Category: Articles

  • Cultural Storytelling in Cloth

    Upon entering his O‘ahu shop at 1613 Houghtailing St. where he’s outfitted the people of Hawai‘i for decades, Nake‘u Awai, age 87, sits at his desk, sporting his classic outfit — an aloha shirt, slacks and signature neckerchief. His hair is dyed blue. It is fading, he says, and he needs to get it redone soon. He is surrounded by varying textures of memorabilia: receipts, books, curated pieces of art, holiday photos from customers and family and, of course, racks and racks of clothing, lovingly designed by his hand and heart. On shelves around the front of the shop are framed photos of people who walked in his fashion shows, of hula dancers whose hālau he outfitted for Merrie Monarch, of memories with friends and fellow designers, of precious moments with family. In this space, Nake‘u has intertwined his personal life with his professional life, conveying to anyone who walks in that he has lived a life as intricate and meaningful as his designs.

    According to his niece, Marvi Rosehill Ching, Nake‘u’s mission statement has always been “to be able to serve and present to the world designs that are special to him — which is every single one.” Carrying with him the sentimentality and homesickness he felt while living overseas, Nake‘u set about designing clothing by and for Hawai‘i’s people. He was the first to locally create his prints with native flora and motifs that would later become known as Hawaiian print. He revived and popularized the holokū and mu‘umu‘u, producing the first to be sold at Carol & Mary, an iconic store that specialized in women’s fashion, and Liberty House, making sure his pieces were accessible to all.

    He’s never felt the need to advertise himself, letting the designs do the talking. On the surface, Nake‘u’s designs are beautiful and speak to an admiration for the beauty of Hawai‘i, but upon closer inspection amidst the memory archive that is his store, it becomes clear that his designs are also his way of memorializing his love for home, in one way, what Marvi calls a “fabric footprint.” From his very first design to his recent last, the legacy of Nake‘u Awai is also the legacy of the clothing.

    An Artist in Bloom

    Nake‘u grew up with his three siblings in O‘ahu’s Punchbowl, the son of a land abstractor and an educator. Already, in his youth, he took interest in the arts. The Golden Wall Theatre supported his love for performance and the YWCA was where he learned hula and tap dance. He eventually earned a degree in drama from the University of Washington, venturing to New York where he lived for several years, joining a touring company for Flower Drum Song. He sang and danced in Europe, Reno and Hollywood in the years that followed.

    It would be a while before he was known as “the grandfather of Hawaiian fashion.” Nake‘u learned macramé from a friend, and it was then that he started to gain an awareness of designing clothing, making a business of selling macramé. In Hollywood, Nake‘u’s choreographer mentor, Claude Thompson, expressed faith in his costuming abilities, granting him his first opportunity to outfit a group of performers. Later, on the set of a Don Ho TV special in Lahaina, Nake‘u realized he could make a career out of fashion design.

    He finally found his way back home in the early 1970s. At the time he was entering the scene, local fashion was only local in name. Fabrics were imported from Japan, England or the US, and designs only had to have ambiguous and colorful flowers to be deemed “Hawaiian.” This disconnect between local clothing and local communities found its origin in missionaries bringing outside fabric with them to the islands, pushing kapa (Hawaiian cloth made of beaten mulberry fibers) to the periphery, spreading the influence of Western design elements in Hawai‘i.

    Enter Nake‘u Awai. At the start of his design career, he first utilized palaka fabric for its historical relevance in clothing plantation workers and paniolo, unifying the people of Hawai‘i across ethnicity and class. As he kept on, he worked with different cloth blends — cotton, linen and the like. When he wasn’t designing, Nake‘u was selling his work at craft fairs, organizing fashion shows (his first being at Hawaiian Mission Houses in 1974, a place that holds many memories for him), outfitting hālau and more. He went about bringing into a physical reality his love and longing for his home through his designs, turning love into a life’s work.

    Bougainvillea

    His very first design is still in the shop today, and brings back memories of companionship and collaboration in his earlier years as a designer. “My first print was ‘Bougainvillea,’ Nake‘u says, “which was done by a university friend of mine. After that, the next artist that did prints for me was a guy named Hiko Hanapi,” a Native Hawaiian artist, educator and community activist who advocated for the furthering of Native Hawaiian art. Another artist: “The artist that did most of my prints became a long-time friend of mine, Richard Vyse.” Vyse was a fashion illustrator who did high-fashion sketches for Liberty House and Carol & Mary. “The first thing I got from him was at an art show in some shop in Hawai‘i Kai; I bought a drawing of Princess Ka‘iulani.” Then, he points at something on the wall above him, hanging cozily amongst the oodles of pinned photos and pieces of paper. There, on the wall, was a drawing of the princess. “It’s not that one,” he reveals, “it was a sketch. But, anyway, I bought the Vyse piece, and that’s how I met Richard Vyse.”

