Conference Podcasts

FREE: On Pluto: Inside the Mind of Alzheimer’s

GREG O’BRIEN, Investigative Report, Journalist, Author

For more than ten years, writer Greg O’Brien has taken detailed notes as an embedded reporter inside the mind of Alzheimer’s, chronicling the progression of this demon of a disease. O’Brien was diagnosed with Early Onset Alzheimer’s several years ago, after the disease took his maternal grandfather and his mother, O’Brien, working off a cognitive reserve, offers an illuminating, naked blueprint of strategies, faith, and humor needed to fight this disease, a day-to-day focus on living with Alzheimer’s, not dying with it—a hope that all is not lost when it appears to be. O’Brien and his family also were subjects of a short film about Alzheimer’s, produced by legendary film maker Steve James, A Place Called Pluto. The film, accessed online at, was screened at fi lm festivals across the country, including the distinguished Tribeca Film Festival in New York. On Pluto: Inside the Mind of Alzheimer’s is a groundbreaking work, a must read for Baby Boomers and those who serve them - who face a tsunami of Alzheimer’s in years to come. O’Brien will share details on symptoms of Alzheimer’s, how to fight them, how to survive with some quality of life for as long as possible, and the importance of caregiving and building dementia- friendly communities.

Millennials or Die

CHRIS WILLIAMS, Wide Awake Business, LLC, Auburn, DE

By 2020 millennials will be in half of all leadership positions. It’s time to shed our biases and attract millennials into the Aging Life Care/care management profession to help our practices grow and thrive. This session will help you better understand them and offer suggestions to shift your hiring practices to get ready for 2020 and to watch the resources for senior advocacy soar!

How to Turn Knowledge into Power with Data-Driven, Client-Centered Innovation for Aging Life Care Management


As Aging Life Care Management continues to grow as one of the leading techniques in healthcare, we believe that innovation is needed to support and empower the professionals behind the practice. What do you wish you knew about your client’s daily life, health, and behavior between calls? How could this information help you elevate your care and accelerate your efficiency? We will explore these topics and more as we discuss how objective data regarding clients is key to understanding their health and managing their care.

Dare to Matter: Rise to the Level of Significance

PETE SMITH, SmithImpact, Hampstead, NC

Aging Life Care Professionals® invest so much of themselves - their time, their energy, their love - into enhancing the lives of others. While this work can be extremely fulfilling, it also has the potential to be emotionally, physically, and mentally draining, as well. What if ALCPs avoided becoming overworked, overwhelmed, and burned out? What if they could become re-focused, re-committed, and re-energized by recognizing that who they are and what they do matters? What would be different on an individual and organizational level if we all started living through a lens of significance?

Ethics in Family Work: The Dual Relationship

LORI NISSON, MSW, LCSW, Banner Alzheimer’s Institute, Phoenix, AZ

Ethical boundaries are an integral part to maintaining professionalism in the field of Aging Life Care Management. An ethical framework will be presented and central themes in the dual relationship that frequently occur in working with clients and families will be explored. We’ll utilize case examples in order to assist participants in applying the concepts and problem-solving challenging boundary issues in the health care setting.

Connecting with the Most Important and Powerful Consumer in America.

Marc Middleton, Founder and CEO Bolder Broadcasting, Inc. and Growing Bolder

Women 45-65 are, in many cases, making healthcare decisions for three generations of their family. They control most purchasing decisions and nearly all caregiving ecisions. Connecting with this large and lucrative market is critical to the success of any organization in the caregiving industry. What messages resonate with this powerful group of consumers? How must the caregiving industry change in order to earn the business of these women and those that they care for? How does one connect with this powerful group on social media? This session will reveal how we have reached a critical juncture in our evolution as a society in which we will either continue to devalue the lives of older Americans or embrace the revelation that a moment of life at 90 is every bit as valuable and worthy of support as a moment at 20. The caregiving industry is uniquely positioned to understand, promote, and facilitate needs of older Americans.

The Return of the House Call: Their Value to Patients, Caregivers, and Society

Thomas Cornwell, MD Home Centered Care Institute

Dr. Cornwell will share from his 32,000-house call experience how house calls improve the quality of life of homebound patients and their caregivers, while reducing health care costs by enabling patients to age at home and avoid hospitals and nursing homes.

