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Health on the Rio Grande 2018

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Features

Photo by Lyndsie Ferrell

The Rio Grande Hospital is in the final stages of their expansion project, finishing up construction for their new facility that will house physical therapy and a wound care clinic.

Rio Grande Hospital renovation nears completion

By Lyndsie Ferrell

DEL NORTE— It has been almost a year since construction began on the Rio Grande Hospital and Clinic’s renovation and crews are working hard to put the final touches on the changes that surround the entire campus. Over the last several months, construction at the two facilities has been fortunate to have great weather, placing them right on schedule for opening all of the new additions by the end of November. The emergency room will now be completely secure, with limited access to patients, whether patients are coming or going. Hospital CEO Arlene Harms had a specialist come in and do a survey of the original ER and it was determined that the security of the facility was less than average. A design team created private observation rooms that can be seen by staff that are located in the middle of the facility and the building is secure. There is also a physician sleep and work area, which the hospital did not have before, as well as an EMT work area. In the center of the two facilities construction crews are finishing up the new physical

therapy center, wound care unit and cardiac rehibilitation center. Hospital physicians have spent the last year training for the new wound care unit and are ready to hit the ground running as soon as the facility is ready to open. “We have tossed around the idea of a wound care unit for many years and when we came down to whether or not we See RGH on Page 2

Rio Grande Hospital renovation nears completion 1 RGH offers state-of-the-art treatment options 2 Facts & figures about cancer 2 Valley-Wide Health Systems – looking back, moving forward 3 Adams State nursing program achieves its highest ever pass rate on NCLEX 4 Monte Vista High School talks student health 5 Emergency departments unite in ALTO ED Project 6 SLV Health creates new hybrid position for M.V. native 8 EMDR offers another tool for emotional healing 10 Explaining opioids 11 Mother, daughter tackle nursing together at TSJC 12 Explaining symptoms of Celiac disease 14 Understanding panic disorder 14 Colorado life expectancy estimates available neighborhood-byneighborhood 15 Office of Behavioral Health receives over $30 million to address opioid crisis 16 Youth vaping nicotine at twice the national average 16 The relationship between health and volunteering 17 How to lower your risk for lung cancer 17 SLV Health Sports Medicine and PRO Therapy provide physicals and much more to local community 19 How you can benefit from having a pet 20 How puzzles promote health and wellness 20 Memory care a component of assisted living 21 10 early signs of Alzheimer’s disease 22 Advertisers’ Directory 23 Mi Esperanza crisis centers offer 24/7 help 24 How to cook for people with various dietary needs 24

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Health on the Rio Grande 2018

RGH offers state-of-the-art treatment options

DEL NORTE— Rio Grande Hospital & Clinics are thrilled to have open a wound care center at their main facility in Del Norte in October 2018. The Wound Care Center (a stand-alone facility) will offer a variety of wound care treatment options, including a state-of-the-art hyperbaric chamber (HBO) which will be the be first in the San Luis Valley and surrounding communities. Rio Grande Hospital & Clinics will have the most up-todate wound care treatment for the area. They are very proud of the quality of care they are able to provide and feel that this demonstrates, once again, their commitment to the community. Rio Grande Hospital & Clinics are honored to continue

to serve the San Luis Valley communities and beyond for their needs. This will help so many people; they will no longer have to travel hours away to get the quality wound care they deserve. The team is headed by doctors Tiffany Ward, MD and Patrick Thompson, MD whom are both nationally certified in wound treatment. They will be assisted by a wound-certified nurse, Justine Bitler and HBO tech Steven Eakin. Often, wounds can lead to loss of function, decreased Courtesy photo quality of life and amputa- Certified Wound Care Physicians Dr. Patrick Thompson and tions. Specialized wound care Dr. Tiffany Ward and HBO accelerate wound healing, reduces amputation rates and helps patients avoid hospitalization. For more A global concern in every infections such as hepatitis and information, please call 719way, cancer affects people from the human papilloma virus, or 657-3277. all walks of life. But as preva- HPV. (Source: WHO). lent as cancer is, some facts and • 12: Percentage of cancers figures may still surprise you. worldwide linked to viruses. Continued from Page 1 • 8.8 million: The number of (Source: National Toxicology would have one, we decided and their care teams will be people, according to the World Program, National Institute of that if we could save three to based. Having this type of Health Organization, who died Environmental Health Sciences) four people per year from hav- model will allow for much from cancer in 2015, making • 1.69 million: The number ing a limb amputated because a better care for our patients. it the second leading cause of of deaths attributed to lung hyperbaric chamber was avail- Rooms can be seen by staff death across the globe. cancer across the globe in 2015, able, then the unit would pay on all sides and having the • 70: Percentage of cancer making it the most deadly canfor itself within a year’s time,” team approach, we can offer deaths that occur in low- and cer in the world. Liver cancer middle-income countries. (788,00 deaths), colorectal said Harms. patients care even though their (Source: WHO) cancer (774,000), stomach “I am so proud of our doc- main care providers may not be • 22: Percentage of cancer cancer (754,000), and breast tors and nurses for going the available. Patients will have deaths across the globe that cancer (571,000) were the other extra mile to be trained in these an entire team of health care can be traced to tobacco use. most common causes of cancer areas of care. It has been like professionals at their disposal,” (Source: Global Burden of deaths in 2015. (Source: WHO) getting hit in the face with a explained Harms. Disease Study 2015) • 1.16 trillion: Economic fire hydrant hose. All of the inThe new out-patient clinic • 90: Percentage of high- cost, in American dollars, of formation they have learned in will house specialty clinics with income countries in which cancer in 2010. (Source: Interthe last few months is amazing cardiology, GYN, ENT and ortreatment services are available national Agency for Research and when we decided to open thopedics. There is also a new, to citizens afflicted with cancer. on Cancer) these clinics, we always said large gym for physical therapy (Source: WHO) • 33: Percentage of cancer that if we could save one life that includes laser therapy, a • <30: Percentage of lowdeaths that can be linked to with this new service it would traction table, dry needling income countries in which five leading behavioral and all be worth it.” services, ultrasounds, e-stem treatment services are available dietary risks: high body mass The hospital also expanded services and heat therapy. to citizens afflicted with cancer. index, low fruit and vegetable the clinic next door and have Plans for a grand opening (Source: WHO) intake, lack of physical activstructured the back area based ceremony are in the works for • 25: Percentage of cancer ity, tobacco use, and alcohol on a team care model. “The mid to late November. More cases in low- and middle- consumption. (Source: WHO) rooms surround the main office details will be reported as they income countries caused by AC189250 area where nurses, physicians come available.

RGH

Facts & figures about cancer

Health on the Rio Grande 2018

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Valley-Wide Health Systems – looking back, moving forward

SAN LUIS VALLEY—The year was 1976. The emergency room was the only primarycare option available to many residents, especially those who lacked health insurance. In an attempt to remedy this and provide quality, comprehensive health care to all residents served, a citizens group founded Valley-Wide Health Systems (VWHS). A lot has changed since 1976, and the healthcare industry has been far from immune to these changes. The advent of technology continues to influence the way organizations care for patients. Patient records are now stored electronically. Physicians are sometimes seen on a screen. Yet sometimes the more things change, the more they stay the same. The mission of ValleyWide Health Systems, serving all populations with high-quality, safe, effective and integrated health care continues to be our focus.