    Marvi grabs one of the mu‘umu‘u hanging on the wall, a retro green and purple Boat Day garment. Boat Days in Hawai‘i historically refer to the festive, mid-20th century (1920s to 1950s) arrivals of Matson luxury liners at Honolulu Harbor that departed from San Francisco. The Boat Day style was designed with kūpuna in mind — specifically, Nake‘u was thinking of his mother. The sleeves are regal and the off-shoulder yolk with ruffles adds an elegance to the mu‘u. “Most of them have a signature dot pattern. That’s how you can figure out that it’s a Richard Vyse, because he does his with dot, dot, dot, dot.” Today, Vyse is still producing art in Maryland. “He’s around Nake‘u’s age,” Marvi says, “so, when they met, they were very young spring chickens, and they grew together.” Nake‘u adds to that, “He’s a survivor, like I’m a survivor, too.”

    As Nake‘u speaks, Marvi excuses herself to grab another dress from somewhere in the orderly jungle of racks of clothing. A couple of minutes pass until she returns, a beautiful white dress in blue flower print in hand. “Bougainvillea: This was his very first print, in the very fabric. Feel the cloth,” she says, bringing it closer for all to see and feel. The dress is cummerbund-style, brought in at the waist to accentuate the figure — truly a vintage piece. Once she puts the dress up on the wall, Marvi and Nake‘u begin a back-and-forth discourse about when and by whom it was worn. “Was it that one? No, they’re wearing Papalina. So many photo albums. There’s another one, way in the back. I remember that.” Designs and clothing are outward-facing items; the meaning behind them usually becomes secondary to the look they create. To Nake‘u, though, his designs and clothing gesture to everything within — memories of friends, collaborators and home.

    Ka‘iulani on Horseback

    Nake‘u is no longer working on new designs, but his most recent include ones named “Kona Road” and notably, “Ka‘iulani on Horseback,” a strong and wide fashion show print. A dress with the print on it sits prettily and boldly on a mannequin, originally released in violet on powderpuff blue fabric. Another way in which the design is unique is that it is a “difficult” print, because the design is so extensive and detailed that in order to properly show the scene of Princess Ka‘iulani riding in its full flourish, yards of material must be used. In other words, Ka‘iulani on Horseback accentuates fuller figures, affirming Nake‘u’s promise to make clothes by and for the people of Hawai‘i, ensuring that everyone feels beautiful, regardless of shape or size.

    Nake‘u has always been an admirer of Princess Ka‘iulani. Another one of his designs was named in honor of her, The Kaiulani, with its full sleeves and high neck, similar in look to the dresses the princess often wore. “The State Foundation gave me a scholarship to do an event on the life of Ka‘iulani, so I did a whole lot of research on her, and as I’m doing the research, I fell in love with her,” he says.

    Known for her intelligence, free-spirit and beauty, Princess Ka‘iulani was the
    daughter of Princess Miriam Likelike, and the last heir apparent to the throne of the Hawaiian Kingdom as Queen Lili‘uokalani’s niece. She loved to surf and paint, and made the acquaintance of many, including a poet, Robert Louis Stevenson, whose poem about the princess calls her “the island rose, light of heart and bright
    of face” (“Ka‘iulani,” 1889). In Nake‘u’s program, “I had a wahine who played Ka‘iulani. The artist who did the Bougainvillea print, her brother was an actor at the University of Hawai‘i — he played Robert Louis Stevenson, Ka‘iulani’s buddy, who used to visit her.” The last segment of the program was her passing away at the age of 23 from sickness that came on after horseback riding in a rainstorm without a coat. For her entire life, Princess Kaʻiulani embodied the will to be free, fighting for herself, her people and the independence of her kingdom until the end. Nake‘u still has a strong connection to the princess today. Like Ka‘iulani, Nake‘u advocated for his art and his home with fearless, steady devotion.

    Overcoming the Odds

    To get to this point, though, Nake‘u has faced many challenges. It isn’t easy running a small business that (successfully) strives to be fully locally designed, produced, sold and worn in an industry as competitive and commercial-leaning as fashion. In fashion design, risks are required. Now, he’s made a name for himself, but in the beginning of his design career, Nake‘u took a back seat to businesses like Carol & Mary and Liberty House in the production world because he was just a small business, and because he prioritized maintaining his creative expression rather than following the trends. To Nake‘u and his sister, Marvi’s mother, it was always about creativity.

    Over the years, people in the business have tried to deceive and betray him, and to them, Marvi says, “Screw all you guys. We came, we conquered and we’re still standing strong. That says a lot about his depth and it tested his vulnerability. I am, as his bulldog, to protect him, till forever. Because nobody’s gonna do that again.” When you hold true and steadfast to what you believe in, nothing’s gonna shake you — Nake‘u’s and his family’s story is testament to that.

    The rhythm and relationships that have developed over the years matter; there is only one printer doing silk screens in Hawai‘i, and Nake‘u built and maintained that partnership into the present day. Everything is still produced in Hawai‘i with cotton blends. Nake‘u has always believed in making local and buying local, a continuously implemented belief that sets him apart from those who have followed. When asked about how he sees fashion changing with the times, Nake‘u says, “I’m glad to see people are still interested in mine.” From outfitting dancers in Hollywood to singers like the Brothers Cazimero, Nake‘u has truly embodied what it means to live and love local.

