July 2015 Healthy Cells Magazine Phoenix by Healthy Cells Magazine Valley of the Sun

VALLEY OF THE SUN

east valley area

Promoting Healthier Living in Your Community • Physical • Emotional

JULY 2015

FREE

HealthyCells

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M A G A Z I N E

• Nutritional

Don’t Let Diabetes Get in the Way of Summer Fun

Surprising Benefits of Early Age Swim Lessons What is a Midwife? Vaccines, Vaccinations, and Immunizations for Older Adults

I n - H o m e

S e n i o r

C a r e

S e r v i c e s

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community health

Summer Blood Donors

Entered to Win a 2015 Volkswagen Golf!

onate with United Blood Services June 1 st– A u g u s t 31 st and be automatically entered to win a 2015 VW Golf — the Motor Trend Car of the Year! The Valley Volkswagen dealia M ers have donated the cP ola car and partnered with nd United Blood Services in the 6th annual campaign to help inspire more people to give blood this summer. Blood donors receive a bonus entry card that provides two additional chances to win: register the entry code online and, for even better odds, deposit the card in any Metro Phoenix area Volkswagen dealer showroom raffle box. Ten finalists will be drawn to participate in the grand prize drawing. They will be unveiled throughout the summer on AZ-TV, proud media partner for the “Summer Drive to Save Lives” campaign. During the three-month summer campaign with Valley Volkswagen Dealers, United Blood Services hopes to attract nearly 50,000 blood donors to save lives in Arizona hospitals. Those donors will help people like Mia, a Valley 12-year-old who depends upon blood donors to provide lifesaving transfusions every month at Cardon Children’s Medical Center in Mesa — a need that is expected to continue the rest of her life. She was born with Diamond Blackfan Anemia, a rare disorder that prevents her body from producing red blood cells. “Mia is alive today because of people who donate blood,” said her mom, Kristi. “Our family is beyond thankful to everyone who takes the time out of their busy day to simply donate blood.” Mia has already received 126 lifesaving blood transfusions. According to United Blood Services, the need for blood donors has escalated since the beginning of summer, especially for type O-negative, the universal blood type required primarily by emergency and trauma patients. “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,” emphasized Audrey Jennings, United Blood Services’ district director of field operations. “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.

“The seven Valley Volkswagen Dealers genuinely believe in giving back to the communities in which we live and do business,” said Lunde’s Peoria Volkswagen owner Dennis Lunde on behalf of the dealerships. “What better way is there than to support United Blood Services in their efforts to make sure there is an adequate blood supply for those in need.” United Blood Services hopes to motivate people to donate more often this summer — to help more patients like Mia and earn additional chances to win the 2015 Volkswagen Golf. “While donors are generally eligible to give blood every eight weeks, the majority (65 percent) donate just once a year,” said Audrey Jennings, district director of field operations for United Blood Services. Who is eligible to donate blood? United Blood Services has set qualifications for donating blood within the US Food and Drug Administration (FDA) established guidelines. In addition to protecting the safety and potency of each blood transfusion, donor qualifications help ensure that it is safe for each donor to give blood. Additional donor eligibility information can be found online at UnitedBloodServicesAZ.org (“Learn More”/”The Donor Experience”) or by calling United Blood Services at 1-877-UBS-HERO (827-4376). The basic minimum donor qualifications include: • Age: 16 years old (with parental consent) or 18 years old without • Weight: 110 pounds • Temperature: 99.5° F maximum • Blood Pressure: 90–180 systolic and 50–100 diastolic • Pulse: 50–100 beats per minute • Hemoglobin: 12.5 grams/deciliter United Blood Services Donation Locations Blood Drives: Daily Locations Statewide Chandler Donor Center: 1989 W. Elliot Rd., #33 (Elliot & Dobson) Mesa Donor Center: 1337 S. Gilbert Rd., #101 (Gilbert & Hampton) Scottsdale Donor Center: 15170 N. Hayden Rd., #6 (Hayden & 83rd Pl.)

Call 1-877-UBS-HERO (1-877-827-4376) or Visit www.BloodHero.com Photo courtesy of United Blood Services

July 2015 — East Valley — Healthy Cells Magazine — Page 3

JULY

2015 Volume 3, Issue 7

Community Health: Summer Blood Donors Entered to Win a 2015 Volkswagen Golf

Senior Living: Retirement Communities are Catering to Many Interests and Activities These Days

Physical: Surprising Benefits of Early Age Swim Lessons

Nutritional: Nutrition and the Naturopathic Doctor – Food is Medicine

Emotional: Love is the Foundation – But Are We Speaking the Same Language?

Medical Terms: Vaccines, Vaccinations, and Immunizations for Older Adults

Health Condition: Is It Dementia or a Misdiagnose?

Support: You Have Breast Cancer...

Insurance Planning: Helping Seniors Find Resources and Services

Food Drive: Christmas in July?

Peripheral Arterial Disease: Could You Have Poor Circulation in Your Feet?

Common Ailment: Why Do I Have a Headache?

Childbirth: What is a Midwife?

Quality of Life Care: The Difference Between Palliative Care and Hospice

Self-Preservation: Who is Caring for Our Caregivers?

Microneedling: New Treatment for Acne Scars

This Month’s Cover Story:

Dignity Health

Center for Diabetes Management Don’t Let Diabetes Get in the Way of Summer Fun page 16 Cover photo credit: PhotoInc/iStock

For advertising information, contact Monica Tegg, owner, Valley of the Sun Edition Cell: 480-204-3090 • monica@healthycellsmagazine.com • PO Box 6233, Chandler, AZ 85246 Healthy Cells Magazine® is a division of Limelight Communications, Inc. 1327 E. Kelly Ave., Peoria Heights, IL 61616 • Ph: 309-681-4418 • 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. 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.

Corrections were made to the articles “I Have Cancer — When is it Time to Call Hospice” in the April 2015 issue and the article titled “What Happens to Unaddressed Emotional Damage?” in the May 2015 edition. The corrected articles are available at www.healthycellsmazine.com/ phx. Healthy Cells Magazine strives to provide accurate and honest information to the community and appreciates the errors being brought to our attention.

senior living

Retirement Communities are Catering to Many Interests and Activities These Days Submitted By Danielle Owen, Generations at Agritopia

uring the past decade, retirement communities have undergone a makeover to provide more diverse amenities to cater to active, social seniors. When most people think of retirement communities, they typically conjure up images of seniors sitting in a rocking chairs on a porch, playing checkers or sitting in front of the TV all day. This may have described the way things were in the past, but these days the new generation of retirees has a far livelier plan for their golden years. Retirement communities today often feature resort-like facilities. Retirees can enjoy yoga classes, fully equipped weight rooms, swimming pools and more. Many provide wonderful scenery that includes hiking or biking trails. The new generation of retirees can ditch the tiny hand weights and shuffleboard sticks for rowing oars and tennis rackets. These lush accommodations can make the retirees’ adult children feel better about where mom and dad will be spending the rest of their days. In the past, most caring families traditionally dreaded the day they would have to make the tough decision to put their loved ones in a home. Cold, foul-smelling buildings that resemble a hospital and unappetizing cafeteria-style food used to be the sad reality. The reasons for this shift in quality are plenty. Research studies have shown time and again that people who stay physically and mentally active in their old age enjoy many more years of physical and mental stamina than those who do not. The old adage “use it or lose it” rings true. Another reason for more active retirement communities is the fact that we are simply living longer. Just as “40 is the new 30,” the age of retirement feels more like middle age than old age for most people today. No one these days want to retire at 65 and sit inside watching game shows all day. They still feel virile and alive. The move to a retirement community is more often out of the desire for relaxation and a sense of community than it is based on need.