Primary care services VWHS aims to keep local communities healthy and provide family medicine services at clinics across the San Luis Valley, Arkansas Valley and Canon City. These clinics provide services for both acute and chronic conditions, in addition to well woman, well male, and well child checkups. Additionally, VWHS offers a Convenient Care Community Clinic in Alamosa that is open seven days a week and provides a less expensive alternative than the emergency room for treatment of illnesses. They also offer a mobile medical clinic that brings care to where individuals are located, as well as provides patients with education on how to live healthier lifestyles.

The human papillomavirus, often referred to as HPV, is a group of more than 150 related viruses. According to the American Cancer Society, HPVs are called “papillomaviruses” because some types cause noncancerous tumors known papillomas, or warts. Some types of

provide preventative education to adults and children both in their clinics and through outreach in local communities. They also provide basic dental services such as exams, x-rays, and cleanings, in addition to more extensive services when necessary. Staying true to the organization’s mission, VWHS teams work with patients to ensure they have the education necessary to prevent dental problems in the future.

care model, providing a comprehensive and team-oriented approach to health care.

Dental services Spread across eight clinics in southern Colorado, Valley-Wide offers excellent dental services for the entire family. VWHS dentists and dental hygienists

Behavioral health services Recognizing the tremendous benefit that behavioral health services can have on an individual living a healthy lifestyle and staying true to the mission of being an integrated health care organization, Valley-Wide has integrated behavioral health services into the organization’s service line offerings. As this initiative continues to develop, VWHS will integrate behavior health services into the patient

Physical therapy services The physical therapy team at VWHS helps improve a patient’s strength, flexibility and balance, while also managing pain. Valley-Wide’s integrated approach allows Primary Care Providers from across the regions to refer their patients to the physical therapy team to help with these issues. Through receiving physical therapy services, patients can find day-to-day tasks such as getting dressed, cleaning or exercising easier and more enjoyable. The central focus of ValleyWide Health Systems has always been the patient and what is best for them. Whether someone is establishing care or seeking different options in the services offered, Valley-Wide invites patients to experience what being their top priority is all about.

HPVs are known to cause cancer, including those of the cervix, vagina, vulva, penis, anus, and parts of the mouth and throat. The Centers for Disease Control and Prevention estimates that 79 million people in the United States are currently infected with HPV. HPV vaccines can be very

effective, preventing infections that can cause six different types of cancer, but are most effective when administered to older children and teenagers. The ACS notes that doctors recommend boys and girls receive the HPV vaccine at age 11 or 12. In such instances, boys and girls will

receive two doses of the vaccine six to 12 months apart. While the vaccine can be administered later, kids or even young adults who do not receive the vaccine when they are between the ages of 15 and 26 will need to receive three doses within an eightmonth span. AC189254

Did you know?

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Health on the Rio Grande 2018

Photo by Kristina Cook

ASU nursing graduates receive highest ever pass rate on the NCLEX. SLV Health recognized Adams State’s and TSJC’s nursing programs on September 22.

Adams State nursing program achieves its highest ever pass rate on NCLEX

ALAMOSA – The Adams State Nursing program established its highest ever pass rate on the National Council Licensure Examination (NCLEX) thanks to the success of its 2018 graduating class. Of the 18 students who completed their Bachelor of Science in Nursing (BSN) Degree in 2018, 17 have passed the NCLEX for a 94.4 percent first-time pass rate as a graduating class. That is the highest first-time pass rate on the NCLEX that the Adams State nursing program has ever achieved. “ W e are very pleased a n d proud of our s t u dents,” said Dr. Melissa Milner, director of the Adams State nursing program. “The faculty and staff worked very hard to make this happen.”

Milner said the next goal is a 100 percent first-time pass rate. The NCLEX is a standardized exam that each state board of nursing uses to determine whether a candidate is prepared for entry-level nursing practice. All students with a BSN must pass the NCLEX to practice nursing. On Saturday, Sept. 22 at the Stephanie L. Miner 5K walk and run, the Adams State Nursing program will be awarded the SLV Health 2018 Outstanding Community Partner Award. Adams State will share the award with Trinidad State Junior College. “We appreciate the partnership between Adams State Nursi n g and SLV Health,” said Milner. “SLV Health works closely with our program to help ensure the success of our students while

in school as well as when they begin their chosen career in the health field.” The SLV Health Community Partner Award is typically awarded to an individual or organization that helps to improve physical, mental, spiritual, or emotional health

in the community, working in sincerity with and augmenting the mission, vision, and values of San Luis Valley Health. The award was previously awarded to Dr. Marco Celada in 2016 and to the Volunteer Ambassador Program at San Luis Valley Health in 2017.

Health on the Rio Grande 2018

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Monte Vista High School talks student health

By Grace Beckner

MONTE VISTA—Health is an important topic that is frequently on the minds of many people today, adults and students alike. The students at Monte Vista High School are no exception, as each student has their own unique perspective on the topic of health, what being healthy means for them as individuals and as a student body and what they see being done to make healthy foods more accessible to their community. School lunch is a hot topic at the high school, and everyone seems to have something to say about them. A MVHS junior was very blunt in her opinion about school lunches: “Maybe they are healthy, but they don’t look yummy, which makes me want to not eat them.” Another student had similar views: “They’re kinda gross,” she states, “I’d rather go home and get something good.” But not everyone shares these negative feelings: “School lunches are pretty healthy. I like them,” said a MVHS freshman. When asked if he’d choose to eat the hot lunches he answered, “Yeah, I’d definitely eat them.” Another topic that had the students talking was whether or not the students feel like they have access to healthy food at the school and in Monte Vista. “Well, considering the school lunches aren’t very appealing,” complained a MVHS junior, “and we don’t have any other outside source of food at the school at all, not really. As far as healthy food in Monte Vista goes, Subway isn’t bad. If you want something to eat to make it back during the lunch period, you have to go to a fast food place, so Subway is your best option.” Similarly, a senior mentioned how it can be hard for her to eat healthy because she feels like healthier options are far too expensive compared to the cheaper,

Students at Monte Vista High School line up for hot lunches. unhealthy available foods. The students then spoke about how they might personally improve their diets and how the student body as a whole could improve. “I should be drinking more water,” explained the junior. “And I also should probably eat more vegetables and fruit. But as a student body, we eat a lot of hot Cheetos and eat out a lot because nobody wants the school lunch. Don’t do that!” Similarly, a senior suggested the she could start eating “more quality [foods] and less quantity.” Lastly, the students talked about their health and why it is important for them to stay healthy now. One senior mentioned that, with family histories of cancer and diabetes, it is definitely important for her to start watching what she eats now, before she gets older. A sophomore student explained that, “I don’t want to be unhealthy later on, and I want to watch what I eat a little bit. But also, like, I’m young. I kinda want to eat whatever I want, but like balance it out somewhat.” Overall, the main issue that almost all of the students interviewed agreed on is the problem of availability (or lack thereof) of healthy foods in the school and in Monte Vista, as well as the questionable quality of school lunches. Monte Vista High School Principal Scott Weideman stated that,

“We are mandated by the government on what we serve for lunch, and there are strict guidelines that we as a school have to follow in order to serve the students. So the school can’t do a lot as far the hot lunches go. However, we used to have a salad bar available during lunch before the new school was built, but it hasn’t been up and

Photo courtesy of Jazmine Veal

running in a while, but it is definitely something to take up with the kitchen staff.” Wiedeman then suggested that the student council stock the vending machines at the high school with healthier options for students who want them in order to make healthy foods and snacks more available to the students during classes.

