Like a Light in a Dark Tunnel

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When participant Pamella Rose first heard about CenterLight Healthcare PACE, her health was not in the best place, and she was looking for a way to get assistance while remaining as independent as possible. She says that joining CenterLight PACE brought back light into her life in what seemed like such a dark time. In her own words:

CenterLight Healthcare PACE is like a second home to us. When you think back on your sickness that you go through, it is like you are in a dark tunnel. Being at CenterLight, it opened that light.

Pamella Rose loves the different activities at the CenterLight Healthcare PACE Day Health Center (DHC). She said that the activities keep her active, motivated, and help her forget about her pain. Pamella Rose's favorite activity, of course, is BINGO (she said this laughing because her daughters call her The Bingo Queen). 

I feel so proud to be a part of the PACE Participant Council where our voices are heard by the managers. To me they really care about what is on our minds and hearts. I also love the cooking programs, gardening, arts and crafts, and the painting group.

According to Pamella, making friends is a wonderful part of participating in the DHC. They truly have become family to one another. Sometimes it is like they are sisters and brothers. They play dominos together, teach each other crochet stiches, and just talk. Pamella recalls being so into her word search book one day that it was like she could not hear anyone around her, she just had to find the next word. Her friend at the center was trying to get her attention all morning, but she was in her own little world. Her friend tapped her on the shoulder and said, “Finally your nose is out of that book!” She said she thought she was sitting here all alone. She apologized to her friend, and they just laughed about it.

I am so glad to know that I have CenterLight Healthcare PACE that I can come to in the mornings, and I am so thankful to be at this place. It is a blessed place. I was not looking for something like this at my age. God is good to me by doing these things. Sometimes you get your blessing, and it comes to you so suddenly and unexpectedly because of the good things that you do to other people. I appreciate being here and I would encourage other people out there to join CenterLight Healthcare PACE.

Pamella Rose has been a CenterLight PACE participant for 8 years and is enrolled as a participant at the time of posting.

H3329 PamellaBlog2024 Approved MMDDYYYY
Pending CMS and DOH approval
Last Updated September 27, 2024

What is Therapeutic Recreation?

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When sickness hits, it may become difficult for an older adult to have the energy, focus, or even the ability to go back to the things they once loved to do. That is where Therapeutic Recreation Specialists (TRS) come in—they design activities with our participants’ needs in mind. Therapeutic Recreation and socialization can lead to emotional, cognitive, and physical benefits. At CenterLight Healthcare PACE, our TRS assess participants’ leisure interests—what they’ve always liked to do, what they like to do now—and develop programs, activities, and events that can help them discover hidden talents, reconnect with hobbies and passions, learn new things, and share new experiences with their fellow participants.

CenterLight Healthcare PACE Therapeutic Recreation Specialists work with other members of the Interdisciplinary Team (IDT) to bring together different perspectives that ultimately allow us to provide holistic and complete care* to each of our participants.

Having a care team working together to help our participants remain living independently in their own homes helps us prevent any condition from worsening and provide high quality care in all aspects of their life. Let’s say a social worker brings up that a participant is particularly lonely. Therapeutic recreation can reach out and engage that participant and encourage them to come to the center, introduce them to peers that they have similar interests with, and engage them in activities that they would enjoy and can have an impact on their emotional health.

In terms of medical conditions, a Therapeutic Recreation Specialist may collaborate with the nurse as well as physical and occupational therapists by encouraging participants to engage daily in physical activities such as fun group exercise programs to get their weight down, or to increase their ability to work on their own.


What services does the therapeutic recreation department provide to participants?

At CenterLight Healthcare PACE Centers, the Therapeutic Recreation Department offers the following services to our participants, among others:

  • Art Therapy
  • Music Therapy
  • Dance & Movement Therapy
  • Pet Therapy
  • Games & Cognitive Challenges
  • Trips
  • Cultural Events and Celebrations

Our TRS love planning fun activities for participants to enjoy. For example, participants are encouraged to showcase their creative sides by letting out their inner artists in our fun and interactive art programs.

Art has several benefits for older adults, including positive effects on mental health, reduced stress, increased memory skills, enhanced self-esteem, better cognitive memory, and more.

Additionally, art is a great way for our participants to express themselves and connect with others. At times, participants may even discover a talent they didn’t know they have!

Some participants also enjoy playing music and joining in choral groups that entertain their peers. They perform at special events in their respective centers and enjoy the benefits of music in older adults.

Games and sports such as table tennis, floor hockey, and others bring out our participants’ competitive sides, help with their physical wellbeing, and enhance their camaraderie with their friends at our PACE Center. Just recently, our participants joined in the spirit of the Olympics with their own tournament, complete with opening and closing ceremonies.


How does Therapeutic Recreation benefit our participants?

Through Therapeutic Recreation, a participant’s overall health and mental health is improved. Just like medicine or medical treatment that they may receive from the doctors and nurses, engaging in things that we like to do and interacting with other people makes us happy, keeps our brain sharp, lowers our blood pressure, and contributes to overall mental and physical health. Participants engaging in activities benefit from the following:

Cognitive Benefits

Creative pursuits, like painting, strategic thinking, like playing cards or board games, can provide stimulation that can help improve memory, as well as cognitive and reasoning skills.

Emotional Benefits

Via stress relief, improved self-confidence and socialization.

