VALLEY OF THE SUN
east valley area
Promoting Healthier Living in Your Community • Physical • Emotional
JUNE 2015
FREE
HealthyCells
®
www.healthycellsmagazine.com
• Nutritional
Dementia Awareness in the Community
Microneedling The Next Big Thing for Looking Younger Tension-Type Headaches Medical Marijuana and the Naturopathic Doctor
M A G A Z I N E
Assisted Living Placement Agency
“Do all things with love.” - Og Mandino -
Family Wishes is owned an operated by sisters Kelly Sullivan and Lorraine Calderwood. We’ll make sure the correct questions are being asked to ensure the proper care for your loved one. We are dedicated to helping you find the best fit for your assisted living needs and are very experienced in assisted living and nursing homes.
Our Family Can Help Your Family With: Where each community is located to keep your loved one near you What locations are accepting new residents Which facilities allow you to keep your pet The qualifications of the caregivers and staff, including ratio and level of care What home is a good fit for the diagnoses and personality of your family member The prices each facility charges and what services require additional fees Identify options suited for your needs
Contact Us For this FREE Service Senior Advocates: Lorraine: 602.377.8096 lorraine@familywishes.com Kelly: 602.989.0090 kelly@familywishes.com Website: Familywishes.com
Li
m ite Call d Av To aila da bil y! ity
Independent Living Assisted Living Memory Care Call to schedule your personal tour and lunch today! Senior Living Seminar every Thursday at 10:00 a.m. Call to reserve your spot today! 2811 E. Agritopia Loop, S. Gilbert, AZ 85296
480-822-1400
Generations, is an award-winning, senior living community situated in the heart of the Agritopia neighborhood. With an unparalleled commitment to personal care and hospitality services, Generations offers a lifestyle full of possibilities, where residents enjoy what matters most.
Insurance Resources, LLC
For Medicare Products and Long-term Care Insurance
Putting the Pieces of the Puzzle Together
Jason C. Harrill, D.P.M., FACFAS Scott N. Maling, D.P.M., FACFAS Mark R. Pipher, D.P.M.
MESA Location 1520 South Dobson Road, #307 Mesa, AZ 85202
FOUNTAIN HILLS Location Patty J Vieira Independent Broker InsurancebyPatty.com
C 480-220-7233 F 480-304-3450
3961 Chandler Blvd. Ste III, PMP 128 Phoenix, AZ 85048
16838 E Palisades Blvd. Building A, Ste #105 Fountain Hills, AZ 85268
480-844-8218 www.desertfootandankle.com
Shoebox Ministry Restoring dignity to the homeless since 1988.
We need your help getting some much needed toiletry products. The most needed items are: • Toothpaste • Shampoo • Shaving cream
• Wash cloths • Free hotel toiletries
Donations can be made online via paypal at www.shoeboxministry.org/ways-to-donate/ AZ residents may qualify for the state tax credit. Financial donors may qualify to take a dollar-for-dollar tax credit when you file your Arizona state taxes. Any donation amount qualifies, up to $200 for single filers or $400 for married filers. Shoebox makes bulk purchases and will put your donations to good use by purchasing items like deodorant for .33 cents each and toothbrushes for only .06 each. Please join us in making a difference in the lives of the Valley’s homeless and working poor. Drop off locations listed on website.
www.shoeboxministry.org • info@shoeboxministry.org • 480-905-1610. June 2015 — East Valley — Healthy Cells Magazine — Page 3
JUNE
2015 Volume 3, Issue 6
5
Insurance Options: Changing Medicare Plans but Keeping Your Provider
6
Physical: Tension-Type Headaches
8
Nutritional: Eating Well as You Get Older
10
Emotional: Dealing With a Parent Diagnosed With Alzheimer’s or Dementia
12
Botanical Medicine: Medical Marijuana and the Naturopathic Doctor
13
Surgery Prevention: Shoulder Dysfunctions and a Holistic Approach to Pain Relief
14
Personal Growth: The Secret to Success
15
Home Safety: Preventing Falls at Home
19
Memory Care: Does My Loved One Need Memory Care?
20
Microneedling: The Next Big Thing for Looking Younger
22
Footwear: Flip-Flops: An Arizona Staple for Summertime
This Month’s Cover Story:
Mesa Police Department Dementia Awareness in the Community page 16
For advertising information, contact Monica Tegg, owner, Valley of the Sun Edition Cell: 480-204-3090 • Fax: 309-691-2187 PO Box 6233, Chandler, AZ 85246 monica@healthycellsmagazine.com Healthy Cells Magazine® is a division of: 1327 E. Kelly Ave., Peoria Heights, IL 61616 • 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 East Valley.
23
In The Community: Increase Summer Blood Donations
25
Extending Hope: Misconceptions About Hospice
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 health care 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 in high traffic locations throughout the East Valley, including medical facilities and other waiting rooms. Healthy Cells Magazine® welcomes contributions pertaining to healthier living in the East Valley area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
insurance options
Changing Medicare Plans but Keeping Your Provider By Patty Vieira, Insurance Resources LLC
W
hen it comes to your healthcare insurance and Medicare plan, it’s very important to make sure you enroll in the plan that best meets your needs. One of the biggest concerns I hear from healthcare providers is that their patients change plans and are completely unaware of changes they made to their out of pocket expenses and the ability to continue with the doctor. There are some very attractive Medicare Advantage plans that boast a zero premium. While many folks enjoy these plans and the great savings of no premium, there are some drawbacks. These plans require a specific network of doctors and providers; this can be very tricky if you do not want to change your current doctors and providers. It’s important to verify they are available in a new plan or network and also make sure you are aware of any changes to your out of pocket expenses with plan changes. If a client is on a Medicare Supplement Plan, they pay a monthly payment to the insurance company and for the most part they don’t have co-payments. They may go to the doctors and hospitals of choice with very little out of pocket expenses, just their monthly premiums. They have great flexibility because there are no networks. When open enrollment approaches, I see a large influx of part time agents, and like any other industry, you’re going to have good insurance agents and bad ones. I always recommend working with an agent that’s committed with Medicare products year round and is contracted with multiple companies that offer a large variety of plans. This will help insure your needs are being met 100%.