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Courtesy photos

Dr. Ely Walker, Rio Grande Hospital

Health on the Rio Grande 2018

Dr. Megan Koenig, SLV Health RMC ED director center (RMC)

Dr. Donna Nelson, SLV Health Conejos County Hospital ED director

Emergency departments unite in ALTO ED Project SAN LUIS VALLEY— San Luis Valley’s hospital emergency departments have joined together against the opioid epidemic. In a united effort, Conejos County Hospital (CCH), Rio Grande Hospital (RGH) and San Luis Valley Health’s Regional Medical plan to curb prescribing opioids in the emergency room setting. The Colorado Hospital Association (CHA) developed an Alternative to Opioid (ALTO) plan and implemented a pilot program across the state with successful results. This plan includes resources, training and

much more that has assisted the hospital staff to align their treatment and diagnosis and prescribing as much as possible. “By combining our efforts across the SLV, it gives us confidence that patients will be treated the same regardless of which ED they are in. The ALTO program doesn’t dictate that we can no longer prescribe opioids, but provides us with alternative plans to help patients who are in pain with medicine that might not be as addictive down the road,” commented Dr. Megan Koenig, Medical Director at SLVH’s RMC ED.

Dr. Ely Walker, RGH physician, added to this statement, “The opioid epidemic has hit the San Luis Valley particularly hard with one of the highest death rates in the state. Given that four out of five individuals with opioid use disorder become addicted first with prescription opioids, we are attempting to reduce initial exposures to opioids by treating pain with effective alternatives. We certainly don’t want patients to be in pain, but opioids are not always the best first choice and the guidelines from the CHA project will provide us

with more tools in our toolbox to tailor pain treatment to each individual. We at Rio Grande Hospital are excited to partner with the other Valley hospitals in this initiative.” Dr. Donna Nelson, medical director for SLVH CCH’s ED adds, “It takes all of us working together. Patients need options. We want to start the conversation with the patient in the emergency room when possible and help the individual by providing access to resources instead of just writing a prescription and then possibly never seeing that person again.”

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Health on the Rio Grande 2018

SLV Health creates new hybrid position for M.V. native

SAN LUIS VALLEY—SLV Health welcomes Tiffanie Hoover as a hospitalist nurse practitioner. She will be the first SLVH hospitalist who grew up in the San Luis Valley as well as the first nurse practitioner to join the ranks as hospitalist in a new “hybrid program” in which she will provide coverage in the hospital as well as the clinics. Hoover is a Registered Nurse (RN) who received her Master of Science degree in Nursing (MSN) from Colorado State University in Pueblo and recently completed her certification as an Adult Geriatric Acute Care Nurse Practitioner (AGACNP) and Family Nurse Practitioner (FNP). She specializes in acute care and family medicine and can see patients from birth through death. She will be practicing in both hospitals, the Regional Medical Center, as well as at Conejos County Hospital. In addition, she will see patients in the clinics to increase patient access to primary care. “Tiffanie brings a different level of expertise to this new position,” commented Kelly Gallegos, administrator for CCH.

“Her skill set allows her to treat patients who are young and old, which is needed in rural healthcare.” “This position is one we have been talking about for a long time and Tiffanie was willing to put in the extra time to learn. She received great mentoring,” commented Antonio Gurule, administrator for SLV Health’s clinic division. Hoover grew up in Monte Vista, graduated from Sargent High School, and obtained her Registered Nursing degree from Trinidad State Junior College in Alamosa. She then completed her Bachelor of Science degree (BSN) at Adam’s State University. She began her career with SLV Health 13 years ago as a CNA working in pediatrics. For the last seven years she has worked in occupational medicine as a manager. She decided to return to school to become a provider because she wanted to make an impact on health care within the San Luis Valley, and she knew how important it was to have providers that were rooted in the community. “Taking care of patients of all ages in my own community is a lifelong dream of

Tiffanie Hoover mine,” commented Hoover, “and provider I am today and still hope SLV Health has been supportive to be tomorrow.” as I worked and went to school. I Hoover is married, has three have had so many people within young daughters, and she loves this wonderful organization spending time with family in the mentor me and help me be the outdoors.

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Health on the Rio Grande 2018

Courtesy photo

SLVBHG clinicians at an EMDR Training in June

EMDR offers another tool for emotional healing SAN LUIS VALLEY — The San Luis Valley Behavioral Health Group (SLVHBG) is dedicated to empowering individuals and families by integrating treatment and resources to support healthy minds, bodies and spirits. A powerful tool used to help individuals struggling is Eye Movement Desensitization and Reprocessing or EMDR. EMDR is a technique that replicates the bodies’ natural healing process. The mind, much like the rest of the body, can often heal itself naturally. This natural coping mechanism occurs during sleep, particularly during REM (rapid eye movement) sleep. EMDR utilizes this natural process to successfully treat a wide range of behavioral/ mental health

problems. The mind routinely processes new information and experiences. However, when something out of the ordinary occurs and people are traumatized by an overwhelming event (e.g. a car accident) or by being subjected to distress (e.g. childhood neglect) the body’s natural coping mechanism becomes overloaded. When disturbing experiences happen, they are stored in the brain with all the sights, sounds, thoughts and feelings that accompany it. Additionally, when a person is very upset, the brain seems to be unable to process the experience as it would normally; freezing these traumatic experiences in our minds. Over time, the memory of the event maybe forgotten

but the painful feelings can remain as a trigger until the event is processed correctly by the brain. EMDR helps create the connections between the brain’s memory networks and present day behaviors, enabling the brain to process the traumatic memory in a very natural way. “We are very lucky to have some many clinicians trained in EMDR, clinics typically don’t have this many,” said Chief Clinical Officer Victoria Romero. The SLVHBG just finished another round of training. They currently have 21 clinicians trained in EMDR techniques with two more currently in training. EMDR has proven to be successful in treating PTSD, anxiety and panic attacks,

depression, stress, phobias, sleep problems, complicated grief, addictions, pain relief, self-esteem and performance anxiety. During EMDR treatment, the individual remains in control, fully alert and wideawake. This is not a form of hypnosis and the individual can stop the process at any time. The goal of correctly processing life’s traumatic events is called reprocessing. This “reprocessing” is usually experienced as something that happens spontaneously, resulting new connections and insights to arise quite naturally. Therefore, EMDR is a natural and very empowering form of therapy. For more information call 589-3671 or visit slvbhg.com/ emdr

