Focus on Wellness Summer/Fall 2024

LETTER TO THE COMMUNITY

Dear Community Members,

For more than eight decades, Dominican Hospital has been committed to serving the healthcare needs of our local community here in Santa Cruz County. As we strive to enhance health outcomes, we urge you to support our mission and help us make a meaningful difference in the lives of the most vulnerable members of our community.

In the Fall of 2023, the Dominican Hospital Foundation launched the $2.145 million Wellness on Wheels Campaign, with the goal of expanding access to preventive healthcare services across Santa Cruz County. You can learn more about Dominican's Mobile Wellness Clinic on page 5. This expansion will enable us to provide even more comprehensive, high-quality care to those who need it most.

Dominican Hospital is thrilled to announce the arrival of its first eight Family Medicine Residents this summer, in partnership with Morehouse School of Medicine. With more than $2.5 million in grant funding, we have created a comprehensive residency program that will train culturally competent family physicians, increasing the number of primary care providers available in Santa Cruz County.

We invite you and each member of the community to partner with us in investing in innovative technology and advancing our specialty healthcare programs. By doing so, we can ensure that our hospital thrives not just today, but also for generations to come. Your contribution will make a significant difference in advancing patient care and improving the overall health and well-being of the community.

Foundation Board of Directors 2023−24

RODNEY TERRA, JR., PRESIDENT

Allison Niday, Past President

Manuel Mercado, Vice President

Jeff Daneff, MBA, MS-BIA, Treasurer

William Ow, Secretary

Tom Brezsny

Sister Rita Eileen Dean, OP

Paul Godin, MD

Ahmed Hamdy, MD

Tiffany Hammer

Michael Hollister

Magdy Ismail, MD

Dean Kashino, MD

Patty Kubo Lezin, MD

Shawn Lipman

Ginny Solari Mazry

Nanette Mickiewicz, MD

Anthony Pagliaro

Darren Pound

Pam Santacroce

Tracea Roman Saraliev

Jerry Souza, RN

Christopher Wesselman, MD

Foundation Team

With Gratitude,

Rodney Terra, Jr. President, Dominican Hospital Foundation

Alexandra Van Zanen, Philanthropy Manager

Anthony Pagliaro, MBA, Chief Philanthropy Officer

Samantha Polizzi, Philanthropy Manager

Guinevere Espinoza-Krebs, Annual Giving Coordinator

Lily Mendoza, MHA Executive Coordinator

Meet the team, pictured on-site at the Felton Branch Library.

Health Care Wherever You Are

The Mobile Wellness Clinic of Dominican Hospital has a team of bilingual staff who are fluent in both English and Spanish. They are committed to providing high-quality healthcare services to patients with both episodic medical conditions and chronic needs. The staff will work with you to find a medical location that can provide ongoing care and support. They can also help you find social services and resources in the community that may aid you. At Dominican Hospital, we strive to provide comprehensive care to our patients, and our bilingual staff ensures that language barriers do not prevent anyone from receiving the care they need.

SCHEDULE AND LOCATIONS

Clinic hours are Monday – Friday; 9:00 am. to 3:00 pm; excluding holidays or as posted. All schedules are up-to-date online at dignityhealth.org/mobile.

• Felton Branch Library, Felton

• Assumption Church, Pajaro

• Our Lady Star of the Sea Church, Santa Cruz

• Scotts Valley Branch Library, Scotts Valley

• Boulder Creek Library, Boulder Creek

• Davenport Resource Center, Davenport

Learn More About The Mobile Wellness Clinic

This clinic provides crucial health services to underserved and vulnerable residents in Santa Cruz County, helping to bridge the gap in healthcare access and promote wellness for all. Generous contributions from the community to the Dominican Hospital Foundation make a significant impact to expand and enhance the services offered by the Mobile Wellness Clinic. As a free service, funds may also be available to support patient’s medical expenses beyond their initial screening or site visit such as: dental appointments, behavioral health counseling, physical therapy, colonoscopy appointments, medications, copays, and other surgical needs.

Please call us at (831) 713-8751 or visit online at dignityhealth.org/mobile

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• Contact us at Tracea@romanadvisory.net or 650-200-8184 if you have a middle-market business to buy or sell.

Plan for Your Future

There is another area of life that requires good planning. That has to do with your estate plan.

A good estate plan can also help ensure you are prepared so that you have what you need when you need it. One approach that may help you with your planning is to think about the who, the what and the how of your plan.

WHO MATTERS TO YOU?

Your will or living trust can be used to provide for family, friends, and cherished causes such as Dominican Hospital. Consider who is important to you and the legacy that you want to leave.

WHAT DO YOU OWN?

You may own real estate or have personal property such as furniture, cars, and other items. Perhaps you

have an insurance policy or retirement, bank, and investment accounts. You should ensure that your plan accounts for all that you own.

HOW SHOULD YOU GIVE?

There are many ways for you to provide for the people you love, using what you own. You may want your plan to include charitable vehicles, such as gift annuities and charitable remainder trusts. These can accomplish your charitable goals, give you income and tax benefits, and provide for your family and friends.

No matter what your goals are, we can assist in putting together a plan that is right for you. Let us help you plan a legacy that reflects what is important to you.

The Bob Swenson Legacy Society, established by the Dominican Hospital Foundation, acknowledges and honors individuals who have included Dominican Hospital in their estate or planned gift. If you have included Dominican within your plans, please let us know so that we may properly express our gratitude and ensure that your gift is utilized in the manner you intended. Learn more by calling Anthony Pagliaro at (831) 462-7712 or visit mydominicanlegacy.org.

Here are a few quotes of gratitude we received from Doctors’ Day.

IN HONOR OF DR. RAJINDER SINGH, MD

“We are fortunate to have in our community the compassionate and competent care by Dominical Hospital. I am personally grateful to have benefitted from the extraordinary care.”

An Act of Gratitude

In Celebration of Doctors’ Day

We celebrate and reflect on the profound impact Dominican Hospital physicians have on their patients’ lives — many generous supporters in our community had the opportunity to share what they love about their physician, express their gratitude and give a gift in their honor on National Doctors’ Day–March 30.

There’s still time to give a gift in honor of your dedicated doctor. Your gift and kind words are a vote of confidence in humankindness, and a reminder of just how meaningful this work is to our Dominican Hospital community. There are so many reasons to be proud of our local community hospital from the excellent care provided to the compassion across a wide range of patient needs. Please contact the Foundation for more information.

IN HONOR OF DR. MELINDA WHITE, DO

“Dr. White is always there when she is needed and listens. Great Doctor.”

IN HONOR OF DR. JULIA CRAWFORD, MD

"Thank you for all your concern and excellent care!"

Giving Back Begins with Our Employees

Every year the Dominican Hospital Foundation Employee Giving Campaign educates Dominican employees about the importance of philanthropy and encourages them to give back. Through employee donations, big or small, we aim to support individuals who work toward promoting a healthy community. Each year, more than 30% of our employees give back, raising over $125,000. Here are a few notes of gratitude from our employees who step up, alongside 30 others, to champion this effort.

“My favorite moments at Dominican are every time my team and I help make a difference in the life of one of our patients, which is frequent!”

- Lily Rogers, RD, CSO, CNSC, Clinical Dietitian –Oncology, Employee Giving Champion

“Dominican has been an important part of my life, and I want to help it continue to be a vital part of this community. So any way in which I can help is important.”

—Sister Adrienne Piennette, OP, Volunteer Services Representative, Employee Giving Champion

“I've been here a long time. In many ways, Dominican is my family. I've gotten a lot of support in trying times from my coworkers.”

- Sally Redemann-Knowles, Pharmacist, Employee Giving Champion

Bette Harken and Linda Calciano, PhD, both members of the WoW Council

Donor Appreciation Reception 2024

Kathy Finnigan, RN, Director, Cancer Center, Rachel Ruby,NP, and Erin O'Connor-Thygeson, FNP-C, Manager, Mobile Wellness Clinic

Rodney Terra, Jr, President, Dominican Hospital Foundation, joined by WoW Council members Karen Gosling, Director, Health and Rehabilitation Services, and Margie Sisk.

With much gratitude, we held our annual Donor Appreciation Reception on Wednesday, April 24, 2024.

We shared some exciting news about our $2.145M Wellness on Wheels Campaign. This campaign aims to acquire a new medical vehicle and expand health screenings, community education, and access throughout Santa Cruz County. We are building a brand new, all-electric mobile medical van and expanding our personnel to reach even more of the most vulnerable populations in our community. Help us reach our goal by spreading the word. We only have $350k left to raise!

Also during the reception, our Foundation President, Rodney Terra, Jr., shared a brief update on our Hospital and Foundation. Here at Dominican we look forward to welcoming eight new medical residents in our new family medicine residency program this July, as part of our More in Common Alliance in partnership with Morehouse School of Medicine.

We also highlighted a few of the key projects that were supported by generous donations this past year, which include:

• Creation of Sister Julie Hyer, OP, Imaging Center

• Two Echocardiography machines for cardiac diagnostic services

• An O-arm Imaging System for spine, cranial, and orthopedic surgeries

• A second da Vinci Xi Surgical Robot

• A life-saving automated CPR device

Support for Dominican Hospital is greatly appreciated, and it was a pleasure to thank our community of supporters at the event.

Photos by Orbie Pullen Photography.

Ellen

WoW Council members Earleen Overend, Ginny Solari Mazry, Foundation Board Member, and Chris Maffia

Jerry Souza, RN, Director, Cardiac Services, Joined by Dr. Rajinder Singh, MD and his wife Navdeep Singh

Anissa Novak, Chair, WoW Council, joined by Joe Hyatt and Foundation Board Member William Ow.

Sister Mary

Leciejewski, OP, Sys VP, Environmental Sustainability, Judy Lee, Dr. Gordon Lee, MD, and Miriam Ting

Josie Cowden, Mary Solari, and Cathy Conway, WoW Council member

Janet Berry, WoW Council member, Tiffany Hammer, Vice-Chair, WoW Council, and her husband Dan Terry

Compression System

This chest compression system helps our care providers respond more effectively to cardiac arrest situations. By utilizing this technology, we can quickly diagnose and transfer patients from our Emergency Room to an operating room for cardiac intervention.

–Tammy Green, RN, emergency medicine

Women of Wellness (WoW) Council Completes 6th Year of Funding

The WoW Council was formed in 2018 to provide education, input and financial resources for new and existing women’s health services at Dominican Hospital. This year marks the sixth round of funding crucial programs and technology with more than $440,000 raised in support.

2024 WoW Funding Approved $87K

On May 2, the WoW Council convened to view project proposals from various departments and programs of Dominican Hospital. The WoW members voted in response for the allocation of the 2024 funds totaling $87,000.

Two additional projects were anonymously, fully funded by WoW Members!

