Aging, Ecuador, Ecuador Senior Living, Expats, Health & Wellness Mexico

End-of-Life Planning Discussion at Cuenca Chamber of Commerce, May 6

In March, I published an article on the importance of End-of-Life Planning for North Americans and others who live overseas.  Here is a link to the article in case you missed it.

http://cuencahighlife.com/why-creating-an-end-of-life-plan-in-ecuador-is-a-good-idea-for-expats/

There was quite a bit of response. Most responders asked for a seminar.

For those of you who missed announcements in Cuenca High Life, Gringo Post, and Gringo Tree the last few days, here below is the information for the event which will  focus on three main subjects:

1. Why you need a physician ahead of time

2.  Why you need a legal document (an Ecuadorian document if you reside in Ecuador) stating your end-of-life wishes

3.  What the process is for cremation and why it is so difficult

95anios-banner-mailing

Cuenca Chamber of Commerce Sponsors End-of-Life Planning Discussion Wednesday, May 6

Mark your calendars for 11:00 am Wednesday, May 6 for an important discussion on End-of-Life legal matters and cremation/burial options in Cuenca, Ecuador.

Senior care consultant Wendy Jane Carrel will moderate a panel with attorney Grace Velastegui and Camposanto Santa Ana Funeral and Cemetery General Director Simon Toral.

Presentations will be followed by a question and answer session to address your pressing concerns.

May 6, 2015 11:00 a.m.
Cuenca Chamber of Commerce 3rd floor (there is an elevator)
Federico Malo y 12 de Abril facing Parque de la Madre (view map)
Cuenca

☎ 07 284-2772 ext 233 attn: Gabriela Maldonado

Here below is a photo from the May 6 meeting, deemed a success by the Cuenca Chamber of Commerce.  Almost 250 persons were in attendance.  There are approximately 10,000 North Americans resident in Cuenca , Loja/Vilcabamba, and places in-between.

Director General Simon Toral, Attorney Grace Velastegui, Senior Care Consultant Wendy Jane Carrel, Chamber President Atty Jaime Moreno
Director General Simon Toral, Attorney Grace Velastegui, Senior Care Consultant Wendy Jane Carrel, Chamber President Atty Jaime Moren
Aging, Ecuador, Ecuador Senior Living, End-of-Life Care, Health & Wellness Mexico, Long-Term Care, Palliative Care

Palliative Care Training for Healthcare Professionals in Cuenca, Ecuador at Hospice Foundation FASEC

Ethical dilemmas at End-of-Life
Ethical dilemmas at End-of-Life

FASEC (Fundacion al Servicio del Enfermo de Cancer/Foundation Serving Those Ill with Cancer), together with Care Partners International of Washington state, and the University of San Francisco, Quito hosted a palliative care training in Spanish for five days, April 20-24, the first in a series of four trainings for physicians, nurses, psychologists, volunteers, and others. The well-attended event drew healthcare workers from Cuba, Cuenca, Europe, Mexico, and the U.S.

The main speaker was Dr. Susana Lua Nava, a highly regarded Mexican educator and nun who teaches throughout Mexico and at UAG (Universidad Autonoma de Guadalajara). She runs a hospice, Juntos Contro El Dolor (United Against Pain), with three nurse nuns and a staff of volunteers. Dr. Lua and her team are dedicated to the alleviation of pain in all – no matter a patient’s background, religious belief, or economic position.

Dr. Lua, author of El Enfermo, Terreno Sagrada/The Ill, Sacred Terrain, offered several slides of her work in Mexico and Spain, gave stunning examples of patient care, and spoke about dying at home or in a hospital (advantages and disadvantages of both), myths and realities on the use of morphine, the art of sharing sad news, and preparing the spirit, among other subjects. The most riveting discussion was on ethical dilemmas, a subject she teaches often – why and who one tells or does not tell of their terminal condition based on socio-economic backgrounds, culture, expectations, and other factors.

The next FASEC trainings are scheduled for the second week of June, the third week of July, and a week in October.

