Care Options and References for a Healthier Life
15 20 R E MB VE O N
®
“
There is still no cure for the common birthday ” –John Glenn
We are Living Longer, but are we Living Better? Prepare to “Age Well” A life lesson for all ages:
Lend a Helping Hand
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November 2015
CONTENTS
In Every Issue 14
RegionPULSE
18
Regional Support Groups
20 care TALK© Capsules of Healthy Information
Features 4
8 10 12
Regional Blood Drives
26
Community Calendar and Family Events
28
ParentPULSE -Six telltale signs of diabetes in children
Prepare to “Age Well” —HarvardHealth.edu
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22
30
Care for Your Aging Skin
Delicious, Healthy Recipes - Three-bean chili and “Good-for-you” cornbread
How to Choose a Senior Living Community
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Family Fun page
Senior Living Choices Expand in Beaufort County How to Pay for Senior Housing —By Rose Ewing
16
Volunteer a Helping Hand to a Senior
17
Hospice Awareness—A Graceful Exit —by Susan Siegel
19
Mistaken Myths About Suicide —by Judith Treadway, MD
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Three-bean chile and cornbread
Homes for the Holidays Tour —by Elizabeth Dardes
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November 2015
We are Living Longer, but are we Living Better?
Remember . . . It's important to have a twinkle in your wrinkle. ~Author Unknown
According to the World Health Organization (WHO), the number of candles on our cake has never been higher, but we are not any healthier than our parents were at the same age.
positive active living, and quality of life. WHO DirectorGeneral, Dr. Margaret Chan, summarized, "Population aging can be viewed as rich new opportunities for both individuals and societies."
The WHO's report is disappointing considering the number of people living in their 80's and 90's. By age 60, quality of life is often reduced due to loss of hearing, vision, mobility, and serious chronic diseases and ailments, such as heart disease, cancer, and dementia.
Within the report's findings is the realization that for the first time in history, most of us can expect to live into our 60's and beyond. Of course, wellness relies on preventive care, early detection, and fitness, which the world has quite a ways to go, in order to achieve. Diet and increased physical activity are the best precursors for healthy aging. Chronic conditions that afflict many older people can be prevented or managed if detected early.
Consequently, this longevity without good health is financially crippling nations, and the WHO is demanding a call for action. In the U.S., 22 percent of medical costs are incurred during the last year or two of life. The WHO proposes world leaders to change the view of aging, suggesting the elimination of age-based stereotypes, discrimination, and preconceived notions associated with the word "elderly." The WHO would like a new concept of "healthy aging" adapted with the focus on
The World Health Organization hopes to change the world's view of aging into a scope of possibilities and opportunities. New ventures, volunteerism, even the pursuit of new careers part-time could be passions after retirement. This new view of aging is the World Health Organization's wish for us all. —Elizabeth Dardes
PruittHealth Hospice and Home Health are honored to serve the United States Marine Corps. We have been serving the Lowcountry for 11 years. PruittHealth Hospice cares for patients and their loved ones through a uniquely specialized team who work to control pain and other symptoms, as well as provide emotional and spiritual support. Our team includes Physicians, RN’s, Medical Social Workers, Chaplain, Bereavement Counselor, CNA’s and Volunteers.
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November 2015
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care magazine
®
Options and References for Healthier Living
6 Ways You Can Prepare to “Age Well”
NOVEMBER 2015 Publisher and Editor:
Karen Mozzo
Associate Editors:
Elizabeth Dardes Rose Ewing
Distribution Manager:
John Lucas
Website Manager:
CyberZoo Ltd.
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care magazine® is published by The Catalyst Media Group, Inc., P.O. Box 1513, Beaufort, SC 29901, and is distributed monthly to doctors’ waiting rooms, dentists’ offices, diagnostic centers, hospitals, optical centers, outpatient facilities, pharmacies, grocery stores, health food stores, physiotherapy centers, exercise and weight loss centers, assisted living facilities and other related healthbased businesses throughout the SC and GA Coastal/Lowcountry. Advertisers appearing within this issue have committed to support the distribution of this public service magazine. Please support them. Email all community or health events, support group or professional information you wish to have included in our publication. Inclusion is at Publisher’s discretion. Closing for each issue is 20 days before scheduled distribution.
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No matter how old you are now, aging will happen to us all. You can do it right . . . or not. You're probably already doing a lot to ensure that you stay in good health and are able to enjoy your later years: eating right, exercising, getting checkups and screenings as recommended by your doctor. But it also makes sense to have some contingency plans for the bumps in the road that might occur. These are important ones: 1. Adapt your home. Stairs, baths, and kitchens can present hazards for older people. Even if you don't need to make changes now, do an annual safety review so you can make necessary updates if your needs change. 2. Prevent falls. Falls are a big deal for older people—they often result in fractures that can lead to disability, further health problems, or even death. Safety precautions are important, but so are exercises that can improve balance and strength. 3. Consider your housing options. You might consider investigating naturally occurring retirement communities (NORCs). These neighborhoods and housing complexes aren't developed specifically to serve seniors—and, in fact, tend to host a mix of ages—but because they have plenty of coordinated care and support available, they are senior-friendly. 4. Think ahead about how to get the help you may need. Meal preparation, transportation, home repair, housecleaning, and help with financial tasks such as paying bills might be hired out if you can afford it, or shared among friends and family. Elder services offered in your community might be another option. 5. Plan for emergencies. Who would you call in an emergency? Is there someone who can check in on you regularly? What would you do if you fell and couldn't reach the phone? Keep emergency numbers near each phone or on speed dial. Carry a cellphone (preferably with large buttons and a bright screen), or consider investing in some type of personal alarm system. 6. Write advance care directives. Advance care directives, such as a living will, durable power of attorney for health care, or health care proxy, allow you to explain the type of medical care you want if you're too sick, confused, or injured to voice your wishes. Every adult should have these documents.
care
magazine® is intended as a reference and options source only, not as a guide to self-treatment. Information contained within is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You, the reader, assume full responsibility for how you choose to use this information. Guest columns or advertisements do not necessarily reflect the views or opinions of care magazine , its publisher or editors. ®
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To learn more ways to enjoy independence and good health in your senior years, buy “A Plan for Successful Aging”, a Special Health Report from Harvard Medical School. Go to http://www.health.harvard.edu, or call toll-free1-877-649-9457. www.caremagazine.com
November 2015
♥
Learn your heart age
Your heart may be older than you are—and that’s not good. According to a new CDC Vital Signs report, three out of four U.S. adults have a predicted heart age that is older than their actual age. This means they are at higher risk for heart attacks and stroke.
The heart age concept was created to more effectively communicate a person’s risk of dying from heart attack or stroke—and to show what can be done to lower that risk. Despite the serious national problem of higher heart age, the report’s findings can be used on both an individual and population level to boost heart health, particularly among groups that are most at risk of poor cardiovascular outcomes. Healthcare providers can use cardiovascular risk assessment calculators to make informed treatment decisions and work with patients on healthy habits.
Did You Know . . . Blood has a long road to travel. Laid end to end, there are about 60,000 miles of blood vessels in the human body. And, the hard-working heart pumps about 2,000 gallons of blood through those vessels every day.
attacks or strokes,” said Barbara A. Bowman, Ph.D., director of CDC’s Division for Heart Disease and Stroke Prevention. “About three in four heart attacks and strokes are due to risk factors that increase heart age, so it’s important to continue focusing on efforts to improve heart health and increase access to early and affordable detection and treatment resources nationwide.”
U.S. adults can learn their own heart age and how to improve it. This could include quitting smoking or lowering blood pressure through eating a healthier diet, taking appropriate medication, or exercising more. State and local health departments can help by promoting healthier living spaces, such as tobaccofree areas, more access to healthy food options, and safe walking paths.
For more information, visit http://www.cdc.gov/heart disease and http://www.cdc.gov/stroke.
“Because so many U.S. adults don’t understand their cardiovascular disease risk, they are missing out on early opportunities to prevent future heart
Visit millionhearts.hhs.govhttp://www.cdc.gov/ to learn about Million Hearts, a national initiative to prevent 1 million heart attacks and strokes by 2017.
Three Crowns. Two Missing Teeth and nobody knows but her.
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Skin Care And Aging Your skin changes with age. It becomes thinner; loses fat, and no longer looks as plump and smooth as it once did. Your veins and bones can be seen more easily. Scratches, cuts, or bumps can take longer to heal. Years of sun tanning or being out in the sunlight for a long time may lead to wrinkles, dryness, age spots, and even cancer. But there are things you can do to protect your skin and to make it feel and look better.
Dry Skin and Itching Many older people suffer from dry skin, often on their lower legs, elbows, and lower arms. Dry skin feels rough and scaly. There are many possible reasons for dry skin, such as: • Not drinking enough liquids • Staying out in the sun • Being in very dry air • Smoking • Feeling stress • Losing sweat and oil glands (common with age) Dry skin also can be caused by health problems, such as diabetes or kidney disease. Using too much soap, antiperspirant, or perfume and taking hot baths will make dry skin worse. Because older people have thinner skin, scratching can cause bleeding that may lead to infection. Some medicines make the skin itchier. If your skin is very dry and itchy, see your doctor. Moisturizers like lotions, creams, or ointments can soothe dry, itchy skin. They should be used every day. Try taking fewer baths and using milder soap to help your dry skin. Warm water is less drying than hot water. Don’t add bath oil to your water—it will make the tub too slippery. Some people find that a humidifier (an appliance that adds moisture to a room) helps.
Bruises Older people may bruise more easily than younger people. And, it can take longer for the bruises to heal. 6
Some medicines or illnesses may cause bruising. If you see bruises and you don’t know how you got them, especially on parts of your body usually covered by clothing, see your doctor.
