july • august 2017 ourhealthrichmond.com
the NEW
Senior
Movement: AGE REALLY IS JUST A NUMBER
2017 Senior Living Award WINNERS!
Plus: GROWING HEALTHY GRADE BY GRADE PHYSICAL, OCCUPATIONAL & SPEECH THERAPY
RESOURCE GUIDE
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TABLE OF CONTENTS JULY • AUGUST 2017
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THE PULSE
12
CHECKUP
46 – HEALTHY EATS | Local restaurant reviews
| KEEPING THE PULSE ON HEALTHCARE
48 – COOK'S NOOK | Summer seafood
| LOCAL HEALTH & MEDICINE
12 – TUMMY TROUBLE? | It could be gastroparesis
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15 – THE OURHEALTH BOOKSHELF 16 – Q&A ON HEALTH
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BEYOND THE BOARD GAMES
| HEALTHY SENIOR LIVING
24 – SENIOR EXERCISE & FITNESS TIPS 26 – SIX MYTHS ABOUT ACTIVITIES & AGING 29 – 2017 SENIOR LIVING AWARDS | Celebrating the 3rd annual Senior Living awards in the Greater Richmond area
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The image of a retiree lounging in a recliner all day, or needing a walker to get around, is an outdated stereotype. There are many options available to area seniors to keep them engaged and healthy – both physically and mentally.
SENIOR CARE
NUTRITION
| LOCAL FOODS & RECIPES
GROWING HEALTHY GRADE BY GRADE Here are some safety and wellness tips to keep in mind to reduce the risk of illness or injury depending on what grade your son or daughter is entering this year.
FAMILY CARE
| HEALTH FOR THE WHOLE FAMILY
54 – GOT GROUP B? | A painless screening test vital for pregnant women and their babies 56 – NAVIGATING ALZHEIMER’S
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GREATER RICHMOND’S 2017 PHYSICAL THERAPY RESOURCE GUIDE Your resource guide for physical therapy in the Greater Richmond area 60 – 5 MYTHS ABOUT PHYSICAL THERAPY DEBUNKED 63 – WHAT'S THE DIFFERENCE? | Exploring the difference between physical, occupational and speech therapy 64 – 2017 PHYSICAL THERAPY RESOURCE GUIDE
44 – FANTASTIC FARMER’S MARKETS | Nutritious finds for the whole family www.OurHealthRichmond.com
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july • august 2017
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CONTRIBUTING RICHMOND MEDICAL EXPERTS
McClintic Media, Inc. Steve McClintic, Jr. | steve@ourhealthvirginia.com Jennifer Fields Hungate Laura Bower Karrie Pridemore Tori Meador Heidi J. H. McClintic Keri Cullen, MEd, CCC-SLP Michael Hathaway, PT, DPT, ATC, MTC Gregory O’Shanick, MD Casey Smith, PT, DPT, CSCS Samuel Waagen, PT, DPT, OCS
CONTRIBUTING PROFESSIONAL Tina Bell EXPERTS & WRITERS Brandy Centolanza Jennifer Koeniger, ALFA, CDP Rick Piester Christy Rippel Sally Snead Christine Stoddard Emily Turbyfill ADVERTISING AND MARKETING Cindy Morris-Scruggs Senior Media Account Executive P: 804.300.0650 F: 540.387.6483 cmscruggs@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Richmond via U.S. Mail, please contact Heidi McClintic via email at heidi@ourhealthvirginia.com or at 540.387.6482
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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 © 2017 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Richmond is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 3420 Pump Road, #314 • Richmond, VA 23233 • P: 540.387.6482 F: 540.387.6483 MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.
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THE PULSE
THE P ULSE |
KEEPING THE PULSE ON HEALTH
HEALTH HAPPENINGS
VIRGINIA UNITED METHODIST HOMES, INC. IS NOW PINNACLE LIVING. The name change will “better reflect who we are today,” explains Christopher Henderson, president and CEO. The organization has grown from a single community in 1948 to seven communities and more than 1,240 residents across the state. Affected locally are Cedarfield and Hermitage Richmond. For more information, visit www.pinnacleliving.org.
AT THE FOREFRONT
>> Noteworthy News from Local Healthcare Providers Bon Secours St. Francis Medical Center now offers advanced robotic-arm assisted joint replacement procedures. The PARTIAL KNEE AND TOTAL HIP REPLACEMENTS with Stryker’s Mako System are available now, with total knee replacements coming this fall.
Health Happenings
>> News on Healthcare in the Greater Richmond Area
ON THE MOVE
>> Local Healthcare Providers Announcing a Relocation VIRGINIA BREAST CANCER FOUNDATION state office has a new home! VBCF is now located at 2821 Emerywood Parkway in Richmond in the ChildFund building on I-64 and Glenside Drive. For information call 804.285.1200 or visit www.vbcf.org.
www.OurHealthRichmond.com
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THE PULSE
KEEPING THE PUL SE ON HEALTH
NOW OPEN
>> Ground breakings and openings in Greater Richmond DERMATOLOGY ASSOCIATES OF VIRGINIA has a new location at 10800 Midlothian Turnpike, Suite 310 in Richmond. The new location provides both general dermatology services as well as Mohs surgery services. Mohs office hours are Monday – Thursday 7:30 am – 5 pm and general dermatology office hours are 8:30 am – 5 pm. Call 804.939.6191 for appointments. Kara Beatty, MD
VIRGINIA WOMEN’S CENTER now offers ob-gyn services in the Short Pump area. The new office, located at 12129 Graham Meadows Drive, just before Nuckols Farm Elementary School, also offers diagnostic mammography, breast ultrasound and biopsy as well as a community room for lectures and prenatal yoga. Appointment hours are Monday – Friday from 8 am – 4:30 pm.
Center for Neurorehabilitation Services Richmond | 804.272.0114 www.centerforneuro rehabservices.org
Rathi Blankenship, MPA, PA-C
Dermatology Associates of Virginia Colonial Heights & Midlothian | 804.549.4040 www.dermva.com
For more information, visit www.virginiawomenscenter.com or call 804.288.4084.
BON SECOURS RICHMOND OB-GYN, an obstetrics and gynecology provider of Bon Secours Richmond Health System, has established a MIDWIFERY PRACTICE at Bon Secours St. Mary’s Hospital in the West End of Richmond. Three nurse-midwives will provide 24/7 midwifery care to women and their families — the first midwifery practice of its kind in the West End of Richmond. Call 804.320.2483 for appointments, or visit www.richmondobgyn.com.
Erin Corsa, NP
Bon Secours Lively Medical Center Lively | 804.462.5155 www.goodhelpdocs.com
Erica Davis, NP
Bon Secours Neurology Clinic at Richmond Community Richmond | 804.225.1760 www.goodhelpdocs.com
HCA Virginia’s Retreat Doctors’ Hospital’s CENTER FOR EMOTIONAL GROWTH is now open. The center will provide short-term intensive mental health treatment for adults in crisis. Services and intervention for the following conditions are provided: major depression and mood disorder, bipolar disorder, anger management, self-injurious behavior, post-traumatic stress disorder and sexual abuse and assault. For more information, call 804.254.5408. HCA Virginia’s John Randolph Medical Center’s NEW FREESTANDING ER located at 1700 Temple Parkway in Prince George is now open. Patients visiting TRICITIES EMERGENCY CENTER can expect the same level of care as a hospital-based emergency department and receive care around the clock, 365 days a year. For more information, visit www.tricitieser.com.
Charmaine Elliott, MD Silvia Degli Esposti, MD Bon Secours Primary Health Care Associates Richmond | 804.644.1665 www.goodhelpdocs.com
Gastroenterology VCU Health Downtown Richmond & Stony Point | 804.828.4060 www.vcuhealth.org
JOIN THE OURHEALTH COMMUNITY >> We would love to hear from you. Write us, tweet us, or tag us today! facebook.com/ OurHealthRVA
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Christopher Guerry, MD Janice Hagan, PA Anesthesiology VCU Health www.vcuhealth.org
Bon Secours General Surgery at St. Mary’s Richmond | 804.893.8676 www.goodhelpdocs.com
THE P ULSE |
Justin Haught, MD
Dermatology VCU Health Stony Point | 804.560.8919 www.vcuhealth.org
Kimberly Hlavac, MD
Bon Secours Blackstone Family Practice Center Blackstone | 434.292.7261 www.goodhelpdocs.com
Heather McInturff, NP Lee-Ann Parker, CNM Bon Secours Monument Internal Medicine Richmond | 804.673.2814 www.goodhelpdocs.com
George Tarasidis, MD
Bon Secours Midwifery at Richmond OB-GYN Richmond | 804.320.2483 www.richmondobgyn.com
Services Provided: • • • • • • Susanna Payne, FNP
Bon Secours Associated Internists Richmond | 804.288.3079 www.goodhelpdocs.com
Tiziano Scarabelli, MD Erin Sharkey, DDS, FICOI S. Patrick Virginia Family Cardio-Oncology Nana-Sinkam, MD VCU Health Downtown Richmond & Stony Point | 804.828.9203 www.vcuhealth.org
Dentistry Ironbridge North Chesterfield 804.743.8166 www.vadentist.com
Internal Medicine, Pulmonary VCU Massey Cancer Center Stony Point | 804.560.8920 www.vcuhealth.org
Pediatric ENT Allergy, Nose, and Sinus Ear, Balance, and Dizziness Snoring and Sleep Disorders Voice and Throat Head and Neck
“I’m excited to return home to Richmond and looking forward to bringing the skills that I’ve acquired to the community that I love.”
Virginia Ear Nose and Throat Colonial Heights Office 4700 Puddledock Road, Suite 100 Prince George, VA 23226 Christina (Chris) Slavin, FNP-BC
Virginia Women’s Center Kilmarnock | 804.288.4084 www.virginiawomens center.com
Ashley N. Sullivan, MD Dana Taylor, CNM Dermatology Associates of Virginia Mohs Surgery Center Richmond | 804.939.6191 www.dermva.com
Bon Secours Midwifery at Richmond OB-GYN Richmond | 804.320.2483 www.richmondobgyn.com
Jelisa Timmons, MD
Bon Secours St. Francis Family Medicine Center Midlothian | 804.739.6142 www.goodhelpdocs.com
Midlothian Office 161 Wadsworth Drive | Richmond, VA 23236 West End Office 3450 Mayland Court | Richmond, VA 23233 Hanover Office 7485 Right Flank Road, Suite 210 Mechanicsville, VA 23116 Dr. Tarasidis will be at our Colonial Heights and Midlothian offices.
804.484.3700 Business Hours: 8:00am – 4:30pm
www.virginia-ent.com Jennifer M. Tran, DDS Alexander Vap, MD Virginia Family Dentistry Short Pump Henrico, VA | 804.364.7010 www.vadentist.com
Orthopaedic Surgery VCU Health Downtown Richmond 804.360.4669 www.vcuhealth.org
Julie Weathers, CNM Bon Secours Midwifery at Richmond OB-GYN Richmond | 804.320.2483 www.richmondobgyn.com
Scan here for more information about our services and providers. www.OurHealthRichmond.com
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Welcome to the Community
Welcome
CHECKUP
LOCAL HEALTH & MEDICINE
GASTROPARESIS
Tummy TROUBLE?
– NOUN – A descriptive term meaning the stomach is functioning abnormally and emptying slowly, which can cause many symptoms that are consistent with other conditions.
Persistent, Unexplained Stomach Issues Could be Gastroparesis words | CHRISTY RIPPEL
If you’ve bounced around like a pinball from urgent care to physicians’ offices for stomach issues, but are still undiagnosed, consider whether gastroparesis could be the cause of your symptoms. Often, patients suffer for an extended period of time before they receive a diagnosis—and treatment options that may drastically improve quality of life. As much as five percent of the population has gastroparesis, though the degree that the condition disrupts a person’s life is variable.
WHAT IS GASTROPARESIS? “The term ‘gastroparesis’ is a catch-all, descriptive term meaning the stomach is functioning abnormally and emptying slowly, which can cause many symptoms,” says Matthew Brengman, MD, FACS, a gastrointestinal surgeon who treats patients with gastroparesis at Advanced Surgical Partners of Virginia in Richmond. Patients may experience symptoms differently, but they can include nausea, vomiting, bloating, heartburn, abdominal pain, weight loss and what physicians call early satiety— meaning, you feel full after only eating a small amount of food. 12
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C HEC K UP | Tummy Trouble?
