Health on the Rio Grande 2017 by Valley Publishing

Health on the Rio Grande 2017

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Features

Courtesy photos

ASU on fast-track for four-year nurses by 2020 BY TERESA L. BENNS

ALAMOSA — Director of Nursing at Adams State University, Melissa Milner, reports the school is continuing to move forward to assure that their students are prepared to become nurses equipped to handle all the medical challenges of the 21st century. That includes the elimination of two-year nursing programs in favor of a four-year nursing program only, a mandate prompted by the Affordable Health Care Act as part of its blueprint to overhaul the nursing profession. A report issued in 2008 on the new requirements proposed that nurses in the future “should achieve higher levels of education and training through an

improved education system that promotes seamless academic progression,” (http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/ The-Future-of-Nursing/Nursing%20Education%202) The reason for the new mandate, an article published by the See ADAMS on Page 10

ASU on fast-track for four-year nurses by 2020 1 VWHS announces new SLV Behavioral Health Group collaboration 2 2 HRSA recognizes VWHS as National Quality Leader Rio Grande Hospital prepares for the future with new plans for expansion 3 SLV Health behavioral health shares new programs 4 Colorado obesity rate increases, but still lowest in the nation 4 Valley-Wide clinics accepted to Colorado State Innovation Model 5 New Yorker makes big impact on emergency care in the Valley 6 Dr. Sowards joining Antonito clinic 8 Hepatitis A cases more than double in 2017 8 Doctor’s guide to dealing with Alzheimer’s Disease 11 Emergency responders attend lift ticket training 12 Sleep right: How to ensure a more restful night’s sleep 14 Unique ways to exercise at home 15 Advantages to physical therapy to relieve pain 17 San Luis Valley Health wins 2017 Patient Safety Excellence Award 18 Conejos County Hospital offers swing bed option 19 South Fork dentist to open facility in Alamosa 20 Why dental hygiene is essential for overall health 20 22 Help kids overcome a fear of needles Tips to get kids more excited about eating right 22 Advertisers’ Directory 23 ASU Human Performance Lab can help you reach fitness goals 24

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Health on the Rio Grande 2017

VWHS announces new SLV Behavioral Health Group collaboration New clinic opening Oct. 12

ALAMOSA—Valley-Wide Health Systems, Inc. (VWHS) is pleased to announce the opening of the new Alamosa South Health Center, located on the campus of the SLV Behavioral Health Group on County Road 9 South in Alamosa on Oct. 12. VWHS and the San Luis Valley Behavioral Health Group have worked closely together to bridge the physical health and the behavioral health services we provide. This integration project to improve access and effectiveness of healthcare services in the San Luis Valley began in 2009 with co-located services in all Valley-Wide clinics. They are excited to expand integrated services through a new model at the Alamosa South Health Clinic. The core of this approach is a behavioral health consultant working with a primary care provider in a system that supports team-based care. It will provide care coordination and support to individuals in meeting their self-management goals. The

Photo by Sylvia Lobato

The grand opening for the new Alamosa South Health Center is planned for Thursday, Oct. 12. behavioral health consultant nurse practitioner, Phillips has to see him at whichever site is works with a primary care worked in internal medicine most convenient for them. He is provider to evaluate the mind- caring for the adolescent, adult looking forward to seeing many body-behavior connection and and geriatric populations. In new patients as well. provide brief, solution-focused addition to this, he has worked The grand opening for the new interventions. in settings providing care to Alamosa South Health Center Kyle Phillips, FNP-BC and population-focused groups to is planned for Thursday, Oct. his team will be providing care provide primary care and ur- 12. Please watch the news for on Tuesdays, Wednesdays and gent care services. Phillips has more information on this event. Thursdays with hours from 8 worked at Sierra Blanca Medi- For more information, please a.m. until 5 p.m. (closed from cal Center with VWHS since contact Marina Williams at 12-1 p.m. for lunch). As a 2015. His patients are welcome 719-589-3658.

HRSA recognizes VWHS as National Quality Leader

SAN LUIS VALLEY— Valley-Wide Health Systems, Inc. (VWHS) is pleased to announce that it was awarded three awards totaling $122,252 from the Health Resources and Services Administration (HRSA) in recognition of achievements in providing high-quality, comprehensive care. VWHS will use these funds to further improve the quality, efficiency, and effectiveness of

the health care delivered to the communities it serves in the San Luis Valley, Lower Arkansas Valley and Cañon City regions. “Today’s awards will help health centers to provide their communities with high quality, affordable primary care,” said HRSA Administrator Dr. George Sigounas. “Quality care remains a critical trait of the Health Center Program, especially because health centers

are treating more patients than ever before.” The three awards received include: “Achieving PCMH Recognition” $85,000 awarded to VWHS for achieving patient centered medical home recognition for service delivery sites. “Clinical Quality Improver” $26,752 awarded to VWHS for demonstrating notable improvement in one or more clinical

quality measures between 2015 and 2016. “Electronic Health Record (EHR)” $10,500 awarded to VWHS for use of the EHR to report on all Clinical Quality Measures (CQM) for all patients. To learn more about ValleyWide Health Systems’ clinics and services, please call 719587-1000 or visit us at vwhs. org or on Facebook

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Rio Grande Hospital prepares for the future with new plans for expansion DEL NORTE—Striving for excellence in health care for the community, Rio Grande Hospital will begin a building project with the needs of the community at the forefront. When the passion of Dr. Norman Haug created the vision of a new hospital, the community worked together and made that dream become reality. Over that past 13 years, the organization has continued to grow in the number of services it provides and the number of patients it serves. To continue to provide additional services that the community needs and to do so with quality and safety, the hospital will begin construction in October. A new building between the clinic and the hospital will be constructed to house a new, large physical therapy department. It will include a gym area for conditioning and strengthening and separate private exam areas for evaluation by the therapist. Additionally the gym area will be used to provide cardiac rehabilitation for those who have experienced procedures such as stents, valve replacements and bypass surgery. Patients will be monitored by EKG telemetry and will safely become stronger and better conditioned in a structured

exercise program provided by specially trained personnel. There will be an area for cardiac stress testing as well. One of the other exciting services provided will be a wound care department to include a hyperbaric chamber, which provides the latest therapy for advanced wound care The new area will also be used for specialty clinics such as orthopedic, cardiology and ENT. Arlene Harms, Rio Grande Hospital CEO, notes, “once we have additional space we will also begin to bring in other specialty providers as well as consider the use of telemedicine.” The surgery department will also see some upgrades such as private recovery rooms and a designated room for colonoscopies and EGDs. The hospital will be remodeling the business office area and a large conference room will be added. Harms noted that presently there is nowhere in the organization to host large meetings. There will be areas to host community educational programs, to provide trainings and to meet with the employees in a large area. A new emergency department is planned, adjacent to the present area and will provide a secure

and safe place for the treatment of patients. The department has grown significantly in the past several years, and a new area will provide more efficient care with privacy and a quiet environment. Over the years, the hospital has added new services and increased its utilization by five times without increasing space. It can no longer bring in new services or personnel without expansion. Currently, offices are in supply rooms, closets and storage rooms. Harms stated, “As we look toward the future, we want to provide the care and services that the community will need and deserve. Without more space, we are constrained to what we currently do and cannot move forward.”