Physical Benefits

Depending on the activity, participants may increase endurance and energy levels, range of motion of joints, eye-hand coordination, fine and gross motor skills, flexibility and strength.

Visit our Life at CenterLight page for recent happenings at our PACE Centers. You may also visit our Facebook page to view more pictures from our Therapeutic Recreation events and activities.

*Necessity of services is determined by the IDT based on participants’ unique needs.


This blog post is written by Kathleen Keegan, Director of Therapeutic Recreation Services at CenterLight Healthcare PACE.


H3329 TR_Blog_2024 Approved MMDDYYYY
Pending CMS and DOH Approval
Updated 09052024

Depression in Older Adults

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What is Depression?

Depression is a mood disorder that can affect the way we feel, act, and think. It is a common problem among older adults. However, it is not a normal part of aging. Depression gets better with treatment!

It is estimated that for older adults living in the community, 1% to about 5% of them have major depression. This number increases to 13.5% for older adults who need home healthcare and 11.5% for older adults that are hospitalized.

The first step to managing depression is talking with your doctor about symptoms so they can help you find the treatment that’s right for you.


What can depression look like?

Everyone can experience depression differently. Some of the symptoms for depression in older adults are:

  • Persistent sad, anxious, or empty mood
  • Feelings of hopelessness, guilt, worthlessness, or helplessness
  • Difficulty sleeping
  • Eating more or less than usual, usually with unplanned weight gain or loss
  • Thoughts of dying

If you have been experiencing any of these symptoms for more than two weeks, please see your doctor. You may be experiencing depression or another medical condition. The earlier you can identify symptoms the faster you can receive treatment.

It is also important to note that depression can look different depending on a person’s cultural background. Depression may be displayed as physical symptoms, such as aches or pains, headaches, cramps, or digestive problems.

If you are a friend or caregiver, and you notice the above symptoms encourage the person to seek medical treatment. You won’t be able treat their depression, but you can also offer your time and support by encouraging them to seek medical attention or spending time doing what they enjoy.


Are you at risk for depression?

Symptoms of depression can begin to show after changes to the brain or major life events. Through research the following factors have shown to be related to the risk of depression but do not necessarily cause depression:

  • Medical condition, such as stroke or cancer
  • Family history of depression
  • Stress
  • Sleep problems
  • Social isolation and loneliness
  • Functional limitations


How is depression treated?

Once diagnosed with depression there are multiple forms of treatment. One common form of treatment is psychotherapy, also known as counseling or “talk therapy,” which can help address troubling emotions, thoughts, and behavior. Additionally, antidepressant medication can be prescribed to help balance hormones that affect mood.

Everyone is different and different combinations of treatment may be tried to be able to find the one that works for you. Some lifestyle changes may also be recommended to help complement treatment, such as, increasing physical activity, eating a healthy diet, or engaging in activities you enjoy. Research has shown that engaging in activities that you enjoy can have a positive impact on your mental health. 

Individuals who experience depression may also benefit from the helpful tips listed here.


How can CenterLight help participants diagnosed with depression?

CenterLight PACE is committed to delivering our participants the personalized care that they need. So, we are here to help if you begin to experience symptoms of depression. Here is how:

  • CenterLight PACE Social Worker will conduct a Patient Health Questionnaire to assess your mood, provide supportive counseling during visits, make referrals, and coordinate the care plan and communicate with your primary care provider.
  • Therapeutic Recreation (TR) Specialists will engage our participants in activities that they enjoy, assisting in the improvement of physical and mental health.
  • Medical Providers can collaborate with your primary care doctors and specialists to facilitate medication management.
  • At our PACE Day Health Centers, participants receive services designed to support their overall well-being, from medical care to social activities and meals. In addition, participants can benefit from enhanced emotional and physical health by attending the PACE Center. Get an inside look at the services we offer at our centers.

Remember, here at CenterLight you have a full team working together to address your needs. You can get the help and treatment needed to manage depression.


Additional Resources

NYC Well/ NYC 998 provides free, confidential mental health support via phone, text, or chat 24 hours a day, 7 days a week in more than 200 languages.

If you are experiencing feelings of depression or any of the symptoms listed above, please let your social worker or any member of your care team know. You may also call the CenterLight PACE Service Coordination Team at 1-833-252-2737 (TTY 711), 8AM-8PM, M-F.

CenterLight is committed to providing accurate health-related information to help individuals live well, stay healthy and make well-informed healthcare decisions. Information in this material is strictly educational. We recommend that readers consult with their doctor regarding their care. If you would like to learn more about CenterLight, please call: 1-833-252-2737 (TTY 711), 8AM - 8PM, Monday - Friday. Representatives or message service also available on weekends.


This blog post is written by Stacey Thompson, LCSW, Social Work Manager at CenterLight Healthcare PACE.