Why would someone want to move out of their home just because they are retired? The beauty of living in an assisted living space is that all the maintenance, cleaning and repairs are done for you. Think of it as a permanent hotel stay where you can simply wake up in the morning (or whatever time you like) and leave the house to do whatever you please. There will never be another thought of needing to cut the grass, fix the sink or vacuum the carpet. These labors will be a thing of the past as you enjoy having someone take care of you the way you’ve taken care of everyone else all those years. Additionally, the care increases with tenants’ needs. The wealth of life-enriching activities offered in many retirement communities today does extend the years of health and vitality they are able to enjoy. However, when the time does come for a higher level of assisted living, the retiree can stay put in the property he has made his home and receive close additional care. 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 am 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. Source: Free Articles from ArticlesFactory.com Author: Antoinette Ayana Photo credit: sturti/iStock

July 2015 — East Valley — Healthy Cells Magazine — Page 5

physical

Surprising Benefits of Early Age Swim Lessons By Lana Whitehead, SWIMkids USA

aby swimming is not only a fun, life-saving activity, but it has a myriad of benefits for a very young child’s development. Baby swim class can help a child to improve socially, emotionally, and physically. It can also help increase a baby’s alertness, intelligence, and concentration abilities. Through interaction in a swim class a child learns to develop confidence, self-esteem, and independence. Safety: Safety skills are usually the primary reason why many parents enroll their babies in swim lessons. With the acquisition of safety skills not only is early swimming life enhancing, it can be lifesaving. The earlier a child can begin their swimming adventure, the sooner the child will be able to build a foundation to perform water safety swimming and floating skills. A study conducted by Ruth Brenner and her colleagues in 2009 at the National Institute of Health, discovered formal swimming lessons can reduce the risk of drowning by 88 percent among children 1-4 years of age. They concluded that swimming lessons had a preventative effect and should be part of a complete preventive program. But there is much more to infant swimming than merely safety. Emotional Benefits: Between the ages of 2 to 6 months infants can begin developing a healthy relationship with the water by enrolling in classes taught with an experienced certified instructor in a licensed pool, regulated by the health department. Emotionally, the simple, relaxing closeness in the water environment establishes a deeper emotional bond between the parent and

Lana instructing a WaterSMART Babies class for infants as young as 2 months. Page 6 — Healthy Cells Magazine — East Valley — July 2015

Lana Whitehead with three young students enjoying time in the water. child. Tender loving strokes from the parent provide the baby with emotional nourishment that allows him to feel accepted and loved. The skin-to-skin contact and touch in the water helps satisfy the child’s need for body contact and tactile stimulation. Research has shown that a firm, loving touch gives the feeling of attachment, commitment, and connection. Strength: The early swimmer will also experience a great deal of tactile stimulation from the water resistance over his entire body. The water has 600–700 times the density or resistance of air which encourages neurological development. Tactile stimulation is important for overall neural development. The more tactile stimulation of the nerves the child experiences, the more interconnections and neural pathways can develop. Brain Development: Early swimming prepares a child for higher learning. Scientific studies of very young swimmers at the German Sports College, Cologne, have shown that early water movement develops the child in three key areas: physically, mentally, and emotionally. As compared with a control group which did not take year-round lessons, the children who swam consistently from infancy (three months) were significantly stronger and more coordinated when tested at 2, 3, and 4 years. The children also scored higher for intelligence and problem-solving, which carried over into excellence in academic achievement. They were found to be more self-

disciplined with greater self-control and an increased desire to succeed. From consistent goal setting and skill achievement in swimming, they rated higher in self-esteem. Finally, the children were more independent and comfortable in social situations than the control groups. In 2009, Griffith University in Australia, embarked on a four year Early Years Swimming Research Project with 45 swim schools across Australia, New Zealand, and the USA. The results showed that children, under the age of 5, involved in learnin to swim are more advanced in their cognitive and physical development than their non-swimming peers. The results also revealed more marginal benefits to social and language development. In 2011, researchers in Melbourne, Australia, determined children who were taught to swim by 5 years of age, had statistically higher IQs because of their early sensory/motor stimulation in the water. Early swimming or paddling around promotes cross lateral patterning. Bilateral cross patterning movements in crawling, walking, and swimming aid in overall efficiency in brain processes. The more bilateral cross patterning movements, the more nerve fibers develop in the corpus callosum. The corpus callosum is a tract of 250 million nerve fibers that connect the right and left hemispheres of the brain and facilitate the communication, feedback, and modulation from one side of the brain to the other. Cross lateral movements like swimming activate both cerebral hemispheres and all four lobes of the brain simultaneously, which can result in heightened cognition and anincreased ease of learning. In 2009, research studies conducted at Norwegian University of Science & Technology with Dr. Hermundur Sigmundsson and

his colleagues found baby swimmers developed better balance, movement, and grasping techniques than non-swimmers. This difference persisted even when the children were five years old; the baby swimmers still outperformed their peers in balance, movement, and grasping skills. Self Confidence: Scientific studies have shown participation in swim class helps strengthen a child’s self-confidence. In a longitudinal study, Dr. Liselott Diem and her colleagues reported that children, who took part in baby swim lessons from the age of 2-months to 4-years, were better adapted to new situations, had better self-confidence and independence than non-swimmers. In swim class the child cooperates within a social structure to take turns, to share and to cooperate. This fosters a sense of belonging, which builds selfesteem and develops social confidence. Baby swim class is an essential activity in the enhancement of a young child’s development. For more information contact SWIMkids USA, by phone at 480820-9109 or visit www.swimkidsaz.com. Lana is the founder of SWIMkids USA in Mesa, located at 2725 W Guadalupe Road and recognized nationally for her expertise with swimming and brain development and drowning prevention. Photos courtesy of SWIMkids USA

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July 2015 — East Valley — Healthy Cells Magazine — Page 7

nutritional

Nutrition and the Naturopathic Doctor

Food is Medicine By Southwest College of Naturopathic Medicine

he food you eat contains the building blocks for the cells in your body and the functions that keep you alive. Your body requires a certain amount of calories, proteins, fatty acids, vitamins, and fiber to maintain your health and prevent future disease. The Standard American Diet, aptly abbreviated “SAD,” is high in processed foods with low nutritional content. Chemical additives and artificial flavorings are prevalent, and it’s easy to see how all this can lead to a multitude of disorders. Because our food literally provides our body with what it needs to function, an imbalanced or inadequate diet can lead to problems in any organ system. Improper diet can lead to: • Diabetes • Obesity • Autoimmune disease • Osteoporosis • A therosclerosis and coronary artery disease • H yperlipidemia and high cholesterol