The project is expected to be complete by the end of 2018. A groundbreaking is planned during the last of October. Funding is being received from a USDA Rural Development Guaranteed Loan and a Direct Loan. The organization has hired Heery to design the project and G.E. Phipps as the construction manager and contractor. The project has been in the planning phase for two years as the organization meticulously strategizes on the greatest needs within available resources. The dream of Norman Haug is not only alive but will reach a new achievement in the coming year as Rio Grande Hospital prepares to expand its services and commitment to the community.

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Health on the Rio Grande 2017

SLV Health behavioral health shares new programs BY LYNDSIE FERRELL

SAN LUIS VALLEY—Audrey Reich, program manager with the Behavioral Health Department at San Luis Valley Health discussed some of the new programs happening throughout the Valley and some of the things the department is doing to help with pain management programs. “We are working to enhance our capacity to serve more patients and offer more programs to our patient base,” said Reich. The Behavioral Health Department offers a wide variety of services to the residents of the Valley that reach all corners of the region from Conejos to Creede. Some of the services offered include individual counseling, couples counseling, family and group therapy, advocacy and support as well as referrals for medication management in

several areas of treatment. The treatment services offered help patients deal with symptoms of depression, anxiety, substance abuse and dependency, family and work-related stress and anyone who suffers from PTSD (post-traumatic stress disorder). Though these symptoms are only a few of the wide range of treatments the program offers, they are the most common that can cause stress for individuals in everyday life. The department prides itself on working to stay up to date on all new and innovative technologies to help patients begin the healing process and offer long term care to those in need. The department’s mission statement sums up their desire to help the residents throughout the Valley stating, “The mission of the Behavioral Health Department at San Luis Valley Health is to promote the integration of

behavioral health and medical services to improve the health of all patients.” According to Reich, the department is now offering a wide variety of free classes for residents who may be seeking help. Classes include pain management, which is geared towards helping people with chronic pain look into alternative remedies to pain besides the use of medication and offers a network of resources to patients, who seek other means to manage their symptoms. Another class offered is a stress management class that focuses on the causes of everyday stress and what people can do to help manage the impact it may have on their lives. This class also includes resources to individuals to direct them to alternative methods to help manage the stress in their lives and how to

minimize it. One of the newer programs includes a psychological education program for patients recovering or dealing with cancer. The program helps patients and family cope with the many facets of dealing with cancer or having a family member diagnosed with cancer. The class also includes resources for patients and their families and is free to attend. Another class offered is geared toward helping caregivers who care for individuals dealing with chronic pain. This class is for anyone who is helping patients that have to face severe pain on a daily basis whether they are home health care providers or family and friends helping care for loved ones. All of the listed classes are free; more information is available at www.sanluisvalleyhealth. org or call 589-8008.

Colorado obesity rate increases, but still lowest in the nation COLORADO—Colorado saw a significant increase in obesity from 2015 to 2016, but remains the leanest state in the nation. The state’s adult obesity rate climbed from 20.2 percent in 2015 to 22.3 percent in 2016, according to the U.S. Centers for Disease Control and Prevention. Like most of the nation, Colorado saw its obesity rate increase steadily for two decades before it began leveling off during the past few years. According to the CDC, Colo-

rado was one of four states that saw a statistically significant increase from 2015 to 2016. The health department will continue to monitor annual changes to determine if this recent spike in obesity is a trend. “Regardless of the state’s ranking as the leanest state in the nation, we know too many Coloradans are overweight or obese,” said Dr. Larry Wolk, executive director and chief medical officer at the Colorado Department of Public Health

and Environment. “We will continue to work with our partners statewide to make it easier for Coloradans to eat healthier and move more.” Obesity is a complex problem, with many causes and consequences. Causes are systemic and demand changes to the food environment, physical environment, personal behavior and social norms. Consequences include a higher risk for heart disease, stroke, type 2 diabetes and certain types of cancer.

These consequences are preventable, however. The state health department works with communities, local public health agencies and statewide partners to reduce obesity by supporting safe, easy access to healthy food and physical activity in neighborhoods, day care centers, schools, worksites and hospitals. It supports state initiatives to improve and expand bike and pedestrian infrastructure and national efforts to promote walking and See OBESITY on Page 5

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Valley-Wide clinics accepted to Colorado State Innovation Model

SAN LUIS VALLEY — Valley-Wide Health Systems, Inc. (VWHS) is proud to announce the selection of 11 primary care sites in the second cohort of the Colorado State Innovation Model (SIM). The sites selected for participation in the SIM initiative are: Alamosa Family Medical Center and Sierra Blanca Medical Center in Alamosa; Cesar Chavez Family Medical Center in Center; Edward M. Kennedy Health Center in Monte Vista; Guadalupe Health Center in Antonito; San Luis Health Center in San Luis; La Junta Clinic in La Junta; Las Animas Clinic, in Las Animas; Rocky Ford Clinic in Rocky Ford and Fremont Family Medical Center and Valley-Wide Canon City in Canon City. VWHS Chief Operating Of-

overarching goal to improve the health of Coloradans by providing access to integrated primary care and behavioral health services in coordinated community systems, with valuebased payment structures, for 80 percent of state residents by 2019. Valley-Wide Health Systems, Inc., a Community/Migrant Health Center (C/MHC) is a private non-profit 501 (c) (3) corporation governed by a volunteer community board. Established in 1976, ValleyWide has 13 primary health care delivery sites strategically located throughout multiple rural counties in Southern Colorado. These full-service clinics are complemented by eight dental clinics, four physical therapy clinics, and numerous ancillary health services to address

routine and/or complex needs of the patient populations and communities served. Valley-Wide serves all ages through a family practice focus approach. Emphasis is placed on assisting the patient, reducing barriers such as cost, culture, language, literacy, and transportation that may hinder use of appropriate health care services. Along with multiple outreach programs, Valley-Wide also oversees an Agricultural Worker Health Service Program that provides vouchers to patients in areas of the state that do not house C/MHCs. For more Information on the Colorado State Innovation Model, visit https://www.colorado. gov/healthinnovation. For more Information on Valley-Wide Health Systems, visit https:// vwhs.org/.

