SENIOR ACCESS News

SENIOR ACCESS News

Marin’s Favorite Social Club for Folks with Memory Loss

. . . another place we call home

FALL 2012 Vol. 8, No. 1

Dear Friends, Families and Caregivers

A FAMILIAR STORY UNFOLDS Alice arrived at The Club without an appointment. She was pale and nervous, disheveled and unkempt. She looked like she hadn’t slept in weeks. I asked, “How can we help?” As we talked, she wept, jumping from topic to topic. Her story revealed an all too familiar description of a family in crisis, something we see every day at Senior Access. Alice and her husband Joe live in Mill Valley. Alice, a long-time community volunteer, is 63 years old and Joe, 64, holds a PhD in philosophy and was a University professor and a published author. He managed the household finances, organized their vacations, fixed things around the house and tended the garden. Two years ago Joe was diagnosed with Alzheimer’s disease and Alice became his caregiver. She did not have help at home and was having trouble managing the finances. Since Joe could no longer work and earn an income, they could no longer afford their house and would have to move.

Cris Chater, MA, MNA Executive Director The mission of Senior Access is to provide programs and services that enhance the quality of life and independence of older adults

Sadly, this is a typical story of someone in crisis: a caregiver who wants to do everything he or she is supposed to do for their spouse “in sickness and in health,” but too overwhelmed to take meaningful action. Alice was considering the worst scenario: nursing home placement. While Alice was interested in enrolling Joe in The Club at Senior Access, she was doubtful, stating, “He won’t like it, he’s too intellectual. He’s not old and I should be able to care for him myself. Anyway, I can’t afford it.” Through the Senior Access Scholarship Assistance program, Joe is now enrolled in The Club three days a week. Alice has the respite and time she needs to complete paperwork, sell their house and, hopefully, begin volunteering again. Joe looks forward to attending The Club: he dresses up, brings his briefcase, enjoys his lunch, reads to other Club members and is a joy to be with. He thrives on the social contact and classes, almost as if he were back at the University. And Alice knows that he is in a safe, supportive environment. They both have a new spring in their step and enjoy being together after The Club has ended for the day. Alice no longer considers moving Joe to an institutional setting. The deep personal crisis has been resolved and Alice cherishes the time she’s been given to love and care for her beloved husband. relies on donations from our donors to support the Scholarship Assistance Fund so that people like Joe may attend The Club and caregivers like Alice will find respite from their caregiving. Without your generosity, Joe would be in a nursing home. Senior Access

Photo credit: Stuart Lirette

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THE LOVE OF MY LIFE I met my husband Irv at a dance in San Francisco. He was a tall gorgeous hunk and a great dancer - love at first sight! I was only 19 years old; he was a corporal in the Army and leaving for Korea. We wrote to each other every day until he returned and then got married. We have lived in Marin County for 52 years. THE DIAGNOSIS

Several years ago while on vacation, Irv became extremely confused in unfamiliar surroundings; he was afraid and anxious. A subsequent medical evaluation revealed a neurological disorder. We followed through with local neurologists where he “failed” the cognitive tests. He became increasingly fixated on things like the heating and cooling system in our house; did we own the house; where was his wife; and numerous other illogical questions. He slept all day moving from one sofa to the next and didn’t talk to me anymore. He didn’t watch TV, listen to the radio or read the newspaper because he couldn’t comprehend them. THE INTERVENTION

My son and daughter urged me to get help so that I could continue to care for Irv and keep him at home. They helped me find The Club at Senior Access. Initially I was resistant because I felt guilty that I would be deserting him. His first day at The Club I felt terrible leaving him and I didn’t know what to do with myself. I felt empty inside. COMING TO TERMS

Once I knew that Irv was enjoying himself at The Club, I started to accept my time off. He sat at the men’s table with his new friends and had a renewed sense of belonging. He adored the staff and they gave him unconditional acceptance and friendship. His life had purpose and he had a reason to get up in the morning. CAREGIVER SUPPORT

I started attending the Caregiver Support Group, a fun and stylized group for caregivers. I made new friends and shared resources and stories about coping with the disease. People with Alzheimer’s and their caregivers need routine and continuity. Gradually, I learned to enjoy my free time and found great relief and happiness in the small things in life. I looked forward to Club days as much as Irv did. HELPING OTHERS

The remarkable staff at Senior Access treated Irv with the utmost professionalism and made him feel like he was the only person who mattered. He was recognized for the unique and special person he still is. Can you imagine how nice that is for someone with Alzheimer’s disease? Senior Access was so good to us that I now volunteer for the outing programs. Because I have lived with the disease, I feel I can help others who are struggling with it.

