Community health march 2015

COMMUNITYHEALTHMAGAZINE.COM | SPRING 2015

HEAT UP YOUR WINTER WitH HEALtHY SPiCES WITH RECIPES A NEW AGE TIPS FOR OLDER DOGS

a NEW NEW SORT SORT OF OF A

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RAMPS AND STEPS

MONITOR MONITOR

PETS PETS

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With a little TLC, your aging pet can be comfortable Just like when humans get older, aging pets face a number of obstacles.

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A New Age

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Spice Spice Things Up Things Up Warm up your palate by adding Warm up your palate by adding a little toyour your dishes a little zing zing to dishes

BY PAIGE FUMO FOXFOX BY PAIGE FUMO

No magic spice will cure your diabetes or prevent a heart attack, it’s true. But if you’re looking for a way to break free of bland dishes, incorporating spices can enliven your palate, while potentially giving your health a boost, too.

WHY NOT TRY?

Tricia Stefankiewicz, a registered dietitian who works with cardiac patients at the University of Pennsylvania Hospital, says if you’re reaching for particular spices because of their potential benefits, it’s best to use them fresh or dried in your food, instead of taking supplements.

Those pills might offer “mega doses,” but they’re not regulated by the FDA, Stefankiewicz says.

Spices may help hearts stay healthier and immune systems stronger, so if you’re looking for ways to add antioxidants and inflammation-fighters to your diet, Stefankiewicz offers these suggestions: ➤ Cayenne pepper, high in antioxidants and vitamin C, kicks up soups, curries and stir-fry dishes. ➤ Cinnamon can lower blood sugar levels and may relieve indigestion. Sprinkle it into your oatmeal or on sweet potato fries. ➤ Ginger can help reduce nausea, and works in sweet and savory dishes. Use the pungent, spicy root in teas, smoothies, blended into frozen vanilla yogurt, or toss into stir-fry. ➤ Turmeric, with its peppery heat, has an antioxidant benefit, and may help reduce inflammation, as well as prevent some chronic diseases such as Alzheimer’s and rheumatoid arthritis.

Try it in scrambled eggs, curry dishes or in tea with honey.

SOME EARLY INDICATORS

Exactly how much of a spice it takes to, say, lower triglyceride levels, isn’t entirely clear yet, but it could be more than people typically would eat in a day, Stefankiewicz says. She likes to consider spices as just part of “the big scheme of eating healthy.”

Sheila West, Penn State professor of biobehavioral health, says there is a lack of evidence about the benefits. “Traditional health systems (such as Chinese medicine) have used spices as treatments, but there is relatively little peer-reviewed science to support claims of their health effects,” West says.

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Community Healt h | L U D I N G T O N D A I L Y N E W S | t h u r sday , M a r c h 1 9 , 2 0 1 5

West’s work is among several studies highlighted in a fall 2014 special section of the journal Nutrition Today, that was published following a spring 2014 conference sponsored by the McCormick Spice Institute.

West and her colleagues studied the effect a blend of black pepper, cinnamon, turmeric, garlic, paprika and cloves had on six men who were overweight but otherwise healthy. They found that the blend appeared to reduce the triglyceride response by about 30%. High triglycerides are a risk factor for cardiovascular disease.

SWAP SALT FOR SPICE

Spicing up your meals is also a great way to rely less on salt for flavor. Also, the tastier you make those veggies and lean cuts of meat, the more likely you are to actually eat them instead of turning to something fried or drowned in ranch dressing.

“People definitely are interested in learning more about spices,” says Bethann Holthouse, a registered dietitian at WCA Hospital in Jamestown, N.Y. She advises patients to take the information with a grain of salt, so to speak.

“I don’t typically push spices on people. I tell them to eat healthier, eat their veggies, exercise and keep their weight under control.”

SPICY RECIPES

Community Health house chef Tim Dudik adds a kick to your lunch or dinner with two zingy recipes.

CARROT GINGER SOUP Serves 6

Sick of the same old chicken noodle and split pea? This soup offers a spiced alternative to the ordinary. Incorporate some chickpeas or chopped chicken to add protein.

1 tbsp. butter 2 yellow onions, chopped 2 lbs. carrots, peeled, chopped 6 c. chicken or vegetable broth 1 c. heavy cream 1 three-inch piece of ginger, peeled and chopped 1 tsp. cayenne pepper 1 tbsp. salt 2 tsp. pepper ½ c. sour cream (for garnish) 1 c. croutons (for garnish) 1 In a 6-quart pot, melt butter and add onions and ginger. Stir frequently until onions soften.

2 Add carrots, cayenne, salt, pepper, and broth. Simmer over medium heat, stirring occasionally, for one hour, or until carrots are fork-tender.

