Welcome Donna Harvey - New Chief Executive Officer

NEIghborhood News A MONTHLY PUBLICATION OF NORTHEAST IOWA AREA AGENCY ON AGING (NEI3A) Serving Allamakee, Black Hawk, Bremer, Buchanan, Butler, Chick...
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Serving Allamakee, Black Hawk, Bremer, Buchanan, Butler, Chickasaw, Clayton, Delaware, Dubuque, Fayette, Grundy, Hardin, Howard, Jackson, Marshall, Poweshiek, Tama, Winneshiek Counties in Iowa

Volume 34, Issue 5

In This Issue How Stressed Family Caregivers Can Care For Themselves.................. 2 Getting Your Vehicle Ready for Winter................ 2 Are Multivitamins a Waste of Money?................ 3 Caring for Each Other........ 3 Greens to Go..................... 3 Give the Gift of Independence.................... 4 Alpine Donates to NEI3A.... 4 Senior Center Events......... 4 Less Waste, More Money.... 5 Sponge Safety.................... 5 Pumpkin Apple Cake......... 5 Medicare Open Enrollment Scams............. 5 November Menus .............. 6 Senior Center Locations..... 7 Monthly Sponsors ............. 8 Sudoku/Word Find ........... 8

PO BOX 388 Waterloo, IA. 50704-0388

Non-Profit Organization U.S. Postage Paid Decorah, IA Permit No. 6

Subscribe to the NEIghborhood News........... 8

Welcome Donna Harvey New Chief Executive Officer Northeast Iowa Area Agency on Aging is pleased to announce that Donna Harvey has accepted the position as CEO. Most recently, Donna was the Director of the Iowa Department on Aging (IDA), appointed by Governor Branstad in January 2011. Previous to her appointment, Donna served as the Executive Director of Hawkeye Valley Area Agency on Aging (now part of NEI3A) for 23 years. “I am very happy that I can continue my work in the aging network where I have ‘lived’ for over 30 years by becoming the CEO of NEI3A,” Donna stated. “This will allow me to move home to spend more time with family while still being able to advocate for older persons and persons with disabilities. I look forward to building on

the great work already being done at NEI3A.” Donna is active on all levels of the aging network serving as treasurer of NASUAD (National Association of States United for Aging and Disabilities), past president of the National Association of Area Agencies on Aging and Iowa Association of Area Agencies on Aging and was a delegate to the 2005 White House Conference on Aging. She has also served as staff at a National Governor’s Association Policy Academy on Long Term Care as well as on Governor’s Task Forces in Iowa including Transit, Alzheimer’s, and Long Term Care in Iowa. Donna also served on the National Advisory Committee on Rural Health and Human Services, the National Resource Center for Human Service

November 2016

Transportation Coordination Steering Committee, National Eldercare Locator Advisory Committee and has testified before the Select Committee on Aging and the Senate Appropriations Committee for Health and Human Services. Donna’s first day at NEI3A will be October 24. Please join us as we welcome Donna Harvey to NEI3A.

November is National Family Caregiver Month “Take Care to Give Care”

The first rule of taking care of others: take care of yourself first. Caregiving can be a rewarding experience, but it is also physically and emotionally demanding. The stress of dealing with caregiving responsibilities leads to a higher risk of health issues among the Nation’s 90 million family caregivers. So as a family caregiver, remember to pay attention to your own physical and mental wellness, and get proper rest and nutrition. Only by taking care of yourself can you be strong enough to take care of your loved one. You really do need to “take care to give care!” Caregiving can be a stressful job. Most family caregivers say they feel stressed providing care for a loved one. With all of their caregiving responsibilities – from managing medications to arranging doctor appointments to planning meals – caregivers too often put them-

selves last. The stress of caregiving impacts your own health. One out of five caregivers admit they have sacrificed their own physical health while caring for a loved one. Due to stress, family caregivers have a disproportionate number of health and emotional problems. They are twice as likely to suffer depression and are at increased risk for many other chronic conditions. Proper nutrition helps promote good health. Ensuring that you are getting proper nutrition is key to help maintain your strength, energy and stamina, as well as strengthening your immune system. Maintaining a healthy diet is one of the most powerful things you can do to take care of yourself and keep a positive attitude overall. Ensuring good nutrition for your loved one helps make care easier. As many

as half of all older adults are at risk for malnutrition. Good nutrition can help maintain muscle health, support recovery, and reduce risk for re-hospitalization – which may help make your care of a loved one easier. Remember: “Rest. Recharge. Respite.” People think of respite as a luxury, but considering caregivers’ higher risk for health issues from chronic stress, those risks can be a lot costlier than some time away to recharge. The chance to take a breather, the opportunity to re-energize, is vital in order for you to be as good a caregiver tomorrow as you were today. During National Family Caregivers Month, caregivers are encouraged to remember that to be strong enough to care for your loved one, you must Take Care to Give Care! Source: Caregiver Action Network (caregiveraction.org)