H3329 Blog_no PO info updated 09052024

Sources:

Depression and Aging, CDC

Depression and Older Adults, NIH

For Providers: A Whole New Level of Care for Your Patients

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When you partner with CenterLight Healthcare Program of All-Inclusive Care for the Elderly (PACE), you enjoy a host of benefits for your practice, while helping your patients live safely and independently in their homes. PACE is an integrated model of care where older adults 55+ with long term care needs can enjoy access to all the care they require, including medical care; rehabilitation; social work, nutrition, and recreation services; prescription and over-the-counter medications; and home care.*

With CenterLight PACE, you remain the Primary Care Provider (PCP) and share the responsibility of patient care with our Interdisciplinary Team (IDT) which includes, but is not limited to, Nurses, Rehab Therapists, Social Workers, Dietitians, and Therapeutic Recreation Specialists. Some participants (individuals enrolled in PACE) may receive primary care services from us, but a large number keeps their existing doctors. We work with community providers, meet those we serve where they are, and integrate with their ecosystem. So when our doctors and the rest of the IDT encounter your patient throughout their healthcare journey, we address their immediate needs and strive to communicate, collaborate, and be true partners in care to you. As majority of PACE participants are frail older adults with complex medical and social needs, we count on having an effective and efficient relationship with our primary care partners to accomplish our shared goal of providing high quality services that help improve their quality of life. 


Benefits for Your Medical Practice

  • One payor source: no need to bill fee-for-service Medicaid for Part B deductible and cost shares.
  • IDT develops, coordinates, and carries out an individualized plan of care and provides health education to participants and/or caregivers.
  • Transportation coordination for medical appointments reduces no-shows.
  • Improved engagement with participants who do not come frequently to their regular primary care appointments.
  • Access to homebound participants through the IDT.
  • Social worker helps with entitlements and behavioral health issues.
  • Collaboration with a pharmacist to assist with medication review and reconciliation.
  • An opportunity to grow your practice as we grow our membership.


PACE Model of Care: Proven Results

Through continuous collaboration between the participants’ primary care provider and the CenterLight PACE IDT, participants benefit from high quality, holistic care. IDT involvement helps prevent unnecessary hospitalizations, achieve high quality outcomes, and helps improve social determinants of health outcomes. The charts below illustrate how PACE outcomes compare with national averages.

Working Together to Provide High Quality Care

One of CenterLight’s core responsibilities is to ensure care coordination and delivery of services to our participants. Our participants’ consulting physician or primary care provider play an integral role as a member of their care team.

  • The CenterLight IDT provides wrap around services (urgent care access, chronic illness management, transition of care support, palliative care, and more) to your patient and functions as an extension to your team.
  • We collaborate with you when there is a change in a participant’s status and to closely monitor their condition. We are your eyes and ears when you can’t see them, and we strive to make our interactions brief, efficient and beneficial, and avoid adding unnecessary burden on you.
  • Medical encounter notes are required to ensure that the participant’s visit to your office becomes part of their medical records.
  • As part of PACE regulatory requirements, CenterLight participants are required to have semiannual and annual assessments done by members of their IDT. Most of these assessments may be done at the PACE Center. The nurse and physical/occupational therapist must do assessments and safety evaluations in the home twice a year.

Please check back soon for more articles about how we can work together to provide high quality care to those we serve.


This blog post is written by Ziad Farah, MD, MBA, Chief Medical Officer at CenterLight Healthcare PACE.


H3329 ForProvidersBlog Approved MMDDYYYY
Pending CMS and DOH Approval
Last Updated September 4, 2024

*As determined by the IDT.
1 CenterLight Healthcare PACE Quality Report, all sites data in the last 90 days as of May 7, 2024

2 Number of Emergency Department Visits per 100 people in the US in 2021, Statista
3 Trends in Nonfatal Falls and Fall-Related Injuries Among Adults ≥65 Years, Centers for Disease Control and Prevention (CDC), July 10, 2020
4 Flu Vaccine Coverage in the US 2014-2023, Statista.
5 https://media.market.us/home-healthcare-statistics/
6 CenterLight Healthcare PACE Tableau Census Dashboard as of May 2, 2024

The participant may be liable for the costs of unauthorized or out-of-PACE program agreement services. Upon enrollment, the PACE program will be the participant’s sole service provider. Participants will have access to all services needed as identified by the Interdisciplinary Team, but not to a specific provider of these services.

Medication Safety

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It is very important to take medications in the way that your doctor prescribed. Often, people miss doses because:

  • They do not understand the importance of a drug for their health condition, or
  • They do not refill them when the medication runs out.


Below are tips for staying on track with your medications.

  • Keep a list of your medications on your refrigerator so that you and the nurse visiting your home know what you are taking. The list should include names of both prescription, over-the-counter medications and vitamin dosage, frequency, and reason for taking them.
  • Ask your caregiver to put your medications in a weekly or monthly pillbox separated by time of day. This will help you remember if you took your medication by seeing if the pills are removed from the box.
  • Ask your pharmacy if they provide “blister packaging” (individual doses of your medication in separate packages).
  • Ask your pharmacist to provide the label in your language.
  • Set an alarm to remind you when you have to take your medication.
  • Ask the pharmacy for refills 3 days before you run out of medication.
  • Ask the pharmacy to call you when the medication is ready for pick up.
  • Ask the pharmacy to call you when there is no refill left for your medication.
  • Use one pharmacy so that they can make sure there are no drug interactions among all of the medications that you take.