Barbara and Irv Millstein

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HOLDING TIME: THE ART OF FORGETFULNESS What does it mean to hold onto time? Does creativity and expression remain, even in forgetfulness? These are questions Holding Time: The Art of Forgetfulness project explored. is an innovative approach to art for people living with dementia which draws attention to their creative abilities. Using the ancient form of a vessel as a metaphor for the mind, bowl making demonstrates that memory is not the sole measure of meaning. Holding Time

Club members worked with various mediums to create bowls, beginning with impermeable – glass and cement – graduating to increasingly porous – paper and lace. This project offered a creative and sensory experience that invited members to reconnect with the world around them. Each material used became a representation of the artist’s cognitive experience. A collection of bowls varying in size, weight, color, holding capacity and function were made. The expressiveness of our members is evidenced by the beautiful art they created. Visiting artists joined with The Club’s resident Activity Directors to bring Holding Time - a year long project - to life. We are grateful to Michelle Burns, Amy Takemoto, Jen Tripathy, Denise Adamson, Laurie Curtis and Patty Grey for guiding this project.

ART AS EXPRESSION; ART AS THERAPY philosophy embraces artistic expression as a means of connecting the past with the present. But it also has proven therapeutic effects. Specifically, making art can strengthen cognitive functioning; create a renewed sense of autonomy and independence through active engagement; exercise gross and fine motor skills; foster individual expression and creativity; build peer connections through common purpose; and embody the spirit in a lasting way. The Club’s





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TOUCH HELPS MEMBERS CONNECT “I want all my senses engaged. Let me absorb the world’s variety and uniqueness.” Maya Angelou

Deb Nelson is a pre-doctorial psychology intern at the Community Institute for Psychotherapy and volunteers at The Club on a regular basis. She has made many new friends who are teaching her about the dementia experience. “I created an activity that encourages Club members to connect with others through the experience of touch,” said Deb. “Sensory stimulation has many benefits including increased socialization, concentration and self-esteem.” Club members were given objects to touch, such as bowls filled with dried beans, paper bags filled with pine cones, rocks, leaves, tree bark, balls, buttons, fur, sandpaper, fruit and small objects or toys. Even the most reluctant members found the exercises novel enough to intrigue them, but not so complex that they became lost in directions. For many, describing the objects elicited memories of youth and places visited and loved. This is an activity that families can do together at home. It’s affordable, easy, engaging, and fun!

EXPRESSIVE ARTS AND MEMORY Elizabeth Boubion is a creative dance-theater artist and somatic educator who teaches a movement and memory class at Senior Access. She believes that movement and body awareness support memory and brain function. “Every class begins with a physical check-in, connecting the mind to the body,” she explains. “Everyone welcomes the opportunity to move and dance. I love to experience members breaking through inhibitions and allowing the creative self to emerge.” With patience, emotional support and motivational language, Liz provides a safe space for members to connect with their bodies, and confidently interact through the art forms of movement, drawing, singing, and poetic dialog. Liz says, “Moving connects people to the present moment and lifts the pressure from having to remember the past.” “Each member is unique,” Liz says. “Mary sings in Latin; Kay is a dancer and poet; Lenny is still not so sure about me, but enjoys the movement as exercise; Terry tells stories through her drawings and Claudine has amazing determination to try all of the movements, in spite of her physical limitations. In my classes, everybody moves and we’re all in it together.” 5

CHOOSING AN AGENCY FOR IN-HOME CARE For almost 40 years, Senior Access has played a vital role in caring for people with dementia, providing the support and direct care needed to age in place. Senior Access also offers caregivers peace of mind and precious respite from the demands of 24-hour caregiving. As a board member, I appreciate the valuable service Senior Access offers our community, but families often require additional assistance at home in the evenings or on weekends when Senior Access is closed. THERE ARE TWO TYPES OF IN-HOME CARE

includes meal preparation, light housekeeping, medication reminders, errands, transportation, fall prevention and overall companionship. Personal care includes bathing, dressing, transferring, incontinence care, Alzheimer’s and dementia care. Both types of care are provided by a Certified Nursing Assistant (CNA) or trained caregiver. 1. In-Home Non-Medical Care -- Companionship care

