What to do when family member has dementia - Alzheimer's ...

Inland Northwest Chapter Newsletter
Volume 10, Issue 4
Published quarterly for our donors, volunteers, advocates
and friends of the Alzheimer’s community
By DR. DAVID GREELEY
The following is a list of 10 things, in no particular
order, that I think families and patients should
attend to when working with a diagnoses of
dementia. I have patients and families who try to do too
much and others who seem to not want to do anything.
Certainly, not all of this applies to everyone, but I think
many of the points are valid for almost everyone with
dementia and other diseases.
1. Be realistic in expectations. Dementia is almost
always a progressive disease. You can’t expect a cure for a
dementia anymore than you can expect to get younger.
The most common risk factor for many cases of dementia
is age itself. Therefore, if you are not going to get younger
or take care of your overall health, you can’t expect to see
an improvement or stabilization in your disease. At the same
time, everyone needs to remember that we are all going to
die. This sounds very morbid, but at the same time, it is the
reality. There are really very few cures for chronic disease,
whether it be high blood pressure or hypercholesterolemia.
Our best hope would be to try and stabilize the concern
and prevent future complications. This is exactly what we
do with dementia as well.
Inside This Issue ...
Memory Walk, Doggie Walk
raise record amount .............. 4
Caregiver Stress Check ......... 7
Make holidays enjoyable for
everyone ................................ 8
Social activity may reduce
dementia risk in men ............. 9
Chapter donations ............... 10
Education programs ............ 12
Support groups .................... 14
December 2008
www.alz.org/inlandnorthwest
Chapter Office: (509) 473-3390
North Idaho Office: (208) 666-2996
North Idaho Helpline: (208) 772-2542
24-Hour Caregiver Helpline: (800) 272-3900
What to do when family member has dementia
Please join the Alzheimer’s Association
- Inland Northwest
Chapter for the 9th Annual
Nancy Rockwell Gala and Auction,
“An Evening of Elegance,” March 20,
2009, at the Davenport Hotel.
Our exciting event will begin at 5:30
p.m. Expect a fun-filled evening, with
live entertainment, an elegant dinner,
live and silent auction.
Former five-term congressmen George
Nethercutt is guest of honor for the
2. Plan ahead. I think it is important for you to determine
what role you want to play in the family and/or as a patient.
Is there one family member who is going to “take charge?”
Don’t always assume that it will be the spouse or that it
should be the spouse. Ask the patient all the questions you
need to ask before it is “too late.” Unlike many diseases,
there may come a time where the patient can’t answer or
is frustrated in attempting to try and answer questions that
See LIST / Page 3
9th Nancy Rockwell Gala and Auction
coming March 20 at the Davenport Hotel
2009 gala. Master of ceremonies will
be KREM 2 news anchor Randy Shaw.
Former Spokane County Commissioner
Phil Harris will return as auctioneer.
Entertainment will be provided by the
Carruthers family, featuring Spokane
jazz favorite Arnie Carruthers.
Purchase your tickets online at
www.alz.org/inlandnorthwest or call
the Alzheimer’s Association at (509)
473-3390. For sponsorship and donation
information, contact Sandi Druffel.
at (509) 473-3390.

2
Alzheimer’s Association
Inland Northwest Chapter
910 W. 5th Ave., Suite 256
Spokane, WA 99204
BOARD OF DIRECTORS
OFFICERS
President
Patricia Johnson
Vice President
DeLynn Cook
Secretary/Treasurer
James Schaefer
BOARD MEMBERS
Debra Benson
Laura Col
Scott Gardner
Elaine Hopkins
Lon Page
Melissa Poland-Knapik
Mark Scroggin
Dr. John Tran
STAFF
Executive Director
Joel Loiacono
Development Director
Sandi Druffel
North Idaho Coordinator
P.J. Christo
Communications and
Program Assistant
Garry Matlow
Event Coordinator
Kathryn Epler
OUR MISSION
To enhance care and support
for individuals, their families
and caregivers and to eliminate
Alzheimer’s disease through the
advancement of research.
The Inland Northwest Chapter
Newsletter is published quarterly.
Online edition available at
www.alz.org/inlandnorthwest
Send comments to
InlandNW@alz.org
Studies shows risk factors
for Hispanics for dementia
Hispanics may have more
risk factors for developing
dementia than other minority
groups, with a significant number
developing Alzheimer’s at an earlier
age, recent studies suggest.
Experts say that Hispanics are not
more genetically predisposed
to Alzheimer’s, but cultural
factors, such as education
level and low income, and
higher rates of diabetes, obesity,
cardiovascular disease and
stroke may put Hispanics at
greater risk.
Surveys also indicate that
Hispanics are less likely to
visit a doctor because of financial and
language barriers, and more often mis-
Get our newsletter in your email inbox
Clip and mail to Alzheimer’s Association - Inland Northwest Chapter,
910 W. 5th Ave., Ste. 256, Spokane, WA 99204
or sign up online at www.alz.org/inlandnorthwest
Name
Yes! I want to help the chapter save money on printing and postage with
online delivery of the Alzheimer’s Association newsletter
Email address:
Address
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No. Continue to send me the newsletter via U.S. mail.
Both! Send me the e-newsletter and the printed version via U.S. mail.
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take dementia symptoms for normal
aging.
“We are concerned that the Latino
population may have the highest
amount of risk factors and prevalence,
in comparison to other cultures,” said
Maria Carrillo, Alzheimer’s Association
director of medical and
scientific relations.
About 200,000 Hispanics in
the United States have Alzheimer’s,
but the number
could reach 1.3 million by
2050.
For more information on
Hispanics and Alzheimer’s, visit our
Latino Resources section at www.alz.
org/espanol_latino_resources.asp.
www.alz.org/inlandnorthwest

