September Quad Cities Healthy Cells 2011

QUAD CITIES area Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional

SEPTEMBER 2011

FREE

HealthyCells www.healthycellsmagazine.com

TM

m a g a z i n e

Genesis Safety Initiatives Satisfy Patients

page 18

Assisted Living Provides Peace of Mind page 5 Foot Reconstruction Helps Get This QC Man Back off the Ground page 12

The Key to Communication

page 26

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It’s not just a diet – it’s a community that provides ongoing support during and long after weight loss.

For more information visit www.genesishealth.com/weightloss or call (563) 421-8361.

Tuesdayth

Sept. 13

8:00 am - 5:00 pm

Only 30 Seats Left What’s New in Retirement Living?

$5.00 Reserves Your Seat!

Join us on a full day of exploration into the finest retirement communities Quad Cities has to offer. Wiersema Charter Service will chaperone you to 5 retirement communities where you will have the opportunity to see for yourself what each community has to offer today’s active senior. Learn what’s new in senior living with others on a fun day of learning and activity. Buses will board at 8:00 am at both locations. You will receive boarding and parking instructions by mail the week prior to the tour.

Will stop at the Health and Wellness Fair at ManorCare Utica Ridge, 9am-4pm

Seating limited to the first 100 reservations.

You will receive:

• A tour of five of the finest senior living communities in the area • Charter coach seating in one of two coaches reserved for this event • Light breakfast and coffee served at registration • Lunch provided and served to you at the Park Vista Retirement Living Community • Afternoon snack • Canvas “goodie” bag with tour guide and goodies from area merchants To reserve your ticket, mail your check in the amount of $5.00 along with your name, address & phone number to: Hutcheson Enterprises, 2807 W. 35th St. • Davenport, IA 52806 Call Laurie for more information 563-650-1876 September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 3

SEPTEMBER

2011 Volume 2, Issue 9

5

Senior Communities: Assisted Living Provides Peace of Mind

This Month’s Cover Story:

6

Emotional: Alzheimer’s Patients Don’t Have to Face Their Disease Alone

Genesis Safety Initiatives Satisfy Patients

8

page 18

Physical: I’ve Heard of Tennis Elbow but Is There Such a Thing as Technology Elbow?

10

Nutritional: Breakfast Tips to Get You Going in the Morning

12

Flat Feet: Foot Reconstruction Helps Get This QC Man Back Off The Ground

14

Vascular Health: New Varicose Vein Treatment Offers Hope

17

Financial Health: Questions You Should Ask about Your Financial Future

21

Beauty: Are you “Hair Challenged?”

22

Healthy Aging: Menopause and Andropause

For advertising information, contact Nicole Ward, Account Executive at 563-271-0389, nicole@healthycellsmagazine.com or Laurie Hutcheson, owner at 563-650-1876, QCHealthycells@gmail.com Healthy Cells Magazine is a division of:

24

Patient Care: What Kind of Services are Offered with Home Care?

26

Quality Care: The Key to Communication

28

Unique Exercise: Laughter Yoga

30

Senior Care: Oh, How I Want to Go Home…

Healthy Cells Magazine is available FREE in high traffic locations throughout the Quad Cities, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Quad Cities. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

33

Motion: Frozen Shoulder

“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.”

Laurie Hutcheson

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

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.

senior communities

Assisted Living Provides Peace of Mind

By Rick Banas of BMA Management, Ltd.

D

uring a recent visit to Heritage Woods of Moline, the topic of concerns that family members have about their parents came up in conversation with Kim DeTombe, the Director of Marketing for the affordable assisted living community. The two concerns that I hear most frequently, Kim told me, are that Mom is not taking her medications properly and she is not eating right.

The family members have good reason to be concerned. Poor eating habits and not taking your medications when and as you should can lead to health problems that result in trips to the emergency room and stays in the hospital and nursing home.

Assisted living communities such as Heritage Woods of Moline can provide older adults with the help that they need and family members with peace of mind.

At Heritage Woods, medication set-up, supervision and assistance as well as three meals a day plus snacks are among the included services.

The medication assistance is provided by certified staff in the comfort of the resident’s apartment.

The meals are prepared on-site in our kitchen and served by our wait staff restaurant-style in the dining room. Rather than eating alone in front of a TV set, residents are enjoying companionship and conversation while they dine. Staff can observe who is coming to breakfast, lunch and dinner. If needed, they can remind residents of meal times and help residents get to and from the dining room.

Help with bathing and dressing also is available.

Our focus is on helping residents to maintain as much independence as possible for as long as possible. Our emphasis is on providing love, compassion and dignity in addition to the care, assistance and services that are needed.

There is another feature of Heritage Woods of Moline that brings peace of mind to residents as well as family members. Because Heritage Woods participates in a special program here in Illinois called Supportive Living, we are able to serve adults 65 and older of all financial means.

• Cataract Surgery & Multi-Focal Lenses • Contact Lenses • Optical Services • Glaucoma & Refractive Surgery Rock Island 309-788-5524 Davenport 563-359-3357 Muscatine 563-264-3414 Clinton 563-219-8044

www.virdieyemd.com

This includes those who are on or would qualify for Medicaid and those who only receive monthly Social Security benefits. This applies at the time of move-in as well as down the road so residents do not have to worry about moving if and when they exhaust their personal funds.

Heritage Woods is one of two affordable assisted lifestyle communities in Rock Island County to participate in the Supportive Living program.

The community, which is located near John Deere and 53rd St. in Moline, has been managed BMA Management, Ltd., since it opened for occupancy more than three years ago. Based in Bradley, Illinois, BMA is a mission-driven company that has grown to become the largest provider of affordable assisted living in Illinois. Nationally, BMA ranks as the 18th largest provider of assisted living.

I invite you to stop in to see all that Heritage Woods of Moline has to offer. To arrange a visit or for more information, give Kim a call at 309-736-5655.

• Medical/Nursing Staff On Call 24/7 • Prescription Medication related to Hospice Diagnosis • Medical Equipment • Bathing/Feeding/Dressing/Skincare • Spiritual Care and Grief Support • Volunteer Companionship • Social Services

Compassion Each Step of the Way Your Trusted Partner on Life’s Most Important Journey

563-391-6933

1020 West 35th Street, Davenport, IA 52806 www.yourtrustedpartner.com or www.wquad.com for more information September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 5

emotional

Alzheimer’s Patients Don’t Have to Face Their Disease Alone

By Senior Star

Eighty-seven year-old Davenport resident is one of Iowa’s estimated 69,000 elderly dealing with Alzheimer’s Disease

W

hen Alzheimer’s Disease strikes, in addition to short or long-term memory loss, a person can also lose her driver’s license, her independence, her home; but new approaches in care can bring peace of mind to families.

Eighty-seven year old Juliet Hardy, Davenport, IA, is one such person, but she is not alone. Her family has weathered this journey with her along with an estimated 69,000 Iowans, according the Alzheimer’s Association’s latest figures.

Certainly at first, her diagnosis six years ago was met with confusion and grief. Juliet’s daughter, Mary Anderson, remembers how she, her sister and brother began to discover their mother’s forgetfulness was cause for concern. “Looking back, I believe she probably had Alzheimer’s before, but we didn’t know.

“She was living alone, and she would repeat things. She’d turn on the stove instead of the oven. She’d be driving and get lost. The police would bring her home, and that’s when we knew it wasn’t normal. It was scary.”

After visits to Juliet’s family doctor, a psychiatrist and neurologist, the diagnosis was conclusive: Alzheimer’s Disease.

The ensuing family meetings and decisions were difficult. Although the siblings agreed it was time to move their mother into a memory care community, Juliet didn’t want to leave her home.

“It was a hard decision,” Mary recalls. “At first, mom resisted. She wanted us to come over and take care of her, but we all have children at home, and I didn’t feel comfortable with a round-the-clock nurse.