The reason why patients run into dead ends before being diagnosed is because symptoms can mimic those of other conditions. Often, other causes are ruled out first, like gallbladder disease, pancreatitis, irritable bowel syndrome (IBS) or tumors.
THE PATH TO DIAGNOSIS Imaging studies, along with a patient’s account of symptoms and their duration, can lead a physician to the diagnosis. A patient may undergo a gastric emptying study, which is a common procedure that measures the rate that food empties from the stomach and enters the small intestine. In the study, a patient eats a meal that is mixed with a small amount of radioactive material. A scanner is placed over the patient’s stomach to monitor the amount of radioactivity in the stomach for several hours, which reveals the rate that the stomach empties. Other physicians might use a wireless motility capsule—a small, non-invasive pill-like device that is swallowed, and gathers information about your digestive system as you go about daily activities. Dr. Brengman says the cause of gastroparesis varies by patient. One population that is vulnerable to developing gastroparesis is diabetics. In diabetics, elevated blood sugar over a period of years affects the nerve endings in the body (including the stomach) and makes them dysfunctional. The damage to the stomach nerves creates a ripple effect, and the stomach no longer functions and empties property. In diabetics, good blood sugar control does not guarantee that a patient won’t get gastroparesis—but could help prevent or delay its onset. While diabetics are prone to it, the most common form of gastroparesis is idiopathic—meaning, the cause is unknown. “The prototype patient is a middle aged woman, who was previously well and now has unexplained nausea and vomiting,” says Dr. Brengman. “Sometimes it follows a viral stomach illness or food poisoning.” A third, more rare cause of gastroparesis is previous gastrointestinal surgery—ulcer, reflux, stomach or esophageal surgery.
TREATMENT OPTIONS FOR GASTROPARESIS There are treatments that can help, and they often depend on severity of symptoms. “The majority of people with gastroparesis can be managed with diet alone,” says Dr. Brengman. www.OurHealthRichmond.com
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CHECKUP
LOCAL HEALTH & MEDICINE
A common diet for gastroparesis is low fat, not very spicy, with limited caffeine and no raw fruits or vegetables, as the raw, fibrous material is difficult for the stomach to break down. Softer foods are easier on the stomach, such as pasta, cooked vegetables, oatmeal and low-fat yogurt.
“The reason why patients run into dead ends before being diagnosed is because symptoms can mimic those of other conditions. Often, other causes are ruled out first, like gallbladder disease, pancreatitis, irritable bowel syndrome (IBS) or tumors.” MATTHEW BRENGMAN, MD, FACS A gastrointestinal surgeon who treats patients with gastroparesis at Advanced Surgical Partners of Virginia in Richmond. Dr. Brengman is certified by the American Board of Surgery.
A dietician is helpful in managing the condition and following diagnosis most patients are referred to one for guidance. A small percentage of patients are very symptomatic, and come to Dr. Brengman for surgical intervention. Two options exist for these patients—one is a gastric stimulator, that has been FDA approved since 2000, and works much like a cardiac pacemaker, but for the stomach. It is wired to the stomach through a laparoscopic procedure, meaning incisions are tiny. It has proven helpful for diabetic gastroparesis, says Dr. Brengman. The other, newer surgical intervention is called pyloroplasty, which Dr. Brengman says is helpful in about 75 percent of gastroparesis cases of unknown cause. This surgery is also done with less-invasive techniques, meaning incisions are tiny. Pyloroplasty involves permanently opening the valve at the end of stomach—leaving it open helps food move to the small intestine more efficiently. “These surgical strategies aren’t perfect but we find that quality of life can, in most cases, be drastically improved,” notes Dr. Brengman. EXPERT CONTRIBUTOR Matthew Brengman, MD, FACS with Advanced Surgical Partners of Virginia in Richmond.
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C HEC K UP |
OurHealth BOOKSHELF words | RICK PIESTER
OurHealth Bookshelf
The Fault in Our Stars By John Green Dutton Books | 318 Pages Although written and published for young adult readers (subjectively defined as people between the ages of 15 and the early 20s), this is a book that had held great appeal for adult readers, so much so that it earned a place at the top of many bestseller lists, including #1 in the New York Times, Wall Street Journal, and USA Today. The book is also the inspiration for a 2014 motion picture. Novels about teenagers with cancer is not normally everyone’s first choice, but this one is different. This novel avoids garment-rending sentimentality to instead draw its characters with strength, humor, and courage. This is a read you won’t forget. Ever.
Cutting for Stone By Abraham Verghese Knopf Publishers | 541 Pages On its surface, this is a novel about the life stories of twin brothers who share a fascination with medicine during a time of personal and political upheaval. Its roots, however, are about the peculiar splendor that surrounds the work of healing others. A physician himself, author Verghese has given us an epic, fact-filled, near-magical portrayal of compassion, the struggle for identity, and the ways in which lives can intertwine.
Alice & Oliver By Charles Bock Penguin Random House | 416 Pages Author Bock could have written this novel as a partial autobiography. His elegant, harrowing novel is informed by his own 2 ½-year saga that began with his young wife’s diagnosis with leukemia and ended with her death, leaving him and their 3-year-old daughter. Drawn upon his wife’s journals from that period, the fictional Oliver gives us an unflinchingly powerful narrative of a family’s struggle for survival. www.OurHealthRichmond.com
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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
“
Don’t overlook the community programming; a well-structured, stimulating activity program is the heart of a memory care community. It is important to ask how the community addresses programming for residents at all levels of cognitive and physical functioning.
”
– Jennifer Koeniger, LALA, CDP
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How do I know which memory care community is right for my loved one with Alzheimer’s or dementia? While all communities offer the same general services, no two communities are alike. Do your research and plan a visit to several communities. Ask the right questions, including how the community’s nursing department is structured and about its licensing and inspection history. Schedule a tour and pay attention to how involved the entire staff seems to be with the current families and residents. Are they respectful, patient and kind? This is also a great opportunity to observe if the residents are well taken care of. Are they dressed appropriately? Unkempt? Do they seem happy? Don’t overlook the community programming; a well-structured, stimulating activity program is the heart of a memory care community. It is important to ask how the community addresses programming for residents at all levels of cognitive and physical functioning. Most importantly, take your time. Consider the pros and cons of each community you are considering, and when you make a decision, it’s paramount you feel the community you’ve chosen will be a source of support and comfort for both you and your loved one. Jennifer Koeniger, ALFA, CDP Executive Director The Memory Center Richmond Midlothian | 804.378.5100 www.thememorycenter.com
OurHealth | The Resource for Healthy Living in Greater Richmond
Is industrial rehabilitation the same thing as physical therapy at work? Industrial rehabilitation and physical therapy are different treatment options. Industrial rehabilitation helps employers fulfill their responsibility to their injured employees by evaluating and training injured employees until they are able to return to full time work. This service has broadened to include onsite clinics in the industrial setting, as well contracted services in a local outpatient clinic. Bon Secours Physical Therapy Clinics provide physical therapy in workman’s compensation cases. A thorough evaluation is performed to gain insight into the source of the injury and to generate a personalized plan of care. The goal of the personalized plan of care is full recovery based on approved specific job requirements and re-integration to work. Bon Secours physical therapists collaborate with a patient’s referring physician and case manager throughout the process. Michael Hathaway, PT, DPT, ATC, MTC
Bon Secours Physical Therapy and Sports Performance at Bon Secours Washington Redskins Training Center Richmond | 804.325.8812 www.bonsecoursphysicaltherapy.com
What is aphasia? Aphasia is a language impairment that affects a person’s ability to speak, understand, read, and/ or write. Aphasia only affects communication and does not affect intelligence. Therefore, a person with aphasia knows what he or she wants to say, but cannot find the words to express that thought. Aphasia is caused by an injury to the brain, which could be a stroke, tumor or trauma. Aphasia can be so severe that verbal communication with someone with the condition is impossible, or so mild that it’s only noticed by the person affected with it. Keri Cullen, MEd, CCC-SLP Speech Language Pathologist Sheltering Arms Richmond | 877.56-REHAB www.shelteringarms.com
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HEALTH H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS
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The Buffalo Concussion Treadmill Test is a new method of measuring the concussed athlete’s physical response to exercise. The Test helps determine the likely speed of recovery from a concussion and how best to use a progressive exercise program to assist with that recovery.
”
– Gregory O’Shanick, MD
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My wife will be coming home soon after several weeks of physical rehabilitation at a local physical rehabilitation facility. How will I know what to do to help her at home? Once your wife has recovered as much functional independence as possible, caregiver education and training is an important part of discharge planning. This is the opportunity for therapists to provide you with the set of care needs specific to your wife and train you to assist her while keeping you both safe and injury free. Expect to learn how to set up environmental supports, use an assistive device for functional tasks, verbal or manual cueing techniques, and most importantly, proper body mechanics to keep you both safe while providing the assistance that she needs. While the majority of training happens in the rehab center, therapists can also come to your home to see her in action in her own environment, which helps the therapists identify and problem solve environmental barriers and hazards. A home visit also enables therapists to see what challenges exist in different areas of the home so that further training can be individualized while your wife completes inpatient care. Sally Snead, Director of Rehab
Beaufont Health & Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com
OurHealth | The Resource for Healthy Living in Greater Richmond
We are considering a local PACE (Program of All-Inclusive Care for the Elderly) for Dad. How will he stay busy at the day center and does he have to go every day? At PACE, our team provides an individual plan of care that will meet your dad’s needs. Participants are encouraged to take part in an array of activities, such as outings, live entertainment, volunteer opportunities and more. They may attend as often as they like – from once a month to five days a week. During a typical day, your dad may start out enjoying a breakfast snack along with time to socialize with other participants and staff. He can spend time with his social worker or chaplain or visit the gym where he can work on specific wellness or skilled therapy goals. A library, computer stations, activity rooms, sun porch and outdoor courtyard area are also available to keep him entertained and active. We also have a full triage room and clinic to provide medical care as needed. You can be assured your dad will be treated with the highest quality of care in an engaging environment he will benefit from and enjoy. Emily Turbyfill
Riverside PACE – McTavish Richmond | 804.977.5948 www.riversideonline.com/pace
What is the Buffalo Concussion Treadmill Test? The Buffalo Concussion Treadmill Test is a new method of measuring the concussed athlete’s physical response to exercise. The Test helps determine the likely speed of recovery from a concussion and how best to use a progressive exercise program to assist with that recovery. Developed by a team of researchers at the University of Buffalo, the BCTT is now available at the Center for Neurorehabilitation Services as one component of its comprehensive evaluation of concussion and its management. When used in conjunction with a thorough diagnostic evaluation, the BCTT provides an additional measure of progress and recovery of concussions. Gregory O’Shanick, MD
Center for Neurorehabilitation Services, PC Richmond | 804.272.0114 www.centerforneurorehabilitation.org
C he ckUp | Q&A on Health
Beyond the
Board Games Seniors Embracing More Ways to Get Physically and Mentally Fit words | CHRISTY RIPPEL
Seniors are having a moment. As the U.S. population trends upward in age, the definition of what it means to be a “senior citizen” is
The image of a retiree lounging in a recliner all day, or needing a walker to get around, is an outdated stereotype. Today, there are many options available shifting.
to area seniors to keep them engaged and healthy—both physically and mentally. While seniors are living longer than ever – average U.S. life expectancy increased from 68 years in 1950 to 79 years in 2013 – they also have opportunities to live better, particularly in an area like Richmond, where fitness, cultural and outdoor opportunities are plentiful. The area has become a retirement destination, and because of its offerings, Bloomberg Business has ranked Richmond as their number two most affordable city in which to retire. With cultural attractions like art museums, opera, theater and ballet, Richmond has no shortage of activities—along with many parks and a rich history to explore.
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SENIOR HEALTH
HEALTHY SENIOR LIVING
Senior Centers Offer Gathering Spot, Diverse Courses “We understand that isolation is not good for us,” says Carolyn Comerford, director of the Senior Center of Greater Richmond. “It’s detrimental to health and wellness. So we try to get the word out about all the programs we have available for seniors so they can stay active and explore interests.” Many retirees find that, once relieved of the stress and time commitment of careers and raising families, they have an opportunity to explore long-held interests or develop new hobbies. Senior centers fill a need by helping older adults use their time constructively with a wide-range of offerings, from Tai Chi to art instruction to Spanish language classes. For a yearly membership fee, members gain access to many included programs, with some incurring an additional cost. While the fittest among the membership engage in more advanced fitness classes, there are fitness opportunities for all levels, including water aerobics and chair-based exercise. There are just as many opportunities for mental stimulation—for example, at the Senior Center of Greater Richmond they have 180 activities every month at four different locations, which include things like a watercolor painting class and a photography club.