Patty Vieira
A good broker will confirm all this information before presenting you an insurance or Medicare plan. Many clients enjoy the advantage plans. If all your providers are contracted and you are relatively healthy, they can be very helpful at reducing some of your monthly cost. The right broker can be a life saver by helping you navigate through all the various insurance options, research the plans your doctors accept and coordinate the benefit options that will meet your unique needs. This can save you time and money and help avoid lots of frustration. Listening to a client’s needs and gathering all the important information is critical. Failing to inform a client about both the advantages and the disadvantages of each choice can result in a client being caught in a plan for the year with no ability to change until the next open enrollment. Good brokers want to encourage the Doctor/Patient relationship and will assist you in finding a plan that will keep that relationship in place. Have questions about Medicare? Patty Vieira is an independent Health Insurance broker with 28 years of experience. She specializes in simplifying Medicare Insurance plans and quotes and finding the right plan to meet the unique needs for each client. Call Patty, 480-220-7233, email pattyjvieira@gmail.com or visit www. insurancebypatty.com. Photo credit: PeopleImages/iStock
June 2015 — East Valley — Healthy Cells Magazine — Page 5
physical
Tension-Type Headaches
A Pain in the Neck By Jeffrey Foucrier PT, DPT, OCS, CMTPT
I
nsidious and weakening: the two words I would use to describe headaches. If we look at the most disabling disorders in the world, the World Health Organization (WHO) would rank headaches in the top ten (top five for women) with a staggering global prevalence of 47 percent. Of these headaches, studies indicate that tension-type headaches (TTHs) are the most debilitating, with a lifetime prevalence that ranges as high as 78 percent. If headaches weren’t bad enough, it’s been reported that individuals with TTHs have an extremely high prevalence of neck pain (approximately 89 percent). What’s the connection, and could this be ‘key’ in finding effective non-pharmaceutical treatments to manage headaches? The tension-type headache can be described as “general head pain.” Symptoms could present on both sides of the head and are commonly not affected by physical activity.7 However, it is distinguished from other primary types of headaches, like migraines, in that it shouldn’t cause you severe nausea, vomiting, and/or an aura. The actual cause(s) of tension-type headaches are unknown, but it is thought to be primarily neurological in nature. This isn’t to say that TTHs aren’t affected by other factors such as musculoskeletal dysfunction, psychological stress and genetic predisposition. With the extremely high prevalence of neck pain in an individual with TTHs (remember the 89 percent?), treatment of these musculoskeletal factors in addition to more traditional methods of treatment, may offer a more comprehensive approach to care. Page 6 — Healthy Cells Magazine — East Valley — June 2015
The customary management of TTHs has primarily relied on pharmaceuticals, but there is a growing body of evidence which shows that non-drug therapies, including treatment of muscle tissue, can be just as effective in the reduction of headache frequency, intensity and duration. Furthermore, the uses of similar therapeutic strategies have also been very successful in the management of neck pain. Having a professional that appreciates this relationship is pivotal in restoring function and giving you your life back. Headaches are multi-factorial in nature and are greatly under-appreciated both in scope and treatment. By working with your primary care provider and pursuing “active” treatment of your neck, I believe that you can better manage your headaches. Physical therapy is one such avenue that can help decrease this disabling disorder. On the next page are a few exercises that may help you better manage one of the greatest “pains in the neck,” tension-type headaches. Contact us today for a free screen to find your ‘Health in Motion!’ Jeffrey Foucrier PT, DPT, OCS, CMTPT. 16611 S. 40th St. Suite 130 Phoenix, AZ 85048 Sources available upon request. Photo credit: Aldo Murillo/iStock
Exercises to Help Relieve Tension Headaches
Look straight forward, holding your hands in front of your body. Reach across your body and slightly up to the ceiling while keeping your head stationary. You will feel this stretch at the bottom of your neck, the backside of your shoulders, and at your upper back. Repeat 8 times; 1–2 times per day.
Wind up a towel or sheet and sit on the end (with the end under the hip opposite the side you want to stretch). Wrap the sheet around your opposite shoulder close to the base of the neck. Pull the sheet down towards your opposite leg (right) and gently bring your left ear to your left shoulder. You will feel this stretch above the placement of the sheet at the neck. Switch positions and complete on the right side. Repeat 2–3 times while holding for 10–15 seconds; 1–2 times per day.
Roll a towel up and place it at the base of your skull. Gently pull your chin towards the back of your neck (chin-tuck). Be sure to avoid aggressive contractions; you should feel this stretch just below the placement of the towel (at the top of the neck). Repeat 2–3 times while holding for 10–15 seconds; 1–2 times per day.
Struggling with feelings? Tired of talking about them?
Try EMDR Therapy for a permanent solution.
2563 S. Val Vista Drive St. 108 Gilbert, Arizona 85295
480-448-1076 info@infinitehw.com Infinitehealingandwellness.com
June 2015 — East Valley — Healthy Cells Magazine — Page 7
nutritional
Eating Well as You Get Older Benefits of Eating Well
Mike Kohley, Chef
Submitted by Mike Kohley, Chef at Generations at Agritopia
E
ating well is vital for everyone at all ages. Whatever your age, your daily food choices can make an important difference in your health and in how you look and feel. Eating Well Promotes Health Eating a well-planned, balanced mix of foods every day has many health benefits. For instance, eating well may reduce the risk of heart disease, stroke, type 2 diabetes, bone loss, some kinds of cancer, and anemia. If you already have one or more of these chronic diseases, eating well and being physically active may help you better manage them. Healthy eating may also help you reduce high blood pressure, lower high cholesterol, and manage diabetes. To eat well, it’s best to choose a mix of nutrient-dense foods every day. Nutrientdense foods are foods that have a lot of nutrients but relatively few calories. Look for foods that contain vitamins, minerals, complex carbohydrates, lean protein, and healthy fats. Eating well gives you the nutrients needed to keep your muscles, bones, organs, and other parts of your body healthy throughout your life. What Foods Should I Eat? Plan your meals and snacks to include • Fruits and vegetables • Grains, especially whole grains • Low-fat or fat-free dairy products • S eafood, lean poultry and meats, beans, eggs, and unsalted nuts • L imited amounts of solid fats. Consume less than 10 percent of calories from saturated fats. Keep intake of trans fats as low as possible. • Limited amounts of cholesterol, salt (sodium), and added sugars. Eating Well Promotes Energy Eating well helps keep up your energy level, too. By consuming enough calories — a way to measure the energy you get from food — you give your body the fuel it needs throughout the day. The number of calories needed depends on how old you are, whether you’re a man or woman, your height and weight, and how active you are.
Page 8 — Healthy Cells Magazine — East Valley — June 2015
Food Choices Can Affect Weight Consuming the right number of calories for your level of physical activity helps you control your weight, too. Extra weight is a concern for older adults because it can increase the risk for diseases such as type 2 diabetes and heart disease and can increase joint problems. Eating more calories than your body needs for your activity level will lead to extra pounds. If you become less physically active as you age, you will probably need fewer calories to stay at the same weight. Choosing mostly nutrient-dense foods can give you the nutrients you need while keeping down calorie intake. Food Choices Affect Digestion Your food choices also affect your digestion. For instance, not getting enough fiber or fluids may cause constipation. Be sure to consume plenty of liquids, especially water. You need to replace the fluids you lose every day. Besides water, other good choices are unsweetened tea, low-fat or fat-free milk, and 100 percent fruit juice. You can also increase your intake of water by eating vegetables and fruits, which have a high moisture content. Eating more whole-grain foods with fiber, fruits and vegetables or drinking more water may help with constipation and dehydration. Make One Change at a Time Eating well isn’t just a “diet” or “program” that’s here today and gone tomorrow. It is part of a healthy lifestyle that you can adopt now and stay with in the years to come. To eat healthier, you can begin by taking small steps, making one change at a time. For instance, you might:
•T ake the saltshaker off your table. Decreasing your salt intake slowly will allow you to adjust. • S witch to whole-grain bread, seafood, or more vegetables and fruits when you shop. These changes may be easier than you think. They’re possible even if you need help with shopping or cooking, or if you have a limited budget. Checking With Your Doctor If you have a specific medical condition, be sure to check with your doctor or registered dietitian about foods you should include or avoid. You Can Start Today Whatever your age, you can start making positive lifestyle changes today. Eating well can help you stay healthy and independent — and look and feel good — in the years to come. Generations at Agritopia offers vibrant living with an extensive array of services and amenities for independent living, assisted living and memory care residents, giving them the freedom to enjoy what matters most. Attend our Senior Living Seminars on Thursdays at 10 a.m. or schedule a personal tour and complimentary lunch by calling 480-822-1400. We are located within the master plan of Agritopia, near Higley and Ray Roads in Gilbert, 2811 E. Agritopia Loop S. Find us on the web at www.generationsseniorliving.com or email us at info@generationsseniorliving.com. Photo credit: monkeybusinessimages/iStock
Call for your free consultation Services
Advance massage therapy Rolf method of Structural Integration Structural Physiotherapy Injury specialist
Benefits
Athletic performance Stress reduction and Quality of life Increase Range of Motion Postural Alignment
1600 W. Chandler Blvd, #250 Chandler, AZ 85224
(480) 686-8647 www.structurachandleraz.com
June 2015 — East Valley — Healthy Cells Magazine — Page 9
emotional
Dealing With a Parent Diagnosed With Alzheimer’s or Dementia
Kelly Sullivan and Lorraine Calderwood
Submitted by Family Wishes Assisted Living Placement Agency
A
lzheimer’s is a sad, horrible, and scary disease … one of those diseases that any and all of us hope will never affect our family. But it can happen to anyone; our father was diagnosed with the beginning stages of Alzheimer’s eight years ago, shortly after he retired. As a family, we watched his memory slowly but surely disappear. Alzheimer’s disease is a progressive degenerative disorder that attacks the brain and nerve cells resulting in behavioral changes, memory loss, and difficulties with thinking and language skills. It is the most common cause of dementia or loss of intellectual function, and it is not a normal part of aging. For 58 years, Mom depended and relied on Dad for everything that had to do with family: finances, family issues, paying bills, driving, discipline, and being the provider for the family, operating a very successful beef and grain farm. Suddenly, she became his caregiver. Page 10 — Healthy Cells Magazine — East Valley — June 2015
Mom was doing her best to meet Dad’s needs and also take care of the home, but she was getting tired and weak and her health began to decline. Mom could not handle this all on her own. So, as a family we decided that it was time to sell the farm and family home, and move our parents to an independent assisted living apartment near our sister. This way our mom’s duties wouldn’t be so straining on her. All of us kids struggled; we had so many questions. Where would they go? What kind of help is offered? What are the prices? Will they be safe? What happens in an emergency situation? The list went on. As it turned out, we were all very happy with the decisions that we made and with their new home. The transition was a smooth one. In their new apartment, they have the option to go downstairs and eat with the other seniors who live there. They can take advantage of “meals on wheels,” delivered to them as needed.