For contact information and more story details please click on the link below.

http://cuencahighlife.com/cuenca-palliative-care-training-educates-the-public-and-healthcare-community-first-of-four-training-session-sponsored-by-fasec/

Aging, Ecuador, Ecuador Senior Living, Health & Wellness Mexico, Senior Services

Cuenca, Ecuador Inaugurates New City Senior Center

Mayor Marcelo Cabrera, his wife, city dignitaries, employees, and approximately 150 seniors were present Sunday morning, April 19, as Cabrera proudly inaugurated one of Cuenca’s special projects, the “first free public senior center” also known at El Hogar del Abuelos (Home of the Grandparents).  Eight other city senior centers are in the planning stages.

See Cuenca High Life article at link below

http://cuencahighlife.com/cuenca-mayor-cabrera-inaugurates-new-city-senior-center/

Cuenca Ecuador's new city senior center in the El Vergel neighborhood
Cuenca Ecuador’s new city senior center in the El Vergel neighborhood
Aging, Ecuador, Ecuador Senior Living, Expats, Health & Wellness Mexico, Retirement, Senior Living

Guidelines for Choosing a Healthful Home or Apartment in Ecuador

Here below is a link to an article I posted on http://www.CuencaHighLife.com offering 12 key guidelines for selecting a healthful living environment in Ecuador or wherever else you choose to be.

See http://cuencahighlife.com/choosing-the-right-environments-for-healthful-living/

wide doors for easy access, glass panels for energy of light
wide doors for easy access, glass door panels for energy of light
concrete pavers instead of slippery tile or marble, safer when raining
concrete entry pavers instead of slippery tile or marble, safer to walk on when raining
round, soft furniture, no edges to hurt yourself
round, soft furniture, no edges to hurt yourself
Aging, Ecuador, Ecuador Senior Living, Emergency Preparedness, Health & Wellness Mexico, Retirement

Senior Care Options in Ecuador, Overseas Radio Program

Hello dear friends and readers,

I was on the radio today.
http://overseasradio.com/ashley-rogers-and-michel-blanchard/   See the archives for January 5, 2015 for the download.

Big oops. My hostess was stellar. I was energetically flat for a subject I am so passionate about, and a bit off point. I know better. Am praying to redeem myself on another program later. 😉

Here below are a few observations I had intended to clarify:

I have lived or worked in over 40 countries and am truly blessed that I have maintained my health with the exception of being thrown from the back of a Vespa in Rome, Italy – Vespa hit by a truck – two cracked vertebrae. I fortunately healed and have no residual effects.

This experience, among others, led to one important point of our radio chat…

No matter where you choose to live, please give thought to your physical and mental well-being, especially if you are over 50. Self-care is everything for your future, though accidents are sometimes not in our control.

We are all subject to falls despite the place we choose to reside in or travel to. In Ecuador, where sidewalks are rarely flat, smooth, and wide, you can unwittingly fall into ditches, and the street. You can also trip on exposed rebar and protruding cement edges. When it rains, you can glide right across the marble and shiny tiles in front of buildings and splat. Do you want broken bones? Plan on looking down a lot and being mindful.

We are not all made the same when it comes to oxygen intake. The altitude in most Andean cities is between 6,000 and 9,500 feet. Some who are new to high altitude adjust well, others do not and do not know it. I recommend bringing a blood pressure cuff and reading your blood pressure each day. Also, as one ages, I am told we receive less oxygen into our bodies than when we are younger.  Options: bring liquid oxygen drops (haven’t found them here) drink coca de mate tea easily found in any store, go slowly, or, move to a lower elevation. The North American community has lost members who arrived with no chronic health conditions and a clean bill of health – they unwittingly succumbed because of the oxygen issue. These incidents remind me of the childhood story of Heidi and the fresh mountain air in Switzerland that healed her. I had always concluded that high elevation would be good for me or anyone else. Patrick Coady of http://www.southamericanhealth.com has written a fine article about living at high altitude and how to handle it:
http://cuenca-news.gringotree.com/living-at-elevation-cautions-advantages-for-your-health/

If you plan to live in Ecuador, make certain to create a Constancia or a Documentacion Juramentada for end-of-life arrangements. Your Advanced Health Care Directive or your Five Wishes are not valid in the country even if notarized, apostilled and translated into Spanish.  Again, your North American documents will not be recognized. If you wish to be cremated this is especially important. The number of days and bureaucracy required for your loved ones to negotiate the system is more than challenging, especially if they are grieving and far away. Different culture, different mentality.