Higher Education Classes at Affordable Rates for Seniors
“We understand that isolation is not good for us. It’s detrimental to health and wellness. So we try to get the word out about all the programs we have available for seniors so they can stay active and explore interests.” CAROLYN COMERFORD The director of the Senior Center of Greater Richmond.
Another opportunity for seniors to learn and engage with the community is through Virginia Commonwealth University’s (VCU) Senior Citizens Higher Education Program. Under the program, anyone who is 60 years old and has been a Virginia citizen for one year before the beginning of the semester can qualify for free tuition. There are income restrictions on whether you can earn credit for the course, but all income levels can still qualify. Community colleges in the Richmond area, such as John Tyler Community College and Reynolds Community College, have similar free tuition programs. There is another option for higher education in Virginia for seniors. Road Scholar is a worldwide network of educational opportunities for students who are at least 55 years old, though spouses and traveling companions may be younger. For a fee, a senior student receives room, board and challenging college-level liberal arts and humanities courses for three to six days. No prior academic experience is necessary and people from all backgrounds participate. The Virginia Center on Aging, with headquarters at VCU, sponsors nearly 40 Road Scholar programs per year at several sites in Virginia.
SilverSneakers Fitness Program Helps Keep Seniors Active at No Cost SilverSneakers is a fitness program offered through participating health plans that gives seniors access to 13,000 gyms nationwide, plus social events,
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OurHealth | The Resource for Healthy Living in Greater Richmond
To learn more about SilverSneakers, visit silversneakers.com. EXPERT CONTRIBUTOR Caroyln Comerford with the Senior Center of Greater Richmond in Richmond.
ON THE WEB
Attention, Active Senior Citizens!
Beyond the Board Games
According to SilverSneakers, twice as many of its members report being in “excellent” or “very good” health compared to the national average.
S ENI O R HEALTH |
signature classes, and workout plans at no cost. The program is available around the country, and membership provides access to any participating gym location – including all amenities included with basic level access. Each location is outfitted with an advisor who will introduce you to the program and help get you started.
Start here to get out, get involved and learn something new:
Senior Center of Greater Richmond 804.353.3171 seniorcenterofgreaterrichmond.org
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ON YOUR TABLET OR SMARTPHONE
VCU’s Senior Citizens Higher Education Program 804.828.1550 rar.vcu.edu/registration/senior/
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SENIOR HEALTH
HEALTHY SENIOR LIVING
No Matter Your Age, It’s Never Too Late to Get Started There are many reasons why we tend to slow down and become more sedentary with age. It may be due to health problems, weight or pain issues, or worries about falling. Or perhaps you think that exercising simply isn’t for you. But as you grow older, an active lifestyle becomes more important than ever to your health. Getting moving can help boost your energy, maintain your independence, protect your heart, and manage symptoms of illness or pain as well as your weight. And regular exercise is also good for your mind, mood, and memory. No matter your age or your current physical condition, these tips can show you simple, enjoyable ways to become more active and improve your health and outlook.
WHAT ARE THE BENEFITS OF EXERCISE FOR OLDER ADULTS? A recent Swedish study found that physical activity was the number one contributor to longevity, adding extra years to your life—even if you don’t start exercising until your senior years. But getting active is not just about adding years to your life, it’s about adding life to your years. You’ll not only look better when you exercise, you’ll feel sharper, more energetic, and experience a greater sense of well-being.
PHYSICAL HEALTH BENEFITS HELPS YOU MAINTAIN OR LOSE WEIGHT. As metabolism naturally slows with age, maintaining a healthy weight is a challenge. Exercise helps increase metabolism and builds muscle mass, helping to burn more calories. REDUCES THE IMPACT OF ILLNESS AND CHRONIC DISEASE. People who exercise tend to have improved immune and digestive functioning, better blood pressure and bone density, and a lower risk of Alzheimer’s disease, diabetes, obesity, heart disease, osteoporosis, and certain cancers. ENHANCES MOBILITY, FLEXIBILITY, AND BALANCE. Exercise improves your strength, flexibility and posture, which in turn will help with balance, coordination, and reducing the risk of falls. Strength training also helps alleviate the symptoms of chronic conditions such as arthritis.
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S ENI O R HEALTH |
MENTAL HEALTH BENEFITS IMPROVES SLEEP. Quality sleep is vital for your overall health. Regular activity can help you fall asleep more quickly, sleep more deeply, and wake feeling more energetic and refreshed.
DOES AMAZING THINGS FOR THE BRAIN. Activities like Sudoku or crossword puzzles can help keep your brain active, but little comes close to the beneficial effects of exercise on the brain. It can help brain functions as diverse as multitasking and creativity and can help prevent memory loss, cognitive decline, and dementia. Getting active may even help slow the progression of brain disorders such as Alzheimer’s disease.
Never Too Late
BOOSTS MOOD AND SELF-CONFIDENCE. Exercise is a huge stress reliever and the endorphins produced can actually help reduce feelings of sadness, depression, or anxiety. Being active and feeling strong naturally helps you feel more self-confident.
The Center for Disease Control and Prevention recommends older adults who are generally fit and have no limiting health condition have AT LEAST 20 MINUTES OF MODERATE AEROBIC ACTIVITY, such as
OVERCOMING OBSTACLES TO GETTING ACTIVE AS YOU AGE Starting or maintaining a regular exercise routine can be a challenge at any age—and it doesn’t get any easier as you get older. You may feel discouraged by health problems, aches and pains, or concerns about injuries or falls. If you’ve never exercised before, you may not know where to begin, or perhaps you think you’re too old or frail, can never live up to the standards you set when you were younger. Or maybe you just think that exercise is boring. While these may seem like good reasons to slow down and take it easy as you age, they’re even better reasons to get moving. Becoming more active can energize your mood, relieve stress, help you manage symptoms of illness and pain, and improve your overall sense of well-being. And reaping the rewards of exercise doesn’t have to involve strenuous workouts or trips to the gym. It’s about adding more movement and activity to your life, even in small ways. No matter your age or physical condition, it’s never too late to get your body moving, boost your health and outlook, and improve how you age. SOURCE www.helpguide.org
ON THE WEB
brisk walking, every day (roughly 150 minutes each week).
It’s also encouraged to do MUSCLE STRENGTHENING EXERCISES TWO DAYS A WEEK to work all muscle groups. Before starting any workout regimen, consult your doctor.
More at ourhealthrichmond.com
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SENIOR HEALTH
HEALTHY SENIOR LIVING
1
ABOUT
ACTIVITIES AGING
MYTH: THERE’S NO POINT TO EXERCISING. I’M GOING TO GET OLD ANYWAY.
MYTH: EXERCISE PUTS ME AT RISK OF FALLING DOWN.
FACT: Regular physical activity helps you look and feel younger and stay independent longer. It also lowers your risk for a variety of conditions, including Alzheimer’s and dementia, heart disease, diabetes, certain cancers, high blood pressure, and obesity. And the mood benefits of exercise can be just as great at 70 or 80 as they were at 20 or 30.
FACT: Regular exercise, by building
strength and stamina, prevents loss of bone mass and improves balance, actually reducing your risk of falling.
3 4 MYTH: I’M TOO WEAK OR HAVE
MYTH: I’M TOO OLD TO START EXERCISING.
TOO MANY ACHES AND PAINS.
FACT: You’re never too old to get moving and improve your health! In
FACT: Getting moving can help
fact, adults who become active later in life often show greater physical and mental improvements than their younger counterparts. If you’ve never exercised before, or it’s been a while, you won’t be encumbered by the same sports injuries that many regular exercisers experience in later life. In other words, there aren’t as many miles on your clock so you’ll quickly start reaping the rewards. Just begin with gentle activities and build up from there.
you manage pain and improve your strength and self-confidence. Many older people find that regular activity not only helps stem the decline in strength and vitality that comes with age, but actually improves it. The key is to start off gently.
5 6 MYTH: I CAN’T EXERCISE BECAUSE I’M DISABLED.
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source | HEALTH.ORG
MYTH: IT’S TOO FRUSTRATING: I’LL NEVER BE THE ATHLETE I ONCE WAS.
FACT: Chair-bound people face special challenges
FACT: Changes in hormones, metabolism, bone density,
but can lift light weights, stretch, and do chair aerobics, chair yoga, and chair Tai Chi to increase range of motion, improve muscle tone and flexibility, and promote cardiovascular health. Many swimming pools offer access to wheelchair users and there are adaptive exercise programs for wheelchair sports such as basketball.
and muscle mass mean that strength and performance levels inevitably decline with age, but that doesn’t mean you can no longer derive a sense of achievement from physical activity or improve your health. The key is to set lifestyle goals that are appropriate to your age. And remember: a sedentary lifestyle takes a much greater toll on athletic ability than biological aging.