3 Puree in blender or with an immersion blender. Return to pot. Stir in heavy cream over low heat.

4 Serve with a dollop of sour cream and croutons.

TABASCO RED POTATOES Serves 4

These potatoes are sure to spice up a weeknight dinner, or complement a great barbecue meal. Serve with roasted chicken and your favorite fresh vegetables.

1 lb. red potatoes 1 tbsp. vegetable oil 1 tbsp. Tabasco sauce, or your favorite hot sauce 1 tbsp. salt 1 tbsp. black pepper 1 Preheat oven to 350 degrees.

2 Mix whole potatoes with oil, hot sauce, salt, pepper.

Place on lipped pan.

3 Bake for 35 minutes, or until potatoes are soft.

CHEF TIM’S TIPS FOR SPICY KICKS

Spice up your mayonnaise. Mix a teaspoon of sriracha hot sauce into 2 tablespoons of mayo. Gives a bit of smooth heat to your favorite sandwich—especially with turkey.

Kick up spaghetti. Add 1 teaspoon of crushed red pepper to 1 cup of your favorite spaghetti sauce to spice up pasta night.

A little heat can go a long way. Be sure to taste your food as you’re cooking, and adjust to your liking. But use a clean spoon each time.

Make your salt bolder. Add 1 teaspoon of hot smoked paprika to 1 tablespoon salt. Sprinkle over chicken or your favorite meats for grilling or roasting to add some smoky heat.

To peel ginger, use the inside of a tablespoon. This creates much less waste than a vegetable peeler.

L U D I N G T O N D A I LY N E W S | T h U r S D AY, M A r c h 19 , 2 0 15 | c O M M U N I T Y h E A LT h

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your Wakeup Call If you experience confusion and disorientation when you wake up, you may be “sleep drunk”

BY KAREN MARLEY

The alarm clock sounds, pulling you from blissful slumber into the waking world.

Most of us identify with those first few groggy moments when the body shifts from a state of sleep to wakefulness. But for some people, this typically gentle transition is marked by confusion, disorientation and odd behavior, such as answering the phone instead of the alarm or stumbling into a wall instead of opening the bathroom door.

Informally known as sleep drunkenness disorder, these bleary episodes are usually triggered by a forced awakening and can last a few moments or many minutes. Sleep drunkenness disorder may affect up to one in seven people, says the American Academy of Neurology.

WAKING UP CONFUSED Contrary to the name, sleep drunkenness has nothing to do with alcohol. In fact, it’s not a medical term at all but rather a colloquial name for what sleep medicine specialists call sleep confusional arousal or in more extreme cases, sleep inertia.

“When we go to sleep, our bodies naturally transition to a sleep state. While our bodies sleep our brains are doing a whole host of things,” says Dr. Jonathon Marcus, assistant professor of neurology at the University of Rochester Medical Center’s Strong Sleep Disorders Center.

“Sometimes, when the body makes the transition from being awake to sleep, or vice-versa, funny things can happen.”

Confusional arousal occurs when a person shifts from being asleep to awake and begins to do simple, automatic behaviors without being completely awake.

After a few minutes the person will either fully wake up or fall back asleep.

The phenomenon is part of a group of medical sleep disorders that also includes sleepwalking, sleep talking and night terrors. These are often benign conditions.

But that doesn’t mean you should ignore

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them, as they can often be symptoms of a bigger problem.

DO NOT DISTURB Dr. Robert Israel, medical director of the Rochester Regional Health System’s Unity Sleep Disorder Center, says he doesn’t like the term “sleep drunkenness,” because it doesn’t shed light on the seriousness of the condition.

“I don’t use the term sleep drunkenness. I see a person with insufficient sleep,” Israsel says.

Traveling, anxiety, taking sleeping pills or other medications, snoring, sleep apnea and even being sick—anything that disturbs the integrity of sleep and causes it to be disrupted or fragmented—is likely to increase your chance of experiencing confusional arousal.

It’s difficult for adults to recognize their own sleep deprivation because it creeps up on them slowly over time, Israel says. Signs include sleep confusional arousal and being sleepy during sedentary activities such as meetings, driving, or working on a computer.

In contrast, sleep deprived children tend to be hyperactive while awake.

“Youngsters can’t concentrate and are often misdiagnosed with attention deficient disorder,” Israel says.

GET SOME SLEEP If you show symptoms of sleep deprivation, Israel and Marcus say you should talk to your doctor. Before taking medication, he may suggest treatment options including behavioral intervention, like establishing healthy sleep habits and routines.

Take care of your sleeping and waking health by getting the recommended amount of sleep each night.

“The average human needs between seven and nine hours of sleep per night,” Israel says. “Get the sleep you need to age well.”

Community Healt h | L U D I N G T O N D A I L Y N E W S | t h u r sday , M a r c h 1 9 , 2 0 1 5

NEWSORT SORTOF OF AANEW

HOSPITALITY HOSPITALITY Calm colors and warm lights make us feel good.