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Carol, a 59-year-old woman with disheveled hair, downturned mouth and a weary look, was typical of the many “sandwich generation” caregivers who have come to our psychology practices over the past 25 years. She was determined to care for her 87-year-old mother with mild dementia, her disabled husband with chronic back pain, and a young grandchild with autism but also felt pulled in too many directions and overwhelmed. She needed what most caregivers need— ongoing understanding and support, information about medical conditions and social services, strategies for pacing herself and balancing her duties, and praise for making a positive difference in the wellbeing of her family. As we approach November, the National Family Caregiver Month, it is worth noting that the Carols in our country are finding more support, services and even praise than ever before. Twenty-five years ago, the term “family caregiver” had not yet been established in common parlance and there were relatively few community-based caregiver supports. Today, as our country ages and more of us are caring for elderly parents, family caregiving is a well-recognized phenomenon, depicted in dozens of memoirs and movies, and family caregivers are accessing local assistance, such as support groups, home health aides and adult day care programs. Much more progress is

needed, however. In the recently released National Academies of Sciences, Engineering and Medicine report, “Families Caring for an Aging America,” a blue-ribbon panel of researchers and policy-makers concluded that there are yet “serious concerns about the current state of family caregiving of older adults in the United States.” It called for renewed efforts to identify those caregivers of older adults, provide them with proper training, and fund evidence-based programs to help support them. What’s more, the panel suggested that the federal government create a national caregiving strategy to incentivize states like Iowa to adopt best practices for supporting caregivers and care recipients. We fully support these ideas. Caregivers need more money and services to effectively do the job of caring for family and friends. But we would also like to suggest three important psychological practices to augment these policies and help caregivers better care for themselves: Embrace the label: No stressed wife or daughter will benefit from any of the many services available through Iowa’s Family Caregiver program, accessible via www.LifeLongLinks.org or by calling 866-468-7887, if she doesn’t first identify herself as a family caregiver. Even with the increased attention to caregivers in our culture, many people still don’t regard what they are doing as caregiving

NEIghborhood News

How Stressed Family Caregivers Can Care for Themselves

and consequently don’t reach out for caregiver support services. Some of this may be due to naiveté but much of it is because of modesty. Caregivers often downplay the importance of the care they are providing, saying “I’m just doing what’s expected of me.” That may be true but it doesn’t make a hard job any easier. If what you are doing is family caregiving, then wear the label of “family caregiver” proudly and investigate what practical help is available. Receive graciously: Sometimes, even when caregivers are aware of available supports, they reject them out of hand as if receiving help from local agencies or even other family members would be tantamount to shirking their duties. Too often caregivers think that they’re supposed to shoulder the burden themselves. We tease these caregivers, telling them that they are “hogging the glory.” Actually, in our opinions, they are making themselves more likely to burn out over the many months and years of sacrifices that most cours-

Getting Your Vehicle Ready for Winter How often do you see your doctor for a checkup? When was the last time you had your car in for a checkup? Winter is fast approaching and it’s a great time to plan ahead. Even though you may drive a limited number of miles or not make any out of town trips your vehicle needs routine maintenance. Now is a good time to schedule your vehicle for a pre-winter check up. Here are a few other suggestions to keep your vehicle rolling regardless of the weather: • Follow your manufacturer’s recommended service schedules. Filters and

fluids all need changing or inspection on a routine bases. Oil and oil filter, air, fuel and positive crankcase ventilation filters are all items needing replacement. Other fluids such as transmission and cooling system require routine checks and changes according to the manufacturer. • Replace wiper blades regularly, at least every six to twelve months and keep a spare jug of windshield washer fluid in your vehicle. • Have your battery checked. The drain on

your battery occurs during the summer. But the problem typically doesn’t surface until winter. • Inspect lights and bulbs. Make certain you can be seen by having cloudy lenses refinished. • Exhaust fumes are deadly. Not only have your exhaust system inspected but your vehicle as well for small holes in the trunk or floorboards. • Sooner or later every rubber component on your vehicle will need to be replaced. Some automakers recommend replacing tires every five or six years

es of caregiving require. If you want to go the distance as a caregiver, then you need to reach out for and receive replenishment along the way. Find Positive Meanings: For caregivers like Carol, the daily grind of caring for multiple family members wears down their morale. They wind up feeling trapped, resentful and hopeless. In the worst cases, they develop clinical depression. In our psychological work with them, we try to help them see the forest for the trees, taking a broader and longer view of the difficult work they are doing to better appreciate caregiving’s potential rewards, including personal and spiritual growth, an enhanced sense of purpose and a sense of gratification for strengthening their families. Finding those positive meanings is like a tonic for demoralized caregivers. It carries them through tough times to continue providing essential care for our loved ones and our most vulnerable Iowans. Written by Barry J. Jacobs, Psy.D. & Julia L. Mayer, Psy.D.

regardless of tread depth. New tire valves should be installed every time you mount a tire. Of course hoses and belts won’t last forever. If you keep your car long enough you may need to replace the gasket between the door and the frame. We depend on our vehicles. Regular, routine maintenance improves fuel mileage, reduces pollution and catches small problems before they become major costly ones. The more diligent you are with routine vehicle care the longer your vehicle will provide years of reliable use.