• • • • • • • •

Cardiovascular disease Arthritis and joint pains Headaches and migraines GERD Anemia Chronic infections Fatigue Emotional problems

and focused nutritional supplementation. Your food will be your medicine and you can get healthier with every meal. A healthy diet and nutritional program can prevent and/or reverse many disease processes. Feed your body what it needs and enjoy a healthy you! Southwest College of Naturopathic Medicine now offers SCNM Thrive, a new series of affordable fee-based Community Education programs, open to the public, focusing on Nourishment, Empowerment and Movement. The nourishment demonstration classes and workshops focus on cooking for those struggling with particular health conditions, sensitivities and dietary restrictions. Executive chefs, nutritionists and physicians will show you how to make healthy meals that don’t sacrifice taste! Choose from classes like, “Desserts That Are Good for You,” “Intro to Raw,” “Intro to Plant Based,” and more. To learn more or register for classes call 480-222-9620, visit www.scnm.edu/thrive or email thrive@scnm.edu. SCNM is located at 2152 E. Broadway Road, Tempe 85282. Photo credit: marekuliasz/iStock, merc67/iStock

Eating disorders can also be treated naturopathically, often utilizing supplementation, IV nutrition, mind-body therapies, and homeopathy. Treatments are useful for: • Anorexia • Bulimia

• Binge eating • Orthorexia

Naturopathic physicians can provide you with a variety of dietary options. Some patients prefer to feed their body with only plant-based foods, while other patients want to be on a diet with healthy sources of meat. There is no “one-size-fits-all” diet, so your physician will work with you to develop the best plan for you. Between the combination of food sensitivities and personal preferences, there is a greater need for food choices to include gluten-free, soy-free, peanut, dairy or egg free. Also vegan, vegetarian, Paleo and non GMO diets are becoming more popular. Even after learning what foods to eat and what foods to avoid, there is a lot more to learn about eating healthy. What foods should you buy organic? Where can you get affordable organic produce? What are some healthy meals you can make for your entire family? How do you eat healthy on the go? These are questions your naturopathic physician hears all the time, and you will be given the knowledge and tips you need to adopt healthy eating habits that last. The naturopathic physicians are equipped to provide you with nutrition goals for general wellness and also for specific conditions. Different health conditions can signify nutritional deficiencies or intolerances that can be addressed with dietary changes Page 8 — Healthy Cells Magazine — East Valley — July 2015

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July 2015 — East Valley — Healthy Cells Magazine — Page 9

emotional

Love is the Foundation

But Are We Speaking the Same Language?

Jessica Hagan, MA, LAC

By Jessica Hagan, MA, LAC , Infinite Healing & Wellness

ove for a child is inherent, it is biological, and it is the foundation for growth, maturity, and connection. Love sounds simple, and in some ways at its core it is; however, communicating that love to your child so that he or she truly feels it … well, that can be more challenging. Adequately conveying unconditional love to our children can require observation, learning, practice, and patience. Sometimes as parents, we don’t speak the same love language as our children. As human beings, we want to belong and we strive to offer and receive unconditional love, and to feel that connection, whether we are 5 or 65. As parents, we want our kids to thrive, “We want to give them experiences that help them become better human beings, who know what it means to love and trust, to be responsible, to be resilient during difficult times, and to live meaningfully” (Siegel & Bryson, 2015). If you are nodding your head right now or feel a connection to the words you just read, you are probably ready to say, “yes, but what else can I do?” Simply stated, start by putting your phone, computer, and/or tablet away for 10-15 minutes a day and instead enjoy conversation with your child. No orders, no corrections, no criticizing, just fun conversation. Listen to your child, let him tell you all about his favorite video game, and let your daughter tell you about the play she is trying out for. Their minds are fascinating and their lives are busy. Give your child a safe place to unload, connect, and feel important. If conversation doesn’t come easily to you, share an activity, go outside and throw a ball, or invite your child into the kitchen to help you cook a meal. By inviting your child to spend time with you, you often create an environment in which light conversation transitions into more important issues. Summertime offers an excellent opportunity for parents and children to connect. Parents, find summer activities that encourage values and skills you find important and want to build within your child: hard work, perseverance, artistic or emotional expression, compassion, physical health. Then, Page 10 — Healthy Cells Magazine — East Valley — July 2015

“Adequately conveying unconditional love to our children can require observation, learning, practice, and patience.” show up and support your child. Talk about their day, their activity, and reinforce the values they are displaying and learning. The messages they will hear are, “You are important. I love you. I care about you.” Try not to overschedule yourself or your family. Downtime is important, remember it is OK to teach your child to be comfortable in silence. We often forget to enjoy the quiet and engage in self-care. Children are behaviorally motivated; they respond to actions. Thus, we as parents need to take care of ourselves because our children look to us to model behavior. Simply put, they learn what they live! Schedule some quiet time, a family dinner, or one-on-one time with your child. We schedule other people into our calendars, why not our

children or ourselves? Remember it’s one thing to say that our family is a priority, but are we living it by our actions? We only have 18 summers before our children are adults. Fill those summers with memories of quality time spent together, fun conversations, hugs, and lots of “I love you’s.” You don’t have to pressure yourself with expensive vacations; a game night with popcorn and laughter can be much richer in experience than that tropical vacation. Do you feel like there is a block between you and your child or at times you just can’t seem to connect? Or even when you try to communicate in a positive manner it somehow turns out negative? You aren’t alone! Parenting is the hardest job you will ever have. It’s OK to seek support and ask for help, advice, or learn new skills. In fact, it’s responsible. Reaching out for support is not a sign of weakness, it is a sign of love and commitment. Love is the foundation for learning, connecting, and growth, so make sure you take the time to communicate your unconditional love to your child this summer and every day. Infinite Healing and Wellness is excited to announce a new parenting skills class. This six-week class offers you the opportunity to discover your child’s love language, learn new skills to help discipline more effectively, manage challenging behaviors in a healthy way, improve communication, and find support within a group of parents who are ready to build on their foundation of unconditional love for their family. We are located in Gilbert at 2563 S. Val Vista Dr., Suite #108. For more information, call 480-448-1076, email: info@infinitehealingandwellness. com, or visit www.infinitehealingandwellness.com. Photo credit: svetikd/iStock

July 2015 — East Valley — Healthy Cells Magazine — Page 11

medical terms

Vaccines, Vaccinations, and Immunizations for Older Adults

Sheriolyn Curry, Mdiv, CSA

Submitted by Sheriolyn Curry, Mdiv, CSA, Comfort Keepers

nderstanding the difference between vaccines, vaccinations, and immunizations can be tricky. Below is an easy guide that explains how these terms are used. • A vaccine is a product that produces immunity from a disease and can be administered through needle injections, by mouth, or by aerosol. • A vaccination is the injection of a killed or weakened organism that produces immunity in the body against that organism. • A n immunization is the process by which a person or animal becomes protected from a disease. This term is often used interchangeably with vaccination or inoculation. How Vaccines Work Vaccines contain the same germs that cause disease (for example, measles vaccine contains measles virus). But they have been either killed or weakened to the point that they don’t make you sick. Some vaccines contain only a part of the disease germ.

