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FEATURES FEBRUARY • MARCH 2019
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HITTING THE RESET BUTTON ON 7 HEALTH AND WELLNESS GOALS Rather than setting unrealistic goals and start dates that you’re not confident about, hit the reset button on your health at a time that’s right for you. Here are seven ways to hit the reset button on your health, including insights for starting out, staying on track and recognizing success of your efforts, along with resources and experts available in Lynchburg and Southside you can trust and depend on when you need them.
5 HEALTHCARE JOBS THAT CAN STOP A MIDLIFE CRISIS It’s never too late to change direction and drive yourself down a completely new career path. For many, the answer lies in healthcare.
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DEPARTMENTS FEBRUARY • MARCH 2019
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The Pulse | People. Places. News to Know.
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Health Scene | Happenings. Who’s Who. Trending. Liberty Mountain Snowflex Centre Offers Year-Round Fun for the Entire Family.
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Q&A on Health | Questions. Answers. Knowledge.
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Health Observances | Educate. Eradicate. Victory. February is Gum Disease Awareness Month: Periodontal Health Associates has taken this opportunity to even further educate their patients and the greater communities about gum disease while emphasizing strategies everyone can use to lower their risk.
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Food and Fitness | Nutrition. Exercise. Prevention. Putting A New Heart Healthy Lifestyle Pattern Into Practice: A healthy diet and lifestyle are your best weapons to fight heart disease, and it’s not as hard as you may think!
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Aging Well | Wisdom. Dignity. Support. Making Dysphagia Easier to Swallow: Dysphagia, or difficulty swallowing, is especially prevalent among the elderly. Learn how to spot this condition in seniors, where to go for local diagnosis and treatment options, and how to prepare fast, nutritious meals that are easy for dysphagia patients to eat.
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Funny Bone | Spot the Seven Differences
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february • march 2019
PUBLISHER PRESIDENT/EDITOR-IN-CHIEF VICE PRESIDENT OF PRODUCTION ACCOUNTING MANAGER GRAPHIC DESIGNER
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Hungate Laura Bower Tori Meador
CONTRIBUTING MEDICAL EXPERTS
Kevin Cope, PT Danny Martinez, CP Evan Ownby, MD Katherine Oxford, DPT, OCS
CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS
Leonard Butler Tracy Corntazer Jennifer Lamont Timothy Redden Bradley Allan Riddell Patrick Seguin
ADVERTISING AND MARKETING Cindy Trujillo | Senior Media Consultant P: 434.907.5255 | cindy@ourhealthvirginia.com
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COMMENTS/FEEDBACK/QUESTIONS We welcome your feedback. Please send all comments and/or questions to the following: U.S. Mail: McClintic Media, Inc., ATTN: Steve McClintic, Jr., President/ Publisher/Editor: 303 S. Colorado Street • Salem, VA 24153. | Email: steve@ourhealthvirginia.com | Phone: 540.387.6482 Ext. 1 Information in all print editions of OurHealth and on all OurHealth websites (websites listed below) and social media updates and emails is for informational purposes only. The information is not intended to replace medical or health advice of an individual’s physician or healthcare provider as it relates to individual situations. DO NOT UNDER ANY CIRCUMSTANCES ALTER ANY MEDICAL TREATMENT WITHOUT THE CONSENT OF YOUR DOCTOR. All matters concerning physical and mental health should be supervised by a health practitioner knowledgeable in treating that particular condition. The publisher does not directly or indirectly dispense medical advice and does not assume any responsibility for those who choose to treat themselves. The publisher has taken reasonable precaution in preparing this publication, however, the publisher does not assume any responsibility for errors or omissions. Copyright © 2019 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthroanokenrv.com | ourhealthlynchburg.com | ourhealthrichmond.com | ourhealthcharlottesville.com | Advertising rates upon request.
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The Pulse
INFORMATION • EVENTS • AWARENESS
News and Notes
ELIGIBILITY
Centra Announces Request for 2019 Community Health Initiative Grants The Centra Foundation has opened its application process for 2019 Community Health Initiative grants. Applications are due by 4:30 pm on March 1, 2019. To provide a deeper understanding of our community’s primary health needs, and to develop an implementation strategy to address these needs, every three years Centra and the Centra Foundation help sponsor “Part of Centra’s Community Health Needs Assessments strategy to (CHNA). improve the health of our community The 2018 assessments were undertaken includes awarding by the collaborative Partnership for grants to nonprofit Healthy Communities, supported by organizations Centra, Centra Foundation, Community for projects that address the needs Access Network, Central Virginia prioritized in Piedmont and Pittsylvania/Danville the CHNA.” Health Districts, Greater Lynchburg Community Foundation, Johnson Health Center and United Way of Central Virginia. Assessment reports are available at www.CentraHealth.com/CHNA. Part of Centra’s strategy to improve the health of our community includes awarding grants to nonprofit organizations for projects that address the needs prioritized in the CHNA. Applications for grant funding are reviewed and approved by the Centra Foundation Board of Directors.
The Centra Foundation welcomes applications from organizations, which are tax-exempt under IRS Section 501(c)(3) and are not private foundations as described under Section 509(a). Projects that take place outside of Centra’s service area will not be considered.
FUNDING PRIORITIES Projects addressing the top needs in Centra’s service areas will be given priority. In the recent assessments these included: •
Poverty: Interventions to increase the economic mobility of
families and improve economic stability through employment, housing security, health care, food security and education. •
Access to Affordable Health Care: Interventions that remove
barriers to health care access such as lack of health insurance, poor access to transportation and limited health care resources. •
Access to Affordable Housing: Interventions that improve
access to affordable housing and address housing instability factors. •
Access to Healthy Food: Interventions that remove barriers
to healthy food access such as food assistance programs and access to transportation to healthy food sources for people living in food deserts. •
Access to Mental Health and Substance Abuse Services:
Interventions that remove barriers to receiving treatment for mental health conditions. More Information: Detailed instructions on how to apply may be found at www.centrahealth.com/foundation/grants
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News and Notes Direct Primary Care Services Opens in Forest Access Healthcare, a local and long-standing primary care and sports medicine practice, is now offering Direct Primary Care (DPC) services at Forest location. Direct Primary Care, an alternative to fee-for-service billing, allows patients the ability to pay a monthly “membership” fee that covers all or most primary care services. Access’ DPC monthly fees start at $50 for an individual, with an additional $10 per month for each added child. “DPC services should not replace your health insurance,” says Andrew Pieleck, DO with Access Healthcare. “It does however allow you the financial comfort in purchasing a more affordable high deductible/catastrophic insurance plan, while taking advantage of a more direct relationship between the provider and the patient.” Some notable benefits to Access’ DPC services are easy access to your provider for care via phone, email, text, video and in-person. More Information: Visit www.access-healthcare.net and look for the Direct Primary Care tab.
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The Pulse
• NEWS TO KNOW
Marlee Bryant, DNP
Stephanie Cash, NP
Alan Kauppi, MD
Danny Martinez, CP
Access HealthCare Forest | 434.316.7199 www.access-healthcare.net
Centra Medical Group Endocrinology Center Lynchburg | 434.200.4422 www.centrahealth.com
Centra Medical Group Bedford Pulmonology Center Bedford | 540.587.7810 www.centrahealth.com
Excel Prosthetics & Orthotics Lynchburg | 434.528.3695 www.excel-prosthetics.com
John Smiley, NP
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com
For More of The Pulse Visit:
www.ourhealthlynchburg.com Do you have health-related news to share for The Pulse? Send to Stephen McClintic Jr. via email at steve@ourhealthvirginia.com.
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Health Scene HAPPENINGS • WHO’S WHO • TRENDING photos courtesy of | LIBERTY MOUNTAIN SNOWFLEX CENTRE
LIBERTY MOUNTAIN SNOWFLEX CENTRE OFFERS YEAR-ROUND FUN FOR THE ENTIRE FAMILY Outside of our early December snowfall, the start of 2019 has been rather dry for local enthusiasts who love snow tubing and skiing in Lynchburg. Thankfully, those looking for winter wonderland fun don’t have to go far with the Liberty Mountain Snowflex Centre nearby. Located atop Liberty University’s serene 5,000 acre mountain, the Liberty Mountain Snowflex Centre offers year-round skiing, snowboarding and snow tubing at its high performance playground that’s the first in the U.S. Open to people of all ages and skill levels, Liberty Mountain Snowflex Centre specializes in year-round, healthy mountain activities, and even offers skiing and snowboarding lessons. Take advantage of specials for individuals and groups, including $10 Tuesdays, which offers two hours of terrific fun for just $10!
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The Liberty Mountain Snowflex Centre is open Mondays – Fridays from 3 pm – 10 pm, Saturdays from 10 am – 10 pm and Sundays from noon – 6 pm. For more information and to purchase tickets, visit www.liberty.edu/snowflex or call 434.582.3539.
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Health Scene
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• HAPPENINGS
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1 Tubing is available year-round. 2 Learning something new. Private lessons are available for all ages. 3 Fun for all ages. 4 Concentration is key. 5 Practicing on the terrain park’s box slide. 6 The Olympic trampoline is available for snowboard and ski trampoline training. 7 Freestyle for all ages. 8 Busy conveyer up the mountain. 9 A healthy hang-out with friends. 10 The Barrick-Falwell Lodge feels more like an alpine resort, with a relaxing rest, snacks and drinks. 11 Family fun on a recent Tuesday. 12 Snowflex beginner slope. 13 Snowflex also has spectacular year-round views. 14 Easy on/off conveyor belt get skiers to the top of the mountain.
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Questions. Answers. Knowledge.
Is it possible that my pelvic floor problem will just go away over time? Generally speaking, no it won’t. In fact, it can be progressive and get worse over time.