Calm colors and warm lights feelhelp good.

And, when we’re in the hospital, they make mightus even us heal faster.

And, when we’re in the hospital, they might even help us healartwork, faster.

As more medical centers bring in natural light and relaxing Asthey’re more medical centers in natural light and up relaxing artwork, making the stay bring less scary, and speeding recovery times. they’re making the stay less scary, and speeding up recovery times.

BY KEVIN CARLSON

BY KEVIN CARLSON

+

Take a stroll through the newly completed patient wards of Elmhurst Memorial Hospital in suburban Take a stroll through the newly completed patient wards of Elmhurst Memorial Hospital in suburban Chicago, and you might do a double-take. The soothing waterfalls, spacious single-occupancy suites, Internet Chicago, and you might do a double-take. The soothing waterfalls, spacious single-occupancy suites, Internet access and room service meals sound like something at a five-star hotel. access and room service meals sound like something at a five-star hotel.

These amenities are impossible to miss, as are the looks of wonder from patients and visitors, says Joanne These amenities are impossible to miss, as are the looks of wonder from patients and visitors, says Joanne Muzzey, the hospital’s director of patient advocacy.

Muzzey, the hospital’s director of patient advocacy.

“Why can’t a hospital be more of a resort setting, and more comfortable, rather than a place of sterility, “Why can’t a hospital be more of a resort setting, and more comfortable, rather than a place of sterility, with everything white and stripped down?” Muzzey says. with everything white and stripped down?” Muzzey says.

“We’ve tried to create a truly welcoming and comforting environment. Our hospital is warm, and flooded “We’ve tried to create a truly welcoming and comforting environment. Our hospital is warm, and flooded with natural light. The corridors you walk are covered in floor-to-ceiling windows, and the color tones are all with natural light. The corridors you walk are covered in floor-to-ceiling windows, and the color tones are all earth tones. You are welcomed as you arrive by our volunteers and our staff, who make you feel as though you earth tones. You are welcomed as you arrive by our volunteers and our staff, who make you feel as though you are in a place of healing.” are in a place of healing.”

L U D I N G T O N D A I LY N E W S | T h U r S D AY, M A r c h 19 , 2 0 15 | c O M M U N I T Y h E A LT h

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noise dampening a gentle colorand between patients’and surroundings palette. their recovery. In a word, hospitals Center for Health Design in areThe trying to become more hospitable.

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organization leading the charge in eviSPOTLIGHT ON dence-based design. It’s been working for STRESS-REDUCTION

more than two decades with hospitals Using evidence-based design strateElmhurst isn’t the only hospithat want to incorporate this mode of gies, many architects are now working tal doing some mindful remodeling. thought in their layout, says Ellen Taylor, to encourage better patient outcomes by Medical center redesigns are popping director of research at CHD. The benefits building or revamping hospitals to feaup all across the country, as plenty of are clear, shelight, says.proving ture natural views of nature, evidence mounts a directmore link “Single-bed patient rooms have been noise dampening and a gentle color and between patients’ surroundings shown to have an satisfaction, palette. their recovery.

In impact a word,on hospitals noise, infection control and healing.

The Center for Health Design in This are trying to become more hospitable. was not considered a standardresearch of care 15 Concord, Calif., is a nonprofit years ago,” Taylor says. organization leading the charge in eviSPOTLIGHT ON “Therapeutic environments, (those for dence-based design.

It’s been working STRESS-REDUCTION that offer) access to nature, natural Layouts are changing, too. Venturing “Light can have an impact on healing, more than two decades with hospitals Using evidence-based design strate- light and views, reduced noise, and even artinto the hallway can feel like an expemost specifically stress and delirium,” that want to incorporate this mode of gies, many architects are now working work or other positive distractions, can dition for a patient who’s been stuck in Taylor says. thought in their layout, says Ellen Taylor, to encourage better patient outcomes by help reduce stress and improve healing.” bed, and their visiting family and friends.

“Research validates what people have director of research at CHD. The benefits building or revamping hospitals to feaHospitals can be a scary place to stay, When all the hallways look the same, had an intuitive sense about in the past. are clear, she says. ture natural light, views of nature, more so “Single-bed being in a room thatrooms looks have and feels it’s a pain to find the cafeteria, let alone In the past, nurses would put the sickpatient been noise dampening and a gentle color The redesign of Elmhurst Memorial in minimize suburban Chicagoest focused on turning a stress-filled trip to like your own at home means higher make it back to your room.

To intensive care unit patients atthe the shown to have an impact on satisfaction, palette. hospital into a relaxing resort-like experience. Its spacious single-occupancy suites feature Internet comfort levels and reduced anxiety. This disorientation, Elmhurst and other hosend of an older open ward unit, near the noise, infection control and healing.