• $5,000 Oncology Women’s Resources; Funds used to establish a resource area of products and educational brochures to remedy side effects due to cancer treatments. (Dignity Health Medical Group)

• $20,000 Katz Cancer Resource Center; As the only wig bank in Santa Cruz County, funds will be used for the renovation and beautification to create a Wig Boutique for patients affected by hair loss during cancer treatments. (Oncology)

WoW Funds in Action

In 2023, the WoW Council approved funding for the purchase of a Lucas Chest Compression System to support patients undergoing cardiac arrest. The Emergency Department received a total funding of $16,545 and has successfully integrated this technology into their practice. Although both men and women are at risk of a cardiac episode, heart disease is the leading healthcare concern for women and causes 1 in 5 deaths each year in the United States, according to the Centers for Disease Control and Prevention (CDC) in 2021.

The ER Department staff pictured here during a training session for the Lucas Chest

WoW Council at Dominican

85+ MEMBERS 6 YEARS

$440,000 RAISED AND DISTRIBUTED

22

PROJECTS SUPPORTED

Listed are the current WoW members of the giving society, requesting a minimum commitment of $1,000 per year. The council meets three times annually to learn more about Dominican Hospital’s current women’s health services, identify and understand the need for new or improved programs, equipment and facilities, and foster relationships.

Renee Aispuro Gonzalez

Toby Alexander

Jane Alexander

Kalena Allard

Sheri Anselmi, MD

Kathy Appenrodt

Michele Bassi

Vania Bernatsky

Janet Berry

Claire Biancalana

Bridget Binko

Laura Bogaard

Suzie Bogaard

Sandra Brackle

Allison Brookes

Hilary Bryant

Linda Calciano

Marilyn Calciano

Marina Camarlinghi

Gail Carhart-Scofield

Joleen Chavez

Cathy Conway

Lisa Cooper

Sonya Drottar

Robbie Dunton

Sandra Eldridge

Jeanette Engle-Ramirez

Michele Fahrner

Kathleen Finnigan

Raina Ferzoco, MD

Karen Gosling

Noha Gowelly

Beverly Grova

Tiffany Hammer, Vice Chair

Jerri Hammond

Bette Harken

Ciara Harraher, MD

Ronda Hatcher

Stefanie Hatfield, MD

Dominique Hollister

Carolyn Hyatt

Anne-Marie Jackson, MD

Julie Jaffe, MD

Judy Johnson

Sherry Kahler

Patricia Kubo Lezin, MD

Angela Lazalde

Caitlin Lim, MD

Anne Lindberg

Kwan Liou, PharmD

Jessica Locatelli

April Lopez

Susan MacMillan

Chris Maffia

Angie McClellan

Amy McMullen MD

Nanette Mickiewicz, MD

Rochelle Nations

Allison Niday

Jenna Norvell

Anissa Novak, Chair

Martina O'Sullivan

Earleen Overend

Jeanette Pagliaro

Kathryn Pagliaro

Betty Patten

Julie Peterson

Lily Rogers

Rachel Ruby

Marilyn Sandow

Jessica Santillano, MD

Gabriela Santivanez

Jacqueline Sedgwick, MD

Cynthia Sekkel

Carol Simpkins

Margie Sisk

Janet Slay

Allison Smith

Krista Snelling

Ginny Solari Mazry

Alicia Stanton

Angela Terra

Joan Vigil

Rachel Wedeen

Bonda White

Marni Williams

Jill Wilson

Nancy Woolf

*Member list as of 5/1/2024

We invite you to join the impact on women’s health. For more information or to sign-up, please call Guinevere Espinoza-Krebs at Dominican Hospital Foundation (831) 462-7712 or visit supportdominican.org/women-of-wellness-council

We

Chaminade Resort & Spa: Committed to Community Health and Sustainability

Chaminade Resort & Spa, a spectacular mountaintop retreat, operates with a strong commitment to the good health of our community. Situated on 300 wooded acres with breathtaking views of the Monterey Bay and scenic Santa Cruz Mountains, Chaminade Resort & Spa is an ideal place to discover Santa Cruz at its most peaceful, providing guests the opportunity to lounge and relax in wideopen spaces amidst lush green landscaping.

Guests at award-winning Chaminade breathe in the fresh ocean air as they walk along redwood-lined hiking trails. The resort includes two heated pools, miles of hiking trails, locally sourced dining, a full-service spa, and much more. The resort features 156 rooms in eleven villas, spread amongst bright eucalyptus trees and natural scenery.

"We are proud to support Dominican Hospital as their partner in enhancing the community's health, economic

stability, and social fabric," says Doug Lord, General Manager. "In times of crisis or health emergencies, community hospitals are on the front lines. Support from local businesses is crucial in enhancing Dominican's capacity to respond to public health emergencies, provide critical care, and implement community health programs. Charitable support can significantly impact the community's resilience and health outcomes."

Chaminade Resort & Spa supports sustainable practices throughout the resort and Santa Cruz community. Carefully designed accommodations and guest services protect the environment and conserve natural resources.

Overall, Chaminade Resort & Spa reflects a commitment to the well-being of the area where their employees live, work, and many of their customers reside, creating a cycle of mutual benefit and support that strengthens the entire community.

The Partnership for Patient Care program recognizes more than 20 annual sponsors who give at levels of $10,000 or $30,000+. Contact Alexandra Van Zanen at 831.462.7712 or visit supportdominican.org/partnership-for-patient-care for sponsorship information.

Exercise Opportunities Available for You

Many people find exercise is more enjoyable with a friend. Exercising with others can help keep you motivated while also providing a source of fun, stress relief, and a place to meet friends. A community-based program can provide the social connection and motivation you need to stick with exercise for the long run. Exercising in a group setting also provides an added layer of safety and supervision during activity. Dominican Hospital’s Community Education Program (known as PEP) at Dignity Health Wellness Center offers over 100 medically integrated fitness and wellness classes designed and taught by an experienced team of Rehab and Exercise professionals including Physical, Occupational, and Speech Therapists and their support team. PEP teaches classes in the beautiful Dignity Health Wellness Center in Live Oak and at the Simpkin’s Family Swim Center. Classes are offered for all ages and ability Levels.

If you need to improve your mobility and flexibility? As you age, it’s normal to become less flexible. Your range of motion decreases due to changes in connective tissue, decrease in water content, muscle mass changes, etc. But you CAN maintain the ability to improve your flexibility and mobility as you age through a variety of stretching and mobility exercises. Improving your flexibility will help you with everyday activities like tying your shoes, shampooing your hair, or playing with your grandchildren. Many PEP classes can help you improve your mobility and flexibility by incorporating a range of stretching and mobility challenges in a variety of safe positions. The clinical PEP instructor will work on increasing your functional mobility and flexibility in a safe and fun group environment.

n PEP Classes to Try: Build Better Movement, Chair Yoga, or Gentle Flow Yoga

Looking to improve your strength? As people age, they lose muscle mass and strength, a condition known as sarcopenia. Scientists say strength training is one of the best ways to help slow that decline. It not only maintains muscle strength and power (which you’ll need while opening a jar or pushing a heavy door), but it makes everyday activities like

cooking, cleaning and climbing stairs less difficult. It can also help reduce susceptibility to disease, improve brain health and mood and help you maintain independence longer. Many PEP classes incorporate strengthening exercises into each class.

n PEP Classes to Try: Strength & Agility, Challenge Better Movement, or Pilates

Has your balance been a concern? Just like strength and flexibility, your balance can also improve at any age. There are many changes that occur in our sensory systems as we age, including decreased vision, a decline in our vestibular system, and a decrease in our proprioception. However, with balance-specific exercises and practice, you can improve your balance and decrease your risk for falls, even as you age. Many of the PEP classes incorporate balance-specific exercises that challenge each of the sensory systems with an emphasis on safety and fun! There are a variety of different PEP balance classes to help support each individual’s needs based on their function.

n PEP Classes to Try: Balance Basics, Balance Circuit, Balance Plus, or Tai Chi classes

Have you had a recent surgery, or are considering having a joint replacement, or are you living with chronic joint pain? Our bodies are all unique and the options for moving without pain vary. Our Empowered Relief, Joint Replacement Prep & Recovery, Aquatics and Tai Chi Classes are all great options to help you recover gracefully and move with less pain.

n PEP Classes to Try: Empowered Relief, Joint Replacement Prep & Recovery, Aquatics and Tai Chi

No matter your age or physical condition, it’s never too late to get your body moving, boost your health and outlook, and improve how well you age. Getting active is not just about adding years to your life, it’s about adding life to your years. Remember any bit of exercise is better than none, and the more you do, the more you will benefit. Dominican Hospital is here to support your efforts every step of the way.

To register or for more information on Dignity Health Wellness Center PEP classes please visit dignityhealth.org/dominican/pep or contact 831.457.7099. PEP is happy to help you find the class that is right for you!

NUTRITION IN THE KITCHEN The Power of Plants

One of the most powerful steps you can take to improve your health, boost your energy, and prevent chronic disease is to move toward a plant-based diet.

Plant-based foods, like fruits, vegetables, nuts, seeds, and legumes are rich in vitamins, minerals, and antioxidants. They are also high in fiber and usually low in calories, keeping you fuller longer so you can be satisfied eating less. Other benefits of eating a plant-based diet include:

IMPROVED HEART HEALTH

A diet with more fruits and vegetables has been shown to reduce risk of cardiovascular disease and mortality. The Lifestyle Heart Trial found that 82 percent of patients diagnosed with heart disease who implemented a plant-based eating plan had some level of atherosclerosis regression (decrease of the build up of plaques on the walls of the arteries). Eating plants can improve other risk factors for heart disease by lowering your blood pressure and cholesterol, and improving your blood sugar control.

LOWER RISK OF DIABETES

According to a recent study, going plant-based can cut your risk of developing type 2 diabetes in half. Diets high in fiber-rich plant foods can help to improve insulin sensitivity and decrease insulin resistance.

YOU’LL SAVE MONEY

It is estimated that following a plant-based diet can save an average of $14.36 a week per person or a yearly savings of $750. Learning to cook with plants benefits your body and your bank account.

No matter what stage of life you’re in, it’s never too late to start eating healthier! Our Nutrition in the Kitchen series at the Dignity Health Wellness Center will teach you how to make delicious plant-based recipes at home.

NEXT CLASS

Nutrition in the Kitchen - A Plant-Powered Thanksgiving Join Chef Jenny in the kitchen at the Dignity Health Wellness Center to learn the keys to staying healthy during the holidays and how to prepare crowd-pleasing, holiday favorites that are nutrient-rich and delicious.

Please check the website dignityhealth.org/dominican/pep or call for more information 831-457-7099

About Jenny Brewer, MS, CNS Jenny Brewer believes you deserve to feel peace in your body and in your relationship with food. She’s a graduate of the Natural Gourmet Institute for Health & Culinary Arts in New York City, has a masters degree in Nutrition and is a Certified Nutrition Specialist. Find out more at https://nourishingnutrition.com

Understanding, Preventing, and Caring for Swelling (Edema) in Your Legs

Why do we end up with swollen legs?

Our bodies have 2 systems for moving fluid. The first one involves your blood vessels, all your veins and arteries transporting oxygen and nutrients to and from your heart and lungs. The second one is your lymphatic system, which transports protein rich fluid throughout your body, cleans up dead cells and helps fight infection. For both blood vessels and lymphatic vessels, your active muscles help pump fluid out of your limbs to your heart, and then to your kidneys, where your body gets rid of excess water and waste.

Why don’t I want to ignore my swollen legs?