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A vaccine stimulates your immune system to produce antibodies, exactly like it would if you were exposed to the disease. After getting vaccinated, you develop immunity to that disease without having to get the disease first. This is what makes vaccines such powerful medicine. Unlike most medicines that treat or cure diseases, vaccines prevent them. Immunizations for Adults over 50 years of age Here is a list of immunizations adults 50-plus should consider. • G et a flu shot every year. Over 60 percent of seasonal flurelated hospitalizations occur in people 65 years and older. • Get a shot for tetanus, diphtheria, and whooping cough. Get a tetanus booster if it has been more than 10 years since your last shot. • If you are 60 or older, get a shot to prevent shingles. Even if you have had shingles, you can still get the shingles vaccine to help prevent future occurrences of the disease • If you are 65 or older, get a pneumonia shot (also known as a pneumococcal vaccine). Talk with your health care team about whether you need other vaccinations.

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480-890-0100 575 W. Chandler Blvd. Suite 220 Chandler, AZ 85225 Page 12 — Healthy Cells Magazine — East Valley — July 2015

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 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. Source available upon request. Photo credit: Pamela Moore/iStock

health condition

Is It Dementia or a Misdiagnose? Submitted by Leslie Davis, Summit at Sunland Springs Memory Care

t’s commonly known, some people tend to be more forgetful as they get older, but knowing the difference between age related mild forgetfulness and signs of more serious health conditions like dementia or Alzheimer’s disease is key to maintaining a healthy lifestyle. Dementia is a loss of cognitive functioning and behavior ability so severe it interferes with a person’s daily life. Just because you are forgetful, it does not mean you have dementia; many health conditions can mimic the signs and symptoms of dementia and your memory will return when treated properly. An accurate dementia diagnosis is not reversible. For example, urinary tract infections in the elderly can have a drastic effect on the immune system. The bacteria in the urine can spread to the blood stream and cross the blood-brain barrier. This can cause confusion and diminished cognitive skills, and the damage becomes less likely to repair the longer it goes untreated. A urinary tract infection can be lessened or prevented by drinking plenty of water. Other conditions that can be mistaken for dementia include: Infections: Urinary tract infection, skin infections like cellulitis and pneumonia are common infections that can have symptoms of confusion, attention deficits and generalized severe disorganization and can be mistaken as dementia. Dehydration: Inadequate fluid in the blood vessels to maintain normal bodily functions (i.e. vital organ perfusion), over time can affect a person’s memory and cause a decline of cognitive function and be misdiagnosed as dementia. Depression: A mental disorder can be brought on by life changes as we age; loss of loved ones, loneliness, and medical problems can be mistaken for dementia. Medications: Many prescriptions for illnesses like Parkinson’s, depression, allergies, Migraines, and IBS can cause side effects that mimic dementia. Also, over-the-counter medications for colds, flu, and hay fever can have adverse effects on cognitive function. Sleep Apnea: is a sleep disorder of abnormal stops in breathing, which causes the person to wake up to restore breathing. Poor sleep can leave the patient feeling tired and less alert with slowed cognitive function and memory impairment during the day. High Blood pressure: Changes in blood pressure — sudden increases or sudden drops — going down too fast or too low can cause a person to show symptoms of dementia. Stroke: Some mini strokes can happen without the patient or loved one even knowing it or while they’re sleeping. Symptoms can be a gradual change in memory and cognition that can be misdiagnosed.

Brain Tumor: The first symptoms of a brain tumor can often mimic the symptoms of dementia. Nutritional Deficiencies: Deficiencies of B vitamins, folate, niacin, riboflavin, and thiamine can cause diminished memory and cognitive function. People with memory difficulties should talk to their doctor to find the cause of their symptoms. The Summit at Sunland Springs Memory Care 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: 480-378-0015, email: sales@TheSummitAZ.com or visit www.TheSummitAZ.com. We’re located at 2415 S. Signal Butte Road, Mesa, AZ 85209. Source available upon request. Photo credit: AvailableLight/iStock July 2015 — East Valley — Healthy Cells Magazine — Page 13

support

You Have Breast Cancer... By Sarah Ellery, Founder, My Hope Bag

o one wants to hear those words. I heard those words over five years ago. After those words were uttered by my doctor, I heard nothing else. My first thought was, “What about my children, my husband, my job? Am I going to die? How will we pay for medical treatment? Will I lose my breasts?” Fortunately for me, I had my loving husband, Brian, and youngest daughter, Lizzy, there to hold my hand, in case that was my diagnosis. My option to have a lumpectomy was followed by radiation therapy called brachatherapy. During my therapy, I often commented “they” should have a bag of hope for women going through this. I felt that the various medical professionals seemed to be there to perform the treatments, but did not give much emotion or hope to the situation. A year after my diagnosis, I decided to provide “Hope” to other women diagnosed with breast cancer. I formed the non-profit organization called My Hope Bag and was awarded a grant through Royal Neighbors of America’s Nation of Neighbors scholarship program (www.royalneighbors.org) to help get started . In 2011 My Hope Bag was born. The organization began with black shopping bags donned with a generic logo on the front. The bags were filled with comfort items such as a blinged out bracelet, fleece heart pillow, a blanket, a calendar, and other various items I found to give me comfort while going through treatment. I also include a notebook containing survivor stories and a list of resources. The organization has evolved to over 20 volunteers. The bag is now a pink tote bag to hold the many items given to the breast cancer bag Page 14 — Healthy Cells Magazine — East Valley — July 2015

Sarah Ellery

recipient. But what accompanies the bag, is the compassion, love, and personal experience of My Hope Bag volunteers. When a woman is diagnosed with breast cancer, she can go to the My Hope Bag web site and request a bag. The request is picked up immediately by My Hope Bag staff and an email is sent to the recipient. If local, a time is set up for two My Hope Bag volunteers to visit her. At least one of the volunteer’s is a survivor. They will sit with the recipient and talk with her about what she is going through. She feels comfortable talking to someone who has “been through it.” Sometimes, tears are shed and many times friendships are made. “It is amazing how many women have no support. We come in and help support and encourage her through one of the toughest fights of her life.” It’s more than just a bag... It’s a very scary time and many women feel very alone when going through their breast cancer journey. When My Hope Bag volunteers visit, they know what she is going through and the emotions she feels; they provide a breath of fresh air, experience, and reassurance to her. My Hope Bag is a 501c3 non-profit organization. Most of the volunteers have full-time jobs as well as families. Their hearts are bursting with love for the women they meet who are fighting the fight of their lives. To donate, volunteer, or learn more about My Hope Bag, visit www. MyHopeBag.org or email info@myhopebag.org. To stay up to date on needs and events, follow us at facebook.com/myhopebag.