Other Important Reminders:

  • If you do not understand why you are taking a medication or how to take it, ask your doctor.
  • Do not take medications prescribed for another person or share your medication with someone else.
  • Check the expiration dates on your medication bottles to make sure your medications are not expired.
  • Bring your medication list to each doctor visit and notify them if you are aware that something has changed. Make sure to mention over-the-counter medications, vitamins, herbal supplements, creams, ointments and eye drops.
  • If you experience a side effect, tell your doctor.
  • Store medications in a cool, dry, safe place away from pets and children. Do not store them in the bathroom because the medication can be affected by humidity.

For additional tips, you may visit the National Institute on Aging.

CenterLight is committed to providing accurate health-related information to help individuals live well, stay healthy and make well-informed healthcare decisions. Information in this material is strictly educational. We recommend that users consult with their doctor regarding their care. If you would like to learn more about CenterLight, please call: 1-833-252-2737 (TTY 711), 8AM - 8PM, Monday - Friday. Representatives or message service also available on weekends.


This blog post was written by Shu Jing, PharmD, MS, Senior Director of Pharmacy Services at CenterLight Healthcare.


H3329 Blog_no PO info Updated 08232024

Feeling Great at 97

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Participant Irma Hoyos first heard about CenterLight Healthcare PACE and joining the Westchester PACE Center in 2014. Irma says she had always been a social person, but as she got older, she found staying at home more often. Looking for socialization, Irma joined CenterLight Healthcare PACE and was greeted by staff and fellow participants with open arms. She states that everyone made her feel welcomed. In Irma’s own words:

"I love so many things about coming to the CenterLight PACE Center. I love spending time with my friends that I have made here. I am 97 years old, and I am like the big sister and grandma to so many people at the center. I look forward to when I come on Fridays because I laugh, socialize, and do so many exciting and interesting activities. I love coloring, painting, dancing, and making crafts. My favorite part of being at the center is that Arianna, a therapeutic recreation specialist at the center, makes me laugh. She teaches me how to do many creative crafts and gets me to participate in so many different adapted sports."

CenterLight PACE Therapeutic Recreation Specialist Arianna Corretjer also loves having Irma at the DHC. She says, "Irma may be 97 years old, but she has the most youthful, energetic and loving spirit that many of her peers gravitate to. We love having her smiling face and positive attitude at the CenterLight Healthcare PACE center in Westchester.”

In addition to the DHC activities, Irma also enjoys physical and occupational therapy and receive all the services she needs to remain living in the community. 

“We are very happy and welcome at CenterLight because they help us a lot. We are here doing exercise to strengthen our body and our bones. It is a very beautiful place where us old folks relax and enjoy our time. We really enjoy ourselves more than anything doing exercises because it helps us at our age.”

According to Irma, every day is a new adventure at the CenterLight Healthcare PACE Center and an opportunity to make new friends. “I forget that I am 97 years old, I forget that I have pain and feel lonely at home. I truly feel happy and alive when I am at the CenterLight Healthcare PACE center.”

Irma has been a CenterLight PACE participant for 10 years and is enrolled as a participant at the time of posting.

H3329 IrmaBlog2024 Approved 09172024
Last Updated August 1, 2024

Painting with Passion

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Shelly Colley, director of the Friends of CenterLight Foundation, sat down with Bronx CenterLight PACE Center participant Nancy Rivera for an interview. They discussed Nancy’s passion for painting and how she has had to adapt this passion to accommodate her near blindness caused by a myopic stigma, coupled with Glaucoma.  

This interview has been edited for length and clarity.

Shelly: Ms. Rivera, is it okay if I call you Nancy? I am so happy to meet with you today. When I saw your paintings, I told the CenterLight PACE recreation staff that I just had to meet the artist!

Nancy: Oh yes, it is fine if you call me Nancy. My mother named me after Frank Sinatra’s daughter Nancy because she felt it is a strong American name.

Shelly: I am really admiring your paintings. The brilliant colors of yellow, red, and green daisies pop out from the canvas like real flowers. The hues of smaller blue and pink flowers interwoven together seem so life-like to me. When did you start painting and what piqued your interest to paint?

Nancy: I started when I was a little girl. I couldn’t wait for the Sunday Daily News to arrive so I could color in the “color by number” picture that came with it. We spent a lot of family time in our home, so my brother and I had many creative outlets.  My biological father was also a professional artist, and I think my brother and I inherited his talent.

In the 1970’s, I graduated from the High School of Music & Arts, which is now known as the La Guardia High School of Music, Arts & Performing Arts. And yes, this is the school on which the movie Fame was based. The four years I spent at this school helped me to home in my artistic skills and fed my love for painting. I continued painting for the rest of my adult life. As a mom raising my son and daughter, I always had art supplies available at home for them. My son is an engineer and designer, and my daughter has always loved arts and crafts.

Shelly: I understand you are legally blind and have been dealing with vision loss for many years. Could you explain what it is like painting with impaired vision?  Also, what inspires you to create these beautiful paintings?

Nancy: The way that I see, well, I try to describe this to people -- it is as if I am looking through one-piece of Cheerio cereal, and the center hole is where I see into. What inspires me is nature in all its glory. It can be any type of natural setting too. From landscapes to flowers in a market, to walking outside to seeing photographs. My friends travel the world and I ask them to send me photos from wherever they are. Then I pull the photos up on my iPad and enlarge them. From there, I can see the most brilliant landscapes.

Shelly: Just one last question: how long have you been attending CenterLight PACE at the Wallerstein center in the Bronx?