Many of us have experienced swollen feet or ankles. Some common causes include a long day on our feet, air travel, pregnancy, or injury. This type of swelling can happen at any age, and regardless of your overall health. It usually gets better quickly when the cause is addressed.

Swelling that doesn’t get better quickly can be a sign of a health problem that needs attention, such as chronic venous insufficiency (CVI), heart failure, kidney failure, chronic infection, cancer or cancer treatment, or lymphedema (a kind of swelling caused by protein-rich lymph fluid collecting in your limb). When this type of swelling is ignored it can be double trouble! If the original cause is left untreated, then swelling itself can create more health complications.

The first reason is to make sure new and/or persistent swelling is not caused by an underlying condition. For example: cancer, heart failure, and kidney failure are easier to treat if you find out about them early on and start caring for them before they cause other problems. Chronic infections, when left untreated, can cause sepsis, a lifethreatening illness.

The second reason is to prevent complications that arise from the swelling itself. These complications can be as simple as skin color change (reddish staining of your shins and calves) and thickened skin “plaques.”.Or they can be more serious—weeping and blisters that lead to painful sores, fungal infections, or legs so heavy it makes it hard to move around and care for yourself. Lymphedema that goes untreated can cause elephantiasis—thickened skin that loses its elasticity, is at risk for infection, and can be disfiguring.

HEALTH EDUCATION

PREVENTION

• Stay active! Continuing to use your muscles regularly, helps pump fluid out of your limbs.

• Walking, riding a bike, swimming/pool exercise, are all great exercises for keeping fluid moving. But staying active doesn’t have to be an official workout- it includes daily life activities like gardening, walking your dog, taking a short stroll with a friend, really any excuse to move your muscles.

• If you have a job that keeps you on your feet all day, talk to your doctor about wearing compression socks. This supports your blood vessels and makes your muscle activity more efficient at pumping fluid. It can also help prevent varicose veins.

• Put your feet up. Don’t sleep in your recliner or with your feet down. Let gravity help your body move fluid.

• Watch your wounds! If you cut or scrape yourself, keep an eye on the healing process and check with your doctor if you are concerned.

What can I do if I am experiencing swelling?

There are some things that are safe and helpful for any swelling condition. Whether you are waiting for an appointment with your doctor to talk about swelling, or as part of your established swelling care routine, these strategies will help prevent wounds, infections, and worsening of your edema:

SKIN CARE.

• Wash and dry your swollen limbs every day, use gentle soap and warm water, and pat your skin dry. Be sure to wash and dry between your fingers or toes! Don’t wash any open wounds.

• Moisturize! Use an unscented lotion to moisturize your swollen limbs. Do not put lotion between your toes or fingers, or on any open wounds.

ELEVATE YOUR SWOLLEN LIMBS.

• Put your legs up periodically throughout the day. Avoid spending the night in a recliner or a chair. If you have swelling in your arm, prop it up on some pillows whenever you are sitting down or resting

EXERCISE ROUTINE FOR SWOLLEN LEGS.

Do this quick routine whenever you think about it:

• Shoulder rolls forward and backward, 5 x each

• Diaphragmatic breathing/belly breathing, 5 x each

• Ankle pumps 20 x, both legs (point toes like a ballet dancer, then bring your toes back toward your shins)

When should I talk to my doctor about my swelling?

• Your swelling is new and persistent, it keeps coming back day after day

• In addition to swelling, you are gaining weight and you don’t know why you are experiencing shortness of breath

• You have weeping skin, blisters, or wounds on your legs that just don’t want to heal (even little ones!)

• You have diabetes or kidney disease

• You have a history of cancer, surgery that removed lymph nodes, or major abdominal surgery.

• Your doctor has recommended that you wear compression stockings, but you aren’t able to put them on, they hurt your skin, or they feel too tight at the end of the day

RESOURCES

Outpatient lymphedema clinic:

• Ask your doctor for a referral to help manage your swelling, especially if you have not been successful with using compression stockings…there are other options.

Lifestyle Management:

• Programs for cardiac health, nutritional education, and diabetes management

• Held at Dominican Hospital’s campus at 1555 Dominican Way, please call for information 831.457.7077

Dignity Health Wellness Center:

• Exercise classes where you may stay active in the pool or dry on land!

• Lymphedema support group

• 21340 E Cliff Drive, call to register: 831.457.7099, or register online: dignityhealth.org/dominican/pep.

Caring For Our Community

At Reiter Affiliated Companies, we are honored to support the Dominican Hospital Foundation and their leadership and commitment to bringing quality healthcare to the farmworkers, growers, and families of the Pajaro Valley. We are proud to be partners in making our community a better and healthier place to live.

Exercise is Key for Healthy Aging

Exercise is essential for good health at any age but it becomes even more important as we get older. There are many reasons why we tend to become more sedentary with age. It may be due to health problems, worries about falling, or issues with body weight or pain. The good news is that you don’t have to run a marathon or lift a 100 pounds to reap the anti-aging benefits of exercise. Even moderate amounts of activity can have a big impact and it’s never too late to find simple, enjoyable ways to become more active, improve your mood and outlook, and reap all of the physical and mental health benefits of exercise. Some of the numerous benefits of exercise include:

Health Benefits of Physical Activity for Adults 65+

I MMEDIATE LONG-TERM

• Sleep

• Less Anxiety

• Blood Pressure

• Brain Health

• Heart Health

• Cancer Prevention

• Healthy Weight

• Independent Living

• Bone Strength

• Balance and Coordination

CARDIAC REHAB

EXERCISING SAFELY

Getting active is one of the healthiest decisions you can make as you age, but it’s important to do it safely. If you’ve never exercised before, you may not know where to begin, or you may be concerned that you’re too old or frail. Even most individuals who have chronic illnesses including heart disease, high blood pressure, diabetes and arthritis, can exercise safely. Many of these conditions are improved with exercise. Below are two examples of Dominican Hospital’s medically integrated programs for individuals living with chronic illness. Dominican’s team of Cardiac Nurses, Exercise Physiologists, Dieticians and Life Coaches can help you improve your health safely and with confidence.

Dominican Hospital’s nationally certified Cardiac Risk Reduction is designed to assist individuals who have had angina, heart attack, angioplasty, stent, bypass surgery, valve surgery or heart failure. The program includes monitored exercise, education classes, risk factor assessment, behavior modification guidance and support to get you back to enjoying those things that are most meaningful to you.

SUPERVISED EXERCISE THERAPY FOR PERIPHERAL ARTERY DISEASE (SETPAD)

Dominican Hospital’s SETPAD program is designed for individuals living with symptomatic peripheral artery disease including discomfort or cramping in the legs. This program includes supervised exercise therapy, education classes, risk factor and behavior modification counseling. The goal of this program is to increase stamina, mobility and improve overall health and quality of life.

For more information on these programs please contact the Center for Lifestyle Management at

Four Types of Exercise

Aerobic/Cardiovascular

Uses large muscle groups in rhythmic motions over a period of time which increases your breathing and heart rate and improves the health of your heart, lungs and blood vessels

Examples: walking, jogging, dancing, swimming, cycling, climbing stairs, hiking, rowing, gardening.

PEP Class: Cardio Stretch, Move with Music, Challenge Better Movement, WalkActive®

How much do you need?150-300 minutes/week of moderate intensity exercise or 75-150 minutes/week of vigorous exercise

Flexibility

Stretches your muscles to keep you limber which helps everyday activities like tying your shoes, shampooing your hair, or playing with your grandchildren

Examples: stretching and yoga.

PEP Class: Chair Yoga, Gentle Flow Yoga, Circuit & Stretch, Yoga: Relax & Restore

How much do you need? At least 2-3 days per week, with daily stretching being most effective. Holding stretches for 30-60 seconds may be more beneficial for older adults.

To maximize these benefits you’ll want to make sure your program is well balanced and includes these four primary types of exercise:

Strength

Increases the strength of your muscles and bones enabling you to keep doing your day-to-day activities without becoming dependent on others

Examples: lifting weights, using resistance bands and bodyweight exercises like push-ups and squats.

PEP Class: Challenge Better Movement, Build Better Movement, Strength & Agility, Better Bones, Bodyweight Suspension Training

How much do you need?

2-3 non-consecutive days/week, 10-15 repetitions for major muscle groups

Balance

Improves stability and helps prevent falls

Examples: standing on one foot, walking heel to toe, yoga & tai chi.

PEP Class: Balance Basics, Balance Plus, Balance Circuit

How much do you need? At least 2-3 days/ week with daily integration if possible

To register, or for more information on Dignity Health Wellness Center PEP Classes, please visit dignityhealth. org/dominican/pep or call 831.457.7099. PEP is happy to help you find the class that is right for you!

REGISTRATION & DIRECTORY

Registration

Online Registration: dignityhealth.org/dominican/pep

Phone-in Registration: Call 831.457.7099

10 a.m.–4p.m., Monday–Thursday

Mailing Address:

PEP-Community Wellness Education

Dignity Health Wellness Center

21340 E. Cliff Drive, Santa Cruz, CA 95062

Registration: Advanced registration is required for all classes. Please register at least two days before class starts as classes may be canceled due to low enrollment.

Closed Dates

• Jul 1−7: Independence Week

• Sep 2: Labor Day

• Nov 23 − Dec 1: Thanksgiving Week

• Dec 21 − Jan 5: Winter Holidays

Refund Policy

PEP Refund & Cancellation Policy: Full refund must be requested 3 days prior to the start of the first class. Partial refunds will only be considered for medical reasons. Thank you for helping us keep our PEP program available to as many people as possible.

