My Boone Health Spring 2014

vol: 4 issue: 2

MOM The Influence And Impact Of Mothers And Motherhood

d

head to toe program could help you get your children excited about being healthy

Table Of Contents Page 16

Page 18

Boone Hospital Center’s mission is to improve the health of the people and communities we serve.

Jim Sinek President

Page 22

Ben Cornelius Communications and Marketing Manager

Jessica G. Park Marketing Coordinator Photos By

Dave Hoffmaster Contributing Writers

Kelsey Hoffmann Jacob Luecke

Page 20 5...................................................... A Note From Boone Hospital President Jim Sinek 6.....................................................................................................

myBoone Health Stories

8................................................................................................................ Hospital Headlines Follow us on Facebook, Twitter Instagram and Pinterest.

Please submit comments or feedback to bcc1170@bjc.org or call 573.815.3392

1600 East Broadway Columbia, MO 65201 573.815.8000 For a free subscription, call 573.815.3392 or visit myBooneHealth.com and click on the subscription link on the right side of the page.

10...........................................................................................................................

Head To Toe

14.................................................................................................................. Brown Bagging It 16.............................................................................................................. Mother Knows Best 18.....................................................................................................................

20............................................................................................................

Boone Families

A Mother’s Influence

22............................................................................................................................ Family Circle 24........................................................................................................... Wiping Out Infection 26............................................................................................................................

“Security Is”

27.................................................................. Boone Hospital Foundation 2013 Donors 30............................................................................................................

To Protect And Serve

BOONE HOSPITAL CENTER Spring 2014

3

A Note From Jim

Treating Our Patients As We Would Treat Our Mother

I Jim Sinek President Boone Hospital Center

magine caring for your mother, who was just admitted to Boone Hospital Center. Your mother is frightened, anxious, unsure of what is wrong with her and worried about her family. You love your mom and would do anything for her.

So what exactly would you do? How would you care for her? Certainly you would protect her and make sure she was not harmed in any way while she was in our care. You would double check to assure she is receiving the right medication, treatments, and has assistance when needed. You would also make sure she understood and participated in her care plan as well as discharge instructions.

You would talk to the professionals who were caring for her, so that they are aware of your mother’s unique likes and dislikes, her special concerns and interests, and what makes her happy. You would do this because you want to make sure her care team has helpful background information on your mother that will make their jobs easier and more enjoyable. This will also allow her team to be better prepared to care for her in a manner that will be personal, customized and satisfying. And you would want all of the care team members talking to each other and to your mom so that her care was well coordinated.

It would also be important to you that everyone your mother encountered was exceptionally nice to her. You would hope for good manners ­— just like she required of you growing up! — a bright, cheery and positive attitude, a smile, and for everyone to go out of their way to anticipate your mother’s needs and to exceed her expectations.

Is this what you would do for your mother if she were a patient at a hospital? Is this how you would want her to be treated?

“Teamwork”, “Safety” and “Courtesy/Helpfulness” have been designated by Boone Hospital Center and BJC HealthCare as the most important ingredients in providing excellent care for our patients. These key indicators have been established as a result of data gathered by Professional Research Corporation (PRC) through their surveys of our Boone patients, and we pay very close attention to our performance on those measures.

But we don’t need a survey to tell us those things are important.

We simply treat every patient as if they were our mother.

Happy Mother’s Day!

BOONE HOSPITAL CENTER Spring 2014

5

myBoone Health Stories Visit myBooneHealth.com To Read More — And Share Your Own Story

Superb Service from Portal to Post ... A Boone Experience From Gary D. Smith as told by his partner, Randall F. Kilgore

O

n January 6, 2014, my life partner entered Boone Hospital Center to undergo a radical prostatectomy.

The day before, one of the coldest days in the New Year, church had been cancelled, and his plans for announcing the impending operation squashed, he settled in at home for the long wait to Monday’s appointment. You see, January 5 was his 61st anniversary of birth, and he was greeting the birthday with joy and a sense of celebration for life and the promise of cure that would come from the delivery of his Stage I prostate cancer.

Gary D. Smith is the director of Music and Fine Arts at Unity of Columbia. It is there he also uses that “right brain” mentality to oversee the administrative matters of the congregation. His perfect world of “right brain – left brain” was to be temporarily stalled while the New Year brought about the election to have his cancer removed. Gary was to have announced that Sunday morning at the conclusion of the Unity service that he was to be entering Boone Hospital Center Inset: Michael Cupp, MD; Gary D. Smith next to an inspirational quote in Dr. Cupp’s for surgery and would be absent from the office, “Everyday is a gift.” office and greater community of faith for patient and their family during such times pre- and post surgery. It a brief time. The “winter weather vortex,” as it was being called, hit was clearly a seamless process. To a person, I could find no one who and hit hard. Monday seemed like a faraway day to come as we crossed boundaries inappropriately. waited through the day and witnessed the many cancellations scroll Gary was taken to surgery and thus began my wait. I was called across the screen of our television. to the telephone numerous times by the circulating nurse, who Monday morning arrived early for us, and we departed home provided me up-to-date reports of the proceedings of surgery, and for the inevitable event to come. From the moment we arrived at the stages at which the surgeon was doing his tender work. There the surgery center, we knew we had come to a safe place. Smiles were no complications, and her assuring voice gave me peace of that early morning were in abundance, and it seemed as if everyone mind and clarity for what was occurring down hidden halls and was waiting just for us on our arrival. I anxiously looked around behind closed doors in exceptionally clean spaces. the large, spacious surgery waiting area and saw the looks of many When all was done, I was once again greeted with an invitation persons just like me awaiting uncertain news, a lengthy hospital stay, to “come on back” and meet with the surgeon and receive his perhaps, or worries of weather wrinkling every part of their faces. report.

I give you Michael R. Cupp, M.D., Urologist!

We had first Our wait was not long, and Gary was called to the pre-op area met Dr. Cupp in the summer of 2013, when problems seemed to where the capable hands of the surgical team met him with warmth persist with Gary’s prostate.

Enlarged beyond normal margins, it and kind, gentle regards. I was called to the area soon enough, became apparent that something more was happening and focused and with such respect and hospitality, it gave me a sense of calm attention needed to be given. I had known Dr. Cupp through my and assurance that all was in order. You see, I serve at Truman VA own associations with his practice, but professionally from years Medical Center as the compliance and business integrity officer, of working in the health care community for which Columbia is and oversee the integrated ethics program for that health care known. His excellent reputation preceded him, and I felt good about organization. Needless to say, with my health care experience and each and every discussion we had with him regarding options for professional background, I am generally on high alert to observe treatment. processes and listen thoughtfully to the words shared with the 6

Spring 2014 BOONE HOSPITAL CENTER

Share your story myBooneHealth.com

The post-surgery meeting was no different than all of the other appointments we had together attended. You see, Gary and I have been committed life partners for 33-plus years, and such medical decisions are not made independently. Dr. Cupp treated us with the same respect and due diligence any couple would expect when making such important decisions. He came to me and explained the surgery again, what was encountered, why there a prolonged period in the OR and what then to expect after Gary was released from the recovery area to his room. It was, again, the hallmark of the Boone Experience that became very personal and real in the privacy of the consultation room.

Admitted to the South Tower fifth floor, Gary was awake and asking for me before I realized he was out of recovery. A small “glitch” happened in the surgery waiting area while I waited, and the paging system failed to notify me that I could “come on back” to see Gary.

Apologies were in abundance from several persons, and a flurry of calls to get me to South Tower was suddenly in play when it was fully realized what happened. I made it to the floor and entered the room where, already, volunteers had delivered the “post” of the day! He had only been I was called to admitted early that morning, and there the telephone were Boone Hospital Center “e-Cards” numerous to greet him!

The care for the next 48 hours was times by the exceptional, thorough, and clearly circulating nurse, another example of the seamless who provided processes of bedside care. Gary is not an “easy patient”, although delightful me up-to-date and charming he can be, his underlying reports of the medical problems are centered around proceedings of Type I diabetes mellitus. On paper, Gary doesn’t look like a diabetic. His excellent, surgery. well-managed, day-to-day self-care is clearly not the expected norm for someone who has been diabetic as long as he has. It always surprises and astonishes well-schooled, educated health care professionals and providers that he understands often more about his diabetes treatment than what the textbooks say.

Day of discharge came one day earlier than anticipated. With excellent incision care, pain management and giving the patient reins to manage his diabetes, Dr. Cupp gave his order and once again we were making our way from the post to the portal from which we arrived. The attitude of customer service, hospitality and “come on back” spirit leaves little wonder that, at the end of the day, you know you will be coming back.

A cold, wintry “vortex” on Gary’s 61st birthday provided the perfect platform for a surgery well-planned, in the warmth and comfort of a sunny and bright spot along the eastern edge of Broadway where that place we call Boone rests high overlooking the community below.

Thank you, Boone Hospital Center! Thank you for being that “come on back” sort of place. From portal to post and home again, our Boone experience was exceptional.

54 Years Of Dedication

By Jessica G. Park

I

n October 1959, when Joyce Cox began working at Boone Hospital Center as a nurse’s aide on the obstetrics unit, “There was only one building,” she says. “And the cafeteria was in the basement.”