Nancy: I have been coming to CenterLight PACE for the last 5 years. I love the painting classes that our Therapeutic Recreation (TR) Specialist Michelle Van Etten runs. The room that we paint in has very good light, which is so important for me. I have some wonderful friends here who also paint. We all find it so relaxing and soothing. 


About This Article

This blog post is part of CenterLight PACE’s series highlighting our participants’ stories.

Nancy Rivera has been a CenterLight PACE participant for 5 years.

Shelly Colley is the Director of the Friends of CenterLight Foundation.

"When Nancy saw the article, she got emotional as we spoke about how much this interview meant to her and how it made her feel. She thanked me for providing her with this opportunity and connecting her with Shelly. Each encounter I have with Nancy brings a whole new dimension and meaning to me for the work that I do, not only with Nancy, but with all of the participants in my painting group. They are my MUSE and continue to excite me to wake up and go to work each day. Thank you for helping me spotlight Nancy, and incredible woman and artist. My heart is full."
Michelle Van Etten, CenterLight PACE TR Specialist

H3329_2023_BLOGPassionForArt Approved 03302023
Last updated March 9, 2023

Keeping Up with the PACE of Aging

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At CenterLight PACE, we understand that growing older may present health challenges, and that the pace of aging can get overwhelming.  

More and more, there’s a growing need for services for individuals who are aging and/or may have a form of disability. Let’s look at the numbers: Currently, New York State has more than 4.3 million older adults, ranking 4th in the nation in the number of individuals age 60 and over.* The Joint Center for Housing Studies at Harvard University previously projected that the number of older adult households in the United States in which at least one person has a disability will be at an estimated 12 million by 2035—with many of them requiring assistance with activities of daily living to be able to stay in their homes.**

It’s not easy for anyone to deal with healthcare concerns—it can be expensive, stressful, and may get confusing. For older adults, it can be especially tough, not just for them but also for their caregivers. As we age, our health issues may start to multiply, and managing multiple conditions, along with other aspects of life, can feel too much to handle even with support from family and friends.

Depending on need, there are programs that can help. I have devoted my career to the health and well-being of older adults, managing nursing homes, managed long term care, and other community-based programs. Based on my experience, I can confidently say that PACE is a great option for those who need complete care but want to remain in their homes and communities.

PACE stands for Program of All-Inclusive Care for the Elderly. This Medicare and Medicaid program for adults 55+ provides all the services our participants need to help them stay well and living independently in their own homes. CenterLight PACE is the largest non-profit and one of the oldest such programs in the nation. Our services include, but are not limited to, medical and home care, dental, vision, hearing, rehabilitation services, access to open gym, therapeutic recreation services, prescription drugs, Over the Counter (OTC) items, transportation, and more.*** We manage and coordinate our participants’ care, so that they don’t have to.

We understand that in addition to their health, older adults also face other issues brought not only by aging but the ever-changing and fast-paced environment we live in as well. The worldwide COVID-19 pandemic, for example, brought with it social and economic hardships that many are still recovering from. CenterLight recognizes this, and to help with basic needs such as food and toiletries, our PACE participants get a My Needs Card with $170 a month**** to spend on eligible items.

There are aspects of aging that do not necessarily come to mind when planning for the future, or when thinking of solutions as health issues arise. Living well as one ages does not mean only worrying about health, but also keeping true to who the person is—their own unique histories and cultural traditions—so we work to ensure that care is individualized according to each of our participants’ needs and preferences. The goal is to help them make the most of each day whether doing activities they love, or even discovering new passions and making new friends at our PACE centers.

The CenterLight PACE Interdisciplinary Team (IDT)--which includes, but is not limited to, doctors, nurses, rehab therapists, social workers, dietitians, and therapeutic recreation specialists--provides care and support that can help navigate the challenges faced by older adults and their loved ones. We believe in a holistic approach: caring for the person as a team and making sure their needs are met medically and have positive effects on their social, mental, and emotional wellbeing. Together with our growing network of providers, our participants, and their caregivers, we can keep up with the pace of agingr to provide high quality care to those we serve.


This blog post is written by Tara Buonocore-Rut, President and Chief Executive Officer at CenterLight Healthcare PACE.


H3329_2022Blog_PACEofAging Approved 10122022
Last updated October 3, 2022

*From the New York State Department for the Aging
**Data from Joint Center for Housing Studies at Harvard University, 2017 Study
***Medical necessity is determined by the IDT.

****No rollover. The My Needs Card does not substitute for required or already provided Medicaid and/or Medicare covered services under the PACE standard benefit package.

Portrait of the Artist: Sister Maryanna Euring

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CenterLight Healthcare PACE Amityville Participant Sister Maryanna Euring, 82, is an accomplished Asian brush painter. She has been a CenterLight participat since 2018. Here, she shares ways this 2,000-year-old artform has impacted her life, especially in the age of COVID.

A Lifelong Dream.

I’ve always loved Asian brush paintings. When I was a little girl, my mother took me to the Brooklyn Museum and there was a room dedicated to Asian art. It captivated me. It’s one of the oldest art forms, based on the Buddhist tenet of being present. I started taking art lessons and it came very naturally to me. Even though I am a Catholic nun I appreciate the Buddhist way of mindfulness.

Giving Back.