    Taking Care of Business

    Nowadays, Nake‘u continues in his duty of watching over his shop and serving customers. He doesn’t design anymore, nor does he do fittings — Marvi and Gerald Chun take care of that — but he still stays involved from behind the desk. Gerald is in charge of the shop’s social media account, and the shop recently opened an online website where customers can order pieces directly to their door. Nake‘u remains faithful to his style and his designs, but sometimes they tweak certain styles to see if the younger generation would be interested, like turning what was originally a dress into a blouse and culottes to have more casual, coordinated pieces that can be mixed and matched.

    So, it is obvious that Nake‘u’s brand has evolved in the technological sense, but the traditional, core aspects of the business have remained constant. One example lies in the clothing itself: When posting pictures of a blue garment, “if you don’t have the lighting right,” explains Marvi, “what is really a beautiful chambray blue turns out cream on social media. There’s nothing like true blue.” While being able to adapt to changing times is invaluable to any business — especially a small, local one — Nake‘u and his family maintain that the beauty of the clothing will always stand the test of time (and cameras).

    His designs have an “if you know, you know” cultural relevance. Nake‘u’s never been flashy or felt the need to advertise himself, so those who know a dress is a Nake‘u piece are in on a chic fashion “secret.” Many of his dresses are passed down from generation to generation, adding to this “insider” quality. It also helps that the clothes are made well enough to last decades. “Everybody that comes in says, ‘I’m holding onto it because I know it’s gonna last a lifetime,’” adds Marvi. “There’s been kūpuna who have walked in with their mu‘u on looking brand new. You take care of it, it will take care of you — and it’ll live longer than you.”

    He still hosts his fashion shows. “Coming up, I’ve already thought of a Christmas show,” he says, pride apparent in his voice. “Last year, I did it at the Ko‘olau Ballroom, and we’re planning to go back again.” This year’s event is called “Come!
    Ra-pa-pum-pum,” “because I’m gonna use the ipu,” he adds, demonstrating playing the gourd drum on the surface of his desk. Many of the people who have taken the stage in his fashion shows before still do to this day. “Singers, dancers, some sing and dance.” Singer, dancer, whatever — everyone who walks Nake‘u’s shows must perform. “That’s the story of showbiz.”

    The Beauty of Nake‘u Awai

    At 87, Nake‘u is still thriving and going strong — independent, living at home with a companion and “still very on it,” according to Marvi. Having been in business for almost 53 years, Nake‘u has always abided by his mission statement to present his designs — all special and all reminiscent of his home — to the world. This sentiment sprouted from the feelings he experienced when he was overseas performing in Europe and the continental US. But, this begs the question, what exactly was it that made him choose to “stay home” for the rest of his life? After going from place to place in his professional performing career, Nake‘u unveils the reason why he came back home and stayed for good: “I saw that my parents were much older. I felt that I should come home and take care of them.” Said plain and simple, Nake‘u came home, making a life’s work out of passion and loyalty.

    “Picture, now, you’re coming home and everything is special,” Marvi says. “People ask, ‘What is your most special design?’ And he says, ‘I don’t know.’ I think to myself, ‘Yeah, you don’t, because everything is genuine and everything is a treasure to you.’” That’s the first thing to remember about Nake‘u.

    The second is that everyone should be able to wear a Nake‘u piece, no matter their size, frame, whatever. To be able to keep the same styles for everyone has always been his thing. For example, the earlier mentioned purple and green boat day mu‘u is a piece styled in the ’70s and ’80s. “It’s resurrected itself,” Marvi says. “It’s kind of retro and old, but it is appealing to a certain few. That’s the beauty of him — he will not change.”

    The third thing to remember is that, in doing this work, Nake‘u has documented decades of native and indigenous flora that may eventually go extinct due to changes in climate and an increase in invasive species. Like the poem Stevenson wrote for Princess Kai‘ulani, when you truly care about a person or a place and can see the beauty in it in any light, art pours from the fingertips and stands the test of time.

    Being a fashion designer, like any form of artistic expression, literally requires wearing your heart on your sleeve and putting your all into what you create. The clothing that Nake‘u Awai has masterfully produced has been worn by grandparents, parents and children, a cycle that will certainly continue into the future. People wear Nake‘u’s designs, his love letters to home, to fashion shows, graduation ceremonies, to work, to the beach and so on, donning the man’s artwork in the land upon which they are based and crafted. His audience, then, shares the same appreciation for the islands that he feels.

    Through memories etched in cloth, he has designed an archive people can put on. What it has always been about, for Nake‘u Awai, is the remembrance of home, and the hope to never forget the beauty of Hawai‘i.