insurance planning

Helping Seniors Find Resources and Services

Patty Vieira

By Patty Vieira, Insurance Resources LLC

ome of the many challenges for those on Medicare are all the bits of information out there hiding in plain sight! For example, there’s a great program offered by the YMCA for Diabetes Prevention. I picked up their literature the other day to send to one of my clients. For a pre diabetic, this program is designed to help them make some changes to their lifestyles and prevent or postpone the need for insulin. As a broker, I frequently attend meetings with a wide variety of professions that provide services and assist the same people I serve. We are all passionate about providing our clients with information and resources to meet their needs. I’ve learned about websites that offer discounts to phone services, electric, gas, and other utilities. There are places that people with certain chronic illnesses can get help with their co-payments. Another resource is a company that can treat any surface to help prevent falls and avoid painful and costly injuries. Some insurance products give huge savings to Medicare recipients that are in need of hearing aids. There is a substantial savings

with one of the Medicare Advantage programs out there. In addition, many insurance companies now offer meals after surgeries. The “house calls” benefit can be huge to those individuals that have just been released from the hospital and have no one to assist them. While certain AHCCCS/Medicare beneficiaries receive dental benefits as a part of their advantage plan, other individuals that don’t qualify for full AHCCCS benefits can find reduced fees at dental clinics all across Arizona. In short, a broker can personalize products and benefits based on each individual circumstance and also try to find a qualifying event to transition you to that product prior to open enrollment. 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.

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July 2015 — East Valley — Healthy Cells Magazine — Page 15

feature story

Don’t Let Diabetes Get in the Way of Summer Fun By Jeanne Cahill, MS, RD, CDE, Center for Diabetes Management at Mercy Gilbert Medical Center

iabetes makes a serious impact on your life, but know that you are not alone. According to the American Diabetes Association, 29.1 million children and adults in the U.S. have diabetes and another 86 million Americans have pre-diabetes, a condition where blood sugars are higher than normal but not yet at the point of being diabetes. The good news is the old “diabetic diet” no longer exists. Healthy eating recommendations made for people who have diabetes are the same as those for people who don’t. They include: • Modest carbohydrate intake • Increased fiber • L imited saturated fats, trans fats and refined sugars • Increased helpings of non-starchy vegetables Page 16 — Healthy Cells Magazine — East Valley — July 2015

Let’s look at these recommendations in a bit more detail: • Carbohydrates: Begin reading labels to know what foods contain carbohydrates. They include bread, noodles and pasta, rice, crackers, cereal, tortillas, fruits and fruit juices, milk and yogurt. Your doctor or a diabetes educator can help you determine the proper amount of carbohydrate for you. • Fiber: Fiber is a type of carbohydrate, but the goal is to increase fiber, not limit it. High fiber foods are digested more slowly; therefore, they raise blood sugar more gradually, and possibly lessen the increase in blood sugar. Fiber has also been shown to lower blood cholesterol. The daily goal for fiber is 25-30 grams per day. Unfortunately, many Americans do not consume that amount. You can increase fiber in your diet by avoiding products

made with white flour; try switching to 100 percent whole wheat and multigrain products such as 9-grain bread, whole wheat crackers, and multigrain tortillas. Beans, fruits, and vegetables are also good sources of fiber. You will find the fiber content of a product listed just below the total carbohydrates field on the nutrition facts label. Foods that contain five grams or more of fiber per serving are considered an excellent source of fiber. • F ats: To keep your heart healthy, limit saturated fats and trans fats. These “bad” fats can clog our arteries. They are found in animal products (eggs, cheese, meat, and milk), margarines, oils, baked goods, and some snack foods. To cut saturated fat, choose lean cuts of meat, trim visible fat, remove skin from chicken and eat mostly the white meat, opt for low-fat or nonfat dairy products, and avoid deep fried foods. • S ugar: Although you have diabetes, sugar does not have to be off limits. Moderation is key. Dessert items like cakes, cookies, ice cream, and pastries should be an occasional treat, not a daily indulgence. Portion size matters, too. Limit yourself to no more than three small cookies instead of a row of cookies, and savor each delicious bite.

“The good news is the old “diabetic diet” no longer exists. Healthy eating recommendations made for people who have diabetes are the same as those for people who don’t.” It is wise to limit “liquid” sugar found in soft drinks, sport drinks, sweetened teas, juices, and smoothies. These drinks spike blood sugar rapidly. • S tarch: Starchy vegetables like potatoes, corn, peas, and dried beans contain carbohydrate and they will raise your blood sugar, so it is important to have modest portions of these vegetables (roughly a ½ cup). However, you do not need to limit the nonstarchy vegetables. These include broccoli, cauliflower, asparagus, tomatoes, radishes, spinach, carrots, green beans, eggplant, and many other choices. Aim to fill half of your plate with these non-starchy vegetables which have vital nutrients that are filling, good sources of fiber and relatively low in calories. For more tips on planning your meals, visit MyPlate.gov It is helpful to remember that no food is completely off limits. Start to make small changes in your diet and see big results in your blood sugar control.

Controlling Blood Glucose When Eating Out By Stacy Nelson, RN, RD People with diabetes are encouraged to choose healthy foods and portions for optimal blood glucose, blood pressure, blood fats, and healthy weight. The ultimate goal is to prevent or delay diabetes complications. Larger portions at fast food restaurants add up to more calories, fat, sodium, and carbohydrates than needed. Carbohydrates raise blood glucose more than protein and fats. Thus, many people with diabetes will try to reduce carbohydrate intake and portions to improve blood glucose and lower calories. Some carbohydrate-containing foods include pasta, rice, dried beans, bread, cereals, fruit, milk and milk products like yogurt or ice cream, starchy vegetables like potatoes, peas, corn, and desserts like cookies, pies, and chocolates. Here are a couple fast food fixes to consider to save on carbohydrates, calories, and fat. • Eat an open-faced sandwich (using lettuce instead of a top piece of bread in a sandwich or burger). • Order a side salad (light vinaigrette dressing is best) in place of french fries or order the small fries versus large fries. • Choose grilled versus “crispy” chicken or fish to save on carbs, calories, and fat from the breading that ends up absorbing lots of cheap oil. • Choose carbohydrate-free drinks like water, unsweetened iced tea, or diet soda instead of sugar-sweetened beverages. • Pick a burrito bowl. Enjoy the insides of a burrito with a lot less carbohydrate. •T hink thinner crust pizza slices with vegetable toppings or just one meat topping. • Control rice portions as it is big source of carbohydrates. Just 1 cup of cooked rice has almost 200 calories and around 45g carb. You may also choose to skip the rice and build a meal around a protein and unlimited vegetables, as there will likely be some carbohydrate in the cooking sauces. • Try a piece of fruit for dessert.

July 2015 — East Valley — Healthy Cells Magazine — Page 17

feature story

continued

Healthy eating is one of the best tools we have for controlling blood sugar, but I would be remiss if I did not mention the second great tool available to you — physical activity. Exercise and any kind of physical activity, including yard work, shopping, and household chores, helps to lower blood sugar and makes us less insulin resistant, which is one of the causes of high blood sugar in type 2 diabetes. Most people will notice an immediate drop in blood sugar after exercising, and they will use their insulin much better for the whole day, which translates to lower blood sugars. If you currently have a sedentary lifestyle, think of ways to add in small amounts of activity. Begin by walking around the block, take stairs instead of the elevator, walk around while talking on the phone, and park a little farther back in parking lots. Set small, achievable goals for increasing physical activity. There are several classes and outreach groups available that include information about healthy eating, exercising, medications, and monitoring and managing blood sugar levels. Learn as much as you can about diabetes and take advantage of your local resources. Photo credit: andresr/iStock, mphillips007/iStock, Susan Chiang/iStock

Stacy Nelson RN, RD is a certified diabetes educator with Mercy Gilbert Medical Center at Center for Diabetes Management. For information about classes for people with pre-diabetes and diabetes, please call 480-728-3535.