Continued from Page 4 ity dropped from 17.9 percent assistance programs for lowin 2015 to 15.8 percent in 2016. income children by offering Research shows obesity more whole, grains, fresh prevention works best if it produce and healthy drinks and starts early. The health depart- focusing on nutrition educament continues to enhance the tion and breastfeeding support nutritional value of its food for new parents. The propor-

tion of children participating in the Colorado Special Supplemental Nutrition Program for Women, Infants and Children who have obesity dropped from 8.4 percent in 2012 to 7 percent in 2016.

ficer Adam Roberts noted: “We are excited about this opportunity. We are looking forward to transitioning our clinics to improve the patient experience by addressing each patient through whole-person care. By delivering a value-based model of care, which will also embody integrated behavioral and physical health, we will strive to improve the health outcomes for our communities that we so proudly serve.” VWHS will join 92 practices from cohort one and the 153 additional practices selected alongside VWHS in cohort two, in the SIM initiative of integrating behavioral health and primary care as well as testing value-based payment models. The SIM initiative, funded by the Centers for Medicare & Medicaid Services, has an

OBESITY walkable communities. Despite the recent rise in the state’s obesity rate, Coloradans are moving more. According to the CDC, the proportion of Colorado adults who reported no recreational physical activ-

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Health on the Rio Grande 2017

New Yorker makes big impact on emergency care in the Valley BY MARGARET SANDERSON

ALAMOSA— From South Korea to New York to Afghanistan toAlamosa – Francis Song has seen more and done more than most. His experiences and curiosity led him to the world of the emergency responder where quick action and competence may often save a life. He has immersed himself in his studies at Trinidad State and his plans for continued learning stretch far into the future. Simultaneously he serves as emergency manager for Alamosa County. When his parents immigrated to New York from South Korea, Francis Song was only one year old. He was in high school, only three blocks from the World Trade Center when the 9/11 attacks happened. “I distinctly remember that as we exited the school, all these people were coming into the school to use our bathrooms and they were covered in white,” said Song. “I didn’t understand what was going on and I learned later those were people caught in the rubble. It was a truly frightening experience.” “Because we were attacked from the sky on 9/11, I definitely made it a point to join the Air Force,” Song said. “In 2012 I was deployed to Afghanistan. I was in the skies over Afghanistan on

9/11, 11 years after the fact. It was a truly sombering moment to see everything come full circle.” After Song finished his tour of duty and was discharged from the Air Force in May of 2014, he felt a void which he thought volunteer work could fill. Song had decided he wanted to be a veteran’s advocate. He believed he could find that opportunity through AmeriCorps, a public service organization. He created an online account making his profile searchable. Someone from La Puente (the homeless shelter in Alamosa) saw his profile, contacted him, and asked if he would be interested in applying for their one-year veterans’advocacy position. “I was from the metropolitan northeast and had an opportunity to work in the rural southwest. I had never been to Colorado,” said Song. The idea appealed to him and he thought, ‘Why not?’ For one year Song worked with La Puente as a veteran’s advocate. After he completed that year, he was appointed emergency manager for Alamosa County. To better understand the world of public safety, Song volunteered as a victim advocate for the Alamosa County Sheriff’s Office and joined Alamosa Search and Rescue. With offices located in the

Courtesy photos

Song kneels as he assists with a simulated removal of a victim using a back board. same Alamosa county building and with both Song and Montano doing emergency work, their paths crossed often. Montano is the RETAC (Regional Emergency Trauma Advisory Committee) coordinator as well as the president of the HAZMAT Board. He also teaches EMT classes at Trinidad Classmate Nacole Carrasco looks State as does Jim Felmlee. on as Song attaches an oxygen See TSJC on Page 10 regulator to an oxygen tank.

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Health on the Rio Grande 2017

Dr. Sowards joining Antonito clinic

ANTONITO—Dr. Clint Sowards has joined SLV Health’s Family Practice team in 2017. Raised in Manassa and currently residing in Bountiful, Dr. Sowards is excited to be able to offer family medicine and preventative care to his patients at the San Luis Valley Health, Antonito Clinic. Before obtaining his doctorate, Dr. Sowards worked as a medical assistant from 2005-2010 at the San Luis Valley Health Regional Medical Center in the orthopedic, family medicine and internal medicine departments. Originally an Adams State College graduate, he received his Bachelor’s degree in cellular and molecular biology before attending A.T. Still University, Kirksville College of Osteopathic Medicine in Kirksville, Mo., where he received his Doctorate in

Osteopathic Medicine. He completed his residency program at S.I.U. Quincy Family Medicine in 2017. Dr. Sowards’ outside interests include running, CrossFit, riding four-wheelers, hunting and fishing. Personal healthcare interests include preventive health, critical care and working with and treating pediatric patients. He has a welcoming and caring personality and his enthusiasm and highlycommitted attitude is obvious. Dr. Sowards has a passion for making his patients feel comfortable and encourages them to be their best selves. Dr. Sowards is married to Alisha (Dunn) Sowards and has five children : Beijah, Slade, Blayzen, Vashti and Marstyn. Dr. Sowards joins Brian Jackson, PA-C at the SLV Health, Antonito Clinic, 719376-2308