Health on the Rio Grande 2018

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Explaining opioids

For many years, law enforcement agencies have tried to educate and inform the general public about a growing opioid epidemic. According to the Centers for Disease Control and Prevention, drug overdoes killed nearly 64,000 Americans in 2016, and roughly two-thirds of those deaths involved a prescription or illicit opioid. The opioid epidemic is not exclusive to the United States. In early 2018, Canada’s Special Advisory Committee on the Epidemic of Opioid Overdoses released a statement acknowledging that the country’s opioid epidemic had significantly worsened since 2016. In fact, the Public Health Agency of Canada noted Why are opioids so often that deaths from opioid-related overdoses between January and misused? According to the NIDA, opiSeptember of 2017 had increased by 45 percent from the same oids are effective at reducing pain. But while they are preperiod just a year earlier. scribed to treat pain, opioids also produce a feeling of euphoria. What are opioids? The term “opioid” refers to a Opioid users, whether they’re wide range of drugs, including using heroin or a prescription illegal drugs such as heroin. opioid such as Vicodin, can easWhether an opioid is an illegal ily become dependent on opioids street drug or one prescribed by because of that euphoric feeling a doctor, the National Institute on they get when taking them. When Drug Abuse notes that all of these this happens, users are likely to drugs are chemically related. Each misuse opioids, taking them in opioid interacts with opioid recep- larger quantities than prescribed tors on nerve cells in the body and or looking to illegal opioids brain. Prescription opioids are such as heroin in search of that often prescribed to relieve pain. euphoric feeling.

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What are some types of opioids? The CDC notes that there are three common types of opioids: prescription opioids, fentanyl and heroin. • Prescription opioids: These are prescribed by doctors to treat moderate to severe pain. Some common types of prescription opioids are Vicodin (hydrocodone), OxyContin (oxycodone), morphine, and methadone. • Fentanyl: This is a synthetic opioid that the CDC notes is considerably more powerful than other opioids. Fentanyl is typically only prescribed to help patients dealing with severe pain, such as

that caused by advanced cancers. However, illegally manufactured and distributed fentanyl is at the heart of the opioid epidemic. In fact, the CDC reports that death rates from overdoses involving synthetic opioids such as fentanyl doubled in 10 states from 2015 to 2016. • Heroin: Unlike fentanyl and prescription opioids, heroin is illegal. Despite that, heroin usage has risen sharply in recent years across nearly all demographics in the United States. Opioids pose a significant health problem throughout much of North America. More information is available at www.drugabuse.gov. TF18A401

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Health on the Rio Grande 2018

Mother, daughter tackle nursing together at TSJC

By Margaret Sanderson

ALAMOSA—Melanie Sowards decided to pursue nursing after 17 years in an elementary school classroom. In 2013 she took a break to give birth to her fourth daughter and spend time with her. She intended to return to teaching but never did. Her first daughter had taken several classes at Trinidad State in 2008 before transferring to study nursing. Sowards considered joining her at that time, but the timing didn’t seem right. Her second daughter finished her nursing degree in 2016. Both women are nursing in Utah. After much deliberation, Sowards, now 47, inspired by her daughters, chose not to return to teaching, but to study nursing instead. She registered for classes at Trinidad State. One of her classmates is Sowards’ third daughter, Emily Faucette. She graduated high school in 2016, earned her CNA and is working in Alamosa. “I love my job and I feel like it helps me get a better picture (of nursing) and experience,” said Faucette. Working as a Certified Nurse Assistant (CNA) solidified her desire to be a nurse. At 20 years old, she’s the youngest in the class. “I don’t have my CNA,” said Sowards. “I’m envious of that. My second daughter did that – earned her CNA first and worked through school.” Although Sowards would like the experience of working in the nursing field as she continues to study, she does credit her life experiences for helping her with the discipline and tenacity needed to complete this challenging program. Their first class together was the accelerated A & P (both Anatomy & Physiology 1 and 2 taken in one semester) with “Dr. Mel” (Biology Professor Melissa Kleinschmit). They were

Photo by Margaret Sanderson

“I’ve enjoyed the time that Emily and I get to study together,” said Sowards. Although they are not taking classes this summer, the duo has joined two other nursing students to study on Mondays throughout the summer. impressed then, with “Dr. Mel’s” class and they are impressed now with the program. They have completed Level I, their first year. “We hear a lot of positive feedback about the program

here when we’re working in the community in clinicals,” said Sowards. A high school student can earn college credits while still in high school. Called concurrent

classes, the credits apply both to high school and to college. By taking enough college classes that qualify for prerequisites, it is possible to complete an RN in an See NURSING on Page 18

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Health on the Rio Grande 2018

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Health on the Rio Grande 2018

Explaining symptoms of Celiac disease

Gluten-free diets have garnered substantial attention over the last decade-plus. Perhaps nowhere is the rise of gluten-free diets more evident than at local grocery stores, many of which now devote entire sections to gluten-free products. Some may swear by glutenfree foods, but medical experts note that gluten-free diets are only necessary and beneficial to people with Celiac disease. Celiac disease is an autoimmune disorder in which the ingestion of gluten leads to damage in the small intestine. The Celiac Disease Foundation® notes that the disease affects roughly one in 100 people across the globe and even estimates that 2.5 million Americans are currently undiagnosed and at-risk for long-term health complications. The CDF notes that people are not helpless against Celiac disease. In fact, the CDF, which disseminates information through

a free mailing list, recommends men and women stay informed about the disease, seek immediate care if they suspect they have the disease and learn the symptoms of the disease, which vary between children and adults. Parents who suspect their children have Celiac disease can look for these common symptoms: • abdominal bloating and pain • chronic diarrhea • vomiting • constipation • pale, foul-smelling, or fatty stool • weight loss • fatigue • irritability and behavioral issues • dental enamel defects of the permanent teeth • delayed growth and puberty • short stature • failure to thrive • Attention Deficit Hyperactivity Disorder (ADHD) Adults are less likely than

children to experience digestive symptoms indicative of Celiac disease. For instance, the CDF notes that only one-third of adults who are ultimately diagnosed with Celiac experience diarrhea. These symptoms are more likely to appear in adults with Celiac disease: • unexplained iron-deficiency anemia • fatigue • bone or joint pain • arthritis • osteoporosis or osteopenia (bone loss) • liver and biliary tract disorders (transaminitis, fatty liver, primary sclerosing cholangitis, etc.) • depression or anxiety • peripheral neuropathy ( tingling, numbness or pain in the hands and feet) • seizures or migraines • missed menstrual periods • infertility or recurrent miscarriage

• canker sores inside the mouth • dermatitis herpetiformis (itchy skin rash) Celiac disease can produce uncomfortable symptoms. But the good news is that a glutenfree diet can effectively resolve symptoms and prevent future complications. More information is available at www.celiac. org. TF18A389

Understanding panic disorder

Various disorders can disrupt daily life and compromise people’s productivity while adversely affecting their happiness. Panic disorder is one such condition and can be especially problematic because of the seeming spontaneity of panic attacks. The Anxiety and Depression Association of America notes that roughly 3 percent of Americans experience panic disorder, or PD, in a given year. While that might seem like a small percentage, it still translates to nearly 10 million people, many of whom may benefit from taking the time to understand PD.

who experience spontaneous panic attacks. These people are preoccupied with the fear of a recurring attack. What is a panic attack? A panic attack is the abrupt onset of intense fear or discomfort. Panic attacks peak within minutes and are characterized by a host of symptoms, not all of which must be present to qualify an incident as a panic attack. Attacks occur unexpectedly and may even cause sufferers to awake from sleep.