Making the Case for Patient Advocacy: Perspectives from a Lawyer, Patient Advocate, and Malpractice Survivor

L. Bradley Schwartz, Esq. Disability Rights Advocate

L. Bradley Schwartz was a partner at a Chicago law firm when he developed a headache that worsened to the point that he called an ambulance. After hours in the ER without any meaningful treatment, Mr. Schwartz became septic and comatose. Following amputations to all four of his extremities, Mr. Schwartz returned to work and developed a law practice designed to prevent medical mistakes and support injury victims. Recounting his hospital experience and the recovery process, L. Bradley Schwartz will share his perspective, making the case that effective patient advocacy may have prevented his misdiagnosis in the ER and can save the lives of countless others. Mr. Schwartz will discuss the emerging role of private patient advocates in the context of elder care; providing strategies and scenarios that highlight the benefits of effective patient advocacy.

Lifestyle Changes to Reduce the Risk of Dementia and Alzheimer’s Disease

Darren Gitelman, MD Advocate Lutheran General Hospital

Neurologist, Dr. Darren Gitelman, will present definitions, epidemiology, and changes in biomarkers and cognition leading to Alzheimer’s disease. He will also discuss opportunities Aging Life Care Professionals have for interventions, including lifestyle changes.

Aging Alone in America: What the Elderly Know and Healthcare Policy Doesn’t Get

Brenda Russell, EMHL, JD

The news isn’t that Americans living longer. The news is that we are woefully unprepared to live healthy longer. Does healthcare understand that a trusted relationship helps the elderly respond better and improves outcomes? It’s not just about the technology.

Resilient Wisdom: Transforming Stress into Opportunity

Maria Sirois, PsyD, Maria Sirois, LLC Psychologist, Consultant, Inspirational Speaker

Resilience resides in our capacity to adapt to stress with clear thinking and thoughtfulness in our behaviors toward ourselves and others. We can elevate our capacity to adapt in this way with increasing ease as we learn to transform stress into opportunity. We’ll discuss the importance of activating a growth mindset, reducing time and energy wasted in negative thought habits and increasing optimistic perspectives. As we explore the research supporting this transformation, we’ll examine application directly to our work settings and practice tools that can be applied on a daily basis.

Beyond Good Death and Difficult Families: Caring for People in an Aging Society

Nancy Berlinger, PhD Research Scholar, Hastings Center

End-of-life discussions are never easy. During this session, we will look at our aging society and how caring for aging people is a necessary part of a good society. We’ll discuss the common challenges Aging Life Care Professionals face every day with their clients and families and reflect on these challenges together with the goal of improving care and strengthening communities throughout the US.

How to Fill the Day with Meaning: Providing Engagement Opportunities for People Living with Dementia in a Home-based Setting

Leslie Finkley, MEd Positive Approach® Trainer, Efland, NC

Finding interesting and engaging activities for clients with dementia can be challenging. This presentation will explore how to apply the Positive Approach® fundamental building block principles to provide successful engagement opportunity and meaningful activity for people living with dementia. Three key areas will be addressed: (1) Understanding the differences between 1:1 and group activities; (2) How to keep activities suitable for the adult living with dementia; and (3) How to help others understand and build skill in engagement.

Mental Health and Dementia

Jason Ellsworth Schillerstrom, MD Associate Professor/Director of Psychiatry Residency Training Program UT Health Science Center San Antonio, TX

This session will focus on the intersection between mental health and dementia. Depression, psychosis, agitation, and other symptoms that may be risk factors for or consequences of dementia will be discussed. Approved and off-label treatments for the behavioral challenges of elders with dementia will be discussed.

Sex and Aging: A Case-based Approach to Care

Catherine Anne Hansen, MD, MPH Friendswood, TX

We are all sexual beings and sexuality remains an important topic for aging men and women. Using interesting, entertaining, and sometimes controversial cases from her practice, Dr. Hansen will open dialogue about these important topics. Topics will include sexually transmitted infections, sex in dementia cases, physical issues with age that challenge a healthy sex life, and LGBTQ couples seeking care.

YOU Are the Message: How to Become a Powerful Presenter

Jim Comer, Speech Coach, Author, Speaker, Comer Communications

Jim will provide attendees with practical techniques that will help you build confidence, use your individuality, and make your message memorable. By the end of lunch, you will be on your feet, telling each other a story from your lives – having fun, being real, and sharing the best of yourselves.