Class

Class Proposal Information:

Lifestyle Management Program: 831.457.7077

Katz Cancer Resource Center: 831.462.7770

Total Joint Care / Back & Neck: Heather.Goodman@CommonSpirit.org or 831.462.7597

Health and Wellness

Resilience Through Mindfulness

IN-PERSON

Whether faced with personal health challenges or stressful life experiences, mindfulness practice can support you to stay flexible and balanced in the midst of it all. In discussion, meditations, and small and large group work, you will have guidance and group support to build your resilience through learning key mindfulness practices. You will learn how to be fully present to observe yourself and life as it is unfolding, tap into your own internal resources for health and well-being, and find a sense of ease and grace right in the midst of instability and uncertainty. 4 sessions

Instructor: Meg Corman, MHSA, MBSR Instructor Class fee: $120

Wed 9/4−9/25, 6−8 pm

Meditation for Self-Healing

IN-PERSON & VIRTUAL-LIVE

Sheng Zhen Meditation is a heart-opening, healing practice of unconditional love. It strengthens the body, improving circulation, increasing flexibility and fortifying the immune system, it relaxes the mind, balancing the emotions, reducing stress, anger and anxiety, and it opens the heart, cultivating compassion, joy, and an understanding of oneself and the world. Sheng Zhen is accessible to all ages and all abilities. 6 sessions

Instructor: Kathy Welch, Certified Sheng Zhen Teacher Class Fee: $72

Mon 7/8−8/12; 9/9−10/21; 11/4−12/16, 9−9:50 am

Hypnotherapy for Birth Preparation & Motherhood IN-PERSON

Hypnosis has been shown to provide women with increased control over their physical and emotional well-being during pregnancy, childbirth and motherhood. Studies show decreased pain, shorter labor, fewer birth interventions, better sleep, and less anxiety and depression. Get the facts and experience hypnosis tailored to you. Blocks and yoga mats provided. Feel free to bring blankets/props. 1 session

Instructor: Stacy Pan Hypnotherapy, CHT, CFA Class fee: $30

Wed 8/14, 5:30−6:30 pm

Hypnotherapy for Healthy & Sustainable Weight Management IN-PERSON

Hypnosis can help create SUSTAINABLE change in habits. Studies show after two months of diet and exercise changes that most people lose weight. However, many gain it back at the 8-month mark. Hypnosis can help you control your body andvcan help keep the weight off. Experience hypnosis tailored to you. Blocks and yoga mats provided. Feel free to bring blankets/props. 1 session

Instructor: Stacy Pan Hypnotherapy CHT, CFA. Class fee: $30

Mon 9/16, 5:30−6:30 pm

Hypnotherapy Uses for People with Cancer IN-PERSON

Come learn how hospitals are using hypnotherapy to help cancer patients decrease pain, shorten procedure and recovery times, reduce anxiety, depression and trauma, decrease chemotherapy side effects, reduce nausea, and make healthy habits sustainable. Experience hypnosis tailored to you by a cancer survivor/certified hypnotherapist. Blocks and yoga mats provided. Feel free to bring blankets/props. 1 session

Instructor: Stacy Pan Hypnotherapy, CHT, CFA Class Fee: $30

Wed 10/9, 5:30−6:30 pm

Relaxation Tips for Reducing Your Stress VIRTUAL-LIVE

Learning to consciously relax the mind and body through basic relaxation techniques leads not only to reduced stress, but also to better mental and physical health, and a better quality of life. During this immersive class you’ll practice a variety of relaxation techniques designed to quiet the mind to feel more peaceful and energized. You’ll also learn how to start a relaxation practice and incorporate these exercises into your daily routine. 1 session

Instructor: Eric Hand EP, CSCS Class Fee: $20

7/9; 9/10; 11/12, 1−1:50 pm

Stay Strong Under Stress VIRTUAL-LIVE

We all face challenging experiences and stressful situations in our lives. In this class you’ll learn simple, but powerful, sciencebased tools that help buffer stress and build resilience in your everyday life. We’ll explore the connection between stress and our physical and emotional well-being. You’ll leave this class with a toolkit of core skills and real solutions to live with less stress and more success.

Instructor: Eric Hand, EP, CSCS Class fee: $20

Tue 8/13; 10/8; 12/10, 1−1:50 pm

Healthy Living for your Brain and Body

IN-PERSON

For centuries, we’ve known that the health of the brain and the body are connected. But now, science is able to provide insights into how to optimize our physical and cognitive health as we age. Join us to learn about research in the areas of diet and nutrition, exercise, cognitive activity and social engagement, and use hands-on tools to help you incorporate these recommendations into a plan for healthy aging.

Instructor: Alzheimer's Association Representative Class fee: Complimentary Tue 8/20, 4−5 pm

10 Warning Signs of Alzheimer’s

IN-PERSON

Alzheimer’s and other dementias cause changes in memory, thinking and behavior that interfere with daily life. Join us to learn about 10 common warning signs and what to watch for in yourself and others. The one-hour program covers typical age-related changes, common warning signs of Alzheimer’s, how to approach someone about memory concerns, early detection, the benefits of a diagnosis and the diagnostic process, and Alzheimer’s Association resources.

Instructor: Alzheimer's Association Representative Class fee: Complimentary Tue 11/5, 4−5 pm

Introduction to Meditation: Self-care for Body, Soul & Spirit

IN-PERSON

In this workshop we will learn to heal our own mind, heart and body through the powerful and practical tool of meditation. It’s a way to develop our capacity to be mindfully embodied, grounded and present to ourselves and our experience as it arises, free of judgment, expectation and with compassion. We will learn about how we create our own anxiety and distress through our thinking and how in changing our relationship to our thinking, feelings and bodily sensations, we have the ability to increase our happiness, health and well-being. By the end of this workshop you will have the basic skills to bring a reflective presence and calm to any situation.6 classes/session

Instructor: Jeffrey Compton, M.A., CST(Certified Somatic Therapist) Class fee: $175

Thu 7/11–8/22, no class 8/1; 9/5–10/17, no class 9/26, 6:30–8 pm

Health and Wellness

Empowered Relief® IN-PERSON

Join us for a 2-hour skill-building session where you will learn about pain, gain pain relief skills, and create a personal plan for pain relief. All participants receive a free binaural relaxation audiofile and gain skills for use right away. Participants may be experiencing chronic or episodic pain pre or post surgery; invite a family member or friend to register as well for extra support. Empowered Relief® is an evidence-based program developed by pain psychologists at Stanford University. 1 session

Instructors: Ellen Kureshi, Pharmacist and/ or Barbara Rodrigues, MS, OTR/L; Certified Empowered Relief® Instructors

Class Fee: $40

Thu 8/8; 11/8, 3:30–4:45 pm

Freedom from Smoking

IN-PERSON

Freedom from Smoking is the American Lung Association's program, designed for adults who want to quit smoking. Based on research and trials, it is considered the gold standard of smoking cessation programs. The program has helped hundreds of thousands of smokers quit for good. It emphasizes understanding the psych-social and behavioral aspects of nicotine addiction and methods to "kick the habit". A supportive group atmosphere is led by Dominican Hospital Respiratory Therapists. The course lasts 7 weeks with an additional meeting scheduled following the quit date in week four.

Instructor: Dominican Hospital Respiratory Therapists Class fee: $85 Fee waived for Medi-Cal patients

Wed 1 Fri 8/7−9/18+8/30, 5−6:30 pm

Healthy Nutrition for Living Well-Series

IN-PERSON & VIRTUAL-LIVE

Join a Dignity Health registered dietitian for a series of informative talks to improve your diet and lifestyle.

• Plant-Based Flexitarian Eating-10/29

• Unhealthy Eating-Breaking the Cycle-7/30

• ABC's of Mindful Eating-8/27

• Emotional Eating and Stress- 9/24

Instructor: Melissa DeVera, RD, CWC, CLT Class Fee: $15 Tue 4−4:50 pm

SCAN QR CODE FOR

UPDATED CLASS INFO: dignityhealth.org/dominican/pep

Medicare 101 VIRTUAL-LIVE

Understanding Medicare can be overwhelming, this virtual seminar will help demystify:

• The A, B, C’s (and D) of Medicare

• When and how to enroll

• Supplementing Medicare

• Choosing a drug plan

• Original Medicare vs. Medicare Advantage

Health Insurance Counseling and Advocacy Program (HICAP) counselors provide complete, accurate, unbiased information on Medicare. Counselors are trained and registered with the California Dept. of Aging. HICAP is not associated in any way with insurance companies, products, or agents. It is a program within Senior Network Services. 1 session

Instructor: Pamela King & William Proudfoot Class fee: No charge to participate

Thu 10/24; 11/21, 5–5:50 pm 6:30−8:30 pm

Flexible Body, Flexible Mind IN-PERSON

Join us for a class designed to improve your physical and mental/emotional flexibility. For your body, we'll use small props, and a variety of stretching techniques to lengthen your muscles and connective tissue. To improve the flexibility of your mind, we'll use different modalities and help you find something that works for you. Exercise has been shown to promote feelings of calm and comfort. It also helps the brain regulate emotions. Learn techniques to stretch your body and quiet your mind which will improve your overall well-being. 12 sessions.

Instructor: Renee Rudzinski Class fee: $144 Thu 11–11:50 am

Health and Wellness

WalkActive®-phase 1

IN-PERSON

• Walk Better with WalkActive®.

• Improve posture

• Boost stability and balance

• Safeguard your joints

Research now shows that the QUALITY of your walking is more important than the quantity, so learn how to walk better with WalkActive®! Join us for an outdoor workout and learn how to walk better for health, fitness and mental well-being using simpleto-learn techniques and progressions of the WalkActive® program. This fun, educational and effective course will improve your balance, stability, walking posture, and boost your physical confidence. 4 sessions

Instructor: Brian Parselle, Certified WalkActive® Trainer Class fee: $52

Tue 8–8:50 am

WalkActive®-phase 2

IN-PERSON

• Walk Fit + Well with WalkActive®

• Walk yourself fit

• Fits with your life for everyday benefits

• Make every step effective for body + mind. Have you completed Phase 1 WalkActive®, and are ready to progress to make every step effective for your health, fitness & mind? Our Phase 2: Walk Fit + Well incorporates short community walks with a focus on finding the right pace for you to boost your fitness and health, while emphasizing form & posture to improve your quality of life. You'll discover how to progress your walking quality and stamina in a fun small group setting alongside other like-minded WalkActivists. 4 sessions

Instructor:Brian Parselle, Certified WalkActive® Trainer Class fee: $52 Thu 8–8:50 am

WalkActive®-phase 3

IN-PERSON

• Walk Fitter, Further Faster with WalkActive®

• Boost your stamina

• Find the right pace for you

• Build strength and good joint care Ready to walk fitter, further, faster? Building on effective and educational benefits of our first two WalkActive® phases, these next sessions are here to help you master the next stages of the WalkActive® technique. Enjoy your body feeling fitter and walking more smoothly for pace, posture and great technique. You'll improve your fitness level, increase your walking distance, and boost your pace, all whilst looking after your joints, balance and stability to enhance your physical confidence so you can walk fitter, further and faster in your everyday life. 4-12 sessions

Instructor: Brian Parselle, Certified WalkActive® Trainer Class fee: $52-156 Thu 9:30–11 am

Medical Fitness / Exercise & Fitness

Healthy Spine-Phase 1 IN-PERSON

Gentle group exercises designed to improve mobility and strength in a safe pain-free manner for people who may have neck and back discomfort or limitations. Exercises are fun and safe and any precautions by your MD need to be given to instructor. Class includes education on safe use of your body during everyday activities, relaxation training and other helpful tips. Participants must be able to walk 100 ft. independently with or without an assistive device & be able to get on and off the floor. 4 sessions

Instructor: Dominican Therapy Team Class fee: $44

Tue 12−12:50 pm

Healthy Spine-Phase 2 IN-PERSON

Once you have completed the Gentle Conditioning for Your Back and Neck series we encourage you to continue your exercises in this part two program to strengthen, stretch, use appropriate posture and technique, while providing a positive place to safely exercise in a group setting. Participants must be able to walk 100 ft. independently with or without an assistive device. 12 sessions

Instructor: Dominican Therapy Team Class fee: $132

Tue 1−1:50 pm

SCAN QR CODE FOR UPDATED CLASS INFO: dignityhealth.org/dominican/pep

Circuit and Stretch IN-PERSON

This fast-paced class will focus on circuit training with emphasis on core strengthening and stretching. Participants will get their heart rate up and then follow up with circuit training using a variety of equipment, ending with 20 minutes of stretching. All participants must be able to walk 500 feet without an assistive device and be independent getting down to and up from the floor. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $132−144