NEIghborhood News November 2016 Page 3

Are Multivitamins a Waste of Money? Is a multivitamin beneficial to your health? Should you take a vitamin designed for your age and gender or are all supplements the same? Does your vitamin interact with medications you take? Did you know older adults might benefit from vitamin B12 and vitamin D supplements due to the body’s decreased ability to absorb these vitamins? Studies have shown mixed results about vitamin supplementation so there isn’t a clear answer for everyone. But the benefits from taking multivitamins may likely outweigh any risk, provided you don’t overdo. And, there may be special benefits for older people. November’s local Fresh Conversations pro-

gram will explore vitamin myths and facts. In addition to a primer on vitamin benefits, participants will practice vitamin label reading, learn about the Daily Value percentages and explore special age-related nutritional needs. Stop in at your local November Fresh Conversations program and get your dietary supplement questions answered. Trying new foods is a highlight of every Fresh Conversation’s program. Curry Turkey Salad will be the highlighted food sample of the month. This tasty recipe allows one to take advantage of Thanksgiving turkey sales and leftovers. Eaten as an appetizer or meal entrée, participants are sure to love this easy sal-

ad filled with fruit, nuts and turkey. Each month Fresh Conversation participants also experiment with activities, exercises and stretches to help keep their bodies’ strong and fit. November’s patrons will practice a chair stand exercise designed to strengthen the abdomen and thighs. This easy exercise can help prevent falls by keeping core and quad muscles strong. Joi n a Fresh Conversations program for fun, fellowship and food. Sites offering the program in November include Arlington, Bellevue, Cresco, Dyersville, Decorah, Eldora, Epworth, Grinnell, Iowa Falls, Independence, Greene, Guttenberg, Manchester, Marshalltown,

Maquoketa, Oelwein, West Union, and Waukon. New members and sites are welcome anytime. Bring a guest and check your local meal site for the date and time. If your meal site is interested in bringing Fresh Conversations to your location, contact coordinator Anne Blocker at anneblockerrd@gmail. com. By Anne Blocker, Fresh Conversations Coordinator

Caring For Each Other

Brenda Schmitt and Barb Wollan- Family Finance Specialists- Iowa State University Extension “Harry, let’s face it,” said Rose. “We need a new furnace, even if it’s an expense we weren’t planning on.” “You’re right, Rose. And if we’re making a mess in the basement, then it only makes sense to take care of the other basement updates we’ve also been talking about.” “But Harry, that means about $10,000 of extra expense! I guess we’ll need to take an extra withdrawal from one of our IRAs.” “I agree. But the question is, should we take it from the Roth IRA or the Traditional IRA? It could make a difference in our taxes.” Harry’s question is a good one. When there’s a choice between withdrawing from a traditional (tax-deferred) account OR from a Roth account, it’s smart to evaluate the tax impact before making a decision. Rose and Harry are aware that any withdrawals they make from traditional tax-

Greens to Go

Greens to Go is a nonprofit produce stand. We aim to bring fresh, local, and affordable produce into the neighborhoods of Waterloo. It is sadly approaching the end of the season! We will have pumpkins, squash, collard greens, tomatoes, ghost pep-

deferred accounts will count as taxable income, while withdrawals from a Roth account will not be taxable. This is true for both individual accounts (such as IRAs) or employer accounts (such as 401ks). They understand that if they withdraw an extra $10,000 from a traditional account, their tax bill will probably go up. What they may not understand, however, is that when they have more income subject to tax it affects their tax bill in a second way, as well. You see, the amount of Social Security income that is taxable changes depending on total income. People whose total income is low or moderate will find that none of their Social Security income is taxable. With higher incomes, however, a portion of Social Security income may be taxable. Here’s a comparison of two different situations, both involving a married couple

over age 65 filing jointly. Note: the examples are based on 2015 tax rates. Example A • The couple has $24,000 in Social Security Income and $20,000 in Pension or IRA income. • They will owe ZERO in tax, partly because none of their Social Security income is taxable. Example B • The couple has Social Security income of $24,000, plus $30,000 in Pension/IRA distributions. • They will owe income tax of $1,193, partly because $5,000 or their Social Security income is taxable. The difference? Their income was increased by $10,000. Carry it further? Suppose their income was increased by another $10,000. In that case, their income tax bill would be $3,536, partly because the taxable portion of their Social Security income

increased to $12,800. Why? The general idea behind this aspect of tax law is that people with low incomes are not expected to pay tax on their Social Security income because that makes up the main portion of their income, and they don’t have much to spare. As retirees’ incomes increase, however, the portion of their Social Security income on which they are expected to pay tax is gradually increased. Retirees with very high incomes might pay tax on up to 85% of their Social Security income. Rose and Harry will want to take all this information into account when they decide whether to withdraw the extra funds they need from a traditional tax-deferred account or a Roth account (or a combination). There are good reasons they might decide to go either way; the key is for them to make sure they are prepared for the tax implications.

pers, cabbage, radishes, and much more! But don’t worrywe are expanding into the winter! Starting in November, we will be opening a winter market! We will have fresh lettuce, kale, tomatoes, potatoes, cucumbers and more from a lo-

cal greenhouse, along with handmade bread, arts, and crafts! If you are interested in becoming a vendor, please email: Carolyn.gelderman@ uni.edu Don’t forget to come by our stand and say hello! If you bring your own bag you

get a $0.50 discount- which goes a long way with our prices! • Thursday 12-2:30 Dollar General on W 5th & 2:455 at Peoples Clinic • Friday 3-5 Jubilee UMC