I’ve earned thousands of dollars for my painting but I don’t keep the money myself. As a nun, I took a vow of poverty. I have donated the money to literacy programs for immigrant women and to Puerto Rican earthquake relief. It gives me great pleasure to share my gifts with the world.

In addition to the DHC activities, Irma also enjoys physical and occupational therapy and receive all the services she needs to remain living in the community. 

Divine Inspiration.

I meditate first and the brush leads the way. I have an idea but the brush does something else. It helps me let go of any worries. Painting is what kept me going during COVID. I have an idea but the brush does something else. It helps me let go of any worries. Painting is what kept me going during COVID.

Silver Linings.

One good thing about COVID is that there has been more time to reflect and spend time with family, which is a wonderful gift. I hope when we get back to “normal,” whatever that is – that we’ll still take time to be with each other.

H3329_2021_BLOGArtist Approved 07022021
Last updated June 11, 2021

A Better Betty

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Ms. Betty has been a CenterLight PACE participant for 9 years and was enrolled at the time of posting. This blog post was written in her own words.

I’m Betty J. Murray, I live in the Bronx, and I’m 74 years old. I have 3 sons and 1 daughter. My children grew up here, and through adversity all four of my children are successful. My job was to teach in a specialized kindergarten. We were the first special ed kindergarten in our district. There were children from shelters, children that were being raised by grandparents. We were trying to figure out ways to bring the community together so we created a lot of cultural programs. I’ve done about 46 years of community work. I’m still doing it!

I had a tragic situation that happened with me where I got hurt on the job with one of my children. I had an inflamed sciatic nerve and that put me in the hospital, which put me into a nursing home. I was in my head going crazy like, I can’t work? Something is changing, I’m becoming different. The me that I knew was becoming a different me. A social worker was kind enough to tell me about CenterLight.

The very first day I came to CenterLight I didn’t want to talk to people. A nice person came up in a wheelchair and she introduced herself. She said, “I know what you’re going through.” Her name was Sabrina.

And I had the opportunity to meet the young ladies I call CenterLight daughters. They were so warm and inviting and they got me into painting. It sparked something in me that I knew I have another life. There’s another part of Betty Murray besides the other part that I was leaving.

I always said that God sends you different people when you need them. I have a wonderful aide and she helps me get ready every day. Especially since I had surgery, she’s been everything to me. Joining CenterLight was the best thing that ever happened to me because it educated me about my body and it encouraged my mind and my spirit. So, it was another part of Betty that became a better Betty.

H3329_2019_BLOGBetty Approved 03122019
Last updated February 27, 2019

Overcoming Overwhelm: Taking Care of Yourself (Part 3)

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So far, we’ve discussed the stress and burnout you may feel as a caregiver and explored some strategies to find balance in caregiving. Now we want to take a moment to focus on you, caregiver! Being a caregiver can be overwhelming, and it’s vital to make space for your own health and happiness.

Take Time for Your Own Health

Although you’re invested in your loved one’s health, it’s also important to not make your situation worse with avoidable health woes.

Don’t forget your doctor visits. It’s easy to forget about your own health when you’re busy with a loved one’s care. Don’t skip check-ups or medical appointments. You need to be healthy in order to take good care of your family member.

Exercise. When you’re stressed and tired, you probably would prefer napping vs. working out. But if you exercise, you’ll feel better afterwards. Exercise is a powerful stress reliever and mood enhancer. Aim for a minimum of 30 minutes on most days—break it up into three 10-minute sessions if that’s easier. Regular exercise will help boost your energy level and fight fatigue.

Meditate and/or Pray. A daily relaxation, visualization or meditation practice can help you relieve stress and boost feelings of joy and well-being. Try yoga, deep breathing, or mindfulness meditation. Even a few minutes in the middle of an overwhelming day can help you feel more centered. If you believe in a higher power, take a few moments to pray and connect.

Eat well. Fuel your body with fresh fruit, vegetables, lean protein, and healthy fats such as fish, nuts, and olive oil.

Limit sugar, caffeine and alcohol. These may feel and taste good in the short run, but will quickly crash you.

Rest up. Most people need more sleep than they think they do—8 hours is the norm. When you get less, your mood, energy, productivity, and ability to handle stress will suffer.

Take Time to Refresh and Recharge

As a busy caregiver, leisure time may seem like a pipedream. But it’s crucial to give yourself permission to rest and to do things that you enjoy on a daily basis. When you replenish yourself, you’ll have more to give to others.

Stay connected. Don’t let your friendships get lost in the shuffle of your demanding schedule. These relationships will help sustain you and brighten your outlook. If it’s difficult to leave the house, invite friends over to visit with you over coffee, drinks, or dinner.

Pursue joy. Make regular time for things that bring you happiness, whether it’s reading, gardening, playing an instrument,  listening to music, or watching the game.

Up your focus with down time. If you’re not regularly taking time-off to de-stress and recharge your batteries, you’ll end up getting less done in the long run. Paradoxically, a break will likely make you feel more energetic and focused, so you’ll quickly make up for your down time.

Pamper yourself. Small luxuries can go a long way. Light candles and take a long bath. Ask your spouse for a back rub. Get a manicure. Buy fresh flowers for your home. Do something that makes you feel special.

Make yourself laugh. Laughter is an excellent antidote to stress—and a little goes a long way. Read a funny book, watch a your favorite comedian or sitcom, or call a friend who makes you laugh.