Can anyone have PD? No one is immune to PD, though some people are more What is PD? likely to experience PD than The ADAA says panic dis- others. The ADAA notes that order is diagnosed in people panic disorder is twice as com-

mon in women than in men. While even children can have panic disorder and may experience panic-like symptoms, PD typically begins in adults age 20 or older.

What are the symptoms of a panic attack? Various symptoms are associated with panic attacks. But the ADAA notes that not all symptoms linked to panic attacks must be present to confirm an attack. In fact, some people may experience limited-symptom panic attacks, which are similar to full-blown panic attacks but consist of fewer than four symptoms. Men and women should never self-diagnose, and anyone who suspects he or she suffered a

panic attack should consult a physician immediately. But if at least four of the following symptoms are present, a person may have suffered a full-blown panic attack. • Palpitations, pounding heart or accelerated heart rate • Sweating • Trembling or shaking • Sensations of shortness of breath or smothering • Feelings of choking • Chest pain or discomfort • Nausea or abdominal distress • Feeling dizzy, unsteady, light-headed, or faint • Chills or heat sensations • Paresthesia (numbness or tingling sensations) • Derealization (feelings of See PANIC on Page 15

Health on the Rio Grande 2018

Page 15

Colorado life expectancy estimates available neighborhood-by-neighborhood

COLORADO— For the first time, public health officials, community leaders and others working to improve health in Colorado have access to census tract-level data to measure and compare differences in life expectancy neighborhood-byneighborhood. Census tracts cover geographic areas of about 4,000 people. Data available at this level can help more effectively target efforts to remove the barriers standing in the way of health and opportunity. It allows community leaders to examine factors that might be influencing differences in longevity, such as access to health care, safe and affordable housing, educational opportunities and access to affordable transportation. Life expectancy among Colorado residents ranges from 67.3 years to 89.5 years, a difference of more than 22 years. Differences of 10 years or more exist between neighboring census tracts across the state, including those in the Denver Metro Area and Front Range

region, the San Luis Valley, mountain communities, and across the Eastern Plains and Western Slope alike. People living just a few miles away from each other have vastly different opportunities for a long life. The United States Small-Area Life Expectancy Estimates Project (USALEEP) is a joint effort of state vital records offices, the National Association for Public Health Statistics and Information Systems, the Centers for Disease Control and Prevention’s National Center for Health Statistics, and the Robert Wood Johnson Foundation. These census tract life expectancy estimates, based on state death records for 20102015 and population estimates from the U.S. Census Bureau, have been unavailable until now. Access to these estimates can help public health experts determine how why life expectancies differ between people living just a few miles apart. It also can help community leaders more effectively target

solutions. To access life expectancy estimates by neighborhood, visit the Community Health Equity Mapping Project. There are maps describing variation in factors that affect health, such as poverty, education, disability, chronic disease and acute health events. Life expectancy estimates are available for 1,075 of Colorado’s 1,249 census tracts. Some census tracts have too small of a population, or too few deaths, to estimate life expectancy reliably. In these cases, the life expectancy estimate from a neighboring census tract may be useful as a substitute, especially if the two census tracts are similar in terms of characteristics such as age, race and ethnicity, education and income. Local public health agencies and hospitals can incorporate these life expectancy estimates in community health assessments and strategic plans to identify areas most in need. Community development and financial institutions can

use these data to help decide which neighborhoods most need their investment dollars to fund health clinics, schools and other projects. Community members can use the data to guide conversations about what is causing life expectancy disparities in their neighborhood and what changes may be needed to address those challenges, such as better public transportation, access to healthy food or job training opportunities. Visit USALEEP for more information. This CDC site provides access to life expectancy estimates for other parts of the county and a report on the methodology behind these estimates.

Continued from Page 14 unreality) or depersonalization can mimic those of conditions (being detached from oneself) such as heart disease, thyroid • Fear of losing control or problems and other issues. “going crazy” Individuals who think they • Fear of dying might have experienced a panic People who have experienced attack or those who suddenly panic attacks and have not been exhibited any of the aforemendiagnosed with PD may feel as tioned symptoms are advised though they are dealing with a to exercise caution and report life-threatening issue, as the incidents to their physicians as intensity of attack symptoms soon as possible.

Is PD treatable? The ADAA notes that PD is highly treatable and that people who suspect they have experienced panic attacks should not hesitate to report incidents to their physicians out of embarrassment or fear. More information about panic disorder is available at www.adaa.org. LS188194

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Health on the Rio Grande 2018

Office of Behavioral Health receives over $30 million to address opioid crisis

COLORADO—The Substance Abuse and Mental Health Services Administration (SAMHSA) recently announced the Colorado Department of Human Services, Office of Behavioral Health will receive $15,093,156 per year for two years through the State Opioid Response (SOR) Grant. The grant period begins Sept. 30. With the money, the department will build on their current work to increase access to substance use treatment, prevention and recovery services for people with opioid use disorder. This includes addiction and dependence on prescription painkillers, like OxyContin or Vicodin, or illegal drugs like heroin and fentanyl. “This grant will bring expanded opioid treatment services to the state of Colorado, specifically the rural communities,” said Dr. Robert Werthwein, director of the Office of Behavioral Health. “OBH has been working for the past year to build new partnerships with hospitals, jails, opioid treatment programs, payers, and people in recov-

ery. These partnerships are essential to building sustainable programs that will continue long after the grant is over.” Plans for the funding focus heavily on expanding access to medicationassisted treatment (MAT). MAT is a highly effective treatment that includes traditional group and individual therapy along with anti-craving medications such as methadone, buprenorphine and naltrexone. The anti-craving medications help reduce relapse and overdose and increase chances of long term recovery. The grant will support six new mobile health units that can travel to rural and frontier communities, training for doctors and nurses to prescribe MAT, and payment for treatment for people who are uninsured. The six mobile health units will travel to rural, underserved areas with high overdose rates, minimal treatment options and those areas who exemplify community readiness. The units will be staffed with a nurse, masters level counselor and peer navigator with video conferencing and telehealth

capabilities. Other grant activities include: Plans to purchase and train people to use the life-saving overdose reversal drug, naloxone. During the first year of the grant, naloxone saved 437 people from overdose in Colorado. Expansion of the Lift the Label antistigma campaign that connects people to effective treatment services. Ten hospital pilots to promote safe prescribing and pain management through the alternative to opioids (ALTOs) model. Family support services that help children and loved ones of those battling addiction. Local community planning grants, workforce trainings and education. OBH’s focus and strategic plan for the use of all federal opioid funding is to create new access points for treatment, collaborate more with local partners, train the workforce and provide the resources available to all Coloradoans who may be struggling with opioid use disorder.