Fifty-four years later, the hospital has several buildings, the cafeteria is on the second floor, and Cox is the longestserving employee ever to work at Boone.

On the obstetrics unit, as an aide, then OB tech, unit secretary/tech, and unit manager, Cox enjoyed the familyoriented environment. She built close friendships with coworkers and frequently took calls from their children, who would ask permission from Cox to go to the movies or visit a friend. She also enjoyed working with patients.

“I had a little kid and his mother come visit,” Cox says.

“His mother told him, ‘That’s the woman who took you down when you were a baby’ – back then we had to walk the mother and baby down, and we carried the baby. The little boy said ‘Oh yeah, I remember her!’”

When Cox transferred to Medical Records, it was a definite change of pace. “When I first started there, it was very, very quiet.”

Before long, though, this atmosphere changed, and Cox became close to some of the clients she assisted.

She was recognized for her excellent service in Medical Records when she was named 2002 Boone Hospital Center Employee of the Year.

When Cox reached the 50-year mark in October 2009, her colleagues gave her a surprise party. She also received special recognition for her commitment at the hospital’s Service Awards Banquet in March 2010. She was chauffeured with her family and friends to the ceremony in a limousine and received a special presentation on stage, including a video, a song, and a dance with then-president Dan Rothery.

And then, Cox continued to work. She wasn’t ready to retire yet. But when she was ready, there was no doubt in her mind. “When I decide I’m going to do something, I do it,” she says. “I just got up one morning and said, ‘This is going to be the year.’ That’s how I operate.”

Thank you, Joyce, for 54 years of service and dedication.

BOONE HOSPITAL CENTER Spring 2014

7

Hospital Headlines News From Boone Hospital Center

Boone Appoints Medical Director Of The New Stewart Cancer Center

J

oseph Muscato, MD, was named medical director of the Stewart Cancer Center at Boone Hospital Center.

Dr. Muscato, a hematologist-medical oncologist, has practiced in mid-Missouri since 1982. He is the founder of the region’s leading oncology clinic, Missouri Cancer Associates. He is also chairman of Boone Hospital Center’s cancer committee and a past-president of the Missouri Oncology Society. In addition to his various positions, Muscato has worked to bring leading cancer treatments to Boone Hospital Center and was instrumental to the development of the new Stewart Cancer Center.

Joseph Muscato, MD, “Dr. Muscato is an outstanding clinician and caregiver, Medical Director of the Stewart Cancer Center; but he’s also much more,” says Boone Hospital Center Above: The lobby of President Jim Sinek, “He dedicates countless hours to the inpatient unit of the serving as a leader, promoting physician collaboration and Stewart Cancer Center ensuring the patients of mid-Missouri are receiving the absolute best cancer care possible. I am proud to have Dr. Muscato on our team, and I have high expectations for his leadership as we continue to expand the Stewart Cancer Center and remain the leading cancer center in mid-Missouri.”

Muscato attended medical school at the University of Pennsylvania. He completed his internship and residency at the University of Missouri and his fellowship in hematology and medical oncology at Duke University.

The Stewart Cancer Center was created in collaboration with Virginia and Norm Stewart. While Norm is known for his hall of fame career coaching the University of Missouri men’s basketball team, he is also a cancer survivor. On Jan. 6, 2014, Boone Hospital Center and the Stewarts opened a new inpatient cancer treatment unit with 32 private patient rooms, which was doubled to 64 private patient rooms in February after a renovation of two floors. Other recent Stewart Cancer Center projects include new free lung cancer and skin cancer screenings.

8

Spring 2014 BOONE HOSPITAL CENTER

Boone Nurse Learns Lessons From Across The World

M

ary Tribble felt blessed to be able to buy the house she really wanted in Columbia, Mo., 20 years ago. That’s when she decided to help those who weren’t as fortunate and signed up for a Habitat for Humanity trip to build homes in Mexico.

Ready to board a plane at Lambert Airport, not speaking a word of Spanish and not knowing anyone else on the Habitat trip, she thought for just a moment, “What am I doing?”

But the people she met, from fellow volunteers to residents in the town where they worked, won her over. She’s been going on Habitat trips ever since. “You meet such wonderful people,” she says.

The trips allow her to indulge her passion for helping others and her love of travel. So far, she’s been to Honduras, Mexico, Poland, Canada and El Salvador with Habitat, as well as the southeastern U.S. to clean up after Hurricane Katrina.

Tribble, who started working as a patient care technician at age 16, says she’s learned a lot going abroad with Habitat. Maybe not carpentry skills — most of the houses they build in developing countries are cinder block — but an understanding of how much of the rest of the world lives.

“One important lesson you learn,” she says, “is how other people around the world do things, live their lives, with much less.”

The latest news boone.org

Six Employees Awarded BJC Scholarships

Heidi Burris

J

Sanita Hasanovic

ust before the holidays, Mary Beck, vice president and chief nursing officer, told six Boone Hospital Center employees that they were each awarded a BJC nursing scholarship.

Heidi Burris, Sanita Hasanovic, Danielle Lowe, Jessica Parker and Carissa Mitchell received the Ruth Castellano Scholarship.

The scholarship is awarded to students working toward either an associate’s or bachelor’s degree in nursing. It was established in honor of Castellano, who

Danielle Lowe

Jessica Parker

served as vice president of BJC Home Care Services for six years.

“Receiving the scholarship is very nice financially, but most of all I’m grateful that BJC and Boone Hospital value me as an employee enough to invest in me,” Burris says.

The sixth nurse to receive a scholarship was Sarah Hollenberg. She was awarded the Edward J. Stiften Scholarship. BJC created the scholarship in 2005 to honor Stiften, a former BJC vice president and chief financial officer. Due to his strong support of nursing development, this scholarship is

Carissa Mitchell

Sarah Hollenberg

awarded to nurses enrolled in a master’s or doctoral nursing degree.

“Receiving this scholarship is just another example of how supportive Boone Hospital has been of me both now and every moment since I started working here in 2008 as a nurse aid,” Hollenberg says.

“I have used Boone’s tuition assistance through my undergraduate and now in my master’s program. Through it all, Boone has been a wonderful place to work and receive health care. I truly take pride in being able to work for such a wonderful organization.”

Boone Hospital Center Completes Major Renovation

O

n January 13, Boone Hospital Center celebrated the completion of a $10.7 million renovation of two floors, bringing 64 more private patient rooms to Boone Hospital.

The two newly renovated floors will house the hospital’s Medical Specialties Unit (to be located on the fourth floor of the central tower, C4) and the Orthopedic Specialties: Joint Replacement Center (fifth floor of the central tower, C5). The floors underwent a complete renovation and were reconstructed using the same safety, comfort and healing focused design ideas used in the hospital’s 2011 south tower expansion. With the completion of these two floors, 95% of Boone Hospital Center patient rooms are now private.

BOONE HOSPITAL CENTER Spring 2014

9

Now enrolling, call: 573.815.6207 or 573.815.3870

Head toToe

Fun-Based Program

Has Kids

Excited About

Healthy Living

By Jacob Luecke

T

homas Bacon’s favorite snack is something you’ve probably never heard of before.

“I love neeners; they’re my favorite thing,” he says.

Since Thomas is a middle school student, you might guess that he’s talking about sugar-coated rock candy, a new chocolate concoction or some kind of sour gummy treat.

But neeners are none of those.

They’re bananas.

“I like them so much I kind of gave them a nickname: neeners,” he says.

“Grabbing something healthy is a lot better, like neeners or an apple.”

Thomas, 11, and his sister Ellie, 10, are two local kids who are excited about living healthier lifestyles thanks to Head to Toe, a youth health class at Boone Hospital Center.

Ellie says the class made her think twice about eating fast food.

“I try to be healthy,” she says. “When they showed us all the disgusting things 10

Spring 2014 BOONE HOSPITAL CENTER

they put in fast food, it changed my mind about what I ordered.”

Boone Hospital has offered the Head to Toe class since 2011. The 13-week program has hour-long classes where students and their parents learn about healthy eating and exercise. The classes are targeted at kids ages 8-12.

“This is a great age where the kids can come with their parents or caregivers and participate as a family,” says Jennifer Polniak, a dietitian who coordinates Head to Toe. The goal of Head to Toe is to give kids a foundational understanding of what it takes to live a healthy lifestyle.

The classes help reorient kids who might be falling into habits that put them at risk later in life — eating too much, eating too little, eating the wrong things, too much time on the couch.

While most kids today receive some health education in school, Head to Toe succeeds because the emphasis is on fun.

When Maggie Seals, 15, took the

class a couple years ago, she remembers playing in the gym and having a good time with the other kids.

“There’s a lot of laughing, and it’s fun to be in an environment like that,” she says. “It’s definitely a class that’s worth taking.”

Polniak says the fun is intentional.

“It’s all about the delivery,” she says.

“We do a lot of hands-on activities, a lot of games. Fitness is always the kids’ favorite part. We use hula hoops, we do relay races.”

One of the goals of Head to Toe is to give kids the knowledge and confidence to go against the grain.