The time-tested
“ONE-SUBJECT PLAN” affords FUMA’s high school-aged cadets
concentrated time to study and focus on one course at a time, with one teacher every day for the entire school day, encompassing seven weeks of instruction. - Timothy Redden -
The pelvic floor is defined as layers of supportive muscles that hold the pelvic organs and span from the tailbone to the pubic bone. The function of the pelvic floor is to support the bowel, bladder and uterus, assist in urinary and fecal continence, aid in sexual performance (orgasm), stabilize connecting joints and act as a venous and lymphatic pump for the pelvis. If the pelvic floor is overly tight, it can cause pelvic pain, painful sexual activity, difficulty in emptying your bladder, constipation or urgency/ frequency in urination. If the pelvic floor is too loose, then there isn’t enough support against gravity, which can lead to organ prolapse, pelvic or back pain, urinary incontinence or fecal incontinence. It is recommended to get screened by a urogynecological medical provider and a pelvic floor physical therapist in order to correctly diagnose and treat the condition. Katherine Oxford, DPT, OCS Virginia Urology for Women Richmond | 804.330.9105 www.uro.com
How does the one-subject curriculum help students at Fork Union Military Academy? Since its inception, Fork Union Military Academy (FUMA) has changed with the times, but since 1950, two constants have remained the same: the school’s Christian mission and its unique “One-Subject Plan” education curriculum. The time-tested “One-Subject Plan” affords FUMA’s high school-aged cadets concentrated time to study and focus on one course at a time, with one teacher every day for the entire school day, encompassing seven weeks of instruction. Intensive immersion in this one-course-at-a-time approach results in greater understanding, comprehension, and application. This program, accompanied by an hour and a half of supervised homework time each evening, helps to promote success among our cadets. Because of this program, we find that our students’ grades, test scores and chances for college acceptance improve, their work ethic strengthens considerably and they are better prepared for life beyond high school. Timothy Redden
Vice President of Development and External Affairs Fork Union Military Academy Fork Union | 434.842.3212 www.forkunion.com
What is the best treatment for pulled muscles due to snow shoveling? This is a very appropriate question given our weather pattern this winter. Prevention of muscle strain or injury would be the first line of defense, so make sure your body is warmed up before beginning any vigorous activity. Use proper body mechanics to protect your back and shoulders, such as keeping your back straight and hips/knees flexed as you scoop and lift the shovel. Do not twist your back to throw the snow but rather pivot your feet to keep optimal back posture. If possible, shovel at several intervals during the snowfall so you are not lifting heavy amounts of snow. If you happen to pull or strain a muscle, you should rest it and apply an ice compress in intervals of 10 – 15 minutes for the first 24 hours, then apply heat after 24 – 48 hours. You should also gently stretch the involved muscle, and light or superficial massage of the muscle may also be beneficial as long as it is not painful. Contact your physical therapist or primary care physician if your symptoms persist or become more severe. Kevin Cope, PT
Rehab Associates of Central Virginia Madison Heights | 434.845.5641 www.racva.com
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Questions. Answers. Knowledge.
Is it important for me to tell my dentist if I have a heart condition? The short answer is yes. Your mouth is interconnected to your entire body and as such, any dental disease or procedure can have an impact elsewhere. Many of the anesthetics routinely used in dental care contain epinephrine, or adrenaline, which affects the heart, so it’s very important that dentists and other oral health specialists are aware of any cardiovascular issues that may warrant using a different anesthetic.
Many dental procedures will lead to a temporary increase of bacteria in the bloodstream.
ANYONE WITH A HEART ISSUE who has an increased risk for infections or endocarditis,
may need to be premedicated with antibiotics. - Steve Hatch, DDS -
Inform your dentist or other oral health specialist if you have any of the following conditions or circumstances prior to treatment: recent heart attack, any heart surgeries like CABG or angioplasty, high blood pressure, heart valve replacement, chest pain, congenital heart disease, heart transplant, taking anticoagulant medications or irregular heart rhythms. Additionally, many dental procedures will lead to a temporary increase of bacteria in the bloodstream. Anyone with a heart issue who has an increased risk for infections or endocarditis may need to be premedicated with antibiotics. As with all healthcare providers, the more information dentists and oral health specialists have, the better they can serve patients in a safe, effective and compassionate manner. Steve Hatch, DDS
CrossRoads Family Dentistry Forest | 434.363.9422 www.crossroadsfamilydentistryva.com
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What is atherosclerosis? Atherosclerosis is a disease of the arteries that involves hardening and narrowing of the vessel. This process occurs because of buildup of plaque around the vessel, specifically around the inner layer of the vessel, called the endothelium. While it can occur with normal aging and flow through the arteries, this process is more commonly associated with damage to the vessel resulting from high blood pressure, smoking, diabetes and high cholesterol. When these arteries that carry oxygen and nutrients to the rest of the body become hardened and narrowed, it becomes difficult for adequate blood supply to flow to the necessary areas. Mild atherosclerosis may not cause any symptoms, but when narrowing becomes severe, it can lead to serious problems such as severe leg pain, heart attack and stroke. In most cases, the presence of atherosclerosis can be identified by simple, non-invasive techniques. Evan Ownby, MD
Can a prosthesis be made to look like an actual part of my body? A prosthesis can be made almost indistinguishable to the limb it substitutes. Thanks to advancements in materials, silicone restorations can be performed that are detailed down to the freckle and colormatched to an amazing degree of accuracy. These silicone restorations are works of art, look and feel very realistic and are applied over the functional/structural “bones” of a prosthesis to create a device that is both subtle and functional. This option is limited only to the patient’s needs and requests. Other quicker more accessible options include varieties of custom foam and plastic covers applied to the device. These covers give patients the silhouette of the limb so that in a sleeve or pant leg the device is very discreet. Danny Martinez, CP
Excel Prosthetics & Orthotics Lynchburg | 434.528.3695 www.excel-prosthetics.com
Centra Medical Group Stroobants Cardiovascular Center Lynchburg | 434.200.5252 www.centrahealth.com
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HITTING RESET BUTTON
7
words | BRADLEY ALLAN RIDDELL
Each New Year begins with optimism. The calendar wipes your slate clean, and the possibilities seem endless. It’s invigorating, isn’t it? So why then do resolutions so often fail? Research by Strava, a social media network for athletes, shows that most resolutions are toast by January 12th. That’s right: Most resolutions fail just two weeks after starting them. That’s why you should take a different approach in 2019. Rather than setting unrealistic goals and start dates that you’re not confident about, hit the reset button on your health at a time that’s right for you. Here are seven ways to hit the reset button on your health, including insights for starting out, staying on track and recognizing success of your efforts, along with resources and experts available in Greater Lynchburg you can trust and depend on when you need them.
MYTH VS
REALITY: Can You Catch Up on Lost Sleep? The biggest myth about sleep is that you can make up for lost ZZZs. That is, if you get only five hours of sleep one night, you can make up for it the next. But that’s not true. When you deprive yourself of sleep, you create immediate health risks like high blood pressure.
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Sleep & Rest
HITTING THE RESET BUTTON ON:
SLEEP AND REST CYCLE
A lack of sleep can feel like torture. If you’re not getting at least seven hours each night, your days can feel like a slog. You’re never as happy or productive as you want to be, and you can’t live life at your full potential. But getting seven-plus hours each night is tough in our busy, connected world. When you’re ready to reset your sleep, try the following:
A Develop a Routine: Getting consistently good sleep is all about developing a routine. Go to sleep at night and get up each morning at the same times — even on weekends, if possible. Also, avoid napping later in the day.
B Make Adjustments in Increments: When trying to adjust to a new sleep cycle, experts recommend doing so gradually, in 15-minute increments. If you have less time to prepare for a new schedule, you can try 30-minute increments, but no more. Give yourself at least three to four nights to find comfort in your new sleep schedule before adjusting another 15 minutes.
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C Unplug: Electronics activate the body in ways that make it hard to fall asleep. Turn off the TV and place your phone out of reach before bedtime. The best device for turning off your brain and preparing your body to rest? A good book.
D Create Optimal Sleep Conditions: People sleep best in cool, dark rooms while wearing loose-fitting clothing. Create those conditions for improved rest.
E Get in Sync: If you have a spouse or significant other, your sleep schedules may affect one another’s. Always make sleep decisions in tandem with whoever shares your space. If you’re really struggling to get to sleep (and stay asleep), you may explore sleep aid options. If and when you do, always consult a medical professional first. SIGNS OF SUCCESS When you’re getting consistently good sleep, you should wake up each morning feeling energized and refreshed and feeling positive and productive each day (with no urge to nap). And at night, you should feel tired and ready for bed.
HITTING THE RESET BUTTON ON:
Heart Health
HEART HEALTH
Are you living with high blood pressure? Experiencing high cholesterol? Worried about family history of either? There are limitless reasons to be proactive about your cardiovascular health. No matter why you want to start fresh with your heart health, there are options for taking action. These actions fall into five categories:
A Eat Right: Choose whole grains, fruits, vegetables and other natural foods, as well as lean meats and seafood.
B Exercise Daily: Heart health emerges from a blend of eating right and exercising daily. Carve out 30 minutes for aerobic exercise each day, and try to work your way up to 60–90 minutes per day.
C Optimize Your Lifestyle: Lifestyle plays an important role in heart health. Limit alcohol intake, stop smoking and moderate consumption of calorie-dense foods.
D Involve Others: Let family members know that you’ll be eating healthy meals at home
and that you’ll need 30 minutes each morning for exercise. Also, finding an accountability partner is an excellent way to ensure the success of lifestyle changes.
E Check With Your Doctor First: It’s always a good idea to talk to a doctor before dramatically changing your diet or increasing your exercise load. This is especially true if you have a history of heart-related issues like high blood pressure or cholesterol.
MYTH VS REALITY:
Does Heart Disease Only Affect Men? Some think that heart disease only affects men, but that’s not accurate. Heart disease is the number one cause of death among women 65 and older.
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COMMUNITY CARE CONNECTION
Sleep and Heart Health HOME SLEEP TESTS Home sleep testing is a method of overnight monitoring used to diagnose certain sleep disorders. New technology has allowed physicians to offer patients a lightweight, portable, easy to use monitoring device reducing the cost and time spent in sleep clinics. Home sleep testing is stress free with the advantage of never having to leave the comfort of your own bed.
WHERE DO I GO? FOREST SLEEP CENTER 1084 Thomas Jefferson Road Forest | 434.455.0626 www.centrahealth.com/HST
SURGERY FOR OBSTRUCTIVE SLEEP APNEA If your sleep apnea is caused by a deviated nasal septum or jaw conditions causing a narrow throat, you might be a candidate for sleep apnea surgery. There are several surgical procedures available ranging from in-office minimally invasive laser surgery to in-patient surgery which may require and overnight stay in the hospital. Talk to your doctor about what procedure is best for you.