There was also the issue of driving. We had to take her car keys. I told her ‘I have the keys and you can’t have them.’ She was upset and it was definitely a tough transition.”

In the following months, the family moved Juliet into a memory care unit at a local assisted living facility and then later another nursing home. “Mom just started to withdraw. At the assisted living facility, she needed more round-the-clock care as her Alzheimer’s progressed. At the nursing home, she was in a bed all day and they only brought her out for meals. We just felt our mother deserved a better quality of life.”

Searching for better options, they toured Senior Star’s Memory Care Community on Elmore Avenue, Davenport. Says Mary, “My brother and I visited and decided that day she would live at Senior Star.

It’s very professional, clean, and everyone is trained for individualized care. They have a staff of nurses available 24 hours a day, and they were just all wonderful.”

Senior Star’s Memory Care Director Sally Hill remembers when Juliet moved to the community. “When we first met, she was really withdrawn. But, what a difference 18 months can make!”

As with all new residents, Senior Star provided an individualized assessment of Juliet’s condition along with a personal program to help her retain as much independence as possible, as well as recommended activities and therapy to stimulate her brain, her memories, and to connect with others.

Page 6 — Healthy Cells Magazine — Quad Cities ­— September 2011

“We are truly committed to offering groundbreaking dementia care based on the latest research,” explains Hill. “Residents enjoy unique programming designed to stimulate neurons and memory including the mutli-sensory Snoezelen™ room, Destination Programming and the iPod® music program. Amber is our therapy dog. She lives on site and the staff and residents just love her,” says Hill.

Visitors and residents also discover that the physical layout is built specifically for memory care needs: the courtyard walkway is in a figure-eight pattern, and the internal main hallway is continuous oval shape to prevent confusion in corners. There’s subdued lighting, armoires instead of closets, and even the toilet seats are colored for spatial differentiation.

“I can already see a difference in mom,” says Mary. “They read to her and she loves to hear the books. She also plays bingo and even goes on outings with other residents around town. One day they even attended the Backwater Gamblers water ski show in Rock Island. It was amazing!”

“Juliet is a joy,” adds Hill. “She’s no wallflower. We encouraged her to come out of her room, and she’s done so well. She’s a real special lady.”

“I know there are times when she doesn’t know who I am,” reflects Mary. “When she recognizes me, she’ll touch my face. Her quality of life is wonderful now. She is content. The stress level in our family has really diminished, and now I can sleep at night.”

For information or to schedule a visit to the Senior Star at Elmore Place Memory Care community, call 563.359.0100 or log on to www.seniorstar.com

About Senior Star:

Senior Star, based in Tulsa, Oklahoma, is a private company founded in 1976 that entered the senior housing business in 1989. Today, the company has become a nationally recognized industry leader for providing quality and innovative services. The organization’s portfolio includes 10 retirement communities in six states offering independent, assisted living and memory care options.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 7

physical

I’ve Heard of Tennis Elbow but Is There Such a Thing as Technology Elbow?

By Warren Wright, OTR/L, CHT, Certified Hand Therapist at Midwest Therapy Centers, a Division of Braaten Health LLC

T

echnology is everywhere these days. Most children have hand held video games to keep them busy. Lap tops and tablets allow us to more easily surf the web and work at home. Cell phones help us communicate better with each other. With this new technology come some unfortunate side effects.

Cell phone elbow has become a common term in the medical field.

Prolonged use of a cell phone can bring on a condition called cubital tunnel. Symptoms involve numbness or tingling in the 4th and 5th digits.

It can also include pain on the inside of the elbow. This condition can be brought on by prolonged flexion or bending of the elbow. Usually flexing the elbow beyond 90 degrees for an extended period of time can be enough to bring on symptoms.

Page 8 — Healthy Cells Magazine — Quad Cities ­— September 2011

The ulnar nerve runs along the inside of the elbow; it is also known as your funny bone. With prolonged flexion, the nerve signal to the digits can be slowed or interrupted.

It is similar to a kink in a garden hose. The water will slow and not flow normally.

The nerve can become inflamed and irritated. That slowed nerve impulse may eventually lead to muscle weakness. Individuals may notice an inability to bring their fingers together, or weakness with grip. If left untreated, contractures or a claw hand may form.

Some simple solutions can resolve this issue.

• Avoiding prolonged flexion of the elbow is helpful.

• For cell phone users, an ear piece may reduce risks.

• Alternate hands while using your cell phone.

• W hile sleeping, keeps arms along the side of your body. Do not bend them or curl them around your head.

• Resting your elbows on a hard surface can bring on symptoms.

So don’t use arm rests while at work or on the computer at home.

• M ake sure while on the computer that your elbows are not past 90 degrees.

Other common conditions with all of this new technology include tennis elbow or golfer’s elbow. Pain usually occurs along the inside or outside of the elbow. Weakness in grip may also be present. These conditions may be aggravated by use of a keyboard or hand held video games. It also can become worse with resisted wrist activities.

Tennis elbow and golfer’s elbow is also known as lateral and medial epicondilitis respectively. Muscles along the forearm attach

to the elbow by tendons. Repetitive use of the wrist may cause tiny tears along these tendons. When they are not allowed to rest and heal properly, an inflammatory process may develop. Modifying activities can be very helpful with these conditions as well.

• Taking mini breaks can be helpful to allow rest and healing.

• A wrist brace can offer relief.

• Exercise and anti inflammatories can help reduce pain.

It is important to recognize these conditions quickly and get appropriate treatment if symptoms are not improving. A team approach between your physician and a certified hand therapist may help you on your road to recovery. An individual stretching program specifically designed by your therapist would be beneficial to healing. A certified hand therapist is trained in evaluation and treatment of hand, wrist, elbow, and shoulder conditions. They have over 5 years experience in the treatment of upper extremity injuries and a minimum of 2000 hours of direct care.

If you think you may be affected by the conditions described above, or have other upper extremity issues that may benefit from a certified hand therapist, please feel free to call Warren Wright, OTR/L, CHT at Midwest Therapy Centers, 563-326-1400. Midwest Therapy Centers has 4 outpatient locations in the QCA and Clinton area with hours Monday – Friday 8am to 5pm or by appointment. Remember, you have a choice of health care providers! Ask your doctor to send you to Midwest Therapy Centers, a Division of Braaten Health LLC.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 9

nutritional

Breakfast Tips

to Get YOU Going in the Morning!

U

s e these easy fun tips to make the most of your breakfast with a colorful variety of fruits and vegetables. It’s easy as one-two-three!

Have fruit as a mid-morning snack.

Add vegetables like bell peppers, broccoli, spinach, mushrooms or tomatoes to your egg or egg white omelet.

Add strawberries, blueberries, or bananas to your waffles, pancakes, cereal, oatmeal, or toast.

Stir low-fat or fat-free granola into a bowl of low-fat or fat-free yogurt. Top with sliced apples or berries.

Top toasted whole-grain bread with peanut butter and sliced bananas.

Canned, dried, and frozen fruits and vegetables are also good options. Look for fruit without added sugar or syrups and vegetables without added salt, butter, or cream sauces.

Page 10 — Healthy Cells Magazine — Quad Cities — ­ September 2011

Strawberry Yogurt Shake Ingredients: 1/2 cup unsweetened pineapple juice 3/4 cup plain low fat yogurt 1-1/2 cups frozen, unsweetened strawberries Directions: Add ingredients, in order listed, to blender container. Puree at medium speed, until thick and smooth.