Get outside. Seek out friends, family, and respite care providers to step in with caregiving so you can have some time away from the home.

You have a tough job, caregiver, but we know that you know how rewarding it can be. Consider joining our mailing list to receive our free e-book explaining the PACE program to use yourself or give to another caregiver in your life. We’ll be blogging again soon about more resources. Until next time!

H3329_2019_Overwhelm3 Approved 03052019
Last updated February 11, 2019

Overcoming Overwhelm: Finding Balance as a Caregiver (Part 2)

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In part one of this this series, we looked at the signs of stress and burnout. Here, we offer tips on achieving balance, and even thriving, as a caregiver. If these tips resonate with you or make you think of another caregiver who could use support, consider sharing this resource with them.

How to Affirm Yourself and Get Support

Reframing your perspective and leaning on others for support are vital to affirming your caregiving choices and struggles.

More power to you. Feeling powerless is the number one contributor to burnout and depression. And it’s an easy trap to fall into as a caregiver, especially if you feel stuck in a role you didn’t expect or helpless to change things for the better. But no matter the situation, know that you aren’t powerless. This is especially true when it comes to your state of mind. You can’t always get the extra time, money, or assistance you’d like, but you can always cultivate more happiness and hope.

Embrace your role. Acknowledge that, despite any resentments or burdens you feel, you have made a conscious choice to provide care. Focus on the positive reasons behind that choice. Perhaps you are repaying your parent for the care they gave you growing up. Or maybe it’s because of your values or the example you want to set for your children. These deep, meaningful motivations can help sustain you through tough times.

But don’t let it take over your entire existence. Invest in things that give you meaning and purpose—whether it’s your family, your career, a favorite hobby, or your spirituality and belief system.

Try the following tips to ease your burden and feel more balanced:

Focus on what you can control. You can’t wish your mother’s Alzheimer’s away or force your brother to do his part. Rather than stressing out over things beyond your control, focus on how you choose to react to problems.

Imagine how your loved one would respond if they were healthy. If they weren’t disabled or preoccupied with illness or pain, how would your loved one feel about the care you’re providing? Remind yourself that the person would express more gratitude if they were able.

Celebrate the small victories. If you start to feel discouraged, remind yourself that all your efforts matter. You don’t have to cure your loved one’s illness to make a difference. Don’t underestimate the importance of making your loved one feel more safe, comfortable, and loved!

Find ways to acknowledge and reward yourself. Remind yourself of the good you’re doing. If you need something more concrete, try making a list of all the ways your caregiving is making a positive difference. Review the list when you start to feel low.

Get the appreciation you need. Feeling appreciated can go a long way towards managing a stressful situation, and enjoying life more. Studies show that caregivers who feel appreciated experience greater physical and emotional health. Believe it or not, caregiving actually makes them happier and healthier, despite its demands.

Seek support from family members and friends. Positive reinforcement doesn’t have to come from the person you’re caring for. Remember that when you’re feeling unappreciated, friends and family will listen to you and acknowledge your efforts.

How to Ask For Help

Taking on all of the responsibilities of caregiving without regular breaks or assistance is a surefire recipe for burnout. Don’t try to do it all alone.

Just say “yes.” Don’t be shy about accepting help. Let people feel good about supporting you. Develop a list of of small tasks that others could easily take care of, such as picking up groceries or driving your loved one to an appointment. Have it ready when someone offers to help you.

Look into respite care. Enlist friends and family who live near you to run errands, bring a hot meal, or watch your loved one so you can take a well-deserved break. In-home services can also be provided by volunteers or paid help, either occasionally or on a regular basis. You can also explore out-of-home respite programs such as adult day care centers and nursing homes.

Speak up. Don’t expect friends and family members to automatically know what you need or how you’re feeling. Be up front about what’s going on with you and the person you’re caring for. If you have concerns or thoughts, express them. People often make incorrect assumptions, and can be poor mind-readers.

Delegate. Involve as many family members as possible. Even someone who lives far away may be able to help. Also, try divvying up caregiving tasks. One person can oversee medical issues, another can look after finances, and another with manage groceries and errands, for example.

Communicate. Ask a family member, friend, or volunteer from your church or senior center to call you on a set basis. This person can help you spread status updates and coordinate with other family members.

Lose (some) control. Managing is one thing; trying to control every aspect of care is another. People will be less likely to help if you micromanage, give orders, or insist on only doing things your way.

Ultimately, the most important element of finding balance is having support!

A caregiver support group is a great way to share your troubles and find people who are navigating similar experiences. If you can't leave the house, many Internet groups are also available. To find a community support group, look online, ask your doctor or hospital, or call a local organization that specializes in your loved one’s health problem. To find an Internet support group, visit the websites of organizations dedicated to your loved one’s health issue.

Our next blog will focus on you, caregiver, and how to make space for your own health and happiness while caregiving.

H3329_2019_Overwhelm2 Approved 03052019
Last updated February 11, 2019

Overcoming Overwhelm: Tips to Avoid Caregiver Stress & Burnout (Part 1)

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No matter how strong you are, caregiving can be overwhelming. Caring for an ill or older loved one can have a huge impact: on your health, relationships, and state of mind. This can eventually lead to burnout.