Helpful Hints About What to Pick at the Flick By Stacy Nelson, RN, RD Many people try to eat at home or at a nearby restaurant first so they will not be hungry at the theatre. It can be easy to undergo a kind of “mindless eating” while sitting in the dark, captivated by the movie. There is no “one-size-fits-all” eating plan for people with diabetes. However, it is known that blood sugar is impacted by the amount of carbohydrate eaten and the amount of available insulin (that your body makes and/or that you take). In other words, there is not one “magical” amount of carbohydrate that will work the same for all people with diabetes at the movies. As a reference point, the American Diabetes Association recommends about 45–60 grams of carbohydrate at a meal, with snacks ranging from 5 grams to upwards of 20–30 grams of carbs as a good place to start. • Look at several websites or apps beforehand to get a “guesstimate” of the nutritional information for your favorite movie foods (calorieking and myfitnesspal are popular choices). • Spend your carbohydrates and calories on “chewable” foods versus sugar-sweetened beverages. Healthier beverages include water (the best), unsweetened tea, or diet drinks. • Many theatres are popping their popcorn in healthier oils. Popcorn also contains some dietary fiber. A small popcorn will usually be under 300 calories and around 30g carbohydrate without extra butter topping. • One hot dog is fairly reasonable in calories and carbohydrate (usually around 30g carb). However, it is still a food to eat less often as it is high in sodium and saturated fat. • Consider sharing that large bag or box of candy since many are 3–4 ounce portions that provide around 400–500 plus calories and can easily be more than 50–60 g carbohydrate.

Page 18 — Healthy Cells Magazine — East Valley — July 2015

food drive

Christmas in July? Submitted by United Food Bank

or United Food Bank, which serves the East Valley and eastern Arizona, summer is always a difficult time. People are on vacation, kids are out of school, and the snowbirds have left for cooler climates. This means donations of food and funds decrease, volunteer groups are harder to schedule, and for so many kids in our community the school-meals they often depend on to be well-nourished are not available. You’d almost think this would be a time of decreased service, but the need increases for so many during the summer. Hunger knows no season. When there are 93,525 food-insecure children in our service area in the East Valley and eastern Arizona, and 216,648 food-insecure people in total, stopping isn’t an option. Thankfully, for United Food Bank and the people we serve, this is a time when the local Chambers of Commerce step up. For the past nine years, the local chambers in the East Valley have participated in the Christmas in July — a friendly competition aimed at helping stock the shelves at United Food Bank. This year, we have invited chambers from outlying communities in Pinal, Gila, Apache, and Navajo counties as well. Traditionally, the Chambers ask their member businesses to collect food throughout the month of July. At the end of July, the competition ends and the Chamber with the most pounds-permember gets the traveling trophy and the bragging rights for the next year. It’s done on a pounds-per-member basis since not all Chambers are the same size.

Local residents interested in helping their local chamber during the Christmas in July Food Drive should donate the food to their chamber or chamber business member. Anyone interested in organizing a food drive can coordinate one with Melissa Forrester at 480-398-4464 or at mforrester@unitedfoodbank.org. Photos courtesy of United Food Bank

July 2015 — East Valley — Healthy Cells Magazine — Page 19

peripheral arterial disease

Could You Have Poor Circulation in Your Feet?

Jason C. Harrill, DPM, FACFAOM

By Jason C. Harrill, DPM, FACFAOM, Desert Food and Ankle, PC

eople with poor circulation can experience significant pain in the legs and feet that limits walking and activities and, in severe cases, can progress to loss of a limb. Peripheral arterial disease (PAD) is a condition where cholesterol and plaque builds up in the arteries and can cause significant discomfort due to limiting the amount of oxygenated blood getting to the lower extremities. This is similar to a plumbing problem where the pipes become clogged. This is on the supply side with oxygenated blood from the heart instead of the drain side which would be a vein problem. A simple test can help make this diagnosis. Peripheral arterial disease is similar to coronary artery disease, which is an obstruction of the blood vessels. This is also called atherosclerosis. The screening for peripheral arterial disease can also help make a diagnosis of coronary artery disease, so having this evaluated is extremely important if you are at risk. One of the simplest tests for evaluating PAD is having your physician check the pulses in your feet. This can be checked in two places; the inside of the ankle and on the top of the foot. Another screening test is called an ankle brachial index (ABI) that uses blood pressure cuffs and a small Doppler with ultrasound waves to hear the pulses in the foot and leg. However, this can sometimes indicate misleading information due to hardening of arteries. There are more sophisticated screening methods that a foot and ankle specialist or vascular surgeon can perform such as an angiogram or magnetic resonance angiogram or CT scan. Symptoms of the Problem People whose legs become painful and tired when walking should be assessed for peripheral arterial disease. People with diabetes, current or past smokers, or anyone with a family history of PAD should be evaluated. Intermittent claudication is having symptoms of muscle pain and cramping in the arms or legs that is triggered by activity such as walking but can be relieved by resting for several minutes Page 20 — Healthy Cells Magazine — East Valley — July 2015

The location of the pain can differ depending on where the artery may be clogged. The calf region is the most common area of blockage. Symptoms can vary in individuals but can manifest as painful cramping in the hip, thigh or calf area after activity; leg numbness or weakness; coldness in the foot or leg, especially when compared to the other side; poor wound healing problems especially in the feet; changes in color in the feet or legs; hair loss on the feet and legs; shiny skin on legs; and, erectile dysfunction in men. Some individuals with PAD can experience what is called night pain. This is having painful feet or legs that will awaken them in the middle of the night and is relieved by dangling their feet over the edge of the bed. If you are experiencing any of these symptoms, have your physician evaluate you for potentially having peripheral arterial disease. Prevention and early intervention is the key to managing this disease and preventing amputation. 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. Photo credit: paisan191/iStock

common ailment

Why Do I Have a Headache? By Michael Haught, LMT, SIP, Structura Body Therapies

inety percent of men and 95 percent of women have suffered from a headache within the past year, making it one of the most common ailments. Headaches can be caused by stress, tension, allergies, dehydration, sleep apnea, hormones, and other health conditions. In rare cases, headaches can be caused by brain tumors, infections like meningitis, high blood pressure, an aneurysm, or stroke. Some tips to prevent headaches include avoiding prolonged sun exposure, staying well hydrated, avoiding stress when possible, not skipping meals, and practicing other habits of good health.

