads strong and our legs working so thaI
we can continue 10 be able to get up and down on our own. That's one
of the reasons I'm such a fan of exercise - especially pilales and yoga'
~
pharmacist. We send and receive more old people jokes
on email. We aren't offended when the checkout clerk at
the grocery store gives us the Tuesday senior discount.
But...what is important as we age?
Is it the everyday reminders - or the bigger questions
of financial security, health, and a purpose in life?
We asked successful "agers" and aging pros for their
thoughts...
Dick Salwitz, volunteer
VITA tax preparer and
SHIIP insurance counselor
"I think it's important to have signif-
icanl activity in retiremenl 10 replace
your career. You can'l live in that pasl
as an "ex." Enlertaimnenl is nol going
to fill the void. In most cases, hobbies
are nol going 10 fill the void. Activities
that are meaningful- such as volunteer
work or part-time work are necessarf.
In between workouts at the gym and playing tennis, Dick serves on the
board ofWHQR Public Radio and volunteers al the Senior Cenler with
Volunleers in Tax Assislance (VITA) and the Senior Health Insurance
Information Program (SHIIP).
Linda Pearce, Elderhaus
Executive Director
"In my opinion, successful
aging is guaranteed if one
has something they're
passionale about and has
friends who share common
interests. I have four things
I really enjoy - my work;
my church, my high school
alumni association composed of lifelong friends, and my adopted fam-
ily. My New Year's resolulion was 10 share my time, lalent and resources
with more people whose efforts J support and I have done so.
I have four or five good friends with whom I am fairly dose. While I'm
nol the type to bear my soul 10 anybody, I DO find that having women
friends to bounce my problems off of is very valuable. Most of my true
friends are people who have known me all my life - and with whom I
don't have 10 communicate with conslantly to maintain a relationship:'
"
~
--- --- ~
--"'.....
Planning for Uncertainty...Getting Your Affairs In Order
,-
YOU can make life after your death much
easier for your survivors if you provide basic
information for them. A letter of last instruction
provides organization and a checklist for your
survivors at a difficult time.
Start by assembling as much information as
possible about you and place this information in an
expandable file or better, a fire proof box. Include
the following documents here, or leave a note
concerning their location:
. Your will or trust agreement, securities,
insurance policies, receivables, mortgages, deeds,
safety deposit box, checkbooks, savings deposit
books, and income tax records. If you have your
original will elsewhere, such as in a bank safety
deposit box, place a copy of it here. A trusted
family member or friend should know where you
keep all. these records and documents, including
your will.
The following additional information should be
included in this central place:
. Names and addresses of your advisers, your
employer, attorney, physician, insurance agent,
accountant, stockbroker, bank officer.
. Location of all personal items such as jewelry or
family treasures
. Names and addresses of relatives.
. Social Security number, birth certificate and
certificates of marriage, div,?rce, and citizenship.
. Burial instructions.
Your legal documents should include a will (and/
or) a trust agreement), a durable power of attorney,
a living will, called a "Declaration of a Desire for
a Natural Death" in North Carolina, and a health
care power of attorney.
A will is your chance to say who should receive
the things you own. A person who dies without a
will dies intestate and their property is distributed
according to state law. An alternative is a trust
which can ensure continued property management
and creditor protection for surviving family
members. Trusts can be used to provide for
charities and minimize taxes. Sometimes, before
death, older people need other legal documents.
Perhaps, someone has to take over an older person's
affairs. A standard power of attorney or a durable
power of attorney can give one person the right to
handle personal or financial matters for another. A
standard power of attorney is not useful, however,
if the person being cared for cannot make their
own decisions. A durable power of attorney may
be a better choice because it is effective even if
a person becomes unable to make decisions for
himself. Without a proper power of attorney, your
family may have to endure the cost and delays of
creating a guardianship in order to help you with
your business or personal affairs. 0
Advance directives such as a living will or healtli
care power of attorney can help avoid family
conflict and make it easier for family members
facing hard health care decisions on a relative's
behaJ( A living will is your statement that you
want to die a natural death, i.e. you do not want
your life prolonged by artificial means if there is
no reasonable hope of recovery. A health care
power of attorney is a durable power of attorney
that gives someone the right to make your medical
decisions for you when are unable to do so.
Give a copy of your advance directives to your
health care agent, your family, your physician and
your attorney. If you .
place your documents in
safekeeping, make sure
your agent or loved ones
know where it is.
