August Peoria Healthy Cells 2011 by Healthy Cells Magazine

GREATER PEORIA

area

Promoting Healthier Living in Your Community

AUGUST 2011

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HealthyCells

• Physical

www.healthycellsmagazine.com

• Emotional

M A G A Z I N E

• Nutritional

OSF Saint Francis and Children’s Hospital Raising the Bar for Patient Care

Snoring: A Nuisance or a Serious Health Concern?

pg. 24

M inimally I nvasive T reatments for C hronic P ain pg. 26 The New OSF Saint Francis and Children’s Hospital Facility Turns One

Beating the Baby Blues

pg. 36

Children seem to be more vulnerable to allergies than adults. Allergies to food, dust mites, animal dander and pollen are most common. Allergy tests help us confirm allergies your child may have. We can use this information in developing “immunotherapy” — allergy shots — specifically for your child.

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August

August 2011 — Peoria — Healthy Cells Magazine — Page 3

AUGUST 8

Physical: Treating Heart Failure

Emotional: Getting Children the Help They Need

Nutritional: Homemade Popsicles

Home Care: Home is Where the Heart Is

Learning Trips: Educational Travel for the Lifelong Learner

Sandwich Generation: Planning For the Future—Part 3

Healthy Sleep: Snoring—A Nuisance or a Serious Health Condition?

Chronic Pain: Minimally Invasive Treatments

Back to School: Making It a Better Transition

Dental Implants: A Permanent Solution to Tooth Loss

Advanced Practice Nurses: What is an APN?

Physical Therapy: A Real Life Recovery Story

Brother/Sister Caregivers: Managing That Old Sibling Rivalry

Women’s Health: Coping with Postpartum Depression

Healthy Feet: Putting Your Best Foot Forward

Hearing Loss: New Study Shows Increased Risk of Dementia

Orthotic Technology: Improving the Quality of Life for People with Specific Musculoskeletal Conditions

2011

This Month’s Cover Story:

Volume 13, Issue 8

The New OSF Saint Francis Medical Center Raising the Bar for Patient Care page 20

Cover and feature story photos by courtesy of OSF St. Francis Medical Center Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in central Illinois.

For advertising information, contact Kim Brooks-Miller 309-681-4418 email: peoria.healthycells@hotmail.com Visit Us On Face Book Healthy Cells Magazine is a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

letter from the owner

What will be your legacy? Recently a friend shared with me that August is known as the “What will be your legacy?” month. I found this very interesting as I recently heard a great sermon on this topic by Dr. David Jeremiah. What a good question to ponder as you look back on your life, current circumstances and the future. How do you want to be remembered? Take the time to reflect and ask others close to you for their thoughts. Maybe this is a time to take stock and make some needed changes or mend relationships. It is also a good reminder to always think about your actions or decisions before you make them. We never know how we may impact others, or who might be watching or listening. In closing, as I am thinking about my legacy, my question is to you, “What will be your legacy?” Sincerely,

Photo Courtesy of Photography by Jill

Visit Us On Face Book

Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments or questions call: 309-681-4418 or e-mail: peoria.healthycells@hotmail.com

August 2011 — Peoria — Healthy Cells Magazine — Page 5

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physical

Treating

Heart Failure

eart failure (HF), also known as congestive heart failure (CHF), is a heart function abnormality that results in the heart’s inability to pump enough blood to meet the body’s needs. Heart failure can be chronic — meaning the condition is ongoing — or acute, meaning the condition has started suddenly. There are two main types of heart failure: systolic (more common in men) and diastolic (common in elderly women). In systolic HF, the left ventricle, the heart’s main pumping chamber, cannot contract vigorously. Classic symptoms of systolic HF include shortness of breath, fatigue, exercise intolerance, and fluid retention. Diagnostic criteria for systolic HF include a large heart as seen on a chest x-ray, normal or low blood pressure, and a low LVEF (left ventricle ejection fraction, or squeezing capacity) measured during an echocardiogram, a special imaging test of the heart. In diastolic HF, the left ventricle can’t relax or fill fully. Symptoms are identical to systolic HF, but a chest x-ray reveals the heart is small or normal in size, high blood pressure is present, and the Page 8 — Healthy Cells Magazine — Peoria — August 2011

By Alexander Adler, MD, FACC Medical Director, Methodist Medical Group Cardiovascular Services Cardiologist & Heart Failure Specialist

LVEF (squeezing capacity) of the heart is normal or increased on an echocardiogram. The best way to prevent heart failure is to control risk factors and conditions that can cause heart failure, such as coronary artery disease, high blood pressure, high cholesterol, diabetes or obesity. These conditions can gradually leave your heart too weak or stiff to fill and pump efficiently. Once heart failure is diagnosed, it cannot be cured. However, there are many treatment options available to manage HF for improved quality of life and reduced hospitalizations. Many non-pharmacologic (non-drug) treatments can reduce the severity of HF symptoms. A low-sodium diet can reduce the fluid retention caused by HF. Major weight loss can dramatically improve heart muscle function. Smoking greatly aggravates HF, so this habit should be categorically forbidden in people with HF. Other lifestyle changes that often relieve HF symptoms include avoiding alcohol and caffeine, eating a low-fat diet, and exercis-

ing by yourself or in a structured cardiac rehabilitation program. Finally, calorie supplementation can help HF patients with compromised nutrition. Pharmacologic treatments are medications that doctors prescribe to relieve the symptoms and increase survival in people who have HF. Drugs that may be used include ACE inhibitors, which lower blood pressure, improve blood flow, and decrease the heart’s workload. Beta blockers may be prescribed to slow the heart rate, lower blood pressure, and reduce the risk of some abnormal heart rhythms. Digoxin (also called digitalis) increases the strength of heart contractions, while diuretics prevent fluid from building up in your body and decrease fluid in your lungs. Medical devices can also be used to treat HF. A pacemaker, implanted under the skin, is one device that can improve HF symptoms and exercise capacity by correcting an abnormal heart rate and rhythm. A cardiac resynchronization therapy (CRT) device is a special type of pacemaker that can also improve heart function. An internal cardiac defibrillator (ICD) is a device that can be used to monitor and treat fast or abnormal heart rhythms (arrhythmias), which occur in some people who have heart failure. The ICD sends electrical signals to your heart as needed to make your heart beat more slowly and pump more efficiently. Surgical approaches to heart failure treatment may include coronary artery bypass, mitral valve repair, heart transplant, or the implantation of a ventricular assist device (mechanical heart pump).

the severity of HF symptoms are common. Anemia, renal (kidney) insufficiency, sleep apnea, and atrial fibrillation are often present among people with HF. Treating these comorbidities aggressively is crucial to managing the symptoms of HF and improving left ventricular function. Another major problem is the use of non-steroidal anti-inflammatory drugs (NSAIDs), frequently prescribed for pain, which cause salt and water retention and can worsen renal function. Discontinuation of these drugs may decrease HF symptoms.

Treatment of Comorbidities Since heart failure is primarily a disease of elderly patients, comorbidities (diseases present in addition to HF) that can increase

For more information, call Methodist Medical Group Cardiovascular Services at 309-672-4670.

Patient & Family Education Patient education is critical in order to improve compliance with their doctor’s drug and diet regimen for HF treatment. Doctors, nurses, dietitians and other members of the healthcare team should also provide education to family members. In fact, the ability of family members to detect early signs of HF plays a critical role in successful patient treatment outcomes. Hope for the Future This truly is an exciting time in many fields of medicine, but particularly in cardiology. The treatment of heart failure will change dramatically as the techniques in this article are further developed and put into clinical practice. The ongoing advances in the management of heart failure will surely improve the quantity and quality of life while reducing healthcare costs.