Wrinkles Over time, skin begins to wrinkle. Things in the environment, like ultraviolet (UV) light from the sun, make the skin less elastic. Gravity can cause skin to sag and wrinkle. Certain habits also can wrinkle your skin. Some of these habits are easier to change than others. You may not be able to change your facial expressions, but you can quit smoking. A lot of claims are made about how to make wrinkles go away. Not all of them work. Some can be painful or even dangerous, and many must be done by a doctor. Talk with a doctor specially trained in skin problems (a dermatologist) or your regular doctor if you are worried about wrinkles.
Age Spots and Skin Tags Age spots, once called “liver spots,” are flat, brown spots often caused by years in the sun. They are bigger than freckles, and many times show up on areas like the face, hands, arms, back, and feet. Age spots are harmless, but if they bother you, talk to a dermatologist about removing them. Also, a sunscreen or sunblock may prevent more sun damage.
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November 2015
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Skin tags are small, usually flesh-colored growths of skin that have a raised surface. They are a common occurrence as people age, especially for women. They are most often found on the eyelids, neck, and body folds such as the arm pit, chest, and groin. Skin tags are harmless, but they can become irritated. A doctor can remove them if they bother you.
cancer is melanoma. It is rarer than the other types, but can spread to other organs and be deadly.
Skin Cancer
Your skin may change with age. But remember, there are things you can do to help. Check your skin often. If you find any changes that worry you, see your doctor.
Skin cancer is the most common type of cancer in the United States. The main cause of skin cancer is the sun. Sunlamps and tanning booths can also cause skin cancer. Anyone can get cancer, but people with fair skin that freckles easily are at greatest risk. Skin cancer may be cured if it is found before it spreads to other parts of the body.
Check your skin once a month for things that may be cancer. Skin cancer is rarely painful. Look for changes such as a new growth, a sore that doesn’t heal, or a bleeding mole. Also, check moles, birthmarks, or other parts of the skin.
For additional information, here are some helpful resources:
There are three types of skin cancers. Two types, basal cell carcinoma and squamous cell carcinoma, grow slowly and rarely spread to other parts of the body. These types of cancer are found mostly on parts of the skin exposed to the sun, your the head, face, neck, hands, and arms—but can happen anywhere on your body. The third and most dangerous type of skin
National Institute on Aging 1-800-222-2225 (toll-free) www.nia.nih.gov Visit NlH Senior Health (www.nihseniorhealth.gov), a senior friendly website with health information for older adults. American Academy of Dermatology 1-866-503-7546 (toll-free) www.aad.org
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November 2015
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What should you look for when choosing a senior living community for your loved one? —By Rose Ewing
Recommendations: Online reviews can be faked, but your friends, family and business colleagues’ opinions cannot. Ask around. Chances are, someone you know will have had an aging loved who needed senior living services. What was their experience? What made it good or bad? Communication: Are you able to get a hold of and communicate with key staff members, such as the Executive Director, or Registered Nurse who will be overseeing your loved one’s care? Activities: Are the residents engaged in activities? Are they active? Are they smiling? Are they happy? Does it look as if their needs are being met? Experienced and Trained Staff: What kind of training do caregivers go through before they begin caring for your loved one? What degrees, credentials and qualifications do the staff have? Longevity: How long have key staff members been in their roles? If everyone is newly hired, find out why.
If their condition declined and hospice was recommended, does the senior citizen have a choice of hospices? Or is the community contracted with one or two? Use your five senses: The best tool you can use to find the right senior living community for you or a loved one, is yourself. Set up appointments to tour the communities in the geographic area you want your senior loved one to be in. Observe how the building is maintained. Observe how the residents’ needs are being met. Are there trip hazards in residents’ apartments? Do you smell unpleasant odors? Listen to what is going on in the community. Taste the food. If something doesn’t look or smell right, it usually isn’t. Legwork: Following your pre-planned tours, narrow down your search to two or three communities, then show up unannounced. Do you still see the same things that attracted you to the community in the first place? Are you able to speak to a manager? If not, you may need to cross that community off your list.
Choice: Can your loved one see his/her own doctor? Can they choose their health care professionals overall? 8
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November 2015
Seniors Have a Wide Variety – Often a Confusing Maze – of Senior Housing Options To Choose From in Beaufort County —By Rose Ewing
The complicated myriad of senior citizen housing options in Beaufort County and the surrounding area could make anyone’s head swirl. But by becoming educated on what is available prior to a senior’s health decline, the senior and his/her family will have a more successful transition to the new living arrangements. When beginning to look at senior living options, the first task at hand is to figure out all of the terminology. What does Independent Living mean? What are ADLs? What does Assisted Living mean? What is Memory Care? If you have several illnesses and diagnoses, can you just check yourself into a Skilled Nursing Facility?
Independent Living community (IL) When speaking about Independent Living, it would be easy to assume it means living independently in one’s own home. But on the contrary, Independent Living in the senior housing industry is defined as housing November 2015
designed for senior citizens where everyone lives independently, in private or semi-private apartments, under one roof. Apartments can be private or shared with a spouse or roommate. Typically, housekeeping and laundry services are included in the monthly rent, yet the residents dine communally restaurant-style for two, sometimes three meals per day. Some Independent Living communities offer emergency call systems where the residing senior citizen can “call” for help if they need it. Since the population of residents is more independent, on-site activities and transportation to doctors’ appointments and shopping are very important. Typically, apartment amenities such as full kitchens are included in Independent Living communities. It is important to keep in mind that Independent Living communities do not offer help with the Activities of Daily Living (ADLs) such as medication management, bathing, dressing, grooming and going to
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the bathroom safely. As a senior citizen ages and becomes less independent, he or she may have the option to select services from an outside Home Care Services agency, which could help the senior with Activities of Daily Living while they maintain their Independent Living senior apartment. But these services come with fees and as the senior citizen continues to age and becomes less independent, the needs and fees increase, and the Independent Living community becomes more costly and less ideal.
Assisted Living Community (AL) Assisted Living was created for seniors who need help with personal care and mobility, yet do not require around the clock 24/7 medical care and oversight as they would receive in a Skilled Nursing Facility. Apartments can be private or shared with a spouse or roommate. An emergency call system is in place in all the apartments so the resident may call for assistance. Sometimes, entrances and exits are secured. A lively activities program is an important part of any Assisted Living community, since residents are often not as mobile and it can be difficult to go out with family and friends. All residents are provided three meals per day and dine communally in a shared dining room. Some residents could have moderate dementia or other memory issues. Other residents could have problems with mobility, incontinence or diabetes management. Regardless of the issue, if your loved one requires oversight and help with ADLs, an assisted living community may be an option worth exploring. While regulations vary from state to state, residents are typically monitored at least monthly to insure there are no dramatic changes to their weight, blood pressure or other vital signs. Often, visiting physicians and physical therapists specializing in geriatrics give those living in an Assisted Living community the ability to see a medical professional in the comfort of their own apartment. The biggest difference between Independent Living and Assisted Living is the staff of an Assisted Living community is trained to help residents with Activities of Daily Living such as mobility, dressing, grooming, bathing, incontinence care and medication management. If mom or dad needs help getting to the dining room, or needs help taking their medications as directed by a doctor, then Assisted Living is probably the right fit for them. In South Carolina, nurses and certified nursing assistants are not required by law to be employed by an Assisted Living community. But when comparing communities for your loved one, it is wise to ask if licensed professionals are employed by the community. Highly trained, skilled professionals will make a difference in the quality of care your loved one receives. 10
Memory Care Community (MC) A Memory Care community is a residence specifically designed for those with advanced dementia and/or Alzheimer’s Disease. Typically, they are built in conjunction with an Independent Living community or Assisted Living community. Activities are designed to be simple, familiar and bring comfort to those suffering from memory issues. A Memory Care community usually offers both private and semi-private apartments. Very often, a Memory Care community is a designated wing or floor of an already existing Assisted Living community and has secured entrances/exits.
Skilled Nursing Facility (SNF) Skilled Nursing Facilities, which are often referred to as “nursing homes” or “SNFs” are the highest level of care available to senior citizens outside of a hospital. They always require a referral from a medical doctor following a hospital stay. A licensed medical doctor supervises each patient’s care and a licensed nurse or other medical professional is always present to assist with a patient’s needs. Medicare and/or Medicaid will often pick up the cost for the initial 21-day or 90-day stay, depending on the patient’s unique health concerns. Rooms can be private or shared. Activities are offered. But, the question becomes, who envisions living out their golden years in a hospital-like setting such as a SNF?
Continuing Care Retirement Community (CCRC) A CCRC offers Independent Living, Assisted Living and Skilled-Nursing accommodations for its residents. They are ideal for residents who want to “age in place.” There are several different types of CCRCs with varying financial guidelines, so it is best to do some homework prior to visiting these types of senior housing communities.
On the horizon In Beaufort County: A new, state-of-the-art 135-unit combined Independent Living/Assisted Living/Memory Care community is being developed by local real estate developers The Millennium Group and Big Rock Partners, which recently contracted with Disney in Celebration, Florida, to develop a similar community there. The project is slated to begin construction the first part of 2016 and will commence occupancy summer 2017. For pre-leasing information, email millennium@islc.net.
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The Meridian Company, LLC has applied to the Beaufort County Planning Commission to build a 3-story assisted living and memory care community on a 2-acre piece of land located in Hamilton Village on Lady’s Island, near the Upper Crust and Fuji. Additionally, a new skilled nursing facility is being developed in Port Royal across from the entrance to the YMCA.