Resource: cdc.gov.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 11

flat feet

Foot Reconstruction Helps Get This QC Man Back Off The Ground

By Orthopaedic Specialists

D

ennis Gooch, Coal Valley, has to run around quite a bit when

Dr. Mendel earned both his undergraduate and medical degrees he’s flying one of the 40 or so radio-controlled airplanes in his from Louisiana State University in Baton Rouge, LA and following his collection. The 53 year-old member of the internship and residency in orthopaedic surgery at Skyraiders Radio Control Flying Club always had the University of Michigan, he completed a fellowa flat foot, but it collapsed over the last five years. ship in foot and ankle surgery with Roger Mann,

“I had a lot of foot pain,” says Gooch, “when MD in San Francisco, CA. I tried to walk or tried to mow.” The pain grew “Dr. Mendel was very intelligent,” recalls Gooch. so intense that Gooch couldn’t fly his planes any “He knew exactly what was going on.” The flat longer. And as the pain grew worse, Gooch’s foot foot reconstruction surgery Dr. Mendel performed turned out and made his gait awkward. involved lengthening a tendon on the right side of

Tuvi Mendel, M.D., Orthopaedic SpecialGooch’s foot, among other advance techniques. ists, put his fellowship training and experience Gooch, who is an electronic technician, spent to work for Gooch. As the head of OS’s Foot four days in the hospital after his knee replaceand Ankle Center, Dr. Mendel offers a variety of ment surgery several years ago. Yet his experiprocedures ranging from joint replacements to ence at the Mississippi Valley Surgery Center was Dr. Tuvi Mendel, MD minimally-invasive surgeries. quite different. “I was terrified of the procedure, Page 12 — Healthy Cells Magazine — Quad Cities — ­ September 2011

but before I knew it, I was home. I went in at 9:30 a.m. and was home by 2:00 that afternoon,” says Gooch. “I do prefer being home right away.”

After five years of pain and putting off treatment, Gooch was back in shoes by the beginning of February. “That was a great relief,” he says. “I will be ready to get back to airplaning.”

For more information on understanding foot and ankle pain and the various treatment options open for discussion with your doctor, visit the Orthopaedic Specialists PC website: www.osquadcities.com

What You Need To Know About Flat Feet From osquadcities.com

Flat feet can be present at birth or develop at an early age, and are often hereditary.

In some people, however, they develop as a symptom of foot abuse that can develop from any of the following: • Weakened muscles due to aging or heavy strain placed on the feet.

• Standing or walking for long periods in high heels.

• Wearing shoes that don’t provide proper arch support.

Symptoms:

The biggest signs of flat feet are discomfort and pain.

As the normal arch begins to drop, walking can become very uncomfortable. The foot can also turn outward at the ankle, causing a walk that’s concentrated on the inner border of the foot.

Due to the less supportive structure of a flat foot, postural strain and misalignment through the foot, ankle, knee and lower back can cause consistent daily discomfort.

The depression of the arch in the foot also puts more strain on the ligament and tendons that support the foot and ankle, and over time, the bones may collapse. Flat feet can therefore lead to heel spurs, ankle sprains, hip and lower back pain, and even contribute to the development of arthritis.

Relief and Prevention:

In most people, flat feet can be treated with proper shoes. Look for shoes that: • Offer support and stability through the arch.

• Use insoles that support the arch and help stabilize the heel.

• Also, consider using custom orthotics to aid in arch support.

In extreme cases, surgery may be required to stabilize the bones and improve foot support and function.

care

“We for the family you about”

care

Our Services Include But Are Not Limited To: • We are available for 1 hour and up to 24 hours, seven days a week • Laundry / bed changes • Medication set-up and reminders • Light Housekeeping • Relief care for family members • Transportation • Total or assisted personal care • Shopping / running errands • Post hospital care or assistance after an accident or illness • Meal planning and preparation

Call for a: Free Consultation • Free Screening • Free Assessment

Quality Home or Facility Care 240 N. Bluff Blvd., Ste #101B Clinton, IA 52732 563.242.2308 • 563.659.5516 Toll Free 1.888.942.2308 3111 Avenue of the Cities, Moline, IL 309.736.7414 137 S. State St., Suite 349,Geneseo, IL 61254 309-944-3727 1698 Iowa Drive, LeClaire, IA 52753 563.289.5229 • Toll Free 1.800.339.5229 Fax 563.289.3444 Muscatine, IA 563-263-0530

www.GuardianFamily.com September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 13

vascular health

New Varicose Vein Treatment Offers Hope

By Mississippi Health Network

Radio frequency ablation treatment offered by the Iowa Vein Clinic provides a nearly pain-free solution for those dealing with varicose veins.

It’s hard to beat gravity.

Approaching middle age, many women who spend careers on their feet dread the onset of varicose veins. Not only are they are unsightly and painful, but traditional treatments could also be as painful as the vein condition itself – leading to unnecessary suffering.

And men aren’t immune to the condition either. “Men also suffer from varicose veins, particularly those who spend time on their feet or who have a genetic predisposition to the problem,” explains fellowshiptrained Vascular and Thoracic Surgeon Richard Sadler, M.D., Chest and Vascular Surgery, & the Iowa Vein Clinic, Davenport. “However men are even less likely to seek treatment.

“While varicose veins afflict both sexes, typically making them miserable in mid-life, there have been tremendous advancements in treatments that really minimize the pain,” Dr. Sadler explains. “There is no reason people should avoid treatment because they fear the old-style, incredibly painful treatments of vein stripping.

What causes varicose veins?

When your legs have used the fresh, oxygen- and nutrient-filled blood pumped from your heart, they return the used blood back up the legs to be freshened up and re-circulated. The blood’s return route is through a system of veins. Tiny valves in the veins allow the blood to go only one direction, back up to the heart. But for people who are constantly on their feet, gravity eventually weakens the valves. “While our bodies were designed to walk and run, teachers, nurses, factory workers, retail salespeople and countless others who stand for hours are at greater risk for developing varicose veins. If you are not flexing your leg muscles, your veins don’t work well,” explains Dr. Sadler.

“When the veins no longer work properly, they allow blood to pool or flow backwards instead of climbing up. That’s when those bulging varicose veins form.”

When they’re left untreated, varicose veins can cause permanent skin changes. Worse, the skin can break down into ulcers that won’t go away until they are treated – and that can be expensive and take months to heal. Some of the lesser-known problems relating to varicose veins are fatigue, heaviness in the legs, restless legs at night, aching, itching, throbbing and swelling, burning, and cramping sensations.

Blood can also clot and cause hot, painful, red skin and other complications. Even with this collection of miserable symptoms, “People put off treatment too long,” says Dr. Sadler. “Patients have more advanced conditions and more painful symptoms by the time they come to see me than they should.”

Page 14 — Healthy Cells Magazine — Quad Cities — ­ September 2011

New Hope with Closure® “Traditionally, doctors used a surgical procedure called ‘stripping’ to treat varicose veins,” says Dr. Sadler. The surgery involved tying off one end and then tearing the varicose vein from the body. As you might imagine, patients suffered considerably. Many patients avoided treatment altogether because it was so painful and disfiguring. In addition, there was a 15% chance of permanent nerve injury.

All that has changed. Dr. Sadler often treats varicose veins with a procedure called Closure®. There is so little discomfort that no sedation is needed, and usually no post-treatment pain medication is needed, either. The Closure® procedure involves only a tiny puncture to access the vein – much like an IV – that leaves an imperceptibly small scar. Instead of tearing the vein out, Dr. Sadler runs a special catheter through the needle hole to heat the vein with radio frequency energy. The vein shrinks down on itself and closes off, like heat-shrinking plastic. “After it’s closed, the body re-routes blood to healthy veins,” says Dr. Sadler.

“Patients usually return to normal activities within a day – as compared to three weeks with the old procedures. Radio Frequency Ablation yields superior results to treatments using laser. There really is no reason for people to put off treatment and suffer needlessly anymore.”

About The Iowa Vein Clinic

Dr. Sadler’s Iowa Vein Clinic offers a host of treatments for vascular conditions. They include surgical phlebectomy, a method of removing small veins through tiny punctures or incisions — so small no stitches are required. “Veins are so collapsible that it is possible to remove even large ones through these tiny openings,” says Dr. Sadler.