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SECOND PLACE Beechwell Adult Day Care Richmond | 804.217.8196 www.beechwelladp.com A Grace Place Adult Day Care Richmond | 804.261.0205 www.agprva.org
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HONORABLE MENTION Riverside PACE Richmond | 804549.5500 www.riversideonline.com/pace Hanover Adult Center Mechanicsville | 804.746.0743 www.hanoveradultcenter.com FIRST PLACE dayBreaks Adult Day Center Chestnut Grove Assisted Living Midlothian | 804.419.0999 Richmond | 804.262.7333 www.daybreaksva.com
Assisted Living Community
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FIRST PLACE Bliley’s Funeral Homes Richmond | 804.355.3800 www.blileyfuneralhomes.com
SECOND PLACE Morrissett Funeral and Cremation Services N. Chesterfield | 804.275.7828 www.morrissett.com
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Care Advantage, Inc. Greater Richmond Area 800.473.0022 www.careadvantageinc.com HONORABLE MENTION Amada Senior Care Greater Richmond Area 804.297.0827 www.amadarichmond.com A Hopeful Home Richmond | 804.548.4921 www.caringandtraining.com
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Salon Van De Henrico | 804.282.9765 www.salonvande.com
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Mango Salon Richmond, Glen Allen & Henrico 804.285.2800 www.mangosalon.com
THIRD PLACE HAIR The Salon Richmond | 804.353.0903 www.hairthesalon.com HONORABLE MENTION Venture Salon Richmond | 804.358.1300
SECOND PLACE (tie) Commonwealth Senior Living at the West End North Chesterfield | 804.554.3588 www.commonwealthal.com
The Crossings at Hanover Mechanicsville | 804.212.2110 www.thecrossingsathanover.com HONORABLE MENTION
FIRST PLACE Paul G. Izzo Thompson McMullan PC Richmond | 804.649.7545 www.t-mlaw.com
SECOND PLACE Phoebe Hall Hall & Hall, PLC Richmond | 804.897.1515 www.hallandhallfamilylaw.com
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The Towers Richmond | 804.320.1412 www.rui.net/the-towers
THIRD PLACE
Elder Law Attorney
SECOND PLACE
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Bennett Funeral Home Richmond | 804.359.4481 Chesterfield | 804.639.4975 Mechanicsville | 804.746.8665 Glen Allen | 804.270.6321 www.bennettfuneralhomes.com J.T. Morris & Sons Funeral Home & Cremation Service Chester Chapel | 804.748.2500 Hopewell Chapel | 804.458.8516 Petersburg Chapel | 804.733.8511 Dinwiddie Chapel | 804.479.8881 www.jtmorriss.com
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Circle Center Adult Day Services Richmond | 804.355.5717 www.circlecenterads.info
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Heritage Green Assisted Living Mechanicsville | 804.723.6538 www.heritagegreenhanover.com
AWARDS AWARDS AWARDS
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Westminster Canterbury Richmond Richmond | 800.445.9904 www.wcrichmond.org
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Woody Funeral Homes Mechanicsville | 804.730.0035 Midlothian | 804.794.1000 Richmond | 804.288.3013 www.dignitymemorial.com/ woodyfuneralhome
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Companion Care
Christopher McCarthy White & McCarthy Midlothian | 804.379.1905 www.whitemccarthy.com Salima M. Duling Duling Law Firm, PLC Mechanicsville | 804.789.0192 www.dulinglaw.com
FIRST PLACE
Spring Arbor of Salisbury Companion Extraordinaire Midlothian | 804.601.0910 www.springarborliving.com Henrico | 804.752.2205 www.cenninc.com The Hermitage Richmond | 804.474.1800 SECOND PLACE www.hermitage-vumh.com Covenant Home Care
SENIOR LIVING
Richmond | 804.569.6104 www.covenanthome.care
WINNERS www.OurHealthRichmond.com
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Senior Living Awards YMCA of Greater Richmond Greater Richmond Area www.ymcarichmond.org
AWARDS 201
THIRD PLACE
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Dalal Salomon Salomon & Ludwin Richmond | 804.592.4999 www.salomonludwin.com
THIRD PLACE Chuck Smith Jr., Edward Jones Richmond | 804.741.1271 www.edwardjones.com
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Bon Secours Community Hospice House Richmond | 804.309.3660 www.communityhospicehouse.com
7 GOLD
Home Health Care
AT Home Health and Hospice Care Richmond | 804.359.3400 www.athomecareandhospice.com
HONORABLE MENTION
SECOND PLACE
Gentiva Hospice Richmond Richmond | 804.290.4300 www.kindredhealthcare.com
Covenant Home Care Greater Richmond Area 804.569.6104 www.covenanthome.care
Hospice Community Care Glen Allen | 804.292.2944 www.harborlighthospice.com
AWARDS 201
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Independent Living Community
Richmond | 804.560.1440 www.thecrossingsatbonair.com
Southeastern Home Health Mechanicsville | 804.769.1380 www.sehomehealth.com
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Inpatient Rehabilitation FIRST PLACE Sheltering Arms Physical Rehabilitation Centers Greater Richmond Area | 804.764.1000 www.shelteringarms.com
SECOND PLACE Parham Healthcare & Rehabilitation Center Richmond | 804.264.9185 www.parhamhealthrehab.com
Healthsouth Rehabilitation Hospital of Virginia Richmond | 804.288.5700 www.healthsouthrichmond.com HONORABLE MENTION Beaufont Health & Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com
SECOND PLACE
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Care Advantage, Inc. Greater Richmond Area 800.473.0022 www.careadvantageinc.com HONORABLE MENTION
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American Family Fitness Chester | 804.748.4222 Colonial Heights | 804.520.7000 Fredericksburg | 540.898.6111 Mechanicsville | 804.569.1600 Midlothian | 804.378.7667 Short Pump | 804.364.1200 Swift Creek | 804.763.1111 Virginia Commons Center 804.261.1000 Williamsburg 757.258.3111 www.amfamfit.com
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FIRST PLACE
AseraCare Richmond Richmond | 804.282.4364 www.aseracare.com
The Hermitage Richmond | 804.474.1800 www.hermitage-vumh.com
THIRD PLACE
FIRST PLACE
THIRD PLACE
Fitness Center
SECOND PLACE
HONORABLE MENTION
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Hospice Care
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ACAC Midlothian | 804.378.1600 Short Pump | 804.464.0990 www.acac.com
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HONORABLE MENTION
Financial Advising
THIRD PLACE (tie)
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Westminister Canterbury Richmond Richmond | 804.264.6000 www.wcrichmond.org
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AWARDS 201
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HONORABLE MENTION West Home Health, Inc. Richmond | 800.494.9378 www.whhci.com
FIRST PLACE Bremo Pharmacy Richmond | 804.288.8361 www.bremorx.com
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SECOND PLACE RX3 Compounding Pharmacy Henrico | 804.717.5000 www.rx3pharmacy.com
THIRD PLACE
South River Compounding Pharmacy Midlothian | 804.897.6447 West End | 804.897.6447 www.southriverrx.com HONORABLE MENTION Beauford Road Pharmacy
Richmond | 804.272.1423 www.stores.healthmart.com/ bufordroadpharmacy CarePac Pharmacy Mechanicsville | 804.746.4049 www.carepacrx.com
Memory Care FIRST PLACE (tie)
Chestnut Grove Assisted Living & Memory Care Richmond | 804.262.7333 www.chestnutgroveliving.com The Memory Center Midlothian | 804.378.5100 www.thememorycenter.com
SECOND PLACE The Hermitage Richmond | 804.474.1800 www.hermitage-vumh.com
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The Towers Memory Care Richmond | 804.320.1412 www.rui.net/the-towers
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HONORABLE MENTION The Crossings at Bon Air Richmond | 804.560.1440 www.thecrossingsatbonair.com
Medical Equipment Provider FIRST PLACE Capital Medical Supply Richmond | 804.353.0707 www.capitalmedicalsupply.com
SECOND PLACE ABC Healthcare Richmond | 866.363.3678 www.abc-hc.com
Spring Arbor of Richmond – Henrico Henrico | 804.592.1948 www.springarborliving.com Heritage Green Assisted Living and Memory Care Mechanicsville | 804.723.6538 www.heritagegreenhanover.com
CONGRATULATIONS SENIOR LIVING WINNERS! www.OurHealthRichmond.com
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AWARDS 201
THIRD PLACE
VCU Health NOW Center Beaufont Health & Rehabilitation Center Henrico | 804.360.4NOW Richmond | 804.272.2918 www.vcuhealthnowcenter.org www.beaufonthealthrehab.com
7 GOLD
THIRD PLACE Healthsouth Rehabilitation Hospital of Virginia Richmond | 804.288.5700 www.healthsouthrichmond.com
FIRST PLACE Hanover Health and Rehab Mechanicsville | 804.559.5030 www.hanoverhelathrehab.com
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HONORABLE MENTION Vibra Hospital of Richmond Richmond | 804.678.7000 www.vhrichmond.com Sheltering Arms Physical Rehabilitation Centers Greater Richmond Area | 804.764.1000 www.shelteringarms.com
AWARDS 7 GOLD
SECOND PLACE (tie)
AWARDS 201
Westminister Canterbury Richmond Richmond | 804.264.6000 www.wcrichmond.org
Our Lady of Hope Richmond | 804.360.1960 www.ourladyofhope.com
VCU Massey Cancer Center Richmond | 804.828.0450 www.massey.vcu.edu
THIRD PLACE
Restaurant
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LeMaire Richmond | 804.649.4629 www.lemairerestaurant.com
SECOND PLACE
HONORABLE MENTION
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THIRD PLACE Lifelong Learning Institute Midlothian | 804.378.2527 www.llichesterfield.org HONORABLE MENTION Colonial Heights Senior Center Colonial Heights | 804.520.9220 www.colonialheightsva.gov
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Senior Relocation Services FIRST PLACE Door to Door Solutions Richmond | 877.261.4124 www.doortodoorsolutions.com
SECOND PLACE Abundance Organizing Richmond | 804.212.2160 www.abundanceorganizing.com
THIRD PLACE
Senior Community Center
HONORABLE MENTION More than Moving for Seniors, Inc. Richmond | 804.232.6480 www.morethanmovinginc.com
SENIOR LIVING
SECOND PLACE
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Sheltering Arms Physical Rehabilitation Centers Greater Richmond Area | 804.764.1000 www.shelteringarms.com
Riverside PACE Center Richmond | 804.977.5900 www.riversideonline.com
Choice Connections Richmond | 804.364.0123 c i h R m h o alt www.choiceconnectionsva.com AWARDS
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Joe’s Inn Richmond | 804.355.2282 www.joesinnrva.com
Outpatient Rehabilitation
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Richmond | 804.358.0369 Capital Caring www.mcleansrestaurant.com The Hermitage Richmond | 800.869.2136 Richmond | 804.474.1800 www.capitalcaring.org www.hermitage-vumh.com THIRD PLACE Sally Bell’s Kitchen h Richmo Richmond | 804.644.2838 alt c i h R m h o alt www.sallybellskitchen.com AWARDS
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FIRST PLACE
SECOND PLACE
HONORABLE MENTION
7 GOLD
Palliative Care
Bon Secours Palliative Medicine Richmond | 804.288.COPE (2673) www.bonsecours.com
THIRD PLACE
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WINNERS! www.OurHealthRichmond.com
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Sheltering Arms Physical Rehabilitation Centers Greater Richmond Area 804.764.1000 www.shelteringarms.com
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Skilled Nursing Care
OurHealth Richmond SCAN HERE OR VISIT US AT
www.ourhealthrichmond.com
Gentiva Home Health Richmond | 804.672.7500 www.kindredhealthcare.com
Westport Rehab and Nursing Center Richmond | 804.288.3152 www.westportrehab.com
SECOND PLACE Beth Sholom Healthcare Center Richmond | 804.750.2183 www.bslcc.org
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WEBSITE FOR EVEN MORE HEALTH RESOURCES!
Beth Sholom Healthcare Center Richmond, VA 23238 804.750.2183 www.bslcc.org HONORABLE MENTION
FIRST PLACE
CHECK OUT THE
THIRD PLACE
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THIRD PLACE Or Lady of Hope Health Center Richmond | 804.360.1960 www.ourladyofhope.com
Stroke Care
HONORABLE MENTION Sitter and Barfoot Veterans Care Center Richmond | 804.371.8000 www.dvs.virginia.gov
FIRST PLACE Sheltering Arms Physical Rehabilitation Centers Greater Richmond Area | 804.764.1000 www.shelteringarms.com
Tylers Retreat at Iron Bridge Chester | 804.413.6508 www.saberhealth.com
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THIRD PLACE
AWARDS 201
VCU Health Stroke Center Richmond | 804.828.1856 www.vcu-stroke.com HONORABLE MENTION
7 GOLD
Speech Therapy FIRST PLACE All About Care by Care Advantage Greater Richmond Area | 800.473.0022 www.careadvantageinc.com
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HCA Johnston-Willis Hospital Richmond | 804.483.5000 www.johnstonwillismed.com
CONGRATS
ON THE WEB
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Morrissett Funeral and Cremation Service 6500 Iron Bridge Road | N. Chesterfield, VA 23234 | 804.275.7828 | www.morrissett.com | f SERVICES: Funeral Services and Merchandise, Cremation Services and Merchandise, Arranging Funeral Plans, Making All Necessary Arrangements Including Transportation and Burial Preparations, Aftercare Consultation
Our History A HISTORY OF SERVICE. A HERITAGE OF TRUST. Like many funeral homes in the South, Morrissett Funeral and Cremation Service began as a furniture and cabinet maker. During the Civil War, many Northerners wanted their deceased soldiers returned to them. Much of B. H. Morrissett & Sons Cabinet Maker’s business became undertaking the return of casualties of war to their families, which is where the phrase “undertaker” originates. In 1870 the family officially changed the name to B.H. Morrissett & Sons Embalming and Undertaker. The Morrissett family operated the home until 1969. In 1974 when there were no remaining Morrissett heirs, the home was purchased by Robert Danielson. Finally, in 1998 the home was purchased by Dick Booker and Larry Spiaggi.
Morrissett Funeral and Cremation Service is the oldest continuously operated business in South Richmond.
About Us WHAT SETS US APART All Morrissett employees are first-generation funeral directors. So we don’t have the attitude, “That’s what my dad and granddad did, so we have to do it the same way.” We approach each funeral with fresh eyes, and we are not afraid to innovate. We constantly seek an authentic and meaningful way to pay tribute to a life well lived. Morrissett was the first funeral home in the area to offer video tributes for our families at no additional charge, and we continue to lead in this service with a state of the art projection system in our chapel. All ceremonies conducted in the chapel are video recorded and can be webcast to family members who are unable to attend. Morrissett is also the first in the area with trained therapy dogs available to help. You might find our two Chocolate Labs, Hope and Peace, walking through the parlors during a visitation. They have a unique ability to sense who needs comforting and to provide their gentle warmth. Hope and Peace are service certified, so they are welcome in restaurants and other public places. It’s amazing how many people walk up and say, “Those are the Morrissett dogs!”
Owners, Larry Spiaggi and Sue Danielson with the Morrissett therapy dogs, Hope and Peace.
“AS A LOCALLY OWNED BUSINESS, WE APPRECIATE THE COMMUNITIES TRUST AND SUPPORT PROVIDED TO US FOR THE PAST ONE HUNDRED AND FORTY-SEVEN YEARS.”