WHERE DO I GO? CENTRAL VIRGINIA ORAL AND FACIAL SURGERY Lynchburg | 434.832.8040 www.cvofs.net
SLEEP DEPRIVATION AND VETERANS Did you know that sleep problems are one of the most common problems for veterans returning from a deployment? Sleep problems can also be symptoms of Post-Traumatic Stress Disorder (PTSD) and traumatic injury. In fact, 90 percent of combat veterans diagnosed with PTSD experience difficulty initiating and maintaining sleep and 52 percent of combat veterans with PTSD experience nightmares.
WHERE DO I GO? VIRGINIA DEPARTMENT OF VETERANS AFFAIRS 800.273.TALK (8255) www.dvs.virginia.gov/ virginia-veteran-and-familysupport-2/resources/sleep
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FREE HEARTAWARE RISK ASSESSMENT Did you know that most people who die from a heart attack have no previous symptoms? There are a multitude of risk factors that could lead to heart disease and complications if not detected and treated properly. Consider taking a FREE heat assessment by visiting the Centra Health website. Plus, you may qualify for a FREE heart screening, which includes blood pressure, cholesterol, blood sugar, and face-toface consultation with a Centra clinician.
WHERE DO I GO? For the HeartAware free online risk assessment and other wellness assessment tests, visit www.centrahealth.com/community-health/ wellness-assessments. Remember: this assessment is not intended to be a diagnostic tool, but it can point out any red flags to bring to your primary care provider.
JOIN A LOCAL HEART WALK Mark your calendar for the 2019 Lynchburg Heart Walk, benefiting the local chapter of the American Heart Association. The one, two and three-mile walks' takes place on April 27th at Peaks View Park in Lynchburg. A fun addition to this year’s walk is Pooches on Parade. Bring your dog dressed to impress!
WHERE CAN I GO? Saturday April 27th Activities | 8 AM | Walk 9 AM Peaks View Park, Ardmore Entrance | Lynchburg www.lynchburgheartwalk.org
FREE AND LOW-COST HEALTH AND WELLNESS PROGRAMS Lynchburg Parks and Rec offers a number of health and wellness classes for the community. While some classes charge a low-cost fee, the Passport to Health fair for seniors age 50+ is FREE! Lynchburg Parks and Rec along with the University of Lynchburg will offer loads of free information and opportunities to improve your health.
WHERE CAN I GO? Friday February 22nd | 11 AM – 3 PM Forest Recreation Center | Ages 50+ www.lynchburgparksandrec.com/programs-andactivities/passport-to-health
THE IDEAL PROTEIN DIET FOR HEART HEALTH Many popular diet plans include foods that contain toxins like aspartame, MSG, and GMOs. And as we already know, an unhealthy diet will only lead to unhealthy weight loss. Ideal Protein, a doctor derived weight loss protocol that transforms the body’s ability to metabolize sugar, is now offered through Widmeyer Vein Center.
WHERE CAN I GO? WIDMEYER VEIN CENTER Lynchburg | 434.847.5347 www.lynchburgidealweightloss.com
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CHOOSING A TRUSTWORTHY DIET The American Heart Association (AHA) offers credible and balanced information you can trust when it comes to choosing a heart healthy nutrition plan. Visit the AHA’s website at www.heart. org as a good first step for finding heart healthy recipes, meal plans and other helpful resources. DON’T GET DISCOURAGED Just one stressful week can derail your heart health routine. So too can a big event like a vacation or a friend’s wedding. It’s OK to have an unhealthy meal from time to time, and it’s also OK to miss a day of exercise. But don’t let one meal or missed day spiral into something bigger. SIGNS OF SUCCESS Experts suggest that people who stick to a heart healthy plan may start seeing results – like a drop in blood pressure by 10 points and in cholesterol levels by as much as 20 percent – in as little as five weeks. Continued on page 24...
MYTH VS
REALITY: Children of Chronic Pain Sufferers Will Also Have Chronic Pain. This is a common and understandable concern to have, but there is no significant research that shows chronic pain conditions are passed onto pain sufferer’s children. There is research that demonstrates pain is a combination of generics and environmental factors. While some illnesses are hereditary, many chronic pain conditions result from other factors, so take comfort in knowing that your child will not automatically inherit your pain.
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...Continued from page 22
HITTING THE RESET BUTTON ON:
PAIN MANAGEMENT
pain
Chronic pain can feel like a prison. It holds you back from doing the things you love with the people most important to you. While a solution to chronic pain would be ideal, start by resetting your approach to managing it more effectively through the following activities:
A Focus on Overall Wellness: General wellness tips are
good for pain management, too. For example, reducing your stress level, eating a healthier diet, getting good sleep and cutting back on alcohol are all good paths to general wellness and great ways to reset your pain management.
B Generate Endorphins: It’s often difficult to exercise
when you’re dealing with pain. But, if you can find an activity that’s relatively pain free, the natural endorphins created will boost your mood and help treat your pain symptoms. Remember to always check with your doctor before you start a new exercise regimen.
C Find a Support Group: Dealing with chronic pain can often leave you feeling very lonely. But the truth is you’re far from being alone. Support groups connect people and create an atmosphere where they can share information and enjoy the company of others who understand the challenges of living with chronic pain.
D You Don’t Have to Just ‘Live with Pain’: Today, there
are countless options for pain relief, including relaxation techniques, exercise, physical therapy, over-the-counter and prescription medications, surgery and injections, as well as many alternative or complementary treatments like acupuncture and massage that offer real results. You may have to try several different approaches before discovering one or a combination of options that work best for you.
Advancements in technology and services continue to bring new hope for chronic pain sufferers, but keep in mind that managing – rather than curing – chronic pain is the goal of treatment. Pain management experts teach you how to live a full, productive life without allowing pain to completely control you. SIGNS OF SUCCESS Positive thinking is a powerful tool. By focusing on the improvements you are making, such as reaffirming yourself that the pain is less today than yesterday or that you feel better now than you did a week ago, you can make a difference in your perceived comfort level. Continue to remind yourself that you are working toward finding a healthy way to deal with pain and living a productive and fulfilling life. Continued on page 26...
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Physical Therapy Treatment for Patients with Chronic Pain
One example of an effective non-opioid treatment option is called Trigger Point Dry Needling offered by specially trained physical therapists. Trigger Point Dry Needling is the use of solid filiform needles inserted through the skin and into the muscle to release painful myofascial trigger points. The technique allows for improvements in movement and decreased pain. It’s called “Dry” Needling because no medication is injected. With Trigger Point Dry Needling, the needle itself and the effects it produces within the tissue is the treatment. Trigger Point Dry Needling is an effective therapy to treat pain that originates from muscle, but may present as conditions such as arthritis, nerve irritation, headaches, and herniated discs.
WHERE DO I GO? ANDY TATOM, PT, DPT, OCS REHAB ASSOCIATES OF CENTRAL VIRGINIA Clifton Street Clinic | Lynchburg | 434.528.1848 MICHAEL RICHARDSON, DPT, MSPT AND JOEL EGGLESTON, PT, DPT REHAB ASSOCIATES OF CENTRAL VIRGINIA Forest Clinic | Forest | 434.525.4851
PAIN MANAGEMENT SPECIALISTS Pain management specialists are concerned about the patient’s ability to function and their quality of life. A pain management specialist develops a treatment plan to relieve, reduce, or manage pain to help patients realize their best life possible. Pain management specialists practice in a variety of capacities, including as: •
Physiatrists
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Psychiatrists
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Anesthesiologists
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Psychologists
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Internists
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Nurses
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Oncologists
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Occupational Therapists
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Surgical specialists
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Physical Therapists
Hitting the Reset Button on Seven Health and Wellness Goals
Statistics such as these are just one of the reasons that agencies like the Centers for Disease Control and Prevention (CDC) are urging healthcare providers to help reduce the use of opioids in favor of safer alternatives to treat people suffering with chronic pain. But alternative options are only as good as the effectiveness they provide.
Pain Management
•
While increased awareness surrounding the opioid epidemic has resulted in stricter regulations and tougher standards for prescribing this class of pain management medications, the battle is far from over. In fact, every day, more than 100 people in the U.S. still die from opioid overdoses. Although opioids remain a widely prescribed option for managing patients with chronic pain, reports of misuse continue to be staggering; up to 29 percent of chronic pain patients misuse their medication, despite tight monitoring.
COMMUNITY CARE CONNECTION
Features
AN ALTERNATIVE TO OPIOIDS:
PAIN RELIEF FROM ARTHRITIS? Radiofrequency ablation, also known as RFA, is a minimally invasive pain management technique that uses electrical current to target the pain receptors in a person’s body. RFA can be used as a treatment for chronic lower back and neck pain and pain related to the degeneration of joints from arthritis.
WHERE DO I GO? RICK LEE, MD BLUE RIDGE CHRONIC PAIN CENTER Forest | 434-515-2775
PAIN, WEAKNESS, TINGLING AND NUMBNESS? Identifying the exact source of pain is critical in restoring your health. Electrodiagnostic (EDX) medicine is the medical subspecialty that applies neurophysiologic testing (measuring the electrical activity in your muscles and nerves) to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems.
WHERE DO I GO?
Trigger Point Dry Needling and acupuncture are not one in the same, so make sure your physical therapist is specifically trained in Trigger Point Dry Needling.
JOYCE HUERTA, MD ORTHOVIRGINIA Lynchburg | 434.485.8598 | www.orthovirginia.com
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ABCDEs
...Continued from page 24
of Skincare
In order to catch skin cancer at its earliest stage, the American Academy of Dermatology suggests a monthly head to toe skin self-examination. Consult a doctor if a mole has any of the following characteristics:
HITTING THE RESET BUTTON ON:
Skin Health
SKIN HEALTH
Your skin never lies. When you’re leading a healthy lifestyle and taking care of your body, your skin will radiate like something out of a magazine ad. That’s why so many different factors affect your skin health. If you’re ready to hit the reset button on your body’s largest organ – yes, your skin is an organ – consider the following actions:
A Moisturize: Zap redness, dryness and itchiness by getting the right products for
A = ASYMMETRY
When split down the middle, the two halves of the mole do not match.
moisturizing (a non-abrasive scrub brush, non-irritating ointments or creams and/ or hypoallergenic cleansers, for example). Also, maintain moisture by taking shorter showers to avoid irritation, washing your face in warm rather than hot water, as well as patting skin dry rather than rubbing.