Dr. Clint Sowards

Hepatitis A cases more than double in 2017 COLORADO — Hepatitis A cases continue to rise in Colorado, climbing to 54 so far in 2017, which is more than double the number of cases typically seen in an entire year. One Coloradan has died from the illness. The state health department urges all people at risk, especially men who have sexual contact with men, to get vaccinated to prevent hepatitis A. “Colorado’s hepatitis A outbreak mirrors similar outbreaks across the country,” said State Epidemiologist Dr. Rachel Herlihy. “We’re seeing more cases among gay, bisexual and other men who have sex with unvaccinated men. We want to get the word out: A safe and effective vaccine will protect you.” Hepatitis A is a vaccine-pre-

ventable disease that can damage the liver. Infected people have the virus in their stool and often carry it on poorly washed hands. It spreads to others when they swallow invisible amounts of the virus through food, drink, sexual activity or after touching contaminated objects. While proper handwashing can prevent spread of infection, vaccination provides long-term protection against the virus. Hepatitis A vaccine is readily available at doctor’s offices and many retail outlets. People who need help paying for vaccinations should contact their local public health department. The hepatitis A vaccine routinely is recommended for children, but most adults have not been vaccinated. Any per-

son wishing to obtain immunity can get vaccinated. Two doses of the vaccine, given six months apart are recommended for: • All children at age 1, as a routine childhood immunization. • Previously unvaccinated children and adolescents ages 2-18, as a catch-up vaccine. • Men who have sexual contact with men. • People who use injection and non-injection street drugs. • People with chronic liver disease, such as cirrhosis, alcoholic liver disease, hepatitis B or hepatitis C. • People who are homeless. • People who are traveling to countries where hepatitis A is common. • Family members or caregiv-

ers of a recent adoptee from countries where hepatitis A is common. • People who are treated with blood clotting-factor concentrates. Hepatitis A symptoms include jaundice, fatigue, severe stomach pain, nausea and diarrhea. People can be contagious for two weeks before symptoms appear, and unknowingly spread the virus. Rarely, the virus can cause liver failure and death. A blood test is the only way to confirm hepatitis A, so people who think they may have the virus should consult a health care provider. For more information, visit the CDC hepatitis A web page or the department’s prevent hep A web page.

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Health on the Rio Grande 2017

TSJC

Continued from Page 6 As long term EMTs, they have lance crews: Baca Crestone Fire plenty of stories to tell. “Every and EMS, Center Fire Protection single time Jon or Jim would talk and both Conejos and Costilla about what happened on a call, I County ambulances and is the would always be curious,” Song newest technician in the SLV said. “To not be able to relate to HAZMAT (hazardous materials) their (EMT) stories, it was killing organization. me. I wanted to understand a heart Angie Medina, who is a nursing rhythm or recognize vitals that are instructor at Trinidad State, taught outside normal limits.” In order Song EKG interpretation this to learn what first responders (first spring. She said, “He was eager personnel to arrive and assist at to learn more and went above and an emergency) do, he decided to beyond. When class was over, take them up on their invitation he sent me a note that said, ‘I’m and enroll in the EMS program at going to be the best damn EMT Trinidad State. “Since I became I can be.’” a certified EMT in January, I’m “When it comes to public safety, now developing my own stories I’m really interested,” said Song. that I can share with my fellow “Knowledge is power and informaEMTs,” said Song. tion is how you save someone’s Song now serves on four ambu- life. I’m always trying to learn and

ADAMS Institution of Medicine in 2010 explains, is because nurses today are trained to focus more on acute care rather than communitybased medicine. However, Milner said, there will still be room for licensed practical nurses, who largely are employed in nursing homes and assisted care centers today, and deal more typically with community medicine needs. “Most health care today relates to chronic conditions, such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions, due in part to the nation’s aging population and compounded by increasing obesity levels,” the 2010 report states. “While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century.” The goal is to better educate nurses in the art of primary care in community settings, to include better coordinating care and making transitions, working

Continued from Page 1 with various health care teams, navigating their way through the regulatory maze surrounding health care, learning how policy affects patients and care providers and ultimately, health outcomes. The beefed-up degree program also emphasizes the importance of incorporating ever emerging new research into care modalities and decision-making processes on supervisory levels. Milner says that while twoyear nursing associate-degree programs will eventually be phased out, those now employed at hospitals who earned the twoyear degrees will be offered classes to complete their certification at the four-year level. “These associate-degree nurses will still be R.N.’s — they will still be employed — but they will have to complete their degrees,” she assured those who graduates with two-year degrees. ASU offers online courses for those now working with associate degrees who are aiming to complete their education by 2020. About 50 percent of those with two-year degrees nation-

study and pass that on. When we show up to someone’s place with lights flashing, we’re not asking if they can speak English or if they can pay for this. All we’re doing is trying to render the best patient care possible.” Song is registered for the EMT Intermediate classes at Trinidad State this fall. He has also applied to Pueblo Community College for paramedics school. His long-term goal is to be a paramedic. “Currently I’m an EMT basic and I just earned my IV certification through the state. The next rung up that ladder would be an ALS (Advanced Life Support) provider.” Both Intermediate EMTs and paramedics provide ALS. His ultimate goal is to become

Inside the classroom ambulance, Song is ventilating a simulated patient with instructors Jim Felmlee and Jon Montano assisting. a HAZMAT specialist - firefighter / paramedic.

wide have completed the extra two years so far, she estimated, and by 2020 the target number is 80 percent. Milner says ASU is an excellent choice for obtaining a BS in nursing because the class size is smaller, and students receive “a lot of one-on-one instruction.” Also, as a rural community, there are a wealth of community clinical resources, she noted. The school has “increased the integrity of its classes and set the bar higher” to make sure students are well-prepared for changes in the nursing profession, she

explained. High school students interested in entering nursing careers should pay especially close attention to the courses they take in high school, Milner advised, and coordinate their courses with career counselors who can help make sure they will apply to a nursing degree. ASU does dual enrollment, and Milner says she regularly visits local high schools to assist guidance counselors. To contact Milner about a career in nursing or inquire about class schedules, call 719587-8171.

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Doctor’s guide to dealing with Alzheimer’s Disease Alzheimer’s is a confounding disease, even for doctors. Salida (Colorado) neurologist Dr. Suzanne Lesage ought to know. Through her role with the Heart of the Rockies Regional Medical Center, she sees new patients who may be concerned about memory loss. Dr. Lesage also counsels others living with the diagnosis on how to best cope with a disease for which there is currently only treatment of symptoms but no cure. In a recent informational session conducted for 50-plus community members by the Alzheimer’s Association of Colorado, Dr. Lesage joined fellow neurologist Dr. Yvonne Rollins and Ann Carter, regional director of the Southern Colorado Region of the Alzheimer’s Association, to discuss the basics of memory loss and dementia and answer questions regarding the challenges the disease poses for individuals, caregivers and doctors alike. “Dementia is slow in developing,” said Dr. Lesage. “We can offer a diagnosis based on symptoms, but even under the broad umbrella of dementia, there are multiple types, including Alzheimer’s, vascular, Lewy body, frontotemporal and others, and some patients

may be living with more than one.”