“Eating healthy is not the norm,” Polniak says. “Eating healthy is the exception. The environment today is set up so there is less incentive to move around and less incentive to eat healthy.

It’s much easier to just sit in front of a screen and eat fast food. It takes a real effort, going against the current, to make the right choice.”

➚

Marlon Guzman Jr. Marlon, 15, likes to bring salads to school for lunch. At home, he sees his parents are eating more vegetables too.

“They were following my steps,” he says.

“When I served myself more vegetables, they would do that too, and be like me.”

BOONE HOSPITAL CENTER Spring 2014

11

➚

Maggie Seals Maggie, 15, loves to go jogging with her dogs. Getting physical activity makes her happy.

“If you find yourself on the couch eating and watching lots of TV, you’ll always be tired,” she says.

“But if you’re more active, it helps you in the long run because it takes a lot of stress off your shoulders and helps you be a happier person.”

And at no time is that more true than during middle school and high school.

Head to Toe graduate Marlon Guzman Jr. says he now likes to bring salad to school for his lunch. However, this elicits some skeptical questions from his friends.

“They ask me, ‘Why are you eating salad at school?’” he says “And then I tell them about Head to Toe and that I was in the program and they say, ‘Oh, that’s interesting.’”

Likewise, Thomas is amazed at the long lines of his classmates who wait to get ice cream each day in his school cafeteria. He does his best not to go along with the crowd.

“Looking at how sugary it is, I try and avoid getting it,” he says.

A big part of the Head to Toe program is having parents and caregivers involved. While the kids are off doing fun activities, health instructors work with parents as well.

Parents also have time to network and share tips on getting their kids to make healthy choices.

Polniak says for kids this age, any health program has to be a family effort.

12

Spring 2014 BOONE HOSPITAL CENTER

“If it’s not a family-driven project, then it’s not going to happen.”

— Jennifer Polniak

“If it’s not a family-driven project, then it’s not going to happen,” she says.

“If one sibling is going to be doing this and another isn’t, it’s not going to happen either. It has to be a family commitment for this to work.”

At the end of the 13 weeks, students have made great progress. Before and after surveys show growth in nutrition knowledge and general fitness. The surveys also show kids feel much better about themselves after taking Head to Toe.

Head to Toe graduates are quick to vouch for the program.

“It’s a great program,” Marlon says.

Ellie agrees. “I would recommend it because it gives you knowledge about eating healthy, living healthy and exercise,” she said. “But also because it’s fun.”

There is a $100 fee to join Head to Toe. However, the entire $100 is refunded if the student completes all 13 weeks.

A deal like that? Well, that’s just neeners.

➚

Head toToe

Thomas and Ellie Bacon ➚

Thomas, 11, and Ellie, 10, know how to read nutrition labels.

“I used to check the food labels, but I didn’t know what was average, low or high for the daily values,” Thomas says.

“Now I know and I always check that.”

This is helping them make healthier choices.

“I’m working on eating healthier snacks when I get home from school,” Ellie says. She likes vegetables and fruits, such as strawberries.

BOONE HOSPITAL CENTER Spring 2014

13

Brown Bagging It Easy Tips For Getting Creative When Packing A Healthy Lunch Or Snack

P

acking a meal in a brown sack doesn’t have to be a boring experience. There are many ways to liven up a sack lunch or snack in a quick and healthy way.

Many brown baggers center their meals around the traditional sandwich.

While you don’t always have to rely on sandwiches for lunch, there are ways to make your sandwiches more interesting and nutritious.

Start by getting creative with the bread. Most grocers carry whole grain rolls, pita and flatbread. Or, skip bread entirely in favor of a wrap or a lettuce leaf.

Next, pick your sandwich protein.

You should aim for lower-fat cheese, lean deli meat or veggie burgers. You even can use natural nut butters, such as peanut or almond butter, as good sources of protein and healthy fat.

Then, add some color to your creation. You can use vegetables such as lettuce, tomatoes, peppers, spinach, cucumbers and even carrots to add color, crunch and healthy nutrients.

Extra toppings and condiments allow you to play with flavors and add excitement to your sandwich, but don’t stop with mustard and mayonnaise.

Try some avocado, hummus or sliced olives to add a new flavors to your sandwich.

Beyond the traditional sandwich, there are plenty of other, easy options for a delicious brown bag lunch. For example, you can eschew the sandwich idea entirely and put together a satisfying meal with items from all of the food groups.

Include protein, veggies, fruits, grains and dairy.

Use a divided container like a bento box to include all the parts. For example, a meal could include grilled 14

Spring 2014 BOONE HOSPITAL CENTER

chicken strips, carrot chips with low fat dressing, blueberries, whole grain crackers, and yogurt. Don’t forget the fork and spoon!

Creative brown baggers can also do a lot with salad. Layered salads are becoming the newest trend and the possibilities are endless. Start with healthy, dark leafy greens, then add fruits and vegetables such as pears, peppers, berries, onions and tomatoes. Throw in lean protein and top your salad with some whole grains (quinoa, brown rice, barley, whole grain orzo pasta) to add flavor, texture and vitamins. Dress your salad with a healthy fat or oil like olive oil, olives or avocado.

For many of us, the most important factor when it comes to packing a lunch is keeping it quick and easy. You can set yourself up for lunch success by planning ahead.

Use a muffin tin or small food containers and fill with potential lunch items, such as baby carrots, berries, cherry tomatoes, cheese cubes, diced lunch meats, nuts, grapes, and whole grain cereal. Then you can just grab what sounds good to put in your sack without taking too much preparation time.

Packing your meals and snacks can be a fun and interesting way to save money and add beneficial nutrients to your diet. By Jennifer Polniak, MS, RD, LD, CDE

Black Bean Layered Salad with Jalapeño Lime Dressing Adapted from 101 Cookbooks (www.101cookbooks.com) Don’t panic about using the japaleño in the dressing. With the seeds removed, the pepper infuses the liquid with flavor, but adds no spicy kick.

For the dressing: 2 ½ teaspoons fresh lime juice

1 teaspoon white wine vinegar 1 teaspoon honey 1/8 small jalapeño, seeded, deveined and chopped 1/8 teaspoon fine grain sea salt 1 tsp minced garlic 1 tablespoon olive oil For the salad: ¼ can black beans, rinsed and drained 1/4 small head romaine lettuce, trimmed and chopped 10 almonds 2 tablespoons sliced cucumber 1 tablespoons crumbled feta Start by making the dressing. Combine all of the ingredients except the olive oil in a blender or food processor and purée. Add the olive oil and pulse until everything comes together. Taste and adjust the seasoning, adding more salt or honey if necessary. Pour into a small jar and seal lid tightly.

Place the beans in the bottom of the salad container or jar. Top with the lettuce, almonds, cucumber and crumbled feta, leaving an inch or two of space at the top of the container.

To eat, pour the dressing into the jar, over the container ingredients. Shake the jars or stir the container to combine the ingredients. Eat straight from the jar or container if desired.

Wrap it up for an easy lunch on-the-go!

Jalape単o peppers are a good source of vitamin C, folate and vitamin A.

Learn more at boone.org/birthplace

Marla Owens, RN and her family Inset: Marla with baby Andrew

Mother Knows

Best

Birthplace Moms Connect With Their Patients Through Shared Experiences

By Jacob Luecke 16

Spring 2014 BOONE HOSPITAL CENTER

A

s a nurse with 16 years of experience helping deliver babies, Marla Owen has witnessed the miracle of birth hundreds of times. Yet, there are three deliveries in particular that inspire her on a daily basis: the births of her three sons.

Luke, 13, Cale, 11, and Andrew, 18 months, were all born at the Boone Family Birthplace. Each day as she serves patients at Boone Hospital, Owen is reminded of how her own nurses gave words of encouragement, helped take pictures and celebrated by her side as her children were born.

Now, in her nursing work, she tries to provide that same level of care to the women and families at the birthplace.

“There is not a more special, exciting time than the day and the moment when your children are born,” Owen says. “I want all the moms that I care for to have the good memories of the day their children were born. I certainly do and it’s because of the care I received from my friends and coworkers.”

The other mothers who serve patients at the Boone Family Birthplace share that sentiment. They empathize as their patients endure contractions. They share in the joy of seeing a child’s face for the first time. They relate to worries and fears new parents often have. All of these are familiar emotions because they’ve experienced them all firsthand.

“I believe that my experience as a mom helps me tremendously to be a better nurse,” birthplace nurse Rebecca Romero-Perez says. “I can actually relate to my patients with what they are going through, physically and emotionally.

There are times that I even share my own personal stories with my patients and it helps us to bond over our common experiences.”

Rebecca Romero-Perez with baby Anderson

Romero-Perez has served patients at the Boone Family Birthplace for more than six years, and she’s always had an interest in birth and infants.

“I always knew that I wanted to work with pregnant women and babies,” she says. “The whole labor and delivery process is simply amazing!”

She has three sons at home, Aidan, 8, Ashton, 5 and Anderson, 16 months. “I’m thrilled to say that each one of them is a Boone Baby!” she says.