This is part one of our series on Overcoming Overwhelm: Tips to Avoid Caregiver Stress & Burnout. Below, we explore signs that you may be stressed and burnt out, as well as the importance of caring for yourself. In part two, we’ll offer tips on achieving balance by refreshing and recharging yourself—for both and your loved one’s sake. In part three, we’ll cover some additional strategies for self care.

Care for Your Loved One, Care for Yourself

Without the physical, emotional, and community support you need, the demands of caregiving can leave you vulnerable to depression, anxiety, and burnout. And when you get to that point, both you and the person you’re caring for suffer. No matter your stress level or situation, there are plenty of strategies to ease your stress levels, regain your balance, and start to feel positive again.

If you’re in a state of burnout, caregiving is no longer a healthy option for you or the person you’re caring for, so it’s important to watch for the warning signs. By learning to recognize the signs of caregiver stress, you can take steps to get the help that you need.

Signs You're Stressed

  • Anxiety, depression, irritability
  • Fatigue and exhaustion
  • Trouble sleeping
  • Drinking, smoking
  • Overeating
  • Hyper-sensitivity
  • New or worsening health problems
  • Difficulty concentrating
  • Increasing resentfulness
  • Neglecting responsibilities
  • Cutting back on leisure activities

Signs You're Burnt Out

  • Diminished energy
  • Frequent illness
  • You’re always exhausted, even after sleeping
  • You are neglectful and apathetic of your own needs
  • You feel helpless and hopeless
  • Your life revolves around caregiving, but it gives you little satisfaction
  • You’re unable to relax, even when help is available
  • You’re increasingly impatient and irritable with the person you’re caring for

Do Any of These Signs Feel Familiar?

Check out part two, where we’ll offer tips on how to restore balance and find and joy in caregiving. We’ll touch on developing a supportive community, reframing your perspective, and ways to seek the affirmation and help that keeps you going. Then in part three we’ll focus on you, the caregiver. Remember, you’re not alone on this journey!

H3329_2019_Overwhelm1 Approved 03052019
Last updated February 11, 2019

Nilda’s Story: A Family Affair

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Ms. Irene has been a CenterLight Healthcare PACE participant for 10+ years and is enrolled at the time of posting. This blog post was written in her own words.

My name is Nilda Lugo. I was born in Puerto Rico. I came here when I was 11 years old. I went to school and I got married here. I have 3 beautiful children and 4 grandchildren. On Sundays, my family comes here. I love to cook for my family—I did it for such a long time and besides, if I get company here, you’re not leaving without eating!

I found out about the center, CenterLight, 16 years ago when my mother needed help and joined. Then when I started to have trouble with diabetes and other problems, I decided to join as well. My mom went to the center for almost 16 years. When I started at the center, the doctor told me that she wanted me to get some therapy. I was getting arthritis in my hand. They were almost going to operate. Thank God, so far, I can do everything with them. I think they do a great job. 

Right after I eat my breakfast I go to see my people. I’ve got to say good morning to them. I say hello and give my love to everyone. We’re getting a lot of new people. I welcome them. 

I really like the treadmill and I love the bicycle. I didn’t even know how to ride one. Using these made me feel stronger and I have lost about 55 pounds. We go on trips. We go to eat out in restaurants. We go to museums and even to the theater. A nurse comes to visit me every week to check my blood pressure and that I am taking my medication.

My doctors and therapists and nurses listen to me. Each one of them are different and they all make you feel good. They have taught me not to be afraid. CenterLight helps me to be independent and strong and I love it!

H3329_2019_JanuaryBLOG Approved 02132019
Last updated January 30, 2019

Irene’s Story: A Bronx Tale

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Ms. Irene has been a CenterLight Healthcare PACE participant for 2 years and is enrolled at the time of posting. This blog post was written in her own words.

My name is Irene Weinberg. I’m a native New Yorker—I grew up in the Bronx. I had a great childhood and had a lot of friends. We used to sit on the stoops, kind of like A Bronx Tale. I went into the financial world and I worked for almost 50 years. After being outsourced, I was really lost for a while. Very depressed. My health began to quickly decline and I didn’t know what to do. I kind of felt that I was just getting older watching the world go by. Where were the golden years?

I did some investigating on my own and I found CenterLight. I started one day as a trial and I haven’t left since. I enjoy it tremendously. When I arrive in the morning, I’m greeted by very friendly, smiling faces. I just come to life as soon as I walk through the door. My favorite activity is drawing. It relaxes me. It lets me express…me!

I also come to the open gym. I discuss with my Occupational Therapist, and she guides me. Leg exercises, arm exercises—I feel that my body really has shown improvement.

I have a health attendant that comes to my home. We shop, we take walks outside. She also assists me with housecleaning and laundry. She’s a great aide. It’s helped tremendously.  Because of CenterLight, my mental health really has improved dramatically. As we mature, there are some things we have to face in life, and CenterLight has really helped me face them gracefully!

H3329_2019_JanuaryBLOG Approved 02132019
Last updated January 30, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State Department of Health (NYSDOH). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYSDOH. Participants may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services. Upon enrollment, the PACE program will be the participant’s sole service provider. Participants will have access to all services needed as identified by the Interdisciplinary Team, but not to a specific provider of these services. Please contact us for more information.

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Pending CMS and DOH Approval

Last Updated on October 7, 2024