List
Continued from Front Page
would have been much easier to answer early in the disease.
3. Don’t be scared to talk about “it.” Talk with the
patient who has dementia. Talk with all of the family
members involved. Don’t talk around the patient or
diagnosis. Finally, call the disease by its name. Fear is
generated by a lack of understanding.
4. Get informed and stay informed. If it is Alzheimer’s
disease, contact the Alzheimer’s Association. If it is
Dementia with Lewy Bodies, contact the Dementia with
Lewy Bodies Association. If no one knows what is causing
the dementia, see a specialist.
5. Find a doctor whom you can talk to, whom you
can trust, and whom the patient likes. Discuss options
and a treatment plan. Try to stick with one physician. Too
many providers can cause serious complications, just like
“too many cooks can spoil the broth.”
6. Try and stick to the plan prescribed. Don’t stop
or change medications prescribed by your doctor without
informing everyone involved. At the same time, don’t be
scared to stop medications that only prolong life or don’t
improve quality of life. Avoid “polypharmacy (taking too
many medications for unknown reasons),” which may be
counterproductive, or taking medications that might make
things worse.
7. “Follow the patient.” Maria Montessori taught this
to children. The general concept is to follow the lead of
the patient. Don’t try to make them do what you want to
do. This is the same analogy as trying to put a square peg
in a round hole. Trying to force the issue with a dementia
patient sometimes can create increasing problems with
behavior. If you generally allow them to do what they want
to do (understandably, as long as it is safe), you will run
less risk of injury or accident. Certainly, you don’t want
to follow the patient if they are going to get behind the
steering wheel if you don’t feel they can drive so you need
to use some common sense. Generally, working with the
patient is better than trying to force them to do what you
want to do.
8. Don’t forget the obvious; keep it simple. Activity
and exercise have repeatedly been shown to be some of the
best things we can do to improve our longevity and quality
of life. This is the same for dementia. Patients who continue
to stay active have fewer problems with depression. They
have general improvement in overall health. They feel better
and sleep better. Generally, people who are active also have
a better diet and increase their fluid intake, which also is
very helpful. Again, as stated above, they tend to sleep better.
People who sleep better tend to feel better the next day and
want to do more. All of this tends to cycle with having less
problems with depression. An important issue in the end is
to “keep it fun.” If the patient and/or family start to look at
it as a burden, it will quickly become one.
9. Take care of yourself. It is important as a caregiver not
to get depressed. People who are caregivers for patients with
dementia tend to have an increased utilization of medical
resources and have an increased likelihood of a decline in
their own health. If you don’t take care of yourself, you are
not going to be of much value to the patient either.
10. Donate to research. Whether it be locally or
nationally, organizations are available that need your help. If
we are ever going to make a difference in these diseases, it
will come more quickly with help from the public sector.
Whether this is financial help or volunteering time, it
would all be of benefit. Remember, although most cases
of dementia are probably not “inherited,” they are quite
common diseases taken collectively. It could be you next.
You could take this as being depressing or as being realistic.
If you follow the ten steps above, you will have a better
outcome, and your family and friends will be better for it as
well.
Dr. David Greeley is a neurologist practicing with Greeley and
Associates in Spokane. He is one of the region’s leading experts on
Alzheimer’s disease and dementia.
www.alz.org/inlandnorthwest 3

Memory Walk and Doggie Walk raise record amount
Walkers are on the move at the Eastern Washington Memory Walk Oct. 4.
4
Eastern Washington
1st Place Team ............................................................................ Do Walkers
2nd Place Team ..........................................................................Poppe Pride
3rd Place Team ..............................................................................Team Judy
1 st Place Facility/Group ............................................................ Clare Bridge
2 nd Place Facility/Group.......................................................Good Samaritan
3 rd Place Facility/Group ................................................................Park Place
Doggie of the Day ............................................................................ Cruiser
Fastest Tail Wagger ............................................................. Bella the adoptee
Top $ Dog .......................................................................................... Chloe
Participating were 450 people and 39 four-legged friends.
Total dollars raised, $75,678.
North Idaho
Top Partners ........................................................................ Elder Advocates
Top Teams 3-5 members .................................................... Memory Keepers
Top Teams 6-9 members ............................................... Bestland Retirement
Top Teams 10-14 members ..................................................... Good Seasons
Top Teams 15-plus members .......................Post Falls Primerica Powerhouse
Top Individual ............................................................................ Paul Graves
Traveling Trophy ........................................................... Bestland Retirement
Best Dressed .............................................................................CDA Homes
Doggie of the Day ............................................................................. Meeka
Fastest Tail Wagging .............................................................................. Saint
Top $ Dog .........................................................................Summer & Sandy
Total Dollars raised, $46,753
More than 450 Eastern
Washington residents and
300 North Idaho residents
were on the MOVE this fall to end
Alzheimer’s disease at at the annual Alzheimer’s
Association’s Memory Walk
and Doggie Walk.
The two events, at Farragut State
Park in North Idaho on Sept. 27 and
CenterPlace at Mirabeau Point Park
in Spokane Valley on Oct. 4, raised
more than $122,000 to support Inland
Northwest Chapter programs, support
and research.
“The Alzheimer’s Association is very
encouraged by the number of Inland
Northwest residents who turned out to
join the fight against Alzheimer’s disease
at this year’s Memory Walk,” said
Joel Loiacono, executive director of the
Alzheimer’s Association-Inland Northwest
Chapter. “Alzheimer’s disease has
touched the lives of many families in
this community. With funds raised at
this year’s Walk, the Alzheimer’s Association
will provide much needed
care and support to people touched by
the disease as well as research to fight
Alzheimer’s disease.”
The Alzheimer’s Association’s Memory
Walk is nationally presented by Genworth
Financial.
Joel Loiacono presents the Eastern
Washington first-place facility
plaque to Monica Waitt of Clare
Bridge of Spokane.
www.alz.org/inlandnorthwest