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Tom, an insurance agent, and his wife Clare live a few miles from his aging parents. Tom’s father had recently been released from the hospital after a fall in his back yard which resulted in a broken ankle. Recently, when Tom and Clare stopped by to visit his parents he noticed that they had lost some weight. Tom’s mother does not drive and they haven’t been going to get groceries since his dad hasn’t been able to drive after his surgery. Tom and Clare both travel frequently with their jobs and are not able to be with Tom’s parents constantly. After discussing the situation with his parents, Tom decided to call Lifelong Links who connected him with an Information, Referral and Assistant Specialist at NEI3A. Tom got his parents set up on home delivered meals and also got assistance with transportation to doctor appointments. There are countless sto-

ries like this about Iowans needing help and contacting NEI3A. Your gifts to NEI3A help us continue our mission. Your gift is tax deductible and can be in whatever form that is most convenient to you. You can make a monthly or yearly pledge, or a one-time donation. You can give by check or cash. You can create a bequest by including a charitable gift in your Will or Trust. The choice is yours. NEI3A is dedicated and focused on empowering older individuals, their caregivers, and persons with disabilities to fully participate in all aspects of society and community life, maintain health and independence, and to remain in their homes and communities for as long as safely possible. If you would like more information about helping us to continue the valuable work we do, please fill out the form below or call Janna Diehl at 319-874-6843.

Give the Gift of Independence

NEIghborhood News

Alpine Donates to NEI3A In an effort to improve customer service, Alpine started a process to get customers to complete surveys to get feedback on their service. As a token of appreciation, Alpine donates $2.00 for each completed survey to a local nonprofit organization. For surveys completed in April through June, Alpine Communications donated $228.00 to NEI3A!

I want to help older individuals in my community to remain independent and in their homes! Enclosed is my tax-deductible gift:

☐ $25 ☐ $50 ☐ $75 ☐ $100 ☐ Other ________ ☐ I would like more information about other giving options

If you would like to have your gift be used for a specific program please specify here _______________________________________ Your Name_______________________________________________ Mailing Address _________________________________________ City ____________________________________________________ State ____________________________Zipcode _______________ Phone/Email ____________________________________________ Please make checks payable to: Northeast Iowa Area Agency on Aging Please mail to:

Northeast Iowa Area Agency on Aging PO BOX 388 Waterloo, IA. 50704-0388

Senior Center Events Toledo Senior Center: Iowa Valley Continuing Education is offering a fun crafting session entitled Paste Paper Art on Monday, November 21 at 1:00 p.m. Julie RussellSteuert of Caveworks Press will bring the paste, paper and paint (and lots of it!). She will show you some of her work and then turn you loose on your own painting experience! Register by calling Deb Peska at 641-484-3839. Jackson County Senior Center: • Fall/Bake Sale, November 2 from 9:00 a.m. to 1:00 p.m. A complementary luncheon will be served to area veterans to honor them for their service. Enjoy patriotic music and door prizes! • Smart Driving Class (sponsored by AARP). Connie Sjostrum from AARP will be teaching this 4 hour class being held at the Senior Center on Tuesday, November 15 at 9:30 a.m. AARP is willing to teach these classes throughout Iowa and some insurance companies may offer seniors a discount on their insurance after taking the course. To sign up call Gay Storlie at 563-652-6771 ext. 1. Bellevue Senior Center: In partnership with the YWCA, blood pressure checks will be offered each Thursday morning from 10:30 a.m. to 12:30 p.m. A "Healthy Eating" presentation will be held monthly as well with tips to help keep your blood pressure under control. Call 563872-4666 for more information.

NEIghborhood News

November 2016

Nutrition Notes

Jill Weber, Human Sciences Specialist/Nutrition and Wellness- Iowa State University Extension and Outreach

Pumpkin Apple Cake Serving Size: 1 slice Serves: 24

Less Waste, More Money

It’s that time of year when lots of food is made and enjoyed at holiday gatherings. However, sometimes too much food is made and then thrown away before it can be used. About 90 billion pounds of edible food goes uneaten each year in the United States. Yet 1 in 7 Americans struggles to get enough to eat. On average, $370 worth of food per person per year is thrown away. The U.S. Department of Agriculture (USDA) breaks this down by types of food: Grains (bread, pasta): $22 per year; Fruits (apples, bananas, oranges): $45 per year; Proteins (beef, chicken, pork, fish): $140 per year; Vegetables (onions, lettuce, peppers): $66 per year; Dairy (milk, yogurt, cheese): $60 per year; Added Fat and Sugar (chips, candy): $37 per year - this all totals $370 per year! The main reason food is thrown away is because it spoils before it is eaten. The USDA has created a resource called Let’s Talk Trash. In it they offer tips on how you can

