OurHealth Richmond May 2015 Edition by OurHealth Media LLC

MAY 2015 | OURHEALTHRICHMOND.COM

The Resource for Healthy Living in Greater Richmond

table of contents | may 2015

26 MEDI•CABU•LARY.....................10 Local experts define health related terms

JUST ASK!.......................................12 Healthcare questions answered by local professionals

What if we didn’t... Making a little sense of a mind-boggling topic May is Healthcare Workers Recognition Month at OurHealth magazine. Each year, we choose a unique angle to highlight the efforts of those who work in the healthcare industry. This year’s theme is, “What if we didn’t have _____?”

NEW & NOTEWORTHY.............14 A listing of new physicians, providers, locations and upcoming events in greater Richmond

HEALTH POINTS.........................18 Interesting facts and tidbits about health

THE ANATOMY CHALLENGE..................................21 How much do you know about Our Anatomy? In this issue, test your knowledge when it comes to the JOINTS and ARTHRITIS.

THE ANATOMY ........................... 22 Coping with the aches and pains of arthritis.

pg. 51 The Greater Richmond 6

Senior Health Awards RESULTS ARE IN!

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The Resource for Healthy Living in Greater Richmond

Fast Track to Recovery

Put a Lid On It

Every year, in thousands of homes, grease cooking fires occur—resulting in serious injury and sometimes even death.

hello, HEALTH!...............................................................40 Capturing the spirit of those working in healthcare and of people leading healthy lives through photos

FIT BITS!.........................................................................42 Arthritis and Exercise: H2O is the Way to Go! Exercising in the water puts less stress on the body’s joints, thus allowing for easier movement and fluidity. Participants are able to move in the water with less joint pain while working on muscular endurance, strength and flexibility.

NUTRITION.........................................................43 HEALTHY EATS: Shop Seasonally for Better Flavorand Extra Value Asian Broccoli, Tabouli with Feta, Black Bean Brownies

The Greater Richmond ..................................................51 Senior Health Awards New Advances in Cardiac..............................................63 Recovery Senior Care LOOKING BACK..............................................................66 Images reflecting the landscape of healthcare in Richmond *

A chance to win prizes!

PLUS *

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The Resource for Healthy Living in Greater Richmond

may 2015

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CONTRIBUTING RICHMOND MEDICAL EXPERTS Erin Adams, MD Valerie Bowman, MD, FAAP Kenneth Haft, MD Guilherme Rocha Campos, MD, FACS CONTRIBUTING PROFESSIONAL EXPERTS & WRITERS Deniz Ataman Joy Black Jeanne Chitty Susan Dubuque Suzanne Ramsey Diane York Bunny Sumner Young, QMHP ADVERTISING AND MARKETING Richard Berkowitz Senior Vice President, Business Development P: 804.539.4320 F: 540.387.6483 rick@ourhealthvirginia.com SUBSCRIPTIONS To receive OurHealth Richmond via U.S. Mail, please contact Deidre Wilkes via email at deidre@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 © 2015 by McClintic Media, Inc. Reproduction in whole or part without written permission is prohibited. OurHealth Lynchburg/Southside is published bi-monthly • Special editions are also published • McClintic Media, Inc. • 303 S. Colorado Street, Salem, VA 24153, P: 540.387.6482 F: 540.387.6483. MAIN: ourhealthvirginia.com | ourhealthswva.com | ourhealthlbss.com | ourhealthrichmond.com | ourhealthcville.com | Advertising rates upon request.

LOCAL EXPERTS D E F I N E H E A LT H R E L AT E D T E R M S

What is Transcutaneous Acupuncture? Most people are aware of the positive health benefits of acupuncture, but some avoid it because they don’t like needles. Transcutaneous Acupuncture offers some of the benefits of traditional acupuncture without needles. Developed by C. Norman Shealy, MD, PhD—a neurosurgeon and humanistic psychologist with more than 50 years of professional experience in pain management and holistic medicine, transcutaneous acupuncture therapy utilizes essential oils. The oils are applied on the skin with or without acupressure to specific acupuncture points along a circuit. Dr. Shealy found five circuits which he calls the Five Sacred Rings. His scientific research shows that regular use of this therapy can help relieve anxiety, and many types of pain, including migraines and diabetic neuropathy. It also reduces inflammation and free radicals, among many other health concerns. Essential oils and acupressure have been safely used for centuries and have documented health benefits. Joy Black

Certified Healing Tao Qigong Practitioner and Instructor Good Energy for Life Richmond | 804.971.7135 www.goodenergyforlife.net

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What is a Service Dog?

What is Melanoma?

Service dogs are traditionally thought of as “guide dogs” for those that are blind or unable to hear. It has become more common to see dogs being used to support individuals with disabilities in a variety of other ways.

Melanoma is the most serious form of skin cancer. It either arises as a change in an existing mole or de novo as a new, pigmented lesion. Melanoma is usually brown-black in color but can lack pigment. It usually has one or more atypical features of the ABCDEs (Asymmetry, Border, Color, Diameter, Evolution) and is treated with wide surgical margins. Depending on its level of invasion deeper into the skin, treatment sometimes requires sentinel lymph node biopsy and systemic work-up to evaluate for distant metastases.

Service dogs can be trained to assist their human companions, based on their needs. Diabetic Alert Dogs assist their companions when their blood sugar becomes elevated or too low. Cardiac Assistance Dogs serve as a walking cane or mobility assistance tool for their companion in lieu of a walker, as well as provide an alert when their heart rate is increasing or beating too slow. There are also dogs specifically trained to notify their human companion of an oncoming seizure. There are many additional kinds of service dogs and specific jobs that these dogs can be trained to do, such as opening and closing doors, retrieving items and turning lights on and off. These are only a few of the amazing things that service dogs can offer. Bunny Sumner Young, QMHP

Director of Business Development Companion Extraordinaire Home Care and Skilled Services Richmond | 804.752.2205 www.cenninc.com

Although the disease is usually diagnosed at an early stage, when it is highly treatable, survival remains low for more advanced cases – often less than two years. Recently, however, studies have shown that molecularly-targeted treatments can extend the lives of some people with even the most advanced stages of the disease. This is exciting news in the treatment of melanoma and signals that we are gaining a better understanding of the disease and may be able to personalize treatment in the years to come. Erin Adams, MD

Dominion Dermatology Glen Allen | 804.262.6060 www.dominiondermatology.org

H E A LT H C A R E QUESTIONS ANSWERED BY LOCAL PROFESSIONALS

How is a child determined to have special needs? In 1995, the Department of Health and Human Services Maternal and Child Health Bureau defined children with special healthcare needs as those who have or are at increased risk of developing a chronic physical, developmental, behavioral or emotional condition and who also require health and related services of a type or amount beyond what is usually required by children. (Pediatrics 1998; 102; 137, A New Definition of Children With Special Health Care Needs). To a parent, this means a child may have difficulty managing in school. Due to a diagnosed condition, a child may have difficulty in transitioning from classroom time to recess, take multiple medications during the day or require clinical care such as assistance with gastrostomy (food tube) feedings. Special needs children may also need to regularly use certain medical equipment such as an apnea monitor or oxygen support. Additionally, special needs children often require frequent appointments with primary care doctors, consulting specialists or therapists, sometimes on a weekly basis. Valerie Bowman, MD, FAAP Bon Secours Developmental and Special Needs Pediatrics Richmond | 804.287.7463 www.richmond.bonsecours.com

In addition to smoking, what are the other causes of COPD and the symptoms to look out for? Chronic obstructive pulmonary disease (COPD) is a disease of the lungs resulting from chronic inflammation and subsequent abnormalities of air flow. The term COPD encompasses patients with damage to the lung tissue called emphysema and damage to the airways termed chronic bronchitis. In the vast majority of patients, COPD is caused by smoking cigarettes. Less frequently, COPD is caused by second-hand cigarette smoke as well as exposure to occupational dust and chemical fumes. In developing countries, COPD is associated with indoor, poorly ventilated stoves where wood and animal dung are used as fuel. Rarely, COPD patients have a genetic abnormality leading to a deficiency of an enzyme called alpha1-antitrypsin in their lungs. These patients may develop severe COPD at young ages. Symptoms of COPD include shortness of breath, cough, wheezing and chest tightness. The symptoms are often proportional to the degree of lung damage. Patient’s symptoms often worsen over time if they continue to smoke, remain in unsafe environments and develop frequent respiratory infections. Kenneth Haft, MD

Pulmonary Associates of Richmond Richmond | 804.320.4243 www.paraccess.com

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What are some health benefits of having bariatric surgery? Bariatric, or metabolic, surgery can be an effective and powerful tool to assist some individuals with severe obesity (greater than 100 pounds of excess body weight) to achieve significant weight loss. When combined with a comprehensive treatment plan, bariatric surgery has been shown to help improve or resolve many diseases, such as type 2 diabetes, obstructive sleep apnea, high cholesterol, fatty liver disease and esophageal reflux, among many others. After weight-loss surgery, many people report an overall improvement in their self-esteem and social interactions as well as having more energy and being more active. The two most common procedures currently used in the United States are the laparoscopic gastric bypass and the laparoscopic sleeve gastrectomy. Deciding which weight-loss procedure to choose is important, and should be made based on your goals, your health and your surgeon’s recommendation. Bariatric surgery isn’t for everyone who is severely overweight, and you may need to meet certain medical guidelines to qualify for surgery. Talk it over with your health care team so you can make an informed decision. Guilherme Rocha Campos, MD, FACS

Professor and Chair, Division of Bariatric and Gastrointestinal Surgery VCU Medical Center Richmond | 804.828.8000 www.vcuhealth.org

NEW

NOTEWORTHY

NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS

ACHE to honor CEO of Bon Secours Virginia with Career Achievement Award Award recognizes Peter J. Bernard and his vision and commitment to improving healthcare in Virginia. The American College of Healthcare Executives (ACHE) has selected Peter J. Bernard, CEO of Bon Secours Virginia Health System, as a recipient of the ACHE Senior Career Achievement Award. The Senior Career Achievement Award is one of the ACHE’s most prestigious honors, given to healthcare professionals who have demonstrated exemplary accomplishments during their careers in the healthcare field. Bernard, who is scheduled to retire from Bon Secours in August 2015, envisioned and executed a healthcare model centered on compassionate care combined with clinical excellence. He worked to improve the health of the communities Bon Secours serves by providing educational programs

and outreach services designed to empower those in need. Two of his signature achievements include Bon Secours being the first health system in the state to introduce electronic medical records, and his unwavering commitment to ensuring that all patients have access to care. He also enhanced the overall patient experience within Bon Secours Virginia by fostering innovative technologies and providing focused patient-centered health care services. “We are thrilled to recognize Peter’s illustrious career at Bon Secours with this award for lifetime achievement,” says Dolores Clement, DrPH, ACHE’s Regent for Virginia. “His lasting legacy to create and implement healthcare improvements in quality, safety and innovation will have a profound impact for years to come not only in Virginia but also nationally.”