Thank you sponsors for Memory Walk and Doggie Walk
NATIONAL SPONSOR
Genworth Financial
PRESTIGE PARTNERS
Brookdale Park Place
Clare Bridge of Spokane
Guardian Angel Homes
Life Care Center of Coeur d’Alene
Life Care Center of Sandpoint
STARTING/FINISHING
LINE SPONSORS
Super 1 Foods
Prime Magazine
Pawn 1 Inc.
Creekside Inn Assisted Living, a
Koelsch Senior Community
GOLD SPONSORS
Guardian Angel Homes - Liberty Lake
Wal-Mart
Forest Pharmaceutical
Home Care of Washington
Kalispel Tribe of Indians
On-Site for Seniors
Autumn Haven Assisted Living
Coeur d’Alene Press
General Dynamics-Itronix
SILVER SPONSORS
Sterling Savings Bank
American Medical Response
Cheney Care Center
Food Services of America
Kiwanis Club of Coeur d’Alene
BRONZE SPONSORS
Gus Johnson Ford
Moloney and O’Neill
Greeley and Associates
Horizon Hospice
Panhandle State Bank
Independent Services Corp.
Good Samaritan Society-Spokane
Valley
Sunshine Gardens
Guardian Angel Homes-Post Falls
Rockwood Retirement Communities
Sayre and Sayre
Tiller Care Strategies
Colonial Court
Beehive Homes of Coeur d’Alene
Inland Northwest Chapter of American
Association of Neuroscience
Nurses
Fairview Assisted Living
Fairwood Village Assisted Living
Pine Ridge Alzheimer’s
Waterford on South Hill
CARE SPONSORS/
GEM SPONSORS
Boundary Community Hospital
Kootenai Medical Center
Life Care Center of Coeur d’Alene
Plummer Forest Products
Moran Vista
Walt’s Mailing Service
Legends Park Assisted Living
Century 21 Beutler and Associates
Loyalton of Coeur d’Alene
Mountain West Bank
Sullivan Park Campus of Care
Coeur d’Alene Homes
Royal Park Care Center
Bestland Retirement
Crest Home Health
ResCare Home Care
Life Care Center of Sandpoint
Coeur d’Alene Mines
Rockwood Clinic
Home Helpers
WATER STATION SPONSORS
North Idaho Energy Log Inc.
CONTINENTAL BREAKFAST
SPONSORS
The Bridge Assisted Living
Wytychak Law Office
Hecla Mining Co.
Runge Finance Co.
Royal Plaza Retirement and Care
Center (Lewiston)
Knudtsen Chevrolet
Shoshone Medical Center
Retirement Publishing
Sterling Health Plans
Community of Christ Church
CONTINUING CORPORATE
SPONSORS
R. Clinton Horan, M.D.
www.alz.org/inlandnorthwest 5

The next generation of Do Walkers
hold the first-place team trophy for
Eastern Washington. The Bestland team holds the traveling trophy for North Idaho.
6
Memory Walk 2008
Photos by Garry Matlow
Members of Team JoAnn wear shirts in memory of JoAnn
Bunker, who died in 2004.
The honor guard from Fairchild Air Force Base presents
the colors at the North Idaho walk.
KHQ meterologist Brian Albrecht walks with the Poppe
Pride team in the Spokane walk. North Idaho walkers set out into the sunshine.
www.alz.org/inlandnorthwest

Alzheimer’s Association launches
interactive caregiver stress check
According to the Alzheimer’s
Association 2008 Alzheimer’s
Disease Facts and Figures
report, more than 40 percent of
the 10 million American unpaid
caregivers rate the emotional stress
of caregiving as high or very high.
Additionally, caregivers for someone
with Alzheimer’s or another dementia
are more likely than non-caregivers to
report that their health is fair or poor.
In November, during National
Alzheimer’s Disease Awareness Month
and National Family Caregivers
Month, the Alzheimer’s Association
launched an effort to help relieve the
physical and emotional stress these
caregivers experience with a new
resource – Caregiver Stress Check.
Caregiver Stress Check is a first-ofits-kind,
interactive quiz that helps
caregivers identify their symptoms
of stress and provides them with a
tailored list of helpful referrals and
resources. Check out the quiz at
www.alz.org. Stress check questions
include simple statements such as:
Feeling like I have to do it all
myself because no one else cares
about my family members like I
do and feeling that I should be
doing more.
Withdrawal from family, friends
and activities that I used to enjoy.
Worry about the person I care for
being safe.
Anxiety about money and health
care expenses.
When caregivers answer “yes” to
stress symptoms, they are lead to
Alzheimer’s Association resources
designed to alleviate their specific
issues. For example, if the caregiver
worries about the
safety of the person
they care for they
might be directed
to MedicAlert®
+ Alzheimer’s
Association Safe
Return®, a national
program to combat
wandering.
“Caring for a person
with Alzheimer’s
disease poses special
challenges and
increasing levels
of care that can
be taxing on the
caregiver’s health,” says Joel Loiacono,
executive director of the Alzheimer’s
Association Inland Northwest
Chapter. “Our new Caregiver Stress
Check will help caregivers maintain
their own health, which is crucial in
caring for someone with Alzheimer’s
disease.”
The Alzheimer’s Association is also
offering two new programs for
caregivers and people with dementia:
“Understanding Alzheimer’s: An
introductory guide” and “Alzheimer’s
and Safety: A guide to planning and
preparation.” Aimed at increasing
understanding, building skills and
empowering people with dementia
and those in their circle of care, these
programs feature essential information
on dementia basics, care, home and
transportation safety delivered by
individuals with dementia, family
caregivers, physicians and care experts.
The programs will be offered in DVD
format at www.alz.org.
The Alzheimer’s Association continues
to offer its other various programs
and services that help
people affected by
Alzheimer’s at every
stage of the disease.
In addition to the 77
chapters nationwide,
its toll-free helpline
(800-272-3900)
with translators for
140 languages and
informative Web site
(www.alz.org) are
available 24/7, 365
days a year.
The Alzheimer’s
Association also has
a suite of caregiving
resources, CareSource, that provide
information to ease decision-making,
build skills to care for loved ones and
keep people living with the disease
safe. CareSource tools include:
CareFinder – A starting point
for caregivers to get guidance
and information on all types
of dementia care and find
out what kind will best fit
their needs. CareFinder helps
caregivers recognize good care,
communicate effectively with
providers and plan for care.
Senior Housing Finder powered
by SNAPforSeniors® – The first
free, dementia-specific senior
housing database.
Lotsa Helping Hands – A free
online calendar to help caregivers
and friends/family manage
requests and schedules
MedicAlert + Alzheimer’s
Association Safe Return – A
program that provides assistance
when a person with Alzheimer’s
or a related dementia wanders and
becomes lost locally or far from
home.
www.alz.org/inlandnorthwest 7