Youth vaping nicotine at twice the national average

COLORADO— Colorado youth are vaping nicotine at twice the national average and at the highest rate of 37 states surveyed, according to the U.S. Centers for Disease Control and Prevention. A separate, more comprehensive state survey shows about half of Colorado high school students have tried vaping nicotine, don’t see it as risky and think vaping products are easy to get, even though it is illegal to purchase them as minors. “Vaping has replaced cigarettes as a way for underaged youth to use nicotine,” said Dr. Larry Wolk, executive director and chief medical officer of the Colorado Department of Public Health and Environment. “Too

many of our young people don’t realize the health risks involved.” While smoking cigarettes among high school students has dropped, vaping nicotine continues to increase. According to the 2017 Healthy Kids Colorado Survey, only 7 percent of high school students currently smoke cigarettes, while 27 percent said they vape nicotine. The statewide school survey shows 87 percent of Colorado high school students think cigarette smoking is risky, but only 50 percent think those risks apply to vaping nicotine. Research shows both smoking and vaping can be harmful to youth. More than 90 percent of vaping products, when tested,

were found to contain nicotine. Nicotine has a negative effect on adolescent brain development, causing lasting cognitive and behavioral impairments, including effects on working memory and attention. Studies have shown that vape products can contain dangerous toxins, including heavy metals and chemicals known to cause cancer and other diseases. Studies also show vaping is a predictor of future cigarette smoking. A study of 12th gradestudents who had never smoked a cigarette found those who reported recent vaping were nearly five times (4.78) more likely to take up smoking one year later. The health department has

launched a statewide public education campaign to help parents and other trusted adults, such as teachers, coaches and counselors, talk to youth about vaping. The campaign’s comprehensive TobaccoFreeCo.org site contains free materials, including tips on starting the conversation and a Vaping 101 fact sheet. It also includes information meant to destroy the myth that vaping is safe and raise awareness about the health risks of using nicotine. “Research has shown us that young people benefit from conversations with their parents and other trusted adults,” said Wolk. “Fact-based conversations can be very productive, and actually change teens’ minds about the risks of vaping.”

Health on the Rio Grande 2018

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The relationship between health and volunteering

Volunteering is often its own reward. Helping others can be just as beneficial to the people doing the helping as it is for the people being helped. Though it can sometimes be hard to find time to volunteer, a close look at some of the various health benefits of volunteering may compel adults and children alike to find the time they need to volunteer.

Volunteering and happiness Veteran volunteers may have long suspected they’re happier when they volunteer, and research suggests that’s true. A study from researchers at the London School of Economics that was published in the journal Social Science and Medicine found that the more people volunteered, the happier they were. The researchers compared people who never volunteered to people who did, finding that the odds of being “very happy” rose by 7 percent among people who volunteered monthly. Those odds

increased by 12 percent among people who volunteered every two to four weeks.

Volunteering and mental health Psychologists have long known that social interaction can improve mental health. Psychology Today notes that interacting with others decreases feelings of depression while increasing feelings of well-being. Volunteering is a great way to meet new people, exposing volunteers to people with shared interests. That can be especially valuable to people who are new to a community, helping them to avoid feelings of loneliness after moving to an area where they have no preexisting social network. Volunteering and long-term health Volunteering that requires social interaction can produce long-term health benefits that can have a profound impact on quality of life as men and women

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age. A recent study published in the Journal of Alzheimer’s Disease focused on participants without dementia who were involved in a highly interactive discussion group. Researchers compared those participants to others who participated in Tai Chi or walking or were part of a control group that did not receive any interventions. The former group exhibited improved cognitive function, and MRIs indicated they increased

their brain volumes after being involved in the discussion group. Larger brain volume has been linked to a lower risk of dementia. Many volunteering opportunities require routine interaction with others, potentially providing significant, long-term health benefits as a result. While volunteering is a selfless act, volunteers may be benefitting in ways that can improve their lives in both the short- and long-term. GB18B421

recommends routine testing. • Reduce or eliminate your exposure to certain chemicals. The American Lung Association says that exposure to certain hazardous chemicals increase a person’s risk of developing lung cancer. Materi-

als such as asbestos, uranium, arsenic, cadmium, and other chemicals can be especially dangerous. If you are exposed to such chemicals at work, follow safety guidelines at all times and speak with your physician about how to protect yourself.

How to lower your risk for lung cancer

Lung cancer, the most common cause of cancer death across the globe, is a formidable foe. According to the World Health Organization, lung cancer causes 1.76 million deaths per year. That’s more than double the number of deaths caused each year by colorectal cancer, which is the second most common cause of cancer deaths in the world. TheAmerican Cancer Society notes that, while not all lung cancer deaths can be prevented, there are things everyone can do to reduce their risk of getting this disease. • Steer clear of tobacco. The ACS says avoiding tobacco is the best way for people to lower their risk of developing lung cancer. Even nonsmokers are at risk if they breathe in other people’s smoke. For smokers, the benefits of quitting are nearly immediate,

as the ACS notes smokers’ heart rates and blood pressure drop just 20 minutes after quitting. • Avoid radon. Radon is a radioactive gas that’s released when the elements uranium, thorium and radium in rocks and soil naturally decay. According to the National Cancer Institute, when radon decays, it gives off tiny radioactive particles. If these particles are inhaled, they can damage the cells that line the lung. Prolonged exposure to radon can lead to lung cancer. Homeowners and landlords should have their properties routinely tested for radon. Such tests are the only way to detect if a home has elevated radon levels. Because factors such as rain, snow and barometric pressure can cause radon levels to vary from day to day or month to month, the NCI

Page 18

NURSING additional two years at Trinidad State. While still attending Sanford High School, Faucette took five college classes: psychology, sociology, precalculus, AP (Advanced Placement) English, and a science class. At Trinidad State a student can earn a CNA and then work while becoming a Licensed Practical Nurse (LPN), then work as an LPN while working toward Registered Nurse (RN) and then work as an RN while earning a Bachelor of Science in Nursing (BSN), all the while gaining valuable work experience. “I love the flexibility at TSJC. There are so many options,” said Sowards. With the passing of Colorado House Bill 1086 last March (to address the shortage of nurses), designated community colleges may be allowed to offer a BSN by the fall of 2020. Trinidad State is one of the seven Colorado Community Colleges being considered. Sowards and Faucette started the nursing program in August of 2017 and plan to graduate in May of 2019 with an Associate Degree in Nursing (ADN). But neither will officially be an RN until passing the standardized NCLEX (National Council Life Ensure Examination) which