Tue 11−11:50 am Thu 10−10:50 am

Bodyweight & Suspension Training IN-PERSON

This group class will explore a variety of fun and safe bodyweight movements to improve strength, mobility and balance using the support of suspension straps or the available environment. All exercises can be modified to individual levels and are designed to improve movement quality throughout your daily life to prevent injury and maintain an active lifestyle. 10−12 sessions

Instructor: Dominican Therapy Team Class fee: $120−144

Mon 9−9:50 am Thu 9−9:50 am Fri 8−8:50 am

Boxing for Balance and Your Bones IN-PERSON

This fun and dynamic class provides a full body workout based around non-combat boxing exercises paired with balance and strength exercises. It is designed to improve eye-hand coordination, strength, posture, gait and balance. Participants also often see better cognitive processing and reaction time. Individuals with high fall risk should bring a caregiver. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $132−144

Wed 9−9:50 am

Exercise & Fitness /

Better Bones

IN-PERSON

Join our therapists for an invigorating class specializing in exercises designed to strengthen your bones! Classes will include a variety of weight-bearing aerobic exercise, strength training, balance, coordination, all wrapped into a fun, sustainable exercise program. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $132−144

Tue 10–10:50 am

Thu 2−2:50 pm

Strength & Agility

IN-PERSON

Join our therapy team for a group exercise class focusing on gaining strength and remaining agile. Fun, safe, challenging exercises with a focus on staying functional. Participants must be able to get down and up from the floor without assistance. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $132−144

Thu 1−1:50 pm

Balance Basics

IN-PERSON

Group exercises designed to improve balance and strength for people who may be fearful of falling or are looking to improve their stability. Exercises are fun and safe but those who are at high risk for falling must bring a caregiver as a precaution. Participants must be able to walk 100 ft. independently with or without an assistive device. 10−12 sessions

Instructor: Dominican Therapy Team Class fee: $110−132

Mon 1−1:50 pm; 2−2:50 pm

Tue 2−2:50 pm

Wed 1−1:50 pm; 2−2:50 pm

Thu 11−11:50 am

Balance Circuit

IN-PERSON

Group exercise class designed to improve balance and strength for people who may be fearful of falling or are looking to improve their stability. The class includes fun strength training, aerobic training, and balance-specific exercises. Participants need to be able to walk 200 ft with or without an assistive device independently. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $132−144

Wed 9−9:50 am

Fri 9−9:50 am

Balance Plus IN-PERSON

Ready for a balance challenge? Join the Dignity Health Therapy Team to challenge your body in all sorts of fun and different ways to improve your balance and help you do all that you can to prevent falls. Participants must be able to get up and down from the floor with use of a chair or independently. This class is a progression of our Balance Basics PEP class.

11−12 sessions

Instructor: Dominican Therapy Team Class fee: $121−132 Wed 3−3:50 pm

Joint Replacement Prep & Recovery

IN-PERSON

Come take care of your joints, hips, knees, shoulders, and more with proper exercise to maintain your range of motion and strength! No matter what your plan, exercise, joint replacement, etc. this class can help give you the proper mechanics and help you maintain or regain your mobility in a pain-free manner. Pre-surgery strengthening has shown improved post-surgical outcomes. Come to prepare before and recover afterward. We will modify the class dates for each individual person's orthopedic joint health plan. 10−12 sessions

Instructor: Dominican Therapy Team Class fee: $120−144

Mon 4:30−5:20 pm ; 5:30-6:20 pm

Parkinson's Cardio-Stretch IN-PERSON

This class will offer participants time on aerobic exercise equipment followed by full body stretching. The aerobic section utilizes interval training to improve participant’s aerobic capacity. The stretching portion of the class will help lengthen postural muscles that are often affected in individuals with Parkinson’s disease. Participants must be able to independently get up and down from the floor to attend this class. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $121−132 Fri 10−10:50 am

Parkinson’s Movement Foundation IN-PERSON

This beginning-level exercise class is designed to improve functional mobility in individuals living with Parkinson’s Disease. The class includes many exercises designed specifically for those with Parkinson’s and also includes Parkinson's Wellness Recovery (PWR) exercises. Participants will learn the basic movements in seated and standing positions. Participants should be able to walk 50 ft. with an assistive device and with support from their caregiver as needed. 11−12 sessions

Instructor: Dominican Therapy Team

Class fee: $121−132

Wed 11−11:50 am Thu 12−12:50 pm

Medical Fitness / Exercise & Fitness

Parkinson’s Movement with Ease

IN-PERSON

This intermediate-level exercise class is designed to improve functional mobility in individuals living with Parkinson’s Disease. The class includes many exercises designed specifically for those living with Parkinson’s and also includes PWR exercises. Participants must be able to get up and down from the floor and walk 100 ft. independently without an assistive device. 11-12 sessions

Instructor: Dominican Therapy Team Class fee: $121-132

Tue 10−10:50 am

Parkinson’s Movement Flow

IN-PERSON & VIRTUAL-LIVE

This advanced-level exercise class is a progression of the intermediate class. The class includes many exercises designed specifically for those living with Parkinson’s Disease and also includes PWR exercises. Participants must be able to get up and down from the floor independently and must be able to walk 200 ft. independently without an assistive device. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $121−132

Tue or Thu 9−9:50 am

Yoga for Parkinson's

IN-PERSON

Join us for a yoga-based exercise class that focuses on correcting the postural tendencies commonly found in people with Parkinson's Disease. Participants will not get down onto the ground in this class and exercises can be done while wearing shoes. 11−12 sessions

Instructor: Samantha Brown, Certified Yoga Therapist & EU Trained physiotherapist Class fee: $154−168

Fri 1−1:50 pm

Adaptive Gym Class

IN-PERSON

Therapists will develop individual exercise routines for continued function and home program maintenance—either sitting and/ or standing—in a wheelchair, or on a mat. This class is designed for wheelchair users as well as ambulatory students. Caregivers should accompany persons requiring continuous supervision, or more than setup assistance, since classes take place in a group setting. Registration is required, we are unable to accommodate drop-ins. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $121−$132

Mon 1−1:50 pm; 2−2:50 pm; 3−3:50 pm

Tue 12−12:50 pm; 1−1:50 pm; 3−3:50 pm

Wed 1−1:50 pm; 2−2:50 pm; 3−3:50 pm; 4−4:50 pm

Thu 2−2:50 pm, 3−3:50 pm

Communication and Movement for People with Parkinson’s

IN-PERSON

Learn techniques to improve your communication skills including vocal volume, clarity of speech, cognition and swallowing. Also challenge yourself with therapeutic movements from a chair or mat, to improve your strength, stability, posture, breath support, flexibility and range of motion. 11 sessions

Instructor: Dominican Therapy Team Class fee: $121

Thu 10−10:50 am

Build Better Movement IN-PERSON

This introductory-level class is designed to help improve one’s general functional mobility, strength, flexibility and balance. This class includes fun strength training, aerobic training, and balance-specific exercises. Participants should be able to walk 150 ft. with or without an assistive device. 10−12 sessions

Instructor: Dominican Therapy Team Class fee: $120−144

Mon 10−10:50 am; 12−12:50 pm

Wed 10−10:50 am; 12−12:50 pm

Thu 10−10:50 am Fri 11−11:50 am

Explore Better Movement

IN-PERSON

This intermediate-level exercise class is designed to help improve one’s general functional mobility, strength, flexibility and balance. This class includes fun strength training, aerobic training, and balance-specific exercises. Participants should be able to get up and down from the floor without assistance. 11−12 sessions

Instructor: Dominican Therapy Team Class fee: $132−144 Thu 1−1:50 pm

Challenge Better Movement IN-PERSON

This advanced-level exercise class is designed to help improve one’s general functional mobility, strength, flexibility and balance. This class includes fun strength training, aerobic training, and balance-specific exercises. Participants should be able to walk 300 ft. independently and be able to get up and off the floor independently. 10−12 sessions

Instructor: Dominican Therapy Team Class fee: $120−144

Mon 8−8:50 am; 11−11:50 am Tue 11−11:50 am; 2−2:50 pm Wed 8−8:50 am; 11−11:50 am Thu: 11−11:50 am; 12−12:50 pm Fri 12−12:50 pm

Exercise & Fitness / Mind-Body

Yoga: Relax & Restore

IN-PERSON

This nourishing class is all about ease. Perfect for those craving to slow down. Supportive props on the floor, no standing postures will be used to help your body rest, heal and restore. This highly accessible class provides numerous benefits: soothes your nervous system, deep relaxation, reduces chronic pain, provides improved sleep, and releases chronic tension. No yoga experience required. 11−12 sessions

Instructor: Abbie Righetti, Certified Yoga Instructor Class fee: $154−168

Tue 3−3:50 pm

Gentle Flow Yoga

IN-PERSON

This class will cultivate steadiness and ease in the mind and body. Classes will begin with calming meditation and guided breath-work and slowly move through a safe range of functional movements that help to improve balance, mobility, strength and coordination while promoting a deep sense of inner calm. Class will be adapted to meet the needs of the students present, no yoga experience required. Modifications will always be provided. 11−12 sessions

Instructor: Abbie Righetti, Certified Yoga Instructor Class fee: $154−168

Thu 3−3:50 pm

Move with Music

IN-PERSON

Let the music move you and put a smile on your face. Easy to follow along. No prior dance experience required. Dancing tests your balance, muscle strength, and coordination, along with your cognitive skills and memory. Must be able to walk independently forward and backward 300ft. and be able to easily change directions. 11−12 sessions

Instructor: Janna Malizia, Dance Instructor Class fee: $132−144 Fri 11−11:50 am

Qigong

and Guided Relaxation Practices with Grace IN-PERSON

Students will learn Qigong practices from the Nam Hoa Internal Arts tradition and Tai Chi for Health program including movements that support the balance of the five elements. Instructor will also lead students in a variety of guided relaxation practices that support mind/body balance. This class is for everyone and beginners are warmly welcome. Students that use assistive devices or need to sit for class are welcome. 8−9 sessions

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $120−135 Mon 10−11 am

Beginning Tai Chi/Qigong with Melinda IN-PERSON

Tai Chi is considered to be a moving meditation. This class includes the Tai Chi for Arthritis form emphasizing balance improvement, range of motion, muscle strengthening, fall prevention and stress management. No prior experienced is required. Prior participants say the class is fun, and you will learn in a supportive environment, free of pressure, or competition. 6−7 sessions

Instructor: Melinda Roy, Certified Tai Chi for Health Instructor, RN Class fee: $84−98

Thu 1:30−2:45 pm

Intermediate Tai Chi/Qigong with Melinda IN-PERSON

This class is for those who have completed the first six moves of the Tai Chi for Health form. We will continue with moves 7−12 and then Part 2 of this form. The expectation is that we will have varying levels of skill and knowledge among the participants. Some parts of the class, warm ups, Qi Gong, Forms 1−6 should be familiar to all and moving forward we will learn, refine, and practice together in a supportive, pressure free, and fun environment. 6−7 sessions

Instructor: Melinda Roy, Certified Tai Chi for Health Instructor, RN Class fee: $84−98 Thu 12−1:15 pm