of Arizona, many people suffer from sinus headaches year round or take daily allergy medications to prevent them. Sinus headaches occur when pressure is increased in the sinuses of the head and face, caused by congestion buildup due to colds and allergies. By using various massage techniques, therapists can help relax the muscles on the face to open the sinus cavities. Once the cavities are relaxed the buildup can drain, relieving the congestion and pain. By seeking alternative methods to treat your headache pain, you can treat the causes of the pain, as opposed to simply treating the symptoms with medication. As bodyworkers and 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, 480-686-8647, or visit us at www.structurachandleraz.com. Photo credit: eternalcreative/iStock

H Many people search for headache relief and, all too often, come up unsuccessful. However, there are treatments that most have not considered an option for relief. Holistic and naturopathic therapies can be great treatments and alternatives to pain relievers. One of the most common types of headaches are migraines, caused by inflammation or dilation of blood vessels in the brain. Sensitivity to noise and light is extremely common and they can last up to 72 hours. One great holistic treatment for migraines is myofascial tissue release at certain pressure points in the neck and base of the skull. Tension headaches feel exactly as they are described, like extreme tension or pressure on the head. Tension headaches aren’t usually debilitating. Doctors have found a direct connection between poor posture and headaches. When the head is too far forward or backwards, the stabilizer muscles in the neck have to work harder causing tension and decreased blood flow to the cranium, and results in less oxygen to the brain. A great alternative to standard over-the-counter medications or prescription muscle relaxers is structural integration massage. Specially trained therapists can aid in relieving pain by releasing tension in the muscles and connective tissues. Once the skull is properly realigned on top of the spine, it will reduce the amount of stress on the stabilizing muscles. Sinus headaches are usually experienced during warmer weather when trees and flowers are in bloom. Due to the warmer climate

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PO Box 2956 • Gilbert, AZ 85299

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July 2015 — East Valley — Healthy Cells Magazine — Page 21

childbirth

What is a Midwife? Submitted by iWomen’s Health Care

istorically midwives attended childbirths and provided support to laboring mothers and children during and after birth. They were trained to supervise the health and well-being of mom and baby through the birth process. The literal translation is “with women” and was first recorded in the 1300s. What are the advantages of adding a midwife to the health care team? For the patient, midwives bring an element of attentiveness that physicians traditionally do not have the luxury to provide. The presence of a midwife can reduce the length of labor, the need for medication or cesarean delivery, and the likelihood of forceps or other devices. For the physician, it is the shared commitment to provide health services to women through understanding and respect for the individual patient’s needs. This practice model allows the uncomplicated normal births to be managed conservatively with skilled professionals who actively work toward reducing risks for complications during childbirth. For the midwife, it is having the autonomy to guide and encourage women through this sacred but natural process while also knowing that she may be the first to identify a critical situation that could save a life or even lives. What should I look for in a midwifery supportive practice? Look for a collaborative approach where both physician and midwife care are respected and offered equally. The practice should encourage active patient involvement and empowerment through education and informed decision-making. A practice goal should be communicated clearly so expectations are honest, realistic, and applicable to each individualized situation and support the birth plan of each patient. Ideally, you would have the opportunity to meet every member of the care team. A truly integrated practice doesn’t happen accidentally nor does it occur by simply employing midwives. This philosophy has to be built into the practice model and nurtured. All the physicians in the practice must share in the belief of the value of midwifery and the overall goal to reduce undesired medical interventions.

Education Requirements Vary for Midwives

Today there are three types of professionally licensed

midwives; Certified Midwives (CM), Certified Nurse-Midwives (CNM), and Certified Professional Midwives (CPM).

Certified Professional Midwives (CPM) are governed

by the North American Registry of Midwives or NARM and have no requirement for an educational degree to complete their certification process. There are two primary pathways taken by the CPM; the Portfolio Evaluation Process which is an apprenticeship program, and the Accredited pathway that only requires a high school diploma.

Certified Midwives (CM) and Certified Nurse Midwives

(CNM) are held to similar standards of practice and code of ethics. The certification exam for both is administered by the American Midwifery Certification Board.

Certified Midwives enter the field through an apprenticeship

or community-based training program with an undergraduate degree. The independent CM generally manages home based or birth center births. Because the field is fairly new, not all insurances cover the services of the CM. Conversely, all states mandate Medicaid reimbursement for the work of Certified Nurse Midwifes as do many commercial insurances.

Certified NURSE-Midwives (CNM) are registered nurses

What should I know about my midwife? Ask about her experience and training as a midwife. Does she have other experiences that contribute to her profession? How many births has she attended as the primary caregiver and under what setting or condition? Is she affiliated with a reputable physician? Does she and the practice respect an individualized approach to care? If a complication is identified that requires a cesarean birth will the midwife continue to be involved in the care? What does she do to ensure professional development?

who completed an accredited midwifery training program at a

What can I expect from my midwife? You can expect your midwife to be listening and learning about your personal preferences, cultural values, and birthing goals. There should be a focus on the family's or care partner's involvement in the pregPage 22 — Healthy Cells Magazine — East Valley — July 2015

master’s degree graduate level. CNMs are generally employed by physicians, clinics, and hospitals. These health specialists do much more than “catch” babies. They also offer: • Family planning counseling

• Prenatal care

• Gynecologic exams

• Preconception care

• Health maintenance

• Labor and delivery

• Preventive care

• Newborn care

• Menopausal management

• Care after birth

nancy and birth experience, and an encouragement of mother-baby bonding through sharing proven methods. Although midwives are committed to the natural birth process and support a more holistic approach to labor, they can also manage the entire labor process for those who desire a medicated or un-medicated vaginal birth. Midwives are dedicated to reducing the risk for complications during childbirth. They are knowledgeable on the use of technology to improve the safety of mother and baby and know when it is necessary for physician notification. The business of delivering babies is a wonderful service provided by physicians and midwives alike. When all providers are aligned in this philosophy, the patient directly benefits by getting the luxury of an attentive midwife and the security of a board-certified physician. For information or to schedule a consultation contact iWomen’s Health Care. Call 480-8555900, email: info@iwomenshealthcare.com or visit www.iwomenshealthcare.com. iWomen’s Health Care is a boutique style practice that believes in partnering with patients for care. “Your care, your comfort, our expertise!”