Make holidays enjoyable for everyone
The changes experienced by
a person with Alzheimer’s
disease may produce a special
sense of loss during the holidays.
At the same time, caregivers may feel
overwhelmed by trying to maintain
holiday traditions while caring for the
person with this disease.
Here are suggestions to help make
holidays enjoyable for everyone.
Adjust expectations:
• Agree with relatives and close friends
about how you’ll handle celebrations.
• Do only what you can reasonably
manage.
• Familiarize others with your situation.
• Modify holiday traditions to be quiet
and slow-paced.
Involve everyone in safe, manageable
activities:
• Maintain normal routines to avoid
disruptions or confusion.
• Build on past traditions and memories.
• Encourage conversation and activities
such as singing.
Adapt gift giving:
• Encourage people to buy practical,
safe gifts for the person.
• Allow the person to join in giving
gifts.
• Don’t neglect your own needs.
• Ask for help and support.
Try to be flexible:
• Celebrate earlier in the day to avoid
the “sundowning” that affects
some people with Alzheimer’s.
• Focus on opportunities to spend
8
time together.
• Prepare to deal with post-holiday
letdown.
For other ideas and support, contact
the Alzheimer’s Association’s 24-hour
11 ways you can ease holiday stress
for a family member with dementia
The holidays are stressful for
many but more so for people
with dementia, including
Alzheimer’s.
Dr. Daniel Sewell, director of the
Senior Behavioral Health Unit at the
University of California – San Diego
Medical Center, offered YubaNet
some tips to make the holidays more
enjoyable for the memory-impaired,
their families and caregivers.
• Plan ahead. Avoid overstimulation by
limiting activities or setting a time
limit.
• Assign a “buddy” to watch out for
the person and ensure his or her
comfort.
• Remember to give medications at
the usual times.
• Set aside a quiet place for the person
to take a break.
• Schedule naps, especially if the person
usually takes one.
helpline at (800) 272-3900, call the
Inland Northwest Chapter at (509)
473-3390 in Washington or (208)
666-2996 in Idaho, or visit www.alz.
org.
• Don’t serve alcohol (or limit, if
possible), to avoid inappropriate
behavior or interactions with
medications.
• In places familiar to the person,
don’t rearrange furniture but do
remove throw rugs that can cause
falls.
• Avoid embarrassing or shaming criticism.
For example, when someone
forgets a recent conversation,
avoid saying, “Don’t you remember?”
• Find a simple task, such as greasing
cooking pans, that will help the
person contribute to the festivities.
• Involve everyone in reminiscing. It
exposes younger guests to family
history and validates the perspective
of the memory-impaired.
• When traveling, allow extra time to
avoid the stress of rushing. Arrange
for services, such as wheelchairs,
well ahead of time.
www.alz.org/inlandnorthwest

Study: Cognitive, social
activity in midlife
may reduce risk
of dementia in men
Participation in a range of cognitively
and socially engaging
activities in midlife reduced
risk for Alzheimer’s disease and dementia
in men, particularly those at
elevated genetic risk for the disease,
according to a new study published in
the September 2008 issue of Alzheimer’s
& Dementia: The Journal of the
Alzheimer’s Association. The authors
suggest that the new study “supports
the ‘use it or lose it’ hypothesis in aging
men.”
“This fascinating study provides some
of the first relatively strong evidence
that cognitive activity, including social
interaction, reduces dementia risk,”
said William Thies, Ph.D., vice president
of Medical and Scientific Relations
at the Alzheimer’s Association.
“It is well conducted and of sufficient
size to make the findings credible. The
results extend earlier twins study data
that showed the beneficial impact of
similar activities on Alzheimer’s and
dementia risk in women.”
Researchers from the Johns Hopkins
Bloomberg School of Public Health
and Duke University Medical Center
conducted the study.
In this study, which is part of the
Duke Twins Study of Memory in Aging,
the researchers divided cognitive
activities into three categories – novel,
intermediate novel, and passive/receptive
– to discriminate activities that
involved the active processing of new
information from activities that were
more passive or receptive in their processing
demands.
• Receptive activities included watching
television, listening to radio,
and going to movies, theater, art
or music.
See STUDY / Page 13
“An Evening of Elegance,” the 9th Annual
Nancy Rockwell Gala and Dinner
on March 20, 2009, NEEDS YOUR HELP!
ITEMS FOR THE AUCTION! We are looking for items both large
and small for the Oral and Silent Auctions. Recommendations are:
donations of airline frequent flyer miles, use of condos (anywhere in
the world), special tickets for events, paintings, gift baskets, tools, small
appliances, gift certificates for services, etc. Do keep in mind we need to
have new items and not gently used.
SPONSORSHIPS! We have fantastic sponsorship packages
ATTENDANCE! We need you as a guest. If you are unable to attend
would you consider a monetary donation to assist in defraying our
costs?
Contact Sandi Druffel at (509) 473-3390 for more information.
Company/Individual:
Address:
Phone: E-mail:
Detailed description of item(s):
Fair Market Value: $
Please call me about: A Sponsorship Package:
Attending the Gala:
A Donation to Defray Costs:
Please submit to:
Sandi Druffel
Alzheimer’s Association - Inland Northwest Chapter
910 W. 5th Ave., Ste 256
Spokane, WA 99204
Thank you in advance for your generous gifts to the Alzheimer’s
Association!
www.alz.org/inlandnorthwest 9