They can go to a movie theater room, play in a game room, or use an exercise room. Housekeeping services are available and they can even get their haircut in an on-site hair salon. But we learned the hard way, encountering many challenges and small squabbles amongst ourselves, as we worked through the transition to make our parents’ life easier. If only we had known there was such a thing as a senior advocate, it would have prevented a lot of the difficulties and squabbles. Senior advocates help families make these difficult decisions. They have many of the answers to the questions families ask and can tell you the senior assisted living options available in your area, according to level of care needed or the stage of your senior’s life. While these can be some of the most difficult decisions and times for a family, with some extra help and each other, there can be a positive outcome for everyone. A FREE service offered by Family Wishes Assisted Living Placement Agency: Our Family, Helping Your Family. Call today, we can help you or your loved one. For more information, contact Kelly Sullivan at 602-989-0900, or Lorraine Calderwood at 602-377-8096, or visit our website: www.familywishes.com. Photo credit: FredFroese/iStock, Highwaystarz-Photography/iStock
June 2015 — East Valley — Healthy Cells Magazine — Page 11
botanical medicine
Back by Popular Demand Medical Marijuana and the Naturopathic Doctor By William Troutt, NMD
C
itizens of Arizona initiated and approved a law that removed the criminal penalties for the medical use of cannabis in 2010. The Arizona Medical Marijuana Act authorized licensed physicians to evaluate patients for specific conditions and issue a written certification for legal cannabis use. Before the marijuana prohibition laws of the early 20th century, cannabis was among many other plant medicines included in the United States Pharmacopeia. After decades of prohibition Arizona doctors can once again recommend cannabis to patients with the potential to treat a multitude of medical conditions. Naturopathic Doctors are licensed primary care physicians trained in the preparation of and treatments using botanical medicines such as cannabis. The majority of medical marijuana certifications being issued in Arizona today are a result of specially trained and licensed Naturopathic Physicians. Patients also report more effective results when cannabis medicines are combined with a complete naturopathic heath care approach including proper nutrition, exercise, and emotional balance. Medical cannabis research has uncovered a unique check and balance system based on specific receptors in the body that react to the cannabis plant. This new understanding of how cannabis works helps explain why so many patients are reporting relief from such a diverse array of ailments. There are no cookie-cutter approaches to human health and finding cannabis medicines that are specific to the needs of the patient will certainly increase the benefits. Above all, cannabis is distinctly known and respected for its relatively safe and powerful effects. People with pain from injuries, disease processes, and other illnesses are reporting relief and an effective alternative to narcotic medication concerns. Parents of children with seizure disorders are reporting results above what they are finding with conventional medicines. Patients with cancer are touting the instant relief found through inhaling cannabis to reduce nausea and other side-effects of chemotherapy. They are discussing anti-cancer cannabis studies taking place in other countries. Seniors are talking about Parkinsons’s and Alzheimer’s disease prevention, antioxidant and anti-inflammation studies. They are sharing stories about their arthritis, improvements in their sleep, and reduction in the use of other medications. There are many ways to utilize cannabis beyond smoking; edibles, capsules, liquid tinctures, vaporized oils, and topical creams are now commonly used. These alternative means of ingestion are measured in milligrams of medicine which helps a patient titrate dosage that is most effective. Cannabidial or CBD, is a non-psychoactive constituent of the cannabis plant. Many varieties of this compound are available. New studies are showing great promise that CBD is effective for seizure disorders, muscle spasms, PTSD, and many inflammatory issues. As with all natural and synthetic medical treatments, everyone responds individually. There are some risks associated with Page 12 — Healthy Cells Magazine — East Valley — June 2015
cannabis use and some individuals just do not like or respond well to the psychoactive effects. One must keep in mind that many commonly used drugs, especially opiates have similar euphoric or “high” effects. These are conversations patients should have with physicians knowledgeable about the effects of medical cannabis. William Troutt, NMD serves as medical director for Arizona State licensed dispensaries. He provides patient office hours and leads monthly medical cannabis education meetings at the Harvest of Tempe 480-777-2100. Photo credit: Rouzes/iStock
surgery prevention
Shoulder Dysfunctions and a Holistic Approach to Pain Relief
Dustin Hall, LMT, SIP
By Dustin Hall, LMT, SIP, Structura Body Therapies
W
e all know someone (maybe even ourselves) that has some sort of shoulder pain or range of motion (ROM) issues. The anatomy of the shoulder makes it extremely susceptible to injury. Think of our shoulder joint compared to our hip joint. Both are a ball and socket joint but in the hip, the ball (head of the femur) fits much deeper into the socket (acetabulum) than the shoulder (head of the humerus to the glenoid cavity). The reason for this difference is the function of the joint. The hip has to support the weight of the entire body so it has less movement but more stability. The shoulder joint needs to move in many directions and doesn’t need to support our weight so it gains mobility but loses stability. But what is the cause of the pain or dysfunction in our shoulders? Rotator cuff tear, tendinosis (muscle overload), shoulder elevation and slumped shoulder account for the largest percent of shoulder disorders. Rotator cuff tears and tendinosis frequently result from sport injuries (throwing, catching, falling), accidents, and/or any repetitive activity. The rotator cuff is actually a set of four muscles in your shoulder joint that perform rotation. Those muscles are the supraspinatus, infraspinatus, teres minor, and subscapularus. The supraspinatus is the most vulnerable, but any of these muscles can be affected. The residual pain can be described as a deep in the shoulder pain with a loss in ROM. Sometimes numbing or pins and needles can be felt in the hand due to the way the nerve is affected by the shoulder injury. Often a pain cycle is created when the body’s self-protective mechanism overreacts to the tissue damage. When tissue is damaged, a pain signal is sent to the spine. This signal tells the muscle cells to contract in an effort to protect and support the injured tissue. It is very common for this contraction to be too strong; therefore squeezing and compressing the injured area creating more pain and continually sending pain signals to the spine creating a cycle of pain that perpetuates itself. With advanced structural physiotherapy techniques and muscle re-education via postural re-patterning, you can help to prevent future injuries and usually reverse the damage to the tissue as well as break the pain cycle. Shoulder elevation commonly associated with poor posture or a sedentary lifestyle, can also affect the musculoskeletal structure and cause dysfunctions throughout the body. Shoulder elevation may result from chronic holding patterns like holding the phone between the head and shoulders, texting, and working at a desk or on a computer for long periods of time. Chronic stress can also manifest these holding patterns in the body. The tension in the shoulders frequently produces headaches, aching pain in the neck and shoulders as well as a loss of ROM in the shoulders and neck. People have even presented sinus issues and a change in their vision because of this tension! The key treatment for this disorder starts with the postural re-patterning along with deep tissue massage and fascia lengthening. Although shoulder elevations look the same in everyone, the treatment may not be due to tissue health and dysfunction. The treatments must be designed specifically for each individual and their needs. Slumped shoulders is a postural distortion commonly seen in older clients that maintain a stressful posture or work with their arms directly out in front of them. Because the head moves forward and down (thanks to gravity), this disorder can make you look shorter. The
upper back and neck muscles become weak and overstretched while muscles associated with the chest become short and tight. This results in the loss of height and can cause vertebral degeneration. Typically this disorder starts with an aching pain in the neck and shoulders, then manifest into headaches. The focus of treatment will be deep tissue work on the key muscle structures that are pulling the shoulders down. In addition, postural re-patterning should be utilized to retrain the structure to function correctly. By using advanced massage techniques that manipulate the soft tissues (fascia, muscles, and tendons), along with postural re-patterning, surgery can be prevented in most cases. As Bodyworkers & Functional Movement Therapists at Structura Body Therapies we focus on balancing the muscle and fascial systems of the body to improve range of motion, posture, and support pain free living. We are able to view your muscle imbalances and Design the best treatment plan specific to your needs and properly address your fascial pain and dysfunction. So call today for your free 30 minute consultation at 480-686-8647 or visit us online at www.structurachandleraz.com.