As she helps welcome new children into the world each day, she often reflects back to when her own boys were brand new.

“Being around babies at work makes me think of my boys when they were little,” Romero-Perez says. “On occasion I’ll see a baby that resembles my boys and it’s always so sweet to see. It’s also cool to see a baby that weighs the same as my boys. It’s so crazy to think that they were once that exact same size.”

Owen says she feels the same way. She, too, is often reminded of her children as newborns.

“I love remembering what it was like the day they were born, what they looked like and how they sounded when they cried,” she says. “I feel extremely lucky that I get to share these experiences with the families I care for during their birth experiences.”

While the celebration of new life is one of the greatest joys of working in the Boone Family Birthplace, some caregivers also have experienced personally the complications that sometimes come with labor and birth. This has given them a great level of compassion with patients facing similar issues.

Two years ago, Dr. Jennifer Roelands, MD, with Women’s Health Associates, came close to delivering her twins at 31 weeks gestation. She was put on bed rest — not always the most comfortable experience. However, the precaution worked and she made it to 34 weeks before delivering her twins, who were cared for in Boone Hospital’s Intensive Care Nursery.

“I think about my labor experience every time I am involved in someone else’s labor, especially preterm babies,” Dr. Roelands says. “I often think about the fear and uncertainty that preterm babies cause mothers and try to impart my story to them when appropriate because I think when people are scared they want to feel like they are not the only one.”

Dr. Roelands’ twins, Blake and Brooklyn, now 2, joined her older sons, Aidan, 7, and Logan, 4. Aidan was born before the family moved to mid-Missouri. Her three youngest were born at Boone Hospital.

“Being around babies always makes me think of my kids,” she says. “I love holding the newborns when my patients

Jennifer Roelands, MD with twins Blake and Brooklyn

come in for their postpartum check. I like to see how they have grown and see how they have changed.”

Boone Family Birthplace caregivers also say their experience raising children has given them a greater understanding about how to care for patients.

“I think that being a mom teaches you a lot about compassion and anticipating the needs of others,” Owen says.

“You certainly have to put the needs of others — like your children — before your own needs. You also have to learn to be organized. I see these qualities in my coworkers and the nurses that I want to be like.”

While working in the Boone Family Birthplace makes every day a celebration of motherhood, these caregivers say they are looking forward to Mother’s Day. Like all moms, they say they enjoy the opportunity to rest, receive homemade gifts and eat a good meal.

Dr. Roelands says she plans to do the cooking.

“I love to cook and it makes me happy when the kids want me to make breakfast for them,” she says.

Romero-Perez shares this wish: “Every mother should get to feel like a queen on Mother’s Day.” BOONE HOSPITAL CENTER Spring 2014

17

Boone Families Mothers And Their Children Working Together At Boone

By Dave Hoffmaster

Kim and Aaron Hanson Kim Hanson is the executive staff a­ssistant for Boone Hospital Center President Jim Sinek, and also for the board of trustees. Kim’s son Aaron works as a lab assistant.

Aaron starts work at 4 a.m., so his shift overlaps with his mother’s regular daytime hours. Aaron enjoys working at the same place as his mom. “I can always call her if I need something, although working in the lab, I don’t see her as often as I’d like,” he says.

Outside of work, Kim enjoys crafting. Aaron says he loves to visit his mother’s house at Christmas time. “Her house is always so awesomely decorated. She’s also a great cook. Her family recipe for manicotti is amazing.”

Kim and Aaron are currently planning two weddings: Aaron is engaged to be married Sept. 5, and Kim is marrying on May 24.

Ruth and G’lon Davis Ruth Davis has been with Boone Hospital Center for 27 years. “I enjoy working here,” she says. While she worked in the kitchen, her daughter G’lon would wait in the hospital cafeteria after school until her mom got off work.

When G’lon was 17, she started at Boone with a job in the cafeteria, where her mom had set a high bar for work ethic. Told by co-workers that her Ruth could do it all, G’lon was determined to follow in her mom’s footsteps.

Ruth transferred to Central Services 15 years ago, and G’Lon now works in Admissions. But they still meet in the cafeteria for lunch and give each other advice. They enjoy shopping and attending church activities together. Other members of Ruth and G’lon’s family have also worked here.

“It really is a family at Boone Hospital,” G’lon says.

18

Spring 2014 BOONE HOSPITAL CENTER

Career opportunities at boone.org/careers

Lori Humphrey and Alyssa LeBrun Diane and Darrin Haas “I was carrying Darrin when I started working at Boone in 1989,” says Diane Haas, who works as a clinical documentation specialist. In 2009, Darrin joined Boone Hospital Center as a patient transporter before transferring to a position in the laboratory.

Diane and Darrin enjoy working together and have a lunch date every Wednesday.

“My mom’s a good cook,” Darrin says. “She brings leftovers. Meatloaf and Cajun chicken are my favorites.”

Diane adds, “I think, for me, the nicest thing about having Darrin work at Boone is hearing staff tell me what a great kid he is, and that he is helpful and compassionate. Those are such sweet words to a mama’s ears and make me so proud of the man he is growing up to be.”

Darrin’s mother-in-law, Sherri Barnes, also works at the hospital.

Alyssa started at Boone Hospital Center as a Volunteen in Central Supply, at the urging of her mother, Lori Humphrey, a nurse in the GI Lab who has worked here 14 years.

Ever since that experience, Alyssa has liked the hospital. “I got a good vibe from working here,” she says.

After graduating from high school, Alyssa took a job in Environmental Services. She likes to stop by and see her mom at lunch or during her break.

They get along great and, after work, they enjoy caring for Alyssa’s new son.

Outside of work they like to shop, go four-wheeling and go to tractor pulls.

Karen Vaughan and Jonna Davis Jonna Davis and her mother Karen Vaughan are both Boone Hospital Center nurses. Jonna works on Cardiac and Cardiothoracic Surgery and Step Down.

Karen works in the Surgical Specialties unit. They don’t see each other much during their shifts but Karen says, “We talk all the way on the commute to work.

We often meet in the parking lot and walk in together.” When their shifts end, Jonna and Karen call each other again to chat on their rides home. And mother and daughter have the same weekends scheduled off, allowing them to enjoy family functions together.

Karen is proud that her daughter was named Boone Hospital’s Employee of the Year in 2010, for her outstanding compassion, work ethic and quality patient care. The youngest of four sisters, Jonna was the only one to follow in her mother’s footsteps. Karen laughs and says of her other daughters, “They don’t like blood!”

Jonna has a 21-month-old son who she hopes to encourage to go into health care someday. “My job is never boring,” she says. “There is something new every day and lots of options in the field.”

BOONE HOSPITAL CENTER Spring 2014

19

Learn more at boone.org/birthplace

A Mother’s

Influence By kelsey hoffmann

T

hey pulled up to the hospital at 11 p.m. With no air conditioning, the car was hot on the summer night, but she did not mind. She was just excited that her dad let her come along to pick Mom up from work. But as the minutes passed by, the excitement dwindled. After 45 minutes of waiting, her dad let out a groan and uttered, “These nurses work too hard.”

Memories like these have stuck with Laura Noren. Spending her childhood observing her mom’s work ethic taught Laura invaluable lessons and molded her into the nurse she is today.

Getting On Board

Throughout her career, Laura, who has worked at Boone Hospital Center since 1992, has taken on positions and challenges that have pushed her to exceed expectations. In February, the work ethic that her mother instilled in her proved beneficial when she was nominated to the Missouri State Board of Nursing.

In the summer of 2013, one of Laura’s sisters, Wendy, put the idea in her mind to apply for the board.

“My family has always been politically minded,” Laura says. “My father was director of the Missouri Department of Conservation for many years, and I grew up in that kind of culture in Jefferson City. My sister is also a public servant as the Boone County clerk.”

The desire to serve the public that she learned from her father and the passion for nursing she inherited from her mother had Laura intrigued by the possibility of serving on the board. However, she knew it would mean a significant time commitment, so before she did anything she had a conversation with Dr. Mary Beck, vice president and chief nursing officer at

20

Spring 2014 BOONE HOSPITAL CENTER

Boone Hospital. After receiving Dr. Beck’s full support, Laura applied.

In February, she got the call that Gov. Jay Nixon nominated her for the board.

“I was very excited,’ ” Laura says. “I called my sister first. I let my husband know right away too, but I called Wendy first.”

Laura will serve on the board until June 1, 2016. During that time, she and eight other board members will oversee the nearly 130,000 nurses in the state of Missouri. “[The nomination] is beneficial to the hospital and BJC because I will have a better understanding of what the profession expects,” Laura says. “The board oversees the rules and regulations. There have been times we are making decisions here at Boone, and we will contact the state board of nursing for an interpretation. I think being on the board will help me gain insight of how they view things, which will in turn help the hospital.”

Stealing The Show

In February, Laura went to Jefferson City, Mo., where Sen.

Ann was well respected by her colleagues and was often described as a great mentor. Laura would be the first to confirm her mother’s natural ability to guide nurses.

“She actually gave me my first job,” Laura says. “Back in the days when you could hire your own children.”

