Category: Date

  • Advance Directives Are Limited

    The death of a parent can profoundly affect sibling relationships. Research suggests that a parent’s death removes a central emotional link between siblings, reactivates unresolved childhood rivalries and intensifies longstanding family tensions. Differences in grieving styles, disagreements over final arrangements and the distribution of parental property can further strain relationships. End-of-life healthcare decision-making may become another arena in which these earlier conflicts resurface.

    Although advance directives are intended to clarify a parent’s wishes, they do not always function as expected in real-world medical settings. When a patient is admitted to an ICU and determined to be near death, the instructions contained in an advance directive may not guide care as clearly as families anticipate. In practice, health care professionals often turn to family members and ask them to decide whether life-sustaining treatments should continue or be withdrawn. In addition, these decisions that are typically framed as urgent place families under extraordinary emotional pressure and can intensify sibling conflict. Being asked to make a life-ordeath decision for a loved one frequently results in profound and enduring guilt — an emotional burden that can shape individual grief and alter long-term family relationships.

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

    The death of a parent can profoundly affect sibling relationships. Research suggests that a parent’s death removes a central emotional link between siblings, reactivates unresolved childhood rivalries and intensifies longstanding family tensions. Differences in grieving styles, disagreements over final arrangements and the distribution of parental property can further strain relationships. End-of-life healthcare decision-making may become…

  • Retirement Dreams, Travel Realities

    One of the most rewarding aspects of retirement is the opportunity to reclaim your time and invest it in pursuits that bring joy, fulfillment and personal growth. For many retirees, travel is not just a leisure activity but a long-held aspiration and a central part of their vision for this next chapter of life. If traveling in retirement is on your to-do list, the following considerations can help you evaluate your options and build a strategy that supports your desire to explore the world on your financial terms.

     Be strategic about timing. When it comes to retirement travel, timing matters. Many retirees choose to embark on their most ambitious trips during the early years of retirement, when physical and mental health are often at their peak. These initial years may involve longer or more frequent journeys, which can result in higher travel expenses. If this aligns with your personal goals, consider front-loading your travel budget to accommodate a more active lifestyle early on in retirement. Adjusting your financial plan to reflect this pattern can help you enjoy your adventures while maintaining long-term financial stability.

     Define your travel style and preferences. Understanding your travel preferences is key to estimating costs and planning effectively. Are you envisioning short road trips to nearby destinations, extended RV road trips or regular international travel? Each approach comes with its own financial implications. For example, domestic travel by car may be relatively affordable, while overseas trips can involve higher costs for airfare, lodging and insurance. By clarifying the type and frequency of travel you envision, you can tailor your retirement plan to reflect realistic spending expectations and avoid surprises.

     Look for ways to reduce travel expenses. Travel doesn’t have to break the bank. There are many ways to reduce costs without sacrificing enjoyment. Consider renting a home or apartment if you plan to stay in one location for an extended period, which can be more economical than staying in hotels. Take advantage of your flexibility as a retiree by traveling during off-peak seasons, when prices for flights and accommodations are often lower. With a little research and planning, you can stretch your travel dollars further and make each trip more affordable without sacrificing the experience.

     Review your insurance coverage. Insurance is an often-overlooked aspect of travel planning, but it can be crucial, especially in retirement. Travel insurance can provide peace of mind by covering unexpected events such as illness, trip cancellations or lost luggage. It’s also important to understand the limitations of your health insurance coverage. Medicare, for example, does not provide coverage outside the United States and even domestic travel may require supplemental insurance depending on your provider. Reviewing your insurance needs before you travel ensures you’re adequately protected wherever your journey takes you.

    Retirement is a time to embrace new adventures and travel can be one of the most fulfilling ways to do so. Consider connecting with a financial advisor to create a well-crafted financial strategy that supports your lifestyle and brings your retirement vision to life without compromising your long-term goals.

    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, Hawai‘i. He specializes in fee-based financial planning and asset management strategies and has been in practice for 42 years.