Health Care Prevention and Emergencies in Cuenca in brief:

I had not intended to sound like an advertisement for people whose work I admire, but there is no getting around it. Trainers Ken Dobberpuhl of ZealCenter.com, Chelsea Gary at http://www.shaome.com, and Sky Rajewski will help you stay in shape if you have balance issues or injuries. They will also recommend physical therapists. They focus on keeping you well.

In 2014, the In Case of Emergency Cuenca volunteer team created lists of health-related emergency resources.  You can locate the information on a local church web site, http://www.internationalchristiancommunity.org/health-resources.html. The names include providers who speak English – but please beware, you are provided with lists, not recommendations. Do your due diligence as you would in your country of origin or elsewhere as to the person or persons whom you will feel comfortable with.  The church kindly provided space for the In Case of Emergency Cuenca team to deliver free seminars of interest to Europeans and North Americans residing in the city in 2014.  The next seminar will focus on End-of-Life and is planned for sometime in spring 2015.  Look for announcements on on-line newsletters Gringo Post and Gringo Tree.

Other holistic mentions for Cuenca:

Cuenca Holistic Network founded by psychologist Robert Higgins, a group of North American and Ecuadorian alternative healthcare workers    www.CuencaHolisticHealth.com

Patrick Coady and Silvana Spano of http://www.SouthAmericanHealth.com

Dr. Hugo Alvarez, MD and naturopath, a Cuencano who lived 25 years in Canada

Dr. Francisco Malo Tamariz, General Medicine and Ayurveda

Other MD’s are on the church web site link above.

When discussing senior health care in Latin America, the quality of care in Mexico was inadvertently omitted.  In many cities, medical care is truly excellent.  Assisted living in Mexico is often on a par with the U.S., depending what state and city of Mexico you are in, and as in the U.S., what funds you have.  The “carino” that was mentioned is also prevalent in Mexico.  Cuba, a leader is gerontology, has waiting lists at assisted living homes.  This is due to current economics.  Chile, also a leader in gerontology, has sophisticated senior care in Santiago.

Assisted Living, Health & Wellness Mexico, Mexico Senior Living, Retirement, Senior Living, Senior Services

Mexico’s AMAR Hosts Senior Living Convention w/ North American Investors & Retirees

AMAR, the Mexican Association of Retirement Communities (Asociacion Mexicana de Asistencia en el Retiro), is hosting AMAR’s International Convention 2014 at Rosarita Beach Hotel, Rosarita Beach, Baja California, October 23-25, for North American and Mexican senior housing industry professionals and the public. Rosarito Beach is 20 miles south of San Diego, CA in Mexico.

The event focus, part of a continuing dialogue, is how to attract a portion of North American Baby Boomers over the coming years to senior-friendly, affordable destinations in Mexico with ideal weather,  health services, infrastructure, and proximity to the U.S. It is anticipated that of 100 million boomers in Canada and the U.S., 4 million will consider living in Mexico. According to Internet statistics, there are currently 1,400,000 to 1,600,000 U.S. citizens living in Mexico, not all retirees.

Experienced Canadian and U.S. senior living developers, operators, and executives will meet to discuss collaboration possibilities with Mexican developers and investors.

Among the 22 scheduled speakers are Americans Martin Lakatos, VP and developer for California based Front Porch Development Company; Patricia Will, CEO of Belmont Village Senior Living (23 Assisted Living properties across the U.S. and one in development in Mexico City); and Matthew J. Downs of the Center for Medicare Portability. Javier Govi, Founder & CEO of AMAR; Ignacio Bernal of FONATUR (a Mexican government entity which plans and develops top tourist destinations); and Rodrigo Contreras Mejia of PROMEXICO (a Mexican government trust for international trade and investment) will be among the speakers from Mexico.

Subjects will include elements for successful operation of CCRC’s, active senior living, and Alzheimer’s and dementia care with holistic/wellness-based concepts, eco-friendly LEED-certified construction, universal design, and health information technology. Topics will also include the state of MOM and POP projects, aging in place communities where services come to you, and Medicare in Mexico. (Medicare is not yet accessible outside the U.S. unless under rare circumstances. American seniors can purchase Medigap emergency plans C, D, F, G, M, or N with a $250 deductible).