The Mind Body Connection presented by Dr. Roberta Van Zant, Integrative Health Physician Hult Center for Health Education Auditorium

Ask the Professional Night Professional panel answers your questions! Methodist Medical Center Atrium Building

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call 693-0541 or check us out at www.namitri-county.org August 2011 — Peoria — Healthy Cells Magazine — Page 9

emotional

Getting Children the Help They Need When and How to Access Professional Services By Chrissy Harmison, Licensed Clinical Social Worker, True North Solutions

he job of a parent is getting more challenging as youth are exposed to a variety of influences from multiple directions. A common phrase uttered by parents might sound something like, “I don’t know if we are going to make it through these adolescent years.” This article briefly describes some of the potential problems adolescents and parents are facing as well as signs that there may be trouble and guidance for when to seek help. Are you concerned that your child is: • Angry or worried a lot or say that they hate you • Lying to you or giving you the silent treatment or being overly dramatic • Experimenting with risky behaviors such as drugs, alcohol, or kissing or sex (with members of the opposite or same sex) • Hurting themselves by cutting or burning or thinking about death • Having issues at school such as bullying or getting bullied or getting into trouble • Telling their friends or other adults more than they tell you This list is obviously concerning, but further explanation will help put this list into perspective. Studies have estimated that 21 percent of U.S. children ages 9 to 17 have a diagnosable mental health or

Page 10 — Healthy Cells Magazine — Peoria — August 2011

addictive disorder (MECA Study, 1996). Though these numbers may be rising, this does not mean that if a child does something in the list above that there is something very wrong or that they need to go to therapy. According to the Mental Health Report by the Surgeon General (1999), approximately one in five children and adolescents experiences difficulties during the course of the year, but only about 5 percent of all children experience symptoms that truly impair their functioning. The childhood and adolescent years are a time of many different periods of change. Some of the symptoms above are normal and may be appropriate for the stage of development that a child is experiencing. When To Bring A Child to a Therapist So, how do you know if what a child is experiencing is “normal” or not? It’s important to bring a child to see a professional if you or others have concerns regarding the following: • Fear for the child’s safety • The child may be in serious harm of hurting themselves • The child may be, have been, or is at risk of being harmed by someone else (sexually, emotionally, or physically) • The child is in danger of doing harm to another person

•C oncerns regarding the age appropriateness of the child’s thoughts, emotions, and/or behavior • The child’s moods seem to be extreme or much different in comparison to their usual moods or those moods of their peers Who Can Help? When looking for a professional to help a child or adolescent, it’s important to choose a therapist that specializes with individuals in the child’s age range. Look for therapists that are recommended to you by someone you trust. Insurance companies are also a great resource for therapists who specialize in child therapy and can provide a list of professionals covered by your plan. When a therapist does child therapy, it is common that the therapist will use techniques different from those used with an adult. Keep in mind, therapy with a child may take more time than with an adult because children aren’t as willing to give out personal information as quickly as some adults might be. The therapist will have to spend time earning that child’s trust. Therapists are trained to gain information by what seems to be casual conversation with the child. They do this through tools such as games, art, clay, stamps, sports, and books. The therapist will likely include family in some aspects of the therapy but may also choose to spend time alone with the child. If you or someone you know is struggling with questions regarding a child’s behavior, please contact True North Solutions at 309-589-8900. Chrissy Harmison is a Licensed Clinical Social Worker at True North Solutions. Chrissy provides a variety of services for adults and children. She specializes in anxiety disorders, substance use disorders, and children 8 and older.

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August 2011 — Peoria — Healthy Cells Magazine — Page 11

nutritional

Homemade Popsicles

Sweet Summer Fun Submitted by Susan Waltrip, MS, RD, LDN, Peoria Hy-Vee Dietician

ids want cool treats on hot summer days, and parents always want activities for their kids so have some fun in the kitchen this summer by making healthy sweet treats. Store-bought popsicles can be pricey, sugary and filled with additives; making your own icy treats keeps you in control of the content. • Sugar Control—Use fresh fruit (pureed, or diced), low-fat plain yogurt or 100% fruit juice as the base to keep sugars natural and at a minimum. • Portion Control—Use plastic cups or ice cube trays to regulate portions. Cover the cups or tray with aluminum foil, and poke wooden sticks through foil before freezing. Eating habits form at an early age and getting kids involved in the kitchen makes them more likely to eat the finished product. • Give kids “structured” options—Plan ahead and pre-set several flavors of all ingredients. If using low-fat plain yogurt, have several kinds of diced fruit to choose from. • Be realistic—Don’t hide everything they love; just find healthy alternatives. If your child loves red Kool-Aid, puree red fruit or add a small amount of a red sports drink to make a great treat after summer sporting events. • Keep it fun—Make a friendly competition out of creating the craziest flavors to keep kids interested.

For more nutrition information, contact Hy-Vee at 309-686-5920 or visit www.hy-vee.com.

Chunky Peach Popsicles Serves 12 (1 popsicle each). Active time: 1 5 minutes Total time: 2 1/4 hours (including 2 hours freezing time) Equipment: T welve 2-ounce or eight 3-ounce freezerpop molds or small paper cups with frozen-treat sticks Make sure to reserve a portion of the peaches as you puree the mixture so the pops will be packed with icy cold, chunky bits of fruit. For a grown-up twist, try adding 1 to 2 teaspoons finely chopped fresh mint, lemon verbena or basil. All you need 1 1/4 pounds ripe peaches (3 to 4medium), halved and pitted Juice of 1 lemon 1/4 cup pear or apricot nectar 1/4 tsp vanilla extract All you do 1. Coarsely chop peaches in a food processor. Transfer 1 cup of the chunky peaches to a medium bowl. Add lemon juice, and pear or apricot nectar to the food processor. Puree until smooth. Add to the bowl with the chunky peaches and stir in vanilla. 2. Divide the mixture among twelve 2-ounce or eight 3-ounce freezer-pop molds (or small paper cups). Freeze until beginning to set, about 1 hour. Insert frozen-treat sticks and freeze until completely firm, about 1 hour more. Store in the freezer for up to 3 weeks. Nutrition facts per serving: 39 calories, 0g fat, 0g saturated fat, 0g monounsatured fat, 0mg cholesterol, 0mg sodium, 10g carbohydrate, 1g fiber, 0g protein, 89mg potassium.

Page 12 — Healthy Cells Magazine — Peoria — August 2011

Source: Adapted from Eating Well, Inc.

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home care

Home is Where the Heart Is Can Your Health Care Needs be Met There as Well? Submitted by Proctor Hospital

here do you want to be when you are ill? Most of us would quickly respond that we would want to be at home near our family and friends and convalescing in our own environment on our own schedule. This is the answer more than 14 million Americans will give this year. Caring for a loved one at home is a good decision for most families; it’s cost effective and preferred by patients and families. Home care can be provided through a wide variety of services including “non-medical” and “medical” service providers. As families, we seldom consider our options until the moment that we need them. This is not to say that we totally ignore plans for our

Page 14 — Healthy Cells Magazine — Peoria — August 2011

future. But the reality of who will fix the meals for our loved one, assist with paying bills and doing errands, perform laundry and housekeeping tasks, and provide the physical and emotional support needed is often overlooked until we are faced with decisions related to our parent, spouse, or friend. And, of course, there is the issue of who will provide for the medical needs of that individual including medication management, physical therapy, cardiopulmonary assessments, IV therapy, or wound care. In order to be prepared for these decisions, we all need to do some planning. It is important to know what is available to individuals within our own community or the community in which our loved

ones reside. History has taught us that home care has always rested primarily in the commitment of families caring for their aging, frail, chronically ill, and disabled loved ones. We believe that the future will be no different; family members will continue to provide for most of the home care needs of patients – physically and financially. Resource planning should include: • Determining what level of assistance can be anticipated from family members whether it is in terms of dollars available to pay for services that are not covered by Medicare/Medicaid/insurance or the number of hours of service each family member can contribute on a weekly or monthly basis • Understanding the benefits available to the individual through Medicare/Medicaid/insurance • Knowing which services are available locally and how to access those services The patient’s primary care physician, clinic, or hospital can provide good resource information to families. Issues including the level of care that is appropriate and the anticipated cost of care must be addressed. Currently there are providers who provide: • “Non-medical” services only • Non-certified Medicare providers who provide “non-medical” and “medical” care services for private pay • Medicare-certified agencies who provide “medical” care for physician-ordered treatment at home • Full-service providers who can manage each level of care whether it is paid for by Medicare/Medicaid/insurance or privately

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Most agree that there are several key factors that a family should consider when selecting the home care services for a loved one. When a licensed agency is used for home care, there are safeguards in place that are important to patients and families. These include administrative oversight of the services provided; staff members are usually bonded and insured for Worker’s Compensation; all payroll taxes are appropriately the responsibility of the agency; and there is an alternative plan in place if the caregiver is unable to report for work. For medical home care services by using a Medicare-certified agency, you can be sure that the agency has been regularly evaluated to meet the standards of care set forth by the Center for Medicare and Medicaid. Accreditation by the Joint Commission for Health Care Organizations is an added assurance that the care and services provided meet nationally accepted standards. Many families request information related to the agency’s patient outcome reports and Patient Satisfaction Surveys. It is important to select an agency that provides the appropriate level of care at the right cost. But it is also important to select an agency that communicates well with your physician, with other care providers, has a good history of patient outcomes and patient satisfaction. An agency that is selected with these criteria will not only meet the physical and financial needs of the patient and family, but will also provide a sense of security for those involved in the care of the patient. Home care has been an important part of the health care continuum for more than 100 years. Patients and families prefer home care, and in most instances, patients do very well. Begin today to consider the alternatives for caring for your loved ones as they age or in the event that they become ill or disabled. For more information pleased visit Proctor Home Care at www.proctor.org or call 309-691-1075. August 2011 — Peoria — Healthy Cells Magazine — Page 15

learning trips

Educational Travel for the Lifelong Learner By Michelle Riggio, Program Director, Bradley University Continuing Education

magine that you are an active and curious lifelong learner looking for a travel adventure. What kind of trip would match your profile?