    Certified Financial Planner Board of Standards Center for Financial Planning, Inc. owns and licenses the certification marks CFP®, CERTIFIED FINANCIAL PLANNER ®, and CFP® (with plaque design) in the United States to Certified Financial Planner Board of Standards, Inc., which authorizes individuals who successfully complete the organization’s initial and ongoing certification requirements to use the certification marks.

    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. Ameriprise Financial cannot guarantee future financial results. 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. Securities offered by Ameriprise Financial Services, LLC. Member FINRA and SIPC. ©2026 Ameriprise Financial, Inc. All rights reserved.

    One of the most rewarding aspects of retirement is the opportunity to reclaim your time and invest it in pursuits that bring joy, fulfillment and personal growth. For many retirees, travel is not just a leisure activity but a long-held aspiration and a central part of their vision for this next chapter of life. If…

  • Nourishing Meals and Mele for Shirley

    Shirley’s life has long been guided by music and movement. Raised in Kalihi in a family rooted in hula, she began dancing as a child and later performed across Hawai‘i, the continent and abroad. Recognized as a top Tahitian dancer in the 1950s, she spent decades sharing her artistry while also supporting her family as a nurse aide.

    Now 88, Shirley remains sharp and spirited, though chronic pain and limited mobility make daily tasks such as cooking difficult. Before receiving support from Hawai‘i Meals on Wheels (HMoW), her simple meals did not meet her nutritional needs. Today, home-delivered meals help sustain her independence while ensuring she remains safe and well-nourished at home.

    “I’m so thankful for the meals,” Shirley shared. “I love the beef stew, and they bring milk, pudding and cookies. The meals are a big help for me.” Through HMoW’s new Mele Meals Program, musician/meal delivery drivers brought live music to her doorstep. Shirley danced hula to her favorite, “Hanalei Moon.”

    To learn more about home-delivered meals, contact Hawai‘i Meals on Wheels using the information provided below.

    HAWAI‘I MEALS ON WHEELS (nonprofit)
    PO Box 236099, Honolulu, HI 96823
    808-988-6747 | hmow.org

    Shirley’s life has long been guided by music and movement. Raised in Kalihi in a family rooted in hula, she began dancing as a child and later performed across Hawai‘i, the continent and abroad. Recognized as a top Tahitian dancer in the 1950s, she spent decades sharing her artistry while also supporting her family as…

  • Project Maka‘ala Helps Kūpuna Avoid Fraud

    Hawaiian Community Assets (HCA), a statewide nonprofit dedicated to building economic self-sufficiency and housing stability for low- and moderate-income communities, recently launched Project Maka‘ala (to be alert, vigilant and aware), a culturally grounded community initiative designed to help kūpuna recognize, avoid and respond to financial scams and fraud. The program is rooted in Hawaiian values: When something feels wrong — pause, kāhea (reach out), then decide. Kūpuna are encouraged to kāhea to a trusted person/resource before acting, to enhance clarity, protection and support.

    This spring, kūpuna gathered for a lunch-and learn event, fraud/scam awareness and protection seminar, community resource fairs, a film event and a workshop. Participants learned valuable skills, such as how to recognize, avoid and report potential fraud and scams. Guests shared real world mo‘olelo (stories) about how they identified and avoided fraud.

    Project Maka‘ala works with numerous community partners, including local law enforcement, the Kualoa-He‘eia Ecumenical Youth (KEY) Project and the multi-agency Kūpuna Alert Partners (KAP) program. The program provides free presentations on fraud, scams and prescription drug misuse to communities statewide. Project Maka‘ala also collaborates with Windward O‘ahu communities and Hawaiian Homestead residents.

    To protect yourself and your loved ones from an “under-the-radar” fraud epidemic, refer to the Consumer Financial Protection Bureau’s free “Smart Money for Older Adults” resource guide. If you suspect you may be a victim of fraud, contact the State of Hawai‘i’s Adult Protective and Community Services Branch Statewide Reporting Line: 808-832-5115.