B Nourish: What you put in your body affects your skin, too. Good things for your skin
include olive oil, green tea, kale, tomatoes and mangoes. Bad things include alcohol, cigarette smoke, caffeine and white bread.
C De-Stress: High stress can lead to poor skin health. Studies indicate that increased levels of stress can cause rashes, itchiness, excessive sweating and even hair loss.
B = BORDER
The border of the mole is uneven.
D Rest: Beauty sleep is real. If you’re not getting at least seven hours each night, your skin won’t have the time it needs to refresh and reenergize for the next day.
E Inspect: When detected early, skin cancer is highly treatable. The American Academy of Dermatology recommends that everyone check their skin and their partner’s skin regularly for any new or suspicious spots. The infographic at left shows you how
to perform a skin exam from head to toe and what signs to look for on the skin.
C = COLOR
The mole is made up of multiple shades and/or colors.
SIGNS OF SUCCESS There are two telltale signs of healthy skin. First, you won’t feel your skin. When your skin is healthy, there’s no itchiness or dryness and you simply think about it less. And, second, check for consistency. Healthy skin should have the same tone, texture and color all over your body. Continued on page 29...
6mm
D = DIAMETER
The diameter of the mole is larger than the size of a pencil eraser.
E = EVOLUTION
The mole changed in size and/or shape over a course of time.
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MYTH VS REALITY:
Eating Chocolate or Oily Foods Causes Oily Skin and Acne. According to experts at Harvard Medical School, there is no evidence that any specific food causes acne. Acne is caused by an oily substance called sebum that’s made and secreted by your skin. Certain medications like oral contraceptives, antiandrogens (also known as testosterone blockers) and vitamin A derivatives like isotretinoin are all known to reduce sebum production. Other medications, like testosterone and progesterone, are known to increase sebum production.
Non-Invasive skin tightening and contouring is a great way to revitalize your skin without the need for invasive treatments.
WHERE DO I GO? DERMATOLOGY CONSULTANTS ALISA FUNKE, MD Lynchburg | 434.847.6132 www.lynchburgdermatology.com RIDGEVIEW DERMATOLOGY JASON GIVAN, MD Lynchburg | 434.363.4190 Forest | 434.333.7370 Smith Mountain Lake | 540.759.7500 Farmville | 434.363.4190 www.ridgeviewdermatology.com
Hitting the Reset Button on Seven Health and Wellness Goals
NON-INVASIVE SKIN TREATMENTS
Mohs micrographic surgery is considered the most effective technique for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer. The procedure is done in stages, including lab work, while the patient waits. This allows the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar.
•
GET TO KNOW MOHS SURGERY
Features
COMMUNITY CARE CONNECTION Skin Health
WHERE DO I GO? LYNCHBURG AESTHETICS & WELLNESS Lynchburg | 434.616.4986 f @lynchburgaesthetics
DROOPING EYELIDS? As we age, so does the soft delicate skin and muscle around our eyes. Drooping eyelids caused by excess skin can not only make you feel less attractive but can impede your vision. For drooping eyelid and brow repair, consider a consultation with a skilled oculoplastic surgeon. WHERE DO I GO? SARA KALTREIDER, MD Eyelid & Facial Aesthetics Charlottesville | 434.244.8610 www.eyelidandfacialaesthetics.com
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COMMUNITY CARE CONNECTION
Lung Health QUIT NOW VIRGINIA: The Virginia Department of Health provides assistance to those interested in kicking the habit through its program Quit Now Virginia. Available 24 hours a day, seven days a week, Quit Now Virginia provides free counseling sessions and informative materials to help Virginians lose the tobacco habit.
WHERE DO I GO? QUIT NOW VIRGINIA 800.QUIT.NOW (800.784.8669) www.quitnow.net/virginia
IS IT ALLERGIES OR ASTHMA? For allergy and/or asthma sufferers, living the Lynchburg and Southside communities can sometimes be challenging, but with the right specialist helping you to determine which condition you may have and how to best manage it, you can realize a much healthier and happier life.
WHERE DO I GO? ASTHMA & ALLERGY CENTER Lynchburg | 434.846.2244 www.asthmaandallergycenter.net ALLERGY AND ASTHMA OF VIRGINIA Forest | 434.515.0419 Danville | 434.251.0026 www.va-allergy.com
BRONCHIAL THERMOPLASTY If you are struggling with your existing asthma treatment, Bronchial Thermoplasty, a safe, non-invasive, outpatient procedure is now offered at Centra Health for adult patients. Bronchial Thermoplasty uses mild heat to reduce excessive smooth muscle in the airways, which helps reduce severe asthma attacks.
WHERE DO I GO? CENTRA HEALTH Lynchburg | 434.200.3000 www.centrahealth.com/services/bronchialthermoplasty
WHAT’S THE ASTHMA AND ALLERGY FORECAST WHERE YOU LIVE? Find out the air quality forecast in your hometown by visiting www.asthmaforecast.com and entering your zip code in the search bar at the top of the page.
Free Pollution Check The American Lung Association offers a free pollution check for your region with data on daily air pollution. Scan the QR code provided for more information.
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...Continued from page 26
HITTING THE RESET BUTTON ON:
Lung Health
LUNG HEALTH
It’s easy to overlook lung health, but your lungs are essential to your overall wellness. They make your every breath possible, and they also keep other organs functioning by delivering oxygen to the bloodstream. You can probably guess the top tip for resetting your lung health: Stop smoking! But, for non-smokers, discover these other ways to reset:
A Improve Indoor Air Quality: What you breathe matters. Improve the air quality in
your home or office by cleaning regularly, investing in an air purifier, changing out HVAC filters regularly and installing radon detectors, remembering to replace the batteries regularly as needed. And on nice days, open windows to let fresh air circulate in. Keep an eye on the pollen count though so you’re not letting in allergy triggering irritants.
B Stave Off Infections: Keep your lungs healthy by preventing lower respiratory
infections like pneumonia and bronchitis. In addition to getting flu and pneumonia shots, it’s also important to wash your hands regularly and to maintain good oral hygiene practices (to prevent germs from traveling to your lungs from your mouth).
LUNG HEALTH COMMUNITY CARE CONNECTION
ALLERGIES AND ASTHMA AT HOME While common household dust doesn’t affect most, dust mites could be triggering allergic reactions and asthma in people already struggling with sensitivities. The harmful allergen can cause mild to severe reactions ranging from an occasional runny nose to a chronic cough or severe asthma attack. Think about enlisting a professional cleaning company to help reduce and eliminate dust mites in your home.
WHERE DO I GO? MERRY MAIDS OF LYNCHBURG Lynchburg | 434.363.3344 Call to schedule a FREE cleaning estimate for your home!
C Exercise Aerobically: Aerobic exercise strengthens your lung capacity, which means
your body distributes oxygen more efficiently and allowing you to maintain a larger breathing reserve. Need a little help with exercise? Consider starting a walking group in your neighborhood. A walking group creates built-in accountability, and walking with others gives you an opportunity to connect and talk while improving lung health.
USE GOOD “LUNG SENSE” Any doctor would green-light improved air quality and infection prevention. Still, consult a doctor if you have any conditions that might make aerobic exercise dangerous or if you are dealing with a respiratory condition that lingers for more than a few days. Most importantly, seek help immediately if you are experiencing shortness of breath. DON’T OVERDO IT The fastest way to get off track with lung health is to get sick — despite your best efforts at staving off infection. If you get sick, do two things. First: don’t beat yourself up (because sickness happens); and second: wait until you’re fully recovered to jump back into exercise (because you don’t want a secondary infection). SIGNS OF SUCCESS Here’s a surefire sign your lung health is improving: climb a few flights of stairs. You should find that your added lung capacity helps you navigate steps with ease.
MYTH VS REALITY:
Receive A Radon Home Test Kit for $3.00 The Virginia Department of Health offers a Radon Home Test Kit for a $3 shipping fee. You must be a Virginia resident to qualify for the kit that’s available while supplies last. Visit www.vdhradon.org by scanning the QR code provided for more information and to order.
Only Smokers Can Get Lung Cancer.
This fact might take your breath away, but according to the American Cancer Society, as many as 20 percent of people who die from lung cancer each year have never smoked or used tobacco products. So what’s the leading cause of lung cancer in non-smokers? Exposure to radon gas. Because radon gas can’t be seen or smelled, the only way to know whether it’s a problem in your home is to test for it. Visit www.ourhealthvirginia.com/eparadonguide to download a copy of A Citizen’s Guide to Radon from the Environmental Protection Agency (EPA), which explains how to test your home for radon easily and inexpensively, as well as what to do if your levels are too high.
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COMMUNITY CARE CONNECTION
Mental Health BIOIDENTICAL HORMONE REPLACEMENT THERAPY (BHRT) Bioidentical Hormone Replacement Therapy (BHRT) is a powerful tool in combating the effects of hormonal changes as we age. Both men and women can benefit from this proven therapy and boost their mental health when they most need it.
WHERE DO I GO? WYNDHURST MEDICAL AESTHETICS AND HORMONE CLINIC Lynchburg | 434.386.8894 www.wyndhurstaesthetics.com
90 DAYS TO CHANGE – ONLINE Feeling better requires changing your thoughts and your actions and learning to be more mindful. The 90Days to Change program, a holistic and natural approach to improving mental health, is a complete online care package that empowers you on the road to health in every aspect of your life: biologically, psychologically, socially, and spiritually.
WHERE DO I GO?
HITTING THE RESET BUTTON ON:
MENTAL HEALTH
Mental Health
The resets described in many other sections throughout this article are also good for your mental health. Getting better sleep, exercising regularly, eating a conscientious diet — resetting in these ways will make both your body and your brain feel better.