This The Center for Health Design in access and room-service menus. peace of mind can make a huge differpitals have added big windows, large windows.” was not considered a standard of care 15 research Concord, Calif., is a nonprofit ence in preparing for a procedure, and wall paintings, and other recognizable Looking out the window lets patients years ago,” Taylor says. organization leading the charge in eviworking through the recovery process. landmarks. feel the sun on their face, and it opens the “Therapeutic environments, (thosefor dence-based design.

It’s been working “I spend a lot of time down by the Even something as simple as lightworld up to them—offering better view. that offer) access to nature, light Layouts are changing, too. Venturing “Light can have an impacta on healing, more than two decades with natural hospitals entrances, doing observation, and it is ing can affect the pace of healing, and “A patient commented how she andwant views, noise, and evenofartinto the hallway can feel like an expemost specifically stress and delirium,” that toreduced incorporate this mode interesting watching people walk incan for more hospitals like who’s Elmhurst forgoenjoyed the large window to make her work orin other dition for a patient beenare stuck in Taylor says. thought theirpositive layout, distractions, says Ellen Taylor, the first time and look up with disbelief,” ing overhead fluorescent lights in favor feel part of the bigger world.

Her room help reduce stress and improve bed, and their visiting family and friends.

“Research validates what people have director of research at CHD. Thehealing.” benefits Muzzey says. of lamps with decorative shades that give overlooked the promenade, and thepast. trees Hospitals can be a scary place to stay, When all the hallways look the same, had an intuitive sense about in the are clear, she says.

“I’ve heard visitors say, ‘The sun is so off natural light.

They offer a homier were lit for the holidays,” Taylor says. so“Single-bed being in a room that lookshave and feels it’s a pain to find the cafeteria, let alone In the past, nurses would put the sickpatient rooms been warm.

It own feelsat good justmeans to sit by the winatmosphere, make it easier to sleep.

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To minimize est intensive care‘The unitsouth patients at the are SAFETY AT THE shown to have an home impact on satisfaction, dows.’

And, ‘I love being able to look out Access to natural light is also proven to so nice.

We can see the forest preserve comfort levels and reduced anxiety.This This disorientation, Elmhurst and other hosend of an older open ward unit, near the FOREFRONT noise, infection control and healing. and see where I ammake in relationship to the prevent depression, disorders across the street.’” design widens the lens peace mind can a huge pitals have added bigsleep windows, largeand windows.”

Evidence-based a standard ofdiffercare 15 was notofconsidered parking areas.’” agitation. ence ago,” in preparing for a procedure, and wall paintings, and other recognizable out the window medical lets patients ofLooking care beyond a patient’s needs years Taylor says. working through the recovery process. landmarks. feel the sun on their face, and it opens the to include more holistic treatments.

“Therapeutic environments, (those SAFETY AT THE spend a lot to of nature, time down by the as simple as lightEven something world up to them—offering a better view.

Research shows patient falls, medithat“I offer) access natural light Layouts are changing, too. Venturing “Light can have an impact on healing, FOREFRONT entrances, doing observation, and it is ing can affect the pace healing, and patientand commented how she “Aspecifically cal errors rates of infection and views, reduced noise, and even artinto the hallway can feeloflike an expemost stress and delirium,” Evidence-based design widens thehave lens interesting people walk in for more hospitals likewho’s Elmhurst forgoenjoyed the large window to make her decreased through changes that work or otherwatching positive distractions, can dition for a patient been are stuck in Taylor says. of care beyond a patient’s medical include needs the reduce first time andand lookimprove up withhealing.” disbelief,” ing overhead lights infriends. favor feel part ofup the bigger Her room opening the floorworld. space, relocating help stress bed, and their fluorescent visiting family and to“Research include more holistic treatments. validates what people have Muzzey says.can be a scary place to stay, of lamps withhallways decorative that give overlooked the promenade, and the treesair nurses stations and improving indoor Hospitals When all the lookshades the same, Research showssense patient falls, had an intuitive about in medithe past.

“I’ve in heard visitors ‘The is so offanatural They offer a homier quality to reduce infection. were lit for the holidays,” Taylor says. so being a room thatsay, looks andsun feels it’s pain tolight. find the cafeteria, let alone rates of infection Incal theerrors past,and nurses would put the have sickwarm. feelsatgood just to sithigher by the winatmosphere, and make it easier to sleep.

Paoliheard, Hospital, outside Philadelphia, “I’ve also south windows are like yourItown home means make it back to your room.

To minimize decreased through changes that include est intensive care‘The unit patients at the dows.’ And, love reduced being able to lookThis out Access to natural light isand alsoother proven to opened Paoli Pavilion in 2009, a fiveso nice.