The following is an alphabetical list of senior housing communities in Beaufort County: Bayview Manor (SNF). The oldest skilled nursing community in Beaufort County. Located at 11 Todd Drive, Beaufort, SC 29902. Call (843) 524-8911. Brookdale Hilton Head (IL & AL). The only community on Hilton Head that offers a combination of Independent Living and Assisted Living. Located at 15 Main Street, Hilton Head, SC 29926. Call (843) 284-3784. Brookdale Hilton Head Village (AL). The building was especially designed to be easily navigable. Located at 80 Main Street, Hilton Head, SC 29926. Call (843) 284-3782. Brookdale Hilton Head Court (MC). This is Beaufort County’s only free-standing Alzheimer’s/ Dementia Community with a secure entrance and three secured courtyards. Located at 48 Main Street, Hilton Head, SC 29926. Call (843) 284-3783. —continued on page 13
November 2015
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How to Pay for Senior Housing SAVINGS: Saving money is a process that needs to take place over a long period of time. Start working with a trusted financial advisor early on. Get recommendations from close friends and family on selecting the right financial advisor for you.
LONG TERM CARE INSURANCE: Long term care insurance needs to be purchased prior to any major health problems and preferably before age 55. It is suggested that an individual deal with a broker, who can shop several different LTC insurance companies, to get you the best rate. If you go with an insurance agent representing one company, you are locking yourself into one company, which may not provide you the best value. Keep in mind most policies have a lifetime maximum and a daily maximum in which they will pay. Look into getting an inflation clause in your policy, because inflation will surely happen between now and the
time you need to begin using your policy.
VETERANS BENEFITS: Veterans, age 65 years and older, who served during war time, and their surviving spouses, may be eligible for a monthly tax-free benefit awarded by the Department of Veterans Affairs called the Veterans Aid & Attendance pension. This Veterans Aid & Attendance benefit was designed to provide financial assistance for war era veterans and their surviving spouses to help supplement the cost of living in an assisted living community. It is highly recommended to apply for this Veterans’ pension benefit at the local Beaufort County Veterans’ Affairs office rather than a third party. The following documents will need to be collected before applying: Power of Attorney document for your loved one if he/she is not going with you; the veteran’s discharge paper from the military (form DD214); proof of monthly income & bank and savings statements; if applying for benefits for
the veteran’s spouse, a copy of the couple’s marriage certificate and the veteran’s death certificate (if deceased) will be needed. The local Beaufort County Veterans office is located at 1905 Duke Street in Beaufort. Call (843) 255-6880 to make an appointment.
MEDICAID: Medicaid, or federally funded Medical Assistance, is a program for older adults who need medical care and have limited funds. Individuals must qualify medically and financially for Medicaid to pay for Skilled Nursing Facility services. Medicaid will pay only for skilled nursing care provided in a facility certified by the government to service Medicaid recipients. Not all Nursing Homes accept Medicaid payments. There is no limit to the amount of time that Medicaid will pay for skilled nursing care. Very few Assisted Living communities in South Carolina accept Medicaid and no Independent living communities accept it.
information compiled by Rose Ewing 12
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November 2015
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Regional Assisted and Independent Living Communities —continued from page 11
Helena Place Senior Living (AL). Managed by Enlivant, the community has 40 apartments, a Registered Nurse and vibrant activities program. Located at 1624 Paris Ave., Port Royal, SC 29935. Call (843) 473-0900. Indigo Pines on Hilton Head (IL), located at 110 Gardner Drive, Hilton Head, SC 29926, is managed by Holiday Retirement. It offers apartment style homes in addition to individual villas. Call (843) 968-0209. Life Care Center of Hilton Head (SNF), located at 120 Lamotte Dr., Hilton Head, SC 29906. Call (843) 681-6006. Morningside of Beaufort (AL), is managed by Five Star Quality Care. Located at 109 Salem Road, Beaufort, SC 29902. Call (843) 982-0220. N.H.C. of Bluffton (SNF & AL), located in Bluffton near the rear entrance to Sun City. The property is best known for its skilled nursing. It is currently in the process of adding on an Assisted Living wing. Located at 3039 Okatie Highway, Okatie, SC 29909. Call (843) 705-8220. November 2015
River Oaks Assisted Living (AL), located at 1251 Lady’s Island Dr., Port Royal, SC 29935. Recently changed management. Call (843) 521-2298. The Seabrook of Hilton Head (CCRC), located at 300 Woodhaven Drive, Hilton Head, SC 29928. Call (843) 842-3747. Summit Place of Beaufort (AL & MC) Managed by Five Star Quality Care. Located at 1119 Pickpocket Plantation Dr., Beaufort, SC 29902. Call (843) 770-0105. Tidepoint of Hilton Head (CCRC), managed by Vi Living, located at 700 TidePointe Way, Hilton Head, SC 29928. Call 888-481-0871. Veterans Victory House in Walterboro (SNF) A 220-bed skilled nursing facility specifically for veterans with an honorable or general discharge from service, who have been a resident of South Carolina for at least one year and are in need of longterm nursing care. Located at 2461 Sidneys Rd., Walterboro, SC 29488. Call (843) 538-3000.
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RegionPulse
healthy news + community happenings
Students can now sign up to host winter Red Cross blood drives and become eligible for scholarships Youth blood drive coordinators needed Dec. 15 through Jan. 15 This winter high school and college students can help save lives and be eligible to win a scholarship of up to $2,500 by hosting an American Red Cross blood drive. Registration is now open through Nov. 15 to host drives between Dec. 15, 2015, and Jan. 15, 2016. The Leaders Save Lives program encourages communityminded high school and college students to host blood drives to help maintain the blood supply around the winter holidays. Blood donations made at high school, university and college blood drives account for as much as 20 percent of blood donations through the Red Cross. Around the winter holidays, when school is not in session, blood donations often decline. Students who host a drive can be eligible to win a scholarship up to $2,500 for higher education and earn a gift card. A total of six scholarships will be awarded to students who host a blood drive collecting 25 blood donations or more. All students who collect at least 25 pints at their blood drive will receive a gift card to giftcertificates.com. For more information and to register to host a Leaders Save Lives blood drive, visit redcrossblood.org/leaderssavelives.
New “Pet Peace of Mind” Hospice Program Keeps Pets and Families Together During Hospice Care Friends of Caroline Hospice’s (FoCH) new program, Pet Peace of Mind, recognizes and actively supports the unique bond between hospice patients and their pets. The program’s mission aligns with FoCH hospice services that offer hope, encouragement and care to those who live with a life threatening illness, as well as support for their families, friends and for the community. Pet Peace of Mind allows patients to complete their end of life journey without worrying about their pet’s current or future needs. The initiative provides volunteer pet care services for patients who are unable to care for their pets while on hospice. Services include: financial assistance with routine veterinary care, pet food and supplies, transporting the pet to veterinary appointments, pet boarding and walking, and finding a forever home if a family is not able to keep the pet following a patient’s death. For more information about the Pet Peace of Mind program or to make a donation online, visit www.friendsofcarolinehospice.org or call 843-525-6257.
VOLUNTEERS Needed Born To Read Seeking Volunteers The Born to Read program visits new mothers at Beaufort
Beaufort Jasper Hampton Comprehensive Health Services (BJHCHS) Wins National Award for Care Innovation BJHCHS honored by BD, Direct Relief and the National Association of Community Health Centers (NACHC) with an Innovations in Care Award at NACHC’s Community Health Institute and EXPO. Part of the BD Helping Build Healthy Communities™ initiative, this $100,000 award acknowledges community health centers for innovative approaches to the prevention and treatment of diseases that disproportionately affect vulnerable populations. BJHCHS was awarded by BD to provide Centers for Disease Control (CDC) evidenced based National Diabetes Prevention Classes (NDPP) and Diabetes Self Managemant Education (DSME). In additioin to NDPP classes, BJHCHS will also offer Diabetes Self-Management Classes that will target patients who are already have diabetes. BJHCHS has been an accredited program since August 1, 2014 by the American Association of Diabetes Educators. Referrals are accepted for both programs at this time. A total of seven community health centers out of 35 applications were recognized this year with an Innovation in Care Award for programs that address diabetes prevention and management. Decisions on innovation award winners are guided by a panel of reviewers with expertise in clinical and community healthcare in each of the three disease areas. Contact V. Muehleman for more information: 843-987-7415.
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Memorial Hospital, Coastal Carolina Hospital, and Hilton Head Island Hospital, and volunteers are needed to assist with the visits. Volunteers would visit the new mothers, deliver a resource bag that contains a Born To Read bib and t-shirt, books, and other resource materials a new parent may need. The Born To Read program encourages reading to children daily from birth. Applications are available at www.borntoread.org. For more information, please call 843-379-3350 or e-mail borntoread@hargray.com.
Beaufort Branch Library Seeking Technology Help Volunteers The Beaufort Branch Library of the Beaufort County Library System is seeking volunteers to assist the public with one-on-one computer assistance. Volunteers would assist customers in using the public computers, as well as assisting customers with iPads, laptops, or smartphones. Those with an interest or expertise in resume/job assistance are encouraged to apply as well. Individuals who are proficient in technology and enjoy helping others should contact Stacey Inman, 843-255-6458, sinman@bcgov.net. Applicants ages 18 and older must complete and submit a Library Volunteer Application and Consent to Conduct a Background Investigation form, available at http://www.beaufortcountylibrary.org/content/volunteering your-library.
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November 2015
RegionPulse
—continued
Dementia and Alzheimer’s Awareness My name is Ann, and I have Alzheimer’s disease.