Envision yourself at a Chicago theatre participating in a private backstage tour with the show’s director before enjoying a performance of a Broadway musical. How about an afternoon interacting with scientists at a world-class lab, observing their latest research? Or maybe you would prefer to spend a few days traveling with a renowned archeologist, exploring ancient earthworks. If it’s activity you crave, would any of these appeal? How about paddling the Sangamon River, led by a canoeing expert? Or walking a state park trail identifying fossils with a geology professor? Are you interested in a bike-and-hike along Lake Michigan? All these adventures are real trips developed by the Osher Lifelong Learning Institute (OLLI) at Bradley University. Distinctive in their focus on education, OLLI Learning Trips are abundantly available (90 trips throughout the year!) and are offered at times convenient to every schedule—evenings, weekends, and weekdays, and fit nearly every budget. For those who may be new to OLLI, these Learning Trips are an extension of a much larger program designed for people, age 50 and beyond, who want to remain vibrant and active in their late career or post-career lives. In addition to travel, the OLLI program also offers classes, study groups, and special events for those who enjoy learning with their peers—and making new friends along the way. Educational travel has been a component of OLLI since its beginning in 1994. Believing that learning occurs both inside and outside the classroom, OLLI’s first leaders wanted travel to have an educational bent. It just made sense to involve the experts at each destination—or sometimes take the expert along! This approach was one of many features of the OLLI program that positioned it to achieve national distinction in 2010 when the Bernard Osher Foundation endowed Bradley’s OLLI program thus ensuring its long-term presence in the community. Over time, OLLI Learning Trips have become increasingly popular for several reasons: • OLLI is known for providing in-depth experiences that combine local experts, unique locations, and outstanding customer service to allow travelers to learn in a relaxing environment while engaging in thoughtful discussion and hands-on experiences. • Learning Trip participants have a lot in common. They are curious, crave shared experiences, and want to expand their understanding of various aspects of our community and region. They enjoy each other and the opportunity to engage in learning in a myriad of settings. • The trip destinations represent a wide array of topics and interests due to the grassroots approach of volunteers who meet four times a year to solicit ideas and provide feedback about previous trips. • Learning trips also include one-time opportunities to enjoy special events like campus lectures, ethnic dining at area venues, or something as novel as a spelling bee brunch! Using a “meet-us-there” approach, special events are often low cost or free. Page 16 — Healthy Cells Magazine — Peoria — August 2011

OLLI members look on as a scientist at the NCAUR (Peoria Ag Lab) displays bacteria stored in frozen nitrogen. • Trips are affordable! Local trips, which include lunch, round-trip transportation, and a guided tour, are priced at $22 each. Regional and multiday trips, which include private tours, presentations, lunch, snacks, accommodations, and charter coach transportation, vary in price but are always excellent values. • OLLI takes pride in providing an all-inclusive, worry-free experience for its travelers—from reserved parking to gratuities, personal listening devices to snacks. OLLI covers it all! Clearly OLLI and its Learning Trips have staying power. They’ve successfully delivered lifelong learning programs to the Peoria-area for over 17 years. But this is not simply good fortune. For each Learning Trip and Special Event, participants are asked to complete evaluations, so OLLI’s organizers can continue to provide high levels of educational experiences. These evaluations not only help OLLI improve and develop future offerings, they provide anecdotal evidence of the satisfaction enjoyed by participants: • “The total experience was carefully and expertly coordinated.” • “The discussions and explanations were what made the trip so exceptional.” • “No one does it better than the OLLI staff.” • “I enjoyed a first-hand view of how our tax dollars are being spent.” • “I learned so much today!” So while you’re imagining a trip suited to your interests, remember OLLI at Bradley University. You can count on an adventure focused on learning, led by experts, coordinated by detail-oriented professionals, and thoughtful of your time and money. It’s an experience you can find only with OLLI! For more information, call 309-677-3900. Visit: www.bradley. edu/continue/olli and view Learning Trip Pictures at olliatbradley. blogspot.com.

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sandwich generation

Planning For the Future Part 3

By Steven Buttice, Founder and President, Medical Reimbursement & Management Services, Inc.

t’s August now and time to prepare for another school year for your children. Your dad is seeing the doctor more frequently to monitor his medical condition. Today, dad sees the doctor at 11:00 am making it a bit difficult to ensure your kids have a good lunch.

Today’s doctor visit reveals that dad may need surgery and a lengthy rehabilitation. If the surgery goes well, he could be back in his home in a month or so. However, if things do not go as well, dad may need more permanent help. While everyone is hoping for the best, it is prudent to discuss and make plans if surgery and rehabilitation do not go well. If your parents have not seen an attorney specializing in issues concerning the elderly, now is a good time to do so. Wills, trusts and advanced directives should be discussed and any needed paperwork put into place. A will’s purpose is to clarify how to transfer property after one’s death. This is a good tool to help families divide property per the decedent’s wishes and avoid “family bickering”. There are different trust options to perform different functions as well. Your attorney can guide you with this issue. Powers of attorney give someone the power to make decisions if your parent is not able. This would apply to both financial and healthcare decisions. Be sure to have your parent’s primary care physician keep copies of their healthcare power of attorney on file. Page 18 — Healthy Cells Magazine — Peoria — August 2011

In addition, parents, you and your siblings should discuss how exactly your parents wish to proceed if health situations arise. Discuss not only whether or not they wish to be kept alive if they are “brain dead”, but also whether or not to have the doctors restart the heart if it would stop during surgery, and whether or not to use a feeding tube. Their doctor’s input is critical with these issues. Ask questions. This discussion will not only help the decision maker, but more importantly help give them a sense of peace after a tough decision is made. An attorney can also help guide your parents through planning for the future and the aging process. If your dad needs rehab in a skilled nursing facility, or a longer, less skilled stay; how would your parents pay for this? Last month’s column covered the financial component, including insurance and public programs to assist a person financially. Along with financial planning, your parents may wish to look at Estate and Medicaid Planning with the attorney. A plan can be created to give your parents, you and your siblings’ peace of mind and lessen the chaos of a crisis. Coordinating care for your children and parents simultaneously is not easy. What can you do to manage this? Three words of advice: Plan, Plan and Plan. Legal, financial, residential, mental and physical healthcare elements must be addressed prior to a crisis. A sandwich generationer should guide their parent(s) through these issues and the primary issue of safety, while being careful not to take all control away from a parent. Once again, it is important to start talking, making suggestions and guiding early, do not wait for a crisis. For more information, contact Medical Reimbursement and Management Services, Inc., focusing on the issues of the elderly: legal, financial, residential and healthcare issues. Call: 309-6931060 or 1-800-383-1061. Website: www.MRMS-INC.com. Location: 809 W. Detweiller Dr., Peoria, IL 61615.

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feature story

The New OSF Saint Francis Medical Center Raising the Bar for Patient Care By Mary Hilbert

Nearly 50 dignitaries, physicians and employees helped cut the ribbon at the July 16, 2010, blessing and dedication of the new Children’s Hospital and OSF Saint Francis Medical Center.

or more than 130 years, OSF Saint Francis Medical Center has been a leader in providing cutting-edge health care to the central Illinois community. The widely-respected hospital has evolved significantly from its humble beginning as a two-story frame house headed by The Sisters of the Third Order of St. Francis. Despite the extent to which OSF Saint Francis Medical Center has grown over the years, its goal of providing exceptional service to patients and their families remains resilient as ever. Today, as an affiliate of the University of Illinois College of Medicine at Peoria and home to Children’s Hospital of Illinois, OSF Saint Francis Medical Center holds 616 beds and employs a staff greater than 5300. Most recently, the medical center completed work on an enormous expansion project, which added a $280 million, 440, 000- square-foot addition to the medical center and brought all pediatric inpatient services together for Children’s Hospital of Illinois. The largest private construction project in Peoria’s history, the new expansion was designed to boost both safety and comfort for patients and their families. Page 20 — Healthy Cells Magazine — Peoria — August 2011