Robert Nations Senior Access Board Member and CEO of Senior Helpers North Bay

often referred to as “skilled care” because it requires trained, licensed medical professionals: nurses, physical, occupational and speech therapists. This type of care is often limited based on Medicare and Medi-Cal restrictions. 2. In-Home Health Care --

HOW TO SELECT AN IN-HOME CARE AGENCY

Once you determine the type of care needed, be prepared to ask questions. What services do you offer? Are you available 24/7? Do you employ staff or independent contractors? Do you complete background checks and are caregivers bonded? Do you provide ongoing training for your caregivers? What is the procedure if a caregiver does not report to work? May I request a different caregiver if the current caregiver is not a good fit? What are the costs? How does the agency bill for services? Is there a written plan of care? Is the family involved in creating the plan of care? What happens if I have a complaint? After selecting your preferred agency, schedule an appointment for an assessment. Will your agency complete the assessment in the home for free? Do you provide a safety check of the home? Do I have to sign a contract? What is your cancellation policy? May I change the service level based on a change of care needed? The final step is evaluating the assessment. Did the agency representative arrive on time? Did they present themselves in a professional manner? Did they answer all your questions? Finding a complement of services that works for you and your loved one is well worth the effort. You are sure to make new friends and valuable connections along the way. 6

OUR CARING COMMUNITY GIVES BACK Throughout the year, community partners find many creative ways to help our friends and neighbors living with memory loss. We are so very grateful to these organizations and businesses for all the work they do on behalf of Senior Access. Thank you!

IN KIND GIFTS Anonymous (3) Sandy Archer Drake Terrace Senior Living Barry Ernst Douglas P. Ferguson Francine Goodman Dale and Sharon Hilpert

Photo credit: Stuart Lirette

Hired Hands Homecare

RIP CITY RIDERS - a motorcycle club with a big heart Audiology Associates Autodesk Bank of Marin Blende Dental Group Book Passage Drake Terrace Senior Living Eckhoff Accountancy Corporation Farallone Pacific Insurance Services Friends of Novato Kaiser Permanente Ladies Philoptochos Society Marin Greek Festival Marin Independent Journal Marin Volunteer League Mill Valley Market North San Rafael Neighborhood Coalition Presbyterian Church of Novato Rotary Club of Mission San Rafael Rotary Club of Terra Linda San Francisco Adult Day Network San Rafael Goldenaires Sausalito Woman’s Club Senior Helpers North Bay Sisters of Saint Dominic Tiburon Classic Car Show West Marin Pharmacy Westamerica Bank Westminster Presbyterian Church Whole Foods Market Novato WindChime of Marin

Susanne Karch Barbara Levin Lucas Valley Community Church St. Stephen’s Episcopal Church Senior Helpers North Bay Stagebridge/Timeslips Today’s Senior Magazine

World Wings International - Marin Chapter

philanthropic organization of former Pan Am flight attendants

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A Heartfelt THANK YOU to Our Donors