Alzheimer’s Family Services of Greater Beaufort understands. Through this group, we have
My grandmother was diagnosed with the disease when she was in her eighties. I was her caregiver. I ached over the dazed look in her eyes, the confusion she felt, and the fact that she could no longer read a book or follow a television program. I cried when I asked her who the president was and she answered with, “That young man from Texas.” I said, “Oh wonderful, you know who George Bush is!” She looked at me, confused and said, “Who? That’s not Ladybird’s husband!” Lyndon Johnson, she was living in 1963 while the rest of us were in 2004. And, that was one of her good days. I cried over the many events in our family that had happened since 1963 that she no longer remembered.
come to know each other and care for each other and help calm each other’s fears a bit. But mostly we make each other know that we are not alone in this journey because we have each other to lean on. We are able to share our challenges and how we meet them, our treatments, and our fears for not only ourselves but for our family members who will become our caregivers.
Yes, I thought I knew all about Alzheimer’s disease, a disease that only old people get. So you can imagine my shock when last year, at the age of 56, I was diagnosed with Alzheimer’s disease, the old people’s disease. But I’m only 56. How can this be? So I did some research. People as young as 19 have the same diagnosis. I was shocked to learn that this is not just an old person’s disease, this is everyone’s disease.
This is a journey that should not be taken alone. We know that no man is an island and that no man stands alone. Each and every one of us need help and support. If you too find yourself on this journey, please join us.
Alzheimer's Family Services of Greater Beaufort (843) 521-9190 http://www.afsgb.org 2266 Boundary Street - Room 209, Beaufort, SC 29902 See our support groups & services on page 18
After my diagnosis, people treated me differently; some treated me as useless, damaged, not able to perform, careless. My family, who at first were in denial, have accepted the facts, but they are dealing with their own concerns and fears about the diagnosis. They cannot talk to me about being 56 years old and having this disease. They cannot know how I feel or what my fears are. I found this support group for the unknowns, the people who shouldn’t have Alzheimer’s disease but do—the people who, with just a few accommodations are still functioning but are not quite sure what will happen to us five years down the road—those of us who are scared. November 2015
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Ways to
Lend a Helping Hand to Seniors Men and women looking to give back to their communities can do so in various ways. Some might coach youth sports teams, while others might organize food and clothing drives for the less fortunate. Giving back to seniors in your town or city is another way to strengthen your community. Many seniors maintain their independence long past retirement age, but some may need a helping hand as they get older. The following are a handful of ways you can improve the quality of life of seniors in your community.
around a senior’s house won’t take long, but such gestures can have a big impact on seniors’ lives.
• Invite seniors over for lunch or dinner. Many
seniors suffer from feelings of isolation, which can contribute to depression. Families are now more geographically diverse, and a senior’s children and • Deliver meals. Seniors who are confined to their grandchildren may not live nearby. In such cases, it’s easy homes typically need to have their meals delivered to for seniors to grow lonely and feel isolated from their them. Men and women looking to help seniors can communities. Inviting seniors over for a weekly meal or volunteer to work with their local Meals on Wheels to backyard social gatherings can help them maintain a program. Meals on Wheels boasts a national network connection to their communities and reduce their feelings of more than 5,000 independently run programs, and of isolation. Extending such invitations also provides a these programs rely on great way for parents to more than two million instill in their children a Inviting elderly relatives or neighbors over to dinner volunteers to deliver respect for and apand social gatherings is a great way to make them preciation of the elderly. nutritious meals to feel like valued members of your community. seniors with limited mobility. The need for volunteers to help seniors with this service is constant. • Arrange transportation for seniors who no Contact the Hilton Head/Bluffton group at 843-689-8334; longer drive. Many seniors stop driving when they realize The Jasper County Council on Aging: 843-726-5601 and their skills behind the wheel have diminished. But even the Hampton County Council on Aging: 803-943-7555, though they may relinquish their drivers’ licenses, also provide home-delivered meals. seniors still need to keep their doctor’s appointments and get out of the house. Speak with your neighbors • Help around the house. The work required to who also want to help seniors to arrange transportation. maintain a home is considerable no matter a person’s Explain to seniors’ physicians when you or your age, but that task is even more difficult for seniors. Even neighbors are most available to get seniors to their the healthiest seniors may not have the mobility or appointments. In addition, offer to drive seniors to physical strength required to keep up with household the grocery store when making your own shopping trips. chores. Offering to help a senior maintain his or her home is a great way to improve their quality of life. Visit Many seniors made valuable contributions to the an elderly relative or neighbor and offer to mow their communities they call home. You, your family and lawn, take out their garbage or perform another task friends, can give back by helping seniors overcome the they might find challenging. Performing a few chores demands of aging. 16
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November 2015
November is Hospice Awareness Month
A Graceful Exit
Hospice may not seem like a topic or service worthy of an “awareness month”, but it is here, November is National Hospice Month… Let’s figure out why. If you have ever had a loved one die on hospice services, you know how important and wonderful the gift of hospice is. Sadly, you and your family are NOT in the majority. Most people in South Carolina with terminal prognoses are NOT utilizing the hospice benefit that Medicare and Medicaid offer. Medicare, as well as other insurance providers, has recognized the benefits hospice care has for patients and caregivers, as well as hospitals and health care providers. Hospice is designed for patients with a terminal prognosis. This care is provided wherever you live, by a team of registered nurses, nursing assistants, social workers, chaplains, bereavement coordinators, and volunteers, all overseen by a physician who is the medical director. The hospice benefit also covers medication, medical equipment, and supplies needed. The goal of the hospice team is to manage symptoms and promote the quality of life, while keeping patients comfortable and surrounded by those they love.
I began working for Agape Hospice over a year ago, soon after a hospice experience within my own family. What I have learned and experienced since then with the many families we have served is that my own family really missed out on all that hospice can offer. Our hospice services were provided the last day of life…when they were actually needed much sooner. Hospice is NOT what it once was. It is not just for the last week of life, or last few days. It provides the support and care that patients and families need when they are dealing with terminal illness. Utilizing hospice earlier can decrease hospitalizations, minimize stress and anxieties, and promote living life. Who doesn’t want to make a graceful exit? That’s what I explain to people when they make that sad compassionate face when I tell them I work for a hospice provider. Doctors, families, and patients do not create situations faced at end-of life, but WE can step-in and help…help to create a graceful exit. If you think you or a loved one may benefit from this service, speak to your physician, nurse, neighbor…anyone can make a referral for hospice. —By Susie Siegel, Agapé Hospice
South Carolina’s largest hospice is proud to call the Lowcountry home! Let Agapé Hospice, along with the expertise and resources of Agapé Senior, help you and your family during your greatest time of need.
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Regional Support Groups To have your free listing included in this column, email info to editor@caremagazine.com. The information updated at the time of printing. Please check with individual organizations or groups for updated times, dates and locations. You must dial AREA CODE 843, unless otherwise noted. AIDS • HIV-AIDS Support: Free, confidential HIV testing and counseling; Access Network Group and personal support: www.theaccess-network.org/ Beaufort/Jasper Counties: 379-5600; Hampton/Colleton Counties: 803-943-0554 ALZHEIMER’S + DEMENTIA • Alzheimer’s + Dementia Caregivers support: HHI/BLUF: Every Wed., 10:15–11:45 a.m. for caregivers of someone with Dementia; Men’s Support Group, 1st + 3rd Mon. each month, 10:15–11:45 a.m. and Women’s Support Group, 2nd + 4th Mon. each month, 10:15–11:45 a.m. at Memory Matters,117 Wm. Hilton Pkwy., 843-842-6688. Call 842-6688,or www.memory-matters.org. • Alzheimer’s Family Services of Greater Beaufort Caregivers Support Group: Every Wednesday 12:30 - 1:30, Helena Place Assisted Living, Port Royal; 843-521-9190 or 843-263-2062 • Alzheimer’s Family Services of Greater Beaufort Education and Social Day Program: Mon. & Wed., 10:00 a.m. - 1:45 p.m., Port Royal United Methodist Church. Friday; 10:00 a.m. 1:45 p.m, Wesley UnitedMethodist Church, Beaufort, 843-521-9190 or 843-263-2062 • Alzheimer's Family services of Greater Beaufort Living With Alzheimer's Disease Support Group: 2nd and 4th Monday of each month, 1:00 p.m. 2:00p.m., The Parlor, Carteret Street United Methodist Church, Beaufort, 843-521-9190 or 843-263-2062 • Alzheimer's Family services of Greater Beaufort Early Memory Loss Group: 2nd and 4th Monday of each month, 10:30 a.m. - 11:30 a.m., Port Royal United Methodist Church, 843-521-9190 or 843-263-2062 • Alzheimer's Family services of Greater Beaufort In-Home Respite: Available on an as needed basis; 843-521-9190 or 843-263-2062 BEREAVEMENT • PRUITT/United Hospice Grief support for recently bereaved: All situations– Contact Bereavement Counselor, 522-0476. • AGAPE Grief support Groups: Please RSVP to 803-842-9800 to attend the group: Ridgeland: 433 First Ave., 2nd Wednesday, 10:00am.; Beaufort: 907 Boundary St., 3rd Wednesday 10:00am.; Hampton: 1000 Pine St. E., Varnville, 4th Wednesday, 10:00am. • Pregnancy & Infant Loss Support Group- 2nd and 4th Wed., 6:00pm, at Hospice Care of the Lowcountry, 7 Plantation Park Dr. Unit 4, Bluffton. www.Zoe-foundation.org CANCER • Cancer Care Connect: (through BMH), 1-800-813-4673 or 1-212-712-8080 • Cancer support groups: - Keyserling Cancer Center, 4 p.m. first Wednesday, Port Royal: 522-7807 - Friends of Caroline Hospice, Port Royal: 525-6257; WISH - Women in Search of Help, a breast cancer support group for the newly diagnosed; 3rd Monday of each month: 5:30 PM, Keyserling Cancer Center. Call 522-5897. • I Can Cope Cancer Support: HHI: 842-5188;
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DIABETES • Diabetes support groups: Beaufort, 522-5635; Hampton County, 803-943-3878 ext. 216; Hilton Head: 681-5879; Hardeeville/Bluffton: 784-8172; JDRF Adult Type 1 Support Group: monthly meet-ups, Bluffton library 6:00 p.m. Email: adult1dgroup@gmail.com; Facebook: JDRFAdultType1SupportGroupHilton Head/Bluffton
• Overeaters Anonymous, Hilton Head: Fri.,10:30am, YANA Club, 706-3606; Bluffton: Tues., 6:00pm, St. Luke United Methodist Church, contact Lynne 271-2114; • Overeaters Anonymous (continued), Beaufort: Sun. & Mon., 6:00pm, Beaufort Memorial Hospital, 846-1347 • Take Off Pounds Sensibly www.tops.org: Port Royal: YMCA, Thurs., 6:30 / 7:00pm;
MENTAL HEALTH • Coastal Empire Mental Health: Beaufort: 1050 Ribaut Road, 524-3378 HHI: 151 Dillon Rd, 681-4865 Ridgeland: 1510 Grays Hwy, 726-8030 Varnville/Hampton: 65 Forest Dr., 803-943-2828 Walterboro: 2004 N Jefferies Blvd, 843-549-6536. • Mental Health Association Beaufort-Jasper: Information, referral, direct service, and emergency assistance; 682-2900. • NAMI Connection Recovery Support Group for Consumers : Hilton Head every Monday, 5:307:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Bluffton/Okatie every Wednesday, 6:30 pm8:00 p.m. Contact R. Peters, 843-681-2200 ext. 1; Beaufort, noon – 1:30pm: at Beaufort Medical Plaza, 989 Ribaut Rd., Rm. 350, Call for info: 843-681-2200 ext. 1. • NAMI Caregiver Support Groups: 7:00 p.m. St. John’s Lutheran Church, Lady’s Island; Contact: John Aiello, 843-597-8122. 10:00 a.m. Lowcountry Presbyterian Church, Bluffton; Contact: Betty & Ted Cooley, 843-757-8597. Evening group in Bluffton by appointment only, 6:00-7:00 pm; Unitarian Universalist Church, 110 Malphrus Rd., Bluffton; Norma Van Amberg 843-681-2200 .