    Help protect yourself by:

    • Identifying a trusted contact
    • Reviewing your accounts regularly
    • Securing personal information
    • Planning for financial, legal or medical decisions

    Stay tuned for future Project Maka‘ala events to
    learn more.

    HAWAIIAN COMMUNITY ASSETS (nonprofit)
    310 Paoakalani Ave., #204e, Honolulu, HI 96815
    808-587-7886 | oahufoc@hawaiiancommunity.net
    hawaiiancommunity.net

    Hawaiian Community Assets (HCA), a statewide nonprofit dedicated to building economic self-sufficiency and housing stability for low- and moderate-income communities, recently launched Project Maka‘ala (to be alert, vigilant and aware), a culturally grounded community initiative designed to help kūpuna recognize, avoid and respond to financial scams and fraud. The program is rooted in Hawaiian values:…

  • Assistive Technology: Help for Caregivers

    Caregiving can be overwhelming. Assistive technology (AT) offers meaningful support by increasing independence for care recipients and reducing the physical and mental strain placed on caregivers.

    AT tools, devices and systems are designed to help individuals maintain or improve functional abilities. These technologies support mobility, communication, cognition, vision, hearing and daily self-care. Seniors may experience physical or cognitive challenges that make everyday tasks increasingly difficult. AT helps bridge these gaps, allowing individuals to remain safer while easing the caregiving burden.

    AT devices include mobility aids (walkers, canes or bed rails), daily living aids (adapted utensils and automatic medication dispensers) and dementia-support tools (fidget blankets, therapeutic pets or smart home controls). These tools reduce the need for constant supervision.

    Caregivers also benefit directly from AT. Scheduling apps help manage appointments, transfer aids protect against injury and doorbell cameras allow caregivers to monitor visitors and deliveries. Together, AT can support well-being, safety and quality of life for families.

    ASSISTIVE TECHNOLOGY RESOURCE CENTERS OF HAWAII (nonprofit)
    200 N. Vineyard Blvd., Ste. 430, Honolulu, HI 96817
    808-532-7110 | info@atrc.org | atrc.org
    ATRC does not sell products, but recommends vendors. Device demonstration and lending programs give individuals and groups the opportunity to make an informed choice about an AT device prior to acquiring one.

    Caregiving can be overwhelming. Assistive technology (AT) offers meaningful support by increasing independence for care recipients and reducing the physical and mental strain placed on caregivers. AT tools, devices and systems are designed to help individuals maintain or improve functional abilities. These technologies support mobility, communication, cognition, vision, hearing and daily self-care. Seniors may experience…

  • Finding Joy in the Final Chapter

    Aging and serious illness are often framed as loss — loss of independence, routine or health. Yet many kūpuna and families discover that this stage of life can also be a time of meaning, connection and even joy.

    Experts describe this as “meaning-making,” a natural process of reflecting on life experiences, relationships and values. Simple conversations, sharing memories, retelling family stories or expressing gratitude can bring a sense of peace and fulfillment. These moments often become some of the most treasured for both individuals and their loved ones.

    Creating a legacy can also be deeply meaningful. This may include writing letters to family members, recording stories, organizing photographs or passing down traditions such as recipes, songs or cultural practices. These acts no bonds across generations.

    Joy in this stage does not need to be grand. It can be found in small, everyday moments like watching the sunset, listening to music, enjoying favorite foods or spending time with ‘ohana. Reconnecting with friends or revisiting meaningful places can also bring comfort and happiness.

    Focusing on what matters most helps shift the experience from one of loss to one of presence. Even in life’s later chapters, there remains space for purpose, connection and moments of joy.