Andrew Olsen is an
attorney specializing in
elder law in Wilmington.
J
I
Where to Go for Help
in New Hanover County
SHIIP
IT you are on Medicare and need help
sorting out your medical bills.....
If you are approaching age 65 and
need information about Medicare
supplement insurance...
If you're considering long term care
insurance...
The North Carolina Department of In:
surance and the Seniors' Health Insur-
ance Information Program (SHIIP) are
comrnitted to answering the confusing
maze of questions that often surround
Medicare, Medicare supplement insur-
ance and long-term care insurance.
Call the SHIIP toll-free information
line: 1-800-443-9354. In New Hanover
County, call the Department of Aging
at 452-6400.
I
t- ~ _ /
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LEGAL AID OF
NORTH CAROliNA
Free help for low income people and
those over 60 including simple wills,
living wills, powers of attorney and
health care powers of attorney.
In New Hanover C9unty, call 763-6207
DEPARTMENT OF AGING
A st:a.ff of 22 at the Department of
Aging works to meet the needs of the
more than 30,000 people over the age
of 60. in New Hanover County. Services
include home delivered meals and
group meals; information, referral and
case managernent; transportation, job
placement, family caregiver assistance,
foster grandparents, Retired Senior
Volunteer Program, and Senior Center
activities. Congregate meals are served
in 5 locations - Castle Hayne, Solomon
Towers, First Baptist Church, Katie B
Hines Senior Center in Carolina Beach
and the Senior Center at 2222 South
College Road. Call 452-6400.
i~
Welcome Alice Sheridan ! . ~., I
Consumer Health fi.brarian I: i .
The Consumer Health Library at the I ". .: I
New Hanover Public Library .-----=::::::::.
provides reliable and up-to-date health information.
In addition to books, videos, and periodicals, the library
provides free Internet access to health databases and full-
text articles on health topics.
The Consumer Health'Library is open during Main li-
brary hours. To make an appointment with Alice Sheri-
dan, Consumer Health Librarian, please call
798-6307.
The Consumer Health Library provides information, not
advice. Please consult your physician or other health care
provider for specific concerns.
1-.. C.,la" E~onal~Matu"'tV--i
liThe _. '.. to collSlmctiveiydeal with teality ", I
The capaei\y to adapt to change te D'lI
I ~e;;e free~ ftom ~flOlllS ~.are pr~ by le!I$ions-~l
I The capar.lty to find more ~on in giving than in receiving I
! The ~ to reJa!e. to o\llerl'eople in a consistent manner with mutual
r satisftltllott andhe'lpfWness ' I
'l'Th. e ~.'. .' to. sub. limate, to direct one's instinctiv.e hostile energy into
. ereativeand ~onstnlctive oudels. .
(' Thu~ty to!l:lve _ Wdllam C. Menninger, MD .1
,.
CARING FOR OUR
AGING LOVED ONES
Family members do most of the
care giving for aging parents. Nearly
25% of the workforce is dealing
-,.vith eldercare issues, How do
~,u strike a balance between your
job duties, family obligations and
caregiving responsibilities? How
do you support your loved one's
independence and guarantee their
safety?
Knowing When to Intervene...
It's never easy to know when an
older person can no longer handle
their financial affairs, tend to their
home or even care for themselves.
Occasionally, there are signs that a
helping hand would be appropriate
and even appreciated; but in many
instances an illness or accident
sounds the alarm for immediate
intervention and support,
WARNING SIGNS
. Vision and/or hearing diminishing
rapidly
~ More frequent lapses of memory
LUnpaid bills
. Unexplained burns, bruises or
mJunes
. Increasing disorganization of
financial an/or personal affairs
. Forgetting to turn off faucets
or the stove, leaving doors and
windows open or disregarding
doctor's appointments
. Neglecting to eat, bathe, or even
get the mail on a regular basis
If Dementia 'is the Problem...
Is it Safe to Be Home Alone?
Dementia is the chronic loss of
mental capacity and includes
the progressive deterioration
of thinking, memory, behavior,
personality and motor function,
Caring for someone with dementia
I requires constant supervision. The
I ~regiver may feel trapped in this
rvle and may think it's OK to leave
the demented person home alone
for a few hours. When considering
whether to do this, ask yourself if
you would leave a preschool child at
home alone,
Can the person you're caring for
I make phone calls? Does she know
I
her full name, address, phone
number and directions to the house?