Sponge Safety

Sponges are great at absorbing all things…including germs! Practice these tips to use them safely: To sanitize, microwave damp sponge for one minute or put it in a dishwasher with a drying cycle. According to the USDA, these methods will kill more than 99% of bacteria, yeasts, and mold. • Clean sponges after two or three uses. • Avoid using sponges when wiping up meat juices and on countertops. Instead use a paper towel and a

put a stop to food waste in your home. Plan and Save: Plan your weekly menu. Then look in your pantry, freezer, and fridge to make a list of what you need to buy before grocery shopping. This can help you buy only the food you need and keep money in your pocket. Be Organized: Keep your food pantry and refrigerator organized so you can see what needs to be eaten first. Write the dates on food containers so you know what needs to be used first. Repurpose and Freeze Extra Food: Reuse leftovers in another recipe. Use leftover taco meat to make a taco pizza. If you chopped up vegetables for a salad, use leftover vegetables to make a vegetable soup. Make a smoothie with overripe fruit. Freeze extra food to enjoy at a later time. For more tips on reducing food waste, visit Spend Smart. Eat Smart at www.extension. iastate.edu/foodsavings.Source: Let’s Talk Trash, www. choosemyplate.gov/lets-talk-trash

sanitizer or disinfectant wipes. • Wring out a sponge after each use and store in a dry location. • Once a sponge starts to smell, throw it out immediately. • Finally, don’t forget about the dish towels and dish cloths. Launder them frequently in hot water and consider using a separate dish towel for hand and dish drying.

Source: eatright, www.eatright. org/resource/homefoodsafety/ four-steps/wash/dos-and-donts-ofkitchen-sponge-safety

Ingredients: 1 package (18.25 ounces) white cake mix 1 can (15 ounces) pumpkin 1 teaspoon cinnamon 2/3 cup apple juice 3 eggs 1 teaspoon vanilla Nonstick cooking spray or flour Instructions: 1. Preheat oven to 350° F. 2. Combine cake mix, pumpkin, cinnamon, apple juice, eggs, and vanilla in a large mixer bowl. 3. Beat at low speed for 30seconds. Beat at medium speed for 2 minutes. 4. Pour into a 12 cup Bundt pan or a 9”x13” cake pan that has been sprayed with cooking spray and floured. 5. Bake for 35–40 minutes or until wooden toothpick inserted in cake center comes out clean. 6. Cool 10 minutes. Then invert onto wire rack to cool completely. Nutrition information per serving: 100 calories, 1.5g total fat, 0.5g saturated fat, 0g trans fat, 25mg cholesterol, 160mg sodium, 20g total carbohydrate, 1g fiber, 10g sugar, 2g protein This recipe is courtesy of ISU Extension and Outreach’s Spend Smart. Eat Smart. website. For more information, recipes, and videos, visit www.extension.iastate.edu/foodsavings/.

Iowa Senior Medicare Patrol/Consumer Protection Division Nancy Creery, Iowa SMP Coordinator [email protected]

Medicare ‘Open Enrollment’ Scams The 2017 Medicare open enrollment period runs from October 15 to December 7. It’s the time when Medicare recipients can comparison shop and make changes to their plans. It’s also a time when scammers take advantage of older consumers with ruses like these: • Someone calls and says you must join their prescription plan or you’ll lose your Medicare coverage. Don’t believe it. The Medicare prescription drug plan (also known as Medicare Part D) is voluntary and does not affect your Medicare coverage. • Someone calls or emails claiming they need your Medicare number to update your account, get you a new card, or send you Medicare benefit information. It’s a scam. If

you need help with Medicare, call 1-800-MEDICARE or go to medicare.gov. • Someone claiming to be a Medicare plan representative says they need “to confirm” your billing information by phone or online. Stop. It’s a scam. Plan representatives are not allowed to ask you for payment over the phone or online. • Dishonest companies may offer you free medical exams or supplies. Be wary. It may be a trick to get and misuse your personal information. Whenever someone asks for your bank account number or your Medicare number, stop. Only give personal or financial information when you have verified who you’re talking to. Call 1-800-MEDICARE to make sure you’re talking to a legitimate representative.

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November 2016

Northeast Iowa Area Agency on Aging Nutrition Services Menu


Below you will find the menu for the NEI3A dining centers. Please note that some menu changes may be made after the menu is published in the newsletter. Meals are offered on a contribution bases for those over age 60. Actual cost of the meals is $8.28. Persons under age 60 must pay the actual cost. These meals provide one-third of the recommended daily allowance and includes milk. Responsibility for compliance with any dietary restrictions rests with the participant. To make a meal reservation call 1-866-468-7887 or the local number listed on page 7 of this newsletter. Be sure to check with your local center or dining program for the reservation policy at your location. Monday


November 2016

A 1 Hamb. Steak w/ Gravy Mashed Potatoes Mixed Vegetables Multi Grain Bread/Marg. Fresh Seasonal Fruit Calories -595 Sodium – 611 Carb –79.2 Fat – 25.3%

B Chicken Cordon Bleu Salad Broc. & Tomato Salad Crackers Fresh Seasonal Fruit Salad Dressing Calories – 488 Carbo –56.9

A 7 Lemon Pepper Fish Cheesy Rice Lima Beans Multi Grain Bread/Marg. M. Oranges/ Cott. Cheese

Tartar Sauce

Calories – 633 Sodium – 562 Carb –77.3 Fat -25.9%

B Mushroom Chicken Cheesy Rice Lima Beans Multi Grain Bread/Marg. M.Oranges/Cott. Cheese

Calories--620 Sodium --538 Carb-78.5 Fat –18.7%

A 14 Pork Loin with Mushroom Gravy Mashed Red Potatoes Green Peas Wheat Bread/Marg. Applesauce Calories – 648 Carb-83.6