Gemini Hospice
Medicare Part A ~ No Out of Pocket Cost Our Community Educators are available to answer questions about benefits and resources that could help you or your loved one remain in your home and receive help. ~ Nursing Care ~ Social Services ~ Bereavement Services ~ Personal Care ~ Medications For Pain and Other Symptoms ~ Medical Supplies and Durable Medical Equipment
480.883.1353
~ Homemaker Services ~ 24 Hour Availability ~ General Inpatient Care ~ Respite Care ~ Spiritual Services ~ Physical Therapy, OT and Speech ~ Physician ~ Volunteer Services
www.geminihospice.com
June 2015 — East Valley — Healthy Cells Magazine — Page 13
personal growth
The Secret to Success By Keith Dorson, Win Win Fire Teams LLC. “
Keith Dorson
T
here are no secrets to success. It is the result of preparation, hard work, and learning from failure.” — Colin Powell. Sorry to disappoint you with a promising title, but the truth is there is no shortcut to success. Everyone who has done something great has put effort into it, working their way through tough obstacles and trials. From earning a degree to changing the world, every goal takes the same basic principles of discipline to achieve. Some work is required for the past, present, and future of every goal: planning and preparing beforehand, working hard to attain the goal, and learning from the failures along the way. Achieving a goal also takes patience and the acceptance of failure. Preparation is the first step to success, almost a prestep before the work begins. Preparation involves knowing the subject or issue at hand. It includes making arrangements or plans for upcoming events and familiarizing yourself with tools or people needed for the task. Without preparation, even the hardest workers can find themselves stuck in regrettable situations they cannot work their way out of easily. The best mountain climber cannot descend the mountain without a rope. Hard work is the core of achievement. It is simply the grit to burn the midnight candle at both ends night after night and doing what has to be done, even if you are the only person willing to do it. Working hard is not an easy task and it rarely receives the praise it deserves, however, it is the key to reaching our goals. Determination needs to be strong enough to push us and make us do what we need to, which means passion is another driving element of success. No one wants to fail, but everyone does. What matters from our failures is what we learn from them. Failing allows us to find our weaknesses and correct them, or at least figure out what not to do. Thomas Edison was the master of learning from failure and the spirit of relentless pursuit of a goal: “I have not failed, I have found 10,000 ways that won’t work.” Learning is our greatest gift, the burning curiosity to know more. If we learn from everything we do, we begin making less mistakes and move toward success more swiftly. A simple beauty of life is that we have the opportunity to try and fail repeatedly until we learn and begin to succeed. As soon as we stop trying success in unreachable. Until Page 14 — Healthy Cells Magazine — East Valley — June 2015
then, we have every opportunity to make it. Along the path to success, there are potholes of failure and each time we step in one, we learn where to step to avoid it. We all have goals and we all can achieve them. Sadly, we have yet to discover a method to instant success. Lessons on success can be taken from any number of places throughout history, yet the common strands to success stay constant. From the simple goals in our personal lives to changing the world for the better, every goal takes work. Achieving anything noteworthy takes time, patience, and experience. Through preparation, dedication, passion, hard work, and the experience that only comes from mistakes, we can work toward our personal triumphs and succeed. I hope you find this beneficial. Please let me know if you have suggestions or comments, I would love to hear them. Keith Dorson can be reached at 480-890-0100, by email at kdorson@winwinfireteams.com or visit www.winwinfireteams.com. Photo credit: andresr/iStock
home safety
Preventing Falls at Home Submitted by Sheriolyn Curry, Mdiv, CSA, Comfort Keepers
E
Sheriolyn Curry, Mdiv, CSA
ach year, thousands of older Americans fall at home and is the leading cause of both fatal and nonfatal injuries. Falls are often due to hazards that are easy to overlook and easy to fix.
Floors and stairways:
Q: When you walk through a room, do you have to walk around furniture? Ask someone to move the furniture so your path is clear. Q: Do you have throw rugs on the floor? Remove the rugs or use double-sided tape or a non-slip backing so the rugs won’t slip. Q: Are there papers, books, towels, shoes, magazines, boxes, blankets, or other objects on the floor or steps? Always keep the walkway clear. Q: Do you have to walk over or around wires or cords (like lamp, telephone, or extension cords)? Coil or tape cords and wires next to the wall so you can’t trip over them. If needed, have an electrician put in another outlet. Q: Is there enough light in each room? Improve the lighting in your home to give yourself better visibility. Put in brighter light bulbs. Florescent bulbs are bright and cost less to use. Q: Have you tripped going up or down the stairs? Paint a contrasting color on the top edge of all steps so you can see the stairs better. For example, use light color paint on dark wood.
Bathrooms:
Q: Is the tub or shower floor slippery? Put a non–slip rubber mat or self–stick strips on the floor of the tub or shower. Q: Do you need some support when you get in and out of the tub or up from the toilet? Have grab bars installed inside the tub and next to the toilet.
Bedrooms:
Q: Is the light near the bed hard to reach? Place a lamp close to the bed where it’s easy to reach. Q: Is the path from your bed to the bathroom dark? Put in a night–light so you can see where you’re walking. Some night–lights go on by themselves after dark.
Kitchen:
Q: Are the things you use often on high shelves? Move items in your cabinets. Keep things you use often on the lower shelves (about waist level). Q: Is your step stool unsteady? If you must use a step stool, get one with a bar to hold on to. Never use a chair as a step stool.