Can she tell you what she would
do if a fire started? Does she know
who should be allowed to come
in the house and who should not?
Does she smoke? Does she wander
away from the house?
The answers to these questions will
help you to evaluate the person's
safety if she is home alone. Just as a
young child should not be left alone,
likewise a person with dementia
needs to have someone at home at
all times to assure his or her well-
being,
Guide to Selecting
Appropriate Senior
Services
Determine your needs.
Ask yourself what specific servi<;es
are important to the older person
under your care. For example: a
safe, secure environment; activities;
assistance with eating, walking,
toileting, and medicines; therapy;
meals; exercise; mental stimulation;
and transportation.
CalI to Request Materials;
Know What to Look for in the
Material You Receive
Does the material list license or
certification; hours of operation
and days open; transportation;
~cost; financial assistance; staff
credentials; number of staff per
participant; activities provided;
meals? Is weekend or short-term
respite service available?
Make a Visit
After reviewing materials, make an
appointment to visit two or more
centers that might meet your needs.
When you visit, ask the director
for references. Talk to two or three
people who have used the center
you are considering. Ask their
opinion, The following is a list
which may help you decide which
center is the right choice for your
situation.
. Did you feel welcomed?
. Did someone spend time finding
out your wants and needs?
. Did someone clearly explain what
services and activities the center
provides?
. Did they present information
about staffing, program procedures,
costs and what they expect of
caregivers?
. Was the facility clean, pleasant
and free of odor?
. Were the building and rooms
wheelchair accessible?
. Was there sturdy, comfortable
furniture? Loungers for relaxation,
chairs .with arms?
. Is there a quiet place for
conferences?
. Is there a place to isolate sick
persons?
. Did you see cheerful faces on ~taff
***
Sometimes a housekeeper or
companion allows the elderly person
to continue their present living
arrangements with some additional
help from family members, The
New Hanover County Department
of Aging (phone 452-6400) provides
comprehensive care management
services that enable persons 60
and over to remain in their homes,
Services may include home
delivered meals, in-home aide
services, transportation, and minor
home repair.
****
An Organized
Alternative to
Institutionalization
Adult Day Care and Adult Day
Health programs are designed
to meet the il)dividual needs of
functionally and/ or cognitively
impaired adults. It includes a
variety of health, social and support
services in a protective setting
during daytime hours. In Ne\y
Hanover County, there are two
adult day care agencies. Coastal
Adult Day Care is at 5919 Oleander
Drive, phone 799-8818, Elderhaus
has two locations: the Alper Center
at Greenfield Lake and the Porter's
Neck Center, phone 343-8209,
Long distance caregivers can locate
day care programs throughout the
United States by calling the Area
Agency on Aging (AAA),
Call 1-800-677-1116 to locate the
AAA in your area.
and clients?
. Do volunteers help?
. Are participants involved in
planning activities or making other
suggestions?
In the case of a Day Center, try it
out for 3-5 days.
If you have questions or are
experiencing any problems, ask
for a conference. Staff m!!)' have
suggestions to make the transition
easier both at hQme and at the
center.
.i
..-".
1
~.
Excerpted from tJu Natio7llll Adult Day ServiCes
Assodation
Cape Fear Area
Agency on Aging staff
The Cape Fear AAAisaclearinghouse
of information for four counties in
southeastern North Carolina, The
staff is available to assist seniors 60
and over and their caregivers. "There
are so many different agencies and so
many questions - what do they do,
who do I call, what do I ask for," says '\
Executive Director Jane Jones. "We
can't make the decisions for them,
but we can help them find out what's
available, tie them into the system
and provided the tools to make good
decisions." Call 910-395-4553 for
more information, '
The pI'Qbability tbata
woman will n~d long
term care is 50%; for men,
the probability is 33%.
A prolonged stay in a
long term care facility can
be financla.lly disastrous
and cost more than
$60.000 per year.
Source: Caring For Aging Part1llS
.tirJ ,..:
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"I believe exercise is the best
gift we can eacl1 give our-
s~lves. In my personal life, I
dance, practice yoga, swim,
.. play tennis and have recently
joined a spinning class on
exercise cycles. I'm a big
proponent of Senior Games;
it keeps people active year
round practicing their sport.
