Dear Members,

Hoping that this email finds you all well. With the colder and darker winter months quickly descending, Please remember that we are here as a resource to you.

Winter months translates to potentially slippery roads, and with the sun setting earlier and earlier every day, even usually trivial tasks like grocery shopping can become a challenge. Luckily, groceries have 'stepped up their game' and options abound for supermarket shopping that will keep you warm, dry, and comfortable.
All the larger supermarkets, including the ShopRite and Stop & Shop stores in South Brunswick and surrounding towns, offer online grocery ordering. When you use online ordering, someone in the store walks around on your behalf with a cart and your shopping list, grabbing exactly what you've indicated and checking out at the front of the store. Groceries can then be picked up curbside at the store or delivered straight to your door. Our local Target store also has curbside pick up.

If you are interested in a virtual, private, one on one lesson on navigating an app for supermarket shopping, please give me a call. 732.329.4000 x7682

Here is an article from Rutgers University depicting why it's important for older adults to shop from home if possible, while the pandemic is surging. And if you are shopping in person, please take advantage of early hours for seniors if available.

Alternatively, If you are finding it difficult to leave your home, you may be eligible for home delivery of meals through Middlesex County Office of Aging and Disabled Services,: Contact: Karen Delikat at: 732.329.6171.

We would love to have you join our BINGO and or POKENO games. Call or email and we will send out boards and chips.

Also as a reminder we are lending out puzzles and have an assortment to choose from. All have been quarantined.
For the remainder of the month fitness classes are on Tuesdays and Fridays. Please email Jillann to let us know you will join and she will email the link to you. Updated medicals must be on file with us. We are happy to fax our form to your physicians to expediate the process.

Please check out the calendar link at the top of this email above and if you have any questions about accessing any of our programs please reach out to me or JillAnn, program coordinator.

Our goal is to continue to connect to our members and if you have any suggestions on how we can add to what we are already doing please reach out to me.

My best,
732.329.4000 x 7682
From our Health and Wellness Partners:
Penn Medicine Princeton Health: 609.497.2230

Parkinson disease (PD) is the second most common degenerative brain disorder affecting adults. Although the exact cause of PD is unknown, family history, aging, or exposure to certain environmental toxins may contribute to the onset of PD. It is a chronic degenerative disease, which means that it gets worse over time. The severity and symptoms of PD can vary widely, and while people of all ethnic groups can develop PD, it occurs less among African Americans and Asians. People with PD are at increased risk of falling and sustaining other injuries due to their movement and balance challenges. Treatment includes a combination of medication and physical therapy. Physical therapists partner with people with PD and their families to improve their movement and improve/maintain their independence.
Symptoms of PD may include decreased sense of smell, fatigue, lack of motivation and lightheadedness when first standing up. These can begin many years before motor (movement) symptoms develop. Motor symptoms typically include muscle/joint stiffness, tremors in the hands and limbs, slowed movement, and balance problems. Commonly, people may notice a tremor in 1 hand, most often when at rest, which may look like you are rolling a pill between your thumb and forefinger. They can also occur in your legs or jaw when you are at rest and usually go away when moving. As PD progresses, people may notice smaller movements that result in shuffling when walking with less arm swing, a quieter voice, muscle stiffness, poor posture and/or balance, and a feeling of “freezing” while turning and/or walking. 
How can Physical Therapy help?
Following a diagnosis of PD, your physical therapist will conduct a comprehensive evaluation of posture, strength, flexibility, walking, endurance, balance, coordination, and quality of movement.  She will then develop an individualized treatment plan to address your deficits. Fortunately, Penn Medicine Princeton Rehabilitation’s very own Esther Frasso, PT is a certified LSVT specialist.
LSVT BIG is an intensive, amplitude-focused physical therapy approach proven to be effective in the treatment of people with PD. LSVT BIG Programs have been developed and researched over the past 25 years with funding from the National Institutes of Health.
LSVT BIG has demonstrated improved motor function in people with Parkinson’s Disease including:
-         Faster walking with larger steps
-         Improved balance
-         Increased trunk rotation
-         Improvement in the performance of daily activities

It is a standardized treatment protocol that is customized to address the unique goals of each patient.
Penn Medicine Princeton Medical Center (PMC) Princeton Rehabilitation is proud to offer LSVT BIG at South Brunswick Wellness Center. It consists of 16 individual one-on-one sessions delivered by your physical therapist who is certified in this method.
Most major insurances are accepted!
Call 609.497.2230 to schedule an appointment.