Other Things You Can Do to Prevent Falls and Stay Healthy
• Exercise regularly. Exercise makes you stronger and improves your balance and coordination. • Have your doctor or pharmacist look at all the medicines you take, even over-the-counter medicines. Some medicines can make you sleepy or dizzy. • Have your vision checked at least once a year by an eye doctor. Poor vision can increase your risk of falling. • Get up slowly after you sit or lie down. • Wear shoes both inside and outside the house. Avoid going barefoot or wearing slippers. • Keep emergency numbers in large print near each phone. • Put a phone near the floor in case you fall and can’t get up. • Think about wearing an alarm device that will bring help in case you fall and need help getting up. • Get adequate calcium and vitamin D — from food and/or from supplements to reduce the risk of fractures. • Get screened and, if needed, treated for osteoporosis. Comfort Keepers of Chandler provides all levels of care and a wide variety of services. Caregivers are certified and have on-going training to give them all of the skills to be the best caregiver they can be. For additional information, call 480-659-9201, visit www.comfortkeepers. com or email chandler@comfortkeepers.com. Se habla español. Photo credit: Paul Velgos/iStock June 2015 — East Valley — Healthy Cells Magazine — Page 15
feature story
Dementia Awareness in the Community
A
lzheimer’s disease is an irreversible, progressive brain disease that slowly destroys memory and thinking skills and, eventually even the ability to carry out the simplest tasks of daily living. Alzheimer’s disease is the most common cause of dementia among older people. Currently there are over 5 million Americans with Alzheimer’s disease and half a million new cases will develop each year according to the Alzheimer’s Association. The majority, an estimated of 70 to 80 percent, of people with Alzheimer’s or some form of dementia still live at home and are cared for by family or an informal care provider, which increases the opportunity to wander drasticly. It’s not a matter of if they wander but, rather, when they wander. Prepare Before a Wandering Event As a family member or caregiver, be prepared before the opportunity to wander occurs; it’s crucial for an effective and expedited search and Members of Oakwood Creative Care Day Club, Nancy (left) and Judy (right) rescue effort by law enforcement enjoy crafts and creativity with staff member Oddette (center). and the community. • T o assist police, keep a recent • Provide the person with dementia with some form of identificaphotograph or videotape of the person. Take pictures with your tion or a medical bracelet. If they get lost and are unable to phone so you have them with you, if you’re away from home communicate adequately, this will alert others to their identity when they wander. and medical condition and includes a toll free number to be con• C omplete an Adult ID Kit (available at www.mesaaz.gov/resinected to the national Alzheimer’s Association. dents/police or any Mesa Police Department) . The completed Kit will provide all the information needed about the person with Home Safety dementia to assist Officers should the person become lost. Keep Creating a safe environment for the person with dementia may it readily available for law enforcement in the event the person help to lessen care partner stress and prevent a wandering incident. goes missing and take a picture of the completed Kit with your • Install secure locks on all outside windows and doors and keep phone so you always have it with you. them locked, especially if the person is prone to wandering. Con• Notify law enforcement immediately by calling 911 when someone sider a keyed deadbolt or an additional lock up high or down low is missing. Efforts are only delayed when you take the time to look on the door. If the person can open a lock because it is familiar, for the person prior to calling for assistance. Law enforcement will a new latch or lock may help. issue a Silver Alert to notify and seek help from the public. Page 16 — Healthy Cells Magazine — East Valley — June 2015
Engaging the Community A couple of months ago while working with Sgt. Robertson, he mentioned how rewarding it’s been working at Oakwood Day Club. “I contacted the director and started coming a few hours a week. It has been a great experience from the first day I met the Oakwood residents. The second time I came, a few of the residents remembered me and welcomed me back.” “I have found they all still have Officer the ability to interact with me, just Dan Hallemeyer, in different ways. Some residents Mesa PD can have a full conversation with me while others can just answer with a few words. I can see the importance of keeping the residents engaged in activities and conversation. They have great stories and memories to share. They also remember when I miss my normal day and ask where I was. I have only been there for a couple months, but already feel I have friends waiting for me each week. I look forward to seeing the residents and hearing about their adventures since the last time we spoke.” “A family friend lost his father to Alzheimer’s last year and it was difficult to see the quick deterioration of the father and how difficult it was for the family to deal with the constant help needed. The Oakwood facility is a great place for families to bring their loved ones for activities and conversation. Residents welcome each other as they arrive each morning and seem to have a caring connection with each other. This has been one of the most rewarding experiences I’ve had.”
Helen and Fred enjoying music and dancing, two excellent forms of therapy for dementia at Oakwood Creative Care. • I nstall an alarm or bell on the door so you are alerted when the door is opened. • Be sure to secure or put away anything that could cause danger, both inside and outside the house. Make sure knives, lighters and matches, and guns are secured and out of reach. Dementia Friendly Businesses When businesses and people working with the public understand the needs and capabilities of their customers with dementia, they are better able to communicate and assist them. To meet the needs of this growing segment of our community, awareness and training is recommended for any person or business that interacts and provides services in the community. The training provides an understanding of persons with dementia, how to recognize symptoms, and when to call law enforcement if someone comes into their business and appears lost or disoriented or has behavioral issues. A brochure written specifically for businesses entitled “Assisting Customers with Alzheimer’s Disease or Dementia” can be found on our website at www.mesaaz.gov/police.
Feature Continues On The Next Page
Ava (left) and Janet (right) share an exciting moment when Ava’s favorite song is played. June 2015 — East Valley — Healthy Cells Magazine — Page 17
feature story
continued
Mesa Police Department Grant Award In 2012, Mesa Police Department was selected as a pilot site by the University of Illinois, the Center for Public Safety, and the Bureau of Justice Assistance as part of a grant to address the law enforcement response to persons with Alzheimer’s and related dementias. “The goal is to improve our response and develop more effective, efficient and positive outcomes when our staff interacts with persons with Alzheimer’s disease and dementia,” said Karen Stegenga, Crime Prevention Officer with the Mesa Police Department. A “Dementia Friendly Mesa” is a natural extension of the grant project because it further prepares law enforcement and the community to better respond to and support persons with Alzheimer’s disease or dementia. The Mesa Police Department provides education on Alzheimer’s and related dementias to their staff and the community about how to respond when we have a missing endangered adult. They are specifically working to increase the number of persons enrolled in the Alzheimer’s Association’s MedicAlert + Safe Return program by paying the enrollment fees for new members until the grant funds are exhausted. If you are interested in more information on the MedicAlert program please call me at 480-644-5014 or email me at superstitioncrimeprevention@mesaaz.gov. Obtain an enrollment form at www.alz.org/care/dementia-medic-alert-safe-return.asp.
Then, One Day, SUDDENLY Everything Changed By Susan Harrison, Tempe, AZ
M
y husband, Richard, was diagnosed with early onset Alzheimer’s disease (AD). We still continued our retirement activities together, including regularly riding our bicycles to breakfast and other places in Tempe. I led the way and he joyfully followed. Richard was comfortable at home so I felt safe leaving him alone for a couple hours at a time since he could still answer his cell phone and read simple messages I’d leave for him on a giant white board. It was
Sources available upon request.
Alzheimer’s Disease Signs and Symptoms • Getting lost • Trouble handling money and paying bills • Repeating questions • Taking longer to complete normal daily tasks • Poor judgment • Losing things or misplacing them in odd places • Mood and personality changes • Increased memory loss and confusion • Problems recognizing family and friends • Inability to learn new things • Difficulty carrying out tasks that involve multiple steps (e.g. dressing, shaving, brushing teeth) • Problems coping with new situations • Hallucinations, delusions, and paranoia • Impulsive behavior • Confusion about time and place • Difficulty finding appropriate words, completing sentences, or following conversations or directions • Withdrawal and disinterest in usual activities • Forgetting medication • Not recognizing family or friends • Not eating properly, not bathing, forgetting to do simple everyday routines
some time later when I realized that while he could still read words, the short message ”breakfast with Jason” is what triggered the life changing event on that hot August day. Richard most likely thought my message meant for him to join us for breakfast. While having breakfast, I called to check on Richard, but he did not answer. I was a bit worried because he always answers, so I headed home and continued to call at every opportunity. When I arrived home, about 9 a.m., I checked the house and yard thinking he may have fallen. I walked around the block and called neighbors he might visit, but he was nowhere to be found. When I went into the garage to get my car, I realized his bike was gone, and I began to panic! He was not capable of finding his way around and making the correct street choices without me. Then, I found his cell phone and realized I could not call him. I went limp with fear and guilt; he was really gone. Friends began helping with the search; following our usual routes and places we frequently visited. Another friend called the police and a Silver Alert went throughout the state along with a picture I had recently taken with my cell phone. The hours passed and still no sign of Richard. At 6:30 p.m., a woman called our home. Hesitantly, she said she thought my husband was with her. She found a man with a bicycle outside her auto center looking lost and scared. He told her he wanted to go home, but didn’t know where he lived. He was able to tell her his name is Richard, his wife’s name is Susan, and his home is in Tempe. With those tidbits she Googled and found our phone number. Richard had traveled 29.7 miles from our home! With the help of the police, Richard was home at 9 p.m., dehydrated, confused, and weary; but home. This was the beginning of his serious decline with Alzheimer’s disease. Photo credit: Robert Herhold/iStock
Page 18 — Healthy Cells Magazine — East Valley — June 2015
memory care
Does My Loved One Need Memory Care?
ters, can be impacted. If your loved one is taking their clothes off in public or refusing to take a shower, it might be time to re-evaluate. If your loved one is already in a general assisted living community, other residents may not tolerate this type of behavior or may make fun of your loved one, leading to an uncomfortable and possibly hostile environment that is not healthy. Conversely, in a memory care program, this type of behavior is expected, often not as offensive to other residents, and dealt with compassionately.