Award Winning Services Morrissett takes pride in its “Pursuit of Excellence” designation awarded by the National Funeral Directors Association. Morrissett was the only home in Virginia to earn this designation in 2013, 2014, 2015 and 2016. As one of 155 funeral homes out of 22,000 eligible, this is a great honor. Additionally, Morrissett was awarded the 2015 “Best of the Best” award, which according to the National Funeral Directors Association “recognizes the most novel and innovative programs and services in the profession.”
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Receiving the 2015 Best of Best Award.
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“I’M VERY PROUD THAT OUR STAFF PUTS IN THE EFFORT TO GO THE EXTRA MILE BY PROVIDING THIS AWARD-WINNING LEVEL OF EXCELLENCE TO EVERY FAMILY WE SERVE.”
Giving Back COMMUNITY OUTREACH Morrissett is constantly looking for ways to give back to the community. We offer our Fallen Heroes program, which provides our services at no charge in the tragic event that one of our community’s public safety officers is killed in the line of duty. We sponsor many fundraising events in the area including the Chesterfield Relay for Life and the Fall BRAzar, both of which raise money to help find a cure for cancer. Our funeral home also offers grief counseling through our widow and family loss support groups. Our Community Care team also facilitates the local Suicide Survivors support group.
A SIMPLE WISH FOUNDATION We are especially proud of our nonprofit foundation. After a series of deaths in our own family, we wanted to find a way to help others who are coping with being caregivers for a loved one. We don’t want caregivers ever to have to think, “I wish I could have done this for mom,” or, “My brother would have liked to do this before he left us.” With that idea in mind, we started A Simple Wish Foundation (www.asimplewishfoundation.org).
Co-owner, Larry Spiaggi standing in front of the Morrissett Funeral and Cremation Service tent set up at the 2016 Fall BRAzar.
Through this foundation, we partner with local hospice providers to grant “simple” wishes for hospice patients. We want to help make someone’s day special, so we look to nurses, social workers, volunteers, and spiritual caregivers to help us grant these wishes. Each wish is carefully reviewed by the wish team, and we attempt to fulfill every wish, keeping in mind that these are “simple” wishes, such as a spa day, a special meal, or a new dress. All of the foundations funds are used exclusively for these wishes.
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The Memory Center Richmond 13800 Bon Secours Drive | Midlothian |
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SERVICES PROVIDED: Specialized care to those living with Alzheimer’s and other forms of dementia, 4:1 staffing ratio, 24-hour nursing oversight, home health services, physical, occupation, speech and psychiatric therapies.
About Us
The Memory Center Richmond is Central Virginia’s most comprehensive facility specializing in the care of those living with Alzheimer’s and dementia. We believe the challenging conditions of an aging brain should be met with a caring, interactive community designed around the individual-one that recognizes them for who they are today.
Accommodations
The Memory Center Richmond is built around our original Town Center. The atmosphere is natural, light-filled, peaceful and includes safe access to the outdoors, including three beautiful courtyards and secure walking trails.
Activities
All Memory Center activities are designed to inspire purpose, validate actions, invigorate healthy lifestyles and uphold the highest quality of life for our residents. We utilize a hands-on approach to learning, including use of the five senses, kinetic movement and motor skill coordination. Our interactive, daily activities promote socialization, stimulation and ease symptoms of boredom and agitation.
Each Richmond-themed neighborhood provides a sense of home, featuring a relaxing living room, dining room and full kitchen. Each residential suite includes a picture frame outside the door for residents to display their favorite photo and distinguish the entrance, display their personality and promote identity. Suites include large windows, private bath and complimentary access to private telephone, cable, wireless internet and laundry services.
“WE BELIEVE THE CHALLENGING CONDITIONS OF AN AGING BRAIN SHOULD BE MET WITH A CARING, INTERACTIVE COMMUNITY DESIGNED AROUND THE INDIVIDUAL.”
Convenient Location
Located behind Bon Secours St. Francis Hospital in Midlothian, we are convenient to Route 288, The Powhite Parkway and Midlothian Turnpike— making our location easily assessable from anywhere within the Richmond Metro area.
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SERVICES PROVIDED: Independent Living, Assisted Living, Memory Care, Rehabilitation, Skilled Nursing Care, and Skilled Home Care.
- Over 70 Years of Caring for Seniors About Us
Our mission is to provide comprehensive, compassionate healthcare for individuals of all faiths in a campus environment and homelike setting. Beth Sholom Lifecare Community offers an array of options to meet the changing needs of residents — from independent and assisted living to memory care, inpatient and outpatient rehabilitation, and long-term skilled nursing. The community is situated on 16 wooded acres in Richmond’s West End, conveniently located near shopping and recreational facilities.
Independent Living THE WOODS
Beth Sholom Woods offers affordable, independent living to eligible adults seeking a senior community. Monthly rent is based on income at our U.S. Housing and Urban Development-sponsored property. As a member of the Beth Sholom Lifecare Community, The Woods offers residents access to a wide range of services and amenities.
Assisted Living
THE GARDENS & PARKSIDE Customized care is important at Beth Sholom, that’s why five levels of varying care are available, allowing residents to age in place. Levels of care vary from very basic assistance through physical assistance and memory care.
The Healthcare Center
Rehabilitative Care
Beth Sholom is widely recognized in the Richmond community for the high quality of both its inpatient and outpatient rehabilitative care. Beth Sholom offers a variety of specialty programs geared to physical therapy, occupational therapy and speech pathology to get you back to your normal day-to-day activities.
Generations Home Health
You can now access home health through Beth Sholom Lifecare Community. As a full-service home health agency, Generations sends nurses and therapists to the homes of patients in the Richmond area to receive services you might otherwise receive in a hospital, rehab facility, or nursing home.
REHABILITATION, SKILLED NURSING, & MEMORY CARE The original cornerstone of the Beth Sholom Lifecare Community, the Healthcare Center offers private rooms with an excellent nurse-topatient ratio. The center provides varying degrees of care from short-term rehabilitation to long-term skilled nursing with memory care services.
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Elizabeth Adam Crump Health and Rehab 3590 Mountain Road | Glen Allen | 804.672.8725 | www.eacrumprehab.com SERVICES PROVIDED: 24-Hour Skilled Nursing Care
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Our Care
Whether the need is for short-term “Rehab-to-Home” services following an illness or injury or long-term care or assisted living services, at Elizabeth Adam Crump Health and Rehab, you’ll receive personalized attention and treatment, along with the peace of mind that comes from knowing that you’re with people who truly care.
Comprehensive Rehabilitation Services Our comprehensive rehabilitation services help patients get back on their feet and on with their lives as quickly and as safely as possible. Our goal is to help our patients return home – stronger, more independent and ready to thrive.
Long-Term Care Services
For those individuals for whom living independently is no longer possible, our center offers long-term care services that meet the medical, social and spiritual needs of our residents. We develop care plans that address the needs, wants and desires of each individual, and we strive to create a homelike environment.
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Our History
Named after local philanthropist and native of Virginia, Elizabeth Adam Crump Health and Rehab is located in the heart of Glen Allen on a parcel of land also known as Meadow Farm. Mrs. Crump donated the 168-acre property to the County of Henrico in honor of her late husband, WWI veteran and former Adjunct General of Virginia. The property was to house a skilled nursing facility, park and museum. She was known for her giving nature, logging many hours as a volunteer with McGuire VA Medical Center. Mrs. Crump lived her final years as a resident of the facility until the age of 101. Elizabeth Adam Crump Manor opened in July 1980. It was the first facility in the county to accept Medicare which meant needy residents no longer had to leave their community and go elsewhere for skilled care.
“TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF THOSE WE SERVE BY PROVIDING COMPETENT, COMPASSIONATE AND OUTCOME-ORIENTED CARE – EVERY DAY.”
Elizabeth House Assisted Living Elizabeth House Assisted Living, located on the Elizabeth Adam Crump Health and Rehab campus is the perfect option for seniors who value their independence, yet require some assistance with daily activities. Team members are available 24 hours a day for assistance with bathing, dressing, medication reminders, or other daily activities. When you choose Elizabeth House, you will have peace of mind in knowing that you are with people who truly care. For more information about Elizabeth House Assisted Living, call 804.672.7580 or visit www.ElizabethHouseALF.com. 42
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1600 Westwood Avenue | Richmond | 804.474.1800 | www.hermitagerichmond.org SERVICES PROVIDED: Independent Living, Assisted Living, Health Care, Memory Care
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Levels of Living are the words we use to describe the full continuum of choices offered at Hermitage Richmond. Single residents and couples can move directly into Independent Living which is similar to their old homes except they do not have to pay taxes, insurance and ongoing maintenance costs…or deal with cooking or cleaning. Assisted living residences and services are available throughout the community so that if anyone needs support with mobility, bathing or other normal daily activities it is there if and when it is needed. Memory Support and Health Care are also distinct neighborhoods within our community for those whose health and safety merit those specialized teams and programs.
A TRADITION AT HERMITAGE RICHMOND
MEMORY SUPPORT Loss of memory does not have to bring a loss of dignity, activity, or the feeling of independence. Hermitage Richmond offers two specialized, secure households within our historic campus in Ginter Park. These households are designed to meet the ongoing needs and accentuate the lives of those living with dementiarelated illnesses. McGuire Park offers memory support at the assisted living level while Snyder Park offers memory support at the health care level.
For over 70 years, Hermitage Richmond has offered residents an elegant home in a walkable historic neighborhood supported by a professional team and a complete continuum of care. As a not-for-profit community, we focus intently on the people who make the community their home and the team that serves them. Our goal is to be like the close-knit neighborhoods where many of us grew up. We provide residents the ability to contribute to the greater good, make new friends, cherish old friends and family and give themselves and the ones they love the gift of a plan.
HERMITAGE RICHMOND OFFERS A PERSON-CENTERED APPROACH TO CARE BY ADDING MORE MEANING, VALUE AND JOY TO OUR RESIDENTS’ LIVES.
WHAT SETS US APART One of the conscious changes being made is to move from an institutional to a more informal, homey approach to care. The old nursing homes and Alzheimer’s care facilities have set hours for getting up, bathing, eating and almost everything else. The person-centered approach removes attempts to schedule and control residents’ lives and gives autonomy and freedom back to them… that’s why people choose to call our communities home.
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NUTRITION
LOCAL FOODS & RECIPES
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Fantastic Farmer's Markets NUTRITIOUS FINDS FOR THE WHOLE FAMILY words | CHRISTINE STODDARD
No matter what you love to eat, consider buying your groceries from the local farmer’s market for healthy options grown close to home. You’ll give your diet and the local economy a boost. Here are some of the fantastic markets in the Richmond area and what you will find there. 44
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South of the James Market Forest Hill Park, New Kent Ave. & 42nd Street | Richmond
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Sundays, 11 am to 3 pm
Saturdays, 8 am to Noon
WHAT TO EXPECT IN THE FALL: A whole host of new seasonal vendors!
Chesterfield County Farmers Market
WHAT TO GET BEFORE IT RUNS OUT: Kombucha by Blue Ridge Bucha, small batch granola by Flower Child, Tommy’s Wicked Garden Salsa by Arc Angels Creations, baked goods by Montana Gold Bread Co., fresh seafood from VA Blue Crab Company. WHAT TO EXPECT IN THE FALL: Every year, South of the James hosts a Thanksgiving Holiday Market and a Christmas Holiday Market.
West End Farmers Market
Next to 6701 Mimms Loop | Chesterfield
12450 Gayton Road | Richmond Henrico County, near Tuckahoe Village West
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Open Wednesdays, 2:30 pm to 5:30 pm (through Aug. 30)
Saturdays, 8 am to Noon
WHAT TO GET BEFORE IT RUNS OUT: Open Hearth Farm Booth for pasture-raised chicken, Matt’s Dirty Pickles, Jarratt’s Produce for fruit jellies, and more.
WHAT TO GET BEFORE IT RUNS OUT: Agriberry’s berries and orchard fruits, Arnest Seafood’s wild caught seafood, produce from F.J. Medina & Sons Farm, grass-fed beef from Greenway Beef, Real Country Sausage’s farm fresh sausage, and more.
River Street Market
WHAT TO EXPECT IN THE FALL: On September 23rd, all teachers get free apples. Stop by for a 2-pound bag of local apples. On October 14th, all pumpkins are just $2 each.