VCU Medical Center Among the First Healthcare Centers to Receive Prestigious Pulmonary Hypertension Association Accreditation PH Patients and Caregivers Help Celebrate the Honor while Raising Lifesaving Awareness about the Importance of Early Diagnosis

Virginia Commonwealth University Medical Center joined pulmonary hypertension patients of all ages to celebrate becoming one of the nation’s first medical centers to complete the Pulmonary Hypertension Association (PHA)’s new accreditation program for Pulmonary Hypertension Care Centers. The goal of the program is to improve outcomes of patients with pulmonary hypertension, a debilitating disease of the lungs that affects the functioning of the heart and can lead to right heart failure. With symptoms that include breathlessness, fatigue, dizziness and chest pain, many pulmonary hypertension patients will see three or more physicians before they receive an accurate diagnosis. The survival rate for PH patients who go untreated is less than three years.

associate professor of the Division of Pulmonary Disease and Critical Care Medicine in the Department of Internal Medicine at VCU Medical Center. “Our hope is that the PHA accreditation raises our profile to help us connect with healthcare professionals throughout our community to ensure that more people living with PH receive the right diagnosis early and accurately and that they will get the very best care available.”

“There is an urgent need for medical institutions to accurately diagnose, treat and provide support for PH patients,” said Daniel C. Grinnan, MD,

For more information about pulmonary hypertension services at VCU Medical Center, visit www.vcuhealth.org/PH.

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Justin Autry, OD

Virginia Eye Institute Richmond | 804.287.4200 www.vaeye.com

Guilherme Rocha Campos, MD, FACS

VCU Medical Center Bariatric and Gastrointestinal Surgery Downtown Richmond and Stony Point | 804.828.8000 www.vcuhealth.org

William McGuire, MD VCU Massey Cancer Center Medical Oncology Downtown Richmond 804.828.4642 www.massey.vcu.edu

Jaime Moore, MD VCU Medical Center Otolaryngology Downtown Richmond and Stony Point 804.628.4ENT www.vcuhealth.org

Richmond Gastroenterology Associates Physician named fellow of the American Gastroenterological Association Fellowship Honors Superior Professional Achievement in GI Field Richmond Gastroenterology Associates announces that Michael S. Manetas, MD has been named Fellow of the American Gastroenterological Association (AGA), the nation’s oldest medical society dedicated to disorders of the gastrointestinal (GI) tract. Through the fellowship program, the AGA honors superior professional achievement in clinical private or academic practice and in basic or clinical research. Fellowships are awarded to AGA members whose accomplishments and contributions demonstrate personal commitment to the field of gastroenterology. “AGA acknowledges our members with superior professional achievement in the field of gastroenterology with fellowship within our organization,” said John I. Allen, MD, MBA, AGAF, AGA Institute President. “We are proud to announce the 2015 inductees for the AGA Fellowship program who have been recognized by their peers and community as being at the forefront of our field.” “I remain invigorated by ongoing developments in the field of gastroenterology that continue to allow me to challenge current treatment paradigms and to strive for excellence in care for all patients in the field of gastroenterology,” says Michael Manetas, MD, AGAF. For more information or to make an appointment with Dr. Manetas, visit www.richmondgastro.com.

Rx3 Pharmacy proudly announces its achievement of PCAB accreditation Rx3 Pharmacy proudly announces its achievement of PCAB (Pharmacy Compounding Accreditation Board) accreditation, a service of the Accreditation Commission for Health Care (ACHC), for the services of sterile and non-sterile compounding. The accreditation is awarded in recognition of the pharmacy’s commitment to meeting and/or exceeding national quality standards. “Rx3 Pharmacy is committed to delivering the highest quality compounded medications to the community in which we serve. By achieving PCAB Accreditation, our customers can be assured that our organization follows industry best practices and is in compliance with the industry’s most stringent national standards. This voluntary achievement would not be possible without the hard work and dedication of our pharmacists and staff”, says Chris Currin, RPh, director of pharmacy at Rx3. Compounding medications is an integral part of the practice of pharmacy and the demand for these customized medications increases every year. Compounded medications are prescriptions that are written by physicians, veterinarians, and other legally authorized prescribers and prepared for an individual patient by a specially trained pharmacist. For more information about Rx3 Compounding Pharmacy visit www.rx3pharmacy.com.

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NEW

NOTEWORTHY

NEW PHYSICIANS, P R O V I D E R S , L O C AT I O N S AND UPCOMING EVENTS

The Richmond Vegetarian Festival Celebrates Lucky 13 A Richmond favorite for vegetarians and meat-eaters alike, the 13th Annual Richmond Vegetarian Festival, will be held on June 20th in the Azalea Gardens at Bryan Park.

Find us on social media. Follow us on Facebook, Twitter, Linked In and You Tube.

From 12 to 6:00 PM, Richmonders, and those from the surrounding areas, will gather for food, speakers, music, and a fun, family-friendly, atmosphere. Admission is free. The Festival, which seeks to expose people to the vegetarian lifestyle in a festive atmosphere, will offer a variety of veggie foods from area restaurants, entertainment and activities for the kids. In addition, speakers will be on-hand to discuss vegetarianism, and there will be a variety of vendors and nonprofit organizations representing the community. For directions, and more information about the event, visit www.veggiefest.org.

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TI P S , T I D B I T S A ND MO R E TO IN F O R M A ND ENT ERTA I N YO U

DIABETES AWARENESS

THE GARDEN PARTY: DIAMOND GALA A SNAPSHOT

Date: Time: Location:

DIABETES IN THE UNITED STATES

The Gala includes a cocktail reception, live and silent auctions, dinner and entertainment.

DIABETES

29.1 MILLION

29.1 million people have diabetes

That’s about 1 out of every 11 people

1 4 OUT OF

do not know they have diabetes

TYPES OF DIABETES

TYPE 1

BODY DOES NOT MAKE ENOUGH INSULIN

More than 18,000 youth diagnosed each year in 2008 and 2009

• Can develop at any age • No known way to prevent it

In adults, Type 1 diabetes accounts for approximately

of all diagnosed cases of diabetes

All money raised from the Diamond Gala, go toward research, education and advocacy for people living with diabetes in the greater Richmond area. For more information about attending and/or supporting the auction, please contact Kelly Austin at 804.225.8038, ext. 3278 or via email at kaustin@diabetes.org.

*****

FASCINATING

FACT It only takes

17 SMILE, MUSCLES TO

TYPE 2

but

BODY CANNOT USE INSULIN PROPERLY • Can develop at any age • Most cases can be prevented

Currently, at least 1 out of 3 people will develop the disease in their lifetime

More than 5,000 youth diagnosed each year in 2008 and 2009

Learn More at www.cdc.gov/diabetes/prevention or Speak to your Doctor

Friday, May 29, 2015 6:30 PM - 11:00 PM The Historic John Marshall Ballrooms 101 N. 5th Street Richmond, VA 23219

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43 TO

FROWN

*****

Arthritis Myth

vs. Fact

M y th #1: Arthritis is a condition that just causes minor aches and pains associated with getting older.

Fa ct: Arthritis is actually a complex family of musculoskeletal

disorders consisting of more than 100 different diseases or conditions that can affect people of all ages, races and genders. Osteoarthritis (OA) is one of the most common forms of arthritis. It is a chronic condition in which the material that cushions the joints, called cartilage, breaks down. This causes the bones to rub against each other, causing stiffness, pain and loss of joint movement.

M y th #2: Arthritis is not a very common condition.

Fa ct: Arthritis is the leading cause of pain and disability worldwide. It is actually a more frequent cause of activity limitations than heart disease, cancer or diabetes.

exercise.

Fa ct: Exercise is a valuable tool in the fight against

To learn more about

living with arthritis, visit the

Arthritis Foundation website at www.arthritis.org.

DID YOU KNOW?

More than 90 percent of diseases are caused or complicated by stress.

National Mental Health Month raises awareness about mental illness and related issues in the United States. Recently, attitudes towards mental health issues appear to be changing. Negative attitudes and stigma associated with mental health have lessened. There is a growing acceptance towards mental health issues and support for people with them.

Mental Health Matters for Everyone: • One in five American adults will have a diagnosable mental health condition in any given year • 50 percent of Americans will meet the criteria for a diagnosable mental health condition sometime in their life, and half of those will develop conditions by the age of 14

M y th #3: People with arthritis should avoid arthritis. Exercise can actually decrease joint pain and stiffness, and improve flexibility, mobility, mood and overall wellness for those with arthritis. Exercises that are lowimpact, such as yoga and tai-chi can be performed to help with flexibility. In addition, water-based exercises can improve the use of affected joints without worsening symptoms.