    Upon entering his O‘ahu shop at 1613 Houghtailing St. where he’s outfitted the people of Hawai‘i for decades, Nake‘u Awai, age 87, sits at his desk, sporting his classic outfit — an aloha shirt, slacks and signature neckerchief. His hair is dyed blue. It is fading, he says, and he needs to get it redone…

  • What to Consider Before Buying a Condo

    Hawai‘i has a higher percentage of its population living in condominiums than any other state. Reasons include the relative scarcity of land and the time and expense of buying and maintaining single-family homes, making condos attractive, especially for the elderly.

    But like any investment, condos come with risks. Here are some things that people may wish to think about before buying into a condo.

    Are you ready for common decision making? Obviously, it’s great to have a built-in community, not only for the fellowship that it brings, but also the shared costs. Why pay for the cost to maintain a pool by yourself when you can contribute only a small percentage of that expense and still enjoy a swim?

    However, if you have only lived in a single-family home and are used to making your own decisions, keep in mind that with a condo, you are buying into (literally and figuratively) a democracy. Some condo democracies are great, but many are extremely dysfunctional. And sometimes it takes democracies a long time to recognize and correct their errors.

    What do the reserves look like? Hawai‘i was the first state to require mandatory savings on the part of condominium boards so that money is set aside to maintain the building and meet future expenses. Unfortunately, while that law exists on paper, it is often not adhered to. When it is ignored, owners can be hit with large special assessments or loan payment obligations. Make sure the reserves are fully funded per the law.

    The absence of maintenance fee increases is not a good thing. One board that was successfully sued bragged about how maintenance fees didn’t go up for more than 10 years. Of course, over the course of those 10 years, wages rose, insurance increased and other costs went up. This resulted in things being neglected. At one point, the condominium had more roof leaks than it had condominium units.

    Newer is not always better. We have all seen the gleaming new buildings, but quite often, the shiny new towers have significant construction defects. Some of the developers, contractors, architects and engineers who build them shower
    politicians with campaign contributions. These may not be disconnected phenomena. Do campaign contributors want something for the money they are shelling out, maybe in the form of laws that are designed to protect them from claims by consumer homeowners? While it’s always nice to buy into a brand-new building, prospective purchasers might want to wait a few years to see what defects are discovered by those living there.

    Will the building remain accessible for your current and future needs? Especially as we age, accessibility becomes more paramount. While this is usually less of a problem in newer buildings that are supposed to be built pursuant to modern codes, that certainly is not the case for older buildings. A two- or three-story walk up might not be a problem when you’re in your 40s, but it could very well be an issue in your 70s. Additionally, the Fair Housing Act usually only requires that a building allow an accommodation, it is not usually required to pay for it. You as the unit owner can obtain reasonable accommodations, but usually you need to pay for them.

    Do your research and work with local professionals to ensure a successful, informed purchase.

    REVERE & ASSOCIATES, LLLC
    970 North Kalaheo Ave., Ste. A301, Kailua, HI 96734
    808-791-9550 | terry@revereandassociates.com
    revereandassociates.com

    Terry Revere is an attorney with Revere & Associates who specializes in representing Hawai‘i’s homeowners.

    Hawai‘i has a higher percentage of its population living in condominiums than any other state. Reasons include the relative scarcity of land and the time and expense of buying and maintaining single-family homes, making condos attractive, especially for the elderly. But like any investment, condos come with risks. Here are some things that people may…

  • Advance Care Planning & Directives

    If a parent becomes incapacitated, adult children are frequently called upon to serve as healthcare advocates for their parents. Advance care planning is the ongoing process that includes discussion, reflection upon and preparation for future medical decisions based on personal values.

    An advance care directive, a legal document resulting from this process, records those wishes, and are widely promoted as a tool to ease the decision-making burden. This legal document allow individuals to communicate their preferences for future medical care in the event they can no longer express their wishes. Advance directives typically include two key components: end-of-life decisions and a Durable Power of Attorney for Health Care (DPAHC). End-of-life decisions enable individuals to specify which treatments they would accept or refuse near the end of life, while a DPAHC authorizes another person to make medical decisions on their behalf if they become incapacitated.

    Advance care planning can promote autonomy, dignity and a sense of control over future medical care, while increasing the likelihood that treatment aligns with personal preferences. However, the presence of an advance directive does not necessarily improve family dynamics after a parent’s death or prevent conflict among surviving adult children.

    YIM & YEMPUKU, LLLC – Estate Planning Attorneys
    2054 S. Beretania St., Honolulu, HI 96826
    808-524-0251 | yimandyempukulaw.com

    If a parent becomes incapacitated, adult children are frequently called upon to serve as healthcare advocates for their parents. Advance care planning is the ongoing process that includes discussion, reflection upon and preparation for future medical decisions based on personal values. An advance care directive, a legal document resulting from this process, records those wishes,…

  • Advice for the ‘Sandwich Generation’

    If you’re between the ages of 35 and 60, you may be feeling a financial pinch from both your growing — or grown — children and your aging parents or in-laws.1 You may also find yourself juggling your work commitments and the expectations of family members for your time and support. As a member of what’s known as the “sandwich generation,” you’re not alone.

    Children today leave home later than in previous generations and less permanently. Today, children tend to live at home longer — or move out and return over time, sometimes with their own children in tow. And parents tend to live longer, often spending 25 years or more in retirement. If you’re wondering how to keep yourself financially on track, the following strategies may help.