Hope in Caring for the Deeply Forgetful

Stephen G. Post, PhD, Director, Center for Medical Humanities, Compassionate Care, and Bioethics at Stony Brook University

Dr. Post will draw you into “life with dementia and with the demented,” while providing solutions for the many problems posed by the progressive loss of cognition. He offers a comprehensive picture of the Alzheimer’s patient, the caregiver, and the caregiving relationship, and then presents a series of well-founded practical recommendations to work with the complexities of the disease. Dr. Post is dedicated to the Alzheimer’s community of both patients and caregivers as he gently, straightforwardly, and on occasion humorously portrays the Alzheimer’s experience through the words of people who are actually living it. He will equip you with the necessary facts and suggest how to proceed humanely and with absolute consideration of the person who should be at the center of concern.

Dr. Post believes that maintaining the emotional and relational wellbeing of those with dementia depends on caregivers who see dignity even in those severely affected by this kind of condition. He addresses specific ethical issues of interest to health care professionals, families, and affected individuals, including topics such as diagnostic disclosure, the extension of autonomy through advance directives, behavior control, family caregiving, quality of life in relation to treatment limitations, hospice care, and end-of-life choices. His message will leave you with practical solutions and equip you as an Aging Life Care Professional with a positive course of action. Post’s book, The Moral Challenge of Alzheimer’s Disease: Ethical Issues from Diagnosis to Dying (Johns Hopkins University Press, 2000, 2nd edition), was designated a “medical classic of the century” by the British Medical Journal (2009).

National Trends in Aging: Impacts of Elder Neglect and Abuse for our Most Vulnerable Populations

Terry Fulmer, PhD, RN, RAAN, John A. Hartford Foundation, Inc., New York, NY

With current medical advances and the adoption of healthier lifestyles, people are living longer. Older Americans now comprise the fastest growing segment of the United States population. By the year 2020, this group will increase by 5.5%, and by 2050 they are projected to account for 25% of the population. Their inevitable functional decline will leave older Americans increasingly dependent on others for support and hence at risks ranging from physical, sexual, emotional, or financial abuse; and exploitation or neglect by individuals within the older person’s social circle -- family, friends, and even professional advisors and care providers. Dr. Fulmer will discuss how care management can identify, report, and work effectively in these challenging situations. Dr. Fulmer is nationally and internationally recognized as a leading expert in geriatrics and is best known for her research on the topic of elder abuse and neglect.

Conquering Alzheimer’s: From Drug Discovery to Quality Care

Howard Fillit, MD, Alzheimer’s Drug Discovery Foundation, New York, NY

Dr. Fillit will share the prevalence of dementias and proportion that is diagnosed as Alzheimer’s disease now and projections for the future. He will discuss how “cure” is defined, what types of dementia are targeted for “cure,” and what neurobiological theories support Rx research. He will also share some of the successes to date; what prescriptions are currently available; and if there is really hope, how should Aging Life Care Professionals address and work with clients and families around drug treatment. Dr. Fillit is a geriatrician, neuroscientist, and leading expert in Alzheimer’s disease, and the Founding Executive Director and Chief Science Officer of the Alzheimer’s Drug Discovery Foundation.

How to be a Successful Aging Life Care Professional: The Neurology of Happiness

Gayatri Devi, MD, PC, The New York Memory & Healthy Aging Services, New York, NY

Dr. Devi’s presentation will address the challenging topic of burnout among professional caregivers, such as social workers, care managers, and home health aides. The statistics are sobering. Dr. Devi shows us not only how we might achieve balance and happiness, but how this translates into better lives for clients and their families AND for caregivers and their families. Every professional should hear Dr. Devi’s compelling message.

How Mindfulness Can Help Aging Life Care Professionals and Their Clients

Lucia McBee, LCSW, MPH, CYI, Mindfulness for Everyone, New York, NY

Stress abounds in our daily lives. In addition to personal stress, Aging Life Care Professionals often absorb the stress of their clients and vice versa. Stress is contagious! What if there were a miraculous pill that could reduce stress and improve our brain, as well as increase happiness and wellness? And, if this pill was free and without side effects, would you be interested? Not a pill, but a practice, mindfulness, offers all the above benefits and more. The 2,500 year old practices of mindfulness have recently emerged as an evidence-based intervention with proven efficacy for physical, emotional, and mental illnesses. Mindfulness practices can benefit clients, family caregivers, and care managers and provide simple, effective, and proven tools for deescalating stress and improving wellbeing. This didactic and experiential presentation will review mindfulness research and skills, as well as ways to bring mindfulness practices into our lives.