Sodium – 468 Fat – 23.4%

B Baked Chicken with Mushroom Gravy Mashed Red Potatoes Green Peas Wheat Bread/Marg. Applesauce Calories –604 Carb –83.6

Sodium - 478 Fat – 16.1%

Sodium - 777 Fat – 27.4%

A 8 Turkey Ham & Beans Green Peas Glazed Carrots Multi Grain Bread/Marg. Pineapple Tidbits Calories – 597 Sodium – 747 Carb –100.85 Fat -10.4%

B Chef Salad Carrot Raisin Salad Crackers Pineapple Tidbits Salad Dressing Calories--495 Carb—68.3

A 2 Honey Mustard Chicken Fall Vegetable Hash Harvard Beets Wheat Bread/Marg. Fruit Cocktail Calories – 693 Sodium – 611 Carb- 98.4 Fat – 20.3%

B Pork Loin w/ Supreme Sauce Fall Vegetable Hash Harvard Beets Wheat Bread/Marg. Fruit Cocktail

Calories -738 Sodium – 744 Carb -92.8 Fat –29.1%


9 BIRTHDAY MEAL Roast Beef Brown Gravy Mashed Potatoes California Vegetables Wheat Roll/Marg. Birthday Cake

Calories-731 Carb-125.8

Sodium -728 Fat – 32.4%

Sodium --780 Fat –26.3%

A 15 Beef Spaghetti Sauce Spaghetti Italian Vegetable Blend Garlic Bread/Marg. Cookie Calories – 738 Sodium - 679 Carb – 85.9 Fat – 32.1%

B Fall Harvest Chicken Salad Pasta Salad Garlic Bread Cookie Salad Dressing Calories –892 Carb –107.1


16 Thanksgiving Meal Turkey Breast w/ Gravy Mashed Potatoes Bread Dressing Green Bean Casserole Wheat Roll/Marg. Pumpkin Pie Calories-993 Carb-112.6

Sodium -1978 Fat – 17.3%

A 22 Roast Beef with Gravy Mashed Potatoes Green Peas Dinner Roll/Marg. Tropical Fruit

A 23 Crustless Chick. Pot Pie Lima Beans Chuckwagon Corn Biscuit/Marg. Fresh Seasonal Fruit

B Pork Loin with Gravy Baked Sweet Potato Broccoli Multi Grain Bread/Marg. Pudding

B Berry Almond Chicken Salad Copper Pennies Dinner Roll Tropical Fruit Salad Dressing

B Beef & Bow Tie Pasta Bake Lima Beans Chuckw/Marg. Fresh Seasonal Fruit

Calories –752 Carb--93.8

Sodium --670 Fat – 28.6%

Calories -807 Sodium -570 Carb-105.4 Fat – 22.5%

Calories –777 Carb --115.5

Sodium - -578 Fat—20.2%

A 28 Meatloaf w/ Gravy Mashed Potatoes Green Beans Multi Grain Bread/Marg. Tropical Fruit

A 29 Chicken Alfredo Penne Pasta Brussels Sprouts Multi Grain Bread/Marg. Pudding

B Smothered Liver Mashed Potatoes Green Beans Multi Grain Bread/Marg. Tropical Fruit

B Corn Chowder Sl. Roast Beef & Swiss Cheese Multi Grain Bread/Mayo Potato Salad Pudding

Calories -592 Sodium – 750 Carb –91.3 Fat – 19.1%

Calories –581 Sodium -- 436 Carb –91.9 Fat – 13.6%

A Beef Stroganoff Green Peas Sliced Carrots Wheat Bread/Marg. Cookie


Calories -705 Sodium – 608 Carb-84.8 Fat – 28.6%

B Split Pea Soup Tuna Salad Wheat Bread Mixed Green Salad Cookie Salad Dressing

Calories -676 Sodium- 791 Carb -102.6 Fat – 19.0%

Calories – 751 Sodium - -800 Carb –105.1 Fat – 24.0%

Calories -751 Sodium – 686 Carb –112.6 Fat – 17.3%

A 30 Beef Chili Baked Potato/S. Cream Whole Kernel Corn Multi Grain Bread/Marg. Peaches Chocolate Milk

Calories – 821 Sodium - 717 Carb –101.3 Fat – 30.1%

B Pork Loin with Gravy Baked Potato/S. Cream Whole Kernel Corn Multi Grain Bread/Marg. Peaches Chocolate Milk

Calories -802 Sodium – 688 Carb –140.0 Fat – 14.2%

Calories – 744 Sodium - 441 Carb –110.5 Fat – 22.4%


A 4 Potato Crusted Fish Rice Florentine Capri Vegetable Blend Multi Grain Bread/Marg. Fruited Gelatin Chocolate Milk Tartar Sauce Calories – 737 Sodium – 784 Carb-110.2 Fat – 24.7%

Calories -616 Sodium – 715 Carb -82.8 Fat –19.5%

A 10 Country Fried Steak Country Gravy Mashed Potatoes Whole Kernel Corn Multi Grain Bread/Marg. Fresh Seasonal Fruit Calories – 733 Sodium – 857 Carb -98.5 Fat – 29.4%

B Sweet & Sour Pork Rice Florentine Capri Vegetable Blend Multi Grain Bread/Marg. Fruited Gelatin Chocolate Milk Calories -760 Sodium – 697 Carb -122.6 Fat –15.1%