This month, OSF Saint Francis Medical Center is highlighting a few of the most notable ways in which the Milestone Project and construction of the new Children’s Hospital have improved the hospital’s ability to provide more comprehensive patient care: The New Emergency Department Making a trip to an emergency room is often a very stressful and chaotic experience for hospital visitors. Creating a more calming waiting room environment for both patients and their families was one of the primary goals in designing the new Emergency Department, located on the lower level of the Milestone building. “What we hear from patients is how much quieter, bigger, and more private the new space is,” says Elaine Frye, Director of Emergency Medicine Physician Services, “It has been surprising how quiet the department is. Even when full, it is quiet.” One of the features that sets the new Emergency Department apart from others is its decentralized waiting rooms which allow families to be more spread out, yet remain in close proximity to their loved ones.

very comfortable because I felt like I was in the best hands and had the best care,” Miller said, rating his accommodations a 10 out of 10. “The new room was great and I was very impressed with the work station outside the room. All of the caregivers were charming, very accommodating and provided great education to me about my situation.” The Adult Heart Unit, located on the fifth floor, was one of the departments that faced a period of upheaval with the expansion process. “The move into the new building was challenging, but because we did a lot of preplanning it went smoothly,” said Nikhia Williams, adult heart unit clinical educator. “The unit is more spread out and when we first moved we had a sense of isolation, but the teamwork has improved. The lift team and concierge service staff have been great.” Patient Education Thanks to the GetWell Network, in-room television monitors are able to be turned into an interactive educational experience for patients such as Mike Miller. “I think the GetWell Network allows patients to be engaged. We can give education on pacemakers and after care, “said Williams. The family members can also learn about heart failure, heart surgery and even diabetes.” Aesthetics Picture the surgery floor of a typical hospital and more than likely a maze of cold, gray, sterile hallways come to mind. While surgery is by

Cheryl Boo, whose father was recently treated at the Emergency Department, remarked on her positive experience during the most recent visit. “It was such a calm environment. The old Emergency Department was so busy and loud. The environment was great,” Boo said. Added Room Security Thanks to a keycard system, individual patient rooms are now more secure than ever before. “Somebody can’t just walk in and say ‘Oops, wrong room.’ The keycards have helped with privacy and security,” Frye said. Locks are installed on all Emergency Department and family sleep rooms, allowing only authorized caregivers and patient selected family members to enter. Adult Heart Unit When Mike Miller of Mike Miller Auto Park in Peoria passed out during a meeting last summer, he was rushed to the OSF Saint Francis Medical Center Emergency Department for treatment. Despite regaining consciousness on his way to the hospital, Miller lost consciousness once again during observation, his heart rate dropping to zero for 13 seconds. After being resuscitated by doctors and nurses, Miller experienced several shorter episodes, leading staff to determine that he needed surgery to have a pacemaker installed. Miller was sent to the medical center’s new Adult Heart Unit after the procedure. “Even though it was a life changing and alarming event for me, I honestly felt

Cheryl Boo and her father, together after he received excellent care at the new OSF Saint Francis Emergency Department. no means a pleasant experience, the new OSF Saint Francis facility and Children’s Hospital embody a much more comforting environment for patients and their families, making parts of the hospital such as the surgery catheterization lab more hospitable. “The colors and artwork are so uplifting. They are such a tasteful and effective expression of our person centered mission that celebrates life,” said Terry Malone, Director of Surgery and Allied Services. Hospitality Services The OSF Saint Francis Hospitality Department has significantly grown over the past year. Starting in 2010, the Guest Service Concierge role was added to better meet the needs of patients and other hospital visitors. Since 2010, the department has expanded from approximately 12 employees to 50. In hospital areas such as the Adult Heart Unit, the concierge role has given families someone with whom to talk, pray, and receive a bit of comfort during a difficult time. This added role also helps with enforcement of visiting policies in place so that critically ill August 2011 — Peoria — Healthy Cells Magazine — Page 21

feature story

continued

patients may have more rest. Concierge staff are also present to offer a helping hand at waiting rooms and entrances of the medical center to ensure that every visit to the hospital goes as smoothly and satisfactorily as possible. Diagnostics Moving the diagnostic testing areas to one location has greatly improved patient flow. The laboratory, Nuclear Medicine, EKG, Echocardiography, Radiology, and Stress testing are now all positioned in the same place on the first floor. “The most positive comments come from multiple testing patients. Now they are not being run all over the hospital. The different tests are now just hallways away from each other as opposed to different floors or buildings,” said Carol Schutz-Ferino, Senior Staff Nuclear Technician. SchutzConcierge staff are Ferino also stated that having diagnostic services in close proximity to St. Jude is a great convenience, adding, “We see some tough St. Jude patients. The fact that everything is all right here in one location is wonderful for them.” General Pediatrics Unit The introduction of private rooms to the new General Pediatrics unit has worked well, according to unit staff. Because many families spend days or months visiting this area, accommodations are important. “A teenager does not have to share a room with an infant or toddler. And as a nurse, it is a relief knowing that we no longer have to upset the family when we would inform them of receiving a roommate,” said Jenna Ford, RN. Among other benefits attributed to the new location: private showers for family members, concierge service, the GetWell Network and dedicated pediatric pharmacy. St. Jude The Jim and Trudy Maloof St. Jude Midwest Affiliate has been relocated from an all interior space inside the Gerlach building to an area twice the size with windows along one wall. Clinic and Inpatient rooms are now better designed for family comfort. According to Clinical Nurse Specialist Beth Speckhart, St. Jude families are enjoying the changes. “Our families love the light from all the windows and the spaciousness,” Speckhart said. “Our families need private rooms for their treatments and care. In the old intermediate unit, families were frequently inconvenienced with moving to different rooms during their hospital stay sometimes several times an admission. Now they go in to one room and are less likely to be inconvenienced with additional moves.”

Page 22 — Healthy Cells Magazine — Peoria — August 2011

ready to help families and visitors to the medical center. NICU The Neonatal Intensive Care Unit, now located on the third floor of the Milestone building, has seen many positive changes. Where previously NICU rooms held multiple babies, the unit has now been transformed into eight neighborhoods with individual rooms that include sleeping space for family members. This design allows staff to work easily within their own neighborhoods with supplies readily available. Epic OSF Saint Francis Medical Center’s switch from IDX to Epic electronic medical records began in March 2010 and has since improved the hospital’s ability to provide quality health care, according to Mary Beth Kiefner, patient care manager of 1700 Oncology. “EPIC has changed health care at OSF in so many positive ways,” Kiefner said, “For example, the bar coding system that was instituted at the same time has prevented medication errors from ever reaching the patient. The ability to see across the healthcare spectrum for a patient is phenomenal, you can see with a few clicks of the mouse the last office visit, the last hospitalization, the last lab draw- wow, if that doesn’t help us see the whole person.”

A video tour guide of the new OSF Saint Francis Medical Center and Children’s Hospital of Illinois is available online at www.osfsaintfrancis.org.

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healthy sleep

Snoring A Nuisance or a Serious Health Condition? Submitted by Illinois Institute of Dental Sleep Medicine

noring is a common problem among all ages and both genders, and it affects approximately 90 million American adults — 37 million on a regular basis according to the National Sleep Foundation.

What Causes Snoring? “Many of my patients have asked me, ‘What’s the difference between snoring and sleep apnea?’” says Dr. Rod Willey of the Illinois Institute of Dental Sleep Medicine. “I tell them that when you sleep, the muscles of your throat relax, your tongue falls backward, and Airway becomes narrow and throat tissues become floppy As you breathe, the walls of the throat begin to vibrate - generally when you breathe in, but also, to a lesser extent, when you breathe out. These vibrations lead to the characteristic sound of snoring. The narrower your airway becomes, the greater the vibration and the louder the snoring,” Willey continues.