But there are other ways to reset your mental health in 2019. When you’re ready, consider taking the following actions:
A Take a Break: When was the last time you took time
off from work or parenting to focus on yourself? We often take time away from our busy schedules to do other busy things like visiting friends or taking a family vacation, but to truly reset your mental health, consider taking a truly restful break all by yourself. Remember, there’s nothing wrong with taking a break, even if you feel like you just had one. If you have a bad mental health day or week, consider taking a break to rest and recharge. A break doesn’t always mean going somewhere — you can have a great break just by taking an afternoon to browse through a quiet bookstore or get a massage away from the humdrum of your daily life.
B Start Journaling: Journaling can be a positive way to
THE CHANGE GROUP Lynchburg | 855.55.CHANGE www.changegroupcounseling.com
EMPOWERING WOMEN AND ADOLESCENT GIRLS Often women and girls have specific mental health needs and concerns. Through counseling, group therapy and workshops this practice helps women and girls identify their strengths, facilitate personal growth and take control of their lives.
WHERE DO I GO? EMPOWER COUNSELING, PC Lynchburg | 434.219.5621 | www.empowercounseling.info
SUPPORT GROUPS As discussed in other ‘Reset’ sections throughout this article, support groups play an important role in helping you discover more about yourself and how to realize a better life through sharing and talking. When it comes to mental health, talking about your challenges with others through support groups is just as important.
organize your thoughts and manage the things that affect your mental health. Just don’t forget to stay positive — dedicate a portion of journaling time to write about what you’re grateful for.
C Talk to Someone: Sometimes you need to open up and
talk to someone about mental health. This can be a friend, but, in more severe cases, it can and should be a mental health professional. Should you talk to a doctor about mental health? Absolutely. It’s not a requirement before you take a break or start journaling, but you should certainly talk to a medical professional if mental health is starting to overwhelm your life.
SIGNS OF SUCCESS The signs of mental health issues include: exhaustion, feeling overwhelmed, feeling hopeless and feeling negatively toward yourself. You’ll know you’re getting results from your mental health reset when those feelings dissipate. Continued on page 32...
WHERE DO I GO? For listings of local mental health support groups in Lynchburg visit www.psychologytoday.com/ us/groups/va/lynchburg or speak with your primary care doctor.
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MYTH VS REALITY: Mental Health is Not a Sign of Weakness. The biggest myth about mental health is that it is a sign of weakness or character flaws. Mental health challenges can strike any time, and they are no reflection of who you are as a person.
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HITTING THE RESET BUTTON ON:
ADDICTIONS
Addiction takes all shapes and forms. Some of us are addicted to substances. Some of us are addicted to spending. And some of us are addicted to social media. No matter what type of addiction you’re dealing with, there are several ways to reset.
Addiction
If you’re ready to address your addictions, here are ways you can start:
A Admit to Yourself A Problem Exists: The greatest
challenge of realizing and admitting you have an addiction is getting past yourself. Yes, you are your own worst barrier. While it may sound cliché, when it comes to addiction recovery, admitting you have a problem is perhaps the most important step. A common belief is that people must “hit rock bottom” before they can admit to themselves they do have a problem. There is a lot of truth in this notion, but “hitting rock bottom” doesn’t always mean that a person has to experience total loss and despair such as losing their job, destroying relationships, incurring legal issues, realizing financial ruin and worst of all irreparably damaging their health or the health of others before recognizing a change is needed. Understanding that every person’s “rock bottom” can be different is something everyone – including those with and without addictions – should remember and embrace.
B Know Your Triggers: Triggers generally fall into one of
three categories: emotional, environmental or exposure. You have a bad day at work, or you have a fight with your spouse, or you see something, or you hear something, and you’re triggered to engage in your addiction. Think back to the recent times when you’ve engaged in an addictive behavior, and try to identify the triggers to avoid. Recognize these triggers so that you can handle your addictive urges in real-time.
C Recognize Signs of Relapse: For those with a substance
abuse problem, maintaining sobriety can be an everyday struggle. The potential for relapse is always there, but knowing the warning signs that could foreshadow a relapse can help to avoid it. It’s just as important for friends and family to be educated on what to look for as potential triggers for relapse as it is for those in recovery to be able to monitor themselves.
D Discover Effective Ways to Avoid Your Addiction: How will you respond when you get the urge to engage in addictive behavior? To quell addictive urges, some people exercise, some read books, some play cards and some organize closets, for example. Plan ahead to avoid your addiction.
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COMMUNITY CARE CONNECTION
Addiction Management ADDICTION RECOVERY CENTERS AND SUPPORT RESOURCES The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities.
WHERE DO I GO? Visit www.findtreatment.samhsa.gov and enter your address, city or zip code in the search field to confidentially and anonymously find inpatient and outpatient treatment facilities and resources close to you or call 800.662.HELP (4357) for treatment referral and information available 24/7.
ADDICTION COUNSELING Overcoming drug and alcohol addiction requires professional support. A certified substance abuse counselor understands these addictive behaviors. Outpatient support can help you maintain your everyday life while getting the help you need.
WHERE DO I GO? THRIVEWORKS Lynchburg | 434.528.3263 www.thriveworks.com/lynchburg-counseling
GROUP THERAPY AND PEER COUNSELING Group therapy and peer counseling provide opportunities for in-depth discussions around the complexity of addiction, its underlying causes, and the essential elements to maintaining sobriety. The Substance Use Services at Horizon focus not only on recovery, but on whole person health.
WHERE DO I GO? HORIZON BEHAVIORAL HEALTH Lynchburg | 434.847.8035 www.horizonbh.org/services/mh-and-residentialsubstance-use
Know the Warning Signs of Relapse According to the online resource AddictionCenter (www.addictioncenter.com), relapses can happen suddenly and are usually brought on by triggers that can cause bad habits to re-surface. Some warning signs to watch out for are: •
Overconfident attitude
•
Self-pitying attitude
•
Dishonesty
•
Hanging out with people from drug use days
•
Changes in personal hygiene, sleep or appetite
•
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E Find Accountability: You need a plan and a support system to help you see a plan
through. Family and friends play a vital role in helping keep addiction sufferers accountable, but they are only part of the process. Support groups should also be a part of the routine of those trying to overcome addiction. Not only do they offer invaluable education and insight on addiction, they connect together people who are all facing the same set of problems, which helps them open up and talk more about their issues and reinforces the understanding they are not all alone in their struggle.
SIGNS OF SUCCESS Yes, it’s another commonly used cliché’, but approaching life one day at a time really is the best mantra to follow. Always remember that each day you remain sober marks one more successful step in your path to recovery.
MYTH VS
REALITY: Natural Drugs Are Safer Than Synthetic Ones. Marijuana, mushrooms and other “natural” highs still alter brain chemistry and produce dangerous side effects. They are not harmless just because they grow in the ground.
ARE YOU READY TO RESET? A New Year’s resolution is all about tyranny. You’re forced to make a life change starting on a date that is less than ideal. A health reset is all about freedom. You’re given the power to make a change at a time that sets you up for ultimate success. Are you ready to reset in one of these areas? Consider the options discussed in this article, or schedule an appointment with your primary care doctor to discuss other concerns and the best steps for realizing improvement and put some action behind your decision.
ON THE WEB
More at OurHealthLynchburg.com
LET US KNOW HOW THINGS ARE GOING. Once you reset, share about your experience at www.ourhealthvirginia.com/ contact or on our facebook page at www.facebook.com/OurHealthLynchburg with #OurHealthLynchburgReset.
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5
Healthcare Jobs T H AT C A N S TO P A
MIDLIFE CRISIS words | JENNIFER LAMONT
Half the people at your company are seriously considering a career change right at this moment, whether they’re 35 or 55. If you happen to be at the older end of that range group, you may doubt your ability to land a new job or learn a whole new set of skills. But career statistics show that may be all in your head. It’s never too late to change direction and drive yourself down a completely new career path. Statistics also show the days where employees stick with a company for as long as possible, regardless of job satisfaction, are also becoming a thing of the past.
There’s room for you in healthcare even if you faint at the sight of blood. With more people living longer and putting off retirement, employees in their 40s, 50s and 60s are working long into their golden years and searching for more purpose in what they do for a living. That can mean changing career fields entirely. For many, the answer lies in healthcare.
A 2015 survey conducted by the American Institute for Economic Research (AIER) showed more
than HALF OF OLDER WORKING ADULTS are UNSATISFIED in their current jobs and want to CHANGE CAREERS. And each year, between one and two million midlifers do so successfully.
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Health A-Z
• INSIGHT
see themselves surviving chemistry classes – there are hundreds of other types of jobs in the medical industry. Some of the highest-paying healthcare jobs, like information technology (IT), cybersecurity and healthcare administration, don’t involve direct patient care or require a traditional medical background. “There are many healthcare related jobs, such as healthcare administration, that don’t have the awareness of nursing,” says Kenneth Bunch, PR and Marketing Coordinator at Central Virginia Community College (CVCC).
And with 10 out of the 20 fastest growing occupations predicted to be in the healthcare field by 2026, according to the Bureau of Labor Statistics (BLS), there’s room for both new graduates as well as midlife career-changers. But, fair warning: there is still competition – even for nursing positions. As someone who’s changing careers, you’ll likely bring valuable skills to a new job, but you’ll also be competing with thousands of other applicants. Still, because of an aging population, new technologies and medical advances, no other industry offers more opportunities and consistent, faster growth, according to the BLS. Even for those who don’t handle blood or MYTH VS. REALITY: needles very well – or can’t
There are Only Jobs in Healthcare for Doctors and Nurses One of the biggest misconceptions about working in healthcare is that there are only clinical jobs available – such as for doctors and nurses. True, these are the positions with the most people but there are other types of healthcare jobs with opportunities to advance and specialize, like information technology, cybersecurity, data analysis and management and healthcare administration.
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In fact, healthcare administration positions are ideal for many people transitioning from other fields. The existing skill set an older worker brings to a healthcare administrator’s position makes it a natural choice for a midlife career changer who may have experience in marketing, administration or human resources.
?
DID YOU
KNOW?
STOLEN HEALTH CARE DA 20 times TA can b more VA e 10 to LUABLE MARKET on the B than cred LACK it card info accordin rmation, g to RAN D, a rese organiza arch tion that develops public po solutions licy chall to enges to commun help mak ities thro e ughout th e world sa and more fer secure.