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

    Aging and serious illness are often framed as loss — loss of independence, routine or health. Yet many kūpuna and families discover that this stage of life can also be a time of meaning, connection and even joy. Experts describe this as “meaning-making,” a natural process of reflecting on life experiences, relationships and values. Simple…

  • How to Safely Buy Medicine Online

    Not all online medicine retailers operate with the safety standards consumers expect. Reports shared with Better Business Bureau (BBB) detail how consumers have been impacted by issues such as missing prescriptions, incorrect orders, subscription traps and poor follow-through when problems arise. This is bad for any business, but in the supplement and medication business, the results can be catastrophic.

    A legitimate pharmacy will always require a valid prescription, provide access to a licensed pharmacist, and clearly list its address and contact details. It will also be properly licensed in the states in which it operates (look up online).

    Consumers should also be cautious with supplements. Unlike prescription drugs, supplements are not as regulated. Look for clear labeling and proof of third-party testing, and always ask your doctor before starting a new supplement.

    So be cautious and do your research before buying from a new online pharmacy or supplement store. Check reviews and ratings at BBB.org. Taking a few minutes to research your provider pays big time when your health is on the line!

    BETTER BUSINESS BUREAU GREAT WEST + PACIFIC (nonprofit)
    800-460-0910 | info@thebbb.org | thebbb.org
    Ad or company clarification: bbb.org
    Report a scam: bbb.org/scamtracker
    File a complaint: bbb.org/file-a-complaint

    Not all online medicine retailers operate with the safety standards consumers expect. Reports shared with Better Business Bureau (BBB) detail how consumers have been impacted by issues such as missing prescriptions, incorrect orders, subscription traps and poor follow-through when problems arise. This is bad for any business, but in the supplement and medication business, the…

  • Glaucoma Risk Increases as Our Eyes Age

    It is often referred to as the “silent thief of sight.” Glaucoma is one of the leading causes of irreversible blindness in the US, posing a serious risk to older adults. It’s especially dangerous because it often has no noticeable symptoms in its early stages.

    Glaucoma is a group of eye diseases that damage the optic nerve, often due to increased fluid pressure inside the eye, leading to gradual peripheral vision loss and potential blindness. Common types include open-angle (gradual) and angle-closure (sudden, severe pain).

    Over 4 million Americans have glaucoma. Over 3% of adults over 40 are diagnosed with glaucoma nationally — approximately 2% across Hawai‘i. The best protection against glaucoma-related blindness is routine, comprehensive eye exams that enable eye doctors to detect glaucoma early — before significant vision loss occurs — and begin treatment to help preserve and protect sight.

    The difference between good vision and poor vision is early detection. Vision loss from glaucoma can happen slowly and painlessly, so many people do not realize they have the disease until their eyesight has been permanently affected.

    It is never too early to protect and prioritize your vision. Routine eye exams can help support your eyes as they age — protecting your eyesight, and ensuring a better life for years to come.

    HAWAIIAN EYE CENTER
    1441 Kapiolani Blvd., Honolulu, HI 96814
    808-621-8448 | Hawaiianeye.com

    It is often referred to as the “silent thief of sight.” Glaucoma is one of the leading causes of irreversible blindness in the US, posing a serious risk to older adults. It’s especially dangerous because it often has no noticeable symptoms in its early stages. Glaucoma is a group of eye diseases that damage the…

  • Anatomy of a Prescription Label

    The information printed on prescription medication labels is critical for your safety. The Drug Enforcement Administration mandates that consumers receive sufficient information to be able to independently take their medications and contact their pharmacy/physician if questions or issues arise.

    Reading from top of above label, left to right:

    1) Pharmacy name

    2) Pharmacy address and phone number

    3) The pharmacy gives each prescription an identifier called an “Rx number.” If you call the pharmacy to request a refill or have questions about a specific medication, this number can be used in lieu of difficult-to-pronounce names. Each time your physician sends in a refill request, the Rx number will change.

    4) Your physician’s name (in example: TEST, MD)

    5) Date when the prescription was filled

    6) To the right of the fill date is SN where the “S” stands for safety cap (child-resistant). If there is an “E” in the “S” position, it is an easy-open cap, so it is not child-resistant. The “N” in the SN combination stands for new prescription. An “R” in place of the “N” means it is a refill.