Submitted by Leslie A. Davis, The Summit at Sunland Springs
T
he answer to this starts with understanding exactly what Memory Care is and how it can immensely improve their and your quality of life. Memory care is a specialized setting that can be a free standing community or it can be housed in a separate part of an assisted living community. The programming is designed for individuals living with Alzheimer’s disease and other forms of dementia, who require more structured activity and specialized, hands-on care. The environment will be secured, so that outside access occurs only with an escort from a staff member or a family member. There are three primary factors to consider: Safety, Problematic Behaviors, and Level of Social Engagement.
Social Engagement As your loved one’s cognition declines, they can become socially isolated and depressed. Memory care programs are structured to help your loved one stay active, engaging in meaningful activities that are geared specifically toward those with cognitive challenges. Sometimes it’s not clear cut, other times people do not want to admit that their loved one’s disease is progressing. Healthcare professionals, geriatric social workers and others can be invaluable resources in the decision making process. The Summit at Sunland Springs is designed to make a meaningful difference in the lives of our residents and their families with a purposely designed environment that promotes maximum independence while maintaining their dignity, privacy and respect. For additional information or a tour contact Leslie A. Davis by phone: 480-907-5588, email: sales@TheSummitAZ.com or visit www.TheSummitAZ.com. We’re located at 2415 S Signal Butte Road, Mesa, AZ 85209.
Safety One of the biggest symptoms of Dementia is short term memory loss, so your loved one may wander outside of their residence and get lost or they also may lose the ability to gauge danger. Memory care environments are designed in a way to mitigate safety risks. Behaviors In many circumstances, when a person develops Dementia/ Alzheimer’s, judgment and reasoning, along with a person’s social fil-
Source: Original content by Nancy Kriseman, LCSW, the Alzheimer’s Reading Room.
M ESA P OLICE D EPARTMENT I D E N T I F Y I N G I N F O R M AT I O N F O R P E R S O N W I T H D E M E N T I A NAME:____________________________ NICKNAME:_________________________
WALKING AID (CANE, WALKER)?:
Y
REGISTERED WITH MEDICALERT OR LOCAL Y N REGISTRY? WEARING AN ELECTRONIC TRACKING DEVICE,
The Alzheimer’s Association has many programs available Preventing a tragedy is sometimes to as easy as having the right information support families with when a situation occurs. Alzheimer’s Disease If you have a loved one that suffers including a registry from Alzheimer’s disease or another form of dementia, having up-to-date MedicAlert+ Safe information and taking quick action can make Return a differenceProgram in locating
ADULT ID KIT
CE
Alzheimer’s Association Take the time to fill out the enclosed 1-800-272-3900 (24 hours a day) information and update it annually www.alz.org with a recent photo. Keep it in a safe place it is available in the event of *If ansoindividual with Alzheimer’s disease a wandering becomes lost and isincident. registered with this
program, law enforcement can easily access And, if your loved one information through thegoes RISSmissing network.
CALL 9-1-1!
MAKE:____________________________ MODEL:___________________________
MEDICALERT BRACELET OR TAG?
_________________________________
MEDICAL CONDITIONS (PHYSICAL OR MENTAL IMPAIRMENTS):
STYLE (4 DOOR, 2 DOOR, SUV, ETC.)
__________________________________
________________________________
IS THE ADDRESS ABOVE A CARE FACILITY?: Y
N
Y
VEHICLE INFORMATION:
ADDRESS: __________________________
N
__________________________________
DATE OF BIRTH: _____________________ PLACE OF BIRTH: ____________________ SEX: M
F
RACE: ________________
MEDICATIONS:________________________ __________________________________
COLOR: __________________________
LICENSE PLATE #: ____________________ STATE:____________ OTHER INFORMATION
__________________________________
DOES THE PERSON HAVE A CELL PHONE? Y N
ALLERGIES: __________________________
IF YES, NUMBER:_____________________
HEIGHT:__________ WEIGHT:__________
__________________________________
ATTENDING PHYSICIAN:
EYE COLOR:________________________
CURRENT/FORMER OCCUPATION:
LANGUAGE: ______________________
D E PA RT M E N T someone who has wandered off.
N
__________________________________
__________________________________
GLASSES?:
Y
N
__________________________________
HEARING AID?:
Y
N
LOCATIONS THE PERSON MAY VISIT RESIDENCES:
HAIR COLOR:________________________ HAIR STYLE:________________________ SCARS/MARKS/TATTOOS: _________________________________ _________________________________
/ OR PAST
__________________________________ __________________________________
PHONE NUMBER:_______________________
MAINTAIN THE PERSONS BANKING AND CREDIT CARD INFORMATION IN A SECURE PLACE TO BE AVAILABLE TO LAW ENFORCEMENT SHOULD THEY GO MISSING.
OTHER IDENTIFYING FEATURES OR IMPORTANT INFORMATION THAT MIGHT ASSIST POLICE:
__________________________________ __________________________________
CONTACT PERSON: ___________________ PHONE:____________________________
June 2015 — East Valley — Healthy Cells Magazine — Page 19
microneedling
The Next Big Thing for Looking Younger Submitted by Derma Health
T
he award winning microneedling treatment triggers new collagen production for a dramatic, visible improvement in the overall appearance of the skin, with virtually no downtime. Microneedling minimizes pore size, and addresses uneven skin tone, pigmentation, acne scars, fine lines, and wrinkles on the face, neck, and even stretch marks. It is highly effective for all ages, skin types, and skin conditions. This technology has been widely embraced in Europe, but is only now available in the United States. After much research we are excited to add microneedling to our extensive menu of treatments that restore more youthful looking, healthy skin. Our clients are thrilled with the visible and immediate results. Microneedling procedures should always be performed by a trained medical professional. Your visit will take about an hour. When you arrive, a numbing cream is placed on the area to be treated. Once your skin is numb the procedure is painless and takes approximately 30 minutes to complete There is no downtime and results are apparent almost immediately. Because it is administered through a device, it can be used on skin that is sensitive to chemicals or heat. The microneedling device creates micro-channels in the skin which enable serums and skin care products to penetrate Page 20 — Healthy Cells Magazine — East Valley — June 2015
deeper for maximum benefit. For best results, a series of 3–6 treatments is recommended at 21-day intervals. Microneedling can be used in conjunction with many other treatments as well.
Frequently Asked Questions What is microneedling? Microneedling is a cordless surgical steel wand outfitted with pulsing fractional micro-thin needles. The trained nurse or doctor gently guides the microneedling device in long strokes over the skin, completely covering the treatment area. The micro-thin needles penetrate the skin to create microscopic channels, which cause the skin to immediately activate production of healing collagen and elastin. Over the course of a few days, the surface layer of skin is naturally sloughed off by the new layer coming to the surface, looking softer and firmer. Visible changes are almost immediate and continue to occur over the course of several weeks. Microneedling results emerge up to six months after treatment, as collagen production continues. It is regarded as a safe and effective way to stimulate new skin without the use of lasers or chemicals.