May is Mental Health Month

Risk Factors: • Genes – traits inherited in families • Biology – balance of chemicals in the body • Environment – exposure to traumatic events such as sudden loss, violence, abuse or neglect • Lifestyle – poor diet, substance use or abuse, lack of exercise, irregular sleep patterns

Symptoms & Warning Signs: • Too much sleep or trouble sleeping • Trouble focusing or having racing thoughts • Changes in appetite • Isolating self from others, or losing interest in things once enjoyed • Irritability or having a short temper For more information and additional mental health resources, visit Mental Health America of Virginia at www.mhav.org

2015 WALK-TO-CURE ARTHRITIS RICHMOND The Walk to Cure Arthritis is the Arthritis Foundation’s nationwide signature event that unites communities across the country to put an end to arthritis. The event features a three-mile and onemile course. There will be information about arthritis and fun activities for the entire family. Date: Saturday, May 16, 2015 Time: 9:30 am Location: Bon Secours, Washington Redskins Training Center For more information and to register, visit www.richmondspca.org/race www.OurHealthRichmond.com

BEST THE SECOND ANNUAL

BE D S I D E M A N N E R

AWARDS

T H E G R E AT E R R I C H M O N D A R E A

Vote for your favorite physicians and/or providers in more than 40 medical specialties by visiting

www.ourhealthrichmond.com

VOTE

M a y 1st ~ J u n e 1 s t 2 0 1 5

The Resource for Healthy Living in the Greater Richmond Area

Winners announced in the December 2015 edition of OurHealth

The Anatomy Challenge is

the

Anatomy

proudly sponsored by

CHALLENGE

How much do you know about Arthritis? First, fill in the crossword below. Next, match up the correct word with the part of the body in the illustration.

[ Arthritis in the Joints ]

CROSS WORD Across 5 joint capsule 8 inflamed synovial membrane 9 joint cavity 11 synovial membrane 12 cartilage fragments 13 yellow bone marrow

Down 1 articular cartilage 2 compact bone 3 spongy bone 4 destruction of cartilage 6 inflamed joint capsule 7 periosteum 10 ligament

____________________

____________________ ____________________

____________________

____________________ ____________________ ____________________

For answers, visit

OurHealth Richmond's Facebook page at

____________________ ____________________

Short Pump

2201 Old Brick Road | Glen Allen, VA 23060 | 804.464.0990

Midlothian

11621 Robious Road | Midlothian, Virginia 23113 | 804.378.1600 Tennis: 804.464.0980 | Adventure Central: 804.464.0997

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Coping

with the

ACHES and PAINS of

Arthritis words | JEANNE CHITTY

Let’s face it—growing older is definitely not for the faint of heart. The effects of aging can be seen with every glance in the mirror and every attempt to regain our youthful agility. The inevitable wear and tear of daily actions as we progress into our 40s and 50s ages our joints and can lead to pain and even immobility. The good news is that there are many ways that we can manage our pain and improve our flexibility. These involve adopting certain lifestyles changes, including starting and maintaining an exercise program, losing weight, changing our diets, and taking the appropriate medications and vitamins. In the late 1700s Goethe said, “No skill is needed to grow old; the trick is to endure it.” With the variety of treatments and medications available to us in the 21st century, we no longer have to struggle through our aches and pains and resign ourselves to living with arthritis. This debilitating disease affects many people in their weight-bearing joints by the age of 40 but tends to develop earlier in men than women.

What exactly is arthritis? This term refers to over 100 distinct conditions involving inflammation of joints in the body accompanied by pain and swelling, often resulting in loss of mobility. Each type of arthritis affects joints in unique ways by affecting the hyaline cartilage, which allows joints to move fluidly, and by progressively degenerating and destroying the cartilage. Sadly, it’s a consequence of the aging process in almost all animals with a backbone, except for sloths and bats.

Types of arthritis The most common type of this disease is osteoarthritis. In this condition, the breakdown of cartilage creates erosion at the ends of bones, causing them to rub against each other. Pain and stiffness result in the hands, hips, knees, and back. More common in women, osteoarthritis affects over 27 million Americans. As it progresses, joints at the base of the thumbs, big toes, knees, hips, lower back, and neck can become less movable and may eventually freeze into position. The new growth of cartilage, bone, and other tissue can enlarge joints, causing them to crackle and grate. — ‘Coping’ continued on page 24

Making a

Splash

words | DENIZ ATAMAN

with Aquatic Fitness

take to the water with arthritis therapy

It’s no surprise that water has been used as a healing element for centuries to bring tranquility and relief. When it comes to arthritis, water exercises are growing in popularity as an alternative to medicine. The sensation of floating when entering a body of water is not only relaxing, but it’s also a way for muscles and bones to work together without pressure. By reducing impact and increasing resistance, muscles and bones are strengthened by using body weight only.

How is it so easy to move in water? When exercising on land, gravity works so that weight is pressed on all of the joints. Gravity decreases with depth, releasing pressure in joints. Assistant Fitness and Group Exercise Director at acac Fitness and Wellness Centers, Kellie Kohstall explains, “Warm water exercise is highly beneficial for participants with arthritis since the warm water — ‘Splash’ continued on page 24

By unloading weight from joints, the body is able to maximize its strength to promote flexibility, range of motion, and relieve pain and stiffness. www.OurHealthRichmond.com

— ‘Splash’ continued from page 23

— ‘Coping’ continued from page 23

provides a cushion for their joints to move in; participants see an increase in mobility with a decrease in pain and soreness.”

Touching and moving the joints can become intolerably painful and restrict movement. Numbness, odd sensations, weakness, and pain can further complicate the patient’s life and even result in disability.

Aquatic aerobics for arthritis has grown in the past decade. It’s no longer just paddle boards and floating. Classes offer an abundance of equipment including handheld weights but also bicycles and treadmills for cardiovascular endurance. Cross-fit classes like water yogilates focus on core strength and posture. Aside from the physical health benefits, aquatic aerobics classes are also great for morale. Suffering from chronic pain can be isolating. Attending an aerobics class is social. Interacting with others and encouraging one another is fulfilling and can also help relieve pain via endorphins. Pumping endorphins into the body from a good mood is a strong pain reliever, and a natural one. Water aerobics is also a natural supplement to medication. Arthritis can develop into many stages and forms, causing a need for several doses of medication a day. This is not only costly, but relying on medication alone can hinder lifetime relief. If you are considering aquatics fitness for arthritis, check with your doctor, then visit your local acac Fitness and Wellness Center for a class schedule.

When a glitch in the body’s immune system causes it to attack and destroy cartilage, rheumatoid arthritis is the culprit. It often starts between the ages of 40 and 50, and women are three times more likely to be affected than men. Although wrists, hands, and feet are primarily affected, ankles, hips, shoulders, elbows, and necks can also experience inflammation. This crippling condition can cause fever, anemia, loss of appetite, and lack of energy. Over 1.3 million people in this country suffer from rheumatoid arthritis pain. Unknown sources bring about ankylosing spondylitis, another kind of arthritis that primarily affects the spine. As it gradually erodes cartilage and bone, it causes spinal joints to fuse. It evolves into moderate to severe chronic arthritis, pain, and discomfort. Among the more — ‘Coping’ continued on page 25

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— ‘Coping’ continued from page 24

than 350,000 Americans affected, men feel the brunt of this disease more often than women. Combining the worst of two conditions, psoriatic arthritis is a chronic condition characterized by inflammation of the skin and joints. These two diseases are treated independently of one another and pack a double whammy on the lives of about two percent of the Caucasian population in the US who are between 40 and 50. Psoriasis and arthritis can appear separately with reddened, raised patches of scaly skin on the tips of the elbows, knees, ears, scalp, genitals, and anal areas. In addition to inflaming the cartilage, tendons, lining of the lungs, and the aorta, this condition can also manifest in the eyes, mouth, lungs, heart, and kidneys. Sometimes the swelling and inflammation in fingers and toes gives one’s digits the appearance of sausages. The spine and sacrum can become inflamed too, resulting in pain and stiffness in the lower back, upper back, neck, and buttocks.

What causes different types of arthritis? • Injuries: Bone fractures can become arthritic when they do not heal properly. • Wear and tear: The repeated motions of running, cycling, and over exercising can cause excessive pressure on certain joints. • Autoimmune diseases • Infections: Viral or bacterial infections can initiate an unusual change in the immune system that results in the destruction of healthy bone and tissue. • Poor diet

Physician Referred Exercise Program If you are new to exercise, it’s been a long time since you last exercised, or you have medical conditions such as arthritis or diabetes, consider finding a place that will help you gauge what you should be doing, as well as, direct you in how to get started. The Physician Referred Exercise Program, or p.r.e.p®, at acac Fitness & Wellness Centers connects the new exerciser to fitness professionals, an on-site nurse and their prescribing physician to create a team of people that will guide him/her through the first 60 days of an exercise program. Participants are asked to commit to two 30-minute weekly sessions on land or in the water. They also have use of the fitness and aquatics center for the entire 60 days. To learn more, visit acac Fitness and Wellness Centers at www.acac.com.

Most of us have experienced the uncomfortable symptoms of some kind of arthritis. Swelling, pain, and hindrance of movement can be accompanied by redness and warmth around joints, as well as stiffness after periods of rest and fatigue. Putting too much pressure on and overusing sore joints by overdoing physical activities and becoming overtired can worsen the ongoing discomfort. To manage your arthritis symptoms, your health professional can inform you about the variety of treatment options for your specific condition. Your doctor will develop a customized care plan for managing your pain and discomfort. We no longer have to settle for feeling badly because of the changes imposed upon our bodies by aging, injury, and barometric pressure. Support groups help you understand the aspects of different types of arthritis and what your individual limits and abilities are. Copious information is available from the Arthritis Foundation and the CDC online, as well as WebMD, MedNet, and countless other medical websites. No matter what the weather, there’s help in sight, make no bones about it.