30 River Street | Petersburg In the parking lot next to the Farmers Market Restaurant & Bar in Old Towne Petersburg Photos marked by 3
Fantastic Farmer's Markets
Wells Fargo lot, 3201 W. Cary Street | Richmond
WHAT TO GET BEFORE IT RUNS OUT: It just depends! The vendor map changes from week to week. Visit the website at CarytownMarket.com for this week’s selection. Previous vendors have included Alfredo Honey, Bad Goat Soap, Lesley’s Garden, Oberweis Dairy, Reyes Farm, Village Garden RVA, and others.
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Saturdays, 8 am to Noon
WHAT TO GET BEFORE IT RUNS OUT: Microgreens from Lil’ Sprouts, pasture-raised pork from Red Barn Berkshires, Buzzing Bee Honey, and more. WHAT TO EXPECT IN THE FALL: This will be the market’s first fall since it closed in 2015. The market will end its season on October 28th.
We want to hear from you! Looking for something to do this weekend? Check out one of these local farmers markets. Then, tag us on social media to tell us what you think. #OurHealthRVA
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NUTRITION
LOCAL FOODS & RECIPES
HealthyEats >> First Impressions of Three Healthy Restaurants in the Greater Richmond Area words | RICK PIESTER
Fresca on Addison
Demolition Coffee
Local Vibe Cafe
22 S Addison Street | Richmond
215 East Bank Street | Petersburg
414 North Market Street | Petersburg
804.359.8638
804.732.2991
804.324.4562
www.frescaonaddison.com
www.demolitioncoffee.com
Hours Tuesday – Saturday from 11:00 AM to 4:00 PM.
Hours Monday – Friday from 6:30 AM to 5:00 PM; Saturday from 7:30 AM to 5:00 PM; Sunday from 8:00 AM to 5:00 PM.
Hours Tuesday-Saturday from 11:00 AM to 7:00 PM; Sundays from 11:00 AM to 6:00 PM.
This very popular hideaway in the Fan is the product of the fatherdaughter team of Jenna Sneed, who is a longtime vegan, and dad Jimmy Sneed, a well-known chef, who is not. Their two seemingly different approaches to food became one; Jimmy is a chef whose obsession with top-quality ingredients and tons of flavor melds perfectly here with Jenna’s insistence on local, farm fresh and animal-free food. As they describe it, “At Fresca we’re serving awesome pizzas from our stone oven, sandwiches, hearty soups, big stews (curry, ratatouille, cabbage and chorizo-ish) on brown rice, grits, quinoa, and the like. And honkin’ desserts. And great coffee.” Almost every item on the menu can be made vegan or gluten-free. There’s lots to choose from, and the food is the stuff to rejoice over. 46
Open since 2009 in the formerly ruined shell of the Southern Express building in Old Town Petersburg., the locally owned, nicely decorated Demolition Coffee serves Lamplighter Coffee roasted in Richmond. It’s not strictly a health food hangout, but the menu includes enough “clean eats” among its sandwiches, soups, salads, and hot and cold drinks to make any careful eater happy. Just a few doors away is the Buttermilk Bake Shop, a traditional bakery that offers vegan cupcakes and a rotating selection of other vegan dessert treats.
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Fast, affordable, healthy, delicious. What’s not to like? Local Vibe Café is a newish (opened in April 2017) and locally owned restaurant that is becoming a “must-stop” site among people, local and out-oftowners alike, who like healthy, local ingredients. It’s a line-style restaurant, where you can build your own “bowl” meal combining your choice among rice, beans, salad greens and vegetables, sauces, meats, tofu, and cheeses. Everything is sources from local farmers, and items are available as options for vegan, vegetarian, gluten-free and low carb diets.
We want to hear what you think!
You don't want to miss this healthy, local grub! Make sure to tag us on social media to tell us what you think! #OurHealthRVA
NUTR I TI O N | HealthyEats
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LOCAL FOODS & RECIPES
- Guest Chef
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Tom Schumaker of Commonwealth Senior Living -
OurHealth | The Resource for Healthy Living in Greater Richmond
recipes | TOM SCHUMAKER
Heart Healthy Seared Scallops with Black Beans Makes 4-5 servings | 314 calories per serving Ingredients: • 2 tablespoons olive oil • 1 ½ pounds fresh bay scallops • 1 cup chopped onions • 1/8 teaspoon old bay seasoning • ¼ cup dry white wine • ¼ cup chicken broth • 2 pounds cooked black beans • 12 ounces baby spinach • 1 tablespoon chopped fresh basil Heat olive oil in a large skillet over medium-high heat. Add scallops and sauté approximately 2 minutes per side. Remove scallops from pan. In same pan over medium-high heat, add onions and seasoning. Sauté onions until transparent and soft. Add black beans and spinach and continue cooking until spinach begins to wilt. Add chicken broth and finish with white wine. Plate spinach and black beans topped with scallops. Garnish with basil and serve immediately.
Pan Seared Sea Bass with Summer Vegetables Makes 2 servings | 271 calories per serving Ingredients: • 1 cup cherry tomatoes • 6 ounces fresh spinach • 6 ounces fresh mushrooms • 4 ounces freshly cooked shucked corn • 2 ounces onion diced fine • ¼ cup red wine • 1 tablespoon fresh basil • 1 tablespoon fresh garlic
2 tablespoons freshly squeezed lime juice Salt and pepper to taste 2 tablespoons olive oil Two 6-ounce sea bass filets Garnish with fresh fruit if desired
Heat oil in a skillet over medium heat. Add basil, garlic and onion, cook for 1 minute. Add sea bass and sear first side for approximately 3 minutes. Turn the bass and add mushrooms, corn, tomatoes and spinach. Cook for approximately 3 more minutes or until spinach is wilted and vegetables warmed through. Squeeze lime juice and deglaze pan with red wine. Serve over fresh salad, pasta or rice. Garnish with fresh fruit if desired.
Shrimp Piccata with Sautéed Spinach Makes 4 servings | 275 calories per serving Ingredients: • 1 ½ pounds of fresh peeled and deveined shrimp (16 to 18) • 2 tablespoons extra virgin olive oil • 2 tablespoons butter • 1 small garlic clove minced • Juice of one (1) lemon • 4 teaspoons capers • 10 ounces of baby spinach • ½ cup white wine • Salt and pepper to taste Heat oil and butter in a large skillet over medium heat. Add garlic and cook until soft but not browned (1-2 minutes). Add shrimp, stir frequently, until shrimp are pink and opaque, about 2 minutes. Add capers, lemon juice, stir for 1 minute. Add baby spinach to wilt. Deglaze pan with white wine. Add salt and pepper to taste. Serve on a bed of pasta or rice.
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Feel free to stop by! If you’d rather stay out of the kitchen, visit a Commonwealth Senior Living community for lunch or dinner! Call the community nearest you to reserve your space: www.commonwealthal.com/our-communities/.
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Summer Seafood
Chef Tom Schumaker of Commonwealth Senior Living makes it tasty to stay healthy this summer! These delicious surfside dinners are low in calories, sodium and cholesterol, while packed with protein, vitamins and minerals that will make your heart swim with joy and help lower blood pressure too!
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
GROWING HEALTHY - Grade by Grade words | BRANDY CENTOLANZA
All parents want their children to start off the new school year fresh and healthy! Here are some safety and wellness tips to keep in mind to reduce the risk of illness or injury depending on what grade your son or daughter is entering this year.
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1ST GRADE
For some kindergarteners, this may be the first time they are away from their parents for an extended period of time. It’s wise to teach your children what to do if they get lost, starting with knowing their phone number and home address. “I recommend setting their I-pad passcode as their phone number,” suggests Erica R. Pelletier, MD, a pediatrician with RVA Pediatrics in Richmond. “They will learn it in no time.”
Children in first grade may be experiencing lunch in the school cafeteria for the first time. Teach them how to make healthy food choices, including stacking their tray with fresh fruits and vegetables instead of sugary snacks. Children with food allergies should also be made aware of what foods they shouldn’t eat.
Growing Healthy Grade by Grade
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2ND GRADE As children start heading off to the bus stop on their own, remind them of school bus safety, including looking both ways before crossing a street, waiting until the bus comes to the complete stop before stepping off the curb, and remaining seated while the bus is in motion. Parents may also wish to reiterate avoiding talking to strangers.
3RD GRADE Routine becomes important as children get older. “Now is the time to start helping them learn good homework habits,” said Pelletier. Research shows that children who eat meals frequently with their parents perform better in school, so set aside time for that as well. “Family time is also important, so plan dinner together as a family, and turn off all devices and distractions,” Dr. Pelletier advises.
4TH GRADE
5TH GRADE
School bullying is often a concern. Parents should keep open communication with their child’s teacher. If your child starts complaining of headaches or bellyaches or simply not wanting to go to school, speak with your child’s teacher about what might be happening.
Students should not carry a bookbag that weighs more than ten to 15 percent of their body weight. Ensure your child wears his or her backpack correctly, with the weight of the bag evenly distributed across the body in order to avoid shoulder, neck, or back injuries.
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
6TH GRADE
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Students become more involved in sports activities in middle school. For maximum performance, ensure your student athlete is up-to-date on any physical examinations; chooses the right team for his or her size, weight, and skill; uses safe equipment; and knows when his or her body has had enough and needs time to rest.
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Social media safety may become a concern at this age. Moms and dads should routinely discuss what is and isn’t appropriate to text to friends or share online. “Our world is changing,” Dr. Pelletier point out. “Parents also shouldn’t wait until high school to talk to their kids about the dangers of drugs, alcohol, and sexual behavior. By then, it is too late. It may be uncomfortable to talk about, but you don’t want your children hearing about it from other kids in school.”
Assist children with the development of good homework and study habits, including organization. To alleviate eye fatigue, neck fatigue or brain fatigue during study sessions, students should take frequent breaks, getting up to stretch or have a snack.
9TH GRADE Starting off the school day with proper nutrition is essential, but high schoolers often don’t make time for breakfast. “It is important to have breakfast, anything with protein, even if it’s just a breakfast bar,” Dr. Pelletier says.
ERICA R. PELLETIER, MD A pediatrician with RVA Pediatrics in Richmond.
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Getting enough rest helps students concentrate and perform better during the school day. “Every child needs the proper amount of sleep,” says Dr. Pelletier. “That is very important. If they have that, they are ahead of the curve.” Children ages six to twelve need nine to twelve hours of sleep, while middle and high schoolers need eight to ten hours. Dr. Pelletier suggests starting a regular bedtime routine one to two weeks before the new school year begins, and turning off all screens at least 30 minutes before bedtime. 52
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Back to School
Teach new drivers to play it safe with the cell phone while they are in the car. “Take your phone and throw it in the backseat so you aren’t tempted or distracted,” says Dr. Pelletier. “You don’t want to be texting when you are driving.”
12TH GRADE Kids this age still need plenty of physical activity. Encourage your child to find time during the day for exercise, whether it’s walking or biking to school, or trying an exercise video. Developing proper fitness habits now will set them up for life.
EXPERT CONTRIBUTOR Erica R. Pelletier, MD, a pediatrician with RVA Pediatrics in Richmond.
ON THE WEB
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
GROUP B STREP – NOUN – A bacteria that can live on the vaginal skin of a healthy woman about 15 percent of the time.
Painless Screening Test Vital for Pregnant Women and Their Babies words | CHRISTY RIPPEL
Expectant moms, take note. While you are tested for a number of things during your pregnancy, from iron deficiency to gestational diabetes, one of the most important tests comes towards the end of your 40 weeks. Between 35 and 37 weeks, you will be tested for group B streptococcal— also called group B strep or GBS—and knowing the result is necessary for the health of your baby.
SARAH PETERSON, MD An obstetrician/gynecologist with Richmond Ob-Gyn
Group B strep is a bacterium that can live on the vaginal skin of a healthy woman for about 15 percent of the time. If you test positive for it near the end of pregnancy, you are considered either colonized with or a carrier of the bacteria. They don’t cause significant illness in adults, but they can cause an infection during birth, which can be serious for a newborn. Bacteria can be passed from the mother to the baby during delivery. “It is extremely important to test for group B strep colonization in pregnant women, because the bacteria can cause invasive disease in newborn babies,”
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says Sarah Peterson, MD, an obstetrician-gynecologist with Bon Secours Richmond OB-Gyn at the St. Francis Medical Center. “Group B strep disease in newborns can cause sepsis, pneumonia, meningitis, or even death.”
Got Group B?