Who should have microneedling treatments? Patients of all skin types looking to stimulate firmer, brighter, and more even skin on the face, neck, and Décolletage. Microneedling helps with: • Minimizing enlarged pores • Uneven skin tone and pigmentation • Acne and other severe scars • Fine lines and wrinkles • Dull, dehydrated winter skin • Older 50-plus skin that regenerates collagen at a much slower rate • Skin that is damaged from sunburn, chemotherapy, or medication • S kin that is sensitive to heat or chemical treatments Clients with active acne or open wounds in the treatment area are not advised to have this treatment. Does it hurt? When it is used in conjunction with a topical application of numbing cream beforehand, clients have described a microneedling treatment as feeling prickly as the wand is stroked over the skin. The nurse or doctor can adjust the device to suit the comfort level of the client. Clients will feel a moderate tingling or stinging sensation for approximately 24 hours after treatment, which can be addressed with over the counter analgesics such as Tylenol ® or Advil ®. Skin may also feel tight or delicate to the touch. That is the sensation of the skin rebuilding itself, and it shows the microneedling is working. Generally these sensations pass within 24-48 hours.
What is the downtime? Virtually, no downtime! There will be some redness in the treatment area, which will be moderately visible for approximately 24–48 hours. This can easily be covered with mineral makeup. Your nurse or doctor will prescribe a skin care regimen to use following treatment. Many people return to their normal daily activities immediately following the microneedling treatment. Skin will begin to flake off a few days after treatment, revealing new skin underneath. Total healing time depends upon the emphasis of the treatment. How frequently should I have a microneedling treatment? For sustained results, we recommend three to six treatments 21 days apart, but even a single treatment should result in a visible improvement of the skin. After three treatments, skin ‘learns’ to generate more collagen, and is sustained by treatments every three months. At Derma Health, we understand you have questions … and we have the answers. Get a complimentary consultation at one of the five valley Derma Health locations! With 10 years in business, over 30,000 patients have trusted the doctors at Derma Health. Our experts are here to answer your questions, get a tour and, ultimately, get a “feel” for our place. It’s your money, your body, and your future. Don’t you want to look and feel great — inside and out? Start your beauty transformation today, call 602-903-3011 or visit www.dhiskin.com/health. Photo credit: andresr/iStock
—SMART.SOCIAL.SWEET.— Social media content and strategy.
www.mixedcandymedia.com josephine@mixedcandymedia.com
480.532.1247
June 2015 — East Valley — Healthy Cells Magazine — Page 21
footwear
Flip-Flops An Arizona Staple for Summertime
Jason C. Harrill, DPM, FACFAOM
By Jason C. Harrill, DPM, FACFAOM, Desert Food and Ankle, PC
F
lip-Flops are some of the most common footwear seen as the weather heats up. Flip-flops come in a wide variety of styles and with accessories including bottle openers and built-in flasks. They can show your pride in your favorite football team or college alma mater. They come adorned with sequins and in every color of the spectrum. But, how good are they for your feet? In the words of Jimmy Buffett, “I blew out my flip-flop. Stepped on a pop top. Cut my heel, had to cruise on back home.” Flip-flops have become ubiquitous within our society but can set the course for several different foot problems if utilized as daily footwear. Some problems are obvious, some are more insidious. Trauma Flip-flops offer little protection from stubbed toes, lacerations, puncture wounds or direct impact. Yet, people continue to ride
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480-890-0100 575 W. Chandler Blvd. Suite 220 Chandler, AZ 85225 Page 22 — Healthy Cells Magazine — East Valley — June 2015
bicycles, motorcycles, hike, use chainsaws, and even clean out their horse stall wearing flip-flops. While the risks seem obvious, severe foot injuries are seen on a regular basis in emergency rooms and urgent care centers, sometimes requiring surgery. A better choice would be a sandal with a closed toe area. Lack of Support The choice of flip-flops is okay for around the pool or in moderation. However, as a choice to wear hiking or for a long day at Disneyland can lead to significant overuse injuries. Plantar fasciitis and heel spurs are not uncommon among people using flip-flops on a daily basis. People wearing flip-flops have been shown to take shorter steps and can increase the risk of tripping. Toes have to work extra hard to try to keep the flip-flop on a foot which can cause hammer toes and tendinitis. Flip-flops can also exacerbate bunion formation caused by improper biomechanics. This can also lead to pain in the knees, hips and back due to improper posture and changes in gait. Look for sandals with an arch support and more of a heel cup. Sun Exposure Sunburned feet can lead to a very unpleasant experience and several days worth of pain without proper sun protection. Over time this can lead to an increased risk of skin cancer including melanoma. Many people forget to put sunscreen on their feet. This is especially problematic in younger children. Sensitivity to Latex and Other Chemicals Within Plastic Straps Cheaply made flip-flops may have latex in the plastic or bisphenol A (BPA) which has been banned in the use of water bottles and infant formula packaging. Prolonged exposure to these chemicals when wearing flip-flops can cause skin sensitivity including dermatitis. Look for sandals with fabric or leather straps as natural materials tend to be better tolerated. So what is the best purpose for flip-flops? Flip-flops can give some basic protection to the bottom of your feet as you walk around poolside and can prevent you from catching athletes foot or plantar warts in public showers. Use in moderation, but beware of foot pain or injury associated with every day usage. Foot pain is not normal. If it does not go away after modifying your choice of shoes, it would be best to have this evaluated by a foot and ankle specialist who can alleviate your painful symptoms and get you back to enjoying your regular activities. For more information about foot issues, contact Desert Foot and Ankle, PC, located at 1520 South Dobson Road, #307, in Mesa AZ 85202. They can be reached at 480-844-8218 or visit their website at www.desertfootandankle.com.
in the community
United Blood Services Ramps Up Efforts to
Increase Summer Blood Donations Submitted By United Blood Services
The need for blood donors has escalated since the beginning of the vacation season especially for type O-negative, the universal blood type required primarily by emergency and trauma patients, emphasized United Blood Services’ district director of field operations Audrey Jennings. “Blood needs remain constant even though donations decline,” said Jennings. Since blood has a shelf life of 42 days, today’s blood donors can save lives through the Independence Day holiday. “While we are enjoying holidays and summer vacations, it is important to remember that nearly 500 donors are needed every day,” added Jennings. If you don’t give blood this summer, who will? To make an appointment to give a donation, simply call 877-UBS-HERO (827-4376) or visit www.BloodHero.com.
Sunday, July 5: Saving Arizona Blood Drive, Tempe Center for the Arts, 7am - 1pm Sponsors from across the Valley have joined forces to host Arizona’s largest blood drive, where one lucky donor will be drawn as one
O-Negative Blood In emergency situations when there is no time to determine a patient’s blood type, doctors depend on O-negative blood to sustain life until the patient can be stabilized. An ample supply gives transfusion options when shortages of other blood types arise. Doctors also routinely rely on O-negative blood when premature babies and infants under 6 months old require lifesaving transfusions.
•Custom framing •Shadow boxing •Museum quality framing •Needlepoint stretching •Dry mounting services •Corporate framing •Beautiful works of art from local artist •Prints and lithographs
Northwest corner Southern & McClintock Left of Sprouts in Suite 6 Phone: 480-540-8567 Showroom: 480-656-0226 www.affordableframingaz.com
LaBella Art
June 23 - July 3: Media Days Lifesaving Broadcast @ UBS Donor Centers. Visit www.BloodHero.com to schedule your appointment. The top reason cited for not donating blood is, “No one asked me.” That’s why United Blood Services has partnered with organizations and media outlets Valley-wide to launch a community awareness campaign to “Find the Hero in You.” Give blood at any of United Blood Services’ six Valley Donor Centers and be entered into daily raffles to win a pair of round-trip train tickets to the Grand Canyon in appreciation for donating around the Independence Day holiday, courtesy of Grand Canyon Railway — six winners every day.
home of
June 1 - August 31: “Summer Drive to Save Lives” Volkswagen Golf Raffle All June 1 - August 31 blood donors will be automatically entered to win a 2015 Golf donated by your seven Valley Volkswagen dealers! Ten donors will be drawn as finalists throughout the summer to participate in the grand prize drawing.
of the 10 finalists for the 2015 Volkswagen Golf — the best odds of being drawn! The first 500 donors will take home vouchers for a pair of D-backs tickets and a free Whataburger.