We can see the forest preserve comfort levels‘I and anxiety. disorientation, Elmhurst hosopening up theopen floorward space, relocating end of an older unit, near the and see wherecan I am in relationship to the prevent depression, disorders floorthe facility offering 124 private patient across street.’” peace of mind make a huge differpitals have added bigsleep windows, largeand nurses stations and improving indoor air windows.” parking areas.’” for a procedure, and agitation. rooms, and fronted by an airy lobby ence in preparing wall paintings, and other recognizable quality to reduce Looking out theinfection. window lets patientswith Layouts are changing, too.process.

Venturing of windows, artwork room “Light can have an impact on healing, working through the recovery landmarks.

Paoli Hospital, Philadelphia, feelplenty the sun on theiroutside face, and itand opens theto into the hallway feeldown like an most specifically stress and delirium,” visit with family.

The space helps elimi“I spend a lot ofcan time by expethe as simple as lightEven something opened Pavilion in 2009, a fiveworld up Paoli to them—offering a better view. dition for adoing patient who’s beenand stuck Taylor nate some commented of the stress that accompanies entrances, observation, it isin ing can says. affect the pace of healing, and floor facility offering 124how private patient “A patient she bed, and their visiting family andinfriends.

“Research what people have a hospital visit,window and patients interesting watching people walk for more hospitalsvalidates like Elmhurst are forgorooms, andlarge fronted byencourages antoairy lobby with enjoyed the make her When theand hallways look thedisbelief,” same, had an intuitive sense about in the past. to get up and out of their rooms. the firstall time look up with ing overhead fluorescent lights in favor plenty androom room to feel partof ofwindows, the biggerartwork world. Her it’s a pain to find the cafeteria, let alone Inlamps the past, wouldshades put thethat sickandThe families love the enviMuzzey says. of withnurses decorative give overlooked the promenade, the trees visit “Patients with family. spaceand helps elimironment,” says Jan Nash, Paoli’s vice make back visitors to your room.

To sun minimize est intensive care unit patients at the “I’veitheard say, ‘The is so off natural light. They offer a homier were for the holidays,” Taylor says. natelitsome of the stress that accompanies disorientation, Elmhurst other hosend of an older ward unit,to near the warm.

It feels good just to and sit by the winatmosphere, andopen make it easier sleep.

“I’ve also heard, windows are a hospital visit,‘The and south encourages patients pitals And, have added big windows, largeout windows.” dows.’

‘I love being able to look Access to natural light is also proven to sotonice.

Weand canout seeof the forest preserve get up their rooms. wallsee paintings, andin other recognizable Looking out the sleep window lets patients where I am relationship to the and prevent depression, disorders and across the street.’”

“Patients and families love the envilandmarks. feel the sun on their face, and it opens the ronment,” says Jan Nash, Paoli’s vice parking areas.’” agitation.

Even something as simple as lightworld up to them—offering a better view. ing can affect the pace of healing, and “A patient commented how she 8more c O hospitals M M U N I T Ylike h E AElmhurst L T h | L U Dare I N GforgoT O N D A I L Y enjoyed N E W S | the T h Ularge r S D Awindow Y , M A r cto h make 1 9 , 2 her 0 15 ing overhead fluorescent lights in favor feel part of the bigger world. Her room of lamps with decorative shades that give overlooked the promenade, and the trees off natural light. They offer a homier were lit for the holidays,” Taylor says.

president of patient services. “We want to make patients feel safe, warm and comfortable, and we’ve had many patients and visitors tell us they’ve enjoyed staying withof us.patient I believe it is working.” president services.

“We want to says feel when Paoli patients are makeNash patients safe, warm and comdone relaxing in the area, fortable, and we’ve hadpavilion many patients they can feel as comfortable—and and visitors telljust us they’ve enjoyed staysecure—when they head back to their ing with us. I believe it is working.” rooms.

Nash says when Paoli patients are our private have bathrooms done“All relaxing in therooms pavilion area, andcan showers with entry to they feel just asflat-surface comfortable—and eliminate tripthey hazards,” Nashto says. secure—when head back their “Sinks are located at the entry of each rooms. room to promote hand washing.

The “All our private rooms have bathrooms rooms have large windows to let in plenty and showers with flat-surface entry to of natural light, and handrails along the eliminate trip hazards,” Nash says. walls to help get the patient from the bed “Sinks are located at the entry of each to the bathroom.” room to promote hand washing. The The hospital spent $144 on rooms have large windows to million let in plenty the project, and considered how every of natural light, and handrails along the last to detail—from shapefrom of the walls help get thethe patient therooms bed to the placement of wall outlets—would to the bathroom.” affect safety, efficiency and care. on The hospital spent $144 million Nash says since the pavilion’s crethe project, and considered how every ation, there has been an 86% drop in last detail—from the shape of the rooms patient falls with injury, and a 19% drop to the placement of wall outlets—would in medication errors. affect safety, efficiency and care.

“Thesays onlysince numbers that wentcreup were Nash the pavilion’s our patient-satisfaction scores,” Nash ation, there has been an 86% drop in says. falls with injury, and a 19% drop patient Evidence-based in medication errors.hospital design represents more than a passing fad.