OTHER MEDICAL • Asthma Management Program, Wheeze Busters: Beaufort:, 522-5635 • Better Breathers: Hilton Head: 877-582-2737 • Cardiac Support Group: Beaufort: 522-5635 • Chronic Pain Support Group of the Lowcountry: Mon., 1 p.m., Beaufort, 522-8569 • Fibromyalgia support groups: Hilton Head: 837-5911or 342-3434; • Healthy Hearts Support Group: 2nd Thursday each month 10:30-noon at Bluffton-Okatie Outpatient Center; Call Greg Estes, 522-0476. • Hearing Loss Support Group ‘SHHH’: Lowcountry: Russ Cooper, 705-6312, or Bob Perkins, 705-6118. • Lowcountry Huntington Disease support: Sandra, 912-964-0455 • Lung Disease support group, Better Breathers Club: Beaufort: 522-5635, staff available from 6 a.m. to 8 p.m.; • Med-I-Assist prescription assistance program for the uninsured (Sheldon): Thurs., 10 a.m.-2 p.m. Mt. Carmel Baptist Church, 367 Keans Neck Rd. Appointments: 843-846-8703 • Multiple Sclerosis support groups: meets monthly, call for time/location Bluffton: contact Betty Brusco, 757-4402; Hilton Head: Terry Doyle, 681-1981; • National Fed. of the Blind: Monthly meetings: Hilton Head, Bob Martin, 342-9180; Beaufort, Ruth Collier, 524-9247. • Osteoporosis Exercise & Education Program: Beaufort:, 522-5593 • Ostomy Association of the Lowcountry: Support group meets monthly. Call, 766-4528. • Parkinson’s Disease support groups: Port Royal/Beaufort: Helena House, 1st Thurs. every month, 1:30-3:30pm; www.psglc.org; Hilton Head: Ellen Forwalk 681-3096; Bluffton: Muriel Coleman, 987-3505 • Stroke Survivors Group, Beaufort: & Bluffton: 522-5993; 522-7445 • Syncope Support Group: STARS-US; 785-4101; www.stars-us.org
SUBSTANCE ABUSE • Adult Children Of Alcoholics: Noon Wednesday, 6:30 p.m. Thursday, YANA club. Mary, 290-8774. • Al-Anon: 8:00 p.m. New Beginnings, Alano Hall, Port Royal; 6:30 p.m. Sunday, YANA club, HHI; Noon Monday Brown Bag, St. Helena Episcopal Church, Beaufort; 7:00 p.m. Monday, YANA club, HHI; 10:30 a.m. Wednesday, St. Luke’s United Church, Bluffton; Noon Wednesday, Sea Island Presbyterian Church, Beaufort; 7:00 p.m. Thursday, St. Luke’s Episcopal Church, HHI; 7:30 p.m. Thursday, St. Peter’s Catholic Church, Beaufort; 7:30 p.m. Thursday, United Methodist Church, Bluffton; Friday, 12:15 p.m. YANA club, HHI. • Alateen: 8:00 p.m. Monday, Alano Hall, Port Royal; 7:30 p.m. Tuesday, United Methodist Church, Bluffton; Al-Anon + Alateen, 785-9630. • Alcoholics Anonymous: Meeting info: 785-2921 or 888-534-0192; en Español: 247-2713; visit www.area62.org. YANA club, 681-9262. • Crossroads Addiction/Dependency Christ centered Recovery & Support program: Grace Coastal Church, Okatie; lapgar@hargray.com • Narcotics Anonymous: Hilton Head, Bluffton and Lowcountry environs: 852-3001. • Smoking Cessation Classes: Freedom from Smoking: Beaufort: 522-5635; 522-5200; Hilton Head: 681-5651. WEIGHT ISSUES • Community Health/ Weight Loss Classes For information, call Sheila 843-644-1991.
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OTHER SUPPORT GROUPS • CAPA - Child Abuse Prevention Association; Serving the Lowcountry region; 524-4350 • CODA - Citizens Opposed to Domestic Abuse: Women’s and children’s support groups for victims and survivors of domestic violence: Bluffton: Thursdays, 5:30-7:00 p.m.; Beaufort: Tuesdays, 5:30-7:00 p.m. , 770-1070. www.codabft.com • Meals on Wheels: Hilton Head: 689-8334 • Nursing Mothers of Beaufort: Third Friday, 1:00-2:30pm; 508 Scott St.; 919-606-4565. • Parent/Caregiver Support (for non-offenders) at Hope Haven: Beaufort, Jasper, Hampton, Colleton: 800-637-7273; www.hopehavenlc.org • Survivors of Suicide: Renee Pigat, HHI: 681-7814
November 2015
SUICIDE AND MYTHS By Judith Treadway, MD, Psychiatric Service Chief, Coastal Empire Community Mental Health Center
What will you do if you think someone is having suicidal thoughts? Suicide is the 8th leading cause of death in adults in the USA. Most importantly, it is imperative to take suicidal statements seriously. If the person has a therapist or doctor, call the therapist or doctor immediately. If there is an emergency, do not delay. If necessary, call 911, go to the emergency room or call a suicide help line. Remove access to any weapons and any excess medications. You may want to consider removing car keys. If necessary, ask for help from law enforcement.
Suicide can strike people of any gender race or religion. The number one cause is untreated depression. Seventy-five per cent of people who commit suicide exhibit warning signs. Thirty thousand people die each year in the USA because of suicide. Factors associated with increased risk include: 1. Mental illness and medical illness 2. Suicidal thoughts and behaviors, current and prior 3. Lack of social supports, including living alone
The following are mistaken beliefs or myths about suicide:
4. Domestic violence
1. Talking to someone about suicide may give the person the idea and will make them do it — MYTH In actuality, if a person does not already have the thought, it is not “catching”.
6. Family history of suicide
5. Childhood traumas 7. Widowed, divorced or single, especially men 8. Substance intoxication 9. Unstable relationship
2. Suicide is more likely if you are richer — MYTH Suicide is represented in all sectors of income and society.
Things that may help protect against suicide include religious objections, children in the home and being in touch with reality; even pets have proven effective.
3.. Women are less likely to complete suicide — MYTH In general, women attempt twice as many times as men, but this is changing, and one of the largest increases in completed acts has been among females.
4.. Someone who has made attempts will not kill themselves — MYTH Any prior attempt significantly increases the risk of a completed suicide. 5. If a person wants to commit suicide, then no one has the right to stop him — MYTH Mostly suicidal thinking is caused by an illness and needs treatment like any illness. Victims of suicide include the family (for generations), co–workers and friends as well as the individual. Suicide can be prevented. Most people just want to get help for their pain. November 2015
Do not attempt to handle someone threatening suicide alone. Get help. Do not assume someone is seeking attention. Listen and be careful of the messages you give the sufferer (eg, “You do not mean it” or “Go on!”). Never agree to keep statements of suicide secret.