    7) When scanned, the bar code reveals the National Drug Code (NDC) number, which pharmacy staff scan to verify they are dispensing the correct medication/dosage to the correct patient.

    8) Your first and last name (in example: TEST, TEST) appears on the label above the instructions.

    9) Instructions regarding how, when and how much of the medication should be taken

    10) Name of medication

    11) Strength of the medication in the form of a numeral and unit of measurement: e.g.
    milligram, milliliter, etc.

    12) Form of your medication: e.g. tablet, capsule, suppository, ointment, patch, etc.

    13) Quantity of medication you receive

    14) Number of refills you have left: Refills are valid one-year from the initial date you received the prescription.

    15) Expiration date (in sample: use-by date) is on the bottom middle edge in small text

    16) Manufacturing company (in sample: SANDOZ) that made the medication

    17) Note that all prescriptions carry a warning (in sample: “CAUTION federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.”

    18) The warning/precaution area (usually in a colored box) of the label alerts consumers and healthcare providers to serious side effects associated with the medication, even when used correctly.

    Keep in mind that the label may not be a full reflection of all possible side effects. Ask your pharmacy for a medication guide with the complete list of possible side effects.

    Remember, taking medications exactly as prescribed — correct dosage, time and duration — is essential for achieving the intended therapeutic effect, preventing treatment failure and managing chronic conditions.

    Disclaimer: Be aware that there is no nationwide standard for prescription medication labels. The FDA requires the patient’s name and dosage instructions, but other details vary by state. Each state’s board of pharmacy is responsible for what goes on the Rx labels.

    The information printed on prescription medication labels is critical for your safety. The Drug Enforcement Administration mandates that consumers receive sufficient information to be able to independently take their medications and contact their pharmacy/physician if questions or issues arise. Reading from top of above label, left to right: 1) Pharmacy name 2) Pharmacy address and…

  • Protect Your Smile from Periodontitis

    Tender, swollen or bleeding gums could be early signs of periodontitis, a serious form of gum disease that damages the bone and soft tissue supporting your teeth. And it’s more common than you might think! About 42% of US adults over 30 have some form of periodontitis.

    Periodontitis begins when plaque builds up from inadequate brushing and flossing, triggering gum inflammation known as gingivitis. Over time, gingivitis can progress into periodontitis, forming deep pockets between your gums and teeth that destroy supporting tissue and bone and may eventually cause tooth loss.

    If caught too late, surgery may be needed to repair the damage. Knowing your risk factors is key. These include poor oral hygiene, smoking, aging (most cases develop after age 35), diabetes, poor diet, teeth grinding, stress and genetics.

    The good news? Periodontitis is largely preventable! Brush twice a day, floss daily and see your dentist regularly. If you suspect gum disease, schedule a dentist appointment so your dentist can help create a long-term plan to keep your smile healthy. Taking care of your gums today means fewer costly and uncomfortable problems down the road!

    HAWAII DENTAL SERVICE
    Kahala Howser Pimentel, Wellness Manager
    808-529-9391 | Kahala.Pimentel@HawaiiDentalService.com
    HawaiiDentalService.com

    Tender, swollen or bleeding gums could be early signs of periodontitis, a serious form of gum disease that damages the bone and soft tissue supporting your teeth. And it’s more common than you might think! About 42% of US adults over 30 have some form of periodontitis. Periodontitis begins when plaque builds up from inadequate…

  • What Seniors Should Know About Statins

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

    Cholesterol is essential for the functioning of all human organs, but nevertheless, it plays a key role in coronary heart disease. But scientists and the pharmaceutical industry have
    developed statins, an effective class of drugs that lowers cholesterol levels and reduces heart attacks.

    Q: What are statins and why are they so popular with cardiologists?