In 1971, Laura started working under her mother as a nurse’s aide in the newborn nursery. It was during this time that Laura absorbed many lessons from her mother.

“She was very calm and very respectful,” Laura says. “She was fair and hardworking. She didn’t ask anything of her staff that she wouldn’t jump in and do.”

Laura learned patience, determination and leadership skills from her mother. In February, her mother’s influence on her career became even more evident when Laura accepted the position of service line director of women’s and children’s health at Boone Hospital Center.

“I think my mom is really excited that it’s come full circle and that I am going to be doing this,” Laura says.

Preparing The Next Generation

Laura Noren and her mother, Ann, visit Boone Hospital Center’s nursery.

Kurt Schaeffer introduced her to the senate committee to have her nomination approved. Laura and a small entourage that included her mom, her husband, Scott Wilson, her best friend from childhood, and co-workers Dr. Beck and Monica Smith, the Boone Hospital cardiac and cardiothoracic surgery service line director, had the honor of attending a ceremony at the capitol and touring the governor’s office. But Laura admits the experience would not have been the same without her mom.

“She kind of stole the show a bit,” Laura says. “Everyone was impressed with her career and her influence.”

Laura was happy to share the glory. After all, it was her mother who led her to nursing and guided her through her career.

Like Mother, Like Daughter

Laura’s mother, Ann Noren, 92, was a nurse serving in the South Pacific during World War II before settling in Jefferson City with her husband, Carl. After the birth of their five children, Ann began working at St. Mary’s Health Center and, over time, became what would be referred to today as director of women’s and children’s health.

Laura’s mom has been happy to see her daughter succeed in so many different areas of nursing.

“I think sometimes I baffle her about the different roles that I have taken on because such opportunities weren’t there when she was a nurse,” Laura says.

With her great accomplishments and her natural ability to lead, Laura has proved that she, like her mother, is capable of preparing nurses for a successful career.

“I have had many wonderful staff who were newer in their roles, and I really enjoy trying to help them learn and teach them to grow,” Laura says. “My goal is to eventually step out of the way and let somebody else step in.”

Continuing To Serve

Laura does not know what will happen after her position with the board is finished, but she hopes to spend the rest of her career at Boone Hospital Center.

“I’m a true Boonie,” she says. “I am very loyal to this hospital and care about it deeply. It’s a family. It sounds so kitschy but it’s true. People care about each other here.”

Even after retirement, there is a good chance she will not give up her love of nursing. Laura’s mother served at hospitals, including Boone Hospital Center, until she was in her late 80s.

As a Boone volunteer on women’s and children’s health, Ann served patients snacks and assembled educational packets. One day when visiting with a new mother, Ann realized that over 25 years earlier she had helped deliver that new mom as a baby in Jefferson City. Ann’s commitment to patient care continued and Laura seems to have adopted her drive.

“It’s hard to complain or feel like you are overwhelmed or too tired because you look at her and say, ‘Well … never mind,’” Laura says. “If she can do it, I can do it.”

BOONE HOSPITAL CENTER Spring 2014

21

Circle

Family

Children Coming Together To Take Care Of Mom

By Jessica g. park

M

otherhood does not end when the kids grow up and leave the nest. Years after scraped knees and chicken pox, the instinct to care for one’s children doesn’t go away.

Adult children still rely upon their moms for good advice, a comforting word or a helping hand while they start and raise their own families.

And then, there comes a time when parents need help and care from their adult children due to illness or infirmity.

According to the Family Caregiver Alliance, an estimated 24 million adult children act as caregivers for their parents, a number that has been steadily increasing over the last decade.

Recently, the family of Wanda Sue Ash has become part of this growing statistic.

“It’s just what you do,” says Carolyn Beal, Wanda’s oldest daughter, while sitting beside her mother’s hospital bed.

Wanda holding great-granddaughter Reese in 2010 22

Spring 2014 BOONE HOSPITAL CENTER

Wanda with great-grandson Rhain in 2013

Wanda and husband Bert raised their four children – Carolyn, John, Jerry and Becky – on the family farm in Brumley, Mo., a small town near Lake of the Ozarks.

Carolyn and Wanda share a special background. In 1995, Carolyn was diagnosed with colorectal cancer. While she underwent treatment and husband Steve Beal was at work supporting the family, Wanda stayed in her daughter’s home to look after her two granddaughters, clean house and cook meals.

Fatefully, a few years later, in 2000, Wanda was also diagnosed with colorectal cancer. She was diagnosed in the summer, when Carolyn wasn’t teaching school or taking courses towards her master’s degree, so she was able to drive Wanda to and from chemotherapy and radiation treatments.

“Mom stayed with me,” Carolyn says. “So it was our turn to help care for her.”

Over the following years, complications from surgeries and radiation treatments necessitated Wanda’s family to rally on her behalf again and again. Recently, when her health began to deteriorate again, Carolyn brought her to Boone Hospital Center’s Emergency Department. Two weeks after being admitted, Wanda underwent a five-hour abdominal surgery.

“Before Dr. [Walter] Peters performed her surgery, he told us going in of the difficulties that may happen,” Carolyn says.

She pauses. “And they pretty much did.”

Wanda spent over five weeks in the hospital, including two weeks in the Intensive Care unit. Throughout everything, her grown children, grandchildren and sons-in-law have been by her side. On most evenings, one of the siblings spends the night and next day with their mother.

“All of us are taking turns staying with her, doing the kind of things she did for us when we were sick.”

Carolyn’s sister, Becky Mitchell, has assisted with most of the financial matters and paperwork during Wanda’s hospital stay.

“My sister, she’s a rock,” Carolyn says. “We look her to for…”

“Almost everything,” Jerry Ash, Carolyn’s brother, completes the sentence. Jerry has lived on the family farm with Wanda and Bert, assisting his parents with daily work on the farm. Bert Ash passed away in spring of 2005 due to complications from pneumonia. When their father had undergone surgery on both hips, Carolyn and her siblings similarly came together to help care for him.

Wanda’s grandchildren have also been part of her family caregiving team. Carolyn’s daughter Leah turned her Columbia home into a hub where family members could stay to be closer to the hospital. Leah frequently checks in on Grandma Sue during lunch hours, bringing Wanda’s great-grandchildren, Reese, 3, and Rhain, 1, along to the hospital to visit. On every visit, Reese hugs her Great-Grandma and says, “I hope you get better soon.”

Carolyn’s younger daughter, Lana, who lives in Nixa, Mo., calls or texts daily to check in on her grandmother and visits whenever she can.

Becky’s daughter, Lindsay, drives her mother to and from the hospital and stays with her during the day and overnight.

When Wanda’s family had spent a very long day in the surgery waiting room, Lindsay had surprised them by bringing everyone Starbucks coffee.

“We’re very close. We lean on each other for support,” Carolyn says about her family. “We all take care of Mom and do what we can. No one person can do it all.”

Wanda’s sons-in-law are also part of the caregiving team.

Carolyn and Steve have also been caring for his ailing father.

“My husband and I meet each other coming and going sometimes, taking care of one parent in one hospital and one parent in another.”

With jobs and other responsibilities to tend to, support outside the family also makes a difference. The family members’ various employers have all granted them time needed to visit the hospital and care for Wanda.

Wanda and her family have also received support from her caregivers at Boone Hospital Center, starting with a patient transport tech in the Emergency Department who immediately offered to bring Carolyn’s mother from the car into the hospital.

“Everybody has treated Mom with respect and dignity, like she’s the reason they come to work,” Carolyn says. “The folks

on the surgery unit and in the ICU became our family, too. You would come in after working for a day or two, and see a familiar face there. They’d say ‘hi’ and hug you.”

“We’ve met caring people everywhere here,” Jerry adds.

“Nurses and doctors, every one of them.”

While in the hospital, Wanda has been attended upon by hospitalist Adnan Choudhury, MD. Hospitalists are physicians who specialize in caring for inpatients during their stay, often coordinating care with patients’ primary care doctor and specialists.

“Dr. Choudhury has a very wonderful bedside manner. He was so sweet to Mom. He made us feel like every life is important and deserves to be treated that way.”

Finally, Carolyn and her family find strength and comfort in what she calls “small victories.” The day before, Wanda had eaten for the first time since her surgery, over a month ago.

“It was a cause for celebration,” she smiles. “When we chose her meals for the next few days, she’d say ‘Ohh, that sounds really good!’ I thought, ‘Yes!’” Carolyn says that her mother is strongly motivated by the desire to leave the hospital and return home: “It’s first in her mind. Home is therapeutic.

“Mom’s always been so strong despite all of the things that she’s gone through with her cancer and being cancer-free. She’s always bounced back, and we’re hopeful that she will. You’ll always embrace every morsel of hope that you can find.”

Caregiving for one’s parents as an adult is not always easy, and it’s not a job one person can do on their own, but Wanda Sue Ash’s children demonstrate, while their mother was in the hospital and after she returned home, that the desire to care for one’s mother is definitely instinctive.

“We take care of her out of love and respect,” Caroline says.

“It’s just what you do.”