Alive Inside: How the Magic of Music Proves Therapeutic for Patients with Alzheimer’s and Dementia

Dan Cohen, MSW, Founding Executive Director Music & Memory, Inc., Mineola, NY

Could a pair of headphones change the lives of millions of Americans suffering from Alzheimer's and dementia? Social worker and Music & Memory, Inc. founding Executive Dan Cohen will join us to share his experiences related to the Alive Inside: A Story of Music & Memory, documentary about the launching of his campaign to bring iPods and the therapeutic benefit of music to seniors. Cohen will also share more about his "Music & Memory," project which he hopes to expand around the world.

Got Bounce? The Art of Resilience & Compassion

Jane W. Barton, MTS, MASM, CSA, Educational Consultant and Founder Cardinal, LLC, Centennial, CO

At birth, I think we should all be issued a set of heavy duty shock absorbers with detailed instructions on how and when to use. I know of no one who has been able to avoid the bumps and resultant bruises of life. As human beings, we will experience the highs and lows of life -- and the transitions between the peaks and valleys are rough. It is during the stressful, difficult times that we realize the importance of resilience -- the ability to "bounce back" from adversity. Resilience is not a trait. Rather, it is a process of adaptation. Please join us to explore this important process and identify the various factors contributing to resilience. Life can be shocking to say the very least! Instead of being shattered by the unexpected and the unwanted, we have the ability to choose a response to change. To meet the most daunting challenges of life, we gotta have bounce!

Balancing Loss with Possibilities

Sara Honn Qualls, PhD, ABPP Certified in Geropsychology, Director, Gerontology Center Kraemer Family Professor of Aging Studies, Professor of Psychology University of Colorado at Colorado Springs Colorado Springs, CO

Geriatric care managers/Aging Life Care Professionals are engaged when losses have overwhelmed the existing system, often at a time when families are struggling to find acceptable possibilities. Finding the possibilities during times of loss requires interpersonal finesse and skill as well as knowledge of resources. Dr. Qualls will offer guidance on how to balance the focus of the care recipient, family, and professionals involved.

The Science of Happiness

Mark Holder, PhD, Associate Professor at the University of British Columbia, Okanagan Kelowna, BC, Canada

Medicine and psychology have traditionally focused on dysfunction and disease (i.e., what is wrong with you and how do we fix it). Recently, science has also emphasized positive well-being (i.e., what is right with you and how do we promote it). Dr. Mark Holder leads a research team investigating happiness. With humor and knowledge, he will outline recent research related to human flourishing, spirituality, and relationships. Learn how happiness is associated with improvements in your immune functioning, social relationships, sleep, longevity, tolerance, creativity, and physical health. Share a laugh while learning scientifically proven methods to increase your happiness and the happiness of your friends and family.

The Creative Age: Perils and Promises of Aging

Marc Agronin, MD, Board-Certified Adult and Geriatric Psychiatrist, Medical Director for Mental Health and Clinical Research, Miami Jewish Health Systems, Miami, FL

Aging is too often viewed solely as a process of physical and cognitive decline. These perils of aging must be balanced, however, with the promises of aging, including creativity, wisdom, and a host of other emergent strengths. This session will identify how the aging process spurns growth and development across a range of abilities and attributes.

A Touched Life

Charla Long, JD, Dean, College of Professional Studies & Creator of the School of TransformAging® Lipscomb University, Nashville, TN

Too often, geriatric care managers can get caught up in the daily demands of the job and forget the reason for pursuing their chosen career. Dr. Charla Long will share inspiring stories and offer six strategies for helping you to embrace your commitment and spread your compassion for serving those in need.

Effectively Communicating with Clients and Families

Kimberly Pace, CEO of Executive AURA, Nashville, TN

As geriatric care managers we are responsible for leading a company or division. How we communicate influences how others perceive and understand our work and how effective we are in serving others. In our roles as nurses, counselors, gerontologists, or social workers, we use our communication skills to build relationships with new clients, write and share care plans, and talk through difficult situations with families. The more effective we are in communicating with others, the better we will meet the needs of our patients and families. We can also gain skills at adapting our communication skills depending on the person and situation. How others perceive our communication style impacts how well we work with our patients, potential clients, and their families. In this session we will learn how to establish a strong executive presence to communicate and lead effectively.