Page 24 — Healthy Cells Magazine — Peoria — August 2011

“Sometimes the airway completely blocks, causing the person to make a choking or snorting sound and often wake up in an attempt to breathe,” says Willey. “This condition is known as obstructive sleep apnea.” According to the National Sleep Foundation, breathing pauses can last from 10 seconds to a minute or longer. A person with severe sleep apnea may have hundreds of breathing pauses per night. Sleep Apnea is a serious problem in the United States with over 18 million Americans now suffering from the disorder and 90% of them going undiagnosed. People with obstructive sleep apnea have a higher risk of death than the normal population. The price they pay includes a potentially crippling deterioration in daily functioning, an increased risk of high blood pressure and stroke, depression, and death either in accidents or in their sleep. There are terrible costs for the family of the person with obstructive sleep apnea, who may experience irritability, mood

changes, lowered sexual drive and capacity, and a reduction of intellectual ability. In addition there are major business, insurance, health, and social costs including the loss of productivity, the impact of accidents caused by a driver or worker falling asleep, and the wasted health care dollars spent on alleviating symptoms like heart disease without treating their possible underlying cause. Sleeping with a Snorer Studies show that the person with sleep apnea isn’t the only one waking up or suffering from sleep deprivation. When the apnea is accompanied by loud snorts and snoring, the bed partner may wake up as often during the night as the person with the actual sleep disorder. One study from the Mayo Clinic in Rochester, Minn., found that spouses of snorers woke up, at least partially, an average of 21 times an hour, nearly as often as the 27 times the snorers were awakened by their sleep apnea episodes. In a 2005 study from Finland of 37 male snorers and their bed partners, half of the bed partners reported being disturbed by snoring every night or almost every night. One third of the bed partners reported relationship problems as a result of the snoring. In a 2003 study published in the journal Chest, doctors from the Mayo Clinic in Scottsdale, Ariz., tracked the spouses of 54 patients with sleep apnea. Once the sleep apnea and snoring were treated, the spouses’ quality-of-life scores surged more than those who received the actual treatment. And treating the apnea also improved sleepiness scores among the spouses by 20 percent. Treatment for Snoring & Sleep Apnea Treatment options for snoring and/or sleep apnea may include lifestyles changes, surgery, Continuous Positive Airway Pressure (CPAP) and oral appliance therapy. Oral Appliance Therapy has proven to be a very viable and scientifically based treatment option for Snoring and/or Obstructive Sleep Apnea. The American Academy of Sleep Medicine issued a statement in the 2006 journal “SLEEP” that Oral Appliance Therapy was approved as the first line of treatment for those suffering from mild to moderate Obstructive Sleep Apnea and in many cases proving to be effective, in many cases, for severe sleep apnea as well. “The purpose of the oral appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep,” says Willey. “Oral appliances are similar to athletic mouth guards, but less bulky and completely non-invasive,” he continues. Oral sleep appliances are covered by most medical insurances and Medicare. For more information on oral appliance therapy please contact Rodney Willey DDS, D’ACSDD (General Dentist) of the Illinois Institute of Dental Sleep Medicine at 309-243-8980 or IllinoisSleepDoc.com.

August 2011 — Peoria — Healthy Cells Magazine — Page 25

chronic pain

Minimally Invasive Treatments By Mary Hilbert

or individuals suffering from chronic pain, including neck and back pain, regaining control over daily life and physical activity can be a difficult, time-consuming, and financiallyburdensome process. Interventional pain management works to relieve, reduce and manage pain in order to improve a patient’s quality of life. Ideally, alleviation of pain may be accomplished

How does Interventional Pain Management compare to use of medications, specifically narcotic medications for pain control? “When Interventional Pain Management is done well there is no comparison,” Dr. Howard said, “Studies have shown better long term results with this form of therapy when compared to narcotic management. If there is an option to address an injury or degenerative process with target specific care, why use medications which are less effective and may be associated with side effects? Individuals receiving long term narcotic therapy are at risk for potential immune dysfunction, hormonal changes, cognitive impairment as well as addiction and physical dependence.” How is neurostimulation used to treat chronic back pain? When surgery and other treatment options fail to alleviate pain for some chronic neck and back pain sufferers, neurostimulation is one minimally invasive method of pain management proven to be effective. FDA-approved and recommended by physicians for more than 30 years, neurostimulation therapy involves the use of a small implanted system that interferes with transmission of pain signals to replace pain with a different feeling. Instead of pain, patients are able to feel a slight massaging sensation or, in some cases, complete absence of pain. While specific guidelines must be followed in order for neurostimulation systems to operate both safely and effectively, patients with implants have reported pain reduced by half and increased activity levels resulting from this form of treatment. Neurostimulation systems are covered by Medicare, many major health insurance plans and workers compensation programs.

through nonsurgical procedures. By taking advantage of cuttingedge technology and innovative techniques, Interventional Pain Management specialists are in many cases able to treat recurring back or neck pain through procedures such as spinal injections, neurostimulation and minimally invasive lumbar decompression. These procedures offer many advantages compared to traditional surgery, including speedier recovery time, less soft tissue damage and less post-operative pain for patients. What can Advanced Pain Management of Illinois do for me? Dr. Demaceo L. Howard, director of Advanced Pain Management of Illinois (APMI), devotes 100 percent of his practice to the treatment of acute and chronic pain disorders. A graduate of the University of Chicago Department of Anesthesiology and Critical Care with board certification in Anesthesiology, Pain Management and Interventional Pain Management, Howard founded APMI in 2002 with the goal of educating and treating victims of recurring pain on the causes of chronic pain conditions and benefits of noninvasive procedures. APMI takes a multi-disciplinary approach to pain management, using the expertise of medical professionals in many fields to evaluate conditions in patients and effectively treat their symptoms. Page 26 — Healthy Cells Magazine — Peoria — August 2011

How does neurostimulation therapy work? Because pain messages travel up the spine to the brain, neurostimulation systems use a generator to send pulses along a thin wire called a “lead.” From the lead, pulses are subsequently delivered to nerves along the spinal cord. These pulses cut off pain signals before they reach the brain, thereby replacing what would be chronic pain with a more agreeable sensation. What is Minimally Invasive Lumbar Decompression? Minimally Invasive Lumbar Decompression (MILD) is one of the latest treatment options for patients who do not wish to have major back surgery for lumbar spinal stenosis, or the narrowing of the spinal canal in the lower region of the spine- often a result of the aging process. With a patient rehabilitation rate much faster than that of an open surgical procedure, MILD is an image-guided procedure where the physician removes only small portions of tissue and bone that are pinching the spinal nerves and causing pain. This procedure may be performed using light sedation and a local anesthetic. For more information on treatment options for chronic neck and back pain, visit the Advanced Pain Management of Illinois website at www.apmofillinois.com or call 309-692-1539. Advanced Pain Management of Illinois is located at 7309 N. Knoxville Ave., in the Peoria Day Surgery Center.

back to school

Making It a Better Transition By Tricia Fox, Director of MCON Center for Student Success

ow many times, as parents, do we hear “But I don’t want to go to school!” from our children? Certainly, this is no more often the case than at the beginning of a new school year when student and parent anxiety can be at an all-time high. The change in routines from the slow days of summer to the fast paced back to school season can be a shock to one’s system, literally. The stress of starting something new can cause anxiety, fatigue and worry. So, how do we help our children and ourselves transition through this challenging time?

Below are some ideas for making the switch without shutting down.

• Go shopping—Sure, some people believe in retail therapy as a cure for a bad day; however, back to school shopping with your child is actually a preventative measure. Involving your child in his or her back to school purchases is a preparatory step in making the transition to a school mentality. Taking a list of needed supplies and crossing them off one by one is showing your child how to be organized, task oriented, and prepared. Plus, sending your child to school with everything he/she needs to be successful helps eliminate some of the worry and anxiety that might be a burden otherwise. • Be aware of first day anxiety—Even though you may have purchased every marker in the store to make sure your child is ready, they still may feel anxious on the first few days of school. Even if they are returning to a school that they’ve attended before, the unknown of a new teacher, new class, new rules, and new material to learn can be stressful. To put this into perspective, think of your first day on a new job. How worried and stressed were you? Did you sleep well the night before? This is exactly what feelings your student may experience, and it can be exacerbated by transitioning to a new school, such as a new grade school, middle school or high school. As parents, being aware of this anxiety is part of the solution; however, we can also help to alleviate worry by planning ahead (setting out supplies and books), encouraging your child to exercise or do something active and fun in the evenings to relieve stress, and being encouraging but not condescending. For example, don’t simply say, “I’m sure you’ll do fine,” but instead say, “This will be an exciting day for you. I can’t wait to hear you tell me all about it afterwards.” • Fight Fatigue—Anytime we learn something new or different, we experience a learning curve, in which our minds and bodies are working so hard to understand everything coming at it, that it is like jogging uphill. This can lead to fatigue, irritability and exhaustion during the introductory learning phase, and it is completely normal. To help alleviate the fatigue for children and parents, be sure that everyone gets adequate rest. Teens need approximately 8 ½- 9 ½ hours every night and school aged children can require as much as 10-12 hours of sleep to feel fully recharged. Rest and sleep is like fuel for our brains; without it, it would be like trying to drive to another state when you are low on gas. • Encourage Involvement—One sure way to build confidence and familiarity with new surroundings is to encourage your child to become involved with his or her school. Join a club that interests them; find a sports team on which to play, or even encourage them, with the school’s permission, to start a club/group of their own like a photography group or a book club. Not only will they form new

friendships and gain familiarity with the school, but they will also supplement their learning and development…a real win-win situation! • Teach kids to identify and utilize resources—Although as adults, we may not always ask for help as often as we should, it is essential to teach children that it is not only okay to ask for help, but truly wise to seek help when needed. This can provide some comfort for anxious students, to know that they can always ask for assistance in new situations. Take a look at your child’s school directory; identify their teachers, counselors, coaches, and administrative personnel who can be of assistance if your child should need it. Teach them that smart students ask questions, especially when they do not understand something, and this is easier to do when you know who to ask. If your student needs help beyond what the school can provide, like extra tutoring in math or reading, then it is important for parents to know what resources their community offers, either free or otherwise. Seeking success often requires seeking help. Using these tips does not guarantee that you won’t ever hear, “But I don’t want to go to school!” again, but it might just help everyone in the family feel better about the impending school year and the new challenges and adventures it may bring.