BOONE HOSPITAL CENTER Spring 2014

23

Wiping Out Infection Team Effort Helps Boone Hospital Lead In Safety

I

magine fighting a battle against a microscopic enemy, completely invisible to the naked eye. This is the daily challenge facing the care team at Boone Hospital Center. Nurses, technicians and environmental services professionals are all working together to help prevent potentially dangerous infections. Assisting in this fight is the hospital’s staff of infection prevention experts.

Together, this team promotes care practices and environmental changes that have greatly reduced the chance that a patient will experience an infection during their hospital stay.

“That’s what it’s all about: How do we make Boone Hospital Center not only the best place to receive patient care, but the safest place to receive patient care?” says Cheryl Eady, Boone Hospital director of Quality and Patient Safety. “We are always searching for that next level of prevention.”

This collaboration between caregivers, cleaners and infection experts had a banner year in 2013, with an innovative approach to reducing the Clostridium difficile bacterial infection, commonly called C. diff.

C. diff is very common in our environment and many people already have the bacteria living inside them. However, after a surgery or during an illness, people are very susceptible to the problems C. diff can cause.

“It may have been living inside your gut for a long time, but when conditions are right, it can really get out of control and cause some trouble,” says Michael Smith, infection prevention specialist.

To combat this problem, Smith and the hospital’s infection prevention team worked alongside the hospital’s environmental services staff to initiate a new strategy involving cleaning with bleach wipes, one of the few tactics that actually kills C. diff.

Cleaning with bleach wipes required an adjustment for the environmental services workers who clean and disinfect patient rooms each day.

24

Spring 2014 BOONE HOSPITAL CENTER

Above: Wendy Castagno and Michael Smith of Infection Control. Top: Environmental service technicians use bleach wipes to prevent the spread of C. diff.

“The staff were very involved; they want to know the best way to help their patients,” Smith says. “They are the front line. They have a huge part to play with infection prevention, first and foremost.”

The project saw immediate results. One area doing the bleach trial experienced a 150-day stretch without a single C. diff infection — an outstanding achievement.

Charlene and Juanita, the environmental services workers who actually performed a majority of the bleach cleaning on that unit, say they were proud of the results.

“I felt pretty good,” Charlene says.

“I did too,” Juanita says.

The Infection Prevention team is continually collaborating with unit caregivers in this effort to stop their invisible foes, including C. diff and others.

Sometimes, this means reinforcing the basics; simply washing your hands is the most effective infection prevention method.

After all, in the battle against a microscopic enemy, sometimes it only takes little changes to make a big difference.

Infection Prevention Specialist Wendy Castagno sums it up. “Knowing you can have an impact on the patient’s outcomes, that’s what makes this such a rewarding job.” By Jacob Luecke

“Security Is ...”

Someone Looking Out For You

W

hen security officer Peter Zanelli walks through a unit, he is looking everywhere — at the floors for any spills, at the ceilings for any loose tiles, in patient rooms, behind nurse’s stations, in the reflection on the orb-shaped mirrors in the ceiling.

From a stairwell window, he sweeps the parking lots below for anything out of the ordinary. He listens carefully to every announcement on the overhead system; he never knows when it could be an urgent call for action.

“It could appear to be very quiet,” he says of these rounds, “But I could be very busy.”

On what appears to be a quiet morning, Zanelli finds a secured door that a busy staff member forgot to close all the way. He assists a few visitors with directions. He helps the wife of a patient find a nurse to check on her husband.

After scanning a family waiting room, Zanelli notices a door has been propped open with a wastebasket. He removes the makeshift doorstop, then approaches a group of visitors who had set the bin there and gently explains that this particular door must stay closed.

“It’s a sensitive door,” he says. “Thank you.”

At each unit, Zanelli checks in with an electronic recorder.

He asks staff at the nurse’s stations how things are this morning.

Everything is well. Passing nurses and social workers smile and greet him. A nurse sees Zanelli coming her way and stops to wave, beaming.

“Hi, Peter!” she calls.

“When people see security, they should be happy. Not scared,” Zanelli says. “We want to make people comfortable when they see us.”

Someone There To Help

Inside the security office, a wall of monitors displays the hospital from countless angles: the main lobby, parking lots, waiting rooms, elevators, nurses’ stations, corridors. The wall is like a cross-section of a day’s operations at the hospital.

Reflecting the activity on the wall of monitors, the security office is no less busy. The phone may be ringing. A student or staff member may need a new badge. An employee may be locked out of an office.

A car may refuse to start on a chilly day. A patient might have a valuable object that needs to be stowed in the office’s massive safe.

And there is always the unexpected.

“We always keep an eye out for any situation,” says fellow security officer Steve White. “You have to be aware and try to head off anything ahead of time.”

“There’s no such thing as an average day in Security,” adds department manager Joe Bayer.

While there is no average day, every day requires monitoring and maintaining the safety and security of the hospital campus, including the Broadway Medical Plaza.

“At Boone Hospital, our number one standard of excellence is to promote safety,” Bayer continues.

Safety is a priority for all staff, in every role and department, and 26

Spring 2014 BOONE HOSPITAL CENTER

Joe Bayer and Peter Zanelli of the Boone Hospital Center security team

the security department assists by providing mandatory, up-to-date safety training and promoting safety awareness.

As one might expect, security duty includes defusing occasional tense situations.

“Sometimes our presence alone helps out,” White says about these instances. “You don’t even have to say anything. Just being there can be reassuring. Our presence can de-escalate a situation and calm people down.”

Zanelli demonstrates how he approaches people. He smiles and says, “We are security. What can we do for you?”

The officers are also on the lookout for ways they can make a difference in a patient’s stay. During one of last year’s winter storms, the security team cleared off the snow blanketing a patient’s car, warmed it up and then drove it up to her.

“She had no one helping her,” White says. “It would have taken her all day to do that. We weren’t required to assist her, but we did without a second thought. I don’t ever say ‘That’s not my job.’ I say ‘What if she was my mom?’”

Finding A Place Where You Belong

Both Zanelli and White have been with Boone Hospital Center for two years. Peter had served as a police officer in Italy until he retired from duty in 2002. After moving to the United States, he worked in a nursing home before he saw the job opening at Boone.

White had been working in construction, but found less work when the recession hit. Both had to adjust to their new jobs; White needed a few weeks to familiarize himself with finding locations within the hospital, while Zanelli had to familiarize himself with English slang and idioms.

“Sometimes I’d think ‘Uh-oh, what does that mean?’ It doesn’t happen anymore. I got used to a lot of expressions. I would ask Steve to help me understand. We are a great team.”

White agrees, “It feels like working at Boone was fitted for me all along. At some places, most people can’t wait to leave. I think. ‘I could stay a little bit later to help out.’ If you feel like that, you know you’re in the right place with the right people.”

“I’m really happy to be here. It brings a lot of good memories of when I was in the police force. When I get up to work, even if it’s a Monday, I’m happy,” Zanelli says.

“Now every day feels like Friday.” By Jessica G. Park

The Boone Hospital Foundation would like to thank our 2013 donors. Your generosity allows the Foundation to continue to support Boone Hospital Center and its patients. If you would like to learn more about the Foundation or make a donation, please call 573.815.2800, or visit our website at boone.org/foundation.

Organizations

Farmers Insurance - Doug Bolerjack

511 Capital

Feeler Scheer Architects

5431 Highway Partners, LLC

Mid-Missouri Reproductive Medicine & Surgery, Inc.

Smith & Nephew

Finey Community Homeowners Association, Inc.

Midway Enterprises, Inc.

Sysmex Corporation of America

Millard Family Funeral Homes

Tech Electronics, Inc.

First State Community Bank

Missouri Cancer Associate

Terracon

Flint & Associates, LLC

Missouri Employers Mutual

The Bank of Missouri

Forum Development Group

Missouri Heart Center

Gentry Farms

Missouri Perfusion Services, Inc.

Gilead Sciences, Inc.

Moberly Area Community College

Ashton Consulting Inc.

H.W. Lochner, Inc.

Mom 365

ASI Flex

Harrison County Community Hospital

Montgomery County Health Dept

Holiday Inn Executive Center

Naegler Oil Co, Inc.

Hollister Honey Baked Ham Company

Nancy Anne Castle dba Marks Properties Company

Hoss’s Market

Neurology, Inc

Hulett Heating & Air Conditioning

NH Scheppers Distributing

Husch Blackwell LLP

O’Brien Law Firm, P.C.

Imagine Nation Books, LTD.

Occupational Medicine of Mid-Missouri

Accurate RX Pharmacy Consulting, LLC. Air Advantage, Inc. Allergan Ameren Missouri American Document Solutions Aramark Uniform & Career Apparel LLC

Atterberry Auction & Realty Co., LLC Benton County Health Department BJC Healthcare BJC Medical Group Boone County Medical Society Boone County National Bank Boone Electric Cooperative Boone Hosptial Center Employee Champions

Imhoff Construction, Inc.

Boyce & Bynum Pathology Laboratories, P.C.

Janssen Ortho-McNeil PC, Inc.

C & C Group

Joe Machens Ford

Capital Region Medical Center

Jviation

Cardiovascular Systems, Inc.