WHERE TO CALL: Suicide Hot Line: 1-800-Suicide (1-800-784-2433) Text telephone: 1-800-799-4TTY (1-800-799-4889) National Suicide Prevention Lifeline: 1-800-273-TALK (1-800-273-8255) For Spanish: 1-800-273-TALK (1-800-273-8255), then PRESS 2 Call your mental health center or call 911 Additional resources: NAMI or www.suicide.org
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©
care TALK capsules of helpful health information MUSC Statement in response to new American Cancer Society (ACS) breast screening guidelines published October 20, 2015, in the Journal of the American Medical Association (JAMA):
The Medical University of South Carolina (MUSC) Breast Care Team will continue to recommend annual breast screening at age 40 in average risk patients, with follow-up screening yearly thereafter. In comparing the new ACS guidelines to the U.S. Preventive Services Task Force (USPTF) guidelines, the key difference is that ACS recognizes that the incidence of breast cancer starts to increase at age 40, and they recommend women from age 40 to 44 be allowed to start screening mammograms (where USPTF recommends starting at age 50). ACS strongly recommends screening mammography to start at 45. The American College of Radiology (ACR) and Society of Breast Imaging (SBI) still recommend screening to start at age 40 and continue yearly. The ACS study reviews the literature that shows again that screening mammography reduces mortality by about 30 percent. ACS recommends that at age 54 women should either continue annual screening or go to biannual screening. ACR and SBI still recommend annual screening at this age. The new recommendation from ACS does not recommend clinical 20
breast exam for average risk asymptomatic women of any age, as there is no data on improved outcome and this leads to an increased false positive rate. The MUSC Breast Care Team recommends following ACR/SBI guidelines (starting screening at age 40 and annually) and that each women should discuss her individual risks for breast cancer with her physician to decide what is best for her. Individuals should be reminded that these guidelines are for women at average risk for breast cancer, not high risk. Those at high risk should discuss their screening plan with their physician. The Blood Test that Measures Aging The latest find coming out of the lab is a blood test that measures susceptibility to diseases such as Alzheimer's. The test can analyze a combination of 150 genes associated with "healthy aging." James Timmons, professor of precision medicine at King's College London, and a team of researchers, discovered this simple blood test as a way to determine if the brain and body are aging without any underlying abnormalities. Timmons said, "It is the first blood test revealing the same set of molecules are regulated in both the blood and brain regions associated with dementia." Previous research has always searched for genes specific to certain diseases, this research seeks to identify genes associated with normal healthy aging. The researchers gave a "gene score" to healthy 70-year-olds who were then followed over a 20-year period. Higher gene scores led to good bodily function, cognitive function, and longer lives. Identifying those with low gene scores can possibly determine the abnormality and alter it, or at least diagnose it earlier. A low gene score could
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find individuals at risk for dementia, and early diagnosis is crucial to preserve normal functioning for as long as possible. Although Alzheimer's cannot be prevented or cured, this gene score blood test can be a powerful aid in the arena of Alzheimer's research. —E. Dardes; adapted from healthline.com
American Association of Poison Control Centers Promotes the Safe Use of Medication Parents play a critical role in helping their tweens learn about the responsible use of OTC medicines. With approximately 10,000 kids under age 18 visiting emergency departments every year due to errors from self-administering OTC medications, it is important for parents and guardians to discuss the safe use and storage of OTC medicines with their tweens. The OTC Medicine Safety program equips parents, teachers, and guardians with the necessary materials to help facilitate these critical discussions. Below are the Top Six tips from the OTC Medicine Safety program that are helpful as parents discuss selfadministration, safe use, and storage of OTC medicines with their kids: – Be sure to read & follow the medicine label every time – Be sure never to share your medicine with someone else or use someone else's medicine – Remember to always use the dosing device that comes with the medicine – Take only one medicine at a time with the same active ingredient – Store all medicines up & away and out of reach and sight – Be sure to only take medicines with the permission and guidance from a parent or trusted adult. For additional information, visit scholastic.com/OTCmedsafety for supportive tips on how to discuss OTC Medicine Safety.
November 2015
Telemedicine is being used by doctors and hospitals around the country Telemedicine is the use of telecommunication and information technologies in order to provide clinical health care at a distance. It helps eliminate distance barriers and can improve access to medical services that would often not be consistently available. Remote medical technology is an increasingly popular way to administer preventive medicine and manage chronic conditions. Many patients, especially those in rural areas, find it difficult to travel to clinics, hospitals, or doctors’ offices. Telemedicine can be a great option for these patients, or for those in situations that make it physically difficult for them to travel to receive traditional care. Telemedicine can be used to monitor discharged patients and to track patient recovery, thus facilitating communication between doctors and patients. Research shows that the use of telehealth technologies results in many positive outcomes including fewer hospital re-admissions, more faithful following of prescribed courses of treatment, and faster recovery than that of patients not receiving remote intervention. Telemedicine allows hospitals to create networks to provide each other with support. By easily sharing their expertise outside their own institutions, doctors can offer incredible value to their medical colleagues and those colleagues’ patients.
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www.facebook.com/ While most telemedicine apps connect patients with random doctors, specific systems such as TouchCare, allows people to connect with their current doctors. With this app, at the click of a button on your smartphone or tablet, you can schedule a remote video appointment, then be seen and treated by your doctor from the comfort of your bed, couch or favorite reclining chair. When using TouchCare, your medical information is private. The process is completed over a secure, HIPAA-compliant platform. Many telemedicine apps, as well as TouchCare, are free to use and appointments can be as quick and convenient as a FaceTime call. If your doctor isn’t already using a telemedicine app, ask her/him if they would.
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Brian R. Forrest, M.D., a spokesperson for TouchCare elaborates on the benefits of telemedicine for senior patients: —continued on page 23 November 2015
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Regional Blood Drives
OCTOBER 2015
Government issued photo ID is required to donate. Examples are a driver’s license, passport, military ID, student ID
The Blood Alliance/OneBlood LOWCOUNTRY Donor Center 1001 Boundary St., Suite A 843-522-0409 or, use free app at iDon8 BEAUFORT Tuesday, November 03 10:00 am - 2:00 pm Joint Rotary Drive - Quality Inn 2001 Boundary Street Wednesday, November 11 9:00 am - 12:00 pm Beaufort Academy 240 Sams Point Rd. Thursday, November 12 1:30 pm - 4:30 pm Technical College of the Lowcountry 921 Ribault Rd. Friday, November 13 11:00 am - 6:00 pm Junior Service League BFT 1001 Boundary St., Suite A Donor Center Sunday, November 15 8:30 am - 12:30 pm St. Peter’s Catholic Church 70 Lady’s Island Dr. Monday, November 16 9:30 am - 3:30 pm Beaufort High School 85 Sea Island Parkway Sunday, November 22 9:00 am - 1:00 pm Tidal Creek Fellowship Church 290 Brickyard Point Rd. S
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The American Red Cross For appointments, please call 843-757-7437 (ARC local office) BLUFFTON
Saturday, December 05 10:00 am - 2:00 pm Belk Cross Creek Shopping Center 332 Robert Smalls Pkwy, Suite B
Wednesday, November 4 11:00 am- 5:00 pm American Red Cross Palmetto Office 39 Sheridan Park Circle, #10
PORT ROYAL
Tuesday, November 10 9:00 am- 3:00 pm Sun City 114 Sun City Lane
Thursday, November 05 12:00 pm - 5:00 pm AMVETS 1831 Ribaut Rd.
HILTON HEAD ISLAND Sunday, November 01 11:00 am- 3:00 pm Congregation Beth Yam 4501 Meeting Street
SEABROOK Thursday, November 12 8:30 am - 12:00 pm Whale Branch Early College High School 169 Detour Rd.
Friday, November 06 1:00 - 06:00 pm Sea Pines Planation 70 Lighthouse Road Friday, November 27, 10:00 am- 3:00 pm Shelter Cove Towne Centre Bloodmobile 40 Shelter Cove Lane
HILTON HEAD ISLAND Wednesday, November 04 11:00 am - 4:00 pm Hilton Head Preperatory School 8 Fox Grape Rd.
Wednesday, December 2 11:00 am- 5:00 pm American Red Cross Palmetto Office 39 Sheridan Park Circle, #10
Monday, November 09 10:30 am - 1:30 pm Sea Pines Community Center 71 Lighthouse Rd.
Sunday, November 29 8:00 am - 12:00 pm Decibel Church 1 Blue Dolphin Drive Battery Creek High School
Thursday, November 19 10:00 am - 3:00 pm Hilton Head Hospital 25 Hospital Center Blvd.
Thursday, December 03 8:30 am - 2:00 pm Battery Creek High School 1 Blue Dolphin Dr.
Tuesday, November 24 10:00 am - 2:00 pm The Westin Hilton Head Two Grasslawn Ave.
It may be A or AB; it may be B or O,
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No matter what your type is please DONATE BLOOD today and SAVE a LIFE!
November 2015
Telemedicine —continued from page 21
Are you making the
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Experience working with elderly patients: “I have found that telemedicine (i.e. TouchCare) is easy to use for senior A physicain on a telemedicine appointment call patients. I have to admit that with some patients in their mid to upper 80’s I was concerned that they might not be electronically savvy enough to use the app, but it turns out that those fears were unfounded. Every single patient I have tried to connect with via telemedicine, has enjoyed using it and thought TouchCare in particular, was simple to install and use. This allows me a way to check in on these patients in their homes and prevents them from having to come into the office or go to the hospital or urgent care unnecessarily.” He continues, “I have not had the situation come up where they were not able to use the telemedicine app for themselves, but if this came up I suppose family members could help the patient use the app. An example is a patient of mine that is elderly and blind. One of her daughters could easily use the app so that I could see the patient and talk to them remotely.”