Sometimes a compression bandage helps patients to recover, yet nearly all patients are active right after the procedure.

The Iowa Vein Clinic also offers sclerotherapy, which uses injections to treat those little spider veins as well as other vascular treatments, addressing conditions like aneurysms as well. To schedule an appointment with Iowa Vein Clinic, Call 888-755-4590.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 15

Page 16 — Healthy Cells Magazine — Quad Cities — ­ September 2011

financial health

Questions You Should Ask about Your Financial Future

By Karen Goodall, CSA, Vice President and Senior Trust Officer, Northwest Bank & Trust Company

Ask yourself these five questions about your financial future. Knowing the answers can help you avoid mistakes.

1. Do you have a plan to ensure your savings will last as long as you do?

Whether you are still saving for retirement or enjoying your retirement years, you should have a customized plan that fits your individual needs. Your financial planner should start by running personalized financial projections that take into account such information as inflation, taxes, and life expectancy tables; as well as more specific information such as your personal needs. Once this process has been completed your financial planner should have the ability to determine the appropriate level of safety and measured risk that is needed to meet your investment needs year-after-year. To ensure your retirement plans are still on track, your advisor should revisit those projections with you on an annual basis to ensure your portfolio is withstanding any market volatility or personal changes in your financial situation.

2. Do you know how your financial advisor measures success and failure?

Do you and your financial advisor have defined guidelines on how your advisor’s success will be measured? With the exception of opening your investment statement each month to determine if your balance has gone up or down, do you expect your advisor to provide tools to help you measure your returns against appropriate industry benchmarks?

Your investment advisor should be held accountable year after year for the performance of their investment choices. Your investment returns should be measured against various benchmarks to determine if your advisor has done a good job on your behalf. If your advisor told you that your portfolio made 6% last year would you think that was good? What if that 6% return was compared to a benchmark of other investments with the same objective as yours and the benchmark return was 9%. Would you still think that your advisor had done a good job for you?

3. Do you know how your financial services advisor is compensated?

12B-1 fees, front-end loads, back-end loads, commissions, bond mark-ups, risk and mortality expenses, or asset management fees in excess of 1% of your account value… does your advisor charge any of these fees? Many do and in most cases these fees do not show up as a line item on your statement so that they can be easily identified. You should ask your advisor these questions and request that they respond to you in writing.

“Your investment returns should be measured against various benchmarks to determine if your advisor has done a good job on your behalf.”

Look for an advisor that is structured in such a way that allows you to sit on the same side of the table with them, meaning your advisor’s fees should go up when the value of your account goes up, and their fees should go down when the value of your account goes down. They should have a vested interest in the success of your investments.

Look for an advisor who: •D oes not receive commissions for buying and selling securities in your account.

• I s not attempting to push specific funds, but instead selects from a wide range of investment companies.

•H as the “luxury of time” to allow an appreciating portfolio to continue uninterrupted without pressure to disrupt performance to generate personal income.

•D oes not limit their bond purchases from a limited in-house inventory, but has access to the entire bond market, seeking out the most appropriate bonds at the best prices for their client.

4. Is your financial advisor a fiduciary?

A fiduciary is held to a higher standard and required by law and regulation to adhere to fiduciary principals. This means they always act in the sole interest of their client, avoiding conflicts of interest and carrying out their duties with prudence, loyalty and care. It also means putting the interests of the client ahead of their own interest, and disclosing any material conflicts of interest.

5. Can your financial advisor manage your family’s needs on your behalf if you no longer can?

Look for a corporate fiduciary that has the ability to serve as trustee, power of attorney, and executor for their clients. This provides piece of mind and continuity of investment management services for your family, friends and charities.

Northwest Bank’s Investment Management Group has the ability and knowledge to help you make the decisions that are right for you.

Call us today.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 17

feature story

Genesis Safety Initiatives Satisfy Patients Submitted by Genesis Health System

Genesis surgeon Dr. Joseph Lohmuller has been named an Iowa Hospital Hero for his contributions and service to his community and the global community. Dr. Lohmuller is the president of Davenport Surgical Group, which is recognizing its 50th year of providing surgical services to the region in 2011.

A

Genesis patient about to have surgery has been asked several times for their name and birth date. Their surgical site has been marked, even though that should certainly be known. They are asked again about medications they take.

The first thought of the patient may be “do they really know me?” or “why do they keep asking the same questions?”

The process that may seem redundant, maybe even confusing for the patient, is part of a comprehensive safety plan within Genesis Health System that is saving lives and earning the system recognition for quality and patient safety.

Page 18 — Healthy Cells Magazine — Quad Cities — ­ September 2011

Dr. Jim Lehman, Vice President of Quality, Genesis Health System, talks about the three driving forces that guide the system: safety, survivability and satisfaction.

“They are the three “S” words we talk about. They are what drive this health system every day,’’ Lehman said. “If you do the first two to the best of your ability, the third, satisfaction, is naturally linked.’’

According to a recent report in the annual U.S. News Best Hospitals reports, Genesis Medical Center, Davenport has been able attain all three factors.

U.S. News said Genesis Medical Center, Davenport “scored high in patient safety, demonstrating commitment to reducing accidents and medical errors.”

Five “High-Performing” Specialties

The report scored five specialties at Genesis Medical Center, Davenport as “highperforming specialties.’’

They were gastroenterology, geriatrics, gynecology, nephrology and orthopedics. No other hospital in the Quad Cities had more than one “high-performing Flo Spyrow, President of Genesis specialty.’’

Medical Center, Illini Campus

Because of safety and patient survivability rates that are better than national averages, patient satisfaction has followed.

U.S. News reported that 74% of Genesis Medical Center, Davenport patients would definitely recommend the hospital to family and friends. Only 4 percent, below the national average of 6 percent, would “probably or definitely not.”

When J.D. Power and Associates awarded Distinguished Hospital recognition to Genesis Medical Center, Davenport for the second Dr. Jim Lehman, Vice President of year for 2011, 96 perQuality, Genesis Health System cent of patients said they “would definitely or probably recommend” Genesis to family and friends.

“Our safety initiatives, which are an emphasis throughout the entire health system, are definitely reflected in patient satisfaction scores. When patient safety is a focus, patient satisfaction rises,’’ Lehman added.

Illini Expands Surgical Services

At Genesis Medical Center, Illini Campus in Silvis, an emphasis has been expanding surgical services while providing the safest surgical environment possible. Illini in recent years has attracted more surgeons, more anesthesiologists and has expanded capabilities through upgrades in equipment. That strategy is continuing.

The BARRX HALO 360 is the latest technology available for the treatment of Barrett’s esophagus.

BARRX HALO 360 uses radiofrequency ablation to remove the pre-cancerous cells.

Genesis Medical Center, Illini Campus is the only center in a 60-mile radius with BARRX HALO 360.

Latest Treatment For Barrett’s Esophagus Available At Illini

The expansion of surgical services at Genesis Medical Center, Illini Campus includes a procedure to treat Barrett’s esophagus that is considered to be the latest and best treatment available.

Since February, Genesis Medical Center, Illini Campus has had the BARRX HALO 360 Ablation System. BARRX HALO 360 is the latest generation of radiofrequency ablation treatments to remove precancerous cells in patients with a confirmed diagnosis of Barrett’s esophagus.

Illini is the only center within 60 miles that has the latest radiofrequency ablation technology.

Barrett’s esophagus is a condition affecting the lining of the esophagus, which is the tube that carries foods and liquids from the mouth to the stomach. Barrett’s esophagus is caused by injury to the esophagus from the chronic backflow of stomach contents, including the acidity associated with acid reflux or GERD.

The acidity can damage the lining of the esophagus. It is estimated that about one-third of Americans suffer from acid reflux.