Kevin Rackers Excavating LLC

Caroline Leemis Design LLC

Kimberly- Clark

Central Trust & Investment Company Centurylink, Inc.

Kirksville Regional Economic Development Inc.

Columbia Daily Tribune

Knight & Salladay, Attorneys at Law

Columbia Insurance Group

Knights of Columbus/Father Ray Weiss Council No 7841

Columbia Orthopaedic Group, LLP

Jim Robertson Chevrolet - Toyota

Moresource, Inc.

Officer Mechanical Contractors, Inc. Olympus Organogenesis, Inc. Orscheln Industries Patric Chocolate, LLC Patricia’s PBMS, LLC PCRMC Health Services Pfizer QB Aviation Group Ralls County Health Department

SSC Engineering

The Callaway Bank The Country Club of Missouri The Graham Group The Insurance Group, Inc. The Lawrence Group The Outsource Group The Stribling Foundation, Inc. The University of Kansas Hospital Trinity Presbyterian Church UMB Bank Uniforms Plus US Bank Van Matre, Harrison, Volkert & Hollis, P.C. Veterans United Foundation VNA Corporation Walgreens Infusion & Respiratory Services Walmart Washington University in St. Louis Wells Fargo Bank, NA Williams Venker & Sanders, LLC Williams-Keepers LLC Wilson’s Health Centers, Inc. Worldwide Recycling

KU Medical Center Research Institute

Randolph County Health Dept

Lake Regional Health System

Reinhardt/Wilson

Landmark Bank

River City Construction, LLC

Individuals

Lawrence Group Architects of St Louis Inc

Rogers, Ehrhardt, Weber & Howard, LLC

Mark Adams

Lincoln County Medical Center

Rotary Club of Kirksville

Rocky & Michael Alden

Cook Group

Little Dixie Construction

Schindler Elevator Corporation

Beth Alpers

Creative Surroundings

Lutheran Senior Services

Schneider Electric

Sharon G. Anders

D Sport

Mail & More, Inc.

Sedona Villas Home Association

Dorothy Andrews

Ehealth Global Technologies

MD Anderson Cancer Center

Septagon Construction Co., Inc.

Joseph & Linda Antal

Emergency Physicians of Mid-Missouri, P.C.

Med Plus Healthcare

Shelter Insurance

Deborah & Jerome Antel

Medical Network Technologies, L.L.C.

Simmons Attorneys at Law

Alan & Megan Anz

Emery Sapp & Sons Inc.

Medtronic

Simon Oswald Associates

Melissa & Ken Applegate

Environmental Engineering, Inc

Meyer Electric Co., Inc.

Smart Business Interiors

Kalene Aslanidis

Columbia Surgical Associates Commerce Bank Community Foundation of Central Missouri Compass Group Comprehensive Decubitus Therapy, Inc. - DBA Advanced Tissue