There is no way to know whether you have the bacteria without a test, as the presence of group B strep often causes no symptoms in pregnant women. The test, which is quick and painless, involves a swab of the lower vagina and rectum, which is then sent to a lab for results. It is similar to the process of swabbing the tonsils and the back of the throat to check for strep. Ten to 30 percent of women test positive for group B strep. If you do test positive, don’t panic. Antibiotics greatly reduce the risk of passing the bacteria to your baby. “Ideally, the antibiotics are administered intravenously (through an IV) at least four hours prior to delivery of the baby for optimal effectiveness,” says Dr. Peterson. Penicillin is the preferred drug to prevent group B strep transmission, and there are other options for patients who are allergic to penicillin.
A pregnant woman who tests positive for group B strep bacteria and gets antibiotics during labor has only a
1 in 4,000 chance of delivering a baby
who will develop group B strep disease, compared to a 1 in 200 chance if she does not.
Source: Centers for Disease Control and Prevention
If patients are cautious of the group B strep screening test, recommended by the Centers for Disease Control and Prevention (CDC) for all pregnant women, Dr. Peterson explains that it is essential. “Generally, when women understand why the test is recommended, they feel comfortable,” says Dr. Peterson. “I try to emphasize that the health of a woman and her baby guide our recommendations for prenatal care. After all, every mom wants a healthy baby.” If a woman goes into labor before the Group B Strep test can be completed, IV antibiotics are usually given as a preventative measure. EXPERT CONTRIBUTOR Sarah Peterson with Richmond Ob-Gyn in Richmond.
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HEALTH FOR THE WHOLE FAMILY
“I don’t think I’ve cut out anything from my life. I might be slowing down and I just don’t realize it, but, for me, the big problem is remembering what I’ve just heard or said.” - Vivian Beasley -
In the Greater Richmond Area words | CHRISTINE STODDARD
Vivian Beasley, 75, of Powhatan couldn’t tell you how long exactly she has had Alzheimer’s. After all, she has no shame in admitting that these days, she can’t “remember much of anything.” But she is proud to say that she is still high-functioning and lives her life much the way she did prior to her diagnosis. “I don’t forget to brush my teeth or take a bath,” says Beasley, who is a wife, mother, grandmother, and former stenographer. “I’m still cooking as I’ve been doing for years and years and I’m still trying to take care of the house. I get my grandchildren off of the school bus four days a week. I live kind of a quiet life. I’m a homebody who goes to church on Sunday, shops, and takes care of my grandchildren.” She adds, “I don’t think I’ve cut out anything from my life. I might be slowing down and I just don’t realize it, but, for me, the big problem is remembering what I’ve just heard or said.” Beasley explains that her biggest current frustration is how her short-term memory loss affects her conversations. “I might tell my husband something and five minutes later, I tell him the same thing,” she says. 56
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Currently, Alzheimer’s the 6th leading cause of death in Virginia. Last year, 1,642 people died from the disease. Alzheimer’s isn’t just a deadly disease; it’s an expensive one. Medicaid costs for Virginians with Alzheimer’s totaled $866 million in 2016. But the good news is that there is hope for Virginians living with Alzheimer’s, not to mention the people who love them. The Alzheimer’s Association has a strong presence in the Commonwealth, with support groups across the state, from Arlington County to Roanoke. In the Richmond metropolitan area alone, there are multiple in-person offices and groups to connect you with the research, training, and other services you and your loved ones may want and need. The Alzheimer’s Association Greater Richmond Chapter was founded in 1981 thanks to one family’s efforts to launch a support group. In 1983, the group became a chapter of the national Alzheimer’s Association. In its early days, the chapter was run by volunteers. Today, it has a dedicated staff and three branch offices in Fredericksburg, Gloucester, and the Tri-Cities. The headquarters is located in Henrico County at 4600 Cox Road, Suite 130, Glen Allen. The current executive director, Marie D. Kolendo, can be reached by phone at 804.967.2580 or email at mkolendo@alz.org.
LOCAL MEMORY CAFÉS
Navigating Alzheimer’s
Alzheimer’s in Virginia
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Of course, Beasley is by no means alone. According to the Alzheimer’s Association, more than five million Americans live with Alzheimer’s. By 2050, as many as 16 million people could have the disease. In 2016, 140,000 Virginians had Alzheimer’s. That number is expected to rise by 7.1% by 2020, making the disease an increasing concern among Virginians.
Do you have early-stage memory loss? Do you want a social group where you can voice your concerns but also have fun? The Alzheimer’s Association has organized Memory Cafés as low-key events for people living with this disease to make new friends. Caregivers are also invited to come and find companionship and the information they need. Here are some of the Memory Cafés that take place in the Greater Richmond area:
FREDERICKSBURG Keystone Coffee, 2206 Princess Anne Street Last Wednesday of the month, 9:30 am to 11 am
PETERSBURG Perk’s Coffee Shop, 8 W. Bank Street 4th Wednesday of each month, 3 pm to 4 pm
SANDSTON Sandston Library, 23 East Williamsburg Road 4th Wednesday of each month, 1 pm to 3 pm
KILMARNOCK Sage Café, 68 South Main Street First Tuesday of each month, 10 am to 11:30 am To find other Memory Café listings, go to www.alz.org/grva/in_my_community_104433.
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FAMILY CARE
HEALTH FOR THE WHOLE FAMILY
MAKE A DONATION
TO THE ALZHEIMER’S ASSOCIATION
To donate to the Alzheimer’s Association online, Scan the QR provided or simply go to www.alz.org/nca/in_my_community_donate.asp.
You may reach out to the Greater Richmond Chapter office for any number of resources, including education programs on everything from legal and financial planning to effective communication strategies. You might consider giving back, too. Nationwide, the Alzheimer’s Association relies on 35,000 volunteers to make its programming possible. Volunteer opportunities are available in administrative support, advocacy, community outreach, special events, and more.
Online Support for Busy Richmonders LOCAL ALZHEIMER’S SUPPORT GROUPS If you or your loved one is diagnosed with Alzheimer’s, don’t despair. There are local support groups that can help you manage the grieving process. Here are groups run by the Greater Richmond chapter of the National Alzheimer’s Association:
EARLY STAGE 4th Thursday of the month, 1:30 pm This group is meant for caregivers and people with dementia. A prescreening is required prior to enrollment. Call the Richmond Chapter office at 804-967-2580 for information on the prescreening and group meeting details.
YOUNGER-ONSET & NEWLY DIAGNOSED 1st & 3rd Tuesdays of the month, 4:30 pm This group is meant for caregivers and people with dementia. The group meets twice a month for eight sessions. For more information about the mandatory prescreening and meeting details, call the Richmond Chapter office at 804-967-2580.
THE OTHER ADDITIONAL DEMENTIAS (TOAD) Last Friday of the month, 2 pm This group is meant for caregivers and people with rare dementias (LBD, PCA, PSP, DLB, FTD, FAD, HD, ACD, WKS, NPH, and Binswanger, among others.) Meetings take place at the VCU NOW Center at 11958 W. Broad St., 2nd Floor Conference Room in Henrico. For a list of other meetings, visit the National Alzheimer’s Association – Greater Richmond Chapter page on support groups at www.alz.org/grva/ in_my_community_support.asp.
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While local services can be helpful, your current schedule or transportation situation may prevent you from getting face-toface with other Richmonders who have an Alzheimer’s connection. Can’t make it to an office or wait for a support group? A 24-hour helpline is always available at 800.272.3900. You also can join an online support community run by the Alzheimer’s Association by visiting ALZConnected.org. There are message boards for caregivers, as well as Alzheimer’s patients. As long as you have access to a phone or computer, you are not alone. While you are online, you might want to make a donation to the organization that does so much for so many. To donate to the Alzheimer’s Association online, go to www. alz.org/nca/in_my_community_donate.asp.
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RICHMOND’S
2017
PHYSICAL THERAPY RESOURCE
GUIDE
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PHYSICAL THERAPY
2017 PHYSICAL THERAPY RESOURCE GUIDE
words | OURHEALTH STAFF WRITER
Physical therapists help people of all ages and abilities reduce pain, improve or restore mobility, and stay active and fit throughout life. But there are some common misconceptions that can often discourage those who need treatment from accessing physical therapist who specialize in the care people need. OurHealth Richmond spoke with local physical therapists along with experts from the American Physical Therapy Association to debunk five common myths about the medical specialty.
MYTH: Physical therapy does not help back pain. Time and rest are the only solutions that help. FACT: Physical therapy can greatly improve back pain, and too much rest can actually slow recovery. Patients who come to physical therapy for back pain have often tried rest, and are hesitant to start therapy because of belief in this common myth. However, this way of thinking has not held up to extensive research on the treatment of low back pain. Not only that, it may make things worse for the patient in the long run. Currently, low back pain is the leading cause of activity limitation and work absence throughout much of the world. It’s estimated that up to 36 percent of people will experience an episode of low back pain in a one year period and 24 to 33 percent will experience a recurrent episode that same year. At the same time, the way low back pain is treated has changed significantly over the past several decades. While rest from strenuous activities is a good idea, acute low back pain can be eased much quicker with gentle, active movement. A physical therapist (PT) uses therapeutic exercise and what is called neuromuscular re-education (a technique to bring back normal movement) to help the body recover and restore
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mobility to the spine. While it is true that excessive exercise or exercises done with poor form can strain the back, when used properly, therapeutic exercises are a powerful and natural tool for recovery and an important part of the plan of care for a patient suffering from low back pain. In addition, a PT can help provide gentle and effective manual therapy techniques (highly specialized techniques done with the hands) to alleviate pain and allow for greater mobility. Manual therapy and therapeutic exercises are a powerful combination in improving even the most stubborn cases of low back pain. Samuel Waagen, PT, DPT, OCS Bon Secours Physical Therapy Richmond | 804.325.8822 www.bonsecoursphysicaltherapy.com
P HYSI CAL THER APY |
MYTH: Surgery or medication are my only options for female pelvic conditions. FACT: Physical therapy in conjunction with other solutions can lead to better recovery.
Certain diagnoses can have musculoskeletal (bone and muscle) involvement. For example, in endometriosis, a patient may have severe pelvic pain, along with connective tissue and muscular restrictions in all of the muscles around the pelvis as a result of that pain. In most cases, if the endometrial tissue is removed via laparoscopic surgery, but the soft tissue restrictions remain, pain will not go away. PFPTs can often identify and remove soft tissue restrictions, adhesions between organs, and restore normal mobility of the abdomen and pelvis. In those cases, physical therapy along with surgery tends to be the best way to help people achieve optimal recovery.
problem, but it is important to have improved muscular control and function. Research has shown that physical therapy prior to and after surgery improves patient outcomes as well as reduces the need for future surgery.
Myths & Misconceptions
Pelvic floor physical therapy (PFPT) can be a great first intervention or alternative to medication or surgery for many conditions including pelvic pain, incontinence, constipation, pelvic organ prolapse, and/or back pain. PFPT is a specialty practice in which a physical therapist has additional training to concentrate in abdominal and pelvic conditions.
Constipation is a good example of a common condition that most people treat with medication, however, pelvic floor muscle tightness can be a cause or effect of chronic constipation and can be addressed with pelvic floor physical therapy. Physical therapy can help retrain individuals to improve their digestion and evacuation more naturally. The same muscles can also influence your urinary control and sexual function. PFPTs work with your doctor to optimize your recovery—a balance of medication, behavioral training, nutrition, and pelvic floor retraining. Casey Smith, PT, DPT, CSCS Women’s Health Physical Therapy Richmond | 804.282.3500 www.obgyn-physicaltherapy.com
PFPTs usually work very closely with surgeons and urogynecologists. Surgery can correct an anatomical
MYTH: Physical therapy is only for injuries and accidents.
FACT: Physical therapists do a lot more than just stretch or strengthen weak muscles after an injury or surgery. Physical therapists are skilled at evaluating and diagnosing potential problems before they lead to more serious injuries or disabling conditions – from carpal tunnel syndrome and frozen shoulder, to chronic headaches and lower back pain, to name a few. American Physical Therapy Association
MYTH: Physical therapy is painful. FACT: Physical therapists seek to minimize your pain and discomfort—including chronic or long-term pain. Physical therapists work within your pain threshold to help you heal, and restore movement and function. A survey conducted by the American Physical Therapy Association, found that although 71% of people who have never visited a physical therapist think physical therapy is painful, that number significantly decreases among patients who have seen a physical therapist in the past year. American Physical Therapy Association
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PHYSICAL THERAPY
2017 PHYSICAL THERAPY RESOURCE GUIDE
MYTH: Physical therapy isn’t covered by insurance.