    ■ Pay yourself first. Instead of paying your bills and other expenses and save what’s leftover, automatically route a portion of your paycheck to your 401(k), Roth IRA or other retirement savings account — and encourage your working children to do the same. This ensures you’re regularly investing in your future financial security.
    ■ Talk openly about finances. Discuss the basic tenets of sound money management with your children to help them develop good financial habits at an early age. According to an Ameriprise Financial study, 70% of parents involve their children in family financial decisions to help instill values and principles,2 allowing them to see where they can contribute. It’s equally important to talk with your parents about their plan for meeting their future financial obligations.
    ■ Make sure financial and legal documents are up to date. You, your parents and your children must determine whether you’ll need a Durable Power of Attorney, a Healthcare Proxy, a Living Will and a Last Will and Testament. Also, review and update beneficiary designations on investments and insurance policies (they may outweigh what is stated in a will). Keep a list of your financial accounts and passwords — know where your parents and children keep theirs.
    ■ Discuss long-term care insurance. In-home health care costs or a lengthy nursing home stay can be very costly. If you or your parents don’t have long-term care insurance, it may be wise to look into it to see if it fits with your family’s goals and options.
    ■ Explore resources to help offset costs. If your children are attending college, research the scholarship opportunities or work-study programs that may be available to them. Also, find out whether your parents qualify for any federal, state or local benefits for their care.
    ■ Set limits. If you have the desire and financial resources to support adult family members, it’s important to balance your generosity with ensuring you have enough money to last through retirement — and support your family’s own financial independence. Be clear with your children and parents about how much financial support you are realistically able to provide.

    Managing the responsibility that comes with being a member of the sandwich generation can be difficult. For help understanding how to plan for your future while caring for those who matter most to you, consult a reputable financial advisor. An advisor can help you create a financial strategy that makes sense for your unique situation.

    MICHAEL W. K. YEE, CFP,® CFS,® CLTC, CRPC®
    1585 Kapiolani Blvd., Ste. 1100, Honolulu, HI 96814
    808-952-1240 | michael.w.yee@ampf.com
    ameripriseadvisors.com/michael.w.yee
    Michael W. K. Yee, CFP®, CFS®, CLTC®, CRPCTM, is a Private Wealth Advisor/Financial Advisor with Ameriprise Financial Services, LLC in Honolulu, Hawaii. He specializes in fee-based financial planning and asset management strategies and has been in practice for 42 years.

    1Pew Research Center, “More than half of Americans in their 40s are “sandwiched” between an aging parent and their own children”. www.pewresearch.org/short-reads/2022/04/08/more-than-half-of-americans-in-their-40s-are-andwichedbetween-an-aging-parent-and-their-own-children 2Ameriprise Financial Parents & Finances Study, 2025. Ameriprise Financial, Inc. and its affiliates do not offer tax or legal advice. Consumers should consult with their tax advisor or attorney regarding their specific situation. Investment products are not insured by the FDIC, NCUA or any federal agency, are not deposits or obligations of, or guaranteed by any financial institution, and involve investment risks including possible loss of principal and fluctuation in value. Ameriprise Financial cannot guarantee future financial results. Securities offered by Ameriprise Financial Services, LLC. Member FINRA and SIPC. ©2026 Ameriprise Financial, Inc. All rights reserved.

    If you’re between the ages of 35 and 60, you may be feeling a financial pinch from both your growing — or grown — children and your aging parents or in-laws.1 You may also find yourself juggling your work commitments and the expectations of family members for your time and support. As a member of…

  • When Care Feels Like Friendship

    When memory changes, familiar routines can begin to feel confusing or unsettling. A once confident parent may repeat questions, struggle with transitions or feel anxious in new settings. For families, these moments often bring concern and a deep desire to preserve a loved one’s dignity and sense of self.

    In Hawai‘i, an estimated 62,000 unpaid caregivers provide more than 111 million hours of support each year, care valued at nearly $2.8 billion. These figures reflect both the scope of memory loss and the growing need for compassionate, relationship-centered support.

    In response, memory care has evolved beyond task-based routines. One widely respected philosophy is the Best Friends™ Approach, co-created by dementia care expert David Troxel. This model emphasizes empathy, patience and intentional connection, encouraging caregivers to relate to individuals living with memory loss as they would a trusted friend.

    Understanding a person’s life story is central to this approach. Knowing personal history, preferences and lifelong habits helps caregivers create familiar routines and meaningful moments. Even as memory changes, the need for connection remains. Relationship-centered care ensures that identity, spirit and dignity stay at the heart of daily life.

    THE PLAZA ASSISTED LIVING
    808-809-9834 | info@plazaassistedliving.com
    plazaassistedliving.com

    When memory changes, familiar routines can begin to feel confusing or unsettling. A once confident parent may repeat questions, struggle with transitions or feel anxious in new settings. For families, these moments often bring concern and a deep desire to preserve a loved one’s dignity and sense of self. In Hawai‘i, an estimated 62,000 unpaid…

  • Thriving in Place

    Hawai‘i’s homes hold stories, carrying memories of raising children, holiday celebrations and laughter. For many of our kūpuna, remaining in that home is deeply personal.