About 13 percent of people with chronic acid reflux also have Barrett’s esophagus.

Barrett’s esophagus can be a precursor to esophageal cancer, which is often difficult to treat or is untreatable.

“We’ve had some very good patient success stories in the short time BARRX 360 has been available at Illini,’’ said Poonputt Chotiprasidhi, M.D., a gastroenterologist with Gastroenterology Consultants, Moline. “This new modality hopefully can prevent the progression from Barrett’s to esophageal cancer.

“What we are seeing with our patients is a very successful rate of curing Barrett’s with a safe procedure and only minor discomfort to the patient. Some patients require three or four sessions, but the success rate is very high.’’

The BARRX HALO 360 procedure using radiofrequency ablation removes the abnormal tissue found in the esophagus of Barrett’s patients. A tube with a radiofrequency tip is inserted through the mouth of a patient to deliver a controlled beam of energy to remove the diseased tissue. The procedure is performed on an outpatient basis with the patient under conscious sedation similar to sedation for a colonoscopy. The procedure generally takes about 20 minutes.

Illini also has the BARRX HALO 90, which has a more limited focus and can be used on specific areas, Chotiprasidhi added.

Studies have found that normal, healthy tissue replaces the diseased tissue in three to four weeks for patients who undergo radiofrequency ablation. After 30 months, 98.4 percent of people who had had ablation procedures were free of Barrett’s.

“For someone who has acid reflux, the first conversation to have would be with your primary physician,’’ Chotiprasidhi said.

“From there, a referral can be made to a gastroenterologist.’’

Genesis Medical Center, Illini Campus is rated in the top 100 in the nation for patient safety in gastrointestinal care.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 19

feature story

continued

“We have moved toward expanding our surgical capabilities.

We now have a wide variety of surgeons skilled in general surgery, vascular surgery, neurosurgery, urology, orthopedics, plastic surgery and gynecology,’’ said Flo Spyrow, President of Genesis Medical Center, Illini Campus. “While we have been expanding surgical options, we never lose sight of the fact that patient safety is our highest priority.

“It is the foundation for high quality of care and patient satisfaction. Our entire team is focused on providing the highest quality of care to avoid patient injuries or complications.’’

Illini was the first hospital in the region to roll out Computerized Provider Order Entry (CPOE) to inpatient units. CPOE allows health professionals to enter orders into a software system. CPOE eliminates possible handwriting errors and reduces medication errors.

Illini has also focused on patient services. Illini introduced a “gold card’’ program that provides surgical patients the opportunity to complete pre-admission forms and testing before their day of surgery. The “Gold Card” reduces wait times prior to surgery.

Illini also provides all private rooms, which improves the patient experience.

The emphasis on patient safety and satisfaction has been recognized by various sources.

For example this year, CareChex, the nation’s largest privatelyheld health care information service company, year reported that Illini is one of the top 100 hospitals in the nation for gastrointestinal care, and is in the top 10 percent nationally in cancer care, gastrointestinal care, heart attack treatment, joint replacement, major

Page 20 — Healthy Cells Magazine — Quad Cities — ­ September 2011

bowel procedures and major orthopedic surgery. Illini is also No. 1 in its healthcare market in eight clinical categories.

Information Available To Consumers

Lehman said the recognitions, while encouraging, are not the goal. “The No. 1 goal is always to provide the highest-quality, safest care possible to our patients,’’ he said. “The awards and recognitions come when you are meeting and exceeding the expectations of patients.’’

More than ever before, patients have access to quality ratings of health care organizations, home health and nursing homes.

Lehman suggests www.hospitalcompare.hhs.gov, the site of the U.S. Department of Health and Human Services, www.healthcarereportcard.illinois.gov, the site of the State of Illinois Department of Public Health and www.ihconline.org, the site of the Iowa Healthcare Collaborative as credible sources for patients seeking information about a hospital’s quality and safety.

Genesis also provides extensive quality information to patients at www.genesishealth.com/quality.

For more information about patient safety and quality at Genesis Health systems, go to www.genesishealth.com or call (563) 421-1000.

beauty

Are you “Hair Challenged?”

By Gloria Henrickson, Hats, Hair & Wigs

So step up to the challenge and come see them at the Hats, Hair & Wigs salon today!

Gloria is the owner of Hats, Hair & Wigs, and a licensed salon in Davenport. She has been a licensed cosmetologist and wig specialist for over 40 years. She a former owner/operator of her own salon, and worked part time for Betty’s Wigs in Davenport. Gloria has been a volunteer at the Look Good…Feel Good Program at the hospitals for over 10 years. The Look Good…Feel Good program is a free program held once a month at Genesis and Trinity hospitals and is sponsored by the American Cancer Society, National Cosmetology Association and the Personal Care Product Council Foundation.

Trudy, an employee at Hats, Hair & Wigs, has been a licensed cosmetologist for over 20 years and has management experience.

Hats, Hair & Wigs is located in Downtown Davenport on the corner of Brady and 3rd Street in the Union Arcade Building and open TuesSat 9am-5pm. Give Gloria a call at 563-322-0804. Mention this article and receive 20% off your next hat or wig.

G

loria and Trudy at Hats, Hair & Wigs have some suggestions for those suffering with hair problems, or lack of problems or lack hair due to Radiation, Chemotherapy, Alopecia, Thyroid problems or different medications.

One suggestion they have for the “Hair Challenged” is a wig.

Hats, Hair & Wigs have a wide variety of different styles and colors to choose from. Some of the companies they carry are Gabor, Estitica, Jon Renaw, Henry Margu, Raquel and many more.

Another suggestion is a Halo. A Halo is a soft band of hair that can be worn with a turban, a hat or a scarf. We also have ball caps with hair attached to the bottom. The Halo and the ball caps are popular, because it’s cooler and just as glamorous as wearing a full wig.

One other way to fix your bad hair is a hat. If you are losing your hair due to a medical condition, hats can add glamour and an element of fun. Turbans, hats and scarves are also great for those times when you don’t feel like wearing your wig. Put on a classic hat with a halo or you can put on your best hats and hit the town. Hats, Hair & Wigs have a wide variety of classic hats, red hats, garden, bucket Fedoras and many more.

For customers that are done with treatment and are starting to grow hair back or if you just have fine hair, we offer Nioxin treatments in the salon. Nioxin is a professional product for fine, thinning hair to promote strong, healthy hair growth (not recommended if you are going through chemotherapy treatments.)

Hats, Hair & Wigs are a licensed salon where great customer service is our number one priority. As a licensed cosmetologist, they will be able to better serve your needs, because they know hair and how hair looks best for every customer. They also support the TLC catalog from the American Cancer Society where they can find anyone with cancer a free wig, and all the accessories.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 21

healthy aging

Menopause and Andropause:

How To Get Through It

By Dr. Kristin Miller, MD, Anti-Aging and Optimal Health

M

ost of us have heard someone say, or have said it to yourself: “Oh, these hot flashes!” or “Libido, what libido?” or “I’m having a brain fog moment.” or “I can’t compete like I used to” or even “What is happening to my waistline since I turned 40, or 50?”

We all want to maintain our energy level and level of performance, our vision and mobility, our memory, and achieve good quality sleep.

In other words, we don’t necessarily want to turn back the clock, but we definitely want to AGE WELL WITH ABSENCE OF DISEASE. That is where the specialty of Anti-Aging Medicine fits in.

The Advanced Fellowship in Anti-Aging, Regenerative and Functional Medicine is intensive education and training in cellular functions, biochemical processes, physiology, genetics, metabolism, nutrition, and how Eastern and Western Medicine principles can work together in helping your body to achieve a better balanced state of health. Biochemical cellular function, hormonal pathways and genetic testing can be done to assess YOUR body’s function and risk, and specific treatment can begin to affect those processes and improve health.

So, what happens when you start to feel some of these symptoms of your reproductive phase of life declining?