ON THE WEB

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if we didn’t... words | SUZANNE RAMSEY

Making (a little) sense of a mind-boggling topic May is Healthcare Workers Recognition Month at OurHealth magazine. Each year, we choose a unique angle to highlight the efforts of those who work in the healthcare industry. This year’s theme is, “What if we didn’t have _____ ?” That blank includes not only the obvious, clinical staffers—people with “hands-on” jobs, like physicians, nurses and emergency medical technicians—but also those employees who work more “behind-the-scenes,” people like pharmacists, patient service representatives, medical educators, maintenance staff, housekeepers and others. At OurHealth, we recognize—in May and throughout the calendar year that it takes a team of dedicated, skilled professionals to keep our community healthy, and that each and every member of this team plays an important role in creating healthy outcomes and positive patient experiences. To use a baseball analogy, you’d never say, “We’ll just play without the shortstop.” A team needs its shortstop, its pitcher, its fielders, its catcher, just like a medical facility or hospital needs all of the folks on its roster. Because winning, in baseball and healthcare, is about more than just covering the bases.

To you—all of you—we say, “Thanks.”

Kimberly Pinna, RN is a Bon Secours Richmond Health System instructor and Neuroscience Coordinator.

What if we didn’t have medical education teachers/professors?

A. Usha Sundaram, MD treats a patient with the help of a Bon Secours translator, Maria Claudia Oystese.

What if we didn’t have doctors?

Healthcare is a team sport. In general, physicians are the leaders of these teams. A good physician works collaboratively with many disciplines, including nurses, pharmacists, and dieticians, among others, to ensure cost-effective, evidenced-based, highly reliable care to each patient. It is still ultimately the physicians who order tests, make diagnoses, and prescribe treatments for his or her patients. The difficulty of the job is only equaled by the reward of healing your patients.

Educators for healthcare professions are essential in ensuring we have a continued source of “the next generation of providers” to care for our communities. Without our educators, we would not be able to fill the critical healthcare provider positions with the graduates that are needed in the practice settings, and our healthcare delivery systems would suffer. Access to care would be impacted which would negatively impact health outcomes. Exemplary educators for professional nursing not only teach fundamental to advanced concepts, critical thinking and making clinical judgments within the context of human caring, they do so with passion for their chosen profession and with pride. They make the curriculum come alive for the students. Barbara Sorbello, PhD, RN-BC, NEA-BC Dean of Nursing Bon Secours Memorial College of Nursing

Khiet N. Trinh, MD, MBA, CPE Chief Medical Officer Bon Secours St. Mary’s Hospital

ithout our educators, we would not be able to fill the critical healthcare W provider positions with the graduates that are needed in the practice settings, and our healthcare delivery systems would suffer. — Barbara Sorbello, PhD, RN-BC, NEA-BC 28

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The support of care professionals reduces the family’s stress levels and allows the elderly to enjoy opportunities for socialization and fun in addition to receiving assistance with activities of daily living. — Barbara Jackson-Ingram, MSHA, LNHA

Nurses walk beside their patients in their joy, pain, suffering, and sorrow.

What if we didn’t have nurses?

Who would be invited, by total strangers, to intimately share in their most personal moments? Nurses walk beside their patients in their joy, pain, suffering, and sorrow. They share in the miraculous passages as life begins, and, as it ends. They never forget the privilege, of untold measure, that comes with shepherding humanity through its most vulnerable moments.

Mary Jane (left) visits with a resident at Heritage Oaks.

What if we didn’t have elderly healthcare professionals?

Deb Zimmerman, DNP, RN Chief Nursing Officer and Vice President of Patient Care VCU Medical Center

If we didn’t have elderly care professionals, I believe that the health and quality of life for both the elderly and their family members would be compromised. The support of care professionals reduces the family’s stress levels and allows the elderly to enjoy opportunities for socialization and fun in addition to receiving assistance with activities of daily living. This support enables the elderly to remain as independent as possible. Care professionals also allow families time to take better care of themselves and enjoy peace of mind knowing that their loved ones are receiving proper care. Without the burden of caregiving, a family’s time together becomes relaxing quality time spent with their elders. Barbara Jackson-Ingram, MSHA, LNHA Executive Director Heritage Oaks

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Patient services representatives in Ortho Virginia’s North Chesterfield location.

Nurses care for the youngest patients in the nursery at Bon Secours St. Mary’s.

What if we didn’t have nurses?

Nurses are the essence of healthcare as we know it, providing quality and compassionate care and helping patients heal physically, mentally and spiritually. At Bon Secours, nurses are key members of every healthcare team. They are integral to assuring the delivery of high-quality care. Without them, it would be more difficult to achieve positive clinical outcomes for patients. Jill Kennedy Vice President Patient Care Services/ Chief Nurse Executive Bon Secours Memorial Regional Medical Center

What if we didn’t have patient service representatives?

Patient service representatives are key to any practice. They are the first point of “face to face” contact with the patient. PSRs must be compassionate and respectful. Their smile and eye contact goes a long way. The way we communicate with our patients can improve the way they feel about us and to alleviate some of their anxiety. Without them, we would be at a loss. Kelly Koogler Patient Care Manager Ortho Virginia

Nurses are the essence of healthcare as we know it, providing quality and compassionate care and helping patients heal physically, mentally and spiritually. — Jill Kennedy

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Brenda Burns, is part of a meticulous housekeeping team at one of Medical Facilities of America’s Rehabilitation Centers.

VCU Medical Center’s clean and sterile operating environment reflects their commitment to providing an optimal setting for healing.

What if we didn’t have people who are committed to keeping our healthcare facilities in top shape?

A safe and comfortable environment is critical to provide our patients with an optimal setting for their healing and helping them maintain and preserve their health. Dedicated team members who specialize with assuring the quality and safety of our environment are critical to achieving this optimal setting. Their absence would severely hamper our ability to provide our patients with the highest quality care and best experience possible. We are proud of and grateful for our team members and their professionalism in keeping our facilities and environment at the same level of excellence as the patient services we deliver. Deborah Davis, FACHE Chief Operating Officer VCU Medical Center

What if we didn’t have people who are committed to keeping our healthcare facilities in top shape?

One of the goals of our company is that our employees work to delight and surprise patients, residents, guests, and visitors. In fact, the greatest number of compliments on our monthly customer satisfaction surveys focuses on cleanliness and attractiveness of our healthcare centers. I once had one of our administrators, a former housekeeping director, tell me that the reason his team loved their job so much, is because they know patients feel more comfortable in a fresh and clean environment. When entering one of our centers, there is a purposeful attack on the senses: the smell of freshly brewed coffee, food cooking in the kitchen, and the friendly greeting of the receptionist. As you continue on, you also cannot help but notice the shiny, bright, clean floors, the neat and orderly patient rooms, and the telltale smell of “clean.” This hard work is all done by the bright and cheerful faces of a very important part of our team who understand the magnitude of that first impression. These committed, service-oriented individuals take great pride in making our healthcare centers have a world class look and feel. I am very proud of this staff’s contribution to making the total patient experience a “Legendary One!” Keith Helmer Chief Operating Officer Medical Facilities of America

*MFA is the parent company of over 30 locations of health and rehabilitation centers across the state.

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If we didn’t have doctors, we wouldn’t have standards of quality, or the ability to tailor treatments to specific medical and personal situations. — R. Brian Mitchell, MD

Doctors give patients the power to fight.

What if we didn’t have doctors?

If we didn’t have doctors, we wouldn’t have new ways to conquer cancer. Patients wouldn’t have access to the latest treatments, or the expert guidance they need to make decisions about their care. If we didn’t have doctors, we wouldn’t have standards of quality, or the ability to tailor treatments to specific medical and personal situations. With cancer, every patient needs doctors in their corner. That’s what gives them the power to fight.

R. Brian Mitchell, MD Managing Physician Virginia Cancer Institute

Whitney Burton (left) and Karen Taliferro, are clinical social workers at VCU Massey Cancer Center.

What if we didn’t have social workers?

Our medical staff can provide the best care possible to our patients, but without our clinical social workers we would not be able to address all of our patients’ needs. Our social workers remove barriers to patients’ medical care and address their psychological and emotional needs by providing counseling, support services and interventions. Additionally, patients receive assistance with insurance acquisition, transportation, lodging, and legal assistance and financial support, and are connected to local services and resources that improve their lives in countless ways. I am continuously inspired by the commitment and devotion of our social workers, and I am grateful for this opportunity to thank them for the tremendous role they play in the lives of our patients. Mary Ann Hager Associate Director for Clinical Services VCU Massey Cancer Center

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Pharmacy Technicians at South River Compounding Pharmacy are available to consult with patients about their prescription needs.

What if we didn’t have pharmacists?

Without pharmacists, we would lose the human touch that comes with a prescription. All prescription medications would transition into over-the-counter medications. Patients would get a diagnosis and drug recommendations from their physician, but the relationship between patient, physician and pharmacist would be gone. There would be no checks and balances to be sure that the patient was prescribed the best drug for their needs. Patients would be left with the burden of going to the local drug store to find the correct type of medication. This could be dangerous if a patient does not have clear directions from a pharmacist about the correct dosage, potential allergies, drug interactions, nutrient depletions, or herbal interactions, especially with children’s medications. Confusion between similar drug names could give the patient entirely different effects; the risk for errors increases dramatically. Customized medications and compounding would not be available to patients who have allergies or sensitivities, leaving many people without proper medicine available to them. This is why the relationship between patient, physician, and pharmacist is so important.

Without pharmacists, we would lose the human touch that comes with a prescription. All prescription medications would transition into overthe-counter medications. Patients would get a diagnosis and drug recommendations from their physician, but the relationship between patient, physician and pharmacist would be gone. — Baylor Rice, RPh, FIACP

Baylor Rice, RPh, FIACP Owner South River Compounding Pharmacy

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recovery fast track to words | DIANE YORK

Going through surgery for a fractured hip, a damaged knee or any other orthopaedic injury is painful enough. Having to also maneuver through the maze of medical facilities and programs to choose the right hospital and best rehabilitation option makes the process even more difficult. In order to make the patient’s journey easier, OrthoVirginia — the largest orthopaedic physician specialty group in Virginia — along with Bon Secours Memorial Regional Medical Center and Hanover Health & Rehabilitation Center, has created a collaborative pathway for patients to move smoothly from surgery to rehabilitation and back to their homes.

