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07/07/2004 New Hanover County Health Department Revenue and Expenditure Summaries for May 2004 Cumulative: 91.67% Month 11 of 12 Revenues /~/ KrfJ ~"1) 1~) . 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 8 . . . 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. 9 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 . . . 10 " . . - .' . 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 11 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 . . As of 06/23/04 13 . ," . . . . , 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 14 ... . ' 2004 Wolfe Mini Grant Application Grant Application Cover Sbeet . " . of application: June 1, 20'0'4 I 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' . Name of Health Director: Da~ ~ ,.' . eJmOJ? , ~ Signature 1 15 I I I I I I I I I I I I I I I '. Wolfe Mini Grant Application Form . :, I 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) . 5 16 ~ :J . . . 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. 17 ~J . I- Z w :E o z w :E c( I- W Cl o ~ a:l w In .~ >< W . "' ;:; '" " o w o ~ "' ;!; ~ ~ " ... o z o o Ol QI 0 '2: QI en e w ;: ~ 0 (.) ~ (;j E >= 'c z w <( >- U Z W ~ 0 ~ Il) 0 z :> 0 ll.. ~ ~ ~ .... w 8t :> OJ ~ :::! Cl z -0 !zQ :>", Ow UQ. ~ .... Z", Ww :::!OJ :>:::! 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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, 20 ,J # . 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 21 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 ~ . . . . 22 '. . . . . . . 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 . . . . " , 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 . . - " . I " . New Hanover County Health Department . 125 Years Public Health Servi . 1 ning Wood First ist Church Wilmin n . Rev. John Lamb Prichard . Ballast Rock - . II . . . . . 2 , ". . . St. James Epl opal Church . Rev. Robert Drane . Yellow Fever Flag . Union Hospital Flag ( ,",) j ....... .' 1,.1.\\\ I '......,." 0' \f~~c-h ..~~., ,r ,i;.i ~v. ,.'I"'ll.:" 1 'I: f'c '", : I .. ,:,--, '" ,-- s; l.,2<;)_f ~" ~~;~:t '< ~,~_ ;-\" . ro-"",'" " (:'F _,::-/);' M',,"~ , A0r. ! \ '."- J; --.\ I \ I ~,-~~I' i \ / . 3 ."' .. . . . .~"".' '.4i:~ j: j ~ ~; 4 . . Anti Ger dividual Cup Fount . . 5 . . Thomas Fanning Wood Grave . Solomon S. Satchwell Gravesite . Dr. James H. Dickson Gravesite . Rev. John Lamb Prichard Gravesite . David Brinkley Gravesite . Yellow Fever Hill . Elizabeth Day Gravesite . . 6 . . . 7 . . ever Hill . 8 . 125th Bi rthda . . 9 . . . 10 . . . 11 . . . 12 . StarNewsOnline.com: The VOice ot Soutlleastern Nonn UI1'OllDa -: Columnists . StarNewsOnline.com llIreadY reaistered? Loaln I _Isler to use tills site _ r~~tI SUBSCRIBE ARCHIVES June 1 Last upda\Bd: June 15. 200412:00AM . HOME ~'. CLOUDY 75" '~;~:.;;:~~ Fori ~ >> . REAL ESt",. . EMPLOYH~l'IT . ~1!QII1!J! . !:I.AS5:l.l'll!~ .NEWSPA~ 4~ . SUacra.JBE NEWS ,''''"''' 'stm . Natton , World . Business . Obituartes , SI!llr!I . Weather . Q:!.lM . Community AP wire , NY 11mes wire OPINION , Columnists Editorials '!&nm . I'ml!mI , Recent oolls SPORTS , !,oQ!! , Colleoe Il national , 'Hawks Hooos FEATURES .~ .~ , TeIevlsIon .MWti , Arts/SMe ,~ , Nloht 500IS I!l!:m!: , QI!5!nl! . """";Kkml Parade maaazloe WEB EXTRAS , PhoID oallerY , calendar . S........I sectiQn$ , Multimedia , Fun Il Games , Personals MEMBER CENTER 'b!!ll!!! ,~ . :, ,"':, ver;ZQ!1'.', 'clc',~ 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 ,-~~ ' " T;~.~" ~ ~ r) . Early Bird Special - FREE $6000 in options Dan Shingleton spoke at a luncheon Monday in the department's auditorium. The professor at Wilson's Barton College has become sort of an unofficial department historian. VIeW Entire Ad Earlier, Mr. Shingleton gave a walking tour of downtown. We relived the yellow fever epidemic of 1862, which killed 654 people here, and I learned how the department started. New Hanover lays claim to having the oldest health department in the state. Unfortunately, so does Guilford County. Who's right? You decide. When the N.C. Board of Health was created in 1877, it was housed in the Chestnut Street home of Dr. Thomas Fanning Wood, where the county library's main branch is today. As a doctor in the Confederate Army, Dr. Wood saw that infection and disease, not bullets, killed two-thirds of the Civil Wars casualties, Mr. Shingleton said. After the war, Dr. Wood worked in a smallpox hospital in http://wnmlb03.us.publicus.com/apps/pbcs.d1Varticle?AID=2004406150320 d~''; .. .: nil'.. It.w..wOSllEOl D DELIVERY DRIVER AARON'S, Wllmi1lgIo Deliver &: Install Fwn Paidttaining. M.... RESTAURANT: Dup Haopitality CuIinaJy ~islookiDs exper'd team. member. More>> RESPIRATORY TIn with NC Licensure. C bosis. Should be ...... in CPAP, M.... DENTAL LAB TEet inc. small wire bendin woclrlog rib _lie, pickup /k. M.... COUNSEWR for 0Ul subs1anoe abuse""" ........ BacJ<sround in More>> ~ VIew aD Too Jobs >>C!o-rchJab8 .. R.II CAPlFURCAR Make I~ra Model IAn)' Model .J! 6/16/2004 StarNewsUnline.com: The VOice ot :soutneasrem Norm ~arOlma E-:n<<:....iIcttLrs SERVICES Archives ~bscrlber servICeS EM . Place an ad . NewL~ndi contact us About us ~W$Il!lj)ers In Ed~Jl . .PhQ!9 reJ!dnt!; ~me 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 FNew FUsed ~;jf~ii~d.; :n.~m"~0?-/::~ . . ...... "".....,""~ '. ~ 'APARlII I LOCATC . 6/16/2004 . . . . . 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 Sponsored Unks DNA SequencIng ServIce Nuc. Acid Extraction & Sequencing of Virlll RNA. GLP & FDA Compliant. www.seqwright.com New Hanover IIankrupII:y Private, affordable bankruptcy. Protect yourself from creditors. NC-Bankrupicy .com Contact us I Advertise with uol About uo All_I 02004 \/WmlnglDn Star-Newa Repmduclion wiIhoul consent Ia pmhlbll8d. http://wmnlb03.us.publicus.com/appslpbcs.dll/article?AID=2004406I50320 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 ~ 6/16/2004 ., i I I !:~ '-- ~~ 1kID~ P .~ j j I ~ , , ! _.../ I I 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 ;:) -"'--- '1 I' .~ , , .J :0 ~ I ;. ~ 'i 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- ~ _ / ~ 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 ,..: I ~ ---...- "'- I I i j.K'c-t I . , ..:.r , , ! l ,. i i I I ~.~ j . ~,../ "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. ......._,',.""..._.