The Department of Aging
sponsors numerous exercise opportuni~es throughout New
Hanover County and I invite everyone to take advantage of
these services."
Annette Crumpton was one of the founders of Senior
Games in North Carolina. In 1983, she organized one of
three pilot programs in the state. Today, Annette directs the
New Hanover County Department of Aging - and contin-
ues'to coordinate the Senior Games
Ie
L
"My philosophy on attaining
finacicial security is that it
needs to be a team effort.
If !'lore families pulled
together and pooled their
r~sources, most things
would work out'
My practical advice for
people with budget and
\.- . -_______ credit problems is to
.~ "communicate, ask for help,
. become financially literate and get
credit counseling. Homeowners aged 62 and over
might consider a reverse mortgage on their home. It's
a way for older adults to receive a monthly payment
based orl'tbe value of their home. The CDC offers
certified counselors to assist ~th these issues."
Paul Hicks is the director of the Cape Fear Regional
Community Development Corporation (CDC), a pri-
vate, non-profit organization chartered for the purpose
of improving the economic and social well.being of
low-income citizens throughout southeastern North
Carolina.
Camellias, iris, azaleas, roses and dogwoods in the garden, exotic
bromeliads in the greenhouse, and Mrican violets in the window
surround Bea Spier with beauty. At 83, Bea is in her garden
everyday.
-~,---
/'-. j
'^~: .<~.
Arngula to Zucchini grows in this
vegetable garden dotted with roses,
verbena and a banana tree. 83 year
old Preston "Poppy" Graves helps
his neighbors eat more vegetables.
~
'~ I've grown older, my approach
to life has been like the words to one
of my favorire songs - Let It Be a
Dance: In the good times and the
bad times, too, we need to learn to
dance with life. Sometimes things
just happen - and there's no rhyme
or reason for it - but anger only
hurts us, and there's no use hanging
on to guilt or crying. poor me."
Elaine Durham is a retired therapist
who lives in Wllmington.
-------"'
.~
~
I-
o
,-'~
'rJ
".
"Be good to your body when you
are young. When you are olde~ it
will take care of you."
Jean Harris hasn't been exercising
for all of her life - just the last
50 years or so. A retired teacher,
Jean does weight training 3 days
a week and is on the go with
her church, interracial dialogue
group, and community affairs. She lives in WIlmington
with her I 02 year old husband.
i
I
I
"
.'
J. Richard Corbett, MD
" I start my day with a quiet time to set
t.'. " ~~a~~a: ~:~~:~o:~
, - of daily readings "Growing Older,
\ .' ~ I, , ,~ . Growing Better" by Amy Dean.
~"'l \ .~~ .~. " i Then I writ~ in my journal to make
't' '\; -~ ../:!J" my lists and get my day organized.
<..! " - '~' I'm at work by 7:00 a.m. You 0
":;~,. ' ..' could say I flunked rftirement. I
\,,::~.f1'l'-~tried it inJune 1990 but returned to
.~ork by September. I love yard work and gardening,
but the most important thing in my life is my family. I read
to my 10 and 15 year old grandsons every evening - and now
my 20 month old granddaughter comes to me with her books.
This is where life is. I agree with Carl Sandburg who said that
a child is God's opinion that life is supposed to go on.
I believe everyone has purpose and I've learned that man needs
three things: something to love, something to do, and some.
thing to look forward to,"
"My focus on successful aging is to
look at lifestyle behaviors - how we
eat, getting enough sleep, getting
annual checkups, seeking assistance
before problems occur, and plenty .
of exercise. I like to walk between
the piers at Wrightsville Beach I'
and keep my sneakers, sweats and .
at least 2 caps in my car so I'll
always be ready. I also believe in-~
purposeful involvement with others and
expanding your connections beyond work to create balance." 0
Dr. Bettie Glenn, RN, EnD -
is Associate Dean for Academic Affairs in the School of Nursing
at UNCW.
. ,
I
G,;;;j~;ili,g;1S America's number one hobby and the G~~cl;,g Ci;;i, atlhe'AmliiY
Garden meets every Monday from 10 to 11:30 a.m. at the Cooperative Extension,
6206 Oleander Drive. The club is open to all- regardless of physical or garden.
ing ability. It', stress free, fee free and stimulates all the seD$i:S. Call PbyIlis Meole at !
.1~g.'!l~.~~[~.r,lJ!~.':"..informati~n. ......._,',.""..._.