Senior Access gratefully acknowledges the generous support of our donors July 2011 through September 2012 Charles Benet Bruce and Linda Berg Anonymous (3) Patricia Bertrand Alzheimer’s Fdtn. of America Donald and Elizabeth Beyer Autodesk Patricia Blau Bank of Marin Community Fund Margaret Bluth Belvedere Community Foundation Dick Bobo and Ann Sorgen Shirley Chater Anne Bomford County of Marin Juliette S. Bonelli Crescent Porter Hale Foundation Joan and Nick Boodrookas Drake Terrace Senior Living Book Passage Anthony and Martha Eason Edward and Nancy Boyce Episcopal Senior Communities Robert Branz Douglas and Jane Ferguson Paul and Arlene Breen Joanne and Peter E. Haas, Jr. Fund Marion Brennan Judy Hébert Stephen Brilliant Richard C. Hoertkorn Greg Brockbank Barbara and Ron Kaufman Henry and Mary Jo Broderick Philanthropic Fund Michael and Vivien Bronshvag Levinsohn Family Fund George and Cindy Brown James and Martha Lewis Wendy Buchen Mardelle Buss Fund Doug Bunnell Marin Community Foundation Michael and Sharon Burch Marin Greek Festival Cherita Cain Marin Volunteer League Elsa Camicia Jane, Stacy and Scott Miller Fund Mary E. Campbell Rotary Club of Mission San Rafael Lois H. Cannady Ann Morrison Nathan and Violet David Foundation Ynez Carlomagno Sheri Champeau Elaine Roscoe Cris Chater Senior Helpers North Bay Fred and Tessa Cherniss The Benjamin Tanner Fund Verena Christen Tiburon Classic Car Show Mark and Val Clary Robyn Torres James and Linda Clever Westamerica Bank Fredericka Cobey Whole Foods Market Novato Wilfred George Charitable Gift Fund Mark and Corinne Coffrini William and Gretchen Kimball Fund Timothy Conn Mary Rose Corrao World Wings International Mary Courteau Marin Chapter Charles and Eleanor Crawford Sandra Yoffie Robert and Julanne Crockett FRIENDSHIP CIRCLE Danielle and William Dasher Anonymous (11) Linda Deegan Rosalie Alexander Carole Deitrich Mary Amonette Nida Devoto Janet Anderson Mary Ann Dietrich Patrick Arbore Don Matthews and Chrisula Asimos Barbara Tomben Audiology Associates Judith Donovan Wendy Baker Glen and Barbara Dorin Richard and Cindy Banakus Ruth Downing Arlene Banks Jerry and MEA Draper Jack Bartlett Heidi Duckor Beck Brothers Margaret Dueringer Sue Beittel

LEADERSHIP CIRCLE

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Geoff and Sally Dugan Anthony and Martha Eason Robert and Susan Edmondson Ken and Shirley Elkington Dorothy Ellesin-Janus Elizabeth Enemark Carroll Estes Caroline Everts Ann Fairlie Stan and Lynn Falk Farallone Pacific Ins. Services Andrea Feit-Dougan Arlene K. Finn Jean Firmage Robert and Saloma Fisher Erik and Megan Flatt Kathleen Fletcher Angela Ford Dave Fort Thomas and Deborah Frady Michael and Donna Franzblau Thomas and Sally Freed Carol Friedman Friends of Novato Arthur and Anne Fritz Irving and Sylvia Genet Phillip and Cheryl Genet Vera Gertler Bill and Doreen Gleason Ronald Goldstein Glenn and Francine Goodman Mary Grecousis Ann Green John and Pattie Grey Griswold Family Fund Sally Hagstrom Arlene Halligan Gary and Wyman Harris Gay Harris Stanley and Monica Hayes Stan Hoffman Brian Hollander Peter and Martha Hollenbeck Ruth J. Horn Harry and Celeste Howard Doug Huneke Patrick and Irene Hunt Matthew and Susan Janin Lisa L. Jaros Ervin and Denise Jindrich Reese and Margaret Jones Lawrence and Frances Jordan David Kaplan Susanne Karch

Michael and Christine Kasman Wilma J. Kay Deborah Keck Claire Keleher James and Joan Kelly Dinkar P. Kharkar Jim and Joan Kirsner Thomas Klabechek Persis Knobbe Lawrence and Sue Kramer James and Leena Krasno Daniel and Sarah Kushner Mae Lacourse Ladies Philoptochos Society Greek Orthodox Church Joel and Amy Levine Joanie Levinsohn Lyle and Patricia Lewis Michele Liapes Raymond Lorber and Kay Hendricks Richard and Valerie Lucchesi Francis and Barbara Lundy Susan Lundy Martin and Eileen Lynch Patty Lyons Ross and Dulce MacLeod Lynda Mackin Tom Martz and Tracey Ruiz Mel Matsumoto Christina R. McArthur McAuliffe Family Trust Sheila McClear Kate McCormick Janet McGarry Lawrence and Roberta McHugh Barbara Meislin William Mentzer Larry and Nikki Meredith Roberta and Spencer Michels Mill Valley Market James and Julie Monson Barbara Monty Marjorie Moore Luanne Mullin Carter and Peggy Murphy James Ralph and Chris Murphy Gary and Mary Alice Musante John and Eileen Nemeth Robert and Diane Neuhaus Peter Ng Bill and Clara Nichols Robert and Patricia Nickoloff