Doctor’s advice Even with the uncertainty surrounding dementia, and specifically Alzheimer’s, Dr. Lesage counsels her patients and their families that there are specific steps they should take to ensure the best care for loved ones who are either dealing with a dementia diagnosis or have concerns about the disease: Be proactive – “At the primary care level, people must be proactive with their doctors,” said Dr. Lesage. “There is a huge spectrum among doctors regarding their comfort level with dementia. Some feel – because there’s currently no cure – that there’s not much they can do.” Because some doctors may be reluctant to issue a dementia diagnosis, there is a risk that they will not provide the guidance that families need to take appropriate steps. “A diagnosis gives hope and clarity to the patient,” Dr. Lesage said. “At least they know what they’re dealing with.” Suzanne Lesage Free 24/7 Helpline – A refer3900) is another resource for the Alzheimer’s Association ral to a neurologist can lead to Rapid Referral program, which a proper diagnosis, she said. direction. Rapid Referral – Dr. LesSee ALZHEIMER’S The Alzheimer’s Association’s on Page 16 free 24/7 Helpline (800-272- age is a strong advocate for

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Health on the Rio Grande 2017

Emergency responders attend lift ticket training MINERAL COUNTY— Despite early morning ground fog, Sept. 24 blossomed into gorgeous weather with blue skies and little wind— perfect weather conditions for Lift Ticket training for 15 members of Mineral County Search and Rescue, Rio Grande County Search and Rescue, Mineral County EMTs and South Fork EMTs. Training was provided by the flight crew of Lifeguard5 from Mercy Regional Medical Center in Durango and included pilot Adam Wagner and flight nurses Ally Kauffman and Nicole Salafia. Lift Ticket training offered by Flight For Life-Colorado is required for emergency responders to be air-lifted to remote locations to assist injured, stranded, or lost individuals. The training must be updated annually in order for those first responders to remain qualified. Participants were instructed in helicopter operations and landing zone safety. Flight For Life-Colorado offers this training free of charge to attendees. Mineral County residents and visitors to the area are urged to get search and rescue cards which are available at the sheriff’s office. The cost of the cards ($3/ year) goes into a statewide search and rescue fund which helps defray some of the costs incurred by the county in conducting search and rescue operations. Anyone with a hunting or fishing license or an OHV or snowmobile registration already pays into that fund and need not purchase an additional card.

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Emergency responders from Mineral County and Rio Grande County gather around Lifeguard5 while members of the Flight For Life-Colorado flight crew demonstrate some of the safety features of their aircraft.

Elizabeth Steel, Mineral County Search and Rescue member and Mineral County EMT, acts as the landing zone ground commander while Lifeguard5 lands at the airport.

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Sleep right: How to ensure a more restful night’s sleep Adequate sleep is an essential element of a healthy lifestyle. But as beneficial as a good night’s rest is, restful sleep is proving elusive for millions of people across the globe. According to the American Academy of Sleep Medicine, 10 percent of adults in the United States have a chronic insomnia disorder. That translates to roughly 32 million people in the United States. alone who struggle to fall asleep or stay asleep at least three times per week for at least three months. Sufficient sleep boosts energy levels and makes it easier to focus and concentrate, while insomnia contributes to poor memory, disturbs mood and leads to daytime sleepiness. But insomnia is not just harmful to individuals. The AASM notes that researchers estimate that insomnia costs an estimated $63 billion in lost work performance each year in the U.S. Combating insomnia is no small task, but the following healthy sleep habits may help men and women overcome their bouts of insomnia and get more restful sleep. • Avoid too many beverages before bedtime. Drinking water or beverages that include caffeine or alcohol too close to bedtime can interrupt sleep or make it difficult to fall asleep. Too much water before going to bed may lead to nightly bathroom breaks that interrupt your sleep. Along those same lines, alcohol consumed too close to bedtime may make it easy to fall asleep fast, but you’re likely to wake up once

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the effects of the alcohol wear off, which can be very soon after your head hits the pillow. In addition, avoid caffeinated beverages in the late afternoon or evening, as caffeine stimulates the central nervous system and may compromise your ability to fall asleep. Nicotine also serves as a stimulant, so smokers fighting insomnia should avoid tobacco products in the hours before they plan to go to bed. • Get out of bed if you can’t fall asleep. The AASM recommends getting out of bed if you haven’t fallen asleep within 20 minutes of lying down. The longer you lay in bed without falling asleep, the more likely

you are to dwell on your sleeping problems. If you need to get out of bed, spend some quiet time reading a book in another room before returning to bed. • Dim the lights inside your home. Two to three hours before bedtime, dim the lights in your home. Dim lighting signals to your brain that it should begin making melatonin, a hormone that is closely associated with sleep. • Eliminate potentially distracting sounds. A poor sleep environment can contribute to insomnia, and distracting sounds can make it hard to fall asleep. Fix distractions such as leaky faucets and close bedroom windows if nearby

traffic is compromising your ability to fall asleep at night. If necessary, use a white noise machine that blocks out distractions but contributes to a consistent sleep environment. • Use your bed only for sleep and sex. Resist the temptation to finish watching a movie, television show or ballgame in bed, using your bed only for sleep and sex. If you grow accustomed to working in bed or watching television in bed, you may have trouble falling asleep once you turn the lights off and close your eyes. More information about combatting insomnia is available at www.sleepeducation. org. LS168299

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Unique ways to exercise at home

Even the most devoted exercise enthusiasts sometimes encounter obstacles that make it hard for them to squeeze in their regular workouts. Weather can affect outdoor exercise enthusiasts, while busy work schedules can make it difficult to get to the gym. When unforeseen consequences compromise your ability to stick to your normal workout routine, working out at home might be your only option. The following are a handful of ways to exercise at home when leaving the house is out of the question. • Hit the stairs. Many gyms have StairMaster® products that can be used for high-intensity interval training, calorie-burning workouts and/or improving flexibility. While you might not be able to duplicate the effects of such equipment at home, you can take to the stairs in your home, walking up and down the staircases in your home to squeeze in some aerobic exercise. If you want to increase the intensity level, fill a backpack with some weights. • Dust off the jump rope. Jumping rope is an inexpensive, effective way to burn calories and improve muscle tone. When confined to your home, jump rope in the garage or, weather permitting, in the driveway or

backyard. Jumping rope is great cardiovascular exercise and can strengthen the upper and lower body. Men and women who have histories of joint paint, including problems with their knees, ankles and/or hips, should consult with their physicians before adding jumping rope to their exercise routines. • Embrace crunch time. Crunches are another effective way to exercise at home. Crunches don’t require a lot of space, making them great exercises for apartment dwellers or homeowners whose homes are less than conducive to exercise. Crunches strengthen the core and can help establish muscle tone. Crunches also burn calories. Be sure to adhere to proper form when performing crunches, as the wrong form can increase your risk of injury. • Become a squatter. You can become a squatter without breaking any laws. Unlike squatters who set up residence in a home without the permission of the homeowners, men and women who squat in their own homes are performing exercises that benefit various parts of their bodies. Squats can be performed with or without weights, and either option can help tone your legs and buttocks, strengthen your core and improve your flexibility.