For women:

The ovaries reduce the levels of estrogen, progesterone and testosterone hormones that are secreted, and the ratios of estrogens may change. This can result in hot flashes, insomnia, vaginal dryness, decreased libido, decreased mental focus, loss of skin elasticity and collagen production, weight gain, decrease in muscle mass, and decrease in bone health. Did you know that your body has 3 types of estrogen: estrone, estradiol and estriol? It is very important to assess these ratios and how you metabolize your estrogens. More and more research is showing that improving these ratios and supporting anti-inflammatory pathways for metabolism of these hormones, while improving melatonin and Vitamin D levels, can significantly reduce risk for breast, uterine and ovarian cancers. Your pituitary gland senses the decline in these hormones and secretes certain stimulating hormones to try to increase that production. The blood tests FSH and LH are often done to confirm that your body is entering menopause, although other pituitary hormone levels may also change.

Here is some good news: your adrenal glands produce hormones that can be converted to progesterone, estrogens and testosterone, among others. So you are not left with no hormones after entering menopause.

We need to test your adrenal function including the complete hormone metabolism pathways to help your body maintain balance in those hormones. And if levels are symptomatically low, bio-identical hormone treatment in the correct route of administration for YOU while supporting beneficial metabolic pathways is appropriate treatment.

Many things are considered before beginning any bio-identical hormone treatment, including assessment of hormone metabolic pathways, genetic risk for cancers or previous diagnoses of cancer, gut health and immune function.

Page 22 — Healthy Cells Magazine — Quad Cities — ­ September 2011

For Men:

The testes production of testosterone and other hormones declines. This process can begin early, during your 30’s. Typically, symptoms can include decreased muscle strength despite the same exercise, weight gain, body fat redistribution including breast tissue enlargement, hair loss, decreased libido and quality of erections, and decreased mental focus.

Sometimes the testosterone that is produced is converted too quickly to other hormones including estrogens, which can cause some of these symptoms. You may have had a blood test to test your testosterone level, but there is much more to the picture and the solution.

A man’s pituitary gland also senses the decline in hormone production, and levels of other stimulating hormones may change.

There is some good news for you, too. Your adrenal glands produce the same hormones as in women, and assessing those ratios is essential for determining the proper way, customized to YOU, for achieving a balanced hormonal state. A man’s body also has 3 types of estrogen: estrone, estradiol and estriol, and research is showing the importance in assessing these ratios and how you metabolize your estrogens for prevention of prostate and other cancers, and also for your bone health. Your specific need for melatonin and Vitamin D are also important to assess. Testosterone and other hormones can be tested in saliva, urine or blood, and if treatment is needed, bio-identical hormone therapy in the route of administration indicated by YOUR results is appropriate.

The Bottom Line: Have an Anti-Aging Medicine evaluation. Determine YOUR body’s specific pathways’ functions and need for supportive nutrients and/or bio-identical hormones if indicated. Don’t let your bones either weaken or go dormant. It’s not about just treating symptoms of menopause or andropause. It’s about achieving dominance in healthy, anti-inflammatory pathways in the body and optimizing cellular function, preventing circumstances where DNA damage may occur.

You deserve advanced, customized preventive care and promoting optimal health at any age, including even before symptoms develop.

Dr. Kristin A. Miller is one of fewer than 500 physicians in the world to have completed the Advanced Fellowship in Anti-Aging, Regenerative and Functional Medicine through the American Academy of AntiAging and Regenerative Medicine. Her practice is Anti-Aging & Optimal Health at 2829 Brady Street in Davenport, Iowa. She evaluates and treats children through adults regarding nutritional needs, neuro-chemical balance, biochemical pathway evaluation, ability to detoxify environmental exposures, hormone balance, and genetic testing to provide customized care and specific advanced preventive care guidelines for each person. Her clinic also offers massage therapy, thermography, weight loss evaluation, and stress management treatment.

For more information on this important, state-of-the-art health benefit, please visit our website at www.drmillermd.com. Or call to schedule an appointment at 563-322-2263.

October is National Audiology Awareness Month To celebrate, we are having Free Hearing Aid Demo Days

Audiology Consultants, P.C. 1931 10th Avenue East Milan, IL 61265 309-238-5902

1215 E 52nd St. Suite #2 Davenport, IA 563-355-7713

Tuesday, October 11 – 9:00 AM – 5:00 PM Wednesday, October 12 – 9:00 AM – 12:00 PM

For a FREE Siemens hearing aid demonstration, call 309-283-5902 to schedule your private consultation with one of our professionally trained audiologists.

It’s time to reconnect with Life!

ad to adventu o r e h t re On 2011 TOURS

Sept. 13-19

D.C. – A Capitol Idea

Sept. 16-18

Chicagoland Speedway -NASCAR

Sept. 24 & 25 Wisconsin Apple/Cranberry Festivals Oct. 6-17

Fall Foliage

Oct. 14-16

Illinois Amish

Nov. 7-11

Christmas in Branson

Nov. 18-20

Christkindlmarkt Festival

Dec. 10 & 11

Chicago Weekend Shopping/Getaway

Dec. 6-10

‘Twas the Biltmore for Christmas

2012 TOURS Watch for Florida winter get away, New York city, Alaska, Fall foliage, Branson Christmas, Nashville Holiday, and more!!

Tour Books Available

· H a n d i c a p A c c e s s i b l e · F u l l y I n s u r e d · E x p e r i e n c e d d r i v e r s · Full time tour director · M o d e r n E q u i p m e n t · R e s t R o o m e q u i p p e d · A i r C o n d i t i o n e d · DVD p l a y e r · A v a i l a b l e f o r Ch a r t e r

815-772-2232 Toll Free 1-800-829-2130 Family owned and operated since 1967 September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 23

patient care

What Kind of Services are Offered with Home Care?

By Kaitlyn O’Reilly RN, Quality Care by Relay

T

here are many home care providers in the QC, but not all providers have the same services. Some only offer skilled care, while others only offer housekeeping/errand services.

So when evaluating a home care provider, you should check and see which services they offer.

Hospice Care

“Quality of Life at the End of Life.” For many seriously ill patients, hospice and palliative care offers a more dignified and comfortable alternative to spending your final months in the impersonal environment of a hospital. Palliative medicine helps patients manage pain while hospice provides special care and social services to improve the quality of life for both the patient and their family. Generally most reimbursement sources require a prognosis of 6 months or less.

Specialized Care • One on One Sitting/Care Hospitals Doctor offices (Nurses, C.N.A.s and Med-Aides) • S chool Nurses Corporate Nurses Factory Nurses D.O.N.s A.D.O.N.s CPR Training Instructors • Mandatory Reporter Adult/ Child Abuse Training Instructors • Flu Shot Clinics

RN/LPN Services include: All basic nursing related duties, vital signs, health assessments, dressing changes, medication set-up/ administration, client and family education.

Home Health Aides Services include: bathing assistance, in and out of shower/tub, dressing assistance, transferring assistance, incontinence care, medication reminders, light housekeeping and meal preparation.

Page 24 — Healthy Cells Magazine — Quad Cities — ­ September 2011

Homemaker/Companion services include: stand by assistance for bathing and dressing, meal preparation, laundry, light housekeeping (dusting/vacuuming), medication reminders, run errands, conversations, taking walks, going out for a meal/movie, transportation to appointments, religious services and shopping.

24 hour care services include: around the clock care rotating in 8 or 12 hour shifts.

Quality Care by Relay is located in Davenport, and we service 10 counties in Iowa and Illinois including Cedar, Clinton, Johnson, Scott, and Muscatine in Iowa, and Rock Island, Henry, Mercer, Bureau, and Knox counties in Illinois.