“The only numbers that went upTaylor were says more hospitals continue to convert our patient-satisfaction scores,” Nash to this modern approach, and it’s shifting says. the entire foundation of how theserepinstiEvidence-based hospital design tutions regard their business approach. resents more than a passing fad. Taylor These arehospitals the questions keeping hospital says more continue to convert ALMOST 4 DAYS FEWER leadership awake at night, she says. to this approach, and Center it’s shifting In amodern 2006 study from The for “Howfoundation can design of influence hospital how these instithe Health entire Design, researchers found that patient survey scores?

How approach. can tutions regard their business bipolar, depressed patients in awareeast-facness to be raised about the ingcontinue rooms—exposing them tohospital bright These are the questions keeping light in the morning—stayed an relationship of design and outcomes?” leadership awake at night, she says.average of 3.67 fewer days the hospital, Taylor says.

“How can the in facility be seen “How can design influence hospital compared with similar patients who as a long-term investment, rather than patient survey scores? How can awarestayed in west-facing rooms. impact an expense, that will have an ness continue to be raised about the on outcomes for to come? relationship of years designand anddecades outcomes?”

A“The DROP IN FALLS beauty and the challenge Taylor says. “How can Since the facility beofseen the opening health care design is that there are as a long-term investment, rather than a of Paoli Pavilion, unanswered questions.” analways expense, that will have an impact on Philadelphia-area

86% outcomes for years and decades to come?

19% “The beauty and the challenge of

medical center that utilizes evidencebased design, the health care design is that there are hospital has seen an 86% drop in always unanswered questions.” patient falls resulting in injury, and a 19% drop in medication errors.

hia, ient with m to minies ents

vie

NATURAL HEALING: HORTICULTURAL THERAPY

We want to make patients feel safe, warm and comfortable, and we’ve had many patients and visitors tell us they’ve enjoyed staying with us.

I believe it is working.

JAN NASH, PAOLI HOSPITAL

Gardens and natural space have long provided peace and tranquility to all people—whether sick or well. This age-old concept has made its way into facility design, as hospitals turn their parking lots into parks and therapy gardens.

For centuries, nature has had an intrinsic value to humans, and its powers are undoubtedly restorative. Research shows blood pressure, respiration rate, brain activity and stress hormones all decrease within minutes of being in nature.

Rochester General Hospital in New York offers patients, visitors and staff its Strolling Gardens, a large, completely accessible area featuring two covered pergolas and walkways wide enough to wheel a bed-bound patient through.

“Simply being outside in fresh air, away from hospital sights, sounds and smells, is a great benefit to health and healing,” says the Rev. Christine Baker, chaplain supervisor of the palliative care team at Rochester General.

“Research has shown that soft textures and pleasant aromas have healing capabilities of their own, and are an important complement to medical treatments. We have aromatic plants such as lavender, rosemary, sage and basil that are marked with small signs encouraging touch and smell, as well as lamb’s ear and other soft, fuzzy plantings that are also touchable.”

Another breathtaking example of horticultural therapy rests near the top of the Ann and Robert H. Lurie Children’s Hospital of Chicago. The 5,000-square-foot indoor Crown Sky Garden sits on the 11th floor, divided into zones for people who want to garden and those who want to quietly relax.

Bamboo planters separate the space, and a translucent interactive light wall weaves its way through the garden at different heights, changing color and brightness as people approach. The walls and ceiling are completely windowed, and the busy city bustles below.

TOP PHOTO COURTESY OF JEFF BLACKMAN, ROCHESTER GENERAL HEALTH SYSTEM; BOTTOM PHOTO COURTESY OF PETE ECKERT

ude g r air

Two covered pergolas at Rochester General Hospital’s Strolling Gardens offer respite from the sun and rain, while still allowing patients and their visitors a chance to relax and enjoy the benefits of horticultural therapy.

PHOTO COURTESY OF PETE ECKERT

ns eds

president of patient services. “We want to make patients feel safe, warm and comfortable, and we’ve had many patients and visitors tell us they’ve enjoyed staying with us. I believe it is working.”

Nash says when Paoli patients are done relaxing in the pavilion area, they can feel just as comfortable—and secure—when they head back to their rooms.

“All our private rooms have bathrooms and showers with flat-surface entry to eliminate trip hazards,” Nash says.

“Sinks are located at the entry of each room to promote hand washing. The rooms have large windows to let in plenty of natural light, and handrails along the walls to help get the patient from the bed to the bathroom.”

The hospital spent $144 million on the project, and considered how every last detail—from the shape of the rooms to the placement of wall outlets—would affect safety, efficiency and care.

Nash says since the pavilion’s creation, there has been an 86% drop in patient falls with injury, and a 19% drop in medication errors.

“The only numbers that went up were our patient-satisfaction scores,” Nash says.