Lic. Javier Govi, Founder & CEO AMAR
Lic. Javier Govi, Founder & CEO AMAR

When asked about the current state of senior living and its future in Mexico, AMAR’s Javier Govi stated, “We currently cater to the mom and pop market, the parents of baby boomers. We are simultaneously transitioning to meet the needs of boomers who have begun to retire. We have spent years studying this market, looking at the history, and visualizing the future. The important components for boomers will be wellness, fitness, and a holistic approach.”

An adjunct part of the event is the 50+ Expo and Workshops for Healthy Living where the public can learn about senior living options in Mexico.

AMAR Friends Foundation, which helps retirees find independent or assisted living in Mexico, is sponsoring the 50+ Expo. Seminars are designed “to answer questions from banking to moving belongings, and what is involved in obtaining a residential visa,” added Govi. The expo also includes product displays and music. The foundation will soon be providing social service projects for poor elderly Mexicans through its North American volunteers. See http://www.amarfriends.org.

AMAR, founded in 2007, is the first national Mexican non-profit organization committed to educate and collaborate with Mexican government regulatory agencies and business executives in Mexico and North America on the potential of the senior housing industry in Mexico.

For more information on the event go to http://www.amar.org.mx, write info@amar.org.mx, or call San Diego, CA number (619)564-4007.

Assisted Living, Ecuador, Ecuador Senior Living, Health & Wellness Mexico

International Day of Older Persons in Cuenca, Ecuador

sweethearts from Sayusi
sweethearts from Sayusi

 

October 1 is International Day of Older Persons. It has been recognized as such since the acceptance of a UN decree December 14, 1990.

According to the World Health Organization, an arm of the U.N., there are 600 million persons around the world who are 60 or over. By 2025 the number of older adults is expected to double, and by 2050, there will be 2 billion, the vast majority of whom will be from developing nations.

One such developing nation is Ecuador which celebrates this day with parades and festivities in cities nationwide.

Seniors in Ecuador, whether from privileged backgrounds or farming communities, participate with gusto.

In Cuenca, an Andean city, the province of Azuay, the city, national government social services (MIES), assisted living homes, and the University of Older Adults participate. Yesterday, according to MIES, over 1000 seniors marched in the parade from the corner of Borrero in front of a MIES office, all the way down Calle Larga, a main city street, to the Banco Central, about a 1/2 mile away. In the courtyard of the Banco Central there was dancing, a senior band, a play, Ecuadorian food, and handicrafts made by seniors.

Below are photos of the memorable event…

University of Older Adults for "active, healthy, and productive aging"
University of Older Adults for “active, healthy, and productive aging”

 

Graduates of the University of Older Adults
Graduates of the University of Older Adults
Seniors from Plentitud Assisted Living led by their dedicated administrator Dolores with pin on lapel
Seniors from Plentitud Assisted Living led by their dedicated administrator Dolores with pin on lapel
real life sweethearts...
real life sweethearts…

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senior band from a pueblo outside the city
senior band from a pueblo outside the city

 

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crafts handmade by seniors for sale
crafts handmade by seniors for sale
more handicrafts
more handicrafts
made with love
made with love
precious lady making a straw hat
precious lady making a straw hat
cuy aka roasted guinea pig, a favorite Cuencano food
cuy aka roasted guinea pig, a favorite Cuencano food
pork and potato/corn patties prepared by Plentitud Assisted Living
pork and potato/corn patties prepared by Plentitud Assisted Living

 

 

 

listening to music
listening to music
Pedro Calle, MIES sociologist w/ Lcda Yolanda Arias, MIES Senior Analyst
Pedro Calle, MIES sociologist w/ Lcda Yolanda Arias, MIES Senior Analyst

 

Alzheimer's, Assisted Living, Health & Wellness Mexico, Senior Services

Interior Design for Alzheimer’s/Memory Care Communities – A Successful British Experiment

For almost two decades, especially since I served as night time administrator and marketing director at an Alzheimer’s campus in southern California, I’ve been focused on universal design – how to create a safe, practical, healthful, and inviting environment not only for those requiring memory care, but for anyone, even those of us fortunate enough to be well.

What could be better than an immaculate, welcoming, protective atmosphere where ever you live?