“I recovered much more quickly than others I know…” says Lorraine Albertson of New Kent, VA.

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Lorraine Albertson, of New Kent, raises miniature schnauzers, and her five dogs are a handful. To keep them out of her living room, Albertson installed a baby gate. In September 2014, she stepped over the gate like she did every day, but this time her foot caught on it. Falling forward, she landed on her hip. The fracture was intensely painful, but on the way to the hospital, she was more worried about who would care for her disabled son, her husband (who was due to have knee surgery) and her dogs while she was unable to. Albertson was taken to Bon Secours Memorial Regional Medical Center. The fracture was a bad one, and doctors recommended a hip replacement. The average hospital stay for hip replacement surgery is three to four days, followed by physical therapy that can be delivered either in the home or in a rehab facility. While getting home quickly was important to Albertson, she needed to be sure she would return to complete mobility so she could care for her family.

Average Patient FIT Score Before & After Therapy 100 80

FIT Score

To maximize the benefits a patient can get from a stay in a rehab facility, Hanover Health & Rehabilitation offers a focused physical therapy program called Fast Track Ortho that is designed to facilitate the patientâ&#x20AC;&#x2122;s return to optimum strength and mobility in the most efficient way possible. Patients in this program can usually return to independent living with no need for in-home assistance in a much shorter time frame than was previously possible.

92.3

98.0

93.6 76.3

70.1

69.7

All Fast Track Ortho Patients

Hip Fracture Repair

60 40 20 0

Baseline FIT Score

Joint Replacement

Discharge FIT Score

FIT Scores are a measure of fitness developed by Medical Facilities of America. A FIT Score of 100 indicates complete fitness and ability to carry out daily tasks with full independence.

Like Albertson, most people want to get home as soon as possible following an orthopaedic procedure, but physical therapy is a critical component in getting back to their pre-injury abilities.

Why Rehabilitation Following Surgery Is Important Following surgery, patients experience pain, swelling, reduced range of motion, stiffness and bruising. Research shows that physical therapy after orthopaedic surgery improves recovery and lowers the odds of being readmitted to the hospital. Getting moving soon after surgery is one of the most important things orthopaedic patients can do to return to their previous activities. Movement improves blood circulation to the injured area, which enhances healing, and helps remove fluids that build up in the body. This is difficult to do without the assistance of therapists because most patients do not feel like moving, and they may be afraid of injuring themselves. Physical therapy focuses on rebuilding strength and range of motion, while occupational therapy focuses on accomplishing the activities required for independence, such as bathing, cooking, cleaning, taking medications and other activities of self-care. And just as fitness trainers keep their clients motivated and on task, physical and occupational therapists keep their patients working toward their goals. www.OurHealthRichmond.com

Suffering an injury that requires surgery is a stressful event in anyone’s life, and the recovery process often causes anxiety about the future. Physical therapy can go beyond restoring patients to their previous activity levels and abilities; the exercises can help patients regain their self-confidence by showing them that they can do more than they thought was possible.

What To Expect

Barton Harris, MD is an orthopaedic surgeon at Otho Virginia in Mechanicsville. He specializes in joint reconstruction and replacement of the hip and knee, and is certified by the American Board of Orthopaedic Surgery.

The coordination of medical service providers — having all the medical experts on the same page — lessens stress and speeds recovery. Barton Harris, MD, the OrthoVirginia surgeon who performed Albertson’s hip replacement, says, “The advantage of the collaboration of OrthoVirginia and Memorial Regional is that we have a team approach to a patient’s care integrated from the moment the patient decides to have surgery until he is discharged. We also meet with the rehabilitation providers who will work with our patients after discharge from the hospital.” OrthoVirginia patients attend a class that teaches them how their joints work. They also meet with a therapist weeks before they have surgery for a “prehab” session, where the therapist gives them exercises to do to improve their strength and prepare them for surgery. Patients are shown how to use the devices they may need postsurgery, like walkers and crutches, so they are comfortable with that part of the process before they have to use these aids. Albertson had heard good things about Hanover Health & Rehabilitation Center from friends, so she chose to go there. The center offers the Fast Track Ortho program, a patient-centered program that was developed by Medical Facilities of America to provide a safe and efficient return to life for its patients. The program delivers a more complete, progressive form of physical and occupational therapy in a shorter time period than traditional delivery in a facility or at home. “Hanover Health & Rehabilitation’s Fast Track Ortho program is a real advantage to our patients,” says Dr. Harris. “If a patient wants complete independence upon return to the home, this program is for them. They have the benefits of constant supervision by a medical doctor overseeing them and a higher intensity of rehabilitation than at home, delivered frequently and consistently. Therapists teach them how to do these exercises on their own so they can continue them at home. They also are given a fitness score before and after therapy to help them measure their progress.” Candidates for the program are generally in good health and without complications. Albertson had done so well that Dr. Harris recommended her for the program.

Differences between Fast Track Ortho at Hanover Health & Rehabilitation Center and traditional in-home rehabilitation.

Fast Track Ortho

In-home Rehabilitation

• Therapy starts immediately

• Therapy starts several days after discharge

• Therapy 7 days/week. 2 1/2 hours or more daily

• Therapy 3 days/week. 1 hour sessions

• Therapy broken into short, frequent sessions

• 1 hour therapy sessions

• Therapy is always directed and supported

• Direction and support only 3 times/week

• State-of-the-art therapy machines available

• No machines

• Medical doctor on hand

• No medical doctor to supervise

• No assistance needed upon return to home

• Assistance can be needed up to 24 hours/day

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Lorraine Albertson returned home to her family in time to help her husband through his knee surgery. “I had a very good outcome; I recovered much more quickly than others I know. If I ever need therapy again, Hanover Health & Rehabilitation will be where I will go.” Physical therapist Green says that patients like the Fast Track Ortho program because it gets them back to their lives quicker and gives them independence. “We give them support and input and start them on a path. They continue doing exercises on their own. It’s all about what they want to do. They may say, ‘I want time with my grandchildren; I want to be able to play with them.’ We include the human elements, the things that make them happy. Sometimes they come back to show us what they can do. That makes us feel great. My job is a privilege; it’s a redeeming eight hours with many victories.”

In-Home Versus In-Patient Rehab Patty Lankford, PT, is the director of rehabilitation at Hanover Health and Rehabilitation Center in Mechanicsville.

Differences between traditional rehab and Fast Track Ortho are numerous. If a patient goes directly home after surgery, they may wait as many as four days for their first physical therapy session. With Fast Track Ortho, patients start therapy immediately. In-home therapy may include three one-hour sessions a week, while Fast Track Ortho therapy takes place seven days a week, with sessions broken into multiple shorter increments that are based on the patient’s level of ability. Therapists have found that this method results in more progress than the traditional schedule of one hour a day with days off in between. Albertson’s daily schedule included breakfast in the dining room (“the food was great!”), followed by sessions of physical or occupational therapy. While the sessions initially were short to prevent fatigue and pain, she had three to four therapy sessions each day, with breaks to allow for recovery and rest. Albertson ultimately received two and a half hours of therapies daily.

Robert Green, PT is a physical therapist at Hanover Health and Rehabilitation Center in Mechanicsville.

Another benefit of facility-based rehab is access to state-of-the-art therapeutic equipment and machines. Albertson’s favorite was the Alter-G antigravity treadmill. “No one else has this,” she says. “They put a sling around your body. It supports some of your weight while allowing you to exercise more freely.” Between sessions with the therapists, patients can exercise on their own by walking and using the various machines. In the Fast Track program, Albertson rapidly advanced in her ability to walk and perform all the activities she does at home. “I was walking the day after surgery. I enjoyed the therapists; our talks kept my mind off my discomfort,” she recalls. Her physical therapist was Robert Green. “He was fantastic. He really listened and cared. There is pain involved in this, but they always gave me the medication I needed before therapy began and always listened to my needs. In three weeks I was done.” According to Green, “The idea is to develop a plan with the patient based on their own goals. This allows them to take charge.” Patients are asked, “What things do you want to be able to do?” “It’s a very safe approach, and of course, pain management is key,” Green continues. “The best candidates are ones that are highly motivated to return

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to their lives and activities.” Green says that Albertson was the perfect candidate for the Fast Track Ortho program because she was always motivated and wanting to try.

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A further benefit of getting inpatient as opposed to at-home rehab is that medical supervision is on hand whenever needed. Patty Lankford, director of rehabilitation at Hanover Health & Rehabilitation, says, “Our medical director is Dr. Khalid Karim. He is here every day to be available if a patient has medical issues, and he can directly communicate with the patient’s surgeon. We also schedule and provide transportation for the patients’ follow-up visits with the surgeon while they are here.” When considering discharge, Lankford says, “We ask what they must be able to do once they are home. Can they independently get out of bed, walk, dress, feed themselves, get in a car, bathe? After three days of doing [those activities] well, they can go home. They should not require assistance when they get home. We also visit the home prior to discharge to identify and resolve any problems that might be obstacles for patients. We have a checklist for the home: the width of doors, height of tables, number of stairs, rugs, etc.,” explains Lankford. “Will they be able to get around safely?” Albertson adds, “They even got me the equipment I would need — a shower chair and a cane. It helped a lot to have those things ready for me when I left.”

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2015 VCU WELLNESS

BLOCK

PARTY

The VCU Wellness Block Party was recently held at Armstrong High School in the city’s East End. General health screenings were just part of the free health and wellness services available to the 500 children and adults in attendance. Formerly the VCU/MCV Community Health Fair, the eighth-annual student-led event embraced its new “block party” vibe. Participants were treated to a variety of activities, including live music, face painting and an obstacle course, in addition to over 90 community organizations providing educational and healthy lifestyle resources. More than 130 students from VCU’s health sciences schools volunteered at the event, which was organized by the MCV Campus Student Government Association in partnership with Richmond’s 7th District Healthy U and Camp Diva’s Date with Dad Weekend.

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FITBITS

H EA LT H A ND F I T NES S O N THE GO

Arthritis and Exercise H2O is the Way to Go!