    Today, more seniors are choosing to age in place, yet many are doing so alone. Children may live far away. Friends may no longer drive. Neighborhoods change. What once felt lively can become too quiet. Independence is precious, but
    without connection, can turn into isolation.

    Having lived with and supported my 93-year-old mother, I have seen how much the small things matter — regular conversation, help navigating schedules and doctor visits, guidance with nutrition for meals she can enjoy or simply knowing someone will check in consistently. These steady rhythms create calm. They restore confidence. They allow seniors to remain in control of their own lives.

    Aging should not mean shrinking one’s world. As Hawai‘i’s population continues to age, we must reimagine what community truly means. Supporting seniors who live independently is not only a family responsibility — it is a societal one. When we build thoughtful systems around our kūpuna, we strengthen the fabric of our islands. With intentional connection and steady presence, growing older at home can remain a chapter defined by dignity, purpose and belonging.

    VENTUS SENIOR CONCIERGE SERVICES
    1108 Auahi St., #307, Honolulu, HI 96814
    808-353-6280 | rlewis@ventus.design
    ventusconcierge.com

    Hawai‘i’s homes hold stories, carrying memories of raising children, holiday celebrations and laughter. For many of our kūpuna, remaining in that home is deeply personal. Today, more seniors are choosing to age in place, yet many are doing so alone. Children may live far away. Friends may no longer drive. Neighborhoods change. What once felt…

  • Supporting Adult Children Caregivers

    As we grow older, many of us rely more on our adult children for help — with transportation, medical appointments, household tasks or managing health concerns. While this support is often given with love, it can also place a heavy responsibility on family caregivers.

    Adult children who care for aging parents may balance many roles: employee, parent, spouse, caregiver. The emotional and physical demands can be significant.

    Jennifer Oyer and her mom, Karen Pape

    Kūpuna can acknowledge that caregiving may be stressful by asking, “How are you doing?” which can open the door to honest conversation.

    Seniors can also support caregivers by sharing responsibilities, when possible, keeping medical information organized, communicating preferences clearly and discussing future care wishes before a crisis arises. Small actions, like preparing a list of important phone numbers and medications, can ease the daily burden.

    Just as importantly, encourage your adult children to take breaks and accept help from others. Caring for a loved one shouldn’t be left to one person.

    Caregiving is an expression of aloha across generations. By supporting those who support you, families can stay stronger, healthier and more connected through every stage of life.

    NAVIAN HAWAII
    Jody Shiroma, Chief Growth Officer
    808-302-4144 | jshiroma@navianhawaii.org
    NavianHawaii.org

    As we grow older, many of us rely more on our adult children for help — with transportation, medical appointments, household tasks or managing health concerns. While this support is often given with love, it can also place a heavy responsibility on family caregivers. Adult children who care for aging parents may balance many roles:…

  • Adult Day Care: A Solution for Aging in Place

    Statistics show that most kūpuna want to age in place, in the comfort of their own home. But isolation and inactivity can lead to rapid decline in seniors’ well-being. Adult day care offers socialization, physical/mental stimulation and other benefits. It combats loneliness, improves cognitive function, provides exercise and offers an engaging social setting.

    For the caregivers, adult day care offers much needed respite from their caregiving responsibilities. Some centers open as early as 6am, giving caregivers the ability to get to work on time. Late pick-up times significantly reduce stress caused by traffic, work meetings or unexpected emergencies. Adult day care also allows caregivers time to tend to their own personal activities and appointments, reduces stress and provides peace of mind knowing their loved one is in a safe, secure and loving environment.

    A normal day at an adult day care facility may include arts and crafts, music, games, exercise, personal care, social interactions with peers and a lot of fun! It also can include a hot lunch and snacks. Clients are assisted with medications, if needed.

    As long-term care prices increase, adult day care serves as a cost-effective and engaging solution for caregivers. Fees are significantly less than other options, while providing safety, reducing isolation and preventing caregiver burnout.

    HALE HAU‘OLI HAWAI‘I (nonprofit)
    98-1247 Kaahumanu St., Ste. 207, Aiea, HI 96701
    808-798-8706 | halehauolihawaii.org

    Statistics show that most kūpuna want to age in place, in the comfort of their own home. But isolation and inactivity can lead to rapid decline in seniors’ well-being. Adult day care offers socialization, physical/mental stimulation and other benefits. It combats loneliness, improves cognitive function, provides exercise and offers an engaging social setting. For the…

  • Preventive Care for a Healthy Smile

    Taking care of your smile is an important part of maintaining your overall health and quality of life. Regular oral health screenings allow your dentist to examine your mouth for early signs of decay, gum disease, abnormal tooth wear, alignment issues and even oral cancers. Catching these problems early gives you and your dentist time to treat issues before they become serious, saving you from painful and expensive procedures down the road.