On the other hand, career changers who want the satisfaction of helping patients in a more hands-on capacity can transition into patient care positions with a little extra medical-based training and education. While nursing tends to attract the biggest applicant pool in colleges like CVCC, they also have a “pre-nursing” program, says Kenneth. Graduates can then transfer to programs at Centra College of Nursing, or University of Lynchburg to work toward their higher degree. While the most in-demand jobs are usually clinical positions, other healthcare jobs are just as in-demand. Here are five of the top healthcare jobs in Lynchburg and beyond in terms of satisfaction, compensation and growth. They don’t require advanced degrees and are easier for career changers to transition into.
Features
Top 5 HEALTHCARE JOBS in Lynchburg If You’re Not a Doctor
2. MEDICAL LAB SCIENTIST (CLINICAL LAB TECHNICIAN) Clinical lab technicians study samples without having very much patient interaction. Working predominantly in a lab setting, lab techs study and test blood, tissue, urine or other material, as well as collect and report data on those samples. Most healthcare systems require an associate level degree and licensing. Lab techs can also get certified in specialized areas like microbiology (studying bacteria) or cytotechnology (studying cellular anomalies).
3. CERTIFIED NURSING ASSISTANT (CNA OR NURSING AIDE) Providing basic, daily care and safe environments for patients in hospitals and long-term facilities, nursing assistants take direction from physicians and nurses. The position typically only requires certification from an accredited course, which is several weeks long. Many hospitals, however, prefer an associate degree.
4. RADIOLOGIC TECHNOLOGIST (RADIOGRAPHER)
Five Healthcare Jobs that can Stop a Midlife Crisis
No surprise there; nurses have always been in demand. Providing patient care and education, along with supporting physicians and patient families, registered nurses can work with an ADN (Associate Degree in Nursing), BSN (Bachelor of Science in Nursing) or MSN (master’s level). Most hospitals prefer BSN or MSN degrees. By 2026, the BLS projects that Virginia will have almost 4,500 annual job openings for registered nurses.
•
1. RN – REGISTERED NURSE
Operating and maintaining radiology equipment and performing diagnostic imaging exams such as x-rays, cat scans, mammograms and MRIs, radiological technologists can work with an associate level degree. However, many radiologic technologists with a four-year bachelor’s degree can specialize in certain areas (such as MRI) which increases both earning potential and supervisory eligibility.
5. RESPIRATORY THERAPIST Caring for patients who have trouble breathing, respiratory therapists help people of all ages with both chronic conditions (such as asthma, emphysema) to emergency situations like heart attacks or drowning. As the population ages and more people enter long-term facilities, the demand for respiratory therapists is projected to grow much faster than the current average of 23 percent. According to the BLS, this is still faster than average for all occupations. Like radiologic technologists, respiratory therapists can work with an associate degree but hospitals usually prefer bachelor’s degrees.
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Features
Community Care
CONNECTION DEPARTMENT OF LABOR: Research the Department of Labor’s Bureau of Labor Statistics on Healthcare Jobs.
www.bls.gov/ooh/healthcare/home.htm
COMMUNITY COLLEGES: Central Virginia Community College Lynchburg | 434.832.7800 (Student Counseling Center) www.centralvirginia.edu Danville Community College Danville | 434.797.8479 (Career Center) www.danville.edu
OTHER LOCAL HIGHER EDUCATION PROGRAMS: American National University Lynchburg | 434.986.1800 www.an.edu Centra College of Nursing Lynchburg | 434.200.3070 www.centrahealth.com/CCON
These jobs take a little extra education beyond what you may already have. But chances are, if you’re executing a mid-life career change, you’re bringing a bigger skill set to the exam table than you may realize. Transferring as much of your existing skill set and knowledge to a new career will not only help you successfully make the transition but also benefit your employer.
Liberty University (On-line Certificate Programs) Lynchburg | 800.424.9595 www.liberty.edu
CAREER SITES:
Changing careers takes courage. There will be naysayers, no doubt, who won’t hesitate to tell you there’s obviously a mid-life crisis going on. But in today’s job landscape, changing careers at 40—or even 50—isn’t such a big deal anymore. With the healthcare industry adding more stable jobs than any other occupational field in the coming years, it’s a natural choice for many workers who feel like something’s missing. Increasing job satisfaction, happiness, and job stability is important at any age. With relatively little extra education and training, these five jobs offer a chance to change your life without starting all over. EXPERT CONTRIBUTERS SOURCES American Institue for Economic Research – www.aier.org U.S. News World Report – www.usnews.com
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www.glassdoor.com
NETWORKING EVENTS: Attend networking events and health fairs whenever possible and talk to those in the field.
www.meetup.com/topics/networkingevents/us/va/lynchburg
TRY BEFORE YOU BUY:
Kenneth Bunch, PR/Marketing Coordinator, Central Virginia Community College
ON THE WEB
Career sites like Glass Door list job descriptions, open positions and estimated salary ranges for all types of healthcare positions, including the ones you didn’t know existed.
Kenneth Bunch, PR Marketing Coordinator, Central Virginia Community College
Check listings for local healthcare Internships and volunteer positions to help you decide whether you even like the healthcare environment before you begin to invest in additional degrees or training.
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HEALTH OBSERVANCES FEBRUARY | GUM DISEASE AWARENESS MONTH
GOOD GUM HEALTH
HELPS MORE THAN YOUR MOUTH words | LEONARD BUTLER
No cavities, no problem, right? Wrong, says a growing number of dentists and periodontists who want today’s dental patients to think beyond a lack of holes in their teeth, and start thinking of smarter strategies to ensure their teeth and gums stay in good shape for years and years. It’s true that in the past, a satisfactory visit to the dentist would mean no drilling is recommended or required. But now, with further research looking into possible causes and treatment of gum disease, it’s even more important to give oral health a closer look. The good news is that the risk of gum disease can be significantly lowered with good oral care and regular visits to a dental professional. But the bad news is that plenty of us have gum disease, and some may not even realize it.
Gum Disease Awareness Month February is Gum Disease Awareness Month where dentists and periodontists around the country have taken this opportunity to even further educate their patients and the greater communities about this common condition while emphasizing strategies everyone can use to lower their risk. FightGumDisease.org, which has organized the month since 2012, says that as much as 85 percent of the population has some form of gum disease, ranging from mild gingivitis to advanced periodontal disease. Of this, only 60 percent know they have it. And according to the American Academy of Periodontology, about half of all Americans age 30 or over suffer from advanced periodontal disease, which works out to about 64.7 million Americans. Gum disease, also called periodontal disease, is a general infection of the tissue that holds teeth into place. Different types of diseases are often caused by a build-up of plaque, a type of clear, sticky bacteria that covers the teeth and gums. Plaque can eventually harden and cause inflammation and pain to the gums and other health conditions.
85 percent
Eighty-five percent of the population has some form of gum disease, ranging from mild gingivitis to advanced periodontal disease.
60 percent
Only sixty percent of the population that has gum disease, know they have it.
64.7 million According to the American Academy of Periodontology, about half of all Americans age 30 or over suffer from advanced periodontal disease, which works out to about 64.7 million Americans.
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HEALTH OBSERVANCES
•
GUM DISEASE AWARENESS MONTH
Defining Gum Disease The team at Periodontal Health Associates in Lynchburg says it’s important that everyone knows as much as they can about gum disease. This awareness can lead to taking steps to actively reduce risk. Sherman Smock, DDS, and Ryan Anderson, DDS, are always happy to provide advice to patients and their families at their Lynchburg location, from prevention strategies to diagnosing gum disease to creating a customized treatment plan. Both have received advanced training in not just treatment of teeth, but gums and connective tissue. They also enjoy educating people about the process, which begins with better brushing and flossing combined with regular visits to a dentist or periodontist.
Periodontal Health Associates 525 Leesville Road Lynchburg, VA 24502 434.455.2444 www.periodontalhealthassociates.com
Brushing and flossing plus regular cleanings at a dentist’s or periodontist’s office are the best ways to help clear away plaque and reduce the risk of gum disease. But if ignored, the presence of plaque can easily lead to:
A Inflamed gum tissue B Soreness C Bleeding
D Painful chewing E Loss of gum tissue F Abscesses
G H I
Loose teeth Bad breath Tooth loss
What’s more, many people aren’t aware of periodontal disease’s connection to a host of other illnesses and conditions, including obesity, heart disease, diabetes, stroke, cancer and even erectile dysfunction.
Educating Patients – Not Scaring Them – On How to Best Care for Their Teeth and Gums Dr. Smock and his team at Periodontal Health Associates want to educate members of the Lynchburg community to make better oral choices. But they don’t want to scare them away with images of bloody and badly infected gums. People who may already have been diagnosed with gum disease don’t like being reminded of negative outcomes. Those at risk for it also may not care for these warnings either, especially when they’re not quite sure what all the terms mean.
Sherman Smock, DDS Ryan Anderson, DDS OFFICE HOURS: Tuesdays – Fridays, 8 am – 5 pm SPECIALTIES/SERVICES: Periodontal Therapy, Cleaning and Prevention, Cosmetic Dentistry, Tooth Replacement, Extractions/ Preservations, Oral Appliances and Sedation/Comfort
Scary images also are great at ramping up the dental anxiety, a condition that makes people dread getting their teeth examined or procedures performed. This may lead to longer times between visits and more plaque build-up, so there may be longer, more painful appointments and lead to fewer future visits. Instead, Dr. Smock and his team prefer a more preventive approach to treating gum disease, starting with encouraging patients to see their dentist regularly. Visiting a periodontist also is recommended. This is a specialty in the dentistry field that has a greater understanding of tissue, bone and more advanced knowledge.
The Difference Between Periodontists and General Dentists Periodontists have successfully completed dental school but then chose to continue their studies at least three more years so they can become experts in areas such as the gums, bone and the tissue that connects them. They also have advanced knowledge of dental implants, which are other tools to help patients. While all dentists are able to discuss general oral health, a periodontist can offer a more specific diagnosis for gum disease, followed by guidance and treatment options that can best help patients, especially methods and procedures that may be beyond the expertise of a dentist.
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
FUN FACT The word periodontist comes from two Greek words – PERI and ODONT.