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Be sure to use proper form when performing squats. If you have never done squats in the past, first get the form down without using weights, only moving on to squatting with weights after you have mastered the form and

if you feel like you want to. The confines of a home may not always be conducive to exercise. But fitness enthusiasts who find themselves unable to get out of the house can still get a workout in. LS168323

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Health on the Rio Grande 2017

ALZHEIMER’S

is a tool for doctors to put the individual and their caregivers in touch with a full range of services – all at no charge – that physicians are not in a position to provide. If there is concern about or discussion of dementia, or Alzheimer’s in particular, Dr. Lesage said there are specific subjects that she raises with her families that should be addressed with the primary care physician, including: Medications that may provide some benefits Counseling for the individual and family Driving considerations and potential restrictions Medical power of attorney and when it should be transferred Types of in-home and residential care that families can consider Opportunities for financial

Continued from Page 11 guidance. assistance Referrals to support groups, Continue living – Dr. Lesage like those provided by the emphasizes that an Alzheimer’s Alzheimer’s Association of diagnosis doesn’t mean the perColorado son’s life is over. She stresses that Get support – Caregivers there can be significant quality need to understand that they do of life, even later in the disease’s not have to face this situation progression. She notes that she alone. In addition to support has helped devise travel plans for groups, families can reach out families where a loved one has to their regional Alzheimer’s advanced Alzheimer’s. “Even Association of Colorado office if they don’t remember the trip, or call the free 24/7 Helpline to they can enjoy the day,” she said, schedule a Care Consultation. adding that new memories are In addition, there is a broad created for loved ones. range of resources available in “The goal I set is for my paterms of educational information, message boards, classes, tients with dementia to stay in clinical trials and newsletters the home until it’s time for them from the Alzheimer’s Associa- to move into hospice care,” said tion, all provided to the public Dr. Lesage. “It’s not appropriate at no charge. for all, since caregiving capacity In addition, Dr. Lesage said is very individual but, for many, that individuals should rely on there is still good quality of life their primary care physician close to its end.” for medical information and

Alzheimer’s Association The Alzheimer’s Association Colorado Chapter is the premier source of information and support for the more than 69,000 Coloradans with Alzheimer’s disease, their families and caregivers. Through its statewide network of offices, the Alzheimer’s Association offers education, counseling, support groups and a 24-hour Helpline at no charge to families. In addition, contributions help fund advancements in research to prevent, treat and eventually conquer this disease. The Alzheimer’s Association advocates for those living with Alzheimer’s and their families on related legislative issues, and with health and long-term care providers. For information call the Alzheimer’s Association 24/7 bilingual Helpline at 800-272-3900, or visit www. alz.org/co.

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Advantages to physical therapy to relieve pain Chronic pain affects people all around the world, greatly impacting sufferersâ&#x20AC;&#x2122; quality of life. According to the American Academy of Pain Medicine, recent reports have indicated more than 1.5 billion people worldwide experience chronic pain. Common complaints include lower back pain, headache, neck pain, or neurogenic pain, which is pain resulting from damage to peripheral nerves. Pain can impact people in many ways, as some people can tolerate discomfort better than others. Chronic pain may result in missed time at work, depression, anger, and an inability to live a full life. According to a recent Institute of Medicine Report: Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research, pain is a significant public health problem that costs society at least $560 to $635 billion annually. To cope with pain, many people rely on over-the-counter and prescription medications. This reliance on drugs has helped to fuel pain medication addictions that can lead to other drug abuse. The National Institute on Drug Abuse says research now suggests that abuse of opioid pain medications may actually open the door to heroin use. Some individuals report switching to heroin because it is cheaper and easier to obtain than prescription opioids. A safer and sometimes more effective method of pain relief than opioids, physical therapy can help a person get back on track and feel much better in the process. The American Physical Therapy Association says while surgery and prescrip-

tion drugs can be the best course of treatment for certain diagnoses, there is increasing evidence that conservative treatments like physical therapy can be equally effective and cheaper treatment plans for many conditions. Physical therapy can be as effective as surgery for meniscal tears and knee osteoarthritis, rotator cuff tears and spinal stenosis, among other conditions. When a patient is prescribed physical therapy, a therapist will develop a treatment plan that addresses the specific needs of the patient. This is essentially a collaboration between patient and physical therapist. Therapists are experts in improving mobility and motion and have studied extensively to that end. Because weakness or stiffness may be contributing to pain, therapists try to address the source of the pain and relieve the pain itself. Physical therapy may include exercises that stretch the body and improve flexibility. Strengthening exercises will help work on core muscles as well as other parts of the body to prevent injury down the road. Therapy may target specific areas of pain. Because of their expertise, therapists may be able to assess posture, gait and other attributes that may be contributing to injury and make suggestions to reduce recurrence. In addition to the therapies mentioned, a combination of massage and other work may be included in a physical therapy plan. This may include TENS and ultrasound. According to WebMD, Transcutaneous Electrical Nerve Stimulation, or TENS, uses a device to send a low-voltage electric current to the skin over the area where you have pain. Ultrasound

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sends sound waves to the places you have pain. Both of these options may help to block pain messages to the brain and offer relief. Chronic pain can be de-

bilitating. However, physical therapy is often an effective way to combat chronic pain and help individuals find relief and return to living full lives. TF16A490

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Health on the Rio Grande 2017