*Consult with your physician/provider before beginning any new fitness program.

Exercising in the water puts less stress on the body’s joints, thus allowing for easier movement and fluidity. Participants are able to move in the water with less joint pain while working on muscular endurance, strength and flexibility. Water workouts reduce the risk of injury and strain compared to those performed on land, which

tend to be higher impact. Warm water exercise is highly beneficial for participants with arthritis since the warm water provides a cushion for their joints to move in. Participants see an increase in mobility with a decrease in pain and soreness.

The following exercises can be performed in a shallow, warm-water pool. No equipment is necessary. Perform 8-12 repetitions of each exercise:

Exercises—Lower Body: Marching (in place or traveling) • lift knee no higher than hip height ACAC offers weekly Arthritis H2O classes at its Midlothian and Short Pump locations. Taking a class offers instructor-led exercises and provides camaraderie with other participants in a social environment. For more information about ACAC, including class schedules, visit their website at www.acac.com.

• as leg lowers, opposite knee lifts, then alternate Mini-Squat • stand with feet hip distance apart • sit back and reach for an imaginary chair, while hinging at hips and bending the knees • keep chest lifted, knees behind the toes and feet stay in contact with the bottom of the pool • return to standing position – press thru the feet and squeeze the glutes

Exercises—Upper Body: Trunk Rotation • stand with feet hip distance apart • hands on hips or arms can hang freely in the water • rotate upper body to one side while keeping feet grounded and core tight • return through center and rotate to the other side The Slide • extend arms to front of body • palms face down, bend arms at the elbow to a 90 degree angle • slide arms back to bring shoulder blades together… imagine “pinching a penny” between the shoulder blades • return arms to start being sure not to let shoulders come forward or shrug

Side Leg Lift • stand with hips square

Thumbs to Shoulders • bend elbows and move thumbs toward shoulders with palms facing each other

• lift the outside leg from the hip while keeping posture tall

• keep elbows close to body

• repeat with other leg

Kellie Kohstall, BS, MS, ACSM Assistant Fitness and Group Exercise Director with ACAC. AEA and AFAP Certified Aquatic Program Leader.

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• straighten arms back down to sides of body

HealthyEats

proudly sponsored by

Good Foods Grocery

Asian Broccoli Main Ingredients:

4 cups broccoli flowerets 1 tablespoon toasted sesame seeds ½ cup roasted cashews ½ cup thinly sliced red pepper 1½ teaspoons orange zest

Sauce Ingredients: ½ cup sesame oil 1 teaspoon ginger 1 teaspoon garlic ¼ cup orange juice 3 tablespoons rice wine vinegar

Directions: 1. Blanch broccoli and chill with ice bath. 2. Then simply mix all ingredients together.

Easy!

Good Foods Grocery’s

ASIAN BROCCOLI

Good Foods Grocery—two convenient, neighborhood stores: Open 9am -9pm Mon - Sat. Closed Sundays. | www.goodfoodsgrocery.com Gayton Crossing Shopping Center (West End) | 1312 Gaskins Road | 804.740.3518 and Stony Point Shopping Center (Southside) | 3062 Stony Point Road | 804.320.6767

HealthyEats

proudly sponsored by

Good Foods Grocery

Tabouli

½ cup minced scallions

Ingredients:

½ cup olive oil

2 cups of bulgur fine or medium

1/3 cup lemon juice

2 cups minced parsley

1 teaspoon minced garlic

1 cup diced cucumber

½ cup crumbled feta

1 cup diced tomato 3 tablespoons minced mint

Directions: 1. Put bulgur in a bowl and cover slightly with warm water. Put cover on and set aside to absorb all liquids. 2. Mix parsley, mint, cucumbers, tomato and scallion. Add to cooled bulgur. 3. Whisk lemon, olive oil, garlic and salt. Then mix all together. 4. Top with feta.

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TABOULI WITH FETA

HealthyEats

proudly sponsored by

Good Foods Grocery

Vegan Gluten Free Black Bean Brownies

¾ cup cocoa powder

Ingredients:

1 15 ounce can black beans, drained and rinsed

½ cup sugar

2 heaping tablespoons flax mixed with 6 tablespoons water (egg replacer)

3 tablespoons coconut oil, melted

¼ teaspoon salt teaspoon vanilla

1½ teaspoons baking powder Walnuts for topping

Directions: 1. Preheat oven to 350 degrees. 2. Grease muffin tin (12 standard). 3. Prepare flax egg in food processor and let sit for five minutes. 4. Add all dry ingredients then the beans. Pour coconut oil over beans. Pulse in processor a few times then puree for three minutes. Scrape the sides and puree again until the batter is smooth. 5. Scoop into tin. Top with walnuts. Bake about 30 minutes or until brownies pull away from side of tin. 6. Make sure to let completely cool before removing from pan.

Healthy, easy, delicious!!

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BLACK BEAN BROWNIES

off your entire purchase next time you visit Good Foods Grocery

One per customer, one time use. Valid at both Good Foods Grocery locations (West End & Southside) thru May 31, 2015.

PUT A LID

words | SUSAN DUBUQUE

! T I N O

Imagine it’s Thanksgiving morning and all the children and grandkids have gathered. The turkey is in the oven and the whole house smells like pumpkin pie and warm yeasty rolls. The meal is almost ready, but the signature dish—fried oysters—has yet to be prepared. The cast iron frying pan is heating on the stove. The oil has to be just the right temperature to make sure that the breadcrumb coating gets crisp rather than soggy. There’s just enough time to grab a quick holiday picture of the family. Won’t that be perfect on this year’s Christmas card? It will only take a minute—just enough time for the oil to get good and hot before dropping in the oyster. And that’s all it takes—just a brief moment for cooking oil to overheat and catch on fire. Admittedly, this particular story is fiction. But the fact is that every year, in thousands of homes just like this, grease cooking fires occur—resulting in serious injury and sometimes even death. “Thanksgiving is the number one day of the year for burns due to cooking fires,” says Michael Feldman, MD, medical director of Evans-Haynes Burn Center at VCU Medical Center. “But recently, we’ve noticed an upward trend in this type of injury year around. Over 100 people a year are admitted to the burn center and countless more are treated on an outpatient basis for grease fire burns.” The entire team at VCU Evans-Haynes Burn Center is on a mission. “We’re committed not only to caring for burn survivors, but also to preventing these devastating injuries in the first place,” states Dr. Feldman. With that goal clearly in mind, the burn center is sponsoring a public awareness campaign called Put a Lid on It. Unattended cooking is by far the most common factor in home cooking fires, and frying food is the greatest risk. In fact, one in four home fires starts with grease or fats. Dr. Feldman notes, “We want to educate the public and share information to help prevent grease fires and reduce the likelihood of being injured.”

The burn center offers the following tips to keep in mind: • Stand by your pan. Always stay in the kitchen when frying on the stovetop. • Keep an eye on what you fry. If you see wisps of smoke or the oil smells, immediately turn off the burner and/or carefully remove the pan from the burner. Smoke is a danger sign that the oil is too hot. • Wear a hot mitt when frying foods. • Heat the oil slowly to the temperature you need for frying or sautéing. • Add food gently to the pan so the oil does not splatter. • Always cook with a lid beside your pan. If a fire should occur, carefully slide the lid over the pan. When you no longer see any flames, turn off the burner. Do not remove the cover because the fire could start again. Let the pan cool for a long time. • Do not throw water or use a fire extinguisher on a grease fire. And never try to pick up and move a frying pan that is on fire. These actions could cause the grease to splatter and the fire to spread. • If the fire does not go out or you don’t feel comfortable sliding a lid over the pan, get everyone out of your home. Call the fire department from outside. • If you should suffer a burn from hot grease, gently cleanse the burn with lukewarm water, loosely cover the wound with a clean towel and seek medical attention. Do not soak the injury in cold water, apply ice or use first aid cream, ointments or home remedies such as butter or mayonnaise. Michael Feldman, MD is the medical director of Evans-Haynes Burn Center at VCU Medical Center in Richmond.

Regional Center for Burn Care Annually, about 450,000 people in the U.S. suffer injuries from burns that are severe enough to require inpatient hospitalization or a visit to the emergency department. Richmond is fortunate to have one of only 62 verified burn centers in the country. The VCU Evans-Haynes Burn Center—established in 1947 by Dr. Everett I. Evans— is the oldest civilian burn facility in the country. After the death of Dr. Evans, Dr. Haynes directed the burn center for 36 years. In November 2008, the center relocated to the new VCU Critical Care Hospital and expanded from 12 to 16 beds. “With a reduction in the number of burn units across the country, this increased capacity was vital to care for the needs of our region,” indicates Dr. Feldman. The center treats more than 400 adult and pediatric patients a year. “Our new facility has all-private rooms and offers accommodations for family members to stay with patients and participate in their care.” To be “verified” by the American Burn Association is no small feat. This distinction means that all the resources needed to care for serious burn patients are available under one roof. An entire floor of the VCU Critical Care Hospital is dedicated to burn care and a broad array of medical professionals make up the burn team, including: burn nurses; critical care physicians; pulmonologists; pediatricians; physical and occupational therapists; nutritionists; respiratory therapists; trauma, burn and plastic surgeons; child life specialists; social workers and mental health professionals.

“Serious burns—from kitchen grease fires or any other cause—are devastating to the patient and the whole family,” remarks Dr. Feldman. “About one third of our patients are children and we go to extraordinary measures to provide comfort and care for our smallest patients.” The burn center has a treatment room that is equipped with a multimedia device that engages all the senses. Video, music and even aromatherapy help distract the child 48

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when undergoing a painful treatment. “It takes a combination of physical, emotional and social support to help our burn survivors achieve the best possible recovery.” Comprehensive burn care—from treatment of the acute injury through reconstructive surgery—as well as community education and research are part of the full spectrum of services offered by VCU Medical Center as the region’s only Level 1 Trauma Center.

Expert contributor: • Michael Feldman, MD, medical director, Evans-Haynes Burn Center, VCU Medical Center

Sources: • National Fire Protection Association • American Burn Association

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The results are in!