Continued from determines whether a nursing candidate is adequately prepared for entry level nursing. Although they opted not to take summer classes, they are meeting at the college on Mondays to study. “We want to keep what we learned fresh. We don’t want to forget,” said Faucette. Sowards, added, “It would be harder to get back in the swing of things if we didn’t meet in the summer. Four of us are doing this together to stay in the habit of studying. It’s partly a refresher and it helps prepare us for fall.” In Soward’s extended family, there are three more nurses – one step-daughter and two sisters-inlaw and another step-daughter who earned her CNA. That makes a total of eight women in the family that have studied nursing. Five of them have taken classes at Trinidad State. Devoted study buddies, the duo will often ask the two oldest daughters nursing questions and those two will often share their own nursing adventures. Nursing is creating an even tighter bond for this already close family. “At orientation they told us we would become a family,” said Faucette. So now, in addition to their biological nurse family, they have a family of nursing stu-

This high tech mannequin can be computer programmed to imitate many human conditions. Sowards and Faucette demonstrate using a mannequin for checking vital signs.

Health on the Rio Grande 2018 Page 12

Photos by Margaret Sanderson

Along with classmate, Gus Salano, Sowards and Faucette, pose next to one of the mannequins used for training. dents. “We have a great group,” Colorado Center for Nursing Exsaid her mom. “We look out for cellence, Colorado needs 1,780 each other.” more nurses right now. Many “I’ve enjoyed the time that Em- baby boomer nurses are reaching ily and I get to study together,” retirement age and nurses will be she continued. During the school needed to replace them. year, they stay all day and study. “We’ve never had a mother and They agree with others who daughter in the same class,” said have said the nursing program at Trinidad State nursing instructor Trinidad State is a full-time job. Martin Dineen. “It’s neat to have Nursing is multi-faceted with that kind of situation. They’re many employment options. going to do well.” Sowards quickly named a few – To learn more about the floor work, management, home nursing program at Trinidad health, clinic work, surgery, State, contact Nursing Director teaching, home visitation, and LoriRae Hamilton at lorirae. travel nurse. There is a short- hamilton@trinidadstate.edu or age of nurses. According to the 719-846-5524.

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Health on the Rio Grande 2018

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SLV Health Sports Medicine and PRO Therapy provide physicals and much more to local community

SAN LUIS VALLEY— SLV Health provided over 535 free sports physicals to a variety of Valley high school students this past spring and summer. The team traveled to the schools and the athletic directors reported that about 75 percent of all of their student-athletes received physicals. Ashely Voss, SLVH certified athletic trainer, coordinated the outreach to the schools and student-athletes. She commented, “Our providers saw over 500 individuals in five different locations over the course of six different engagements. While the majority of the students were cleared, the screens helped identify some athletes who needed follow up

care with their primary care physician or other specialists. Some of these findings included heart conditions, head injuries, previous trauma, unexplained syncope episodes and orthopedic injuries. The physicals took a bit longer than in past years, but parents and students told me they thought it was thorough and worth the wait.” While this screening is convenient for parents, coaches and students, the best practice is to also schedule an annual wellness visit with a provider each year. Community outreach opportunities allow the child to develop a relationship of trust with a provider where they Courtesy photos can discuss their concerns as well Kalee Chavez-Miller helps screen students. as have learning windows about SLV Health staff welcomes the many safety issues facing teenagers, including vaccinations. SLV Health is providing free these opportunities to educate baseline imPACT testing to all Valley residents on the imporstudent-athletes through their tance of preventive care, wellconcussion program. Each stu- ness visits, and overall health. dent receives a report which Dr. Carissa Tripi is the medical they can share with their respec- director for sports medicine and tive provider or athletic trainer. Joe Stephens is the director for SLV Health’s Pediatrician Dr. therapy services. Their teams Pence is a credentialed ImPACT plus over 30 staff members across consultant. several departments provided outThe team from Sports Medicine reach to the community including and PRO Therapy have also been Dr. DeHerrera, Elisa Mullikin, providing $20 physicals to ASU Katherine O’Donnell, Dr. Pence, and TSJC athletes. The money Dr. Voutsalath, Brendan Simenc, collected is donated back to the Tish Hollingsworth, Dr. Clint Sotraining room to improve equip- wards, Brian Jackson and Kalee Chavez-Miller. JuliaVeseth, PT, DPT, is part of the team screening student-athletes. ment and facilities.

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Health on the Rio Grande 2018

How you can benefit from having a pet

Pets have been kept for centuries. Statistics from various sources indicate North Americans own millions of dogs, cats, birds, small mammals, and reptiles. Pets’ affable nature and loving looks are enough for many people to welcome them into their homes, but the benefits of having a pet extends beyond their appearances and temperaments. • Pets can help prevent loneliness. Loneliness affects people of all ages, but it is particularly problematic among seniors. Older adults who may be isolated can benefit from having a pet around. According to a study published in Aging & Mental Health, older adults who owned pets were 36 percent less likely to say they were lonely compared to those who didn’t have an animal companion. • Pets can save lives. Pets can be trained to perform various tasks around the house and in the community. Rescue animals assist in finding people after natural disasters. Medical alert pets can help people with debilitating illnesses and assist physically impaired people with everyday tasks. • Pets help lower allergy risks. Keeping pets around can reduce a child’s likelihood of developing allergies by as much as 33

percent, according to a study by pediatrician James E. Gern that was published in the Journal of Allergy and Clinical Immunology. People exposed early on to animals tend to develop stronger immune systems overall. • Pets provide socialization opportunities. A pet can be the common denominator to strike up new friendships and connect with others. Whether walking around the neighborhood or being part of a pet obedience class or interest group, pets can help their owners expand their social circles. • Pets can help combat stress. Talking to or stroking a pet can make stress easier to handle. A study from researchers at the State University of New York at Buffalo found that, when conducting a stressful task, people experienced less stress when their pets were with them. Various other studies and data from the Centers for Disease Control and Prevention have found having a pet around can lower blood pressure, ease anxiety and may even help to lessen aches and pains. Pets provide unconditional love, which can be beneficial to someone facing depression or post traumatic stress disorder. • Pets help teach responsibility. Taking care of a pet can help children and adults

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become more responsible. According to the American Pet Product Association’s 20112012 National Pet Owners Survey, 58 percent of pet owners say their pets help teach their kids to be responsible through routine care, exercise and feeding of the animal. Pets are more than mere companions. In fact, pets can offer numerous health and well-being benefits to people of all ages.