Yesterday I viewed a video about interior redesign of a dementia wing at Elmhurst, an assisted living village in England. I like much of what was chosen. I might not have chosen laminate flooring even if it looks great and is easy to clean, I don’t find it eco-friendly.  I may have choosen linoleum, cork, or wood instead as there is no off gassing. These green products might be safer for falls.  But I imagine there may have been budget considerations. Other than that, a fine redesign job. Based on a visual site visit, even from afar, I would consider recommending this community focused on wellness.

Note the energy of light features, especially the use of skylights and large windows, and the secure garden area.  Also note the reason red prompts were chosen for the bathroom, and cerulean blue gray for the dining room plates. There is valuable information in the video at the link below.

http://www.alzheimersweekly.com/2014/09/redesigning-home-for-dementia-care.html

   please don’t be shocked by the red, there is an excellent reason for the choice

 

Ecuador, Ecuador Senior Living, Health & Wellness Mexico, Pakakuna Gardens, Retirement, Senior Living

Healing, Healthful Living at Pakakuna Gardens, Ecuador

A Paradise on Earth…

Pakakuna Gardens, “a dream come true,” is the most healing, healthful, sacred place I have discovered in Ecuador. When an abundance of funds arrive, and if I would choose to live in Ecuador, this is where it would be.

Why?

It is quiet, beautiful, and created with immense love and care by its owners, a retired Swiss psychiatrist and his exquisite Bolivian wife, who invested 30 years to manifest their vision of paradise on earth. They began with a piece of empty land, one large tree, and access to water. They built their first home, now the Club House, in traditional style with stucco, concrete, stone, and wood, and set the plan for the property with stone and tile driveways (imagine Italy), meandering paths, ponds, verdant trees that create canopies, plants, and magical flowers. Then gradually, in the last few years, construction began on other eco-friendly homes with modern conveniences, attractive by western standards, and with the energy of light. The entire property displays extraordinary attention to detail.

Pakakuna Gardens entry road
Pakakuna Gardens entry road

 

One must walk the grounds, and see and feel this peaceful place away from the roaring crowds, traffic, and city pollution to understand its intrinsic value.

 

the grounds at Pakakuna Gardens
the grounds at Pakakuna Gardens

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What are the amenities?

This 150 residence community, gated and guarded, offers internal mobility with golf carts, an internationally recognized club house, a gourmet restaurant (upscale for Ecuador), 8 room hotel service for your guests, heated swimming pools (both indoor and outdoor), Internet, a library and video library, a church, a mini-market, a coffee house, a bakery, a beauty salon and men’s barber, relaxation massage, horseback riding, a spa, tennis courts, back up emergency generators for electricity, illuminated roads, garden maintenance, rubbish removal, and most importantly 24 hour medical care (in the works) – general practice, geriatrics, dentistry, psychotherapy for older adults, physical therapy, hydrotherapy, alternative medicine options, a pharmacy, ambulance service 24 hours, and a helicopter landing zone.

 

The Club House
The Club House

 

the outdoor pool
the outdoor pool

What makes this beautiful place standout among all others in Ecuador?

The intention (though not stated) to attract like-minded, spiritually oriented people focused on sustainability and peaceful living, the abundance of water on the property, the availability of fresh organic produce from neighboring farms (each residence at Pakakuna has a lemon, avocado, and other fruit tree), temperate weather, and most of all how monthly community fees are donated to the Pakakuna Foundation which provides for the needs of the elderly indigenous in the adjacent village of Puembo. Everyone who lives or works at Pakakuna is blessed with holistic living at its best.

 

Pakakuna Gardens home
Pakakuna Gardens home

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If you are seeking wellness, evolved people, and a restorative environment, Pakakuna could be a blessing for your life.

Pakakuna Gardens is located in the Checa Valley about 35 minutes from Quito, and a 15 minute drive to the new international airport of Quito.

Write www.pakakunagardens.org, info@pakakunagardens.org or call (593)(2)222-8781 or 600-4848 for more details.

Assisted Living, Health & Wellness Mexico, Retirement, Senior Living

New Zealand Retirement Village Produces Charming “Happy” Video

In case you missed it, the Diane Isaac Retirement Village in Christchurch, New Zealand has re-created a famous music video with its residents and staff. Note the feelings you receive from the performers, and, the high living standards oceans away. Wellness anyone?! I’m still smiling.

Here’s the You Tube video:

The video is also embedded in an article via Senior Planet… http://seniorplanet.org/common-meds-adversely-affect-the-brain-more-from-the-week-online/