Quality Care by Relay is committed to attaining the highest standards of staffing excellence and professionalism. We strive to consistently achieve mutual client and employee satisfaction by providing quality, custom-matched employees to meet the specific wants and needs of our clients within their timeframes. Coupled with our motto “Where Quality AND Compassion Matter” our mission ensures we establish connections with our clients, patients and employees in order to execute our corporate purpose with integrity, loyalty and a passion for continued success. As a provider of Home Healthcare, Medical Staffing, Foot Spas and Wellness Services, Quality Care by Relay offers a wide range of services to accommodate a variety of clinical needs. As Quality Care by Relay grows, we will continue to provide the best quality Healthcare Staffing and Patient Care.

If you would like to learn more about our Private Duty Services, please contact, Anthony Bowser, Professional Geriatric Care Manager, or Kaitlyn E. O’Reilly Office Manager at 563.322.2554.

Locally Owned & Operated Qualified Veterans and Spouses can Receive Assistance with Rent

Assisted living and Memory care Call Heidi Behning to set up a tour

563-505-5507

Intouch Home Care Services of LSSI Connecting with you…

Caring for you

• Personal care • Housekeeping • Medication reminders • Meal preparation • Companionship and supervision • Transportation • Respite caregiving services

Call 309/797-0200 Services provided throughout Rock Island county.

Visit our new Web site: www.LSSI.org/homecare www.LSSI.org September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 25

quality care

The Key to Communication: R-E-S-P-E-C-T Submitted by Country Manor Memory Care

O

ne of the most frequent effects of Alzheimer’s disease is its eventual destruction of someone’s comprehension of words and ability to verbally express thoughts. Those facts make it so much more important for caregivers, either at home or a health care facility, to be patient and adjust the way they communicate with the person affected by dementia. The key to assisting someone with Alzheimer’s and avoid frustration is by always speaking to them with R-E-S-P-E-C-T. Reassure

As a person with Alzheimer’s disease is losing his or her ability to communicate clearly it becomes more important to nurture their confidence and self-esteem. Someone experiencing confusion and memory loss feels much safer and can pay better attention with constant reassurance. Speak to them using a soft-tone while maintaining eye contact. It might also be useful to use a gentle touch to grasp their hand.

Environment

Soothing surroundings are essential to reduce distractions. Try to avoid loud sounds, crowds, sudden movement, and extremes in lighting and temperatures. A comfortable and familiar environment will ease feelings of being overwhelmed.

Specify

Keep conversations focused and concrete. By using small words and direct statements you decrease the chances of the person with Alzheimer’s disease misunderstanding what you are trying to say. Break complicated tasks into step-by-step smaller jobs. Consider brushing your teeth. “First you grab your toothpaste. Great. Now unscrew the cap. Good. Next squeeze onto the bristles.” And so on. Proper names and specific nouns will also help.

Page 26 — Healthy Cells Magazine — Quad Cities — ­ September 2011

Prepare

To help someone with dementia get through their day, it is helpful to anticipate their needs and stick to routines when able. By following a schedule and knowing what is coming up next, it will help the caregiver stay organized, while providing comfort and stability for the person they are assisting.

Encourage

Listen, smile, nod, and repeat what is being said to show that you are actively listening. Be patient and allow the person with dementia to find the words they are looking for. If they are struggling to get their point across or become frustrated you may try to guess what they are trying to say, but be careful not to interrupt.

Check Yourself

Are you having a bad day? Feeling angry? Impatient? Overwhelmed? Even a confused person can sense tension and negative feelings. Your mood can affect everyone around you – both negative and positive! Therefore, it is very important to take a moment to breath deep, relax, and check yourself before assisting anyone with Alzheimer’s disease or other dementia.

Thank

Everyone responds better when being treated with dignity and respect.

Always ask, offer, suggest, and encourage participation in decisions. Then thank the person for their input and for spending time with you.

Country Manor Memory Care is the only Assisted Living in the Quad Cities that is specifically devoted to serving those with Alzheimer’s disease and other forms of dementia. For more information regarding our community and services please call Stephanie Butler at 563-391-1111 or visit us on the web at www.countrymanormemorycare.com.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 27

unique exercise

Laughter Yoga

By Denise Musgrove, Heartland Health Care Center

W

hat is Laughter Yoga? …A unique exercise routine, which combines unconditional laughter with yogic breathing. Anyone can laugh without relying on humor, jokes or comedy. Laughter is initially simulated as a physical exercise while maintaining eye contact with others in the group and promoting childlike playfulness. In most cases this soon leads to real and contagious laughter. The body cannot differentiate between simulated and real laughter. Laughter Yoga is the one technique that allows adults to achieve sustained hearty laughter without involving cognitive thought.

What are some of the benefits of Laughter Yoga? Studies have confirmed that 20 seconds of intense laughter, even if “faked”, can double the heart rate for three to five minutes. Mirthful laughter provides good physical exercise and can decrease your chances of respiratory infections.

It can also help lower blood pressure and stress hormones in our body.

Laughter causes our body to produce endorphins (natural painkillers).

Laughter Yoga classes are now available for seniors in many senior living facilities in Canada, USA, Israel and Europe. A distinct rise in quality of life and life expectancy is proven with the improvement in health care, and advancements in medicine. The number of seniors will be almost double ten years from now. With the increased life expectancy many seniors are faced with age and age-related troubles. Not only are there physi-

cal impairments, but their mental faculties are on the decline. Due to senile dementia and Alzheimer’s Disease, the cognitive abilities in seniors are diminished, and seniors may find it difficult to comprehend humor. Laughter Yoga has become the ideal exercise routine that can assist seniors to receive the complete health benefits of laughter.

No matter what your age, your limitations or communication barriers you can join in and enjoy yourself. Laughter is universal!

Denise Musgrove, LPN is the Arcadia Unit Director at Heartland Health Care Center of Moline, IL. This unit is designed to provide 24 hour care for people diagnosed with Alzheimer’s and other forms of dementia. Denise is also a certified Laughter Yoga instructor. She enjoys teaching Laughter Yoga to area seniors. The Moline Senior Center, The Fort Armstrong, Avonlea Cottage and Heritage Woods are just a few of the areas senior communities that she has shared her contagious laughter with. Classes will typically last 25-30 minutes, group sizes can range from 3 to 30 or more and anyone can join in. This yoga is not just for the more physically active person.

If you or someone you know would like to learn how to become a certified Laughter Yoga instructor or would like to schedule one of Heartland’s free educational seminars, please contact Ann or Denise at 309-764-6744 or email 3081admiss@hcr-manorcare.com.

FLU SEASON IS APPROACHING FAST, CALL AND SIGN UP TODAY TO RECEIVE YOUR FLU SHOT FOR ONLY $15.00!!

1 IN 3 WORKERS WILL CONTRACT THE FLU, SAVE TIME AND MONEY BY PROTECTING YOURSELF. Please contact Kaitlyn O’Reilly to schedule your company or yourself for a clinic

563-322-2554

or koreilly@relay-staffing.com Cash or check 933 E. 53rd St. ~ Davenport , IA 52807 www.relay-staffing.com

Page 28 — Healthy Cells Magazine — Quad Cities — ­ September 2011

ir H a t s / H aW igs n

Senior Discount Shampoo sets, cuts & perms

Large collection of Red Hats, Classic, Fedoras, Turbans, & Hats/Wigs for cancer patients.

Walk-Ins Welcome A Licensed Professional Salon 24 Hour Free Parking on Street Handicap Parking Ramp Available All work done by licensed professionals

Union Arcade Bldg.

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In Pain? Call Today!

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Early Morning & Evening By Appointment

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Saturday, October 1st, 2011 Schweibert Riverfront Park, River Drive, Rock Island

Check in - 8:30am Start time - 10 am Music, Food, Drink and Fun Provided!

Fundraising goal is $95,000, with 90% of all funds used to benefit the people with mental illness in the Quad Cities. NAMI is the nations largest mental health organization dedicated to improving the lives of individuals and families affected by mental illness.