Aldo Nicolai North San Rafael Neighborhood Coalition Deborah Odier Joe O’Hehir and Vicki Masseria Donald Olson Michael and Elfrieda O’Neill Pam Osborn Betty Pagett Neil and Sydney Park Nancy Patocchi Bryan and Heidi Pay Linda Peterson Barry Phegan Adam and Kristen Politzer Presbyterian Church of Novato Carol Price Henry and Sarah Pruden Rand-Montgomery Fund Alyce Rea William and Barbara Rich Peter and Jane Richmond Emily and Mike Robertson Marcia Robinson William and Sue Rochester John and Dorothy Rolling James and Roberta Romeo Dorothy Rosso Rotary Club of Terra Linda Elizabeth Rottger Robert and Beverly Rowden Richard and Anne Marie Ruben Barbara Ruffino Joseph and Elda Saccone James and Judith Saffran San Francisco Adult Day Network San Rafael Goldenaires Norman and Gladys Sanguinetti Paul and Maureen Sanner Susie Sarlo Sausalito Woman’s Club Jack and Beverly Savitt Patricia Sawyer Nancy Sayner Morris Schambelan Alfred and Annegret Schmidt Gerald Schofield Mimi Schreiber Helen Lois Schwab Ann Schweichler Dennis and Camara Scremin Martha Settlemyre Sue Severin Virginia Seymour Ann Shaw Sisters of Saint Dominic Sandra Slater Albert and Myrna Smith Richard and Carmella Sogge

Paul and Louise Solari Sharon Solomon Judith Sorgen Robert Sottimano Joseph and Ella Spinelli Gary Spratling Jane Stewart Harriet Stix Elizabeth L. Stone Peter Stragnola Gail Suchocki Jacqueline Sue Linda Swanson Peter and Irene Tabet Matt Taddei Taddei, Ludwig and Associates Shirley Tartak Scott and Sheila Taylor Thomas and Pamela Taylor The Griffin Phoenix Foundation Barbara Thomas Michalene Thone Anne Tillotson Pauline A. Tomlinson Vic and Jen Tripathy David Troxel Donald and Dianne Troya Eric and Karen Underwood Frances Urdang Constance Vandament John and Karyl Viets Ronald Walent Shay Walling James and Janet Ward Ray and Rosalie Weigle David Werdegar West Marin Pharmacy Westminster Presbyterian Church Galen and Joanne Williams James and Toni Wilson WindChime of Marin Al and Jane Wood James and Travis Wright Janice Wright John and Ruth Youngquist

IN LOVING MEMORY Jesse J. Alexander Anonymous Arete Asimos Chrisula Asimos Michael Bareau Bruce and Linda Berg Marion Branz Robert Branz Callie - Best Dog Ever Judy Hébert Flora Campbell Gail Suchocki

Patricia Cane Janet McGarry Bernard “Bud” Cozad Margaret Bluth Stan and Lynn Falk Nathan David Nathan and Violet David Foundation Linda Crossman Fitzpatrick Elizabeth Rottger Pat Ford Angela Ford Edward J. Gallagher Richard and Valerie Lucchesi Philip Gay Ray and Rosalie Weigle Wilfred George Henry and Sarah Pruden Sil Giusti Alfred and Annegret Schmidt Mary Grecousis Barbara Thomas Peter Hébert Anonymous Wendy Baker Michael and Sharon Burch Sheri Champeau Dorothy Ellesin-Janus Jean Firmage Richard C. Hoertkorn Persis Knobbe James and Lena Krasno Francis and Barbara Lundy Mike and Emily Robertson Jacqueline Sue Martha Settlemyre William H. Heenan John and Dorothy Rolling Mary Katz Arlene K. Finn Kathleen Kiely Anne Bomford Alexis Masters (nee Martha L. Alexander) Anonymous Marion McNamara Shay Walling Patricia McLue Bruce and Linda Berg Elizabeth S. Nicolai Aldo Nicolai Warren Sawyer Patricia Sawyer William H. Schofield Gerald Schofield Leo Schwab Helen Lois Schwab Margaret Spinardi Anonymous 9

Mabel and Jerry Starr Lyle and Patricia Lewis Tata Anonymous Jay Tillotson Ann Tillotson Ann Troya Donald and Dianne Troya Elizabeth Ward Anonymous