Evidence-based hospital design represents more than a passing fad. Taylor says more hospitals continue to convert to this modern approach, and it’s shifting the entire foundation of how these institutions regard their business approach.

These are the questions keeping hospital leadership awake at night, she says.

“How can design influence hospital patient survey scores? How can awareness continue to be raised about the relationship of design and outcomes?”

Taylor says. “How can the facility be seen as a long-term investment, rather than an expense, that will have an impact on outcomes for years and decades to come?

“The beauty and the challenge of health care design is that there are always unanswered questions.”

The Crown Sky Garden at the Lurie Children’s Hospital in downtown Chicago was built upon research that links natural light and garden spaces to reduced patient recovery time.

L U D I N G T O N D A I L Y N E W S | t h u r sday , M a r c h 1 9 , 2 0 1 5 | Community Healt h

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The Heart Pavilion at Lankenau Medical Center in Wynnewood, Pa., opened its doors in July 2013, designed with the patient experience in mind. It features 96 allprivate rooms complete with sound-absorbing materials, earth-tone walls and large windows to let in healing natural light.

CARING FOR THOSE WHO CARE

Friends and family play a huge part in a patient’s recovery. But relatives sometimes feel unimportant, relegated to small, uncomfortable waiting areas, or pushed into the corner of their loved one’s patient room.

The Ann and Robert H. Lurie Children’s Hospital in downtown Chicago offers a Family Learning Center, where all families and patients can access educational resources, as well as a Family Life Center, which provides activities, workspaces and rest areas.

Children can illuminate their rooms with different colored lights, adjust room temperatures and control the window shades on their own. Artwork and atriums fill lobbies with life, while Family Great Rooms let families get away from the hospital room but still stay relatively close.

And with all these innovations happening, Taylor says more and more hospitals will follow suit.

ACCEPTING NEW PATIENTS

Margaret E. Gustafson, M.D. • Jennifer L. Miller, D.O. • Michelle Gentry, F.N.P-B.C.

Are all Accepting New OB/GYN Patients

With its interactive light wall and contemplative views of the city outside floor-to-ceiling windows, the Crown Sky Garden at Chicago’s Lurie Children’s Hospital is pioneering the movement of integrating healing gardens as part of a health care regiment within institutional environments.

We are a skilled nursing facility providing compassionate skilled long term care and rehabilitation services to Mason County Residents since 1966

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We provide special events such as our bike parade, old engine car show, motorcycle rally, and Veterans Day program Our employees participate in community events including the Lake Jump, United Way, Relay for Life, and Toys for Tots We are a member of the Ludington Scottville Chamber of Commerce and we support school athletics and school districts in Mason County

We accept most insurances including Medicaid, Meridian, McLaren, Medicare, Blue Cross and most commercial insurances. Please call our staff for inquiries.

To make an appointment call 231-845-5992 • www.gusmd.com

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Our office offers full obstetrical care and specializes in a wide variety of women’s health issues as well as specific gynecological needs, prevention and wellness care and operative gynecology.We also have a special interest in menopausal concerns, including ways to manage menopausal symptoms.

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1 Stand with your CURL Our arms are one of the most often exposed and, therefore, analyzed feet shoulder-width Work through winter on these moves that can get your arms ready 1 Stand with for your their body parts. And the warmer months are all about showing more skin, as many peoapart.

Hold a dumbfeet shoulder-width ple shed their cold-weather clothing for summer-friendly attire. bellHold in your right warm-weather reveal.

If you don’t have access to a gym or weights, you can modify apart. a dumbMany fitness beginners make the mistake of overemphasizing the biceps while hand, resting your bell in your right not giving proper attention the triceps,bands which make two-thirds of the upper handresting at youryour side. the moves by tousing of weights. hand, 1 upinstead 2 3 arm. So, for guys and women who want to rock tank 1 tops or fitted shirts to show 2 3 OVERHEAD DUMBBELL off lean muscle in the spring and summer months,BARBELL hit the triceps as much as theCURLS DRAG TRICEPS EXTENSION biceps for overall arm development.

1 Stand with your feet shoulder-width Hold a or barbell with position, both hands in a 1 In a sitting standing hold BARBELL DRAG CURLSapart.

Work through winter on these moves that can1 Stand get your arms ready for their supinated (palms up) grip. dumbbell in your with rightboth hand.

Bring with your feet shoulder-width apart.

Hold a barbell hands in the a Keeping the barbell as close to your body as possible, bendwith at the elbows, curlwarm-weather reveal. If you don’t have access tosupinated a 2gym or weights, yougrip. can modify dumbbell overhead your arm fully (palms up) ing the weight until as theclose bicep been fully contracted. extended. the moves by using bands instead of weights. 2 Keeping the barbell tohas your body as possible, bend at the elbows, curl-

1

2

3

Pause and until squeeze at thehas topbeen of the move—the complete contraction.