    As we age, preventive screenings become even more critical. Regular checkups reduce your risk for cavities, gum disease, receding gums, tooth sensitivity and tooth loss. Maintaining good oral health may also help prevent or manage serious conditions like diabetes and heart disease, which are more common among older adults.

    Many dental benefits plans cover preventive services with little to no out-of-pocket costs, making regular visits more affordable. Professional cleanings remove plaque and tartar that daily brushing and flossing can miss, while routine exams catch small problems, preventing extensive treatment.

    Don’t put off your dental care. Regular exams and cleanings protect your overall health while saving you time, money and discomfort. Schedule your next dentist appointment today to keep your smile healthy for years to come.

    HAWAII DENTAL SERVICE
    Dr. Vihn Tran, Dental Director
    808-529-9213 | vinh.tran@hawaiidentalservice.com
    HawaiiDentalService.com

    Taking care of your smile is an important part of maintaining your overall health and quality of life. Regular oral health screenings allow your dentist to examine your mouth for early signs of decay, gum disease, abnormal tooth wear, alignment issues and even oral cancers. Catching these problems early gives you and your dentist time…

  • Get Help Navigating Cancer Screenings

    Did you know that an estimated 9,420 people in Hawai‘i will hear the words, “You have cancer,” in 2026? And approximately 2,720 residents will not survive their diagnosis, making cancer the second leading cause of death in the State of Hawai‘i.

    Cancer screening and detection not only catches cancer early, it can help save lives. While cancer screening can raise questions about access, transportation and more, the American Cancer Society (ACS) has a wealth of resources for people nationwide, including Hawai‘i.

    Starting a Conversation About Screening

    Listening to your body matters, but screenings detect cancer before symptoms appear and provide the full picture. The Kauhaihao family, three generations of Native Hawaiian women diagnosed with breast cancer, urges, “Cancer screening is important because early detection doesn’t just save lives — it protects families, friends and futures of our lāhui.”

    Talk with your healthcare provider to review family history and lifestyle factors, determine recommended screenings, how often they should be done and where to schedule them.

    Overcoming Barriers to Screening

    Cost, transportation or finding a provider can delay screenings, particularly where access to specialists varies by island. For questions about screening, call the American Cancer Society’s 24/7 Cancer Helpline at 800-227-2345.

    Support During Treatment

    If cancer is diagnosed following a screening, frequent treatment and travel can add challenges. The American Cancer Society’s Hawai‘i Flight Program provides one free flight per year to a patient and their caregiver traveling for active treatment. Call the ACS helpline to arrange flights through Alaska and Hawaiian Air. For patients traveling to O‘ahu for treatment, the Clarence T.C. Ching Hope Lodge Hawai‘i provides a safe, welcoming space for guests to stay free of charge while receiving care.

    Taking the First Step Toward Prevention

    The American Cancer Society works across Hawai‘i and the Pacific to provide information and support for prevention, screening, treatment and recovery. Learn more about cancer prevention, screening, treatment and support at every stage at cancer.org or call the helpline.

    To reach the ACS team in Hawai‘i, contact Executive Director Laura Rodriguez at Laura.Rodriguez@cancer.org.

    AMERICAN CANCER SOCIETY (nonprofit)
    2370 Nu‘uanu Avenue, Honolulu, HI 96817
    24/7 Helpline: 800-227-2345 | 808-595-7544
    HawaiiPacific@cancer.org | cancer.org/hawaii

    Did you know that an estimated 9,420 people in Hawai‘i will hear the words, “You have cancer,” in 2026? And approximately 2,720 residents will not survive their diagnosis, making cancer the second leading cause of death in the State of Hawai‘i. Cancer screening and detection not only catches cancer early, it can help save lives.…

  • Alzheimer’s ‘Mammogram Moment’

    Breakthroughs in early detection, treatments and lifestyle research are changing how we understand and address Alzheimer’s disease, offering new opportunities.

    One of the most promising advances is the development of blood tests that can detect Alzheimer’s disease earlier and more easily than ever before. These new blood tests can identify proteins linked to the disease such as amyloid and tau, potentially allowing doctors to detect the disease much earlier in primary care settings, not only in specialty clinics.

    Early detection is critical because new treatments are most effective when the disease is identified in its earliest stages.

    Therapies designed to target the underlying biology of Alzheimer’s have also come into play. These treatments work by removing or reducing the buildup of amyloid in the brain, one of the hallmarks of the disease.

    While these therapies are not cures, studies show they can slow disease progression by roughly 30% in some patients, marking the first time treatments have been able to meaningfully change the course of Alzheimer’s.

    At the same time, research is demonstrating that prevention and brain health may be more within our control than we first believed. A study led by the Alzheimer’s Association is the largest clinical trial in the US examining how lifestyle changes influence brain health. It found that a comprehensive program combining physical exercise, improved nutrition, cognitive stimulation/brain exercises, social engagement and management of cardiovascular health improved thinking and memory in older adults at risk for cognitive decline. Participants who followed a more structured lifestyle program experienced even greater benefits.