10
Inland Northwest Chapter Donations
We extend our deepest sympathy to those families who have lost a loved one. We are grateful to those who have designated the
Inland Northwest Chapter of the Alzheimer’s Association for memorial donations. Acknowledgements are always sent to donors
and families. The following contributions were received July 1 through September 30, 2008. If we have inadvertently omitted or
improperly reported your name, please contact us at (509) 473-3390.
MEMORIAL DONATIONS
Evelyn Ayer
Cyndi Berglund
Dr. Clifford Rankin
Beth Rapier-Ross
Eileen Schultz
Teddy Wright
Darlene Beaver
Beverly Canfield
Ruth Bohringer
Karin Garcia
Linda Jordan
Mayme Brown
Cheri Adams
Carlton and Lynda Meyers and
Family
Carolyn Moore
Mary Rasmussen
Ken Bryant
Delvin and Beverly Laukala
Rita Burnett
John and Marilyn Gese
Carmen Canino
Tammy Rickard
Patricia Collins
Sheila and Kathy Collins
Andrea Gunning
Eilene Courchaine-Parkinson
Marilyn Phillips
Mildred Fisher
Gerald and Lois Kirkwood
Jean Frisby
Burton and Connie Finch
Doris Lucas
Lori Rettkowski
Sabine Rosman
Nina and Wayne Strain
Dallas Grothe
Duane and Janet Johnson
Joan Mary Guidinger
Ken and Pat Reiter
Mr. and Mrs. Alexander J.
Shogan Jr.
Dorothy Hart
James Balanesi
Edith and Earl Clay
Walter Gronert
Tomie Gunby
Peggy Hamilton
Daryl and Cathy Hart
Gerald Hart
Karen Hittle
Victor Jeworski
Kathleen Meagher
Anna Miller
Janet Percy
Roxanne and Neal Powell
Craig and Regina Russell
Grant Hilde
Irene Hilde
John E. Holcomb
Betty Bell
Andy J. Brewer
Alfred and Frances Holcomb
Ann K. Holcomb
Evelyn McGinnis
Elsie Pascuzzi
Wayne Rohme
Gertrude Woehrlin
Roy Hopla
Wade and Merilyn Key
Vern Jacobs
LaVella Carlon
Jerry and Chong Dufresne
Susan Mattoon
Rockridge View III Condo
Association.
Mike Schumacher
Mary Ann Sheer
Robert and Maidie Strellman
Barbara Trapp
In Honor of Chris and Bob
McKanna’s Anniversary
Carl and Kaye Fry
Elna McKnight
Joanne Canfield
Patricia Evenson
Ray and Eleanor Hoople
Suzanne Marie Mitchell
Norma Bailor
Audry Morrow
Evelyn Morrow
Irene O’Leary
Dick and Pat Kruse
Patricia Peaslee
John, Pam and Stephen Boyd
Donald Potter
Bette Hayes
Leonard and Peggy Jingling
Anne Potter
Ethel Reidy
Marjorie G. King
Lucille Reinbold
Michael and Dev Meyer
Margaret Ritter
Dr. and Mrs. Larry Balmer
Tom and Mary Crosier
Mr. and Mrs. Tom Marshare
Alan McAllister
Mr. and Mrs. Dennis Nybo
Alfred Nybo
Victorine Willingham
Virginia Sands
Ernest B. Ames
The Smith Family
Deb Lamoreaux
Marylyn Stuckless
Spokesman Review
Ethelyn “Lefty” Vest
Mr. and Mrs. Roy Goss
Mary E. Hancock
Lloyd Logging
Virginia Lorz
Cecil Washburn
Dave and Robin Rennick
GENERAL DONATIONS
DONORS OF $50 OR MORE
JULY 1 TO SEPT. 30, 2008
(May not include some Memory Walk
donations)
Peter Albrecht
American Association of
Neuroscience Nurses
Pat Apperson
Autumn Haven Assisted Living
Mary Ann Babin
Judith Behrens
John and Marilyn Bengston
Nancy Blaine
Edith Bollacker
Bonner Community Hospice
William T. Box
Richard Bradley
Brookdale Park Place
Jeff and Mary Brower
Bunch-Finnegan Appliance
Greg S. Burton
Sharon Carr
Cheney Care Center
Clare Bridge of Spokane
Paula Claussen
Sheila and Kathy Collins
Colonial Court Assisted Living
Connell Oil
Mr. and Mrs. Wayne Cooper
Creekside Inn
Crest Home Health Inc.
Dexter Defibaugh
Dayna Dent
Norman and Lenell Devereux
Sandi Druffel
Beverly DuPois
Georgiann Eckberg
Marvin Ellestad
See DONATIONS / Page 11
www.alz.org/inlandnorthwest

Inland Northwest Chapter Donations
Continued from Page 10
Fadel F. Erian
Donna Evans
Fairwood Retirement Village
Katherine Featherstone
John Feirich
E. Fisher
Four Seasons Assisted Living
H.D. Fowler Co. Pasco
Natalie Fredrickson
Howard Froman
John and Carole Gaherin
Stacie Gassman
General Dynamics Itronix
Lee Gibby
Glenhaven Adult Family Home
Good Samaritan Society-Moscow
Hattie Gratzer-Byle
Paul and Susan Graves
Janet Groff Greever
Helen Gross
Guardian Angel Homes-Lewiston
Guardian Angel Homes-Post Falls
Herschel and Mary Gustafson
H&N Electric
Lois Hayden
Harry Hazel II
Jim Harper
Evelyn Heider
Mark Henderson
Lyle Hendrickx
Annette Hill
Walter D. Hoefel Estate
Genia Hoffman
Home Care of Washington
Home Helpers
Kae Hopkins
Susan Hopper
Horizon Hospice
Blaine C. Hulse
Catherine Hyslop
Inland Northwest Combined
Federal Campaign
International Belt and Rubber
JEA Senior Living
Jim’s Pacific Garages
Kappa Alpha Theta Philanthropy
Mr. and Mrs. Fredrick E. Kearsley
Karen and Jae Kennedy
Al Kiefer
Kinderd Healthcare Inc.
William Kirchner
Kiwanis Club of Coeur d’Alene
Donald G. Kline
Brian and Melissa Knapik
Peter Kunst
Robert Kuwik
Elizabeth Lee
Legends Park Assisted Living
Life Care Center
Life Planning Services
Wayne Limber
Will Lorenz
Dan Maggs
Thomas and Cynthia Matheson
Harry Mathisen
Everett W. Matz
Craig and Susan Mayfield
Christine McDaniel CPA
Mr. and Mrs. Paul McKay
Lorrie McNutt
Dr. Susan Melchiore
Memory Keepers
Renea M. Metzger
Mike P. Michael
Mid-Columbia Area Combined
Federal Campaign
Barbara J. Miscoi
Monarch Machine and Tool Co.
Stan and Sheila Moon
Michael Moore
Patricia A. Moore
James E. Morris
Carol Mundell
Connie Myers
Sharon Niblock
North Idaho Title
Rocki Pardee
Pawn 1 Inc.
Andrew Pelgrims
Candy Pentland
Kenneth L. Peterson
Susan Peterson
Jane T. Pimentel
Pinewood Care Center
David E. Place
Mary Raffety
Katherine Ream
Chelsie Regehr
Retirement Publishing
Louise Robeson
Darlene Rotell
Royal Park Care Center
Frances J. Russell
Dolores Ryan
Safeco Insurance
Thank you to our Prestige Partners
Richard and Karen Sayre
Schaller Family
Mark and Becky Scheel
Ginger Schoesler
Kent Schultz
Donald F. Scott
Nick Seivers
Deborah Shriver
Dr. Edward R. Siciliano
Silverwood Inc.
Thomas Sinnard
Mgsr. Martin Skehan, Ret.
Cynthia M. Smetana
Wayne Smith
Phyllis Snuggs
Marlene Stellmon
Sterling Savings Bank
Richard Stewart and Margaret H.
Metastasio
Hagbart Stole
Sullivan Park Campus of Care
Sunshine Gardens
Mrs. William Taylor
Jean Thomas
Lee Thompson
Becky Tiller
Robert Titsch
Mark Ulrich
United Way of Spokane County
United Way of Walla Walla
Brenda Vinther
Wachovia Foundation
Les Wagner
Constance Walters
Washington Combined Fund Drive
Washington Mutual
Washington Odd Fellows Home
Washington Trust Bank
Lorna Wasson
Waterford on South Hill
Bruce Weaver
Edlon and Margaret Webber
Steve and Terry Weber
Mildred F. Welch
Eileen Wells
Jason S. Wheaton
Dean White
Patricia Wilhelm
Carol Wilson
Eleanor R. Wilson
Joe and Carol Wondrack
Charles Yoke
www.alz.org/inlandnorthwest 11