2 Keep thepoint upperofarm straight, while you ing3the weight the bicep fully contracted.

Do 8 to 10 squeeze reps. slowly lower dumbbellcontraction. behind your 3 Pause and at the top of the move—the point the of complete head. Pause for one to two seconds.

Do 8 to 10 reps.

3 Contract the triceps, and return the 1 Stand with your feet shoulder-width apart. Hold a barbell with both hands in a weight to the overhead starting position. supinated (palms up) grip.

Do 8 to 10 reps.

2 Keeping the barbell as close to your body as possible, bend at the elbows, curl4 Repeat with your left arm. ing the weight until the bicep has been fully contracted.

3 Pause and squeeze at the top of the move—the point of complete contraction.

Do 8 to 10 reps.

BARBELL DRAG CURLS

DUMBBELL L U D I N G T O N D A I LY HAMMER CURL 1 Stand with your

2 C n t r aside. ct the hand atoyour 2 bice C o nps t r aby c t lif t hting e your toward bice pshand by lif ting your shoulder, keeping your hand in theyour “hammer” grip position your hand toward shoulder, keeping and isolating upper arm making your hand in thethe “hammer” grip by position sure it doesn’t 8 toby 10making reps. and isolating themove. upperDo arm 3 Repeat with your Do left8arm. sure it doesn’t move. to 10 reps.

3 Repeat with your left arm.

SPENSER NOBLES IS AN ISSA-CERTIFIED FITNESS TRAINER.

SPENSER NOBLES IS AN ISSA-CERTIFIED FITNESS TRAINER.

C O M M U N I T Y H E A LT H C O M M U N I T Y H E A LT H

SPRING 2015

SPRING 2015

N E W S | t h u r sday , M a r c h 1 9 , 2 0 1 5 | Community Healt h

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Making life more comfortable, one foot at a time.

Alan L. Mast, D.P.M.

MAKE A NEW START

Jump start your fitness goals.

Be fit... be healthy...

WSCC offers two of the finest athletic facilities in the area.

The complex features a pool, whirlpool, gymnasium, wellness center, weight room, and racquetball court and ice arena.

Board Certified in Foot Surgery, ABPS Foot Specialist & Surgeon Specializing in Diabetic Foot Care

Call or visit the Recreation Center for membership information...

333 N. Jebavy Dr. • Ludington

231.843.2690

DIRECT LINE 3000 N. Stiles Road Recreation Center .............. 843-5543 Scottville Ice Arena ............................ 843-9712 www.westshore.edu

Fax 231.843.4338

KEEPING KIDS FIT YEAR ‘ROUND

Gymnastics not only increases strength, grace and flexibility, but also encourages hard work, discipline and determination.

Improve Your Health Naturally CPTG Essential Oils

Fun & Fit Programs for Kids: ~ Recreational Gymnastics Classes for kids Ages 18mos-18years ~ Girls & Boys Classes ~ Adult Gymnastics Class ~ Competitive Travel Team ~ Home Fun Meets & Show-Off-Your-Skills Days ~ Open Gyms for Friends & Family ~ We Host Birthday Parties!

Agility Balance Flexibility Strength Coordination Concentration Self Esteem

DoTerra Essential Oils

Standard Process Whole Food Organic Vitamins

OUR CLINICAL SERVICES: ~ Lakeshore Whole Health specializes in Nutrition Response Testing, a specific form of applied kinesiology (or “muscle testing.”)

The process is gentle and non-invasive, yet precise to your individual nutritional needs. We test for barriers to healing which include immune challenges, foods, chemicals, metals and scars.

Remove obstacles naturally then watch as your body heals itself !

PRODUCTS WE OFFER: ~ Organic Vitamin Supplements ~ Organic Herbal Supplements ~ 21 Day Purification Program ~ DoTerra Essential Oils ~ Zyto Compass Bio-Scan for Oils ~ Organo Gold Coffee (pH neutral) ~ Locally Made Soaps ~ Chemical-Free Lotions & Products ~ Gluten Free Foods ~ Healthy Snacks ~ Select Grocery Items ~ Friendly Environment

MEET OUR PRACTITIONER:

Aimee Goff, NRT Practitioner, Whole Health Educator

Vita-Mix Affiliate

Learn more at www.flipstargym.com MEMBER GYM

(231) 845-1385

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Proudly certified through:

5909 W US Highway 10, Ludington, MI www.facebook.com/FlipstarGym

Community Healt h | L U D I N G T O N D A I L Y N E W S | t h u r sday , M a r c h 1 9 , 2 0 1 5

Gluten-Free Breads, Bagels, Buns, Pizza Crusts, & Cookies

“Healthy Body, Healthy Life” 5909 W US Highway 10 Ludington, MI ~ (231) 843-4800 www.LakeshoreWholeHealth.com www.facebook.com/LWH