August 2011 — Peoria — Healthy Cells Magazine — Page 27

dental implants

A Permanent Solution to Tooth Loss By Mary Hilbert

ore than 240 million people across North America, Europe and Japan are missing more than one tooth, according to research conducted by the World Health Organization. While it is true that the smile is one of man’s most treasured features, missing teeth at any age pose not only a cosmetic concern, but a health concern as well. Tooth loss resulting from injury, illness or aging can lead to lowered self-esteem and reduced ability to perform essential day to day functions such as chewing and speaking. For many years, ill-fitting bridges and dentures were the only treatment options available to patients. Fortunately, a healthier, more natural and aesthetically- appealing alternative is available today, offering a permanent solution to tooth loss while preserving bone structure in affected areas of the mouth; this option is the insertion of dental implants. Dental implants are artificial tooth root replacements made of titanium which are used to replace the natural root following tooth loss. Because titanium is long-lasting, non-toxic and boasts elasticity similar to the human bone, it is a valuable material in replacement procedures. Unlike conventional dentures, dental implants are designed to protect surrounding teeth and prevent gradual bone loss that occurs in the jaw when there is no tooth present to stimulate the bone. This is accomplished by placing artificial implants into the jawbone of the mouth where they become attached, allowing permanent crowns and bridges to be secured on top of the artificial root. Modern technology is making it easier and more convenient than ever for individuals experiencing tooth loss to maintain a healthy and happy lifestyle with artificial teeth. Computer Guided implant treatment option immediately works to restore chewing function. With groundbreaking technology, dentists are able to effectively utilize a computer-based planning program that cooperates with an internet-based ordering system for manufacturing individual parts needed for the implant treatment. The dentist is able to do all case planning virtually using three dimensional software.

Patients are often able to undergo a minimally invasive procedure to receive permanent teeth in one visit thanks to the assistance of surgical templates and pre-manufactured parts. Implant bridges and ceramic restorations used in fixed implant prostheses are comfortable, natural looking and non-allergenic. Unlike dentures and partials, dental implants carry many benefits, including preserving the facial structure of the patient, improving quality of life and enabling individuals to eat anything they would be able to eat with natural teeth. This is especially advantageous for improving the dietary habits of many seniors who with conventional dentures are unable to eat raw fruits, vegetables and other tough foods crucial for a healthy diet. Designed to last a lifetime, dental implants are recognized by the American Dental Association as being the most successful and satisfying option for replacing missing teeth. Fortunately, almost any individual qualifies as a candidate for dental implants. Interested in learning more on this treatment option? Dr. Reza Vakili and Peoria Heights Dental Center will be offering a free seminar discussing dental implants on September 27, from 5:00 to 6:00 p.m. at 4450 N. Prospect Rd., Suite S-5, Heritage Square, Peoria Heights. The seminar “Take Back Your Smile With The Power Of Dental Implants” is open to anyone interested in learning more about this procedure, especially individuals missing one or more teeth, dissatisfied with use of full or partial dentures, experiencing periodontal disease or unhappy with their state of dental health. The seminar will be led with a presentation and discussion, followed by time for questions from the audience. Please call 309-839-2586 to reserve a seat for this event. For more information on the benefits of dental implant surgery, contact the office of Dr. Reza Vakili at 309-839-2586 or visit the Peoria Heights Dental Center website at www.smilesofpeoria.com.

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advanced practice nurses

What is an APN? By Towana Ernst, APN, FNP-BC, CIRA Interventional Vascular Clinic

any times throughout the course of a day patients in the hospital will look at the hospital issued badge we wear and ask, “What is an APN?” The response to the question is Advanced Practice Nurse (APN). The APN scope of practice in Illinois falls under the Nurse Practice Act 225 ILCS 65/65-30. The APN may perform an assessment on the patient, order diagnostic tests, diagnose, make referrals, consults, and prescribe treatments and medications. This is not the full scope of practice, but stated for the purpose of illustration. Page 30 — Healthy Cells Magazine — Peoria — August 2011

The educational preparation to become an APN is extensive. All APNs are registered nurses who continue down the educational pathway to complete either a master’s or a doctorate degree in nursing. There are four APN specialties: nurse practitioner, nurse midwife, nurse anesthetist, and clinical nurse specialist. Each of these advanced degrees requires rigorous course work involving classroom and clinical hours. Course work may require, on average, 20-40 hours per week. Clinical time averages around 650 hours and is spent training with experienced APNs or physicians.

During this time, the experienced APN or physician oversees the assessment, diagnosis, and treatment plan prepared by the student APN for the care of the patient. Many APN programs require the nurse to develop a patient-focused research project, conduct the study, gather the data, compile the results, document the research in the form of a written thesis, and present the findings in a professional setting. The time required to navigate through these advanced degrees may take 18 months to more than five years. To be licensed in the professional role of an APN in the state of Illinois, an APN must pass a national board certification. This is a timed, computer generated test taken under strict guidelines and observation. The nurse may then apply for the license to practice as an APN. An example of initials used after the nurse’s name may be “FNP-BC” which would represent Family Nurse Practitioner-Board Certified. For Illinois licensure, the APN must have a collaborating physician who serves as a resource or works in partnership. A copy of the contract with that collaborating physician is kept on record at the State Board of Nursing. If the APN will see patients in a hospital, the APN must be given the privilege to practice at each hospital. The Peoria Medical Society and the hospital perform an extensive background investigation of the APN to verify competency to practice. An APN may choose the opportunity to provide healthcare as a primary provider. Certified nurse practitioners may board certify in the care of children, adults, geriatrics, psych, or more broadly based family practice. They may have their own patient clientele and share offices with other health care providers. Certified nurse anesthetists provide anesthesia based services in hospitals or free-standing surgery centers. Certified nurse midwives manage

primary, reproductive, and gynecological care. Clinical nurse specialists primarily prepare to work as a practitioner in the hospital setting, work to develop expertise among nursing staff, or have direct involvement in systems such as electronic medical records. Central Illinois Radiological Associates (CIRA) APNs, share a practice with Interventional Radiologists (IR),. This scope of practice defines our daily professional role in Interventional Radiology. We may see patients in our clinic (CIRA Interventional Vascular Clinic), or in the hospital setting to innterpret imaging studies, or arrange for the patient to have an invasive procedure. Patients are referred to IR for many different procedures. The APN gathers medical information, verifies procedure site, assesses the patient’s ability to undergo the procedure, and explains the procedure and the course of events surrounding the visit.. Each week there are patients in the hospital that require the services of IR – this is called a “consult.” The APN will see the hospitalized patient before and after the procedure until the issue that Interventional Radiology is managing has resolved. Interventional Radiology currently enjoys a collaborative relationship with six APNs. These six APNs have 133 cumulative years of registered nursing experience with 47 of those years as advanced practice nurses. These APNs have privileges to practice at OSF St. Francis, Proctor Hospital, and/or Methodist Medical Center. So, if you see APN on a badge, know you are receiving care by a board certified licensed provider. For more information on Interventional Radiology and services offered, contact the CIRA Interventional Vascular Clinic at 800-813-4033.

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August 2011 — Peoria — Healthy Cells Magazine — Page 31

physical therapy

A Real Life Recovery Story By Molly McKenna, PT, Premier Physical Therapy Services

his article highlights an actual patient’s story and how treatment for her hip and pelvic pain made a difference in her overall health and quality of life. You’ll see firsthand that you don’t have to “just live with it” when you’re in pain or experience physical limitations. Patient History • 3 7 year old female with chronic pelvic and hip pain with activity and during intercourse • Past medical history: one vaginal delivery, painful intercourse, hysterectomy, difficulty sleeping, headaches, and stomach problems Initial Assessment At the time of the initial exam, this patient had weakness and decreased endurance in the muscles that support her pelvic

Page 32 — Healthy Cells Magazine — Peoria — August 2011

organs. She had increased tenderness in her abdomen and hip muscles. She completed a “bladder diary” which revealed she was not drinking enough water and too many beverages with caffeine. The overall prognosis for this patient was considered to be good. Treatment Each treatment session consisted of computerized biofeedback training and manual therapy for the pelvic floor, hips, lower abdomen, and pelvis. The patient was taught how to perform proper kegel exercises with an emphasis on the relaxation phase of the exercise and instructed to complete them at home on a prescribed basis. Additional education was given to her regarding proper fluid intake, pelvic floor relaxation techniques, and proper core stabilization and hip strengthening exercises. The patient followed her home exercise program consistently.