PERI means around
(like in the words periphery perimeter)
ODONT means tooth
Visiting a Periodontist for the First Time When Dr. Smock and Dr. Anderson meet with a new patient, they’ll discuss how to reduce or prevent the spread of gum disease, they’ll first discuss possible factors and if there are any ways to reduce overall risk. For instance, there are some genetic or hormonal factors that make some people more susceptible than others. But there are also some lifestyle behaviors that can be modified like quitting smoking or using smokeless tobacco. Some medications also can impact risk, such as those that decrease how much saliva is in someone’s mouth. Health conditions such as HIV/AIDS or diabetes also can play a role. Even crooked teeth can play a role – plaque may build up in places where it’s difficult for a toothbrush to reach. A patient may be encouraged to see an orthodontist to discuss braces. Then they’ll create a plan for treatment. This could start by simply asking patients to brush and floss more often and come in regularly for appointments. He or she also might be encouraged to modify their diet to something that’s more nutritious and includes less sugary products. Or in some advanced cases, more intensive surgical procedures may be recommended. For more information on treatment options or to get started, visit www. periodontalhealthassociates.com or call 434.455.2444.
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Putting A New
Heart Healthy
Lifestyle
Pattern Into Practice words | AMERICAN HEART ASSOCIATION AND OURHEALTH LYNCHBURG AND SOUTHSIDE STAFF
A healthy diet and lifestyle are your best weapons to fight heart disease, and it’s not as hard as you may think! Remember, it’s the overall pattern of your choices that count. Start your new pattern for realizing long-term heart health by putting these small and simple steps into practice. Always speak with your doctor first before beginning any new diet, fitness or lifestyle change routine.
Use Up at Least As Many Calories As You Take In •
be eating and drinking to maintain your weight. Nutrition and calorie information on food labels is typically based on a 2,000 calorie per day diet. You may need fewer or more calories depending on several factors including age, gender, and level of physical activity.
The Takeaway » »
» » »
•
Know how many calories you should be eating and drinking to maintain your weight. Aim for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical activity (or an equal combination of both) each week. Eat a variety of nutritious foods from all the food groups while consuming less nutrient-poor foods. Base your eating pattern on the American Heart Association’s recommendations. Live tobacco free.
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DETERMINE DAILY CALORIE INTAKE: Start by knowing how many calories you should
DETERMINE WEIGHT GOALS: If you are trying not to gain weight, don’t eat more
calories than you know you can burn up every day. •
ADJUST PHYSICAL ACTIVITY ACCORDING TO GOALS: Increase the amount and
intensity of your physical activity to burn more calories.
Aim for at least 150 minutes of moderate physical activity or 75 minutes of vigorous physical activity (or an equal combination of both) each week. Regular physical activity can help you maintain your weight, keep off weight that you lose and help you reach physical and cardiovascular fitness. If it’s hard to schedule regular exercise sessions, look for ways to build short bursts of activity into your daily routine, like parking farther away and taking the stairs instead of the elevator. Ideally, your activity should be spread throughout the week.
DOWNLOAD THIS > The American Heart Association’s Cold Weather Fitness Guide. Visit www.ourhealthvirginia.com/ coldweatherfitguide to download your copy.
Eat a Variety of Nutritious Foods From All the Food Groups You may be eating plenty of food, but your body may not be getting the nutrients it needs to be healthy. Nutrient-rich foods have minerals, protein, whole grains and other nutrients but are lower in calories. They may help you control your weight, cholesterol and blood pressure.
Eat an overall healthy dietary pattern that emphasizes:
A B C D E F
A variety of fruits and vegetables Whole grains Low-fat dairy products Skinless poultry and fish Nuts and legumes Non-tropical vegetable oils
Limit saturated fat, trans fat, sodium, red meat, sweets and sugar-sweetened beverages. If you choose to eat red meat, compare labels and select the leanest cuts available.
Eat Fewer Nutrient Poor Foods.
What’s the DASH Eating Plan? One of the diets that fit this pattern is the DASH (Dietary Approaches to Stop Hypertension) eating plan, or DASH diet, as it is also known. Most healthy eating patterns can be adapted based on calorie requirements and personal and cultural food preferences. Visit www.nhlbi.nih.gov/ health-topics/dasheating-plan by scanning the QR code provided to learn more about DASH and to access related meal planning tools and tips to help you realize lifelong success.
The right number of calories to eat each day is based on your age and physical activity level and whether you’re trying to gain, lose or maintain your weight. You could use your daily allotment of calories on a few high-calorie foods and beverages, but you probably wouldn’t get the nutrients your body needs to be healthy. Limit foods and beverages high in calories but low in nutrients. Also limit the amount of saturated fat, trans fat and sodium you eat. Read Nutrition Facts labels carefully — the Nutrition Facts panel tells you the amount of healthy and unhealthy nutrients in a food or beverage.
How Can I Better Understand Food Nutrition Labels? Learning how to understand and use the Nutrition Facts label can help you make healthier eating choices and identify nutrient-dense foods for a healthy diet. Visit www.heart.org/ en/healthy-living/healthy-eating/ eat-smart/nutrition-basics/ understanding-food-nutritionlabels by scanning the QR code provided for some tips from the American Heart Association to help you make the most of the information on food labels.
What’s Your Move? Everyone needs physical activity to stay healthy, but fitting fitness into our busy daily routines can sometimes be challenging. That’s where Move Your Way comes in. Move Your Way is a physical activity campaign from the U.S. Department of Health and Human Services promoting recommendations from the Physical Activity Guidelines for all Americans. Visit www.health.gov/ moveyourway or scan the QR code provided to access interactive tools, videos, motivational tips, fact sheets and more for adults and children that make getting active awww.OurHealthLynchburg.com little easier. 47
Community Care Connection OurHealth Lynchburg’s Care Connector helps you start your search for local experts and resources that may assist you in realizing your health goals*.
NUTRITION COUNSELING RESOURCES »
»
»
»
Genesis Health Solutions Forest | 434.381.1986 www.genesishealthsolutions.net Health Nut Nutrition Private coaching with Mitra. Lynchburg | 540.330.9765 www.healthnutnutrition.com Virginia Academy of Nutrition and Dietetics P.O. Box 7061 | Fairfax | 703.815.8293 www.eatrightvirginia.org Your Nutrition Condition Janice Silk, Nutrition Consultant Lynchburg | 434.525.6796 www.yournutritioncondition.com
As you make daily food choices, base your eating pattern on these recommendations:
A
Eat a variety of fresh, frozen and canned vegetables and fruits without high-calorie sauces or added salt and sugars. Replace high-calorie foods with fruits and vegetables.
B C
Choose fiber-rich whole grains for most grain servings.
D
Eat a variety of fish at least twice a week, especially fish containing omega-3 fatty acids (for example, salmon, trout and herring).
E F
Select fat-free (skim) and low-fat (1%) dairy products.
G
Limit saturated fat and trans fat and replace them with the better fats, monounsaturated and polyunsaturated. If you need to lower your blood cholesterol, reduce saturated fat to no more than 5 to 6 percent of total calories. For someone eating 2,000 calories a day, that’s about 13 grams of saturated fat.
H I
Cut back on beverages and foods with added sugars.
J
If you drink alcohol, drink in moderation. That means no more than one drink per day if you’re a woman and no more than two drinks per day if you’re a man.
FITNESS RESOURCES »
Cornerstone Fitness Lynchburg | 434.534.3054 www.fitnesscornerstone.com
»
Kinetix Health Club Lynchburg | 434.239.0015 www.kinetixlynchburg.com
»
Lifestyle Fitness & Training Forest | 434.385.4900 www.lifestylefitnessandtraining.com
»
»
Lynchburg Parks & Rec Lynchburg | 434.455.5858 www.lynchburgparksandrec.com
Choose poultry and fish without skin and prepare them in healthy ways without added saturated and trans fat. If you choose to eat meat, look for the leanest cuts available and prepare them in healthy and delicious ways.
Avoid foods containing partially hydrogenated vegetable oils to reduce trans fat in your diet.
Choose foods with less sodium and prepare foods with little or no salt. To lower blood pressure, aim to eat no more than 2,300 milligrams of sodium per day. Reducing daily intake to 1,500 mg is desirable because it can lower blood pressure even further. If you can’t meet these goals right now, even reducing sodium intake by 1,000 mg per day can benefit blood pressure.
Follow the American Heart Association recommendations when you eat out, and keep an eye on your portion sizes. Visit www.heart.org/en/healthy-living/healthy-eating/eat-smart/ nutrition-basics/portion-size-versus-serving-size by scanning the QR code provided for more information on portion sizes.
YMCA of Central Virginia Visit website for locations and contact information. www.ymcacva.org
SMOKING CESSATION RESOURCES »
Quit Now Virginia www.quitnow.net/virginia
»
Virginia Health Care Foundation www.vhcf.org/for-those-who-help/resourcesfor-providers/nurse-practitioner-resources/ smoking-cessation/
Live Tobacco Free
*Medical experts and resources listed are not endorsed by McClintic Media, Inc., publisher of OurHealth Lynchburg and Southside magazine, nor are they intended to be a substitute for advice provided by your doctor or other attending medical specialist. Always speak with your doctor first before making changes to your health plan or starting a new health and fitness regime. To be considered for inclusion in the Care Connection for future issues of OurHealth Lynchburg and Southside, email info@ourhealthvirginia. com and include “Care Connection: Lynchburg” in the subject line for more information.
Don’t smoke, vape or use tobacco or nicotine products — and avoid secondhand smoke or vapor. Visit www.heart.org/en/healthy-living/ healthy-lifestyle/quit-smoking-tobacco/help-i-want-to-quit-smoking to learn more about quitting smoking. For more information on American Heart Association’s Diet and Lifestyle Recommendations and additional heart healthy information, visit www.heart.org.
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WIN A
Visit www.ourhealthvirginia.com/infuserbottle by scanning the QR code provided and take our short Food and Fitness quiz for your chance to win a Move More Infuser Bottle!
The Move More Infuser Bottle from the American Heart Association is perfect for helping you stay hydrated throughout the day – whether you’re at home, in the office or at the gym. Plus it’s your daily reminder to stay active and keep moving. The bottle holds up to 25 ounces, features a flip up spout and carry handle and includes an infuser container that easily attaches to the lid. Fill container with your favorite fruits and/or vegetables to give your water a little extra kick. OurHealth | The Resource for Healthy Living in Lynchburg and Southside
MOVE MORE 48 INFUSER BOTTLE!