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How telemedicine benefits elderly patients: “I think it creates the ability to do virtual house calls where you can check on patients and observe their home conditions. For many elderly patients, getting into the office can be a chore and this creates an opportunity to only have them come to the office when it is medically required.” A story involving elderly patients using TouchCare telemedicine: “I just recently had a patient that is in his 80’s that had a skin infection. Although we had seen him in the office for this we wanted to be able to follow it closely over the weekend and make sure it was getting better. When we did our telemedicine visit on a Saturday, both the patient and myself were reassured that this was improving. Potentially, this prevented the patient from having to go to an ER due to concern about the infection.” About Dr. Brian R. Forrest, M.D. Dr. Forrest is the Medical Director and Founder of Access Healthcare. He attended UNC Chapel Hill for medical school and specialized in family and community medicine in the residency program at Wake Forest University Baptist Medical Center in Winston-Salem. He currently serves as Board Chair of the NC Academy of Family Physicians representing over 3200 physicians in NC. His special interests include management of Diabetes, Hypertension, and Cholesterol. November 2015
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Why Organ, Eye, and Tissue Donation? • 123,953 people are waiting for an organ • 18 people will die each day waiting for an organ • 1 organ donor can save up to 8 lives
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Call COASTAL DISCOVERY MUSEUM to register at 843-689-6767, ext. 223 or online at www.coastaldiscovery.org The Museum is located at 70 Honey Horn Drive, Hilton Head Island
Shrimp Trawling Expedition Saturdays through November 28 Times vary for these cruises. This interactive cruise will take you from Hudson’s Dock out into Port Royal Sound where you’ll have a chance to see how a shrimp trawler works—and find out about all the critters that can be found in its net. An informative and fun experience— plus, you’ll have a chance to share in the ‘catch’ and might take some shrimp home! Cost is $40 adult and $20 child, with reservations required.
Tour Historic Fort Mitchel 10:00am Fri. mornings, through November Guided tours of Historic Fort Mitchel—a well preserved example of a Civil War Era coastal artillery battery—will be offered. Reservations are requested for this tour. $12 per adult, $7, children ages 6-12.
participant (includes one Shitake Mushroom Inoculated Log) and reservations are required.
Lowcountry Owls December 2 at 3 pm The program will cover the natural history of owls in general and the specifics of the 5 species of owls found in the Lowcountry. Come and learn from owl expert Nancy Owen about the physical features and characteristics that make these incredible creatures successful in the ecosystem. The program is $7 per participant (for ages 12 and older only) and reservations are required
“Waterway Excursion” Starting December 5 from 10 am until 12 pm This 2-hour educational cruise will circumnavigate Pinckney Island (Skull Creek and Mackay Creek). You will learn about the salt marsh, maritime forest, barrier islands, and the history of Pinckney Island. A naturalist will be on board. This adult-oriented cruise is $35 per person and reservations are required.
“The Great Sporting Fish,” an exhibition consisting of original marine nature paintings by Stanley Meltzoff (1917-2006)
December May River Expedition December 1 from 10 am until noon
through January 6, 2016
The tour will go out every Tuesday and Thursday through December 31 This 2 hour exploration of Bluffton’s May River aboard research vessel SPARTINA will be led by Marine Biologist, Captain Amber Kuehn. Participants will observe nature up close with a display of live organisms. Cost is $40 adult, $30 child (ages 12 and under). Reservations are required.
+ three associated educational programs – 3:00pm Tuesdays, November 10 and December 8 Universally regarded as the all-time preeminent painter of game fish in salt water, Meltzoff was a founding member of the American Littoral Society. Three special events are planned in conjunction with this exhibition. Please contact the Coastal Discovery Museum to register. There is no charge to attend any of these programs, but reservations are requested.
The Fungus Among Us! November 18 at 3:00pm Learn about the role of fungi in the web of life, including the role of antibiotics—fungi that fight bacteria—and the many other areas where fungi are essential to life as we know it. The lecture will be followed by a handson session where participants can create their own take-home Shitake mushroom log. Presenter Dave DesJardins is a lifelong gardener and wild mushroom forager who has been a Master Gardener in Maryland, Pennsylvania and South Carolina. Cost is $20 per
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“Bee Biology and Natural History” December 9 at 3 pm The presentation will focus on the two most commonly asked questions by the non-beekeeper. #1: What is happening to the bees? #2: What can I do to help the bees? The program is $7 per person and reservations are required. Dolphin Research Excursion Every Wednesday in December and Saturday, December 12 from 10 am until 12 pm The excursion will study acoustic communications between resident dolphins in the May River. Cost is $55 per person (ages 10 and older only, please) and reservations are required.
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November 2015
Homes for the Holidays Bull Point Plantation is the venue!
M
orning coffee on the river, a run or walk on the foot path, and maybe a boat ride before the club BBQ could be your day if you lived in Bull Point Plantation. A natural setting just minutes outside Beaufort, and quietly tucked along Highway 17, Bull Point is rich with wildlife, woodlands, creeks and marsh, and deep water access, along with clubhouse, pool, and social calendar. It’s quite the best of both worlds, and host for the fourteenth annual Homes for the Holidays Tour that benefits St. Peter’s Catholic School’s tuition assistance fund.
Award-winning photographer, author, and Bull Point resident, Sandy Dimke, is the impetus for Bull Point as host. She’s been shooting the tour’s photos almost since its inception, bringing a true professionalism to the event. “I’ve photographed so many beautiful interiors during the past few years, I thought it was time for the tour and the designers to come to Bull Point!” she exclaimed. The gates open Saturday and Sunday, November 21 and 22, 2015, for strolling the property and viewing diverse homes decorated by local interior designers and trimmed in the latest holiday finds. A number of the designers will be on hand during the tour to answer questions and for consultation. Sweet Bay is offering a “Sneak Peek” at its design theme in its shop downtown. November 2015
The event always occurs the weekend before Thanksgiving, making it easy for guests to plan ahead. Tickets are $25 and may be purchased at area businesses downtown, on St. Peter’s campus, and on site the days of the tour. Parking will be on site. Enjoy a healthy walk through this scenic neighborhood during this festive time of year, complete with caroling and refreshments. —Elizabeth Dardes
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Community Calendar of Healthy Events Please e-mail your healthy events a month in advance of publication date to editor@caremagazine.com
AARP CHAPTER OF THE LOWCOUNTRY Thursday, November 5, 1:00 pm Palmetto Electric Coop Bldg. (off Hwy 278)
Community Room Presenter: Lt. Lesveque from Bluffton Fire Dept. discusses “Fire Safety”
Confidential Memory Screenings Are you concerned about changes in your memory? Memory Matters offers free, confidential memory screenings by appointment. Call 843-842-6698.
November 2-6, 9am–noon
ALZHEIMER'S FAMILY SERVICES OF GREATER BEAUFORT Is offering free, confidential memory screenings at Helena Place Assisted Living in Port Royal. Appointments recommended, walk-ins based on availability. Call 843-521-9190 or 843-263-2062 for more information or to make an appointment.
Wednesday, November 4, 3-4 pm Lowcountry Medicinal and Useful Plants Did you ever wonder what the locals used to fight disease and illness when “store-bought” medicines weren’t available? What did they eat when the crops failed or when they couldn’t sell them? Come and learn from local botanist Daniel C. Payne how Native Americans, early settlers and our more recent arrivals have used and continue to use our native and naturalized plants to solve these problems. A selection of native plants will be available for sale after the lecture. Cost is $7 per person and reservations are required by calling 843-689-6767 ext. 223.
Sunday, November 8 4:30pm at Jarvis Creek Park on Hilton Head
National Commemorative Candle Lighting Are you one of the 99% who know someone that should be honored? Then please join us! Memory Matters will host this Commemorative Candle Lighting as part of a national initiative of the Alzheimer’s Foundation of America. By illuminating the nation with “candles of care” in communities from coast to coast, this expression of solidarity will help our community to Remember individuals who have passed away as a result of Alzheimer’s and other forms of dementia. Honor the 5.1 million Americans who are currently living with Alzheimer’s. Pay tribute to family caregivers who valiantly care for their loved ones. Raise awareness about dementia, including the importance of early detection. Highlight support services in our community. Emphasize the need to share the care related to this disease. All attendees are invited to share the names of those to be remembered and honored. This event is free and open to the public. Organizations across the United States participate in this unique and inspirational event, offering individuals touched by any form of dementia the opportunity to join in spirit and solidarity at hundreds of sites. “The Candle Lighting held last autumn here in the Lowcountry was beautiful yet powerful, moving and cathartic,” said Edwina Hoyle, executive director of Memory Matters. “We encourage everyone to come. It will inspire you in ways you cannot even imagine.” For more information call Memory Matters at 843-842-6688.
Saturday, November 7 Event begins at 9:00am NAMI “Footprints in the Sand” Beach Walk NAMI Lowcountry’s annual beach walk—Footprints in the Sand—will be held at Coligny Plaza and Beach. It is the largest mental health awareness and fundraising event in the Lowcountry. By participating in this year’s event you will be supporting all of NAMI Lowcountry’s FREE education and support programs in the community. Registration begins at 9:00am and the 5k walk on the beach kicks off at 10:00am. Enjoy refreshments, fun & games, and entertainment following the walk at the Block Party featuring Cranford Hollow at 11:00am. Grab your family, friends, co-workers and dogs and register now. $20 per person. Contact Sarah Eliasoph, nami@hargray.com, 843-681-2200.
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Beaufort County Library “For Learning, For Leisure, For Life”
For Fascinating Fall programs and current events at all County branches Call 843-255-6430, or visit beaufortcountylibrary.org
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November 2015
Sunspire Health
Lupus Foundation of America
Announces Opening of Hilton Head Island Treatment Facility
Now Offering Statewide Services in South Carolina
Sunspire Health, a leader in the treatment of addictive disorders, announced on October 28, 2015, the opening of its newest facility—Sunspire Health Hilton Head. The facility will provide a full continuum of care for both men and women suffering from substance use and co-occurring mental health disorders. Sunspire Health offers evidence-based clinical interventions and an abstinence-focused approach as the foundation of the program offered at the new facility.