COEUR D’ALENE / POST FALLS
JANUARY 13
Understanding Dementia
Presenter: Joel Loiacono, Executive
Director, Alzheimer’s Association Inland
Northwest Chapter
5:30 to 8 p.m., Life Care Center of Post
Falls, 430 N. Garden Plaza Court, Post
Falls, ID
Free presentation; dinner is included. Call
(208) 666-2996 for reservations.
FEBRUARY 24
Legal Issues for the Dementia
Caregiver
Presenters: Kate Monroe and Michael
Wytychak III, certified elder law attorney
6 to 8 p.m., Legends Park Assisted Living,
1820 Legends Parkway (Next to UPS and
Fire Station), Coeur d’Alene, ID
Contact (208) 666-2996
MARCH 10
Environment: Changes Make a
Difference
Presenter: Joel Loiacono, Executive
Director, Alzheimer’s Association Inland
Northwest Chapter
6 to 8 p.m., The Sylvan House, 660 W.
Honeysuckle Ave., Hayden, ID
Contact (208) 666-2996
PALOUSE
(Palouse workshops sponsored by the
Alzheimer’s Association Inland Northwest
Chapter and Project ACCESS. Continuing
education units are available.)
DECEMBER 10
Overview and Current Research
Presenter: Maureen Edgecome-Schmitter,
Ph.D.
9:30 to 11:30 a.m., Bishop Place
Independent Apartments (Social Room),
811 SE Klemgard, Pullman, WA
Contact (208) 883-6484
JANUARY 14
Challenging Behaviors
9:30 to 11:30 a.m., Whitman Hospital
and Medical Center, Annex Conference
Room, 1200 W. Fairview St., Colfax, WA
Contact (208) 883-6484
12
Chapter Education Programs
FEBRUARY 25
Residential and Long-Term Care
Options
9:30 to 11:30 a.m., Pullman Regional
Hospital, Conference Room D, 835 SE
Bishop Blvd., Pullman, WA
Contact (208) 883-6484
MARCH 11
End of Life Care: Home Health and
Hospice
9:30 to 11:30 a.m., Gritman Medical
Center, 1st Floor Conference Room, 700
S. Main St., Moscow, ID
Contact (208) 883-6484
APRIL 8
Caregiver Stress
9:30 to 11:30 a.m., Whitman Hospital
and Medical Center, Annex Conference
Room, 1200 W. Fairview St., Colfax, WA
Contact (208) 883-6484
SANDPOINT
DECEMBER 9
Keys to a Joyous Holiday for
Dementia Caregivers
Presenter: Joel Loiacono, Executive
Director, Alzheimer’s Association Inland
Northwest Chapter
2 to 4 p.m., Life Care Center of
Sandpoint, 1125 N. Division St.,
Sandpoint, ID
Contact (208) 666-2996 or Brian Casey at
(208) 265-4514, Ext. 615.
SPOKANE COUNTY
JANUARY 14
Overview of Alzheimer’s Disease and
Other Types of Dementia
6:30 to 8:30 p.m., Park Place Retirement
Community, 611 S. Park Rd., Spokane,
WA
For information call (509) 473-3390
JANUARY 29
Partnering With Your Physician
6:30 to 8:30 p.m., Pine Ridge Alzheimer’s
Care Center, 12009 E. Mission Ave.,
Spokane Valley, WA
For information call (509) 473-3390
FEBRUARY 12
Communication: The Key to
Dementia Care
6:30 to 8:30 p.m., Fairview Assisted
Living, 1617 N. Calispel St., Spokane, WA
For information call (509) 473-3390
FEBRUARY 19
Maintain Your Brain
6:30 to 8:30 p.m., Good Samaritan
Society – Spokane Valley, 17121 E. 8th
Ave., Spokane Valley, WA
For information call (509) 473-3390
MARCH 5
Activities for People With Dementia
6:30 to 8:30 p.m., Clare Bridge of
Spokane, 5329 W. Rifle Club Ct.,
Spokane, WA
For information call (509) 473-3390
MARCH 31
Caregiver Stress: Respecting Your
Well-Being
Presenter: Dr. Darrelle Volwiler, clinical
psychologist
6:30 to 8:30 p.m., Pine Ridge Alzheimer’s
Care Center, 12009 E. Mission Ave.,
Spokane Valley, WA
For information call (509) 473-3390
TRI-CITIES
JANUARY 27
Activities: Making Them Meaningful
6 to 8 p.m., Tudor House at Guardian
Angel Homes Richland, 245 Van Giesen
St., Richland, WA
For information call (509) 943-8455
FEBRUARY 24
Dementia: It’s Not Always
Alzheimer’s
Presenter: Dr. Arnulfo DeRay
6 to 8 p.m., Richland Hampton Inn,
486 Bradley Blvd, Richland, WA
For information call (509) 943-8455
MARCH 24
Caregiver Stress: Respecting Your
Well Being in the Tri-Cities
6 to 8 p.m., Richland Hampton Inn,
486 Bradley Blvd., Richland, WA
For information call (509) 943-8455
www.alz.org/inlandnorthwest