Results The patient improved week by week and after the fourth week of therapy the patient reported she no longer experienced painful intercourse or pain in her hips. Computerized testing of strength and endurance of her pelvic floor muscles showed good improvement with both strength and endurance. One month later, she reported she had continued to do her home exercise program and her pain had not returned. Discussion Although every patient is different and results vary, participation in a supervised Physical Therapy program with an individualized treatment plan resulted in a very successful outcome for this patient. The combination of pelvic floor functional training, dietary changes, and continued home exercise played a vital role in this patient’s success and pain free prognosis. Premier Physical Therapy specializes in treating back pain, neck pain and other muscle and joint related problems. Other specialty programs include Balance and Conditioning Therapy, Women’s Health Physical Therapy, Vertigo Rehabilitation, Aquatic Therapy, Massage Therapy and Work Injury Rehabilitation. For more information, or to schedule a no obligation free screening with one of our therapists please contact us at one of our clinics. Peoria Clinic: 309-683-6900, Germantown Hills/Metamora Clinic: 309-383-4708, Lacon Clinic: 309-554-0072, Aquatic Therapy: 309-683-6900. Visit: www.premierhealthcare.biz.

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brother/sister caregivers

Managing That Old Sibling Rivalry By Luke Smith, Lutheran Hillside Village, a Lutheran Senior Services Community

hen we were young, many of us fought with our brothers and sisters over who got to play with a favorite toy, who got the car this weekend, or who was doing a bigger share of the chores. Our parents reminded us to share with each other and get along, and as we grew older, these teachings began to make sense and a bond was formed between siblings. However, when the task of providing additional care for our parents arises, this relationship can become either strengthened or once again strained. According to a study conducted by The Boomer Project, only 2% of families in the United States split caregiving responsibilities evenly; in 43% of families, the bulk of the burden rests on one person’s shoulders. Some of the key questions that arise from this situation are: How do you divide the workload between you and your siblings? How do you foster teamwork among your brothers and sisters? How can you come to agreement on important family issues? The same study reports that 46% of those surveyed said their relationship was strained with their brothers or sisters because of their siblings’ unwillingness to share the workload. People can also become unhappy because their siblings don’t help with important financial issues. Circumstances like these are never easy to navigate, but they can be helped with good communication. For example, if you notice your parents’ bills piling up, or if you see signs of physical distress or discomfort, it is important not to immediately take on the role of decision-maker. Build a conPage 34 — Healthy Cells Magazine — Peoria — August 2011

census—get your siblings involved from the beginning. Talk to your parents together to see if they have been experiencing problems in some capacity, so each of you can know the whole story. Talking with your siblings and assessing the available options together lets them know you value their opinions, and ensures that all family members are included in the discussion. But what happens if you find a sibling is unwilling to help? First, it is important to remember that the situation might not always be what it seems—if they are refusing to help, they may have their own family issues to deal with, or they may not agree with the kind of care being provided. Another scenario could be that their relationship with your parents may be different than the one you have. It may be beneficial to bring in an outside party, such as a geriatric care manager, to help with emotional situations. They can look at the circumstances and help determine a solution. Plus, it reminds each of you that you are not alone in their struggles. The single most important thing you can do is let your siblings know you need their help. Ask them if they are willing to talk about the situation, and ask for additional advice or input. They may be more willing to help if there is a shared sense of responsibility in coming up with a solution. If they are still unwilling to help, then talk to the siblings who are. Any form of support is better than doing the task alone. Being a caregiver can be a rewarding experience; it shows your parents that you truly appreciate the care they gave you as a child. Having a support system is crucial to making these times easier, and siblings can be great pillars of strength. The thing to keep in mind is to not try to control every detail. Welcome your siblings’ help and input, and if needed, ask them for help. It will lighten the load for everyone, and hopefully strengthen the bonds of your relationship. Many options exist for meeting the needs of parents as they age. Lutheran Hillside Village is a continuing care retirement community offering a variety of care options under one roof. To learn more about the benefits of living with priority access to care, call Ellyn Book at 309-689-9605, or visit us online at www.LuthernHillsideVillage.org.

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August 2011 — Peoria — Healthy Cells Magazine — Page 35

women’s health

Beating the Baby Blues Coping with Postpartum Depression

By Erica J. Thomas, PsyD, Psychology Specialists, Ltd.

hen expecting a child, as a mother, you tend to be enveloped by the excitement of delivering a healthy and happy baby and bringing him or her home. The excitement can be so great that at times you may give little thought to what’s to come. The joy of becoming a mother is so great that there is a potential to overlook or ignore your other emotions that you may be experiencing. It is possible that you can experience postpartum mood swings similar to those experienced while you were pregnant. These mood swings might make you become more sensitive than usual. So how do you know when your mood swings are normal or indicative of something more serious? Well, if the “baby blues” do not improve or they start one month or more after your baby’s birth you may be suffering from postpartum depression. Some signs to look for to determine if you are experiencing postpartum depression are: • Agitation or irritability • Changes in appetite • Feelings of worthlessness or guilt • Feeling withdrawn or unconnected • L ack of pleasure or interest in most or all activities • Loss of concentration • Loss of energy • Negative feelings toward the baby • Significant anxiety • Thoughts of death or suicide • Trouble sleeping There’s no single cause for postpartum depression. Physical, emotional and lifestyle factors may all play a role. In addition, some women may be genetically more vulnerable than others to postpartum depression. However, it’s not clear whether hereditary factors that increase a woman’s risk of postpartum depression are different from those that increase her risk of depression overall. You can experience postpartum depression whether you are having your first child or you are a “seasoned” mother. It is important to know that postpartum depression (PPD) is treatable and that it will go away. The type of treatment will depend on how severe the PPD is. PPD can be treated with medicaPage 36 — Healthy Cells Magazine — Peoria — August 2011

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Obstetrics, Gynecology & Infertility tion (antidepressants) and psychotherapy. Left untreated, postpartum depression can interfere with mother-child bonding and cause family problems. Children of mothers who have untreated postpartum depression are more likely to have behavioral problems, such as sleeping and eating difficulties, temper tantrums and hyperactivity. Nevertheless, there are some simple at-home coping skills that you can do to help you manage your symptoms: Exercise- exercise helps to release endorphins and physical activity can improve your mood and overall health and well-being Support- being able to rely on family and close friends can help you feel loved and supported so that you don’t feel like you are alone Ask- it’s okay to ask for help with the baby from people you trust when you feel you need it Mommy Time- “take a break” setting aside time for yourself to do something you enjoy is important for example reading a book, spending time with friends or your partner, meditation or watching a movie Rest- get as much rest as you can and sleep when the baby is sleeping Talk- you can talk with other mothers, so you can learn from their experiences by joining a support group for women with PPD. Taking care of yourself as a woman and a mother is very important not only for you but for your child as well. Talking to someone and getting help can better your relationship with your child and improve your health and well-being. Psychology Specialists is a group of doctors and counselors with a broad range of specialties who help people with all types of physical and emotional pain. For more information, you may contact Psychology Specialists at 309-648-0782 or visit www. psychologyspecialists.com.