Beginning Tai Chi & Qigong with Grace IN-PERSON

Class includes Qigong warm-ups, concentration practice and instruction in the Tai Chi for Arthritis Form. Tai Chi is a gentle form of exercise that improves balance, strength, endurance and overall well-being. Modifications in practice are incorporated as needed for students. This class is recommended for students who do not need assistive devices for mobility. 9 sessions

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $135

Tue 9:45−10:45 am

Tai Chi/Qigong: Yang 24 Form with Grace IN-PERSON

Students will be taught qigong warm-up exercises, guided relaxation, and the foundation movements of the Yang 24 Form. No prior experience needed. This class is recommended for students who are able to walk without assistive devices. 8-9 sessions

Instructor: Grace Sanchez, OT/L, Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $132−149

Mon 11:15 am−12:30 pm

Tai Chi/Qigong: Sun 73 Form with Grace IN-PERSON

This class is recommended for students who have completed the Beginning through Advanced Tai Chi/Qigong series. This class will include Qigong warm-ups, concentration practice, and instruction in the Sun 73 Form. In order to learn the entire form students must take consecutive classes over a period of 24–36 months. This class is recommended for students who do not need assistive devices for mobility. 9 sessions

Instructor: Grace Sanchez, OT/L Tai Chi for Health Instructor, Certified Instructor of Internal Arts Class fee: $153

Tue 11 am −12:30 pm

Pilates-Beginning IN-PERSON

Designed for those looking to begin, resume or enhance a fitness program, this beginning Pilates series will take a thoughtful approach to managing balance issues, osteoporosis/ osteopenia, and developing useful strength and mobility. Simple movements, focusing on alignment and precise muscular engagement, will work the body efficiently with therapeutic and challenging movement. No Pilates experience necessary. Modifications will be offered for individual needs; however, participants should be able to get up and down from a mat on the floor. 10−12 sessions

Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $140-168

Mon 9−9:50 am Fri 9−9:50 am

Pilates-Beginning/Intermediate IN-PERSON

Ready to increase the intensity of your beginning Pilates routine?

This series will take a thoughtful approach to managing balance issues, osteoporosis/ osteopenia, and developing useful strength and mobility. Simple movements, focusing on alignment and precise muscular engagement, will challenge the body. Modifications will be offered for individual needs; however, participants should be able to get up and down from a mat on the floor. 11 sessions

Instructor: Susie Durant, Certified Pilates Instructor Class fee: $154

Tue: 8:30−9:20 am

Pilates-Intermediate IN-PERSON

This intermediate Pilates class offers variety, intensity and fun to each workout with the use of resistance bands, weights, balls and more. Emphasis is on proper alignment and posture, core and joint strength, flexibility and balance. Designed for those with Pilates experience. Contact the instructor if therapeutic modifications are needed. 10-12 sessions

Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $140-168

Mon 10−10:50 am Fri 10−10:50 am

Mind-Body / Exercise & Fitness

Pilates on the Ball

IN-PERSON

This intermediate Pilates class on the exercise ball will provide challenging and fun movements. Emphasis will be on proper alignment and posture, core and joint strength, while also incorporating balance. Participants must be able to easily get up and down to the floor independently. 10-12 sessions

Instructor: Irina Seminova, Certified Pilates Instructor Class fee: $140-168

Mon 3−3:50 pm

Accessible Yoga

IN-PERSON

Inclusive healing practice that guides participants to uncover their true self. A loving practice of acceptance that integrates various modalities including asana, pranayama, deep relaxation and mediation. Based on integral yoga made accessible for all bodies. 11-12 sessions

Instructor: Wendy Shakti Bell, Certified Yoga Therapist Class fee: $121-132

Tue 1-1:50 pm

Chair Yoga

IN-PERSON

A gentle and accessible form of yoga, exploring both seated and standing poses to build strength, flexibility, and balance as well as to quiet the mind and enhance wellbeing. 11−12 sessions

Instructor: Ellen Day, Yoga Instructor Class fee: $121−132

Tue 2−2:50 pm

Gentle Yoga Before, During and After Cancer Treatments

IN-PERSON AND VIRTUAL-LIVE

Gentle stretching, yoga and relaxation to help ease discomfort and improve overall sense of well-being. Adaptable to all physical abilities. Option for in-person at the Wellness Center or virtual-live to join the class from the comfort of your home.

Instructor: Michael Leannarda-Dini, Certified Yoga Instructor Fee: No fee to participate, Prior registration with PEP required, sponsored by Katz Cancer Resource Center

Mon 12−12:50 pm

Wed 12−12:50 pm Fri 12−12:50 pm

Yoga for Stress and Strength IN-PERSON

This class reduces depression and anxiety with yoga postures, movement, breath-work, and meditation. No previous yoga experience necessary. Feel better living in the moment. 10−12 sessions

Instructor: Korrine Fitz, Certified Yoga Instructor Class fee: $140−168 Mon 11–11:50 am

Essentrics—Beginning

IN-PERSON

In this movement class, we will explore the principles of the Essentrics method, with its focus on lengthening, toning, alignment and increased joint mobility. This class is designed for those new to the technique. Elements of Pilates, dance and fascial release will be explored. Both standing and mat exercises are included: participants must be able to get up and down from the floor. 10-12 sessions

Instructor: Susie Durant, Certified Pilates Instructor Class fee: $140-168 Fri 11−11:50 am

Essentrics—Intermediate

IN-PERSON

This intermediate/advanced movement class focuses on the Pilates principles of a wellbalanced body, emphasizing proper alignment and posture, joint mobility, flexibility, strength and balance. Designed for those with Pilates or other fitness experience, we'll explore the precision of Pilates, the flow and lengthening of Essentrics and the joy of moving. Props and ciruit stations are added to create variety, challenge, brain stimulation and fun! 11 sessions.

Instructor: Susie Durant, Certified Pilates Instructor Class fee: $154 Wed 10−10:50 am

Exercise & Fitness /

AQUATICS REQUIREMENTS

All pool participants must be able to move through the water unsupported or have a caregiver who can provide one-on-one assistance. This includes using the lift to enter/exit the pool, dress safely before/after the pool. For the safety of everyone, pool participants must be continent of bowel and bladder and may not have open wounds, leakage, infection or uncontrolled seizures.

PEP pool classes are held at Simpkins Family Swim Center; 979 17th Ave., Santa Cruz, CA 95062

All aquatic classes are 8–9 sessions for $88–99.

Prenatal Aquatic Exercise

IN-PERSON

Come join other new mamas-to-be for some fun and gentle movements to help your pregnant body feel its best. The warmwater pool, 86−88 degrees, is comfortable year-round. Gentle aerobic, flexibility and relaxation exercises, in the chest-deep water, help discomfort and aid sleep.

Wed 10−10:50 am

Aquatic Exercise for Lymphedema

IN-PERSON

Water is a great way to manage swelling. Join the Dominican Therapy Team to promote a healthy lymphatic system in this warm-water class focusing on decongestion for both upper and lower body using a sequential program of decongestion and exercise. For the safety of everyone, participants must not have open wounds, leakage or infection, they must be continent.

Mon 9−9:50 am; 10−10:50 am

Wed 9−9:50 am

Fri 9−9:50 am

Aquatic Exercise for People

Living with Parkinson’s Disease

IN-PERSON

Join the Dominican Therapy Team for a complete workout in the water designed specifically for people living with Parkinson’s Disease. This class will include strength training, aerobic exercise, balance, stretching and functional mobility training in a warmwater pool heated to 88 degrees. Please bring a caregiver with you if you need assistance changing or to participate safely in the pool.

Wed 11−11:50 am

Aquatic Exercise for Back Pain IN-PERSON

Do you have back pain? The pool is a wonderful place to move more freely! Join us for a gentle class with emphasis on movement, core strength, flexibility and body mechanics training to decrease back pain.

Wed 10−10:50 am

Intermediate Aquatic Exercise

IN-PERSON

Water exercises are fun, low impact, and are aimed at improving general flexibility, strength, balance, gait, endurance and posture. This is an intermediate-level class that includes a cardio component as well as strengthening exercises of intermediate difficulty. To participate in this class, it is strongly suggested that you are independent with your mobility.

Mon 11−11:50 am

Advanced Aquatic Exercise IN-PERSON

Join the Dominican Therapy Team for a challenging, but fun, aquatic workout that builds on our Intermediate Aquatic Exercise class challenging your balance, improving your core stabilization, endurance, strength and overall well-being.

Mon 12−12:50 pm Wed 12−12:50 pm Fri 10–10:50am

Childbirth & Parenting

Prenatal Hangout Group

VIRTUAL-LIVE

Congratulations on your pregnancy! Join us for this fun, interactive group; connect with other pregnant women and you may even meet your new best friend! Come as you are-bring your dinner and get your questions answered! Pregnancy is a very special time in life and better when shared. Facilitated by a Certified Nurse Midwife, Childbirth Educator and Lactation Consultant. Free to all!

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate; register online to receive the Zoom link

Funded by: Dominican Hospital Tue 6−7 pm

Newborn Care IN-PERSON

Join us to learn great insights into newborn behavior and development including: sleep-wake cycles, newborn reflexes, coos and cries, how to soothe a fussy baby and how to identify a baby who is sick and needs medical attention. We will practice hands-on skills, including: bathing, diapering, dressing, swaddling, burping and soothing your newborn. We will touch on breastfeeding skills as well as important safety considerations for cribs, car seats. Other essential baby equipment will be discussed. This is a great opportunity to build your new parents’ community. The instructor is a Nurse Practitioner/ Lactation Consultant and a fellow parent. 1 Session

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $75 for mom and support person Sun 7/21; 8/18; 9/22; 10/13; 11/10; 12/15, 2−6 pm

Breastfeeding Basics VIRTUAL-LIVE

This virtual class will help you learn the information you need for getting breastfeeding off to a good start. This onesession class will cover how to ensure a good milk supply, techniques for getting a good latch, how to know if your baby is getting enough, and ways you can avoid common problems. Recommended for mothers in mid-to-late pregnancy. Support person welcome. 1 session

Instructor: Holly Goetz, IBCLC Class fee: $45 for mom and support person Wed 8/21; 10/16; 12/18, 6:30–8:30 pm

Latch Clinic, Breastfeeding Support IN-PERSON

Dominican Hospital is recognized as a Baby-Friendly Hospital ™ and prioritizes breastfeeding, skin-to-skin contact, and provides a weekly Latch Clinic, by appointment only. We provide information and resources from an International Board Certified Lactation Consultant. A Baby Weigh® Scale is also available. The Dominican Hospital Latch Clinic is FREE and open to the community, regardless of where you gave birth! Call the Lactation Warm Line at 831.462.7862 for more information or to schedule an appointment.