IN HONOR

Donna Abbott’s 90th Birthday McAuliffe Family Trust Suzanne Blake Carter and Peggy Murphy Robert and Marion Blau Patricia Blau Cestaro Family Pauline Tomlinson Cris Chater Doug Bunnell Douglas and Jane Ferguson Sally Hagstrom Martin and Eileen Lynch Helen Hanson Shirley Chater Peter Ng Val Clary Jerry and MEA Draper Janet Friedman Carter and Peggy Murphy Ilene Genet Irving and Sylvia Genet Philip and Cheryl Genet Evan Hirsch James and Judith Saffran Marcella Murphy Cherita Cain Barbara Noble Patricia Bertrand Jacob Savitt Jack and Beverly Savitt Senior Access Staff Anonymous Doug Bunnell Cris Chater Matt Taddei Donald Olson Jen, Sunny and Ravi Tripathy Albert and Myrna Smith Rosalie Weigle Carter and Peggy Murphy

We sincerely regret any errors or ommissions

COURAGE IS WHERE YOU FIND IT I consider it a privilege to serve on the Board of Directors of Senior Access because it is a competent and caring community. My favorite activity is co-facilitating the free monthly Caregiver Support Group and getting together with some of the most courageous people I know. I am humbled and inspired by the stories I hear. “Gail” moved to Marin County to care for her mother, leaving her friends and career behind only to discover that she was not appreciated by her siblings and seen as a threat by her mother’s friends. The Reverend James S. Ward Senior Access Board Member and Support Group Co-facilitator

“Dena’s” husband is in a dementia facility and she monitors the quality of his care on a daily basis. Their son no longer visits his father because he is uncomfortable with his dad’s memory loss. “Helena” has been married for 50 years to the same man who now asks “who are you?” and “who lives in this lovely home?” Often she can joke with him and introduce herself as the “maid” and tell him “your wife will return shortly from the store.” Playfulness is common and humor is required to ease the task of caring for someone with memory loss, a charge these exemplary spouses and children take on out of love and devotion. The group laughs a lot and spirits lighten with every shared story. Practical advice and indispensable resources are shared as well. A dementia diagnosis can be devastating and caregivers need solidarity to help cultivate healthy strategies, maintain their own dignity, and advocate for their loved ones. Caregiving can bring up unresolved family issues that call for an understanding and accepting group. The Caregiver Support Group is just that – a safe place to share stories, challenges, and resources. Courage, it seems, is all around us. Just look for it! And buckle up . . . it’s a wild ride! The Senior Access Caregiver Support Group is co-facilitated by Jim Ward and Jen Tripathy on the third Thursday of the month from 11:00 am to 12:30 pm at Lucas Valley Community Church, 2000 Las Gallinas Avenue in San Rafael. Join us and take advantage of free care at The Club for your loved one while you attend the group. Call Jen Tripathy, Senior Access Program Director, at 415-491-2500 ext. 14 to make arrangements.

NEWSLETTER Cris Chater Val Clary Mimi Schreiber Senior Access programs are licensed by the State of California

“Having my mother with me and being able to provide a home for her as long as I did was truly a gift. It would not have been possible without the help

All art images in this newsletter were created by Senior Access Club Members

of Senior Access.”

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BOARD OF DIRECTORS Marjorie Belknap, MD, President Greg Brockbank, Vice President Robyn Torres, RN, BSN, PHN, Secretary James Ward, Treasurer Damon Connolly Judy Hébert Patty Lyons, MA, MFT Robert Nations

STAFF Cris Chater, MA, MNA, Executive Director Mimi Schreiber, Marketing Director Vic Riccuiti, Finance Manager Val Clary, Executive Assistant Jen Tripathy, MFT, Program Director Michelle Burns, Activity Director Amy Takemoto, Interim Activity Director Denise Adamson, Activity Coordinator Kit Lewis, Lead Program Assistant

ADVISORY COUNCIL Susan L. Adams, PhD, RN

Marin County Board of Supervisors Cindy Barton, RN, MSN UCSF Memory and Aging Center Allan Bortel, CFA Marin County Commission on Aging Marion Brennan, LCSW

Douglas Bunnell

Marin Independent Journal

Christopher Caproni

Mortgage Banker/Broker and Consultant Ellen Christiansen, MSN, FNP

Joan Corbett

West Marin Senior Services Brian de Vries, PhD San Francisco State University Carole Deitrich, RNC, MS UCSF Dept. of Physiological Nursing