Dementia Care Management: Challenging Yourself to Change When What You’re Doing Isn’t Working - Reframing “Impossible Situations, Clients, and Families”

Teepa Snow, MS, OTR/L, FAOTA

Dementia creates incredible challenges. Families struggle with support and understanding. The person with dementia may not appreciate altered abilities. This session will empower you with techniques and tools that work to help improve interactions and outcomes for all. As one of America’s leading educators on dementia, Teepa Snow has developed a best care practice philosophy reflective of her life-long journey. For over 30 years, she has worked as a non-traditional occupational therapist in a wide variety of settings. She has provided direct care, consultation, and leadership in numerous settings and organizations. Teepa’s practice has included everything from neuro-intensive care units in tertiary hospitals to in-home end-of-life care in rural parts of the North Carolina. Teepa is deeply committed to improving life for all those affected by and living with dementia. Her unique and impactful teaching style integrates facts about the brain with what happens to someone when doing, thinking, reasoning, or processing becomes different or difficult.

“Population Health: The Clarion Call”

David B. Nash, MD, MBA Dean, Jefferson School of Population Health, Philadelphia, PA

Dr. Nash will demonstrate that health care in the future will be characterized by the practice of a new type of medicine called "population health" - the health outcomes of a group of individuals, including the distribution of such outcomes within the group. It is an approach to health that aims to improve the health of an entire population. An important theme in population health is the importance of social determinants of health and the relatively minor impact that medicine and healthcare have on improving health overall.

Integrated Depression Care for Homebound Older Adults with CHF and COPD: Lessons from the Tele-HEART Trial

Zvi D. Gellis, Ph.D. Director, Center for Mental Health & Aging, University of Pennsylvania School of Social Policy & Practice, Philadelphia, PA

This presentation describes the Telehealth Homecare Education Activation Rehabilitation Treatment (Tele-HEART) program, an innovative Telehealth initiative that integrates depression care into routine care for low-income and homebound older adults.

Looking Forward: Addressing Legal, Emotional, and Medical Issues of Aging LGBT Individuals

Judy Morrissey, MSW, Behavioral Health Services Director
Dr. Robert Winn, MD, Medical Director

Lesbian, gay, bisexual, and transgender (LGBT) individuals face additional barriers due to social stigma and discrimination. As we age, these issues are amplified by isolation, lack of familial structure, and shame. The panel of knowledgeable professionals from the Mazzoni Center in Philadelphia will identify and address the emotional, medical, and legal issues facing the aging LGBT population.

The Compassionate Life - Aging and Caregiving

Marc Ian Barasch, Boulder, CO

Barasch poses vital questions: What if the great driving force of our evolution were actually "survival of the kindest?" Marc will talk more about the scientific basis for empathy and perspective taking while exploring the interfaith dimensions of compassion. You'll learn about studies of the altruistic personality and what can be learned from them that are relevant to professional practice and understand connections between empathy and conflict resolution while learning simple exercises that augment empathy and compassion.

Unlocking the Generational Codes: Understanding What Makes the Generations Tick and What Ticks Them Off

Anna Liotta, CEO Resultance, Seattle, WA

Whether you're a Traditionalist, Baby Boomer, Gen X-er, or Millennial, Generational expert Anna Liotta will change how you perceive others and enhance your relationships with everyone you know. She is the author of Unlocking Generational CODES - a key to understanding the people around you-young and old and in between. Anna teaches you how to overcome the "generation gap" so you can effectively communicate and develop meaningful relationships with members of all the generations in the workplace and in everyday life.

Toward Gentler Care of the Frail

Dr. John Sloan, MD, Vancouver, BC Canada

Dr. John Sloan is a published author and family physician who works primarily with the elderly. For more than twenty years, Dr. Sloan has treated frail elderly people in their own homes. His latest book, A Bitter Pill: How the Medical System is Failing the Elderly is an investigation into why the health care system does not work for older people who are in fragile health and gives advice about what we can do about it.

What Do WE Know About the Effectiveness of Care Coordination?