San Luis Valley Health wins 2017 Patient Safety Excellence Award SAN LUIS VALLEY— In April Healthgrades announced recipients of the 2017 Patient Safety Excellence Award (TM) where SLV Health was listed as one of three hospitals in Colorado to receive this award. Healthgrades Patient Safety Excellence Award recognizes hospitals for their excellent performance in safeguarding patients from serious, potentially preventable complications during their hospital stay. These hospitals are in the top 10 percent in the nation for patient safety and this is the second year in a row in this category for SLV Health. “I could not be more proud that San Luis Valley Health has received this award two years in a row. It demonstrates the absolute commitment of every SLVH employee to keep our patients safe when they entrust their care to us,” commented Chief Medical Officer Dr. Gregory McAuliffe. Patient safety measures how well a hospital prevents injuries, infections and other serious conditions based on 14 serious, p o t e n tially preventable adverse events. When Alan Taylor, director of anesthesia services, found out that SLV Health was being awarded again, he was asked, “Why two years in a row?” He replied, “It all comes down to the staff we have in surgery: the nurses, surgeons, anesthetists, surgical techs and housekeeper. They are dedicated to caring for the patients,

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From left to right, Dwayne Candy, RN- Alex Yale, MS3 (Medical Student Year 3)Annarae Martinez, Director of Surgical Services- Joetta Chairez, RN - David Geiger, DO- Ricky Rodriguez, RN many go the extra mile daily to educate, empathize and understand the patient’s needs. The dedication of all involved in the preparation to care for our patients is incredible. This begins with the care our housekeepers give in providing a clean environment, the sterilization process undertaken by the surgical techs (specifically Cesar Mejia as our central sterile supervisor in assuring See AWARD on Page 19

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Conejos County Hospital offers swing bed option

LA JARA—What does the term “swing bed” mean? Swing bed refers to the practice of “swinging” patients from one level of care – acute care that requires hospitalization – to the next level – continued skilled nursing and rehabilitation services as the patient continues their recovery. Swing bed is generally a Medicare benefit with the following specific conditions: • Swing Bed care must be related to an acute hospital stay. • Patient must need skilled nursing or skilled rehabilitative services on a daily basis and must be complex enough that services must be performed by or under the supervision of professional or technical personnel. • Patient must have had a three-day qualifying stay in an acute care setting in the past 30 days. Some private insurances cover the Swing Bed Program if the patient does not have Medicare. Patients have options. They can request where

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Example of swing bed room at Conejos County Hospital they would like to receive their swing bed care. Tandra Dunn, RN, director of nursing at Conejos County Hospital, explains the reason why a patient might choose their facility for swing bed. “The goal is to return the patient home at their maximum level of function and we can provide specialized wound care, IV therapy, 24-hour registered nurse on staff, registered dietician, onsite rehab therapy services and a very high nurse to patient ratio.” A patient is grateful for the nursing attention she received at CCH’s swing bed.

AWARD current up to date practices), and the communication of the nurses and anesthesia with the surgeons and the patients. All involved are dedicated to provide the best services available to the people of the San Luis Valley.” The methodology used by Healthgrades take inpatient data from the Medicare Provider Analysis and Review (MedPAR) database and software from the Agency for Healthcare Research and Quality (AHRQ). On average, patients treated in hospitals receiving Health-

Continued from Page grades Patient Safety Excellence awards were: • 40 percent less likely to experience an accidental puncture or laceration during a procedure, compared to patients treated at non-recipient hospitals. • 44.6 percent less likely to experience a collapsed lung due to a procedure or surgery in or around the chest, compared to patients treated at non-recipient hospitals. • 54.4 percent less likely to experience catheter-related blood stream infections, compared to patients treated at

18 non-recipient hospitals. • 50.2 percent less likely to experience pressure sores or bed sores acquired in the hospital, compared to patients treated at non-recipient hospitals. Dr. David Gieger, SLV Health surgeon, commented, “Congratulations to all of the teams involved at SLV Health. This award is a reflection of the dedication of a team of caring professionals. I would not hesitate to have my family or myself undergo surgery with the safety provided by the team at SLV Health.”

Preventing patient safety events and delivering superior care experiences requires ongoing focus. SLV Health’s Regional Medical Center is a 49-bed acute care hospital in Alamosa that includes five clinics and a critical access hospital, Conejos County Hospital in La Jara. As a nonprofit hospital, SLV Health is committed to improving the health and wellness of the communities it serves in the San Luis Valley. More information about the award can be found at www.healthgrades. com/quality.

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Health on the Rio Grande 2017

South Fork dentist to open facility in Alamosa

ALAMOSA — Dr. James “Jim” Harding of Harding Dental Group ceremoniously broke ground on a state-of-the-art, 2,000 square foot advanced dental facility located at 688 Del Sol,Alamosa (northwest corner of the Social Security Administration Building lot) on Aug. 14. The building is specifically design-built according to Dr. Harding and his patients’needs byAlcon Construction, Inc. The construction has 100 percent local participation, with all vendors and contractors from the San Luis Valley. Set to open its doors in January 2018, the dental center is designed to complement existing buildings in the area and features a vaulted ceiling, all digital patient rooms and a beautiful lobby. Dr. Harding said, “I love the San Luis Valley and wanted to do our part to invest in the wonderful people that live here and the promising future of this region. We’re most proud of the fact that now patients will have access to the latest in implant dentistry,

Photo by Ruth Heide

From left at the groundbreaking ceremony for Harding Dental Group’s new office in Alamosa are from left staff Alicia Abeyta and June Medina, Alamosa Mayor Josef Lucero, Dr. Jim Harding, staff Lindsey Harrison, Skyla VanBibber and Valerie McEwen and Brian Cook of Alcon Construction. utilizing an advanced 3D scanner not previously available without leaving the SLV.” Dr. Harding serves as the official dentist to the U.S. Ski Team and is often referred to as “Colorado’s dentist.” He is trained in advanced

dentistry and has completed post-graduate courses from the prestigious Las Vegas Institute for Advanced Dental Studies, where he specialized in comprehensive, implant, TMJ/TMD, orthodontic, denture and cosmetic dentistry.

Harding Dental Group currently has offices in Alamosa and South Fork. For more information see Hardingdentalgroup.com or call 719-589-2257, Alamosa or 719873-5846, South Fork.