Shelley Dombroski

Alzheimer’s Association Glenna Dowling, RN, PhD UCSF Dept. of Physiological Nursing Georgianna Farren, MD, MEd Marin Community Clinics

R. Ronald Finley, BS Pharm, RPh, CGP UCSF School of Pharmacy

Kate Fitzsimmons

Nonprofit Development Consultant Kathleen Fletcher, EdD University of San Francisco Patrick Fox, MSW, PhD UCSF Institute for Health & Aging

Marie Gaines

Marguerite C. Johnson Senior Center

Eli Gelardin

Marin Center for Independent Living

Anna Haight

Writer and Caregiver

Colin Hamblin, MD

Pt. Reyes Medical Clinic

Gary (Buz) Hermes

Petaluma Ecumenical Properties

Martha Hollenbeck Douglas Huneke Diana Jennings, PhD, MS, RN Samuel Merritt University Cindy Kauffman, MS Institute on Aging Marty Lynch, PhD, MPA Lifelong Medical Care Lynda Mackin, PhD, ANP-BC UCSF School of Nursing

Nancy Masters

Jewish Family & Children’s Services

Melvin Matsumoto

Holly Rylance

Marin Adult Day Health Center Tara Sharpp, RN, PhD UC Davis School of Nursing Ingrid Sheets, EdD, MS, RN-BC Dominican University of California Cindy Singleton, LCSW Kaiser Permanente

Judith Sorgen Caregiver

Joseph Spinelli Linda Tavaszi, PhD

Marin Community Clinics

Wendy Todd

Marin Community Foundation David Troxel, MPH Dementia Specialist

Masonic Homes of California Larry Meredith, PhD

Nick Trunzo

Jennifer Merrilees, RN, MS

Marin Community Foundation

Marin Cty. Division of Aging & Adult Services

Marin County Health & Human Services

Brian Van Weele

UCSF Memory and Aging Center

Ronald Walent, RN, PhD, GCNS-BC,

Barbara Millstein Caregiver

Joe O’Hehir Whistlestop

Pam Osborn, RN

West Marin Senior Services Barry Phegan, PhD Meridian Group

Paula Pilecki

Spectrum LGBT Services

Deanna Randall

Alzheimer’s Association Celine Regalia, MSW Napa Valley Hospice & Adult Day Services

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FNGNA

UCSF Dept. of Physiological Nursing Margaret Wallhagen, PhD, GNP-BC, AGSF, FAAN UCSF Hartford Center David Werdegar, MD

Erin Winter

Hired Hands Homecare Michael Witte, MD Pt. Reyes Medical Clinic

David Wren

Wren Marketing Communications Heather Young, PhD, RN, GNP, FAAN UC Davis School of Nursing

Cecilia Zamora

Latino Council of Marin

Senior Access 70 Skyview Terrace San Rafael, CA 94903

STANDARD MAIL PRESORTED U.S. POSTAGE

PAID

SAN RAFAEL, CA

ACE

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The Club at Senior Access

Marin’s favorite social club for folks with

TOUR DE FORCE & JOI DE VIVRE EXCURSION CLUBS The Tour de Force Excursion Club is an ongoing weekly adventure for active individuals living with early stage Alzheimer’s disease. The Tour travels to exciting locations such as the Strybing Arboretum, San Francisco Exploratorium, Japanese Tea Garden, McInnis Golf Park, Scharffen Berger Chocolate Factory and Muir Woods National Monument. The Tour includes transportation, snacks, a picnic lunch or sit-down meal at a restaurant and admission fees to museums and/or parks. The Tour has become so popular that a modified excusion club, Joi de Vivre, launched in October 2012. Joi de Vivre provides accessible transportation for individuals with wheelchairs or walkers. The same fantastic destinations are visited, but at a more leisurely pace. Call Jen Tripathy, Program Director, at 415-491-2500 ext. 14 to enroll in the Tour de Force or Joi de Vivre Excursion Club!

memory loss San Rafael Location Wilfred George Adult Day Center 70 Skyview Terrace Belvedere Location St. Stephen’s Church 3 Bay View 415.491.2500 415.491.2503 fax www.senioraccess.org

Tour de Force Excursion Club at Marin Museum of Contemporary Art Hamilton Arts Center, Novato