    For communities in Hawai‘i, these advances are particularly important. Our state faces a rapidly aging population and increasing rates of Alzheimer’s and dementia. Efforts such as the HANAI Memory Network bill aim to strengthen coordination among healthcare providers, caregivers and community organizations to ensure people living with or who have concerns with memory loss can access early diagnosis, care and support.

    Hawai‘i is also poised to contribute to the future of Alzheimer’s research. The University of Hawai‘i’s John A. Burns School of Medicine continues to expand opportunities for students. We hope the association’s UH dementia research bill will accelerate funding capacity through the federal government to enable access to clinical studies/trials, allowing local residents to participate in trials that help advance new diagnostics, treatments and prevention strategies.

    Together, these advances in science and care signal a shift from simply reacting to Alzheimer’s disease to detecting it earlier, slowing its progression and potentially preventing it altogether.

    The takeaways from this: This is our “mammogram moment” for Alzheimer’s. Just as early screening transformed outcomes for breast cancer, new diagnostic tools like blood tests could make early detection for Alzheimer’s and other forms of dementia the standard of care.

    If you have concerns for yourself or a loved one, speak to your doctor or call the Alzheimer’s Association 24/7 Helpline at 800-272-3900.

    ALZHEIMER’S ASSOCIATION (nonprofit)
    677 Ala Moana Blvd, Ste 301, Honolulu, HI 96813
    808-591-2771 | alohainfo@alz.org | alz.org/hawaii

    Breakthroughs in early detection, treatments and lifestyle research are changing how we understand and address Alzheimer’s disease, offering new opportunities. One of the most promising advances is the development of blood tests that can detect Alzheimer’s disease earlier and more easily than ever before. These new blood tests can identify proteins linked to the disease…

  • Ask the Doctor: Help for Bladder Issues

    In this ongoing column, Kaiser Permanente doctors answer commonly asked questions.
    Generations Magazine

    As someone who deals with bladder issues all the time, I want to start with one important thing, right away: bladder control problems are nothing to be embarrassed about. Many folks in Hawai‘i experience changes in bladder control as they get older, yet too many delay getting care because they feel uncomfortable bringing it up or assume it’s just something they must accept.

    If bladder leakage is bothering you in any way, that’s reason enough to talk to your doctor — especially if it’s happening regularly, waking you up at night, causing sudden urges you can’t control or making you avoid activities you enjoy.

    Seek care if you have pain, burning, blood in your urine or a sudden change in symptoms — all signal issues that need prompt attention.

    Many of these issues can be handled by your primary care provider, but sometimes they’ll need to refer you to a specialist like me. These conversations are routine for all of us and you’re never the only patient asking.

    Can I prevent issues with bladder control?

    Not every bladder problem can be prevented, but many issues can be improved with a few changes. Gentle pelvic floor exercises, staying physically active and not waiting too long to use the bathroom can make a difference. Constipation is another common factor, as it can put extra pressure on the bladder. It’s also important to review your medications with your doctor once a year, as some prescriptions, over-the-counter medications and supplements can worsen bladder symptoms.

    One myth I hear often is that drinking less water will improve things. Especially in Hawai‘i’s warm climate, that idea can backfire. When you’re dehydrated, urine becomes more concentrated and can irritate the bladder. What helps is steady, balanced hydration throughout the day rather than cutting fluids altogether.

    Do coffee, tea or local foods make bladder problems worse?

    For some people, certain foods and drinks can irritate the bladder — but this varies from person to person.

    Caffeine, including coffee and iced tea, is a common trigger for bladder urgency. Citrus fruits and juices, spicy foods and acidic dishes (adobo, kimchi and tomato-based dishes such as spaghetti and stew) may also affect some people. That doesn’t mean you need to give up the foods you like. The key is paying attention. If you notice symptoms tend to appear after you consume certain foods or drinks, small adjustments might help. Try switching to half-caf or decaf, choosing milder seasonings or enjoying smaller portions.

    Enjoying local food with loved ones is an integral part of living in Hawai‘i. But moderation and awareness often go a long way.

    A final word

    Bladder control problems are not something you must deal with alone. If symptoms are affecting your comfort, sleep or confidence, talk to your doctor. Together we can find ways to support your health and quality of life.

    DR. MICHELLE C. LEACH is a urologist at Kaiser Permanente Moanalua Medical
    Center. She earned her medical degree from Thomas Jefferson University in Philadelphia and completed a general surgery internship and urology residency at the University of California, San Diego, where she served as chief resident. Dr. Leach is passionate about improving quality of life through minimally invasive and innovative urologic care, helping patients restore health, comfort and confidence.

    Kaiser Permanente will cover heart health in the next issue. If you have a medical question for the doctor, email: cynthia@generations808.com.

    As someone who deals with bladder issues all the time, I want to start with one important thing, right away: bladder control problems are nothing to be embarrassed about. Many folks in Hawai‘i experience changes in bladder control as they get older, yet too many delay getting care because they feel uncomfortable bringing it up…