Why dental hygiene is essential for overall health The importance of maintaining clean teeth and healthy gums goes beyond having fresh breath and a white smile. Many people are surprised to discover that oral hygiene plays an integral role in overall health. Research indicates that oral health mirrors the condition of the body as a whole. Also, regular dental visits can alert dentists about overall health and pinpoint if a person is at a risk for chronic disease. An oral health check-up also may be the first indication of a potential health issue not yet evident to a general medical doctor. Heart disease According to the Academy of General Dentistry, there is a distinct relationship between periodontal disease and conditions such as heart disease and stroke. Joint teams at the University of Bristol in the

United Kingdom and the Royal College of Surgeons in Dublin, Ireland, found that people with bleeding gums from poor dental hygiene could have an increased risk of heart disease. Bacteria from the mouth is able to enter the bloodstream when bleeding gums are present. That bacteria can stick to platelets and subsequently form blood clots. This interrupts the flow of blood to the heart and may trigger a heart attack. Brushing and flossing twice daily and rinsing with mouthwash can remove bacteria and keep gums healthy. Facial pain The Office of the Surgeon General says infections of the gums that support the teeth can lead to facial and oral pain. Gingivitis, which is an early stage of gum disease, as well as advanced gum disease, affects more than 75 percent of the

American population. Dental decay can lead to its own share of pain. Maintaining a healthy mouth can fend off decay and infections, thereby preventing pain. Pancreatic cancer In 2007, the Harvard School of Public Health reported a link between gum disease and pancreatic cancer. In the ongoing study, 51,000 men were followed and data was collected beginning in 1986. The Harvard researchers found that men with a history of gum disease had a 64 percent increased risk of pancreatic cancer compared with men who had never had gum disease. The greatest risk for pancreatic cancer among this group was in men with recent tooth loss. However, the study was unable to find links between other types of oral health problems, such as tooth

decay, and pancreatic cancer. Alzheimer’s disease Various health ailments, including poor oral health, have been linked to a greater risk of developing Alzheimer’s disease. In 2010, after reviewing 20 years’ worth of data, researchers from New York University concluded that there is a link between gum inflammation and Alzheimer’s disease. Followup studies from researchers at the University of Central Lancashire in the United Kingdom compared brain samples from 10 living patients with Alzheimer’s to samples from 10 people who did not have the disease. Data indicated that a bacterium — Porphyromonas gingivalis — was present in the Alzheimer’s brain samples but not in the samples from the brains of people who did not have Alzheimer’s. P. gingivalis is usually associated with chronic gum disease.

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Health on the Rio Grande 2017

Help kids overcome a fear of needles

Immunizations are an integral part of a healthy lifestyle. Physicians and various health organizations advise that children and adults adhere to a specific schedule of vaccinations that can help them develop antibodies to fend off a variety of illnesses. Unfortunately for kids who fear needles, most immunizations are administered intravenously. Children fearful of needles are typically hesitant, if not petrified, to receive their immunizations. However, failure to receive recommended vaccinations increases a child’s susceptibility to various diseases, and kids who do not receive their immunizations may be running afoul of the law. The American Academy of Pediatrics’ immunization schedule calls for children to get the bulk of their vaccines before age two. However, additional vaccines must be administered later in life. And while many children outgrow their fear of needles as they approach adolescence, some may still resist. To make the immunization process less painful for children, parents can take certain steps. • Put on a smile. Children take their cues from their parents. If

you show nerves or let on that you are nervous about the immunization shots, your son or daughter may take note of your apprehension and become even more scared of needles than he or she already is. Make light of what is going to happen if the child understands what the visit is all about. Downplay any discomfort and resist the urge to say “don’t worry.” It may actually give the child the impression there is something to worry about. • Be open and honest. Older children may appreciate hearing the truth instead of being told a tall tale about the immunization process. Explain that the needle will only briefly penetrate the skin, meaning the procedure will be done very quickly. • Don’t make shots a form of punishment. The threat “behave or the doctor will give you a shot,” is not helpful at all. It will only compound fears of shots and paint the picture that they are a punishment rather than a necessity. • Listen to concerns. Let your child speak to you about why he or she is nervous about receiving a shot. Offer your support in a warm, matter-of-fact way.

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Parents can employ various strategies to calm kids’ fears about receiving immunization shots. • Offer a distraction. Let the child hold a video game or incentivize the process by promising a sweet or favorite treat, which can take your child’s focus off of the shot being administered. • Hold your child. Kids may find that sitting on a parent’s lap assuages their fears. For older children who can’t fit on your lap, let them hug you or hold your hand for comfort. • Use a topical anesthetic. Ask

the doctor or nurse if there is a numbing swab or spray that can be used to take the bite out of the needle. • Lead by example. Take your child with you when you receive vaccinations, so that he or she can witness that the process is both quick and painless. Immunization shots are seldom fun for children or adults, but there are strategies to make the entire process less painful. TF168334

Tips to get kids more excited about eating right Childhood obesity is reaching record heights across the globe. According to the World Health Organization, an estimated 41 million children were obese or overweight as of 2014. Obesity is an all-too-familiar problem for parents, many of whom are aware of the long-term threat that childhood obesity poses to their sons and daughters. According to Let’s Move!, an initiative launched by First Lady of the United States Michelle Obama that’s dedicated to solving the problem of childhood obesity, obese kids are more likely to become obese as adults than youngsters who maintain healthy weights throughout their childhoods. In

addition, obese children may be at greater risk for cardiovascular diseases such as high cholesterol and high blood pressure. Combatting obesity can start in the kitchen, where parents can set a positive example by making sure the whole family eats healthy. Parents know that encouraging youngsters to forgo fatty foods in favor of healthier fare is not always so easy. But the following tips can help get kids excited about eating healthy, which can help them maintain healthy weights and lower their risk of various ailments. • Invite kids into the kitchen. Kids might be more excited about healthy foods when they play a role in preparing the meals they

eat. People who cook often cite the pride they feel when they cook meals that they and their families or guests enjoy. Kids feel the same sense of pride and accomplishment when preparing meals, and that pride may increase the likelihood that they will eat the entire meal, including vegetables and other healthy foods, without complaint. • Reinvent foods kids don’t like. Rare is the child who embraces vegetables. But parents can experiment with vegetables in ways that might make them more attractive to youngsters. For example, rather than serving carrots without sauce or seasoning, serve them with a bowl of hummus that kids can dip their carrots into to add some

flavor.Available in various flavors, hummus is a healthy dip that’s high in protein and various vitamins and minerals. Hummus can be high in fat, but that should not discourage parents too much, as much of the fat found in hummus is unsaturated fat that won’t negatively affect kids’ hearts. If hummus does not do the trick, parents can look for other healthy dips, such as those with a Greek yogurt base, that can add flavor to veggies without compromising their nutritional value. • Solicit kids’ input regarding the menu. Much like kids might be more excited about eating meals they prepare, they may also be See EAT RIGHT on Page 24

Health on the Rio Grande 2017

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