Fee: No charge to participate

Funded by: Dominican Hospital Location: Wellness Center

Wednesdays, 10 am−noon, 1−3 pm by appointment only

Mindful Childbirth IN-PERSON

Congratulations on your pregnancy! Mindfulness-Based Stress Reduction techniques can help you better cope with life’s stressors. This class will teach you to be more comfortable with the changes of pregnancy, the intensity of birth and to help you to become a more present parent. You and your partner will learn skills to help you manage the pain of labor and birth, explore your emotions around birth, connect more deeply with yourself and your partner, and to improve your stress management skills in preparation for parenting. It also covers anatomy and physiology of labor and birth, pharmacological pain options, potential medical interventions, cesarean birth and what to expect in the early postpartum period, including breastfeeding basics. 6 sessions

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $325/for mom and support person

Thu 8/15−9/19; 10/3−11/14, no class 10/31, 6−8:30 pm

Thu & Sat/Sun 11/21, 11/23, 11/24, 12/5 & 12/12, Thu 6–8:30 pm, Sat & Sun 2–6 pm

Childbirth Express IN-PERSON

Join us for the Express Childbirth class. You will learn about the stages of labor, when to go to the hospital, pain medication options, medical interventions, cesarean birth, postpartum recovery, and newborn procedures. There is also a focus on training your partner to be the best support they can be. We will explore the concept of optimal fetal positioning prior to labor onset, and we will actively practice positions of labor and birth, please be dressed for movement. You will also learn several non-pharmacological pain-coping techniques, such as mindfulness, sounding, etc. and meet other expectant families! 2 Sessions

Instructors: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $225 fee covers the cost of attendance for pregnant parent and their partner/support team, who are strongly encouraged to attend all classes together.

Sat & Sun 8/24−8/25; 10/26−10/27; 12/7−12/8, 2−6pm

Childbirth & Parenting

Bottle Feeding Class (0−4 months)

IN-PERSON

Come check in with an experienced Occupational Therapist who can guide your baby to successful bottle feeding. Some babies have issues with long bottle feedings, trouble gaining weight, coughing/choking, fussing during feeds or refusing the bottle altogether. Do you have any plans to go back to work during your baby’s first year? This bottle feeding clinic can help you (it is most effective before baby is 8−12 weeks). 3 sessions

Instructor: Dominican Therapy Team Class fee: $30

Wed 10−10:50 am

Baby Bootcamp

IN-PERSON

This is a play-based class for babies 0-6 months old with activities to get your baby moving towards their developmental milestones. Parents will learn new ways to play with their baby, to encourage your baby to move their body, and to stimulate the senses as your baby starts to engage in the world around them. This class is led by a therapist with specialized training in infant development who will provide guidance and answer questions. 3 sessions

Instructor: Dominican Therapy Team Class fee: $30

Mon 1−1:50 pm

Wed 9−9:50 am

Babies on the Move (6−12 months) IN-PERSON

An experienced Developmental Therapist, can help your baby, who is 6 months and older, work on motor skills to get crawling. If your baby has found their hands and feet, rolls onto their tummy, and is ready to engage with the world around them, they're ready for this class. If your baby seems interested, but has not quite figured out how to transition into and out of sitting, they’ll love working on it with other babies and parents in this crawling class! 3 sessions

Instructor: Dominican Therapy Team Class fee: $30

Mon 3–3:50 pm Wed 11−11:50 am

NICU Graduates Developmental Play Class IN-PERSON

This play class will bring families with a shared NICU experience together to focus on their infant’s development in a fun and approachable way. Families will have opportunities to share successes and struggles as well as learn and practice different strategies each week to support their baby’s development with guidance from a NICU developmental therapist. Caregivers should come prepared to sit on the floor and move with your baby. 3 sessions

Instructor: Dominican Therapy team Class fee: No fee to participate Mon 2−2:50 pm

Solid Foods Lunch Date IN-PERSON

Starting solid food is an exciting time which involves your baby developing oral-motor skills for chewing and swallowing, and also tiny finger skills for feeding themselves! This lunchtime group can support your baby’s lifelong relationship with food. Please bring your baby’s food with you. Let’s have lunch with new friends and an experienced Occupational Therapist who can answer questions and provide tips to support your family’s feeding goals. 3 sessions

Instructor: Dominican Therapy Team Class fee: $30 Wed 12−12:50 am

Car Seat Safety Checks at Dominican Hospital

Did you know that three out of four car seats are installed incorrectly?

Thanks to the support of the Dominican Hospital Foundation, families giving birth at Dignity Health Dominican Hospital are offered free individual car seat fittings so that you can go home safely. Our certified car seat technicians will visit you to schedule a car seat check or to give you more information about car seat safety.

Car seats are checked by certified technicians who will:

• Inspect, educate, and help families install the car seat correctly prior to discharge.

• Ensure the car seat has not been recalled by the manufacturer.

• Demonstrate how to install and use the car seat.

• Instruct how to correctly place a child in the car seat.

Dominican is officially designated as a Baby-Friendly® hospital

Baby Sign Language

Introductory

VIRTUAL-LIVE

Workshop

This virtual workshop gives parents the opportunity to learn how sign language helps babies communicate. Signing with babies has been proven to help accelerate language development, reduce frustration, enhance a child’s self-esteem and deepen the bond between parent and child. This workshop is based on American Sign language (ASL). Fun activities and songs will show you how easy it can be to integrate more than 20 simple signs into everyday routine. Recommended for babies from birth to 18 months. Expectant parents are welcome. Guests logging in from different locations are required to register separately. 1 session

Instructor: William White, BS

Class fee: $45 per participant or couple

Offered select Tue, Wed, Sat

Parents Support Group

VIRTUAL-LIVE

This virtual support group is intended for parents of newborns and toddlers. Facilitated by an experienced Certified Nurse Midwife and Lactation Consultant, join other parents in support of each other and your growing families. All topics are welcome! We cover breast/chest feeding, pumping and preparing to return to work, sleep training, starting solid foods, our children's behavior and much more! Open to all!

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate; register online to receive the Zoom link

Funded by: Dominican Hospital Tue 12−1 pm

Perinatal Pelvic Floor Workshop

VIRTUAL LIVE

Symptoms such as incontinence, pain with sex, pubic pain, tailbone pain, diastasis recti, low back pain and prolapse can all be resolved with proper guidance. In this workshop, a pelvic floor physical therapist, gives an overview of what the pelvic floor is, how it works, and how it relates to your function. Bring your questions about incontinence, prolapse, hemorrhoids, painful sex and all types of pain in both pregnancy and postpartum. 1 session

Instructor: Jenny Putt, PT, OCS, FAFS, CMP, CF-L1, Certified Sex Educator, Certified Childbirth Educator Class fee: $30

Mon 7/15; 8/19; 9/23; 10/21; 11/18, 7−8:15pm

Childbirth & Parenting

Postpartum Preparation

IN-PERSON

This program is designed for pregnant people in their third trimester. Learn about what to expect and how to prepare for things that can cause stress in the early postpartum period, including:

• Parent-grandparent, parent-parent, and parent-child dynamics

• Common physical and emotional needs of a new family

• How to access support systems available to new parents

Learn about online resources & mindfulness techniques for emotional self regulation and for communication with your partner & family. Leave class with lists and a guide on how to thrive in the challenging early years of parenting. 1-2 sessions

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC Class fee: $100/for mom and support person

Sat 7/20, 1−6 pm

Wed 10/9 & 10/16; 12/4 & 12/11, 6−8:30 pm

Prenatal & Postpartum Yoga Circle

IN-PERSON

Each week you will enjoy a yoga class designed specifically for your pregnant or postpartum body. You will be guided safely through an insightful yoga practice designed to build strength and confidence in your changing body. This class is so much more than just a yoga class! You will be part of a strong circle of support with fellow mothers and mothersto-be! Join each week for the sharing circle to empower you and support your path through pregnancy and parenting. 5−8 sessions

Instructor: Journey Talkovic, RN, CNM, WHNP, IBCLC; Abbie Righetti, Certified Yoga Instructor Class fee: $75−120

Mon 6−7:20 pm Fri 9:30−10:50 am

Dominican Welcomes You to a Video Tour of Our Family Birth Center

Take a video tour of the Dominican Hospital Family Birth Center and discover the many ways we provide comfortable, safe and secure care for mom and baby.

The video tour provides an orientation to our Family Birth Center, and shares many of the offerings we have for our new families. You will learn about our private labor and delivery rooms, postpartum suites, commitment to breast feeding and skin-to-skin contact, and our on-site Level III NICU, which provides the most advanced maternity care in the area. The tour also provides information about our pre- and postnatal education and support classes.

Katz Cancer Resource Center 3150 Mission Drive, Santa Cruz

SUPPORTIVE CARE PROGRAMS

Chemo 101 / Radiation 101 English and Spanish

IN-PERSON OR VIRTUAL-LIVE

A class to help cancer patients and families understand and manage the side effects of chemotherapy and radiation treatments. Recommend taking this class before treatment begins. Physician approval required.

Location: Katz Cancer Resource Center

Individual meeting with an oncology certified nurse. Call (831) 462-7770 for appointment.

Survivorship Care Plan

IN-PERSON OR VIRTUAL-LIVE

Survivorship Care plan is a comprehensive care summary and follow-up plan. It records treatment received and addresses posttreatment needs to improve health and quality of life.

Location: Katz Cancer Resource Center

Individual meeting with an oncology certified nurse. Please call (831) 462-7770 for eligibility requirements.

Look Good and Feel Better

VIRTUAL-LIVE

A program to help women who are undergoing cancer treatment look their best. Licensed cosmetologists teach women how to enhance their appearance. Learn how to choose a wig, tie scarves, and manage skin and nail changes.

Location: Katz Cancer Resource Center

Call (831) 462-7770 for more information

Dates: Mon 7/22, 8/26, 9/23, 10/28, 11/25

Wig Bank

IN-PERSON

Select a wig from our collection of many styles and colors, for women and men who are losing their hair due to cancer treatment. Hats and scarves are also available.

Location: Katz Cancer Resource Center

Appointment required, call (831) 462-7770.

SURVIVORSHIP SEMINARS

11 AM − NOON ZOOM/IN-PERSON

Guest experts present information on topics surrounding cancer survivorship. Please call (831) 462-7770 for more information and dates of each seminar.

Monday, July 29 Navigating Work & Cancer

Lindsey Tyndall , Staff Attorney

Triage Cancer ZOOM

Time: 11:00 am – 12:00 pm

Wednesday, September 4

Sustainable Caregiving

Allison Brookes, LCSW, OSW-C

Triage Cancer

Location: Katz Cancer Resource Center

Time: 11:00 am – 12:00 pm

Wednesday, November 13

Medicare Part D 2025 Cost Improvements and Options

Bill Proulx

HICAP Program Manager

Location: Katz Cancer Resource Center

Time: 1:00 pm – 2:00 pm

Katz Cancer Resource Center (831)462-7770

Eating Well Through Cancer: Cancer Guidance for Patients & Families

IN-PERSON OR VIRTUAL-LIVE

Learn ways to eat during cancer treatment that can help in the recovery process, how to establish nutritional goals, stay hydrated and cope with changes in appetite.

Location: Katz Cancer Resource Center

Call (831) 462-7770 for appointment with an Oncology Dietitian

Gentle Yoga Before, During and After Cancer Treatments

IN-PERSON OR VIRTUAL-LIVE

Gentle stretching, yoga and relaxation to help ease discomfort and improve overall sense of well-being. Adaptable to all physical abilities.