Affordable Framing
A
s the summer vacation season goes into full swing, so do United Blood Services’ efforts to ramp up blood donations. Vacations and school recesses prevent many organizations from holding blood drives in the summer months — the source of more than half of Arizona’s blood supply. The biggest impact is felt when high schools and colleges recess from the school year. As the state’s largest donor group, teens provide nearly 17 percent of all lifesaving transfusions required by patients in the 63 Arizona hospitals depending on United Blood Services’ donors. The two weeks surrounding the Independence Day holiday have traditionally been the most difficult time of the summer to meet patient blood needs. That’s why United Blood Services is ramping up efforts now to ensure that patients have the lifesaving transfusions they need.
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June 2015 — East Valley — Healthy Cells Magazine — Page 23
paid advertorial
Grounded for Health By Nick Buratovich, ND, Southwest College of Naturopathic Medicine
O
ne of the most common underlying causes of disease is inflammation. Inflammation usually contributes to conditions that cause pain and organ system dysfunction. Some of the most common conditions are diabetes, cardiovascular disease, asthma, and arthritis, among others. A commonality to these clinical conditions are the presence of positively charged (in an electrical sense) elements called free radicals. These elements are also related to a condition of an acid pH in the tissues. Both of these circumstances are related to ill health. There’s a simple treatment to help reverse these conditions of free radicals and inflammation. Among the first proponents of this treatment was Father Sebastian Kneipp. He referred to it as “dew treading.” Father Kneipp was considered an early forefather of hydrotherapy and naturopathic medicine. He had his patients walk barefoot in the early morning dew at his sanatorium called Worishofen in Bavaria in the mid-1800s. Benedict Lust, who brought the Kneipp “water cure” to America in the late 1800s, is considered the Father of Naturopathy, and also advocated for “barefoot walking.” What we know now is that the earth’s natural surface has an infinite supply of negatively charged free electrons (in an electrical sense). When we are in contact with the earth’s natural surface we are able to absorb these negatively charged free electrons through our bare feet. We are basically grounded, and being grounded is an element for health. This phenomenon has been more recently described by Clint Ober in his book titled, “Earthing: The Most Important Health Discovery Ever?” Earthing is also known as grounding. He observed that most people wore synthetic soled shoes and that insulated them from being able to absorb these free electrons. Throughout early history, humans walked barefoot and were exposed to the earth’s gentle electric energy. When footwear was initially introduced it was natural leather, which allowed absorption of the free electrons. These free electrons are supplied by lightning strikes throughout the world, which charge the “skin” of the conductive earth. Research is now showing that this energy creates a distinct and uplifting shift in our physiology. It promotes health, vitality, and better sleep; stabilizes the body’s basic biological rhythms; normalizes cortisol; reduces inflammation and reduces pain. This bioelectric effect facilitates the movement of nutrients and water into the cells and waste products of metabolism out. Earthing research also demonstrates that connection to the earth initiates an electrophysiological shift inside our body indicative of improved blood flow, and nervous, immune, and muscular system function. Simply put, the hypothesis on the effects of Earthing, or grounding, is that the transfer of these free electrons being
Page 24 — Healthy Cells Magazine — East Valley — June 2015
absorbed into the body quenches or neutralizes positively charged, electron seeking free radicals that drive chronic inflammation activity at the core of many common diseases. How cool is that? It has been suggested that Earthing may be as fundamental as sunlight, air, water, and nutrients. Contact to the earth’s conductive surface is as simple as walking barefoot outside, especially on the wet surf of the beach, or sitting, working, or sleeping indoors connected to conductive devices that transfer the outside ground energy inside, to you. These devices plug into the ground component of a properly grounded electrical outlet, and are available through Earthing websites. To quickly experience Earthing for yourself, just walk or sit barefoot on grass, dirt, sand, gravel, or unpainted concrete. These are naturally grounded surfaces that conduct the energy of the free, negative electrons. Wood, asphalt, and plastic do not conduct the electrons and therefore do not work for grounding. Stay for 15–30 minutes or so, and at the end of that time you may notice you are calmer or more energized. If you had pain to begin with, it may be less, or may even be gone. You can also include doing breathing exercises to facilitate circulation or, read a book or, listen to music. This may help to pass the time. When you do this, you can hold the understanding that simple Earthing is an anti-inflammatory treatment and that you are grounded for health. That is a simple and good thing that doesn’t cost money, just some of your time, and you are worth it! Dr. Nick Buratovich is professor of naturopathic medicine, chair of the Department of Physical Medicine, and chair of the Department of Philosophy and Professional Preparation at the Southwest College of Naturopathic Medicine. He is also a founding faculty member of the College. He received his naturopathic medical degree from National College of Natural Medicine in 1983, and was the recipient of the Robert P. Rood Medal as the outstanding pre-medical graduate. Dr. Buratovich has maintained a private practice in naturopathic family medicine in the Tempe/Mesa area since 1985, and he serves as a staff clinician supervising student medical rotations at Southwest Naturopathic Medical Center.
Nick Buratovich, ND
extending hope
Misconceptions About Hospice By Cathy Peterson, Gemini Hospice, LLC
Cathy Peterson
Hospice is only for the last few days of life Hospice is for those who have been diagnosed with a terminal illness, and should the illness take its natural course, have six months or less to live. Of course, doctors who are writing the orders for hospice do not have a crystal ball and cannot predict exactly when someone will pass. Patients have been known to be on hospice well over six months. As long as they continue to show a decline in their health, hospice is appropriate. If they do not show a decline in health, they are “graduated” from hospice services and can return when their health declines again. Take our quiz below to learn about when hospice might be appropriate. Hospice is a place The hospice concept was put in place to provide care and comfort to those nearing end-of-life in their own home or wherever they may call home. There are places called inpatient units and skilled nursing facilities where some are placed because they need 24-hour care or symptom management for the last few days. Hospice is only for those with cancer In 1983, Medicare originally only approved hospice services for those with cancer. In 1994, this changed. A doctor can now write an order for hospice for those with dementia, Alzheimer’s, ALS, end stage renal disease, COPD, failure to thrive, and much more. Hospice only provides care and comfort Hospice is a Medicare part A benefit with no out-of-pocket cost for those 65 and older or for those who have been on disability for two or more years. Hospice services include, but are not limited to, the following: durable medical equipment, supplies and medications related to the patient’s diagnosis; a social worker to help with funeral planning, aid, and attendance, applying for long-term care, etc.; a chaplain who provides spiritual and bereavement services (note: bereavement services continue for 13 months after the patient’s death); and a nurse, CNA, and medical director who work with the family and the patient to provide a plan of care that best meets the needs of each patient. Take our Quiz: When is Hospice appropriate? Put a “Y” for yes or an “N” for no in the spaces provided by each question.
Have you or your loved one: ___ Been diagnosed with a terminal illness? ___ Been experiencing re-occurring infections or hospitalizations? ___ Been experiencing significant weight loss in the last six months? ___ Had frequent falls? ___ Required more assistance with activities of daily living? ___ Had wounds that are difficult to heal? ___ Been getting tired or sleeping more often? ___ Been experiencing pain that is difficult to resolve? ___ Become incontinent of bowel or bladder? ___ Become more confused or forgetful? If you answered “yes” to five or more of these questions, it may be time to talk to a hospice representative. For more information or if you or a loved one are in need of hospice, please contact Gemini Hospice at 480-883-1353 or visit www.geminihospice.com. Photo credit: lisafx/iStock
June 2015 — East Valley — Healthy Cells Magazine — Page 25
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Page 26 — Healthy Cells Magazine — East Valley — June 2015
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