    Statins are medications that lower unhealthy cholesterol in the blood. As an interventional cardiologist, I treat heart blockages by opening clogged arteries with balloons and stents. But what I would much rather do is prevent those blockages from forming in the first place.

    Most dangerous blockages are made of fat and cholesterol that build up inside the arteries over time. I sometimes explain it like this: Pouring grease down your kitchen drain eventually clogs the pipes. In the same way, excess cholesterol can clog the heart’s arteries. Statins help reduce that buildup and stabilize plaque, lowering the risk of heart attack and stroke.

    I can often see the difference when I’m doing procedures on patients. Those who take statins regularly tend to have healthier-looking arteries. That’s why I strongly recommend this cardiovascular medication when indicated.

    Q: Don’t statins have lots of side effects?

    Statins have been around for more than 35 years and are among the most well-studied medications we use in cardiology. For most people, they are very safe and effective.

    The most common side effect is muscle soreness. If that happens, it does not mean you have to stop treatment altogether. There are several different statins available and we can often adjust the dose or switch to another type that works better for you. The key is to communicate with your doctor so we can find the right option.

    Q: Who should consider taking a statin?

    If your physician suggests that you take a statin medication, it’s because the benefits in
    reducing heart attack and stroke are likely to outweigh the risks.

    At Kaiser Permanente Hawaii, doctors follow evidence-based guidelines when recommending statins for people with high cholesterol, diabetes, a history of heart disease or other risk factors, such as a strong family history of heart problems. Many seniors fall into one or more of these categories.

    The goal is preventing heart injury. If your arteries can stay or become healthy through lifestyle changes and the right medications, hopefully you’ll never need to visit a cardiac catheterization lab.

    Your heart works hard for you every day — give it the love and care it deserves!

    DR. STEPHEN CHAN is an interventional cardiologist and Director of the Cardiac Catheterization Labs at Kaiser Permanente Moanalua Medical Center. The Harvard Medical School graduate is board-certified in cardiovascular disease, interventional cardiology and internal medicine. Dr. Chan has been with Kaiser Permanente Hawaii for more than two decades.

    NOTE: Statins should not be given to individuals who are pregnant, have liver disease or certain muscle disorders or have an allergy to them.

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

    In this ongoing column, Kaiser Permanente doctors will answer commonly asked questions. Cholesterol is essential for the functioning of all human organs, but nevertheless, it plays a key role in coronary heart disease. But scientists and the pharmaceutical industry havedeveloped statins, an effective class of drugs that lowers cholesterol levels and reduces heart attacks. Q:…

  • Planning With Care and Aloha

    Losing someone we love is never easy. Then, families are often asked to quickly make important decisions that may have never been talked about before, adding stress during a time that should be focused on healing and being together.

    Planning ahead and making arrangements in advance gives a loved one’s ‘ohana clear guidance and peace of mind at a crucial time. Planning ahead is an act of aloha, offering comfort, reducing uncertainty and giving families time to focus on honoring a life and supporting one another.

    First taking time to reflect about one’s life, values, milestones and relationships helps shape how that life will be remembered, creating a meaningful foundation for what comes next.

    Planning a ceremony is another important step. Whether it’s a traditional service or a more personal celebration of life, today’s gatherings can reflect culture, personality and the stories that matter most.

    Choosing a place for remembrance is also important. Having a space to visit can bring comfort and connection throughout the grieving process.

    Taking the first step to explore preplanning options today can help families find what feels right, bringing a sense of alignment and peace of mind for them going into the future.

    VALLEY OF THE TEMPLES HAWAII
    47-200 Kahekili Hwy., Kaneohe, HI 96744
    808-239-8811 | jeff.short@vothi.com | Vothi.com

    Losing someone we love is never easy. Then, families are often asked to quickly make important decisions that may have never been talked about before, adding stress during a time that should be focused on healing and being together. Planning ahead and making arrangements in advance gives a loved one’s ‘ohana clear guidance and peace…