Call the NAMI office at 322-8870 or online at www.nami.org/namiwalks Go online to register/ no registration fee

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 29

NEW!

senior care

Patient Service Center 685 Ave. of the Cities, Silvis METROPOLITAN MEDICAL LABORATORY, PLC

Near I H Mississippi Valley Credit Union

6 am - 6 pm M-F; 6 am - Noon Sat.

309-792-0200

VISIT OUR NEWLY UPDATED WEB SITE!

Oh, How I Want to Go Home…  Fast easy access  Close parking  Experienced & caring staff  Virtually all insurances accepted  11 Quad City Patient Service Centers

www.metromedlab.com

Sally Hogue, Community Relations Coordinator, Courtyard Estates of Walcott

Fast easy access to helpful information from Metro Lab!  Locations and hours of our 11 Patient Service Centers  Test Guide  Employment Opportunities  NEW! On-Line Bill Pay! Quad Cities Chamber of Commerce Ribbon Cutting Ceremony at new Silvis site on January 24, 2011

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Q u a l i t y Yo u E x p e c t . . . S e r v i c e Yo u D e s e r v e 1520 7th Street Moline, IL 61265 309.762.8555

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An Affordable Assisted Lifestyle Community for the Older Adult

Start Your Worry-Free Lifestyle Today!

• Private Studio and One-Bedroom Apartments • Three Delicious Meals Daily • Medication Reminders and Assistance • Weekly Housekeeping and Laundry Service • 24-Hour Staffing by Certified Nursing Assistants • Daily Activities • Health and Wellness Programs • Financial Assistance to Those Who Qualify

5500 46th Avenue Drive, Moline, IL

309-736-5655

www.bma-mgmt.com Managed by BMA Managment.LTD Page 30 — Healthy Cells Magazine — Quad Cities — ­ September 2011

O

h, the comforts of home… Does anyone recall about a decade ago how many businesses thought it would be a company benefit to have an on-site sick bay for employees’ children? This convenient, less costly innovation failed miserably over and over again across the country because sick children wanted to be home with Mom or Dad.

Not so unlike adults, we heal better and feel better with the comforts of home. Whether it is chicken soup, a hot toddy, or a traditional family remedy, it is proven that folks want to be in familiar surroundings with their loved ones when they are sick, recovering, or under stress.

In the elder care arena we inform our seniors to complete advanced directives, secure Power of Attorneys and align advocates for health care. When the time comes to make health care decisions professionals should be there to help seniors attain their goal of going home.

As some one navigates through the progression of illness; needing help at home, getting to doctor visits, incurring a hospital stay, rehabilitating at a long term care facility or scheduling in-home care or hospice we ask how can we help with their wish to be at home. Too many times because of fear, stress, or lack of knowledge or time we rush into decisions which do not embrace a person’s choice.

Many individuals facing terminal illnesses choose quality over quantity of life. A few weeks at home without trips to the hospital and unnecessary treatments or medications might be preferable to months in a long term care unit. On the other hand there are people who are fearful of being home alone when they are frail and ill so they secure a facility with 24-hour care to meet their needs.

Along the path of finding the proper level of care professionals and family caregivers should pause during the transition process and ask:

“What would Mom want and how can we make that work?”

“What are Mr. Brown’s wishes and how can we meet them?”

During this pause we must allow human error and remind ourselves that in most any decisional process there is plan A, B, or C. As healthcare advocates Plan A should be what the senior wants. There is a multitude of measures that can be taken to make that happen.

1. Make the home environment more safe 2. Utilize an emergency response device 3. Arrange additional hours of companion care 4. Discuss needs with doctors and senior resource programs 5. Network communications and transportation with family, friends, and neighbors 6. Rely on in-home meal programs 7. Elect the Medicare Home Care or Hospice benefit Home is where the heart is…

No matter if home is your house of 50 years, an apartment, your daughter’s home, an assisted living center, or long term care building; that is typically where we want to return to when we are ill. Nothing feels better than your own bed and your own food when you don’t feel good. With the aging process comes a decrease in the number of choices one has so why not be respectful of those limited choices for our seniors.

Often financial constraints dictate a family’s planning and deters them from “Plan A”, their loved one’s first choice of remaining where they reside. If so a cost analysis and professional assessment of how long additional care will be necessary is useful. Those needing end of life care often opt for the comfort of home and find the means to support additional help at home made feasible due to the shortened period of need.

When we hear a loved one, tenant, or patient say, “I want to go home,” let’s take every measure possible to make those plans reality.

As decision makers, professional caregivers, and family advocates alike honoring our seniors will help us all sleep better at night knowing we helped make their wish come true…

There is no place like home!

For an “Elegant Lifestyle for Seniors” visit Courtyard Estates of Walcott.

Call Sally Hogue at 563-284-4211 to arrange for your personal tour.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 31

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motion

Frozen Shoulder (Aka Adhesive Capsulitis)

By Jeffrey J. Lybarger, Deere Road Chiropractic Ltd. What is it?

Frozen Shoulder is an extremely painful condition in which the shoulder is completely or partially unmovable (stiff). It is one of the most painful conditions of the shoulder (the others being Calcific Tendonitis or referred Nerve pain from the neck).

Frozen shoulder often starts out of the blue, but may be triggered by a mild injury to the shoulder. The condition usually goes through three phases, starting with pain, then stiffness and finally a stage of resolution as the pain eases and most of the movement returns. This process may take a long time, sometimes as long as two or more years.

The lining of the shoulder joint, known as the ‘capsule’, is normally a very flexible elastic structure. Its looseness and elasticity allows the huge range of motion that the shoulder has. With a frozen shoulder this capsule (and its ligaments) becomes inflamed, swollen, red and contracted. The normal elasticity is lost and pain and stiffness set in.

Typical Primary frozen shoulder develops slowly, and in three phases: 1. Freezing phase: Pain increases with movement and is often worse at night. There is a progressive loss of motion with increasing pain.

This stage lasts approximately 2 to 9 months 2. Frozen phase: Pain begins to diminish, however, the range of motion is now much more limited, as much as 50 percent less than in the other arm. This stage may last 4 to 12 months.

3. Thawing phase: The condition may begin to resolve. Most patients experience a gradual restoration of motion over the next 12 to 42 months

The basis of chiropractic is that many of the conditions affecting the arm, be it Carpal Tunnel Syndrome, Tennis Elbow or Frozen Shoulder are caused by nerve irritation. That could be a nerve root impingement, a Scalene Triangle impingement, in the ulna groove, and between the bellies of the Pronator teres.

Certainly the Chiropractic examination of the frozen shoulder usually uncovers some of the following: • Poor scapular rhythm with an acute myofasciitis in the Subscapularis muscle amongst others.

• A fixation of the first rib and/or anterior and middle scalene tightness • A positive Adson’s test • Cervical facet syndrome • A mid thoracic fixation, with symptoms affecting one or more ribs, often all the way to the sterno-costal joints.

• An Acromio-clavicular joint fixation

5. High grade mobilization at the end point of the scapulo-humeral joint, not exceeding the pain threshold, focusing on the ROM most affected.

6. A vigorous home exercise program, working towards and encountering but not exceeding the pain threshold.

7. When appropriate, referral to an orthopedic specialist should be made.

If you think you may be suffering from Frozen Shoulder, schedule a consultation at Deere Road Chiropractic at 309-736-7400.

TREATMENT 1. Adjustment of the first rib and/or low cervical subluxations.

2. Active release of the anterior and medial Scalene muscles.

3. Adjustment of any upper-to-mid thoracic rib fixations.

4. Evaluation and adjustment of the Acromio-clavicular joint.

September 2011 — Quad Cities — ­ Healthy Cells Magazine — Page 33

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Page 34 — Healthy Cells Magazine — Quad Cities — ­ September 2011

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