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July 2015 — East Valley — Healthy Cells Magazine — Page 23

quality of life care

The Difference Between Palliative Care and Hospice

Cathy Peterson

By Cathy Peterson, Gemini Hospice LLC

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alliative Care is a service provided to those who are seriously ill. It was designed to improve the quality of life by treating the symptoms and to support the physical, emotional and spiritual needs of the person who is ill along with their family members. Serious illnesses may include, but are not limited to: Heart failure, respiratory disease, liver failure, stroke, cancer, neurological disorders, deadly infections and stroke. Palliative Care provides relief from pain and the distressing side effects of treatments such as chemotherapy and radiation, which may cause nausea, vomiting, fatigue, shortness of breath, loss of appetite, pain, and thrush. Palliative Care is not Hospice. Although both palliative care and hospice are designed to relieve symptoms and improve the quality of life, they are not the same. Hospice is for those who are terminally ill and have a life expectancy of six months or less. Palliative care is given regardless of life expectancy and can begin at any time during the serious illness or even at the time of diag-

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nosis. Hospice is usually a transition or continuation of palliative care when aggressive treatment is no longer working and the patient’s serious illness becomes terminal. For example: Let’s say Jane has breast cancer and is undergoing chemotherapy. At this point, she would qualify for palliative care to help relieve some of the pain and side effects caused by the treatment. If the chemotherapy does not work or Jane feels that the side effects are too much to bear and decides to stop the aggressive treatment and let the disease take its natural course, she would then be appropriate for hospice care. Palliative care is a service that comes to you, whether you are in an outpatient clinic, a group home, an assisted living facility or your own home. The cost of palliative care may be covered by Medicare, Medicaid, private health insurance, HMO or other managed healthcare organizations. Although Medicare Part A does not have a dedicated palliative care benefit like the hospice benefit, there are some hospices and home health care agencies that will provide palliative care and bill Medicare under part A for the nurse, social worker and chaplain. These same Palliative care providers may bill Medicare Part B for some services such as doctor visits, lab tests and some supplies as long as these items are determined to be necessary to treat the disease or illness. It is very important that you understand what co-pays or fees, if any, you might be required to pay. Talk to your Palliative care provider about your responsibility for these fees before you agree to receive these services. For additional information or if you or a loved one needs Hospice care, we can help. Gemini Hospice is family owned and operated with care and compassion being our main goals. Call 480-883-1353, visit www.geminihospice.com or email Kerri Ann at kerriannv@geminihospice.com. Photo credit: fstop123/iStock

self-preservation

Who is Caring for Our Caregivers?

Kelly Sullivan and Lorraine Calderwood

Submitted by Family Wishes Assisted Living Placement Agency

caregiver is anyone who provides help to another person in need. Usually, the person receiving care has a condition such as Alzheimer’s disease, dementia, cancer, or a brain injury and needs help with basic daily tasks. Caregiver stress is the emotional and physical strain of caregiving. About 75 percent of caregivers who report feeling very strained emotionally, physically, or financially are women. It can take many forms. For instance, you may feel: • F rustrated and angry taking care of someone with Alzheimer’s who often wanders away or becomes easily upset • G uilty because you think that you should be able to provide better care, despite all the other things that you have to do • L onely because all the time you spend caregiving has hurt your social life • Exhausted when you go to bed at night Although caregiving can be challenging, it is important to note that it can also have its rewards. It can give you a feeling of giving back to a loved one. It can also make you feel needed and can lead to a stronger relationship with the person receiving care. About half of caregivers report that: • T hey appreciate life more as a result of their caregiving experience • Caregiving has made them feel good about themselves What can I do to prevent or relieve stress? • T o begin with, never dismiss your feelings as “just stress.” Caregiver stress can lead to serious health problems and you should take steps to reduce it as much as you can.

Research shows that people who take an active, problem solving approach to caregiving issues are less likely to feel stressed than those who react by worrying or feeling helpless. For instance, someone with Alzheimer’s may ask the same question over and over again, such as, “Where is Mary?” A positive way of dealing with this would be to say, “Mary is not here right now,” and then distract the person. You could say, “Let’s start getting lunch ready,” or involve the person in simple tasks, such as folding laundry. If you work outside the home and are feeling overwhelmed, consider taking a break from your job. Employees covered under the federal Family and Medical Leave Act may be able to take up to 12 weeks of unpaid leave per year to care for relatives. Ask your human resources office about options for unpaid leave. Some hospitals offer classes that can teach you how to care for someone with the disease that your loved one is facing. To find these classes, ask your doctor, contact an organization that focuses on this disease, or call your local area agency on aging.

Family Wishes Assisted Living Placement Agency: Our Family, Helping Your Family. Call today for a FREE senior advocate to help you or your loved one. For more information, contact Lorraine Calderwood at 602-377-8096, or Kelly Sullivan at 602-989-0900, or visit our website: www.familywishes.com. Source available upon request.

Here Are Some More Tips for Reducing Stress • Find out about caregiving resources in your community. • Ask for and accept help. Be prepared with a mental list of ways that others can help you, and let the helper choose what she would like to do. For instance, one person might be happy to take the person you care for on a walk a couple times a week. Someone else might be glad to pick up some groceries for you. • If you need financial help taking care of a relative, don’t be afraid to ask family members to contribute their fair share. • Say “no” to requests that are draining, such as hosting holiday meals. • Don’t feel guilty that you are not a “perfect” caregiver. Just as there is no “perfect parent,” there is no such thing as a “perfect caregiver.” You’re doing the best you can. • Identify what you can and cannot change. You may not be able to change someone else’s behavior, but you can change the way that you react to it. • Set realistic goals. Break large tasks into smaller steps that you can do one at a time. • Prioritize, make lists, and establish a daily routine. • Stay in touch with family and friends. • Join a support group for caregivers in your situation, such as caring for someone with Alzheimer’s . Besides being a great way to make new friends, you can also pick up some caregiving tips from others who are facing the same problems you are. • Make time each week to do something that you want to do, such as see a movie. • Try to find time to be physically active on most days of the week, eat a healthy diet, and get enough sleep. • See your doctor for regular check-ups and tell them you are a caregiver. Discuss any symptoms of depression or sickness you may be having. • Try to keep your sense of humor.

July 2015 — East Valley — Healthy Cells Magazine — Page 25

microneedling

New Treatment for Acne Scars Submitted by Derma Health

cne scars are largely preventable complications of acne. Ninety-five percent of the scars occur over the face thus impacting the quality of life. Improvement of scars is a common request from acne patients. Facial scarring has always been a challenge to treat and there are different treatment options, like microdermabrasion, chemical peeling, and laser resurfacing. A majority of these treatment options have its limitations of being marginally effective, but there’s hope. Advanced techniques and new treatments have been added over the last few years to overcome these limitations. The next big thing for treating patients with acne scars is Microneedling therapy also known as collagen induction therapy. Microneedling when combined with vitamin C seems to be a promising treatment of atrophic acne scars. Acne by definition is a multifactorial chronic inflammatory disease of pilosebaceous unit, clinically characterized by the presence of comedones, inflammatory papules, pustules, and sometimes nodules and cysts. It commonly occurs during adolescence and causes great psychological stress. Unfortunately, acne scarring is common and occurs easily in the course of the disease. It is one of the most common causes of facial scarring and its treatment is one of the most challenging cosmetic procedures. Microneedling therapy is a new addition to the treatment armamentarium for such scars. It is a simple, inexpensive office procedure with no downtime. Patients have shown a good response to microneedling treatment. 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. 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 that enable serums and skin care products to penetrate 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.

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After

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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 — come for 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. Source available upon request. Photos courtesy of Derma Health Page 26 — Healthy Cells Magazine — East Valley — July 2015

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Assisted Living Placement Agency

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

“Do all things with love.” - Og Mandino -

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Situated within the renowned Agritopia neighborhood, Generations delivers unparalleled hospitality and personal care in an award-winning setting. With cutting edge Signature Services available if assisted living care needs increase, and a memory care program that delivers a holistic approach to care and quality of life, Generations is a true community, designed for residents to explore and enjoy what matters most.