The Lupus Foundation of America (Foundation) today announced it is expanding services and resources for South Carolinians living with and affected by lupus. The Foundation and a committed group of volunteers in South Carolina have joined forces to provide an array of support, education, advocacy and outreach programs statewide beginning this month.
Sunspire Health Hilton Head’s comprehensive clinical care plans are individualized to meet each patient’s specific needs and lifestyle. The integrated plans are supported by Medication Assisted Treatment (MAT) – the use of medications in combination with counseling and behavioral therapies—when necessary. Levels of care include a residential program, partial hospitalization and an intensive outpatient program, all of which are offered to residents of South Carolina, the surrounding region and nationwide. Sunspire is headquartered in Lyndhurst, New Jersey and currently includes licensed residential treatment facilities located in California, Florida, Massachusetts, Oregon, South Carolina and Texas. For more information, please visit www.sunspirehealth.com or follow Sunspire on Twitter, Facebook and LinkedIn.
NOVEMBER Sudoku solution
November 2015
“With this new partnership, the Lupus Columbia South Carolina is now a community partner of the Lupus Foundation of America,” said Hetlena Johnson, Chief Volunteer Officer with the Lupus Foundation of America based in South Carolina. “We have expanded our services throughout the state with one-on-one and group support programs and collaborative educational programs with medical professionals and are hosting fundraising events that not only raise money for lupus research but will bring us together as a community to raise awareness about this cruel disease. The Foundation raises money for lupus research and education programs, increases awareness of the disease and rallies public support for those who feel its brutal impact. For more information, call Hetlena Johnson at 803-563-8117 or email info@lupuscsc.org.
NOVEMBER Word Search solution
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ParentPulse
helpful insights and tips for effective parenting
6 Telltale Symptoms of Diabetes in Children Diabetes is often thought of as an adult disease, as it can be caused by diet and lifestyle choices (eating habits and alcohol consumption). However, a 3-year old in the U.S. was recently diagnosed as one of the youngest ever to be diagnosed with Type 2 Diabetes (Adult Onset), while children can be struck early with the inability to produce insulin to process sugars (Type 1 or Juvenile Diabetes).
Diabetes in a child can be fatal if you’re not aware of the signs and they aren’t given the insulin they need. It’s important to know the signs so you can act quickly. Here are six signals that your child may be battling the disease, which can be present in both types of diabetes…
2. Excessive Thirst The increase of urination will undoubtedly cause an increase in thirst as your child’s body attempts to stay hydrated. It’s not just getting thirstier at intervals—the thirst can be continuous, according to experts.
1. Frequent Urination It can be hard to tell if your toddler is urinating more than usual, but if you notice your youngster wetting their shorts (or bed) more often, or complaining about needing to use the bathroom more, it could be a cause for concern.
The urge to drink fluids all the time also creates more need to urinate, so it can become obvious as a cycle perpetuates itself, notes the Mayo Clinic. If your child is always whining for another glass of juice or water, it may be more than their love of those drinks—it could be they’re trying to quench their insatiable thirst triggered by diabetes.
KidsHealth.org notes that more frequent urination is caused by the response of your child’s kidneys to higher levels of glucose (sugars) that aren’t being broken down to be used by their body. The kidneys are attempting to flush out the excess unprocessed sugars through the urine. 28
3. Weight Loss When your child is not getting enough insulin released in their blood, their body will start using other sources of energy besides sugars, and this
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November 2015
—continued from page 28
Too little blood sugar or too much (known as blood glucose or BG levels) can have opposite effects on your child, said HealthCentral. Too much glucose results in hyperglycemia that can make your child feel less than ideal, and cause them to act out.
means it will start burning off fats and sugars. This can result in a noticeable change in appearance and loss of weight. When the body breaks down fats as a primary source of energy, it creates a buildup of acids in the bloodstream, notes the Mayo Clinic. This condition is called Diabetic Ketoacidosis and can require a trip to the emergency room. Watch for symptoms such as feeling nauseous, tired or having abdominal pain.
6. Weakness Prolonged and unexplained fatigue in your child could be a sign of low blood sugar, causing weakness and even shakiness, according to HealthLinkBC. A study of adults with Type 1 diabetes concluded that those who were deliberately kept at low sugar levels overnight were met with acute fatigue in the morning. It also seems to have prolonged effects, as those in the study became tired more easily during activity the next day.
4. Impaired Vision The Canadian Diabetes Association notes that diabetes is actually the leading cause of blindness (diabetic retinopathy) across North America. The disease affects your eye’s retina and the vessels that feed it, which eventually causes your eyesight to fade. The association noted there are various stages and manifestations of this diabetes complication for different people, which can range from blurred vision to increased “floaters” to a sudden loss of eyesight. The source says it affects 23-percent of people with Type 1 Diabetes.
Another possible cause of fatigue in diabetes sufferers is diabetic neuropathy (nerve damage). The condition occurs when blood sugar is too high for too long, causing tingling, numbness, as well as the wasting away of muscles coupled with weakness in the limbs. This cause may be more common in adults, however, because it takes some time to manifest and can be made worse by alcohol and other factors.
5. Moodiness Your child may not be acting like their usual sunny self—and that could be a sign that something is happening with their blood sugars. HealthCentral notes in a 2011 article that says mood swings can be hard to detect in already excitable children. November 2015
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By: jhayward, http://www.activebeat.com/ your-health/children/6-telltalediabetes-symptoms-in-children/
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from “Stay Young at Heart”, ™Keep the Beat recipes https://healthyeating.nhlbi.nih.gov/
Three-Bean Chili With Chunky Tomatoes Spice is nice, especially on a chilly night! Prep time: 10 minutes Cook time: 20 minutes Yields: 4 servings Serving Size: 2 cups
If you add 1 pound cooked ground turkey, the amount per serving is 1¼ cup: Calories 776; Total fat 43g; Cholesterol 337mg; Sodium 353mg; Total Carbohydrate 73: Protein 90g
calories 443 Total fat 8g Saturated fat 0g Cholesterol 0g Sodium 331mg Total fiber 16g Protein 22g Carbohydrates 73g Potassium 1,411mg Percent Daily Values are
ingredients: based on a 2,000 calorie diet. 2 Tbsp canola oil 1 C onion, coarsely chopped 1/2 C celery, rinsed and chopped 1 C green bell pepper, rinsed and diced 1 can (151/2 oz) low-sodium black beans, drained and rinsed 1 can (151/2 oz) low-sodium red kidney beans, drained and rinsed 1 can (151/2 oz) low-sodium pinto beans, drained and rinsed 2 cans (141/2 oz each) no-salt-added diced tomatoes with basil, garlic, and oregano 1 Tbsp ground cumin 1 Tbsp chili powder
Good-for-You Cornbread Try this healthier version of a classic comfort food with soups, salads, or Three-Bean Chili with Chunky Tomatoes Prep time: 10 minutes Cook time: 25 minutes Yields: 10 servings Serving Size: 1 square
ingredients:
calories 178 Total fat 6g Saturated fat 1g Cholesterol 22mg Sodium 94mg Total fiber 1g Protein 4g Carbohydrates 27g Potassium 132mg
1 C cornmeal 1 C flour Percent Daily Values are 1/4 C sugar based on a 2,000 calorie diet. 1 tsp baking powder 1 C low-fat (1 percent) buttermilk 1 large egg 1/4 C soft tub butter substitute 1 tsp vegetable oil (to grease baking pan)
preparation: 1 In an 8-quart soup or pasta pot, heat the oil over medium heat until hot but not smoking. Add onion. Cook and stir until onion starts to soften, about 5 minutes.
1
Preheat oven to 350 °F.
2
Mix together cornmeal, flour, sugar, and baking powder.
3
In another bowl, combine buttermilk and egg. Beat lightly.
4
Slowly add buttermilk and egg mixture to dry ingredients.
4 Stir in tomatoes, cumin, and chili powder.
5
5 Bring to a boil. Cover, reduce heat, and simmer 10–20 minutes to blend flavors.
Add margarine and mix by hand or with mixer for 1 minute.
6
Bake for 20–25 minutes in an 8- by 8-inch, greased baking dish. Cool. Cut into 10 squares
2 Add celery and green pepper. Cook and stir another 5 minutes, until all vegetables soften. 3 Add drained and rinsed beans to pot.
6 Serve immediately. 30
preparation:
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November 2015
SUDOKU
Family Fun Page
Sudoku and word search solutions on page 27 November 2015
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SERVICES PROVIDED: • Family Practice • Pediatrics
• Internal Medicine • Ronald McDonald Care Mobile
• OB/GYN
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• Best Chance Network: • Breast Cancer Care + Prevention • Ryan White HIV Services • Medical Social Work • Nutrition Counseling • Community Outreach • Diabetes Initiative • WIC Services
8 Convenient Locations We are HERE FOR YOU Port Royal Medical Center 1320 S. Ribaut Road Port Royal/Beaufort • 843-986-0900 Ruth P. Field Medical Center 721 Okatie Hwy. 170 Chelsea • 843-987-7400 Leroy E. Browne Medical Center 6315 Jonathan Francis, Sr. Road St. Helena Island • 843-838-2086 Donald E. Gatch Medical Center 522 Stiney Road Hardeeville • 843-784-2181
Elijah Washington Family Medical Center 211 Paige Point Road Sheldon • 843-846-8026 Ridgeland Family Medical Center 1550 Grays Highway Ridgeland • 843-726-3979 Hampton Family Medical Center 200 East Elm Street Hampton • 803-943-2233 Estill Family Medical Center 454 Second Street East Estill • 803-625-2548
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