How puzzles promote health and wellness

Puzzles are fun and entertaining, but their benefits go beyond simple recreation. In fact, playing and solving puzzles on a regular basis can benefit adults and children in various ways. Puzzles often stimulate problem-solving centers in the brain and can improve brain health. Researchers have found that, by completing crossword puzzles, playing challenging games or doing other puzzle-related activities, individuals may be less likely to develop brain plaques that have been tied to Alzheimer’s disease. Data published in the Archives of Neurology found a distinct connection between people who exercised their minds with stimulating activities in their early and middle years and brain health. This group had less Beta-amyloid protein up-

take in their brains, which is linked to the onset of Alzheimer’s, than those who didn’t engage in puzzles during the same time frame. Beyond their health benefits, puzzles offer some additional perks. • Puzzles boost vocabulary. Puzzles such as crosswords or codewords/cryptograms introduce

people to new words. This helps people expand their vocabulary and can help them improve their spelling. • Puzzles teach patience. Puzzles can be challenging, and such challenges can promote patience in regard to approaching and realizing goals. • Puzzles can reinforce lessons. Teaching through puzzle play is an effective way to tap into memory retention while making lessons fun. • Puzzles may improve intelligence. Engaging in puzzles can force players to think and reason using general knowledge, memory, spatial imagery, and logic. These skills help to sharpen intellect over time. Researchers at the University of Michigan even found that adults could boost their

IQs by four points after spending 25 minutes a day doing puzzles. • Puzzles reinforce concentration. Concentration is required to find words hidden in a word search puzzle or to solve a brainteaser. According to data on SelfGrowth.com, puzzles naturally induce a state of creative, focused meditation. • Puzzles improve visual-spatial reasoning. When solving a jigsaw puzzle or working one’s way through a maze, players have to look at different shapes and figure out where they fit within the larger picture. Better visual-spacial skills can help with packing, driving and using a map and can be valuable career tools in fields such as architecture. Puzzles are a fun recreational activity that also can boost brain health. TF18B486

Health on the Rio Grande 2018

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Memory care a component of assisted living

Aging brings about many changes, including some that may compromise seniors’ ability to remain independent. In such instances, many families consider assisted living facilities for their aging relatives. More than 835,000 Americans currently reside in assisted living communities, according to the National Center for Assisted Living. While communities and homes provide various services, one service in particular may be needed for seniors with Alzheimer’s disease, other dementias or memory problems. Memory care units are separate facilities that cater to people with dementia or other memory issues. According to the senior residence referral and resource guide A Place for Mom, memory care is a distinct form of long-term skilled nursing. Also called special care units, memory care facilities provide 24-hour supervised care for individuals. This care is often carried out in a separate wing or floor of a residential facility or community. Memory care facilities aim to provide a safe and secure environment for residents. This means limiting entry or egress to other areas of the facility for those who may have

trouble navigating and remembering where they started out. The Alzheimer’s Association notes that six in 10 people with dementia will wander and become disoriented. This is dangerous for the individual and others. Memory care units often have alarms and “wander guard” precautions in place to make sure residents cannot roam unsupervised and risk injury. Another goal of memory care is to provide a stress-free, structured lifestyle that has set schedules and routines, states Brookdale Senior Living. This can help keep distress minimal and make for more comfortable and happy residents. In addition, memory care units offer programs that help slow the progression of dementias and cultivate cognitive skills. Fitness exercises, games, specialty food programs, activities, and much more may be offered to make residents more comfortable. Memory care facilities include common spaces for socialization, meals and activities. “Alzheimer’s patients must maintain their activity, walking, interacting with music, and art,” says Lory BrightLong, MD, CMD, of the American Medical Directors Association. “We have to

awaken the senses so that the memory can have a hook. This is accomplished in the memory care setting.” It is important for those considering assisted living

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and nursing home facilities to inquire about specific memory care units if a loved one requires this environment. Start the search at APlaceForMom. com. TF18B483

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Health on the Rio Grande 2018

10 early signs of Alzheimer’s disease

Change plays a big role in the aging process. As adults age, both their minds and bodies undergo changes. The changes associated with aging are not uniform. Some people may experience small changes as they inch toward and ultimately pass retirement age, while others may undergo changes that affect nearly every aspect of their lives. Cognitive decline is the type of age-related change that can have a dramatic impact on a person’s life, affecting his or her ability to live independently. A general term used to describe symptoms associated with a decline in memory or thinking skills such as judgment and reasoning, dementia is often mistaken as a normal part of aging. However, the Alzheimer’s Foundation of America notes that dementia-related illnesses, including Alzheimer’s disease, are not a normal part of aging. Because many people associate memory loss with aging, they may be compelled to accept some of the early signs and symptoms of Alzheimer’s as mere byproducts of growing older. However, the Alzheimer’s Association urges men and women to report any of these 10 early signs and symptoms of Alzheimer’s to their physicians the moment they’re noticed. Family members who notice these signs in their relatives also should report them to their loved ones’ physicians. 1. Memory loss that disrupts daily life: Examples of this symp-

tom include forgetting recently learned information; forgetting important dates and events; and asking for the same information over and over. 2. Challenges in planning or solving problems: Someone exhibiting this symptom may have trouble following a recipe or paying monthly bills. 3. Difficulty completing familiar tasks at home at work or at leisure: Forgetting the rules of a favorite game or experiencing trouble driving to a familiar location are some examples of this symptom. 4. Confusion with time or place: People with Alzheimer’s

lose track of dates, seasons and the passage of time. 5. Trouble understanding visual images and spatial relationships: Some people withAlzheimer’s have difficulty reading, judging distance and determining color or contrast. 6. New problems with words in speaking or writing: Difficulty joining or continuing a conversation and calling things by the wrong name are some examples of this symptom. 7. Misplacing things and losing the ability to retrace steps: People with Alzheimer’s sometimes put things in unusual places and then cannot retrace their steps to find those things.

8. Decreased or poor judgment: Poor judgment and decisionmaking often affects people with Alzheimer’s. 9. Withdrawal from work or social activities: People with this symptom may begin to withdraw from favorite activities or avoid being social because of the changes they’re experiencing. 10. Changes in mood and personality: Mood changes affect people with Alzheimer’s, who may become confused, suspicious, depressed, fearful, or anxious. Learn more about Alzheimer’s disease at www.alz.org. TF18B478

Alzheimer’s disease, the most common form of dementia, is often mistaken as something that only affects aging men and women. While the Alzheimer’s Association® notes that age is the biggest risk factor for Alzheimer’s, the group also warns that even men and women nowhere close to retirement age

can develop the disease. In fact, the Alzheimer’s Association reports that, in the United States alone, roughly 200,000 people under the age of 65 have earlyonset Alzheimer’s disease. According to the Alzheimer’s Association, many people with early-onset are in their 40s and 50s. Recognizing that Al-

zheimer’s is not just for retirees but capable of affecting younger men and women with families and careers is important, as the Alzheimer’s Association points out that healthcare providers typically do not look for signs or symptoms of Alzheimer’s in young people. In such people, symptoms of Alzheimer’s may

be incorrectly attributed to stress. Adults who suspect they might be suffering from early-onset Alzheimer’s should have a comprehensive medical evaluation, which may include a neurological exam and/or brain imaging, conducted by a physician who specializes in Alzheimer’s disease. TF18B479

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Health on the Rio Grande 2018

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