Nancy Hooyman, PhD, MSW, Professor and Dean Emeritus

Geriatric care coordination becomes even more critical under the Patient Protection and Affordable Care Act. More than ever, care coordinators will be required to document the outcomes of their interventions with older adults and their families. This session will present findings from a comprehensive state-of-the art literature review on care coordination, summarizing what is known about outcomes of care coordination along with challenges and opportunities under the Affordable Care Act.

Aging as an Art

Sherwin Nuland, MD, FACS

Physician, surgeon, teacher, medical historian, and best-selling author, Dr. Nuland teaches bioethics, history of medicine, and medicine at the Yale University School of Medicine. He is the author of The New York Times bestseller and National Book Award winning How We Die (recently updated with a 2010 edition) and The Art of Aging: A Doctor’s Prescription for Well-Being. He has also written for The New Yorker, The New York Times, The New Republic, Time, and the New York Review of Books. He is both a fellow and board member of the Hastings Center, an independent bioethics research institution. Dr. Nuland is soon to give the first ever Robert Butler Lecture for the Gerontological Society of America.

Dr. Nuland is committed to the idea that there is an art to aging – aging is not just something that happens to us. There are things most of us can do to make our later years better through maintaining good physical health, brain function, and important relationships. He will speak to the issues of family, love, work, wisdom in aging, and sense of community. The art of aging must be creative and it must enrich us — bringing that creativity into the lives of older people is a key element to “the art of aging.”

A Life of Being, Having, and Doing Enough

Wayne Muller, M.Div.

Join Wayne Muller, therapist, public speaker, minister, and author of Legacy of the Heart, as he explores the resilience of spirit in the face of human sorrow. Wayne is the founder of Bread for the Journey, a national nonprofit organization, and he is currently leading story circle retreats for racial reconciliation in Mississippi and story circle retreats for Congressional Staffers in Washington DC.

Embracing "Slow Medicine", The Compassionate Approach to Caregiving

Dennis McCullough, M.D.

Dr. McCullough uncovers the significance of the later part of the lifespan and the benefits of "Slow Medicine" in this enriching general session. He will discuss how the type of aggressive medicine that dominates our healthcare system is not necessarily in the best interest of the elderly patient and explains how aggressive medicine is not designed to do what is best for the whole person, body, mind, and spirit.

The Myth of Alzheimer's: New Stories in Brain Aging

Peter J. Whitehouse, MD-Ph.D.

As one of the best known Alzheimer's disease (AD) experts in the world and one of America's top doctors, Dr. Whitehouse provides wisdom and guidance honed over his last three decades of clinical practice to current patients with various cognitive conditions, their caregivers, and to all of us who may potentially be affected by labels such as AD and Mild Cognitive Impairment (MCI). The story he tells is enlightening, humanizing, and empowering - it provides us hope about our own aging, urges us to challenge the stigmatizing labels that doctors have been too quick to apply, and inspire us to move forward on our own journey towards older age with a much healthier conception of what it means to grow old.

What to Do When Values Collide: Making Good Decisions that Last

Joan McIver Gibson, Ph.D.

We all face tough choices where values collided. Difficult decisions involve choices between competing goods. We cannot honor everything that matters. Participants will apply practical skills for making good values based decisions that last.

Overview of Treatment for Patients with Dementia

Lori Daiello, Pharm.D, BCPP

Case studies presented showing the medical management of cognitive behavioral issues with dementia clients. Participants learn how to assess a client and extract important information to become more effective in managing the difficult behaviors. Assessment for side effects of medication also is included. This session also provides successful strategies in managing pain in clients with difficult behaviors.

The Fate of the Baby Boomers

Jeff Goldsmith, Ph.D.

The President of Health Futures, Inc. and author of "The Long Baby Boom" takes a twenty-year look forward at the impact of the Baby Boom generation on the health system and society. Will they trigger a boom in the demand for health services, and in doing so, wreck our safety net programs - Medicare and Social Security? What will they need and how will we market to them? What are the plans of the Baby Boomers and will the economy survive their retirement?

A Whole New Life: Promoting Positive Change in the Lives of Elders

Wendy Lustbader, B.A., MSW Lori Daiello, Pharm.D, BCPP

Overcoming resistance to change poses a challenge through the lifespan, especially when patterns have become entrenched over the decades. At the same time, illness, frailty, and the approach of death can motivate an individual to embrace change. This presentation examines how care managers can ally with the forces of transformation and help energize elders to engage in living freshly.