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The Greater Richmond

Senior Health Awards

ASSISTED FIRST

LIVING

The Crossings at Ironbridge Chester | 804.748.7000 www.thecrossingsatironbridge.com

The Crossings at Iron Bridge offers exceptional senior assisted living care and farm to table dining experience. It is conveniently located in the Greater Richmond area, only minutes from I-95 and 288. x x x x x

SECOND (TIE)

Spring Arbor of Salisbury Midlothian | 804.601.0910 www.springarborliving.com

The Hermitage Richmond | 804.474.1800 www.hermitage-vumh.com

THIRD

The Crossings at University Park Richmond | 804.554.1555 www.thecrossingsatuniversitypark.com

HONORABLE MENTION The Crossings at Bon Air

Richmond | 804.560.1440 www.thecrossingsatbonair.com

Dunlop House Colonial Heights | 804.520.0050 www.dunlophouse.com

Elmcroft of Chesterfield Richmond | 804.332.6431 www.elmcroft.com

Golden LivingCenter - Petersburg Petersburg | 804.733.1190 www.goldenlivingcenters.com

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HOME HEALTH FIRST

Care Advantage, Inc./All About Care Richmond | 804.560.5430 | www.careadvantageinc.com

Thank you for voting Care Advantage /All About Care as your home health care company â&#x20AC;&#x201C; one of the only companies left that are your locally owned, hometown partner. Debbie Johnston, RN CEO and Founder

SECOND

Companion Extraordinaire

Advance Care, LLC Richmond | 804.897.9056 www.advancecarellc.com

THIRD (TIE)

Guardian Healthcare

Colonial Heights 804.384.9305 www.interimhealthcare.com

Home Instead Senior Care

Interim Healthcare

Ashland | 804.752.2205 www.cenninc.com

THIRD (TIE)

x x x x x

HONORABLE MENTION

Richmond | 804.282.9999 www.guardianhomecare.biz

Richmond | 804.708.7004 www.homeinstead.com/189

Gentiva Home Health Richmond | 844.325.9177 www.richmond. gentivahomehealth.com

FIRST

Hospice Community Care Glen Allen | 800.409.9094

HOSPICE SECOND

AseraCare Hospice Richmond | 804.282.4364 www.aseracare.com/richmond-va

THIRD

Crater Community Hospice, Inc. Petersburg | 804.526.4300 www.cratercommunityhospice.org

Hospice Community Care is the heart of your community. We are passionate about providing individualized care focused on dignity, comfort and quality living at its fullest. Robin Southall, RN Executive Director x x x x x

HONORABLE MENTION Heartland Hospice

Richmond | 888.427.6768 www.heartlendhospice.com

Gentiva Hospice Richmond | 866.283.6381 www.richmond.gentivahospice.com

INDEPENDENT FIRST

LIVING

Brookdale Imperial Plaza Richmond | 804.767.7995 www.brookdale.com

Brookdale Imperial Plaza is a charming and well-established property nestled in the historic district of the city of Richmond. Our park like setting and amenities offer an unmatched senior living experience. Come see why so many call Brookdale Imperial Plaza home. Dyan Stanley Executive Director

x x x x x

SECOND

Beth Sholom Lifecare Community Richmond | 804.750.2183 www.bslcc.org

THIRD (TIE)

The Crossings at Bon Air Richmond | 804.560.1440 www.thecrossingsatbonair.com

Westminster Canterbury Richmond Richmond | 804.264.6000 www.wcrichmond.org

HONORABLE MENTION Brandermill Woods

Midlothian | 804.744.1173 www.brandermillwoods.com

Heritage Oaks Richmond | 804.477.1914 www.holidaytouch.com

Lakewood Manor Richmond | 804.740.2900 www.lakewoodmanor.org

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SECOND

Medi Home Care Glen Allen | 804. 270.2902 www.msa-corp.com

THIRD

West Home Health Care, Inc. Richmond | 804. 353.7703 www.whhci.com

MEDICAL FIRST

EQUIPMENT

Powell Orthotics and Prosthetics

Richmond | 804.649.9043 | www.powelloandp.com We focus on helping each of our clients to achieve their own personal goals with the utilization of advanced technologies. This allows our practitioners to customize each medical device to meet each client’s own unique situation. We don’t just stand by our patients, but we stand with them and give them assistance through support groups and our mentoring program.

HONORABLE MENTION Capital Medical Supply

Richmond | 804.353.0707 www.capitalmedicalsupply.com

Clay Home Medical Petersburg | 804.861.1606 www.clayhomemedical.com

Trustcare Home Medical Glen Allen | 804.262.9001 www.trustcarehme.com

x x x x x

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MEMORY CARE

FIRST

The Crossings at Ironbridge Chester | 804.748.7000 www.thecrossingsatironbridge.com

For exceptional memory care in Chester, The Crossings at Iron Bridge offers Harmony Squareâ&#x20AC;Śa secure and compassionately staffed dementia village environment. x x x x x

SECOND

Richmond | 804.396.2414 | www.symphonyrichmond.com

THIRD

Our Lady of Hope Health Center Richmond | 804.360.1960 | www.ourladyofhope.com

FIRST

HOME

Beth Sholom Lifecare Community Richmond | 804.750.2183 www.bslcc.org x x x x x

Richmond | 804.554.1555 www.thecrossingsatuniversitypark.com

HONORABLE MENTION The Crossings at University Park

Richmond | 804.554.1555 www.thecrossingsatuniversitypark.com

Emeritus at Deep Run Henrico | 804. 412.0779 | www.brookdale.com

Ivy Ridge Assisted Living Center Petersburg | 804.413.6478

Symphony Manor of Richmond

NURSING

The Crossings at University Park

SECOND

The Laurels of University Park Richmond | 804.747.9200 www.laurelsofuniversitypark.com

THIRD

Parham Healthcare & Rehabilitation Center Richmond | 804.264.9185 www.parhamhealthrehab.com

HONORABLE MENTION

Beaufont Health & Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com

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Magnolias of Chesterfield Chester | 804 778.7777 www.meridiansenior.com

Vista Park Memory Care Center Petersburg | 804.571.1231

Golden LivingCenter Petersburg | 804.861.2223 ww.goldenlivingcenters.com

Hanover Health & Rehabilitation Center Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

Heritage Green Assisted Living Mechanicsville | 804.723.6538 www.heritagegreenhanover.com

Hopewell Health Care Center Hopewell | 804.458.6325 www.carevirginia.com/hopewell

FIRST

Bon Secours Palliative Medicine

Midlothian | 804.288.2673 www.richmond.bonsecours.com It is a privilege for us to care for patients and families who are facing serious illness. Together with other Bon Secours services, we are able to provide the care they need when they need it most. Leanne M. Yanni, MD Medical Director, PalliativeÂ MedicineÂ x x x x x

SECOND

VCU Massey Cancer Center Palliative Care Richmond | 804.628.1295 www.massey.vcu.edu

PALLIATIVE

CARE

THIRD

AseraCare Hospice Richmond | 804.282.4364 www.aseracare.com/richmond-va

POST-ACUTE FIRST

REHAB SERVICES

Glenburnie Rehabilitation and Nursing Center

Richmond | 804.281.3500 | www.carevirginia.com/glenburnie The experience was great in every respect at Glenburnie Rehabilitation and Nursing Center. The staff is outstanding and I never had a need or a request that was not completed or addressed quickly. JEB Stuart IV, Glenburnie Patient

x x x x x

SECOND

Healthsouth Rehabilitation Hospital of Virginia Richmond | 804.288.5700 | www.healthsouthrichmond.com

THIRD

Parham Healthcare & Rehabilitation Center Richmond | 804.264.9185 | www.parhamhealthrehab.com

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REHAB INPATIENT FIRST (TIE)

Parham Healthcare & Rehabilitation Center Richmond | 804.264.9185 | www.parhamhealthrehab.com

LifeWorks Rehab is an exclusive program designed to get patients home quicker, stronger, and healthier than ever. Aaron Roop Administrator

Healthsouth Rehabilitation Hospital of Virginia Richmond | 804.288.5700 | www.healthsouthrichmond.com

At HealthSouth Rehabilitation Hospital of Virginia, we understand that getting your life back is your single goal. Itâ&#x20AC;&#x2122;s our lifeâ&#x20AC;&#x2122;s work. David Cashwell, MHA, FACHE Chief Executive Officer

x x x x x

SECOND

Glenburnie Rehabilitation and Nursing Center Richmond | 804.281.3500 | www.carevirginia.com/glenburnie

Westport Rehabilitation and Nursing Center Richmond | 804.288.3152 www.carevirginia.com/westmport

THIRD

Hanover Health & Rehabilitation Center Mechanicsville | 804.559.5030 | www.hanoverhealthrehab.com

HONORABLE MENTION

Beaufont Health & Rehabilitation Center Richmond | 804.272.2918 | www.beaufonthealthrehab.com

REHAB OUTPATIENT FIRST

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1001 | www.shelteringarms.com

We are honored to be recognized for our outpatient rehabilitation care. Whether our patients are transitioning from the hospital setting, or just need some help getting back on their feet, Sheltering Arms is committed to offering comprehensive physician, therapy and medical psychology services unique to each individual. We do so at wellequipped, comfortable and convenient outpatient physical rehabilitation locations throughout central Virginia. James E. Sok, President and CEO

x x x x x

SECOND

The Gait Center Richmond | 804.523.2653 www.lawrencerehabilitation.com

THIRD

Beth Sholom Lifecare Community Richmond | 804.750.2183 | www.bslcc.org

HONORABLE MENTION Belfield Physical Therapy Warsaw | 804.333.8222 www.belfieldpt.com

Progress Physical Therapy Glen Allen | 804.270.7754 www.progressphysicaltherapy.com

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SKILLED FIRST

NURSING

Parham Healthcare & Rehabilitation Center Richmond | 804.264.9185 www.parhamhealthrehab.com

We believe that providing the best care begins with getting to know our patients first—that’s the cornerstone of our personalized approach to rehabilitation services and skilled nursing care. Aaron Roop, Administrator

x x x x x

SECOND

Care Advantage, Inc./All About Care Richmond | 804.560.5430 www.careadvantageinc.com

THIRD (TIE)

Beaufont Health & Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com

Glenburnie Rehabilitation and Nursing Center Richmond | 804.281.3500 www.carevirginia.com/glenburnie

HONORABLE MENTION Hanover Health & Rehabilitation Center

SPEECH

THERAPY

FIRST

All About Care

Richmond | 804.560.5430 www.careadvantageinc.com Thank you for voting All About Care as your therapy company! As one of the only locally owned companies left, we treat you like family.

Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

Debbie Johnston, RN CEO and Founder

Henrico Health and Rehabilitation Center Highland Springs | 804.737.0172 www.henricohealthrehab.com

The Laurels of Bon Air Richmond | 804.521.9980 www.laurelsofbonair.com

Tyler’s Retreat at Iron Bridge Chester | 804.706.1023

x x x x x

SECOND

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1001 www.shelteringarms.com

THIRD

Beaufont Health & Rehabilitation Center Richmond | 804.272.2918 www.beaufonthealthrehab.com

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www.OurHealthRichmond.com

FIRST

STROKE

CARE

Sheltering Arms Physical Rehabilitation Centers Mechanicsville | 804.764.1001 www.shelteringarms.com

Thank you to the readers of OurHealth Richmond for voting us first place in stroke care. The expertise of our doctors and therapists, combined with the latest research, advanced technologies and unique treatment programs, provide us with the ability to help patients make remarkable recoveries following stroke every day. James E. Sok President and CEO

x x x x x

SECOND

Care Advantage, Inc./All About Care Richmond | 804.560.5430 www.careadvantageinc.com

THIRD

Healthsouth Rehabilitation Hospital of Virginia Richmond | 804.288.5700 www.healthsouthrichmond.com

HONORABLE MENTION Hanover Health & Rehabilitation Center Mechanicsville | 804.559.5030 www.hanoverhealthrehab.com

ON THE WEB

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Recent research from the National Quality Forum indicates that 1 in 5 senior patients are readmitted to the hospital within 30 days of discharge.

words | DENIZ ATAMAN

New Advances in Cardiac Recovery Senior Care Imagine stopping into your doctor’s office without filling out a single line of paperwork or returning home after surgery to a friendly caregiver who has your prescriptions ready before you walk through the door. These scenarios are possible with Richmond’s latest medical and nonmedical collaborations that allow patients to recover at home while maintaining their independence. New developments in heart rate monitoring technology and in-home care can reduce the likelihood of hospital readmissions while ensuring a faster in-home recovery and a healthier outcome. With rising medical costs and limited hospital space, more patients are choosing in-home senior care. Recovering from intensive surgeries and procedures is possible at home. In fact, healing at home offers emotional and physical benefits over remaining in a hospital. Consider the following advantages:

Dr. Kapadia explains, “C3 Nexus works in conjunction with physicians to monitor key biometrics outside of the clinical setting while patients go about their daily lives. By partnering with Home Instead, we can help family members ensure that their loved one’s total care system is connected and working in synchronicity.” www.OurHealthRichmond.com

Visionaries in senior care services Home Instead is one of the nation’s original providers of senior care services with 1,000 franchises operating throughout the world. Its specially-trained caregivers provide individualized services for patients discharged from the hospital. Services, which include companionship, hospice care and in-home care, are designed to create an easier transition for seniors to live independently.

“The average number of prescriptions a patient goes home with is 13,” says Steinfatt. “Without proper management of necessary medications, patients are at a higher risk of readmission, especially within the first week of discharge.”

• Cleaner environment: By recovering at home, patients avoid the risk of hospitalacquired infections. Invasive surgeries weaken the immune system, leaving the body vulnerable to infections. • Social interaction: Daily interaction with family, friends and neighbors reduces depression, an emotional inhibitor to recovery. • More cost effective: Sky-high hospital fees are dramatically reduced when patients choose a flexible approach to recovery through more affordable in-home care services. These services cater to the patient’s needs, whether assistance is needed around the clock or a few hours a day. • Better overall health: In-home care is more comfortable for the patient. Activities like bathing, cooking, sleeping and walking are more achievable in a familiar environment.

C3 Nexus’s FDA-approved Body Guardian, heart monitoring device detects irregular activity remotely.

Shaival Kapadia, MD is a cardiologist at Bon Secours St. Francis Medical Center and founder of C3 Nexus.

After major surgeries from congestive cardiac failure, recovery is a slow and time-consuming process. This poses a problem for hospitals due to the limited space available for patients. Hospitals struggle to offer the attention each patient needs, and patients are at risk of relapse when proper care and oversight are not provided during recovery. Thus a cycle of discharge and readmission begins. High hospital costs and limited medical care for readmitted patients caught the attention of Home Instead Senior Care and C3 Nexus Nurse Concierge. Both companies focus on individual patient care, and both plan to approach the problems in senior care with a new solution that has the potential to be a game changer in the health industry. Their recent partnership offers a new perspective to healing cardiac patients at home with state-ofthe-art technology and in-home care.

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Research on hospital readmission rates points out the need for additional attention for patients with chronic conditions that is also friendly to patients’ budgets. According to Teressa Steinfatt, CEO/owner of T&T Enterprises, which owns and operates Richmond’s Home Instead Senior Care franchise, the primary objective is to create affordable service for patients after hospital care. This objective was also of interest to staff members at HCA Henrico Doctors’ Hospital. Home Instead assisted the hospital in a study on how to reduce patient readmission. Typically, hospitals are unable to provide skilled care for patients after 30 days, which is the standard allotted time for in-hospital recovery. In the hospital-to-home study, Home Instead stepped in to offer its services to 60 patients upon their discharge from the hospital. With in-home care, the readmission rate was reduced from 16 to 12 percent. The readmission rate for cardiac patients was dramatically lower than the national average of 16.9 percent. The correlation between in-home care and improved recovery was the impetus for alternative solutions to reduce readmission rates. “We wanted to prove, with our services at Home Instead, that we will reduce hospital readmission for patients recovering from congestive heart failure,” says Steinfatt.

Customized healthcare plans Six months after this study, medical startup C3 Nexus Nurse Concierge initiated its own study in collaboration with Bon Secours St. Francis Medical Center. C3 Nexus founders Nuno Valentine, a former officer of the Health Diagnostics Lab in Richmond, and

Shaival Kapadia, MD, a cardiologist from Bon Secours St. Francis Medical Center, combined their medical knowledge to create the latest technology in remote heart rate monitoring. C3 Nexus’ FDA-approved Body Guardian device weighs less than an ounce and is attached to the chest using an adhesive strip. The patient’s body activity is monitored by electrodes to record ECG, heart rate and respiration rate; 3-D monitoring measures posture, position, movement and activity. The device sends information to the C3 Nexus database where health trends and patterns are recorded. Irregular activity can be spotted and addressed immediately by remote-monitoring “nurses concierges.” By recording patients’ health patterns, custom healthcare plans are created to ensure proper recovery through nutrition, medication and exercise programs. The study by C3 Nexus and Bon Secours St. Francis Medical Center sought a solution to high hospital readmission rates. Using C3 Nexus’ 24 hour heart rate monitoring for 142 cardiac patients, the readmission rate was lowered to only 4 percent within 90 days of discharge. Results from the study also indicated that with C3 Nexus assistance, 88 percent of patients showed improvement in self-care management. With these astounding results, Valentine and Dr. Kapadia targeted the problems patients experience with escalating hospital costs and impersonal patient-doctor visits.

Bridging the healthcare gap Not only does C3 Nexus give peace of mind to patients and their families, it also helps patients have more productive visits with physicians. C3 Nexus provides updated patient information to physicians and specialists, saving time spent on paperwork. Physicians are able to monitor patient activity outside of the clinical setting, giving a more accurate measurement of patients’ daily vital signs. Recorded data also allows patients to manage their health habits better and, in turn, live independently. Medicine reconciliation is another important factor patients must consider upon hospital discharge. “The average number of prescriptions a patient goes home with is 13,” says Steinfatt. “Without proper management of necessary medications, patients are at a higher risk of

readmission, especially within the first week of discharge.” Using prescription information from the C3 Nexus database, Home Instead caregivers are able to efficiently organize and manage a patient’s medication schedule.

Saving lives and money With medical and nurse concierge collaboration comes long-term health and financial benefits. 24-hour in-home care is costly and paired with doctor visits and prescriptions, the financial burden can be overwhelming for patients and their families. Supplementing in-home care with remote heart monitoring gives patients peace of mind that their health is being managed while they receive personal assistance from caregivers.

“The success of C3 Nexus is 100 percent physician-driven,” explains Steinfatt. “At this point, it’s about educating physicians, primarily cardiologists, to spread the news about C3.”

Basic packages start for less than $2,000 a month and include 12 hours of service per month plus 24/7 Body Guardian monitoring. Clients have the flexibility of creating a package designed for their personal and medical needs. Steinfatt says, “The first three to five days are the most critical upon discharge. Having around-the-clock care in conjunction with the personal touch by the caregivers at home will clearly reduce hospital readmission.” It’s no surprise that Richmond’s rich medical community is at the forefront of senior care. “This is a very exciting partnership for the entire Richmond community,” says Steinfatt, “Home Instead Senior Care and C3 Nexus have both proven that one-on-one nurse concierge and medical care after discharge can drastically reduce hospital readmission rates, so our partnership can only improve those odds.” Though this partnership is new, Home Instead and C3 Nexus Nurse Concierge hope to expand together to the rest of the country within the next few years. Though C3 Nexus is new to the medical community, reaching the international status of Home Instead is only a heartbeat away.

ON THE WEB

Teressa Steinfatt is the CEO of T&T Enterprises, owner of Richmond’s Home Instead Senior Care in Richmond and Tappahannock.

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