FACT: Most insurance
policies cover some form of physical therapy. Beyond insurance coverage, physical therapy has proven to reduce costs by helping people avoid unnecessary imaging scans, surgery, or prescription drugs. Physical therapy can also lower costs by helping patients avoid falls or by addressing conditions before they become chronic. American Physical Therapy Association
EXPERT CONTRIBUTORS Casey Smith, PT, DPT, CSCS with Woment’s Health Physical Thearpy. Samuel Waagen, PT, DPT, OCS with Bon Secours Physical Therapy.
SOURCE American Physical Therapy Association – www.apta.org
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The main difference between occupational therapy and both physical therapy and speech pathology is that patients need an occupational therapist (OT) to help them function with their everyday tasks (their occupations). OT and OT assistants help patients of all ages participate in daily activities, and can work with patients in their own homes, or at work or school.
PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
SPEECH-LANGUAGE PATHOLOGISTS
words | BRANDY CENTOLANZA
Therapy is often a part of the recovery process for patients who are impacted by a long-term illness, injury, or other medical condition. So, what are the types of therapy treatment available for patients, how are they different, and what does each entail?
PHYSICAL THERAPISTS Physical therapists (PT) are licensed healthcare professionals who help patients alleviate pain and improve or restore mobility, usually without medications or surgery. PTs work with individuals who have mobility challenges related to a wide variety of conditions including but not limited to: Alzheimer’s Disease, Diabetes, Multiple Sclerosis, Autism, Scoliosis, Parkinson’s Disease, and Cancer. Those who suffer from balance problems or other chronic conditions may also require physical therapy. Patients who have injured their jaw, wrist, arm, shoulder, hip, back, knee, foot, ankle, Achilles tendon, or some other muscle may also seek services from a PT in order to resume normal activity with as little pain as possible. PTs work with patients in hospitals, private practices, outpatient clinics, schools, sports and fitness facilities, work settings, nursing homes and other environments. They create individualized treatment plans and techniques for patients who may be suffering from pain or limited movement due to injuries, and also work to develop wellness programs to help patients lead healthier, more active lifestyles.
cook or drive again after a stroke.
Speech-language pathologists are trained individuals who help diagnose and treat patients with such disorders and other ailments related to speech that can affect both children and adults. Certain patients may need treatment for various speech and language disorders. Speech challenges could occur when a person is unable to produce speech sounds correctly or fluently, or has problems with his or her voice or resonance. Other patients, meanwhile, may have troubles understanding a language when someone speaks, or have difficulties expressing their own thoughts, feelings or ideas. Speech-language pathologists also work with patients who have issues with social communication. These include patients on the autism spectrum as well as those who may have suffered a traumatic brain injury. Cognitive-communication conditions include difficulties with organizing one’s thoughts or having trouble remembering things, paying attention, or solving problems. These are often the result of a stroke, brain injury, or dementia. Patients who suffer from a stroke, have just had surgery, or sustained another illness or injury may have challenges with feeding and swallowing and need a speech-language pathologist to assist with these needs as well. Roughly half of speech-language pathologists work in educational settings, providing services to students particularly in preschool and elementary schools. Speech-language pathologists may also work in hospitals or other healthcare environments to treat patients with cognitive-communication and language disorders and/or swallowing problems.
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What’s the Difference
WHAT’S THE DIFFERENCE?
According to the American Occupational Therapy Association, Inc. (AOTA), OTs often accommodate children with disabilities in school or social situations, help individuals recovering from injury regain their skills, and provide support and services to senior citizens experiencing physical and cognitive changes. Each patient has a customized treatment program to improve their ability to perform daily activities, with OTs also offering guidance and support to family members and caregivers. OTs can also, for example, assist clients with hobbies such as playing the guitar or knitting; help them return to work after an injury or chronic illness; and learn how to
P HYSI CAL THER APY |
OCCUPATIONAL THERAPISTS
G R E AT E R R I C H M O N D
Advanced Orthopaedics Richmond | 804.497.2583 Midlothian | 804.320.4064
Advanced Physical Therapy Midlothian | 804.560.9575
BON SECOURS Bon Secours Physical Therapy and Sports Performance at Bon Secours Washington Redskins Training Center Richmond | 804.325.8812
Colonial Heights Health Care Center Colonial Heights | 804.526.6851
Richmond | 804.616.3946
Bon Secours Physical Therapy at Memorial Regional Medical Center Mechanicsville | 804.442.3670
Chippenham Hospital Richmond | 804.483.0000
Dinwiddie Health & Rehab Center N. Dinwiddie | 804.518.0780
Advanced Wellness Centre
HCA VIRGINIA
DuVal Integrative Physical Therapy Mechanicsville | 804.789.1180
Henrico Doctors’ Hospital Richmond | 804.289.4747
John Randolph Medical Center Hopewell | 804.541.1600
Alliance Physical Therapy Richmond | 804.288.3025
Ashland Nursing and Rehabilitation Center Ashland | 804.798.3291
Ashland Physical Therapy Ashland | 804.798.1112
Autumn Care of Mechanicsville Mechanicsville | 804.728.0821
Bon Secours Physical Therapy at Patterson Avenue Richmond | 804.285.6818
Johnston-Willis Hospital
Elizabeth Adam Crump Health and Rehab Glen Allen | 804.672.8725 www.eacrumprehab.com
Bon Secours Physical Therapy at Rapphannock General Hospital Kilmarnock | 804.435.8501
Midlothian | 804.325.8822
Beaufont Health & Rehabilitation Center
Parham Doctors’ Hospital Richmond 804.747-5661 and Richmond 804.747.5783
Envoy of Westover Hills, Richmond Richmond | 804.231.0231
Bon Secours Physical Therapy at Westchester Medical Park
Richmond | 804.330.2000
Rehabilitation Center at Parham Doctors’ Hospital Richmond | 804.545.4952
Face 2 Face Speech North Chesterfield | 804.677.6966 *pediatric patients only
Retreat Doctors’ Hospital Richmond | 804.254.5586
Focus Physical Therapy Henrico | 804.372.8000
Richmond | 804.272.2918
Healthsouth Rehabilitation Hospital of Petersburg Petersburg | 804.504.8203
Beth Sholom Richmond | 804.750.2183 www.bslcc.org
Bonview Rehabilitation and Healthcare
Fox Therapy Center, PLLC
Richmond | 804.320.7901
Richmond | 804.446.2654 *pediatric patients only
Center For Physical Therapy & Sports Medicine, PC
Glenburnie Rehabilitation & Nursing Center
Healthsouth Rehabilitation Hospital of Virginia Richmond | 804.288.5700
Glen Allen | 804.747.7472 Richmond | 804.523.4634
Richmond | 804.281.3500
Heartland ManorCare – Imperial Richmond | 804.262.7364
Chesterfield Physical Therapy Midlothian | 804.378.9968
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Hanover Health & Rehabilitation Center Mechanicsville | 804.559.5030
ICON KEY Physical Therapy Out – Patient
Speech Therapy
Occupational Therapy
Facilities listed in this guide were obtained through online search engine research using related specialty services terms. If your facility is not listed, it is because it did not appear in the results.
Heartland ManorCare – Richmond
Richmond | 804.285.0148 www.orthopedicptinc.com
Henrico Health & Rehabilitation Center Highland Springs 804.737.0172
Hopewell Health Care Center Hopewell | 804.458.6325
OrthoVirginia Physical Therapy Chippenham | Farmville Hanover Memorial Regional Henrico Parham | Johnston-Willis Kilmarnock | Prince George Shrader Road | St. Francis Hospital St. Francis Medical Pavilion St. Mary’s 804.285.2645
InMotion Physical Therapy
Pivot Physical Therapy Continued...
River View on the Appomattox Health & Rehab Center
Powhatan | 804.598.2100 Richmond (John Rolfe) 804.754.0916 Richmond (Laburnum) 804.222.0745 Richmond (Wadsworth) 804.323.7874 Richmond (Scott’s Add.) 804.342.5857 Richmond (Patterson) 804.288.1380 *occupational therapy services available in select locations
Hopewell | 804.541.8445
Physical Medicine Center Richmond | 804.282.6953
Richmond | 804.756.8490
Our Lady of Hope Richmond | 804.360.1960
Integrate Physical Therapy Richmond and N. Chesterfield 804.303.4961
James River Physical Therapy
Parham Health & Rehabilitation Center Richmond | 804.264.9185
N. Chesterfield | 804.330.0936
King William Physical Therapy Aylett | 804.769.7504
Performance Physical Therapy & Sports Training
Physical Therapy Solutions Glen Allen | 804.716.0457 Mechanicsville | 804.569.1787 Richmond | 804.840.0845
ProCare Physical Therapy Chesterfield | 804.706.1803 Manakin-Sabot | 804.784.7090 Midlothian | 804.794.7587 *speech therapy services available in select locations
Mechanicsville | 804.723.5904
2017 Resource Guide
Richmond | 804.266.9666
Orthopedic Physical Therapy
Roberts Physical Therapy Richmond | 804.747.0003
RVA Physical Therapy & Sports Rehab Glen Allen | 804.396.6753
Select Physical Therapy Ashland | 804.798.9870 Chesterfield | 804.717.2145 Colonial Heights | 804.524.0533 Gayton Crossing| 804.747.4417 Mechanicsville | 804.559.2900 West End | 804.965.9990 www.selectphysicaltherapy.com
Sheltering Arms Physical Rehabilitation Centers 12 Locations throughout the greater Richmond area Inpatient Services 804.764.1000 Outpatient | 804.764.1001 www.shelteringarms.com
Progress Physical Therapy Lakewood Richmond | 804.729.5563
Lawrence Rehabilitation – The Gait Center
Glen Allen | 804.270.7754
Physical Therapy & Wellness of Richmond Jennifer M. Hays, M.P.T. 10442 Ridgefield Parkway Henrico | 804.325.1483
Rehabilitation Associates, PC Richmond | 800.568.9269 *pediatric patients only
Richmond | 804.523.2653
Pivot Physical Therapy Mike Kilo Physical Therapy Chester | 804.425.4545
MVP Therapy & Sports Medicine Midlothian |804.464.2323 West End | 804.729.4117
Chester | 804.796.1518 Colonial Heights | 804.524.9036 Glen Allen (Brook Rd) 804.550.5730 Glen Allen (W. Broad) 804.217.9213 Manakin-Sabot | 804.784.7090 Mechanicsville | 804.569.7091 Midlothian (Brandermill) 804.639.2359 Midlothian (Westchester) 804.858.0220
Restore PT Richmond | 804.644.1221
Southside Regional Medical Center Colonial Heights | 804.526.1352 Petersburg | 804.765.6660
Richmond Physical Therapy Corporation
Speech Smarts
Richmond | 804.340.1193
Richmond | 804.726.2906
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Physical Therapy In – Patient
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Speech Connections Henrico | 804.446.4022 *pediatric patients only
VCU VCU Health at Stony Point 9109 Stony Point | 804.323.0830
Spot on Therapy Group Richmond | 804.893.5010 *pediatric patients only
The Rehabilitation and Research Center at VCU Downtown Richmond 800.762.6161
CHECK OUT THE
Summit Square Retirement Community Waynesboro | 800.586.5499
The NOW Center at VCU Henrico | 804.360.4NOW (4669)
Sunnyside Retirement Community
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VCU Sports Medicine Richmond | 804.828.0713
Harrisonburg | 800.237.2257
Talk, LC Richmond | 804.440.1489 *pediatric patients only
The Laurels of Bon Air Richmond | 804.521.9980
The Laurels of University Park Richmond | 804.747.9200
The Laurels of Willow Creek Midlothian | 804.379.4771
Thrive Physical Therapy
Virginia Center for Spine & Sports Therapy Midlothian | 804.249.8277
Virginia Sports Medicine & Physical Therapy Richmond | 804.527.1463
Virginia Urology Richmond | 804.330.9105
Westport Rehabilitation & Nursing Center Richmond | 804.287.8600 www.westportrehab.com
Richmond | 804.320.2220
Treehouse Pediatric Therapy
Women’s Health Physical Therapy & Men’s Pelvic Health Richmond | 804.282.3500
Midlothian | 804.794.7337 *pediatric patients only
Tyler’s Retreat at Iron Bridge Chester | 804.413.6508
Tuckahoe Orthopaedics Richmond | 804.285.2300
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