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OurHealth | The Resource for Healthy Living in Lynchburg and Southside
Aging Well WISDOM • DIGNITY • SUPPORT
Making
Dysphagia
Easier to Swallow Dysphagia, or difficulty swallowing, is especially prevalent among the elderly. Learn how to spot this condition in seniors, where to go for local diagnosis and treatment options, and how to prepare fast, nutritious meals that are easy for dysphagia patients to eat. words | KATHARINE PALJUG
Swallowing comes as naturally as breathing to most of us. Unfortunately, this seemingly simple everyday act can become difficult, especially among seniors. This complication is called dysphagia, and it is a frustrating condition that requires immediate attention to prevent it from creating further medical problems. The good news is that most of the causes of dysphagia are temporary and non-threatening. Difficulty swallowing rarely represents a more serious disease; however, if you experience dysphagia for an extended period, you may need to be seen by a specialist. Speaking to your primary care doctor is a good place to start. Your primary care doctor can provide you with a list of specialists that can help.
Causes of Dysphagia In some people, dysphagia is just a result of aging. As we get older, all our muscles can weaken, including the muscles and nerves that help move food and drink through the throat and esophagus. Some elderly people with dentures have problems chewing properly before swallowing, resulting in food getting stuck in the throat or esophagus.
Other Common Causes of Dysphagia Include: A Problems with the nervous system, such as multiple sclerosis, muscular dystrophy, or Parkinson’s disease B Immune system afflictions that cause swelling and weakness C Blockage of the throat or esophagus due to acid reflux and other esophageal conditions
D E F G H
Strokes Hypertension Diabetes Thyroid disease Brain or spinal cord injuries
Swallowing difficulty can also be connected to some medications including: Nitrates | Calcium tablets | Aspirin | Iron tablets | Vitamin C | Tetracycline (used to treat acne)
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Dysphagia By The Numbers
15 million
Dysphagia impacts 15 million Americans
1 million
Every year, 1 million Americans receive a new diagnosis of the condition.
Aging Well
• WISDOM
How to Identify the Symptoms of Dysphagia If you’re having difficulty swallowing for an extended period, and exhibit one or more of the following symptoms, you should schedule an appointment with your primary care doctor: •
Drooling
•
A feeling that food or liquid is sticking in the throat
•
Discomfort in the throat or chest (when gastroesophageal reflux is present)
•
A sensation of a foreign body or lump in the throat
•
Weight loss and inadequate nutrition due to prolonged or more significant problems with swallowing
•
Coughing or choking caused by bits of food, liquid, or saliva not passing easily during swallowing, and being sucked into the lungs
•
Voice change
Complications of Dysphagia With timely and proper treatment, dysphagia patients can manage, and often overcome, their swallowing difficulties and avoid further medical issues, including:
Pneumonia and upper respiratory infections
– specifically aspiration pneumonia, which can occur if food or drink is swallowed down the “wrong tube” and enters the lungs.
Malnutrition — people who are unaware of their dysphagia and are not being treated for it are especially at risk.
Dehydration —
people who cannot drink properly are unable to hydrate themselves.
75 percent of nursing home residents experience some degree of dysphagia
1 in17
1 in 17 people will develop some form of dysphagia in their lifetime
Diagnosis & Treatment To determine the extent of your swallowing problem, your doctor or provider will discuss the history of your problem with you and examine your mouth and throat. This examination may be done with mirrors; when a closer look is needed, he/she may place a small tube with a camera at the end through the nose and down the throat and you will be given food to eat. This procedure shows the back of the tongue, throat, and larynx as you swallow. Once your provider has a better idea of the cause of a swallowing problem, they can prescribe a treatment that is tailored to that cause. Many cases of dysphagia can be treated with medications, such as antacids and muscle relaxants. A speech language pathologist (SLP) is a key member of every dysphagia diagnostic and treatment team. These specialists employ proven traditional treatments such as conventional speech therapy and oral exercises, patient education, swallowing maneuvers, and physiologic exercises.
50 percent of all Americans over 60 will experience dysphagia at some point
Thermal stimulation (application of cold to the throat area) has been commonly used. New treatments are evolving, including the use of neuromuscular electrical stimulation (NMES) and surface electromyography (EMG), in which feedback about the muscle’s activity level encourages the patient to swallow. In extreme cases, surgery may be required; for example, if a muscle in the throat or esophagus is too tight, it may need to be dilated or released surgically. Continued on page 54...
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General Guidelines for Safe Swallowing Bear in mind that dysphagia patients have individual requirements, so not all of this advice applies to every patient.
A
Maintain an upright position (as near 90 degrees as possible) whenever eating or drinking.
B
Take small bites — only 1/2 to 1 teaspoon at a time.
C
Eat slowly. It may also help to eat only one food at a time.
D
Avoid talking while eating.
E
When one side of the mouth is weak, place food into the stronger side of the mouth. At the end of the meal, check the inside of the cheek for any food that may have been pocketed.
F
Try turning the head down, tucking the chin to the chest, and bending the body forward when swallowing. This often provides greater swallowing ease and helps prevent food from entering the airway.
G
Do not mix solid foods and liquids in the same mouthful and do not “wash foods down” with liquids, unless you have been instructed to do so by the therapist.
H
Eat in a relaxed atmosphere, with no distractions.
I
Following each meal, sit in an upright position (90-degree angle) for 30 to 45 minutes.
Dysphagia Treatment is a Team Effort A dysphagia diagnostic and treatment strategy team can be quite extensive – in addition to family members, the team can consist of: Speech Language Pathologists
Gastroenterologists
Surgeons
Otolaryngologists (ENT)
Dietitians
Neurologists
Nurses
Radiologists
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Graphic Source: International Dysphagia Diet Standardization Initiative (IDDSI)
...Continued from page 52
Dysphagia Diets Regardless of one’s condition, proper nutrition is vital to physical and emotional well-being. Your dietician can recommend alterations to your diet, so you get the nutrients and hydration you need safely.
To improve safety and care for dysphagia patients, the International Dysphagia Diet Standardization Initiative (IDDSI) has developed global standardized definitions and terminology for texture-modified foods and thickened liquids. This dietary framework consists of eight levels (0 – 7), where drinks are measured from levels 0 – 4, and foods are measured from levels 3 – 7 (see the table at left). To learn more, visit www.iddsi.org
Maintain a Positive Mindset Dysphagia is a frustrating problem, but it’s important to remember that with time, help, and support, many patients recover completely. Working together, a qualified medical provider can help you improve your ability to swallow safely, while a dietician can help make sure you’re eating the right foods. Combined with expert assistance and the support of friends and family, the right knowledge and a positive mindset are key to improving or even eliminating a patient’s dysphagia and living a full and enjoyable life. Continued on page 56...
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Aging Well
Easy and Tasty Recipes that Go Down Easy Fruit Blend
•
In a blender, mix 1/4 cup apple juice, 1/4 cup orange juice, and 1 cup canned peaches or pears. Mix until smooth.
Making Dysphagia Easier to Swallow
High-Protein Smoothies In a blender, mix 1 cup of fruit-flavored yogurt and 1 cup fortified milk with soft, fresh, peeled fruit or soft, canned fruit, and 1 cup of cottage cheese. Mix until smooth.
Fruit Shake In a blender, place 1-1/2 cups of fresh, frozen, or canned fruit with 1 cup fortified milk. Mix until smooth.
Cottage Cheese Pudding Mix together 1/4 cup low fat cottage cheese and 3 tablespoons baby fruit. Chill.
Creamed Vegetable Soup In a blender, add 1/2 cup strained or very soft cooked vegetable; 1/2 cup fortified milk, cream, or plain yogurt, 1 teaspoon margarine; salt, onion powder, and crushed dried parsley flakes to taste. Mix to desired consistency.
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COMMUNITY CARE CONNECTION: Here are a few Lynchburgbased medical experts that specialize in diagnosing and/or treating dysphagia.
Blue Ridge Therapy Associates
Lynchburg | 434.845.8765 www.blueridgetherapy.com
Centra Health Speech Therapy
Lynchburg, Bedford and Farmville 434.200.6053 www.centrahealth.com
Head & Neck Surgery of Central Virginia, PC Lynchburg | 434.455.7999 www.hnscv.com
Seven Hills Home Health Lynchburg | 434.847.6400 www.sevenhillshh.com/therapy
...Continued from page 54
Myth vs. Reality: DYSPHAGIA
There are a surprisingly high number of myths surrounding dysphagia. They will also tell you that a regular part of their work is educating patients and families about swallowing disorders to help ensure proper care.
Myth: Thick Liquids Are Always Safer Than Thin Liquids Because they move more slowly, thick liquids give the body more time to react and swallow, making them easier to ingest for many dysphagia patients. However, research has shown that thick fluids also increase the risk of residue, which can be aspirated post-swallow. A qualified medical provider will help determine whether thick liquids are right for your dysphagia diet.
Myth: Tucking Your Chin is Always Safe Tucking the chin to the chest closes off the airway for many patients, but for others, it can make things worse and cause aspiration. Your medical provider can recommend whether you should use a chin-tuck strategy after testing its impact on your swallow.
Myth: You Should Never Use Straws Straws propel fluids into the back of the mouth faster, sometimes causing problems for dysphagia patients. However, some patients have trouble propelling fluids backward, so they need a straw to make swallowing easier. An instrumental assessment will help your doctor or provider decide whether drinking through straws will help you swallow.
Myth: Tube Feeding Prevents Aspiration There is a widespread assumption that patients on feeding tubes for nutrition and hydration are not at risk of aspiration pneumonia. However, saliva and regurgitated tube-feeding liquid can be aspirated. Tube-feeding also increases medical oversight requirements, caregiver burden, and medical complications – speak with your medical provider before even considering feeding tubes.
Myth: An SLP-Recommended Dysphagia Diet is Forever Medical provider recommended diets compensate for swallowing problems during rehabilitation and change according to the patient’s progress. You can always ask for a reassessment if you’re unhappy or are struggling with your modified diet.
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Funny BONE HUMOR • SEARCH • CHECK
OURHEALTH
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Allison Nevin of Farmville was the first person to email the correct seven differences in last issue’s Funny Bone.
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