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healthy feet

Putting Your Best Foot Forward Submitted by The Communities of Maple Lawn

eet are an important, yet often forgotten, component of our health. Did you know the foot contains 26 bones, 19 muscles, plus 107 ligaments, tendons, and blood vessels; making the foot a very complex structure. The average person takes 10,000 steps per day. We rely on our feet for daily activities and ambulation. It is important to give them the care they need and deserve. Most changes in the feet are related to musculoskeletal change — bone loss, tendon degeneration, relaxed ligaments, circulatory problems, loss of fat and hormone shifts. Many people ignore their feet until severe problems occur that can lead to gait changes, disability, limitations and problems elsewhere in the body. Severe foot problems often develop from minor abnormalities that are preventable. Wearing ill fitting shoes, for example, is one common contributor to foot problems that can easily be avoided. Furthermore, eighty percent of the elderly population has a problem with dry skin. Dryness can lead to cracks and cuts which invite bacterial infection within the warm environment of a shoe or sock. This can be avoided by keeping the skin of the feet well moisturized. Chronic heart failure, edema, diabetes, degenerative joint disease, rheumatoid arthritis,

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arteriosclerosis, trauma and peripheral vascular disease are the more serious health conditions most associated with foot problems. Hyperkeratosis, a thickening of the skin on the foot in the form of corns and calluses is the most common finding. Ulcers, bunions, hammer toe, athlete’s foot, fungal nail infections, ingrown toe nails, arthritis and gout are other common findings in the feet. One in three older adults will complain of painful toenails. Most common are the thick, discolored and possibly ingrown or infected toenail(s). Even the smallest problems, such as dry skin, should not be ignored because they can lead to something that could become a serious threat to ones overall health. By caring for yourself properly, you can avoid foot problems. Avoid activities that can impair circulation such as smoking, eating a poor diet, crossing your legs at the knee and putting your feet in very hot or cold water. A daily self-inspection of and subsequent care for your feet is necessary. Look for cuts, cracks, redness, blisters and any signs of trauma. Use a mirror to inspect the bottoms of your feet and keep them clean and dry. Be sure to use moisturizer, avoiding between the toes. This can lead to a moist environment supportive of bacterial growth. Be sure to wear properly fitted socks, shoes and hosiery. Daily care involves washing the feet with mild soap and warm water, pat drying the skin and changing your socks. If you suspect there is a problem with your feet, consult your physician. Over the counter pain medications such as acetaminophen can help alleviate foot pain. Choosing a non-steroidal, anti-inflammatory drug (NSAID) such as ibuprofen, aspirin or naproxen can alleviate pain as well as reduce swelling. These treatments are not, however, substitutes for seeing your doctor. Remember to put your “best foot forward” and take care of your feet! This article is brought to you by Erin Oakes and Lina Marcheschi, nursing students, Illinois State University Mennonite College of Nursing along with the Communities of Maple Lawn, please contact 309-4672337 or visit: www.maple-lawn.com. References: Ostomy/Wound Management, The Journal of Musculoskeletal Medicine, Journal of Community Health Nursing, Journal of Gerontological Nursing, Nursing & Residential Care.

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August 2011 — Peoria — Healthy Cells Magazine — Page 39

hearing loss

New Study Shows Increased Risk of Dementia Submitted by AccuQuest Hearing Center

eople with hearing loss are more likely to develop dementia than those without hearing loss, according to a study by Johns Hopkins and the National Institute on Aging. Dementia is a memoryrobbing disease that affects millions of people worldwide and carries with it heavy burdens for society, but this new study may lead to better intervention. “Researchers have looked at what affects hearing loss, but few have looked at how hearing loss affects cognitive brain function,” says study leader Frank Lin, M.D., Ph.D., assistant professor in the Division of Otology at Johns Hopkins University School of Medicine. “There hasn’t been much crosstalk between otologists and geriatricians, so it’s been unclear whether hearing loss and dementia are related.” Dr. Lin and his colleagues used data from the Baltimore Longitudinal Study on Aging (BLSA). The BLSA was established in 1958 and has tracked various health factors of thousands of men, women and children over decades. Dr. Lin’s study, which was published in the February 2011 Archives of Neurology, focused on 639 people whose hearing and cognitive abilities were tested as part of the BLSA between 1990 and 1994.

About a quarter of the volunteers had hearing loss at the start of the study, but none of them had dementia. Volunteers were closely followed with repeat exams every one to two years. By 2008, 58 of them had developed dementia. Researchers found that those volunteers with hearing loss at the beginning of the study were significantly more likely to develop dementia by the end. Compared to those with normal hearing, participants with mild hearing loss were twice as likely to develop dementia over time. Those with moderate hearing loss were three times as likely. And those with severe hearing loss were five times as likely. In fact, the study showed that for every 10 decibels of hearing loss, the extra risk increased by 20 percent. In a separate study, Johns Hopkins Medical Institutions reported in Science Daily the hearing loss rate in older adults has climbed to more than 60 percent in a national survey. “A lot of people ignore hearing loss because it’s such a slow and insidious process as we age,” Lin says. “Even if people feel as if they are not affected, we’re showing that it may well be a more serious problem.” Further research is needed to determine the reasons why exactly dementia and hearing loss were connected. One possibility proposed in the study, though, was that dementia may result from the social isolation inherent in hearing loss, which is a known risk factor for this and other cognitive disorders. There are many ways hearing loss causes social isolation. Embarrassment about not knowing what is going on, feelings of inadequacy, and fear of being ridiculed often drive those with hearing loss to remove themselves from social gatherings. Someone with hearing loss regularly needs a period of quiet after a difficult hearing situation to recover from the physical strain. Significant others and loved ones may interpret this as rejection, which results in emotional distance. People with hearing loss often raise their voices to compensate, and this can be interpreted as yelling at those next to them. Therefore, people are less likely to desire to be around them. Simple interventions like hearing aids and regular hearing tests can help maintain and improve hearing, which will prevent many of the situations that lead to social isolation. Hearing health may be a vital component in the delay or prevention of dementia. For more information contact an AccuQuest Hearing Center near you at 1-888-670-1106. Johns Hopkins University School of Medicine. (2011). Hearing loss and dementia linked in study. [Press release]. Retrieved from http://www. hopkinsmedicine.org/news/media/releases/hearing_loss_and_dementia_linked_in_study Johns Hopkins Medical Institutions (2011, February 28). Hearing loss rate in older adults climbs to more than 60 percent in national survey. ScienceDaily. Retrieved from http://www.sciencedaily.com/ releases/2011/02/110228090212.htm Rawool, V.W., & Kiehl, J.M. (2009). Effectiveness of informational counseling on acceptance of hearing loss among older adults. The Hearing Review, 16(6), 14-22

Page 40 — Healthy Cells Magazine — Peoria — August 2011

orthotic technology

Improving the Quality of Life for People with Specific Musculoskeletal Conditions Submitted by Hanger Prosthetics and Orthotics

races, supports, and orthotic technology are a broad and important specialty area that can dramatically improve the quality of life for people with specific musculoskeletal conditions caused by illness, injury or congenital anomaly. Two specific examples of orthoses are the cranial band available for infants for the treatment of plagiocephaly, and the WalkAide, a functional electrical stimulation device available to those who suffer from a form of lower leg paralysis known as foot drop. The term plagiocephaly is used to describe the flattening or deformation of an infant’s head and is often classified as mild, moderate or severe. The Hanger Cranial Band is an FDA cleared orthosis used to treat deformational plagiocephaly, and is most effective with infants 4-12 months of age. During this developmental stage, the skull is very malleable to allow for rapid brain growth. Cranial bands may be worn until 18 months of age, however, after this time, the bones of the skull have fused and orthotic treatment is much less effective. Many parents wonder if wearing a cranial band might be painful to their infant and the answer is no. Cranial Bands are custom-made to fit the individual shape of each baby’s head, and cranial remolding is not achieved by placing severe pressures on the skull, but instead, the cranial band applies steady, even pressure over the areas of the skull that are most prominent. Opposite of this, the band has open areas where the flattened section of the skull can grow. The design of the orthosis is to direct the natural growth of the skull towards a more symmetrical and/or proportional shape. A very different type of orthosis is the WalkAide, an advanced medical device that provides immediate improvement in walking for certain people with foot drop. It’s recommended for cases of foot drop caused by stroke, multiple sclerosis, incomplete spinal cord injury, traumatic brain injury or cerebral palsy. Foot drop is a form of lower leg paralysis that inhibits a patient’s ability to lift his or her foot naturally. This common mobility impairment can have a real effect on a patient’s energy, balance and ability to carry out normal activities. It’s caused by an interruption of the natural nerve-to-nerve muscle communication between the brain and leg.

The WalkAide, an intelligent functional electrical stimulation (FES) system, restores this lost communication by sending electrical signals to the peroneal nerve, which controls movement in the ankle and foot. These gentle electrical impulses activate the muscles to automatically raise the foot at the appropriate time during each step. The result is a smoother, more natural and safer walking motion and restored mobility for the individual. Those interested in trialing the WalkAide can now do so through the WalkAccess Home Assessment Program. The Program offers patients the opportunity to try the WalkAide for two weeks in their home and everyday environments for a fraction of the cost of purchasing the device outright. For more information on living with limb loss, or the latest prosthetic and orthotic solutions, contact Hanger Prosthetics & Orthotics at 309-637-6581, or visit www.Hanger.com. No matter what the need, Hanger Prosthetics & Orthotics has a team of experts ready to assist in restoring mobility and helping individuals enhance their physical capability. August 2011 — Peoria — Healthy Cells Magazine — Page 41

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