Ray County Memorial Hospital

Zimmer Radio of Mid-Missouri

Ginny Adair

Boone Hospital Foundation 2013 Donors

28

Nancy D. Averill

William & Jeanette Clark

James Flink

William & Jeanette Hines

Gloria & Michael Azorsky

Joanie & Kevin Claxton

Clara Flores

Mary Jane Hoff

Tammy Backman

Marianne & Tony Claxton

Heather & Jerry Foote

Beverly & Larry Holland

Jennifer & Dennis Baggett

Doris & William Cocos

Kent & Sharon Ford

Marilyn Holm

Nancy & William Bailey

Nancy & Benjamin Coleman

A. Forquer

Lucille & Robert Horne

Anna May Baker

Carla & Frank Conley

Teresa & Scott Foster

Winifred & David Horner

Austin & Elizabeth Ball

Carla & Royce Cook

Linda & William Frazee

Glen & Ruthie Horstman

Lisa & Carl Ball

Dona Cool

Margaret & Tom Freeman

Patricia & Lynn Hostetler

Markis & Marilyn Baylis

Elizabeth & William Costello

Doug & Maribeth Frevert

Gail & Ira Hubbell

Betty & Robert Beasley

Ann Covington

Susan & Myrl Frevert

Pamela and Richard Huffstutter

Delilah & Raymond Beck

Patricia & John Cowden

Kit Frew

Mary & Charles Hughes

James & Mary Beck

Ann & Robert Cowell

Leslie & Robert Garrett

George Hulett

Jan & Wilson Beckett

Phyllis & Charles Crawford

Lewis J. Garrotto

Max & Jeanne Humpf

Shirley Beckett

Virginia Crawford

Sondra Garton

Carla Hunter

Kristi Beckmann

Helen Crawford

Robert Gatheman

John & Donna Huston

Connie Benson

Betty & Lloyd Cribb

Roger Geary

Mary Hyatt

Jess & Brooke Berkey

Joanne & George Cribb

Donald Gerhardt

Courtney & Brian Johanning

Tracy & Edmund Berry

Lepha & Robert Crockett

Kimberly & Andrew Getzoff

Betty & Samuel Johnson

Amy Bierk

Gloria Crull

Jean & Charles Gibbens

Eric & Susan Johnson

Carol & Michael Bishop

Judith Crystal

Brandon & Yvonne Gibson

Darlene Johnson

M. Jane Blackburn

Karen & Gale Culler

Don Gibson

Joyce Johnson

Roy Blackford

Naomi & Gerald Cupp

Donald & Marcia Giesler

Warren & June I. Jonson-Clark

R. B. Blalock

Joni Cupp

John & Mary Gillmore

Mary & Frederick Juettner

Cindy & Wally Bley

Warren R. Dalton

Kristine Giovannini

Arlene & Elias Kalaf

Robin Blount

O. Daniels

Heather & Sam Glennon

Sandra & James Karnes

Daniel Boeckman

Blake & Carol Danuser

Judy & Richard Gooch

John & Rebecca Kauffmann

Janis & Donald Boenker

Dave & Barbara Danuser

Jason Goodin

Kory & Robyn Kaufman

Carol Bolin

Karen & Howard L. Davenport

Jill & Steven Graham

Rodney Q. Kelly

Lauren & Bradley Bootz

Helen L. Decker

Olive & Frank Graham

Michele & Jerry Kennett

Arden Boyer - Stephens

Heather & Jeff Demand

Jean C. Grant

Keith Kessler

Charmain Boyle

Fred B. Demarco

Jeanette & Walter Grebing

Margie Kessler

Rhonda & Kevin Brandon

Kathryn & Charlie Digges

Karissa & Michael Grellner

Anne Ketterer

Joyce & Daniel Brandt

Laurie & Charles Digges

Teresa & Frank Grimshaw

Janet Kimmons

Leslie & George Brett

Thomas Dildine

Anna & Larry Gross

Melinda Klein

Kristen Briscoe

Christine & John Dina

Larry & Jan Grossmann

Nate Kleinfeldt

Sherri & Ernie Britt

Thomas Dresser & Mary Dohrmann

Lena Grotenhuis

Charla & Lynn Kleopfer

Carl & Melba Britton

Arlan Dohrmann

Jean Gurucharri

Sue & W.P. Knauff

Bonnie & Gerald Brouder

Robert Doroghazi

Jane Gusmano

Belle & Ronald Knight

Guy E. & Ellen Brown

Pamela & Randy Doss

Janet & Warren Hackman

David Knight

Susan & Peter Brown

Ann & Robert Dotson

David & Laurie Hall

Sandra Knight

Amy & David Brummett

Doyle Dover

Mary & George Ham

Thomas Knowles

Donna & Peter Buchert

Ken Dubinsky

Patricia & Larry Hamann

Judith & Dennis Knudson

Nancy & Keith Buchholz

Marilee & John Dunn

Norma Hamm

Murilyn Koutstaal

Rebecca & Stephen Buchholz

Debra & Nelson Durk

Kimberly Hanson

Stan & Ann Kroenke

Tanisha Burns

Howard & Jean Dye

Phyllis Hardin

Charles E. Kruse

Kathryn & John Butler

David & Ruth Easton

Carolyn & J. L. Harding

Paula & J. K. Kurtz

Jeri & Charles Caldwell

Sara & Lonnie Echternacht

Loretta & Donald Hartley

Connie & Jack Lambrecht

Leulla Call

Mary & Martin Edmiston

Vicki & Rod Hartwig

Pamela & Willliam Lampkin

Linda & Samuel Calvert

Renee & Martin Edwards

Jane & Richard Hazell

Betty & Don L. Landers

Jane & James Carney

Judith A. Edwards

Brenda & James Heavin

Kathryn & Dale Landers

Mary & David Carr

Judy & James Elliott

Angela & Wayne Helton

Bill & Jan Lange

Angela Carron

Mark & Terry Elwing

Amy Henderson

Marie-Susanne Langille

Gayle & Edward Carter

David & Pamela Erb

Susie & Larry Henneke

Rose Mary Langland

Judith & Ronald Carter

Laura & Stephen Erdel

Tim & Rebecca Hennessy

Sharon & Jon Larson

Linda Chapman

Sally Fancher

Julie & Don Henslee

Maxwell Lazinger

Barbara & Charles Cheek

Nancy & Elton Fay

Joshua Herron

Gayle & Robert Lee

Pamela & H.J. Christianson

Yossi & Judy Feintuch

Mary & Dorrel Herzog

Gustav Lehr

Deborah & Stephen Clark

Bob Feller

Chase Hettinger

Charles LeMone

Douglas & Dorothy Clark

Lauretta Fenton

Mary & Joe Hewell

Kim Lenger

M. & Pete Clark

Lucille & William Fetter

Susan & Steven Hinck

M. J. Lewis

Spring 2014 BOONE HOSPITAL CENTER

Boone Hospital Foundation 2013 Donors Jason Linnenbrink

Dottie & David Mosby

Wanda Roberts

Richard Thomas

Susan & Steven Lipstein

Edgar & Judith Muenks

Kevin Roberts

Brenda & Dennis Thompson

Michael & Angela Littrell

D. G. Munson

Anne & O. A. Robinson

Lisa & Brad Thompson

Gary & Claire Lloyd

Ahmad Muraywid

Dianne & Ronnie Robinson

Nancy & William Thompson

James & Cathie Loesing

Nathaniel Murphey

Vicki & Terry Robinson

Jay Thompson

Sandra & Greg Logan

Beverly & H. J. Murrell

Esther & Larry Rollins

Martha Toler

Cornelia Long

Joel & Terry Myhre

Glee Rollins

Laura & Nicholas Tourtellot

Donald Ludwig

Anne & G. R. Nichols

Jeffrey & Marilyn Romine

Alberta & Paul Toy

Karen Luebbert

Michael & Cynthia L. Nickich

Sharon & Robert Ronchetto

Thomas & Kimberly Trabue

Gayla & Roger Maier

Nancy & Don L. Niederhauser

Taira Roth

Martha & Lee Trammell

Mari Mallett

Mary H. Norfleet

Betty & Donald Rowland

Nancy & Dudley Trice

Forrest & Kathryn Manda

Tony Noronha

Glenn Rush

Molly Tuggle

Katherine & Edward Manda

Sandra & Alan V. Norton

Connie & Joe Rutherford

Frank Tull

Whitney & Joseph Manda

Andrea & John O’Brien

J. & T. Ryan

Karen & Roy Manning

Verlin Uptergrove

Mary & Robert Orn

Mary Ryan

Margaret & Roy Manning

Jeanne Ortbals

K. & Gary Vandelicht

Margaret E. Ryan

Marcy Markes

Sarah & O. Gerald Orth

Eleanor & Steven Saitta

Marlene Vandelicht

Alvin Marquart

Abbie & William P. O’Sullivan

Gene Sally

Larry & Gwen Martin

Elizabeth & Kirby Ott

Marilyn & James Schatz

Nancy & Robert Martin

Lynn & Thomas Ott

Sharon & Dale Schenewerk

Nancy & Craig Martin

Peter Ott

Kevin D. Schlemmer

Rick & Terry Matheny

Donna & Richard Otto

Leslie & Thomas Schneider

Nancy & Robert Maupin

Charla Page

R Wade Schondelmeyer

Michelle & Justin May

Beverly Palmatary

Nancy & Thomas Schultz

Denis & Elizabeth McCarthy

Nancy & Dennis Palmer

Mary I. Schultz

Charles J. McClain

Sally & Charles Palmer

Jolene & Bill Schulz

JoAnn & Bill McCray

Bess Paris

Dan & Susan Schuppan

Carol McDannold

Elizabeth & K.A. Parry

Barbara & Allyn Sher

Bob & Suzanne McDavid

Melody & Fred Parry

Christine & Steven Sheriff

Donna & D. W. McDonald

Rhonda Parton

Marion Sherman

Mary A. McGee

Nancy A. Pate

Kathy Shockley

Mitzi & David McLaren

Phyllis & Fred M. Paulsen

Eric & Laura Sievert

Cara & Kendell McMillan

Jane & L. L. Penney

Leah & B. D. Simon

L.M. McRobert

Mary & George E. Perry

Stephanie & Jim Sinek

Frances McRobert

Gerald & Donna Pescaglia

Katie & Ryan Smith

Janis & William Mees

Stacy & Walter Peters

Monica & C. Jeffrey Smith

Lynette & Douglas Mehle

Donna & Greg Phillippe

Robert Smith

Paul & Frankye Mehrle

John D. Phillippe

Donna & Ronald Snyder

Jennifer & Richard Mellitt

L & Norman Pierce

Barbara & Richard Sommer

Joan Menser

Bryan & Jane Piester

Michele & Brandon Spry

Rosalia & Don Meyer

Mary & Thomas Pitchford

David & Susan Staiger

Sabra & James Meyer

Jackie & David Pittman

Judy & Jim Starr

Sheila Meyer

Matthew & Kathleen Pitzer

David Stepanek

Teresa & Philip Milburn

David Ploesser

D & John B. Stephenson

Rebecca & Frank M. Wimer-Pisano

Doug & Julie Miller

Peggy & Richard Poe

Mary M. Stevens

Cecelia & Ronald Winkler

Jean & Brandon Miller

Mary Lu & Lenard Politte

Virginia & Norman Stewart

Patsy & Brian Winn

Lauri & Shane Miller

Linda Potter

Jarrette L. Stewart

Wanda & Gary Winter

Leslie & Jason Miller

Mary & Marlin Powell

Fay Stine

Josh & Julie Winters

Maurita & Charles Miller

Margaret & Albert Price

Shane Storz

Joe & Margaret Wood

Richard Miller

Barbara & Michael Quinn

Byron & Wanda Stover

H J. Woods

Marie Miller

P. E. Raithel

Andrea & Daniel Stubler

Ken Woodward

Marsha & Lynn Mitchell

Douglas & Shirley Randall

Joe & Amy Swiney

Janet & Marvin Wright

Patricia & Steven Mitchell

Elizabeth & James Randazzo

Gary Tatlow

Virginia & Ronald Wright

Melody Mitchell

Charles & Geraldine Redmon

Janine & Tommie Taylor

Robert C. Wright

Kenneth Mizer

Marcia & Warren Reed

Mary Ann & Jack Taylor

David & Deloris Wurdeman

John & Jan Monnig

C. E. Gene Ridenhour

Barbara Taylor

Sandra Young

Linda & Lee Moots

Aaron & Kyndal Riffie

Jean Teter

Sara & Kulangara Zacharias

Linda & Charles Morris

Kara & Joseph Riley

Dora & Gregory Thackery

Allison & Richard Zimbalist

Sandy & Randy Morrow

Paul & Gloria Robb

Nancy & Thomas Thomas

Michelle Zvanut

Wayne & Constance Morrow

Matthew & Vanessa Robe

David Thomas

Maureen Zvanut

Walter Vandelicht Virgil & Sandra VanTrease Betsy & Tim Vincente Judy & Don Vogalsmeier Betty & R. E. Voorheis Robert Wagner Michael & Colleen Walker Audrey J. Walton Tina Warnol Robert Warr Helen & George Washburn Barbara Weaver Steven & Deanna Weiner Garry & Llona Weiss Ruth Welliver Cathy & William Wendell Gail & Stephen White Charlene White Jo & Del Whitmer John & Iva L. Wiggs Tamara & Steven Wilhoit Lynn & Herbert Willbrand Vicki & Michael Williams George & Roxanne Wilson Helen & John E. Wilson Mark & Brenda Wilson

To Protect And Serve Boone Hospital Center’s Photo Contest Winner Captures A Moment Between A Father And His Son

I

t had been four years since the process began: four years of waiting and hoping that they would be blessed with a child of their own.

Kristen Duckworth, respiratory therapist at Boone Hospital Center, and her husband, Braden, had been trying to adopt a child for four years when one day all the pieces fell into place. A few weeks after they first learned of the opportunity to adopt a baby boy, they were taking him home from the hospital.

As with many big events in her life, Kristen took photos to hold on to the memories. Since high school, Kristen had grown accustomed to capturing moments in her life. She documented vacations, mission trips and her dogs. When she brought her son, Ryker, home from the 30

Spring 2014 BOONE HOSPITAL CENTER

hospital, he became the focal point of her photography.

The couple was just starting to adjust to life as new parents when they received the heartbreaking news that the adoption they had waited so long for was being contested.

They had only had a few weeks with Ryker, and now they would have to fight a legal battle to keep him.

It was a few days after getting the news that Kristen snapped this photo of her husband leaving for work. Fully dressed in his uniform, he picked up his son and cradled him in his arms. Kristen could not help but see the symbolism in the moment.

“Maybe it’s cheesy, but when your husband is a police officer or a firefighter, I think you hold them to a higher standard,”

Above: Kristen with her husband, Braden, and son, Ryker.

Top: Kristen’s first place photo.

Kristen says. “And though he didn’t have any power to make the adoption go through, I found comfort in the fact that his job is to protect, and he was going to protect our son.”

After an eight-month battle, the adoption was finalized Feb. 24, 2014.

By Kelsey Hoffmann

Boone Hospital Center 1600 East Broadway Columbia, Mo 65201 573-815-8000

NONPROFIT U.S. Postage

PAID

Columbia, MO Permit 286