Congress extends IRA Charitable Rollover Act
Congress extended a wonderful charitable planning
opportunity for 2008 and 2009 permitting IRA
owners age 70 ½ or older to make a direct transfer
to charities such as The Alzheimer’s Association. The transfer
can be up to $100,000 per year.
Since a traditional IRA is funded with non-taxed dollars, a
charitable contribution from an IRA does not qualify for
an income tax deduction. However, gift amounts from an
IRA will not be included in donors’ incomes.
The IRA rollover donor can avoid other taxes, too! Each
year, IRA owners 70 ½ and older must take a required
minimum distribution. This legislation permits the
charitable rollover contribution to qualify for the required
minimum distribution which can result in a lower taxable
income.
Note: It is very important that the IRA custodian must
transfer the funds from the IRA directly to the Alzheimer’s
Association. If an IRA owner withdraws the funds and
then contributes them to The Alzheimer’s Association, the
withdrawal will be included in the donor’s gross income.
Please contact your IRA plan custodian or trustee before
Study
Continued from Page 9
• Novel activities included reading,
studying for courses, and extra
work (overtime or other employment).
• Intermediate novel activities included
home and family activities,
visiting with friends and relatives,
club activities (such as attending
parties and playing card games),
and home hobbies.
The researchers found that participation
in intermediate novel activities
was most strongly associated with reduced
dementia risk. “These activities
might be indicative of an enriched environment,
which has been shown in
animal models to enhance the creation
of new brain cells and promote brain
repair,” said study author Michelle C.
Carlson, Ph.D.
The researchers said that they “were
surprised to observe that… passive
making any withdrawal.
and receptive cognitive activities, including
movie and theater going and
television viewing, [also] were associated
with reduced dementia risk.”
They noted that many of the intermediate
and passive activities
that were tracked in the study were
social in nature, whereas high cogni-
As you prepare to file your
state and federal income
taxes, don’t overlook the
costs of caring for a person with
Alzheimer’s disease or other type of
dementia. Some medical expenses
may be deductible.
You can also deduct a charitable
contribution to Alzheimer research.
It’s not too late to contribute; if your
state tax form has a “Donations” sec-
We hope you will consider this method of helping The
Alzheimer’s Association and at the same time help yourself
save taxes. For further information please contact our
planned giving officer, Mary Bohmke, mary.bohmke@alz.
org or (425) 967-3120.
tive activities were primarily solitary
(reading, studying). A growing body of
evidence suggests that low social activity
is associated with increased risk
for Alzheimer’s, and that mid-life and
late-life social engagement is associated
with better cognitive and physical
health, even when there is Alzheimer’s
pathology in the brain.
Remember Alzheimer’s and other
types of dementia during tax time
tion, write in the amount you want
to give.
The Alzheimer’s Association - Inland
Northwest Chapter has information
sheets available. Idaho residents
can contact out North Idaho Office
at (208) 666-2996 and Washington
residents can call (509) 473-3390 to
receive copies of our tax information
sheets. For advice about your own
situation, consult a tax professional.
www.alz.org/inlandnorthwest 13

14
Support Groups
Several Alzheimer’s and Related Disorders Caregiver Support Groups meet throughout the month. A schedule is listed below.
If you have questions about the group, please feel free to call the number listed for the leader of that group or the Chapter
office at (509) 473-3390.
BENTON COUNTY
Benton County support groups sponsored by
The Neurological Resource Center
The Neurological Resource Center
712 Swift Blvd., Suite 1
Richland, WA 99352
3rd Tuesday, 1 p.m.
(Caregivers Support Group)
Led by De Martucci at (509) 544-2164
Callaway Gardens
5505 W. Skagit Ct.
Kennewick, WA 99336
4th Monday, 12:30 p.m.
(Caregivers Support Group/Men Only)
Led by De Martucci at (509) 544-2164
Callaway Gardens
5505 W. Skagit Ct.
Kennewick, WA 99336
3rd Thursday, 5:30 to 7:30 p.m.
(Alzheimer’s Support Group)
FERRY COUNTY
Klondike Hills Assisted Living
4 Klondike Hills Lane
Republic, WA 99166
2nd Wednsday, 9:30 to 11 a.m.
Led by Gail Downs at (509) 775-3218
GRANT COUNTY
Hearthstone Retirement
905 S. Pioneer
Moses Lake, WA 98837
3rd Thursday, 7 to 9 p.m.
Led by Lori at (509) 765-2121
Summer Wood
830 NW Sunburst Ct.
Moses Lake, WA 98837
1st Tuesday, 2 to 4 p.m.
Led by Melanie and Joan at
(509) 764-1900
CHELAN, DOUGLAS and
OKANOGAN COUNTY
Grace Church
1408 Washington St.
Wenatchee, WA 98801
1st and 3rd Tuesday, 10 to 11:30 a.m.
Led by Jan Ebert at (509) 782-0927
Blossom Creek
1740 Madison St.
Wenatchee, WA 98801
2nd and 4th Tuesday, 10:30 a.m. to 12
noon.
Led by Jan Ebert at (509) 782-0927
Apple Meadows
901 Shumway Rd.
Omak, WA 98841
3rd Wednesday, 1:30 p.m.
For more information call Noble Kelly
at (509) 422-5428 or Kathie Mackie at
(509) 422-2928
SPOKANE NORTH
Holy Family Adult Day Center
6018 N. Astor St.
Spokane, WA 99208
2nd Monday, 1 to 2:30 p.m.
Adult day care provided at no charge during
group.
Led by Allan Cory at (509) 482-2475
(Open to all caregivers.)
Daycare available on a pre-arranged basis.
Holy Family Adult Day Center
6018 N. Astor St.
Spokane, WA 99208
3rd Monday, 1 to 2:30 p.m.
Adult day care provided at no charge during
group.
Led by Allan Cory at (509) 482-2475
(Male caregivers only.)
Daycare available on a pre-arranged basis.
Elder Services
5125 N. Market St.
Spokane, WA 99207
1st and 3rd Friday 2 to 3:30 p.m.
Led by Mac Hatcher at (509) 458-7450
Clare Bridge of Spokane
5329 W. Rifle Club Court
Spokane, WA 99208
4th Tuesday, 7 to 8:30 p.m.
Led by Pat Johnson, Teresa Williams and
Monica Waitt at (509) 323-1400
Whitworth Presbyterian Church
312 W. Hawthorne Road
Spokane, WA 99218
2nd Monday, 1 to 2:30 p.m.
Led by Margie Burgland at (509) 466-2864
and Bill Aitchison at (509) 624-9265
SPOKANE SOUTH
First Presbyterian Church
318 S. Cedar St.
Spokane, WA 99201
3rd Monday, 1:30 to 3 p.m.
Led by Margie Burgland at (509) 466-2864
and Bill Aitchison at (509) 624-9265
Holy Family Adult Day Center
4827 S. Palouse Highway
Spokane, WA 99223
1st Tuesday, 1 to 2:30 p.m.
Led by Megan McCoy at (509) 252-6600
Daycare available on a pre-arranged basis.
The Waterford On the South Hill
2929 S. Waterford Drive
Spokane, WA 99203
3rd Wednesday, 1 to 2:30 p.m.
Led by Jack French at (509) 473-3390
SPOKANE VALLEY
Good Samaritan Village
17121 E. 8th Ave.
Spokane Valley, WA 99016
1st Tuesday, 1 to 2:30 p.m.
3rd Tuesday, 1 to 2:30 p.m.
Led by Jacki Schmick at (509) 924-6161
See SUPPORT / Page 15
www.alz.org/inlandnorthwest