A 11 Pork w/ Supreme Sauce Roasted Potato Medley Green Beans Wheat Bread/Marg. Cookie Calories – 711 Sodium - 567 Carb -76.1 Fat –34.3%

B Baked Chicken & Gravy Mashed Potatoes Whole Kernel Corn Multi Grain Bread/Marg. Fresh Seasonal Fruit

B Mixed Bean Soup Sl. Roast Beef & Swiss Cheese Wheat Bread/Mustard Coleslaw Cookie

A 17 Salisbury Beef Roasted Red Potatoes Broccoli Multi Grain Bread/Marg. Fruited Gelatin

A 18 Oven Fried Chicken Macaroni & Cheese Green Beans Multi Grain Bread/Marg. Fresh Seasonal Fruit

Calories – 596 Carb -81.6

Sodium - 397 Fat –19.4%

Calories – 681 Sodium - 687 Carb –90.8 Fat – 28.7%

B C’ berry Dijon Chicken Roasted Red Potatoes Broccoli Multi Grain Bread/Marg. Fruited Gelatin Calories -688 Sodium - 650 Carb –99.7 Fat –18.1%

Sodium -703 Fat – 32.8%

A 21 BBQ Chicken Baked Sweet Potato Broccoli Multi Grain Bread/Marg. Pudding Calories – 743 Sodium -755 Carb –102.9 Fat – 21.6%


Closed for the Holiday


Calories – 856 Carb -102.4

Sodium - 653 Fat –31.0%

Calories – 727 Sodium - 690 Carb –83.5 Fat – 31.7%

B Crunchy Pollock Macaroni & Cheese Green Beans Multi Grain Bread/Marg. Fresh Seasonal Fruit Tartar Sauce Calories --614 Sodium -- 765 Carb –87.4 Fat –22.6%

Closed for the Holiday


Reservations: Call 1-866-468-7887 or the local number listed by 11:00 the day before to make reservations for lunch. Some sites need you to call a few hours earlier so check for exact time. Home Delivered Meals are available to seniors not able to leave their homes without assistance. NEI3A determines eligibility to receive home delivered meals.

Call your

local Senior Center for more information. Not all communities listed have hot meals available Monday through Friday but frozen meals or shelf stable are available for other days. Frozen Meals offer an option for seniors who live in rural areas or small communities without a regular NEI3A Meal program.


meals are available in 2-day or 5-day packs and meet all nutritional requirements.

Call your

Senior Center for more information.

NEIghborhood News

November 2016

NEI3A Senior Centers and Dining Programs Allamakee County:

Waukon Wellness Center 1220 3rd Ave. NW–Waukon Monday - Friday at 11:30 a.m. 563-568-3250

Black Hawk County:

Cedar Falls Senior Center 528 Main – Cedar Falls Monday - Friday at 11:45 a.m. 319-277-1900 La Porte City Senior Center 300 1st St.–La Porte City Mon, Wed., and Fri. at 12:00 p.m. 319-342-2676 Jesse Cosby Healthy Lifestyles Center 1112 Mobile – Waterloo Monday - Friday at 12:00 p.m. 319-234-1799 Waterloo Senior Center 2101 Kimball Ave. – Waterloo Monday - Friday at 11:30 a.m. 319-874-6849 Walnut Court 315 Walnut St. - Waterloo Monday - Friday at 11:00 a.m. 319-833-8014 Dunkerton United Methodist Church 301 S. Washington St.-Dunkerton Mon. and Thurs. at 11:30 a.m. 319-822-7910 Evansdale Countryside Vineyard Church 3467 Lafayette Rd.–Evansdale Thursdays at 11:30 a.m. 319-874-6849 Raymond United Methodist Church 6903 Lafayette Rd.-Raymond Wednesdays at 12:00 p.m. 319-874-6849 Washburn 410 1st Street-Washburn 1st and 3rd Tues. at 12:00 p.m. 319-296-1810

Bremer County:

Waverly Senior Center 506 E. Bremer Ave.–Waverly Monday - Friday at 11:30 a.m. 319-352-2463 Denver Library 100 Washington–Denver Wed. and Thurs. at 11:45 a.m. 319-352-2463

Buchanan County:

Buchanan County Senior Center 400 5 Ave. NE – Independence Monday - Friday at 12:00 p.m. 319-334-7011

Page 7

Dubuque County:

Hardin County:

Cascade Senior Center 109 1st Avenue West – Cascade Monday – Friday at 11:30 a.m. 563-852-3047

Iowa Falls Senior Center 218 S. River Street- Iowa Falls Monday - Friday at 12:00 p.m. 641-648-9311

Greene Community Center 202 W. South St. - Greene Monday - Friday at 11:30 a.m. 641-823-4422

Ecumenical Tower 250 W. 6th Street – Dubuque Monday – Friday at 11:30 a.m. 563-543-7065

Radcliffe Apartments 604 Catherine - Radcliffe Wednesday at 11:30 a.m. 515-899-2239

Dumont Legion Hall 508 Main St. - Dumont Wednesday at 12:00 p.m. 641-857-6231

Heritage House 7396 Columbus St.-New Vienna 2nd & 4th Thurs. at 11:30 a.m. 563-875-2600

Howard County:

Chickasaw County:

Luxemburg City Hall 202 S. Andres St. - Luxemburg Mon. and Wed. at 11:30 a.m. 563-875-2600

Lamont 644 Bush St.–Lamont Thursdays at 11:30 a.m. 563-924-2237

Rowley 101 Ely Street - Rowley Monday - Friday at 11:30 a.m. 319-938-2864

Butler County:

Chickasaw Senior Center 301 N. Water Ave.-New Hampton Monday - Friday at 12:00 p.m. 641-394-3173 Fredericksburg Comm. Center 151 W. Main St.-Fredericksburg Tues. and Thurs. at 11:30 a.m. 641-394-3173 Lawler - 414 E. Grove 2nd Tuesdays at 11:30 a.m. 641-394-3173

Clayton County:

Elkader Senior Center 133 S. Main – Elkader Monday – Friday at 11:30 a.m. 1-877-834-9865 Guttenburg Municipal Bldg. 502 S. First St.-Guttenburg Monday – Friday at 11:30 a.m. 563-252-1182 Monona Community Center 104 E. Center St.–Monona Tues. & Thurs. at 11:30 a.m. 563-539-2385

Delaware County:

Delaware County Senior Center 1208 W. Marion St.-Manchester Monday –Friday at 11:30 a.m. 563-927-5473 Delhi United Methodist Church 304 Market Street – Delhi Tuesday at 11:30 a.m. 563-927-5473 Dundee Fire Station Comm. Room 117 N. Center Street – Dundee Wednesday at 11:30 a.m. 563-927-5473

Alverno 3525 Windsor Avenue – Dubuque Monday – Friday at 11:30 a.m. 563-543-7065

Dyersville Social Center 625 3rd Ave. SE – Dyersville Monday - Friday at 11:30 a.m. 563-875-2600

Fayette County:

Arlington Community & Event Center 853 Main Street– Arlington Wed. and Fri. at 11:30 a.m. 563-633-4715 Church of the Savior 610 Mill St./US Hwy 18 – Clermont Mon., Wed. and Fri. at 11:30 a.m. 1-877-834-9865 Veterans Memorial Comm. Bldg. 310 Mill Avenue – Elgin Tues. and Thurs. at 11:30 a.m. 563-426-5545 Hawkeye Community Hall 102 E. Main - Hawkeye Tues., Thurs., & Fri. at 11:30 a.m. 563-427-5503 Oelwein Senior Dining Center 25 West Charles – Oelwein Monday - Friday at 11:30 a.m. 319-283-5180 West Union Senior Center 107 E. Armour St.-West Union Mon. through Fri. at 11:45 a.m. 563-422-6100

Grundy County:

Grundy Center Senior Center 705 F Ave. – Grundy Center Monday - Friday at 11:30 a.m. 319-824-3843

Dorothy’s Senior Center 1306 17 Ave. – Eldora Monday - Friday at 12:00 p.m. 641-858-5152

Kessel Lodge 268 7th Avenue W. – Cresco Monday - Friday at 11:30 a.m. 563-379-9737 Protivin Community Center 103 S. Main Street – Protivin Tues. and Thurs. at 11:30 a.m. 563-569-8731

Jackson County:

Bellevue Community Center 1700 State Street – Belleveue Monday – Friday at 11:30 a.m. 563-872-4666 Jackson County Senior Center 1000 E. Quarry St.-Maquoketa Monday – Friday at 11:30 a.m. 563-652-6771

Marshall County:

Marshall County Senior Center 20 ½ E. State - Marshalltown Monday - Friday at 12:00 p.m. 641-752-1638

Poweshiek County: Grinnell Senior Center 925 East Street-Grinnell Monday-Friday 12:00 p.m. 641-236-2612

Tama County:

Toledo Senior Center 103 S. Church – Toledo Monday - Friday at 12:00 p.m. 641-484-3839

Winneshiek County: Calmar Senior Center 106 E. Main Street – Calmar Tues. and Thurs. 11:30 a.m. 563-562-3654

Winneshiek County Senior Center 806 River Street – Decorah Monday - Friday at 11:45 a.m. 563-379-9737 Fort Atkinson Comm. Center 300 3rd St. NW-Fort Atkinson Tues. and Thurs. at 11:30 a.m. 563-534-7517

Make this your first call for questions on community supports and services

866-468-7887 www.lifelonglinks.org

Page 8

November 2016

NEIghborhood News

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NEIghborhood News is published monthly to entertain, educate, and inform our readers. The opinions expressed in NEIghborhood News do not necessarily reflect the opinions of the Agency on Aging, its governing bodies, or Advisory Councils. Articles, letters to the Editor and other comments are welcome. NEIghborhood News reserves the right to publish all or part of material submitted. Deadline is the 10th of the month for next month’s issue. Our Vision: Our vision is to empower older persons to live safe and independent lives with dignity, purpose, and self-determination. Our Mission: Northeast Iowa Area Agency on Aging will create and provide services for older persons to empower them to maintain their independence. In accordance with the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973 and the Aging Discrimination Act of 1975, it is the policy of Northeast Iowa Area Agency on Aging to provide services to all persons eligible under the provisions of the Older Americans Act of 1965, as amended, without regard to race, creed, color, religion, national origin, sex, sexual orientation, handicap, or age.






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