Instructor: Michael Leannarda-Dini, CYI

Location: Wellness Center or Zoom

Each Mon/Wed/Fri offered in-person and virtual-live (Zoom). Time: 12–12:50 pm

To register call Dignity Health Wellness Center: (831) 457-7099

Creative Expression Through Art VIRTUAL-LIVE

Making art to express one’s journey through cancer can be healing, inspiring and transforming. This class requires no art experience, just your willingness to participate.

Instructor: Heidi Brancatelli, LCSW

Location: Katz Cancer Resource Center

7/17, 9/18, 11/20, 11 am−12:30 pm

Call (831) 462-7770 to register. Class size limited

Katz Cancer Resource Center

CANCER SUPPORT GROUPS

Ongoing professionally facilitated support groups for people with cancer and/or support persons.

Call 831.462.7770 for information and/or the Zoom link.

Katz Knitters

IN-PERSON

A drop-in group for patients during and after cancer treatment. Bring your knitting, crochet, and/or needlepoint project.

Location: Katz Cancer Resource Center

Second and Fourth Wednesday of every month; 10 am−12 pm

Cancer Support Group

IN-PERSON & VIRTUAL-LIVE

Drop-in support group for people living with cancer.

Facilitator: Allison Brookes, LCSW

Location: ZOOM/In-Person at the Katz Cancer Resource Center

Call for information 831-462-7770

In-Person: First Tue of every month 5:30−6:45 pm

Virtual-Zoom: Third Tue of every month 2−3 pm

Lymphedema Education & Support Group

IN-PERSON

This educational and supportive group welcomes men and women with lymphedema and their friends and families. Call the Dignity Health Wellness Center 831.457-7099 to register

Facilitator: Dominican Hospital Certified Lymphedema Therapists

Location: Dignity Health Wellness Center 7/10; 9/11; 11/13,, 5:30−7 pm

Cancer Support for Young

Adults

VIRTUAL-LIVE

For men and women 19–40 years old with a diagnosis of cancer. Please call (831) 462-7770 for more information.

Advanced/Metastatic Cancer Support

IN-PERSON & VIRTUAL-LIVE

Drop-in support group for people living with advanced, metastatic or recurrent cancer.

Facilitator: Allison Brookes, LCSW Location: The group alternates every month between in-person and zoom.

Second Monday of every month; 11 am−12 pm

Caregiver Support Group

IN-PERSON & VIRTUAL-LIVE

Drop-in support group for families and friends of people living with cancer.

Facilitator: Nancy Samsel, LMFT

Location: Zoom & In-Person at the Katz Cancer Resource Center

Call for information at 831-462-7770

In-Person: Second Tue of every month 5:30−6:30 pm

Virtual-Zoom: Fourth Tue of every month 5:30−6:30 pm

Bone Marrow Transplant

Support Group

IN-PERSON & VIRTUAL-LIVE

Drop-in support group.

Facilitator: Nancy Samsel, LMFT

Location: Zoom & In-Person at the Katz Cancer Resource Center

Call for information at 831-462-7770

In-Person: Second Thu of every month 6:30−7:45 pm

Virtual-Zoom: Fourth Thu of every month 6:30−7:45 pm

Prostate Cancer Support Group

IN-PERSON AND VIRTUAL-LIVE

Drop-in support group for men and their partners dealing with the issues of prostate cancer. No registration required.

Facilitator: Bob Gallo, LCSW, BCD Location: Dignity Health Wellness Center & Zoom

Last Wednesday of every month: 7−9:00 pm Call (831) 462-7770 for information about how to register.

SCAN QR CODE FOR UPDATED CLASS INFO: dignityhealth.org/dominican/pep

LAS PROGRAMAS EN ESPAÑOL

Quimoterapia & Radioterapia 101

VIRTUAL EN VIVO

Una clase que ayuda a los pacientes y sus familias entender y manegar los effectos secundarios de la quimoterapia y radiacion. Recomendamos tomar este clase antes de comenzar su tratamiento.

Lugar: El Katz Cancer Centro de Recursos 3150 Mission Drive, Santa Cruz 95065 Llame (831) 462-7870 para una cita con la navegadora de oncologia.

Luzca Bien … Siéntase Mejor

VIRTUAL EN VIVO

Un programa que ayuda a las mujeres que están bajo el tratamiento del cáncer lucir mejor. Cosmetólogas ensenara a las mujeres como mejorar su apariencia, escoger una peluca, y manejar el cambio de la piel y unas durante el tratamiento del cáncer.

Llame al (831) 462-7770 Para registrarse o ingrese al: http://lookgoodfeelbetter. org/ workshop-registration/

Grupo Hispano De Apoyo

Para El Cancer

VIRTUAL EN VIVO

Via: Zoom

Llama para mas informacion al (831) 462-7870

(831) 462-7770.

Lifestyle Management

LIFESTYLE MANAGEMENT PROGRAMS

Cardiac Risk Reduction Program (Cardiac Rehabilitation)

IN-PERSON

Lowering risk factors such as high cholesterol, weight, high blood pressure and stress has been shown to significantly reduce future cardiac problems. Designed for individuals who have had angina, heart attack, cardiac procedure (angioplasty, atherectomy, stent), bypass surgery, valve surgery or congestive heart failure. This nationally certified program encompasses monitored exercise therapy, education classes, risk factor assessment, and behavior modification guidance.

The Dominican Cardiac Risk Reduction Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation.

Diabetes Management (Type 1 & 2) VIRTUAL-LIVE

The Diabetes Management Program provides information and support to help create a personal, successful path to diabetes management. The program includes education classes and individual appointments provided by our team of health care professionals including certified diabetes educators, registered nurses, and registered dietitians.

The Dominican Diabetes Management Program is recognized by the American Diabetes Association.

Pulmonary Rehabilitation Program

IN-PERSON

This nationally certified program provides education, breathing retraining exercises and a monitored exercise program to increase functional ability in individuals coping with COPD, chronic bronchitis, emphysema, bronchiectasis and pulmonary fibrosis. Specially trained professionals will develop individualized program on initial assessment.

The Dominican Pulmonary Rehabilitation Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation.

Supervised Exercise Therapy for Peripheral Artery Disease (SETPAD)

IN-PERSON

Are you an individual living with symptomatic peripheral artery disease (PAD), including discomfort or cramping in the legs? This program is for you. The goal of the program is to increase stamina, mobility, improve overall health and quality of life. Individuals receive supervised exercise therapy, education classes, risk factor counseling and lifestyle coaching. Led by a multi-disciplinary team of registered nurses and exercise physiologists.

Nutrition Counseling

VIRTUAL-LIVE

Meet with a Registered Dietitian to assess and plan personal and medical nutrition goals. Receive nutrition and lifestyle guidance for weight management, cholesterol, hypertension, pre-diabetes, intestinal disorders, eating disorders, and general healthy eating.

Call for price. Insurance may cover based on diagnosis.

Lymphedema Education & Support Group

IN-PERSON

This educational and supportive group welcomes men and women with lymphedema and their friends and families.

Facilitators: Certified Lymphedema Therapists Fee: No charge to participate, prior registration is required

Wed 5:30−7 pm 7/10; 9/11; 11/13,

Multiple Sclerosis Self-Help Group

IN-PERSON OR VIRTUAL-LIVE

A support group for those affected by MS in any way. The group brings people together for support, education, and mutual aid. It’s a very proactive group encouraging others to try new things and live each day to its full potential. Please call (415) 699-2574 or email eva@ evamclark.com for more information.

Facilitator: Eva M Clark

Fee: No charge to participate

Second Saturday of most months, 11:30 am−1:30 pm

Wheelchair Support Group

IN-PERSON

Come check out this monthly peer support group for those living “life on wheels." This group is geared toward connecting people utilizing manual and power wheelchair mobility. It will serve as a place to share resources, receive education, and engage in discussion amongst peers and community guest speakers alike. Let’s get rolling! Contact Roger.McKowan@commonspirit.org for more information.

Fee: No charge to participate

Second Tue of each month,; 3−4 pm

Prostate Cancer Support Group

IN-PERSON & VIRTUAL-LIVE

The mission of the Santa Cruz County Prostate Cancer Support group is to provide hope and support to improve the lives of those affected by Prostate Cancer and educate the general population on the importance of early detection.

Facilitator: Howard Waage

Fee: No charge to participate, prior registration is required

Location: Dignity Health Wellness Center & Zoom

Last Wed of the month 7–9 pm

Support Groups

Parents Support Group

VIRTUAL-LIVE

This virtual support group is intended for parents of newborns and toddlers. Facilitated by an experienced Certified Nurse Midwife and Lactation Consultant, join other parents in support of each other and your growing families. All topics are welcome! We cover breast/chestfeeding, pumping and preparing to return to work, sleep training, starting solid foods, our children's behavior and much more!

Open to all!

Facilitator: Journey Talkovic, CNM, WHNP

Fee: No charge to participate; register online to receive the Zoom link and maintain the privacy of the participants

Funded by: Dominican Hospital

Tue 12−1 pm

Prenatal Hangout Group

VIRTUAL-LIVE

Congratulations on your pregnancy! Join us for this fun, interactive group; connect with other pregnant people-you may even meet your new best friend! Come as you are and bring your dinner and get your questions answered! Pregnancy is a very special time in life and better when shared. Facilitated by a Certified Nurse Midwife, Childbirth Educator and Lactation Consultant. Free to all!

Facilitator: Journey Talkovic, CNM, WHNP Fee: No charge to participate; register online to receive the Zoom link and maintain the privacy of the participants

Funded by: Dominican Hospital

Tue 6−7 pm

Stroke Support Group IN-PERSON

Come check out this monthly peer support group for those affected by a stroke and their support team. This group is led by a Neurological Occupational Therapist and will serve as a place to share resources, receive education, and engage in discussion amongst peers and community guest speakers alike. Participants are welcome to bring spouses, caregivers or family members.

Facilitator: Dignity Health Therapy Team Fee: No charge to participate, prior registration is required.

Second Monday of the month 4−5pm

Heart Connections: A Heart Health Support Group VIRTUAL-LIVE

A monthly peer support group for individuals and their families making lifestyle changes that support heart health, offered in a safe place to share ideas and find solutions. The group is coordinated by Dominican Hospital’s Cardiovascular Services and Center for Lifestyle Management and is open to the community. All meetings are currently held via Zoom. Please call (831) 457-7077 to register your email address.

Second Monday of each month, 6−7:00 pm 7/8, 8/12, 9/9, 10/14, 11/11

Gastric Sleeve Support Group

VIRTUAL-LIVE

This is a virtual monthly peer support group for anyone considering, or who has already gone through Gastric Sleeve surgery. This is a place to share experiences, and support each other throughout the weight-loss journey. Email Melissa.Devera@commonspirit.org for information or to register.

Facilitator: Melissa DeVera, RD Fee: No charge to participate

Dementia Family Caregiver Support Group

IN-PERSON

This support group is conducted by trained facilitators and is a safe place for caregivers (family and friends) of persons with dementia to:

• develop a support system

• exchange practical information

• talk through issues and ways of coping

• share feelings, needs and concerns Fee: no charge to participate

Dates: 7/17; 8/21; 9/18; 10/16; 11/20; 12/18, 5:30–7 pm