Support Groups
Continued from Page 14
Guardian Angel Homes
23102 E. Mission Ave.
Liberty Lake, WA 99019
Last Wednesday, 6:30 p.m.
Led by Joan Estudillo at (509) 893-9300
WALLA WALLA COUNTY
Walla Walla General Hospital
2nd & 4th Tuesday, 1:30 to 2:30 p.m.
Check with receptionist for room number.
Led by Addie Krom at (509) 525-3315
Eagle Springs Specialty Care
20 SE Larch Ave.
College Place, WA 99324
3rd Thursday, 10 to 11 a.m.
Led by Anah Harvey and Yvonne Webb at
(509) 525-6335
WHITMAN COUNTY
Nighthawk Cafe
108 W. Steptoe Ave.
Oakesdale, WA 99158
2nd Monday, 2 to 3:30 p.m.
Contact Sarah Rial at (800) 526-2273 ext.
6483 or (208) 883-6483
(Caregiver support; not dementia-specific)
Statesman Apartments Rec. Room
1220 NW States St.
Pullman, WA 99163
2nd Monday, 3 to 4:30 p.m.
Led by Annie Pillers at (509) 397-4305
(Open to all caregivers)
United Methodist Church (Boardroom)
214 S. Whitman Ave.
Rosalia, WA 99170
3rd Wednesday, 1:30 to 3 p.m.
Led by Skeeter Lynch at (208) 875-0857
(Caregiver support; not dementia-specific)
The Courtyard (Movie Room)
300 S. Main St., Colfax, WA 99111
3rd Thursday, 1 to 2:30 p.m.
Led by Annie Pillers at (509) 397-4305
(Caregiver support; not dementia-specific)
Tekoa Retirement Apartments (Community
Room)
540 N. Madison St., Tekoa, WA 99033
2nd Wednesday, 10 to 11:30 a.m.
Led by Skeeter Lynch at (208) 875-0857
(Caregiver support; not dementia-specific)
BONNER COUNTY
Valley Vista Care Center
220 S. Division St.
Sandpoint, ID 83864
3rd Monday, 2 p.m.
Led by Brian Casey at (208) 265-4514,
ext. 415
CLEARWATER COUNTY
Clearwater Health and Rehabilitation
1204 Shriver Road
Orofino, ID 83544
3rd Thursday, 2 p.m.
Led by Brandy Burke at (208) 476-4568
KOOTENAI COUNTY
Heritage Place
1205 Lincoln Way
Coeur d’Alene, ID 83814
(Early dementia support group for the person
who has dementia or Alzheimer’s disease)
Every Wednesday, 11 a.m. to 12 noon.
Led by Susan Coulter, (208) 666-0347 or
215-4479
Kootenai Medical Center
2003 Lincoln Way,
Coeur d Alene, ID 83814
3rd Saturday, 1:30 to 3:30 p.m.
In Classroom #3 on the main floor
Led by Arlene Sleigh at (208) 772-2542
LATAH COUNTY
Gritman Adult Day Health Center
225 E. Palouse River Dr.
Moscow, ID 83843
3rd Tuesday, 6 to 7:30 p.m.
2nd Wednesday, 3:30 to 5 p.m.
(Wednesday group has respite provided.)
Led by Sarah Rial at (800) 526-2273 ext.
6483 or (208) 883-6483
Kendrick Senior Center
Railroad Avenue
Kendrick, ID
4th Thursday, 1:30 to 3 p.m.
Contact Sarah Rial at (800) 526-2273 ext.
6483 or (208) 883-6483
North Idaho
Support Groups
Potlatch City Hall
195 6th St.
Potlatch, ID 83855
4th Thursday, 1:30 to 3 p.m.
Contact Sarah Rial at (800) 526-2273 ext.
6483 or (208) 883-6483
(Caregiver support; not dementia-specific)
NEZ PERCE COUNTY
Guardian Angel Homes
2223 Vineyard Ave.
Lewiston, ID 83501
2nd Wednesday, 7 to 9 p.m.
Led by Maggie Morrison at (208) 743-6500
SHOSHONE COUNTY
Good Samaritan Society - Silver Wood
Village
405 W. 7th St.
Silverton, ID 83867
Classroom One – Cafeteria
1st Friday, 3 p.m.
Led by Rhonda Wild at (208) 556-1147
www.alz.org/inlandnorthwest 15

10 steps to better communication
Communicating with an
individual with Alzheimer’s
can be difficult because your
reactions may be layered with the
memories of the person they once
were.. When talking to a person with
Alzheimer’s, keep in mind these 10
important steps to better communication:
1. Be patient and supportive. Let the
individual know that you’re listening
and trying to understand.
2. Show your interest. Maintain eye
contact.
3. Offer comfort and reassurance.
Encourage the person to continue
to explain.
4. Give the person time. Let the individual
think about and describe
what he or she wants. Be sure not
to interrupt.
5. Avoid criticizing or correcting.
Rather, listen and try to find
meaning in what is being said.
To reach our 24/7 Helpline, call
1-800-272-3900
Help is just a phone call away
Alzheimer’s Disease and Related Disorders Association
Inland Northwest Chapter
910 W. 5th Ave., Ste. 256
Spokane, WA 99204
6. Don’t argue. If the person is saying
something you don’t agree
with, let it be. Arguing often only
makes matters worse.
7. Offer a guess. If the person uses
the wrong word or cannot find
a word, try helping out. In either
case, be careful not to frustrate the
person.
8. Focus on feelings, not facts.
Sometimes, emotions are more
important than what is being said.
Look for the feelings behind the
words. Tone of voice may help
you understand how the person is
feeling.
9. Limit distractions. Find a quiet
place, so you won’t be interrupted
and the person trying to communicate
can focus.
10. Encourage the person to communicate
nonverbally. If you don’t
understand what is being said, ask
the person to point or gesture.
Inland Northwest Chapter Service Area
Eastern Washington: Adams, Asotin, Benton, Columbia,
Douglas, Ferry, Franklin, Garfield, Grant, Lincoln,
Okanogan, Pend Oreille, Spokane, Stevens, Walla Walla,
Whitman Northern Idaho: Benewah, Bonner, Boundary,
Clearwater, Kootenai, Latah, Lewis, Nez Perce, Shoshone
NON-PROFIT
ORGANIZATION
U.S. POSTAGE
PAID
SPOKANE, WA
PERMIT NO. 4